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血游离脂肪酸和内毒素相互作用与轻度认知功能障碍的关系

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目的:探讨血游离脂肪酸(FFA)和内毒素(LPS)相互作用与轻度认知功能障碍(MCI)的关系.方法:研究人群来自广州社区2033名年龄>30岁的居民.收集一般资料和基于简易精神状态检查(MMSE)量表收集认知相关信息.采集空腹血样以检测血清FFA和LPS.研究对象根据血FFA和LPS水平高低被分为4组;应用多因素Logistic回归分析计算优势比(OR)和 95%置信区间(CI);采用相对超额危险度(RERI)、交互作用归因比(AP)和交互作用指数(SI)评估FFA和LPS交互作用与MCI的关系.结果:与低FFA低LPS组相比,高FFA高LPS组MCI患病风险更高(校正OR 5.60,95%CI 3.50-8.95,P<0.05).交互作用分析显示,FFA和LPS协同效应为两者单独作用效应之和的1.28倍.结论:血FFA和LPS协同效应增高了MCI的患病风险.
The Association of Interaction between Free Fatty Acid and Lipopolysaccharide with Mild Cognitive Impairment
Objective:To explore the association of interaction between free fatty acid(FFA)and lipopolysaccharide(LPS)with mild cognitive impairment(MCI).Methods:The study population were 2033 residents aged over 30 years in the community of Guangzhou.General information,and cognitive information based on MMSE was collected.Fasting blood samples were drawn for the detection of FFA and LPS.The subjects were classified into 4 groups based on both FFA and LPS levels.Multiple logistic regression analysis was used to calculate the Odds ratios(ORs)and 95%confidence intervals(CIs).RERI,AP,and SI was used to analyze the interaction between FFA and LPS with MCI.Results:Compared to the subjects in the both low FFA and LPS group,the subjects in the both high FFA and LPS had higher risk of prevalent MCI(adjusted OR 5.60,95%CI 3.50-8.95,P<0.05).The interaction analysis showed that the synergistic effects between FFA and LPS on MCI were 1.28 times the sum of individual effects of FFA and LPS.Conclusion:The synergistic effects between FFA and LPS increase the risk of prevalent MCI.

free fatty acidlipopolysaccharideinteractionmild cognitive impairment

安璇、黎锋、王晓艺、徐明彤、张锦、吴木潮

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中山大学孙逸仙纪念医院内分泌内科(510120)

游离脂肪酸 内毒素 相互作用 轻度认知功能障碍

2024

岭南急诊医学杂志
广东省医学会

岭南急诊医学杂志

影响因子:0.437
ISSN:1671-301X
年,卷(期):2024.29(6)