脂质积累产物与慢性阻塞性肺疾病之间的关系:横断面分析

IF 2.6 3区 医学 Q2 RESPIRATORY SYSTEM
Shaofeng Zhang, Zhongli Li, Yaling Zeng, Jia Jiang, Wei Lei, Siqin Chen, Jiayi Liu, Jia Li, Xin Chen, Qiang Xiao
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引用次数: 0

摘要

背景:研究表明,肥胖可加重慢性阻塞性肺疾病(COPD)的临床表现。及时发现慢性阻塞性肺病有可能提高治疗效果。本研究旨在探讨一种新的代谢指标脂质积累产物(LAP)与COPD发病风险之间的关系。方法:采用2007 - 2016年全国健康与营养检查调查(NHANES)数据进行观察性分析。采用多因素logistic回归探讨LAP水平与COPD的关系。进一步的分析方法包括亚组分析、光滑曲线建模和阈值效应评价。结果:在12089人的样本中,1072人被诊断为COPD。通过逻辑回归分析,即使在控制了潜在的混杂因素后,LAP水平与COPD风险之间也存在正相关。亚组分析显示,无高血压的参与者的相关性增强。光滑曲线拟合分析突出了LAP的特殊饱和效应,在65.5278处发现了显著的拐点,p值为0.013。结论:本研究结果表明,LAP水平升高与COPD风险增加有关。建议在LAP水平较高的人群中实施饮食调整和日常锻炼以降低COPD风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between lipid accumulation product and chronic obstructive pulmonary disease: a cross-sectional analysis.

Background: Research indicates that obesity can worsen the clinical manifestations of chronic obstructive pulmonary disease (COPD). Timely detection of COPD has the potential to enhance treatment results. This study seeks to investigate the association between a new metabolic indicator, the lipid accumulation product (LAP), and the risk of developing COPD.

Methods: The observational analysis employs data from the National Health and Nutrition Examination Survey (NHANES) conducted from 2007 to 2016. Multivariate logistic regression was used to explore the association between LAP levels and COPD. Further analysis methods included subgroup analysis, smooth curve modeling, and threshold effect evaluation.

Results: Within the sample of 12,089 individuals, 1,072 were diagnosed with COPD. A positive correlation between LAP levels and COPD risk was identified through logistic regression analysis, even after controlling for potential confounders. The analyses by subgroup showed an enhanced association in participants without hypertension. The smooth curve fitting analysis highlighted particular saturation effects of LAP, with significant inflection points identified at 65.5278 and a P-value of 0.013.

Conclusion: This study's findings suggest that elevated LAP levels are associated with an increased risk of COPD. It is suggested that dietary modifications and exercise routines be implemented to mitigate COPD risk in those with higher LAP levels.

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来源期刊
BMC Pulmonary Medicine
BMC Pulmonary Medicine RESPIRATORY SYSTEM-
CiteScore
4.40
自引率
3.20%
发文量
423
审稿时长
6-12 weeks
期刊介绍: BMC Pulmonary Medicine is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of pulmonary and associated disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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