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美国成年人内脏脂肪代谢评分与类风湿关节炎风险的关联

Association of visceral fat metabolism score with risk of rheumatoid arthritis in US adults.

作者信息

Li Yonghui, Zhu Yujuan, Tang Xinwen, Guo Zhiwen, Li Jian, Lv Shuchi, Liu Meng, Yu Yanjie, Lei Changbin

机构信息

Department of Orthopedics, Affiliated Hospital of Xiangnan University (Clinical College), Chenzhou, China.

Department of Clinical Pharmacy, Affiliated Hospital of Xiangnan University (Clinical College), Chenzhou, China.

出版信息

Front Nutr. 2025 Mar 20;12:1544624. doi: 10.3389/fnut.2025.1544624. eCollection 2025.

Abstract

BACKGROUND

The Visceral Adiposity Index (METS-VF) has emerged as a novel obesity assessment metric. However, research exploring the relationship between METS-VF and rheumatoid arthritis (RA) remains limited. The objective of this investigation was to examine the correlation between the prevalence of RA and METS-VF.

METHODS

The NHANES data collected between 2011 and 2018 were used in this investigation. To determine the association between METS-VF and the prevalence of RA, logistic regression analysis was used. Sensitivity and subgroup analysis were done to test how reliable the results were. Finally, the predictive power of BMI, waist circumference, and METS-VF for RA was compared using ROC curve analysis.

RESULTS

This research had 8,626 individuals in total. The findings showed that compared to those without RA, persons with the condition had noticeably greater METS-VF levels. METS-VF and the prevalence of RA were significantly positively correlated, according to a logistic regression analysis (OR = 1.50, 95% CI = 1.12-2.00). The results of the sensitivity and subgroup analyses agreed with the primary conclusions. ROC analysis indicated that METS-VF possessed a superior ability to predict RA compared to BMI and waist circumference.

CONCLUSION

This study indicates that elevated METS-VF levels are positively correlated with an increased risk of RA in the US population. Monitoring this metric might aid in the early detection of high-risk patients.

摘要

背景

内脏脂肪指数(METS-VF)已成为一种新型肥胖评估指标。然而,探索METS-VF与类风湿关节炎(RA)之间关系的研究仍然有限。本研究的目的是检验RA患病率与METS-VF之间的相关性。

方法

本研究使用了2011年至2018年收集的美国国家健康与营养检查调查(NHANES)数据。为了确定METS-VF与RA患病率之间的关联,采用了逻辑回归分析。进行敏感性和亚组分析以检验结果的可靠性。最后,使用ROC曲线分析比较了BMI、腰围和METS-VF对RA的预测能力。

结果

本研究共有8626名个体。研究结果表明,与无RA者相比,患有RA的个体METS-VF水平明显更高。逻辑回归分析显示,METS-VF与RA患病率显著正相关(OR = 1.50,95% CI = 1.12 - 2.00)。敏感性和亚组分析结果与主要结论一致。ROC分析表明,与BMI和腰围相比,METS-VF预测RA的能力更强。

结论

本研究表明,在美国人群中,METS-VF水平升高与RA风险增加呈正相关。监测该指标可能有助于早期发现高危患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af59/11974506/6da070dff63d/fnut-12-1544624-g001.jpg

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