不孕症妇女肥胖的危险因素分析
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陕西省自然科学基础研究计划(2022JM-484)


Independent risk factors of obesity in infertile women
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    摘要:

    目的 确定血清尿酸和睡眠障碍是否是不孕症妇女肥胖的独立危险因素。方法 数据来自2013—2018年美国国家卫生和营养检查调查(NHANES)数据库。采用多变量加权logistic回归模型和亚组分析,探索血清尿酸、睡眠障碍和不孕症患者肥胖之间的关系。结果 本研究共纳入了255名育龄期(20~44岁)的不孕症女性。加权单因素Logistic回归分析显示,血清尿酸水平(OR=2.33;95% CI: 1.65~3.28)、睡眠障碍(OR=2.66;95% CI:1.40~5.05)、是否伴有高血压(OR =2.43;95% CI:1.12~5.26)和是否伴有糖尿病(OR=4.53;95% CI:1.05~19.49)与肥胖之间存在显著相关性。经校正混杂因素后,加权多因素logistic回归分析显示,血清尿酸升高(OR=2.82;95% CI: 1.89~4.25)和睡眠障碍(OR=3.07;95% CI:1.39~6.76)是不孕症患者肥胖的独立危险因素。进一步分层分析表明,在不孕症人群中,睡眠障碍和血清尿酸升高是患者肥胖的独立危险因素,尤其是40岁以下的不孕女性。不孕症妇女血清尿酸与肥胖呈非线性关系(非线性P<0.001)。结论 血清尿酸水平和睡眠障碍是不孕症女性肥胖的独立危险因素,尤其是40岁以下的患者

    Abstract:

    Objective To determine whether serum uric acid and sleep disorders are independent risk factors for obesity in infertile women. Methods Data were obtained from the continuous National Health and Nutrition Examination Survey (NHANES) cycles from 2013-2018. We used multivariate logistic regression models and subgroup analysis, trying to uncover the association in serum uric acid, sleep disorders and obesity in infertility. Results A total of 255 infertile females of reproductive age were recruited for the study. Weighted multivariate logistic regression analysis revealed higher serum uric acid (OR=2.82; 95% CI: 1.89~4.25) and sleep disorders (OR=3.07; 95% CI:1.39~6.76) were associated with obesity after adjusting for the covariates. We further found that sleep disorders and serum uric acid were independent risk factors for obesity in women with infertility, particularly those under 40. A nonlinear trend between the serum uric acid and obesity in infertile women was shown by smooth curve fitting (nonlinear P<0.001). Conclusion Serum uric acid levels and sleep disorders are independent risk factors for obesity in infertile women, especially in patients less than or equal to 40 years old

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  • 在线发布日期: 2026-05-19
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