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美国成年人血浆致动脉粥样化指数与银屑病之间的关联:一项基于2009年至2014年美国国家健康与营养检查调查的横断面研究。

Associations between the atherogenic index of plasma and psoriasis among US adults: A cross-sectional study based on NHANES 2009 to 2014.

作者信息

Tuo Yanan, He Junchen, Guo Tao

机构信息

Department of Dermatology, Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital, Tianjin, China.

出版信息

Medicine (Baltimore). 2024 Dec 13;103(50):e40955. doi: 10.1097/MD.0000000000040955.

Abstract

The atherogenic index of plasma (AIP) is a significant indicator of lipid levels. This study aimed to investigate the association between psoriasis and AIP in adults. The association between AIP and psoriasis was investigated using multivariate logistic regression, and smoothing curve fitting utilizing data from the National Health and Nutrition Examination Survey 2009 to 2014. Subgroup analysis and interaction tests were employed to investigate whether this relationship was stable across populations. The final sample included 8177 participants, representing approximately 60 million people in the US. Psoriasis among the AIP groups (quartile, Q1-Q4) was statistically significant (P < .05). In the minimally adjusted model, each 1-unit increase in AIP was associated with a 44% increase in the risk of developing psoriasis [1.44 (1.01, 2.20)]. Participants in the highest quartile of AIP had a 40% higher risk of developing psoriasis than those in the lowest quartile [1.40 (1.05, 2.10)]. In the male group, the risk of developing psoriasis increased by 0.86 points per 1 unit increase in AIP. AIP is positively associated with psoriasis in US adults. Our findings imply that AIP improves psoriasis prevention in the general population.

摘要

血浆致动脉粥样硬化指数(AIP)是血脂水平的一个重要指标。本研究旨在调查成年人中银屑病与AIP之间的关联。使用多变量逻辑回归研究AIP与银屑病之间的关联,并利用2009年至2014年美国国家健康与营养检查调查的数据进行平滑曲线拟合。采用亚组分析和交互作用检验来调查这种关系在不同人群中是否稳定。最终样本包括8177名参与者,代表了美国约6000万人。AIP组(四分位数,Q1-Q4)中的银屑病具有统计学意义(P < 0.05)。在最小调整模型中,AIP每增加1个单位,患银屑病的风险增加44% [1.44 (1.01, 2.20)]。AIP最高四分位数的参与者患银屑病的风险比最低四分位数的参与者高40% [1.40 (1.05, 2.10)]。在男性组中,AIP每增加1个单位,患银屑病的风险增加0.86分。在美国成年人中,AIP与银屑病呈正相关。我们的研究结果表明,AIP有助于改善普通人群中银屑病的预防。

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