银屑病和表型年龄加速与美国成人全因和心血管疾病死亡风险相关

IF 3.4 3区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL
Wen-Qi Zhao, Rui Gao, Jian-Yong Fan, Xiao-Lin Bu
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引用次数: 0

摘要

背景:银屑病是一种慢性、免疫介导的炎症性皮肤病,由于全身炎症和代谢失调,与心血管疾病(CVD)的风险升高相关。表型年龄加速(pheno- accel)通过比较个体预测的“表型年龄”(基于免疫/炎症标志物和实足年龄)与其实际年龄来量化加速的生物衰老。值得注意的是,牛皮癣的发生和发展都与生物衰老过程密切相关。本研究的目的是调查它们对全因死亡率和心血管疾病死亡率的综合影响。方法:本研究纳入了2003-2006年和2009-2010年国家健康与营养检查调查(NHANES)的11443名参与者。采用加权多变量logistic回归模型评估表型加速与牛皮癣风险之间的关系。表型-加速≥0定义为表型-加速+。此外,参与者被分为四组:银屑病-/表型-加速-、银屑病+/表型-加速-、银屑病-/表型-加速+和银屑病+/表型-加速+。采用Cox比例风险模型研究银屑病和表型加速对全因和CVD死亡风险的联合影响。结果:基线时,312名参与者被诊断为牛皮癣。在调整协变量后,与那些有表型加速的人相比,结论是:表型加速与牛皮癣风险呈正相关。此外,银屑病和表型加速的共存与全因死亡率和心血管疾病死亡率的增加显著相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psoriasis and phenotypic age acceleration in relation to all-cause and cardiovascular disease mortality risks in US adults.

Background: Psoriasis is a chronic, immune-mediated inflammatory dermatosis associated with an elevated risk of cardiovascular disease (CVD) due to systemic inflammation and metabolic dysregulation. Phenotypic age acceleration (PhenoAge-accel) quantifies accelerated biological aging by comparing an individual's predicted 'phenotypic age' (based on immune/inflammatory markers and chronological age) to their actual age. Notably, both the onset and progression of psoriasis exhibit strong associations with biological aging process. The aim of this study was to investigate their combined effect on the risk of all-cause and CVD mortality.

Methods: This study included 11,443 participants from the National Health and Nutrition Examination Survey (NHANES) conducted during 2003-2006 and 2009-2010. Weighted multivariable logistic regression models were used to evaluate the association between PhenoAge-accel and psoriasis risk. PhenoAge-accel ≥ 0 was defined as PhenoAge-accel+. Furthermore, participants were stratified into four groups: psoriasis-/PhenoAge-accel-, psoriasis+/PhenoAge-accel-, psoriasis-/PhenoAge-accel+, and psoriasis+/PhenoAge-accel+. The Cox proportional hazards models were employed to investigate the joint effects of psoriasis and PhenoAge-accel on all-cause and CVD mortality risk.

Results: At baseline, 312 participants were diagnosed with psoriasis. After adjusting for covariates, compared to those with PhenoAge-accel < 0, the odds ratios (95% CI) for psoriasis in the PhenoAge-accel ≥ 0 group was 1.83 (1.36-2.45). During a median follow-up of 10.91 years (interquartile range: 9.83-14.75), 1059 deaths event occurred, including 306 caused by CVD. In the multivariable-adjusted model, compared with the reference group, the hazard ratios and 95% CIs for all-cause mortality in the psoriasis-/PhenoAge-accel+, psoriasis+/PhenoAge-accel-, and psoriasis+/PhenoAge-accel+ groups were 1.80 (1.54-2.10), 0.96 (0.56-1.65), and 2.70 (1.66-4.39), respectively. A similar trend was observed for CVD mortality.

Conclusions: PhenoAge-accel is positively associated with psoriasis risk. Furthermore, the coexistence of psoriasis and PhenoAge-accel are significantly associated with an increased risk of all-cause and CVD mortality.

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来源期刊
European Journal of Medical Research
European Journal of Medical Research 医学-医学:研究与实验
CiteScore
3.20
自引率
0.00%
发文量
247
审稿时长
>12 weeks
期刊介绍: European Journal of Medical Research publishes translational and clinical research of international interest across all medical disciplines, enabling clinicians and other researchers to learn about developments and innovations within these disciplines and across the boundaries between disciplines. The journal publishes high quality research and reviews and aims to ensure that the results of all well-conducted research are published, regardless of their outcome.
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