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Study Design of the Saku Control Obesity Program (SCOP) Saku控制肥胖计划(SCOP)的研究设计
Pub Date : 2007-01-01 DOI: 10.3793/JAAM.4.70
Shaw Watanabe, A. Morita, N. Aiba, M. Miyachi, S. Sasaki, M. Morioka, Masahiko Noda, T. Takebayashi, M. Kimira
BACKGROUND: The increasing number of patients with metabolic syndrome and resultant diabetes mellitus, hypertension, hyperlipidemia, and other lifestyle-related diseases are an urgent focus of the Ministry of Health, Labor and Welfare. Because obesity is a common basis of these diseases, the control of obesity is an important aim. METHODS: A cognitive-behavioral treatment is being employed in a randomized intervention trial at the Saku Health Dock Center. 976 people whose BMI in upper quintile were identified from the health checkup database, and 235 people participated in the Saku Control Obesity Program (SCOP). Various biomarkers (including lipokines and single nucleotide polymorphism SNPs), physical activity, personality type (measured by the NEO-FFI), and dietary habits and dietary intake behavior (measured by the SQ-DHQ) will be measured to clarify the multiple factors influencing obesity. Each participant will use a diary to record body weight, body fat, number of steps, physical activity energy expenditure (PAEE), and success in achieving the established plan; a dietary record and appropriate equipment are also provided. At 1, 3, 6, 9, and 12 months, each participant will be interviewed by a doctor and dietician and receive individual education regarding physical activity. Follow-up will occur 1 and 2 years after baseline measurements. RESULTS: A total of 116 men (52.9 ± 6.6 years) and 119 women (54.4 ± 6.5 years) are participating in the study. Average body weight (± SD) was 86.4 ± 11.8 kg in males and 75.2 ± 9.5 in females. BMI was 30.4 ± 3.5 in males and 31.1 ± 3.1 in females. Waist and visceral fat area were 101.5 ± 8.7 cm and 159 ± 54 cm2 in males and 103.7 ± 8.3 cm and 130 ± 47 cm2 in females, respectively. PAEE was 271 ± 127 kcal in males and 246 ± 102 kcal in females. Basal metabolic rate, measured in one-tenth of the participants, was 1659 ± 226 kcal in males and 1477 ± 210 kcal in females. CONCLUSION: The purpose of this study is to evaluate the effectiveness of a cognitive-behavioral treatment designed to help obese patients lose weight and to maintain their weight losses over time. SCOP has been started with a good participation rate.
背景:越来越多的代谢综合征患者以及由此引起的糖尿病、高血压、高脂血症和其他与生活方式相关的疾病是卫生、劳动和福利部迫切关注的问题。由于肥胖是这些疾病的共同基础,因此控制肥胖是一个重要的目标。方法:在Saku健康码头中心进行的一项随机干预试验中,采用认知行为治疗方法,从健康检查数据库中确定976名BMI在上五分位数的人,其中235人参加了Saku控制肥胖计划(SCOP)。将测量各种生物标志物(包括脂质因子和单核苷酸多态性SNPs)、身体活动、人格类型(由NEO-FFI测量)、饮食习惯和饮食摄入行为(由SQ-DHQ测量),以阐明影响肥胖的多种因素。每位参与者将使用日记本记录体重、体脂、步数、体力活动能量消耗(PAEE)以及完成既定计划的成功情况;还提供饮食记录和适当的设备。在1、3、6、9和12个月时,每个参与者将接受医生和营养师的采访,并接受有关体育活动的个人教育。随访将在基线测量后1至2年进行。结果:共有116名男性(52.9±6.6岁)和119名女性(54.4±6.5岁)参与研究。男性平均体重(±SD)为86.4±11.8 kg,女性为75.2±9.5 kg。BMI男性为30.4±3.5,女性为31.1±3.1。男性腰围和内脏脂肪面积分别为101.5±8.7 cm和159±54 cm2,女性为103.7±8.3 cm和130±47 cm2。男性PAEE为271±127 kcal,女性为246±102 kcal。十分之一的参与者的基础代谢率为男性1659±226千卡,女性1477±210千卡。结论:本研究的目的是评估旨在帮助肥胖患者减肥并长期保持减肥效果的认知行为治疗的有效性。SCOP已经启动,参与率很高。
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引用次数: 23
A double-blind, randomized controlled trial (RCT) of L-carnitine and conjugated linoleic acid-based health food with health claims 一个双盲,随机对照试验(RCT)左旋肉碱和共轭亚油酸为基础的健康食品与健康声明
Pub Date : 2007-01-01 DOI: 10.3793/JAAM.4.19
Y. Yonei, Yoko Takahashi, Miwako Watanabe, T. Yoshioka
In the present study, we investigated the physical effect of health food (supplement) which contains L-carnitine (200mg) and conjugated linoleic acid (700mg) for 8 weeks with a double-blind, randomized controlled non-crossover design. Overweight individuals (17 males and 18 females; age: 48.3±6.6yrs; BMI: 25.5±2.6) were assigned to either Study Group (n=18) or Control Group (n=17). A small increase in serum levels of HbAlc (3.3%) and CRP (35.3%) was noted in the Study Group (p<0.05), and a significant increase in urinary isoprostane production rate (38.9%) and its creatinine -adjusted value (isoprostane/CRE) (44.4%), which is a marker for damage of fatty acids by free radicals. No effect was observed for indicators related to body composition and lipid metabolism. The results showed a significant improvement for the following subjective symptoms: “Easily break into a sweat”, “Irritability”, “Easily angered”, “Sense of tension”, however, “Early satiety” exacerbated. The sole parameter we found a significant intergroup difference in rate of change was in urinary isoprostane production rate and its creatinine-corrected value, and the score obtained in the questionnaire for “Easily angered”. In conclusion, these findings suggest that the consumption of the test compounds with L-carnitine and conjugated linoleic acid can reduce some mental symptoms; however, the efficacy on QOL was equivocal. As unfavorable phenomenon, elevation of HbAlc, CRP and urinary isoprostane were observed during the study.
本研究采用双盲、随机对照、非交叉试验设计,对含左旋肉碱(200mg)和共轭亚油酸(700mg)的保健食品(补充剂)进行为期8周的物理效应研究。超重个体(17名男性和18名女性;年龄:48.3±6.6岁;BMI: 25.5±2.6)的患者分为研究组(n=18)和对照组(n=17)。研究组患者血清HbAlc(3.3%)和CRP(35.3%)水平小幅升高(p<0.05),尿异前列腺素生成率(38.9%)及其肌酐调节值(异前列腺素/CRE)(44.4%)显著升高(异前列腺素/CRE是自由基对脂肪酸损伤的标志)。未观察到对身体成分和脂质代谢相关指标的影响。结果显示,“易出汗”、“易怒”、“易生气”、“紧张感”等主观症状有明显改善,但“早饱感”加重。我们发现组间变化率有显著差异的唯一参数是尿异前列腺素生成率及其肌酐校正值,以及“易激怒”问卷得分。综上所述,这些发现表明,食用含有左旋肉碱和共轭亚油酸的试验化合物可以减轻某些精神症状;然而,对生活质量的影响是模棱两可的。作为一种不利现象,在研究过程中观察到HbAlc、CRP和尿异前列腺素的升高。
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引用次数: 10
Evaluation of the Effect of α Gel embedded Mattresses as Bedding on the Mind and Body α凝胶嵌入床垫作为床上用品对身心影响的评价
Pub Date : 2007-01-01 DOI: 10.3793/JAAM.4.11
Y. Yonei, Yoko Takahashi, A. Shionoiri, Shino Inada
We conducted an open parallel comparison study between Groups to evaluate the possible influence on mental and physical conditions of using a mattress and pillow in which a gel was embedded for 4 weeks. The study subjects consisted of 41 Japanese healthy adult volunteers with high total scores (7 or more) of Pittsburgh Sleep Quality Index and of both sexes aged between 35 to 57 (42.8±5.5) years old. They were divided into 2 groups; the Control Group consisting of 21 subjects and the Study Group consisting of 20 subjects. In the Study Group, DHEA-s (-9.8%) and the creatinine-corrected urinary 8-OHdG (-16.7%) was significantly decreased, and cortisol (27.7%) significantly increased. Of the physical symptoms, “Blurry eyes”, “Lethargy”, and “Coughing and sputum” significantly improved in the Study Group compared with control. Of the mental conditions, “No feeling of happiness”, “Shallow sleep” and “Difficulty falling asleep” significantly improved in the Study Group. For Lifestyle, only the Study Group was affected. Specifically, the “Frequency of alcohol intake” significantly increased along with the “Sleeping hours” (p<0.05). For the survey which entailed using the Pittsburgh Sleep Quality Index, the Study Group showed a significant improvement in “Quality of sleep” (p<0.01). “Sleeping hours” (p<0.05), and “Difficulty staying awake during the day” (p<0.05). Total score decreased from 9.30±2.36 to 6.05±2.80 (p<0.001). These data indicates that the use of a mattress and pillow in which a gel is embedded for four weeks should improve one's quality of sleep and some physical and mental symptoms for healthy adult males and females.
我们在两组之间进行了开放的平行比较研究,以评估使用嵌入凝胶的床垫和枕头4周对精神和身体状况的可能影响。研究对象为41名匹兹堡睡眠质量指数总分较高(7分及以上)的日本健康成年志愿者,年龄在35 ~ 57(42.8±5.5)岁之间,男女均有。他们被分为两组;对照组包括21名受试者,研究组包括20名受试者。研究组DHEA-s(-9.8%)和肌酐校正尿8-OHdG(-16.7%)显著降低,皮质醇(27.7%)显著升高。在躯体症状方面,研究组的“眼睛模糊”、“嗜睡”和“咳嗽咳痰”较对照组明显改善。在精神状态方面,研究组的“无幸福感”、“浅睡眠”和“入睡困难”均有显著改善。在生活方式方面,只有研究组受到了影响。其中,“饮酒频率”随“睡眠时间”的增加而显著增加(p<0.05)。在使用匹兹堡睡眠质量指数的调查中,研究组在“睡眠质量”方面有显著改善(p<0.01)。“睡眠时间”(p<0.05)和“白天难以保持清醒”(p<0.05)。总评分由9.30±2.36降至6.05±2.80 (p<0.001)。这些数据表明,对于健康的成年男性和女性来说,使用嵌入凝胶的床垫和枕头四周应该可以改善睡眠质量,并改善一些身心症状。
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引用次数: 5
Dioxin exposure and type 2 diabetes mellitus: Case control study 二恶英暴露与2型糖尿病:病例对照研究
Pub Date : 2007-01-01 DOI: 10.3793/JAAM.4.51
Shaw Watanabe, M. Morioka, T. Hirai, S. Mizuno
OBJECTIVES: Relationship between dioxin exposure and diabetes mellitus (DM) has been in debate. Our cross-sectional study suggested that low-level dioxin exposure may cause type 2 diabetes in a general population. A case control study was performed to confirm the risk of dioxins. DESIGN and METHODS: 60 DM patients and 60 controls were selected for the case control study to detect the risk of dioxins for type 2 diabetes mellitus. After performing 75 g GTT, 56 DM, 12 IGT and 49 Control were grouped. In addition to the routine physical examination, questionnaire for life habits, past illness, family history and others were performed. 70 ml blood was collected for hematological and biochemical test, and measurement of 7 polychlorodibenzo-p-dioxins (PCDD), 10 polychloro-dibenzofurans (PCDF), and 12 coplanar polychlorobiphenyl (PCB). Concentration of dioxin congeners and their TEQ were used for regression factor analysis and logistic regression analysis to detect the risk of dioxins by SPSS. RESULTS: Total blood dioxin level was 23.4 ± 11.2 in Control, 30.8 ± 11.5 in IGT and 33.7 ± 13.7 pg TEQ/g lipid in DM. Logistic regression analysis revealed that family history (OR=20.4) and 4 of 5 dioxin factors (OR=2.2-2.8) had significant odds ratio. Crude congener concentration and their TEQ yielded the similar results. Other variables did not show significant odds ratio. Adverse effects of dioxins on TNFalpha, NEFA, adiponectin, and leptin were found. CONCLUSION: DM and IGT patients showed higher dioxin level compared to Control. Logistic regression analysis revealed that the exposure to both PCB and PCDD/PCDF showed significant effect.
目的:二恶英暴露与糖尿病(DM)之间的关系一直存在争议。我们的横断面研究表明,在一般人群中,低水平的二恶英暴露可能导致2型糖尿病。进行了病例对照研究,以确认二恶英的风险。设计与方法:选择60例糖尿病患者和60例对照进行病例对照研究,检测2型糖尿病患者二恶英的风险。饲喂75 g GTT后,DM 56只,IGT 12只,对照组49只。除常规体检外,还进行了生活习惯、既往病史、家族史等问卷调查。采集血液70 ml,进行血液学和生化检测,检测7种多氯二苯并对二恶英(PCDD)、10种多氯二苯并呋喃(PCDF)、12种共面多氯联苯(PCB)。采用SPSS软件对二恶英同系物浓度及其TEQ进行回归因子分析和logistic回归分析,检测二恶英的危害程度。结果:对照组血总二恶英水平为23.4±11.2,IGT组为30.8±11.5,DM组为33.7±13.7 pg TEQ/g脂质。Logistic回归分析显示,家族史(OR=20.4)和5个二恶英因素中的4个(OR=2.2 ~ 2.8)具有显著优势比。原油同系物浓度及其TEQ也得到了相似的结果。其他变量的比值比均不显著。发现二恶英对TNFalpha、NEFA、脂联素和瘦素的不良影响。结论:糖尿病和IGT患者二恶英水平高于对照组。Logistic回归分析显示,多氯联苯和PCDD/PCDF均有显著影响。
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引用次数: 1
Double Blind Study of Health Claims for Food Containing Extract of Kabanoanatake (Charga: Fuscoporia obliqua) (RCT: randomized controlled trial) 含Kabanoanatake (Charga: Fuscoporia obliqua)提取物食品健康声明的双盲研究(RCT:随机对照试验)
Pub Date : 2007-01-01 DOI: 10.3793/JAAM.4.1
Y. Yonei, Yoko Takahashi, K. Matsushita, Miwako Watanabe, T. Yoshioka
We investigated the health claims of food containing Kabanoanatake (Charga: Fuscoporia obliqua) in terms of general body function in a double blind study using three Groups, control, Charga 5ml Group and Charga 15ml Group, each of which consisted of 20 subjects totaling 60 healthy adult volunteers (male: 23; female; 37, age: 45.7±6.9 years).For the Charga 5ml Group, systolic blood pressure (-3.72 %, p=0.046) and diastolic blood pressure (-3.47 %, p=0.018) were significantly lowered, while triglyceride (36.01 %, p=0.050) was increased. Also, slight changes were observed in total body water (-0.70 %, p=0.036), total body muscle (-0.69 %, p=0.034), fat-free mass (-0.72 %, p=0.022), total skeletal muscle (-1.35 %, p=0.005), basal metabolism (-0.60 %, p=0.013), HbAlc (1.57 %, p=0.034) and Cl (-1.19 %, p=0.019). Among oxidization stress markers, lipid peroxide (-7.89 %, p=0.006) was significantly improved. For mental and physical symptoms, significant improvements were observed in “Cold skin” (p=0.008) and “Inability to sleep because of worries” (p=0.008), while no parameter showed any aggravation. The Charga 15ml Group showed a significant improvement in the score for “loss of motivation” (p=0.042) for physical and mental symptoms. Apart from this, a slight but significant change was observed in Cl (-1.18 %, p=0.016), while aggravation was noted for “frequent urination” (p=0.049).The parameters which showed a dose-dependent change in terms of administration of Charga were from the blood test (lowering of fasting insulin level), physical symptoms on the common interview sheet on aging and the QOL (improved score in “stiff shoulders”), mental symptoms (an improvement in the scores for “loss of motivation”, “daily life is not enjoyable”, “pessimism” and “feeling of anxiety for no special reason”. While “weight loss; thin” and “Easily breaking into a sweat” showed a slight increases in their respective scores, the increase in the score for “frequent urination” was comparatively remarkable. There was no significant change in immune activity using the number of NK cells as a benchmark parameter. In conclusion, taking the balance between parameters that showed effects and aggravation into consideration, the preferability of two doses of Charga 5ml or 15ml/day seemed equivocal. As unfavorable phenomenon, frequent urination and mild elevation of γ-GTP and triglyceride were observed during the study.
我们采用双盲研究方法,对含Kabanoanatake (Charga: Fuscoporia obliqua)食品的一般身体功能进行了调查,分为对照组、Charga 5ml组和Charga 15ml组,每组20人,共60名健康成人志愿者(男性23人;女性;37岁,年龄45.7±6.9岁)。Charga 5ml组收缩压(- 3.72%,p=0.046)和舒张压(- 3.47%,p=0.018)明显降低,甘油三酯(36.01%,p=0.050)升高。此外,全身水分(- 0.70%,p=0.036)、全身肌肉(- 0.69%,p=0.034)、无脂量(- 0.72%,p=0.022)、总骨骼肌(- 1.35%,p=0.005)、基础代谢(- 0.60%,p=0.013)、HbAlc (1.57%, p=0.034)和Cl (- 1.19%, p=0.019)也有微小变化。在氧化应激指标中,脂质过氧化(- 7.89%,p=0.006)显著改善。在精神和身体症状方面,“皮肤冷”(p=0.008)和“因担心而无法入睡”(p=0.008)有显著改善,而没有参数显示任何加重。Charga 15ml组在身体和精神症状的“动力丧失”得分上有显著改善(p=0.042)。除此之外,Cl有轻微但显著的变化(- 1.18%,p=0.016),而尿频加重(p=0.049)。在Charga给药方面显示剂量依赖性变化的参数来自血液检查(空腹胰岛素水平降低),衰老和生活质量共同访谈表上的身体症状(“肩膀僵硬”得分改善),精神症状(“失去动力”,“日常生活不愉快”,“悲观”和“无特殊原因的焦虑感”得分改善。而“减肥;“瘦”和“容易出汗”的得分略有上升,“尿频”的得分上升相对显著。使用NK细胞数量作为基准参数,免疫活性无显著变化。综上所述,考虑到显示疗效和加重的参数之间的平衡,两种剂量的Charga 5ml或15ml/d的首选似乎是模棱两可的。作为不利现象,在研究期间观察到尿频和γ-GTP和甘油三酯轻度升高。
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引用次数: 6
Necessity of obesity control for preventing life-style related diseases 控制肥胖对预防生活方式相关疾病的必要性
Pub Date : 2007-01-01 DOI: 10.3793/JAAM.4.74
Shaw Watanabe, M. Morioka
growing proportion of youth. Such obesity is a major risk factor of metabolic syndrome and following diabetes mellitus, hypertension and other life-style related diseases.1) Effective primary prevention programs are urgently needed to address this public health issue. Few studies have been conducted to intervene on these environmental influences for obesity prevention interventions. The Pound of Prevention study (POP) was the first weight gain primary prevention trial in adults in the USA.2) Five key behaviors were targeted: 1) increase fruit intake, 2)increase vegetable intake, 3)increase physical activity especially walking, 4) increase frequency of self-weighing, and 5) decrease dietary fat intake. After three years, weight gain did not differ by treatment group. However, the intervention was successful in increasing the frequency of self-weighing and healthy weight control behaviors. Results of the POP study are encouraging and suggest several ways to improve the efficacy of a low intensity weight gain prevention program. The Ministry of Health, Labour and Welfare distributed the guideline for eating habit and physical activity in 1999 and 2006, respectively,3,4) but the prevalence of obesity and diabetes mellitus has continuously increasing.5) In 2006, seven academic associations decided the criteria of metabolic syndrome and nationwide primary prevention is planned by implementing it to the mass screening program.6) However, the proposed education method by the guideline is not yet evaluated by epidemiological program. It is necessary to show the efficacy of the intervention to control obesity. So, we planned to do the intervention study by the cognitive behavior alteration method through dietary change and physical activity under the support of the Ministry of Health, Labor and Welfare. The result of the current study will provide important information on the effectiveness of a broad-reaching weight-gain prevention program. It will also provide unique data about whether changing these environmental influences will have an impact on preventing weight gain. The incorporation of a stronger environmental component to support the behavioral recommendations and their implementation by individuals should also strengthen the intervention’s effectiveness on body weight and behavior changes.7) The pilot data provided useful planning information on intervention and measurement protocols. The current literature supports stronger and more specific behavioral recommendations to prevent weight gain. Cognitive behavioral modification approaches for improving people’s intrinsic motivation for weight loss and maintenance. Positive support, rewarding or praising, and modeling desired eating and exercise behaviors are important. Psychological and genetic (single nucleotide polymorphism) variables are also important to build so-called tailor-made nutrition or health education. In addition to the dietary intake and physical activity, eating behavior is another
年轻人比例不断上升。这种肥胖是代谢综合征的主要危险因素,其次是糖尿病、高血压和其他生活方式相关疾病。1)迫切需要有效的一级预防方案来解决这一公共卫生问题。很少有研究对这些环境影响进行干预,以预防肥胖。磅预防研究(POP)是美国第一个针对成年人的体重增加一级预防试验。2)针对五个关键行为:1)增加水果摄入量,2)增加蔬菜摄入量,3)增加体育活动,特别是步行,4)增加自我称重频率,5)减少饮食脂肪摄入量。三年后,不同治疗组的体重增加没有差异。然而,干预在增加自我称重和健康体重控制行为的频率方面是成功的。POP研究的结果令人鼓舞,并提出了几种方法来提高低强度体重增加预防计划的效果。厚生劳动省分别于1999年和2006年分发了饮食习惯和体育活动指南3,4),但肥胖和糖尿病的患病率持续上升。5)2006年,7个学术协会确定了代谢综合征的标准,并计划将其纳入大规模筛查方案,在全国范围内进行初级预防。指南所建议的教育方法尚未得到流行病学项目的评价。有必要证明干预对控制肥胖的有效性。因此,我们计划在厚生劳动省的支持下,通过饮食改变和体育活动,采用认知行为改变的方法进行干预研究。目前的研究结果将为广泛预防体重增加项目的有效性提供重要信息。它还将提供关于改变这些环境影响是否会对防止体重增加产生影响的独特数据。结合更强的环境成分来支持行为建议及其个人实施也应加强干预对体重和行为改变的有效性。7)试点数据为干预和测量方案提供了有用的规划信息。目前的文献支持更有力、更具体的行为建议来防止体重增加。认知行为矫正方法提高人们减肥和维持体重的内在动机。积极的支持,奖励或赞扬,以及建立理想的饮食和锻炼行为是很重要的。心理和遗传(单核苷酸多态性)变量对于建立所谓的量身定制的营养或健康教育也很重要。除了饮食摄入和身体活动,饮食行为是另一个重要的变量。我们曾在1988年与公共卫生中心合作,对40 - 59岁的地区居民进行队列调查。最初的目的是确定癌症和心血管疾病的风险,但后来扩大到发现糖尿病、白内障和其他慢性病的风险。我们选择在同一队列区域进行干预试验。Saku中心医院健康码头中心登记了5万多名健康体检者,他们的纵向数据成为我们干预试验的骨干。9)需要进行大规模的人群队列研究,以阐明慢性非传染性疾病的危险因素。然而,对于干预研究而言,在队列中嵌套临床试验更为有效。近年来分子生物学的发展为流行病学开辟了一个新的领域,即测量生物标志物作为暴露和疾病进展过程的指标。10)心理影响也被认为是重要的。11)基于这些要求和可能性,有必要从不同的维度进行多学科研究。在独立的报告中,我们列出了在国家健康与营养研究所营养流行病学计划、健康促进计划、健康教育计划密切合作下,对约240名Saku控制肥胖计划(SCOP)参与者的基线研究结果,包括生物化学、行为、饮食习惯和体育活动、心理、遗传多态性、基础代谢率。佐作中心医院健康码头中心,以及东京农业大学营养学系。我们希望它将被证明是有价值的参考资料,在公共卫生领域的研究人员。收稿日期:2007年11月18日收稿日期:2007年11月20日出版日期:2007年12月25日
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引用次数: 0
Pharmacokinetics of an Equol Supplement in Humans 人体内雌马酚补充剂的药代动力学
Pub Date : 2007-01-01 DOI: 10.3793/JAAM.4.57
Shaw Watanabe, Naoto Otaki, M. Uehara, Kazuharu Suzuki, T. Ueno, Shigeto Uchiyama, S. Mizuno
Equol, a metabolite of daidzein, is considered to be the most effective estrogen modifier in the human body. The production of equol depends on an individual's intestinal flora, however, so an equol supplement has been developed for nonproducers. To examine the pharmacokinetics in humans of a newly developed equol supplement made from fermented soy germ by Lactococcus sp. Equol supplements were given to 18 adults (20-22 yr) in three doses (one 10-mg dose, one 30-mg dose, or three 10-mg doses per day) to investigate the pharmacokinetics and physiological effects. Equol reached a peak in plasma at 30 or 60 min after supplement intake, and the average plasma half-life was 83 min. Plasma concentrations of equol were always higher in females than in males. Less than 5% of the highest plasma concentration remained in the plasma after 2 days. Up to 56% of the orally administered equol was excreted in urine within 1 day. This short-term, high-dose equol exposure yielded no observable adverse effect in both feeling and biochemical markers. For equol nonproducers, this newly developed equol supplement may yield more beneficial effects of isoflavones.
雌马酚是大豆苷元的代谢物,被认为是人体内最有效的雌激素调节剂。然而,雌马酚的产生取决于个体肠道菌群,因此为不产生雌马酚的人开发了一种雌马酚补充剂。为了研究由乳球菌(Lactococcus sp.)发酵大豆胚芽制成的一种新开发的马酚补充剂在人体内的药代动力学。研究人员给18名20-22岁的成年人服用了三种剂量的马酚补充剂(每天一次10毫克、一次30毫克或三次10毫克),以研究其药代动力学和生理效应。雌马酚在补充后30或60分钟血浆中达到峰值,平均血浆半衰期为83分钟。雌马酚的血浆浓度始终高于男性。2天后,血浆中保留的最高血药浓度不到5%。高达56%的口服马雌酚在1天内通过尿液排出。这种短期、高剂量的马雌酚暴露在感觉和生化指标上没有产生可观察到的不良影响。对于不生产雌马酚的人来说,这种新开发的雌马酚补充剂可能产生更多的异黄酮有益效果。
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引用次数: 5
Association of Personality (NEO-Five Factor Inventory) with Eating Behaviors and Physical Activity Levels in Obese Subjects in the Saku Control Obesity Program (SCOP) 人格(neo -五因素量表)与Saku控制肥胖计划肥胖受试者饮食行为和身体活动水平的关系
Pub Date : 2007-01-01 DOI: 10.3793/JAAM.4.43
Yumi Ohmori, Nozomu Suzuki, A. Morita, N. Aiba, M. Miyachi, Shaw Watanabe, Y. Kikuchi, M. Kimira
BACKGROUND: Obesity is one of the most common risks for lifestyle-related diseases, but the personality of individuals in relation to obesity has not been well studied. We investigated the association of personality traits with physical activity levels and eating behaviors in obese subjects. METHOD: The subjects were 116 males and 119 females in the Saku Control Obesity Program SCOP study. The influence of personality on obesity was analyzed using a questionnaire from the NEO-FFI. We analyzed the association of physical activity level (measured with an accelerometer) and eating behavior (assessed by a questionnaire) among the three classes (low, average, high) of scores within five personality domains. RESULTS: Scores in the Neuroticism and Agreeableness domains of females were significantly higher than those of males. There were significant differences among the three classes of Neuroticism and Agreeableness with regard to physical activity levels. Eating behavior was associated with the Neuroticism and Openness domains. The scales of bad eating behavior related to obesity were positively correlated with scores in the Neuroticism domain in both males and females. In males the scale of all categories of eating behavior increased as scores in the Openness domain rose; in females the scale of “perception of constitution and weight” decreased as Openness scores rose. CONCLUSION: Personality determined by NEO-FFI was related to physical activity level and eating behavior. In particular, the Neuroticism domain had great effects on these parameters.
背景:肥胖是生活方式相关疾病最常见的风险之一,但与肥胖相关的个体性格尚未得到很好的研究。我们调查了肥胖受试者的人格特征与身体活动水平和饮食行为的关系。方法:研究对象为Saku控制肥胖计划SCOP研究的116名男性和119名女性。采用NEO-FFI问卷分析性格对肥胖的影响。我们分析了身体活动水平(用加速度计测量)和饮食行为(通过问卷评估)在五个人格域内的三个等级(低、中、高)得分之间的关系。结果:女性神经质和宜人性得分显著高于男性。神经质和宜人性在体力活动水平上存在显著差异。饮食行为与神经质和开放性有关。与肥胖相关的不良饮食行为量表与男性和女性的神经质得分呈正相关。在男性中,所有饮食行为类别的量表都随着开放性领域得分的增加而增加;女性的“体质和体重感知”量表随着开放性得分的上升而下降。结论:NEO-FFI测定的人格与身体活动水平和饮食行为有关。特别是,神经质领域对这些参数有很大的影响。
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引用次数: 11
Association of Aging with Minerals in Male Japanese Adults 日本成年男性体内矿物质与衰老的关系
Pub Date : 2007-01-01 DOI: 10.3793/JAAM.4.38
H. Yasuda, Kazuya Yoshida, Hiroshi Tagai, Katsumi Fukuchi, R. Tokuda, Toyoharu Tsutsui, Y. Yonei
including essential minerals and toxic metals in over 1500 male Japanese adults aged 20-60 years. Several minerals were found to be significantly and positively or inversely correlated to aging. The most age-correlated element was mercury (Hg) with the highest regression coefficient of r = 0.417, followed by boron (B) (r = 0.189), potassium (K) (r = 0.186), arsenic (As) (r = 0.178), selenium (Se) (r = 0.153) and sodium (Na) (r = 0.131) with the p-value of p <0.0000 for every element. Using the regression equation of Age = 13.9 Log Hg – 12.5 obtained, a 10-fold increase in mercury level was estimated to associate with a 13.9-year increment in aging. The most inverse-correlated mineral to aging was calcium (Ca) (r = -0.207), followed by magnesium (Mg) (r = -0.174), cupper (Cu) (r = -0.147), and zinc (r = -0.105; p < 0.0001). 000These findings suggest that some minerals contribute to aging and higher dietary mercury intake may be associated with acceleration of aging. Dietary intake of the competitive minerals against mercury, such as calcium, magnesium, cupper and zinc, may be useful for controlling aging in Japanese.
包括必需矿物质和有毒金属,1500多名年龄在20-60岁的日本男性有几种矿物质与衰老呈显著正相关或负相关。年龄相关性最强的元素是汞(Hg),回归系数最高,为r = 0.417,其次是硼(B) (r = 0.189)、钾(K) (r = 0.186)、砷(As) (r = 0.178)、硒(Se) (r = 0.153)和钠(Na) (r = 0.131),各元素的p值均<0.0000。利用得到的年龄= 13.9 Log Hg - 12.5的回归方程,估计汞水平增加10倍与年龄增加13.9年有关。与衰老负相关最大的矿物是钙(Ca) (r = -0.207),其次是镁(Mg) (r = -0.174)、铜(Cu) (r = -0.147)和锌(r = -0.105);P < 0.0001)。这些发现表明,一些矿物质会导致衰老,而饮食中汞的摄入量增加可能与加速衰老有关。日本人从饮食中摄入钙、镁、铜和锌等抗汞矿物质,可能有助于控制衰老。
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引用次数: 8
DNA polymorphism of obese people in Saku Control Obesity Program (SCOP) Saku控制肥胖计划(SCOP)肥胖者DNA多态性研究
Pub Date : 2007-01-01 DOI: 10.3793/JAAM.4.63
Kouich Yamada, J. Takezawa, A. Morita, Y. Matsumura, Shaw Watanabe
BACKGROUND: Various genes related to fat-, sugar-or energy-metabolism are suspected that their polymorphisms (SNPs) are susceptible to development of obesity and other metabolic syndromes. Although many lines of evidences are accumulated, inspections as to their relation are still insufficient. Here, we assembled 235 obese people in Saku Control Obesity Program (SCOP), and are going to investigate the association between those SNPs, body mass index (BMI) and other clinical parameters. METHODS: 235 subjects, whose BMI belonged in upper quintile (over 28.3), are recruited from examinees for periodic medical checkup in the Health Dock of Saku Central Hospital (Nagano, Japan). Genotyping for the SNPs were conducted using the PCR-PFLP method from peripheral venous blood. The frequencies of the SNPs in UCP1 (-3826A/G), UCP2 (Ala55Val), UCP3 (-55C/T), PPARγ2 (Pro12Ala), adiponectin (Ile164Thr), leptin receptor (LEPR, Arg109Lys), calpain 10 (SNP43), β2AR (Arg16Gly, Gln27Glu), β3AR (Trp64Arg) were analyzed and associations between those SNPs, body mass index (BMI) and other clinical parameters were investigated. The frequency was compared with those in HapMap Project or in Nansei Cohort.. RESULTS: Frequencies of above SNPs in SCOP were not different from those of healthy people in Nansei Cohort or HapMapProject, except for adiponectin Ile164Thr. SNPs of UCPs or β2, β3AR genes, often reported their association with BMI, were not confirmed in obese subjects in SCOP. We found significant association in the LEPR Arg109Lys in woman; Lys/Lys minor homozygotes had higher levels of leptin, TNF-α, C-peptide, insulin, triglyceride and fasting serum glucose, and also, the genotype showed a trend of higher values of HbA1c, BMI, body fat mass and waist circumference. CONCLUSION: Adipocytokines, such as leptin and adiponectin, may play an important role in the development of metabolic syndrome, and they would be influenced by polymorphism of UCP or β2, β3AR genes.
背景:与脂肪、糖或能量代谢相关的多种基因被怀疑其多态性(snp)易受肥胖和其他代谢综合征的影响。虽然积累了许多证据,但对它们之间关系的考察仍然不足。在这里,我们收集了235名Saku控制肥胖计划(SCOP)的肥胖者,并将调查这些snp与体重指数(BMI)和其他临床参数之间的关系。方法:在日本长野佐居中心医院健康码头定期体检的体检对象中,招募BMI在上五分位数(28.3以上)的235名受试者。采用外周静脉血PCR-PFLP法对snp进行基因分型。分析这些snp在UCP1 (-3826A/G)、UCP2 (Ala55Val)、UCP3 (-55C/T)、PPARγ2 (Pro12Ala)、脂联素(Ile164Thr)、瘦素受体(LEPR, Arg109Lys)、calpain 10 (SNP43)、β2AR (Arg16Gly, Gln27Glu)、β3AR (Trp64Arg)中的频率,并探讨这些snp与体重指数(BMI)及其他临床参数的相关性。并与HapMap项目和西南队列进行了比较。结果:除脂联素Ile164Thr外,SCOP人群中上述snp的频率与西南队列或hapmproject健康人群无显著差异。常被报道与BMI相关的UCPs或β2、β3AR基因的snp在SCOP肥胖受试者中未得到证实。我们发现女性LEPR Arg109Lys显著相关;Lys/Lys小纯合子的瘦素、TNF-α、c肽、胰岛素、甘油三酯和空腹血糖水平较高,HbA1c、BMI、体脂质量和腰围呈较高趋势。结论:瘦素、脂联素等脂肪细胞因子可能在代谢综合征的发生发展中发挥重要作用,并受UCP或β2、β3AR基因多态性的影响。
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引用次数: 4
期刊
Journal of anti-aging medicine
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