文章摘要
血清FGF21 FABP3水平与老年肌肉减少症的相关性分析
Correlation analysis of serum FGF21 and FABP3 levels with senile sarcopenia
投稿时间:2024-08-02  
DOI:10.3969/j.issn.1000-0399.2025.08.003
中文关键词: 老年人肌肉减少症  纤维母细胞生长因子21  脂肪酸结合蛋白3  相关性  危险因素
英文关键词: Sarcopenia in the elderly  Fibroblast growth factor 21  Fatty acid binding protein 3  Relevance  Risk factor
基金项目:军委后勤保障部卫生局课题(编号:22BJ248)
作者单位E-mail
于新宇 250000 山东济南 中国人民解放军联勤保障部队第九六〇医院干部病房一科  
徐杰 250000 山东济南 中国人民解放军联勤保障部队第九六〇医院干部病房一科  
苏莉 250000 山东济南 中国人民解放军联勤保障部队第九六〇医院干部病房一科 13853105126@139.com 
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中文摘要:
      目的 探讨血清纤维母细胞生长因子21(FGF21)、脂肪酸结合蛋白3(FABP3)与老年肌肉减少症的相关性。方法 选择2023年1月至12月中国人民解放军联勤保障部队第九六〇医院干部病房一科收治的83例老年肌肉减少症患者为肌肉减少症组,同期收治的85例老年人非肌肉减少症患者为非肌肉减少症组。统计两组一般资料并比较其生化指标差异,采用多元logistic回归分析老年肌肉减少症危险因素。结果 两组患者在性别、年龄、身体质量指数、合并高血压、合并糖尿病、合并慢阻肺、空腹血糖(FBG)、糖化血红蛋白(HbA1c)、血红蛋白(Hb)、白细胞(WBC)、红细胞(RBC)、总胆固醇(TC)、三酰甘油(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、谷草转氨酶(ALT)、谷丙转氨酶(AST)、血肌酐(Scr)、血尿素氮(BUN)方面比较,差异均无统计学意义(P>0.05)。肌肉减少症组合并冠心病占比(24.10%)高于对照组(9.41%),血清纤维母细胞生长因子21(FGF21)、脂肪酸结合蛋白3(FABP3)水平均高于对照组,差异均有统计学意义(P<0.05)。多元logistic回归分析显示,合并冠心病(OR=1.452)、FGF21水平高(OR=1.772)、FABP3水平高(OR=1.386)均是老年肌肉减少症的独立危险因素。结论 老年人肌肉减少症的血清FGF21、FABP3水平明显升高,合并冠心病、高水平FGF21与FABP3均是其独立危险因素。
英文摘要:
      Objective To investigate the relationship between serum fibroblast growth factor 21(FGF21), fatty acid binding protein 3(FABP3) and senile sarcopenia. Methods Eighty-three cases of senile sarcopenia in outpatient department from January to December 2023 were selected as the sarcopenia group, and eighty-five cases of senile health examination in outpatient department were selected as the control group. The risk factors of senile sarcopenia were analyzed by multiple logistic regression. Results Gender, age, body mass index, combined hypertension, combined diabetes, combined COPD, fasting blood glucose(FBG), glycated hemoglobin(HbA1c), hemoglobin(Hb), white blood cells(WBC), red blood cells(RBC), total cholesterol(TC), triacylglycerol(TC), low density lipoprotein cholesterol(LDL-C) in both groups There were no significant differences in serum serum, high density lipoprotein cholesterol(HDL-C), aspartate aminotransferase(ALT), alanine aminotransferase(AST), serum creatinine(Scr) and blood urea nitrogen(BUN)(P > 0. 05). The proportion of sarcopenia combined with coronary heart disease(24. 10%) was higher than that of control group(9. 41%), and the levels of serum fibroblast growth factor 21(FGF21) and fatty acid binding protein 3(FABP3) were higher than those of control group, with statistical significance(P < 0. 05). Multiple Logistic regression analysis showed that combined coronary heart disease(OR=1. 452), high FGF21 level(OR=1. 772), and high FABP3 level(OR=1. 386) were independent risk factors for senile sarcopenia. Conclusion Serum levels of FGF21 and FABP3 in senile sarcopenia were significantly increased. Coronary heart disease, high levels of FGF21 and FABP3 were independent risk factors.
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