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结直肠癌患者代谢相关的危险因素分析
作者:宋斌  安章英  郑建华 
单位:首都医科大学附属北京友谊医院 住院服务中心, 北京 100000
关键词:结直肠癌 代谢 危险因素 
分类号:R735.3;R589
出版年·卷·期(页码):2022·50·第五期(629-633)
摘要:

目的:探讨结直肠癌(CRC)患者代谢相关的危险因素,以期为CRC一、二级预防提供依据。方法:选取在我院就诊的472例CRC患者为观察组,及同期于我院接受健康体检的319例志愿者为对照组。收集两组研究对象的性别、年龄等一般资料、人体成分测量指标及实验室代谢指标,比较两组各指标差异,并运用Logistic回归分析CRC患者代谢相关的危险因素。结果:(1)观察组体质量指数(BMI)、腰围、腰臀比(WHR)、体脂肪、体脂百分比、内脏脂肪面积、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、血尿酸较对照组高,差异有统计学意义(P<0.05);(2)腰围(OR=1.105,P=0.035)、WHR (OR=1.384,P=0.046)、体脂百分比(OR=1.526,P=0.027)、内脏脂肪面积(OR=2.027,P=0.043)、LDL-C (OR=1.623,P=0.023)、血尿酸(OR=3.213,P=0.033)进入回归方程。结论:代谢相关疾病与CRC密切相关,在高危人群筛查中,肥胖人群除观察BMI、腰围、WHR外,也应重视体脂肪、体脂百分比、内脏脂肪面积等肥胖指标。除血脂异常、糖尿病、肥胖外,高血尿酸水平对CRC的影响也不可忽视。

Objective:To analyze the metabolic risk factors related to colorectal cancer(CRC) in order to provide a basis for primary and secondary prevention of CRC. Methods:Four hundred and seventy-two patients diagnosed with CRC in our hospital were selected as observation group, and 319 volunteers who received physical examination in our hospital were as control group. Basic data, including gender, age, etc., body composition index and laboratory metabolism indicators were collected. Logistic regression analysis was conducted to compare the differences of these indicators between the two groups and to analyze the risk factors related to metabolism in CRC patients. Results:Variables of body mass index(BMI), waist circumference, waist-to-hip ratio(WHR), body fat, body fat percentage, visceral fat area, triglyceride(TG), low density lipoprotein cholesterol(LDL-C), serum uric acid in the observation group were significantly higher than those in the control group(P<0.05). Variables of waist circumference(OR=1.105, P=0.035), WHR(OR=1.384, P=0.046), body fat percentage(OR=1.526, P=0.027), visceral fat area(OR=2.027, P=0.043), LDL-C(OR=1.623, P=0.023) and serum uric acid(OR=3.213, P=0.033) which entered the regression equation were undergone logistic regression analysis. Conclusion:Metabolic related diseases are closely associated with CRC. We should pay attention to obesity indexes such as body fat, body fat percentage and visceral fat area in addition to BMI, waist circumference and WHR in high-risk population screening of CRC. Besides dyslipidemia, diabetes and obesity, the effect of high blood uric acid level on CRC can't be neglected.

参考文献:

[1] 林双明,王枭杰,黄胜辉,等.FOLFOX方案一线治疗转移性结直肠癌的人工神经网络疗效预测模型构建[J].中华肿瘤杂志,2021,43(2):202-206
[2] CHEN W,ZHENG R,BAADE P D,et al.Cancer statistics in China[J].CA Cancer J Clin,2016,66(2):115-132.
[3] 陈米芬,沈琳,李健.肠道菌群与结直肠癌[J].中华结直肠疾病电子杂志,2021,10(1):34-44.
[4] CURTIS J H,REBECCA L S,AADRII R,et al.Lack of significant association between serum inflammatory cytokine profiles and the presence of colorectal adenoma[J].BMC Cancer,2015,15(3):123.
[5] OCHS-BALCOM H M,VAUGHN C B,NIE J,et al.Racial differences in the association of insulin-like growth factor pathway and colorectal adenoma risk[J].Cancer Causes Control,2014,25(2):161-170.
[6] 朱成章,张维胜,杜斌斌,等.肠道菌群失调与罹患结直肠癌风险的研究进展[J].中华结直肠疾病电子杂志,2021,10(1):95-98.
[7] 中华人民共和国卫生和计划生育委员会医政医管局,中华医学会肿瘤学会分会.中国结直肠癌诊疗规范(2015版)[J/CD].中华普通外科学文献:电子版,2015,9(6):506-523.
[8] 张姣,陈志仁,梁妍,等.PET-MRI检查技术在结直肠癌诊断中的应用进展[J].中国实验诊断学,2021,25(1):134-136.
[9] VAN D,BUENO-DE-MESQUITA H B,CALLIGARO M,et al.Blood lipid and lipoprotein concentrations and colorectal cancer risk in the European prospective investigation into cancer and nutrition[J].Gut,2011,60(8):1094-1102.
[10] 方征宇,潘志芸,李乾元,等.结肠癌患者脂代谢特征及其临床价值[J].浙江医学,2018,40(12):1316-1319.
[11] 李晓梅.微生物中次级代谢产物的挖掘和PLEK2在结直肠癌中的作用机制研究[D].济南:山东大学,2020.
[12] 林斌,邢周雄,余璐,等.高脂血症与结直肠息肉相关性的临床分析[J].中华消化杂志,2014,34(1):37-40.
[13] 渠源.ILC细胞谱系建立调控及在结直肠癌中的作用研究[D].北京:中国科学院大学,2020.
[14] 王宁,刘硕,杨雷,等.2018全球癌症统计报告解读[J].肿瘤综合治疗电子杂志,2019,5(1):87-97.
[15] KO S H,BAEG M K,KO S Y,et al.Obesity and metabolic unhealthiness have different effects on colorectal neoplasms[J].J Clin Endocrinol Metab,2017,102(8):2762-2769.
[16] YAMAJI T,IWASAKI M,SASAZUKI S,et al.Interaction between adiponectin and leptin influences the risk of colorectal adenoma[J].Cancer Res,2010,70(13):5430-5437.
[17] DENG Z,GU Y,HOU X,et al.Association between uric acid,cancer incidence and mortality in patients with type 2 diabetes:Shanghai diabetes registry study[J].Diabetes Metab Res Rev,2016,32(3):325-332.
[18] 国家癌症中心中国结直肠癌筛查与早诊早治指南制定专家组.中国结直肠癌筛查与早诊早治指南(2020,北京)[J].中华肿瘤杂志,2021,43(1):16-38.

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