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Genetic variations of vitamin D receptor and vitamin D supplementation interaction in relation to serum vitamin D and metabolic traits: a systematic review and meta-analysis. 维生素 D 受体的遗传变异和维生素 D 补充剂与血清维生素 D 和代谢特征的相互作用:系统综述和荟萃分析。
IF 2.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-12-01 Epub Date: 2022-08-23 DOI: 10.1024/0300-9831/a000762
Reza Ghiasvand, Ali Rashidian, Faezeh Abaj, Masoumeh Rafiee

Background: It is now becoming increasingly recognized that the effects of vitamin D supplementation may vary by several factors including vitamin D deficiency status, ethnicity, and/or the presence of genetic variants, which affect individual responses to supplementation. This study investigates the interaction between metabolic traits and circulating 25-hydroxyvitamin-D (25OHD) concentration with 4 polymorphisms of vitamin D receptor (VDR) including BsmI, ApaI, TaqI, FokI, and vitamin D supplementation. Methods: A systematic review and meta-analysis of papers until August 2021 on PubMed, The Cochrane Library, Scopus, Web of Science, Google Scholar, ProQuest, Science Direct, and Embase about the association between functionally relevant VDR variants and vitamin D supplementation on circulating 25OHD and metabolic traits. Results: A total of 2994 cases from 16 randomized controlled trial (RCT) studies were included in meta-analyses. There were no significant changes in the serum concentrations of 25OHD and metabolic traits after vitamin D supplementation in different variants of BsmI, ApaI, TaqI, and FokI polymorphism in the VDR gene in the overall analysis (p>0.05). However, the results showed there is significant interaction between these above VDR polymorphisms and vitamin D supplement on serum 25OHD level after subgroup analyses based on the study duration, gender, age, BMI, health status, Hardy-Weinberg Equilibrium, PCR, and race (p<0.05). Conclusions: The present meta-analysis demonstrates that the effect of vitamin D supplementation on serum 25OHD and metabolic traits is independent of genetic variants of the VDR gene (BsmI, ApaI, TaqI, and FokI). However, future trials should consider inter-individual differences and, in particular, should aim to clarify whether certain subgroups of individuals may benefit from vitamin D supplementation in the context of metabolic health.

背景:现在越来越多的人认识到,维生素 D 补充剂的效果可能因多种因素而异,包括维生素 D 缺乏状态、种族和/或基因变异的存在,这些因素都会影响个人对补充剂的反应。本研究调查了代谢特征和循环中 25- 羟基维生素-D(25OHD)浓度与维生素 D 受体(VDR)的 4 种多态性(包括 BsmI、ApaI、TaqI、FokI)和维生素 D 补充之间的相互作用。研究方法对截至 2021 年 8 月在 PubMed、The Cochrane Library、Scopus、Web of Science、Google Scholar、ProQuest、Science Direct 和 Embase 上发表的关于功能相关的 VDR 变异和维生素 D 补充剂与循环 25OHD 和代谢特征之间关系的论文进行系统综述和荟萃分析。研究结果荟萃分析共纳入了 16 项随机对照试验(RCT)研究中的 2994 个病例。在总体分析中,补充维生素 D 后,VDR 基因中 BsmI、ApaI、TaqI 和 FokI 多态性的不同变异体的血清 25OHD 浓度和代谢特征无明显变化(P>0.05)。然而,根据研究持续时间、性别、年龄、体重指数、健康状况、哈代-温伯格平衡、PCR和种族等因素进行亚组分析后,结果显示上述VDR多态性与维生素D补充剂对血清25OHD水平存在显著的交互作用(P结论:本荟萃分析表明,补充维生素 D 对血清 25OHD 和代谢特征的影响与 VDR 基因(BsmI、ApaI、TaqI 和 FokI)的遗传变异无关。然而,未来的试验应考虑个体间的差异,特别是应旨在明确某些亚群个体是否可能从补充维生素 D 的代谢健康中获益。
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引用次数: 1
Association of dietary phytochemical index with cardiometabolic risk factors. 膳食植物化学物指数与心脏代谢风险因素的关系。
IF 2.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-12-01 Epub Date: 2022-08-26 DOI: 10.1024/0300-9831/a000763
Sanaz Mehranfar, Yahya Jalilpiran, Hanieh-Sadat Ejtahed, Ehsan Seif, Ehsan Shahrestanaki, Armita Mahdavi-Gorabi, Mohammad Esmaeili-Abdar, Bagher Larijani, Mostafa Qorbani

Objective(s): Cardio-metabolic risk factors are becoming a global health concern. To address this problem, one of the proposed ways is to focus on phytochemical-rich foods consumption. Therefore, we aimed to summarize the results of observational studies (cohorts, case-control, and cross-sectional) that investigated the association between dietary phytochemical index (PI) as a new index for evaluating phytochemical-rich food intake and various risk factors of cardio-metabolic disorders. Methods: We conducted a comprehensive systematic review through PubMed, Scopus, and Web of Science databases. The literature search was performed up to August 2021 with no publication year restriction on observational studies investigating the association between PI and cardiometabolic risk factors on adults and children. A random-effect meta-analysis was used. Results: Overall, 16 articles (cross-sectional, case-control, cohort) were eligible for this systematic review and 8 studies with 99771 participants were included in the meta-analysis. Random effect meta-analysis showed that adherence to higher dietary PI decrease the odds of abdominal obesity (OR: 0.73, 95% CI: 0.58, 0.88, I2: 84.90), generalized obesity (OR: 0.84, 95% CI: 0.69, 0.98, I2: 68.10), hypertriglyceridemia (OR: 0.81, 95% CI: 0.73, 0.89, I2: 0.00), hypertension (OR: 0.86, 95% CI: 0.73, 0.99, I2: 7.02), and MetS (OR: 0.79, 95% CI: 0.69, 0.88, I2: 84.90). However, results considering the associations between dietary PI with glycemic indices, and low high-density lipoprotein cholesterol (HDL-C) were not significant (p<0.05). Conclusion: Evidence showed adverse associations between dietary PI and some cardio-metabolic risk factors such as obesity, hypertriglyceridemia, hypertension and metabolic syndrome.

目的心血管代谢风险因素正成为全球关注的健康问题。为解决这一问题,建议的方法之一是关注富含植物化学物质的食品消费。因此,我们旨在总结观察性研究(队列研究、病例对照研究和横断面研究)的结果,这些研究调查了膳食植物化学物指数(PI)作为评估富含植物化学物食物摄入量的新指标与各种心血管代谢疾病风险因素之间的关系。研究方法我们通过 PubMed、Scopus 和 Web of Science 数据库进行了全面的系统综述。文献检索截止到 2021 年 8 月,对调查成人和儿童 PI 与心脏代谢风险因素之间关系的观察性研究没有出版年份限制。采用随机效应荟萃分析。结果共有 16 篇文章(横断面、病例对照、队列)符合本系统综述的要求,其中 8 项研究纳入了荟萃分析,共有 99771 人参与。随机效应荟萃分析表明,坚持较高的膳食 PI 可降低腹部肥胖(OR:0.73,95% CI:0.58,0.88,I2:84.90)、全身肥胖(OR:0.84,95% CI:0.69,0.98,I2:68.10)、高甘油三酯血症(OR:0.81,95% CI:0.73,0.89,I2:0.00)、高血压(OR:0.86,95% CI:0.73,0.99,I2:7.02)和 MetS(OR:0.79,95% CI:0.69,0.88,I2:84.90)。然而,考虑到膳食 PI 与血糖指数和低高密度脂蛋白胆固醇(HDL-C)之间的关系,结果并不显著(p 结论:有证据表明,膳食 PI 与肥胖、高甘油三酯血症、高血压和代谢综合征等一些心血管代谢风险因素之间存在不利关联。
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引用次数: 2
Selenium dietary intake and survival among CRC patients. 硒的膳食摄入量与 CRC 患者的存活率。
IF 2.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-12-01 Epub Date: 2022-09-30 DOI: 10.1024/0300-9831/a000768
Malgorzata Augustyniak, Aleksander Galas

Background: Despite advances in prevention and treatment, colorectal cancer remains the second most common cause of cancer death. To date, little is known about the role of prediagnostic selenium intake in colorectal cancer survival. Objective: The purpose of the study was to verify whether selenium intake in habitual diet before diagnosis is associated with survival in colorectal cancer patients. Study design: This was a prospective observation of patients primarily recruited for a case-control study between 2000 and 2012 in Cracow, Poland. A group of 671 incident cases of colorectal cancer was included. Habitual diet was assessed using a validated 148-item food questionnaire. 338 deaths were identified throughout 2017 by the Polish National Vital Registry. To evaluate the impact of dietary selenium on survival, the multivariable Cox regression model was used. Results: After standardization for several potential confounders (including key determinants, such as radical surgery, chemotherapy, tumor stage, and dietary factors), a decrease in the risk of death from colorectal cancer was observed in the group with higher dietary selenium intake (≥48.8 μg/day, group mean: 63.9 μg/day) compared to the group with lower dietary selenium intake (<48.8 μg/day, mean: 38.5 μg/day) (HR=0.73; 95% CI: 0.54-0.98) (the median was used for categorization). Conclusion: Our study suggests selenium as an additional dietary factor which may be associated with survival among colorectal cancer patients referred to surgery. Due to the observational nature of the study, the results should be taken with caution. These preliminary findings, however, provide the basis for well-structured clinical trials.

背景:尽管在预防和治疗方面取得了进步,但结直肠癌仍然是第二大常见的癌症死因。迄今为止,人们对诊断前硒摄入量对结直肠癌存活率的作用知之甚少。研究目的本研究旨在验证大肠癌患者在确诊前的习惯饮食中硒的摄入量是否与生存率有关。研究设计:这是一项前瞻性观察,对象主要是 2000 年至 2012 年期间在波兰克拉科夫招募的病例对照研究患者。研究纳入了 671 例结肠直肠癌病例。使用经过验证的 148 项食物问卷对习惯饮食进行了评估。波兰国家生命登记处在 2017 年全年确定了 338 例死亡病例。为评估膳食硒对生存率的影响,采用了多变量 Cox 回归模型。结果显示在对几种潜在混杂因素(包括根治性手术、化疗、肿瘤分期和饮食因素等关键决定因素)进行标准化处理后,与膳食硒摄入量较低的群体相比,膳食硒摄入量较高的群体(≥48.8 μg/天,群体平均值:63.9 μg/天)的结直肠癌死亡风险有所降低(结论:膳食硒摄入量较高的群体的结直肠癌死亡风险有所降低,而膳食硒摄入量较低的群体的结直肠癌死亡风险有所降低:我们的研究表明,硒是可能与接受手术治疗的结直肠癌患者的生存率有关的额外饮食因素。由于研究具有观察性质,因此应谨慎对待研究结果。不过,这些初步研究结果为结构合理的临床试验提供了依据。
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引用次数: 2
Effects of omega fatty acids on the short-term postprandial satiety related peptides in rats. ω脂肪酸对大鼠餐后短期饱腹感相关肽的影响。
IF 2.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-10-01 Epub Date: 2022-01-06 DOI: 10.1024/0300-9831/a000743
Hilal Hizli Guldemir, Nihal Buyukuslu, Pakize Yigit, Cagri Cakici, Ekrem Musa Ozdemir

We aimed to assess the effects of omega fatty acids on time depending on responses of satiety hormones. Sixty adult rats were randomly divided into 4 groups; linoleic acid (LA), α-linolenic acid (ALA), eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) groups. For each fatty acid, the dose of 400 mg/kg was applied by oral gavage. Blood samples were taken after the 15, 30, 60 and 120 minutes. Ghrelin, cholecystokinin (CCK), glucagon-like peptide-1 (GLP-1), peptide YY (PYY), leptin and insulin hormones were analyzed by ELISA. We observed the significant increases (p<0.05) of the levels of CCK between n-3 (ALA, at 60th min; EPA, at 30th and 60th min and DHA, at 60 min) and n-6 (LA) supplemented rats. The highest GLP-1 levels were in ALA (0.70 ng/mL) and DHA (0.67 ng/mL) supplemented groups at 60th and 120th min indicating n-3 fatty acids efficiency on satiety compared to LA. It seems that ALA at 60th min and EPA at 120th min could provide the highest satiety effect with the highest insulin response, while the efficiency of LA supplementation on insulin-induced satiety diminished. The only significant change in AUC values among all hormones was in the CCK of the ALA group (p=0.004). The level of leptin increased in DHA and EPA supplemented rats (p=0.140). Our results showed that dietary omega fatty acids influenced the releasing of hormones in different ways possibly depending on chain length or saturation degree. Comprehensive studies need to be addressed for each fatty acid on satiety-related peptide hormones.

我们旨在评估ω脂肪酸对时间的影响,这取决于饱腹激素的反应。将60只成年大鼠随机分为4组;亚油酸(LA)、α-亚麻酸(ALA)、二十碳五烯酸(EPA)和二十二碳六烯酸(DHA)基团。对于每种脂肪酸,通过经口灌胃施用400mg/kg的剂量。在15、30、60和120分钟后采集血样。酶联免疫吸附法检测胃促生长素、胆囊收缩素(CCK)、胰高血糖素样肽-1(GLP-1)、肽YY(PYY)、瘦素和胰岛素激素。我们观察到补充n-6(LA)的大鼠(pth-min;EPA,第30和第60分钟,DHA,第60分钟)显著增加。补充ALA(0.70 ng/mL)和DHA(0.67 ng/mL)的组在第60分钟和第120分钟的GLP-1水平最高,表明与LA相比,n-3脂肪酸对饱腹感的有效性。似乎第60分钟的ALA和120分钟的EPA可以提供最高的饱腹感效果和最高的胰岛素反应,而补充LA对胰岛素诱导的饱腹的有效性降低。所有激素中AUC值的唯一显著变化是ALA组的CCK(p=0.004)。补充DHA和EPA的大鼠的瘦素水平增加(p=0.040)。我们的结果表明,饮食中的ω脂肪酸以不同的方式影响激素的释放,可能取决于链长或饱和程度。需要对每种脂肪酸的饱腹感相关肽激素进行全面的研究。
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引用次数: 0
Astaxanthin attenuated the stress-induced intestinal motility disorder via altering the gut microbiota. 虾青素通过改变肠道微生物群来减轻应激诱导的肠道运动障碍。
IF 2.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-10-01 Epub Date: 2022-05-30 DOI: 10.1024/0300-9831/a000756
Ritsu Yasuda, Kazuhiro Kamada, Takaaki Murakami, Ryo Inoue, Katsura Mizushima, Ryohei Hirose, Ken Inoue, Osamu Dohi, Naohisa Yoshida, Kazuhiro Katada, Kazuhiko Uchiyama, Osamu Handa, Takeshi Ishikawa, Tomohisa Takagi, Hideyuki Konishi, Yuji Naito, Yoshito Itoh

Gut microbiota and short-chain fatty acids (SCFAs) are recognized as key factors in the pathophysiology of irritable bowel syndrome. Astaxanthin is a carotenoid with strong antioxidant and anti-inflammatory activities. In this study, we examined the effects of astaxanthin on gut microbiota-, SCFAs-, and corticotropin-releasing factor (CRH)-induced intestinal hypermotility. Male Wistar rats (n=12 per group) were fed a diet with or without 0. 02% (w/w) astaxanthin for four weeks and CRH or saline was administered intravenously. The number of fecal pellets was counted 2 h after injection. Then the rats were sacrificed, and the cecal content were collected 3 h after injection. The number of feces was significantly increased by CRH injection in the control group (2.0 vs. 6.5; p=0.028), but not in the astaxanthin group (1.0 vs. 2.2; p=0.229) (n=6 per group). The cecal microbiota in the astaxanthin group was significantly altered compared with that in the control group. The concentrations of acetic acid (81.1 μmol/g vs. 103.9 μmol/g; p=0.015) and butyric acid (13.4 μmol/g vs. 39.2 μmol/g; p<0.001) in the astaxanthin group were significantly lower than that in the control group (n=12 per group). Astaxanthin attenuates CRH-induced intestinal hypermotility and alters the composition of gut microbiota and SCFAs.

肠道微生物群和短链脂肪酸(SCFA)被认为是肠易激综合征病理生理学的关键因素。虾青素是一种类胡萝卜素,具有较强的抗氧化和抗炎活性。在这项研究中,我们检测了虾青素对肠道微生物群、SCFAs和促肾上腺皮质激素释放因子(CRH)诱导的肠道高动力的影响。雄性Wistar大鼠(每组n=12)被喂食含有或不含有0。02%(w/w)虾青素持续四周,并静脉内给予CRH或生理盐水。在注射后2小时计数粪便颗粒的数量。然后处死大鼠,并在注射后3小时收集盲肠内容物。对照组注射CRH后,粪便数量显著增加(2.0对6.5;p=0.028),但虾青素组没有增加(1.0对2.2;p=0.229)(每组n=6)。与对照组相比,虾青素组的盲肠微生物群发生了显著变化。乙酸(81.1μmol/g vs.103.9μmol/g;p=0.015)和丁酸(13.4μmol/g比对39.2μmol/g,p=0.015)的浓度
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引用次数: 1
Niacin supplementation impairs exercise performance. 补充烟酸会降低运动能力。
IF 2.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-10-01 Epub Date: 2021-10-26 DOI: 10.1024/0300-9831/a000736
Greggory R Davis, Arnold G Nelson

Several pre-workout supplements contain niacin, although the exercise performance effects of niacin are poorly understood. The purpose of the present study was to examine the performance effects of niacin versus caffeine as a pre-workout supplement. Twenty-five untrained males were recruited to complete three identical ramped aerobic cycling exercise trials. Participants were administered caffeine (CA) at 5 mg/kg body weight, 1000 mg niacin (NI), or a methylcelluloce placebo (PL) supplement prior to each trial. NI treatment induced significantly higher respiratory exchange ratio (RER) during exercise compared to the CA treatment, but not the PL treatment (PL=0.87±0.08, NI=0.91±0.08, CA=0.87±0.08; p=0.02). Similarly, exercise time to exhaustion (in minutes) was significantly different between the NI treatment and the CA treatment, but not the PL treatment (PL=27.45±4.47, NI=26.30±4.91, CA=28.76±4.86; p<0.01). Habitual caffeine use (p=0.16), habitual aerobic exercise (p=0.60), and habitual resistance exercise (p=0.10) did not significantly affect RER. Similarly, habitual caffeine use (p=0.72), habitual aerobic exercise (p=0.08), and habitual resistance exercise (p=0.39) did not significantly affect total work performed. The elevated RER and decreased time to exhaustion in the NI treatment suggests limited lipid availability during exercise and impaired exercise performance.

一些运动前补充剂含有烟酸,尽管人们对烟酸对运动表现的影响知之甚少。本研究的目的是检验烟酸与咖啡因作为运动前补充剂对运动性能的影响。25名未经训练的男性被招募来完成三项相同的有氧自行车运动试验。在每次试验前,参与者服用5 mg/kg体重的咖啡因(CA)、1000 mg烟酸(NI)或甲基纤维素安慰剂(PL)补充剂。与CA治疗相比,NI治疗在运动过程中诱导了显著更高的呼吸交换率(RER),但PL治疗没有(PL=0.87±0.08,NI=0.91±0.08,CA=0.87±0.08:p=0.02)。同样,NI治疗和CA治疗的运动衰竭时间(以分钟为单位)也有显著差异,而不是PL治疗(PL=27.45±4.47,NI=26.30±4.91,CA=28.76±4.86;p
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引用次数: 0
Osteoarthritis improvement effect of Chrysanthemum zawadskii var. latilobum extract in relation to genotype. 白菊花提取物对骨关节炎的改善作用与基因型的关系。
IF 2.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-10-01 Epub Date: 2022-01-13 DOI: 10.1024/0300-9831/a000745
Taeheon Lee, Chae-Bin Na, Dasom Kim, Hae Jung Han, Jongbok Yun, Sun Kyu Park, Eunhae Cho

Objectives: To determine whether SNPs of osteoarthritis (OA)-related genes predict the effect of Chrysanthemum zawadskii var. latilobum (CZ) extract in OA patients with OA. Subjects/methods: To analyze correlations between CZ extract effects in humans and their genotypes, 121 Korean patients with OA were recruited. Patients ingested 600 mg/day of the CZ extract GCWB106 (one tablet daily), including 250-mg CZ, or placebo (one tablet daily) for 12 weeks. Twenty SNPs were genotyped in 11 genes associated with OA pathogenesis, including tumor necrosis factor-alpha (TNF-α) and matrix metalloproteinases (MMPs), and 9 genes involved in OA-related dietary intervention. The Visual Analogue Scale (VAS) and Korean Western Ontario and McMaster Universities (K-WOMAC) were measured as indicators of GCWB106 effect. Statistical comparisons were performed using Kruskal-Wallis tests to identify associations between these scales and genotyped loci in patients with OA. Results: Three SNPs (PPARG rs3856806, MMP13 rs2252070, and ZIP2 rs2234632) were significantly associated with the degree of change in VAS pain score. Homozygous CC genotype carriers of rs3856806, G allele carriers (GA or GG) of rs2252070, and T allele carriers (GT or TT) of rs2234632 showed lower VAS score (i.e., less severe symptoms) in the GCWB106 group (n=53) than the placebo group (n=57) (p=0.026, p=0.009, and p=0.025, respectively). Gene-gene interaction effects on GCWB106-mediated pain relief were then examined, and it was found that the addition of each genotype resulted in a greater decrease in VAS pain score in the GCWB106 group (p=0.0024) but not the placebo group (p=0.7734). Conclusions: These novel predictive markers for the pain-relieving effects of GCWB106 may be used in the personalized treatment of patients with OA.

目的:确定骨关节炎(OA)相关基因的SNPs是否预测菊花提取物对OA患者的影响。受试者/方法:为了分析CZ提取物在人类中的作用与其基因型之间的相关性,招募了121名韩国OA患者。患者每天摄入600毫克CZ提取物GCWB106(每天一片),包括250毫克CZ,或安慰剂(每天一块),持续12周。对11个与OA发病机制相关的基因(包括肿瘤坏死因子α(TNF-α)和基质金属蛋白酶(MMPs))以及9个参与OA相关饮食干预的基因进行了20个SNPs的基因分型。视觉模拟量表(VAS)和韩国西安大略大学和麦克马斯特大学(K-WOMAC)被测量为GCWB106效果的指标。使用Kruskal-Wallis检验进行统计比较,以确定OA患者的这些量表与基因分型位点之间的相关性。结果:三个SNPs(PPARG rs3856806、MMP13 rs2252070和ZIP2 rs2234632)与VAS疼痛评分的变化程度显著相关。在GCWB106组(n=53)中,rs3856806的纯合CC基因型携带者、rs2252070的G等位基因携带者(GA或GG)和rs2234632的T等位基因载体(GT或TT)的VAS评分(即症状较轻)低于安慰剂组(n=57)(分别为p=0.026、p=0.009和p=0.025)。然后检测基因-基因相互作用对GCWB106介导的疼痛缓解的影响,结果发现,每种基因型的添加导致GCWB106组VAS疼痛评分的下降幅度更大(p=0.0024),而安慰剂组则没有(p=0.7734)。结论:这些新的预测GCWB106止痛效果的标志物可用于OA患者的个性化治疗。
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引用次数: 0
Association between intake of sodium, potassium, sodium-to-potassium ratio, and blood pressure among US adults. 美国成年人钠、钾、钠钾比摄入量与血压的关系。
IF 2.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-10-01 Epub Date: 2021-12-22 DOI: 10.1024/0300-9831/a000740
Akshaya Srikanth Bhagavathula, Shahd Ayman Refaat, Barry L Bentley, Jamal Rahmani

High dietary sodium and low potassium intake is associated with high blood pressure (BP). The current study aimed to determine if the sodium-to-potassium ratio is more strongly associated with low (130-139/80-89 mm Hg) and high (≥140/90 mm Hg) BP thresholds among US adults than either sodium or potassium alone. A total of 30,776 patients aged ≥20 years with complete blood pressure participated in the National Health and Nutrition Examination Survey (NHANES) from 2003 to 2018. Demographic information and health characteristics were compared between men and women using the chi-square test for categorical variables and independent samples t-test for continuous variables. Logistic regression was performed to investigate the association of the odds ratios (OR) of different levels of sodium, potassium, and sodium-to-potassium ratio. After multivariable adjustment (age, gender, Body mass index, Smoking, education, Race, Alcohol, total energy intake, and physical activity), no relationship has been observed between high versus low sodium-to-potassium ratio and BP threshold of 130-139/80-89 mm Hg (odds ratio [OR]: 1.02, 95% confidence interval [CI]: 0.92-1.12). Higher sodium-to-potassium ratio (OR=1.24; CI: 1.11-1.38) and dietary intake of potassium (OR=0.66; CI: 0.55-0.80) showed significant association in reducing the BP threshold of ≥140/90 mm Hg. In dose-response analysis, higher BP ≥140/90 mm Hg was inversely associated with higher potassium intake. Furthermore, the sodium-to-potassium ratio showed higher odds in predicting the BP of patients aged ≤60 years, underweight, nonsmokers, and non-alcohol users. The study confirms an inverse association between higher potassium intake and higher BP threshold. The Doses-response analyses showed sodium-to-potassium ratio is a better predictor of BP thresholds than sodium or potassium alone.

高钠低钾饮食摄入与高血压有关。目前的研究旨在确定在美国成年人中,钠钾比与低(130-139/80-89 mm Hg)和高(≥140/90 mm Hg)血压阈值的相关性是否比单独的钠或钾更强。2003年至2018年,共有30776名年龄≥20岁的完全性血压患者参加了国家健康与营养检查调查(NHANES)。使用分类变量的卡方检验和连续变量的独立样本t检验对男性和女性的人口统计信息和健康特征进行比较。采用Logistic回归研究不同钠、钾和钠钾比水平的比值比(OR)之间的相关性。经过多变量调整(年龄、性别、体重指数、吸烟、教育、种族、酒精、总能量摄入和体育活动)后,高钠钾比和低钠钾比与130-139/80-89毫米汞柱的血压阈值之间没有关系(比值比[OR]:1.02,95%置信区间[CI]:0.92-1.12)。较高的钠钾比(OR=1.24;CI:1.11-1.38)和膳食钾摄入量(OR=0.66;CI:0.55-0.80)显示出降低≥140/90毫米汞柱血压阈值的显著相关性。在剂量反应分析中,血压≥140/90 mm Hg的越高与钾摄入量越高呈负相关。此外,钠钾比在预测年龄≤60岁、体重不足、不吸烟和非酒精使用者的血压方面显示出更高的几率。这项研究证实了较高的钾摄入量和较高的血压阈值之间的反比关系。剂量反应分析表明,钠钾比单独使用钠或钾更能预测血压阈值。
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引用次数: 3
Can omega-3 fatty acids and vitamin E co-supplementation affect obesity indices? 补充ω-3脂肪酸和维生素E会影响肥胖指数吗?
IF 2.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-10-01 Epub Date: 2022-07-07 DOI: 10.1024/0300-9831/a000757
Vali Musazadeh, Arash Tandorost, Meysam Zarezadeh, Jaber Jafarzadeh, Zoha Ghavami, Parsa Jamilian, Alireza Ostadrahimi
Background: Studies have shown that vitamin E as an antioxidant protects omega-3 fatty acids (FAs) from oxidation. Several studies have evaluated the effect of omega-3 FAs and vitamin E co-supplementation on obesity indices; however, the results are inconsistent. The present systematic review and meta-analysis was conducted to address the role of omega-3 FAs plus vitamin E on obesity indices. Methods: Cochrane Library, PubMed, Scopus, Embase, and Web of Science databases were searched up to February 2022. Among all of the qualified studies, 10 articles were selected. The effect size was presented as weighted mean difference (WMD) and 95% confidence interval (CI). Fixed-effects model was employed to perform meta-analysis. Subgroup analysis and publication bias assessment were carried out. Results: Ten eligible randomized controlled trials comprising 558 participants were included. The average dose of omega-3 FAs and vitamin E co-supplementation in studies was 1000-4000 mg/day and 400 IU, respectively. Intervention duration varied from 6 to 16 weeks. There was no significant effect of omega-3 and vitamin E co-supplementation on body weight (BW) (WMD=0.14 kg; 95% CI: -0.13 to 0.42; p=0.297), and body mass index (BMI) (WMD=0.08, 95% CI: -0.01 to 0.16, p=0.073). However, subgroup analysis showed that it might increase BMI in women over 50 years and if the intervention lasted more than 8 weeks. Conclusion: There was no significant impact of combined omega-3 FAs and vitamin E supplementation on BW and BMI; however, it should be noted that the intervention has an increasing impact when supplementation duration was >8 weeks and in individuals with type 2 diabetes mellitus, >50 years old, and BMI>25.
背景:研究表明,维生素E作为一种抗氧化剂可以保护ω-3脂肪酸(FA)免受氧化。几项研究评估了ω-3脂肪酸和维生素E联合补充对肥胖指数的影响;然而,结果并不一致。本系统综述和荟萃分析旨在探讨ω-3脂肪酸加维生素E对肥胖指数的作用。方法:检索截至2022年2月的Cochrane图书馆、PubMed、Scopus、Embase和Web of Science数据库。在所有合格的研究中,选择了10篇文章。效应大小表示为加权平均差(WMD)和95%置信区间(CI)。采用固定效应模型进行荟萃分析。进行了亚组分析和发表偏倚评估。结果:纳入了10项符合条件的随机对照试验,共558名参与者。研究中ω-3脂肪酸和维生素E联合补充的平均剂量分别为1000-400毫克/天和400国际单位。干预时间从6到16周不等。ω-3和维生素E联合补充对体重(BW)(WMD=0.14kg;95%CI:0.13-0.42;p=0.297)和身体质量指数(BMI)(WMD=0.08,95%CI-0.01-1.16,p=0.073)没有显著影响。然而,亚组分析表明,如果干预持续8周以上,50岁以上的女性的BMI可能会增加。结论:补充ω-3脂肪酸和维生素E对体重和BMI没有显著影响;然而,应该注意的是,当补充持续时间>8周时,以及在2型糖尿病患者(年龄>50岁,BMI>25 kg/m2)中,干预的影响越来越大。
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引用次数: 0
Effect of soy isoflavones on C-reactive protein in chronic inflammatory disorders. 大豆异黄酮对慢性炎症性疾病C反应蛋白的影响。
IF 2.3 4区 医学 Q3 NUTRITION & DIETETICS Pub Date : 2023-10-01 Epub Date: 2022-03-16 DOI: 10.1024/0300-9831/a000751
Ali Gholami, Fatemeh Darudi, Hamid Reza Baradaran, Mitra Hariri

New evidence suggests that soy products might reduce chronic systemic inflammation. Therefore, we aimed to summarize the effect of soy isoflavones on serum concentration of C-reactive protein (CRP) among participants with chronic inflammatory disorders by conducting this study. Cochrane Library, Scopus, ISI Web of Science, clinicaltrials.gov, and PubMed were searched to identify randomized clinical trials (RCTs) published up to December 2020. The effect size was calculated by the mean change from baseline in concentrations of CRP and its standard deviation for both intervention and comparison groups. DerSimonian and Laird random-effects model was used when the heterogeneity test was statistically significant. In total, thirteen RCTs involving 1213 participants and ten RCTs involving 1052 participants were eligible for our systematic review and meta-analysis respectively. Study duration ranged from 4 to 96 weeks and soy isoflavones dose varied from 33 to 132 mg/day. Overall effect size indicated a non-significant effect on serum concentration of CRP following soy isoflavones intake (weighted mean differences (WMD)=-0.15 mg/L, 95% confidence interval (CI): -0.54, 0.23; p=0.430). Subgroup analysis revealed that soy isoflavones significantly reduced serum concentration of CRP in studies among participants with age >57 years and baseline CRP levels >3.75 mg/L. The present study proposed that soy isoflavones could not significantly reduce serum CRP levels. It seems more RCTs on participants with age more than 57 years and higher levels of CRP is necessary.

新的证据表明,豆制品可以减少慢性全身炎症。因此,我们旨在通过本研究总结大豆异黄酮对慢性炎症性疾病参与者血清C反应蛋白(CRP)浓度的影响。检索Cochrane Library、Scopus、ISI Web of Science、clinicaltrials.gov和PubMed,以确定截至2020年12月发表的随机临床试验(RCT)。通过干预组和对照组CRP浓度与基线的平均变化及其标准差来计算效果大小。当异质性检验具有统计学意义时,使用DerSimonian和Laird随机效应模型。总共,涉及1213名参与者的13项随机对照试验和涉及1052名参与者的10项随机对照研究分别符合我们的系统综述和荟萃分析。研究持续时间为4-96周,大豆异黄酮的剂量为33-132mg/天。总体效应大小表明,摄入大豆异黄酮后,CRP的血清浓度无显著影响(加权平均差(WMD)=0.15mg/L,95%置信区间(CI):-0.54,0.23;p=0.430)。亚组分析显示,在年龄>57岁和基线CRP水平>3.75mg/L的参与者中,大豆异黄酮显著降低了CRP的血清浓度。本研究提示大豆异黄酮不能显著降低血清CRP水平。似乎有必要对年龄超过57岁且CRP水平较高的参与者进行更多的随机对照试验。
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引用次数: 0
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International Journal for Vitamin and Nutrition Research
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