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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。
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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。
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引用次数: 0
Comparisons between wrinkles and photo-ageing detected and self-reported by the participant or identified by trained assessors reveal insights from Chinese individuals in the Singapore/Malaysia Cross-sectional Genetics Epidemiology Study (SMCGES) cohort. 通过比较受试者检测到的皱纹和光老化与自我报告的皱纹和光老化之间的关系,或由训练有素的评估人员识别的皱纹和光老化之间的关系,揭示了新加坡/马来西亚横断面遗传流行病学研究(SMCGES)队列中的华人的见解。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2024-05-18 DOI: 10.1186/s40101-024-00361-8
Jun Yan Ng, Hongyu Zhou, Tianqi Li, Fook Tim Chew

Background: Changes develop on the facial skin as a person ages. Other than chronological time, it has been discovered that gender, ethnicity, air pollution, smoking, nutrition, and sun exposure are notable risk factors that influence the development of skin ageing phenotypes such as wrinkles and photo-ageing. These risk factors can be quantified through epidemiological collection methods. We previously studied wrinkles and photo-ageing in detail using photo-numeric scales. The analysis was performed on the ethnic Chinese skin by three trained assessors. Recent studies have shown that it is possible to use self-reported data to identify skin-related changes including skin colour and skin cancer. In order to investigate the association between risk factors and skin ageing phenotypic outcomes in large-scale epidemiological studies, it would be useful to evaluate whether it is also possible for participants to self-report signs of ageing on their skin.

Aim: We have previously identified several validated photo-numeric scales for wrinkling and photo-ageing to use on ethnic Chinese skin. Using these scales, our trained assessors grade wrinkling and photo-ageing with moderately high inter-assessor concordance and agreement. The main objective of this study involves letting participants grade self-reported wrinkling and photo-ageing using these same scales. We aim to compare the concordance and agreement between signs of skin ageing by the participant and signs of ageing identified by our assessors.

Method: Three trained assessors studied facial photo-ageing on 1081 ethnic Chinese young adults from the Singapore/Malaysia Cross-sectional Genetics Epidemiology Study (SMCGES) cohort. Self-reported facial photo-ageing data by the same 1081 participants were also collated and the two sets of data are compared.

Results: Here, we found that self-reported signs of photo-ageing are concordant with photo-ageing detected by our assessors. This finding is consistent whether photo-ageing is evaluated through studying wrinkle variations (Spearman's rank correlation (ρ) value: 0.246-0.329) or through studying dyspigmentation patterns (Spearman's rank correlation (ρ) value 0.203-0.278). When studying individual wrinkles, both participants and assessors often detect the presence of the same wrinkle (Spearman's rank correlation (ρ) value 0.249-0.366). A weak-to-fair level of agreement between both participants and assessors (Cohen's kappa (κ) values: 0.041-0.233) persists and is statistically significant after accounting for agreements due to chance. Both the participant and the assessor are largely consistent in evaluating the extent of photo-ageing (area under curve (AUC) values 0.689-0.769) and in discerning between the presence or absence of a given facial wrinkle (area under curve (AUC) values 0.601-0.856).

Conclusion: When we analyse the overall appearanc

背景介绍随着年龄的增长,面部皮肤会发生变化。除时间因素外,人们还发现性别、种族、空气污染、吸烟、营养和日晒等都是影响皱纹和光老化等皮肤老化表型发展的显著风险因素。这些风险因素可以通过流行病学收集方法进行量化。此前,我们曾使用照相数字量表对皱纹和光老化进行了详细研究。分析是由三位训练有素的评估员对中国人的皮肤进行的。最近的研究表明,可以利用自我报告的数据来识别与皮肤有关的变化,包括肤色和皮肤癌。为了在大规模流行病学研究中调查风险因素与皮肤老化表型结果之间的关联,评估参与者是否也可以自我报告皮肤上的老化迹象将是有益的。通过使用这些量表,我们训练有素的评估员可以对皱纹和照片老化进行分级,评估员之间的一致性和一致性中等偏上。本研究的主要目的是让参与者使用这些量表对自我报告的皱纹和照片老化进行评分。我们的目的是比较参与者的皮肤老化迹象与我们的评估员所识别的老化迹象之间的一致性和协调性:方法:三名经过培训的评估员对新加坡/马来西亚横断面遗传流行病学研究(SMCGES)队列中的 1081 名华裔青壮年进行了面部光老化研究。我们还整理了这 1081 名参与者自我报告的面部照片老化数据,并对两组数据进行了比较:结果:我们发现,自我报告的光老化迹象与评估人员检测到的光老化迹象一致。无论是通过研究皱纹变化(斯皮尔曼等级相关性(ρ)值:0.246-0.329)还是通过研究色素沉着模式(斯皮尔曼等级相关性(ρ)值:0.203-0.278)来评估光老化,这一发现都是一致的。在研究单个皱纹时,参与者和评估者通常都能发现相同皱纹的存在(斯皮尔曼等级相关性(ρ)值为 0.249-0.366)。参与者和评估者之间的一致程度从弱到强(Cohen's kappa (κ) 值:0.041-0.233):0.041-0.233),在考虑了偶然因素后,在统计学上具有显著意义。在评估照片老化程度(曲线下面积(AUC)值:0.689-0.769)和辨别是否存在特定面部皱纹(曲线下面积(AUC)值:0.601-0.856)方面,受试者和评估者的意见基本一致:当我们分析面部的整体外观时,我们的结果表明,受试者发现的光老化迹象与我们的评估人员发现的光老化迹象是一致的。当我们把分析重点放在面部的特定区域时,我们发现参与者更有可能识别并自我报告与评估人员同样发现的皱纹。在此,我们发现自我报告的皮肤老化迹象与评估人员识别的皮肤老化迹象具有令人满意的近似性。除了本研究讨论的指标外,还应该对使用自我报告的皮肤老化迹象的能力进行评估。目前,用于量化色素沉着模式的照相数字量表还不如用于量化皱纹变化的量表多。众所周知,随着年龄的增长,中国人的皮肤更容易出现色素沉着,因此需要开发和验证更多的光敏数字量表。
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引用次数: 0
Associations of body composition with physical activity, nutritional intake status, and chronotype among female university students in Japan. 日本女大学生的身体成分与体育锻炼、营养摄入状况和时间型的关系。
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2024-05-09 DOI: 10.1186/s40101-024-00360-9
Kazushige Oshita, Yujiro Ishihara, Kohei Seike, Ryota Myotsuzono

Background: Having higher muscle mass in early adulthood is an important factor in preventing sarcopenia. However, university students undergo lifestyle changes compared to their high school years, which may lead to changes in body composition, such as an increase in body fat and a decrease in muscle mass. The study aimed to investigate the association between body composition and lifestyle behaviors, including chronotype, among Japanese female university students, due to the prevalence of underweight among young females in the country.

Methods: The physical activity level (PAL), daily dietary intake status, morningness-eveningness questionnaire (MEQ) score, and body composition of 230 students were assessed in this cross-sectional study. Body composition was measured using a multifrequency bioelectrical impedance analyzer, and body mass index (BMI), body fat percentage (%BF), and skeletal muscle mass index (SMI) were determined.

Results: Individuals who were evening type (ET) had a higher %BF and lower SMI than those who were non-ET, but no differences in body weight or BMI were found. Although ET individuals had lower total energy intake, protein intake, and PALs than non-ETs, the differences were small. However, multiple regression analyses showed that SMI was significantly positively associated with MEQ and PAL, and %BF was significantly negatively associated with MEQ and PAL.

Conclusion: These results suggest that female university students with lateness of chronotype and low physical activity have a body composition imbalance resulting in higher body fat and lower muscle mass. Therefore, young females may need to take chronotype-specific measures (especially ET individuals) to help them maintain an appropriate body composition.

背景:在成年早期拥有较高的肌肉质量是预防肌肉疏松症的一个重要因素。然而,与高中时期相比,大学生的生活方式发生了变化,这可能会导致身体成分发生变化,例如体脂增加、肌肉量减少。由于日本年轻女性普遍体重不足,本研究旨在调查日本女大学生的身体成分与生活方式行为(包括时间型)之间的关联:这项横断面研究评估了 230 名学生的体力活动水平(PAL)、日常饮食摄入状况、晨起均匀度问卷(MEQ)得分和身体成分。使用多频生物电阻抗分析仪测量了身体成分,并测定了体重指数(BMI)、体脂百分比(%BF)和骨骼肌质量指数(SMI):结果:傍晚型(ET)个体的体脂率(%BF)和骨骼肌质量指数(SMI)均高于非ET个体,但体重或体重指数没有差异。虽然 ET 人的总能量摄入、蛋白质摄入和 PALs 均低于非 ET 人,但差异很小。然而,多元回归分析表明,SMI 与 MEQ 和 PAL 显著正相关,而 %BF 与 MEQ 和 PAL 显著负相关:这些结果表明,时间型较晚和体力活动较少的女大学生身体成分失衡,导致体脂较高而肌肉质量较低。因此,年轻女性可能需要采取针对时间型的措施(尤其是 ET 人),以帮助她们保持适当的身体成分。
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引用次数: 0
Local alternating heat and cold stimulation affects hemodynamics and oxygenation in fatigued muscle tissue and autonomic nervous activity: a single-arm interventional study. 局部冷热交替刺激影响疲劳肌肉组织的血液动力学和氧合作用以及自律神经活动:一项单臂干预研究。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2024-03-25 DOI: 10.1186/s40101-024-00358-3
Tomonori Sawada, Hiroki Okawara, Daisuke Nakashima, Kentaro Aoki, Mira Namba, Shuhei Iwabuchi, Yoshinori Katsumata, Masaya Nakamura, Takeo Nagura

Background: Local alternating heat and cold stimulation as an alternative to contrast bath may cause intermittent vasoconstriction and vasodilation, inducing a vascular pumping effect and consequently promoting increased tissue blood flow and oxygenation. This study aimed to examine the effects of local alternating heat and cold stimulation, using a wearable thermal device, on the hemodynamics of fatigued muscle tissue and autonomic nervous activity.

Methods: Twenty healthy individuals experienced fatigue in the periarticular muscles of the shoulder joint due to a typing task. Local alternating heat and cold stimulations were then applied to the upper trapezius muscle. Muscle hardness was measured using a muscle hardness meter, and muscle tissue hemodynamics and oxygenation were evaluated using near-infrared spectroscopy before and after the stimulation. Autonomic nervous activity was also evaluated using heart rate variability.

Results: Alternating heat and cold stimulation decreased muscle hardness of the fatigued trapezius muscle from 1.38 ± 0.15 to 1.31 ± 0.14 N (P < 0.01). The concentration of total hemoglobin in the trapezius muscle tissue increased from - 0.21 ± 1.36 to 2.29 ± 3.42 µmol/l (P < 0.01), and the tissue hemoglobin oxygen saturation also increased from 70.1 ± 5.4 to 71.1 ± 6.0% (P < 0.05). Additionally, the heart rate variability parameter, which is an index of sympathetic nervous activity, increased from 3.82 ± 2.96 to 6.86 ± 3.49 (P < 0.01). A correlation was found between increased tissue hemoglobin oxygen saturation and increased parameters of sympathetic nervous activity (r = 0.50, P < 0.05).

Conclusions: Local alternating heat and cold stimulation affected the hemodynamic response in fatigued muscle tissue and autonomic nervous activity. This stimulation is more efficient than conventional contrast baths in terms of mobility and temperature control and has potential as a new versatile therapeutic intervention for muscle fatigue.

Trial registration: UMIN-CTR (UMIN000040087: registered on April 7, 2020, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000045710 . UMIN000040620: registered on June 1, 2020, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000046359 ).

背景:局部冷热交替刺激作为造影剂浴的一种替代方法,可引起间歇性血管收缩和血管扩张,诱发血管泵效应,从而促进组织血流和氧合的增加。本研究旨在利用可穿戴式热敏设备研究局部冷热交替刺激对疲劳肌肉组织血液动力学和自律神经活动的影响:方法:20 名健康人因打字任务导致肩关节周围肌肉疲劳。然后对斜方肌上部进行局部冷热交替刺激。使用肌肉硬度计测量肌肉硬度,并在刺激前后使用近红外光谱评估肌肉组织的血液动力学和含氧量。此外,还利用心率变异性评估了自律神经活动:结果:冷热交替刺激使疲劳斜方肌的肌肉硬度从 1.38 ± 0.15 牛顿降至 1.31 ± 0.14 牛顿(P 结论:冷热交替刺激使疲劳斜方肌的肌肉硬度从 1.38 ± 0.15 牛顿降至 1.31 ± 0.14 牛顿(P):局部冷热交替刺激影响了疲劳肌肉组织的血流动力学反应和自律神经活动。就流动性和温度控制而言,这种刺激比传统的对比浴更有效,有望成为治疗肌肉疲劳的一种新的多功能疗法:UMIN-CTR(UMIN000040087:2020年4月7日注册,https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000045710 。UMIN000040620:2020 年 6 月 1 日注册,https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000046359 )。
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引用次数: 0
Nutritional anthropology in the world. 世界营养人类学。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2024-03-08 DOI: 10.1186/s40101-023-00345-0
Stanley Ulijaszek

Nutritional anthropology is the study of human subsistence, diet and nutrition in comparative social and evolutionary perspective. Many factors influence the nutritional health and well-being of populations, including evolutionary, ecological, social, cultural and historical ones. Most usually, biocultural approaches are used in nutritional anthropology, incorporating methods and theory from social science as well as nutritional and evolutionary science. This review describes approaches used in the nutritional anthropology of past and present-day societies. Issues of concern for nutritional anthropology in the world now include: understanding how undernutrition and food insecurity are produced at local, regional and international levels; how food systems are constructed using social, biological and biocultural perspectives; and obesity from a biocultural viewpoint. By critiquing framings of present-day diet in an evolutionary context, nutritional anthropology asks 'what should be eaten?', rather than 'what can be eaten?', and 'how cheaply can people be fed?'.

营养人类学是从比较社会和进化的角度研究人类生存、饮食和营养的学科。影响人群营养健康和福祉的因素很多,包括进化、生态、社会、文化和历史因素。营养人类学通常采用生物文化方法,并结合社会科学以及营养和进化科学的方法和理论。本综述介绍了过去和当今社会营养人类学所使用的方法。当今世界营养人类学关注的问题包括:了解营养不良和粮食不安全是如何在地方、地区和国际层面产生的;如何从社会、生物和生物文化的角度构建食物体系;以及从生物文化的角度看待肥胖问题。营养人类学从进化的角度对当今的饮食框架进行批判,提出 "应该吃什么",而不是 "可以吃什么",以及 "如何以低廉的价格养活人们 "的问题。
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引用次数: 0
Correction: Venous dilation effect of hot towel (moist and dry heat) versus hot pack for peripheral intravenous catheterization: a quasi-experimental study. 更正:热毛巾(湿热和干热)与热敷对外周静脉导管插入的静脉扩张效果:一项准实验研究。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2024-02-13 DOI: 10.1186/s40101-024-00357-4
Kae Yasuda, Inaho Shishido, Michito Murayama, Sanae Kaga, Rika Yano
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引用次数: 0
The effect of regular running on body weight and fat tissue of individuals aged 18 to 65. 定期跑步对18至65岁人群体重和脂肪组织的影响。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2023-11-30 DOI: 10.1186/s40101-023-00348-x
Petr Kutac, Václav Bunc, Marek Buzga, Miroslav Krajcigr, Martin Sigmund

Background: Age and reduction in performed physical activity cause physiological changes that include an increase in body fat (BF) and visceral fat (VF) during aging. These parameters, together with increased body mass (BM), are some of the risk factors of several noninfectious diseases. However, changes in body composition can be influenced by regular physical activity. Running is a suitable, accessible, and the most effective physical activity cultivating people. The objective of this study is to investigate the effects of long-term, regular PA, specifically recreational running, on changes in body composition among recreational adult runners covering a weekly distance of at least 10 km, compared with inactive adult individuals within the same age bracket.

Methods: The study included 1296 runners and inactive individuals (691 male and 605 female), divided into 5 age groups: 18-25, 26-35, 36-45, 46-55, and 56-65 years. Runners are as follows: ran ≥ 10 km/week, and inactive is as follows: did not follow the WHO 2020 physical activity recommendations. The measured parameters included BM, BF, and VF. To check statistical significance, the Mann-Whitney U-test was used. Practical significance was assessed using the effect of size.

Results: All age groups of runners were selected to include individuals who run at least 10 km per week. In fact, they ran, on average, from 21.6 to 31.4 km per week in relation to age and showed significantly lower values of BM, BMI, BF, and VF (p < 0.05) than inactive individuals. Exceptions included insignificant differences (p > 0.05) in BM and BMI in males in the age category of 18-25 and in females in the age category of 18-25 and 26-35.

Conclusion: The selected runners had to run at least 10 km per week. Their actual average volume was significantly higher (from 21.6 to 31.4 km/week), and the results showed that it could lead to significantly better body composition values. It may lead to significant changes in body mass, body fat, and visceral fat. It may meet the contemporary societal expectations for physical activities that are both achievable and effective at the lowest possible volume.

背景:年龄和体力活动的减少会引起生理变化,包括衰老过程中体脂(BF)和内脏脂肪(VF)的增加。这些参数与体重增加(BM)一起是几种非传染性疾病的一些危险因素。然而,身体成分的变化会受到定期体育活动的影响。跑步是一种适合的、容易接近的、最有效的养人的体育活动。本研究的目的是调查长期、有规律的PA,特别是休闲跑步,对每周至少跑10公里的休闲成年跑步者身体成分变化的影响,与同一年龄段不运动的成年人相比。方法:研究纳入1296名跑步者和不运动者(男性691人,女性605人),分为18-25岁、26-35岁、36-45岁、46-55岁和56-65岁5个年龄组。跑步者:每周跑步≥10公里,不运动者:未遵循世卫组织2020年身体活动建议。测量参数包括BM、BF和VF。为检验统计学显著性,采用Mann-Whitney u检验。采用大小效应评价实际意义。结果:所有年龄组的跑步者都被选中,包括每周至少跑10公里的人。事实上,他们每周平均跑21.6到31.4公里(与年龄相关),在18-25岁年龄段的男性和18-25岁和26-35岁年龄段的女性中,BM、BMI、BF和VF的值显著降低(p 0.05)。结论:被选中的跑步者每周至少要跑10公里。它们的实际平均体积显著增加(从21.6 km/week增加到31.4 km/week),结果表明它可以显著提高体组成值。它可能导致体重、体脂和内脏脂肪的显著变化。它可以满足当代社会对体育活动的期望,即在尽可能低的量下既可以实现又有效。
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引用次数: 0
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Journal of Physiological Anthropology
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