This study aims to investigate the association between the metabolic score for insulin resistance (METS-IR) and the risk of gallstone disease (GSD).
Data were collected from participants who underwent health examinations at four hospital health management centers in Chongqing and Beijing between 2015 and 2020. Multivariable logistic regression analysis was employed to examine the correlation between METS-IR and GSD risk across different centers, and a meta-analysis was conducted to pool the results from each hospital.
A total of 543 371 participants were included in this study, with a GSD prevalence of 8.05%. Multivariable logistic regression analysis revealed a positive correlation between METS-IR and GSD risk, with each unit increase in METS-IR associated with a 3.5% increase in GSD prevalence (OR=1.035, 95% CI:1.027-1.042). After converting METS-IR into categorical variables based on quartiles, the results indicated that the prevalence of GSD in the highest quartile group was 2.268 times that of the lowest quartile group (OR=2.268, 95% CI:1.827-2.709). In various subgroups categorized by age, gender, and gallstone subtype, METS-IR remained significantly positively correlated with the risk of GSD.
Insulin resistance significantly increases the risk of GSD. In the future, screening should be implemented for high-risk populations with insulin resistance to enable early detection and reduce the disease burden of gallstone disease.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |