炎症性肠病与 2 型糖尿病之间的联系

Ştefan Ţălu, Davide Frumento
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摘要

炎症性肠病(IBD)是一类胃肠道慢性炎症,包括溃疡性结肠炎(UC)和/或克罗恩病(CD),影响遗传易感人群。IBD 给医疗系统带来了高昂的费用,而且具有非常特殊的共病特征。由于这些原因,以及过去观察到的 IBD 与糖尿病(DM)之间的正相关性,这项工作的目的是通过一项队列研究,考虑 49 名连续合并 IBD 和 2 型糖尿病(T2D)的患者,为这一结果提供更坚实的基础。研究发现,IBD 和 T2D 之间存在高度相关性。有趣的是,UC 的相关性更高,65 至 74 岁年龄段的峰值尤其高。由于 T2D 是一种由环境和基因驱动的病理现象(与肠道疾病一样),这些疾病的关联可能是由环境因素造成的。此外,70.8%的病例对照患者(48 例病例与 96 例对照,连续选取)患有 UC,而 CD 占其余的 25.0%(4.2%为未确定的结肠炎)。这证明,在 IBD 中,与 DM 关系最大的是 UC,尽管 CD 仍是一种相关病理。有趣的是,在 55-64 岁年龄段中没有发现 CD。相反,队列研究显示,73.81%的队列成员患有 UC,而 CD 占其余的 21.43%(4.76%为未确定的结肠炎)。这证实,在肠道疾病中,与 T2D 关系最大的是 UC。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A LINKAGE BETWEEN INFLAMMATORY BOWEL DISEASES AND TYPE 2 DIABETES
Inflammatory Bowel Diseases (IBDs) are a class of gastrointestinal chronic inflammations, comprehending Ulcerative Colitis (UC) and/or Crohn Disease (CD) and affecting genetically predisposed subjects. IBDs represent a high cost for the health system, and they are characterized by a very specific co-morbidity. For such reasons, and since a positive correlation between IBDs and Diabetes Mellitus (DM) has been observed in the past, the aim of this work is to provide such result with a more solid basis through a cohort study, considering 49 consecutive patients comorbid with IBDs and Type 2 Diabetes (T2D). A high correlation between IBDs and T2D was observed. Interestingly, UC was showed the higher correlation, with a particularly high peak within the 65 to 74 years old range. Being T2D a both environmentally and genetically driven pathology (like IBDs), these diseases association could be due to environmental factors. Furthermore, 70.8% of case-control patients (48 cases versus 96 controls, consecutively selected) were suffering from UC, while CD held the remaining 25.0% (4.2% stood for undetermined colitis). This evidences that, among IBDs, the most related to DM is UC, although CD remains a related pathology. Interestingly, CD was found to be absent in the 55-64 years old range. Conversely, cohort study highlighted 73.81% of cohort was suffering from UC, while CD held the remaining 21.43% (4.76% was for non-determined colitis). This confirms that, among IBDs, the most linked to T2D is UC.
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