Human

人类
  • 文章类型: Journal Article
    累积证据表明,间歇性禁食(IF)对人体代谢健康有益。已经表明其对肠道微生物群的影响可以介导这些有益作用。因此,我们假设IF可能会影响人体肠道微生物群。根据系统评价和荟萃分析(PRISMA)方案的首选报告项目使用PubMed进行系统评价,Scopus,和CINAHL数据库。我们在PROSPERO注册了我们的系统审查方案,注册号为CRD42021270050。直到2023年4月30日发表的人类干预研究被包括在内。使用美国国立卫生研究院(NIH)质量评估研究工具进行干预研究,对纳入研究的质量进行评估。在数据库中搜索返回了166项研究,其中13项符合最终定性分析的所有标准。大量证据表明,IF在瘦(相对健康)和相对健康的超重/肥胖个体中调节人类肠道微生物群α和β多样性,但在代谢综合征个体中却没有。此外,IF还改变所有表型中的人类肠道微生物群组成。感兴趣的,IF干预后的肠道微生物群或微生物代谢产物与代谢标志物相关。根据这次审查,IF影响人类肠道微生物群的多样性和分类水平。个体代谢表型可能改变IF对肠道微生物群多样性和分类水平的影响。
    Cumulative evidence suggests that intermittent fasting (IF) has beneficial effects on human metabolic health. It has been indicated that its impact on the gut microbiota may mediate these beneficial effects. As a result, we hypothesized that IF may impact the human gut microbiota. A systematic review was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) protocol using the PubMed, Scopus, and CINAHL databases. We registered our systematic review protocol in PROSPERO under registration number CRD42021270050. Human intervention studies published until April 30, 2023, were included. The quality of the included studies was assessed using National Institutes of Health (NIH) quality assessment study tools for intervention studies. The search in the database returned 166 studies, of which 13 matched all criteria for the final qualitative analysis. The body of evidence suggests that IF modulates human gut microbiota alpha and beta diversity in lean (relatively healthy) and relatively healthy overweight/obese individuals but not in individuals with metabolic syndrome. Furthermore, IF also alters human gut microbiota composition in all phenotypes. Of interest, the gut microbiota taxa or microbial metabolites after an IF intervention are associated with metabolic markers. According to this review, IF influences the diversity and taxonomic levels of the human gut microbiota. Individual metabolic phenotypes may alter the effect of IF on the diversity and taxonomic levels of the gut microbiota.
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  • 文章类型: Journal Article
    Bitemark分析涉及对模式化伤害和上下文环境的检查,结合形态和位置数据。考虑到人类牙列的独特性,由皮肤上的牙齿或柔性表面上的印痕引起的斑点可以帮助人类识别。
    目的:系统地调查现有文献,评估过去十年中发表的有关bitemark分析在法医鉴定中的潜在应用的科学证据。
    方法:两名研究人员从2012年1月至2023年12月精心搜索了电子数据库,包括Scopus,PubMed,WebofScience,还有Cochrane图书馆.坚持PRISMA声明准则,本综述采用了适当的医学主题词(MeSHs)和自由文本同义词.在文章检索过程中采用了严格的纳入和排除标准。
    结果:这些发现产生了有争议的结果。大约三分之二的文章得出结论,bitemark分析在法医鉴定中很有用,而其余文章没有报告有统计学意义的结局,并告诫不要仅仅依靠bitemark分析进行鉴定。
    结论:作者断言,bitemark分析可以成为法医鉴定的可靠和补充方法,取决于建立和通过一项普遍接受的全球数据收集协议,processing,和解释。毫无疑问,近年来,专注于bitemark识别的研究显着增加,在实现量化目标的驱动下,目标,可重复,和准确的结果。
    Bitemark analysis involves the examination of both patterned injuries and contextual circumstances, combining morphological and positional data. Considering the uniqueness of human dentition, bitemarks caused by teeth on skin or impressions on flexible surfaces could assist in human identification.
    OBJECTIVE: to investigate the available literature systematically and evaluate the scientific evidence published over the past decade concerning the potential application of bitemark analysis in forensic identification.
    METHODS: Two researchers meticulously searched electronic databases from January 2012 to December 2023, including Scopus, PubMed, Web of Science, and the Cochrane Library. Adhering to the PRISMA statement guidelines, this review employed appropriate medical subject headings (MeSHs) and free-text synonyms. Strict inclusion and exclusion criteria were applied during article retrieval.
    RESULTS: The findings yielded controversial outcomes. Approximately two-thirds of the articles concluded that bitemark analysis is useful in forensic identification, while the remaining articles did not report statistically significant outcomes and cautioned against relying solely on bitemark analysis for identification.
    CONCLUSIONS: The authors assert that bitemark analysis can be a reliable and complementary method for forensic identification, contingent upon the establishment and adoption of a universally accepted global protocol for data collection, processing, and interpretation. Undoubtedly, recent years have witnessed a notable increase in research focused on bitemark identification, driven by the goal of achieving quantitative, objective, reproducible, and accurate results.
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  • 文章类型: Journal Article
    Y染色体由于其非重组特性和单亲遗传形式,在种群遗传研究的检查中具有重要意义。这项工作旨在全面回顾人口遗传学领域的专业文献,重点是使用文献计量学方法和知识图谱分析人类Y染色体。这涉及通过确定主要研究主题来建立全球结构网络,作者,以及对学术界产生重大影响的论文。目的是通过分析文件和国家一级的引用来审查全球出版物。这将涉及对引用次数多的参考文献进行共同引用分析,通过期刊分析检查书目耦合,分析关键词的共现,从国家的角度调查作者之间的合作。研究论文是从WebofScience数据库中提取的。使用Bibliometrix和VOSviewer软件工具进行文献计量分析。本文的目的是作为未来致力于分析人类Y染色体单倍型多样性的研究的起点。该研究的目的是确定和呈现引用次数最多的出版物和参考文献,并重点介绍国家一级的最新出版物。
    The Y chromosome has gained significant importance in the examination of genetic studies of populations because of its non-recombinant character and its form of uniparental inheritance. This work seeks to offer a comprehensive review of the specialty literature in the field of population genetics, focusing specifically on the analysis of the human Y chromosome using a bibliometric approach and knowledge mapping. This involves establishing worldwide structural networks by identifying the primary research themes, authors, and papers that have had a significant impact on the academic community. The objective is to examine global publications by analyzing citations at both the document and country level. This will involve conducting co-citation analysis for references with a high number of citations, examining bibliographic coupling through journal analysis, analyzing the co-occurrence of keywords, and investigating collaboration between authors from a country perspective. The research papers have been extracted from the Web of Science database. The bibliometric analysis was performed using the Bibliometrix and VOSviewer software tools. The purpose of this article is to serve as a starting point for future research dedicated to the analysis of the diversity of human Y chromosome haplotypes. The objectives of the study were to identify and present the most cited publications and references with the highest number of citations, and to highlight current publications at the national level.
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  • 文章类型: Journal Article
    人类在世界范围内感染弓形虫,其后果可能会严重影响缺乏免疫力的人群,例如艾滋病毒和移植患者或孕妇和胎儿。为了更好地制定卫生政策和教育计划,需要对西班牙弓形虫病血清阳性率有深入的了解。我们介绍了有关西班牙这种疾病的人类患病率的首次系统评价和荟萃分析的结果。数据库(PubMed,WebofScience,SCOPUS和Teseo)搜索了1993年1月至2023年12月之间发表的相关研究,并修订了所有报告西班牙人类血清阳性率的基于人群的横截面和纵向研究。在分析的人口中,我们的目标群体是有免疫能力的人群,孕妇和免疫功能低下的患者。在检索到的572项研究和35篇博士论文中,15项研究和3篇博士论文被纳入荟萃分析。随机效应模型用于荟萃分析,因为研究之间存在高度异质性(I2:99.97),因为这是一个统计上保守的模型,除了允许更好的外部有效性。整体合并血清阳性率为32.3%(95%CI28.7-36.2%)。大多数研究是在孕妇中进行的,荟萃分析报告说,西班牙孕妇弓形虫病的合并血清阳性率为24.4%(24,737/85,703,95%CI21.2-28.0%),基于随机效应模型。建议继续监测弓形虫的血清阳性率状况,以获得预防和控制人群感染的基本指南。
    Humans are infected by Toxoplasma gondii worldwide and its consequences may seriously affect an immune deprived population such as HIV and transplanted patients or pregnant women and foetuses. A deep knowledge of toxoplasmosis seroprevalence in Spain is needed in order to better shape health policies and educational programs. We present the results of the first systematic review and meta-analysis on the human prevalence for this disease in Spain. Databases (PubMed, Web of Science, SCOPUS and Teseo) were searched for relevant studies that were published between January 1993 and December 2023 and all population-based cross-sectional and longitudinal studies reporting the human seroprevalence in Spain were revised. Within the population analysed, our targeted groups were immunocompetent population, pregnant women and immunocompromised patients. Among 572 studies and 35 doctoral theses retrieved, 15 studies and three doctoral theses were included in the meta-analysis. A random effects model was used for the meta-analyses due to the high heterogeneity found between studies (I2: 99.97), since it is a statistically conservative model, in addition to allowing better external validity. The global pooled seroprevalence was 32.3% (95% CI 28.7-36.2%). Most of the studies carried out were in pregnant women and the meta-analysis reported that the pooled seroprevalence of toxoplasmosis in pregnant women in Spain was 24.4% (24,737/85,703, 95% CI 21.2-28.0%), based on the random effects model. It is recommended to continue monitoring the seroprevalence status of T. gondii in order to obtain essential guidelines for the prevention and control of the infection in the population.
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  • 文章类型: Journal Article
    背景:关于色氨酸及其代谢产物的研究结果含糊不清,犬尿氨酸和5-羟色胺在慢性肌肉骨骼疼痛中的作用。本系统综述旨在研究色氨酸及其代谢产物的表达,与无痛对照组相比,局部和全身慢性肌肉骨骼疼痛患者的5-羟色胺和犬尿氨酸。
    方法:在MEDLINE数据库中进行了电子搜索,CINAHL,EMBASE,Cochrane中央对照试验注册中心(CENTRAL)和WebofScience用于从每个数据库开始到2023年4月21日的临床和观察试验.在6734篇文章中,共纳入17项研究;12项研究用于血清素的荟萃分析,关于色氨酸的3项研究和关于犬尿氨酸的叙事合成的2项研究。使用国家心脏观察队列和横断面研究的质量评估工具评估偏倚风险。肺,血液研究所,而证据的确定性是按等级划分的。
    结果:所有纳入研究均显示偏倚风险较低。荟萃分析显示,广泛性肌肉骨骼疼痛患者的血液色氨酸水平较低(p<.001;证据质量非常低)和血液5-羟色胺水平较高(p<.001;证据质量非常低),与无痛个体相比。在局部慢性肌肉骨骼疼痛中,与无痛个体相比,血5-羟色胺水平较高(p=.251;证据质量非常低).关于犬尿氨酸,研究报告,与无痛个体相比,广泛性慢性肌肉骨骼疼痛患者的血液水平较高和较低.
    结论:色氨酸及其代谢物5-羟色胺和犬尿氨酸的血液水平似乎影响慢性肌肉骨骼疼痛。
    BACKGROUND: Studies present ambiguous findings regarding the role of tryptophan and its metabolites, kynurenine and serotonin in chronic musculoskeletal pain. This systematic review aimed to investigate the expression of tryptophan and its metabolites, serotonin and kynurenine in patients with local and generalized chronic musculoskeletal pain in comparison with pain-free controls.
    METHODS: An electronic search was conducted in the databases MEDLINE, CINAHL, EMBASE, the Cochrane Central Registry of Controlled Trials (CENTRAL) and Web of Science for clinical and observational trials from the beginning of each database to 21 April 2023. Out of 6734 articles, a total of 17 studies were included; 12 studies were used in the meta-analysis of serotonin, 3 regarding tryptophan and 2 studies for a narrative synthesis regarding kynurenine. Risk of bias was assessed using the quality assessment tool for observational cohort and cross-sectional studies of the National Heart, Lung, and Blood Institute, while the certainty of evidence was by GRADE.
    RESULTS: All included studies showed a low risk of bias. The meta-analysis showed lower blood levels of tryptophan (p < .001; very low quality of evidence) and higher blood levels of serotonin (p < .001; very low-quality evidence) in patients with generalized musculoskeletal pain, when compared to pain-free individuals. In local chronic musculoskeletal pain, there were higher blood levels of serotonin (p=.251; very low quality of evidence) compared to pain-free individuals. Regarding kynurenine, the studies reported both higher and lower blood levels in generalized chronic musculoskeletal pain compared to pain-free individuals.
    CONCLUSIONS: The blood levels of tryptophan and its metabolites serotonin and kynurenine seem to influence chronic musculoskeletal pain.
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  • 文章类型: Journal Article
    最近的研究表明,肠道微生物组(GM)的改变在HF的病理生理学中起着综合作用。然而,这一领域的研究结果仍然存在争议。在这项研究中,我们关注HF患者和非HF患者之间的GM多样性和丰度差异,基于以前的16S核糖体RNA(16rRNA)基因测序。遵循系统审查和荟萃分析(PRISMA)指南的首选报告项目,我们对PubMed进行了全面搜索,WebofScience,Embase,科克伦图书馆,和使用关键字“心力衰竭”和“胃肠道微生物组”的Ovid数据库。在HF患者中观察到α多样性的显著降低(Chao1,I2=87.5%,p<0.001;香农指数,I2=62.8%,p=0.021)。在门一级,HF组显示出更高的变形杆菌丰度(I2=92.0%,p=0.004)和放线菌(I2=82.5%,p=0.010),而拟杆菌(I2=45.1%,p=0.017)和F/B比(I2=0.0%,p<0.001)较低。Firmicutes呈下降趋势,但未达到统计学意义(I2=82.3%,p=0.127)。在属一级,链球菌的相对丰度,拟杆菌,Alistipes,双歧杆菌,大肠杆菌志贺氏菌,HF组肠球菌和克雷伯菌增多,而Ruminococus,粪杆菌,Dorea和Megamona的相对丰度下降。Dialister,布劳特氏菌和普雷沃氏菌呈下降趋势,但无统计学意义。这项观察性荟萃分析表明,GM变化与HF有关,表现为转基因丰度的改变,短链脂肪酸(SCFA)细菌生产的中断,和三甲胺N-氧化物(TMAO)产生细菌的增加。
    Recent research has revealed that alterations of the gut microbiome (GM) play a comprehensive role in the pathophysiology of HF. However, findings in this field remain controversial. In this study, we focus on differences in GM diversity and abundance between HF patients and non-HF people, based on previous 16 S ribosomal RNA (16rRNA) gene sequencing. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we conducted a comprehensive search of PubMed, Web of Science, Embase, Cochrane Library, and Ovid databases using the keyword \"Heart failure\" and \"Gastrointestinal Microbiome\". A significant decrease in alpha diversity was observed in the HF patients (Chao1, I2 = 87.5 %, p < 0.001; Shannon index, I2 = 62.8 %, p = 0.021). At the phylum level, the HF group exhibited higher abundances of Proteobacteria (I2 = 92.0 %, p = 0.004) and Actinobacteria (I2 = 82.5 %, p = 0.010), while Bacteroidetes (I2 = 45.1 %, p = 0.017) and F/B ratio (I2 = 0.0 %, p<0.001) were lower. The Firmicutes showed a decreasing trend but did not reach statistical significance (I2 = 82.3 %, p = 0.127). At the genus level, the relative abundances of Streptococcus, Bacteroides, Alistipes, Bifidobacterium, Escherichia-Shigella, Enterococcus and Klebsiella were increased in the HF group, whereas Ruminococcus, Faecalibacterium, Dorea and Megamona exhibited decreased relative abundances. Dialister, Blautia and Prevotella showed decreasing trends but without statistical significance. This observational meta-analysis suggests that GM changes are associated with HF, manifesting as alterations in GM abundance, disruptions in the production of short-chain fatty acids (SCFAs) bacteria, and an increase in trimethylamine N-oxide (TMAO) producing bacteria.
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  • 文章类型: Journal Article
    今天,手机是最常见的电磁辐射发射设备之一,全世界超过70亿不同年龄段的人都可以使用。电磁辐射对生物系统的影响已经研究了几年。在这篇系统综述中找到相关文章,国际数据库,如谷歌学者,PubMed,Scopus,科学直接,WebofScience,和Cochrane自2007-2022年以来通过选择适当的关键字来使用。结果表明,暴露于手机辐射可以通过增加颗粒细胞的迁移而导致小脑的代谢活动受到干扰,减少孕妇胎儿周围的水分,血板数量的减少,增加ALT和AST的水平,他们是肝损伤的关键生物标志物,嗜中性粒细胞吞噬和诱导凋亡的减少,葡萄糖水平的变化,甚至在胰腺的微观水平,这可能是糖尿病的诱发因素,脑组织所有深度的组织温度升高,EMF增加音量,体重,儿童卵巢的卵泡闭锁,它也会引起氧化应激,DNA片段化,等。手机辐射是有害的,取决于它的强度,频率,波型,和暴露持续时间。它可以在人类中引起不同的生物学效应。由于这些波作用的结果和机理的不确定性,这一领域的研究仍在进行中。
    Today, mobile phones are one of the most common devices emitting electromagnetic radiation and are available to more than seven billion people in different age groups around the world. The effects of electromagnetic radiation on biological systems have been studied for several years. In this systematic review to find relevant articles, international databases such as Google Scholar, PubMed, Scopus, Science Direct, Web of Science, and Cochrane were used since 2007-2022 by selecting appropriate keywords. The result revealed that exposure to cell phone radiation can lead to disturb in the metabolic activity of the cerebellum by increasing the migration of granulosa cells, decrease the water around the fetus in pregnant women, decrease in the number of blood plates, increasing levels of ALT and AST that they are the key biomarkers of liver damage, decrease of phagocytosis and induced apoptosis of neutrophils, changes at the level of glucose and even at the microscopic level of pancreas this may be a predisposing factor for diabetes, increment in tissue temperature in all depth of the brain tissue, EMF increase the volume, weight, and atresia follicles of the ovaries of the children, also it can cause oxidative stress, DNA fragmentation, etc. Mobile phone radiation is harmful and depends on its intensity, frequency, wave type, and exposure duration. It can cause different biological effects in humans. Due to the uncertainty of the results and mechanism of the effect of these waves, research in this field is still ongoing.
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  • 文章类型: Journal Article
    关于快速眼动睡眠(REMS)在处理情绪中的重要性的证据正在积累。本系统综述的重点是实验性REMS剥夺(REMSD)的结果,这是REMSD动物模型和人体研究中最常见的方法。这篇综述显示,应用的REMSD方法存在很大差异。与人类研究相比,动物模型使用了更长的剥夺方案,主要报道了一夜后的急性剥夺效应。对动物模型的研究表明,REMSD引起攻击行为,增加疼痛敏感性,减少性行为,以及恐惧记忆的整合。动物模型还显示,在关键发育时期的REMSD会对情感相关行为产生持久的影响。少数人类研究显示疼痛敏感性增加,并表明REMSD后情感记忆的巩固更强。由于药物干预(如选择性5-羟色胺再摄取抑制剂[SSRIs])可能会长期抑制REMS,关于人类慢性REMS抑制的影响和机制的知识存在明显差距。
    Evidence on the importance of rapid-eye-movement sleep (REMS) in processing emotions is accumulating. The focus of this systematic review is the outcomes of experimental REMS deprivation (REMSD), which is the most common method in animal models and human studies on REMSD. This review revealed that variations in the applied REMSD methods were substantial. Animal models used longer deprivation protocols compared with studies in humans, which mostly reported acute deprivation effects after one night. Studies on animal models showed that REMSD causes aggressive behavior, increased pain sensitivity, reduced sexual behavior, and compromised consolidation of fear memories. Animal models also revealed that REMSD during critical developmental periods elicits lasting consequences on affective-related behavior. The few human studies revealed increases in pain sensitivity and suggest stronger consolidation of emotional memories after REMSD. As pharmacological interventions (such as selective serotonin reuptake inhibitors [SSRIs]) may suppress REMS for long periods, there is a clear gap in knowledge regarding the effects and mechanisms of chronic REMS suppression in humans.
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  • 文章类型: Systematic Review
    背景:Opistorchiasis和华支睾吸虫病,由蛇形肌和华支睾吸虫引起,分别,是大湄公河次区域(GMS)中重要但被忽视的食源性吸虫酶。尽管在过去的几十年中,这些人类肝吸虫在该地区的患病率有报道,这些数据缺乏全面和系统的整合。因此,我们旨在进行全面的系统评价和荟萃分析,以综合和分析过去30年GMS中O.viverrini和C.sinensis的时间趋势患病率估计值。
    方法:这项研究通过全面搜索PubMed上发表的文章进行了系统的综述,EMBASE,Scopus,Cochrane和泰国期刊在线数据库,直到2023年初。通过随机效应荟萃分析分析了O.viverrini和C.sinensis感染的合并患病率,使用荟萃回归分析来量化与研究特征的关联。进行亚组分析,每当有比较数据时,评估每个GMS国家O.viverrini和C.sinensis感染的风险。使用Q统计量评估研究之间的异质性,并使用I2指数进行量化。
    结果:在总共2997篇文章中,包括218个数据集和751,108个参与者的155篇文章被纳入审查。O.viverrini的GMS患病率为21.11%[45,083/260,237;95%置信区间(CI):17.74-24.47%]。汇总的患病率估计值在老挝得到了很高的观察(34.06%,95%CI:26.85-41.26%),其次是泰国(18.19%,95%CI:13.86-22.51%),和柬埔寨(10.48%,95%CI:5.52-15.45%)。缅甸和越南用于计算的数据来源有限。华支睾吸虫在GMS中的感染率为25.33%(95%CI:18.32-32.34%),广西,中国,患病率最高,为26.89%(95%CI:18.34-35.43%),而越南的患病率为20.30%(95%CI:9.13-31.47%)。O.viverrini患病率随着时间的推移显着下降,而中国和越南的C.sinensis感染似乎在一段时间内保持稳定。
    结论:这项综合研究,从迄今为止最大的数据集中绘制,提供了大湄公河次区域人类肝吸虫的深入系统的患病率评价。它强调了系统监测的必要性,数据收集,并对这些传染病的贫困实施干预和控制措施。
    BACKGROUND: Opisthorchiasis and clonorchiasis, caused by Opisthorchis viverrini and Clonorchis sinensis, respectively, are significant yet neglected foodborne trematodiases in the Great Mekong Subregion (GMS). Despite the reporting of the prevalence of these human liver flukes in the region over the past decades, there has been a lack of a comprehensive and systematic consolidation of this data. Therefore, we aimed to conduct a thorough systematic review and meta-analysis to synthesize and analyze time-trend prevalence estimates of both O. viverrini and C. sinensis across the GMS for the past 30 years.
    METHODS: This study undertakes a systematic review using a comprehensive search for published articles in PubMed, EMBASE, Scopus, Cochrane and Thai Journal Online databases until early 2023. The pooled prevalence of O. viverrini and C. sinensis infection was analyzed through a random-effects meta-analysis, with meta-regression analysis used to quantify associations with study characteristics. Sub-group analysis was conducted, whenever comparison data were available, to assess the risk of O. viverrini and C. sinensis infection in each GMS country. Heterogeneity among studies was assessed using the Q statistic and quantified by using the I 2 Index.
    RESULTS: From a total of 2997 articles, 155 articles comprising 218 datasets and 751,108 participants were included for review. The GMS prevalence of O. viverrini was 21.11% [45,083/260,237; 95% confidence interval (CI): 17.74-24.47%]. Pooled prevalence estimates were highly observed in Laos (34.06%, 95% CI: 26.85-41.26%), followed by Thailand (18.19%, 95% CI: 13.86-22.51%), and Cambodia (10.48%, 95% CI: 5.52-15.45%). Myanmar and Vietnam had limited data sources for calculation. Clonorchis sinensis infection in GMS was 25.33% (95% CI: 18.32-32.34%), with Guangxi, China, exhibiting the highest prevalence rates at 26.89% (95% CI: 18.34-35.43%), while Vietnam had a prevalence rate of 20.30% (95% CI: 9.13-31.47%). O. viverrini prevalence decreased significantly over time, whereas C. sinensis infection appeared to be stable consistently over time in both China and Vietnam.
    CONCLUSIONS: This comprehensive study, drawing from the largest datasets to date, offers an in-depth systematic prevalence review of human liver flukes in the Greater Mekong Subregion. It underscores the imperative for systematic surveillance, data collection, and the implementation of intervention and control measures for these infectious diseases of poverty.
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  • 文章类型: Meta-Analysis
    背景:肠道微生物群(GM)与宿主之间的平衡在维持整体健康中起着关键作用,影响各种生理和代谢功能。新兴研究表明,运动调节肠道细菌的丰度和功能,然而,对转基因多样性的综合影响仍有待综合。
    目的:本研究旨在使用系统综述和荟萃分析方法定量研究运动对成年人肠道菌群多样性的影响。
    方法:PubMed,Ebsco,Embase,WebofScience,Cochrane中央控制试验登记册,中国国家知识基础设施,和万方数据从成立之初到2023年9月进行了搜索。与对照组的运动干预研究,描述和比较成人中转基因的组成,使用16SrRNA基因测序,纳入本荟萃分析。
    结果:本次荟萃分析共纳入25项研究,共纳入1044名参与者。基于固定效应模型[Chi2=29.40,df=20(p=0.08);I2=32%],汇总分析表明,与对照组相比,运动干预可以显着增加成年GM的α多样性,以香农指数为例[WMD=0.05,95%CI(0.00,0.09);Z=1.99(p=0.05)]。此外,运动干预被发现显著改变转基因,显着减少拟杆菌和增加厚壁菌,表明厚壁菌/拟杆菌比率的变化。亚组分析表明,女性和老年人在Shannon指数和观察到的OTU中似乎表现出更显着的变化。
    结论:运动可能是改善成人转基因的一种有希望的方法。特别是,运动后Shannon指数显著升高。转基因多样性对基于性别和年龄的运动干预的不同反应暗示需要更多的研究。
    BACKGROUND: The equilibrium between gut microbiota (GM) and the host plays a pivotal role in maintaining overall health, influencing various physiological and metabolic functions. Emerging research suggests that exercise modulates the abundance and functionality of gut bacteria, yet the comprehensive effects on GM diversity remain to be synthesized.
    OBJECTIVE: The study aims to quantitatively examine the effect of exercise on the diversity of gut microbiota of adults using a systemic review and meta-analysis approach.
    METHODS: PubMed, Ebsco, Embase, Web of Science, Cochrane Central Register of Controlled Trials, the China National Knowledge Infrastructure, and Wanfang Data were searched from their inception to September 2023. Exercise intervention studies with a control group that describe and compare the composition of GM in adults, using 16S rRNA gene sequencing, were included in this meta-analysis.
    RESULTS: A total of 25 studies were included in this meta-analysis with a total of 1044 participants. Based on a fixed-effects model [Chi2 = 29.40, df = 20 (p = 0.08); I2 = 32%], the pooled analysis showed that compared with the control group, exercise intervention can significantly increase the alpha diversity of adult GM, using the Shannon index as an example [WMD = 0.05, 95% CI (0.00, 0.09); Z = 1.99 (p = 0.05)]. In addition, exercise interventions were found to significantly alter GM, notably decreasing Bacteroidetes and increasing Firmicutes, indicating a shift in the Firmicutes/Bacteroidetes ratio. The subgroup analysis indicates that females and older adults appear to exhibit more significant changes in the Shannon Index and observed OTUs.
    CONCLUSIONS: Exercise may be a promising way to improve GM in adults. In particular, the Shannon index was significantly increased after exercise. Distinct responses in GM diversity to exercise interventions based on gender and age implicated that more research was needed.
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