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血脂异常对相对年轻的健康人群的心脏代谢健康和心血管疾病风险产生影响。

Dyslipidemia Impacts Cardiometabolic Health and CVD Risk in a Relatively Young Otherwise Healthy Population.

作者信息

Lang Jillian M, Shostak Elena S, Quinn William K, Chervinskaya Valerie D, Fioraso Elisa, Smith Everett, Kotarsky Christopher J, DeBlauw Justin A, Lloyd Jennifer L, Ives Stephen J

机构信息

Health and Human Physiological Sciences, Skidmore College, Saratoga Springs, New York, USA.

Department of Biomedicine and Movement Science, University of Verona, Verona, Italy.

出版信息

J Clin Hypertens (Greenwich). 2025 Jan;27(1):e14972. doi: 10.1111/jch.14972.

Abstract

Dyslipidemia, abnormal levels of lipids in the bloodstream, is associated with cardiovascular disease risk (CVD). The purpose of this study was to evaluate the effects of dyslipidemia on cardiometabolic health in relatively young, healthy adults. Participants were 54 healthy males and females aged 18-60 years. Participants were assessed for anthropometrics, body composition, blood pressure and vascular stiffness indicators, microvascular health, and glucose and lipid levels. Using a cross-sectional approach, participants were characterized and grouped as having dyslipidemia or not, and then statistically assessed to determine whether differences in other cardiometabolic health measures existed between the groups. There were significant differences between groups for body weight and composition (total mass, muscle mass, visceral fat, bone mass, and body mass index, all, p < 0.027, Cohen's d > 0.605) with the dyslipidemia group being higher. There were significant differences between groups for peripheral and central blood pressures (all, p < 0.003, Cohen's d > 0.899), as well as for vascular stiffness indicators (pulse pressure, augmentation pressure, augmentation index, augmentation index 75) (all, p < 0.022, Cohen's d > 0.672) with elevations noted in the dyslipidemia group. Ten-year CVD risk was significantly different between groups, with an average risk of 0.8% in the normal lipids group and a risk of 5.4% in the dyslipidemia group (p < 0.001, Cohen's d = 1.260). However, there were no significant differences in macro- or micronutrient intake between groups (all, p > 0.166, Cohen's d < 0.412). There is a significant impact on cardiometabolic health in individuals with dyslipidemia who are otherwise healthy, which may increase individual risk for CVD. Trial Registration: ClinicalTrials.gov identifier: NCT06544915.

摘要

血脂异常,即血液中脂质水平异常,与心血管疾病风险(CVD)相关。本研究的目的是评估血脂异常对相对年轻、健康的成年人心脏代谢健康的影响。研究对象为54名年龄在18至60岁之间的健康男性和女性。对研究对象进行了人体测量学、身体成分、血压和血管僵硬度指标、微血管健康以及血糖和血脂水平的评估。采用横断面研究方法,将研究对象分为血脂异常组和非血脂异常组,并进行统计学评估,以确定两组在其他心脏代谢健康指标上是否存在差异。两组在体重和身体成分(总体质量、肌肉质量、内脏脂肪、骨质量和体重指数,所有指标,p < 0.027,Cohen's d > 0.605)方面存在显著差异,血脂异常组更高。两组在外周血压和中心血压(所有指标,p < 0.003,Cohen's d > 0.899)以及血管僵硬度指标(脉压、增强压、增强指数、增强指数75)(所有指标,p < 0.022,Cohen's d > 0.672)方面存在显著差异,血脂异常组指标升高。两组的十年心血管疾病风险存在显著差异,正常血脂组的平均风险为0.8%,血脂异常组的风险为5.4%(p < 0.001,Cohen's d = 1.260)。然而,两组在宏量营养素或微量营养素摄入方面没有显著差异(所有指标,p > 0.166,Cohen's d < 0.412)。血脂异常对原本健康的个体的心脏代谢健康有显著影响,这可能会增加个体患心血管疾病的风险。试验注册:ClinicalTrials.gov标识符:NCT06544915。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5986/11771811/fabe9defa96d/JCH-27-e14972-g001.jpg

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