Sarcopenia and Insulin Resistance Collective Effect on Atrial Fibrillation Risk: A Non-Diabetic Elderly Cohort Study.

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Tác giả: Yumei Gao, Yuqi Guo, Weike Liu, Zhendong Liu, Huajing Song, Juan Wang, Xin Wang, Yanli Yao, Hua Zhang

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: Germany : Journal of cachexia, sarcopenia and muscle , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 179628

BACKGROUND: Appendicular skeletal muscle mass index (ASMI), a crucial indicator of sarcopenia and estimated glucose disposal rate (eGDR), a surrogate marker of insulin resistance (IR), are associated with the risk of cardiovascular diseases. However, it remains unclear whether the collective effects, including the impact of the temporal progression of ASMI and eGDR, affect atrial fibrillation (AF) risk. This study aims to elucidate the association between the collective effects of ASMI and eGDR and AF risk in the non-diabetic older population. METHODS: A total of 8060 non-diabetic older individuals from a community-based cohort study were used to prospectively analyse the association between the collective effects of baseline ASMI and eGDR and AF risk. Among them, 7651 were eligible and used for dual-trajectory analysis of the association between dual trajectory of ASMI and eGDR and AF risk. The temporal development of ASMI and eGDR over time was determined using a dual-trajectory model. Statistical analyses involved restricted cubic splines and Fine-Gray competing risk models, adjusting for potential confounders. RESULTS: In the prospective analysis, the hazard ratio (HR) of AF was 1.762 (95% confidence interval [CI]: 1.528-2.032) in the low ASMI group compared to the normal ASMI group in total participants. Restricted cubic splines analysis demonstrated L-shaped associations between AF risk and ASMI and eGDR, with inflection points at 7.23 kg/m CONCLUSIONS: The collective effects of ASMI and eGDR are significantly associated with AF risk in the non-diabetic older population. Collective management of skeletal muscle mass and IR might be a useful and effective management strategy for preventing and controlling AF.
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