沿海正常人群糖化血红蛋白与肱-踝脉搏波传导速度的关系
DOI:
作者:
作者单位:

作者简介:

通讯作者:

基金项目:

贵州省生物学重点支持学科建设基金资助(2011231)


Relationship Between Haemoglobin A1c and BrachialAnkle Pulse Wave Velocity in Coastal Areas of the Normal Population
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的评估正常人动脉顺应性与糖化血红蛋白之间的关联。方法横断面调查福建沿海地区30岁以上健康人1175例,行肱-踝脉搏波传导速度和糖化血红蛋白等检测,采用单因素分析和Logistic多元回归分析评价糖化血红蛋白与肱-踝脉搏波传导速度相关情况。结果(1)肱-踝脉搏波传导速度与糖化血红蛋白具有相关性(r=0.147,P<0.05);(2)糖化血红蛋白四分法组间显示,肱-踝脉搏波传导速度在四组间差异有统计学意义(P<0.001);随着糖化血红蛋白水平升高,脉搏波传导速度增快,异常肱-踝脉搏波传导速度的比例升高;异常肱-踝脉搏波传导速度组糖化血红蛋白大于正常肱-踝脉搏波传导速度组(P<0.05);(3)Logistic回归分析显示,年龄、收缩压、舒张压、糖化血红蛋白、尿酸为正常人群肱-踝脉搏波传导速度独立危险因素(均P<0.05),其中糖化血红蛋白比值比最大(OR=2692,P<0.05)。结论糖化血红蛋白与肱-踝脉搏波传导速度独立相关,提示非糖尿病健康人群中中间高血糖水平参与了大动脉血管壁早期功能或结构性损伤。

    Abstract:

    AimTo investigate the relationship between haemoglobin A1c (HbA1c) and arterial compliance in healthy individuals.Methods1175 healthy individuals were enrolled in a cross sectional study in coastal areas of Fujian Province.Brachial-ankle pulse wave velocity (BaPWV) and HbA1c were measured.Results(1) The BaPWV levels were significantly and positively correlated with HbA1c (r=0.147, P<0.05); (2) HbA1c levels were classified into quartile groups, and the BaPWV differences among the four groups were statistically significant (P<0.001); following the increase of HbA1c, pulse wave velocity increased, and the percentage of abnormal BaPWV increased gradually; The mean HbA1c of abnormal BaPWV group was higher (P<0.05); (3) BaPWV was independently associated with age, sysolic blood pressure, diastolic blood pressure, HbA1c, and uric acid by stepwise Logistic regression analysis (P<0.05), where HbA1c odds ratio was the biggest (OR=2692, P<0.05);ConclusionBaPWV was independently associated with HbA1c, suggesting that high blood glucose levels of the prediabetes were involved in the arterial wall of early functional or structural damage.

    参考文献
    相似文献
    引证文献
引用本文

林 晶,朱鹏立,黄 峰,林 帆,李建卫,陈发林,黄建刚,余慧珍.沿海正常人群糖化血红蛋白与肱-踝脉搏波传导速度的关系[J].中国动脉硬化杂志,2012,20(12):1113~1116.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2012-03-05
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: