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Clinica Chimica Acta:丙氨酸转氨酶对2型糖尿病发病率的独立影响

2019-09-16 Gladiator MedSci原创

以往研究表明丙氨酸氨基转移酶<span lang="EN-US" style="font-size:12.0pt;mso-bidi-font-size:14.0pt;font-family:&quot;Calibri&quot;,&quot;sans-serif&quot;; mso-fareast-font-family:宋体;mso-bidi-font-family:&quot;Times

以往研究表明丙氨酸氨基转移酶(ALT)可能是糖尿病发病的危险因素之一。本研究目的是明确ALT对突发糖尿病的独立作用,并调查中国普通人群中ALT和突发糖尿病之间的关系是否受年龄和性别的影响。

本研究为回顾性队列研究,包括210,051名中国成年人。主要结果是发展成糖尿病。血清谷丙转氨酶活性按五分位数分层。从“DATADRYAD”网站上获取数据,并利用这些数据进行二次分析。

3年的中位随访中,210,051(1.97%)参与者中有4144人患有糖尿病。对潜在的混杂因素校正后,在第五个五分位数(Q5≥31U/ L)的参与者中发现糖尿病发生率(HR1.43,95CI1.25-1.63)明显高于第一个到第四个五分位数(Q1- 4ALT。在3040岁和4050岁的男性中,与ALT活性较低的患者相比,ALT活性的第五分位数分别增加了2.4倍和1.5倍的糖尿病发病几率。在年龄在3040岁之间且≥70岁的女性中,ALT活性的第五个五分位点患糖尿病的几率增加了4.9倍和2.2倍。

研究结果表明,ALT活性与中国人群的糖尿病发病呈正相关。此外,在30-40岁的人群中,无论男性还是女性,ALT活性升高的人患糖尿病的风险比同一年龄段ALT活性较低的人要高。

原始出处:

Feng GaoXie-lin HuangIndependent effect of alanine transaminase on the incidence of type 2 diabetes mellitus, stratified by age and gender: A secondary analysis based on a large cohort study in China

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    2020-03-14 windight
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    2019-09-18 仁医06
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    2019-09-16 misszhang

    谢谢MedSci提供最新的资讯

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