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Effects of Coenzyme Q10 Supplementation in Women with Metabolic Syndrome and Non-Alcoholic Fatty Liver Disease Evaluated by Magnetic Resonance Imaging—Coenzyme Q10 in Metabolic Syndrome and NAFLD 通过磁共振成像评估补充辅酶Q10对代谢综合征和非酒精性脂肪肝妇女的影响--辅酶Q10在代谢综合征和非酒精性脂肪肝中的应用
Pub Date : 2024-05-15 DOI: 10.3390/obesities4020011
Daniela Casagrande, Fernando Figueiredo Waib, Jorge Elias Júnior, A. J. Jordão Júnior
(1) Introduction: Coenzyme Q10 (CoQ10) is a component present in the transport chain of mitochondrial electrons with antioxidant property. Currently, there are limited studies which indicate the effects of its supplementation on Metabolic Syndrome (MetS) and Non-Alcoholic Fatty Liver Disease (NAFLD). (2) Objective: This work was conducted to determine the effects of CoQ10 supplementation in women with MetS and NAFLD. (3) Methodology: This double-blind randomized clinical-controlled trial was performed among 22 women with MetS and NAFLD. Patients were randomized into two groups: group A (n = 11), which received 200 mg/day of CoQ10; and group B (n = 11), which received a placebo medication for 12 weeks. The hepatic steatosis present in NAFLD, the volume of abdominal fat, and visceral fat volume were evaluated by Magnetic Resonance Imaging (MRI). Anthropometric, blood pressure, and marker serums that compound the MetS were also analyzed. (4) Results: A decrease in visceral fat volume (p = 0.02), abdominal circumference (p = 0.03/CI = 0.19–3.80), and increase in HDL-cholesterol (p = 0.01/CI = −9.80: −1.44) was observed in the CoQ10-supplemented group. We did not find significant changes in any of the other variables evaluated. (5) Conclusions: Supplementation with CoQ10 for 12 weeks, even if discreetly, brought some benefits for the supplemented group whereas no changes were observed in the control group.
(1) 引言:辅酶 Q10(CoQ10)是线粒体电子传递链中的一种成分,具有抗氧化作用。目前,有关补充辅酶 Q10 对代谢综合征(MetS)和非酒精性脂肪肝(NAFLD)影响的研究有限。(2) 目的:本研究旨在确定补充 CoQ10 对患有代谢综合征和非酒精性脂肪肝的女性的影响。(3)方法:这项双盲随机临床对照试验在 22 名患有 MetS 和 NAFLD 的妇女中进行。患者被随机分为两组:A 组(11 人),每天服用 200 毫克 CoQ10;B 组(11 人),服用安慰剂 12 周。通过磁共振成像(MRI)评估非酒精性脂肪肝的肝脏脂肪变性、腹部脂肪量和内脏脂肪量。此外,还对人体测量、血压和复合 MetS 的标志物血清进行了分析。(4)结果:补充 CoQ10 组的内脏脂肪体积(p = 0.02)、腹围(p = 0.03/CI = 0.19-3.80)有所减少,高密度脂蛋白胆固醇(p = 0.01/CI = -9.80:-1.44)有所增加。我们没有发现其他评估变量有明显变化。(5) 结论:补充辅酶 Q10 12 周,即使是谨慎地补充,也会给补充组带来一些益处,而对照组则未观察到任何变化。
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引用次数: 0
High-Fat-High-Fructose Diet Elicits Brown Adipocyte Dysfunction through miRNA-103 Induced miRNA Biogenesis Pathway 高脂肪-高果糖饮食通过 miRNA-103 诱导的 miRNA 生物生成途径诱发棕色脂肪细胞功能障碍
Pub Date : 2024-05-10 DOI: 10.3390/obesities4020010
Nitya Shree, Sunitha Meruvu, Min Hi Park, Mahua Choudhury
Background: Obesity is a critical public health concern with its prevalence growing at an alarming rate worldwide. The Western diet that typically includes high-fat or high-fructose components is one of the leading contributing factors of obesity. Recent findings demonstrate the essential role of BAT in regulating whole-body metabolism. However, the explicit mechanism through which BAT maintains homeostasis is still unknown. Methods: Six-week-old C57BL/6 male mice were fed either a low-fat diet (LFD) or a high-fat high-fructose diet (HFHFD) for 4, 12, and 20 weeks. Results: We observed a significant increase in BAT weight under HFHFD along with BAT whitening in a time-dependent manner. This was also accompanied by a significant decrease in UCP1 and PGC1α protein, as well as a significant increase in the Bax/Bcl-2 ratio as early as 12 weeks, indicating increased apoptosis under HFHFD. Interestingly, miRNA-103 expression that holds a seed sequence within the miRNA biogenesis machinery, Dicer, was significantly upregulated after 12 and 20 weeks of HFHFD. Dicer and another biogenesis regulator, TRBP2, exhibited significant upregulation at 4 weeks of HFHFD. Conversely, those gene expressions were significantly downregulated at 12 and 20 weeks of HFHFD, followed by a significant decrease in the protein level at 12 weeks. To confirm the mechanistic connection, miRNA-103 knockdown in vitro significantly upregulated Dicer and the TRBP2 gene. However, only Dicer exhibited a significant increase at the translational level. Conclusion: Overall, we conclude that HFHFD may elicit BAT dysfunction by inhibiting Dicer via miRNA-103.
背景:肥胖症是一个严重的公共卫生问题,其发病率在全球范围内以惊人的速度增长。西方饮食通常包括高脂肪或高果糖成分,是导致肥胖的主要因素之一。最新研究结果表明,BAT 在调节全身新陈代谢方面发挥着重要作用。然而,BAT 维持体内平衡的明确机制尚不清楚。研究方法用低脂饮食(LFD)或高脂高果糖饮食(HFHFD)喂养六周大的 C57BL/6 雄性小鼠 4、12 和 20 周。结果我们观察到,在高脂高果糖饮食条件下,小鼠的BAT重量明显增加,同时BAT变白,且呈时间依赖性。与此同时,UCP1和PGC1α蛋白明显减少,Bax/Bcl-2比值早在12周时就明显增加,这表明在HFHFD条件下细胞凋亡增加。有趣的是,在 miRNA 生物发生机制中具有种子序列的 miRNA-103 表达,即 Dicer,在 HFHFD 12 周和 20 周后显著上调。Dicer和另一个生物发生调节因子TRBP2在HFHFD持续4周后表现出明显的上调。相反,这些基因的表达在 HFHFD 12 周和 20 周时明显下调,随后在 12 周时蛋白水平明显下降。为了证实这种机理上的联系,在体外敲除 miRNA-103 会显著上调 Dicer 和 TRBP2 基因。然而,只有 Dicer 在翻译水平上表现出明显的增加。结论总之,我们得出结论:HFHFD 可通过 miRNA-103 抑制 Dicer 而引起 BAT 功能障碍。
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引用次数: 0
Mitigating Weight Stigma: A Randomized Controlled Trial Addressing Obesity Prejudice through Education among Healthcare Undergraduates 减轻体重耻辱感:通过教育解决医学生肥胖偏见的随机对照试验
Pub Date : 2024-04-17 DOI: 10.3390/obesities4020008
Karen Marina López-Lara, Ana Carolina Cruz-Millán, Laura Fernanda Barrera-Hernández, Edith Valbuena-Gregorio, Moisés Omar Ayala-Burboa, M. A. Hernández-Lepe, F. Olivas-Aguirre
Beyond the challenges presented by obesity itself, a considerable portion of the population encounters prejudice and discriminatory behavior based on their weight and size. This phenomenon, termed weight stigma and weight bias, appears to be perpetuated not only by the broader society but also by healthcare providers, leading to distrust and alienation among individuals with obesity, thereby exacerbating a global issue. Recognizing weight stigma as a violation of human rights and its association with declining health outcomes, there is a pressing need to explore evidence-based strategies for mitigating it within healthcare. This is especially crucial at the early stages of professional development. Methodology: A randomized controlled trial employing a 60 min lecture experimental design was conducted to evaluate changes in conceptions, beliefs, and prejudices toward obesity among healthcare undergraduates (n = 242). Results: Semantic network analysis revealed participants’ conceptualization of obesity as a condition closely linked to diet and sedentary habits. Moreover, three out of four healthcare students considered obesity a disease for which the individual is responsible. While individuals with obesity were described as weak, lazy, and having a high affinity for food, these prejudices decreased following the educational intervention. Conclusion: Following an educational intervention based on the multifactorial nature of obesity and weight stigma, it was possible to modify prejudices and conceptions about obesity among future healthcare professionals.
除了肥胖本身带来的挑战,相当一部分人还会因为体重和体型而遭遇偏见和歧视。这种现象被称为体重污名化和体重偏见,似乎不仅被广大社会所延续,也被医疗服务提供者所延续,导致肥胖症患者之间的不信任和疏远,从而加剧了这一全球性问题。认识到体重成见是对人权的侵犯,而且与健康状况的下降有关,因此迫切需要在医疗保健领域探索基于证据的减轻体重成见的策略。这在专业发展的早期阶段尤为重要。方法:采用 60 分钟讲座实验设计进行随机对照试验,评估医疗保健专业本科生(n = 242)对肥胖的概念、信念和偏见的变化。结果语义网络分析显示,参与者认为肥胖与饮食和久坐习惯密切相关。此外,每四名医学生中就有三人认为肥胖是一种应由个人负责的疾病。虽然肥胖症患者被描述为软弱、懒惰和对食物有很高的亲和力,但这些偏见在教育干预后有所减少。结论根据肥胖和体重耻辱的多因素性质进行教育干预后,未来的医护专业人员有可能改变对肥胖的偏见和观念。
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引用次数: 0
Exploring the Relationship between Food Addiction, Overweight, Obesity, and Telomere Length 探索食物成瘾、超重、肥胖和端粒长度之间的关系
Pub Date : 2024-04-16 DOI: 10.3390/obesities4020007
T. Aguirre, Kosuke Niitsu
Background: Individuals with food addiction (FA) compose a distinct subset of people with obesity who are less responsive to weight loss interventions. An emerging field of study explores the role of telomere length in disease processes. Some evidence suggests that obesity is associated with telomere shortening; however, we are not aware of studies examining telomere length in obesity subtypes. Therefore, we explored whether FA and levels of obesity were associated with telomere shortening. Methods: We enrolled 120 adults (aged 19–70) with overweight/obesity (BMI ≥ 25); half were positive for severe food addiction (FA+), and half were negative for food addiction (FA−) (Yale Food Addiction Scale 2.0). Participants completed a demographic form and provided a saliva sample (Oragene saliva DNA collection kit). Telomere length was analyzed using the monoplex quantitative polymerase chain reaction (qPCR). Data were analyzed using descriptive statistics, t-tests, and ANOVAs (α = 0.05). Results: Participants with overweight (mean = 1.40 t/s, SD = 0.40) had longer telomeres (p = 0.013) than those with morbid obesity (mean = 1.15 t/s, SD = 1.29). Telomere length did not differ (p = 0.306) between persons who were FA− (mean = 1.26 t/s, SD = 0.26) and those who were FA+ (mean = 1.32 t/s, SD = 0.34). The youngest participants (mean = 1.39 t/s, SD = 0.33) had longer telomeres (p = 0.006) than the oldest participants (mean = 1.18 t/s, SD = 0.19). Conclusion: Those who were morbidly obese had the shortest telomere lengths. Interestingly, however, there were not significant telomere length differences in the food addicted vs. nonfood-addicted subtypes.
背景:食物成瘾(FA)患者是肥胖症患者中的一个特殊群体,他们对减肥干预措施的反应较差。一个新兴的研究领域正在探索端粒长度在疾病过程中的作用。一些证据表明,肥胖与端粒缩短有关;但是,我们还不知道有哪些研究对肥胖亚型的端粒长度进行了检测。因此,我们探讨了FA和肥胖程度是否与端粒缩短有关。研究方法我们招募了120名超重/肥胖(体重指数≥25)的成年人(19-70岁);其中一半人有严重食物成瘾(FA+),另一半人没有食物成瘾(FA-)(耶鲁食物成瘾量表2.0)。参与者填写了一份人口统计学表格,并提供了一份唾液样本(Oragene唾液DNA采集试剂盒)。使用单磷酸定量聚合酶链反应(qPCR)分析端粒长度。数据分析采用描述性统计、t 检验和方差分析(α = 0.05)。结果超重参与者(平均 = 1.40 t/s,标准差 = 0.40)的端粒(p = 0.013)长于病态肥胖者(平均 = 1.15 t/s,标准差 = 1.29)。FA-(平均 = 1.26 t/s,SD = 0.26)和FA+(平均 = 1.32 t/s,SD = 0.34)人群的端粒长度没有差异(p = 0.306)。与年龄最大的参与者(平均 = 1.18 t/s,SD = 0.19)相比,年龄最小的参与者(平均 = 1.39 t/s,SD = 0.33)的端粒更长(p = 0.006)。结论病态肥胖者的端粒长度最短。但有趣的是,食物成瘾亚型与非食物成瘾亚型的端粒长度差异并不明显。
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引用次数: 0
Anthropometric and Body Composition Changes over Five Years after Bariatric Surgery in Patients with Obesity, Diagnosed or Not Diagnosed with Binge Eating Disorder (BED) in the Preoperative Period 术前诊断为或未诊断为暴饮暴食症 (BED) 的肥胖症患者在减肥手术后五年内的人体测量和身体成分变化
Pub Date : 2024-04-05 DOI: 10.3390/obesities4020006
H. B. P. Delfino, M. Pinhel, F. C. Ferreira, C. F. Nicoletti, Sofia Teixeira Prates de Oliveira, Lidia Barbieri Belrmino Baumgartner, C. Welendorf, Thaís Alves de Azevedo Chaves Pastore, Carolina Hunger Malek-Zadeh, L. M. Watanabe, N. Noronha, W. Salgado Júnior, C. Nonino
Obesity is a complex disease with a multifactorial etiology and could be associated with psychiatric disorders, such as Binge Eating Disorder (BED), characterized by recurrent episodes of binge eating in the absence of compensatory behaviors. The present study aimed to analyze anthropometric and body composition changes over five years after bariatric surgery in patients diagnosed or not diagnosed with BED, depression, and anxiety in the preoperative period. One hundred and eighteen patients undergoing bariatric surgery were evaluated and divided into two groups according to the presence or absence of BED. The patients were submitted to anthropometric and body composition evaluation. We also analyzed BED diagnosis, depression, and anxiety according to the DSM-5 and validated questionnaires. The Kolmogorov–Smirnov, t-test, Fisher’s, and chi-square tests were used for statistical analysis. Over five years after bariatric surgery, only the BED group exhibited an increased weight and BMI (p < 0.05). In the preoperative period, patients with BED had severe depression (13,11%, p = 0.0079) and a higher frequency of moderate (22.95%, p < 0.01) or severe (14.75%, p < 0.01) anxiety. In conclusion, patients with BED had more intense symptoms of depression and anxiety in the preoperative period, and this disorder may persist in the postoperative period of bariatric surgery, contributing to weight gain and increased BMI.
肥胖症是一种复杂的疾病,其病因是多因素的,可能与精神疾病有关,如暴饮暴食症(BED),其特点是在没有补偿行为的情况下反复发作暴饮暴食。本研究旨在分析术前诊断为或未诊断为暴食症、抑郁症和焦虑症的患者在减肥手术后五年内的人体测量和身体成分变化。研究对 118 名接受减肥手术的患者进行了评估,并根据是否患有 BED 将其分为两组。患者均接受了人体测量和身体成分评估。我们还根据 DSM-5 和有效问卷对 BED 诊断、抑郁和焦虑进行了分析。统计分析采用了 Kolmogorov-Smirnov、t 检验、费雪检验和卡方检验。减肥手术后五年内,只有 BED 组的体重和 BMI 有所增加(P < 0.05)。术前,BED 患者有严重抑郁(13.11%,P = 0.0079),中度(22.95%,P < 0.01)或严重(14.75%,P < 0.01)焦虑的频率更高。总之,肥胖症患者在术前有更强烈的抑郁和焦虑症状,这种障碍可能会在减肥手术后持续存在,导致体重增加和体重指数升高。
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引用次数: 0
Ability of Hypocaloric Diets to Change Nutrient–Phyla Associations after 8 Weeks of Intervention 低热量膳食在 8 周干预后改变营养素-卟啉关联的能力
Pub Date : 2024-03-26 DOI: 10.3390/obesities4020005
N. Noronha, Luzânia dos Santos Martins, L. M. Watanabe, M. A. de Souza Pinhel, G. Rodrigues, Isabelle Mello Schneider, C. F. Nicoletti, H. B. P. Delfino, Daniela Carlos, C. Nonino
Background: Previous studies have suggested that changes in the composition of intestinal microbiota may be influenced by dietary quality. Objective: This study aimed to assess the impact of a hypocaloric diet on the relationship between microbiota and clinical/dietary variables. Methods: This was a longitudinal study. Ten women with obesity (Obese Group, ObG) participated in an 8-week home-based hypocaloric diet intervention. Anthropometric, dietary intake, biochemical, and gut microbiota assessments were conducted before and after the intervention. Microbiota relative abundance was determined using real-time PCR in triplicate. Results: In the ObG, the hypocaloric diet intervention led to significant weight loss (before: 119.5 ± 10.3 kg; after: 114.9 ± 10.2 kg; p = 0.003). Following the intervention, positive correlations were observed between nutrient intake and phyla composition: Actinobacteria phylum with fibers (r = 0.787; p = 0.012), Firmicutes phylum with proteins (r = 0.736; p = 0.024), and Proteobacteria phylum with lipids (r = 0.669; p = 0.049). Conclusions: The hypocaloric diet intervention improved health parameters associated with obesity and its comorbidities, demonstrating associations between nutrient intake and specific phyla.
背景:以往的研究表明,肠道微生物群组成的变化可能受膳食质量的影响。研究目的本研究旨在评估低热量饮食对微生物群与临床/饮食变量之间关系的影响。方法:这是一项纵向研究:这是一项纵向研究。十名肥胖女性(肥胖组,ObG)参加了为期八周的家庭低热量饮食干预。干预前后进行了人体测量、饮食摄入、生化和肠道微生物群评估。采用实时 PCR 方法测定微生物群的相对丰度,一式三份。结果在肥胖组中,低热量饮食干预导致体重显著下降(干预前:119.5 ± 10.3 千克;干预后:114.9 ± 10.2 千克;p = 0.003)。干预后,营养摄入量与植物门组成之间呈正相关:放线菌门与纤维相关(r = 0.787;p = 0.012),坚固菌门与蛋白质相关(r = 0.736;p = 0.024),蛋白菌门与脂质相关(r = 0.669;p = 0.049)。结论低热量饮食干预改善了与肥胖及其并发症相关的健康参数,表明营养素摄入与特定菌门之间存在关联。
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引用次数: 0
Assessment of Body Mass Index, Body Composition, Physical Activity, and Dietary Preferences in University Students: A Pilot Study 大学生体重指数、身体成分、体育活动和饮食偏好评估:试点研究
Pub Date : 2024-03-20 DOI: 10.3390/obesities4010004
Karin Petřeková, Nadezhda Borzenko, Martina Kovalová, Nikol Gottfriedová
(1) Background: Body composition analysis, particularly the assessment of the amount and distribution of body fat and muscle mass in young people, is of considerable clinical importance for the detection of nutritional disorders. (2) Methods: University students aged 19–25 years had their body composition measured using a bioimpedance (BIA) device InBody 370S. Furthermore, a questionnaire survey was performed using the questionnaires: factors that influence your choice of food (FCQ); food preference questionnaire for adolescents and adults (FPQ); the international physical activity questionnaire (IPAQ). (3) Results: Body mass index (BMI) values were within a normal range in 89.5% of men and 77.9% of women, while statistically significant differences between the sexes were confirmed for all body parameters (p < 0.001; p = 0.025). The waist-to-hip ratio (WHR) and percentage body fat (PBF) were abnormally high in 50.4% and 44.3% of women, respectively. High values of skeletal muscle mass (SMM), protein, minerals, and bone mineral content (BMC) were identified in 36.8% of men. A total of 88 students (66.7% of men and women) had a higher level of physical activity, i.e., achieved metabolic equivalent (MET) values of more than 3000 per week. (4) Conclusions: BMI does not always have explanatory power for assessing body weight, as it does not consider the percentage distribution of fat and non-fat body mass in the total body weight. Physical activity and a varied diet have a positive effect on achieving optimal body weight and are effective in preventing nutritional disorders (such as obesity and malnutrition) and associated health problems.
(1) 背景:身体成分分析,尤其是评估年轻人体内脂肪和肌肉质量的数量和分布,对于检测营养失调具有相当重要的临床意义。(2) 方法:使用生物阻抗(BIA)设备 InBody 370S 测量 19-25 岁大学生的身体成分。此外,还使用以下问卷进行了问卷调查:影响您选择食物的因素问卷(FCQ);青少年和成人食物偏好问卷(FPQ);国际体力活动问卷(IPAQ)。(3) 结果:89.5%的男性和 77.9%的女性的身体质量指数(BMI)值在正常范围内,而所有身体参数的性别差异均有统计学意义(P < 0.001;P = 0.025)。分别有 50.4% 和 44.3% 的女性腰臀比(WHR)和体脂百分比(PBF)异常偏高。36.8%的男性骨骼肌质量(SMM)、蛋白质、矿物质和骨矿物质含量(BMC)数值偏高。共有 88 名学生(66.7% 的男性和女性)的体力活动水平较高,即每周的代谢当量(MET)值超过 3000。(4) 结论:体重指数并不总能解释体重的评估,因为它没有考虑脂肪和非脂肪体质量在总重量中的百分比分布。体育锻炼和多样化饮食对达到最佳体重有积极作用,并能有效预防营养失调(如肥胖和营养不良)和相关的健康问题。
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引用次数: 0
The Potential Role of Leptin in the Regulation of Maternal Weight during Pregnancy and Its Impact on Neonate Weight and Apgar 瘦素在调节孕期孕妇体重中的潜在作用及其对新生儿体重和阿普加的影响
Pub Date : 2024-03-07 DOI: 10.3390/obesities4010003
Daniela G. M. Fonseca, Maria-Carmen N. Souza-Carmo, R. N. Ruas, Solange S. Pereira, Lílian Gonçalves Teixeira, E. J. I. Alvarez-Leite
Leptin is secreted by adipose tissue and expressed in several organs, including the placenta. We investigated the influence of leptin in maternal blood on leptin expression and concentration in the placenta and umbilical cord and its influence on fetal weight and conditions at the time of birth. Twenty-five parturients were recruited, and after childbirth, placental tissue fragments, umbilical arteries, and vein blood were collected. According to leptin concentration in maternal peripheral blood, parturients were divided into low and high leptin groups. Mothers in the high-leptin group had higher age, pre-pregnancy weight, pre-pregnancy BMI, and weight in late pregnancy than mothers in the low-leptin group. Children of mothers in the high-leptin group presented an Apgar score modestly lower than those of the low-leptin group. No differences were observed in leptin concentrations in the umbilical artery and vein. However, the leptin retained in the fetus increased in the high-leptin group compared to the low-leptin group. We observed a negative correlation between fetal leptin retained and maternal age in the low-leptin group. In the high-leptin group, placental leptin concentration was positively correlated with maternal weight in late pregnancy. Nonetheless, the expression of the leptin receptor (Ob-Rb) was negatively correlated with newborn length. In conclusion, this study found a positive correlation between maternal leptin levels and maternal pre-pregnancy weight, BMI, and fetal birth weight. These findings suggest a potential role of leptin in maternal weight regulation during pregnancy and fetal growth.
瘦素由脂肪组织分泌,并在包括胎盘在内的多个器官中表达。我们研究了母体血液中的瘦素对胎盘和脐带中瘦素表达和浓度的影响,以及瘦素对胎儿体重和出生时情况的影响。我们招募了 25 名产妇,在分娩后采集了胎盘组织碎片、脐动脉和静脉血。根据产妇外周血中瘦素的浓度,将产妇分为低瘦素组和高瘦素组。高瘦素组母亲的年龄、孕前体重、孕前体重指数和孕晚期体重均高于低瘦素组母亲。高瘦素组母亲所生子女的阿普加评分略低于低瘦素组。脐动脉和静脉中的瘦素浓度没有差异。然而,与低瘦素组相比,高瘦素组胎儿体内保留的瘦素有所增加。我们观察到,在低瘦素组中,胎儿瘦素滞留量与孕妇年龄呈负相关。在高瘦素组中,胎盘瘦素浓度与孕晚期孕妇体重呈正相关。然而,瘦素受体(Ob-Rb)的表达与新生儿身长呈负相关。总之,本研究发现母体瘦素水平与孕前体重、体重指数和胎儿出生体重之间存在正相关。这些研究结果表明,瘦素在孕期母体体重调节和胎儿生长过程中可能发挥作用。
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引用次数: 0
The Double Burden of Malnutrition among Adolescents from Zimbabwe: A Cross-Sectional Study 津巴布韦青少年营养不良的双重负担:一项横断面研究
Pub Date : 2024-03-05 DOI: 10.3390/obesities4010002
A. Pencil, T. Matsungo, Thomas Mavhu Chuchu, Nobuko Hongu, N. Hayami
(1) Background: The double burden of malnutrition (DBM) is an emerging public health concern among children and adolescents in developing countries. This study investigated the prevalence and factors associated with being underweight and overweight among adolescents. (2) Methods: This cross-sectional study was conducted among 423 adolescents across 10 high schools in Harare. A questionnaire was used to collect data and weight for height-z-scores were used to compute body mass index. Pearson’s Chi-Square and multinomial logistic regression were used to test for associations and explore factors associated with being underweight or overweight at (p < 0.05). (3) Results: The median and IQR range for the participants was 16 (14–19) years. There were more girls 53.2%, than boys 46.8% (p = 0.002), and more 14–16-year-olds 54.1%, than 17–19-year-olds (p = 0.070). More boys 10% than girls 9.1% were underweight, whereas more girls 21.8% than boys 9.3% were overweight and obese (p = 0.002). By age, more 14–16-year -olds were underweight 12.7% than 17–19-year-olds 5.9%, whereas more 17–19-year-olds 16.2% were overweight than 14–16-year-olds (p = 0.070). Significant factors associated with being underweight were inadequate balanced nutrition knowledge [OR = 1.49 (0.139–0.997), p = 0.049], being in the 14–16 years age group [OR = 2.56 (1.137–5.779), p = 0.023], having formally employed [OR = 2.34 (1.008–5.428), p = 0.048] and unemployed [OR = 5.17 (1.263–21.116), p = 0.022] household heads. Significant factors associated with overweight were being a girl [OR = 0.32 (0.168–2.561), p < 0.001, and having formally employed household heads [OR = 2.00 (1.044–1.206), p = 0.037]. The employment status of the household head (being formally employed) was the only factor which associated with both underweight and overweight statuses. (4) Conclusions: Although underweight and overweight statuses co-exist, among adolescents, those who are overweight appear to be more than those who are underweight. Significant factors associated with being underweight were inadequate nutrition knowledge, being 14–16 years old, and having formally employed or unemployed parents. While being a girl and having formally employed parents were significant determinants of the overweight status. This paper calls for more awareness of DBM and context-specific interventions targeting obesity in a country where undernutrition has been traditionally prioritized at policy and program levels.
(1) 背景:营养不良的双重负担(DBM)是发展中国家儿童和青少年中新出现的公共卫生问题。本研究调查了青少年体重不足和超重的发生率及相关因素。(2) 方法:这项横断面研究在哈拉雷 10 所高中的 423 名青少年中进行。调查问卷用于收集数据,体重-身高-Z 值用于计算体重指数。采用皮尔逊齐次方差(Pearson's Chi-Square )和多项式逻辑回归(multinomial logistic regression)检验相关性,并探讨体重不足或超重的相关因素(P < 0.05)。(3)结果:参与者的中位数和 IQR 范围为 16(14-19)岁。女孩的比例为 53.2%,高于男孩的 46.8%(p = 0.002);14-16 岁儿童的比例为 54.1%,高于 17-19 岁儿童的比例(p = 0.070)。体重不足的男孩比女孩多 10%,多 9.1%;超重和肥胖的女孩比男孩多 21.8%,多 9.3%(p = 0.002)。按年龄划分,体重不足的 14-16 岁青少年占 12.7%,17-19 岁青少年占 5.9%,而超重的 17-19 岁青少年占 16.2%,14-16 岁青少年占 16.2%(p = 0.070)。与体重不足有关的重要因素是均衡营养知识不足[OR=1.49(0.139-0.997),p=0.049]、14-16 岁年龄组[OR=2.56(1.137-5.779),p=0.023]、有正式工作[OR=2.34(1.008-5.428),p=0.048]和户主失业[OR=5.17(1.263-21.116),p=0.022]。与超重相关的重要因素是女孩[OR = 0.32 (0.168-2.561),p < 0.001]和有正式工作的户主[OR = 2.00 (1.044-1.206),p = 0.037]。户主的就业状况(有正式工作)是唯一与体重不足和超重状况相关的因素。(4) 结论:虽然体重不足和体重超重并存,但在青少年中,体重超重者似乎多于体重不足者。与体重不足有关的重要因素是营养知识不足、14-16 岁、父母有正式工作或失业。而女孩和父母有正式工作则是超重的重要决定因素。在一个传统上将营养不良列为政策和计划优先事项的国家,本文呼吁提高对肥胖症的认识,并针对具体情况采取干预措施。
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引用次数: 0
Impact of Intensive Lifestyle Intervention on Remission of Metabolic Syndrome, Prediabetes, Diabetes, and Hypertension in Adults Living with Obesity 强化生活方式干预对缓解肥胖成人代谢综合征、糖尿病前期、糖尿病和高血压的影响
Pub Date : 2024-02-26 DOI: 10.3390/obesities4010001
Pierre-Olivier Magnan, J. Iglesies-Grau, É. Latour, V. Guilbeault, Anil Nigam, M. Juneau, L. Bherer, M. Gayda
Background: Lifestyle intervention programs have long been shown to be effective in preventing cardiometabolic risk factors (CMRFs) such as metabolic syndrome (MS), impaired fasting glycaemia (IFG), type II diabetes (T2DM), and hypertension (HTA). However, their potential for remission of these CMRFs in overweight/obese adults is less clear. The importance of attaining remission has significantly increased as these CMRFs are more and more prevalent. Objectives: The aim of this study is to determine the impact of an intensive lifestyle intervention program on the remission of MS, IFG, T2DM, and HTA in overweight/obese adults. Methods: Forty participants living with overweight/obesity were enrolled in an 18-month multidisciplinary primary prevention body mass loss intervention program. MS, IFG, T2DM, and HTA statuses were assessed at baseline, 9 months, and the end of the program. Results: At baseline, 25 participants (64.1%) had MS, 7 (17.9%) had IFG, 4 (10.2%) were living with diabetes, and 28 (70.0%) had HTA. At 18 months, six (24%) of the participants living with MS, two (28.6%) of the participants with IFG, two (50%) of the participants with diabetes, and two (7.1%) of the participants with HTA met all criteria for remission. Conclusion: An intensive lifestyle intervention program consisting of monitored exercise training and lifestyle modification counselling has great potential for achieving remission of CMRFs in adults living with overweight/obesity.
背景:长期以来,生活方式干预计划已被证明可有效预防代谢综合征(MS)、空腹血糖受损(IFG)、II 型糖尿病(T2DM)和高血压(HTA)等心脏代谢风险因素(CMRFs)。然而,这些药物在缓解超重/肥胖成人的这些 CMRFs 方面的潜力还不太清楚。随着这些 CMRFs 的发病率越来越高,获得缓解的重要性也大大增加。研究目的本研究旨在确定强化生活方式干预计划对超重/肥胖成年人的 MS、IFG、T2DM 和 HTA 缓解的影响。研究方法40名超重/肥胖症患者参加了为期18个月的多学科初级预防体重减轻干预计划。在基线、9 个月和项目结束时对 MS、IFG、T2DM 和 HTA 状况进行评估。结果显示基线时,25 名参与者(64.1%)患有 MS,7 名参与者(17.9%)患有 IFG,4 名参与者(10.2%)患有糖尿病,28 名参与者(70.0%)患有 HTA。18 个月后,6 名多发性硬化症患者(24%)、2 名 IFG 患者(28.6%)、2 名糖尿病患者(50%)和 2 名 HTA 患者(7.1%)达到了缓解的所有标准。结论是由监测运动训练和生活方式调整咨询组成的强化生活方式干预计划对于缓解超重/肥胖成人的 CMRFs 具有巨大潜力。
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引用次数: 0
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Obesities
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