首页|定量CT在探究健康体检人群腹部脂肪分布与高尿酸血症相关性中的应用

定量CT在探究健康体检人群腹部脂肪分布与高尿酸血症相关性中的应用

Application of quantitative CT technique to investigate the correlation between abdominal fat distribution and hyperuricemia in healthy population in physical examination

扫码查看
目的:采用定量CT探讨健康体检人群腹部脂肪分布与高尿酸血症的关系.方法:纳入10 887例健康体检者为研究对象.将内脏脂肪面积(VFA)、皮下脂肪面积(SFA)根据QL、QU由小到大均分成4等份,分别为Q1、Q2、Q3、Q4.采用多因素logistic回归分析构建4个模型评估VFA、SFA与高尿酸血症的相关性;并根据完全调整模型,按性别因素进行分层分析.结果:高尿酸血症的总检出率为20.2%(2 196/10 887),男性检出率明显高于女性(P<0.05).在完全调整模型中,VFA在Q2~Q4发生高尿酸血症的风险分别是Q1的1.73倍(1.42~2.10)、2.44倍(1.95~3.04)、2.99倍(2.32~3.86),趋势性检验P<0.001;SFA在Q2~Q4发生高尿酸血症的风险分别是Q1的0.95倍(0.82~1.11)、0.99倍(0.85~1.16)、1.17倍(0.97~1.42),趋势性检验P=0.109.不同性别的VFA Q2~Q4发生高尿酸血症风险的趋势性检验均P<0.05;而男性的SFA Q2~Q4发生高尿酸血症风险的趋势性检验P<0.05,女性中趋势性检验P>0.05.结论:健康体检人群中,VFA的增加与高尿酸血症的发生风险呈正相关,VFA可作为高尿酸血症防治的重要监测指标;对于SFA,该关联仅存在男性中.
Objective:To explore the relationship between abdominal fat distribution and hyperuricemia in healthy population in physical examination by quantitative CT(QCT)technology.Methods:A total of 10,887 healthy person in physical examination were included as study subjects.Visceral fat area(VFA)and subcutaneous fat area(SFA)were divided into 4 groups according to the interquartile interval(from Q1 to Q4).Multivariate logistic regression analysis was used to establish four models to assess the correlation between VFA,SFA and hyperuricemia,according to the fully adjusted model,the analysis was stratified according to gender factors.Results:The overall detection rate of hyperuricemia was 20.2%,the detection rate of male was significantly higher than that of female(P<0.05).In the fully adjusted model,the risk of hyperuricemia in Q2,Q3,Q4 group of VFA was 1.73(1.42~2.10),2.44(1.95~3.04)and 2.99(2.32~3.86)times as compared with Q1 group,respectively,trend test P<0.001.The risk of hyperuricemia in Q2,Q3,Q4 group of SFA was 0.95(0.82~1.11),0.99(0.85~1.16)and 1.17(0.97~1.42)times as compared with Q1 group,respectively,trend test P=0.109.Trend test P values of the risk of hyperuricemia in VFA Q2,Q3,Q4 group were less than 0.05 in both men and women,while trend test P values of the risk of hyperuricemia in VFA Q2,Q3,Q4 group were less than 0.05 in men,but greater than 0.05 in women.Conclusions:In the healthy population in physical examination,the increase of VFA is positively correlated with the risk of hyperuricemia,and VFA can be used as an important monitoring indicator for the prevention and treatment of hyperuricemia,while the association between SFA hyperuricemia is found only in men.

HyperuricemiaVisceral fat areaSubcutaneous fat areaTomography,X-ray computed

和俊雅、孙永兵、戚昕、李中林、周菁、邹智、李昊、周阳、杜亚玮、屈敏、窦社伟、刘红明、闫峰山、朱嘉栋、吕雪、李永丽

展开 >

河南省人民医院医学影像科,河南 郑州 450003

河南大学,河南 开封 475001

郑州大学,河南 郑州 450001

新乡医学院,河南 新乡 453003

河南省人民医院健康管理学科/河南省慢病健康管理重点实验室,河南 郑州 450003

阜外华中心血管病医院,河南 郑州 451464

展开 >

高尿酸血症 内脏脂肪面积 皮下脂肪面积 体层摄影术,X线计算机

国家自然科学基金项目中原科技创新领军人才计划河南省医学科技计划项目河南省科技攻关计划项目河南省科技攻关计划项目河南省科技攻关计划项目

82071884244200510016SBGJ2023 02011242102311018242102311121242102310299

2024

中国中西医结合影像学杂志
中国中西医结合学会,山东中医药大学附属医院

中国中西医结合影像学杂志

CSTPCD
影响因子:0.857
ISSN:1672-0512
年,卷(期):2024.22(5)