J Intern Med:血清钙与死亡和血管疾病相关

2016-01-26 phylis 译 MedSci原创

血清钙和血管疾病的相关性已被报道,但这些研究结果的却无一致性。研究者进行了一项系统回顾以确定正常钙浓度人群中,循环钙浓度是否心血管疾病和死亡的风险相关。研究者搜索到2014年12月18号前PubMed的收录的相关文献。符合条件的研究为人类血清钙与死亡或心血管事件相关性的文章。要求至少一年的纵向随访研究。排除肾脏疾病或异常血钙的患者。两个研究人员独立提取数据。在可能的情况下,将结果列表。11项研究中

血清钙和血管疾病的相关性已被报道,但这些研究的结果却无一致性。研究者进行了一项系统回顾以确定正常钙浓度人群中,循环钙浓度是否与心血管疾病和死亡的风险相关。

研究者搜索到2014年12月18号前PubMed上收录的相关文献。符合条件的研究为人类血清钙与死亡或心血管事件相关性的文章。要求至少一年的纵向随访研究。排除肾脏疾病或异常血钙的患者。

两个研究人员独立提取数据。在可能的情况下,将结果列表。11项研究中,五项研究报告血清钙和死亡之间呈显著正相关。八篇研究的荟萃分析的表明,血清钙每变化一个标准差,死亡的危险比为1.13(1.09,1.18)。13项研究中,八项研究报告了血清钙和心血管疾病之间的显著正相关关系。八项研究的荟萃分析表明,血清钙每变化一个标准差,心血管疾病的危险比1.08(1.13,1.04)。对于2个研究报告比值比,总标准差比值比为1.22(1.11,1.32)。对心血管危险因素进行危险因素分析时,合并危险率为1.04(1.01,1.08)。

其他研究表明血清钙与动脉疾病、钙化之间的相关性。这些观察数据表明,血清钙与血管疾病、死亡相关,但不能确定其因果关系。

原始出处:

Reid IR, Gamble GD, Bolland MJ. Circulating calcium concentrations, vascular disease and mortality: a systematic review. J Intern Med. 2016 Jan 8.


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    2016-11-18 cy0324
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    2016-01-29 1dd8a7c5m95(暂无匿称)

    学习!

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