中老年人群甘油三酯葡萄糖乘积指数与高血压的关联研究
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作者单位:

(1.天津中医药大学第二附属医院重症医学科,天津市 300250;2.天津市第三中心医院研究中心,天津市 300170;3.天津市肿瘤医院空港医院心肺功能科,天津市 300308)

作者简介:

赵建勇,硕士,主治医师,研究方向为危重症疾病的临床研究,E-mail:zhaojianyong81@163.com。

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基金项目:

天津市自然科学基金项目(21JCQNJC01460);天津市卫生健康科技项目(TJWJ2023QN044)


Association between triglyceride-glucose index and hypertension in middle-aged and older adults
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1.Department of Intensive Care Unit, the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China;2.Research Center, the Third Central Hospital of Tianjin, Tianjin 300170, China;3.Department of Cardiopulmonary Function, Tianjin Cancer Hospital Airport Hospital, Tianjin 300308, China)

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    摘要:

    目的]探讨中国中老年人群中甘油三酯葡萄糖乘积(TyG)指数与高血压患病风险的相关性,为高血压的防治提供科学依据。 [方法]数据来源于2011年中国健康与养老追踪调查(CHARLS)数据库,采用多阶段分层抽样方法选择研究对象。采用限制性立方样条回归模型分析TyG指数与高血压风险的剂量-反应关系。采用多因素非条件Logistic回归模型评估TyG指数与高血压患病风险之间的关联。 [结果]共9 987例研究对象纳入分析,平均年龄为(59.16±9.43)岁,其中男性4 707(47.13%)例。限制性立方样条回归模型结果显示,随着TyG指数的升高,高血压的患病风险增加,呈线性关联(总体关联检验P<0.000 1,非线性关联检验P=0.201 9)。多因素Logistic回归模型结果表明,与Q1(TyG指数<8.23)相比,Q2(8.23≤TyG指数<8.59)、Q3(8.59≤TyG指数<9.04)和Q4(TyG指数≥9.04)时,高血压的患病风险[OR(95%CI)]分别为1.09(0.95~1.26)、1.53(1.33~1.76)、1.77(1.52~2.06)。 [结论]随着TyG指数的升高,高血压的患病风险逐渐增加。TyG指数可能是高血压患病的独立危险因素。

    Abstract:

    Aim To investigate the relationship between triglyceride-glucose (TyG) index and the risk of hypertension in middle-aged and older adults in China, and to provide scientific basis for the prevention and treatment of hypertension. Methods Data were obtained from the China health and retirement longitudinal study (CHARLS) in 2011. A multi-stage stratified sampling method was used to select participants. Restricted cubic spline regression model was used to analyze the dose-response relationship between TyG index and the risk of hypertension. Multivariate unconditional Logistic regression model was used to evaluate the association between TyG index and the risk of hypertension.Results A total of 9 987 subjects were included in the analysis, with an average age of (59.16±9.43) years, including 4 707 males (47.13%). The restricted cubic spline regression model showed that the risk of hypertension increased with the elevation of TyG index, and there was a linear association (overall association test P<0.000 1, non-linear association test P=0.201 9). The results of multivariate Logistic regression model showed that compared with Q1 (TyG index<8.23), the OR(95%CI) of hypertension with Q2 (8.23≤TyG index<8.59), Q3 (8.59≤TyG index<9.04) and Q4 (TyG index≥9.04), were 1.09 (0.95~1.26), 1.53 (1.33~1.76) and 1.77 (1.52~2.06), respectively. Conclusions With the increase of TyG index, the risk of hypertension gradually increased. TyG index may be an independent risk factor of hypertension.

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赵建勇,郭春月,宋翠.中老年人群甘油三酯葡萄糖乘积指数与高血压的关联研究[J].中国动脉硬化杂志,2024,32(7):583~589.

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  • 收稿日期:2024-01-24
  • 最后修改日期:2024-03-24
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  • 在线发布日期: 2024-07-05