Interactive effect of age and triglyceride on elderly patients with impaired fasting glucose
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摘要: 目的 研究年龄与甘油三脂的交互作用对中老年空腹血糖受损(impaired fasting glucose,IFG)发病的影响。方法 2012年7~11月在桂林医学院附属医院体检人群中抽取3 492名年龄≥ 45岁者进行研究,选择378例IFG患者作为病例组,选取性别、年龄与病例组相匹配的374例血糖正常的人群作为对照组,比较分析两组人群的代谢特征。应用Logistic回归模型研究危险因素的独立效应,应用相加模型、相乘模型对危险因素间的交互作用进行分析。结果 IFG组的收缩压、舒张压、身体质量指数、空腹血糖、尿酸、甘油三脂、血清总胆固醇、低密度脂蛋白水平高于对照组,而高密度脂蛋白水平低于对照组,差异均有统计学意义(均有P<0.05)。控制混杂因素后,多因素Logistic回归分析结果:年龄≥ 60岁及高甘油三酯的IFG患者的患病风险为年龄<60岁及甘油三酯正常者的3.513倍(OR=3.513,95%CI:2.360~5.230)。中老年IFG危险因素的交互作用分析显示,年龄≥ 60岁和高甘油三酯之间不存在相乘交互作用,但具有相加交互作用,相对超危险度比(the relative excess risk due to interaction,RERI)、归因比(the attributable proportion due to interaction,AP)、交互作用指数(the synergy index,S)分别为0.91、25.90%、1.57。结论 IFG患者同时存在多种代谢指标异常,高龄及甘油三酯的正交互作用为IFG患者的重要危险因素之一,两者共存可增加患病风险。Abstract: Objective To investigate the relationship between age and triglyceride and the effect of their interaction on elderly patients with impaired fasting glucose (IFG). Methods From July to November 2012, 3 492 people aged ≥ 45 years old were enrolled in the physical examination population in the Affiliated of Guilin Medical College. A total of 378 patients with IFG were selected and included in the case group, whereas 374 gender-and age-matched subjects who had normal glucose were included in the control group. The metabolic characteristics of the two groups were compared and analysed. Logistic regression model was used to study the independent effects of risk factors, and the interaction between risk factors was analyzed by additive model and multiplicative model. Results The levels of systolic blood pressure, diastolic blood pressure, body mass index, fasting blood glucose, uric acid, triglyceride, total cholesterol, low density lipoprotein-cholesterol in IFG patients were higher than those in control group, while high density lipoprotein-cholesterol decreased in patients with IFG, the difference was statistically significant(all P<0.05). After adjusting some confounding factors, multivariate Logistic regression analysis showed that people aged ≥ 60 years and with high triglyceride had a 3.513 times higher risk of IFG than those aged <60 years and with normal triglyceride(OR=3.513, 95% CI:2.360-5.230). Interaction analysis of risk factors for IFG elderly showed that there was no multiplicative interaction between age ≥ 60 years and high triglycerides, but with additive interaction, the relative excess risk due to interaction (RERI) was 0.91, the attributable proportion due to interaction (AP) was 25.90% and the synergy index (S) was 1.57. Conclusions There are several metabolic syndromes in individuals with IFG. The positive interaction between advanced age and triglyceride are among the important risk factors for IFG patients, both of which can significantly increase the risk of illness.
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Key words:
- Middle-age and elderly /
- Impaired fasting glucose /
- Triglyceride /
- Interaction
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