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A Mediterranean-type diet improved systemic inflammation in multiple sclerosis patients, as compared to the traditional Iranian diet: A single-center randomized controlled trial 与传统的伊朗饮食相比,地中海型饮食改善了多发性硬化症患者的全身炎症:一项单中心随机对照试验
IF 1.1 Q4 NUTRITION & DIETETICS Pub Date : 2021-01-01 DOI: 10.3233/mnm-210557
Shahrzad Mirashrafi, Mohammad Borzoo-Isfahani, Iman Namjoo, Mohammad Ali Hojjati Kermani, A. R. Moravejolahkami
BACKGROUND: There is overwhelming scientific evidence that dietary modifications is beneficial in neurodegenerative diseases like Multiple Sclerosis (MS). OBJECTIVE: The goal of this study was to explore the effects of modified Mediterranean Diet (mMeD) on systemic inflammation, anthropometric indices, and relapse rate in MS patients. METHODS: This single-center, randomized controlled trial compared mMeD and traditional Iranian diet (as control) during six months in 180 Relapsing-Remitting MS (RRMS) patients. Serum high sensitivity C Reactive Protein (hs-CRP), body weight, Body Mass Index (BMI), percent body fat, and relapse rate were evaluated at baseline, and 3 and 6 months later. Multivariate analysis of covariance test (MANCOVA; conducted by SPSS 24) was adjusted for age, gender, family history, duration of MS and education level. RESULTS: Of 261 screened patients (July 2018-February 2019), 180 patients were eligible; 68/90 as mMeD and 79/90 as control group completed the study. Self-reported adherence was excellent (95%). The mean change on the relapse rate was –0.54±0.9 compared to –0.03±0.4 for control group (P = 0.004). In addition, hs-CRP levels decreased in the mMeD group (–2.9±3.3 mg/L; P <  0.001) and mean changes were significant between two groups (P <  0.001). Anthropometric indices were modified in mMeD group, whereas between-group comparisons were not statistically different. CONCLUSIONS: Overall, mMeD improved inflammatory status and relapse rate in RRMS patients. Future trials with larger scale and longer duration should be conducted to confirm the role of diet as a disease-modifier in MS.
背景:有压倒性的科学证据表明,饮食调整对多发性硬化症(MS)等神经退行性疾病有益。目的:本研究的目的是探讨改良地中海饮食(mMeD)对MS患者全身炎症、人体测量指标和复发率的影响。方法:这项单中心、随机对照试验比较了180例复发-缓解型MS (RRMS)患者6个月期间mMeD和传统伊朗饮食(作为对照)。在基线、3个月和6个月后评估血清高敏C反应蛋白(hs-CRP)、体重、体重指数(BMI)、体脂率和复发率。多变量协方差检验分析;采用SPSS 24进行统计),根据年龄、性别、家族史、MS病程和文化程度进行调整。结果:261例筛查患者(2018年7月- 2019年2月)中,180例患者符合条件;68/90为mMeD组,79/90为对照组完成研究。自我报告的依从性非常好(95%)。复发率的平均变化为-0.54±0.9,对照组为-0.03±0.4 (P = 0.004)。此外,mMeD组hs-CRP水平下降(-2.9±3.3 mg/L;P < 0.001),两组间平均变化显著(P < 0.001)。mMeD组人体测量指标有所改变,组间比较差异无统计学意义。结论:总体而言,mMeD改善了RRMS患者的炎症状态和复发率。未来应进行更大规模、更长期的试验,以确认饮食在多发性硬化症中作为疾病调节剂的作用。
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引用次数: 4
Hypercholesterolemia as a dominant factor of central obesity among adult patients at Bojong Gede Public Health Center, Bogor Regency, Indonesia 在Bojong Gede公共卫生中心,印度尼西亚茂物摄政,高胆固醇血症是成人患者中枢性肥胖的主要因素
IF 1.1 Q4 NUTRITION & DIETETICS Pub Date : 2021-01-01 DOI: 10.3233/MNM-200499
Benedicta Natalia Latif, R. Sartika, Fani Widiartha
The prevalence of central obesity has been increasing rapidly in recent decades Central obesity, measured by waist circumference, is the most dangerous type of obesity since it is closely related to chronic diseases, metabolic complications, and high COVID-19 infection rates The objective of this study was to identify the dominant factor of central obesity among the adult population The study used secondary data from a 2017 cross-sectional study conducted at Bojong Gede Public Health Center, Bogor Regency, Indonesia A total of 85 men and women aged 25-64 years old were selected through purposive sampling and included in the analysis The association between risk factors and central obesity were measured through chi-square bivariate analysis and multiple logistic regression multivariate analysis using IBM SPSS application version 22 The prevalence of central obesity was 70 6% The results showed that sex (women), total blood cholesterol level (hypercholesterolemia), energy, protein, fat, and carbohydrate intake (>110%personal nutritional needs) were significantly associated with central obesity (p-value <  0 05) Hypercholesterolemia was the most dominant risk factor for central obesity (p-value = 0 032;OR = 4 21;95%CI = 1 131-15 667) adjusted for confounders © 2021 - IOS Press All rights reserved
近几十年来,中心性肥胖的患病率迅速上升,以腰围衡量的中心性肥胖与慢性疾病、代谢并发症和COVID-19高感染率密切相关,是最危险的肥胖类型。本研究的目的是确定成人中心性肥胖的主导因素。该研究使用了2017年在Bojong Gede公共卫生中心进行的横断面研究的二手数据。采用有目的抽样的方法,选取年龄在25-64岁之间的85名男性和女性纳入分析,采用IBM SPSS应用程序版本22,通过卡方双变量分析和多因素logistic回归分析,测量了危险因素与中心性肥胖的相关性,发现中心性肥胖的患病率为706%,结果显示性别(女性)、总血胆固醇水平(高胆固醇血症)、能量、蛋白质、高胆固醇血症是中心性肥胖最主要的危险因素(p值= 0 032;OR = 4 21;95%CI = 1 131-15 667),经混杂因素校正©2021 - IOS Press All rights reserved
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引用次数: 0
The degree of nutritional knowledge, attitude and performance of patients with acute coronary syndrome on arrival, discharge day and 3 month after discharge: A longitudinal study 急性冠脉综合征患者入院时、出院当日及出院后3个月的营养知识、态度及表现的纵向研究
IF 1.1 Q4 NUTRITION & DIETETICS Pub Date : 2021-01-01 DOI: 10.3233/MNM-200491
F. Moaddab, A. Salari, E. K. Leili, F. Zaersabet, L. R. Balasi, M. Mahdavi-Roshan, M. Soodmand
BACKGROUND: Acute coronary syndrome is one of the most common chronic, progressive, and life-threatening diseases in most countries in the world. One of the effective factors in re-hospitalization of these patients is the lack of knowledge about the correct diet therapy. OBJECTIVE: This study aimed to compare the degree of nutritional knowledge, attitude, and performance of patients with acute coronary syndrome on arrival, discharge day, and 3 month after discharge in 2017-2018. METHODS: This longitudinal study was conducted on 125 patients with acute coronary syndrome who were referred to Dr. Heshmat hospital in Rasht as the exclusive heart center in Guilan province (Northern Iran). Convenience sampling was done using a valid two-part questionnaire including demographic information and nutritional KAP. Data were analyzed by descriptive statistics and analytical statistics in SPSS. RESULTS: The nutritional knowledge and attitude score of the majority of the samples decreased over the time interval (from time of arrival until the referral to the clinic), but the nutritional performance of patients increased in the period; the mean score on arrival was less than the score at the discharge time. ∗Corresponding author: Arsalan Salari, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, Iran. Tel.: +98 013 33618177; Fax: +98 013 33618177; E-mail: gums.icrc@gmail.com. ORCID ID: Fatemeh Moaddab: http://orcid.org/0000-0003-08118671; Arsalan Salari: http://orcid.org/0000-0002-5821-6176; Ehsan Kazemnezhad Leili: http://orcid.org/0000-0003-1736-6546; Fatemeh Zaersabet: http://orcid.org/0000-0003-0569-7848; Leila Rouhi balasi: http://orcid.org/0000-0002-5088-9157; Marjan Mahdavi-Roshan: http://orcid.org/0000-0002-2645-6714; Mostafa Soodmand: https://orcid.org/0000-0002-3405-9858. ISSN 1973-798X/$35.00 © 2021 – IOS Press. All rights reserved. A U TH O R C O P Y 138 F. Moaddab et al. / Nutritional KAP in ACS CONCLUSION: The results of this study emphasize the importance of nutrition education in people with the acute coronary syndrome.
背景:急性冠脉综合征是世界上大多数国家最常见的慢性、进行性和危及生命的疾病之一。这些患者再次住院的有效因素之一是缺乏正确的饮食治疗知识。目的:本研究旨在比较2017-2018年急性冠状动脉综合征患者入院时、出院当日和出院后3个月的营养知识、态度和表现。方法:本纵向研究纳入125例急性冠状动脉综合征患者,这些患者转诊至吉兰省(伊朗北部)拉什特的Dr. Heshmat医院作为唯一的心脏中心。采用有效的两部分问卷进行方便抽样,包括人口统计信息和营养KAP。数据分析采用SPSS软件的描述性统计和分析性统计。结果:大多数样本的营养知识和态度得分随时间间隔(从到达时间到转诊到诊所)而下降,但患者的营养表现在此期间有所提高;到达时的平均得分低于出院时的得分。通讯作者:Arsalan Salari,伊朗拉什特吉兰医科大学Heshmat医院。电话:+98 013 33618177;传真:+98 013 33618177;电子邮件:gums.icrc@gmail.com。ORCID ID: Fatemeh Moaddab: http://orcid.org/0000-0003-08118671;Arsalan Salari: http://orcid.org/0000-0002-5821-6176;Ehsan Kazemnezhad Leili: http://orcid.org/0000-0003-1736-6546;Fatemeh Zaersabet: http://orcid.org/0000-0003-0569-7848;Leila Rouhi balasi: http://orcid.org/0000-0002-5088-9157;Marjan Mahdavi-Roshan: http://orcid.org/0000-0002-2645-6714;穆斯塔法·苏德曼德:https://orcid.org/0000-0002-3405-9858。ISSN 1973-798X/$35.00©2021 - IOS出版社。版权所有。A:这是我的第一个问题。结论:本研究结果强调了急性冠状动脉综合征患者营养教育的重要性。
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引用次数: 0
Adherence to the pyramid of the Mediterranean diet (2010), non-communicable diseases and lifestyle in online postgraduate Spanish students in the food area 坚持地中海饮食金字塔(2010年)、食品领域西班牙语在线研究生的非传染性疾病和生活方式
IF 1.1 Q4 NUTRITION & DIETETICS Pub Date : 2021-01-01 DOI: 10.3233/MNM-200521
I. Elío, Sandra Jarrín, María Eléxpuru, J. Crespo, I. Domínguez, Killian Tutusaus, Roberto Ruíz, Rubén Calderón, S. Sumalla
BACKGROUND: In Spain, there are several studies published on the relationship between eating habits and lifestyle among university students; but only a few of them are focused on online postgraduate students. OBJECTIVE: Herein we aimed to evaluate the degree of adherence to the Mediterranean diet pyramid (2010 edition), non-communicable diseases (NCDs), and lifestyle in online postgraduate students aged 20–65 years belonging to the food area of the Fundación Universitaria Iberoamericana (FUNIBER). METHODS: We performed a descriptive cross-sectional study including 100 online post-graduate students aged 20–65 years who were recruited by an accidental non-probabilistic sampling method consisting of a questionnaire on their sociodemographic characteristics, NCDs, lifestyle, and a 3-day food intake record (3-d). RESULTS: The profile of the students was 74% women, with a mean age of 36.6 (±10.5) years and body mass index (BMI) of 22.6 kg / m2 (±3.3). 71% of the volunteers presented normal weight, while 20% were overweight. Indeed, only a low percentage of the volunteers presented hypertension (1%), cardiovascular disease (0%), diabetes mellitus 1 (2%), diabetes mellitus 2 (3%), hypercholesterolemia (9%), and hyperuricemia (2%). Concerning lifestyle, (77%) of students were non-smokers, (78%) consumed beverages with caffeine, (51%) did not consume alcoholic beverages, and nearly all of them (84%) frequently (3 times /week) practiced physical activity. 68% of the recruited students exhibited adherence to “Medium diet quality diet (4–7)” followed by (26%) with a “Poor diet quality (<3)” and “Optimal diet quality” (6%). CONCLUSIONS: Spanish postgraduate students of the nutritional area, have good health and a healthy lifestyle but are moving away from the MD model, should be established campaigns for the improvement of eating habits of the postgraduate university population.
背景:在西班牙,有几项关于大学生饮食习惯和生活方式关系的研究发表;但只有少数院校关注在线研究生。目的:本研究旨在评估属于Fundación伊比利亚美洲大学(FUNIBER)食品领域的20-65岁在线研究生对地中海饮食金字塔(2010年版)、非传染性疾病(NCDs)和生活方式的依从程度。方法:我们进行了一项描述性横断面研究,包括100名年龄在20-65岁之间的在线研究生,他们通过意外非概率抽样方法招募,包括关于他们的社会人口学特征、非传染性疾病、生活方式和3天食物摄入记录(3-d)的问卷调查。结果:女性占74%,平均年龄36.6(±10.5)岁,体重指数(BMI) 22.6 kg / m2(±3.3)。71%的志愿者体重正常,20%的人超重。事实上,只有低比例的志愿者出现高血压(1%)、心血管疾病(0%)、1型糖尿病(2%)、2型糖尿病(3%)、高胆固醇血症(9%)和高尿酸血症(2%)。在生活方式方面,77%的学生不吸烟,78%的学生饮用含咖啡因的饮料,51%的学生不饮用含酒精的饮料,几乎所有的学生(84%)都经常(每周3次)进行体育锻炼。68%的被招募学生坚持“中等饮食质量(4-7)”,其次是“不良饮食质量(<3)”(26%)和“最佳饮食质量”(6%)。结论:营养领域的西班牙研究生健康状况良好,生活方式健康,但正在远离MD模式,应建立改善研究生大学人口饮食习惯的运动。
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引用次数: 0
Associations between whole and low-fat dairy products consumption, physical performance and mental health 全脂和低脂乳制品消费、身体表现和心理健康之间的关系
IF 1.1 Q4 NUTRITION & DIETETICS Pub Date : 2021-01-01 DOI: 10.3233/MNM-200474
R. Ghodsi, H. Rostami, K. Parastouei, M. Taghdir
BACKGROUND: Military staff are required to be in a proper condition of mental health and weight standards and have a specific level of physical performances (PP). Dairy products are rich sources of essential nutrients. It was demonstrated that Iranians consume much less milk and its products and there is no exception in the military staff. OBJECTIVES: To examine the association between consumption of low or whole-fat dairy and psychological disorders and PP in military personnel. METHODS: This cross-sectional study was conducted in four military zones of Iran. Dairy products intake were evaluated by using a semi-quantitative food-frequency questionnaire (FFQ). The Persian version of Depression, Anxiety, Stress Scale-21 (DASS-21) were used to assess participants’ depression, anxiety and stress and PP were assessed by a 2-mile run, sit-up, push-up and pull-up. RESULTS: There was a significant negative relationship between the tertiles of total and low-fat dairy consumption and depression (OR 0.28, 95% CI 0.10 to 0.79, P <  0.05), and low-fat dairy consumption and stress (OR 0.34, 95% CI 0.13 to 0.93, P <  0.05). Also, there was a positive association between the last tertiles of low-fat dairy consumption and suitable PP (OR 5.28, 95% CI 1.08 to 25.71, P <  0.05). CONCLUSIONS: We concluded that consumption of dairy products and particularly low-fat products are related to less psychological problems and a better PP level.
背景:军事工作人员需要有适当的心理健康状况和体重标准,并具有特定水平的体能表现(PP)。乳制品是必需营养素的丰富来源。事实证明,伊朗人消耗的牛奶及其制品要少得多,军事人员也不例外。目的:探讨军事人员低脂或全脂乳制品消费与心理障碍和PP之间的关系。方法:本横断面研究在伊朗四个军区进行。采用半定量食物频率问卷(FFQ)评估乳制品摄入量。波斯语版抑郁、焦虑、压力量表21 (DASS-21)用于评估参与者的抑郁、焦虑和压力,PP通过2英里跑步、仰卧起坐、俯卧撑和引体向上来评估。结果:低脂乳制品总消费量和低脂乳制品总消费量与抑郁(OR 0.28, 95% CI 0.10 ~ 0.79, P < 0.05)、低脂乳制品消费量与应激(OR 0.34, 95% CI 0.13 ~ 0.93, P < 0.05)呈显著负相关。低脂乳制品消费的最后1 / 5与适宜的PP呈正相关(OR 5.28, 95% CI 1.08 ~ 25.71, P < 0.05)。结论:食用乳制品,尤其是低脂乳制品与较少的心理问题和较好的PP水平相关。
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引用次数: 2
Can a different pasta making process preserve the starch’s ultrastructure, increasing its digestibility? 不同的面食制作工艺能否保留淀粉的超微结构,提高其消化率?
IF 1.1 Q4 NUTRITION & DIETETICS Pub Date : 2021-01-01 DOI: 10.3233/MNM-200518
A. Gaddi, M. Savo, F. Capello, Gaetano Castiglione
BACKGROUND: Pasta plays an important role in human nutrition, nevertheless its organoleptic, structural and bromatologic properties have not been completely studied. OBJECTIVE: The study aims to compare the ultrastructure pasta cross-sections produced with reduced mechanic stress and low heat exposure technique (Pietro Massi Technology ™) to common samples obtained with traditional technology in order to assess if a different process can alter the ultrastructure of starch and then, its digestibility. METHODS: A comparative study was performed on the ultrastructure of pasta using scanning electron microscopy (S.E.M). 55 were pasta cross-sections made with Pietro Massi technology, 33 were samples from different pasta factory produced using traditional process, for a total of 88 samples analysed. RESULTS: According to an Index based on what it was observed at one slide at S.E.M we classified samples and compared the number of grains, caves and canals visible, their dimensions in μm and average size of grains. The number of grains in group 1 (9.06±5.01) in group 2 (5.71±5.77), in group 3 (5.93±7.65) resulted significative more elevated compared to group 4 (0.73±2.58); in group 1 and group 2 the number of caves observed was higher than group 4. The size in μm of canals resulted significantly more elevated in group 1 than group 3 (p = 0.008), group 2(p = 0.013), and group 4 (p = 0.02). CONCLUSION: The analysis of average size of caves and canals in μm, the number of caves and grains demonstrated in samples obtained with Massi technology elevated values compared to samples obtained with traditional technique. The number of caves, grains and canals visible in the starch surface demonstrate the high quality of this pasta because they likely ensure penetration of water during cooking, facilitating at the same time the penetration of pancreatic amylases during digestion, suggesting a better digestibility in pasta produced according to this methodology.
背景:面食在人类营养中扮演着重要的角色,然而其感官、结构和色谱特性尚未被完全研究。目的:本研究旨在比较用降低机械应力和低热暴露技术(Pietro Massi Technology™)生产的意大利面横截面的超微结构与用传统技术获得的普通样品,以评估不同的工艺是否可以改变淀粉的超微结构,进而改变其消化率。方法:采用扫描电镜对面食的超微结构进行对比研究。55个是用Pietro Massi技术制作的意大利面横截面,33个是来自不同意大利面工厂使用传统工艺生产的样品,总共分析了88个样品。结果:根据sem上一张载玻片所观察到的指数对样品进行了分类,并比较了可见的颗粒、洞洞和沟渠的数量、μm尺寸和颗粒的平均尺寸。1组(9.06±5.01)、2组(5.71±5.77)、3组(5.93±7.65)粒数显著高于4组(0.73±2.58)粒数;1、2组观察到的溶洞数量均高于4组。1组的根管直径(μm)明显高于3组(p = 0.008)、2组(p = 0.013)和4组(p = 0.02)。结论:与传统方法相比,Massi技术获得的样品中洞洞和孔道的平均尺寸(μm)、洞洞和颗粒的数量均有所增加。淀粉表面可见的洞穴、谷物和沟渠的数量证明了这种面食的高质量,因为它们可能确保了水在烹饪过程中的渗透,同时促进了胰淀粉酶在消化过程中的渗透,这表明根据这种方法生产的面食具有更好的消化率。
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引用次数: 0
Metabolic Syndrome, Homocysteine and uric acid in patients with obesity; experience from obesity and work centre 肥胖患者代谢综合征、同型半胱氨酸和尿酸的研究来自肥胖和工作中心的经验
IF 1.1 Q4 NUTRITION & DIETETICS Pub Date : 2021-01-01 DOI: 10.3233/mnm-210554
Gori Francesca, TirelliAmedea Silvia, Piontini Alessandra, Depinto Vito, Bamonti Fabrizia, C. Vassalle, Vigna Luisella
BACKGROUND: Uric acid (UA) and homocysteine (HCys) are involved in cardiovascular diseases. Patients with obesity (PwO) are characterized by elevated cardiovascular risk. OBJECTIVE: To evaluate the relationship between HCys and UA concentrations in 1141 overweight patients and PwO with and without metabolic syndrome (MS). METHODS: MS was defined according to IDF criteria (2005). Anthropometric data were recorded and blood biochemical parameters were assessed with routine methods on fasting blood samples. Statistics: Spearman correlation and multiple regression analysis. RESULTS: Gender, obesity and MS influenced both UA and HCys levels, which were increased in males, MS patients, PwO with MS and positively correlated (p <  0.001). Patients without MS had normal or slightly high levels. Hypertension, hyperuricemia and hyperhomocysteinemia were found in PwO with MS. UA concentration correlated with systolic blood pressure, triglycerides and HDL (all p <  0.05). Multivariate analysis showed that HCys concentration was an independent determinant factor affecting UA levels (T value 3.5, p <  0.001). CONCLUSIONS: HCys and UA levels positively and significantly correlated in PwO, especially in those with MS. The significant correlation between UA and hypertension, triglycerides, HDL suggests the clinical usefulness of monitoring UA together with HCys concentrations as cardiovascular risk marker in these patients.
背景:尿酸(UA)和同型半胱氨酸(HCys)与心血管疾病有关。肥胖(pvo)患者的特点是心血管风险升高。目的:评价1141例伴有和不伴有代谢综合征(MS)的超重患者和pvo患者HCys和UA浓度之间的关系。方法:质谱按照IDF(2005)标准定义。记录人体测量数据,并按常规方法评估空腹血样的血液生化参数。统计学方法:Spearman相关及多元回归分析。结果:性别、肥胖和多发性硬化症均影响UA和HCys水平,男性、多发性硬化症患者、pw合并多发性硬化症患者UA和HCys水平升高且呈正相关(p < 0.001)。非MS患者的水平正常或略高。pw患者存在高血压、高尿酸血症、高同型半胱氨酸血症,ms - UA浓度与收缩压、甘油三酯、HDL相关(p < 0.05)。多因素分析显示HCys浓度是影响UA水平的独立决定因素(T值3.5,p < 0.001)。结论:HCys与UA水平在pw患者中呈显著正相关,尤其是在ms患者中。UA与高血压、甘油三酯、HDL之间存在显著相关性,提示在这些患者中监测UA与HCys浓度作为心血管危险指标具有临床意义。
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引用次数: 0
A systematic review and meta-analysis of serum resistin level and its relation to HOMA-IR score using meta-regression in nonalcoholic fatty liver disease patients 非酒精性脂肪肝患者血清抵抗素水平及其与HOMA-IR评分关系的meta-回归系统评价和meta-分析
IF 1.1 Q4 NUTRITION & DIETETICS Pub Date : 2021-01-01 DOI: 10.3233/MNM-210538
Asad Mirzaei, Asma Asal, Ali Seidkhani-Nahal, A. Noori-Zadeh
BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) comorbidity with adipose tissue dysfunction is not new and studies have focused on how adipose tissue influences NAFLD pathophysiology. OBJECTIVE: Quantification of nature and magnitude of the association between serum resistin and also insulin resistance, by calculating pooled Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) score, with NAFLD pathophysiology was the objective of the current study. METHODS: Using systematic review and meta-analysis and standardized mean difference (SMD) as the effect size, the levels of resistin and HOMA-IR scores have been investigated in NAFLD subjects in comparison with controls in the case-control studies using random-effects models. RESULTS: This meta-analysis retrieved a total number of 665 and 522 cases and 671 and 555 control subjects until May 2020 for serum levels of resistin and HOMA-IR score until May 2020. The final analyses demonstrated that pooled SMD of resistin and HOMA-IR score was 0.687 (95% confidence interval, 0.070–1.304) and 1.368 (95% confidence interval, 1.080–1.655); respectively. Moreover, the p-value for the test of significance for each pooled SMD was examined by the z-test and calculated as 0.029 and 0.000 for resistin and HOMA-IR score (clearly considered as statistically significant). CONCLUSION: Based on the findings, the HOMA-IR score and the serum levels of resistin in NAFLD subjects are associated with disease pathogenesis.
背景:非酒精性脂肪性肝病(NAFLD)与脂肪组织功能障碍的合并症并不新鲜,研究主要集中在脂肪组织如何影响NAFLD的病理生理。目的:本研究的目的是通过计算胰岛素抵抗的稳态模型评估(HOMA-IR)评分,并结合NAFLD病理生理学,量化血清抵抗素与胰岛素抵抗之间关联的性质和程度。方法:采用系统评价和荟萃分析,以标准化平均差异(SMD)作为效应大小,研究NAFLD患者的抵抗素水平和HOMA-IR评分水平,并与随机效应模型的病例对照研究中的对照组进行比较。结果:截至2020年5月,本荟萃分析共检索了665例和522例病例以及671例和555例对照受试者的血清抵抗素水平和HOMA-IR评分,截至2020年5月。最终分析显示,抵抗素和HOMA-IR评分的合并SMD分别为0.687(95%可信区间为0.070 ~ 1.304)和1.368(95%可信区间为1.080 ~ 1.655);分别。此外,通过z检验检验每个合并SMD的显著性检验的p值,并计算抵抗素和HOMA-IR评分的p值为0.029和0.000(显然认为具有统计学意义)。结论:基于研究结果,NAFLD患者HOMA-IR评分和血清抵抗素水平与疾病发病机制相关。
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引用次数: 0
Prevalence of malnutrition and stunting among under-five children: A cross-sectional study family of quality of life in agricultural areas of Indonesia 五岁以下儿童营养不良和发育迟缓的流行:印度尼西亚农业地区家庭生活质量的横断面研究
IF 1.1 Q4 NUTRITION & DIETETICS Pub Date : 2021-01-01 DOI: 10.3233/MNM-200492
Tantut Susanto, Hanny Rasni, Latifa Aini Susumaningrum
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引用次数: 5
Association of food quality index with subclinical inflammation in middle-aged obese men 中年肥胖男性食品质量指数与亚临床炎症的关系
IF 1.1 Q4 NUTRITION & DIETETICS Pub Date : 2021-01-01 DOI: 10.3233/MNM-200502
M. Bellotto, Alex Castro, I. L. Bonfante, D. Brunelli, M. P. Chacon-Mikahil, C. Cavaglieri
BACKGROUND: High visceral fat storage unbalance secretion inflammatory peptides, however diet plays an important role-protecting metabolism against chronic diseases inherent to this condition. OBJECTIVE: To assess obese diet quality and find association with inflammatory biomarkers. METHODS: aMED, a Food Quality Index, classified the inflammatory power of 26 obese men’s diet (aged: 48.1±5.1; BMI: 31.1±2.45). Pearson correlation coefficient associated diet quality in tertiles (1st as low, 2nd as average and 3 rd as high quality diet) with inflammatory variables (cytokines and waist circumference). RESULTS: The intake of anti-inflammatory food groups was significantly higher among tertiles (3rd > 2nd > 1st; P < 0.001). Adiponectin was lower in the 2nd tertile than in the 1st (P < 0.05). Whole cereal presented a positive correlation with TNF-alpha (p = 0.049), and a negative correlation with IL–15 (p = 0.002). Fish presented a positive correlation with IL–10 (p = 0.024), Resistin (p = 0.039) and PGE–2 (p = 0.001). These findings pointed to pro and anti-inflammatory responses. CONCLUSIONS: The method may need adjustments when used to assess obese food intake, since they don’t usually meet the daily-recommended intake. Other lifestyles variables should be considered, which may affect the inflammatory status.
背景:高内脏脂肪储存使炎性肽分泌失衡,然而饮食在保护代谢免受这种情况固有的慢性疾病方面起着重要作用。目的:评估肥胖饮食质量并发现与炎症生物标志物的关联。方法:采用食品质量指数aMED对26例肥胖男性(年龄:48.1±5.1;体重指数:31.1±2.45)。皮尔森相关系数将饮食质量与炎症变量(细胞因子和腰围)联系在一起,每三分之一的饮食质量(低、中、高)与炎症变量(细胞因子和腰围)相关。结果:抗炎食物组大鼠的摄取量显著高于各组大鼠(第3、第2、第1、第1;p < 0.001)。脂联素在第二分蘖中低于第一分蘖(P < 0.05)。全谷物与tnf - α呈正相关(p = 0.049),与IL-15呈负相关(p = 0.002)。Fish与IL-10 (p = 0.024)、resistance (p = 0.039)、PGE-2 (p = 0.001)呈正相关。这些发现指出了促进和抗炎反应。结论:该方法在评估肥胖食物摄入时可能需要调整,因为它们通常不符合每日推荐摄入量。应该考虑其他生活方式变量,这可能会影响炎症状态。
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Mediterranean Journal of Nutrition and Metabolism
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