美国成年女性甘油三酯-葡萄糖指数与压力性尿失禁之间的关系:一项基于人口的研究。

IF 1.8 3区 医学 Q3 UROLOGY & NEPHROLOGY Neurourology and Urodynamics Pub Date : 2024-07-20 DOI:10.1002/nau.25552
YangPeng Pu, YouGang Feng, WenCai Zhao
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引用次数: 0

摘要

目的:本调查旨在确定美国成年女性甘油三酯血糖(TyG)指数与压力性尿失禁(SUI)的关系:调查依赖于 2011 年至 2018 年期间开展的美国国家健康与营养调查(NHANES)所获得的数据。采用多变量逻辑回归分析检验了TyG指数与SUI之间的独立关系。我们采用平滑曲线拟合法分析了它们之间的相互关系。此外,还进行了亚组分析和交互实验:结果:在 4459 名 20 岁及以上的女性参与者中,TyG 指数与 SUI 呈现出良好的相关性。模型 3 表明,TyG 指数每上升一个单位,SUI 的发生率就会增加 18% [1.18 (1.01, 1.38)]。与最低三分位数的受试者相比,TyG 指数最高三分位数的受试者的 SUI 发生率增加了 68% [1.68 (95% CI: 1.26, 2.23),0.0004]。通过平滑曲线拟合,发现TyG指数与SUI之间存在非线性正相关关系:结论:TyG 指数水平升高的女性罹患 SUI 的风险更高。TyG指数与体重指数的相关性更强。根据我们的研究结果,TyG 指数被视为识别女性 SUI 的潜在工具,监测 TyG 指数值可能有助于预测 SUI 的发生。
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The association between triglyceride -glucose index and stress urinary incontinence in adult American women: A population-based study.

Purpose: This investigation seeks to determine the triglyceride glucose (TyG) index's link to stress urinary incontinence (SUI) in American females of adult age.

Methods: The investigation relied on data acquired via the National Health and Nutrition Examination Survey (NHANES) conducted over the period from 2011 to 2018. The independent relationship between TyG index and SUI was tested using multivariate logistic regression analysis. We applied a smooth curve fitting approach to analyze the interrelation of them. In addition, subgroup analysis was conducted and interaction experiments were conducted.

Results: Among 4459 female participants aged 20 and above, TyG index and SUI demonstrated a favorable correlation. Model 3 indicated that with every single-unit rise in the TyG index, the incidence of SUI increases by 18% [1.18 (1.01, 1.38)]. In contrast to individuals in the lowest tertile, subjects within the highest tertile of the TyG index exhibited a 68% increase in SUI incidence [1.68 (95% CI: 1.26, 2.23), 0.0004]. By using smooth curve fitting, a nonlinear positive evidence of an interconnection of the TyG index to SUI was identified.

Conclusions: Women exhibiting increased TyG index levels are at a heightened risk of SUI. TyG index displays a stronger correlation than that observed with BMI. According to our findings, the TyG index is viewed as a potential tool for identifying SUI in women, and monitoring the value of TyG index may be helpful for predicting the occurrence of SUI.

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来源期刊
Neurourology and Urodynamics
Neurourology and Urodynamics 医学-泌尿学与肾脏学
CiteScore
4.30
自引率
10.00%
发文量
231
审稿时长
4-8 weeks
期刊介绍: Neurourology and Urodynamics welcomes original scientific contributions from all parts of the world on topics related to urinary tract function, urinary and fecal continence and pelvic floor function.
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