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Risk Assessment of Dyslipidemias, Hyperglycemia, Hyperuricemia, and Hypertension Utilizing Self-Reported Body Silhouettes. 利用自我报告的身体轮廓评估血脂异常、高血糖、高尿酸血症和高血压的风险。
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-01-01 DOI: 10.1155/2023/4991684
Ruben Blachman-Braun, Juan O Talavera, Marcela Pérez-Rodríguez, Ivonne Roy-García, Rodolfo Rivas-Ruiz, Gerardo Huitrón-Bravo, Jorge Salmerón

Objective: Self-reported body silhouette is an anthropometric instrument that has been utilized as a screening tool for underweight, overweight, obesity, and other abnormal anthropometric variables. Herein, we analyzed the risk associated with the self-reported body silhouette in the scope of dyslipidemias, hyperglycemia, hyperuricemia, and hypertension.

Methods: Adult participants of the Health Workers Cohort Study enrolled between March 2004 and April 2006 were included. Then, risk analysis was performed considering dyslipidemias as serum triglycerides, high total cholesterol, high LDL-C, low HDL-C, hyperglycemia, hyperuricemia, and hypertension.

Results: A total of 2,297 males and 5,003 females were analyzed. The median ages of the studied population was 39 (30-49) and 41 (31-50) years for males and females, respectively. Overall, there is a stepwise increase in the risk of presenting dyslipidemias, hyperglycemia, hyperuricemia, and hypertension as the self-reported body silhouette number increases, this tendency was observed in both males and females.

Conclusion: Self-reported body silhouette is a useful risk assessment tool for dyslipidemias, hyperglycemia, hyperuricemia, and hypertension in Mexican adults. Applications of questioners containing this silhouette might be considered a valuable public health instrument due to their low cost, relative simplicity, and absence of specialized equipment, training, or respondent knowledge.

目的:自我报告的身体轮廓是一种人体测量工具,已被用作体重过轻、超重、肥胖和其他异常人体测量变量的筛查工具。在此,我们分析了与血脂异常、高血糖、高尿酸血症和高血压范围内自我报告的身体轮廓相关的风险。方法:纳入2004年3月至2006年4月参加卫生工作者队列研究的成年参与者。然后,考虑血脂异常如血清甘油三酯、高总胆固醇、高LDL-C、低HDL-C、高血糖、高尿酸血症和高血压进行风险分析。结果:共分析男性2297人,女性5003人。研究人群的年龄中位数男性为39岁(30-49岁),女性为41岁(31-50岁)。总的来说,随着自我报告的身体轮廓数的增加,出现血脂异常、高血糖、高尿酸血症和高血压的风险逐步增加,这一趋势在男性和女性中都有观察到。结论:自我报告的身体轮廓是墨西哥成年人血脂异常、高血糖、高尿酸血症和高血压的有效风险评估工具。包含这种轮廓的提问者的应用可能被认为是一种有价值的公共卫生工具,因为它们成本低、相对简单、缺乏专门的设备、培训或应答者知识。
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引用次数: 0
Possible Nonneurological Health Benefits of Ketogenic Diet: Review of Scientific Reports over the Past Decade 生酮饮食可能的非神经系统健康益处:回顾过去十年的科学报告
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-05-27 DOI: 10.1155/2022/7531518
Katarzyna Daria Gołąbek, B. Regulska-Ilow
The ketogenic diet (KD) has been used since the 1920s as a therapy for drug-resistant epilepsy. Due to the beneficial effects of this diet on the nervous system and the proposed multifaceted effects of ketones on health and disease, researchers have evaluated its use in other nonneurological conditions. The objective of this review was to analyze the most recent papers, which is why meta-analyses were used in which 75% of the studies were from 2012 to 2022. Authors also cited single studies from the last decade that lasted longer than 12 months to assess the long-term benefits of KD. Reports from the past decade have highlighted several significant areas regarding the impact of KD. One of these is the use of very low-calorie ketogenic diet (VLCKD) as an effective possibly safe and patient-motivating component of a long-term weight loss plan. Reports on the positive influence of KD on the health of obese individuals, and the possible resulting validity of its use, should be verified by patients' physical activity levels. A significant number of studies from the last decade evaluate the effect of KD on improving the health of individuals with type 2 diabetes as an effective tool in lowering glycated hemoglobin (Hb1Ac) and required doses of hypoglycemic drugs. The long-term studies indicate a possible beneficial effect of KD on cardiovascular function due to improvement lipid profile, changes in apolipoprotein (Apo) A1, adiponectin, and intercellular adhesion molecule-1 (ICAM-1).
生酮饮食(KD)自20世纪20年代以来一直用于治疗耐药性癫痫。由于这种饮食对神经系统的有益影响,以及酮类对健康和疾病的多方面影响,研究人员已经评估了它在其他非神经系统疾病中的应用。本综述的目的是分析最新的论文,这就是为什么75%的研究是在2012年至2022年期间进行的,因此使用了荟萃分析。作者还引用了过去十年中持续时间超过12个月的单一研究来评估KD的长期益处。过去十年的报告强调了KD影响的几个重要领域。其中之一是使用极低卡路里生酮饮食(VLCKD)作为长期减肥计划中有效且安全且激励患者的组成部分。关于KD对肥胖个体健康的积极影响的报告,以及可能产生的使用有效性,应该通过患者的身体活动水平来验证。在过去的十年中,大量的研究评估了KD作为降低糖化血红蛋白(Hb1Ac)和降糖药所需剂量的有效工具对改善2型糖尿病患者健康的影响。长期研究表明,KD可能通过改善血脂、改变载脂蛋白(Apo) A1、脂联素和细胞间粘附分子-1 (ICAM-1)对心血管功能产生有益影响。
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引用次数: 1
Relationship between Emotional Eating, Consumption of Hyperpalatable Energy-Dense Foods, and Indicators of Nutritional Status: A Systematic Review 情绪化饮食、高适口性高能量食物的消耗与营养状况指标之间的关系:一项系统综述
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-05-18 DOI: 10.1155/2022/4243868
Cristina Elizabeth Fuente González, J. Chávez-Servín, Karina de la Torre-Carbot, Dolores Ronquillo González, Ma de los Angeles Aguilera Barreiro, Laura Regina Ojeda Navarro
People's health is closely linked to their diet. Diet can be defined as the set of foods that are consumed in a day, and it is susceptible to being altered by various factors, such as physiological, environmental, psychological, and social. These, in turn, can be affected by an inadequate diet and/or a dysregulation of emotions. Emotions are an immediate response by the organism informing it of the degree of favorability of a certain stimulus or situation. Moods are similar to emotions but more intense and prolonged. Some studies indicate that the consumption of hyperpalatable energy-dense foods may be related to emotional eating. Emotional eating is characterized by the excessive consumption of hyperpalatable energy-dense foods, rich in sugars and fats, in response to negative emotions. But several reports also indicate that emotional eating may be associated with the presence of positive emotions, so further analysis of the available information is necessary. Consuming higher amounts of hyperpalatable energy-dense foods can lead to the accumulation of energy in the body that results in an increase in body weight, as well as other associated diseases. Obesity is the world's leading diet-related health problem. The objective of this work was to carry out a systematic review of the available literature using the Cochrane methodology, in accordance with the PRISMA guidelines, to evaluate the relationship between emotional eating, the consumption of hyperpalatable energy-dense foods, and indicators of nutritional status. An exhaustive search in different databases yielded 9431 scientific articles, 45 of which met the inclusion criteria. This review underscores the fact that knowing and understanding the reasons why people consume hyperpalatable energy-dense foods and the possible connection with their emotional eating can provide key data for improving and personalizing patients' nutritional treatment. This in turn can encourage compliance with treatment plans to improve people's health and quality of life using an interdisciplinary approach.
人们的健康与饮食密切相关。饮食可以定义为一天中消耗的一组食物,它容易受到生理、环境、心理和社会等各种因素的改变。这些反过来又会受到饮食不足和/或情绪失调的影响。情绪是生物体的一种即时反应,它告诉它某种刺激或情况的有利程度。情绪与情绪相似,但更强烈、更持久。一些研究表明,食用美味的高能量食物可能与情绪化进食有关。情绪化饮食的特点是过度食用高美味的高能量食物,富含糖和脂肪,以应对负面情绪。但一些报告也表明,情绪化进食可能与积极情绪的存在有关,因此对现有信息的进一步分析是必要的。摄入大量高美味的高能量食物会导致体内能量的积累,从而导致体重增加,以及其他相关疾病。肥胖是世界上主要的与饮食有关的健康问题。这项工作的目的是根据PRISMA指南,使用Cochrane方法对现有文献进行系统回顾,以评估情绪性饮食、高美味能量密度食物的消费和营养状况指标之间的关系。在不同的数据库中进行了详尽的搜索,产生了9431篇科学文章,其中45篇符合纳入标准。这篇综述强调了这样一个事实,即了解和理解人们食用高美味能量密度食物的原因以及他们情绪化进食的可能联系,可以为改善和个性化患者的营养治疗提供关键数据。这反过来又可以鼓励遵守治疗计划,利用跨学科方法改善人们的健康和生活质量。
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引用次数: 16
10-Year Weight Gain in 13,802 US Adults: The Role of Age, Sex, and Race. 13802名美国成年人10年体重增加:年龄、性别和种族的作用
IF 3.8 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-05-06 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7652408
Larry A Tucker, Kayla Parker

Purpose: The primary objective of the present investigation was to identify 10-year weight gain patterns in 13,802 US adults and also to determine the extent that differences in 10-year weight gains were associated with the key demographic variables: age, sex, and race.

Methods: The study design was cross-sectional and included the years 2011-2018. Data for 2019-2020 were not available because of COVID. A multistage random sampling strategy was employed. Specifically, individual sample weights and randomly selected clusters and strata were used with each statistical model, allowing the results to be generalized to the US adult population.

Results: Mean (±SE) 10-year weight gain was 4.2 ± 0.2 kg or 6.6 ± 0.2% of initial body weight. A total of 51% of the participants gained 5% or more body weight, 36% gained 10% or more, and 16% gained 20% or more across the 10-years. Age was linearly and inversely associated with 10-year weight gain, expressed in kg (F = 166.4, P < 0.0001) or percent weight gain (F = 246.9, P < 0.0001), after adjusting for sex and race. For each 1-year increase in age, 10-year weight gain decreased by 0.20 ± 0.02 kg and 0.28 ± 0.02 percent. After adjusting for age and race, 10-year weight gain (kg) was significantly greater (F = 73.6, P < 0.0001) in women (5.4 ± 0.3) than in men (2.6 ± 0.2). Weight gain also differed across races, kg (F = 27.7, P < 0.0001) and % (F = 28.5, P < 0.0001). Non-Hispanic Blacks gained more weight and NH Asians gained less weight than the other races.

Conclusion: Without question, 10-year weight gain is a serious problem within the US adult population. Younger adults, women, and Non-Hispanic Blacks, particularly Black women, seem to experience the highest levels of 10-year weight gain. Consequently, obesity and weight gain prevention programs focusing on these at-risk individuals should be a public health priority.

目的本研究的主要目的是确定13802名美国成年人的10年体重增加模式,并确定10年体重增长的差异与关键人口统计学变量(年龄、性别和种族)的相关性。方法研究设计为横断面,包括2011-2018年。由于新冠肺炎,2019年至2020年的数据不可用。采用了多级随机抽样策略。具体而言,每个统计模型都使用了个体样本权重和随机选择的聚类和阶层,从而将结果推广到美国成年人群。结果10年平均(±SE)体重增加4.2 ± 0.2 kg或6.6 ± 初始体重的0.2%。在这10年里,共有51%的参与者体重增加了5%或更多,36%的参与者体重增长了10%或更多,16%的参与者体重增重了20%或更多。年龄与10年体重增加呈线性和负相关,单位为kg(F = 166.4,P<0.0001)或体重增加百分比(F = 246.9,P<0.0001)。年龄每增加1年,10年的体重增加就减少0.20 ± 0.02 kg和0.28 ± 0.02%。在对年龄和种族进行调整后,10年的体重增加(kg)明显更大(F = 73.6,P<0.0001)(5.4 ± 0.3)高于男性(2.6 ± 0.2)。不同种族的体重增加也有所不同,kg(F = 27.7,P<0.0001)和%(F = 28.5,P<0.0001)。与其他种族相比,非西班牙裔黑人的体重增加更多,而非西班牙裔亚洲人的体重增加更少。结论毫无疑问,在美国成年人群中,10年的体重增加是一个严重的问题。年轻人、女性和非西班牙裔黑人,尤其是黑人女性,似乎经历了最高水平的10年体重增加。因此,针对这些高危人群的肥胖和体重增加预防计划应该成为公共卫生的优先事项。
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引用次数: 0
Therapeutic Effect of P-Cymene on Lipid Profile, Liver Enzyme, and Akt/Mtor Pathway in Streptozotocin-Induced Diabetes Mellitus in Wistar Rats 对-Cymene对链脲佐菌素诱导的Wistar大鼠糖尿病脂质、肝酶和Akt/Mtor通路的治疗作用
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-04-26 DOI: 10.1155/2022/1015669
Maryam Arabloei Sani, P. Yaghmaei, Z. Hajebrahimi, N. Hayati Roodbari
Diabetes is a serious public health problem in low- and middle-income countries. There is a strong link between hyperglycemia, oxidative stress, inflammation, and the development of diabetes mellitus. PI3K/Akt/mTOR is the main signaling pathway of insulin for controlling lipid and glucose metabolism. P-cymene is an aromatic monoterpene with a widespread range of therapeutic properties including antioxidant and anti-inflammatory activity. In the present study, the antidiabetic effects of p-cymene were investigated. Diabetes was induced using streptozotocin in male Wistar rats. The effects of p-cymene and metformin were studied on levels of glucose (Glu), lipid profile, liver enzymes, oxidative stress, and the expression of Akt, phospho-Akt, and mTOR (mammalian target of rapamycin) proteins, using biochemical, histological, and immunohistochemical analysis. Data have shown that p-cymene can improve serum levels of Glu, total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-c), low-density lipoprotein (LDL), very-low-density lipoprotein (VLDL), alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), malondialdehyde (MDA), and the expression of mTOR, Akt, and phospho-Akt protein in diabetic animals. These results suggest that p-cymene has hypoglycemia, hypolipidemia, and antioxidant properties. It can regulate Akt/mTOR pathway and reduce hepatic and pancreas injury. It can be suggested for diabetes management alone or simultaneously with metformin.
糖尿病在低收入和中等收入国家是一个严重的公共卫生问题。高血糖、氧化应激、炎症和糖尿病的发展之间有着密切的联系。PI3K/Akt/mTOR是胰岛素控制脂糖代谢的主要信号通路。对伞花烯是一种芳香单萜,具有广泛的抗氧化和抗炎活性。本文研究了对伞花烃的抗糖尿病作用。用链脲佐菌素诱导雄性Wistar大鼠患糖尿病。通过生化、组织学和免疫组织化学分析,研究了对花茉莉烯和二甲双胍对小鼠葡萄糖(Glu)、血脂、肝酶、氧化应激水平以及Akt、磷酸化Akt和mTOR(哺乳动物雷帕霉素靶蛋白)蛋白表达的影响。有数据表明,对花香烃能提高糖尿病动物血清Glu、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-c)、低密度脂蛋白(LDL)、极低密度脂蛋白(VLDL)、碱性磷酸酶(ALP)、丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、丙二醛(MDA)水平,以及mTOR、Akt、phospho-Akt蛋白的表达。这些结果表明,对伞花烃具有降血糖、降血脂和抗氧化的特性。可调节Akt/mTOR通路,减轻肝、胰腺损伤。可建议单独或同时与二甲双胍治疗糖尿病。
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引用次数: 7
Association of Anthropometric Indices with Menstrual Abnormality among Nursing Students of Nepal: A Cross-Sectional Study 尼泊尔护生人体测量指标与月经异常的关系:一项横断面研究
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-03-18 DOI: 10.1155/2022/6755436
K. Amgain, Prativa Subedi, G. Yadav, Sujana Neupane, S. Khadka, S. Sapkota
Introduction Obesity has been reported to be linked with menstrual abnormalities including abnormality in cycle length, duration, and period blood loss. However, which anthropometric parameter is a better marker of menstrual abnormality is yet unknown. This study aims to explore the association of BMI, waist-hip ratio (WHR), and waist-height ratio (WHtR) with menstrual abnormalities. Methods This was a cross-sectional study conducted among 240 nursing students on two nursing campuses of Nepal. Demographic and menstrual characteristics related data were collected from the participants via the face-to-face interview technique followed by anthropometric measurements. Binary logistic regression was used to study the association of BMI, WHR, and WHtR with menstrual characteristics. Univariable and multivariable regression models were calculated at 95% confidence interval and a P value of 0.05 using a Statistical Package for Social Sciences, IBM SPSS® v21 (IBM, Armonk, New York). Results Out of 240 participants, 52 participants (21.67%) were underweight (<18.5 kg/m2), and 47 participants (19.58%) were either overweight (≥23 kg/m2) or obese (≥25 kg/m2). Overweight and obese BMI was associated with abnormality in menstrual cycle length (AOR = 4.24; 95% CI = 1.77–10.17), duration of the menstrual period (AOR = 2.52; 95% CI = 1.09–5.81), and periodic menstrual blood loss (AOR = 9.04; 95% CI = 3.55–23.01). Increase in WHtR (>0.5) was associated with abnormal cycle length (AOR = 3.09; 95% CI = 1.09–8.80) and abnormal period duration (AOR = 3.05; 95% CI = 1.10–8.44). An increase in WHR (>0.8) was associated with abnormal cyclical menstrual blood loss (AOR = 4.93; 95% CI = 1.55–15.71). Conclusions Obesity predisposes to menstrual irregularities. BMI is a better predictor of menstrual irregularity as the increase in BMI is associated with abnormality in menstrual cycle length, period duration, and blood loss. Increased WHR was associated with periodic blood loss only. Increased WHtR was associated with abnormal cycle length and period duration, but not menstrual blood loss.
据报道,肥胖与月经异常有关,包括月经周期长度、持续时间和月经失血异常。然而,哪个人体测量参数是一个更好的月经异常的标志尚不清楚。本研究旨在探讨BMI、腰臀比(WHR)、腰高比(WHtR)与月经异常的关系。方法采用横断面研究方法,对尼泊尔两所护理学院的240名护生进行调查。通过面对面访谈技术收集参与者的人口统计学和月经特征相关数据,然后进行人体测量。采用二元logistic回归研究BMI、腰臀比和腰臀比与月经特征的关系。单变量和多变量回归模型采用IBM SPSS®v21 (IBM, Armonk, New York)社会科学统计软件包,以95%置信区间和P值0.05计算。结果240名受试者中,52名(21.67%)体重不足(0.5)与异常周期长度相关(AOR = 3.09;95% CI = 1.09-8.80)和异常期持续时间(AOR = 3.05;95% ci = 1.10-8.44)。WHR升高(>.8)与异常周期性月经失血量相关(AOR = 4.93;95% ci = 1.55-15.71)。结论肥胖易导致月经不规律。BMI是一个更好的预测月经不规律的指标,因为BMI的增加与月经周期长度、经期持续时间和失血异常有关。腰宽比增加仅与周期性失血有关。WHtR增加与异常周期长度和月经持续时间有关,但与月经出血量无关。
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引用次数: 2
Prevalence of Obesity and Overweight among Adults in the Middle East Countries from 2000 to 2020: A Systematic Review and Meta-Analysis. 2000年至2020年中东国家成人肥胖和超重患病率:系统回顾和荟萃分析
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-02-03 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8074837
Hassan Okati-Aliabad, Alireza Ansari-Moghaddam, Shiva Kargar, Neda Jabbari

Background: Obesity has become a significant public health issue worldwide, and it is a major risk factor for many noncommunicable diseases. This systematic review aimed to identify the prevalence of obesity and overweight in the Middle East region and different countries in this region.

Materials and methods: PubMed, Google Scholar, and MEDLINE databases were searched from 2000-2020 to identify relevant studies in the Middle East area. The survey was carried out using combinations of Medical Subject Headings (Mesh) keywords like "body mass index", "obesity", "overweight", "prevalence", "Middle-East", and "Countries in the Middle East area". Analysis of the data was done using STATA-14, and a random-effects model was used to estimate the pooled prevalence.

Results: A total of 101 studies with 698905 participants have been identified that met inclusion criteria for this meta-analysis. The pooled estimates of the prevalence of obesity and overweight in the Middle East area were 21.17 (95% CI: 17.05-26.29) and 33.14 (95% CI: 26.87-40.87), respectively. The findings showed that obesity prevalence increased with age so that the highest prevalence of obesity and overweight was observed in people >40 years old. Obesity prevalence in the Middle East area remained steady between 2000-2006 and 2014-2020 (23%). During these time intervals, the prevalence of overweight decreased from 34.83 (95% CI: 32.40-37.45) to 32.85 (95% CI: 31.39-34.38).

Conclusions: Despite the relative stabilization of the overweight and obesity trend in the Middle East, current interventions to combat the overweight epidemic need to be maintained and strengthened because the prevalence of overweight and obesity in this region is still very high. The prevalence of obesity increases with age so that people over 40 have the highest percentage of obesity and overweight. Therefore, implementing intervention programs to prevent and control obesity and overweight in the Middle East is essential.

背景:肥胖已成为世界范围内一个重要的公共卫生问题,是许多非传染性疾病的主要危险因素。本系统综述旨在确定中东地区和该地区不同国家的肥胖和超重患病率。材料和方法:检索PubMed、Google Scholar和MEDLINE数据库,检索2000-2020年中东地区的相关研究。该调查使用了诸如“身体质量指数”、“肥胖”、“超重”、“患病率”、“中东”和“中东地区国家”等医学主题词(Mesh)的组合进行。使用STATA-14对数据进行分析,并使用随机效应模型来估计合并患病率。结果:共有101项研究698905名受试者符合本荟萃分析的纳入标准。中东地区肥胖和超重患病率的汇总估计分别为21.17 (95% CI: 17.05-26.29)和33.14 (95% CI: 26.87-40.87)。研究结果表明,肥胖患病率随着年龄的增长而增加,其中40岁以上的人群肥胖和超重患病率最高。中东地区的肥胖患病率在2000-2006年和2014-2020年期间保持稳定(23%)。在这些时间间隔内,超重患病率从34.83 (95% CI: 32.40-37.45)降至32.85 (95% CI: 31.39-34.38)。结论:尽管中东地区的超重和肥胖趋势相对稳定,但由于该地区的超重和肥胖患病率仍然很高,因此需要维持和加强目前对抗超重流行病的干预措施。肥胖的患病率随着年龄的增长而增加,因此40岁以上的人肥胖和超重的比例最高。因此,在中东地区实施预防和控制肥胖和超重的干预方案至关重要。
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引用次数: 46
Laparoscopic Banded One Anastomosis Gastric Bypass: A Single-Center Series. 腹腔镜带状胃旁路吻合术:单中心系列。
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-01-29 eCollection Date: 2022-01-01 DOI: 10.1155/2022/4942052
Michela Campanelli, Emanuela Bianciardi, Domenico Benavoli, Giulia Bagaglini, Giorgio Lisi, Paolo Gentileschi

Introduction: Laparoscopic one anastomosis gastric bypass (LOAGB) is a relatively new procedure for the treatment of morbid obesity and related comorbidities. On average, this procedure results in good postoperative weight loss with a low complication rate. Recent publications suggest that dumping syndrome and weight regain might be reduced by placing a silicone ring over the gastric pouch during the procedure, so called laparoscopic banded one anastomosis gastric bypass (LBOAGB).

Methods: 86 patients undergoing LBOAGB between 2018 and 2020 were enrolled in this retrospective study. Hospital records were used to assess weight loss, comorbidity resolution, and any complications either in the short or medium term.

Results: 54 Female and 32 male patients were included with a mean age of 43 years (25-64), preoperative body mass index of 42 kg/m2 (35-49), and preoperative weight of 114 kg (86-162). Thirty-four patients presented with type 2 diabetes (39.5%), 42 patients (49%) diagnosed with hypertension, 24 presented with OSAS (28%), and 21 (24%) hypercholesterolaemia patients were included. In total, 36 patients were diagnosed with multiple comorbidities. The operative data showed an average operative time of 48 minutes with 3.4% of patients suffering from early (minor) complications and 2.3% with a late (minor) complication. One patient required reoperation due to intra-abdominal bleeding. The median length of hospital stay was 2.5 days. Median follow-up was 18 months (5-36). In that period, no patient required ring removal or conversion to Roux-en-Y gastric bypass surgery. Food intolerance/vomiting was present in 1 patient (1.1%), bile reflux was present in 1 patient (1.1%), and no stomal ulcers were observed. Mean % excess weight loss at 12 and 24 months was 72% and 80%, respectively. Fifty-two out of 86 patients (60%) had a complete resolution of comorbidities. A CONUT score >2 (mild malnutrition) was found in 40% of patients, while a CONUT score 0-1 was found in 60% of patients.

Conclusion: LBOAGB shows promising results in terms of safety and efficacy in the short term. Further prospective studies will be required to evaluate the consistency of the results in the long term.

腹腔镜一次吻合胃旁路术(LOAGB)是治疗病态肥胖及相关合并症的一种相对较新的手术方法。平均而言,该手术的术后体重减轻效果良好,并发症发生率低。最近的出版物表明,通过在手术过程中在胃袋上放置硅胶环,即所谓的腹腔镜单吻合术胃旁路术(LBOAGB),可以减少倾倒综合征和体重反弹。方法:回顾性研究了2018 - 2020年间86例LBOAGB患者。使用医院记录来评估体重减轻、合并症的解决以及短期或中期的任何并发症。结果:女性54例,男性32例,平均年龄43岁(25-64岁),术前体重指数42 kg/m2(35-49),术前体重114 kg(86-162)。其中34例为2型糖尿病(39.5%),42例为高血压(49%),24例为OSAS(28%), 21例为高胆固醇血症(24%)。总共有36名患者被诊断患有多种合并症。手术资料显示平均手术时间为48分钟,3.4%的患者出现早期(轻微)并发症,2.3%的患者出现晚期(轻微)并发症。1例患者因腹内出血需要再次手术。住院时间中位数为2.5天。中位随访时间为18个月(5-36)。在此期间,没有患者需要取环或转Roux-en-Y胃旁路手术。1例(1.1%)患者出现食物不耐受/呕吐,1例(1.1%)患者出现胆汁反流,未观察到口溃疡。12个月和24个月的平均超重率分别为72%和80%。86例患者中有52例(60%)的合并症得到完全解决。40%的患者的CONUT评分>2(轻度营养不良),60%的患者的CONUT评分为0-1。结论:LBOAGB在短期内具有良好的安全性和有效性。需要进一步的前瞻性研究来评估长期结果的一致性。
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引用次数: 6
A Case-Control Study of the Association of Leptin Gene Polymorphisms with Plasma Leptin Levels and Obesity in the Kerala Population. 喀拉拉邦人群瘦素基因多态性与血浆瘦素水平和肥胖关系的病例对照研究
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-01-01 DOI: 10.1155/2022/1040650
Sudharmadevi K Manju, Thottathil R Anilkumar, G Vysakh, Balakumaran K Leena, Vijayalekshmi Lekshminarayan, Pradeep G Kumar, Trivikrama K Shenoy

Background: Over the last few years, the importance of leptin in energy metabolism has been extensively studied in both animal models and in humans. Very few results are available on the association between human leptin gene (LEP) variants and obesity traits in India. We designed this study to analyse the polymorphisms in human leptin gene and the association of sequence variants with obesity among the population in Kerala, South India.

Methods: In this case-control design of 148 study participants, data were collected on socioeconomic aspects and anthropometric measurements. Plasma glucose, insulin, leptin, and lipid profile were measured. Genotyping was done by automated DNA sequencing.

Results: The common Single Nucleotide Polymorphism (SNP) of 5'-UTR of LEP - 2548G/A was found to be present in the study population with "A" variant as dominant allele. A novel synonymous mutation Thr5Thr of exon 2 of LEP was identified in heterozygous form in one subject with morbid obesity with hyperleptinemia. A novel missense mutation Phe17Leu was observed in two subjects with obesity in heterozygous condition. A novel missense mutation Lys36Arg in exon 2 of LEP was observed in one subject with abdominal obesity and decreased serum leptin level.

Conclusion: LEP - 2548G/A at 5'-untranslated region was found to be common with the mutant "A" variant in the study population. SNPs of exons in LEP were found to be rare but associated with morbid obesity and altered levels of serum leptin in the study population in Kerala, India.

背景:在过去的几年里,瘦素在能量代谢中的重要性已经在动物模型和人类中得到了广泛的研究。在印度,很少有关于人类瘦素基因(LEP)变异与肥胖特征之间关系的结果。本研究旨在分析印度南部喀拉拉邦人群瘦素基因多态性及其序列变异与肥胖的关系。方法:在148名研究参与者的病例对照设计中,收集了社会经济方面和人体测量的数据。测定血糖、胰岛素、瘦素和血脂。通过自动DNA测序进行基因分型。结果:LEP - 2548G/A的5′- utr共有单核苷酸多态性(SNP)存在于以“A”变异体为优势等位基因的研究人群中。LEP外显子2的一个新的同义突变Thr5Thr在一名患有病态肥胖和高瘦素血症的受试者中以杂合形式被鉴定出来。在2例肥胖患者杂合状态下发现了一种新的错义突变Phe17Leu。在一名腹部肥胖和血清瘦素水平下降的受试者中,观察到LEP外显子2中新错义突变Lys36Arg。结论:LEP - 2548G/A在研究人群的5′-非翻译区与突变体“A”共同存在。在印度喀拉拉邦的研究人群中,LEP外显子的snp被发现是罕见的,但与病态肥胖和血清瘦素水平改变有关。
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引用次数: 2
Retracted: Measures of Adiposity and Risk of Testing Positive for SARS-CoV-2 in the UK Biobank Study. 撤回:英国生物库研究中的肥胖测量和SARS-CoV-2检测阳性的风险。
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-01-01 DOI: 10.1155/2022/9848453
Journal Of Obesity

[This retracts the article DOI: 10.1155/2021/8837319.].

[本文撤回文章DOI: 10.1155/2021/8837319.]。
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引用次数: 0
期刊
Journal of Obesity
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