估计葡萄糖处置率与帕金森病的减少相关:一项基于人群的研究

IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY
Wenting Hu, Hai Liu, Ying Zhang, Huanxian Liu
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引用次数: 0

摘要

背景:越来越多的证据表明胰岛素抵抗(IR)在帕金森病(PD)中起着关键作用。本研究旨在探讨估计葡萄糖处置率(eGDR)与PD患病率之间的关系,eGDR是评估IR的一种实用且无创的测量方法。方法:我们使用1999-2020年国家健康与营养检查调查(NHANES)的数据进行了一项基于人群的横断面研究。加权多变量逻辑回归用于检验eGDR和PD之间的关联,调整混杂因素。采用限制三次样条(RCS)模型检验可能存在的非线性剂量-响应关系。进行亚组分析和敏感性分析,验证结果的稳健性。结果:共有37,951名20岁及以上的成年人被纳入研究。eGDR与PD患病率呈显著负相关。eGDR每增加1个单位,PD的可能性降低17% (OR = 0.73, 95% CI: 0.62, 0.85, P)。结论:较高的eGDR,反映了胰岛素敏感性的改善,与PD患病率降低相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Estimated glucose disposal rate is correlated with decreased parkinson's disease: a population-based study.

Background: Increasing evidence suggests that insulin resistance (IR) plays a key role in Parkinson's disease (PD). This study aimed to investigate the relationship between the estimated glucose disposal rate (eGDR), a practical and noninvasive measure for assessing IR, and PD prevalence.

Methods: We conducted a population-based cross-sectional study using data from the National Health and Nutrition Examination Survey (NHANES) 1999-2020. Weighted multivariable logistic regression was used to examine the association between eGDR and PD, adjusting for confounders. A restricted cubic spline (RCS) model was employed to examine the possible non-linear dose-response relationship. Subgroup analysis and sensitivity analysis were conducted to validate the robustness of the results.

Results: A total of 37,951 adults aged 20 years or older were included in the study. A significant inverse association between eGDR and PD prevalence was observed. Each 1-unit increase in eGDR was associated with a 17% reduction in the likelihood of PD (OR = 0.73, 95% CI: 0.62, 0.85, P < 0.001). Participants with the higher eGDR (4-5.99, 6-7.99, and ≥ 8 mg/kg/min) had a significantly lower prevalence of PD compared to those with the lowest eGDR (< 4 mg/kg/min). The reductions in PD prevalence were 58% (OR = 0.42; 95% CI: 0.24, 0.74; P = 0.003), 56% (OR = 0.44; 95% CI: 0.25, 0.77; P = 0.004), and 79% (OR = 0.21; 95% CI: 0.06, 0.68; P = 0.010), respectively. RCS analysis indicated a linear inverse association between eGDR and PD prevalence. Subgroup and sensitivity analyses further confirmed the consistency of these findings.

Conclusion: Higher eGDR, reflecting improved insulin sensitivity, is associated with a reduced prevalence of PD.

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来源期刊
Acta neurologica Belgica
Acta neurologica Belgica 医学-临床神经学
CiteScore
4.20
自引率
3.70%
发文量
300
审稿时长
6-12 weeks
期刊介绍: Peer-reviewed and published quarterly, Acta Neurologica Belgicapresents original articles in the clinical and basic neurosciences, and also reports the proceedings and the abstracts of the scientific meetings of the different partner societies. The contents include commentaries, editorials, review articles, case reports, neuro-images of interest, book reviews and letters to the editor. Acta Neurologica Belgica is the official journal of the following national societies: Belgian Neurological Society Belgian Society for Neuroscience Belgian Society of Clinical Neurophysiology Belgian Pediatric Neurology Society Belgian Study Group of Multiple Sclerosis Belgian Stroke Council Belgian Headache Society Belgian Study Group of Neuropathology
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