体圆指数与慢性肾脏病的关系:1999-2018 年 NHANES 基于人群的横断面研究。

IF 1.8 4区 医学 Q3 UROLOGY & NEPHROLOGY
Hongliang Cao, Chengdong Shi, Zulipikaer Aihemaiti, Xianyu Dai, Fangqiu Yu, Song Wang
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引用次数: 0

摘要

背景:肥胖与慢性肾脏病(CKD)之间的复杂关系已有报道。然而,用于衡量身体脂肪分布的指标--体圆指数(BRI)与慢性肾脏病风险之间的联系尚未得到研究:我们利用了美国国家健康与营养调查(NHANES)十个调查周期(1999-2018 年)的公开数据。我们采用多变量逻辑回归、亚组分析、交互检验和平滑曲线拟合等方法研究了BRI与CKD风险之间的关联:研究最终涉及 41953 名参与者,其中 3123 人(7.44%)患有慢性肾脏病。经协变量调整后的多变量逻辑回归结果表明,第 4 分位数的高 BRI 水平是导致 CKD 的风险因素(OR = 1.30,95% CI 1.12-1.50,P = 0.0005)。这种关联在不同亚组中保持一致(交互作用 P > 0.05)。平滑曲线拟合显示,BRI与CKD之间大致呈线性正相关:结论:根据我们的研究,BRI 与 CKD 大致呈线性相关,这为改善 CKD 患者的预防和治疗提供了一个新的指标。尽管如此,还需要进行更多的研究来确定两者之间的关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of body round index with chronic kidney disease: a population-based cross-sectional study from NHANES 1999-2018.

Background: Complex nexuses between obesity and chronic kidney disease (CKD) have been reported. Nevertheless, the link between the body roundness index (BRI), an indicator utilized to measure body fat distribution, and CKD risk has been unexplored.

Methods: We utilized publicly available data from ten survey cycles (1999-2018) of the National Health and Nutrition Examination Survey (NHANES) in the United States. We examined the association between BRI and CKD risk using multivariable logistic regression, subgroup analysis, interaction tests, and smooth curve fitting.

Results: The study ultimately involved 41,953 participants, 3,123 (7.44%) of whom had CKD. Multivariable logistic regression, adjusted for covariates, identified high BRI levels in quartile 4 as a risk factor for CKD (OR = 1.30, 95% CI 1.12-1.50, P = 0.0005). This association remained consistent across subgroups (P for interaction > 0.05). Smoothed curve fitting exhibited a roughly linear positive correlation between BRI and CKD.

Conclusion: According to our study, BRI was related to CKD in a roughly linear way, suggesting a novel indicator for improving prevention and treatment for the CKD population. Nevertheless, additional research is needed to identify the association.

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来源期刊
International Urology and Nephrology
International Urology and Nephrology 医学-泌尿学与肾脏学
CiteScore
3.40
自引率
5.00%
发文量
329
审稿时长
1.7 months
期刊介绍: International Urology and Nephrology publishes original papers on a broad range of topics in urology, nephrology and andrology. The journal integrates papers originating from clinical practice.
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