PY, person-years

  • 文章类型: Journal Article
    有些人认为土豆是不健康的蔬菜,可能会导致不良的心脏代谢健康结果。在Framingham后代研究中,我们评估了中年和老年人的马铃薯消费(包括油炸和非油炸类型)与三个关键心脏代谢结果之间的关联。我们纳入了2523名年龄≥30岁的受试者,这些受试者的饮食数据来自3-d食物记录。Cox比例风险模型用于估计高血压的风险比(HR)和95%置信区间(CI)。2型糖尿病或空腹血糖受损(T2DM/IFG),和高甘油三酯,调整人体测量学,人口和生活方式因素。在本研究中,食用的36%的土豆是烤的,28%油炸,14%捣碎,9%煮沸,其余以其他方式煮熟。总的来说,较高的马铃薯总摄入量(≥4v。<1杯当量/周)与T2DM/IFG的风险无关(HR0·97,95%CI0·81,1·15),高血压(HR0·95;95%CI0·80,1·12)或甘油三酸酯升高(HR0·99,95%CI0·86,1·13)。分层分析用于评估身体活动水平和红肉消费的效果变化,在这些分析中,马铃薯摄入没有不良影响。然而,当与更高水平的体力活动相结合时,油炸土豆的消费量增加与T2DM/IFG的风险降低24%(95%CI0·60,0·96)相关,再加上红肉消费减少,油炸马铃薯摄入量增加与甘油三酯升高的风险降低26%(95%CI0·56,0·99)相关.在这个前瞻性队列中,油炸或非油炸马铃薯消费与T2DM/IFG风险之间没有不良关联,高血压或甘油三酯升高。
    Some consider potatoes to be unhealthy vegetables that may contribute to adverse cardiometabolic health outcomes. We evaluated the association between potato consumption (including fried and non-fried types) and three key cardiometabolic outcomes among middle-aged and older adults in the Framingham Offspring Study. We included 2523 subjects ≥30 years of age with available dietary data from 3-d food records. Cox-proportional hazards models were used to estimate hazard ratios (HRs) and 95 % confidence intervals (CIs) for hypertension, type 2 diabetes or impaired fasting glucose (T2DM/IFG), and elevated triglycerides, adjusting for anthropometric, demographic and lifestyle factors. In the present study, 36 % of potatoes consumed were baked, 28 % fried, 14 % mashed, 9 % boiled and the rest cooked in other ways. Overall, higher total potato intake (≥4 v. <1 cup-equivalents/week) was not associated with risks of T2DM/IFG (HR 0⋅97, 95 % CI 0⋅81, 1⋅15), hypertension (HR 0⋅95; 95 % CI 0⋅80, 1⋅12) or elevated triglycerides (HR 0⋅99, 95 % CI 0⋅86, 1⋅13). Stratified analyses were used to evaluate effect modification by physical activity levels and red meat consumption, and in those analyses, there were no adverse effects of potato intake. However, when combined with higher levels of physical activity, greater consumption of fried potatoes was associated with a 24 % lower risk (95 % CI 0⋅60, 0⋅96) of T2DM/IFG, and in combination with lower red meat consumption, higher fried potato intake was associated with a 26 % lower risk (95 % CI 0⋅56, 0⋅99) of elevated triglycerides. In this prospective cohort, there was no adverse association between fried or non-fried potato consumption and risks of T2DM/IFG, hypertension or elevated triglycerides.
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  • 文章类型: Journal Article
    未经评估:我们评估了巴西多中心队列中因COVID-19导致的住院死亡率和出院后的结局发生率。
    未经批准:这项前瞻性多中心研究(RECOVER-SUS,NCT04807699)包括2020年6月至2021年3月在巴西公立三级医院住院的COVID-19患者。入院时进行临床评估和血液样本,出院后远程访问。住院的参与者进行了随访,直到2021年3月31日。结果为住院死亡率和再住院或出院后死亡的发生率。进行Kaplan-Meier曲线和Cox比例风险模型。
    未经评估:1589名参与者[54.5%为男性,年龄=62(IQR50-70)岁;BMI=28.4(IQR,包括24.9-32.9)Kg/m²和51.9%的糖尿病患者]。共有429人[27.0%(95CI,24.8-29.2)]在住院期间死亡(中位时间14(IQR,9-24)天)。年龄[vs<40岁;年龄=60-69岁-aHR=1.89(95CI,1.08-3.32);年龄=70-79岁-aHR=2.52(95CI,1.42-4.45);年龄≥80-aHR=2.90(95CI1.54-5.47);入院时无创或机械通气[vs面罩或无;aHR=1.90(95aCI=10分)1.92/在出院后52天(范围1-280天)的中位时间内,共有65名个体[6.7%(95CI5.3-8.4)]再次住院或死亡[率=323(95CI250-417)/1000人年]。入院时年龄≥60岁[vs<60,aHR=2.13(95CI1.15-3.94)]和SAPS-III≥57[vs<57,aHR=2.37(95CI1.22-4.59)]与再住院或出院后死亡独立相关。
    未经评估:观察到由于COVID-19导致的住院死亡率很高,老年人出院后再次住院和死亡的风险仍然很高。
    UNASIGNED:里约热内卢Estado(FAPERJ)NacelhodeDesenvolvimentoCientíficoeTecnológico(CNPq)andProgrammaINOVA-FIOCRUZ.
    UNASSIGNED: We evaluated in-hospital mortality and outcomes incidence after hospital discharge due to COVID-19 in a Brazilian multicenter cohort.
    UNASSIGNED: This prospective multicenter study (RECOVER-SUS, NCT04807699) included COVID-19 patients hospitalized in public tertiary hospitals in Brazil from June 2020 to March 2021. Clinical assessment and blood samples were performed at hospital admission, with post-hospital discharge remote visits. Hospitalized participants were followed-up until March 31, 2021. The outcomes were in-hospital mortality and incidence of rehospitalization or death after hospital discharge. Kaplan-Meier curves and Cox proportional-hazard models were performed.
    UNASSIGNED: 1589 participants [54.5% male, age=62 (IQR 50-70) years; BMI=28.4 (IQR,24.9-32.9) Kg/m² and 51.9% with diabetes] were included. A total of 429 individuals [27.0% (95%CI,24.8-29.2)] died during hospitalization (median time 14 (IQR,9-24) days). Older age [vs<40 years; age=60-69 years-aHR=1.89 (95%CI,1.08-3.32); age=70-79 years-aHR=2.52 (95%CI,1.42-4.45); age≥80-aHR=2.90 (95%CI 1.54-5.47)]; noninvasive or mechanical ventilation at admission [vs facial-mask or none; aHR=1.69 (95%CI 1.30-2.19)]; SAPS-III score≥57 [vs<57; aHR=1.47 (95%CI 1.13-1.92)] and SOFA score≥10 [vs <10; aHR=1.51 (95%CI 1.08-2.10)] were independently associated with in-hospital mortality. A total of 65 individuals [6.7% (95%CI 5.3-8.4)] had a rehospitalization or death [rate=323 (95%CI 250-417) per 1000 person-years] in a median time of 52 (range 1-280) days post-hospital discharge. Age ≥ 60 years [vs <60, aHR=2.13 (95%CI 1.15-3.94)] and SAPS-III ≥57 at admission [vs <57, aHR=2.37 (95%CI 1.22-4.59)] were independently associated with rehospitalization or death after hospital discharge.
    UNASSIGNED: High in-hospital mortality rates due to COVID-19 were observed and elderly people remained at high risk of rehospitalization and death after hospital discharge.
    UNASSIGNED: Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) and Programa INOVA-FIOCRUZ.
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  • 文章类型: Journal Article
    UNASSIGNED: The disease course of inflammatory bowel disease (IBD) following treatment with glucagon-like peptide (GLP)-1 based therapies is unclear. The aim of this study was to examine the disease course of IBD in patients treated with GLP-1 based therapies compared with treatment with other antidiabetics.
    UNASSIGNED: Using nationwide Danish registries, we identified patients with IBD and type 2 diabetes who received antidiabetic treatment between 1 January 2007 and 31 March 2019. The primary outcome was a composite of the need for oral corticosteroids, tumour necrosis factor-α inhibitors, IBD-related hospitalisation, or IBD-related surgery. In the setting of a new-user active comparator design, we used Poisson regression to estimate incidence rate ratios (IRR) comparing treatment with GLP-1 receptor agonists and dipeptidyl peptidase (DPP)-4 inhibitors with other antidiabetic therapies. The analyses were adjusted for age, sex, calendar year, IBD severity, and metformin use.
    UNASSIGNED: We identified 3751 patients with a diagnosis of IBD and type 2 diabetes and with a prescription of an antidiabetic drug (GLP-1 receptor agonists/DPP-4 inhibitors: 982 patients; other antidiabetic treatment: 2769 patients). The adjusted IRR of the composite outcome was 0·52 (95% CI: 0·42-0·65) for patients exposed to GLP-1 receptor agonists/DPP-4 inhibitors compared with patients exposed to other antidiabetics.
    UNASSIGNED: In patients with IBD and type 2 diabetes, we observed a lower risk of adverse clinical events amongst patients treated with GLP-1 based therapies compared with treatment with other antidiabetics. These findings suggest that treatment with GLP-1 based therapies may improve the disease course of IBD.
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