甘油三酯葡萄糖乘积指数与脑卒中风险关联的病例对照研究
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(1.天津市第三中心医院研究中心,天津市 300170;2.首都医科大学公共卫生学院流行病与卫生统计学系,北京市 100069)

作者简介:

郭春月,博士,研究实习员,研究方向为慢性病流行病学研究,E-mail:angela460314@163.com。通信作者张玲,博士,教授,博士研究生导师,研究方向为心血管流行病学、临床流行病学与循证医学,E-mail:zlilyepi@ccmu.edu.cn。

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基金项目:

国家重点研发计划精准医学研究专项(2016YFC0900603);天津市科技局自然科学基金项目(21JCQNJC01460)


Association between triglyceride-glucose index and risk of stroke:case-control study
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Affiliation:

1.Research Center, the Third Central Hospital of Tianjin, Tianjin 300170, China;2.Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University, Beijing 100069, China)

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    摘要:

    目的]探讨胰岛素抵抗的替代标志物甘油三酯葡萄糖乘积(TyG)指数与脑卒中患病风险的关联。 [方法]数据来源于2017—2018年“京津冀地区生活社区自然人群慢性病队列研究”天津现场基线调查。通过问卷调查、体格检查与实验室检查的方式收集数据,病例组与对照组根据性别相同、年龄±2岁进行1∶1匹配。采用条件Logistic回归模型分析TyG指数与脑卒中患病风险的关联。[结果]共536例研究对象纳入分析,病例组TyG指数比对照组升高(P<0.000 1)。多因素条件Logistic回归模型分析结果显示,与TyG指数<8.38相比,8.38≤TyG指数<8.67、8.67≤TyG指数<9.10和TyG指数≥9.10时,脑卒中的风险[OR(95%CI)]分别为1.13(0.61,2.10)、1.47(0.78,2.74)和2.24(1.06,4.72)。 [结论]TyG指数是脑卒中患病的独立危险因素,随着TyG指数水平的升高,脑卒中患病风险逐渐增加。

    Abstract:

    Aim To investigate the association between triglyceride-glucose (TyG) index, a substitute marker of insulin resistance, and the risk of stroke. Methods The data were obtained from the baseline survey of Tianjin region in the Cohort Study on Chronic Disease of Communities Natural Population in Beijing, Tianjin and Hebei in 2017—2018.Data were collected by questionnaire, physical examination and laboratory examination. The case group and control group were matched 1∶1 according to the same gender and age ±2 years. Conditional Logistic regression model was used to analyze the association between TyG index and risk of stroke. Results A total of 536 patients were included in the analysis. The TyG index in the case group was higher than that in the control group (P<0.000 1). Multivariate conditional Logistic regression analysis showed that compared with individuals with TyG index<8.38, the OR(95%CI) for stroke in the 8.38≤TyG index<8.7,8.67≤TyG index<9.10, TyG index≥9.10 were 1.13(0.1,2.10), 1.47(0.8,2.74), 2.24(1.6,4.72). Conclusion TyG index was an independent risk factor for stroke. With the increase of TyG index, the risk of stroke increased gradually.

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郭春月,曹寒,刘括,彭文娟,孙岩岩,谢韵漪,刘晓慧,李冰潇,张玲.甘油三酯葡萄糖乘积指数与脑卒中风险关联的病例对照研究[J].中国动脉硬化杂志,2023,31(7):588~593.

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  • 收稿日期:2023-02-17
  • 最后修改日期:2023-05-05
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  • 在线发布日期: 2023-09-01