lipid profile

脂质特征
  • 文章类型: Journal Article
    Several studies have evaluated the effects of resveratrol supplementation on lipid profile parameters in humans and have demonstrated varying results. We systematically evaluated the literature and performed an umbrella meta-analysis of the effects of resveratrol supplementation on lipid profile. A comprehensive literature search was conducted in the following databases; PubMed, Embase, Scopus, and Web of Science for studies published up to November 2023. According to the standardized mean difference (SMD) analysis, resveratrol supplementation was effective in reducing serum triglyceride (TG) (SMD = -0.14mg/dl, 95% CI: -0.24, -0.03; p = 0.001), total cholesterol (TC) (SMD = -0.20, 95% CI: -0.31, -0.08; p= 0.001), but not high-density lipoprotein cholesterol (HDL-c) (SMD = 0.00, 95% CI: -0.04, 0.05; p =0.92), and low-density lipoprotein-cholesterol (LDL-c) (SMD = -0.16mg/dl, 95% CI: -0.40, 0.07; p =0.17). In the weighted mean difference analysis, resveratrol did not significantly decrease lipid profile parameters. Resveratrol supplementation reduces TC and TG (based on SMD analysis), but it does not significantly affect other indices. However, these significant decreases are not clinically important. Therefore, resveratrol only can be considered as an adjunctive therapeutic approach in managing dyslipidemia.
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  • 文章类型: Journal Article
    成纤维细胞生长因子21(FGF-21)已被认为是与健康相关的代谢紊乱如2型糖尿病中胰岛素抵抗的潜在治疗靶标。尽管抵抗(RT)和有氧训练(AT)对糖尿病症状的代谢作用,在诊断为2型糖尿病的男性中,通过这些训练方法对FGF-21以及与代谢紊乱相关的生化和生理变量的影响的优越性存在不确定性.这项研究旨在研究12周RT和AT对被诊断为2型糖尿病的男性个体中FGF-21水平和与代谢紊乱相关的症状的影响。根据FGF-1水平匹配36名久坐的肥胖糖尿病男性(40至45岁)。他们被随机分为两个训练组(RT,n=12和AT,n=12)每周进行3天的中等强度RT或AT,持续12周,而非活动对照组(n=12)。两种训练干预措施均显着改善FGF-21,葡萄糖代谢,血脂谱,荷尔蒙的变化,力量,和有氧能力。亚组分析显示,RT在空腹血糖(ES=-0.52)方面具有更大的适应性反应(p<0.01),HOMA-IR(ES=-0.87),睾酮(ES=0.52),皮质醇(ES=-0.82),FGF-21(ES=0.61),与AT相比,最大强度(ES=1.19)。相反,AT显示更大的变化(p<0.01)在胆固醇(ES=-0.28),甘油三酯(ES=-0.64),HDL(ES=0.46),LDL(ES=-0.73),和有氧能力(ES=1.18)与RT相比。总的来说,RT和AT干预均在FGF-21水平上产生了显著的中度至重度ES,并增强了对生化变量的管理.RT是控制FGF-21水平和血糖平衡的有效方法,以及诱导荷尔蒙变化。另一方面,AT更适合改善超重男性2型糖尿病患者的血脂状况。
    Fibroblast growth factor 21 (FGF-21) has been suggested as a potential therapeutic target for insulin resistance in health-related metabolic disorders such as type 2 diabetes. Despite the metabolic effects of resistance (RT) and aerobic training (AT) on diabetes symptoms, uncertainty exists regarding the superiority of effects manifested through these training approaches on FGF-21 and biochemical and physiological variables associated with metabolic disorders in men diagnosed with type 2 diabetes. This study aimed to investigate the impact of a 12-week RT and AT on FGF-21 levels and symptoms associated with metabolic disorders in male individuals diagnosed with type 2 diabetes. Thirty-six sedentary obese diabetic men (40 to 45 years old) were matched based on the level of FGF-1. They and were randomly divided into two training groups (RT, n = 12 and AT, n = 12) performing three days per week of moderate-intensity RT or AT for 12 weeks and an inactive control group (n = 12). Both training interventions significantly improved FGF-21, glucose metabolism, lipid profile, hormonal changes, strength, and aerobic capacity. Subgroup analysis revealed that RT had greater adaptive responses (p < 0.01) in fasting blood sugar (ES = -0.52), HOMA-IR (ES = -0.87), testosterone (ES = 0.52), cortisol (ES = -0.82), FGF-21 (ES = 0.61), and maximal strength (ES = 1.19) compared to AT. Conversely, AT showed greater changes (p < 0.01) in cholesterol (ES = -0.28), triglyceride (ES = -0.64), HDL (ES = 0.46), LDL (ES = -0.73), and aerobic capacity (ES = 1.18) compared to RT. Overall, both RT and AT interventions yielded significant moderate to large ES in FGF-21 levels and enhanced the management of biochemical variables. RT is an effective method for controlling FGF-21 levels and glucose balance, as well as for inducing hormonal changes. On the other hand, AT is more suitable for improving lipid profiles in overweight men with type 2 diabetes mellitus.
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  • 文章类型: Journal Article
    背景:左心室肥厚(LVH)是心力衰竭和心血管事件相关死亡率的关键因素。虽然糖尿病患者的LVH患病率有据可查,其在非糖尿病人群中的发生和危险因素在很大程度上仍未被研究.本研究通过调查非糖尿病患者LVH的独立危险因素来解决这一问题。
    方法:这项横断面研究,一丝不苟地进行,利用来自强大而全面的来源的数据,DATADRYAD,在塞拉利昂数据库中,在2019年10月至2021年10月之间收集,包括LVH和各种变量。使用单变量分析对所有变量进行描述和筛选,斯皮尔曼相关性,和主成分分析(PCA)。血脂谱,包括总胆固醇(TC),甘油三酯(TG),高密度脂蛋白(HDL-C),非高密度脂蛋白(Non-HDL-C),低密度脂蛋白胆固醇(LDL-C),TC/HDL-C比值,TG/HDL-C比值,非HDL-C/HDL-C比值和LDL-C/HDL-C比值,哪些四分位数被视为分类变量,以最低四分位数作为参考类别。构建了三个调整模型以减轻其他变量的影响。为了保证模型的鲁棒性,受试者工作特征(ROC)曲线用于通过分析ROC曲线来计算截止值。进行敏感性分析以进一步验证发现。
    结果:数据集包含来自2092个人的信息。在调整了可能影响结果的潜在因素后,我们发现TC(OR=2.773,95CI:1.805-4.26),非HDL-C(OR=2.74,95CI:1.7723-4.236),TC/HDL-C比率(OR=2.237,95CI:1.445-3.463),非HDL-C/HDL-C比率(OR=2.357,95CI:1.548-3.588),TG/HDL-C比值(OR=1.513,95CI:1.02~2.245)是LVH的独立危险因素。ROC曲线分析显示血脂对LVH、非HDL-C显示曲线下面积(AUC=0.6109),其次是TC(AUC=0.6084)。
    结论:TC,非HDL-C,TC/HDL-C比值,非HDL-C/HDL-C比值,TG/HDL-C比值是非糖尿病患者LVH的独立危险因素。发现非HDL-C和TC是预测LVH患病率的重要指标。
    BACKGROUND: Left ventricular hypertrophy (LVH) is a critical factor in heart failure and cardiovascular event-related mortality. While the prevalence of LVH in diabetic patients is well-documented, its occurrence and risk factors in non-diabetic populations remain largely unexplored. This study addresses this issue by investigating the independent risk factors of LVH in non-diabetic individuals.
    METHODS: This cross-sectional study, conducted meticulously, utilized data from a robust and comprehensive source, DATADRYAD, in the Sierra Leone database, collected between October 2019 and October 2021, including LVH and various variables. All variables were described and screened using univariate analysis, Spearman correlation, and principal component analysis (PCA). The lipid profile, including total cholesterols (TC), triglycerides (TG), high-density lipoprotein (HDL-C), non-high-density lipoprotein (Non-HDL-C), and low-density lipoprotein cholesterol (LDL-C), TC/HDL-C ratio, TG/HDL-C ratio, Non-HDL-C /HDL-C ratio and LDL-C/HDL-C ratio, which quartiles were treated as categorical variables, with the lowest quartile serving as the reference category. Three adjusted models were constructed to mitigate the influence of other variables. To ensure the robustness of the model, receiver operating characteristic (ROC) curves were used to calculate the cutoff values by analyzing the ROC curves. A sensitivity analysis was performed to validate the findings further.
    RESULTS: The dataset encompasses information from 2092 individuals. After adjusting for potential factors that could influence the results, we found that TC (OR = 2.773, 95%CI: 1.805-4.26), Non-HDL-C (OR = 2.74, 95%CI: 1.7723-4.236), TC/HDL-C ratio (OR = 2.237, 95%CI: 1.445-3.463), Non-HDL-C/HDL-C ratio (OR = 2.357, 95%CI: 1.548-3.588), TG/HDL-C ratio (OR = 1.513, 95%CI: 1.02-2.245) acts as independent risk factors of LVH. ROC curve analysis revealed the predictive ability of blood lipids for LVH, with Non-HDL-C exhibiting area under the curve (AUC = 0.6109), followed by TC (AUC = 0.6084).
    CONCLUSIONS: TC, non-HDL-C, TC/HDL-C ratio, Non-HDL-C/HDL-C ratio, and TG/HDL-C ratio were independent risk factors of LVH in non-diabetic people. Non-HDL-C and TC were found to be essential indicators for predicting the prevalence of LVH.
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  • 文章类型: Journal Article
    目的:尽管已经研究了D2(麦角钙化醇)对心血管疾病风险成分的作用,报告了相互矛盾的结果。此外,没有一项研究研究了所有这些参数,维生素D2的作用也没有单独评估;因此,这项随机对照试验的系统评价和荟萃分析旨在评估补充维生素D2对血脂的影响。人体测量指数,血压,以及人类的炎症和血糖生物标志物。
    方法:WebofScience,Scopus,PubMed/Medline,和Embase从数据库开始到2024年7月进行了搜索,随机效应模型,根据DerSimonian和Laird方法,用于生成干预对结果影响的综合估计。
    结果:经过全文分析,11篇符合条件的文章被纳入我们的荟萃分析。在维生素D2给药和BMI之间没有观察到统计学上的显著关联,WC,TC,HDL-C,LDL-C,TG,DBP或SBP;然而,CRP有统计学意义的下降(WMD:-1.92mg/dL,95%CI:-3.30至-0.54,P=0.006)和HbA1c水平(WMD:-0.37%,95%CI:-0.66至-0.09,P=0.009),和FBG无统计学意义的下降(WMD:-4.61mg/dL,95%CI:-14.71至5.47,P=0.370,I2=90%,检测到P=0.001)和HOMA-IR(WMD:-0.10,95%CI:-0.17至0.03,P=0.002)。
    结论:总之,我们的系统评价和荟萃分析发现,服用维生素D2与CRP和HbA1c水平的统计学显着下降相关,与其他结果没有显著相关性。
    OBJECTIVE: Even though the role of D2 (ergocalciferol) on cardiovascular disease risk components has been studied, conflicting results have been reported. Moreover, no single study has studied all these parameters and the role of vitamin D2 individually has not been assessed; hence, this systematic review and meta-analysis of randomized controlled trials was conducted to assess the effect of vitamin D2 supplementation on lipid profile, anthropometric indices, blood pressure, and inflammatory and glycemic biomarkers in humans.
    METHODS: Web of Science, Scopus, PubMed/Medline, and Embase were searched from database inception to July 2024, and the random effects model, according to the DerSimonian and Laird method, was used to generate combined estimates of the intervention\'s effect on the outcomes.
    RESULTS: After full-text analysis, 11 eligible articles were included in our meta-analyses. No statistically significant association was observed between vitamin D2 administration and BMI, WC, TC, HDL-C, LDL-C, TG, DBP or SBP; however, a statistically significant decrease in CRP (WMD: - 1.92 mg/dL, 95 % CI: - 3.30 to - 0.54, P = 0.006) and HbA1c levels (WMD: - 0.37 %, 95 % CI: - 0.66 to - 0.09, P = 0.009), and a non-statistically significant decrease in FBG (WMD: - 4.61 mg/dL, 95 % CI: - 14.71 to 5.47, P = 0.370, I2 = 90 %, P ˂ 0.001) and HOMA-IR (WMD: - 0.10, 95 % CI: - 0.17-0.03, P = 0.002) were detected.
    CONCLUSIONS: In summary, our systematic review and meta-analysis discovered that vitamin D2 administration was associated with a statistically significant decrease in CRP and HbA1c levels, without a significant correlation with other outcomes.
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  • 文章类型: Journal Article
    背景:一些研究揭示了支链脂肪酸(BCFA)的积极健康影响。然而,这些研究大多评估了人类的血清BCFAs,或在动物或体外模型中用外源性BCFAs治疗以及饮食BCFAs对健康的影响尚未研究。由于BCFAs在体育运动中的积极作用,在目前的研究中,我们旨在调查精英和亚精英足球运动员的饮食BCFAs与代谢和炎症参数之间的关系。
    方法:对335名精英和亚精英足球运动员(196名男性)进行了横断面研究,年龄在20至45岁之间。根据中国足协的指示,从32支球队中招募了足球运动员。人口统计,人体测量学,和饮食评估进行和实验室测量,包括血脂,血糖标志物,并测定高敏C反应蛋白。
    结果:饮食BCFAs消费量最高的人食欲较高(p=.009)。此外,膳食BCFA的高消费与舒张压降低(比值比:0.958;置信区间:0.918-0.999;p=.046)和膳食BCFA的第三三分位数中的低高敏C反应蛋白浓度相关(比值比:0.431;置信区间:0.300-0.618;p<.001).在生化变量和饮食BCFA之间没有发现其他关联。
    结论:如当前研究所示,较高的膳食BCFAs消耗与较低的舒张压和炎症相关。由于研究数量非常有限,需要进一步的研究才能更好地了解这些关联及其潜在机制.
    BACKGROUND: Several studies have revealed the positive healthy impacts of branched-chain fatty acids (BCFAs). However, most of these studies evaluated the serum BCFAs in humans, or treatment with exogenous BCFAs in animal or in-vitro models and the health impacts of dietary BCFAs have not yet been studied. Due to positive effects of BCFAs in sport, in the current study, we aimed to investigate the association between dietary BCFAs and metabolic and inflammatory parameters among elite and subelite soccer players.
    METHODS: A cross-sectional study was carried out among 335 elite and subelite soccer players (196 male), aged between 20 and 45 years old. Soccer players were enrolled from 32 teams under the directive of The Chinese Football Association. Demographic, anthropometric, and dietary assessments were performed and laboratory measurement including serum lipids, glycemic markers, and high-sensitivity C-reactive protein was measured.
    RESULTS: Those with the highest dietary BCFAs consumption had higher appetite (p = .009). Also, high consumption of dietary BCFAs was associated with lower diastolic blood pressure (odds ratio: 0.958; confidence interval: 0.918-0.999; p = .046) and low high-sensitivity C-reactive protein concentrations in the third tertile of dietary BCFAs (odds ratio: 0.431; confidence interval: 0.300-0.618; p < .001). No other association between biochemical variables and dietary BCFAs was found.
    CONCLUSIONS: As shown in the current study, higher dietary BCFAs consumption was associated with lower diastolic blood pressure and inflammation. Due to very limited number of studies, further studies are needed to have a better perspective of these associations and their underlying mechanisms.
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  • 文章类型: Journal Article
    血脂异常通常会使2型糖尿病复杂化,然而,糖化血红蛋白和血脂水平之间的关系仍然不确定。
    这项回顾性横断面研究包括玉溪市人民医院的27,158名参与者。连续变量的统计比较利用方差分析(ANOVA),而分类变量采用卡方分析。箱线图评估了浓度,色散,和总胆固醇(TC)的偏差,甘油三酯(TG),低密度脂蛋白(LDL-C),高密度脂蛋白(HDL-C)分布。线性回归分析了HbA1c和血脂之间的关系,辅以拟合曲线以可视化趋势。
    患糖尿病的参与者表现出更高的年龄和更高的体重指数(BMI),收缩压(SBP),舒张压(DBP),TC,TG,LDL-C,和FPG水平与无糖尿病患者相比(p<0.001)。线性回归分析显示HbA1c值与TC之间存在显著关联,TG,LDL-C,和HDL-C(p<0.001)。绘制的曲线表明,作为TC,TG,LDL水平升高,HbA1c水平上升,而HDL水平下降。
    HbA1c与TC呈正相关,TG,LDL-C,云南高原中部人群与HDL-C呈负相关。
    UNASSIGNED: Dyslipidemia commonly complicates type 2 diabetes mellitus, yet the relationship between glycosylated hemoglobin and blood lipid levels remains uncertain.
    UNASSIGNED: This retrospective cross-sectional study included 27,158 participants from the People\'s Hospital of Yuxi. Statistical comparisons for continuous variables utilized analysis of variance (ANOVA), while chi-square analysis was employed for categorical variables. Boxplots assessed the concentration, dispersion, and deviation of total cholesterol (TC), triglycerides (TG), low-density lipoprotein (LDL-C), and high-density lipoprotein (HDL-C) distribution. A linear regression analysis examined the association between HbA1c and lipid profile, complemented by a fitting curve to visualize trends.
    UNASSIGNED: Participants who developed diabetes exhibited higher age and elevated Body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), TC, TG, LDL-C, and FPG levels compared to those without diabetes (p < 0.001). Linear regression analysis demonstrated significant associations between HbA1c values and TC, TG, LDL-C, and HDL-C (p < 0.001). The plotted curve indicated that as TC, TG, and LDL levels increased, HbA1c levels rose, while HDL levels decreased.
    UNASSIGNED: HbA1c was positively correlated with TC, TG, LDL-C, and negatively correlated with HDL-C in the population in the central Yunnan Plateau.
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  • 文章类型: Journal Article
    我们检查了近视患者的房水(AH)中的脂质分布,以确定差异并研究脂质之间的关系。此外,我们评估了等效球形和轴向长度,以探讨近视的发病机制。采用超高效液相色谱-串联质谱(UHPLC-MS/MS)对眼轴长度<26mm(A组)和>28mm(B组)的近视患者样品的脂质组成进行定性和定量分析。使用单变量和多变量分析确定两组之间的脂质分布差异。使用受试者操作特征(ROC)曲线来鉴定鉴别脂质。Spearman相关性分析探讨了脂质浓度与生物特征参数之间的关联。在这项研究中已经鉴定了21种脂质类别的三百九种脂质。B组与A组5种血脂差异有统计学意义(VIP>1,P<0.05):BMP(20:3/22:3),PG(22:1/24:0),PS(14:1/22:4),TG(44:2)_FA18:2和TG(55:3)_FA18:1。这些脂质的曲线下面积(AUC)>0.75。值得注意的是,BMP的浓度(20:3/22:3),PS(14:1/22:4),和TG(55:3)_FA18:1与球形当量相关,而BMP(20:3/22:3)和PS(14:1/22:4)与轴向长度相关。我们的研究确定了近视患者的五种不同的脂质,其中三个与近视程度有显著相关性。这些发现通过脂质组学改变增强了我们对近视发病机制的理解,强调细胞膜组成和功能的变化,能量代谢和储存,以及涉及炎症的途径,过氧化物酶体增殖物激活受体(PPAR),和与磷脂酰丝氨酸相关的代谢过程,磷脂酰甘油,甘油三酯,多不饱和脂肪酸,和胆固醇。
    We examined the lipid profiles in the aqueous humor (AH) of myopic patients to identify differences and investigate the relationships among dissertating lipids. Additionally, we assessed spherical equivalents and axial lengths to explore the pathogenesis of myopia. Ultra-high-performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS) was employed to qualitatively and quantitatively analyze the lipid composition of samples from myopic patients with axial lengths <26 mm (Group A) and >28 mm (Group B). Differences in lipid profiles between the two groups were determined using univariate and multivariate analyses. Receiver operator characteristic (ROC) curves were used to identify discriminating lipids. Spearman correlation analysis explored the associations between lipid concentrations and biometric parameters. Three hundred and nine lipids across 21 lipid classes have been identified in this study. Five lipids showed significant differences between Group B and Group A (VIP >1, P < 0.05): BMP (20:3/22:3), PG (22:1/24:0), PS (14:1/22:4), TG (44:2)_FA18:2, and TG (55:3)_FA18:1. The area under the curve (AUC) for these lipids was >0.75. Notably, the concentrations of BMP (20:3/22:3), PS (14:1/22:4), and TG (55:3)_FA18:1 were correlated with spherical equivalents, while BMP (20:3/22:3) and PS (14:1/22:4) correlated with axial lengths. Our study identified five differential lipids in myopic patients, with three showing significant correlations with the degree of myopia. These findings enhance our understanding of myopia pathogenesis through lipidomic alterations, emphasizing changes in cell membrane composition and function, energy metabolism and storage, and pathways involving inflammation, peroxisome proliferator-activated receptors (PPAR), and metabolic processes related to phosphatidylserine, phosphatidylglycerol, triglycerides, polyunsaturated fatty acids, and cholesterol.
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  • 文章类型: Journal Article
    人类疱疹病毒8型(HHV-8)感染表现出明显的地域和民族差异。尽管研究表明这些差异可能与脂质代谢有关,到目前为止,没有大规模的研究探索这一点。本研究探讨了来自中国西北10个地区的2516名居民中HHV-8的血清阳性率,然后探讨了HHV-8感染与血脂谱的相关性。所有居民的HHV-8血清学阳性率为15.6%。HHV-8血清阳性率在不同种族之间的范围为11.2-27.6%。在不同的BMI水平,HHV-8阳性率为27.6%,16.9%,BMI<18.5、18.5-24.9和≥25分别为13.6%。高血压人群的HHV-8血清阳性率(12.6%)低于非高血压人群(16.7%)。单因素Logistic回归分析显示,年龄,高血压,收缩压,BMI,总胆固醇,和高密度脂蛋白胆固醇(HDL-C)与HHV-8血清阳性显着相关(p<0.05)。校正混杂因素后的多因素logistic回归分析显示HDL-C(比值比[OR]:0.132,95%置信区间[CI],0.082-0.212;p<0.001)和BMI(OR:0.959,95%CI0.933-0.986;p=0.003)与HHV-8血清阳性相关。关于种族的亚组分析,性别,或年龄证明与HDL-C有一致的关系。亚组中HHV-8血清阳性和BMI的结果不一致。然而,HHV-8血清抗体滴度与HDL-C水平的Spearman相关性分析显示HHV-8血清阳性个体之间无线性关系(ρ=-0.080,p=0.058)。HHV-8血清抗体滴度与BMI也没有显着相关(ρ=-0.015,p=0.381)。低HDL-C水平可能是HHV-8感染的独立危险因素,但是HDL-C水平与HHV-8抗体滴度之间没有显着相关性。
    Human herpesvirus 8 (HHV-8) infection shows obvious regional and ethnic differences. Although studies have shown that these differences may be associated with lipid metabolism, to date, no large-scale studies have explored this. This study explored the seropositivity rate of HHV-8 among 2516 residents from 10 regions of northwest China and then the correlates of HHV-8 infection with lipid profile. The HHV-8 serological positivity rate was 15.6% among all residents. The HHV-8 seroprevalence ranged 11.2-27.6% among different ethnicities. Across different BMI levels, the positive rates of HHV-8 were 27.6%, 16.9%, and 13.6% for a BMI < 18.5, 18.5-24.9, and ≥25, respectively. HHV-8 seropositivity rate was lower for hypertensive people (12.6%) than for non-hypertensive people (16.7%). Univariate logistic regression analyses revealed that age, hypertension, systolic blood pressure, BMI, total cholesterol, and high-density lipoprotein cholesterol (HDL-C) significantly correlated with HHV-8 seropositivity (p < 0.05). Multivariate logistic regression analysis after adjusting for confounding factors showed that HDL-C (odds ratio [OR]: 0.132, 95% confidence interval [CI], 0.082-0.212; p < 0.001) and BMI (OR: 0.959, 95% CI 0.933-0.986; p = 0.003) were associated with HHV-8 seropositivity. Subgroup analyses concerning ethnicity, sex, or age demonstrated a consistent relationship with HDL-C. The results of HHV-8 seropositivity and BMI were inconsistent in the subgroups. However, Spearman\'s correlation analysis between HHV-8 serum antibody titer and HDL-C levels showed no linear relationship among HHV-8 seropositive individuals (ρ = -0.080, p = 0.058). HHV-8 serum antibody titers were also not significantly correlated with BMI (ρ = -0.015, p = 0.381). Low HDL-C levels may be an independent risk factor for HHV-8 infection, but there is no significant correlation between HDL-C levels and HHV-8 antibody titers.
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  • 文章类型: Journal Article
    心房颤动(AF)是最常见的症状性心律失常,由多种原因引起的血脂异常是众所周知的动脉粥样硬化性心血管疾病(ASCVD)的病因。有趣的是,新出现的数据表明,血脂紊乱也可能与房颤相关.先前的几项研究表明,房颤的患病率与低密度脂蛋白(LDL)-胆固醇浓度降低有关。总胆固醇(TC),高密度脂蛋白(HDL)-胆固醇,和升高的脂蛋白(a)[Lp(a)]。在这份手稿中,我们试图总结目前关于血脂异常与房颤事件关系的证据,提出了房颤发展的潜在脂质相关机制,与细胞膜特性有关,LDL受体减少,反向胆固醇运输,肥胖诱导的炎症,凋亡,和自噬。这些信息可能会增强我们对脂质紊乱和房颤的理解,这可能有助于未来探索血脂异常和房颤的联系。
    Atrial fibrillation (AF) is the most common type of symptomatic arrhythmias, which was induced by multiple causes and dyslipidemia is a well-known causal factor for the atherosclerotic cardiovascular disease (ASCVD). Interestingly, emerging data has suggested that lipid disorder may be also associated with AF. Several previous studies have shown a link of the prevalence of AF with decreased concentration of low-density lipoproteins (LDL)-cholesterol, total cholesterol (TC), high-density lipoproteins (HDL)-cholesterol, and elevated lipoprotein(a) [Lp(a)]. In this manuscript, we try to summarize the current evidence regarding the relation of dyslipidemia to the incident AF, present the potential lipid-related mechanisms of AF development, which is involved in cell membrane properties, LDL-receptors reduction, reverse cholesterol transport, adiposity-induced inflammation, apoptosis, and autophagy. Such information may boost our understandings concerning the lipid disorder and AF, which may help future exploration in the link of dyslipidemia and AF.
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  • 文章类型: Journal Article
    越来越多的证据表明,妊娠期血脂异常与分娩胎龄大(LGA)或胎龄小(SGA)婴儿的风险有关。然而,维生素D状态对这些关系的影响需要进一步研究.这项研究调查了妊娠中期血脂与LGA或SGA风险之间的关系是否受维生素D水平的影响。
    母体血脂水平,包括总胆固醇(TC),甘油三酯(TG),低密度脂蛋白胆固醇(LDL-C),高密度脂蛋白胆固醇(HDL-C),和维生素D水平,在孕中期的6,499名孕妇中进行了测量。多变量回归模型和亚组分析用于评估母体血脂谱之间的潜在关联,维生素D水平,以及LGA或SGA的风险。
    SGA婴儿的患病率为9.8%(n=635),而LGA婴儿的比例为6.9%(n=447)。发现母亲的TG水平与LGA的风险呈正相关(比值比[OR]=1.41,95%置信区间[CI]:1.17-1.70),而母体TG之间观察到负相关,TC,LDL-C水平,和SGA的风险。此外,HDL-C水平较高的母亲生育LGA婴儿的可能性较小(OR=0.58,95%CI:0.39~0.85).重要的是,TG之间的关联,TC,LDL-c,主要在维生素D水平不足的孕妇中观察到SGA和TG与LGA之间。至于HDL-C,与维生素D不足的母亲(OR=0.65,95%CI:0.42-0.99)相比,维生素D充足的母亲患LGA的风险较低(OR=0.42,95%CI:0.18-0.98).
    妊娠中期的维生素D状态对血脂谱与LGA和SGA婴儿风险之间的关联具有改善作用。
    UNASSIGNED: Accumulating evidence has linked dyslipidemia during pregnancy to the risk of delivering infants born either large for gestational age (LGA) or small for gestational age (SGA). However, the effects of the vitamin D status on these relationships require further investigation. This study investigated whether the relationship between lipid profiles and the risk of LGA or SGA was influenced by vitamin D levels during the second trimester.
    UNASSIGNED: Maternal lipid profile levels, including total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), and vitamin D levels, were measured in a cohort of 6,499 pregnant women during the second trimester. Multivariate regression models and subgroup analyses were employed to evaluate the potential associations between maternal lipid profiles, vitamin D levels, and the risk of LGA or SGA.
    UNASSIGNED: The prevalence of SGA infants was 9.8% (n=635), whereas that of LGA infants was 6.9% (n=447). Maternal TG levels were found to be positively associated with the risk of LGA (odds ratio [OR] = 1.41, 95% confidence interval [CI]:1.17-1.70), whereas a negative association was observed between maternal TG, TC, LDL-C levels, and risk of SGA. Additionally, mothers with higher HDL-C levels were less likely to give birth to an LGA infant (OR=0.58, 95% CI:0.39-0.85). Importantly, associations between TG, TC, LDL-c, and SGA as well as between TG and LGA were primarily observed among pregnant women with insufficient vitamin D levels. As for HDL-C, the risk of LGA was lower in mothers with sufficient vitamin D (OR = 0.42, 95% CI:0.18-0.98) compared to those with insufficient vitamin D (OR = 0.65, 95% CI:0.42-0.99).
    UNASSIGNED: Vitamin D status during the second trimester exerts a modifying effect on the association between lipid profiles and the risk of LGA and SGA infants.
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