Healthy

健康
  • 文章类型: Journal Article
    目的:健康饮食和富含植物化学物质的饮食可以在前列腺癌中促进健康。因此,本研究旨在探讨健康饮食指标(HDI)和植物化学指数(PI)与前列腺癌比值比之间的可能关联。
    方法:这是一项在设拉子进行的病例对照研究,伊朗,涉及62例新诊断的前列腺癌病例和63例医院控制。这项研究收集了人口统计和人体测量数据,以及通过半定量食物频率问卷获得的饮食摄入量信息。采用Logistic回归模型评估HDI和PI与前列腺癌的相关性。
    结果:该研究包括120名参与者,发现HDI和PI评分较高的个体患前列腺癌的比值比较低(HDI:比值比(OR):0.322-置信区间(CI)95%:0.14-0.700-PI:OR:0.426-CI95%:0.204-0.888)。在调整了潜在的混杂因素后,尤其是在HDI评分较高的人群中,前列腺癌的比值比较低(OR:0.376-CI95%:0.163~0.868).
    结论:本研究的结果表明,采用富含膳食植物化学物质的更健康的饮食习惯可以有效预防和阻止前列腺癌的进展。
    OBJECTIVE: Healthy diets and diets rich in phytochemicals can have health-promoting benefits in prostate cancer. Therefore, this study aimed to explore the possible association between Healthy Diet Indicator (HDI) and Phytochemical Index (PI) with prostate cancer odds ratio.
    METHODS: This is a case-control study conducted in Shiraz, Iran, involving 62 newly diagnosed prostate cancer cases and 63 hospital-based controls. The study collected demographic and anthropometric data, as well as dietary intake information via a semi-quantitative food frequency questionnaire. Logistic regression models were employed to evaluate the association between HDI and PI with prostate cancer.
    RESULTS: The study included 120 participants and found that individuals with higher HDI and PI scores had a lower odds ratio of prostate cancer (HDI: odds ratio (OR): 0.322 - confidence interval (CI) 95%: 0.14-0.700 - PI: OR: 0.426 - CI 95%: 0.204-0.888). After adjusting for potential confounders, a lower odds ratio of prostate cancer was observed specifically among those with higher HDI scores (OR: 0.376 - CI 95%: 0.163-0.868).
    CONCLUSIONS: The findings of the present study suggest that adopting healthier dietary habits rich in dietary phytochemicals could be effective in preventing and halting the progression of prostate cancer.
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  • 文章类型: Journal Article
    三维(3D)斑点追踪超声心动图(3DSTE)是无创成像的最新发展之一,可同时对心房和瓣膜环进行3D评估。3DSTE用于分析健康成人受试者的左心房(LA)体积变化与二尖瓣环(MA)尺寸和功能特性之间的相关性。
    这项回顾性队列研究共纳入297名健康受试者,其中图像质量不足是排除98例(33%)的原因。其余研究人群包括199名健康成年人,无窦性心律瓣膜反流/狭窄(平均年龄:33.5±12.7岁,104名男性,体重指数:24.7±1.2kg/m2,收缩压和舒张压:118.2±3.4mmHg和78.3±4.5mmHg,分别)。所有病例均进行了二维多普勒超声心动图和3DSTE检查。
    更大的LA体积与功能降低的更扩张的MA尺寸相关。仅在收缩期和舒张末期可以证明左心房容积升高,而LA排空分数增加仅存在于舒张末期。减少的MA部分面积变化与更大的舒张LA容积相关,较小的早期舒张LA中风量,此外,所有LA排空分数也较小。可以证明LA和MA参数之间的相关性。
    3DSTE不仅适用于腔室量化,还用于评估瓣膜环的尺寸。LA体积与MA尺寸和功能特性之间存在很强的关系。
    UNASSIGNED: Three-dimensional (3D) speckle-tracking echocardiography (3DSTE) is one of the newest development in non-invasive imaging offering simultaneous 3D evaluation of atria and valvular annuli. 3DSTE was used to analyze correlations between left atrial (LA) volume changes and mitral annular (MA) dimensions and functional properties in healthy adult subjects.
    UNASSIGNED: A total of 297 healthy subjects were enrolled in this retrospective cohort study, from which insufficient quality of images was responsible for the exclusion of 98 cases (33%). The remaining study population consisted of 199 healthy adults without valvular regurgitation/stenosis in sinus rhythm (mean age: 33.5 ± 12.7 years, 104 males, body mass index: 24.7 ± 1.2 kg/ m 2 , systolic and diastolic blood pressure: 118.2 ± 3.4 mmHg and 78.3 ± 4.5 mmHg, respectively). Two-dimensional Doppler echocardiography and 3DSTE were performed in all cases.
    UNASSIGNED: Larger LA volumes were associated with more dilated MA dimensions with its reduced function. Elevated LA stroke volumes could be demonstrated only in systole and end-diastole, while increased LA emptying fraction was present only in end-diastole. Reduced MA fractional area change was associated with larger diastolic LA volumes, smaller early diastolic LA stroke volume, in addition all LA emptying fractions were smaller as well. Correlations could be demonstrated between LA and MA parameters.
    UNASSIGNED: 3DSTE is suitable not only for chamber quantifications, but also for the assessment of valvular annular dimensions. Strong relationship exists between LA volumes and MA dimensions and functional properties.
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  • 文章类型: Journal Article
    超重和肥胖在全球范围内具有很高的患病率,并且与显著的发病率和死亡率相关。在COVID-19大流行之后,远程健康成为在慢性病管理中促进健康行为的有效工具。这项研究采用了为期三个月的准实验设计,并进行了干预前后的测量,评估分配到干预组(IG)或对照组(CG)的82名成年人的进展。共有66名参与者完成了这项研究,每组33人。IG可以访问基于远程医疗的平台,提供有关健康生活习惯的教育内容,并进行了亲自和远程跟进。像往常一样监测CG,即,在他们的初级保健护士的自由裁量权。IG表现出统计学上显著的体重减轻,BMI,和腹围,随着对心脏健康饮食的坚持,特别是地中海饮食,和更高水平的体力活动。护士主导的干预(Care4US+),利用初级保健的远程医疗,已被证明在增强健康行为和减少心血管危险因素方面有效。
    Excess weight and obesity have high prevalence rates globally and are associated with significant morbidity and mortality rates. In the wake of the COVID-19 pandemic, telehealth emerged as an effective tool for promoting healthy behaviours in the management of chronic conditions. This study employed a three-month quasi-experimental design with pre- and post-intervention measurements, assessing the progress of 82 adults assigned either to an intervention group (IG) or a control group (CG). A total of 66 participants completed the study, with 33 in each group. The IG had access to a telehealth-based platform providing educational content on healthy lifestyle habits and were followed up both in-person and remotely. The CG were monitored as usual, i.e., at their primary care nurses\' discretion. The IG exhibited a statistically significant reduction in weight, BMI, and abdominal circumference, along with improved adherence to a heart-healthy diet, specifically the Mediterranean diet, and higher levels of physical activity. The nurse-led intervention (Care4US+), utilising telehealth from primary care, has proven effective in enhancing healthy behaviours and reducing cardiovascular risk factors.
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  • 文章类型: Journal Article
    后扣带皮层(PCC)是默认模式网络的关键枢纽,众所周知在注意力中起着重要作用。使用超高场7特斯拉磁共振波谱(MRS)量化神经代谢物浓度,这项探索性研究调查了肌醇(Myo-Ins)浓度的影响,谷氨酸(Glu),谷氨酰胺(Gln),PCC中的天冬氨酸或天冬氨酸(Asp)和γ-氨基丁酸(GABA)对46名健康参与者的关注。每位参与者都接受了MRS扫描和认知测试,包括跟踪测试(TMTA/B)和注意力表现测试。经过多元回归分析和自举校正后,研究结果表明,Myo-Ins和Asp显着影响(p<0.05)注意任务。一方面,Myo-Ins显示它可以改善TMTA和TMTB的完成时间。天冬氨酸的增加导致Go/No-go任务中的更多错误,并显示出增加Go/No-go任务中的反应时间和没有信号的警觉性稳定性的趋势。Glu无显著影响(p>0.05),观察到Gln和GABA。
    The posterior cingulate cortex (PCC) is a key hub of the default mode network and is known to play an important role in attention. Using ultra-high field 7 Tesla magnetic resonance spectroscopy (MRS) to quantify neurometabolite concentrations, this exploratory study investigated the effect of the concentrations of myo-inositol (Myo-Ins), glutamate (Glu), glutamine (Gln), aspartate or aspartic acid (Asp) and gamma-amino-butyric acid (GABA) in the PCC on attention in forty-six healthy participants. Each participant underwent an MRS scan and cognitive testing, consisting of a trail-making test (TMT A/B) and a test of attentional performance. After a multiple regression analysis and bootstrapping for correction, the findings show that Myo-Ins and Asp significantly influence (p < 0.05) attentional tasks. On one hand, Myo-Ins shows it can improve the completion times of both TMT A and TMT B. On the other hand, an increase in aspartate leads to more mistakes in Go/No-go tasks and shows a trend towards enhancing reaction time in Go/No-go tasks and stability of alertness without signal. No significant (p > 0.05) influence of Glu, Gln and GABA was observed.
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  • 文章类型: Journal Article
    背景:营养对于治疗和缓解月经失调的症状很重要。本研究旨在探讨女性月经紊乱与特定食物和营养素摄入之间的关系。
    方法:五十九名经期妇女参与了这项研究。问卷表格是由研究人员通过谷歌表格创建的,并在在线应用程序中分发(WhatsApp,Instagram等。).问卷由5个部分组成,包括人口统计数据,申报人体测量(高度(米或厘米),重量(g或kg)),关于饮食习惯的问题,月经状况,和24小时的食物消费。使用SPSS23进行统计分析;使用BeBiS9.0对食物消耗进行营养分析。
    结果:发现健康参与者的体重指数(BMI)高于月经失调的女性。月经失调的女性蛋白质摄入量较低,维生素K,维生素B3,维生素B5和钠与健康女性相比。所有参与者都有较高的维生素B3,钠,磷,和锰,与国家充足的摄入量相比,其他营养素的摄入量较低。
    结论:我们的研究结果表明,患有月经紊乱的女性食用更多的高糖食物/饮料,并且营养素摄入不足。
    BACKGROUND: Nutrition is important to the management and relief of the symptoms in menstrual disorders. This study aims to investigate the relationship between menstrual disorders and specific foods and nutrient intake in women.
    METHODS: Five-hundred-nine menstruating women participated in the study. The questionnaire form was created by the researchers via Google Forms and distributed in online applications (WhatsApp, Instagram etc.). The questionnaire consists of 5 sections, including demographic data, declared anthropometric measurements (height (m or cm), weight (g or kg)), questions about eating habits, menstruation status, and 24-hour food consumption. Statistical analysis was made with SPSS 23; nutrient analysis of food consumption was made using BeBiS 9.0.
    RESULTS: It was found that the body mass index (BMI) of healthy participants was higher than women with menstrual disorders. Women with menstrual disorders have lower intake of protein, vitamin K, vitamin B3, vitamin B5 and sodium compared with healthy women. All participants have a higher intake of vitamin B3, sodium, phosphorus, and manganese, and have a lower intake of other nutrients compared with the national adequate intake.
    CONCLUSIONS: Our findings showed that women with menstrual disorders consume more high-sugar food/beverages and have inadequate nutrients intake.
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  • 文章类型: Journal Article
    在健康的老年人和遗忘型轻度认知障碍(aMCI)患者中,性别和惯用手对经济能力表现的影响仍未被探索。
    本研究的目的是研究上述因素的影响(性别,用手,和健康状况),遵循阶乘实验设计;因此,8组(每组10人)具有相似的人口统计学特征(年龄和教育水平)组成的右/左撇子,女性/男性和健康/不健康(诊断为aMCI)的老年人。迷你精神状态检查(MMSE)作为一般认知能力的衡量标准,和财产法交易法律能力评估量表(LCPLTAS)被用作财务能力的指标;此外,GDS-15用于评估抑郁症状。还包括手偏好的自我报告。
    尽管正如预期的那样,健康的男性和女性,无论他们的利手如何,在MMSE和LCPLTAS上都优于aMCI患者,现金交易的表现,银行对账单管理,账单支付,财务决策,与左撇子aMCI女性相比,右撇子aMCI女性对LCPLTAS的个人资产知识明显更高。
    未来的研究应进一步阐明这种左撇子女性患者在更大的患者群体中出现aMCI特征的原因。这是一项探索性研究,小样本量限制了结论的强度;需要对此主题进行进一步的研究。
    UNASSIGNED: The effects of sex and handedness on financial capacity performance remain unexplored both in healthy older adults and in patients with amnestic mild cognitive impairment (aMCI).
    UNASSIGNED: The aim of this study was to study the effect of the above factors (sex, handedness, and health condition), following a factorial experimental design; hence, eight groups (each with ten individuals) with similar demographic characteristics (age and education level) were formed consisting of right/left-handed, women/men and healthy/not healthy (with a diagnosis of aMCI) older adults. Mini-Mental State Examination (MMSE) was administered as a measure of general cognitive ability, and Legal Capacity for Property Law Transactions Assessment Scale (LCPLTAS) was used as an indicator of financial capacity; moreover, GDS-15 was used to assess depressive symptomatology. Self-reports of hand preference were also included.
    UNASSIGNED: Although as expected healthy men and women regardless of their handedness outperformed aMCI patients on MMSE and LCPLTAS, performance on cash transactions, bank statement management, bill payment, financial decision making, and knowledge of personal assets from LCPLTAS is significantly higher for right-handed aMCI women compared with left-handed aMCI women.
    UNASSIGNED: Future research should further elucidate the reasons for this left-handed female patient with aMCI profile in larger groups of patients. This is an exploratory study, and the small sample size limits the strength of conclusions; further studies on this topic are needed.
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  • 文章类型: Journal Article
    先前的研究表明,饮食和体育锻炼会影响便秘。然而,饮食和体力活动对便秘的联合作用尚不清楚.
    便秘是根据粪便稠度和频率定义的,而总体饮食质量使用健康饮食指数(HEI)-2015评分进行评估。参与者分为低(代谢当量[MET]-min/wk<500)和高体力活动组(MET-min/wk≥500)。使用调查逻辑回归和有限的三次样条分析了不同体力活动组的饮食和便秘之间的关联。
    当便秘由大便稠度定义时,较高的HEI-2015评分与高体力活动组便秘风险降低相关(比值比[OR],0.98;95%置信区间[CI],0.97-0.99)。然而,在低体力活动组,增加的HEI-2015评分没有显著影响便秘风险(OR,1.01;95%CI,0.97-1.05)。当根据粪便频率定义便秘时,发现了类似的结果。在高体力活动组中,HEI-2015评分的增加与便秘风险的降低显着相关(OR,0.96;95%CI,0.94-0.98)。相反,在低体力活动组,增加的HEI-2015评分并不影响便秘的风险(OR,0.96;95%CI,0.90-1.03)。
    我们的研究结果表明,较高的HEI-2015评分与高体力活动水平的个体便秘呈负相关,而与低体力活动水平的个体无关。当使用不同的便秘定义时,这种关联是一致的。这些结果强调了将健康饮食与定期体育锻炼相结合以缓解便秘的重要性。
    UNASSIGNED: Previous studies have shown that diet and physical activity can influence constipation. However, the combined effect of diet and physical activity on constipation remains unclear.
    UNASSIGNED: Constipation was defined based on stool consistency and frequency, while overall diet quality was assessed using Healthy Eating Index (HEI)-2015 scores. Participants were categorized into low (metabolic equivalent [MET]-min/wk < 500) and high physical activity groups (MET-min/wk ≥ 500). The association between diet and constipation across physical activity groups was analyzed using survey logistic regression and restricted cubic splines.
    UNASSIGNED: Higher HEI-2015 scores were associated with reduced constipation risk in the high physical activity group when constipation was defined by stool consistency (odds ratio [OR], 0.98; 95% confidence interval [CI], 0.97-0.99). However, in the low physical activity group, increased HEI-2015 scores did not significantly affect constipation risk (OR, 1.01; 95% CI, 0.97-1.05). Similar results were found when constipation was defined based on stool frequency. In the high physical activity group, increased HEI-2015 scores were significantly associated with a reduced constipation risk (OR, 0.96; 95% CI, 0.94-0.98). Conversely, in the low physical activity group, increased HEI-2015 scores did not affect the risk of constipation (OR, 0.96; 95% CI, 0.90-1.03).
    UNASSIGNED: Our findings suggest that a higher HEI-2015 score is negatively associated with constipation among individuals with high physical activity levels but not among those with low physical activity levels. This association was consistent when different definitions of constipation were used. These results highlight the importance of combining healthy diet with regular physical activity to alleviate constipation.
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  • 文章类型: Journal Article
    诸如黄曲霉毒素B1和曲霉毒素A(OTA)之类的霉菌毒素是在原材料或商业饲料中生长的霉菌中的次生代谢产物。这种相互作用对死亡率有协同作用,体重,饲料摄入量,胚胎异常,产蛋,淋巴器官萎缩.进行这项研究是为了确定霉菌毒素解毒剂对饲喂受霉菌毒素污染的肉鸡血液特征的影响。比如异性恋者的数量,淋巴细胞,单核细胞,平均红细胞血红蛋白(MCH),和MCH浓度(MCHC)。
    总共20日龄的Cobb肉鸡(DOC)被给予四次处理,五次重复。这项研究中使用的鸡只数量是通过统计计算确定的,并且获得的数据是同质的,因此代表了人口。治疗包括阴性对照与基础饲料(C-),真菌毒素污染阳性对照(C+),处理1:霉菌毒素污染和霉菌毒素解毒1.1g/kg(T1),和处理2:霉菌毒素污染和霉菌毒素解毒1.6g/kg(T2)。真菌毒素污染包括0.1mg/kg黄曲霉毒素B1和0.1mg/kgOTA。鸡的治疗期为28天,从8到35天在本研究中使用电池笼。鸡被关在一个封闭的地方,在治疗期间监测通风室和室温(27°C)。
    根据统计数据处理的结果,在饲喂受霉菌毒素污染的饲料(C)的鸡与未饲喂受霉菌毒素污染的饲料(C-)的鸡与给予1.6g/kg霉菌毒素解毒(T2)的鸡之间观察到显着差异(p<0.05)。1.6g/kg剂量的霉菌毒素解毒对异源性有显著(p<0.05)的影响,淋巴细胞,和异型淋巴细胞比率,白细胞,红细胞,在这个实验中,血肉鸡的血红蛋白水平。在其他参数,如单核细胞,MCH,和MCHC,剂量为1.6g/kg的治疗2是最佳治疗方法,尽管C-和T1没有显着影响。
    以1.6g/kg的剂量施用霉菌毒素解毒剂增加了嗜异粒细胞的数量和嗜异淋巴细胞的比例,白细胞,红细胞,和饲喂霉菌毒素污染饲料的肉鸡的血红蛋白。
    UNASSIGNED: Mycotoxins such as aflatoxin B1 and ochratoxin A (OTA) are secondary metabolites in molds that grow in raw materials or commercial feed. This interaction has a synergistic effect on mortality, body weight, feed intake, embryo abnormalities, egg production, and lymphoid organ atrophy. This study was conducted to determine the effect of a mycotoxin detoxifier on the blood profile of broilers that were given feed contaminated with mycotoxin, such as the number of heterophils, lymphocytes, monocytes, mean corpuscular hemoglobin (MCH), and MCH concentration (MCHC).
    UNASSIGNED: A total of 20 day-old chicks (DOC) of Cobb broilers were given four treatments with five replicates. The number of chickens used in this research was determined using statistical calculations, and the data obtained was homogeneous so that the population was represented. Treatments included negative control with basal feed (C-), positive control with mycotoxins contamination (C+), treatment 1: Mycotoxins contamination and mycotoxin detoxification 1.1 g/kg (T1), and treatment 2: Mycotoxins contamination and mycotoxin detoxification 1.6 g/kg (T2). Mycotoxin contamination comprised 0.1 mg/kg aflatoxin B1 and 0.1 mg/kg OTA. The treatment period for chickens was 28 days, from 8 to 35 days. A battery cage was used in this study. Chickens were kept in a closed, ventilated room and the room temperature (27°C) was monitored during the treatment period.
    UNASSIGNED: Based on the results of statistical data processing, a significant difference (p < 0.05) was observed between chickens fed mycotoxin-contaminated feed (C+) and chickens not fed mycotoxin-contaminated feed (C-) and chickens given 1.6 g/kg mycotoxin detoxification (T2). Mycotoxin detoxification at a dose of 1.6 g/kg had a significant (p < 0.05) effect on the heterophil, lymphocyte, and heterophil lymphocyte ratio, leukocyte, erythrocyte, and hemoglobin levels of the blood broiler in this experiment. On other parameters such as monocytes, MCH, and MCHC, treatment 2 at dose 1.6 g/kg was the best treatment, although there was no significant effect with C- and T1.
    UNASSIGNED: The administration of mycotoxin detoxifiers at a dose of 1.6 g/kg increased the number of heterophils and the ratio of heterophil lymphocytes, leukocytes, erythrocytes, and hemoglobin in broilers fed mycotoxin-contaminated feed.
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  • 文章类型: Journal Article
    目前的文献缺乏明确的胃肠道(GI)症状的表征,肠道菌群组成,以及训练有素的运动员的总体身心健康。因此,这项研究旨在描述自我报告症状的差异,肠道菌群组成,和福祉(即,睡眠质量,心情,以及有和没有胃肠道症状的运动员之间的身体(PHQ)和心理健康)。此外,我们评估了胃肠道投诉组中3周多成分发酵乳清补充剂的潜在影响,没有对照组,关于肠道微生物群和自我报告的胃肠道症状和健康状况。共有50名运动员(24.7±4.5岁)患有胃肠道问题(基线时的胃肠道组,GI-B)和21名没有GI问题的运动员(25.4±5.3岁)(非GI组,NGI)包括在内。在基线,总胃肠道症状评定量表(GSRS)评分存在显着差异(24.1±8.48vs.30.3±8.82,p=0.008)和PHQ的趋势差异(33.9±10.7与30.3±8.82,p=0.081),但其他结局没有差异(p>0.05),包括肠道微生物群指标,群体之间。补充3周后,GI组(GI-S)显示双歧杆菌相对丰度增加(p<0.05),报告的严重胃肠道投诉数量较低(从72%到54%,p<0.001),PHQ下降(p=0.010)。总之,受过良好训练的有胃肠道主诉的运动员报告的胃肠道症状比运动参考组更严重,在健康或微生物组成方面没有明显差异。未来的对照研究应该进一步调查这种多成分补充剂对胃肠道疾病的影响以及肠道健康相关标志物的相关变化。
    The current state of the literature lacks a clear characterization of gastrointestinal (GI) symptoms, gut microbiota composition, and general physical and mental wellbeing in well-trained athletes. Therefore, this study aimed to characterize differences in self-reported symptoms, gut microbiota composition, and wellbeing (i.e., sleep quality, mood, and physical (PHQ) and mental wellbeing) between athletes with and without GI symptoms. In addition, we assessed the potential impact of a 3-week multi-ingredient fermented whey supplement in the GI complaints group, without a control group, on the gut microbiota and self-reported GI symptoms and wellbeing. A total of 50 athletes (24.7 ± 4.5 years) with GI issues (GI group at baseline, GI-B) and 21 athletes (25.4 ± 5.3 years) without GI issues (non-GI group, NGI) were included. At baseline, there was a significant difference in the total gastrointestinal symptom rating scale (GSRS) score (24.1 ± 8.48 vs. 30.3 ± 8.82, p = 0.008) and a trend difference in PHQ (33.9 ± 10.7 vs. 30.3 ± 8.82, p = 0.081), but no differences (p > 0.05) were seen for other outcomes, including gut microbiota metrics, between groups. After 3-week supplementation, the GI group (GI-S) showed increased Bifidobacterium relative abundance (p < 0.05), reported a lower number of severe GI complaints (from 72% to 54%, p < 0.001), and PHQ declined (p = 0.010). In conclusion, well-trained athletes with GI complaints reported more severe GI symptoms than an athletic reference group, without showing clear differences in wellbeing or microbiota composition. Future controlled research should further investigate the impact of such multi-ingredient supplements on GI complaints and the associated changes in gut health-related markers.
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  • 文章类型: Journal Article
    背景:这项研究的目的是阐明(1)健康膝关节和骨关节炎膝关节之间胫骨骨干皮质骨厚度(CBT)的差异,以及(2)股骨角度(FTA)和胫骨近端内侧室(MCT)的倾斜度对胫骨CBT的影响。
    方法:该研究评估了60名患有内翻膝骨关节炎(OA)的受试者(男性22名,女性38名;平均年龄,74±7岁)和53名健康的老年受试者(男性28名,女性25名;平均年龄,70±6年)。使用CT的高分辨率测量结果,自动计算了2752-11,296点的胫骨骨干的三维估计CBT。通过结合六个高度和四个区域,在24个地区评估了标准化的CBT。此外,CBT之间的联系,每个FTA,并对MCT倾向进行了调查。
    结果:OA组显示胫骨近端内侧区域的CBT比外侧区域厚,而健康组侧方CBT较厚。OA组胫骨近端内侧外侧比值明显高于健康组。OA组的近内侧CBT与FTA和MCT倾斜相关。
    结论:这项研究表明,内翻骨关节炎膝关节表现出与健康膝关节不同的近端内侧CBT趋势,与FTA和MCT倾斜有关,可能是由于中间负荷集中。
    BACKGROUND: The purpose of this study was to clarify (1) the differences in cortical bone thickness (CBT) of the tibial diaphysis between healthy and osteoarthritic knees and (2) the influences of the femorotibial angle (FTA) and inclination of the medial compartment of the proximal tibia (MCT) on tibial CBT.
    METHODS: The study assessed 60 subjects with varus knee osteoarthritis (OA) (22 males and 38 females; mean age, 74 ± 7 years) and 53 healthy elderly subjects (28 males and 25 females; mean age, 70 ± 6 years). Three-dimensional estimated CBT of the tibial diaphysis was automatically calculated for 2752-11,296 points using high-resolution measurements from CT. The standardized CBT was assessed in 24 regions by combining six heights and four areas. Additionally, the association between the CBT, each FTA, and MCT inclination was investigated.
    RESULTS: The OA group showed a thicker CBT in the medial areas than in the lateral areas of the proximal tibia, while the healthy group had a thicker lateral CBT. The medial-to-lateral ratio of the proximal tibia was significantly higher in the OA group than in the healthy group. The proximal-medial CBT correlated with FTA and MCT inclinations in the OA group.
    CONCLUSIONS: This study demonstrated that varus osteoarthritic knees showed a different trend of proximal-medial CBT with associations in FTA and MCT inclination from healthy knees, possibly due to medial load concentration.
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