老年人中估计的葡萄糖处置率与认知功能之间的关系。
The relationship between estimated glucose disposal rate and cognitive function in older individuals.
作者信息
Li Li, Li Chengbo, Zhu Jiang
机构信息
Department of Neurology, Affiliated Hospital of Chengde Medical College, Hebei, China.
出版信息
Sci Rep. 2025 Feb 18;15(1):5874. doi: 10.1038/s41598-025-89623-8.
The estimated glucose disposal rate (eGDR) serves as a novel indicator of insulin resistance, which has been shown to correlate with cardiovascular disease risk; however, its relationship with cognitive function remains unclear.This article describes a cross-sectional study design based on data from the 2011-2014 National Health and Nutrition Examination Survey (NHANES). The Weighted logistic regression and the restricted cubic spline were employed to examine the relationship between eGDR and cognitive ability.The subjects were divided into two categories: the normal group and the cognitive function decline (CFD) group, based on their cognitive scores. There were significant differences in eGDR levels between the two groups(P = 0.001).After adjusting for relevant covariates, notable differences were found between eGDR and cognitive function when eGDR was expressed in both continuous and categorical data forms (P < 0.05). The stability of these findings was further confirmed through sensitivity analyses.This difference persisted in subgroups, including women, individuals with education beyond high school, moderate drinkers, and those who had not been diagnosed with stroke (P < 0.05). A restricted cubic spline revealed a non-linear relationship with an inflection point between the two (P-for-non-linear < 0.05, P-overall < 0.001). This study contributes to the understanding of the relationship between eGDR and cognitive performance by identifying a potential non-linear association.
估计的葡萄糖处置率(eGDR)是胰岛素抵抗的一种新指标,已被证明与心血管疾病风险相关;然而,其与认知功能的关系仍不清楚。本文描述了一项基于2011 - 2014年美国国家健康与营养检查调查(NHANES)数据的横断面研究设计。采用加权逻辑回归和受限立方样条来检验eGDR与认知能力之间的关系。根据认知得分,将研究对象分为两类:正常组和认知功能衰退(CFD)组。两组之间的eGDR水平存在显著差异(P = 0.001)。在调整相关协变量后,当以连续和分类数据形式表示eGDR时,发现eGDR与认知功能之间存在显著差异(P < 0.05)。通过敏感性分析进一步证实了这些发现的稳定性。这种差异在包括女性、高中以上学历者、适度饮酒者以及未被诊断患有中风的人群等亚组中持续存在(P < 0.05)。受限立方样条显示两者之间存在非线性关系且有一个拐点(非线性P < 0.05,总体P < 0.001)。本研究通过确定一种潜在的非线性关联,有助于理解eGDR与认知表现之间的关系。