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Association of insulin resistance indexes QUICKI and HOMA-IR with the parameters of metabolic syndrome in non-diabetes Japanese male population 日本非糖尿病男性人群胰岛素抵抗指标QUICKI和HOMA-IR与代谢综合征参数的关系
Pub Date : 2008-01-01 DOI: 10.3793/JAAM.5.82
A. Kakita, A. Suzuki, M. Nagata, M. Itoh
Department of Internal Medicine, Fujita Health University 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi 470-1192, Japan Tel: +81-562-93-9242 / Fax: +81-562-95-1879 / E-mail: aslapin@fujita-hu.ac.jp Anti-Aging Medicine 5 (8) : 82-86, 2008 (c) Japanese Society of Anti-Aging Medicine Original Article Association of insulin resistance indexes QUICKI and HOMA-IR with the parameters of metabolic syndrome in non-diabetes Japanese male population
日本抗衰老医学5 (8):82-86,2008 (c)日本非糖尿病男性人群胰岛素抵抗指标QUICKI和HOMA-IR与代谢综合征参数的相关性研究
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引用次数: 0
Effect of Aging and Gender on Internal Anal Sphincter Thickness 年龄和性别对肛门内括约肌厚度的影响
Pub Date : 2008-01-01 DOI: 10.3793/JAAM.5.46
T. Abe, Yurika Sato, M. Kunimoto, Y. Hachiro, T. Naito
The prevalence of fecal incontinence (FI) in the general population increases with age in male and female. The internal anal sphincter (IAS) plays a key role in maintaining continence, providing a large part of the maximum resting pressure (MRP). Increasing age is associated with a weakening of the MRP. The IAS thickness was measured using an ultrasound scanner with a 10 MHz rotating endoprobe in 774 subjects (382 female and 392 male). There was a positive correlation between the thickness of IAS and age in both sexes. In female, the thickness of IAS did not change from 20’s (1.89±0.41) to 40’s (2.06±0.52), but increased after 50’s (2.32±0.47) with age. In male, after 50’s (2.14±0.54) was significantly thicker than to 40’s (1.86±0.54). The thickness of IAS was thicker in female than in male (2.30±0.60 and 2.05±0.53, p < 0.001). It is known that the MRP decreases with age, therefore an increase of IAS thickness in the elderly may be an attempt at compensation, which ultimately fails because of a loss of tone.
大便失禁(FI)的患病率随着年龄的增长在男性和女性一般人群中增加。内肛门括约肌(IAS)在维持尿失禁中起着关键作用,它提供了很大一部分最大静息压力(MRP)。年龄的增长与MRP的减弱有关。在774名受试者(382名女性和392名男性)中,使用带10 MHz旋转内窥镜的超声扫描仪测量IAS厚度。在两性中,IAS厚度与年龄呈正相关。在女性中,IAS厚度在20岁(1.89±0.41)到40岁(2.06±0.52)之间没有变化,但在50岁以后随着年龄的增长而增加(2.32±0.47)。男性50岁以后(2.14±0.54)明显大于40岁以后(1.86±0.54)。女性IAS厚度较男性厚(2.30±0.60,2.05±0.53,p < 0.001)。众所周知,MRP随着年龄的增长而减少,因此老年人IAS厚度的增加可能是一种补偿的尝试,最终由于音调的丧失而失败。
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引用次数: 5
Female Pheromone and Physical Exercise Improve Endocrine Status in Elderly Japanese Men 女性信息素和体育锻炼改善日本老年男性内分泌状况
Pub Date : 2008-01-01 DOI: 10.3793/JAAM.5.57
A. Tamagawa, L. Gerlinskaya, R. Nagatomi, M. Moshkin
in balance between anabolic and catabolic hormones, to the progressive decrease in circulating testosterone. are some to affect the anabolic to catabolic hormone ratio. anabolic to catabolic hormone ratio increases transitorily just after exercise. In an increase in salivary testosterone in men exposed to female pheromones has been reported. Although exercise tolerability and olfactory perception decline with age, we can not exclude the possibility of the adaptation for exercise training and of the sensitivity for pheromone exposure in elderly men. pheromones and physical modulate anabolic and catabolic in men. double-blind, From the second to fifth exercise class periods a commercially available pheromone (Osmopherine) was applied to the upper lip of 6 men before exercise and continued as volatile molecules were released from necklace worn continuously. Another 6 men received the pheromone carrier gel on their upper lip and a necklace with only the vehicle. Saliva samples were collected before and after each exercise class to measure testosterone and cortisol concentrations. The daily physical activity level for each subject was assessed by an accelerometer. RESULTS: Pheromone exposure and exercise classes led to a significant increase in the pre-exercise the rodents, considered “micro-osmatics”. Although humans are referred to as “micro-osmatics”, some authors believe that airborne chemical signals play an important role in non-verbal communication between people. 20-22) Evidence of modulations by pheromone exposure of the human endocrine system, autonomous nervous system, mood Abstract
在合成代谢激素和分解代谢激素的平衡中,循环睾酮逐渐减少。有一些会影响合成代谢激素与分解代谢激素的比例。运动后,合成代谢激素与分解代谢激素的比值会短暂增加。有报道称,接触女性信息素的男性唾液睾酮水平升高。虽然运动耐受性和嗅觉随着年龄的增长而下降,但我们不能排除老年人对运动训练的适应和对信息素暴露的敏感性的可能性。信息素和物理调节男性的合成代谢和分解代谢。从第二节至第五节运动课开始,6名男子在运动前将一种市售信息素(Osmopherine)涂在上唇,并持续从连续佩戴的项链中释放挥发性分子。另外6名男性则在上唇涂上了信息素载体凝胶,并佩戴了一条只有车辆的项链。在每次运动课之前和之后收集唾液样本来测量睾酮和皮质醇的浓度。通过加速度计评估每个受试者的日常体力活动水平。结果:信息素暴露和运动课程导致运动前啮齿动物的“微渗透”显著增加。尽管人类被称为“微渗透者”,但一些作者认为,空气中的化学信号在人与人之间的非语言交流中起着重要作用。20-22)信息素暴露对人体内分泌系统、自主神经系统、情绪调节的证据
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引用次数: 5
Aging of Blood Vessels 血管老化
Pub Date : 2008-01-01 DOI: 10.3793/JAAM.5.73
H. Nakagami, R. Morishita
William Osler stated that “A man is as old as his arteries.” Now, it has been known that attenuation of the production of reactive oxygen species and inhibition of inflammatory pathways play a central role in the anti-aging therapy for vasculature. Dysfunction of endothelial cells (EC) has been known to promote abnormal vascular growth such as that in atherosclerosis and arteriosclerosis and postulated as an initial trigger of the progression of atherosclerosis in patients with diabetes mellitus, hypertension and hyperlipidemia. We and others have previously demonstrated high D-glucose directly induced apoptosis through activation of the bax-caspase proteases pathway in human EC. Although it has been known for years that vascular cells can release a large amount ROS, including superoxide, hydrogen peroxide, and nitric oxide, the role of oxidative stress in atherogenesis has received increasing attention in recent years. Recent works strongly suggest that NADPH oxidase is a major source of superoxide in cardiovascular cells oxidative stress can be involved in the process of endothelial dysfunction. From a view of these molecular mechanisms, HMG-CoA reductase inhibitor (stains) might inhibit the NADPH oxidase activation through inhibition of Rac activity and finally prevent the increase in ROS production in diabetes. Actually, recent clinical trial suggests that statins prevent several vascular events in patients with type 2 diabetes without high concentration of LDL-cholesterol. This pleiotropic effect of statins can improve endothelial dysfunction through Nitric Oxide production and/or anti-oxidant effect in diabetes patients.
威廉·奥斯勒说过:“一个人的年龄和他的动脉一样大。”现在,我们已经知道,减少活性氧的产生和抑制炎症通路在血管抗衰老治疗中起着核心作用。已知内皮细胞(EC)功能障碍可促进动脉粥样硬化和动脉硬化等血管异常生长,并被认为是糖尿病、高血压和高脂血症患者动脉粥样硬化进展的初始触发因素。我们和其他人之前已经证明,高d -葡萄糖通过激活人EC中的bax-caspase蛋白酶途径直接诱导细胞凋亡。虽然多年来人们已经知道血管细胞可以释放大量的ROS,包括超氧化物、过氧化氢和一氧化氮,但近年来氧化应激在动脉粥样硬化中的作用越来越受到关注。最近的研究有力地表明,NADPH氧化酶是心血管细胞中超氧化物的主要来源,氧化应激可能参与内皮功能障碍的过程。从这些分子机制来看,HMG-CoA还原酶抑制剂(染色剂)可能通过抑制Rac活性来抑制NADPH氧化酶的激活,最终阻止糖尿病ROS生成的增加。事实上,最近的临床试验表明,他汀类药物可以预防低密度脂蛋白胆固醇浓度不高的2型糖尿病患者的几种血管事件。他汀类药物的这种多效性可以通过一氧化氮的产生和/或抗氧化作用改善糖尿病患者的内皮功能障碍。
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引用次数: 0
Regional Characteristics of Secular Changes in Obesity-Related Lifestyle Behavior in Japan 日本肥胖相关生活方式行为长期变化的区域特征
Pub Date : 2008-01-01 DOI: 10.3793/JAAM.5.30
M. Miyoshi, F. Hayashi, Y. Arai, M. Nozue, K. Yoshita, N. Yoshiike
BACKGROUND: In 2000 the Japanese Ministry of Health, Labour, and Welfare initiated a new health promotion program, Health Japan 21, in which obesity control is one of the prioritized objectives. For the program's effective implementation, it is important to enhance individual nutritional education as well as to identify the socioeconomic and environmental factors affecting obesity-related lifestyle habits. This study aimed to investigate the secular changes in dietary and exercise habits between sexes and among four types of residential areas in Japan.METHODS: The datasets of annual national nutrition surveys (1976-2003) were used for the secondary analyses. Data on the dietary and exercise habits of 385,559 persons aged 15 years and older were analyzed. Residential areas were divided into four groups: metropolitan areas, large cities, small cities, and small towns.RESULTS: Similar trends were observed in the proportions of people skipping breakfast and eating out lunch/dinner, with those living in metropolitans having the highest proportions. The secular trend showed that the proportions of people eating dinner out were highest in the early 1990s, which corresponds to the “bubble period” in Japan.CONCLUSIONS: Our findings suggest that dietary habits could be greatly influenced by the country's economic situation, especially in metropolitan areas. Thus, area-specific population approaches should be enhanced to promote appropriate lifestyle habits, especially for the young to middle-aged.
背景:2000年,日本厚生劳动省启动了一项新的健康促进计划,即健康日本21,其中肥胖控制是优先目标之一。为了有效实施该计划,加强个人营养教育以及确定影响肥胖相关生活习惯的社会经济和环境因素非常重要。本研究旨在调查日本不同性别和四种不同居住区域的饮食和运动习惯的长期变化。方法:采用1976-2003年全国营养调查数据集进行二次分析。研究人员分析了385559名年龄在15岁及以上的人的饮食和运动习惯数据。居住地区分为首都圈、大城市、小城市、小城镇等4类。结果:不吃早餐和在外面吃午餐/晚餐的人的比例也有类似的趋势,其中居住在大都市的比例最高。长期趋势显示,外出就餐的比例在20世纪90年代初最高,这与日本的“泡沫时期”相对应。结论:我们的研究结果表明,饮食习惯可能受到国家经济状况的很大影响,特别是在大都市地区。因此,应加强针对特定地区的人口方法,以促进适当的生活习惯,特别是对青年到中年人。
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引用次数: 3
Baseline dietary intake in the Saku Control Obesity Program (SCOP) Saku控制肥胖计划(SCOP)的基线饮食摄入量
Pub Date : 2008-01-01 DOI: 10.3793/JAAM.5.6
Yoshiko Takahashi, K. Murakami, A. Morita, N. Aiba, S. Sasaki
BACKGROUND: We planed a moderate-intensity lifestyle intervention program for overweight Japanese populations, the Saku Control Obesity Program (SCOP), a clinic-based, open randomized, cross-over trial. The purpose of the present article describes the baseline dietary characteristics of the study subjects.METHODS: Dietary intake at baseline was assessed using a validated self-administered diet history questionnaire in overweight subjects (mean body mass index: 30.8kg/m²) in the intervention and the control groups (n = 119 and 116, respectively).RESULTS: Mean value of energy intakes was not significantly different between the intervention and the control groups (2485 and 2426 kcal/day, respectively). Mean intake of nutrients and foods was generally similar between the groups although higher intake of potassium, calcium, phosphorus, riboflavin, and dairy product and lower intake of pulses and seaweeds in the intervention than in the control groups were observed.CONCLUSIONS: Mean dietary intake level of energy, nutrients, and foods at baseline was similar between the intervention and the control groups although small significant difference was observed for a few dietary variables. These results suggest the success of randomization in the present study at least regarding dietary intake.
背景:我们计划了一项针对日本超重人群的中等强度生活方式干预计划,即Saku控制肥胖计划(SCOP),一项基于临床、开放、随机、交叉试验。本文的目的是描述研究对象的基线饮食特征。方法:对干预组和对照组(n = 119和116)超重受试者(平均体重指数:30.8kg/m²)基线时的饮食摄入进行评估,采用一份有效的自我管理饮食史问卷。结果:干预组和对照组的能量摄入平均值(分别为2485和2426千卡/天)无显著差异。虽然观察到干预组的钾、钙、磷、核黄素和乳制品的摄入量高于对照组,而豆类和海藻的摄入量低于对照组,但两组之间的营养物质和食物的平均摄入量大致相似。结论:干预组和对照组在基线时的能量、营养物质和食物的平均膳食摄入水平相似,尽管在一些饮食变量上观察到微小的显著差异。这些结果表明,在目前的研究中,至少在饮食摄入方面,随机化是成功的。
{"title":"Baseline dietary intake in the Saku Control Obesity Program (SCOP)","authors":"Yoshiko Takahashi, K. Murakami, A. Morita, N. Aiba, S. Sasaki","doi":"10.3793/JAAM.5.6","DOIUrl":"https://doi.org/10.3793/JAAM.5.6","url":null,"abstract":"BACKGROUND: We planed a moderate-intensity lifestyle intervention program for overweight Japanese populations, the Saku Control Obesity Program (SCOP), a clinic-based, open randomized, cross-over trial. The purpose of the present article describes the baseline dietary characteristics of the study subjects.METHODS: Dietary intake at baseline was assessed using a validated self-administered diet history questionnaire in overweight subjects (mean body mass index: 30.8kg/m²) in the intervention and the control groups (n = 119 and 116, respectively).RESULTS: Mean value of energy intakes was not significantly different between the intervention and the control groups (2485 and 2426 kcal/day, respectively). Mean intake of nutrients and foods was generally similar between the groups although higher intake of potassium, calcium, phosphorus, riboflavin, and dairy product and lower intake of pulses and seaweeds in the intervention than in the control groups were observed.CONCLUSIONS: Mean dietary intake level of energy, nutrients, and foods at baseline was similar between the intervention and the control groups although small significant difference was observed for a few dietary variables. These results suggest the success of randomization in the present study at least regarding dietary intake.","PeriodicalId":86085,"journal":{"name":"Journal of anti-aging medicine","volume":"30 1","pages":"6-12"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83520074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The effects of walking with pedometers on quality of life and various symptoms and issues relating to aging 带计步器行走对生活质量的影响以及与衰老相关的各种症状和问题
Pub Date : 2008-01-01 DOI: 10.3793/JAAM.5.22
Yohiskazu Yonei, Yoko Takahashi, S. Hibino, Miwako Watanabe, Toshikazu Yoshikawa
AIMS: This study is aimed to elucidate the effect of aerobic walking using watch-type pedometers with or without a heart rate checker, which may support to keep moderate exercise intensity.METHODS: Thirty one healthy subjects (mean age, 59.1 ± 5.0, 17 men and 14 women) were divided into 2 groups: the study group of 15 subjects (8 men and 7 women) using a pedometer with a heart rate checker and the control group of 16 subjects (9 men and 7 women) using a common pedometer checking heart rates by themselves. All participants tried aerobic walking exercises alone for 8 weeks, 5 days a week, for 45 minutes a day with an instructed exercise intensity 40 to 60%. The subjects underwent height, weight, body fat percentage, blood pressure, and hematological and blood chemistry tests before and after the study. In addition, all participants completed an aging and QOL questionnaire before and after the study.RESULTS: A decrease of systolic blood pressure (before-study value 140.2 ± 23.2 mmHg) by 3.7% and an increase of estrogen levels (by 37%) in women were observed in both groups. In a comparative study of the 2 groups, the study group showed significant improvements in “lethargy”, “tinnitus”, “early satiety”, “constipation” and “arthralgia” as physical symptoms and in “difficulty in falling asleep” and “pessimism” as mental symptoms.CONCLUSIONS: Aerobic walking with a heart rate checker may help to maintain the exercise intensity within the range of 40% to 60% of maximum, thus resulted more desirable data than walking with self heart rate checking at one’s own pace.
目的:本研究旨在阐明带或不带心率检查器的手表式计步器对有氧步行的影响,这可能有助于保持适度的运动强度。方法:31名健康受试者(平均年龄59.1±5.0岁,男17名,女14名)分为两组:研究组15名(男8名,女7名)使用带心率检测器的计步器;对照组16名(男9名,女7名)使用自行检测心率的普通计步器。所有参与者都进行了为期8周的有氧步行练习,每周5天,每天45分钟,指导运动强度为40%到60%。在研究前后,受试者接受了身高、体重、体脂率、血压、血液学和血液化学测试。此外,所有参与者在研究前后都完成了一份年龄和生活质量问卷。结果:两组妇女收缩压(研究前值140.2±23.2 mmHg)降低3.7%,雌激素水平升高37%。在两组对比研究中,研究组在生理症状“嗜睡”、“耳鸣”、“早饱”、“便秘”、“关节痛”等方面有明显改善,精神症状“难以入睡”、“悲观”等方面有明显改善。结论:带心率检测器的有氧步行可使运动强度保持在最大强度的40% ~ 60%范围内,因此获得的数据比带自配心率检测器的步行更理想。
{"title":"The effects of walking with pedometers on quality of life and various symptoms and issues relating to aging","authors":"Yohiskazu Yonei, Yoko Takahashi, S. Hibino, Miwako Watanabe, Toshikazu Yoshikawa","doi":"10.3793/JAAM.5.22","DOIUrl":"https://doi.org/10.3793/JAAM.5.22","url":null,"abstract":"AIMS: This study is aimed to elucidate the effect of aerobic walking using watch-type pedometers with or without a heart rate checker, which may support to keep moderate exercise intensity.METHODS: Thirty one healthy subjects (mean age, 59.1 ± 5.0, 17 men and 14 women) were divided into 2 groups: the study group of 15 subjects (8 men and 7 women) using a pedometer with a heart rate checker and the control group of 16 subjects (9 men and 7 women) using a common pedometer checking heart rates by themselves. All participants tried aerobic walking exercises alone for 8 weeks, 5 days a week, for 45 minutes a day with an instructed exercise intensity 40 to 60%. The subjects underwent height, weight, body fat percentage, blood pressure, and hematological and blood chemistry tests before and after the study. In addition, all participants completed an aging and QOL questionnaire before and after the study.RESULTS: A decrease of systolic blood pressure (before-study value 140.2 ± 23.2 mmHg) by 3.7% and an increase of estrogen levels (by 37%) in women were observed in both groups. In a comparative study of the 2 groups, the study group showed significant improvements in “lethargy”, “tinnitus”, “early satiety”, “constipation” and “arthralgia” as physical symptoms and in “difficulty in falling asleep” and “pessimism” as mental symptoms.CONCLUSIONS: Aerobic walking with a heart rate checker may help to maintain the exercise intensity within the range of 40% to 60% of maximum, thus resulted more desirable data than walking with self heart rate checking at one’s own pace.","PeriodicalId":86085,"journal":{"name":"Journal of anti-aging medicine","volume":"12 1","pages":"22-29"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91252262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Anthropometric and Clinical Findings in Obese Japanese: The Saku Control Obesity Program (SCOP) 日本肥胖人群的人体测量学和临床表现:Saku控制肥胖计划(SCOP)
Pub Date : 2008-01-01 DOI: 10.3793/JAAM.5.13
A. Morita, Yumi Ohmori, Nozomu Suzuki, Nori Ide, M. Morioka, N. Aiba, S. Sasaki, M. Miyachi, Mitsuhiko Noda, Shaw Watanabe
BACKGROUND: Japan has entered the epidemic of obesity. To clarify the contributing factors to the development of metabolic syndrome triggered by visceral fat obesity and to investigate the effectiveness of a weight-loss program, we launched a new intervention program for obese people. METHODS: Japanese subjects with high body mass index (BMI > 28.3 kg/m²) were selected for a weight-loss program from those who had undergone a medical checkup at the Saku Central Hospital. The baseline anthropometric and clinical findings of the participants were analyzed.RESULTS: At baseline, 235 subjects (116 men and 119 women) participated in this program. The mean weight, waist circumference, and visceral fat area were 86.4 ± 11.8 kg, 101.5 ± 8.7 cm, and 159.0 ± 54.1 cm² in men and 75.2 ± 9.5 kg, 103.7 ± 8.3 cm, and 129.8 ± 47.0 cm² in women, respectively. Using the Japanese diagnostic criteria, the prevalence of metabolic syndrome was 62.9% in men and 51.3% in women. Leptin, c-peptide, and insulin levels tended to increase with increasing numbers of metabolic risk factors in men. In women, c-peptide and free fatty acid levels tended to increase with increasing numbers of these factors, but adiponectin decreased dose-dependently with increasing numbers of factors. CONCLUSIONS: More than half the subjects were founded to meet the criteria for metabolic syndrome. Immediate intervention to lose weight and to improve other risk factors of metabolic syndrome is necessary in such seriously obese people.
背景:日本已进入肥胖症流行期。为了弄清由内脏脂肪性肥胖引发的代谢综合征发展的影响因素,并调查减肥计划的有效性,我们针对肥胖者启动了一项新的干预计划。方法:从在佐库中心医院接受体检的日本受试者中选择高体重指数(BMI > 28.3 kg/m²)进行减肥计划。分析了参与者的基线人体测量和临床表现。结果:基线时,235名受试者(116名男性和119名女性)参加了该计划。男性平均体重为86.4±11.8 kg,腰围为101.5±8.7 cm,内脏脂肪面积为159.0±54.1 cm²,女性平均体重为75.2±9.5 kg,腰围为103.7±8.3 cm,内脏脂肪面积为129.8±47.0 cm²。根据日本诊断标准,男性代谢综合征患病率为62.9%,女性为51.3%。瘦素、c肽和胰岛素水平随着男性代谢危险因素的增加而增加。在女性中,c肽和游离脂肪酸水平随着这些因素数量的增加而增加,但脂联素随着这些因素数量的增加而呈剂量依赖性下降。结论:超过一半的受试者符合代谢综合征的标准。对于这类严重肥胖者,有必要立即干预减肥和改善代谢综合征的其他危险因素。
{"title":"Anthropometric and Clinical Findings in Obese Japanese: The Saku Control Obesity Program (SCOP)","authors":"A. Morita, Yumi Ohmori, Nozomu Suzuki, Nori Ide, M. Morioka, N. Aiba, S. Sasaki, M. Miyachi, Mitsuhiko Noda, Shaw Watanabe","doi":"10.3793/JAAM.5.13","DOIUrl":"https://doi.org/10.3793/JAAM.5.13","url":null,"abstract":"BACKGROUND: Japan has entered the epidemic of obesity. To clarify the contributing factors to the development of metabolic syndrome triggered by visceral fat obesity and to investigate the effectiveness of a weight-loss program, we launched a new intervention program for obese people. METHODS: Japanese subjects with high body mass index (BMI > 28.3 kg/m²) were selected for a weight-loss program from those who had undergone a medical checkup at the Saku Central Hospital. The baseline anthropometric and clinical findings of the participants were analyzed.RESULTS: At baseline, 235 subjects (116 men and 119 women) participated in this program. The mean weight, waist circumference, and visceral fat area were 86.4 ± 11.8 kg, 101.5 ± 8.7 cm, and 159.0 ± 54.1 cm² in men and 75.2 ± 9.5 kg, 103.7 ± 8.3 cm, and 129.8 ± 47.0 cm² in women, respectively. Using the Japanese diagnostic criteria, the prevalence of metabolic syndrome was 62.9% in men and 51.3% in women. Leptin, c-peptide, and insulin levels tended to increase with increasing numbers of metabolic risk factors in men. In women, c-peptide and free fatty acid levels tended to increase with increasing numbers of these factors, but adiponectin decreased dose-dependently with increasing numbers of factors. CONCLUSIONS: More than half the subjects were founded to meet the criteria for metabolic syndrome. Immediate intervention to lose weight and to improve other risk factors of metabolic syndrome is necessary in such seriously obese people.","PeriodicalId":86085,"journal":{"name":"Journal of anti-aging medicine","volume":"49 1","pages":"13-16"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75754172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 14
Accuracy of Predictive Equations for Basal Metabolic Rate and Contribution of Abdominal Fat Distribution to Basal Metabolic Rate in Obese Japanese People 日本肥胖者基础代谢率预测方程的准确性及腹部脂肪分布对基础代谢率的贡献
Pub Date : 2008-01-01 DOI: 10.3793/JAAM.5.17
Shigeho Tanaka, K. Ohkawara, K. Ishikawa-Takata, A. Morita, Shaw Watanabe
BACKGROUND: Large errors may occur when predicting basal metabolic rate (BMR) based on physical characteristics in obese people. In addition, the contribution of abdominal visceral fat to BMR remains controversial. This study examined the accuracy of several predictive equations for BMR and the contribution of abdominal fat distribution to BMR in obese Japanese participants in the Saku Control Obesity Program (SCOP). METHODS: BMR was determined using a mask and Douglas bag in adult males (n = 12) and females (n = 11). We measured abdominal subcutaneous and visceral fat areas using computerized tomography.RESULTS: All the equations, with the exception of Bernstein’s, overestimated BMR in obese males. Some equations, including the Japan-Dietary Reference Intakes and the Food and Agriculture Organization of the United Nations/World Health Organization/United Nations University (FAO/WHO/UNU) equations, overestimated BMR in obese females, while the Harris-Benedict and Henry equations provided relatively accurate predictions of BMR in obese females. We found no correlation between abdominal visceral fat area and BMR when adjusted for sex, fat-free mass, and abdominal subcutaneous fat area (partial r =−0.022). Abdominal subcutaneous fat area correlated significantly with BMR when adjusted for sex, fat-free mass, and abdominal visceral fat area (partial r = 0.732), although this correlation was no longer significant after adjustment for total fat mass (partial r = 0.266).CONCLUSIONS: In obese Japanese subjects, most the predictive equations overestimated BMR in males, whereas some equations were relatively accurate for females. Our findings indicate abdominal fat distribution may not be independently related with BMR.
背景:根据肥胖人群的身体特征预测基础代谢率(BMR)时可能会出现较大的误差。此外,腹部内脏脂肪对BMR的贡献仍然存在争议。本研究检验了Saku控制肥胖计划(SCOP)中日本肥胖参与者的几个BMR预测方程的准确性以及腹部脂肪分布对BMR的贡献。方法:成年男性(n = 12)和女性(n = 11)分别采用面罩和道格拉斯袋法测定BMR。我们使用计算机断层扫描测量腹部皮下和内脏脂肪区域。结果:除了Bernstein的方程外,所有方程都高估了肥胖男性的BMR。一些方程,包括日本膳食参考摄入量和联合国粮食及农业组织/世界卫生组织/联合国大学(粮农组织/世卫组织/联合国大学)方程高估了肥胖女性的基础代谢率,而哈里斯-本尼迪克特和亨利方程对肥胖女性的基础代谢率提供了相对准确的预测。经性别、无脂量和腹部皮下脂肪面积调整后,我们发现腹部内脏脂肪面积和BMR之间没有相关性(部分r = - 0.022)。当调整性别、无脂量和腹部内脏脂肪面积时,腹部皮下脂肪面积与BMR显著相关(偏r = 0.732),尽管在调整总脂肪量后,这种相关性不再显著(偏r = 0.266)。结论:在肥胖的日本受试者中,大多数预测方程高估了男性的BMR,而一些方程对女性相对准确。我们的研究结果表明,腹部脂肪分布可能与BMR无关。
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引用次数: 15
A double-blind clinical study of Rokkaku Reishi essence in women 六甲灵芝精对女性的双盲临床研究
Pub Date : 2007-06-01 DOI: 10.3793/JAAM.4.28
Y. Yonei, Yoko Takahashi, H. Takahashi, Miwako Watanabe, T. Mochizuki, H. Bando
A double-blind, randomized and placebo controlled study was carried out to examine the anti-aging efficacy and safety of Rokkaku Reishi in 22 overweight Japanese women (46.5±7.9 years old, BMI 26.8±2.7) consisting of 11 in the Analyte Group and 11 in the Placebo Group. Total cholesterol, LDL cholesterol and neutral fat values in the blood, which had been checked as background factors of the subjects, were mismatched, significantly higher respectively in the Analyte Group than in the Placebo Group. Evaluation of efficacy for lipid profiles was inevitable. In the Analyte Group the values of Hematocrit (-3.5%) and γ-GTP (-15.0%) significantly declined while HbAlc (2.3%) and K (5.4%) significantly increased after supplementation. The rate of increase of HbAlc in the Analyte Group was significantly higher than that in the Placebo Group. NK-cell activity showed no difference pre- and post-supplementation in either group. Oxidative-stress markers showed no significant difference pre- and post-supplementation for either group. A Common questionnaire on physical symptoms showed that the categories “Coughing and sputum” and “Grey hair” significantly declined after supplementation in the Analyte Group while no difference was found in the Placebo Group. For skin age scores measured using a Roboskinanalyzer, the scores for the categories “Noticeable pores”, “Large noticeable pores” and “Dusky noticeable pores” were significantly lower in the Analyte Group compared to the Placebo Group. A significant correlation was found between 8-OHdG in terms of its level, creatinine-corrected value and generation rate, and the number of “Noticeable pores”. No adverse reaction was found during the study. These results suggest that the four weeks supplementation of Rokkaku Reishi showed favorable effects on skin condition.
本研究采用双盲、随机、安慰剂对照的方法,对22名体重超重的日本女性(46.5±7.9岁,BMI 26.8±2.7),其中Analyte组11名,placebo组11名,进行了六加灵芝抗衰老疗效和安全性的研究。作为受试者背景因素的血液中总胆固醇、低密度脂蛋白胆固醇和中性脂肪值不匹配,分析物组显著高于安慰剂组。评估脂质谱的疗效是不可避免的。在Analyte组中,添加后红细胞压积(-3.5%)和γ-GTP(-15.0%)显著降低,HbAlc(2.3%)和K(5.4%)显著升高。分析物组的HbAlc升高率明显高于安慰剂组。两组的nk细胞活性均无差异。两组的氧化应激指标在补充前后均无显著差异。一份常见的身体症状问卷显示,在补充后,分析物组的“咳嗽、痰”和“白发”类别明显下降,而安慰剂组无差异。对于使用Roboskinanalyzer测量的皮肤年龄得分,与安慰剂组相比,Analyte组的“明显毛孔”,“明显毛孔大”和“暗沉明显毛孔”类别得分明显较低。8-OHdG在其水平、肌酐校正值和生成率与“明显毛孔”数量之间存在显著相关性。研究过程中未发现不良反应。这些结果表明,补充四周的六甲灵芝对皮肤状况有良好的影响。
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引用次数: 6
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