内分泌系统
胰腺炎
前瞻性队列研究
胰腺
医学
队列
血脂异常
体质指数
危险系数
队列研究
糖尿病
内科学
风险因素
胰腺癌
生理学
胃肠病学
内分泌学
肥胖
癌症
置信区间
激素
作者
Xiaowu Dong,Qingtian Zhu,Chunping Yuan,Yaodong Wang,Xiaojie Ma,Xiaolei Shi,Weiwei Chen,Dong Zhao,L. Chen,Qinhao Shen,Hongwei Xu,Yanbing Ding,Weijuan Gong,Weiming Xiao,Shengfeng Wang,Weiqin Li,Guotao Lu
标识
DOI:10.14309/ajg.0000000000002792
摘要
Objective: Investigate whether increased IPFD heightens the risk of diseases of the exocrine and endocrine pancreas. Methods: A prospective cohort study was conducted using data from the UK Biobank. IPFD was quantified using MRI and a deep learning-based framework called nnUNet. The prevalence of fatty change of the pancreas (FP) was determined using gender- and age-specific thresholds. Associations between IPFD and pancreatic diseases were assessed with multivariate Cox proportional hazard model adjusted for age, sex, ethnicity, body mass index, smoking and drinking status, central obesity, hypertension, dyslipidemia, liver fat content, and spleen fat content. Results: Of the 42,599 participants included in the analysis, the prevalence of FP was 17.86%. Elevated IPFD levels were associated with an increased risk of acute pancreatitis (AP) (HR per one quintile change [95%CI]: 1.513 [1.179-1.941]), pancreatic cancer (PC) (HR per one quintile change [95%CI]: 1.365 [1.058-1.762]) and diabetes mellitus (DM) (HR per one quintile change [95%CI]: 1.221 [1.132-1.318]). FP was also associated with a higher risk of AP (HR [95%CI]: 3.982 [2.192-7.234]), PC (HR [95%CI]: 1.976 [1.054-3.704]), and DM (HR [95%CI]: 1.337 [1.122-1.593], P=0.001). Conclusions: FP is a common pancreatic disorder. Fat in the pancreas is an independent risk factor for diseases of both the exocrine pancreas and endocrine pancreas
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