癌症乳腺癌幸存者白细胞介素6和C-反应蛋白血清水平与身体成分的相关性。

Biological research for nursing Pub Date : 2024-04-01 Epub Date: 2023-10-16 DOI:10.1177/10998004231207022
María Jossé Navarro-Ibarra, María Del Socorro Saucedo-Tamayo, Heliodoro Alemán-Mateo, Héctor Parra-Sánchez, Paola Othón-Ontiveros, Jesús Hernández, Graciela Caire-Juvera
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摘要

肥胖在癌症(BC)幸存者中非常普遍。脂肪组织促进炎症,影响复发、发病率和生活质量。本研究旨在确定女性BC幸存者的身体成分参数与C反应蛋白(CRP)和白细胞介素-6(IL-6)水平的关系。此外,我们评估了CRP和IL-6的对数转换血清浓度与阑尾骨骼瘦质量指数(ASMI)的相关性。结果显示,CRP与所有参与者的体脂百分比(BFP;β校正=0.08,95%CI:0.02-.14)呈正相关,仅在绝经前女性中与脂肪质量指数(FMI;β=0.24,95%CI:0.08-.40)呈正相关。IL-6与FMI呈正相关(β校正=.16,95%CI:0.03-.29),而ASMI随着CRP水平的升高而降低(β校正=-30,95%CI:-.53至-.06)。改善BC幸存者身体成分的干预措施还应考虑炎症标志物在身体成分变化中的作用,以避免肌萎缩性肥胖(SO)和BC复发的风险。
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Association Between Interleukin 6 and C-Reactive Protein Serum Levels and Body Composition Compartments and Components in Breast Cancer Survivors.

Obesity is highly prevalent in breast cancer (BC) survivors. Adipose tissue promotes inflammation, affecting recurrence, morbidity, and quality of life. This study aimed to determine the relationship of body composition parameters with the levels of C-reactive protein (CRP) and interleukin 6 (IL-6) in female BC survivors. Additionally, we evaluated the association of log-transformed serum concentrations of CRP and IL-6 with the appendicular skeletal lean mass index (ASMI). The results showed that CRP was positively associated with body fat percentage (BFP; β adjusted = .08, 95% CI: .02-.14) in all participants, and with fat mass index (FMI; β = .24, 95% CI: .08-.40) only in premenopausal women. IL-6 was positively associated with FMI (β adjusted = .16, 95% CI: .03-.29), while ASMI decreased as CRP levels increased (β adjusted = -.30, 95% CI: -.53 to -.06). Interventions to improve body composition in BC survivors should also consider the role of inflammatory markers in changes in body composition to avoid sarcopenic obesity (SO) and the risk of BC recurrence.

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