Association between the stress–hyperglycemia ratio and all‐cause mortality in community‐dwelling populations: An analysis of the National Health and Nutrition Examination Survey (NHANES) 1999–2014

Autor: Shifeng Qiu, Xiaocong Liu, Li Lei, Hongbin Liang, Xue Li, Yutian Wang, Chen Yu, Xiaobo Li, Yongzhen Tang, Juefei Wu, Yuegang Wang, Daogang Zha, Xuewei Liu, Min Xiao, Jiancheng Xiu
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Diabetes, Vol 16, Iss 6, Pp n/a-n/a (2024)
Druh dokumentu: article
ISSN: 1753-0407
1753-0393
DOI: 10.1111/1753-0407.13567
Popis: Abstract Background Reportedly, the stress–hyperglycemia ratio (SHR) is closely associated with poor prognosis in patients with severe acute disease. However, the community‐dwelling may also be in a state of stress due to environmental exposure. Our study aimed to explore the association between SHR and all‐cause mortality in the community‐dwelling population. Methods A total of 18 480 participants were included out of 82 091 from the NHANES 1999–2014 survey. The Kaplan–Meier survival analyses were used to assess the disparities in survival rates based on SHR, and the log‐rank test was employed to investigate the distinctions between groups. The multivariate Cox regression analysis and restricted cubic spline (RCS) analysis were performed to assess the association of SHR with all‐cause mortality. A subgroup analysis was also conducted. Results A total of 3188 deaths occurred during a median follow‐up period of 11.0 (7.7; 15.4) years. The highest risk for all‐cause mortality was observed when SHR≤ 0.843 or SHR ≥0.986 (log‐rank p
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