生物衰老加速与早期肾损伤风险的关联OA
Association between biological aging acceleration and the risk of early kidney injury
目的:探讨生物衰老加速与早期肾损伤风险的关联.方法:回顾性收集2024年1至12月于郑州大学第一附属医院健康管理中心进行健康体检的5 261名受试者的数据.采用PhenoAge算法估算生物学年龄,并计算生物衰老加速.将研究对象分为早期肾损伤组(尿白蛋白/肌酐比>3 mg/mmol)和肾功能正常组.采用Logistic回归分析生物衰老加速与早期肾损伤的关联.结果:早期肾损伤组生物衰老加速高于肾功能正常组[(-1.20±4.50)vs(-3.60±3.90),P<0.001].调整年龄、性别、文化程度等混杂因素后,生物衰老加速与早期肾损伤存在正关联[OR(95%CI)为1.19(1.16~1.23)].剂量-反应关系分析表明,生物衰老加速越大,早期肾损伤的风险越大(P<0.001).在不同亚组人群中,生物衰老加速均与较高的早期肾损伤风险正关联(OR均>1,P均<0.001).结论:生物衰老加速与早期肾损伤存在正关联.
Aim:To explore the association between biological aging acceleration and the risk of early kidney injury.Methods:Data of 5 261 subjects who underwent physical examination at the Health Management Center of the First Affilia-ted Hospital of Zhengzhou University from January to December 2024 were retrospectively collected.Biological age was esti-mated using the PhenoAge algorithm,and biological aging acceleration was calculated.Participants were divided into the ear-ly kidney injury group(urinary albumin-to-creatinine ratio>3 mg/mmol)and the normal renal function group.Logistic re-gression analysis was used to analyze the association between the biological aging acceleration and early kidney injury.Re-sults:The biological aging acceleration was higher in the early kidney injury group than in the normal renal function group[(-1.20±4.50)vs(-3.60±3.90),P<0.001].After adjusting for confounding factors including age,gender,educa-tional level,etc,the biological aging acceleration was positively associated with early kidney injury[OR(95%CI)=1.19(1.16-1.23)].Dose-response analysis showed that greater biological aging acceleration was associated with a higher risk of early kidney injury(P<0.001).In different subgroups,the biological aging acceleration was positively associated with an elevated risk of early kidney injury(all OR>1,all P<0.001).Conclusion:There is a positive association between the bi-ological aging acceleration and early kidney injury.
刘亚楠;秦迁;王佑翔;陈静锋;丁素英
郑州大学第一附属医院健康管理中心 郑州 450052||河南省互联智慧健康管理研究院 郑州 450052郑州大学第一附属医院健康管理中心 郑州 450052||河南省互联智慧健康管理研究院 郑州 450052郑州大学第一附属医院健康管理中心 郑州 450052||郑州大学公共卫生学院流行病学教研室 郑州 450001郑州大学第一附属医院健康管理中心 郑州 450052||河南省互联智慧健康管理研究院 郑州 450052||郑州大学公共卫生学院流行病学教研室 郑州 450001郑州大学第一附属医院健康管理中心 郑州 450052||河南省互联智慧健康管理研究院 郑州 450052||郑州大学公共卫生学院流行病学教研室 郑州 450001
医药卫生
生物学年龄生物衰老加速早期肾损伤尿白蛋白/肌酐比
biological agebiological aging accelerationearly kidney injuryurinary albumin-to-creatinine ratio
《郑州大学学报(医学版)》 2026 (5)
13-16,4
河南省医学科技攻关计划联合共建项目(LHGJ20210354)河南省医学科技攻关计划省部共建重点项目(SBGJ202602061)郑州大学第一附属医院护理团队项目(HLKY2023005)
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