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糖化血红蛋白变异指数与代谢综合征及其组分的相关性研究

赵雅丽 肖美霞 刘燕 曾治平 施胜铭

中国现代医生2024,Vol.62Issue(16):61-65,5.
中国现代医生2024,Vol.62Issue(16):61-65,5.DOI:10.3969/j.issn.1673-9701.2024.16.015

糖化血红蛋白变异指数与代谢综合征及其组分的相关性研究

Study on relationship between hemoglobin glycation index and metabolic syndrome and its components

赵雅丽 1肖美霞 1刘燕 1曾治平 2施胜铭1

作者信息

  • 1. 湖州市第一人民医院全科医学科,浙江湖州 313000
  • 2. 赣南医科大学第一附属医院全科医学科,江西赣州 341000||国家老年疾病临床医学研究中心赣南分中心,江西赣州 341000
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摘要

Abstract

Objective To investigate the relationship between hemoglobin glycation index(HGI)and metabolic syndrome(MS)and its components.Methods A cross-sectional study was conducted to randomly select 823 patients from the First People's Hospital of Huzhou from September 2022 to September 2023.HGI is calculated based on fasting blood glucose(FPG)and glycosylated hemoglobin(HbA1c)values.The patients were divided into low HGI group(HGI<-0.250%,274 cases),medium HGI group(-0.250%≤HGI≤0.214%,275 cases)and high HGI group(HGI>0.214%,274 cases)by HGI quantile method.The general data and metabolic indexes of each group were compared,and the correlation between HGI and MS and its components was analyzed by multiple Logistic regression.Results With the increase of HGI level,the prevalence rate of MS showed an upward trend(P<0.05).The prevalence rate of MS in low,medium and high HGI groups was 24.8%,42.5%and 55.5%,respectively.Multiple Logistic regression analysis showed that elevated HGI level was risk factor for MS,central obesity,hypertension,hyperglycemia,hypertriglyceridemia and low high-density lipoprotein hyperlipidemia(P<0.05).The risk of MS,central obesity,hypertension,hyperglycemia,hypertriglyceridemia and low high-density lipoprotein hyperlipidemia in high HGI group was 4.005 times(95%CI:2.763-5.808),3.765 times(95%CI:2.604-5.443),1.596 times(95%CI:1.089-2.337),2.655 times(95%CI:1.809-3.895),2.024 times(95%CI:1.404-2.918)and 2.247 times(95%CI:1.537-3.284)of that in low HGI group,respectively.Conclusion HGI is related to MS and its components,and HGI may be a new indicator to prevent and monitor MS.

关键词

代谢综合征/糖化血红蛋白/糖基化/糖化血红蛋白变异指数

Key words

Metabolic syndrome/Glycosylated hemoglobin/Glycosylation/Hemoglobin glycation index

分类

医药卫生

引用本文复制引用

赵雅丽,肖美霞,刘燕,曾治平,施胜铭..糖化血红蛋白变异指数与代谢综合征及其组分的相关性研究[J].中国现代医生,2024,62(16):61-65,5.

中国现代医生

1673-9701

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