肌少症患者外周血炎性因子的Meta分析
Peripheral inflammatory markers in the patients with sarcopenia: A meta-analysis
  
DOI:10.3969/j.issn.1006-7108.2021.07.006
中文关键词:  肌少症  炎性因子  Meta分析
英文关键词:sarcopenia  inflammatory markers  meta-analysis
基金项目:国家自然科学基金(71673149)
作者单位
黄安乐 卜子涵 薛梦婷 李青云 杜世正 徐桂华* 南京中医药大学江苏 南京 210023 
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中文摘要:
      目的 探讨外周血炎性因子与肌少症的关联性。方法 选择Pubmed、Web of Science、CINAHL、Cochrane library、中国知网、中国生物医学文献网、维普和万方数据库为数据源,检索各数据库从建库至2020年5月发表的关于肌少症与外周血炎性因子浓度水平相关的文献。2名研究者独立完成文献筛选和资料提取,并采用澳大利亚JBI循证卫生保健中心评价工具和纽卡斯尔-渥太华量表对纳入研究进行方法学质量评价。使用RevMan 5.3和Stata 12.0软件进行统计分析。结果 共有17篇文献纳入分析,总样本为26726例,其中病例组9826例,正常对照组16900例,涉及的炎性因子有CRP、IL-6、TNF-α、IL-8、IL-10。肌少症患者外周血CRP[MD=0.20,95%CI(0.15,0.24),P<0.00001]和IL-6[MD=0.77,95%CI(0.13,1.40,P=0.02]高于正常对照组;而TNF-α、IL-8、IL-10在两组间未见统计学差异。结论 外周血CRP、IL-6可能与肌少症的发生、发展有关,未来仍需大样本、高质量的证据进一步验证其作为肌少症生物标志物的可行性。
英文摘要:
      Objective To investigate the correlation between sarcopenia and peripheral inflammatory markers. Methods The PubMed, Web of Science, CINAHL, Cochrane Library, CNKI, CBM, VIP, and Wanfang databases were selected as data sources. The studies about the peripheral inflammatory markers in sarcopenia patients from the time of database establishment to May 2020 were collected. The literature screening and data extraction were independently completed by two researchers. The JBI critical appraisal tool and the Newcastle-Ottawa Scale were used to evaluate the methodological quality of included literatures. Revman 5.3 and Stata12.0 software were used for statistical analysis. Results Seventeen literatures involving 26726 samples were included, including 9826 patients and 16900 normal people. The inflammatory markers involved were CRP, IL, TNF-α, IL-8, and IL-10. Meta-analysis indicated that CRP (MD = 0.20, 95% CI 0.15 - 0.24, P<0.00001) and IL-6 (MD = 0.77, 95% CI 0.13 - 1.40) P=0.02) were higher in sarcopenia group than in normal control group. The levels of TNF-α, IL-8, IL-10 were not statistically different between the two groups. Conclusion The levels of CRP and IL-6 may be related to the occurrence and development of sarcopenia. Large amount of samples and high quality evidence are needed to confirm the feasibility of taking them as biomarkers of sarcopenia in the future.
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