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A sport supplement candidate of Erigeron breviscapus extract regulates lipogenesis in vitro and in vivo. 一种候选的运动补充剂--鲂鱼提取物可在体外和体内调节脂肪生成。
Pub Date : 2023-12-01 Epub Date: 2023-12-31 DOI: 10.20463/pan.2023.0039
Kibong Kim, Suji Baek, Solomon Ko, Seungjae Moon, Kang Pa Lee, Sanghyun Ahn

Purpose: One of the urgent research projects in exercise science should focus on sports supplements for obese people who lack exercise and physical activity. In this study, we explored the efficacy in non-alcoholic fatty liver disease (NAFLD) mice models using a Korean herbal medicine Erigeron breviscapus (EB).

Methods: Gene ontology analyses of active compounds in EB were performed using the Traditional Chinese Medicine Database and Analysis Platform (TCMSP) and Cytoscape program, respectively. PA-induced acid (PA) induced-lipid droplets in HepG2 cells were analyzed using a 3D-hologram. To analyze the fat-suppressing efficacy of EB in animal experiments, NAFLD was induced through a 24-week high-fat diet. Subsequently, the same diet was continued for an additional 8 weeks, with concurrent co-administration of drugs for efficacy analysis. In the 8-week experiment, mice were administered saline alone, metformin (17 mg/kg/day), or EB (26 mg/kg/day). The mice were sacrificed and the liver tissue was isolated. The liver tissues were stained with H&E and specific antibodies such as sterol regulatory element binding protein 1 (SREBP-1) and peroxisome proliferator-activated receptor- γ (PPAR-γ).

Results: Seventeen EB-active compounds were identified by whole-body analysis. EB downregulated lipid droplets in PA-treated HepG2 cells. EB regulates lipid accumulation in liver tissue of HFD-fed NAFLD mice Metformin and EB significantly reduced the expression of SREBP-1 and PPAR-γ in liver tissue.

Conclusion: We suggest that EB is a candidate for the management of NAFLD and is an effective exercise supplement owing to its ability to inhibit lipid accumulation.

目的:运动科学的一个紧迫研究项目应侧重于为缺乏运动和体育锻炼的肥胖者提供运动保健品。在本研究中,我们探讨了韩方中药二igeron breviscapus(EB)在非酒精性脂肪肝(NAFLD)小鼠模型中的疗效:方法:利用中药数据库与分析平台(TCMSP)和Cytoscape程序分别对EB中的活性化合物进行基因本体分析。用三维全息图分析了HepG2细胞中的PA诱导酸(PA)诱导脂滴。为了在动物实验中分析 EB 的抑脂功效,研究人员通过 24 周的高脂饮食诱发了非酒精性脂肪肝。随后,同样的饮食再持续 8 周,并同时使用药物进行疗效分析。在为期 8 周的实验中,小鼠分别服用生理盐水、二甲双胍(17 毫克/千克/天)或 EB(26 毫克/千克/天)。小鼠被处死并分离出肝脏组织。用 H&E 和特异性抗体(如固醇调节元件结合蛋白 1(SREBP-1)和过氧化物酶体增殖激活受体-γ(PPAR-γ))对肝组织进行染色:结果:通过全身分析确定了 17 种 EB 活性化合物。EB 下调了 PA 处理的 HepG2 细胞中的脂滴。二甲双胍和 EB 可显著降低肝组织中 SREBP-1 和 PPAR-γ 的表达:我们认为,EB 是治疗非酒精性脂肪肝的候选药物,而且由于其抑制脂质积累的能力,它还是一种有效的运动补充剂。
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引用次数: 0
Effect of physical activity levels on blood lipids, insulin resistance, and adipokines in children with obesity. 体育锻炼水平对肥胖儿童血脂、胰岛素抵抗和脂肪因子的影响。
Pub Date : 2023-12-01 Epub Date: 2023-12-31 DOI: 10.20463/pan.2023.0035
Seongmin Sohn, Jae-Hoon Lee, Hyojee Joung, Minchul Lee, Min-Seong Ha

Purpose: Our study was performed to observe children with obesity by using accelerometers and identify their differences in blood lipid levels, insulin resistance, and adipokines based on their physical activity levels.

Methods: 197 obese children were classified into three groups based on their physical activity levels over a period of 7 days, using the average counts per minute: Sedentary Time (ST), Light Physical Activity (LPA), and Moderate to Vigorous Intensity Physical Activity (MVPA). Blood lipids, including triglycerides (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C), were analyzed. Insulin resistance was assessed using the Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) formula. Adipokines, including leptin and resistin, were measured. Our results were obtained through one-way analysis of variance was employed, with Scheffe post-hoc analysis. The statistical significance level was set at p < 0.05 for all analyses.

Results: Results showed that the levels of blood lipids (TG: p<0.001, TC: p<0.01, LDL-C: p<0.001, HDL-C: p< 0.05) and adipokines (Leptin, Resistin: p<0.01) of children who had obesity and maintained moderate to vigorous physical activity were healthier than those who engaged in ST or LPA. Specifically, children with obesity engaging in MVPA demonstrated blood lipid and adipokine levels that were normal or close to normal. However, no significant differences in insulin resistance were observed in all groups.

Conclusion: In summary, encouraging moderate to vigorous physical activity in children with obesity could help improve obesity indicators, such as blood lipids and adipokines.

目的:我们的研究旨在使用加速度计观察肥胖症儿童,并根据他们的体力活动水平确定他们在血脂水平、胰岛素抵抗和脂肪因子方面的差异:静坐时间组(ST)、轻度体力活动组(LPA)和中到高强度体力活动组(MVPA)。对血脂进行了分析,包括甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)。胰岛素抵抗采用胰岛素抵抗稳态模型评估(HOMA-IR)公式进行评估。脂肪因子(包括瘦素和抵抗素)也进行了测定。我们采用单因素方差分析和 Scheffe 事后分析得出结果。所有分析的统计学显著性水平均定为 p < 0.05:结果表明,与从事 ST 或 LPA 的儿童相比,保持中度至剧烈运动的肥胖儿童的血脂水平(TG:p<0.001,TC:p<0.01,LDL-C:p<0.001,HDL-C:p<0.05)和脂肪因子水平(瘦素,Resistin:p<0.01)更健康。具体来说,参加 MVPA 的肥胖儿童的血脂和脂肪因子水平正常或接近正常。然而,所有组别在胰岛素抵抗方面均无明显差异:总之,鼓励肥胖儿童进行中度到剧烈运动有助于改善血脂和脂肪因子等肥胖指标。
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引用次数: 0
Estimation of peak oxygen consumption in individuals with spinal cord injury patients using multiple linear regression analysis: a preliminary study. 利用多元线性回归分析估算脊髓损伤患者的峰值耗氧量:初步研究。
Pub Date : 2023-12-01 Epub Date: 2023-12-31 DOI: 10.20463/pan.2023.0034
Hyun-Hee Choi, Hana Ahn, Won-Sang Jung

Purpose: This study aims to develop a regression model to estimate peak oxygen consumption (VO2peak) in individuals with spinal cord injury (SCI) by employing different variables.

Methods: In this study, 34 participants were divided into two groups: 19 with cervical injury (CI) and 15 with thoracic injury (TI). Key measurements included VO2peak and related factors such as age, height, weight, body mass index (BMI), fat-free mass, body fat percentage, limb and trunk circumferences, spinal cord independence (SCIM III), Korean activities of daily living (K-ADL), and respiratory functions (forced vital capacity (FVC), peak expiratory flow (PEF), and maximum voluntary ventilation (MVV)). Statistical analyses were conducted using forward selection regression to examine the relationships between these variables.

Results: Height, calf circumference, SCIM III score, and PEF were key variables in all patients with SCI (TSCI). For patients with CI, the key variables were height, calf circumference, and MVV, whereas for patients with TI, the key variable was calf circumference. The average explanatory powers of the VO2peak regression model for TSCI were 70.3% (R2) and 66.2% (adjusted R2), with an average standard error of estimate (SEE) of 2.94 ml/kg/min. The average explanatory power for patients with CI was 71.7% (R2) and 66.1% (adjusted R2), with an average SEE of 1.88 ml/kg/min. The average explanatory power for patients with TI was 55.9% (R2) and 52.5% (adjusted R2), with an average SEE of 3.41 ml/kg/min. There was no significant difference between the VO2peak measured and predicted VO2peak for each type of injury.

Conclusion: The regression model for estimating VO2peak in SCI patients in this preliminary study is as follows: TSCI=39.684-0.144×(Height)-0.513×(Calf)+0.136×(SCIM III)+1.187×(PEF), CI=38.842-0 .158×(Height) - 0.371×(Calf)+0.093×(MVV), TI=42.325-0.813×(Calf).

目的:本研究旨在建立一个回归模型,通过采用不同的变量来估算脊髓损伤(SCI)患者的峰值耗氧量(VO2peak):本研究将 34 名参与者分为两组:19 名颈椎损伤者(CI)和 15 名胸椎损伤者(TI)。主要测量指标包括 VO2 峰值和相关因素,如年龄、身高、体重、体重指数 (BMI)、无脂肪质量、体脂百分比、肢体和躯干周长、脊髓独立性 (SCIM III)、韩国日常生活活动 (K-ADL) 和呼吸功能(强制生命容量 (FVC)、呼气流量峰值 (PEF) 和最大自主通气量 (MVV))。统计分析采用前向选择回归法来研究这些变量之间的关系:结果:身高、小腿围、SCIM III 评分和 PEF 是所有 SCI(TSCI)患者的关键变量。CI 患者的关键变量是身高、小腿围和 MVV,而 TI 患者的关键变量是小腿围。VO2peak 回归模型对 TSCI 的平均解释力分别为 70.3%(R2)和 66.2%(调整后 R2),平均估计标准误差 (SEE) 为 2.94 毫升/千克/分钟。CI 患者的平均解释力为 71.7%(R2)和 66.1%(调整后 R2),平均 SEE 为 1.88 毫升/千克/分钟。TI 患者的平均解释力为 55.9%(R2)和 52.5%(调整后 R2),平均 SEE 为 3.41 毫升/千克/分钟。对于每种类型的损伤,测量的 VO2peak 与预测的 VO2peak 之间没有明显差异:在这项初步研究中,估计 SCI 患者 VO2peak 的回归模型如下:TSCI=39.684-0.144×(身高)-0.513×(小腿)+0.136×(SCIM III)+1.187×(PEF),CI=38.842-0.158×(身高)-0.371×(小腿)+0.093×(MVV),TI=42.325-0.813×(小腿)。
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引用次数: 0
Impact of the ketogenic diet on body fat, muscle mass, and exercise performance: a review. 生酮饮食对身体脂肪、肌肉质量和运动表现的影响:综述。
Pub Date : 2023-12-01 Epub Date: 2023-12-31 DOI: 10.20463/pan.2023.0031
Nana Chung

Purpose: The purpose of this review was to investigate the effects of the ketogenic diet (KD), on body fat, muscle mass, and exercise performance. As the KD is a subject of ongoing debate, we also present the existing evidence regarding its potential benefits in the aforementioned areas of body fat, muscle mass, and exercise performance.

Methods: A literature search was conducted using the keywords "ketogenic diet, low-carbohydrate diet, high-fat diet, body fat, muscle mass, and exercise performance" in PubMed, Web of Science, and Google Scholar.

Results: The KD effectively reduced body fat in the short term and, preserved muscle mass during weight loss, however, its impact on exercise performance remains inconclusive owing to various factors.

Conclusion: While controversial, it is undeniable that the KD has the potential to affect body fat, muscle mass, and exercise performance. Consequently, additional research is required to elucidate the underlying mechanisms across various populations, optimize their implementation, and understand their long-term effects.

目的:本综述旨在研究生酮饮食(KD)对体脂、肌肉质量和运动表现的影响。由于生酮饮食一直是一个争论不休的话题,我们还介绍了有关其在上述体脂、肌肉质量和运动表现方面潜在益处的现有证据:方法:在 PubMed、Web of Science 和 Google Scholar 中以 "生酮饮食、低碳水化合物饮食、高脂肪饮食、体脂、肌肉质量和运动表现 "为关键词进行文献检索:结果:生酮饮食能在短期内有效减少体脂,并在减肥过程中保持肌肉质量,但由于各种因素,其对运动表现的影响仍不确定:结论:尽管存在争议,但不可否认的是,KD有可能影响体脂、肌肉质量和运动表现。因此,需要进行更多的研究来阐明不同人群的潜在机制,优化其实施,并了解其长期影响。
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引用次数: 0
The potential role of creatine supplementation in neurodegenerative diseases. 肌酸补充剂在神经退行性疾病中的潜在作用。
Pub Date : 2023-12-01 Epub Date: 2023-12-31 DOI: 10.20463/pan.2023.0037
Hyukki Chang, Yea-Hyun Leem

Purpose: The maintenance of energy balance in the body, especially in energy-demanding tissues like the muscles and the central nervous system, depends on creatine (Cr). In addition to improving muscle function, Cr is necessary for the bioenergetics of the central nervous system because it replenishes adenosine triphosphate without needing oxygen. Furthermore, Cr possesses anti-oxidant, anti-apoptotic, and anti-excitotoxic properties. Clinical research on neurodegenerative illnesses has shown that Cr supplementation results in less effective outcomes. With a brief update on the possible role of Cr in human, animal, and in vitro experiments, this review seeks to offer insights into the ideal dosage regimen.

Methods: Using specified search phrases, such as "creatine and neurological disorder," "creatine supplementation and neurodegenerative disorders," and "creatine and brain," we searched articles in the PubMed database and Google Scholar. We investigated the association between creatine supplementation and neurodegenerative illnesses by examining references.

Results: The neuroprotective effects of Cr were observed in in vitro and animal models of certain neurodegenerative diseases, while clinical trials failed to reproduce favorable outcomes.

Conclusion: Determining the optimal creatinine regime for increasing brain creatinine levels is essential for maintaining brain health and treating neurodegeneration.

目的:体内能量平衡的维持,尤其是肌肉和中枢神经系统等需要能量的组织,有赖于肌酸(Cr)。除了改善肌肉功能外,肌酸对中枢神经系统的生物能来说也是必需的,因为它能在不需要氧气的情况下补充三磷酸腺苷。此外,Cr 还具有抗氧化、抗凋亡和抗兴奋性毒性的特性。对神经退行性疾病的临床研究表明,补充 Cr 的效果较差。本综述简要介绍了铬在人体、动物和体外实验中可能发挥的作用,旨在为理想的剂量方案提供见解:使用特定的搜索词组,如 "肌酸与神经系统疾病"、"肌酸补充与神经退行性疾病 "和 "肌酸与大脑",我们在 PubMed 数据库和谷歌学术中搜索了相关文章。通过研究参考文献,我们调查了肌酸补充剂与神经退行性疾病之间的关联:结果:在某些神经退行性疾病的体外和动物模型中观察到了肌酸对神经的保护作用,而临床试验未能再现良好的结果:结论:确定提高脑肌酐水平的最佳肌酐机制对于保持大脑健康和治疗神经退行性疾病至关重要。
{"title":"The potential role of creatine supplementation in neurodegenerative diseases.","authors":"Hyukki Chang, Yea-Hyun Leem","doi":"10.20463/pan.2023.0037","DOIUrl":"10.20463/pan.2023.0037","url":null,"abstract":"<p><strong>Purpose: </strong>The maintenance of energy balance in the body, especially in energy-demanding tissues like the muscles and the central nervous system, depends on creatine (Cr). In addition to improving muscle function, Cr is necessary for the bioenergetics of the central nervous system because it replenishes adenosine triphosphate without needing oxygen. Furthermore, Cr possesses anti-oxidant, anti-apoptotic, and anti-excitotoxic properties. Clinical research on neurodegenerative illnesses has shown that Cr supplementation results in less effective outcomes. With a brief update on the possible role of Cr in human, animal, and in vitro experiments, this review seeks to offer insights into the ideal dosage regimen.</p><p><strong>Methods: </strong>Using specified search phrases, such as \"creatine and neurological disorder,\" \"creatine supplementation and neurodegenerative disorders,\" and \"creatine and brain,\" we searched articles in the PubMed database and Google Scholar. We investigated the association between creatine supplementation and neurodegenerative illnesses by examining references.</p><p><strong>Results: </strong>The neuroprotective effects of Cr were observed in in vitro and animal models of certain neurodegenerative diseases, while clinical trials failed to reproduce favorable outcomes.</p><p><strong>Conclusion: </strong>Determining the optimal creatinine regime for increasing brain creatinine levels is essential for maintaining brain health and treating neurodegeneration.</p>","PeriodicalId":74444,"journal":{"name":"Physical activity and nutrition","volume":"27 4","pages":"48-54"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10844727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139652330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of continuous glucose monitoring in physical activity and nutrition management: perspectives on present and possible uses. 连续血糖监测在体育活动和营养管理中的作用:对目前和可能用途的展望。
Pub Date : 2023-09-01 Epub Date: 2023-09-30 DOI: 10.20463/pan.2023.0028
Young-Im Kim, Youngju Choi, Jonghoon Park
[Purpose] Continuous glucose monitoring (CGM) is on the rise as the prevalence of obesity and diabetes increases. This review aimed to explore the use of CGM and its potential novel applications in physical activity and nutrition management. [Methods] We searched PubMed, Web of Science, and Wiley Online Library databases using the keywords ‘continuous glucose monitor,’ ‘nutrition,’ ‘physical activity,’ and ‘numerical modeling.’ [Results] Continuous blood glucose measurement is useful for individuals with obesity and diabetes. Long-term blood glucose data allow for personalized planning of nutritional composition, meal timing, and physical activity type and intensity, as well as help prevent hypoglycemia and hyperglycemia. Thus, understanding the limitations of CGM is important for its effective use. [Conclusion] CGM systems are being increasingly used to monitor and identify appropriate blood glucose controlling interventions. Blood glucose level is influenced by various factors such as nutrient composition, meal timing, physical activity, circadian rhythm, and cortisol levels. Numerical modeling can be used to analyze the complex relationship between stress, sleep, nutrition, and physical activity, which affect blood glucose levels. In future, blood glucose, sleep, and stress data will be integrated to predict appropriate lifestyle levels for blood glucose management. This integrated approach improves glucose control and overall wellbeing, potentially reducing societal costs.
目的:随着肥胖和糖尿病患病率的增加,持续血糖监测(CGM)呈上升趋势。这篇综述旨在探索CGM的用途及其在体育活动和营养管理中的潜在新应用。方法:我们使用关键词“连续血糖监测仪”、“营养”、“体育活动”和“数值建模”搜索PubMed、Web of Science和Wiley Online Library数据库结果:连续血糖测量对肥胖和糖尿病患者是有用的。长期血糖数据允许对营养成分、用餐时间、体育活动类型和强度进行个性化规划,并有助于预防低血糖和高血糖。因此,了解CGM的局限性对其有效使用至关重要。结论:CGM系统正越来越多地用于监测和确定适当的血糖控制干预措施。血糖水平受到各种因素的影响,如营养成分、用餐时间、身体活动、昼夜节律和皮质醇水平。数值模型可以用来分析压力、睡眠、营养和体育活动之间的复杂关系,这些因素会影响血糖水平。未来,血糖、睡眠和压力数据将被整合,以预测血糖管理的适当生活方式水平。这种综合方法改善了血糖控制和整体健康,有可能降低社会成本。
{"title":"The role of continuous glucose monitoring in physical activity and nutrition management: perspectives on present and possible uses.","authors":"Young-Im Kim, Youngju Choi, Jonghoon Park","doi":"10.20463/pan.2023.0028","DOIUrl":"10.20463/pan.2023.0028","url":null,"abstract":"[Purpose] Continuous glucose monitoring (CGM) is on the rise as the prevalence of obesity and diabetes increases. This review aimed to explore the use of CGM and its potential novel applications in physical activity and nutrition management. [Methods] We searched PubMed, Web of Science, and Wiley Online Library databases using the keywords ‘continuous glucose monitor,’ ‘nutrition,’ ‘physical activity,’ and ‘numerical modeling.’ [Results] Continuous blood glucose measurement is useful for individuals with obesity and diabetes. Long-term blood glucose data allow for personalized planning of nutritional composition, meal timing, and physical activity type and intensity, as well as help prevent hypoglycemia and hyperglycemia. Thus, understanding the limitations of CGM is important for its effective use. [Conclusion] CGM systems are being increasingly used to monitor and identify appropriate blood glucose controlling interventions. Blood glucose level is influenced by various factors such as nutrient composition, meal timing, physical activity, circadian rhythm, and cortisol levels. Numerical modeling can be used to analyze the complex relationship between stress, sleep, nutrition, and physical activity, which affect blood glucose levels. In future, blood glucose, sleep, and stress data will be integrated to predict appropriate lifestyle levels for blood glucose management. This integrated approach improves glucose control and overall wellbeing, potentially reducing societal costs.","PeriodicalId":74444,"journal":{"name":"Physical activity and nutrition","volume":"27 3","pages":"44-51"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72016350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exercise-mediated macrophage polarization modulates the targeted therapeutic effect of NAFLD: a review. 运动介导的巨噬细胞极化调节NAFLD的靶向治疗作用:综述。
Pub Date : 2023-09-01 Epub Date: 2023-09-30 DOI: 10.20463/pan.2023.0023
Li Zhenyu, Wang Ying, Tian Zhuang, Xie Yongchao, Jaecheol Kim

Purpose: This review aims to explore the exercise-mediated hepatic macrophage polarization mechanism and its effect on improving and regulating non-alcoholic fatty liver disease (NAFLD) by analyzing the pathogenesis of NAFLD and the cause of the influence of hepatic macrophage polarization. In addition to exploring the varied effects of different exercise types on macrophage polarization regulation in NAFLD, to provide a direction and basis for the treatment of NAFLD.

Methods: The research methodology involved a comprehensive search of the PubMed database using specific keywords such as "NAFLD", "macrophage polarization", and "exercise", to retrieve relevant literature published.

Results: (1) The main factors inducing NAFLD were high-fat diet, obesity, insulin resistance (IR), changes in gut microbiota, and genetic variation in susceptibility. (2) Drug treatment, nutrient induction, microfactor induction, physiological environment induction, and other factors can induce the polarization of hepatic macrophages and affect NAFLD. (3) Different intensities, types, and frequencies of exercise have different effects on polarization macrophages, and may also differently effects improving liver inflammation, fibrosis, and NAFLD. Curently, regular moderate-intensity aerobic exercise is the most effective therapy for treating NAFLD.

Conclusion: Approaches to ameliorate NAFLD with exercise involve strategies to alter macrophage polarization by inhibiting M1 or driving M2 activation. However, research on the different types of exercise-mediated macrophage polarization mechanisms and differences in therapeutic effects is not yet sufficient. Future research is necessary to explore the exact mechanisms and differences in the effects of different exercises on the treatment of NAFLD.

目的:通过分析运动介导的非酒精性脂肪性肝病(NAFLD)的发病机制和影响肝巨噬细胞极化的原因,探讨运动介导肝巨噬细胞极化机制及其对改善和调节NAFLD的作用。除了探讨不同运动类型对NAFLD巨噬细胞极化调节的不同影响外,为NAFLD的治疗提供方向和依据。方法:研究方法包括使用“NAFLD”、“巨噬细胞极化”和“运动”等特定关键词,全面检索PubMed数据库,检索已发表的相关文献。结果:(1)高脂饮食、肥胖、胰岛素抵抗(IR)、肠道微生物群变化和易感性遗传变异是诱发NAFLD的主要因素。(2) 药物治疗、营养诱导、微因子诱导、生理环境诱导等因素均可诱导肝巨噬细胞极化,影响NAFLD。(3) 不同强度、类型和频率的运动对极化巨噬细胞有不同的影响,也可能对改善肝脏炎症、纤维化和NAFLD有不同的作用。目前,有规律的中等强度有氧运动是治疗NAFLD最有效的方法。结论:通过运动改善NAFLD的方法包括通过抑制M1或驱动M2激活来改变巨噬细胞极化的策略。然而,对不同类型的运动介导的巨噬细胞极化机制和治疗效果差异的研究还不够充分。未来的研究有必要探索不同运动治疗NAFLD的确切机制和效果差异。
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引用次数: 0
Analysis of public perception of national obesity management policy. 公众对国家肥胖管理政策的看法分析。
Pub Date : 2023-09-01 Epub Date: 2023-09-30 DOI: 10.20463/pan.2023.0026
Bo-Ra Moon, Jae-Heon Kang, Ju-Yul Lee, Ji-Young Kong

Purpose: This study aimed to provide essential data necessary for shaping future obesity policy directions and strengthening the effectiveness of such measures.

Methods: A literature review and expert meetings were conducted to identify policy objectives that should be included in the comprehensive national obesity management plan. Based on these objectives, a questionnaire was developed, and a survey was conducted nationwide through an online panel targeting citizens aged 15-69.

Results: When analyzing the appropriateness of promoting national obesity policies, 38.6% of respondents answered "not appropriate," while only 8.4% answered "appropriate." We also assessed the importance of the four key areas of the national obesity management policy, with 36.9% considering "improvement of lifestyle to prevent obesity" as the most important. Additionally, we analyzed the significance of specific tasks. "Strengthening child and adolescent obesity prevention and management," "enhancing group meal nutrition and hygiene," "strengthening the operation of community-based obesity and exercise clinics," and "advancing an integrated information platform for nutrition, dietary patterns, and physical activity" emerged as pivotal tasks within their respective areas.

Conclusion: The primary tasks identified as top priorities by the public in this study regarding national obesity policy initiatives can be incorporated into future obesity management strategies. Our approach has the potential to enhance the efficacy of these policies by aligning future obesity policy trajectories with public demands and expectations.

目的:本研究旨在为制定未来的肥胖政策方向和加强这些措施的有效性提供必要的基本数据。方法:进行文献综述和专家会议,以确定应纳入国家肥胖综合管理计划的政策目标。基于这些目标,制定了一份问卷,并通过一个针对15-69岁公民的在线小组在全国范围内进行了一项调查。结果:在分析推广国家肥胖政策的适当性时,38.6%的受访者回答“不适当”,而只有8.4%的人回答“适当”。“我们还评估了国家肥胖管理政策四个关键领域的重要性,36.9%的人认为“改善生活方式以预防肥胖”是最重要的。此外,我们还分析了具体任务的重要性。“加强儿童和青少年肥胖预防和管理”“加强集体用餐营养和卫生”,”“加强以社区为基础的肥胖和锻炼诊所的运营”,以及“推进营养、饮食模式、,和体育活动结论:公众在本研究中确定的关于国家肥胖政策举措的首要任务可以纳入未来的肥胖管理战略。我们的方法有可能通过将未来的肥胖政策轨迹与公众需求和展望。
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引用次数: 0
The effect of voluntary exercise on light cycle stress-induced metabolic resistance. 自愿运动对光循环应激诱导的代谢抵抗的影响。
Pub Date : 2023-09-01 Epub Date: 2023-09-30 DOI: 10.20463/pan.2023.0022
Hyo Youl Moon, In Cheol Jeong

Purpose: Disruption of circadian genes affects metabolic homeostasis. Regular exercise programs prevent metabolic dysfunction and alter circadian gene expression In this study, we investigated whether exercise affects light stress-induced circadian rhythm derangement and metabolic resistance.

Methods: A circadian rhythm derangement mouse model was designed by extending the light exposure by two hours (14 L/10 D) for three weeks. Nine-weekold male mice were single-caged and divided into four groups: sedentary groups with or without light stress, and voluntary wheel-trained groups with or without light stress. In addition, differentiated myotubes were cultured in the presence of dexamethasone with or without 5-aminoimidazole-4-carboxamide-1-beta-4-ribofuranoside (AICAR). The comprehensive laboratory animal monitoring system was used to analyze the metabolic changes in mice. Moreover, reverse transcription-polymerase chain reaction (RT-PCR) was used to quantify the mRNA expression levels of circadian genes in animal and cell culture models.

Results: Three weeks of light stress reduced the running distance and increased the weight of mice. In addition, VO2 consumption and heat production were increased during the night cycle under non-stress conditions but not under stress conditions. PCR analysis revealed that exercise and stress altered the expression levels of circadian genes in the hypothalamus and quadriceps muscles. mRNA expression levels of period circadian regulator 1 were downregulated in the quadriceps muscles of the stressed sedentary group compared to that in muscles of the non-stressed sedentary group. Furthermore, differentiated myotube cells cultured in the presence of dexamethasone, with or without AICAR, showed distinct oscillation patterns at various time points.

Conclusion: Our study demonstrates that exercise partially prevents metabolic disruption by regulating the circadian gene expression in skeletal muscles.

目的:昼夜节律基因的破坏影响代谢稳态。有规律的运动计划可以防止代谢功能障碍并改变昼夜节律基因表达。在这项研究中,我们调查了运动是否会影响光应激诱导的昼夜节律紊乱和代谢抵抗。方法:将光照时间延长2小时(14L/10D),连续3周,建立昼夜节律紊乱小鼠模型。9周大的雄性小鼠被单独关在笼子里,分为四组:有或没有光应激的久坐组,有或没有轻应激的自愿轮式训练组。此外,分化的肌管在地塞米松存在或不存在5-氨基咪唑-4-羧酰胺-1-β-4-呋喃核糖(AICAR)的情况下培养。采用综合实验动物监测系统对小鼠的代谢变化进行分析。此外,逆转录聚合酶链式反应(RT-PCR)用于量化动物和细胞培养模型中昼夜节律基因的mRNA表达水平。结果:三周的轻度应激使小鼠的跑步距离缩短,体重增加。此外,在非应激条件下,夜间循环中VO2消耗和热量产生增加,但在应激条件下没有增加。PCR分析显示,运动和压力改变了下丘脑和股四头肌昼夜节律基因的表达水平。与非应激性久坐组的肌肉相比,应激性久住组的股四头肌中周期昼夜节律调节因子1的mRNA表达水平下调。此外,在地塞米松存在下培养的分化肌管细胞,无论是否存在AICAR,在不同时间点都显示出不同的振荡模式。结论:我们的研究表明,运动通过调节骨骼肌的昼夜节律基因表达,部分预防代谢紊乱。
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引用次数: 0
Effects of exercise timing and intensity on physiological circadian rhythm and sleep quality: a systematic review. 运动时间和强度对生理昼夜节律和睡眠质量的影响:一项系统综述。
Pub Date : 2023-09-01 Epub Date: 2023-09-30 DOI: 10.20463/pan.2023.0029
Nahyun Kim, Soonjo Ka, Jonghoon Park

Purpose: Humans show near-24-h physiological and behavioral rhythms, which encompass the daily cycle of sleep and wakefulness. Exercise stimulates circadian rhythms, including those of cortisol, melatonin, and core body temperature, and affects sleep quality. We systematically reviewed studies that examined the effects of exercise intensity and timing on physiological circadian rhythms and sleep quality.

Methods: In this systematic review, we used the online databases PubMed, Science Direct, Web of Science, and Embase. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Two independent and experienced systematic reviewers performed the search and selected relevant studies. The participant, intervention, comparison, and outcome characteristics were: (1) adults; (2) exercise treatment; (3) no exercise treatment or different types of exercise (pre-exercise baseline); (4) cortisol, melatonin, or core body temperature measurement, and subjective or objective sleep quality assessments.

Results: We identified 9 relevant articles involving 201 participants (77.1% of whom were male). Our review revealed that short-term evening exercise delayed melatonin rhythm and increased nocturnal core body temperature; however, no negative effects on non-rapid eye movement sleep and sleep efficiency were observed. Moreover, no differences in sleep quality were observed between acute high-intensity and moderate-intensity exercises. With long exercise durations, the core body temperature tended to increase and return to baseline levels at 30-120 min.

Conclusion: Our review showed that short-term evening exercise and high-intensity exercise did not have a significant negative effect on sleep quality but physiological circadian rhythm tended to alter. Longterm morning exercise tended to decrease cortisol concentrations after awakening and improve sleep quality. Future studies should examine the effects of long-term exercise timing and intensity on circadian rhythm and sleep.

目的:人类表现出接近24小时的生理和行为节律,包括每天的睡眠和清醒周期。运动会刺激昼夜节律,包括皮质醇、褪黑激素和核心体温,并影响睡眠质量。我们系统地回顾了研究运动强度和时间对生理昼夜节律和睡眠质量的影响的研究。方法:在本系统综述中,我们使用了在线数据库PubMed、Science Direct、Web of Science和Embase。该审查是根据系统审查和荟萃分析的首选报告项目指南进行的。两名独立且经验丰富的系统评审员进行了搜索并选择了相关研究。参与者、干预、比较和结果特征为:(1)成年人;(2) 运动治疗;(3) 没有运动治疗或不同类型的运动(运动前基线);(4) 皮质醇、褪黑激素或核心体温测量,以及主观或客观睡眠质量评估。结果:我们发现了9篇相关文章,涉及201名参与者(其中77.1%为男性)。我们的综述显示,短期晚间运动会延迟褪黑激素节律,增加夜间核心体温;然而,没有观察到对非快速眼动睡眠和睡眠效率的负面影响。此外,在急性高强度和中等强度运动之间没有观察到睡眠质量的差异。随着运动时间的延长,核心体温趋于升高,并在30-120分钟时恢复到基线水平。结论:我们的综述表明,短期晚间运动和高强度运动对睡眠质量没有显著的负面影响,但生理昼夜节律趋于改变。长期晨练有助于降低清醒后皮质醇的浓度,改善睡眠质量。未来的研究应该考察长期运动时间和强度对昼夜节律和睡眠的影响。
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Physical activity and nutrition
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