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Association between thyroid-stimulating hormone (TSH) and proteinuria in relation to thyroid cyst in a euthyroid general population. 促甲状腺激素(TSH)和蛋白尿与正常甲状腺人群甲状腺囊肿的关系。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2021-10-09 DOI: 10.1186/s40101-021-00264-y
Yuji Shimizu, Yuko Nabeshima-Kimura, Shin-Ya Kawashiri, Yuko Noguchi, Shigeki Minami, Yasuhiro Nagata, Takahiro Maeda, Naomi Hayashida

Background: High normal levels of thyroid-stimulating hormone (TSH) have been reported to be associated with chronic kidney disease (CKD) among euthyroid individuals. However, there has been only limited research on the association between TSH and proteinuria, a major risk factor for the progression of renal disease.

Methods: A cross-sectional study of 1595 euthyroid individuals was conducted. All participants were within the normal range for free triiodothyronine (T3), free thyroxine (T4), and TSH. Analyses were stratified by thyroid cyst status to test the hypothesis that the absence of thyroid cysts, an indicator of latent thyroid damage, is associated with declining ability to synthesis thyroid hormone.

Results: For participants with thyroid cysts, a significant inverse association between TSH and proteinuria was observed (adjusted odds ratio (95% confidence intervals) of log-transformed TSH for proteinuria 0.40 (0.18, 0.89)). In participants without thyroid cysts, a significant positive association between those two factors was observed (2.06 (1.09, 3.90)).

Conclusions: Among euthyroid individuals in the general population, being in the normal range of TSH was found to have an ambivalent association with proteinuria. Thyroid cyst status could be an effect modifier for those associations.

背景:据报道,在甲状腺功能正常的个体中,高水平的促甲状腺激素(TSH)与慢性肾脏疾病(CKD)有关。然而,关于TSH与蛋白尿(肾脏疾病进展的主要危险因素)之间关系的研究非常有限。方法:对1595例甲状腺功能正常个体进行横断面研究。所有参与者的游离三碘甲状腺原氨酸(T3)、游离甲状腺素(T4)和TSH均在正常范围内。根据甲状腺囊肿状态对分析进行分层,以验证甲状腺囊肿的缺失(潜在甲状腺损伤的一个指标)与甲状腺激素合成能力下降有关的假设。结果:对于患有甲状腺囊肿的参与者,观察到TSH和蛋白尿之间存在显著的负相关(对数转换TSH与蛋白尿的校正比值比(95%置信区间)为0.40(0.18,0.89))。在没有甲状腺囊肿的参与者中,这两个因素之间的显著正相关被观察到(2.06(1.09,3.90))。结论:在普通人群中甲状腺功能正常的个体中,TSH处于正常范围与蛋白尿存在矛盾关系。甲状腺囊肿状况可能是这些关联的影响调节因素。
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引用次数: 2
The establishment of serum 25-hydroxyvitamin D reference intervals in children aged 0-14 years in Zigong area, China. 自贡地区0 ~ 14岁儿童血清25-羟基维生素D参考区间的建立
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2021-10-06 DOI: 10.1186/s40101-021-00265-x
Jianhong Yu, Xiaoping He, Shengwei Huang

Objective: To establish the reference interval of serum 25-hydroxyvitamin D (25(OH)D) in apparently healthy children in Zigong, China, using an indirect method to provide a basis for proper clinical diagnosis and treatment.

Methods: A total of 1851 apparently healthy children of the Children's Health Care Department in Zigong First People's Hospital between January 2016 and December 2020 were included in the study. The Kolmogorov-Smirnov test was used to analyze the data for normality, and the non-normally distributed data were transformed into approximately normal distribution by Blom's normal rank transformation, and the transformed data were excluded from outliers by the quartile spacing method, and the data were stratified and analyzed according to sex, age, and season. The data were stratified according to sex, age, and season, and the area between the 2.5% and 97.5% percentile points was used as the reference interval.

Results: The serum 25(OH)D data were non-normally distributed. The data were normally distributed after Blom's normality rank transformation, and 92 cases of outliers were excluded from the transformed data according to the interquartile spacing method. The differences in serum 25(OH)D levels between sex were not statistically significant (P > 0.05), and there was no need to establish reference intervals based on sex. There was no statistically significant difference in serum 25-hydroxyvitamin D levels between winter and spring, and also no difference between summer and autumn (P > 0.05), and the levels were lower in winter-spring than in summer-autumn. Comparison between age groups showed that there was no statistically significant difference in serum 25(OH)D levels between the < 6 months group and the 6 ~ 11 months group, and between the 6 ~ 9 years group and the 10 ~ 14 years group (P > 0.05); serum 25(OH)D levels decreased with increasing age. There was an interactive effect of season and age group on 25(OH)D levels, and the corresponding reference intervals were established according to different seasons and age groups. In summer and autumn, the reference intervals of serum 25(OH)D for < 1 year, 1 ~ 2 years, 3 ~ 5 years, and 6 ~  14 years were 39.86 ~ 151.43, 31.54 ~ 131.65, 22.05 ~ 103.75, and 15.36 ~ 85.53 ng/ml and 24.42 ~ 144.20, 31.54 ~ 131.65, 16.80 ~ 165.68, and 15.46 ~ 85.54 ng/ml in winter and spring, respectively.

Conclusion: Reference intervals for serum 25(OH)D in children of different seasons and ages in Zigong, China, were established to provide a reference for clinical disease diagnosis, treatment, and prognosis determination.

目的:建立自贡市表面健康儿童血清25-羟基维生素D (25(OH)D)的参考区间,采用间接法为临床合理诊治提供依据。方法:选取2016年1月至2020年12月在自贡市第一人民医院儿童保健科就诊的表面健康儿童1851名。采用Kolmogorov-Smirnov检验对数据进行正态性分析,采用Blom正态秩变换将非正态分布的数据转化为近似正态分布,并采用四分位数间隔法对转化后的数据进行异常值排除,并按性别、年龄、季节对数据进行分层分析。数据按性别、年龄、季节进行分层,以2.5% ~ 97.5%百分点之间的面积作为参考区间。结果:血清25(OH)D数据呈非正态分布。经Blom正态秩变换后的数据符合正态分布,采用四分位间距法排除了92例异常值。血清25(OH)D水平性别差异无统计学意义(P > 0.05),不需要建立基于性别的参考区间。血清25-羟基维生素D水平冬、春、夏、秋两季差异无统计学意义(P > 0.05),且冬春两季低于夏秋两季。各组间比较,血清25(OH)D水平差异无统计学意义(0.05);血清25(OH)D水平随年龄增加而降低。季节和年龄组对25(OH)D水平有交互作用,并根据不同季节和年龄组建立相应的参考区间。结论:建立自贡地区不同季节、不同年龄儿童血清25(OH)D参考区间,为临床疾病诊断、治疗及判断预后提供参考。
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引用次数: 1
Estimating thigh skeletal muscle volume using multi-frequency segmental-bioelectrical impedance analysis. 利用多频片段-生物电阻抗分析估计大腿骨骼肌体积。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2021-09-30 DOI: 10.1186/s40101-021-00263-z
Masashi Taniguchi, Yosuke Yamada, Masahide Yagi, Ryusuke Nakai, Hiroshige Tateuchi, Noriaki Ichihashi

Background: The primary aim of this study was to investigate whether using the extracellular water/intracellular water (ECW/ICW) index and phase angle combined with segmental-bioimpedance analysis (BIA) improved the model fitting of skeletal muscle volume (SMV) estimation. The secondary aim was to compare the accuracy of segmental-BIA with that of ultrasound for estimating the quadriceps SMV measured with MRI.

Methods: Seventeen young men (mean age, 23.8 ± 3.3 years) participated in the study. The T-1 weighted images of thigh muscles were obtained using a 1.5 T magnetic resonance imaging (MRI) scanner. Thigh and quadriceps SMVs were calculated as the sum of the products of anatomical cross-sectional area and slice thickness of 6 mm across all slices. Segmental-BIA was applied to the thigh region, and data on the 50-kHz bioelectrical impedance (BI) index, ICW index, ECW/ICW index, and phase angle were obtained. The muscle thickness index was calculated as the product of the mid-thigh muscle thickness, determined using ultrasound, and thigh length. The standard error of estimate (SEE) of the regression equation was calculated to determine the model fitting of SMV estimation and converted to %SEE by dividing the SEE values by the mean SMV.

Results: Multiple regression analysis indicated that the combination of 50-kHz BI and the ECW/ICW index or phase angle was a significant predictor when estimating thigh SMV (SEE = 7.9 and 8.1%, respectively), but were lower than the simple linear regression (SEE = 9.4%). The ICW index alone improved the model fitting for the estimation equation (SEE = 7.6%). The model fitting of the quadriceps SMV with the 50-kHz BI or ICW index was similar to that with the skeletal muscle thickness index measured using ultrasound (SEE = 10.8, 9.6 and 9.7%, respectively).

Conclusions: Combining the traditionally used 50-kHz BI index with the ECW/ICW index and phase angle can improve the model fitting of estimated SMV measured with MRI. We also showed that the model suitability of SMV estimation using segmental-BIA was equivalent to that on using ultrasound. These data indicate that segmental-BIA may be a useful and cost-effective alternative to the gold standard MRI for estimating SMV.

背景:本研究的主要目的是探讨细胞外水/细胞内水(ECW/ICW)指数和相位角结合节段生物阻抗分析(BIA)是否改善了骨骼肌体积(SMV)估计的模型拟合。第二个目的是比较节段性bia与超声在估计MRI测量的股四头肌SMV方面的准确性。方法:青年男性17例,平均年龄23.8±3.3岁。使用1.5 T磁共振成像(MRI)扫描仪获得大腿肌肉的T-1加权图像。大腿和股四头肌的smv计算为解剖截面积与所有切片6mm的切片厚度的乘积之和。将节段式bia应用于大腿区域,获得50-kHz生物电阻抗(BI)指数、ICW指数、ECW/ICW指数和相位角数据。肌肉厚度指数是用超声测定的大腿中部肌肉厚度与大腿长度的乘积。计算回归方程的估计标准误差(SEE),以确定SMV估计的模型拟合,并将SEE值除以平均SMV转换为%SEE。结果:多元回归分析表明,50-kHz BI与ECW/ICW指数或相位角的组合在估计大腿SMV时具有显著的预测作用(SEE = 7.9和8.1%),但低于简单线性回归(SEE = 9.4%)。单独的ICW指数改善了模型对估计方程的拟合(SEE = 7.6%)。股四头肌SMV与50 khz BI或ICW指数的模型拟合与超声测量骨骼肌厚度指数的模型拟合相似(SEE分别为10.8、9.6和9.7%)。结论:将传统的50-kHz BI指数与ECW/ICW指数和相位角相结合,可以改善MRI测量的估计SMV的模型拟合。我们还发现,使用分段- bia估计SMV的模型适用性与使用超声估计的模型适用性相当。这些数据表明,在估计SMV方面,节段性bia可能是一种有用且具有成本效益的替代金标准MRI。
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引用次数: 3
Intermittent face cooling reduces perceived exertion during exercise in a hot environment. 在炎热的环境中,间歇性的面部降温可以减少运动时的疲劳感。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2021-09-06 DOI: 10.1186/s40101-021-00262-0
Taiki Miyazawa, Mirai Mizutani, John Patrick Sheahan, Daisuke Ichikawa

Background: Facial cooling (FC) is effective in improving endurance exercise performance in hot environments. In this study, we evaluated the impact of intermittent short-lasting FC on the ratings of perceived exertion (RPE) during exercise.

Methods: Ten healthy men performed 40 continuous minutes of ergometric cycle exercise at 65% of the peak heart rate in a climatic chamber controlled at an ambient temperature of 35 °C and a relative humidity of 50%. In the control (CONT) trial, the participants performed the exercise without FC. In two cooling trials, each participant underwent 10 s of FC at 2- (FC2) and 4-min (FC4) intervals while continuing to exercise. FC was achieved by applying two soft-gel packs (cooled to 0 °C) directly and bilaterally on the forehead, eyes, and cheeks. In another cooling trial, 10 s of FC was performed at 2-min intervals using two soft-gel packs cooled to 20 °C (FC2-20).

Results: The RPE values in the FC4 trial were significantly lower than those in the CONT trial at 20 min (FC4, 11.6 ± 2.2 points; CONT, 14.2 ± 1.3 points; P < 0.01). Further, significant differences in the RPE values were observed between the FC4 and CONT trials at 5-15 min and 25-40 min (P < 0.05). RPE values were also significantly lower in the FC2 trial than in the CONT trial (5-40 min). Although the RPE values in the FC2-20 trial were significantly lower (5-10 min; 15-20 min) than those in the CONT trial, there were no significant differences in the RPE between the FC2-20 and CONT trials at 25-40 min. At 35 min, the RPE values were significantly higher in the FC2-20 trial than in the FC2 trial (P < 0.05).

Conclusion: Intermittent short-lasting FC was associated with a decrease in RPE, with shorter intervals and lower temperatures eliciting greater attenuation of increase in the RPE.

背景:面部冷却(FC)可以有效提高高温环境下的耐力运动表现。在这项研究中,我们评估了间歇性短时FC对运动过程中感知运动强度(RPE)评分的影响。方法:10名健康男性在环境温度为35°C、相对湿度为50%的气候室中,以65%的峰值心率进行40分钟的连续循环运动。在对照组(CONT)试验中,参与者在没有FC的情况下进行锻炼。在两项降温试验中,每位参与者在继续运动的同时,以2分钟(FC2)和4分钟(FC4)的间隔进行10秒的FC。通过将两个软凝胶包(冷却至0°C)直接和双侧涂抹在前额、眼睛和脸颊上实现FC。在另一项冷却试验中,使用两个软凝胶包冷却至20°C (FC2-20),每隔2分钟进行10秒的FC。结果:FC4试验的RPE值在20min时显著低于CONT试验(FC4, 11.6±2.2分;CONT, 14.2±1.3分;P < 0.01)。此外,FC4和CONT试验在5-15 min和25-40 min时的RPE值有显著差异(P < 0.05)。FC2试验的RPE值也显著低于CONT试验(5-40分钟)。尽管FC2-20试验的RPE值明显较低(5-10 min;在25 ~ 40 min时,FC2-20试验的RPE值显著高于FC2试验(P < 0.05)。在35 min时,FC2-20试验的RPE值显著高于FC2试验(P < 0.05)。结论:间歇性短时间FC与RPE的降低有关,较短的间隔时间和较低的温度可使RPE的增加得到更大的衰减。
{"title":"Intermittent face cooling reduces perceived exertion during exercise in a hot environment.","authors":"Taiki Miyazawa,&nbsp;Mirai Mizutani,&nbsp;John Patrick Sheahan,&nbsp;Daisuke Ichikawa","doi":"10.1186/s40101-021-00262-0","DOIUrl":"https://doi.org/10.1186/s40101-021-00262-0","url":null,"abstract":"<p><strong>Background: </strong>Facial cooling (FC) is effective in improving endurance exercise performance in hot environments. In this study, we evaluated the impact of intermittent short-lasting FC on the ratings of perceived exertion (RPE) during exercise.</p><p><strong>Methods: </strong>Ten healthy men performed 40 continuous minutes of ergometric cycle exercise at 65% of the peak heart rate in a climatic chamber controlled at an ambient temperature of 35 °C and a relative humidity of 50%. In the control (CONT) trial, the participants performed the exercise without FC. In two cooling trials, each participant underwent 10 s of FC at 2- (FC2) and 4-min (FC4) intervals while continuing to exercise. FC was achieved by applying two soft-gel packs (cooled to 0 °C) directly and bilaterally on the forehead, eyes, and cheeks. In another cooling trial, 10 s of FC was performed at 2-min intervals using two soft-gel packs cooled to 20 °C (FC2-20).</p><p><strong>Results: </strong>The RPE values in the FC4 trial were significantly lower than those in the CONT trial at 20 min (FC4, 11.6 ± 2.2 points; CONT, 14.2 ± 1.3 points; P < 0.01). Further, significant differences in the RPE values were observed between the FC4 and CONT trials at 5-15 min and 25-40 min (P < 0.05). RPE values were also significantly lower in the FC2 trial than in the CONT trial (5-40 min). Although the RPE values in the FC2-20 trial were significantly lower (5-10 min; 15-20 min) than those in the CONT trial, there were no significant differences in the RPE between the FC2-20 and CONT trials at 25-40 min. At 35 min, the RPE values were significantly higher in the FC2-20 trial than in the FC2 trial (P < 0.05).</p><p><strong>Conclusion: </strong>Intermittent short-lasting FC was associated with a decrease in RPE, with shorter intervals and lower temperatures eliciting greater attenuation of increase in the RPE.</p>","PeriodicalId":48730,"journal":{"name":"Journal of Physiological Anthropology","volume":"40 1","pages":"12"},"PeriodicalIF":3.1,"publicationDate":"2021-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8420073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39407403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Association of rs9939609-FTO with metabolic syndrome components among women from Mayan communities of Chiapas, Mexico. 墨西哥恰帕斯州玛雅社区女性rs9939609-FTO与代谢综合征成分的关系
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2021-08-28 DOI: 10.1186/s40101-021-00259-9
Pilar E Núñez Ortega, María E Meneses, Iván Delgado-Enciso, César Antonio Irecta-Nájera, Itandehui Castro-Quezada, Roberto Solís-Hernández, Elena Flores-Guillén, Rosario García-Miranda, Adán Valladares-Salgado, Daniel Locia-Morales, Héctor Ochoa-Díaz-López

Background: Metabolic syndrome (MetS) is a complex cluster of risk factors, considered as a polygenic and multifactorial entity. The objective of this study was to determine the association of rs9939609-FTO polymorphism and MetS components in adult women of Mayan communities of Chiapas.

Methods: In a cross-sectional study, sociodemographic, anthropometric, clinical, and biochemical data were obtained from 291 adult women from three regions of Chiapas, Mexico. The prevalence of MetS and the allele and genotype frequencies of the rs9939609-FTO were estimated. Multivariate logistic regression models were used to assess the association of the single nucleotide polymorphism (SNP) with each of the MetS components.

Results: The MetS prevalence was 60%. We found a statistically significant association between rs9939609-FTO and hyperglycemia in the dominant model (OR 2.6; 95% CI 1.3-5.3; p = 0.007).

Conclusions: Women from Mayan communities of Chiapas presented a high prevalence of MetS and a relevant association of the FTO variant with hyperglycemia. This is the first study carried out in these Mayan indigenous communities from Chiapas.

背景:代谢综合征(MetS)是一组复杂的危险因素,被认为是一个多基因和多因素的实体。本研究的目的是确定恰帕斯玛雅社区成年女性rs9939609-FTO多态性与MetS成分的关系。方法:在一项横断面研究中,从墨西哥恰帕斯三个地区的291名成年妇女中获得了社会人口学、人体测量学、临床和生化数据。估计met的患病率、rs9939609-FTO的等位基因和基因型频率。使用多变量逻辑回归模型来评估单核苷酸多态性(SNP)与每个MetS成分的关联。结果:met的患病率为60%。在优势模型中,我们发现rs9939609-FTO与高血糖之间存在统计学意义上的关联(OR 2.6;95% ci 1.3-5.3;p = 0.007)。结论:恰帕斯玛雅社区的女性met患病率高,FTO变异与高血糖有相关关系。这是第一次在恰帕斯的玛雅土著社区进行的研究。
{"title":"Association of rs9939609-FTO with metabolic syndrome components among women from Mayan communities of Chiapas, Mexico.","authors":"Pilar E Núñez Ortega,&nbsp;María E Meneses,&nbsp;Iván Delgado-Enciso,&nbsp;César Antonio Irecta-Nájera,&nbsp;Itandehui Castro-Quezada,&nbsp;Roberto Solís-Hernández,&nbsp;Elena Flores-Guillén,&nbsp;Rosario García-Miranda,&nbsp;Adán Valladares-Salgado,&nbsp;Daniel Locia-Morales,&nbsp;Héctor Ochoa-Díaz-López","doi":"10.1186/s40101-021-00259-9","DOIUrl":"https://doi.org/10.1186/s40101-021-00259-9","url":null,"abstract":"<p><strong>Background: </strong>Metabolic syndrome (MetS) is a complex cluster of risk factors, considered as a polygenic and multifactorial entity. The objective of this study was to determine the association of rs9939609-FTO polymorphism and MetS components in adult women of Mayan communities of Chiapas.</p><p><strong>Methods: </strong>In a cross-sectional study, sociodemographic, anthropometric, clinical, and biochemical data were obtained from 291 adult women from three regions of Chiapas, Mexico. The prevalence of MetS and the allele and genotype frequencies of the rs9939609-FTO were estimated. Multivariate logistic regression models were used to assess the association of the single nucleotide polymorphism (SNP) with each of the MetS components.</p><p><strong>Results: </strong>The MetS prevalence was 60%. We found a statistically significant association between rs9939609-FTO and hyperglycemia in the dominant model (OR 2.6; 95% CI 1.3-5.3; p = 0.007).</p><p><strong>Conclusions: </strong>Women from Mayan communities of Chiapas presented a high prevalence of MetS and a relevant association of the FTO variant with hyperglycemia. This is the first study carried out in these Mayan indigenous communities from Chiapas.</p>","PeriodicalId":48730,"journal":{"name":"Journal of Physiological Anthropology","volume":"40 1","pages":"11"},"PeriodicalIF":3.1,"publicationDate":"2021-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8403373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39364917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
An anthropogenic model of cardiovascular system adaptation to the Earth's gravity as the conceptual basis of pathological anthropology. 作为病理人类学概念基础的心血管系统适应地球重力的人类活动模型。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2021-08-27 DOI: 10.1186/s40101-021-00260-2
G S Belkaniya, L R Dilenyan, D G Konkov, A Wsol, A K Martusevich, L G Puchalska

Applying human biological evolution to solve topical problems of medicine and preventive cardiology was inspired by the realization of the need for clinical and experimental studies of biological (evolutionary) prerequisites in the occurrence of a pathology. Although it has been stated that there is a need to provide a full biological understanding of features, including those that increase an animal's vulnerability to diseases, unfortunately, in this regard, erectile and associated adaptations to the Earth's gravity in their physiological and pathological manifestations have not been considered. At the same time, it should be noted that humans, unlike other animal species, have the greatest vulnerability of the cardiovascular system (CVS). The latter is associated with fundamental differences in the functioning and regulation of the CVS by the influence of gravity on blood circulation in humans as upright creatures. Based on a review of comparative physiological, ontogenetic, and clinical studies from an evolutionary perspective, the idea of adaptation to the Earth's gravity when walking upright in humans is justified as an anthropogenic basis for the physiology and pathology of the cardiovascular system and hemodynamic support systems (physio-anthropology and pathological anthropology).

将人类生物进化应用于解决医学和预防心脏病学的热点问题,是由于人们认识到需要对病理发生的生物(进化)先决条件进行临床和实验研究。尽管人们已经指出,有必要从生物学角度全面了解各种特征,包括那些增加动物疾病易感性的特征,但遗憾的是,在这方面,勃起和对地球引力的相关适应在其生理和病理表现方面尚未得到考虑。同时,应该指出的是,与其他动物物种不同,人类的心血管系统(CVS)最为脆弱。这与人类作为直立动物,重力对血液循环的影响导致心血管系统的功能和调节存在根本差异有关。根据从进化角度对比较生理学、本体论和临床研究的回顾,人类直立行走时对地球重力的适应这一观点是合理的,是心血管系统和血液动力支持系统的生理学和病理学(生理人类学和病理人类学)的人类学基础。
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引用次数: 0
Infant weight gain and DXA-measured adolescent adiposity: data from the Japan Kids Body-composition Study. 婴儿体重增加和dxa测量的青少年肥胖:来自日本儿童身体成分研究的数据。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2021-08-27 DOI: 10.1186/s40101-021-00261-1
Yuki Fujita, Katsuyasu Kouda, Kumiko Ohara, Harunobu Nakamura, Chikako Nakama, Toshimasa Nishiyama, Masayuki Iki

Background: Rapid weight gain in early life is associated with adiposity later in life. However, there is limited information on the association between weight gain and body fat mass measured using precise methods. This study aimed to investigate whether weight gain is associated with body fat mass measured by dual-energy X-ray absorptiometry (DXA) in adolescents.

Methods: Participants of this retrospective cohort study were 423 adolescents born at full-term who were enrolled in the Japan Kids Body-composition Study. Anthropometric measurements related to pregnancy, delivery, and child health were obtained from the Japanese Maternal and Child Health Handbook. Fat mass in adolescents was measured with a DXA scanner. Weight gain was defined as the change in body weight from birth to age 1.5 years. Associations between birthweight and fat mass, and between weight gain and fat mass, were evaluated using multiple regression analysis.

Results: There was a significant positive association between weight gain from birth to age 1.5 years and fat mass in adolescents (boys: standardized regression coefficient (β) = 0.253, p < 0.01; girls: β = 0.246, p < 0.01), but not between birthweight standardized for gestational age and fat mass.

Conclusion: Children with a greater change in weight from birth to age 1.5 years tended to have increased fat mass in adolescence. Weight gain in early life has a greater impact on fat mass in adolescents than birthweight.

背景:生命早期体重的快速增加与生命后期的肥胖有关。然而,用精确的方法测量体重增加和体脂量之间的关系的信息有限。本研究旨在探讨体重增加是否与双能x线吸收仪(DXA)测量的青少年体脂量有关。方法:这项回顾性队列研究的参与者是423名足月出生的青少年,他们参加了日本儿童身体组成研究。与怀孕、分娩和儿童健康相关的人体测量数据来自《日本妇幼保健手册》。用DXA扫描仪测量青少年的脂肪量。体重增加被定义为从出生到1.5岁体重的变化。使用多元回归分析评估出生体重与脂肪量、体重增加与脂肪量之间的关系。结果:出生至1.5岁体重增加与青春期脂肪量呈正相关(男孩:标准化回归系数(β) = 0.253, p)。结论:出生至1.5岁体重变化较大的儿童青春期脂肪量增加。早期体重增加对青少年脂肪量的影响大于出生体重。
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引用次数: 1
Ambient-task combined lighting to regulate autonomic and psychomotor arousal levels without compromising subjective comfort to lighting. 环境任务结合照明来调节自主神经和精神运动唤醒水平,而不损害主观舒适的照明。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2021-08-09 DOI: 10.1186/s40101-021-00258-w
Junichiro Hayano, Norihiro Ueda, Masaya Kisohara, Yutaka Yoshida, Emi Yuda

Background: Although evidence of both beneficial and adverse biological effects of lighting has accumulated, biologically favorable lighting often does not match subjectively comfortable lighting. By controlling the correlated color temperature (CCT) of ambient lights, we investigated the feasibility of combined lighting that meets both biological requirements and subjective comfort.

Methods: Two types of combined lightings were compared; one consisted of a high-CCT (12000 K) light-emitting diode (LED) panel as the ambient light and a low-CCT (5000 K) LED stand light as the task light (high-low combined lighting), and the other consisted of a low-CCT (4500 K) LED panel as the ambient light and the same low-CCT (5000 K) stand light as the task light (low-low combined lighting) as control. Ten healthy subjects (5 young and 5 elderly) were exposed to the two types of lighting on separate days. Autonomic function by heart rate variability, psychomotor performances, and subjective comfort were compared.

Results: Both at sitting rest and during psychomotor workload, heart rate was higher and the parasympathetic index of heart rate variability was lower under the high-low combined lighting than the low-low combined lighting in both young and elderly subject groups. Increased psychomotor alertness in the elderly and improved sustainability of concentration work performance in both age groups were also observed under the high-low combined lighting. However, no significant difference was observed in the visual-analog-scale assessment of subjective comfort between the two types of lightings.

Conclusions: High-CCT ambient lighting, even when used in combination with low-CCT task lighting, could increase autonomic and psychomotor arousal levels without compromising subjective comfort. This finding suggests the feasibility of independent control of ambient and task lighting as a way to achieve both biological function regulation and subjective comfort.

背景:尽管照明的有利和不利的生物效应的证据已经积累,生物有利的照明往往不匹配主观舒适的照明。通过控制环境光的相关色温(CCT),探讨了同时满足生物需求和主观舒适度的组合照明的可行性。方法:对两种组合照明进行比较;一个由高cct (12000 K)的发光二极管(LED)面板作为环境光,一个低cct (5000 K)的LED站立灯作为任务灯(高低组合照明),另一个由低cct (4500 K)的LED面板作为环境光,同样低cct (5000 K)的站立灯作为任务灯(高低组合照明)作为控制。10名健康受试者(5名年轻人和5名老年人)分别在不同的日子暴露于两种类型的照明下。通过心率变异性、精神运动表现和主观舒适度来比较自主神经功能。结果:无论是坐着休息还是精神运动负荷时,高-低组合照明下的青年和老年被试心率均高于低-低组合照明,副交感神经心率变异性指数也低于低-低组合照明。在高低组合照明下,还观察到老年人的精神运动警觉性增加,两个年龄组的注意力工作表现的可持续性提高。然而,两种类型的照明在主观舒适度的视觉模拟尺度评估中没有观察到显着差异。结论:高cct环境照明,即使与低cct任务照明结合使用,也可以在不影响主观舒适度的情况下增加自主神经和精神运动唤醒水平。这一发现表明,独立控制环境和任务照明作为实现生物功能调节和主观舒适度的一种方式是可行的。
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引用次数: 3
Performance of newly developed body mass index cut-off for diagnosing obesity among Ethiopian adults. 最新开发的用于诊断埃塞俄比亚成年人肥胖的体重指数临界值的性能。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2019-10-26 DOI: 10.1186/s40101-019-0205-2
Makeda Sinaga, Tilahun Yemane, Elsah Tegene, David Lidstrom, Tefera Belachew
<p><strong>Background: </strong>Obesity is defined as unhealthy excess body fat, which increases the risk of premature mortality from noncommunicable diseases. Early screening and prevention of obesity is critical for averting associated morbidity, disability, and mortality. Ethiopia has been using the international (WHO's) BMI cut-off for diagnosing obesity even though its validity among Ethiopian population was questioned. To address this problem, a new body mass index cut-off was developed for Ethiopian adults using population-specific data. However, its performance in diagnosing obesity has not been validated. Therefore, this study determined the performance of the newly developed Ethiopian and World Health Organization (WHO) BMI cut-offs in detecting obesity among Ethiopian adults.</p><p><strong>Methods: </strong>A cross-sectional study was carried out among 704 employees of Jimma University from February to April 2015. The study participants were selected using simple random sampling technique based on their payroll. Data on sociodemographic variables were collected using an interviewer-administered structured questionnaire. Anthropometric parameters including body weight and height were measured according to WHO recommendation. Body fat percentage (BF%) was measured using the air displacement plethysmography (ADP) after calibration of the machine. The diagnostic accuracy of the WHO BMI cut-off (≥ 30 kg/m<sup>2</sup>) for obesity in both sexes and Ethiopian BMI cut-off (> 22.2 kg/m<sup>2</sup> for males and >  24.5 kg/m<sup>2</sup> for females) were compared to obesity diagnosed using ADP measured body fat percentage (> 35% for females and >  25% for males). Sensitivity, specificity, predictive values, and kappa agreements were determined to validate the performance of the BMI cut-offs.</p><p><strong>Results: </strong>In males, WHO BMI cut-off has a sensitivity of 5.3% and specificity of 99.4% (Kappa = 0.047) indicating a slight agreement. However, the Ethiopian cut-off showed a sensitivity of 87.5% and specificity of 87.7% (Kappa = 0.752) indicating a substantial agreement. Similarly, in females, the WHO BMI cut-off showed a sensitivity of 46.9%, while its specificity was 100% (Kappa = 0.219) showing a fair agreement. The Ethiopian BMI cut-off demonstrated a sensitivity 80.0% and a specificity 95.6% (Kappa = 0.701) showing a substantial agreement. The WHO BMI cut-off underestimated the prevalence of obesity by a maximum of 73.7% and by a minimum of 28.3% among males, while the values for underestimation ranged from 31.4-54.1% in females. The misclassification was minimal using the newly developed Ethiopian BMI cut-off. The prevalence of obesity was underestimated by a maximum of 9.2% and overestimated by a maximum of 6.2%. The WHO BMI cut-off failed to identify nearly half (46.6%) of Ethiopian adults who met the criteria for obesity using BF% in the overall sample.</p><p><strong>Conclusions: </strong>The findings suggest that WHO BMI cut-o
背景:肥胖被定义为不健康的过量身体脂肪,这会增加非传染性疾病过早死亡的风险。早期筛查和预防肥胖对于避免相关的发病率、残疾和死亡率至关重要。埃塞俄比亚一直在使用国际(世界卫生组织)的BMI截止值来诊断肥胖,尽管其在埃塞俄比亚人口中的有效性受到质疑。为了解决这个问题,利用特定人群的数据为埃塞俄比亚成年人制定了一个新的体重指数截止值。然而,它在诊断肥胖方面的表现尚未得到验证。因此,本研究确定了新开发的埃塞俄比亚和世界卫生组织(世界卫生组织)BMI削减在检测埃塞俄比亚成年人肥胖方面的表现。方法:于2015年2月至4月对金马大学704名员工进行横断面调查。研究参与者是根据他们的工资单使用简单的随机抽样技术选择的。使用访谈者管理的结构化问卷收集社会人口统计变量的数据。根据世界卫生组织的建议测量了包括体重和身高在内的人体测量参数。机器校准后,使用空气置换体积描记术(ADP)测量体脂百分比(BF%)。世界卫生组织BMI临界值的诊断准确性(≥ 30 kg/m2)和埃塞俄比亚BMI临界值(> 22.2 雄性和> 24.5 女性为kg/m2)与使用ADP测量的体脂百分比诊断的肥胖进行比较(> 女性为35%,且> 男性为25%)。确定了敏感性、特异性、预测值和kappa协议,以验证BMI截断的性能。结果:在男性中,世界卫生组织BMI截断的敏感性为5.3%,特异性为99.4%(kappa = 0.047),表明略有一致。然而,埃塞俄比亚截止值显示出87.5%的敏感性和87.7%的特异性(Kappa = 0.752)表示实质性协议。同样,在女性中,世界卫生组织的BMI临界值显示出46.9%的敏感性,而其特异性为100%(Kappa = 0.219),显示了公平的协议。埃塞俄比亚BMI临界值显示敏感性为80.0%,特异性为95.6%(Kappa = 0.701),显示出实质性的一致性。世界卫生组织的BMI临界值低估了男性肥胖的患病率,最大值为73.7%,最小值为28.3%,而女性的低估值在31.4-54.1%之间。使用新制定的埃塞俄比亚BMI截止值,错误分类最小。肥胖的患病率被低估了最多9.2%,被高估了最多6.2%。世界卫生组织的BMI截止值未能在总体样本中使用BF%确定近一半(46.6%)符合肥胖标准的埃塞俄比亚成年人。结论:研究结果表明世界卫生组织的BMI临界值(≥ 30 kg/m2)不适合筛查埃塞俄比亚成年人中的肥胖。新开发的埃塞俄比亚BMI临界值显示出更好的性能,具有良好的敏感性、特异性、预测值和一致性,表明它在临床和社区设置中作为一种简单、经济高效的指标具有诊断意义。
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引用次数: 11
A review of the studies on nonvisual lighting effects in the field of physiological anthropology. 生理人类学领域非视觉照明效应研究综述。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2019-01-22 DOI: 10.1186/s40101-018-0190-x
Tetsuo Katsuura, Soomin Lee

Here, we review the history and the trends in the research on the nonvisual effect of light in the field of physiological anthropology. Research on the nonvisual effect of light in the field of physiological anthropology was pioneered by Sato and colleagues in the early 1990s. These authors found that the color temperature of light affected physiological functions in humans. The groundbreaking event with regard to the study of nonvisual effects of light was the discovery of the intrinsically photosensitive retinal ganglion cells in the mammalian retina in the early 2000s. The interest of the physiological anthropology scientific community in the nonvisual effects of light has been increasing since then. A total of 61 papers on nonvisual effects of light were published in the Journal of Physiological Anthropology (including its predecessor journals) until October 2018, 14 papers (1.4/year) in the decade from 1992 to 2001, 45 papers (2.8/year) in the 16 years between 2002 and 2017, and two papers in 2018 (January-October). The number of papers on this topic has been increasing in recent years. We categorized all papers according to light conditions, such as color temperature of light, light intensity, and monochromatic light. Among the 61 papers, 11 papers were related to color temperature, 20 papers were related to light intensity, 18 papers were related to monochromatic light, and 12 papers were classified as others. We provide an overview of these papers and mention future research prospects.

在此,我们将回顾生理人类学领域光的非视觉效应研究的历史和发展趋势。20 世纪 90 年代初,佐藤及其同事率先在生理人类学领域开展了关于光的非视觉效应的研究。这些作者发现,光的色温会影响人类的生理功能。关于光的非视觉效应研究的开创性事件是本世纪初在哺乳动物视网膜中发现的固有光敏性视网膜神经节细胞。此后,生理人类学科学界对光的非视觉效应的兴趣与日俱增。截至2018年10月,《生理人类学杂志》(包括其前身杂志)共发表61篇关于光的非视觉效应的论文,1992年至2001年的10年间共发表14篇论文(1.4篇/年),2002年至2017年的16年间共发表45篇论文(2.8篇/年),2018年(1月至10月)共发表2篇论文。近年来,该主题的论文数量不断增加。我们根据光照条件,如光照色温、光照强度和单色光,对所有论文进行了分类。在这 61 篇论文中,11 篇与色温有关,20 篇与光强度有关,18 篇与单色光有关,12 篇归类为其他。我们对这些论文进行了概述,并提到了未来的研究前景。
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引用次数: 0
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Journal of Physiological Anthropology
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