Zhang Shaofeng, Li Zhongli, Zeng Yaling, Jiang Jia, Lei Wei, Chen Siqin, Liu Jiayi, Li Jia, Chen Xin, Xiao Qiang
Pulmonary and Critical Care Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Pulmonary and Critical Care Medicine, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde, Foshan), Foshan, Guangdong, China.
BMC Pulm Med. 2025 Jan 6;25(1):6. doi: 10.1186/s12890-024-03465-0.
Research indicates that obesity can worsen the clinical manifestations of chronic obstructive pulmonary disease (COPD). Timely detection of COPD has the potential to enhance treatment results. This study seeks to investigate the association between a new metabolic indicator, the lipid accumulation product (LAP), and the risk of developing COPD.
The observational analysis employs data from the National Health and Nutrition Examination Survey (NHANES) conducted from 2007 to 2016. Multivariate logistic regression was used to explore the association between LAP levels and COPD. Further analysis methods included subgroup analysis, smooth curve modeling, and threshold effect evaluation.
Within the sample of 12,089 individuals, 1,072 were diagnosed with COPD. A positive correlation between LAP levels and COPD risk was identified through logistic regression analysis, even after controlling for potential confounders. The analyses by subgroup showed an enhanced association in participants without hypertension. The smooth curve fitting analysis highlighted particular saturation effects of LAP, with significant inflection points identified at 65.5278 and a P-value of 0.013.
This study's findings suggest that elevated LAP levels are associated with an increased risk of COPD. It is suggested that dietary modifications and exercise routines be implemented to mitigate COPD risk in those with higher LAP levels.
研究表明,肥胖会使慢性阻塞性肺疾病(COPD)的临床表现恶化。及时检测COPD有可能提高治疗效果。本研究旨在调查一种新的代谢指标——脂质积聚产物(LAP)与患COPD风险之间的关联。
观察性分析采用了2007年至2016年进行的美国国家健康与营养检查调查(NHANES)的数据。使用多变量逻辑回归来探讨LAP水平与COPD之间的关联。进一步的分析方法包括亚组分析、平滑曲线建模和阈值效应评估。
在12089名个体的样本中,有1072人被诊断患有COPD。通过逻辑回归分析确定了LAP水平与COPD风险之间存在正相关,即使在控制了潜在混杂因素之后也是如此。亚组分析显示,在没有高血压的参与者中,这种关联更强。平滑曲线拟合分析突出了LAP的特定饱和效应,在65.5278处确定了显著的拐点,P值为0.013。
本研究结果表明,LAP水平升高与COPD风险增加有关。建议对LAP水平较高的人群进行饮食调整和实施日常锻炼,以降低COPD风险。