Hydrocortisone

氢化可的松
  • 文章类型: Journal Article
    kisspeptin1的合成类似物的作用,该肽参与调节下丘脑垂体-性腺(HPG)应力轴,对Daniorerio鱼的皮质醇水平进行了研究。Kisspeptin1以2μg/kg和8μg/kg的剂量给药,然后静息1h和4h。我们发现2μg/kg和8μg/kg的kisspeptin增加皮质醇水平,注射后1小时皮质醇水平显着上升。
    The effect of a synthetic analog of kisspeptin 1, a peptide involved in the regulation of the hypothalamicpituitary- gonadal (HPG) stress axis, on the cortisol level of Danio rerio fish was investigated. Kisspeptin 1 was administered at doses of 2 μg/kg and 8 μg/kg followed by resting for 1 h and 4 h. We found that kisspeptin at doses of 2 μg/kg and 8 μg/kg increased cortisol levels, with a significant spike in cortisol levels at 1 h post-injection.
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  • 文章类型: Journal Article
    背景和目的:颞下颌关节紊乱或功能障碍(TMD)包括一系列影响颞下颌关节(TMJ)的复杂疾病,咀嚼肌肉,牙齿,和/或它们的支持组织。压力是作为TMD预测因子研究的最相关因素之一。目的是了解考试期间和考试前压力对大学生TMJ状态和唾液皮质醇的影响。材料和方法:本研究是非实验性的,采用纵向,分析,观察性队列设计。研究人群包括在AlfonsoXElSabio大学(马德里,西班牙)。数据是在两个不同的学术时期收集的:第一阶段的特点是学术压力低,没有考试,第二阶段恰逢期末课程考试的高学术压力。收集的结果包括社会人口统计数据,TMJ状态评估(丰塞卡指数),肌肉评估的评估(咬肌,上斜方肌,和胸锁乳突肌)使用MOXY监测器(肌肉氧合)和Neurotrac®(表面肌电图,sEMG),感知压力评估(PSS-14),和唾液皮质醇的测量(酶免疫测定与Elisa)。统计学分析的置信水平为95%(p≤0.05),具有渐近或双侧显著性。结果:在两个不同的测量期间对70名学生进行了分析。根据丰塞卡指数,最初,37.14%的被分析学生表现出轻度的TMD,17.14%中度TMD,45.72%无TMD。总的来说,压力随着年龄的增长而增加,并且与女性有关,最大张口随着年龄的增长而减少,氧饱和度随着年龄和学业压力的增加而降低,肌红蛋白浓度与年龄有关。此外,在较高的学业压力下,肌肉收缩减少,并随着年龄的增长而增加。对女人来说,年龄是患TMD的危险因素,压力恶化了两性从有TMD到没有TMD的过渡。结论:学业压力影响TMJ状态和肌肉结果,如氧饱和度,肌红蛋白浓度,肌肉收缩,虽然还需要更多的研究。
    Background and Objectives: Temporomandibular disorders or dysfunction (TMDs) encompass a range of complex conditions that impact the temporomandibular joint (TMJ), chewing muscles, teeth, and/or their supporting tissues. Stress is one of the most associated factors studied as a TMD predictor. The aim is to figure out the influence of stress on TMJ status and salivary cortisol in university students during and before exams. Materials and Methods: The study was non-experimental, employing a longitudinal, analytical, observational cohort design. The study population consisted of students enrolled in the physiotherapy degree program at the Alfonso X El Sabio University (Madrid, Spain). Data were collected during two distinct academic periods: the first period was characterized by low academic stress and no exams, and the second period coincided with the high academic stress of final course exams. The collected results included sociodemographic data, assessment of TMJ status (Fonseca Index), evaluation of muscle evaluation (masseter, upper trapezius, and sternocleidomastoid) using a MOXY Monitor (muscle oxygenation) and Neurotrac® (surface EMG, sEMG), assessment of perceived stress (PSS-14), and measurement of salivary cortisol (enzyme immunoassay with Elisa). The statistical analysis was conducted with a confidence level of 95% (p ≤ 0.05) and asymptotic or bilateral significance. Results: 70 students were analyzed during two different measurement periods. According to the Fonseca Index, initially, 37.14% of the analyzed students showed mild TMDs, 17.14% moderate TMDs, and 45.72% showed no TMDs. In general terms, stress increased with age and is related to female sex, maximum mouth opening decreased with age, oxygen saturation decreased with age and academic stress, and myoglobin concentration was related to age. Furthermore, muscle contraction decreased during higher academic stress and increased with age. For women, age was a risk factor for suffering from TMDs, and stress worsened the transition from having TMDs to having no TMDs in both sexes. Conclusions: Academic stress influences TMJ status and muscle outcomes such as oxygen saturation, myoglobin concentration, and muscle contraction, although more research is needed.
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  • 文章类型: Journal Article
    吸入性皮质类固醇(ICS)代谢酶之间的遗传变异可能会影响哮喘控制,但证据有限.这项研究验证了细胞色素P4503A5(CYP3A5)中的单核苷酸多态性(SNP)会影响哮喘结局的假设。招募年龄在2-18岁的持续性哮喘患者使用电子AsthmaTracker(e-AT),一个记录每周哮喘控制情况的自我监测工具,药物使用,和哮喘的结果。一部分患者提供了唾液样本用于SNP分析,并参与了药代动力学研究。多变量回归分析调整年龄,性别,种族,和种族用于评估CYP3A5SNP对哮喘结局的影响,包括哮喘控制(使用哮喘症状跟踪器测量,哮喘控制测试或ACT的修改版本),恶化,和入院。还使用液相色谱-串联质谱法测定ICS给药后的血浆皮质类固醇和皮质醇浓度。在使用电子AT的751名患者中,166(22.1%)提供唾液样品,16个完成PK研究。e-AT队列为65.1%男性,和89.6%的白人,6.0%夏威夷原住民,1.2%黑色,1.2%美洲原住民,1.8%的未知种族,和15.7%的西班牙裔/拉丁美洲人;中位年龄为8.35(IQR:5.51-11.3)岁。白种人CYP3A5*3/*3频率为75.8%,夏威夷原住民占50%,西班牙裔/拉丁裔受试者占76.9%。与CYP3A5*3/*3相比,CYP3A5*1/*x基因型与每周哮喘控制减少相关(OR:0.98;95%CI:0.97-0.98;p<0.001),加重(OR:6.43;95%CI:4.56-9.07;p<0.001),哮喘住院率增加(OR:1.66;95%CI:1.43-1.93;p<0.001);3/*3,*1/*1和*1/*3的分析分别显示等位基因复制效应。最后,ICS给药后的PK分析表明,CYP3A5*3/*3基因型患者的皮质醇浓度变化减弱,而不是对ICSPK的影响。CYP3A5*3/3,CYPA35*1/*3和CYP3A5*1/*1的检测可能会影响未来哮喘的吸入类固醇治疗策略。
    Genetic variation among inhaled corticosteroid (ICS)-metabolizing enzymes may affect asthma control, but evidence is limited. This study tested the hypothesis that single-nucleotide polymorphisms (SNPs) in Cytochrome P450 3A5 (CYP3A5) would affect asthma outcomes. Patients aged 2-18 years with persistent asthma were recruited to use the electronic AsthmaTracker (e-AT), a self-monitoring tool that records weekly asthma control, medication use, and asthma outcomes. A subset of patients provided saliva samples for SNP analysis and participated in a pharmacokinetic study. Multivariable regression analysis adjusted for age, sex, race, and ethnicity was used to evaluate the impact of CYP3A5 SNPs on asthma outcomes, including asthma control (measured using the asthma symptom tracker, a modified version of the asthma control test or ACT), exacerbations, and hospital admissions. Plasma corticosteroid and cortisol concentrations post-ICS dosing were also assayed using liquid chromatography-tandem mass spectrometry. Of the 751 patients using the e-AT, 166 (22.1%) provided saliva samples and 16 completed the PK study. The e-AT cohort was 65.1% male, and 89.6% White, 6.0% Native Hawaiian, 1.2% Black, 1.2% Native American, 1.8% of unknown race, and 15.7% Hispanic/Latino; the median age was 8.35 (IQR: 5.51-11.3) years. CYP3A5*3/*3 frequency was 75.8% in White subjects, 50% in Native Hawaiians and 76.9% in Hispanic/Latino subjects. Compared with CYP3A5*3/*3, the CYP3A5*1/*x genotype was associated with reduced weekly asthma control (OR: 0.98; 95% CI: 0.97-0.98; p < 0.001), increased exacerbations (OR: 6.43; 95% CI: 4.56-9.07; p < 0.001), and increased asthma hospitalizations (OR: 1.66; 95% CI: 1.43-1.93; p < 0.001); analysis of 3/*3, *1/*1 and *1/*3 separately showed an allelic copy effect. Finally, PK analysis post-ICS dosing suggested muted changes in cortisol concentrations for patients with the CYP3A5*3/*3 genotype, as opposed to an effect on ICS PK. Detection of CYP3A5*3/3, CYPA35*1/*3, and CYP3A5*1/*1 could impact inhaled steroid treatment strategies for asthma in the future.
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  • 文章类型: Journal Article
    缺氧是水生生态系统中一个全球性的环境问题。在本研究中,进行了综合分析,以评估缺氧对生理反应的影响(血液学,皮质醇,生物化学,hif基因表达和HIF途径)杂种st鱼(Acipenserschrenckii‰×Acipenserbaerii‰)。共有180只杂种st鱼成虫暴露于7.00±0.2mg/L的溶解氧(DO)水平(对照,N),3.5±0.2mg/L(中度缺氧,MH)或1.00±0.1mg/L(严重缺氧,SH)并在1小时取样,缺氧后6h和24h。结果表明,SH组缺氧后6h和24h红细胞(RBC)计数和血红蛋白(HGB)浓度显著升高。随着DO水平的降低,血清皮质醇浓度逐渐升高。此外,几个血清生化参数(AST,AKP,HBDB,LDH,GLU,SH组在24h时TP和T-Bil)显着改变。HIF是在缺氧中起主要调节因子作用的转录激活因子。在这项研究中,首次在杂种st中鉴定并鉴定了完整的六个hif基因。缺氧后,六个st鱼hif基因中有五个在g中显著差异表达,尤其是hif-1α和hif-3α,变化超过20倍,表明它们在适应杂交st鱼缺氧中的重要作用。一项荟萃分析表明,HIF途径,适应低氧环境的主要途径,在缺氧攻击后24小时在杂种st的肝脏中被激活。我们的研究表明缺氧,特别是重度缺氧(1.00±0.1mg/L),可能会对杂交st鱼造成相当大的压力。这些结果揭示了它们对缺氧耐受性的适应机制和潜在的生物标志物。协助水产养殖和保护工作。
    Hypoxia is a globally pressing environmental problem in aquatic ecosystems. In the present study, a comprehensive analysis was performed to evaluate the effects of hypoxia on physiological responses (hematology, cortisol, biochemistry, hif gene expression and the HIF pathway) of hybrid sturgeons (Acipenser schrenckii ♂ × Acipenser baerii ♀). A total of 180 hybrid sturgeon adults were exposed to dissolved oxygen (DO) levels of 7.00 ± 0.2 mg/L (control, N), 3.5 ± 0.2 mg/L (moderate hypoxia, MH) or 1.00 ± 0.1 mg/L (severe hypoxia, SH) and were sampled at 1 h, 6 h and 24 h after hypoxia. The results showed that the red blood cell (RBC) counts and the hemoglobin (HGB) concentration were significantly increased 6 h and 24 h after hypoxia in the SH group. The serum cortisol concentrations gradually increased with the decrease in the DO levels. Moreover, several serum biochemical parameters (AST, AKP, HBDB, LDH, GLU, TP and T-Bil) were significantly altered at 24 h in the SH group. The HIFs are transcription activators that function as master regulators in hypoxia. In this study, a complete set of six hif genes were identified and characterized in hybrid sturgeon for the first time. After hypoxia, five out of six sturgeon hif genes were significantly differentially expressed in gills, especially hif-1α and hif-3α, with more than 20-fold changes, suggesting their important roles in adaptation to hypoxia in hybrid sturgeon. A meta-analysis indicated that the HIF pathway, a major pathway for adaptation to hypoxic environments, was activated in the liver of the hybrid sturgeon 24 h after the hypoxia challenge. Our study demonstrated that hypoxia, particularly severe hypoxia (1.00 ± 0.1 mg/L), could cause considerable stress for the hybrid sturgeon. These results shed light on their adaptive mechanisms and potential biomarkers for hypoxia tolerance, aiding in aquaculture and conservation efforts.
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  • 文章类型: Journal Article
    我们制备了由癸酸和精氨酸组成的超分子水凝胶(C10/Arg凝胶),并评估了其在透皮制剂中的应用。用1MNaOH水溶液或1MHCl水溶液调节至pH7的C10/Arg凝胶提供了半透明水凝胶,其层状液晶结构在癸酸≥12%和精氨酸≤9%的浓度范围内。流变测量表明,C10/Arg凝胶是一种兼具固体和液体性质的粘弹性材料,在低剪切应力区域,弹性超过粘度占主导地位。使用无毛小鼠皮肤体外研究了来自C10/Arg凝胶的氢化可的松(HC)和吲哚美辛(IM)的皮肤渗透性,并与对照制剂药物悬浮液(IM或HC)在水中进行了比较。施用后10h,C10/Arg凝胶中HC和IM的累积渗透量比对照高约16和11倍。分别。另一方面,IM的通量随着精氨酸浓度的增加而降低,可能是由于C10/Arg凝胶中Arg和IM之间的酸碱相互作用。通过C10/Arg凝胶充分增强药物皮肤渗透需要针对每种特定药物优化凝胶组成。
    We prepared a supramolecular hydrogel composed of decanoic acid and arginine (C10/Arg gel) and evaluated its application to a transdermal formulation. C10/Arg gel adjusted to pH 7 with 1 M NaOH aq or 1 M HCl aq provided a translucent hydrogel with a lamellar liquid crystal structure in the concentration region of decanoic acid ≥12% and arginine ≤9%. Rheological measurements showed that C10/Arg gel is a viscoelastic material with both solid and liquid properties, with elasticity being dominant over viscosity in the low shear stress region. The skin permeability of hydrocortisone (HC) and indomethacin (IM) from C10/Arg gels was investigated in vitro using hairless mouse skin and compared to control formulation drug suspensions (IM or HC) in water. The cumulative permeation amount of HC and IM from the C10/Arg gel at 10 h after application was approximately 16 and 11 times higher than that of the control, respectively. On the other hand, the flux of IM decreased with increasing arginine concentration, likely due to the acid-base interaction between Arg and IM in C10/Arg gel. Adequate drug skin permeation enhancement by C10/Arg gel requires optimizing the gel composition for each specific drug.
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  • 文章类型: Journal Article
    母亲抑郁是后代未来心理健康问题的危险因素,以压力系统为候选脆弱性因子。在这里,我们提出了对暴露于母亲抑郁(N=40)的幼儿的在线匹配任务(MT)范式的初步验证,这是该年龄组压力源范式研究的第一个。可以在线进行的压力系统反应性调查是一种创新的评估方法,COVID-19大流行加速了。结果表明可行性高,在不同措施的数据收集成功率>75%的情况下,与幼儿面对面成功率相似或更好。总的来说,在线MT引起明显的心率,但未引起皮质醇反应。儿童心理健康症状的个体差异是对压力源反应的调节因素,但不是更高,行为问题表现出皮质醇对在线MT的典型反应模式。结果与同种异体载荷模型一致,这表明由于经历逆境和心理健康脆弱性而导致的压力系统反应性下调。与亲自研究一致,这表明行为问题出现的早期表型可能与应激系统反应性的改变有关.结果对干预发展和在线压力系统研究的未来具有潜在的临床意义。试验注册:临床试验注册:NCT04639557;(双代建筑法规-远程医疗模型[BRIDGE])。
    Maternal depression is a risk factor for future mental health problems in offspring, with stress-system function as a candidate vulnerability factor. Here we present initial validation of an online matching-task (MT) paradigm in young children exposed to maternal depression (N = 40), a first in stressor-paradigm research for this age group. Investigations of stress-system reactivity that can be conducted online are an innovative assessment approach, accelerated by the COVID-19 pandemic. Results indicate high feasibility, with a >75% data collection success rate across measures, similar-to or better-than in-person success rates in young children. Overall, the online MT elicited significant heart rate but not cortisol reactivity. Individual differences in child mental health symptoms were a moderator of reactivity to the stressor such that children with lower, but not higher, behavioral problems exhibited the typical pattern of cortisol reactivity to the online MT. Results are aligned with allostatic load models, which suggest downregulation of stress-system reactivity as a result of experiencing adversity and mental health vulnerability. Consistent with in-person research, this suggests that an early phenotype for the emergence of behavior problems may be linked to altered stress-system reactivity. Results hold potential clinical implications for intervention development and the future of online stress-system research. Trial Registration: Clinical Trial Registration: NCT04639557; (Building Regulation in Dual Generations-Telehealth Model [BRIDGE]).
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  • 文章类型: Journal Article
    人工授精(AI)中心根据其遗传育种价值选择公牛作为小牛,并将其饲养到第一次精液收集;然而,饲养公牛的高辍学率是人工智能中心的一个问题。公牛性成熟的潜在荷尔蒙指标(皮质醇,脱氢表雄酮(DHEA),睾丸激素,雌二醇,观察胰岛素样生长因子1(IGF-1)),并根据性能参数进行评估,以确定候选生物标志物,从而可以早期选择公牛作为合适的父亲。使用经过验证的皮质醇免疫测定法分析了来自六个AI中心的102只4±1、8±1和12±2个月大的德国荷斯坦小牛的血液样本,DHEA,睾丸激素,雌二醇和IGF-1。精液分析包括天然和解冻稀释的精液。公牛在第一次精液收集时被分为表现好与差的组(GP与LP)。两年后,随后的分化在高(HPP)中进行,中等(MPP)和低性能持久性(LPP)。首次采集精液的年龄是影响精子质量的重要因素。皮质醇浓度随着年龄的增长而下降,但皮质醇/DHEA比率仅在GP公牛中随着年龄的增长而下降(p<0.05)。雌二醇和睾酮浓度均与性欲行为相关(p<0.05)。睾酮和IGF-1浓度在GP公牛的第一次精液采集时更高,并随着年龄的增长而增加(p<0.05)。总之,首次精液采集时的睾酮和IGF-1浓度与首次精液采集时的表现和未来的表现持续性相关,可能是AI中心持续产生精子的公牛的有用早期生物标志物。
    Artificial insemination (AI) centres select bulls as calves according to their genetic breeding values and raise them until the first semen collection; yet, a high dropout rate of reared bulls is a problem for AI centres. Potential hormonal indicators of bull sexual maturation (cortisol, dehydroepiandrosterone (DHEA), testosterone, oestradiol, insulin-like growth factor 1 (IGF-1)) were observed and evaluated in relation to the performance parameters to perhaps identify candidate biomarkers allowing an early selection of bulls as suitable sires. Blood samples from 102 German Holstein calves at 4 ± 1, 8 ± 1 and 12 ± 2 months of age from six AI centres were analysed using validated immunoassays for cortisol, DHEA, testosterone, oestradiol and IGF-1. Semen analyses included native and thawed diluted semen. Bulls were classified at the first semen collection into groups with good versus poor performance (GP vs. LP). After 2 years, the subsequent differentiation was done in high (HPP), medium (MPP) and low performance persistency (LPP). Age at first semen collection was an important factor for sperm quality. Cortisol concentrations decreased with age, but the cortisol/DHEA ratio decreased with age only in GP bulls (p < .05). Oestradiol and testosterone concentrations both correlated with libido behaviour (p < .05). Testosterone and IGF-1 concentrations were higher at the time of first semen collection in GP bulls and increased with age (p < .05). In conclusion, testosterone and IGF-1 concentrations at first semen collection are associated with performance at first semen collection and future performance persistency, and might be useful early biomarkers for consistent sperm producing bulls on AI centres.
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  • 文章类型: Journal Article
    尽管邻里环境是健康的上游决定因素,目前还不清楚这些背景如何“深入到墨西哥裔青年的皮肤之下”,他们不成比例地集中在处境不利但种族一致的社区。当前的研究考察了家庭和社区社会经济地位(SES)之间的关联,邻里种族-族裔和移民组成,和头发皮质醇浓度(HCC)-慢性应激反应的生理指标-来自美国低收入移民家庭的墨西哥裔青少年。共有297名(女性占54.20%;mage=17.61,SD=0.93)墨西哥裔青少年收集了头发皮质醇,他们的居住地址被地理编码并与美国社区调查合并。西班牙裔和外国出生居民较高的社区与较高的社区劣势相关,而非西班牙裔白人和家庭出生居民较高的社区与较高的社区富裕程度相关。居住在西班牙裔居民比例较高的社区的墨西哥裔青少年显示HCC水平较低,与种族飞地的作用一致。相比之下,生活在较富裕社区的青少年表现出更高水平的HCC,可能反映了生理上的收费。在家庭SES和HCC之间没有发现关联。我们的发现强调了在了解社区如何影响青少年的压力生理时考虑社会文化背景和人与环境的重要性。
    Although neighborhood contexts serve as upstream determinants of health, it remains unclear how these contexts \"get under the skin\" of Mexican-origin youth, who are disproportionately concentrated in highly disadvantaged yet co-ethnic neighborhoods. The current study examines the associations between household and neighborhood socioeconomic status (SES), neighborhood racial-ethnic and immigrant composition, and hair cortisol concentration (HCC)-a physiological index of chronic stress response-among Mexican-origin adolescents from low-income immigrant families in the United States. A total of 297 (54.20% female; mage = 17.61, SD = 0.93) Mexican-origin adolescents had their hair cortisol collected, and their residential addresses were geocoded and merged with the American Community Survey. Neighborhoods with higher Hispanic-origin and foreign-born residents were associated with higher neighborhood disadvantage, whereas neighborhoods with higher non-Hispanic White and domestic-born residents were associated with higher neighborhood affluence. Mexican-origin adolescents living in neighborhoods with a higher proportion of Hispanic-origin residents showed lower levels of HCC, consistent with the role of the ethnic enclave. In contrast, adolescents living in more affluent neighborhoods showed higher levels of HCC, possibly reflecting a physiological toll. No association was found between household SES and HCC. Our findings underscore the importance of taking sociocultural contexts and person-environment fit into consideration when understanding how neighborhoods influence adolescents\' stress physiology.
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  • 文章类型: Journal Article
    背景:美国海军陆战队(USMC)的招募培训是为期13周的男女兵役预备期。两性之间绝对表现能力的差异可能会影响对新兵训练需求的身体和生理反应。这项研究的目的是在整个新兵培训过程中监控美国海军陆战队的新兵,以比较评估工作量,睡眠,压力,以及男性和女性的表现反应。
    方法:共监测并测试了281名新兵(男性=182名,女性=99名;年龄=19±2岁)。工作量,睡眠,压力评估发生在训练的第2周,第7/8周和第11周。工作量(每公斤体重的能量消耗[EEREL],距离[DIS],步骤)和睡眠(连续性和持续时间)在72小时内使用可穿戴式加速度计和心率技术进行跟踪。通过唾液皮质醇分析确定应激反应。性能测试,由相对于体重的反向运动垂直跳跃(CMJ)和等距大腿中部拉力(IMTP)性能组成,发生在第2周和第11周。线性混合模型用于测试性别,时间,和性别-时间互动(α<0.05)。
    结果:平均而言,新兵每天行驶13.0±2.7公里,消耗3,762±765卡路里/天,睡6.2±1.1小时/晚。在DIS中发现了按性别划分的互动,steps,睡眠持续时间,皮质醇,和CMJREL性能(P<0.05)。计划对比显示,在第7/8周,男性的DIS覆盖率高于女性(P<.001)。与男性相比,女性在第11周经历了更多的步数(P=.004)。女性的睡眠时间没有明显变化(P>0.05),而男性从第2周到第7/8周增加睡眠时间(P=0.03)。与男性相比,女性在第2周(P=0.03)和第11周(P=0.02)的睡眠时间更长。在第2周(P<.001)和第11周(P<.001),女性的皮质醇水平高于男性。与第2周相比,第7周的女性皮质醇下降(P<.001)。男性在任何时间点都没有经历皮质醇反应的变化(P>.05)。从第2周到第11周,男女CMJREL均出现下降(P>.001)。对EEREL观察到性别主要影响,DIS,CMJREL,和IMTPREL(P<.05),男性经历更大的整体工作量,产生更大的力量和力量指标。睡眠连续性和皮质醇对性别的主要影响(P<0.05)。与女性相比,男性经历了更低的价值观。对EEREL进行了时间主效应观察,DIS,steps,皮质醇,CMJREL,和IMTPREL(P<0.05)。
    结论:这项研究不仅突出了男女已知的性别差异,而且还揭示了每个性别对军事训练的不同身体和生理反应。有趣的是,在训练周期早期发生的最大的身体需求。尽管工作量在减少,在整个训练过程中保持了应激反应,这可能会对适应和性能产生影响。此外,平均睡眠持续时间明显低于优化健康和恢复的建议.在招募训练期间有效监控需求和表现结果对于确定个人健身能力至关重要,以及建立培训计划的有效性。个人绩效评估和适当的工作量可能有助于优化男女招募培训。
    BACKGROUND: The U.S. Marine Corps (USMC) recruit training is a 13-week preparatory period for military service men and women. Differences in absolute performance capabilities between sexes may impact physical and physiological responses to the demands of recruit training. The purpose of this study was to monitor U.S. Marine Corps recruits throughout recruit training to comparatively assess workload, sleep, stress, and performance responses in men and women.
    METHODS: A total of 281 recruits (men = 182 and women = 99; age = 19 ± 2 years) were monitored and tested. Workload, sleep, and stress assessments occurred at week 2, week 7/8, and week 11 of training. Workload (energy expenditure per kg body mass [EEREL], distance [DIS], steps) and sleep (continuity and duration) were tracked over 72-hour periods using wearable accelerometry and heart rate technology. Stress responses were determined through salivary cortisol analyses. Performance testing, consisting of countermovement vertical jump (CMJ) and isometric mid-thigh pull (IMTP) performance relative to body mass, occurred at weeks 2 and 11. Linear mixed models were used to test for sex, time, and sex-by-time interactions (α < .05).
    RESULTS: On average, recruits covered 13.0 ± 2.7 km/day, expended 3,762 ± 765 calories/day, and slept 6.2 ± 1.1 hours/night. Sex-by-time interactions were found for DIS, steps, sleep duration, cortisol, and CMJREL performance (P < .05). Planned contrasts revealed that men covered more DIS than women at week 7/8 (P < .001). Women experienced greater step counts compared to men at week 11 (P = .004). Women experienced no significant change in sleep duration (P > .05), whereas men increased sleep duration from week 2 to week 7/8 (P = .03). Women experienced greater sleep duration at week 2 (P = .03) and week 11 (P = .02) compared to men. Women exhibited higher cortisol levels than men at week 2 (P < .001) and week 11 (P < .001). Women experienced declines in cortisol at week 7 compared to week 2 (P < .001). Men experienced no changes in cortisol response at any timepoint (P > .05). Both sexes experienced declines in CMJREL from week 2 to week 11 (P > .001). Sex main effects were observed for EEREL, DIS, CMJREL, and IMTPREL (P < .05) with men experiencing greater overall workloads and producing greater strength and power metrics. Sex main effects were also found for sleep continuity and cortisol (P < .05), for which men experienced lower values compared to women. Time main effects were observed for EEREL, DIS, steps, cortisol, CMJREL, and IMTPREL (P < .05).
    CONCLUSIONS: This study not only highlights the known sex differences between men and women but also sheds light on the different physical and physiological responses of each sex to military training. Interestingly, the greatest physical demands incurred earlier in the training cycle. Despite declining workloads, the stress response was maintained throughout the training, which may have implications for adaptation and performance. In addition, average sleep duration fell notably below recommendations for optimizing health and recovery. Effectively monitoring the demands and performance outcomes during recruit training is essential for determining individual fitness capabilities, as well as establishing the effectiveness of a training program. Individual performance assessments and adequately periodized workloads may help to optimize recruit training for both men and women.
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  • 文章类型: Case Reports
    随着医学肿瘤学的进步,免疫检查点抑制剂(ICIs)已成为许多恶性肿瘤的一线治疗方法.ICI在改善癌症预后方面发挥着重要作用,但一系列免疫相关的不良事件(irAE),包括与免疫相关的内分泌事件(IREEs),由ICI引起的关注也引起了人们的关注。由ICIs引起的irAE的快速临床鉴定尤为重要。我们描述了子宫内膜癌术后患者PD-1治疗后继发性肾上腺皮质功能不全(AI)的情况。一名73岁的女性患者出现厌食症,恶心,呕吐,萎靡不振,电解质干扰,无效的对症治疗,retifanlimab治疗6个月后血清促肾上腺皮质激素和皮质醇水平下降。呕吐消失了,和电解质水平在糖皮质激素治疗3天后得到纠正(氢化可的松,静脉注射,200毫克/天)。当患者出现胃肠道症状时,比如食欲不振和恶心,不仅需要对症治疗,还需要寻找症状背后的病因,特别是在免疫治疗患者中,应该对内分泌系统进行彻底评估,并警惕肾上腺皮质功能不全。
    With advancements in medical oncology, immune checkpoint inhibitors (ICIs) have become the first-line treatment for many malignancies. ICIs play a significant role in improving cancer prognosis, but a series of immune-related adverse events (irAEs), including immune-related endocrine events (irEEs), caused by ICIs have also aroused concerns. Rapid clinical identification of irAEs caused by ICIs is particularly important. We describe a case of secondary adrenocortical insufficiency (AI) after PD-1 treatment in a postoperative patient with endometrial cancer. A 73-year-old female patient developed anorexia, nausea, vomiting, malaise, electrolyte disturbances, ineffective symptomatic treatment, and decreased serum adrenocorticotropin and cortisol levels six months after retifanlimab treatment. The vomiting resolved, and the electrolyte levels were corrected after 3 days of treatment with glucocorticoids (hydrocortisone, intravenous, 200 mg/day). When patients present with gastrointestinal symptoms, such as poor appetite and nausea, not only symptomatic treatment but also a search for the etiology behind the symptoms is needed, especially in immunotherapy patients who should undergo a thorough evaluation of the endocrine system and be alert for adrenocortical insufficiency.
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