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美国成年人中估计的葡萄糖处置率与骨关节炎风险之间的关联:一项横断面研究。

Associations between estimated glucose disposal rate and osteoarthritis risk in US adults: a cross-sectional study.

作者信息

Que Zhiqiang, Chen Dingqiang, Cai Huirong, Lan Weibin, Huang Yuxuan, Rui Gang

机构信息

Department of Orthopedics, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.

The School of Clinical Medicine, Fujian Medical University, Fuzhou, China.

出版信息

BMC Musculoskelet Disord. 2025 Mar 26;26(1):302. doi: 10.1186/s12891-025-08568-1.

Abstract

BACKGROUND

Estimated glucose disposal rate (eGDR) is a novel insulin resistance (IR) assessment surrogate. Although it has shown promising potential in other metabolic disease studies, no research has yet explored its relationship with osteoarthritis (OA). Therefore, this study aims to investigate the association between eGDR and OA in a cross-sectional observational cohort.

METHOD

Data utilized in this cross-sectional study were drawn from the National Health and Nutrition Examination Survey (NHANES). Logistic regression models were used to evaluate the association between eGDR and OA, stratified analysis was applied to assess the stability of the results.

RESULT

A total of 19,040 participants were included in the study, including 2,001 OA patients and 17,039 non-OA participants with an age distribution ranging from 20 to 85 years. The fully adjusted logistic regression model shows that eGDR were less likely associated with OA compared to those with non-OA (OR = 0.879, 95% CI = 0.846-0.914, P < 0.001). By dispersing the eGDR into quartiles, the correlation between eGDR and OA remained significant (P for trend < 0.0001).

CONCLUSION

This study suggests that eGDR is independently associated with OA, with lower eGDR values being linked to a higher risk of OA.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

估计葡萄糖处置率(eGDR)是一种新型的胰岛素抵抗(IR)评估指标。尽管它在其他代谢疾病研究中已显示出有前景的潜力,但尚无研究探讨其与骨关节炎(OA)的关系。因此,本研究旨在调查横断面观察队列中eGDR与OA之间的关联。

方法

本横断面研究使用的数据来自国家健康与营养检查调查(NHANES)。采用逻辑回归模型评估eGDR与OA之间的关联,并应用分层分析评估结果的稳定性。

结果

本研究共纳入19,040名参与者,其中包括2,001名OA患者和17,039名非OA参与者,年龄分布在20至85岁之间。完全调整后的逻辑回归模型显示,与非OA参与者相比,eGDR与OA的关联较小(OR = 0.879,95% CI = 0.846 - 0.914,P < 0.001)。将eGDR分为四分位数后,eGDR与OA之间的相关性仍然显著(趋势P < 0.0001)。

结论

本研究表明,eGDR与OA独立相关,较低的eGDR值与较高的OA风险相关。

临床试验编号

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d7a/11938617/b223a3f6f563/12891_2025_8568_Fig1_HTML.jpg

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