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Effect of hyperbaric exposure on cognitive performance: an investigation conducting numerical Stroop tasks during a simulated 440 m sea water saturation diving. 高压氧对认知能力的影响:在模拟 440 米海水饱和潜水过程中执行数字 Stroop 任务的研究。
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2024-10-07 DOI: 10.1186/s40101-024-00366-3
Nozomu Kageyama, Takehito Sawamura

Background: Saturation diving (SD) is useful and safe in deep diving for long durations. Japan Maritime Self-Defense Force (JMSDF) Undersea Medical Center (UMC) maintained safely deep 45 ATA SDHowever, cognitive performance was reportedly impaired by hyperbaric exposure in over 31 atmosphere absolute (ATA) SD. This study investigated the effects of hyperbaric exposure during 45 ATA deep SD on expert divers' cognitive function using Stroop tasks, a useful method to examine cognitive function, especially in narrow spaces such as SD chambers.

Methods: Two numerical Stroop tasks were utilized to create two magnitude comparisons of a pair of single-digit numerical and physical tasks. Both numerical Stroop tasks were examined twice, at 1 and 45 ATAs, during a simulated 440 m of sea water depth for SD. Participants were 18 male expert JMSDF SD divers (age 36.58 ± 4.89 years).

Results: In the numerical task, reaction time (RT) was significantly delayed at 45 ATA compared with 1 ATA in the incongruent condition. In the physical task, RT at 45 ATA was significantly delayed under all the conditions (congruent, incongruent, and neutral). The correct rates (CR) in both numerical Stroop tasks significantly decreased at 45 ATA compared with 1 ATA in the incongruent condition.

Conclusions: Our findings suggest that divers' cognition is impaired during 45 ATA deep SD. These results emphasize the importance of monitoring cognition in deep sea SD and highlight the need to educate and train for SD. Further examination combining Stroop tasks with other analyses such as event-related potential (ERP) is expected.

背景:饱和潜水(SD)对长时间深潜非常有用且安全。日本海上自卫队(JMSDF)海底医疗中心(UMC)安全地维持着 45 ATA 的深潜,但据报道,在超过 31 个大气压绝对值(ATA)的深潜中,高压氧暴露会损害认知功能。本研究使用 Stroop 任务调查了在 45 ATA 深水自毁期间高压氧暴露对专业潜水员认知功能的影响:利用两个数字 Stroop 任务对一对个位数数字任务和物理任务进行两个幅度比较。在模拟 440 米海水深度的自毁试验中,分别在 1 和 45 ATAs 时对两项数字 Stroop 任务进行了两次测试。参与者为 18 名男性日本海上自卫队 SD 潜水员专家(年龄为 36.58 ± 4.89 岁):在数字任务中,与不一致条件下的 1 ATA 相比,45 ATA 时的反应时间(RT)明显延迟。在物理任务中,在所有条件下(一致、不一致和中性),45 ATA 时的反应时间都明显延迟。在数字 Stroop 任务中,与不一致条件下的 1 ATA 相比,45 ATA 时的正确率(CR)明显下降:我们的研究结果表明,潜水员的认知能力在 45 ATA 深度自毁期间受到了损害。这些结果强调了在深海自毁中监测认知的重要性,并突出了对自毁进行教育和培训的必要性。预计将结合 Stroop 任务和其他分析(如事件相关电位(ERP))进行进一步研究。
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引用次数: 0
Association of brown adipose tissue activity with circulating sex hormones and fibroblast growth factor 21 in the follicular and luteal phases in young women. 年轻女性卵泡期和黄体期棕色脂肪组织活性与循环中性激素和成纤维细胞生长因子 21 的关系。
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.1186/s40101-024-00371-6
Hirokazu Taniguchi, Yuka Hashimoto, Narumi Dowaki, Shinsuke Nirengi

Background: Thermogenesis is influenced by fluctuations in sex hormones during the menstrual cycle in premenopausal women. The thermogenic activity and mass of brown adipose tissue (BAT) are regulated by endocrine factors, including sex hormones and fibroblast growth factor 21 (FGF21). However, the relationship between human BAT and these endocrine fluctuations within individuals remains to be elucidated. This study aimed to assess variations in BAT activity between the luteal and follicular phases and identify correlations with circulating levels of sex hormones and FGF21.

Methods: Healthy young women were enrolled in an observational study. Measurement of BAT activity and blood analyses were performed in both the follicular and luteal phases. BAT activity was analyzed using thermography with 2-h cold exposure. Plasma 17β-estradiol, progesterone, and FGF21 levels were determined by enzyme-linked immunosorbent assay. A comparative analysis within individuals was conducted in 13 women to compare the follicular and luteal phases. Furthermore, sensitivity analysis was carried out in 21 women during the follicular phase only.

Results: Plasma 17β-estradiol and progesterone levels were significantly higher in the luteal phase, whereas plasma FGF21 level was significantly higher in the follicular phase. Comparison analysis found no significant differences in cold-induced BAT activity between the follicular and luteal phases in young women. Correlation analysis in both comparison and sensitivity analyses found that plasma 17β-estradiol and progesterone levels were not associated with BAT activity, whereas plasma FGF21 levels were significantly and positively correlated with BAT activity only in the follicular phase. In addition, plasma 17β-estradiol levels in the follicular phase were significantly and positively associated with plasma FGF21 levels in both the comparison and sensitivity analyses.

Conclusions: The thermogenic activity of BAT during cold exposure was comparable between the follicular and luteal phases in young women. Higher BAT activity was associated with elevated levels of plasma FGF21 only in the follicular phase, which is related to increased plasma 17β-estradiol levels.

背景:绝经前妇女的产热受月经周期中性激素波动的影响。棕色脂肪组织(BAT)的生热活性和质量受内分泌因素的调节,包括性激素和成纤维细胞生长因子 21(FGF21)。然而,人体棕色脂肪组织与个体内分泌波动之间的关系仍有待阐明。本研究旨在评估黄体期和卵泡期之间 BAT 活性的变化,并确定其与性激素和 FGF21 循环水平的相关性。在卵泡期和黄体期测量 BAT 活性并进行血液分析。BAT活性是通过2小时冷暴露的热成像技术进行分析的。血浆 17β-雌二醇、孕酮和 FGF21 水平是通过酶联免疫吸附法测定的。对 13 名女性进行了个体内比较分析,以比较卵泡期和黄体期。此外,仅在卵泡期对 21 名妇女进行了敏感性分析:结果:血浆 17β-estradiol 和孕酮水平在黄体期显著较高,而血浆 FGF21 水平在卵泡期显著较高。对比分析发现,年轻女性在卵泡期和黄体期的冷诱导 BAT 活性无明显差异。对比分析和敏感性分析中的相关性分析发现,血浆 17β-estradiol 和孕酮水平与 BAT 活性无关,而血浆 FGF21 水平仅在卵泡期与 BAT 活性显著正相关。此外,在比较分析和敏感性分析中,卵泡期血浆17β-雌二醇水平与血浆FGF21水平均呈显著正相关:结论:年轻女性在卵泡期和黄体期暴露于寒冷环境时的生热活性相当。只有在卵泡期,较高的BAT活性与血浆FGF21水平的升高有关,而FGF21水平的升高与血浆17β-雌二醇水平的升高有关。
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引用次数: 0
Differences in sarcopenia indices in elderly Japanese women and their relationships with obesity classified according to waist circumference, BMI, and body fat percentage. 日本老年妇女肌肉疏松症指数的差异及其与按腰围、体重指数和体脂百分比分类的肥胖症的关系。
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.1186/s40101-024-00370-7
Chihiro Nishida, Motoyuki Iemitsu, Toshiyuki Kurihara, Keiko Kishigami, Motohiko Miyachi, Kiyoshi Sanada

Background: Sarcopenic obesity (SO) is defined as a decrease in lean body mass and an increase in body fat mass (BFM) due to aging. Detecting SO in elderly women is important from the perspective of extending healthy life expectancy. While various indices of SO are currently used, there is no global consensus regarding diagnostic criteria for SO. This study aimed to examine the relationship between obesity indices (waist circumference (WC), body mass index (BMI), and body fat percentage (BFP)) and sarcopenia indices (total body muscle mass (TBM), appendicular lean mass (ALM), skeletal mass index (SMI)), and physical function (gait speed (GS), handgrip strength (HGS)).

Methods: Subjects were 170 community-dwelling healthy elderly women aged 65-79 years (mean: 72.7 ± 5.78 years) who underwent measurements for WC, BMI, and BFP. A WC of ≥ 90cm was defined as the obese group, BMI was determined as weight (kg) divided by height squared (m2) and a cutoff of ≥ 25 kg/m2 was used to define the obesity group. BFM was measured using the bioelectrical impedance analysis (BIA) method and BFP was calculated from body weight and a cutoff of ≥ 30% was used to define the obesity group. TBM and ALM (kg) were measured using the BIA method, ALM (kg) was corrected for height (m2) to obtain SMI (kg/m2). Physical function was assessed by GS and HGS, which were measured by the 5-m walk test and a digital grip strength meter, respectively.

Results: When obesity was assessed using BMI, WC and BFP, obese individuals had higher TBM, ALM and SMI, and lower GS among the sarcopenia indicators. HGS did not differ significantly between the non-obese and obese groups.

Conclusion: Our findings suggest HGS is thought to reflect muscle strength without being affected by obesity indices, suggesting that it may be useful in detecting possible sarcopenia in obese individuals.

背景:肌肉松弛性肥胖(Sarcopenic obesity,SO)是指由于衰老导致的瘦体重减少和体脂肪量(BFM)增加。从延长健康预期寿命的角度来看,在老年妇女中检测出 Sarcopenic 肥胖症非常重要。虽然目前使用了各种 SO 指数,但全球对 SO 的诊断标准尚未达成共识。本研究旨在探讨肥胖指数(腰围 (WC)、体重指数 (BMI) 和体脂率 (BFP))和肌肉疏松指数(全身肌肉质量 (TBM)、关节瘦肉质量 (ALM)、骨骼质量指数 (SMI))与身体功能(步态速度 (GS)、手握力 (HGS))之间的关系:受试者为 170 名居住在社区的健康老年妇女,年龄在 65-79 岁之间(平均:72.7 ± 5.78 岁),她们接受了腹围、体重指数和体重指数的测量。WC≥90cm定义为肥胖组,BMI以体重(kg)除以身高平方(m2)计算,以≥25 kg/m2为肥胖组的临界值。BFM 采用生物电阻抗分析法(BIA)测量,BFP 根据体重计算,以≥ 30% 为临界值界定肥胖组。采用生物电阻抗分析法测量 TBM 和 ALM(千克),ALM(千克)根据身高(平方米)进行校正,得出 SMI(千克/平方米)。身体功能由 GS 和 HGS 评估,分别由 5 米步行测试和数字握力计测量:结果:当使用体重指数、腹围和体重指数评估肥胖情况时,肥胖者的肌肉疏松症指标中,TBM、ALM 和 SMI 较高,而 GS 较低。HGS在非肥胖组和肥胖组之间没有明显差异:我们的研究结果表明,HGS 被认为能反映肌肉强度,而不受肥胖指数的影响,这表明它可用于检测肥胖者可能存在的肌肉疏松症。
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引用次数: 0
Effects of observing own/others hand movement in different perspectives on mu rhythm suppression: an EEG study. 从不同角度观察自己/他人手部运动对缪氏节律抑制的影响:一项脑电图研究。
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2024-09-04 DOI: 10.1186/s40101-024-00369-0
Nakyeong Shin, Yuki Ikeda, Yuki Motomura, Shigekazu Higuchi

Background: Previous studies have reported that the sense of "self" is associated with specific brain regions and neural network activities. In addition, the mirror system, which functions when executing or observing an action, might contribute to differentiating the self from others and form the basis of the sense of self as a fundamental physical representation. This study investigated whether differences in mu suppression, an indicator of mirror system activity, reflect cognitions related to self-other discrimination.

Methods: The participants were 30 of healthy college students. The participants observed short video clips of hand movements performed by themselves or actors from two perspectives (i.e., first-person and third-person). The electroencephalogram (EEG) mu rhythm (8-13 Hz) was measured during video observation as an index of mirror neuron system activity. EEG activity related to self-detection was analyzed using participants' hand movements as self-relevant stimuli.

Results: The results showed that mu suppression in the 8-13-Hz range exhibited perspective-dependent responses to self/other stimuli. There was a significant self-oriented mu suppression response in the first-person perspective. However, the study found no significant response orientation in the third-person perspective. The results suggest that mirror system activity may involve self-other discrimination differently depending on the perspective.

Conclusions: In summary, this study examined the mirror system's activity for self and others using the EEG's mu suppression. As a result, it was suggested that differences in self and others or perspectives may influence mu suppression.

背景:以往的研究表明,"自我 "感与特定的脑区和神经网络活动有关。此外,镜像系统在执行或观察动作时发挥作用,可能有助于将自我与他人区分开来,并形成作为基本物理表征的自我意识的基础。本研究探讨了作为镜像系统活动指标的μ抑制的差异是否反映了与自他区分相关的认知:方法:参与者为 30 名健康大学生。被试从两个视角(即第一人称和第三人称)观察自己或演员的手部动作视频短片。在视频观察过程中测量脑电图(EEG)μ节律(8-13 Hz),作为镜像神经元系统活动的指标。以参与者的手部动作作为自我相关刺激,分析了与自我检测相关的脑电图活动:结果表明,8-13Hz 范围内的μ抑制表现出对自我/他人刺激的视角依赖性反应。在第一人称视角下,有明显的自我导向的μ抑制反应。然而,研究发现第三人称视角下没有明显的反应定向。研究结果表明,镜像系统的活动可能因视角的不同而涉及不同的自我/他人辨别:总之,本研究利用脑电图的μ抑制检测了镜像系统对自我和他人的活动。结果表明,自我和他人或视角的差异可能会影响μ抑制。
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引用次数: 0
The impact of hygienic living conditions on the differentiation of male body height at the beginning of the twentieth century in the USSR. 二十世纪初卫生生活条件对苏联男性身高分化的影响。
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2024-08-27 DOI: 10.1186/s40101-024-00367-2
Lidia Lebedeva, Elena Godina

Background: The positive changes in hygienic living conditions are commonly believed to explain secular changes in body height and the age of maturity. However, it is difficult to estimate the separate impacts of these factors due to the lack of social and economic data and variations in the sources of information. We hypothesized that final male body height could be associated with various socioeconomic indicators, such as the development of the medical care system, the quality of nutrition, and the level of sanitary and hygienic conditions. Moreover, we hypothesized that male body height could be associated with the level of morbidity in the region during the time of conscript childhood (from 1 to 7 years old).

Materials and methods: We used two main sources of information in the analyses. The first is the data from the Statistical Reference Book published by the Central Statistical Committee in 1929. The second is the annual data from the Statistical Reference Book published in the Russian Empire. Since the conscripts were born between 1906 and 1909, we used datasets from 1910 to 1913. To analyze the data, we used a method of analyzing interacting variables called St. Nicolas House Analysis (SNHA).

Results: Our analyses revealed direct associations between the morbidity of some diseases and male body height and other anthropometric parameters.

Conclusions: There are associations between conscript final body height and the morbidity of influenza, dysentery and some venereal diseases, such as chancroid and syphilis. There were no associations between conscript final body height and the level of morbidity during childhood. However, other final parameters, such as BMI, weight, and chest circumference, could be associated with the morbidity of malaria, scabies, scurvy, and scarlet fever during childhood. The prevalence of these diseases could be strongly connected with unfavorable living conditions. The results are similar for both urban and rural areas.

背景:人们普遍认为,卫生生活条件的积极变化可以解释身高和成熟年龄的世俗变化。然而,由于缺乏社会和经济数据以及信息来源的差异,很难估算这些因素的单独影响。我们假设,男性最终身高可能与各种社会经济指标有关,如医疗保健系统的发展、营养质量以及卫生条件水平。此外,我们还假设男性身高可能与征兵儿童时期(1 至 7 岁)该地区的发病率水平有关:我们在分析中使用了两个主要的信息来源。首先是中央统计委员会 1929 年出版的《统计参考书》中的数据。其次是俄罗斯帝国出版的《统计参考书》中的年度数据。由于应征入伍者出生于 1906 年至 1909 年,我们使用了 1910 年至 1913 年的数据集。在分析数据时,我们使用了一种名为圣尼古拉之家分析法(SNHA)的交互变量分析方法:我们的分析表明,某些疾病的发病率与男性身高和其他人体测量参数之间存在直接联系:结论:应征士兵的最终身高与流感、痢疾和一些性病(如软下疳和梅毒)的发病率之间存在关联。应征士兵的最终身高与童年时期的发病率没有关系。然而,其他最终参数,如体重指数、体重和胸围,可能与儿童期疟疾、疥疮、坏血病和猩红热的发病率有关。这些疾病的流行可能与不利的生活条件密切相关。城市和农村地区的结果相似。
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引用次数: 0
Association between thermogenic brown fat and genes under positive natural selection in circumpolar populations. 环极人群中棕色脂肪与正向自然选择基因之间的关系。
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2024-08-19 DOI: 10.1186/s40101-024-00368-1
Yuka Ishida, Mami Matsushita, Takeshi Yoneshiro, Masayuki Saito, Kazuhiro Nakayama

Background: Adaptation to cold was essential for human migration across Eurasia. Non-shivering thermogenesis through brown adipose tissue (BAT) participates in cold adaptation because some genes involved in the differentiation and function of BAT exhibit signatures of positive natural selection in populations at high latitudes. Whether these genes are associated with the inter-individual variability in BAT thermogenesis remains unclear. In this study, we evaluated the potential associations between BAT activity and single nucleotide polymorphisms (SNPs) in candidate gene regions in East Asian populations.

Methods: BAT activity induced by mild cold exposure was measured in 399 healthy Japanese men and women using fluorodeoxyglucose-positron emission tomography and computed tomography (FDG-PET/CT). The capacity for cold-induced thermogenesis and fat oxidation was measured in 56 men. Association analyses with physiological traits were performed for 11 SNPs at six loci (LEPR, ANGPTL8, PLA2G2A, PLIN1, TBX15-WARS2, and FADS1) reported to be under positive natural selection. Associations found in the FDG-PET/CT population were further validated in 84 healthy East Asian men and women, in whom BAT activity was measured using infrared thermography. Associations between the SNP genotypes and BAT activity or other related traits were tested using multiple logistic and linear regression models.

Results: Of the 11 putative adaptive alleles of the six genes, two intronic SNPs in LEPR (rs1022981 and rs12405556) tended to be associated with higher BAT activity. However, these did not survive multiple test comparisons. Associations with lower body fat percentage, plasma triglyceride, insulin, and HOMA-IR levels were observed in the FDG-PET/CT population (P < 0.05). Other loci, including TBX15-WARS2, which is speculated to mediate cold adaptation in Greenland Inuits, did not show significant differences in BAT thermogenesis.

Conclusions: Our results suggest a marginal but significant association between LEPR SNPs. However, robust supporting evidence was not established for the involvement of other loci under positive natural selection in cold adaptation through BAT thermogenesis in East Asian adults. Given the pleiotropic function of these genes, factors other than cold adaptation through BAT thermogenesis, such as diet adaptation, may contribute to positive natural selection at these loci.

背景:适应寒冷对人类跨越欧亚大陆的迁移至关重要。棕色脂肪组织(BAT)的非颤抖性产热参与了寒冷适应,因为在高纬度地区的人群中,一些参与棕色脂肪组织分化和功能的基因表现出积极的自然选择特征。这些基因是否与 BAT 产热的个体间变异有关仍不清楚。在这项研究中,我们评估了东亚人群中 BAT 活性与候选基因区域中单核苷酸多态性(SNPs)之间的潜在关联:方法:使用氟脱氧葡萄糖正电子发射断层扫描和计算机断层扫描(FDG-PET/CT)测量了 399 名健康日本男性和女性在轻度寒冷暴露下诱导的 BAT 活动。对 56 名男性进行了冷诱导产热和脂肪氧化能力的测量。对 6 个位点(LEPR、ANGPTL8、PLA2G2A、PLIN1、TBX15-WARS2 和 FADS1)上的 11 个 SNPs 与生理特征进行了关联分析。在 FDG-PET/CT 群体中发现的关联在 84 名健康的东亚男性和女性中得到了进一步验证,他们的 BAT 活性是通过红外热成像测量的。使用多重逻辑和线性回归模型检验了 SNP 基因型与 BAT 活动或其他相关性状之间的关联:结果:在六个基因的 11 个推测适应性等位基因中,LEPR 的两个内含子 SNP(rs1022981 和 rs12405556)往往与较高的 BAT 活性相关。然而,这些基因并没有通过多重检验比较。在FDG-PET/CT人群中,观察到与较低的体脂率、血浆甘油三酯、胰岛素和HOMA-IR水平相关(P 结论:我们的研究结果表明,LEPR与较高的BAT活性存在微弱但显著的相关性:我们的研究结果表明,LEPR SNPs 之间存在微弱但显著的关联。然而,在东亚成年人中,并没有强有力的支持证据表明其他基因位点在自然选择的积极作用下通过 BAT 产热参与了冷适应。鉴于这些基因的多效应功能,除了通过 BAT 产热进行冷适应外,其他因素(如饮食适应)也可能促成这些基因位点的正向自然选择。
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引用次数: 0
Sustained metabolic dysregulation and the emergence of diabetes: associations between HbA1c and metabolic syndrome components in Tunisian diabetic and nondiabetic groups. 持续代谢失调与糖尿病的出现:突尼斯糖尿病和非糖尿病群体中 HbA1c 与代谢综合征成分之间的关联。
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2024-07-20 DOI: 10.1186/s40101-024-00365-4
Adriana Wisniewski, Alicia M DeLouize, Tian Walker, Somnath Chatterji, Nirmala Naidoo, Paul Kowal, J Josh Snodgrass

Introduction: Metabolic Syndrome (MetS), diabetes, and other noncommunicable diseases (NCDs) have been a major focus of research in recent decades as the prevalence of these conditions continues to rapidly increase globally. However, the timing and patterns of development from metabolic risk factors to disease states are less well understood and are especially critical to understand in low- and middle-income countries (LMICs) and populations undergoing epidemiological transitions.

Methods: Nationally representative sociodemographic, anthropometric, and point-of-care biomarker data from the 2016 Tunisian Health Examination Survey (n = 8170) were used to determine the prevalence of diabetes and MetS components in Tunisia and to investigate associations between glycated hemoglobin (HbA1c) and MetS components (blood pressure [BP], HDL cholesterol [HDL], triglycerides [TG], and waist circumference [WC]) in participants aged 15-97 years old. To better understand how sustained metabolic dysregulation and disease states impact these associations, diabetic and nondiabetic groups were analyzed separately.

Results: The overall prevalence of diabetes based on measured HbA1c was 18.2%. The diabetic groups had a higher prevalence of each individual MetS component, and significantly higher (BP, TG, WC, and HbA1c) and lower (HDL) values than the nondiabetic groups. Yet, there were a higher number of significant associations between HbA1c and MetS components found in nondiabetic women and men when compared to diabetic women and men. HbA1c was positively associated with the cumulative number of MetS components, irrespective of diabetes status in men and women.

Conclusions: The prevalence of both diabetes and MetS components (particularly low HDL cholesterol and elevated TG) is high among the Tunisian population. More MetS components were associated with HbA1c in nondiabetic individuals, showing a strong connection between the development of MetS components and diabetes. However, once the diabetes disease state manifests, there is more variability in the relationships. These results show the potential for HbA1c to be an indicator of metabolic health below clinical disease cutoffs, which may allow insights into the physiological changes that precipitate the emergence of diabetes.

导言:近几十年来,代谢综合征(MetS)、糖尿病和其他非传染性疾病(NCDs)一直是研究的重点,因为这些疾病的发病率在全球范围内持续快速增长。然而,人们对从代谢风险因素发展到疾病状态的时间和模式却不甚了解,尤其是在中低收入国家(LMICs)和正在经历流行病学转变的人群中,了解这些情况尤为重要:方法:利用2016年突尼斯健康检查调查(n = 8170)中具有全国代表性的社会人口学、人体测量学和护理点生物标志物数据,确定突尼斯的糖尿病患病率和MetS成分,并调查15-97岁参与者中糖化血红蛋白(HbA1c)和MetS成分(血压[BP]、高密度脂蛋白胆固醇[HDL]、甘油三酯[TG]和腰围[WC])之间的关联。为了更好地了解持续的代谢失调和疾病状态如何影响这些关联,我们分别对糖尿病组和非糖尿病组进行了分析:结果:根据测量的 HbA1c,糖尿病的总体患病率为 18.2%。与非糖尿病组相比,糖尿病组的 MetS 各项指标的患病率更高,血压、总胆固醇、腹围和 HbA1c 值明显更高,高密度脂蛋白值明显更低。然而,与患有糖尿病的女性和男性相比,非糖尿病女性和男性的 HbA1c 与 MetS 成分之间存在更多的显著关联。无论男女是否患有糖尿病,HbA1c 都与 MetS 成分的累积数量呈正相关:结论:在突尼斯人口中,糖尿病和 MetS 成分(尤其是高密度脂蛋白胆固醇低和总胆固醇升高)的发病率都很高。更多的 MetS 成分与非糖尿病患者的 HbA1c 相关,这表明 MetS 成分的发展与糖尿病之间存在密切联系。然而,一旦糖尿病疾病状态显现,两者之间的关系就会出现更多变化。这些结果表明,HbA1c 有可能成为低于临床疾病临界值的代谢健康指标,这可能有助于深入了解导致糖尿病出现的生理变化。
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引用次数: 0
Impact of high-altitude hypoxia on Helicobacter pylori-induced gastritis pathological manifestations and inflammatory responses. 高海拔缺氧对幽门螺旋杆菌诱发的胃炎病理表现和炎症反应的影响
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2024-07-05 DOI: 10.1186/s40101-024-00364-5
Chunxia Li, Xuehong Wang, Sen Cui

Background: Chronic gastritis caused by Helicobacter pylori (Hp) infection is a common gastrointestinal disorder. Despite the high prevalence of Hp infection and chronic gastritis in the Tibetan Plateau, there is a lack of studies elucidating the influence of plateau hypoxia on Hp-induced gastritis. This study aimed to investigate the impact of high-altitude hypoxia on Hp-induced gastritis, particularly focusing on pathological manifestations and inflammatory responses.

Methods: This study was conducted from July 2023 to March 2024 at the Department of Gastroenterology, Affiliated Hospital of Qinghai University. Ninety patients diagnosed with chronic gastritis were enrolled in the study and divided into four groups based on their residential altitude and Hp infection status. Data on endoscopic and pathological characteristics were collected, along with serum oxidative stress and inflammatory markers.

Results: Patients with Hp gastritis exhibit distinctive features in the gastric mucosa, including diffuse erythema, enlarged folds, and white turbid mucus during endoscopy. Notably, individuals with Hp gastritis at high altitudes show a higher prevalence of diffuse erythema and enlarged folds. Pathological analysis reveals that these patients have elevated gastric mucosal inflammation scores and increased chronic and active inflammation. Furthermore, individuals with Hp gastritis at high altitudes demonstrate elevated levels of serum TNF-α, IL-1β, IL-6, and MDA, as well as reduced serum SOD and GSH-Px activities.

Conclusions: High-altitude hypoxia may exacerbate gastric mucosal damage by enhancing oxidative stress and inflammatory response induced by Hp infection.

背景:幽门螺杆菌(Hp)感染引起的慢性胃炎是一种常见的胃肠道疾病。尽管青藏高原是幽门螺杆菌感染和慢性胃炎的高发区,但却缺乏阐明高原缺氧对幽门螺杆菌诱发胃炎影响的研究。本研究旨在探讨高原缺氧对Hp诱发胃炎的影响,特别是对病理表现和炎症反应的影响:本研究于 2023 年 7 月至 2024 年 3 月在青海大学附属医院消化内科进行。根据居住地的海拔高度和 Hp 感染情况将 90 例慢性胃炎患者分为四组。研究收集了内镜和病理特征数据,以及血清氧化应激和炎症指标:结果:Hp 胃炎患者的胃黏膜表现出明显的特征,包括弥漫性红斑、皱襞增大以及内镜下的白色浑浊黏液。值得注意的是,高海拔地区的 Hp 胃炎患者出现弥漫性红斑和皱襞增大的比例更高。病理分析显示,这些患者的胃黏膜炎症评分升高,慢性和活动性炎症增加。此外,高海拔地区 Hp 胃炎患者的血清 TNF-α、IL-1β、IL-6 和 MDA 水平升高,血清 SOD 和 GSH-Px 活性降低:结论:高海拔缺氧可能会加剧Hp感染引起的氧化应激和炎症反应,从而加重胃黏膜损伤。
{"title":"Impact of high-altitude hypoxia on Helicobacter pylori-induced gastritis pathological manifestations and inflammatory responses.","authors":"Chunxia Li, Xuehong Wang, Sen Cui","doi":"10.1186/s40101-024-00364-5","DOIUrl":"10.1186/s40101-024-00364-5","url":null,"abstract":"<p><strong>Background: </strong>Chronic gastritis caused by Helicobacter pylori (Hp) infection is a common gastrointestinal disorder. Despite the high prevalence of Hp infection and chronic gastritis in the Tibetan Plateau, there is a lack of studies elucidating the influence of plateau hypoxia on Hp-induced gastritis. This study aimed to investigate the impact of high-altitude hypoxia on Hp-induced gastritis, particularly focusing on pathological manifestations and inflammatory responses.</p><p><strong>Methods: </strong>This study was conducted from July 2023 to March 2024 at the Department of Gastroenterology, Affiliated Hospital of Qinghai University. Ninety patients diagnosed with chronic gastritis were enrolled in the study and divided into four groups based on their residential altitude and Hp infection status. Data on endoscopic and pathological characteristics were collected, along with serum oxidative stress and inflammatory markers.</p><p><strong>Results: </strong>Patients with Hp gastritis exhibit distinctive features in the gastric mucosa, including diffuse erythema, enlarged folds, and white turbid mucus during endoscopy. Notably, individuals with Hp gastritis at high altitudes show a higher prevalence of diffuse erythema and enlarged folds. Pathological analysis reveals that these patients have elevated gastric mucosal inflammation scores and increased chronic and active inflammation. Furthermore, individuals with Hp gastritis at high altitudes demonstrate elevated levels of serum TNF-α, IL-1β, IL-6, and MDA, as well as reduced serum SOD and GSH-Px activities.</p><p><strong>Conclusions: </strong>High-altitude hypoxia may exacerbate gastric mucosal damage by enhancing oxidative stress and inflammatory response induced by Hp infection.</p>","PeriodicalId":48730,"journal":{"name":"Journal of Physiological Anthropology","volume":"43 1","pages":"17"},"PeriodicalIF":3.3,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11225251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538819","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: 0
Differences in the pupillary responses to evening light between children and adolescents. 儿童和青少年对晚间光线的瞳孔反应差异。
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2024-07-03 DOI: 10.1186/s40101-024-00363-6
Lauren E Hartstein, Monique K LeBourgeois, Mark T Durniak, Raymond P Najjar

Background: In the mammalian retina, intrinsically-photosensitive retinal ganglion cells (ipRGC) detect light and integrate signals from rods and cones to drive multiple non-visual functions including circadian entrainment and the pupillary light response (PLR). Non-visual photoreception and consequently non-visual sensitivity to light may change across child development. The PLR represents a quick and reliable method for examining non-visual responses to light in children. The purpose of this study was to assess differences in the PLRs to blue and red stimuli, measured one hour prior to bedtime, between children and adolescents.

Methods: Forty healthy participants (8-9 years, n = 21; 15-16 years, n = 19) completed a PLR assessment 1 h before their habitual bedtime. After a 1 h dim-light adaptation period (< 1 lx), baseline pupil diameter was measured in darkness for 30 s, followed by a 10 s exposure to 3.0 × 1013 photons/cm2/s of either red (627 nm) or blue (459 nm) light, and a 40 s recovery in darkness to assess pupillary re-dilation. Subsequently, participants underwent 7 min of dim-light re-adaptation followed by an exposure to the other light condition. Lights were counterbalanced across participants.

Results: Across both age groups, maximum pupil constriction was significantly greater (p < 0.001, ηp2 = 0.48) and more sustained (p < 0.001, ηp2 = 0.41) during exposure to blue compared to red light. For adolescents, the post-illumination pupillary response (PIPR), a hallmark of melanopsin function, was larger after blue compared with red light (p = 0.02, d = 0.60). This difference was not observed in children. Across light exposures, children had larger phasic (p < 0.01, ηp2 = 0.20) and maximal (p < 0.01, ηp2 = 0.22) pupil constrictions compared to adolescents.

Conclusions: Blue light elicited a greater and more sustained pupillary response than red light in children and adolescents. However, the overall amplitude of the rod/cone-driven phasic response was greater in children than in adolescents. Our findings using the PLR highlight a higher sensitivity to evening light in children compared to adolescents, and continued maturation of the human non-visual photoreception/system throughout development.

背景:在哺乳动物视网膜中,固有光敏性视网膜神经节细胞(ipRGC)可检测光线并整合来自视杆细胞和视锥细胞的信号,从而驱动多种非视觉功能,包括昼夜节律调节和瞳孔光反应(PLR)。非视觉光感受以及由此产生的对光的非视觉敏感性可能会在儿童发育过程中发生变化。瞳孔光反应是检测儿童对光的非视觉反应的一种快速可靠的方法。本研究的目的是评估儿童和青少年在睡前一小时对蓝色和红色刺激的 PLR 的差异:方法:40 名健康参与者(8-9 岁,21 人;15-16 岁,19 人)在习惯睡前 1 小时完成 PLR 评估。经过 1 小时的暗光适应期(13 光子/平方厘米/秒的红光(627 纳米)或蓝光(459 纳米),然后在黑暗中恢复 40 秒,以评估瞳孔再扩张情况。随后,参与者进行 7 分钟的暗光再适应,然后再接触另一种光照条件。结果显示,两个年龄组的受试者的最大瞳孔收缩率均低于对照组:结果:在两个年龄组中,与红光相比,暴露于蓝光时瞳孔最大收缩量明显更大(p p2 = 0.48),且更持久(p p2 = 0.41)。对于青少年来说,蓝光照射后的瞳孔反应(PIPR)比红光照射后的瞳孔反应大(p = 0.02,d = 0.60),而蓝光照射后的瞳孔反应是黑色素视网膜功能的标志。在儿童身上没有观察到这种差异。与青少年相比,在各种光线照射下,儿童瞳孔的阶段性收缩(p p2 = 0.20)和最大收缩(p p2 = 0.22)都更大:结论:在儿童和青少年中,蓝光比红光引起的瞳孔反应更大、更持久。结论:蓝光在儿童和青少年中引起的瞳孔反应比红光更大、更持久,但儿童的杆/锥体驱动的相位反应的总体幅度比青少年更大。我们使用 PLR 的研究结果表明,与青少年相比,儿童对晚间光线的敏感度更高,而且人类的非视觉光感知/系统在整个发育过程中不断成熟。
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引用次数: 0
Association between underweight, serum albumin levels, and height loss in the Japanese male population: a retrospective study. 日本男性体重不足、血清白蛋白水平与身高下降之间的关系:一项回顾性研究。
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2024-05-27 DOI: 10.1186/s40101-024-00362-7
Yuji Shimizu, Eiko Honda, Nagisa Sasaki, Midori Takada, Tomokatsu Yoshida, Kazushi Motomura

Background: Previous study has shown that height loss (defined as the highest quartile of height loss per year) was inversely associated with serum albumin levels. Furthermore, comparatively healthy hyponutrition has been linked with being underweight; as such, underweight might be inversely associated with serum albumin levels and positively associated with height loss.

Methods: To clarify the associations between serum albumin level, underweight status, and height loss, we conducted a retrospective study of 8,096 men over 4.0 years (median).

Results: Serum albumin level at baseline was inversely associated with being underweight (body mass index [BMI]: < 18.5 kg/m2) at baseline and height loss. The known cardiovascular risk factor adjusted odds ratio (OR) and 95% confidence interval (CI) of underweight at baseline and of height loss for 1 standard deviation increment of serum albumin (0.28 g/dL) was 0.79 (0.70, 0.90) and 0.84 (0.80, 0.88). Underweight was also shown to be positively associated with height loss: with the reference of normal-low weight (BMI: 18.5-22.9 kg/m2), the adjusted OR (95% CI) was 1.60 (1.21, 2.10).

Conclusion: Comparative healthy hyponutrition, which is related to low serum albumin levels and being underweight, is a significant risk factor for height loss among Japanese men. These results help to clarify the mechanisms underlying height loss.

研究背景以前的研究表明,身高下降(定义为每年身高下降的最高四分位数)与血清白蛋白水平成反比。此外,相对健康的营养不良与体重不足有关;因此,体重不足可能与血清白蛋白水平成反比,而与身高下降成正比:为了明确血清白蛋白水平、体重不足状态和身高下降之间的关系,我们对 8096 名男性进行了一项为期 4.0 年(中位数)的回顾性研究:基线时的血清白蛋白水平与基线时体重不足(体重指数 [BMI]:2)和身高下降成反比。血清白蛋白每增加 1 个标准差(0.28 g/dL),基线体重不足和身高下降的已知心血管风险因素调整后的几率比(OR)和 95% 置信区间(CI)分别为 0.79 (0.70, 0.90) 和 0.84 (0.80, 0.88)。体重不足也与身高下降呈正相关:以正常低体重(体重指数:18.5-22.9 kg/m2)为参照,调整后的OR(95% CI)为1.60(1.21,2.10):比较健康的营养不良(与血清白蛋白水平低和体重不足有关)是日本男性身高下降的一个重要风险因素。这些结果有助于阐明身高下降的内在机制。
{"title":"Association between underweight, serum albumin levels, and height loss in the Japanese male population: a retrospective study.","authors":"Yuji Shimizu, Eiko Honda, Nagisa Sasaki, Midori Takada, Tomokatsu Yoshida, Kazushi Motomura","doi":"10.1186/s40101-024-00362-7","DOIUrl":"10.1186/s40101-024-00362-7","url":null,"abstract":"<p><strong>Background: </strong>Previous study has shown that height loss (defined as the highest quartile of height loss per year) was inversely associated with serum albumin levels. Furthermore, comparatively healthy hyponutrition has been linked with being underweight; as such, underweight might be inversely associated with serum albumin levels and positively associated with height loss.</p><p><strong>Methods: </strong>To clarify the associations between serum albumin level, underweight status, and height loss, we conducted a retrospective study of 8,096 men over 4.0 years (median).</p><p><strong>Results: </strong>Serum albumin level at baseline was inversely associated with being underweight (body mass index [BMI]: < 18.5 kg/m<sup>2</sup>) at baseline and height loss. The known cardiovascular risk factor adjusted odds ratio (OR) and 95% confidence interval (CI) of underweight at baseline and of height loss for 1 standard deviation increment of serum albumin (0.28 g/dL) was 0.79 (0.70, 0.90) and 0.84 (0.80, 0.88). Underweight was also shown to be positively associated with height loss: with the reference of normal-low weight (BMI: 18.5-22.9 kg/m<sup>2</sup>), the adjusted OR (95% CI) was 1.60 (1.21, 2.10).</p><p><strong>Conclusion: </strong>Comparative healthy hyponutrition, which is related to low serum albumin levels and being underweight, is a significant risk factor for height loss among Japanese men. These results help to clarify the mechanisms underlying height loss.</p>","PeriodicalId":48730,"journal":{"name":"Journal of Physiological Anthropology","volume":"43 1","pages":"15"},"PeriodicalIF":3.3,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11129465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141159253","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: 0
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Journal of Physiological Anthropology
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