2007-2018 年国家健康调查(NHANES)中理想心血管健康与妊娠糖尿病病史的关系

IF 6.1 3区 医学 Q1 ENDOCRINOLOGY & METABOLISM Diabetes research and clinical practice Pub Date : 2024-09-14 DOI:10.1016/j.diabres.2024.111857
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引用次数: 0

摘要

背景基于人群的理想心血管健康(CVH)和妊娠糖尿病(GDM)研究很少。方法我们对2007-2018年全国健康检查和营养调查中年龄≥20岁的女性进行了横断面分析,这些女性拥有生命简单7(LS7)指标数据和自我报告的GDM病史。每项 LS7 指标的得分分别为 0 分(非理想)和 1 分(理想),相加得出理想 CVH 总分(0-7)。我们使用逻辑回归模型评估了 LS7 理想 CVH 分数(0-7 分)与 GDM 病史之间的关联,并考虑了社会人口因素。结果在 9199 名女性(平均年龄:46 岁,8% 有 GDM 病史)中,随着理想 CVH 分数的增加,既往 GDM 病史的几率逐渐降低。与理想 CVH 分数为 0-1 的女性相比,理想 CVH 分数为 3、4 和 5-7 的女性既往 GDM 病史的相关几率分别降低了 39% [几率比:0.61 (95 % CI:0.41-0.90)]、50% [0.50 (0.33-0.76)] 和 66% [0.34 (0.20-0.56)]。结论 理想 CVH 分数越高的妇女,其 GDM 病史几率越低。我们的研究结果强调了在有 GDM 病史的妇女中优化心脏代谢健康的重要性。
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Association of ideal cardiovascular health and history of gestational diabetes mellitus in NHANES 2007–2018

Background

Population-based studies of ideal cardiovascular health (CVH) and gestational diabetes mellitus (GDM) are scarce.

Methods

We conducted a cross-sectional analysis of 2007–2018 National Health Examination and Nutrition Survey women aged ≥ 20 years, who had data on Life’s Simple 7 (LS7) metrics and self-reported GDM history. Each LS7 metric was assigned a score of 0 (non-ideal) and 1(ideal) and summed to obtain total ideal CVH scores (0–7). We used logistic regression models to assess associations between LS7 ideal CVH scores (0–7) and GDM history, accounting for socio-demographic factors.

Results

Among 9199 women (mean age: 46 years, 8 % with a GDM history), there was a progressive decrease in the odds of past GDM history across increasing ideal CVH scores. Compared to females with 0–1 ideal CVH scores, females with ideal CVH scores of 3, 4 and 5–7 had an associated 39 % lower [odds ratio: 0.61 (95 % CI: 0.41–0.90)], 50 % lower [0.50 (0.33–0.76)] and 66 % lower [0.34 (0.20–0.56)] odds of past GDM history, respectively. There were notable racial/ethnic and citizenship/nativity differences in these associations.

Conclusions

Women with higher ideal CVH scores had lower odds of GDM history. Our findings underscore the importance of optimizing cardiometabolic health among women with GDM history.

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来源期刊
Diabetes research and clinical practice
Diabetes research and clinical practice 医学-内分泌学与代谢
CiteScore
10.30
自引率
3.90%
发文量
862
审稿时长
32 days
期刊介绍: Diabetes Research and Clinical Practice is an international journal for health-care providers and clinically oriented researchers that publishes high-quality original research articles and expert reviews in diabetes and related areas. The role of the journal is to provide a venue for dissemination of knowledge and discussion of topics related to diabetes clinical research and patient care. Topics of focus include translational science, genetics, immunology, nutrition, psychosocial research, epidemiology, prevention, socio-economic research, complications, new treatments, technologies and therapy.
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