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血清γ-谷氨酰转移酶浓度与动脉僵硬度的相关性
Serum gamma-glutamyltransferase is associated with arterial stiffness: a cross-sectional study in Shanghai urban females
【摘要】 目的探索血清γ-谷氨酰转移酶(GGT)与踝臂脉搏波传导速率(BaPWV)的关系。方法连续入选符合要求的参与两合作医院健康体检女性1137例,收集基本情况、生化资料和检测资料包括BaPWV、血糖、血脂等心血管疾病相关指标。结果 BaPWV随着GGT增大有增高趋势,相关系数r=0.264(p<0.001)。以高BaPWV为因变量,在逐步logsitic回归中,GGT浓度进入模型(OR=1.0l,95%CI:1.0021.065);GGT依四分位法由低到高分为四组(Q1Q4),在调整其他因素后,以Q1为参考组,Q2Q4的相对危险度(OR)分别为1.09(95%以CI:0.641.86)、1.18(95%CI:0.692.01)、1.74(95%CI:1.02-2.96)。结论血清γ-谷氨酰转移酶浓度与踝臂脉搏波传导速率独立相关,提示血清y-谷氨酰转移酶浓度可能是辅助诊断动脉硬化的标志物。
【Abstract】 Objective To investigate the relationship between Gamma-glutamyltransferase(GGT)and arterial stiffness measured by brachial ankle pulse wave velocity(BaPWV) in Chinese females.Methods A cross-sectional study was designed;the questionnaire,physical examination,BaPWV and blood tests were investigated among 1137 females who participated in a routine health check up in Shanghai urban area.Results The increment of BaPWV was associated with the quartile of GGT with a correlation coefficient of 0.264(P<0.001).Stepwise logistic regression analysis showed that age,systolic BP,total triglyceride,GGT were correlated with the BaPWV.After age,systolic BP,total triglyceride,diabetes and other variables controlled,compared to the first quartile the odds ratio of 2nd-4thquartile of GGT was 1.09(95%CI;0.64-1.86),1.18(95%CI:0.69-2.01),1.74(95%CI:1.02-2.96),respectively.Conclusion Serum GGT level is independently associated with BaPWV in Chinese females,which may be used as an additional marker for arterial stiffness.
【Key words】 gamma-glutamyltransferase; arteriosclerosis; brachial-ankle pulse wave velocity; female;
- 【文献出处】 同济大学学报(医学版) ,Journal of Tongji University(Medical Science) , 编辑部邮箱 ,2013年05期
- 【分类号】R543
- 【被引频次】3
- 【下载频次】87