首页 > 最新文献

Obesity Medicine最新文献

英文 中文
Beyond class effects: The need for agent-level stratification and hierarchical composite analysis in cardiovascular outcome trials 超越类别效应:心血管结局试验中药物水平分层和分层复合分析的必要性
Q2 Medicine Pub Date : 2026-01-12 DOI: 10.1016/j.obmed.2026.100683
Andrej Belančić , Bojan Jelaković
{"title":"Beyond class effects: The need for agent-level stratification and hierarchical composite analysis in cardiovascular outcome trials","authors":"Andrej Belančić , Bojan Jelaković","doi":"10.1016/j.obmed.2026.100683","DOIUrl":"10.1016/j.obmed.2026.100683","url":null,"abstract":"","PeriodicalId":37876,"journal":{"name":"Obesity Medicine","volume":"60 ","pages":"Article 100683"},"PeriodicalIF":0.0,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The emerging role of epsilon cells in glucose homeostasis and lipostasis epsilon细胞在葡萄糖稳态和脂质沉积中的新作用
Q2 Medicine Pub Date : 2026-01-01 DOI: 10.1016/j.obmed.2025.100672
N. Pavithra , S. Ankul Singh , Rukaiah Fatma Begum , Krishna Undela , S. Nirenjen , B. Keerthana , Anuragh Singh , R. Mageswari , Sarvesh Sabarathinam
Epsilon (ε) cells represent the rarest endocrine population within the pancreatic islets but serve as the exclusive intra-islet source of ghrelin, a hormone increasingly recognized as a regulator of glucose homeostasis, β-cell function, and lipid metabolism. Once considered primarily an orexigenic signal, ghrelin is now understood to influence intra-islet crosstalk through direct β-cell inhibition and indirect somatostatin-mediated suppression of insulin secretion. Advances in single-cell and multi-omic technologies have refined the molecular identity of ε-cells, uncovering PDX1-low, NKX6.1-negative ghrelin-lineage signatures and non-coding RNA networks that stabilize their fate. ε-cell number and ghrelin output change dynamically across fetal development, adulthood, aging, and metabolic disease. In type 1 diabetes, ε-cell dysfunction occurs against a backdrop of autoimmune β-cell destruction, whereas in type 2 diabetes, impaired ghrelin signaling contributes directly to β-cell failure and metabolic deterioration. Obesity presents a paradox of suppressed circulating ghrelin yet preserved intra-islet activity, mediated partly by the LEAP2–GHSR1a axis. These insights highlight ε-cells as modulators of glucose and energy balance and identify ghrelin-axis interventions, including GHSR antagonists, GOAT inhibitors, and LEAP2 analogs, as emerging therapeutic strategies. This review synthesizes current knowledge on ε-cell biology, their context-dependent roles in diabetes and obesity, and future directions for targeting ε-cell pathways to improve metabolic health.
ε细胞是胰岛内最罕见的内分泌细胞群,但却是胰岛内唯一的生长素来源,生长素是一种越来越被认为是葡萄糖稳态、β细胞功能和脂质代谢的调节剂的激素。曾经认为胃饥饿素主要是一种促氧信号,现在人们了解到胃饥饿素通过直接抑制β细胞和间接抑制生长抑素介导的胰岛素分泌来影响胰岛内串扰。单细胞和多组学技术的进步完善了ε-细胞的分子特性,揭示了PDX1-low, nkx6.1 -阴性的ghrelin谱系特征和稳定其命运的非编码RNA网络。在胎儿发育、成年、衰老和代谢性疾病期间,ε-细胞数量和生长素输出是动态变化的。在1型糖尿病中,ε-细胞功能障碍发生在自身免疫性β-细胞破坏的背景下,而在2型糖尿病中,饥饿素信号传导受损直接导致β-细胞衰竭和代谢恶化。肥胖表现出循环胃饥饿素抑制但胰岛内活性保持的悖论,部分由LEAP2-GHSR1a轴介导。这些发现强调了ε-细胞作为葡萄糖和能量平衡的调节剂,并确定了ghrelin轴干预,包括GHSR拮抗剂,GOAT抑制剂和LEAP2类似物,作为新兴的治疗策略。本文综述了目前关于ε-细胞生物学的知识,它们在糖尿病和肥胖中的环境依赖作用,以及未来针对ε-细胞途径改善代谢健康的方向。
{"title":"The emerging role of epsilon cells in glucose homeostasis and lipostasis","authors":"N. Pavithra ,&nbsp;S. Ankul Singh ,&nbsp;Rukaiah Fatma Begum ,&nbsp;Krishna Undela ,&nbsp;S. Nirenjen ,&nbsp;B. Keerthana ,&nbsp;Anuragh Singh ,&nbsp;R. Mageswari ,&nbsp;Sarvesh Sabarathinam","doi":"10.1016/j.obmed.2025.100672","DOIUrl":"10.1016/j.obmed.2025.100672","url":null,"abstract":"<div><div>Epsilon (ε) cells represent the rarest endocrine population within the pancreatic islets but serve as the exclusive intra-islet source of ghrelin, a hormone increasingly recognized as a regulator of glucose homeostasis, β-cell function, and lipid metabolism. Once considered primarily an orexigenic signal, ghrelin is now understood to influence intra-islet crosstalk through direct β-cell inhibition and indirect somatostatin-mediated suppression of insulin secretion. Advances in single-cell and multi-omic technologies have refined the molecular identity of ε-cells, uncovering PDX1-low, NKX6.1-negative ghrelin-lineage signatures and non-coding RNA networks that stabilize their fate. ε-cell number and ghrelin output change dynamically across fetal development, adulthood, aging, and metabolic disease. In type 1 diabetes, ε-cell dysfunction occurs against a backdrop of autoimmune β-cell destruction, whereas in type 2 diabetes, impaired ghrelin signaling contributes directly to β-cell failure and metabolic deterioration. Obesity presents a paradox of suppressed circulating ghrelin yet preserved intra-islet activity, mediated partly by the LEAP2–GHSR1a axis. These insights highlight ε-cells as modulators of glucose and energy balance and identify ghrelin-axis interventions, including GHSR antagonists, GOAT inhibitors, and LEAP2 analogs, as emerging therapeutic strategies. This review synthesizes current knowledge on ε-cell biology, their context-dependent roles in diabetes and obesity, and future directions for targeting ε-cell pathways to improve metabolic health.</div></div>","PeriodicalId":37876,"journal":{"name":"Obesity Medicine","volume":"59 ","pages":"Article 100672"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vitamin D deficiency in obesity: Epidemiological evidence, biological mechanisms, and clinical considerations 肥胖的维生素D缺乏:流行病学证据、生物学机制和临床考虑
Q2 Medicine Pub Date : 2026-01-01 DOI: 10.1016/j.obmed.2025.100680
Reem J. Al Argan , Safi G. Alqatari , Abrar J. Alwaheed , Manal A. Hasan , Shaya Y. AlQahtani , Mohammed D. Al Shubbar , Abdullah H. Alnasser , Safia M. Al Abbas , Noor H. AlYousef
<div><h3>Background</h3><div>Obesity is a global public health crisis, contributing to substantial morbidity and mortality due to its strong association with chronic diseases such as type 2 diabetes, cardiovascular disorders, and malignancies. Concurrently, vitamin D deficiency has become widespread, affecting nearly one billion people worldwide. Epidemiological studies consistently demonstrate an inverse relationship between obesity and vitamin D levels, with emerging hypotheses suggesting a bidirectional link.</div></div><div><h3>Objectives</h3><div>This review examines the association between obesity and vitamin D status, the underlying biological mechanisms, the role of vitamin D in metabolic disease, and the implications of vitamin D supplementation in obese populations.</div></div><div><h3>Results</h3><div>Epidemiological studies confirm that obese individuals exhibit significantly lower circulating 25-hydroxyvitamin D [25(OH)D] levels than their normal-weight counterparts. Mendelian randomization analyses further establish a causal link, indicating that obesity leads to vitamin D deficiency, rather than vice versa. Proposed biological mechanisms include volumetric dilution due to increased adipose tissue, sequestration of vitamin D in fat stores, and obesity-related impairments in vitamin D metabolism. Vitamin D plays a crucial role in metabolic health by influencing insulin secretion, lipid metabolism, and blood pressure regulation. Deficiency has been associated with insulin resistance, dyslipidemia, and overactivation of the renin-angiotensin-aldosterone system (RAAS), exacerbating obesity-related metabolic complications. However, while vitamin D supplementation effectively raises serum 25(OH)D levels, its impact on improving metabolic outcomes remains inconsistent across interventional studies. In addition, the joint impact of obesity and vitamin D deficiency on bone health remains unexplored, despite distinct mechanisms suggesting additive or synergistic harm. Targeted studies are needed to assess their combined effects using robust designs and comprehensive skeletal outcomes.</div></div><div><h3>Conclusions</h3><div>The strong inverse relationship between obesity and vitamin D status highlights the need for targeted interventions. While weight loss modestly improves vitamin D levels, BMI-adjusted vitamin D supplementation may be the most effective strategy for correcting deficiency in obese populations. Current guidelines suggest that obese individuals require higher doses of vitamin D to achieve optimal serum levels. However, further research is necessary to refine dosing strategies and determine the long-term impact of supplementation on metabolic health outcomes. Future investigations should integrate personalized supplementation approaches with lifestyle and pharmacological interventions to mitigate obesity-related metabolic disturbances effectively. Furthermore, obesity and vitamin D deficiency may jointly exacerbate skeletal de
背景:肥胖是一个全球性的公共卫生危机,由于与2型糖尿病、心血管疾病和恶性肿瘤等慢性疾病密切相关,导致了大量的发病率和死亡率。与此同时,维生素D缺乏症已经变得普遍,影响着全世界近10亿人。流行病学研究一致表明,肥胖与维生素D水平呈反比关系,新出现的假设表明两者之间存在双向联系。目的:本文综述了肥胖与维生素D状态之间的关系、潜在的生物学机制、维生素D在代谢性疾病中的作用以及在肥胖人群中补充维生素D的意义。结果流行病学研究证实,肥胖人群的循环25-羟基维生素D [25(OH)D]水平明显低于正常体重人群。孟德尔随机化分析进一步建立了因果关系,表明肥胖导致维生素D缺乏,而不是相反。提出的生物学机制包括脂肪组织增加导致的体积稀释、脂肪储存中维生素D的隔离以及肥胖相关的维生素D代谢障碍。维生素D通过影响胰岛素分泌、脂质代谢和血压调节,在代谢健康中起着至关重要的作用。缺乏与胰岛素抵抗、血脂异常和肾素-血管紧张素-醛固酮系统(RAAS)的过度激活有关,加剧了肥胖相关的代谢并发症。然而,虽然补充维生素D可以有效提高血清25(OH)D水平,但其对改善代谢结果的影响在介入性研究中仍不一致。此外,肥胖和维生素D缺乏对骨骼健康的共同影响仍未被探索,尽管有不同的机制表明它们具有叠加性或协同性危害。有针对性的研究需要使用稳健的设计和全面的骨骼结果来评估它们的综合效果。结论肥胖与维生素D水平呈强烈的负相关关系,强调了有针对性干预的必要性。虽然减肥可以适度提高维生素D水平,但根据bmi调整维生素D补充可能是纠正肥胖人群缺乏维生素D的最有效策略。目前的指导方针建议,肥胖个体需要更高剂量的维生素D才能达到最佳血清水平。然而,需要进一步的研究来完善剂量策略并确定补充剂对代谢健康结果的长期影响。未来的研究应将个性化的补充方法与生活方式和药物干预相结合,以有效减轻与肥胖相关的代谢紊乱。此外,肥胖和维生素D缺乏可能共同加剧骨骼退化,需要进行专门的研究。
{"title":"Vitamin D deficiency in obesity: Epidemiological evidence, biological mechanisms, and clinical considerations","authors":"Reem J. Al Argan ,&nbsp;Safi G. Alqatari ,&nbsp;Abrar J. Alwaheed ,&nbsp;Manal A. Hasan ,&nbsp;Shaya Y. AlQahtani ,&nbsp;Mohammed D. Al Shubbar ,&nbsp;Abdullah H. Alnasser ,&nbsp;Safia M. Al Abbas ,&nbsp;Noor H. AlYousef","doi":"10.1016/j.obmed.2025.100680","DOIUrl":"10.1016/j.obmed.2025.100680","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Obesity is a global public health crisis, contributing to substantial morbidity and mortality due to its strong association with chronic diseases such as type 2 diabetes, cardiovascular disorders, and malignancies. Concurrently, vitamin D deficiency has become widespread, affecting nearly one billion people worldwide. Epidemiological studies consistently demonstrate an inverse relationship between obesity and vitamin D levels, with emerging hypotheses suggesting a bidirectional link.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;This review examines the association between obesity and vitamin D status, the underlying biological mechanisms, the role of vitamin D in metabolic disease, and the implications of vitamin D supplementation in obese populations.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Epidemiological studies confirm that obese individuals exhibit significantly lower circulating 25-hydroxyvitamin D [25(OH)D] levels than their normal-weight counterparts. Mendelian randomization analyses further establish a causal link, indicating that obesity leads to vitamin D deficiency, rather than vice versa. Proposed biological mechanisms include volumetric dilution due to increased adipose tissue, sequestration of vitamin D in fat stores, and obesity-related impairments in vitamin D metabolism. Vitamin D plays a crucial role in metabolic health by influencing insulin secretion, lipid metabolism, and blood pressure regulation. Deficiency has been associated with insulin resistance, dyslipidemia, and overactivation of the renin-angiotensin-aldosterone system (RAAS), exacerbating obesity-related metabolic complications. However, while vitamin D supplementation effectively raises serum 25(OH)D levels, its impact on improving metabolic outcomes remains inconsistent across interventional studies. In addition, the joint impact of obesity and vitamin D deficiency on bone health remains unexplored, despite distinct mechanisms suggesting additive or synergistic harm. Targeted studies are needed to assess their combined effects using robust designs and comprehensive skeletal outcomes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The strong inverse relationship between obesity and vitamin D status highlights the need for targeted interventions. While weight loss modestly improves vitamin D levels, BMI-adjusted vitamin D supplementation may be the most effective strategy for correcting deficiency in obese populations. Current guidelines suggest that obese individuals require higher doses of vitamin D to achieve optimal serum levels. However, further research is necessary to refine dosing strategies and determine the long-term impact of supplementation on metabolic health outcomes. Future investigations should integrate personalized supplementation approaches with lifestyle and pharmacological interventions to mitigate obesity-related metabolic disturbances effectively. Furthermore, obesity and vitamin D deficiency may jointly exacerbate skeletal de","PeriodicalId":37876,"journal":{"name":"Obesity Medicine","volume":"59 ","pages":"Article 100680"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145883317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Letter to the editor regarding the article “Exploring uric acid as a biomarker in lipedema and lymphedema: A metabolomics study with prospective validation” 致编辑关于文章“探索尿酸作为脂水肿和淋巴水肿的生物标志物:一项具有前瞻性验证的代谢组学研究”的信
Q2 Medicine Pub Date : 2026-01-01 DOI: 10.1016/j.obmed.2025.100666
S. Arin Natania
I found the recent study by Alkhalfan et al. for identifying uric acid as a potential biomarker for lipedema and lymphedema through untargeted plasma metabolomics. To further enhance the clinical translation of these findings, I, propose a structured framework comprising baseline control characterization, longitudinal uric acid profiling across treatment phases, multi-analyte biomarker integration, and endocrine-based stratification. This approach aims to improve diagnostic specificity, accommodate inter-individual variability, and establish uric acid as a reliable tool in differentiating and monitoring lymphatic disorders.
我发现最近Alkhalfan等人通过非靶向血浆代谢组学发现尿酸是脂水肿和淋巴水肿的潜在生物标志物。为了进一步加强这些发现的临床转化,我提出了一个结构化的框架,包括基线对照特征、跨治疗阶段的纵向尿酸谱、多分析物生物标志物整合和基于内分泌的分层。该方法旨在提高诊断特异性,适应个体间的差异,并建立尿酸作为鉴别和监测淋巴疾病的可靠工具。
{"title":"Letter to the editor regarding the article “Exploring uric acid as a biomarker in lipedema and lymphedema: A metabolomics study with prospective validation”","authors":"S. Arin Natania","doi":"10.1016/j.obmed.2025.100666","DOIUrl":"10.1016/j.obmed.2025.100666","url":null,"abstract":"<div><div>I found the recent study by Alkhalfan et al. for identifying uric acid as a potential biomarker for lipedema and lymphedema through untargeted plasma metabolomics. To further enhance the clinical translation of these findings, I, propose a structured framework comprising baseline control characterization, longitudinal uric acid profiling across treatment phases, multi-analyte biomarker integration, and endocrine-based stratification. This approach aims to improve diagnostic specificity, accommodate inter-individual variability, and establish uric acid as a reliable tool in differentiating and monitoring lymphatic disorders.</div></div>","PeriodicalId":37876,"journal":{"name":"Obesity Medicine","volume":"59 ","pages":"Article 100666"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Elucidating the potential benefit of pump-delivered subcutaneous GLP-1R agonist: an exploratory study in the diet-induced obese mouse 阐明泵送皮下GLP-1R激动剂的潜在益处:一项饮食诱导肥胖小鼠的探索性研究
Q2 Medicine Pub Date : 2026-01-01 DOI: 10.1016/j.obmed.2025.100681
Elaine Chiquette , Louise Thisted , Michael Feigh , Stephen Daly , James Besser , David G. Maggs
Subcutaneous pump delivery of the GLP1-receptor-agonist exenatide reduced body weight and improved glycemia in the DIO mouse. Basal-bolus administration conferred advantage over basal alone. This mode of incretin-based therapy offers an alternative to conventional intermittent dosing and further examination of this approach is warranted.
皮下泵送glp1受体激动剂艾塞那肽降低了DIO小鼠的体重并改善了血糖。基底注射比单纯基底注射更有优势。这种以肠促胰岛素为基础的治疗模式提供了传统间歇给药的替代方案,值得进一步研究。
{"title":"Elucidating the potential benefit of pump-delivered subcutaneous GLP-1R agonist: an exploratory study in the diet-induced obese mouse","authors":"Elaine Chiquette ,&nbsp;Louise Thisted ,&nbsp;Michael Feigh ,&nbsp;Stephen Daly ,&nbsp;James Besser ,&nbsp;David G. Maggs","doi":"10.1016/j.obmed.2025.100681","DOIUrl":"10.1016/j.obmed.2025.100681","url":null,"abstract":"<div><div>Subcutaneous pump delivery of the GLP1-receptor-agonist exenatide reduced body weight and improved glycemia in the DIO mouse. Basal-bolus administration conferred advantage over basal alone. This mode of incretin-based therapy offers an alternative to conventional intermittent dosing and further examination of this approach is warranted.</div></div>","PeriodicalId":37876,"journal":{"name":"Obesity Medicine","volume":"59 ","pages":"Article 100681"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Machine learning prediction of adolescent obesity using physical fitness data 使用身体健康数据的机器学习预测青少年肥胖
Q2 Medicine Pub Date : 2026-01-01 DOI: 10.1016/j.obmed.2025.100679
Tatiana Sampaio , Samuel Encarnação , Bruna Amaro , Joana Ribeiro , Luís Branquinho , António M. Monteiro , José E. Teixeira , Soukaina Hattabi , Andrew Sortwell , Luciano Bernardes Leite , Alexandra Malheiro , Pedro Rodrigues , Beat Knechtle , Pedro Flores , Pedro Forte
The escalating prevalence of obesity among adolescents has emerged as a critical global public health challenge. Machine learning techniques have been used to predict obesity in adolescents. This study aimed to develop and validate a robust obesity prediction model for adolescents using this hybrid approach, leveraging data from a diverse cross-sectional population-based study. The hybrid method combines statistical inference with non-linear machine learning to enhance prediction accuracy. Physical fitness data were collected from the FITescola® tests. Multiple tests were employed to evaluate physical fitness. Multiple Poisson's multiple regression method was applied to identify the most predictive variables set of the adolescent's body mass index (BMI) classification. The model's goodness-of-fit statistics indicate a strong fit, with a log-likelihood of −8068.6 and a Pseudo R-squared value of 0.8853, where the aerobic fitness (AF), upper limb strength (ULS) and lower limb flexibility (LLF) presented an inverse association with the adolescent's BMI. In contrast the adolescent's core strength presented a positive association with their body mass. The random forest regression showed that an average of 35 repetition on the yo-yo test predicted a healthy BMI percentile [predBMIperc = 0.31]. In addition, the model presented good validity [MAE = 0.36, MSE = 0.20, RMSE = 0.45, R2 = 0.54]. The model's strong fit and accurate random forest regression's predictions suggest that physical fitness components, such as aerobic fitness, upper limb strength, lower limb power, and core strength, play a significant role in obesity risk among adolescents.
青少年肥胖率不断上升已成为全球公共卫生面临的一项重大挑战。机器学习技术已经被用来预测青少年的肥胖问题。本研究旨在利用来自不同横断面人群研究的数据,利用这种混合方法开发和验证一种强大的青少年肥胖预测模型。该方法将统计推理与非线性机器学习相结合,提高了预测精度。体能数据从FITescola®测试中收集。采用多项测试评估体质。采用多元泊松多元回归方法确定青少年体质指数(BMI)分类最具预测性的变量集。模型的拟合优度统计表明,拟合良好,对数似然为- 8068.6,伪r平方值为0.8853,其中有氧适能(AF)、上肢力量(ULS)和下肢柔韧性(LLF)与青少年的BMI呈负相关。相反,青少年的核心力量与他们的体重呈正相关。随机森林回归显示,悠悠球测试平均重复35次可以预测健康的BMI百分位数[predBMIperc = 0.31]。模型具有较好的效度[MAE = 0.36, MSE = 0.20, RMSE = 0.45, R2 = 0.54]。该模型的强拟合和精确的随机森林回归预测表明,有氧适能、上肢力量、下肢力量和核心力量等身体健康成分在青少年肥胖风险中起着重要作用。
{"title":"Machine learning prediction of adolescent obesity using physical fitness data","authors":"Tatiana Sampaio ,&nbsp;Samuel Encarnação ,&nbsp;Bruna Amaro ,&nbsp;Joana Ribeiro ,&nbsp;Luís Branquinho ,&nbsp;António M. Monteiro ,&nbsp;José E. Teixeira ,&nbsp;Soukaina Hattabi ,&nbsp;Andrew Sortwell ,&nbsp;Luciano Bernardes Leite ,&nbsp;Alexandra Malheiro ,&nbsp;Pedro Rodrigues ,&nbsp;Beat Knechtle ,&nbsp;Pedro Flores ,&nbsp;Pedro Forte","doi":"10.1016/j.obmed.2025.100679","DOIUrl":"10.1016/j.obmed.2025.100679","url":null,"abstract":"<div><div>The escalating prevalence of obesity among adolescents has emerged as a critical global public health challenge. Machine learning techniques have been used to predict obesity in adolescents. This study aimed to develop and validate a robust obesity prediction model for adolescents using this hybrid approach, leveraging data from a diverse cross-sectional population-based study. The hybrid method combines statistical inference with non-linear machine learning to enhance prediction accuracy. Physical fitness data were collected from the FITescola® tests. Multiple tests were employed to evaluate physical fitness. Multiple Poisson's multiple regression method was applied to identify the most predictive variables set of the adolescent's body mass index (BMI) classification. The model's goodness-of-fit statistics indicate a strong fit, with a log-likelihood of −8068.6 and a Pseudo R-squared value of 0.8853, where the aerobic fitness (AF), upper limb strength (ULS) and lower limb flexibility (LLF) presented an inverse association with the adolescent's BMI. In contrast the adolescent's core strength presented a positive association with their body mass. The random forest regression showed that an average of 35 repetition on the yo-yo test predicted a healthy BMI percentile [predBMIperc = 0.31]. In addition, the model presented good validity [MAE = 0.36, MSE = 0.20, RMSE = 0.45, R2 = 0.54]. The model's strong fit and accurate random forest regression's predictions suggest that physical fitness components, such as aerobic fitness, upper limb strength, lower limb power, and core strength, play a significant role in obesity risk among adolescents.</div></div>","PeriodicalId":37876,"journal":{"name":"Obesity Medicine","volume":"59 ","pages":"Article 100679"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145883316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ketosis or calories: The question of diabetes pseudoremission 酮症或卡路里:糖尿病假缓解的问题
Q2 Medicine Pub Date : 2026-01-01 DOI: 10.1016/j.obmed.2025.100677
Mohammed Abrahim MD CCFP(EM) FCFP ABOM
{"title":"Ketosis or calories: The question of diabetes pseudoremission","authors":"Mohammed Abrahim MD CCFP(EM) FCFP ABOM","doi":"10.1016/j.obmed.2025.100677","DOIUrl":"10.1016/j.obmed.2025.100677","url":null,"abstract":"","PeriodicalId":37876,"journal":{"name":"Obesity Medicine","volume":"59 ","pages":"Article 100677"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Therapeutic Frontiers in diabetic foot ulcers: Bridging science and clinical practice 糖尿病足溃疡的治疗前沿:连接科学与临床实践
Q2 Medicine Pub Date : 2025-12-22 DOI: 10.1016/j.obmed.2025.100678
Palwinder Kaur , Amani Gilbert Mfinanga , Vancha Harish , Sharfuddin Mohd , J.P. Yanadaiah , Palakurthi Yanadaiah , Krishnaveni Manubolu
Diabetic foot ulcers (DFUs) are one of the serious complications of diabetes mellitus, contributing to lower limb amputations and leading to decreased quality of life (QoL). Despite many advancements in the pathological approach of DFU, including neuropathy, ischemia, infection, and impaired wound healing, translating scientific breakthroughs into a clinical setup is still a major challenge. This review highlights current advancements in DFU management by bridging the gap between scientific innovations and clinical applications. It focuses on the role of emerging therapies, such as stem cell therapies, 3D bioprinting, and nanotechnology applications. 3D printing customised wound coverings, such as Manipulated Autologous Extracellular Matrix (MA-ECM), demonstrated accelerated wound recovery compared to standard of care. In addition, the review highlights integrative approaches such as negative-pressure wound therapy, hyperbaric oxygen therapy, and diagnostic advancements enabled by artificial intelligence tools. The review explores the antimicrobial and biofilm targeting by using silver nanoparticles, bacteriophages, and photodynamic and blue light therapies. The review further describes the role of AI and ML in wound assessment, and the role of biophysical and electro-magnetic therapies in management.
糖尿病足溃疡(DFUs)是糖尿病的严重并发症之一,可导致下肢截肢和生活质量下降。尽管DFU的病理方法取得了许多进展,包括神经病变、缺血、感染和伤口愈合受损,但将科学突破转化为临床设置仍然是一个重大挑战。这篇综述强调了通过弥合科学创新和临床应用之间的差距,DFU管理的当前进展。它侧重于新兴疗法的作用,如干细胞疗法、3D生物打印和纳米技术应用。3D打印定制伤口覆盖物,如操纵的自体细胞外基质(MA-ECM),与标准护理相比,显示出加速伤口恢复。此外,该综述还强调了负压伤口治疗、高压氧治疗等综合方法,以及人工智能工具带来的诊断进步。综述了纳米银粒子、噬菌体和光动力疗法和蓝光疗法在抗菌和生物膜靶向治疗方面的应用。这篇综述进一步描述了人工智能和机器学习在伤口评估中的作用,以及生物物理和电磁治疗在治疗中的作用。
{"title":"Therapeutic Frontiers in diabetic foot ulcers: Bridging science and clinical practice","authors":"Palwinder Kaur ,&nbsp;Amani Gilbert Mfinanga ,&nbsp;Vancha Harish ,&nbsp;Sharfuddin Mohd ,&nbsp;J.P. Yanadaiah ,&nbsp;Palakurthi Yanadaiah ,&nbsp;Krishnaveni Manubolu","doi":"10.1016/j.obmed.2025.100678","DOIUrl":"10.1016/j.obmed.2025.100678","url":null,"abstract":"<div><div>Diabetic foot ulcers (DFUs) are one of the serious complications of diabetes mellitus, contributing to lower limb amputations and leading to decreased quality of life (QoL). Despite many advancements in the pathological approach of DFU, including neuropathy, ischemia, infection, and impaired wound healing, translating scientific breakthroughs into a clinical setup is still a major challenge. This review highlights current advancements in DFU management by bridging the gap between scientific innovations and clinical applications. It focuses on the role of emerging therapies, such as stem cell therapies, 3D bioprinting, and nanotechnology applications. 3D printing customised wound coverings, such as Manipulated Autologous Extracellular Matrix (MA-ECM), demonstrated accelerated wound recovery compared to standard of care. In addition, the review highlights integrative approaches such as negative-pressure wound therapy, hyperbaric oxygen therapy, and diagnostic advancements enabled by artificial intelligence tools. The review explores the antimicrobial and biofilm targeting by using silver nanoparticles, bacteriophages, and photodynamic and blue light therapies. The review further describes the role of AI and ML in wound assessment, and the role of biophysical and electro-magnetic therapies in management.</div></div>","PeriodicalId":37876,"journal":{"name":"Obesity Medicine","volume":"59 ","pages":"Article 100678"},"PeriodicalIF":0.0,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nutritional knowledge and obesity in healthcare vs. non-healthcare hospital personnel 医疗保健人员与非医疗保健人员的营养知识与肥胖
Q2 Medicine Pub Date : 2025-12-15 DOI: 10.1016/j.obmed.2025.100676
Sanja Lepić , Sonja Marjanović

Objective

Healthcare personnel are pivotal in promoting healthy lifestyles, including balanced nutrition. This study compares nutritional knowledge and its relationship with anthropometric measures between healthcare and non-healthcare personnel at a tertiary healthcare facility.

Methods

A cross-sectional study of 200 participants (100 healthcare, 100 non-healthcare personnel; equal gender distribution) used questionnaires to assess nutritional knowledge across four domains and measured anthropometric indices (BMI, PBF). Statistical analyses included t-tests, chi-square tests, and ANOVA.

Results

Healthcare personnel demonstrated significantly better nutritional knowledge (p < 0.01) and health awareness (p < 0.05) than non-healthcare personnel. Females scored higher in dietary habits (p = 0.03) and health awareness (p = 0.04). While no direct correlation between total nutrition scores and BMI/PBF was found, higher physical activity scores were linked to healthier anthropometric measures (p < 0.05).

Conclusions

Enhanced nutritional knowledge among healthcare personnel, particularly women, may influence healthier body composition. This study highlights the need to address nutritional knowledge gaps and promote healthier lifestyles. Further research should explore targeted interventions for knowledge application in obesity prevention.
目的保健人员是促进健康生活方式的关键,包括均衡营养。本研究比较了营养知识及其与人体测量的关系,保健和非保健人员在三级保健设施。方法对200名参与者(100名卫生保健人员和100名非卫生保健人员,性别分布均匀)进行横断面研究,采用问卷调查的方式评估四个领域的营养知识,并测量人体测量指数(BMI, PBF)。统计分析包括t检验、卡方检验和方差分析。结果卫生保健人员的营养知识(p < 0.01)和健康意识(p < 0.05)显著高于非卫生保健人员。女性在饮食习惯(p = 0.03)和健康意识(p = 0.04)方面得分更高。虽然总营养评分与BMI/PBF之间没有直接关联,但较高的身体活动评分与更健康的人体测量值相关(p < 0.05)。结论提高卫生保健人员(尤其是女性)的营养知识可能会影响健康的身体成分。这项研究强调了解决营养知识差距和促进更健康生活方式的必要性。进一步的研究应探索有针对性的干预措施,以应用知识预防肥胖。
{"title":"Nutritional knowledge and obesity in healthcare vs. non-healthcare hospital personnel","authors":"Sanja Lepić ,&nbsp;Sonja Marjanović","doi":"10.1016/j.obmed.2025.100676","DOIUrl":"10.1016/j.obmed.2025.100676","url":null,"abstract":"<div><h3>Objective</h3><div>Healthcare personnel are pivotal in promoting healthy lifestyles, including balanced nutrition. This study compares nutritional knowledge and its relationship with anthropometric measures between healthcare and non-healthcare personnel at a tertiary healthcare facility.</div></div><div><h3>Methods</h3><div>A cross-sectional study of 200 participants (100 healthcare, 100 non-healthcare personnel; equal gender distribution) used questionnaires to assess nutritional knowledge across four domains and measured anthropometric indices (BMI, PBF). Statistical analyses included t-tests, chi-square tests, and ANOVA.</div></div><div><h3>Results</h3><div>Healthcare personnel demonstrated significantly better nutritional knowledge (p &lt; 0.01) and health awareness (p &lt; 0.05) than non-healthcare personnel. Females scored higher in dietary habits (p = 0.03) and health awareness (p = 0.04). While no direct correlation between total nutrition scores and BMI/PBF was found, higher physical activity scores were linked to healthier anthropometric measures (p &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Enhanced nutritional knowledge among healthcare personnel, particularly women, may influence healthier body composition. This study highlights the need to address nutritional knowledge gaps and promote healthier lifestyles. Further research should explore targeted interventions for knowledge application in obesity prevention.</div></div>","PeriodicalId":37876,"journal":{"name":"Obesity Medicine","volume":"59 ","pages":"Article 100676"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145789679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing post-bariatric surgery weight management: The role of semaglutide 优化减肥手术后体重管理:西马鲁肽的作用
Q2 Medicine Pub Date : 2025-12-12 DOI: 10.1016/j.obmed.2025.100675
Tannaz Jamialahmadi , Wael Almahmeed , Salim S. Virani , Amirhossein Sahebkar
{"title":"Optimizing post-bariatric surgery weight management: The role of semaglutide","authors":"Tannaz Jamialahmadi ,&nbsp;Wael Almahmeed ,&nbsp;Salim S. Virani ,&nbsp;Amirhossein Sahebkar","doi":"10.1016/j.obmed.2025.100675","DOIUrl":"10.1016/j.obmed.2025.100675","url":null,"abstract":"","PeriodicalId":37876,"journal":{"name":"Obesity Medicine","volume":"59 ","pages":"Article 100675"},"PeriodicalIF":0.0,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145789678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Obesity Medicine
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1