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Women's lifetime reproductive profiles and frailty among aging individuals in the USA and the Philippines. 美国和菲律宾妇女的终生生殖特征和老年人的脆弱性。
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-07-01 DOI: 10.1186/s40101-022-00300-5
Michelle Escasa-Dorne, Ronza Zoorob

Frailty, particularly traits which are related to sex steroid hormone production, results from the age-associated decline in function considered to be part of the typical aging process. This process may vary with influences including environmental, biological, or lifestyle factors. An area of concern that has received relatively little attention is the impact of cumulative lifetime changes in sex steroid hormones related to the traits we see that typify the human aging process. Women's lifetime reproductive profiles include menstrual/ovulatory cycles, gestation, and lactation, all of which respond to changes in sex steroid hormone levels. Here, we review data on reproductive profiles and risks of frailty among post-menopausal women. In the current study, our team collected reproductive histories of women to determine the estimated number of lifetime reproductive cycles (ELC). We interviewed 44 women in the USA and 67 women in the Philippines aged 65 years plus to obtain data on reproductive cycles, pregnancy, and breastfeeding. Participants completed several frailty tasks including grip strength, a sit-to-stand test, and gait speed. While ELC was not associated with frailty in the US population, higher ELC was associated with lower frailty among the Philippine population. The current study should be considered as an exploratory project investigating field-friendly methods to use when considering lifetime reproductive histories and the influence on the aging process.

虚弱,特别是与性类固醇激素产生有关的特征,是由年龄相关的功能下降引起的,被认为是典型衰老过程的一部分。这一过程可能因环境、生物或生活方式等因素的影响而有所不同。一个相对较少受到关注的领域是与人类衰老过程典型特征相关的性类固醇激素的累积一生变化的影响。女性一生的生殖特征包括月经/排卵周期、妊娠和哺乳期,所有这些都与性类固醇激素水平的变化有关。在这里,我们回顾了有关绝经后妇女的生殖概况和脆弱风险的数据。在目前的研究中,我们的团队收集了女性的生殖史,以确定一生生殖周期(ELC)的估计数量。我们采访了44名美国妇女和67名菲律宾妇女,年龄在65岁以上,以获得有关生殖周期、怀孕和母乳喂养的数据。参与者完成了一些虚弱的任务,包括握力、坐立测试和步态速度。虽然ELC在美国人群中与虚弱无关,但在菲律宾人群中,较高的ELC与较低的虚弱相关。目前的研究应被视为一个探索性项目,调查在考虑终生生殖史和对衰老过程的影响时使用的野外友好方法。
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引用次数: 1
Effects of soy protein isolate and soy peptide preload on gastric emptying rate and postprandial glycemic control in healthy humans. 大豆分离蛋白和大豆肽预负荷对健康人胃排空率和餐后血糖控制的影响。
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-06-27 DOI: 10.1186/s40101-022-00299-9
Hatsumi Ueoka, Yoshiyuki Fukuba, Masako Yamaoka Endo, Toshio Kobayashi, Hironobu Hamada, Hideaki Kashima

Background: This study aims to compare the effects of soy protein isolate (SPI) and soy peptide (PEP) preload 30 min before a 75-g oral glucose tolerance test (OGTT) on the gastric emptying rate, plasma insulin, and blood glucose responses.

Methods: Nine healthy young subjects were evaluated on four occasions. The participants consumed a 200-ml solution containing either 20 g of SPI or PEP in experiment 1. In experiment 2, 30 min after consuming either 20 g of SPI or PEP solutions, an OGTT was performed to evaluate the individual glycemic response. The gastric emptying rate was measured by the 13C-sodium acetate breath test. Blood glucose and plasma insulin were measured before and after consuming either the SPI or PEP solutions and during the OGTT.

Results: In experiment 1, plasma insulin levels were higher 30 min after consuming the PEP solution than after the SPI solution. PEP resulted in a faster gastric emptying rate than SPI. In experiment 2, just before performing the OGTT, the plasma insulin response was higher for PEP than for SPI. Fifteen minutes after starting the OGTT, the blood glucose response was lower after consuming PEP than after SPI. The gastric emptying rate tended to be faster after consuming PEP than after SPI (p = 0.08).

Conclusion: A PEP preload might be slightly more effective for the suppression of postprandial blood glucose excursion compared with SPI; thus, a PEP preload potentially induces an enhanced insulin response just before the OGTT.

背景:本研究旨在比较75 g口服葡萄糖耐量试验(OGTT)前30分钟预负荷大豆分离蛋白(SPI)和大豆肽(PEP)对胃排空率、血浆胰岛素和血糖反应的影响。方法:对9名健康青年进行4次评价。在实验1中,参与者消耗了含有20克SPI或PEP的200毫升溶液。在实验2中,在摄入20 g SPI或PEP溶液30分钟后,进行OGTT以评估个体血糖反应。用13c -醋酸钠呼气试验测定胃排空率。在服用SPI或PEP溶液前后和OGTT期间测量血糖和血浆胰岛素。结果:在实验1中,血浆胰岛素水平在服用PEP溶液后30分钟高于服用SPI溶液后30分钟。PEP使胃排空率比SPI更快。在实验2中,就在进行OGTT之前,PEP的血浆胰岛素反应高于SPI。OGTT开始15分钟后,PEP后血糖反应低于SPI后。食用PEP后胃排空速度明显快于食用SPI后(p = 0.08)。结论:与SPI相比,PEP预负荷对抑制餐后血糖漂移的作用可能略显有效;因此,PEP预负荷可能在OGTT前诱导胰岛素反应增强。
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引用次数: 4
Effects of exercise habituation and aging on the intersegmental coordination of lower limbs during walking with sinusoidal speed change 运动习惯和衰老对正弦速度变化步行时下肢节间协调的影响
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-06-08 DOI: 10.1186/s40101-022-00298-w
Abe, Daijiro, Motoyama, Kiyotaka, Tashiro, Takehiro, Saito, Akira, Horiuchi, Masahiro
The time courses of the joint elevation angles of the thigh, shank, and foot in one stride during walking can be well approximated by a “plane” in a triaxial space. This intersegmental coordination (IC) of the lower limb elevation angles is referred to as the planar covariation law. We examined the effects of exercise habituation and aging on the thickness of the IC plane of the lower limbs under sinusoidal speed changing conditions. Seventeen sedentary young (SY), 16 active young (AY), and 16 active elderly (AE) adults walked on a treadmill in accordance with a sinusoidal speed changing protocol at 120, 60, and 30 s periods with an amplitude of ± 0.56 m·s−1. Motion of the lower limbs from the sagittal direction was recorded to calculate the elevation angles of the lower limbs. When the best-fit IC plane was determined, the smallest standard deviation of the IC plane was considered as the anteroposterior gait variability of the lower limbs. The coefficient of variance of the step width was also quantified to evaluate the lateral step variability (CVSW). The standard deviation of the IC plane was significantly greater in the order of SY, AY, and AE, regardless of the sinusoidal wave periods of the changing speed. The CVSW was not significantly different among the three groups. Exercise habituation influences anteroposterior gait variability of the lower limbs, but not lateral step variability, even in young adults. Given these, gait adaptability for sinusoidal speed changes does not always decline with aging. UMIN000031456 ( R000035911 ; registered February 23, 2018).
行走时,大腿、小腿和足的关节仰角在一个跨步中的时间轨迹可以很好地近似于三轴空间中的“平面”。这种下肢仰角的节段间协调被称为平面共变规律。我们研究了运动习惯和衰老对正弦变速条件下下肢IC面厚度的影响。17名久坐不动的年轻人(SY)、16名活跃的年轻人(AY)和16名活跃的老年人(AE)在跑步机上按照正弦波速度变化方案在120、60和30秒的周期上行走,幅度为±0.56 m·s−1。记录下肢矢状方向的运动,计算下肢仰角。当确定最适合的IC平面时,将IC平面的最小标准差作为下肢的前后位步态变异性。台阶宽度的方差系数也被量化,以评估横向台阶变异性(CVSW)。无论速度变化的正弦波周期如何,IC平面的标准差在SY、AY、AE的顺序上都明显较大。三组间CVSW无显著差异。运动习惯影响下肢的前后步态变异性,但不影响侧向步变异性,即使在年轻人中也是如此。考虑到这些,步态对正弦速度变化的适应性并不总是随着年龄的增长而下降。Umin000031456 (r000035911;2018年2月23日注册)。
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引用次数: 2
Predicting handgrip power of young adult population among major ethnic groups of Sabah: a multivariate analysis 预测沙巴州主要族群中年轻成人的握力:一个多变量分析
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-06-04 DOI: 10.1186/s40101-022-00297-x
M. T. Hossain Parash, H. Khazri, Zainal Arifin bin Mustapha, S. C. Shimmi
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引用次数: 0
Development of the circadian system in early life: maternal and environmental factors 生命早期昼夜节律系统的发展:母体和环境因素
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-05-16 DOI: 10.1186/s40101-022-00294-0
Sachi D. Wong, K. Wright, R. Spencer, C. Vetter, Laurel M. Hicks, O. Jenni, M. LeBourgeois
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引用次数: 17
Body weight at 1.5- and 3-year health checks and body fat at 14 years of age: a population-based retrospective cohort study using dual-energy X-ray absorptiometry 1.5年和3年健康检查时的体重和14岁时的体脂:一项基于人群的回顾性队列研究,使用双能x线吸收仪
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-05-10 DOI: 10.1186/s40101-022-00293-1
Kouda, Katsuyasu, Fujita, Yuki, Ohara, Kumiko, Nakamura, Harunobu, Dorjravdan, Munkhjargal, Nakama, Chikako, Nishiyama, Toshimasa, Iki, Masayuki
In Japan, height and weight measurements, taken for all children at birth and 1.5- and 3-year health checks, are recorded in the Mother and Child Health (MCH) Handbook, as required by the law. The present population-based retrospective cohort study aimed to evaluate the diagnostic performance of height and weight records in the Handbook for predicting excessive adiposity in adolescents. The source population consisted of 8th grade students (800 students aged 14 years) registered at two public junior high schools. Of these, we excluded students who were born at a gestational age < 37 weeks or > 42 weeks. The present analyses included 435 participants who provided complete information. Body mass index (BMI) was calculated using height and weight records. Body fat mass at 14 years of age was measured by dual-energy X-ray absorptiometry (DXA). Diagnostic performance of BMI calculated from the MCH Handbook records to discriminate between the presence and absence of excessive adiposity at 14 years of age was evaluated using receiver operating characteristic (ROC) curve analysis. The area under the ROC curve (AUC) was used to quantify the diagnostic accuracy of BMI. With regard to the prediction of excessive fat at 14 years of age, AUCs and 95% confidence intervals for BMI at 1.5 and 3 years of age were greater than 0.5. Meanwhile, the AUC of BMI at birth was not significantly greater than 0.5. The present study findings indicate that BMI values calculated using MCH Handbook data have potential ability to distinguish between the presence and absence of excessive fat at 14 years of age.
在日本,根据法律要求,所有儿童出生时的身高和体重测量以及1.5岁和3岁的健康检查都记录在《母婴健康手册》中。本以人群为基础的回顾性队列研究旨在评估手册中身高和体重记录在预测青少年过度肥胖方面的诊断性能。源人群包括在两所公立初中注册的8年级学生(800名14岁学生)。其中,我们排除了胎龄< 37周或> 42周出生的学生。目前的分析包括435名提供完整信息的参与者。使用身高和体重记录计算身体质量指数(BMI)。采用双能x线吸收仪(DXA)测量14岁时的体脂量。使用受试者工作特征(ROC)曲线分析评估从MCH手册记录计算的BMI诊断性能,以区分14岁时是否存在过度肥胖。ROC曲线下面积(AUC)用于量化BMI的诊断准确性。对于14岁时过度脂肪的预测,1.5岁和3岁时BMI的auc和95%置信区间均大于0.5。同时,出生时BMI的AUC不显著大于0.5。目前的研究结果表明,使用MCH手册数据计算的BMI值具有区分14岁时是否存在过度脂肪的潜在能力。
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引用次数: 0
Age-related changes in the activation timing of postural muscles to the prime mover muscle for bilateral arm flexion during standing 站立时双侧手臂屈曲时体位肌对原动机肌激活时间的年龄相关变化
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-05-07 DOI: 10.1186/s40101-022-00295-z
Kiyota, Takeo, Fujiwara, Katsuo
We aimed to obtain the standard values of age-related changes in the activation timing of postural muscles to the prime mover muscle (anterior deltoid [AD]) for bilateral arm flexion during standing. The study participants were 276 children (aged 3–14 years) and 32 adults (aged 20–26 years). In response to a visual stimulus, participants raised both arms from a fully extended position as quickly as possible, stopped their arms voluntarily at a horizontal level at the shoulder, and maintained that position for 2 s. Ten test trials were performed. By using surface electromyography, the duration from the burst onset of the postural muscles to that of AD was measured as the starting time of the postural muscles (rectus abdominis [RA], erector spinae [ES], rectus femoris [RF], biceps femoris [BF], tibialis anterior [TA], gastrocnemius medialis [GcM], and soleus [SOL]). The starting time was presented as a negative value when the burst onset of the postural muscles preceded that of AD, which was defined as the preceding activation. A positive value for the starting time was defined as delayed activation. In adults, the burst onsets of ES and BF significantly preceded that of AD. In ES, the starting time preceded the onset of AD in those aged ≥ 5–6 years; no difference with adults was found at age 13–14 years. On the other hand, in BF, significant delayed activation was found at ages 3–4 to 11–12 years. While the starting time decreased with age, no significant preceding activation similar to adults was found, even at age 13–14 years. In TA, no significant difference with the onset of AD was found at age 3–6 years, and significant delayed activation was found at age ≥ 7–8 years. Significant delayed activation in GcM, SOL, RA, and RF was observed in all age groups, and no age-related changes were observed in children. These findings could provide standard values from childhood to adolescence for age-related changes in anticipatory postural muscle activity during voluntary movement while standing and contribute to applications in the fields of sports and rehabilitation.
我们的目的是获得站立时双侧手臂屈曲时姿势肌肉对原动机肌肉(前三角肌[AD])激活时间的年龄相关变化的标准值。研究对象是276名儿童(3-14岁)和32名成年人(20-26岁)。作为对视觉刺激的反应,参与者尽可能快地将双臂从完全伸展的位置抬起,然后自愿将手臂停在肩部的水平位置,并保持该位置2秒。进行了10次试验。通过表面肌电图,测量体位肌爆发到AD爆发的持续时间,作为体位肌(腹直肌[RA]、直棘肌[ES]、股直肌[RF]、股二头肌[BF]、胫前肌[TA]、腓肠肌内侧肌[GcM]、比目鱼肌[SOL])的开始时间。当体位肌爆发发作先于AD发作时,开始时间为负值,定义为提前激活。启动时间的正值被定义为延迟激活。在成人中,ES和BF的突发发作明显早于AD。在ES中,年龄≥5-6岁者的开始时间早于AD的发生;在13-14岁时与成人没有差异。另一方面,在3-4岁至11-12岁的BF中,发现明显的延迟激活。虽然开始时间随着年龄的增长而减少,但没有发现与成人相似的显著的先前激活,即使在13-14岁时也是如此。TA在3-6岁时与AD发病无显著差异,在≥7-8岁时出现显著延迟激活。在所有年龄组中均观察到GcM、SOL、RA和RF的显著延迟激活,在儿童中未观察到与年龄相关的变化。这些发现可以为儿童到青少年站立时自主运动时预期体位肌肉活动的年龄相关变化提供标准值,并有助于在运动和康复领域的应用。
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引用次数: 0
Weight over-reporting is associated with low muscle mass among community-dwelling Japanese adults aged 40 years and older: a cross sectional study 在日本社区居住的40岁及以上的成年人中,体重报告过多与肌肉质量低有关:一项横断面研究
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-05-05 DOI: 10.1186/s40101-022-00292-2
Nakagata, Takashi, Yoshida, Tsukasa, Watanabe, Daiki, Arishima-Hashii, Yukako, Yamada, Yosuke, Sawada, Naomi, Shimada, Hidekazu, Nishi, Nobuo, Miyachi, Motohiko
Weight misperception adversely affects health-related quality of life (HRQol); however, few studies have evaluated the relationship between weight misperception and muscle mass. This study aimed to examine the relationship of weight misperception with low muscle mass using skeletal muscle index (SMI) estimated by multifrequency bioelectrical impedance analysis (MF-BIA) among community-dwelling Japanese. Participants were 525 Japanese individuals aged 40–91 years old (male 89, female 436). Misperception was calculated by subtracting measured value from self-reported weight, presented as a percentage and categorized into tertiles based on sex (under-reporters, acceptable reporters, and over-reporters). Appendicular lean mass was estimated using MF-BIA, and low muscle mass was defined using SMI values of 7.0 and 5.7 kg/m2 for males and females, respectively, based on the Asian Working Group for Sarcopenia 2019 consensus. We evaluated the association between prevalence of low muscle mass and weight misperception (under-reporters and over-reporters) using multivariate logistic regression including covariate. In total, 9.3% (49/525) of participants had low muscle mass. After adjusting for covariates, prevalence of low muscle mass was higher among over-reporters than acceptable-reporters (odds ratio [OR]; 2.37, 95% confidence interval [CI]; 1.03–5.44). Additionally, sensitivity analysis was performed on females, which confirmed that the prevalence of low muscle mass was higher in over-reporters than in acceptable-reporters (OR, 3.27; 95% CI, 1.18–9.12). Weight misperception was significantly correlated with low muscle mass, especially in over-reporters.
体重误解对健康相关生活质量(HRQol)有不利影响;然而,很少有研究评估体重误解和肌肉质量之间的关系。本研究旨在利用多频生物阻抗分析(MF-BIA)估算的日本社区居民骨骼肌指数(SMI),探讨体重误解与低肌肉质量的关系。参与者为525名年龄在40-91岁之间的日本人(男性89人,女性436人)。通过从自我报告的体重中减去测量值来计算误解,以百分比表示,并根据性别(报告不足,可接受和报告过多)分类。根据亚洲肌肉减少症工作组2019年共识,使用MF-BIA估计阑尾瘦质量,使用男性和女性分别为7.0和5.7 kg/m2的SMI值定义低肌肉质量。我们使用包括协变量在内的多变量逻辑回归评估了低肌肉质量患病率与体重误解(低报告和高报告)之间的关系。总共有9.3%(49/525)的参与者肌肉质量低。调整协变量后,过度报告者的低肌肉质量患病率高于可接受报告者(优势比[OR];2.37, 95%可信区间[CI];1.03 - -5.44)。此外,对女性进行了敏感性分析,证实了过度报告者的低肌肉质量患病率高于可接受报告者(OR, 3.27;95% ci, 1.18-9.12)。体重误解与低肌肉质量显著相关,尤其是在过度报告者中。
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引用次数: 0
Studies on human body composition in Russia: past and present 俄罗斯人体成分的研究:过去和现在
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-05-03 DOI: 10.1186/s40101-022-00291-3
S. Rudnev, E. Godina
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引用次数: 2
Brown adipose tissue thermogenesis among a small sample of reindeer herders from sub-Arctic Finland 来自芬兰亚北极地区驯鹿牧民的一小部分样本中的棕色脂肪组织产热
IF 3.1 4区 医学 Q1 Social Sciences Pub Date : 2022-04-20 DOI: 10.1186/s40101-022-00290-4
Ocobock, Cara, Soppela, Päivi, Turunen, Minna, Stenbäck, Ville, Herzig, Karl-Heinz
Interest in human physiological responses to cold stress have seen a resurgence in recent years with a focus on brown adipose tissue (BAT), a mitochondria dense fat specialized for heat production. However, a majority of the work examining BAT has been conducted among temperate climate populations. To expand our understanding of BAT thermogenesis in a cold climate population, we measured, using indirect calorimetry and thermal imaging, metabolic rate and body surface temperatures of BAT-positive and BAT-negative regions at room temperature, and mild cold exposure of resting participants from a small sample of reindeer herders (N = 22, 6 females) from sub-Arctic Finland. We found that most herders experienced a significant mean 8.7% increase in metabolic rates, preferentially metabolized fatty acids, and maintained relatively warmer body surface temperatures at the supraclavicular region (known BAT location) compared to the sternum, which has no associated BAT. These results indicate that the herders in this sample exhibit active BAT thermogenesis in response to mild cold exposure. This study adds to the rapidly growing body of work looking at the physiological and thermoregulatory significance of BAT and the important role it may play among cold stressed populations.
近年来,人们对人体对冷应激的生理反应的兴趣重新抬头,重点关注棕色脂肪组织(BAT),一种专门用于产热的线粒体致密脂肪。然而,大多数审查BAT的工作都是在温带气候人群中进行的。为了扩大我们对寒冷气候人群中BAT产热作用的理解,我们使用间接量热法和热成像技术,测量了室温下BAT阳性和BAT阴性区域的代谢率和体表温度,以及来自芬兰亚北极地区的驯鹿牧民(N = 22,6名女性)静息参与者的轻度冷暴露。我们发现,与胸骨相比,大多数牧民的代谢率平均显著增加8.7%,优先代谢脂肪酸,并在锁骨上区域(已知的BAT位置)保持相对较高的体表温度,而胸骨没有相关的BAT。这些结果表明,该样本中的牧民在轻度寒冷暴露下表现出活跃的BAT产热反应。这项研究增加了快速增长的关于BAT生理和体温调节意义的工作,以及它在寒冷应激人群中可能发挥的重要作用。
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引用次数: 1
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Journal of Physiological Anthropology
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