首页|糖尿病及糖尿病前期人群中血尿酸与血糖的关联:基于协变量均衡广义倾向性评分法

糖尿病及糖尿病前期人群中血尿酸与血糖的关联:基于协变量均衡广义倾向性评分法

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目的:探讨2 型糖尿病(T2DM)及糖尿病前期人群中血尿酸(SUA)与血糖的关联.方法:从 2020 年 1月至2022 年12 月于淄博市某三级医院体检的人群中,选取新确诊的T2DM患者 1 012 人,糖尿病前期 1 025 人.分别利用两个人群数据,采用随机森林算法筛选与血糖关系密切的关键协变量,采用协变量均衡广义倾向性评分法均衡关键协变量后,对SUA与血糖水平进行加权线性回归.结果:筛选出甘油三酯、年龄、谷氨酰胺转肽酶、谷草转氨酶、肌酐、低密度脂蛋白、总胆固醇、碱性磷酸酶、尿素、谷草/谷丙为关键协变量.在T2DM人群中,均衡后协变量与SUA的相关系数均值为0.004 4;在糖尿病前期人群中,均衡后相关系数均值为0.078 1.加权线性回归结果显示,在T2DM人群中,血尿酸(100 倍)水平与血糖变化呈负关联,β(95%CI)为-0.424(-0.601~-0.247);在糖尿病前期人群中两者的关联没有统计学意义,β(95%CI)为 0.001(-0.020~0.021).结论:T2DM患者血尿酸水平与血糖呈负关联.
Association between serum uric acid and blood glucose in people with type 2 diabetes mellitus and prediabetes based on covariate balancing generalized propensity score
Aim:To investigate the association between serum uric acid(SUA)and blood glucose in people with type 2 diabetes mellitus(T2DM)and prediabetes.Methods:From January 2020 to December 2022,1 012 patients with new-onset T2DM,1 025 patients with prediabetes underwent a complete physical examination in a tertiary hospital of Zibo city were se-lected.The random forest algorithm was used to select key covariates related to blood glucose.Covariate balancing general-ized propensity score method was used to balance the key covariates.Finally,weighted linear regression model was used to obtain the effect values.Results:Triglycerides,age,glutamyl transpeptidase,aspartate aminotransferase aminase,creatinine,low density lipoprotein,total cholesterol,alkaline phosphatase,urea,and aspartate/glutamic aminotransferase were selected as the key covariates.In the T2DM population,and prediabetic population,the average value of the balanced cross-correla-tion coefficient between key covariates and SUA was 0.004 4 and 0.078 1.The weighted linear regression results showed that in the T2DM population,SUA(100 times)was negatively correlated with blood glucose,with β(95%CI)of-0.424(-0.601--0.247);in the prediabetic population,there was no significant correlation between them,β(95%CI)of 0.001(-0.020-0.021).Conclusion:There is a negative correlation between SUA and blood glucose in T2DM patients.

diabetes mellitusserum uric acidblood glucosecovariate balancing generalized propensity score

陶子琨、韩梅、杨希、卜伟晓、穆华夏、徐雅琪、孔雨佳、石福艳、王素珍

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潍坊医学院公共卫生学院卫生统计学系 山东潍坊 261053

糖尿病 血尿酸 血糖 协变量均衡广义倾向性评分

国家自然科学基金项目

81872719

2024

郑州大学学报(医学版)
郑州大学

郑州大学学报(医学版)

CSTPCD北大核心
影响因子:1.246
ISSN:1671-6825
年,卷(期):2024.59(5)