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Evaluation Findings of Culturally Competent Nutrition Trainings: A Case Study Using the Success Case Method 文化胜任性营养培训的评价结果:运用成功案例法的案例研究
Pub Date : 2018-01-01 DOI: 10.4172/2155-9600.1000667719
Yuliette Gonzalez, Marcia Almuina Guemes, Yanelis Gonzalez
The Success Case Method (SCM) technique is a relatively quick and easy method of verifying implementation success. Using the SCM technique, this study evaluates culturally competent health and nutrition education trainings on diabetes type II control directed to (50) male Latinos/Hispanics living in Atlanta, Georgia. United States. In order to identify the most (and least) successful participants, a brief 5-questions survey was provided four (4) weeks after the completion of the training. Five (5) factors were selected as measures of success: (1) Initiation, (2) Continuity, (3) Self-Assessment, (4) Knowledge Sharing, and (5) Applicability to which participants had to determine on a scale of 1 to 5 their level of success. A random sample of five (5) of most successful and five (5) least successful participants were selected for interviews with the purpose of getting a deeper sense of the participants experience and determine the exact nature and extent of their success. Results revealed that most participants achieved success as a result of the training, with a higher number of “most successful” cases in initiation, continuity, self-assessment, and knowledge sharing. Applicability was not successfully achieved by a large number of participants, for example, how physical activity is important not only for diabetes type II control but also for high blood pressure control. In-depth interviews revealed that language, culture, credentials, clarification and family support are benefits for success, while, lack of time, income, supplies, lack of family support, and education are barriers for success. The results demonstrate the need for topic specific trainings that provide knowledge and skills for this community on chronic disease prevention and health promotion; the importance of social assistance in order to address barriers and the influence of family support in the Latino men health status and decision-making.
成功案例方法(SCM)技术是一种相对快速和简单的验证实现成功的方法。使用SCM技术,本研究评估了(50)名居住在乔治亚州亚特兰大的男性拉丁裔/西班牙裔糖尿病控制的文化能力健康和营养教育培训。美国。为了确定最成功(和最不成功)的参与者,在培训完成后四(4)周提供了一个简短的5个问题的调查。选择五(5)个因素作为成功的衡量标准:(1)启动,(2)连续性,(3)自我评估,(4)知识共享,(5)适用性,参与者必须在1到5的范围内确定他们的成功水平。随机抽取五(5)个最成功的参与者和五(5)个最不成功的参与者进行访谈,目的是更深入地了解参与者的经历,并确定他们成功的确切性质和程度。结果表明,大多数参与者通过培训取得了成功,在启动、连续性、自我评估和知识共享方面“最成功”的案例较多。大量的参与者没有成功地实现适用性,例如,身体活动不仅对II型糖尿病的控制很重要,而且对高血压的控制也很重要。深度访谈显示,语言、文化、学历、学历和家庭支持是成功的有利因素,而时间、收入、物资、家庭支持和教育的缺乏是成功的障碍。结果表明,有必要开展专题培训,为该社区提供有关慢性病预防和健康促进的知识和技能;社会援助对于消除障碍的重要性以及家庭支持对拉丁裔男子健康状况和决策的影响。
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引用次数: 1
Thermally Induced Changes in Quality of Chicken Breast Meat Protein Fractions 热诱导的鸡胸肉蛋白质组分质量变化
Pub Date : 2018-01-01 DOI: 10.4172/2155-9600.1000709
R. Singh, Deepti Deshpande
Functional properties of chicken breast meat are affected by heat treatments and the condition of meat, i.e., normal or pale, soft exudative (PSE) meat. The two main fractions of meat proteins, myofibrillar and sarcoplasmic are affected differently by the treatments and the condition of the meat. The aim of this study was to extract myofibrillar and sarcoplasmic proteins from the chicken breast meat and determine differences in protein extractability between normal and PSE meat, and determine temperature transitions in whole muscle and its constituent proteins. The protein concentration of sarcoplasmic protein was less than that of myofibrillar protein in chicken breast muscle. It was also found that the protein solubility differed in normal and PSE muscle. The PSE muscle showed lower protein solubility as compared to the normal muscle which was assumed to be due to the denaturation of some of the protein fractions in PSE muscle. The results of SDS-PAGE did not show much variance in the protein profiles of the PSE and normal samples indicating that the solubilized protein in PSE and normal samples was similar. Thermal denaturation determined using differential Scanning Calorimeter, identified thermal transition peaks which could be of value in the design a scheduled heating sequence for cooking of chicken breast.
鸡胸肉的功能特性受到热处理和肉的状态的影响,即正常或苍白,软渗出(PSE)肉。肉中肌原纤维蛋白和肌浆蛋白这两种主要的蛋白质成分受到不同处理方式和肉品条件的影响。本研究的目的是从鸡胸肉中提取肌原纤维和肌浆蛋白,确定正常和PSE肉中蛋白质可提取性的差异,并确定全肌及其组成蛋白的温度变化。鸡胸肌肌浆蛋白的蛋白浓度低于肌原纤维蛋白的蛋白浓度。蛋白质在正常肌和PSE肌中的溶解度也存在差异。与正常肌肉相比,PSE肌肉显示出较低的蛋白质溶解度,这被认为是由于PSE肌肉中的一些蛋白质组分变性所致。SDS-PAGE结果显示PSE与正常样品的蛋白谱差异不大,说明PSE与正常样品的溶解蛋白相似。用差示扫描量热计测定了热变性,确定了热过渡峰,这对设计烹饪鸡胸肉的预定加热顺序有价值。
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引用次数: 3
Renoprotective Effects of Fermented Black Ginseng through Ameliorating Oxidative Stress Associated with Cisplatin-Induced Acute Nephrotoxicity in Mice 发酵黑参改善氧化应激对小鼠顺铂急性肾毒性的保护作用
Pub Date : 2018-01-01 DOI: 10.4172/2155-9600.1000648
S. Roh, O. Kwon, Young-bae Seo
We aimed to evaluate the renal protective capacity of Fermented Black Ginseng (FBG) and its mechanism to reduce the cisplatin-induced nephrotoxicity. Nephrotoxicity was induced by a single intraperitoneal injection of cisplatin (20 mg/kg) and treated with white ginseng (WB) and FBG (200 mg/kg/day, orally) for 4 days before cisplatin treatment. Biochemical results showed that WG and FBG pretreatment significantly reduced the increase of blood urea nitrogen (BUN) and creatinine, and histopathological changes were meaningfully ameliorated. Cisplatin increased the production of reactive oxygen species (ROS) and depletion of Glutathione (GSH) in serum and kidney, whereas, WG or FBG administration markedly down-regulated. Moreover, the expression of nuclear factor-kappaB (NF-κB), cyclooxygenase-2 (COX-2), inducible nitric oxide synthase (iNOS), tumor necrosis factor-α (TNF-α), and interleukin (IL)-6 was markedly suppressed by both WB and FBG. However, FBG pretreatment was more effective than those of WG in COX-2, iNOS, and IL-6 levels. Moreover, FBG treated mice significantly up-regulated the antioxidative enzymes. In HPLC analysis, the increasing ginsenoside contents that include Rg1, Re, Rb1, Rc, Rb3, Rd, Rg3, Rk1, and Rg5 by heat-processing were greater about 5.7 fold when fermentation additionally. Taken together, FBG may be a worthful candidate for the prevention of nephrotoxicity in patients receiving cisplatin.
本研究旨在探讨发酵黑参(FBG)对肾脏的保护作用及其降低顺铂肾毒性的机制。顺铂治疗前4天单次腹腔注射顺铂(20 mg/kg),并用白参(WB)和FBG (200 mg/kg/天,口服)治疗。生化结果显示,WG和FBG预处理显著降低了血尿素氮(BUN)和肌酐的升高,组织病理学改变有明显改善。顺铂增加了血清和肾脏中活性氧(ROS)的产生和谷胱甘肽(GSH)的消耗,而WG或FBG则明显下调。此外,WB和FBG显著抑制了核因子κ b (NF-κB)、环氧化酶-2 (COX-2)、诱导型一氧化氮合酶(iNOS)、肿瘤坏死因子-α (TNF-α)和白细胞介素-6的表达。但在COX-2、iNOS和IL-6水平上,FBG预处理比WG预处理更有效。此外,FBG处理小鼠的抗氧化酶显著上调。HPLC分析表明,经热处理后人参皂苷Rg1、Re、Rb1、Rc、Rb3、Rd、Rg3、Rk1、Rg5含量增加约5.7倍。综上所述,FBG可能是预防顺铂患者肾毒性的一个有价值的候选物。
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引用次数: 0
Use of Self-Reported Data to Determine the Effect of Nutrient-Dense Meals on Body Weight and Quality of Life 使用自我报告的数据来确定营养密集膳食对体重和生活质量的影响
Pub Date : 2018-01-01 DOI: 10.4172/2155-9600.1000700
S. Bell, P. Ling, R. Baker, C. Marsland
Seventy percent of the United States population is overweight or obese, which increases the risk of chronic conditions and premature death. Strategies for losing weight have so far proved unsuccessful, and compounding the problem is that funding for clinical nutritional research studies is limited. Food companies can fund clinical studies, supervised by nutritional researchers. Herein is such a study where a food company’s customers were provided five, free, portion-controlled, nutrient-dense meals each day for 15 days to help improve their diet quality and lose weight. In exchange, participants completed data collection forms and posted video and comments on social media. Both normal weight (n=46) and overweight and obese subjects (n=97) participated. Subjects consumed four to five of the nutrient-dense meals, which contributed about 1,250 kcal daily and about 140%-165% of the Daily Value for all vitamins and minerals, except sodium. In addition, they consumed other foods adding another 250-300 kcal. The group lost a significant amount of weight (1.5 ± 4.5 kg; P<0.0001). After 15 days, more than 60% of the participants reported feeling better, having better sleep, and having more energy. In the subgroup of overweight and obese subjects, weight loss was 2 ± 2 kg in the overweight group (P<0.001) and for obese subjects, it was 2 ± 7 kg (P<0.01). Of this group, 17 lost at least 5% body weight, which is medically significant. Waist circumference decreased significantly for overweight women (P<0.001), overweight men (P=0.005), and obese men (P<0.0001). Waist circumference normalized in 12 individuals, indicating a reduction in the risk of hypertension, type 2 diabetes, and cardiovascular disease. The findings suggest that nutrient-dense meals, promote weight loss and improve health. Spontaneous energy-restriction occurred without hunger by consuming nutrient-dense foods. Weight loss strategies of the future may focus on nutrient-counting rather than calorie-counting.
70%的美国人超重或肥胖,这增加了患慢性病和过早死亡的风险。到目前为止,减肥的策略被证明是不成功的,而使问题更加复杂的是临床营养研究的资金有限。食品公司可以资助由营养研究人员监督的临床研究。这里有一个这样的研究,一家食品公司的顾客在15天内每天提供五顿免费的、份量控制的、营养丰富的饭菜,以帮助他们改善饮食质量和减肥。作为交换,参与者填写数据收集表格,并在社交媒体上发布视频和评论。正常体重(n=46)和超重及肥胖受试者(n=97)均参与。受试者每天食用四到五份营养丰富的膳食,这些膳食提供了约1,250千卡的热量,约占每日所需维生素和矿物质(钠除外)的140%-165%。此外,他们还食用其他食物,增加250-300千卡热量。这组人的体重明显减轻(1.5±4.5公斤;P < 0.0001)。15天后,超过60%的参与者报告感觉更好,睡眠更好,精力更充沛。在超重和肥胖亚组中,超重组体重减轻2±2 kg (P<0.001),肥胖组体重减轻2±7 kg (P<0.01)。在这组人中,有17人的体重至少减轻了5%,这在医学上是很重要的。超重女性(P<0.001)、超重男性(P=0.005)和肥胖男性(P<0.0001)的腰围显著降低。12个人的腰围恢复正常,表明高血压、2型糖尿病和心血管疾病的风险降低。研究结果表明,营养丰富的饮食有助于减肥和改善健康。自发的能量限制发生在没有饥饿的情况下,通过食用营养丰富的食物。未来的减肥策略可能侧重于营养计数而不是卡路里计数。
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引用次数: 2
An In Vitro Study on the Effect of Five Commercial Calcium Supplements on Human Osteoblast Cell Proliferation and Ca2+ Mineralization 五种商品钙补充剂对人成骨细胞增殖和Ca2+矿化影响的体外研究
Pub Date : 2018-01-01 DOI: 10.4172/2155-9600.1000738
B. Framroze, F. Havaldar
Calcium is an essential mineral that supports bone and joint health. It is used as a supplement, most typically as calcium carbonate, to assist in preserving bone density especially when dietary calcium intake is inadequate. In the present study we examined the effect of five varied calcium sources, three natural and two synthetic, on stimulation, proliferation and mineralization of cultured human osteoblast cells. A MTT assay using cultured human fetal osteoblast cells (hFOB 1.19) was used to determine the effective proliferative dose for salmon collagen bone calcium (0.25 mg/ml). Elemental calcium equivalence was used to select the appropriate doses for algae calcium (0.14 mg/ml), eggshell powder (0.16 mg/ml), calcium citrate (0.22 mg/ml) and calcium carbonate (0.13). Alkaline phosphatase activity, DNA synthesis rates and calcium ion deposition were evaluated after incubation under different conditions and harvesting the cells. Alkaline phosphatase activity, DNA synthesis rates and calcium ion deposition rates were all highest for the natural salmon bone collagen calcium, followed by algae calcium. The eggshell powder, calcium citrate and calcium carbonate did not exhibit significant changes from control in most of these assays. The results of these assays suggest that natural marine collagen calcium such as salmon bone collagen calcium acts as the most effective intervention on osteoblast performance and actual calcium deposition. It should be recommended as a superior supplement for improved bone and joint health function.
钙是一种重要的矿物质,支持骨骼和关节健康。它被用作一种补充剂,最典型的是作为碳酸钙,以帮助保持骨密度,特别是当膳食钙摄入量不足时。在本研究中,我们研究了五种不同钙来源(三种天然钙和两种合成钙)对培养的人成骨细胞的刺激、增殖和矿化的影响。采用培养的人胎儿成骨细胞(hFOB 1.19) MTT法测定鲑鱼胶原骨钙(0.25 mg/ml)的有效增殖剂量。采用元素钙等效法选择海藻钙(0.14 mg/ml)、蛋壳粉(0.16 mg/ml)、柠檬酸钙(0.22 mg/ml)和碳酸钙(0.13)的适宜剂量。在不同条件下培养和收获后,测定碱性磷酸酶活性、DNA合成率和钙离子沉积。天然鲑鱼骨胶原钙的碱性磷酸酶活性、DNA合成率和钙离子沉积率均最高,藻类钙次之。蛋壳粉、柠檬酸钙和碳酸钙在大多数试验中与对照组相比没有显著变化。这些试验结果表明,天然海洋胶原钙如鲑鱼骨胶原钙是对成骨细胞性能和实际钙沉积最有效的干预。它应该被推荐为改善骨骼和关节健康功能的优质补充剂。
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引用次数: 0
Assessing the Bioaccessibilities of Some Elements in Fruit Based Complementary Baby Foods 评估以水果为基础的婴儿辅食中某些元素的生物可及性
Pub Date : 2018-01-01 DOI: 10.4172/2155-9600.1000672
Umran Seven Erdemir, Y. Sahan, Ş. Gucer
In this study, total concentrations and bioaccessibility of some essential and toxic elements (As, Cd, Cr, Cu, Fe, Mg, Mn, Ni, Pb and Zn) were determined in commercial fruit purees intended for baby consumption as complementary foods. Enzymatic in vitro digestions were performed to simulate the stomach and the intestine conditions. A five-level, three factor central composite design, was applied to optimize the open-wet digestion methodology as well as enzyme amounts used in vitro methods to achieve maximum elemental levels. Rice flour and baby food composite certified reference materials analysis were applied to optimize the digestion parameters and evaluate the accuracy of the optimized method. Water fractions of samples were analyzed and evaluated in terms of their suitability for risk assessment studies by inductively coupled plasma mass spectrometry. Recommended dietary allowance level of 1.3% for Zn, adequate intake levels of 15.3%, 0.04%, 4.4% and 68% for Cu, Mg, Mn and Cr, respectively were achieved as well as 20%, 6% level and 2% tolerable intakes of Cd, Ni and As, respectively. Thus, contribution of the consumption of one jar of fruit based complementary baby food to diet of infants aged up to 12 months were assessed.
在这项研究中,一些必需和有毒元素(As, Cd, Cr, Cu, Fe, Mg, Mn, Ni, Pb和Zn)的总浓度和生物可及性被测定在作为婴儿辅食食用的商业水果泥中。采用体外酶解模拟胃和肠条件。采用五水平、三因素中心复合设计,优化开湿消化法和体外法酶用量,以达到最大元素水平。采用米粉和婴儿食品复合标准物质分析对消解参数进行了优化,并对优化方法的准确性进行了评价。通过电感耦合等离子体质谱法对样品的水组分进行分析和评估,以确定其是否适合进行风险评估研究。锌的推荐摄取量为1.3%,铜、镁、锰和铬的适宜摄取量分别为15.3%、0.04%、4.4%和68%,镉、镍和砷的耐受摄取量分别为20%、6%和2%。因此,一罐以水果为基础的婴儿补充食品对12个月以下婴儿饮食的贡献进行了评估。
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引用次数: 1
Healthy Eating for Prevention of the Metabolic Syndrome 健康饮食预防代谢综合征
Pub Date : 2018-01-01 DOI: 10.4172/2155-9600.1000E143
S. Youngwanichsetha
Metabolic syndrome is known to be a metabolic health problem among people worldwide. It is composed of abdominal obesity, insulin resistance, elevated blood glucose and dyslipidemia. These manifestations cause several organs and systems dysfunction. Many chronic diseases are associated with the metabolic syndrome including diabetes, cardiovascular disease, hypertension, stroke, renal failure and its complications.
代谢综合征是一种世界性的代谢性健康问题。它由腹部肥胖、胰岛素抵抗、血糖升高和血脂异常组成。这些表现会引起一些器官和系统的功能障碍。许多慢性疾病都与代谢综合征有关,包括糖尿病、心血管疾病、高血压、中风、肾衰竭及其并发症。
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引用次数: 1
An Enteral Formula Containing Fermented Milk Products and Prebiotics Promotes Glucagon-Like Peptide-1 Secretion via Short Chain Fatty Acid Signaling 含发酵乳制品和益生元的肠内配方通过短链脂肪酸信号促进胰高血糖素样肽-1的分泌
Pub Date : 2018-01-01 DOI: 10.4172/2155-9600.1000662
H. Kume, Keiko Okazaki, N. Yamamoto, Yusuke Omae, K. Ashida, Takeshi Takahashi, I. Kimura
An enteral formula containing fermented milk products and prebiotics (prebiotic formula, PF) is known to promote the proliferation of Bifidobacterium and the production of short-chain fatty acids (SCFAs) in humans and rats. We studied the effect of PF on the secretion of glucagon-like peptide-1 (GLP-1) and the involvement of SCFAs in this process, using the knockout (KO) mice for the SCFA receptors G protein-coupled receptor 41 (GPR41) and G protein-coupled receptor 43 (GPR43). Wild type (WT) or KO mice were fed either a standard formula (SF) or PF for two weeks, and then were orally administered either PF or SF after overnight fasting and dissected after 0, 30, 60, and 240 minutes. Blood GLP-1 and glucose levels were measured (Experiment 1). Alternatively, mice fed SF or PF for two weeks were dissected after four hours of fasting, and their blood GLP-1 and cecal SCFAs levels were measured (Experiment 2). In Experiment 1, WT and GPR43KO mice showed a significant increase in GLP-1 concentration 30 and/or 60 minutes after formula administration in the PF group compared with that in the SF group. Similarly, WT and GPR43KO mice showed a significant suppression of the increase in glucose levels after formula administration in the PF group compared with that in the SF group. On the other hand, there was no significant difference in GLP-1 concentration or blood glucose levels between the two treatment groups in GPR41KO mice. In Experiment 2, there was a significant increase in cecal SCFA levels in the PF group compared with that in the SF group for all mice, as well as an increase in GLP-1 concentration. PF promotes GLP-1 secretion and SCFAs might contribute to the GLP-1 secretion that occurs directly after ingestion, through GPR41 signal transduction.
已知含有发酵乳制品和益生元的肠内配方(益生元配方,PF)可促进人类和大鼠体内双歧杆菌的增殖和短链脂肪酸(SCFAs)的产生。我们利用敲除(KO)小鼠的SCFA受体G蛋白偶联受体41 (GPR41)和G蛋白偶联受体43 (GPR43),研究了PF对胰高血糖素样肽-1 (GLP-1)分泌的影响以及SCFA在这一过程中的参与。野生型(WT)或KO小鼠喂食标准配方(SF)或PF两周,然后在禁食过夜后口服PF或PF,并在0、30、60和240分钟后解剖。测量血液GLP-1和葡萄糖水平(实验1)。或者,在禁食4小时后,将喂食SF或PF两周的小鼠解剖,测量其血液GLP-1和盲肠SCFAs水平(实验2)。在实验1中,WT和GPR43KO小鼠在给药后30和/或60分钟,与SF组相比,PF组的GLP-1浓度显著升高。同样,与SF组相比,PF组明显抑制了WT和GPR43KO小鼠在给药后葡萄糖水平的升高。另一方面,GPR41KO小鼠的GLP-1浓度和血糖水平在两个治疗组之间没有显著差异。实验2中,与SF组相比,PF组所有小鼠的盲肠SCFA水平均显著升高,GLP-1浓度升高。PF促进GLP-1的分泌,scfa可能通过GPR41信号转导直接参与GLP-1的分泌。
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引用次数: 1
Analysis of the NICHD Vitamin D Pregnancy Cohort on a Per-Protocol vs. Intent-to-Treat Basis: The Effect of Adherence on Trial Results NICHD维生素D妊娠队列按方案与意向治疗的分析:依从性对试验结果的影响
Pub Date : 2018-01-01 DOI: 10.4172/2155-9600.1000696
Michael J Abercrombie, J. Shary, M. Ebeling, B. Hollis, C. Wagner
Objective: To perform per-protocol analysis of data obtained from the NICHD vitamin D pregnancy study published by Hollis et al., which found via intent-to-treat analysis that 4000IU/day vitamin D supplementation is safe and effective in achieving sufficiency in women and neonates. This study hypothesizes that differential adherence as examined by per-protocol analysis will affect the magnitude of differences in maternal and neonatal vitamin D status between treatment groups.Study design: A double-blind, RCT of vitamin D supplementation (400, 2000 or 4000IU/day) in 350 Caucasian, African American and Hispanic women with singleton pregnancies was conducted. This study defines adherence as 75% and 85% of pills taken between visits and examines the effect of adherence on vitamin D status across treatment groups. The primary outcome, measured by radioimmunoassay, is maternal serum 25(OH)D throughout pregnancy, one month prior to delivery (PTD) and neonatal serum 25(OH)D at delivery.Results: No statistically significant difference in maternal 25(OH)D throughout pregnancy, 1-month PTD, or neonatal 25(OH)D were found between 75% adherent participants and nonadherent participants regardless of supplementation. At 85% adherence, maternal 25(OH)D throughout pregnancy, one month PTD, and neonatal 25(OH)D were significantly higher in the 4000IU group compared to nonadherent participants (p=0.0002, p=0.0074, p=0.0068, respectively). No significant differences were found with 400 or 2000IU supplementation regardless of adherence.Conclusions: Participants 85% adherent to protocol and receiving 4000IU vitamin D were the only group that demonstrated significantly higher vitamin D status for each outcome: maternal 25(OH)D throughout pregnancy, 1-month PTD and neonatal 25(OH)D. Compared to intent-to-treat, this powerful per-protocol analysis demonstrates the impact that nonadherence can have on study results and has implications for how clinical trial data are analyzed and presented.
目的:对Hollis等人发表的NICHD维生素D妊娠研究数据进行方案分析,该研究通过意向治疗分析发现,每天补充4000IU维生素D对妇女和新生儿是安全有效的。本研究假设,按方案分析检查的不同依从性将影响治疗组之间孕产妇和新生儿维生素D状态差异的程度。研究设计:对350名单胎妊娠的白种人、非裔美国人和西班牙裔妇女进行双盲、随机对照试验,补充维生素D(400,2000或4000IU/天)。这项研究将依从性定义为两次就诊之间服用药物的75%和85%,并检查了治疗组中依从性对维生素D状态的影响。通过放射免疫分析法测量的主要结果是整个妊娠期间、分娩前一个月(PTD)的母体血清25(OH)D和分娩时新生儿血清25(OH)D。结果:无论是否补充,75%的依从性参与者和非依从性参与者在整个孕期、1个月PTD或新生儿25(OH)D方面没有统计学上的显著差异。在85%的依从性下,4000IU组孕妇的25(OH)D在整个孕期、1个月PTD和新生儿25(OH)D显著高于非依从性组(p=0.0002, p=0.0074, p=0.0068)。无论是否坚持服用,400或2000IU补充剂均无显著差异。结论:85%遵守方案并接受4000IU维生素D的参与者是唯一一组在每个结局中表现出显着较高维生素D状态的组:整个妊娠期间,1个月的PTD和新生儿25(OH)D。与意向治疗相比,这一强有力的协议分析证明了不依从对研究结果的影响,并对临床试验数据的分析和呈现产生了影响。
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引用次数: 4
Effects of Black and Green Tea Consumption on Blood Pressure and Liver Enzymes: A Randomized Controlled Trial 饮用红茶和绿茶对血压和肝酶的影响:一项随机对照试验
Pub Date : 2018-01-01 DOI: 10.4172/2155-9600.1000661
I. Hakim, L. Garland, Robin B Harris, H. Chow
Background: The effect on tea consumption on blood pressure and liver enzymes are controversial. The beneficial effects of long-term ingestion of black and green tea on systolic and diastolic blood pressure have been suggested by several studies.Objectives: The overall goal of this study was to determine the effects of high tea consumption on blood pressure and liver enzymes.Design: We completed a 6-month randomized, controlled, double-blinded trial in a group of former and current smokers who were randomized to receive black or green tea preparations or a matching placebo.Results: A total of 146 participants (80 females and 66 males) were enrolled in the study. At the end of the 6-month intervention, women in the black tea group showed a 4 mmHg decrease (p = 0.01) in systolic blood pressure while female in the green tea group showed a 30.1% decrease (p = 0.035) in Alanine transaminase (ALT). No significant changes were observed in men.Conclusion: Our data confirm previous findings related to the beneficial effect of black tea on blood pressure and of green tea on serum liver enzymes especially among females. In addition, our study showed that long-term regular consumption of black tea and green is safe.
背景:饮茶对血压和肝酶的影响存在争议。一些研究表明,长期饮用红茶和绿茶对收缩压和舒张压都有有益的影响。目的:本研究的总体目标是确定高茶摄入对血压和肝酶的影响。设计:我们完成了一项为期6个月的随机、对照、双盲试验,在一组戒烟者和现在吸烟者中,他们被随机分配服用红茶或绿茶制剂或相应的安慰剂。结果:共有146名参与者(80名女性,66名男性)被纳入研究。在6个月的干预结束时,红茶组女性的收缩压下降了4毫米汞柱(p = 0.01),而绿茶组女性的丙氨酸转氨酶(ALT)下降了30.1% (p = 0.035)。在男性中没有观察到明显的变化。结论:我们的数据证实了之前的发现,即红茶对血压有益,绿茶对血清肝酶有益,尤其是在女性中。此外,我们的研究表明,长期定期饮用红茶和绿茶是安全的。
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引用次数: 1
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Journal of Nutrition and Food Sciences
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