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Solitary Functioning Kidneys Attenuate Renal Hemodynamics Responses to Angiotensin II in Male But Not in Female Rats. 孤肾功能可减轻雄性大鼠肾血流动力学对血管紧张素 II 的反应,但对雌性大鼠却无影响
IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-07-17 eCollection Date: 2024-01-01 DOI: 10.4103/ijpvm.ijpvm_195_23
Zahra Pezeshki, Mehdi Nematbakhsh

Backgrounds: People with solitary functioning kidneys (SFK) are prone to renal failure with time. Accordingly, local renin angiotensin system (RAS) and renal functions in subjects with SFK may act differently compared to normal condition. This study was designed to determine the renal hemodynamics responses to angiotensin II (Ang. II) in SFK male and female rats.

Methods: Fifty to sixty-day-old male and female Wistar rats were subjected to unilateral renal artery obstruction, and 28 days later basal renal hemodynamic responses to Ang. II were examined in SFK groups compared to sham groups.

Results: The findings indicated lower renal vascular resistance (RVR) and renal blood flow (RBF) responses to Ang. II in male SFK compared to sham group. Such observation was not seen in female animals.

Conclusions: An increase in renal metabolism due to hyperfunction, especially in SFK male rats, may cause a decrease in RVR. Moreover, the lower RBF response to Ang. II may be related to alteration to Ang. II receptors in the remnant kidneys in SFK rats.

背景:单功能肾(SFK)患者随着时间的推移容易出现肾功能衰竭。因此,SFK 患者的局部肾素血管紧张素系统(RAS)和肾功能可能与正常人不同。本研究旨在确定 SFK 雄性和雌性大鼠的肾血流动力学对血管紧张素 II(Ang:方法:对 50-60 天大的雌雄 Wistar 大鼠进行单侧肾动脉阻塞,28 天后检查 SFK 组和 SFK 组大鼠对 Ang.结果表明,SFK 组大鼠的肾血管通透性低于假肾组:结果:研究结果表明,与假肾组相比,雄性 SFK 的肾血管阻力(RVR)和肾血流量(RBF)对 Ang.结果:研究结果表明,与假肾组相比,雄性 SFK 对 Ang.II 的肾血管阻力(RVR)和肾血流量(RBF)反应较低。雌性动物中未见此类观察结果:结论:功能亢进导致的肾脏代谢增加,尤其是在雄性 SFK 大鼠中,可能会导致 RVR 下降。此外,RBF 对 Ang.此外,RBF 对 Ang.II受体的改变有关。
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引用次数: 0
Association of Prior COVID-19 Infection with Risk of Breakthrough Infection Following Vaccination: A Cohort Study in Isfahan, Iran. 曾感染 COVID-19 与接种疫苗后发生突破性感染风险的关系:伊朗伊斯法罕队列研究。
IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-07-17 eCollection Date: 2024-01-01 DOI: 10.4103/ijpvm.ijpvm_173_23
Amirreza Manteghinejad, Sina Rasti, Maryam Nasirian, Shaghayegh Haghjooy Javanmard

Background: Many people worldwide have developed a combination of natural and vaccine-induced immunity to COVID-19. This study investigated whether exposure to SARS-CoV-2 before full vaccination promotes protection against a breakthrough infection.

Methods: We studied a total of 2,902,545 people in the Isfahan COVID-19 Registry. All the participants had received two doses of either Sinopharm BIBP, ChAdOx1-nCoV-19, Gam-COVID-Vac, or BIV1-CovIran vaccines. A cohort study examined the association between prior COVID-19 infection and the risk of a breakthrough infection for each vaccine. Cohorts in each pair were matched by gender, age group, calendar week of the first dose, the interval between the first and second doses, and the proportion of healthcare workers. The probable virus variant for the previous infections was also considered. Each individual's follow-up started 14 days after their second vaccine dose until either the end of the study censoring date, occurrence of a COVID-19 infection, or death. The breakthrough infection risk was compared between each cohort pair by using the hazard ratio (HR) and incidence rate ratio (IRR).

Results: Total breakthrough HRs (95% confidence interval) (previously infected over infection-naïve matched cohort) were 0.36 (0.23-0.55), 0.35 (0.32-0.40), 0.37 (0.30-0.46), and 0.43 (0.32-0.56) for the BIV1-CovIran, Sinopharm BIBP, Gam-COVID-Vac, and ChAdOx1-nCoV-19 vaccine groups, respectively. The breakthrough infection IRRs were approximately similar to the total HRs mentioned above.

Conclusion: Prior SARS-CoV-2 infection conferred additive immunity against breakthrough after vaccination, no matter which vaccine brand was injected. Such a result could guide health authorities to codify low-cost high-benefit vaccination protocols and protect the community's well-being.

背景:全世界有许多人对COVID-19产生了天然免疫和疫苗诱导免疫。本研究调查了在完全接种疫苗之前暴露于 SARS-CoV-2 是否会促进对突破性感染的保护:我们对伊斯法罕 COVID-19 登记处的 2,902,545 人进行了研究。所有参与者都接种过两剂国药集团的 BIBP、ChAdOx1-nCoV-19、Gam-COVID-Vac 或 BIV1-CovIran 疫苗。一项队列研究考察了每种疫苗之前的 COVID-19 感染与突破性感染风险之间的关系。按性别、年龄组、首次接种的日历周、首次接种与第二次接种的间隔时间以及医护人员的比例对每对组群进行了配对。之前感染的可能病毒变种也在考虑之列。每个人在接种第二剂疫苗 14 天后开始随访,直至研究结束、COVID-19 感染或死亡。通过使用危险比(HR)和发病率比(IRR)对每对队列的突破性感染风险进行比较:BIV1-CovIran组、国药集团BIBP组、Gam-COVID-Vac组和ChAdOx1-nCoV-19组的突破性感染总HR(95%置信区间)分别为0.36(0.23-0.55)、0.35(0.32-0.40)、0.37(0.30-0.46)和0.43(0.32-0.56)。突破性感染IRR与上述总HR大致相似:结论:无论注射哪种品牌的疫苗,之前感染过 SARS-CoV-2 的人在接种疫苗后都会获得针对突破性感染的附加免疫力。这一结果可以指导卫生部门制定低成本高收益的疫苗接种方案,保护社区的健康。
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引用次数: 0
Association of Postpartum Depression with Maternal Serum Magnesium Levels, Infant Growth, and Neurodevelopmental Indices 产后抑郁与产妇血清镁水平、婴儿生长和神经发育指标的关系
IF 2.1 Pub Date : 2024-03-01 DOI: 10.4103/ijpvm.ijpvm_30_24
M. A. Pourmirzaiee, Seyede Shahrbanoo Daniali, Roya Riahi, Sepideh Majidi, Roya Kelishadi
Postpartum depression (PPD) can exert both short-term and long-term effects on a child’s health. Offspring born to mothers who suffer from PPD face an elevated susceptibility to encountering psychological disturbances and developmental delays. Moreover, there has been conjecture surrounding a plausible connection between maternal magnesium (Mg) levels and psychiatric manifestations. This study aims to investigate the relationship between maternal Mg levels and PPD and the correlation between PPD and an infant’s growth and neurodevelopment at 6 and 12 months. This longitudinal study is a sub-study derived from the “PERSIAN Birth Cohort Study,” encompassing 224 mother–infant pairs randomly enlisted during 2019–2020 in Isfahan. Maternal serum magnesium (Mg) levels were measured at 38 weeks of gestation. PPD was evaluated employing the Edinburgh Postpartum Depression Scale (EPDS) four weeks postpartum. Measurements of birth size were undertaken, adhering to standardized protocols at birth, 6 months, and 12 months. Anthropometric parameters and the Persian version of the validated Ages and Stages Questionnaires (ASQ) were employed to assess infant neurodevelopmental status at 6 and 12 months. Overall, 22.3% of mothers grappled with PPD. The mean (standard deviation) maternal magnesium levels (Mg) were 1.95 ± 0.23 mg/dL. No statistically significant association was detected between maternal serum magnesium (Mg) levels and the incidence of PPD. Correspondingly, no significant association emerged between PPD and indices of growth. However, a noteworthy distinction materialized in the communication scores of offspring born to depressed and non-depressed mothers following adjustments for confounding variables at 12 months (β = 1.81; 95% confidence interval: 0.32-3.30). Furthermore, a substantial regression in communication skills became apparent between 6 and 12 months. This study failed to establish a significant association between maternal serum magnesium (Mg) levels and PPD. Nevertheless, research lends credence to an inverse correlation between maternal depression and subsequent behavioral difficulties in offspring, such as communication skills. Thus, the imperative nature of screening for PPD should be underscored to facilitate its early detection and intervention, thereby enhancing infant well-being.
产后抑郁症(PPD)会对儿童的健康产生短期和长期影响。患有产后抑郁症的母亲所生的孩子更容易出现心理障碍和发育迟缓。此外,人们一直在猜测母体镁(Mg)水平与精神疾病表现之间的关系。本研究旨在调查母体镁水平与 PPD 之间的关系,以及 PPD 与婴儿 6 个月和 12 个月时的生长和神经发育之间的相关性。 这项纵向研究是 "PERSIAN 出生队列研究 "的一项子研究,该研究于 2019-2020 年期间在伊斯法罕随机招募了 224 对母婴。母体血清镁(Mg)水平在妊娠 38 周时进行测量。产后四周采用爱丁堡产后抑郁量表(EPDS)对产后抑郁进行评估。按照标准化方案,在婴儿出生、6 个月和 12 个月时对其出生体型进行了测量。在婴儿 6 个月和 12 个月时,采用人体测量参数和波斯语版的年龄与阶段问卷(ASQ)来评估婴儿的神经发育状况。 总体而言,22.3% 的母亲患有 PPD。母体镁水平(Mg)的平均值(标准偏差)为 1.95 ± 0.23 mg/dL。产妇血清镁(Mg)水平与 PPD 发生率之间没有统计学意义上的明显联系。相应地,PPD 与生长指标之间也没有明显的关联。然而,在对混杂变量进行调整后,抑郁母亲和非抑郁母亲所生子女在 12 个月时的沟通能力得分出现了值得注意的差异(β = 1.81;95% 置信区间:0.32-3.30)。此外,在 6 个月至 12 个月期间,沟通能力明显下降。 这项研究未能证实产妇血清镁(Mg)水平与 PPD 之间存在显著关联。不过,研究证实,母体抑郁与后代的行为障碍(如沟通能力)之间存在反相关关系。因此,应强调 PPD 筛查的必要性,以便及早发现和干预,从而提高婴儿的福祉。
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引用次数: 0
Human Flourishing and Adaptations to Future Pandemics 人类的繁荣与对未来流行病的适应
IF 2.1 Pub Date : 2024-03-01 DOI: 10.4103/ijpvm.ijpvm_286_22
Fides A. del Castillo
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引用次数: 0
Investigation of the Effects of Maternal Nutrition during Pregnancy on Cognitive Functions of Toddlers: A Systematic Review 孕期母亲营养对幼儿认知功能影响的调查:系统回顾
IF 2.1 Pub Date : 2024-03-01 DOI: 10.4103/ijpvm.ijpvm_124_22
Fatemeh Jalali Chimeh, Elham Aghaie, Saeed Ghavi, Rangin Fatahnia
Growing the human brain requires all necessary nutrients to form and maintain, so the development of cognitive functions of infants and children depends on adequate nutrition. Children whose mothers had inadequate nutrition are at high risk for cognitive dysfunction. The objective of the present study was to review the studies conducted on “the relationship between nutrient intake during pregnancy and the development of cognitive functions in toddlers”. The present study was conducted by systematic review method using PRISMA checklist items. To conduct this study, the keywords “maternal nutrition”, “pregnancy diet”, “pregnancy supplement”, “IQ”, “intelligence quotient”, “neurodevelopment”, “cognitive function”, “toddler”, “early years” and “infant” were searched based on the Mesh database in scientific databases including Scopus, SID, Google Scholar, PubMed, and Science Direct to find articles related to the effect of nutrition during pregnancy on the development of the cognitive function of toddlers and its components in Persian and English. Finally, 17 articles were selected for review in this study. The results showed that taking a supplement of iron, saturated fatty acids, vitamins B and D, and folic acid improved the cognitive functions of toddlers. On the other hand, taking supplements containing iodine and zinc had no significant effect on the development of cognitive functions. Diets containing seafood during pregnancy had a beneficial effect on the cognitive functions of children. The study results highlighted the importance of adequate nutrition during pregnancy and showed that maternal nutrition played an important role in the development of cognitive functions of toddlers.
人脑的成长需要各种必要的营养物质来形成和维持,因此,婴幼儿认知功能的发展取决于充足的营养。母亲营养不足的儿童是认知功能障碍的高危人群。本研究旨在回顾有关 "孕期营养素摄入与幼儿认知功能发展之间的关系 "的研究。本研究采用 PRISMA 核对表项目进行系统回顾。 为了开展本研究,研究人员根据 Mesh 数据库在 Scopus、SID、Google Scholar、PubMed 和 Science Direct 等科学数据库中搜索了 "孕妇营养"、"孕期饮食"、"孕期补充"、"IQ"、"智商"、"神经发育"、"认知功能"、"幼儿"、"幼年 "和 "婴儿 "等关键词,以查找与孕期营养对幼儿认知功能发育的影响及其组成部分相关的波斯语和英语文章。最后,本研究选取了 17 篇文章进行审查。 结果显示,补充铁、饱和脂肪酸、维生素 B 和 D 以及叶酸可改善幼儿的认知功能。另一方面,服用含碘和锌的补充剂对认知功能的发展没有显著影响。怀孕期间食用含有海鲜的饮食对儿童的认知功能有好处。 研究结果凸显了孕期充足营养的重要性,并表明母体营养对幼儿认知功能的发展起着重要作用。
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引用次数: 0
Should Activated Charcoal Powder can be Considered as an Over-The-Counter Medication for Acute Poisoning Cases? 活性炭粉是否可作为急性中毒病例的非处方药?
IF 2.1 Pub Date : 2024-03-01 DOI: 10.4103/ijpvm.ijpvm_7_23
Masoud Mahmoudi, Nastran Eizadi-Mood, S. Samsamshariat, Sam Alfred
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引用次数: 0
Physical Activity Promotion in Schools Using Theoretically Designed Mobile Phone Application 利用理论设计的手机应用程序在学校推广体育活动
IF 2.1 Pub Date : 2024-03-01 DOI: 10.4103/ijpvm.ijpvm_106_23
A. Ramezankhani, Samira Sadeghi, M. Ghaffari, M. Namdari
Regular physical activity for adolescents has many health benefits, many of which also affect adulthood. Physical activity is a behavior that requires planning and choosing an appropriate educational method, model, or theory. However, mobile phone applications are known as a suitable method to increase physical activity according to the guidelines. This study aims to increase physical activity in female students based on the theory of planned behavior using mobile phone applications. This quasi-experimental study was implemented on 220 high school students (110 people in each group). The samples were selected by a multi-stage cluster method and their information was collected by the International Physical Activity Questionnaire (IPAQ) and the Theory of Planned Behavior (TPB) questionnaire whose validity and reliability were confirmed. The intervention group received 8 sessions of education through a mobile phone application that was designed by the constructs of the theory of planned behavior. The samples were evaluated in three stages, through a pre-test, post-test, and two-month follow-up. The results showed a significant difference in the post-test and two months after the intervention between intervention and control groups in terms of attitude, perceived behavioral control, intention, and physical activity. There was a significant difference between intervention and control groups in subjective norms in the post-test, but there was no significant difference in the two-month follow-up compared to the post-test (P = 0.08). An educational intervention based on the theory of planned behavior using mobile phone applications led to an increase in the physical activity of girl high school students. However, to determine the full effectiveness of this study, it is recommended to implement this intervention in all schools.
青少年经常参加体育锻炼对健康有很多好处,其中许多好处也会影响到成年后的生活。体育锻炼是一种行为,需要有计划地选择合适的教育方法、模式或理论。然而,众所周知,手机应用是根据指导方针增加体育锻炼的合适方法。本研究旨在根据计划行为理论,利用手机应用软件增加女学生的体育锻炼。 这项准实验研究的对象是 220 名高中生(每组 110 人)。研究采用多阶段分组法选取样本,并通过国际体育锻炼问卷(IPAQ)和计划行为理论(TPB)问卷收集样本信息。干预组通过手机应用软件接受了 8 次教育,该应用软件是根据计划行为理论设计的。通过前测、后测和两个月的随访,分三个阶段对样本进行了评估。 结果显示,干预组和对照组在态度、感知行为控制、意向和体育锻炼方面,在后测和干预两个月后有明显差异。干预组和对照组在后测的主观规范方面有显著差异,但两个月的随访与后测相比没有显著差异(P = 0.08)。 基于计划行为理论、使用手机应用软件的教育干预措施提高了女中学生的体育活动量。不过,为了确定这项研究的全部效果,建议在所有学校实施这项干预措施。
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引用次数: 0
A Narrative Review of Herbal Remedies for Managing Hirsutism 管理多毛症的草药疗法综述
IF 2.1 Pub Date : 2024-03-01 DOI: 10.4103/ijpvm.ijpvm_62_23
Razieh Ghanbarian, Maryam Ranjbai, M. Babaeian, Mohammad Mazaheri
Hirsutism is a condition that can have medical, social, and psychological implications, affecting 5% to 10% of women worldwide. Management options include cosmetic procedures and pharmacological interventions. However, medications used to treat hirsutism can have side effects, ranging from mild symptoms like nausea and headaches to more serious complications such as vascular clots, heart attacks, hepatotoxicity, osteoporosis, and effeminization of a male fetus. Therefore, this study aims to investigate the potential benefits of medicinal plants on hirsutism as a complementary approach, specifically whether they can be used as adjuvants to cosmetic procedures. Databases including Google Scholar, PubMed, Scopus, Embase, ISI, SID, and Mag Iran have been checked with related keywords from 2000 to 2023. Moreover, related articles were isolated. In total, ten trials were identified in the search. The results suggested that various herbs, including fennel, licorice, spearmint, saw palmetto, green tea, combination of Zingiber and neem, curcumin, and teupolioside have the potential as herbal remedies for hirsutism. However, further extensive well-designed studies involving a large sample size on the most promising herbs are necessary to determine their efficacy.
多毛症是一种会对医疗、社会和心理产生影响的疾病,影响着全球 5%到 10%的女性。治疗方法包括美容手术和药物干预。然而,用于治疗多毛症的药物可能会产生副作用,轻则出现恶心、头痛等症状,重则出现血管凝块、心脏病发作、肝中毒、骨质疏松症和男性胎儿女性化等严重并发症。因此,本研究旨在探讨药用植物作为一种辅助方法对多毛症的潜在益处,特别是它们是否可用作美容程序的辅助剂。本研究使用相关关键词对 2000 年至 2023 年期间的谷歌学术、PubMed、Scopus、Embase、ISI、SID 和 Mag Iran 等数据库进行了检索。此外,还分离出了相关文章。搜索共发现了 10 项试验。结果表明,各种草药,包括茴香、甘草、留兰香、锯棕榈、绿茶、辛夷和楝树的组合、姜黄素、茶黄素等,都有可能作为治疗多毛症的草药。不过,要确定最有前景的草药的疗效,还需要对这些草药进行更广泛、设计合理、样本量大的研究。
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引用次数: 0
Developing an intelligent prediction system for successful aging based on artificial neural networks. 开发基于人工神经网络的成功老龄化智能预测系统。
IF 2.1 Pub Date : 2024-02-29 eCollection Date: 2024-01-01 DOI: 10.4103/ijpvm.ijpvm_47_23
Raoof Nopour, Hadi Kazemi-Arpanahi

Background: Due to the growing number of disabilities in elderly, Attention to this period of life is essential to be considered. Few studies focused on the physical, mental, disabilities, and disorders affecting the quality of life in elderly people. SA1 is related to various factors influencing the elderly's life. So, the objective of the current study is to build an intelligent system for SA prediction through ANN2 algorithms to investigate better all factors affecting the elderly life and promote them.

Methods: This study was performed on 1156 SA and non-SA cases. We applied statistical feature reduction method to obtain the best factors predicting the SA. Two models of ANNs with 5, 10, 15, and 20 neurons in hidden layers were used for model construction. Finally, the best ANN configuration was obtained for predicting the SA using sensitivity, specificity, accuracy, and cross-entropy loss function.

Results: The study showed that 25 factors correlated with SA at the statistical level of P < 0.05. Assessing all ANN structures resulted in FF-BP3 algorithm having the configuration of 25-15-1 with accuracy-train of 0.92, accuracy-test of 0.86, and accuracy-validation of 0.87 gaining the best performance over other ANN algorithms.

Conclusions: Developing the CDSS for predicting SA has crucial role to effectively inform geriatrics and health care policymakers decision making.

背景:由于老年人的残疾数量不断增加,对这一生命阶段的关注至关重要。很少有研究关注影响老年人生活质量的身体、精神、残疾和失调问题。SA1 与影响老年人生活的各种因素有关。因此,本研究的目的是通过 ANN2 算法建立一个用于预测 SA 的智能系统,以更好地调查影响老年人生活的各种因素并促进其发展:本研究以 1156 例 SA 和非 SA 病例为对象。方法:本研究以 1156 例 SA 和非 SA 病例为研究对象,采用统计特征还原法获得预测 SA 的最佳因素。在构建模型时,我们使用了两种隐层分别为 5、10、15 和 20 个神经元的 ANN 模型。最后,利用灵敏度、特异度、准确度和交叉熵损失函数得出了预测 SA 的最佳 ANN 配置:研究表明,25 个因素与 SA 的相关性达到 P < 0.05 的统计学水平。对所有 ANN 结构进行评估后,FF-BP3 算法的配置为 25-15-1,其训练准确率为 0.92,测试准确率为 0.86,验证准确率为 0.87,与其他 ANN 算法相比性能最佳:结论:开发用于预测 SA 的 CDSS 对老年医学和医疗决策者的决策具有重要作用。
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引用次数: 0
Differences in the Impact of Various Types of Exercise on Irisin Levels: A Systematic Review and Meta-Analysis. 各种类型的运动对鸢尾素水平影响的差异:系统回顾与元分析》。
IF 2.1 Pub Date : 2024-02-29 eCollection Date: 2024-01-01 DOI: 10.4103/ijpvm.ijpvm_76_23
Atefe Torabi, Jalil Reisi, Mehdi Kargarfard, Marjan Mansourian

Background: Irisin, a myokine that is responsive to exercise, induces significant changes in subcutaneous adipose tissue. By promoting the browning of white fat tissue, it enhances energy expenditure, thereby addressing overweight and obesity. This systematic review and meta-analysis aimed to compare the effects of different types of physical exercises on irisin levels in overweight and obese adults.

Methods: Specifically, the review focused on studies involving obese or overweight individuals who participated in exercise training for a minimum of 8 weeks, with measured and reported changes in serum irisin levels compared to a control group. Data were collected from four databases (Google Scholar, ISI Web of Science Core Collection, PubMed, and Scopus). The risk of bias was assessed using the Begg and Egger tests, and the results were synthesized.

Results: Initial searches identified 560 titles, out of which only seven met the criteria for inclusion in the systematic review. Statistical analysis demonstrated a significant increase in serum irisin concentration (SMD = 0.957, P = 0.005) among obese and overweight individuals who engaged in exercise, compared to the passive control group. High-intensity interval training (HIIT) (SMD = 1.229, P < 0.001) had a more pronounced effect on increasing serum irisin levels than other exercise protocols. Furthermore, the effectiveness of exercise varied based on the participants' weight status (significant changes for overweight individuals; P < 0.001 and insignificant changes for obese individuals; P = 0.1), age (significant changes for those under 40 years old; P < 0.001 and insignificant changes for those over 40 years old; P = 0.322), and gender (significant changes for men; P < 0.001 and insignificant changes for women; P = 0.285).

Conclusions: Consequently, exercise can elevate serum irisin levels, leading to alterations in adipose tissue phenotype and thermogenesis, ultimately contributing to weight reduction in obese and overweight individuals.

背景:鸢尾素是一种对运动有反应的肌动蛋白,能诱导皮下脂肪组织发生显著变化。通过促进白色脂肪组织褐变,它能增强能量消耗,从而解决超重和肥胖问题。本系统综述和荟萃分析旨在比较不同类型的体育锻炼对超重和肥胖成年人鸢尾素水平的影响:具体而言,综述重点关注肥胖或超重人群参与至少 8 周运动训练的研究,并与对照组进行比较,测量和报告血清鸢尾素水平的变化。数据来自四个数据库(Google Scholar、ISI Web of Science Core Collection、PubMed 和 Scopus)。使用 Begg 和 Egger 检验对偏倚风险进行了评估,并对结果进行了综合:初步检索发现了 560 篇论文,其中只有 7 篇符合纳入系统综述的标准。统计分析表明,与被动对照组相比,参加锻炼的肥胖和超重者血清鸢尾素浓度明显增加(SMD = 0.957,P = 0.005)。与其他运动方案相比,高强度间歇训练(HIIT)(SMD = 1.229,P < 0.001)对提高血清鸢尾素水平的效果更明显。此外,运动效果因参与者的体重状况(超重者变化显著;P < 0.001,肥胖者变化不显著;P = 0.1)、年龄(40 岁以下者变化显著;P < 0.001,40 岁以上者变化不显著;P = 0.322)和性别(男性变化显著;P < 0.001,女性变化不显著;P = 0.285)而有所不同:因此,运动可提高血清鸢尾素水平,导致脂肪组织表型和产热的改变,最终有助于减轻肥胖和超重者的体重。
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引用次数: 0
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International Journal of Preventive Medicine
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