首页|残余胆固醇水平与肾小球滤过率轻度下降相关性研究

残余胆固醇水平与肾小球滤过率轻度下降相关性研究

Remnant cholesterol is associated with the risk of mildly reduced estimated glomerular filtration rate

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目的 研究低密度脂蛋白胆固醇(LDL-c)、非高密度脂蛋白胆固醇(Non-HDL-c)和残余胆固醇(RC)与估算肾小球滤过率(eGFR)轻度下降的相关性.方法 纳入2012-2013年中国东北农村地区26个村庄9043例受试者.进行多因素logistic回归分析以评估新型脂质指标与eGFR轻度下降风险之间的关系,使用再分类分析评估新型脂质指标对传统的肾功能不全预测模型的改善效果.结果 与RC最低四分位数组相比,RC最高四分位数组的eGFR轻度下降的发生风险为5.602倍.同时,RC可以筛选出潜在的eGFR轻度下降人群,并可以将传统模型的预测能力提高8.70%.结论 RC与eGFR轻度下降风险有关,并且对其有较好的识别和改善效果,RC在肾功能不全的早期阶段发挥着重要作用.
Objective Low density lipoprotein cholesterol,non-high density lipoprotein cholesterol and remnant cholesterol(RC)are used to evaluate the risk of various chronic diseases.We aimed to reveal whether they were associated with mildly reduced estimated glomerular filtration rate(eGFR).Methods The study recruited 9043 subjects during 2012 to 2013.We conducted multivariable logistic regression to evaluate the association between RC level and the risk of having mildly reduced eGFR,and performed reclassification analysis to evaluate the improvement effect of RC on traditional prediction model of renal insufficiency.Results The odds ratio for the top quartile of RC was 5.602 for mildly reduced eGFR.Meanwhile,RC could screen the potential mildly reduced eGFR population and improve the traditional model for mildly reduced eGFR by 8.70%.Conclusion RC can evaluate the risk of mildly reduced eGFR and have a better recognition and improvement effect in identifying mildly reduced eGFR.RC plays a crucial role in early stage of renal insufficiency.

remnant cholesterolestimated glomerular filtration ratemildly reduced eGFRrural population

王鹏博、叶宁、郭潇繁、吴静、孙英贤

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中国医科大学附属第一医院心血管内科,辽宁沈阳 110001

中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京 100050

残余胆固醇 估算肾小球滤过率 eGFR轻度下降 农村人群

"十三五"国家重点研发计划辽宁省科技计划项目

2017YFC13076002020JH1/10300002

2024

中国实用内科杂志
中国医师协会,中国实用医学杂志社

中国实用内科杂志

CSTPCD北大核心
影响因子:1.618
ISSN:1005-2194
年,卷(期):2024.44(1)
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