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首页> 外文期刊>BMC Gastroenterology >Sex and ethnic/racial-specific risk factors for gallbladder disease
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Sex and ethnic/racial-specific risk factors for gallbladder disease

机译:胆囊疾病的性别和种族/种族特定危险因素

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Gallbladder disease (GBD) is a highly prevalent condition; however, little is known about potential differences in risk factors by sex and ethnicity/race. Our aim was to evaluate dietary, reproductive and obesity-related factors and GBD in multiethnic populations. We performed a prospective analysis from the Multiethnic Cohort study who self-identified as non-Hispanic White (n?=?32,103), African American (n?=?30,209), Japanese (n?=?35,987), Native Hawaiian (n?=?6942) and Latino (n?=?39,168). GBD cases were identified using Medicare and California hospital discharge files (1993–2012) and self-completed questionnaires. We used exposure information on the baseline questionnaire to identify exposures of interest. Associations were estimated by hazard ratios and 95% confidence intervals using Cox models adjusted for confounders. After a median 10.7?years of follow-up, there were 13,437 GBD cases. BMI over 25?kg/m2, diabetes, past and current smoking, red meat consumption, saturated fat and cholesterol were significant risk factors across ethnic/racial populations (p-trends?
机译:胆囊疾病(GBD)是一种高度流行的疾病。然而,关于性别和种族/种族的危险因素的潜在差异知之甚少。我们的目的是评估多民族人群中与饮食,生殖和肥胖相关的因素以及GBD。我们从多种族队列研究中进行了前瞻性分析,他们自认是非西班牙裔白人(n?=?32,103),非裔美国人(n?=?30,209),日本人(n?== 35,987),夏威夷原住民(n ?=?6942)和Latino(n?=?39,168)。使用Medicare和加利福尼亚医院出院档案(1993-2012年)和自我填写的调查表确定了GBD病例。我们使用基线问卷上的暴露信息来识别感兴趣的暴露。使用针对混杂因素调整的Cox模型,通过危险比和95%置信区间估计关联。经过中位10.7年的随访,发现了13437个GBD病例。 BMI超过25?kg / m2,糖尿病,过去和现在的吸烟,食用红肉,饱和脂肪和胆固醇是各族裔/种族人口的重要危险因素(p趋势≤0.01)。保护因素包​​括剧烈的体育锻炼,饮酒,水果,蔬菜和富含膳食纤维的食物(p趋势≤0.01)。仅在南美/墨西哥出生的妇女和拉丁裔中,碳水化合物与GBD风险呈负相关(p趋势≤0.003)。均等是妇女的重要危险因素;绝经后激素的使用仅与白人妇女中的风险增加有关(仅雌激素:HR≥1.24; 95%CI≥1.07-1.43;雌激素+孕激素:HR≥1.23; 95% CI?=?1.06-1.42)。总体而言,饮食,生殖和肥胖相关因素是影响不同种族/种族的男女患GBD的重要危险因素;但是,某些风险因素在女性和某些种族群体中表现得更强。

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