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病前糖尿病在肌萎缩侧索硬化中的作用

The role of pre-morbid diabetes on developing amyotrophic lateral sclerosis
课程网址: http://videolectures.net/encals2017_dovidio_pre_morbid_diabetes/  
主讲教师: Fabrizio D’Ovidio
开课单位: 都灵大学
开课时间: 2017-07-21
课程语种: 英语
中文简介:
背景:关于糖尿病与肌萎缩侧索硬化(ALS)之间关系的文献产生了对比结果。本研究旨在评估糖尿病在ALS发病风险中的作用。方法:1996年初,研究人群由都灵(意大利)的所有居民代表,已参加1991年人口普查,年龄超过14岁(n=727977),从1998年到2014年对糖尿病和ALS的发生进行了随访。通过两个皮埃蒙特地区来源确定糖尿病的存在:糖尿病登记和ATC药物处方档案。使用Piedmont和Valle d'Aosta ALS登记处(PARALS)估计ALS的风险。通过Cox比例风险回归模型(根据年龄、性别、教育程度和婚姻状况进行调整)评估糖尿病作为时间依赖性变量与ALS发病的相关性:结果:在随访期间,397名受试者发生ALS,其中20名在ALS发病前已经是糖尿病患者。在ALS发病前一年以上通过糖尿病登记或药物处方确定的糖尿病可显著降低ALS的风险(HR=0.26;95%CI:0.17-0.42)。结论:研究结果支持糖尿病对ALS的保护作用。
课程简介: Background: The literature on the association between diabetes and amyotrophic lateral sclerosis (ALS) produced contrasting results. This study was developed in order to assess the role of diabetes on the risk of developing ALS. Methods: The study population was represented by all residents in Turin (Italy) at the beginning of 1996, already present at 1991 Census, older than 14 years (n=727,977), followed up for diabetes and ALS occurrence from 1998 to 2014. Presence of diabetes was ascertained through two Piedmont regional sources: the Diabetes Registry and the ATC Drugs Prescriptions Archive. The risk of ALS was estimated using the Piedmont and Valle d’Aosta ALS Registry (PARALS). The association of diabetes, treated as a time-dependent variable, with ALS onset was estimated through Cox proportional hazard regression models adjusted for age, gender, education and marital status: Results: During the follow-up, 397 subjects developed ALS, 20 of whom were already diabetics before ALS onset. Diabetes identified through the Diabetes Registry or drugs prescriptions more than one year before ALS onset significantly decreased the risk of ALS (HR=0.26; 95% CI: 0.17-0.42). Conclusions: The study results support a protective role of diabetes toward ALS.
关 键 词: 糖尿病; 肌萎缩侧索硬化; 糖尿病在ALS发病风险中的作用
课程来源: 视频讲座网
数据采集: 2021-12-24:zkj
最后编审: 2021-12-24:zkj
阅读次数: 73