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Association between Obesity and Length of COVID-19 Hospitalization: Unexpected Insights from the American Heart Association National COVID-19 Registry. 肥胖与COVID-19住院时间之间的关系:来自美国心脏协会国家COVID-19登记处的意外见解。
IF 5.2 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-09-30 DOI: 10.7570/jomes22042
William J Collins, Andrew Y Chang, Yingjie Weng, Alex Dahlen, Connor G O'Brien, Jason Hom, Neera Ahuja, Fatima Rodriguez, Nidhi Rohatgi

Background: The mechanism for possible association between obesity and poor clinical outcomes from Coronavirus Disease 2019 (COVID-19) remains unclear.

Methods: We analyzed 22,915 adult COVID-19 patients hospitalized from March 2020 to April 2021 to non-intensive care using the American Heart Association National COVID Registry. A multivariable Poisson model adjusted for age, sex, medical history, admission respiratory status, hospitalization characteristics, and laboratory findings was used to calculate length of stay (LOS) as a function of body mass index (BMI). We similarly analyzed 5,327 patients admitted to intensive care for comparison.

Results: Relative to normal BMI subjects, overweight, class I obese, and class II obese patients had approximately half-day reductions in LOS (-0.469 days, P<0.01; -0.480 days, P<0.01; -0.578 days, P<0.01, respectively).

Conclusion: The model identified a dose-dependent, inverse relationship between BMI category and LOS for COVID-19, which was not seen when the model was applied to critically ill patients.

背景:肥胖与2019冠状病毒病(COVID-19)临床预后不良之间可能存在关联的机制尚不清楚。方法:我们使用美国心脏协会国家COVID-19登记处对2020年3月至2021年4月住院的22915例成人COVID-19患者进行非重症监护分析。采用多变量泊松模型调整年龄、性别、病史、入院呼吸状态、住院特征和实验室结果,计算住院时间(LOS)作为体重指数(BMI)的函数。我们同样分析了5,327名入住重症监护室的患者进行比较。结果:与BMI正常受试者相比,超重、I级肥胖和II级肥胖患者的LOS减少了大约半天(-0.469天)。结论:该模型发现,BMI类别与COVID-19的LOS之间存在剂量依赖的反比关系,而当该模型应用于危重患者时,则没有发现这种关系。
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引用次数: 2
Regulation of Adipose Tissue Biology by Long-Chain Fatty Acids: Metabolic Effects and Molecular Mechanisms 长链脂肪酸对脂肪组织生物学的调控:代谢效应和分子机制
IF 5.2 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-06-13 DOI: 10.7570/jomes22014
Sunhye Shin
Long-chain fatty acids (LCFA) modulate metabolic, oxidative, and inflammatory responses, and the physiological effects of LCFA are determined by chain length and the degree of saturation. Adipose tissues comprise multiple cell types, and play a significant role in energy storage and expenditure. Fatty acid uptake and oxidation are the pathways through which fatty acids participate in the regulation of energy homeostasis, and their dysregulation can lead to the development of obesity and chronic obesity-related disorders, including type 2 diabetes, cardiovascular diseases, and certain types of cancer. Numerous studies have reported that many aspects of adipose tissue biology are influenced by the number and position of double bonds in LCFA, and these effects are mediated by various signaling pathways, including those regulating adipocyte differentiation (adipogenesis), thermogenesis, and inflammation in adipose tissue. This review aims to describe the underlying molecular mechanisms by which different types of LCFA influence adipose tissue metabolism, and to further clarify their relevance to metabolic dysregulation associated with obesity. A better understanding of the effects of LCFA on adipose tissue metabolism may lead to improved nutraceutical strategies to address obesity and obesity-associated diseases.
长链脂肪酸(LCFA)调节代谢、氧化和炎症反应,LCFA的生理作用由链长和饱和程度决定。脂肪组织包括多种细胞类型,在能量储存和消耗中发挥着重要作用。脂肪酸摄入和氧化是脂肪酸参与调节能量稳态的途径,其失调可导致肥胖和慢性肥胖相关疾病的发展,包括2型糖尿病、心血管疾病和某些类型的癌症。许多研究报道,脂肪组织生物学的许多方面都受到LCFA中双键的数量和位置的影响,这些影响是由各种信号通路介导的,包括调节脂肪细胞分化(脂肪生成)、产热和脂肪组织炎症的信号通路。这篇综述旨在描述不同类型的LCFA影响脂肪组织代谢的潜在分子机制,并进一步阐明它们与肥胖相关的代谢失调的相关性。更好地了解LCFA对脂肪组织代谢的影响可能会导致改善营养策略,以解决肥胖和肥胖相关疾病。
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引用次数: 4
Triglyceride–Glucose Index Predicts Cardiovascular Outcome in Metabolically Unhealthy Obese Population: A Nationwide Population-Based Cohort Study 甘油三酯-葡萄糖指数预测代谢不健康肥胖人群心血管结局:一项全国性人群队列研究
IF 5.2 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-06-13 DOI: 10.7570/jomes21086
Y. Cho, Hwi Seung Kim, J. Park, W. Lee, Ye-Jee Kim, C. Jung
Background This study assesses the prognostic value of the triglyceride–glucose (TyG) index for cardiovascular (CV) risk in subgroups based on metabolic health and obesity status. Methods Originally, 514,866 participants were enrolled from the Korean National Health Insurance Service-National Health Screening Cohort. The study participants were categorized into four groups: metabolically healthy non-obese (MHNO), metabolically unhealthy non-obese (MUNO), metabolically healthy obese (MHO), and metabolically unhealthy obese (MUO). The TyG index was calculated using the following formula: ln (fasting triglyceride [mg/dL]×fasting plasma glucose [mg/dL]/2). Participants were followed from 2009 to 2015 for CV events and CV mortality according to the TyG index. Results After exclusions, the final study cohort contained 292,206 people. During the follow-up, 9,138 CV events and 1,163 CV deaths were documented. When the high and low TyG groups were compared, the high TyG group had a substantially increased risk of CV events among the MUNO and MUO participants (multivariable-adjusted hazard ratio [HR], 1.18; 95% confidence interval [CI], 1.07–1.30 and 1.27 [1.14–1.42], respectively). In participants with MUO status, CV mortality was also significantly increased in the high TyG group compared with the corresponding low TyG group (multivariable-adjusted HR, 1.48; 95% CI, 1.13–1.93). In contrast, a high TyG index was not related to CV mortality in the MHNO, MHO, and MUNO groups. Conclusion The predictive value of the TyG index can vary across populations. Among MUO participants, the TyG index was significantly and positively correlated with unfavorable CV outcomes.
本研究评估了基于代谢健康和肥胖状况的亚组中甘油三酯-葡萄糖(TyG)指数对心血管(CV)风险的预后价值。方法最初,从韩国国民健康保险服务-国民健康筛查队列中招募了514,866名参与者。研究参与者被分为四组:代谢健康的非肥胖(MHNO)、代谢不健康的非肥胖(MUNO)、代谢健康的肥胖(MHO)和代谢不健康的肥胖(MUO)。TyG指数计算公式如下:ln(空腹甘油三酯[mg/dL]×fasting血浆葡萄糖[mg/dL]/2)。根据TyG指数,从2009年到2015年随访参与者的CV事件和CV死亡率。排除后,最终的研究队列包含292206人。在随访期间,记录了9138例CV事件和1163例CV死亡。当比较高、低TyG组时,高TyG组在MUNO和MUO参与者中CV事件的风险显著增加(多变量校正风险比[HR], 1.18;95%置信区间[CI]分别为1.07-1.30和1.27[1.14-1.42])。在MUO状态的参与者中,高TyG组的CV死亡率也显著高于相应的低TyG组(多变量校正HR, 1.48;95% ci, 1.13-1.93)。相反,高TyG指数与MHNO、MHO和MUNO组的CV死亡率无关。结论TyG指数在不同人群中具有不同的预测价值。在MUO参与者中,TyG指数与不利的CV结果显著正相关。
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引用次数: 3
Retraction: Birth Weight Predicts Anthropometric and Body Composition Assessment Results in Adults: A Population-Based Cross-Sectional Study (J Obes Metab Syndr 2021;30:279-88) 退缩:出生体重预测成年人的人体测量和身体成分评估结果:一项基于人群的横断面研究(肥胖代谢综合杂志2021;30:279-88)
IF 5.2 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-06-09 DOI: 10.7570/jomes22039
I. Salmi, S. Hannawi
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引用次数: 0
Beneficial Effects of Taurine on Metabolic Parameters in Animals and Humans 牛磺酸对动物和人类代谢参数的有益影响
IF 5.2 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-06-07 DOI: 10.7570/jomes21088
Minkyung Bae, Kainat Ahmed, J. Yim
Taurine (2-aminoethanesulfonic acid) is a non-essential amino acid mainly obtained through diet in humans. Despite the lack of research on the health effects of taurine in animals and humans, it is widely used as a dietary supplement. Evidence from human and animal studies indicates that taurine is involved in conjugation of bile acids and regulation of blood pressure and has anti-oxidative, anti-inflammatory, and anti-obesogenic properties. Taurine can benefit both human and non-human animal health in multiple ways. However, few interventional and epidemiological studies regarding the beneficial impacts of taurine in humans and other animals have been conducted. Here, we review the evidence from animal and human studies showing that taurine protects against dyslipidemia, obesity, hypertension, and diabetes mellitus.
牛磺酸(2-氨基乙磺酸)是人体主要通过饮食获取的非必需氨基酸。尽管缺乏牛磺酸对动物和人类健康影响的研究,但它被广泛用作膳食补充剂。来自人类和动物研究的证据表明,牛磺酸参与胆汁酸的结合和血压调节,并具有抗氧化、抗炎和抗肥胖的特性。牛磺酸可以通过多种方式有益于人类和非人类动物的健康。然而,关于牛磺酸对人类和其他动物的有益影响的干预和流行病学研究很少。在这里,我们回顾了动物和人类研究的证据,表明牛磺酸可以预防血脂异常、肥胖、高血压和糖尿病。
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引用次数: 8
Effect of Carbohydrate-Restricted Diets and Intermittent Fasting on Obesity, Type 2 Diabetes Mellitus, and Hypertension Management: Consensus Statement of the Korean Society for the Study of Obesity, Korean Diabetes Association, and Korean Society of Hypertension 碳水化合物限制饮食和间歇性禁食对肥胖、2型糖尿病和高血压管理的影响:韩国肥胖研究学会、韩国糖尿病协会和韩国高血压学会的共识声明
IF 5.2 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-06-07 DOI: 10.7570/jomes22009
Jong Han Choi, Y. Cho, Hyun-Jin Kim, S. Ko, S. Chon, J. Kang, Kyoung-Kon Kim, Eun Mi Kim, Hyun Jung Kim, K. Song, G. Nam, K. Kim
Carbohydrate-restricted diets and intermittent fasting (IF) have been rapidly gaining interest among the general population and patients with cardiometabolic disease, such as overweight or obesity, diabetes, and hypertension. However, there are limited expert recommendations for these dietary regimens. This study aimed to evaluate the level of scientific evidence on the benefits and harms of carbohydrate-restricted diets and IF to make responsible recommendations. A meta-analysis and systematic literature review of 66 articles on 50 randomized controlled trials (RCTs) of carbohydrate-restricted diets and 10 articles on eight RCTs of IF was performed. Based on the analysis, the following recommendations are suggested. In adults with overweight or obesity, a moderately-low carbohydrate or low carbohydrate diet (mLCD) can be considered as a dietary regimen for weight reduction. In adults with type 2 diabetes mellitus, mLCD can be considered as a dietary regimen for improving glycemic control and reducing body weight. In contrast, a very-low carbohydrate diet (VLCD) and IF are recommended against in patients with diabetes. Furthermore, no recommendations are suggested for VLCD and IF in adults with overweight or obesity, and carbohydrate-restricted diets and IF in patients with hypertension. Here, we describe the results of our analysis and the evidence for these recommendations.
碳水化合物限制饮食和间歇性禁食(IF)已迅速引起一般人群和心脏代谢疾病(如超重或肥胖、糖尿病和高血压)患者的兴趣。然而,对于这些饮食方案,专家的建议有限。本研究旨在评估碳水化合物限制饮食和IF的利弊的科学证据水平,以提出负责任的建议。我们对66篇关于碳水化合物限制饮食的随机对照试验(rct)和8篇关于IF的随机对照试验(rct)进行了荟萃分析和系统文献综述。根据分析,提出以下建议。对于超重或肥胖的成年人,中低碳水化合物或低碳水化合物饮食(mLCD)可以被认为是一种减肥的饮食方案。在成人2型糖尿病患者中,mLCD可以被认为是一种改善血糖控制和降低体重的饮食方案。相反,糖尿病患者不建议低碳水化合物饮食(VLCD)和IF。此外,没有建议超重或肥胖成人的VLCD和IF,以及高血压患者的碳水化合物限制饮食和IF。在这里,我们描述了我们的分析结果和这些建议的证据。
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引用次数: 13
Type 2 Diabetes Remission with Significant Weight Loss: Definition and Evidence-Based Interventions 2型糖尿病缓解并显著减轻体重:定义和循证干预
IF 5.2 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-05-27 DOI: 10.7570/jomes22001
J. Ko, Tae Nyun Kim
Type 2 diabetes (T2D) has long been regarded as an incurable and chronic disease according to conventional management methods. Clinical and pathophysiological studies on the natural course of T2D have shown that blood glucose control worsens with an increase in the number of required anti-hyperglycemic agents, as β-cell function progressively declines over time. However, recent studies have shown remission of T2D after metabolic surgery, intensive lifestyle modification, or medications, raising the possibility that β-cell function may be preserved or the decline in β-cell function may even be reversible. The World Health Organization as well as the American Diabetes Association and the European Association for the Study of Diabetes recognize remission as an appropriate management aim. In the light of the state of evidence for T2D reversal, physicians need to be educated on treatment options to achieve T2D remission so that they can actively play a part in counseling patients who may wish to explore these approaches to their disease. This review will introduce each of these approaches, summarizing their beneficial effects, supporting evidence, degree of sustainability, and challenges to be addressed in the future.
根据传统的治疗方法,2型糖尿病(T2D)一直被认为是一种无法治愈的慢性疾病。关于T2D自然病程的临床和病理生理学研究表明,血糖控制随着所需降糖药数量的增加而恶化,因为β细胞功能随着时间的推移逐渐下降。然而,最近的研究表明,在代谢手术、强化生活方式改变或药物治疗后,T2D得到缓解,这提高了β细胞功能可能得到保留或β细胞功能下降甚至可能是可逆的可能性。世界卫生组织以及美国糖尿病协会和欧洲糖尿病研究协会承认缓解是一个适当的管理目标。鉴于目前T2D逆转的证据,医生需要接受有关治疗方案的教育,以实现T2D缓解,以便他们能够积极地为那些希望探索这些治疗方法的患者提供咨询。这篇综述将介绍每一种方法,总结它们的有益效果、支持证据、可持续性程度以及未来需要解决的挑战。
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引用次数: 4
Maintaining Physical Activity Is Associated with Reduced Major Adverse Cardiovascular Events in People Newly Diagnosed with Diabetes 在新诊断的糖尿病患者中,保持体育活动与减少主要心血管不良事件有关
IF 5.2 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-05-27 DOI: 10.7570/jomes22007
D. Kim, Jaehun Seo, K. Ha, D. Kim
Background We investigated the association between changes in physical activity and the risk of a major adverse cardiovascular event (MACE) in people with newly diagnosed diabetes. Methods Using a nationwide database, we identified 8,596 people with newly diagnosed diabetes who underwent national health examinations within a year before and after a diabetes diagnosis. Cox proportional hazards models, hazard ratios (HRs) and 95% confidence intervals (CIs) for MACE risks were calculated according to changes in physical activity before and after a diagnosis of diabetes. Results During a median follow-up of 2.3 years, study participants who engaged in sustained physical activity after a diagnosis of diabetes had a 34% lower MACE risk compared to those with sustained inactivity (HR, 0.66; 95% CI, 0.44–0.98). An advantage was observed in those with a history of cardiovascular disease, although this was of borderline statistical significance (HR, 0.63; 95% CI, 0.40–1.01; P=0.054). In people considered obese, physical activity was significantly associated with a decreased risk of a MACE, regardless of the period preceding and following the diabetes diagnosis. Those who became inactive to active had the lowest risk of a MACE (HR, 0.38; 95% CI, 0.18–0.79). Conclusion Maintaining active physical activity before and after a diagnosis of diabetes is essential to preventing cardiovascular disease. Early intervention strategies are necessary to promote physical activity and exercise routines after a diagnosis of diabetes in people with obesity and those with pre-existing cardiovascular disease.
背景:我们调查了新诊断糖尿病患者体力活动的变化与重大心血管不良事件(MACE)风险之间的关系。方法利用全国数据库,我们确定了8596名新诊断的糖尿病患者,他们在糖尿病诊断前后一年内接受了全国健康检查。根据糖尿病诊断前后体力活动的变化,计算MACE风险的Cox比例风险模型、风险比(HR)和95%置信区间(CI)。结果在2.3年的中位随访中,与持续不活动的参与者相比,在诊断为糖尿病后进行持续体育活动的研究参与者的MACE风险降低34%(HR,0.66;95%CI,0.44-0.98),尽管这具有临界统计学意义(HR,0.63;95%CI,0.40-1.01;P=0.054)。在被认为肥胖的人中,无论糖尿病诊断前后的时期如何,体育活动都与MACE风险降低显著相关。那些从不活跃到活跃的人发生MACE的风险最低(HR,0.38;95%CI,0.18-0.79)。结论在诊断为糖尿病前后保持积极的体育活动对预防心血管疾病至关重要。在肥胖者和已有心血管疾病的人被诊断为糖尿病后,早期干预策略对于促进体育活动和锻炼是必要的。
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引用次数: 5
A Report of Journal of Obesity and Metabolic Syndrome in the Last 3 Years of Upheaval. 《肥胖与代谢综合征杂志》在剧变的最近3年的报道
IF 4.7 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-03-30 DOI: 10.7570/jomes22020
Eun-Jung Rhee

Journal of Obesity and Metabolic Syndrome (JOMES) is the official journal of the Korean Society for the Study of Obesity (KSSO) and is a peer-reviewed research journal that presents relevant academic research and the newest medical information in the field of obesity. JOMES was launched in 1992, with the foundation of the KSSO and diverse studies on obesity published under the title Journal of the KSSO until 2004. Since its publication in full English in 2017, JOMES was rapidly registered in numerous databases, that is, in PubMed Central in 2018, in Emerging Sources Citation Index (ESCI) and in Scopus in 2019. In addition, JOMES is indexed in KoreaMed, Science Central, EBSCO, DOAJ, and Google Scholar. The increase in the number of citations of JOMES within Web of Science is astonishing, and the world is reading and citing JOMES. In this review, I'd like to review the current status of JOMES and share the rapid development of JOMES with readers and potential authors of JOMES.

《肥胖与代谢综合征杂志》(Journal of Obesity and Metabolic Syndrome,JOMES)是韩国肥胖研究会(Korean Society for the Study of Obesign,KSSO)的官方期刊,也是一本经过同行评审的研究期刊,介绍肥胖领域的相关学术研究和最新医学信息。JOMES成立于1992年,是KSSO的基础,并在2004年之前以《KSSO杂志》的标题发表了关于肥胖的各种研究。自2017年以全英文出版以来,JOMES迅速在众多数据库中注册,即2018年在PubMed Central、新兴来源引文索引(ESCI)和2019年在Scopus。此外,JOMES在KoreaMed、Science Central、EBSCO、DOAJ和Google Scholar上都有索引。科学网络中引用JOMES的次数的增加令人震惊,全世界都在阅读和引用JOMES。在这篇综述中,我想回顾一下JOMES的现状,并与JOMES的读者和潜在作者分享JOMES的快速发展。
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引用次数: 0
Mouse Model of Small for Gestational Age Offspring with Catch-up Growth Failure and Dysregulated Glucose Metabolism in Adulthood 发育迟缓和成年糖代谢紊乱的小孕龄子代小鼠模型
IF 5.2 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-03-17 DOI: 10.7570/jomes22013
H. Moon, Han-Kyeom Kim, Bohye Kim, Min-Seon Kim, Jae Hyun Kim, Obin Kwon
Background We aimed to build mouse models of small for gestational age (SGA), recapitulating failure of catch-up growth and dysregulated metabolic outcomes in adulthood. Methods Pregnant C57BL/6 mice were given a protein-restricted diet (PRD; 6% kcal from protein) during pregnancy without (model 1) or with cross-fostering (model 2). Model 3 extended the PRD to the end of the lactation period. Model 4 changed to a 9% PRD without cross-fostering. Results Model 1 yielded a reduced size of offspring with a poor survival rate. Model 2 improved survival but offspring showed early catch-up growth. Model 3 maintained a reduced size of offspring after weaning with a higher body mass index and blood glucose levels in adult stages. Model 4 increased the survival of the offspring while maintaining a reduced size and dysregulated glucose metabolism. Conclusion Models 3 and 4 are suitable for studying SGA accompanying adulthood short stature and metabolic disorders.
我们的目的是建立小胎龄(SGA)小鼠模型,再现成年期追赶生长失败和代谢失调的结果。方法对妊娠C57BL/6小鼠进行限蛋白饮食;(模型1)或交叉饲养(模型2)。模型3将PRD延长至哺乳期结束。模型4在没有交叉培育的情况下变为9%的PRD。结果模型1子代体积减小,成活率差。模型2提高了存活率,但后代表现出较早的追赶性生长。模型3保持断奶后幼鼠体型减小,成虫期体重指数和血糖水平较高。模型4增加了后代的存活率,同时保持了缩小的体型和糖代谢失调。结论模型3和模型4适用于SGA合并成人身材矮小和代谢紊乱的研究。
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引用次数: 0
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Journal of Obesity & Metabolic Syndrome
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