Serum lipids

血脂
  • 文章类型: Journal Article
    毒理学研究报道,有机磷酸酯(OPEs)可能会破坏脂质代谢,从而影响血清脂质水平。然而,关于OPEs与高脂血症(HPL)风险以及血脂水平之间关联的流行病学证据很少。在本研究中,我们的目的是调查单独和混合OPE暴露对HPL的影响。根据横断面设计,共有1981年中国成年人参与其中。总的来说,我们发现磷酸双(1,3-二氯-2-丙基)酯(BDCIPP)与HPL风险呈正相关.双(1-氯-2-丙基)磷酸酯(BCIPHIPP)与总胆固醇(TC)和低密度脂蛋白胆固醇(LDL-C)呈正相关。BDCIPP,磷酸二苯酯(DPHP),磷酸二甲苯酯和磷酸二对甲苯酯(Docp&Dpcp),和4-羟基苯基-二苯基磷酸酯(4-OH-DPHP)与高密度脂蛋白胆固醇(HDL-C)呈负相关。在分层分析中,BDCIPP和BCIPHIPP与≤45岁组HPL风险增加显著相关。在BMI<24kg/m2的亚组中,双(2-丁氧基乙基)磷酸盐(BBOEP)与HPL的风险升高有关。BDCIPP在男性中也与HPL呈正相关。基于分位数的g计算(qgcomp)和广义加权分位数和回归(gWQS)模型表明,在总人口中,OPEs混合暴露与HDL-c之间存在负相关,以及它们对年龄≤45岁亚组的HPL的积极影响,这与个体分析是一致的。此外,联合效应分析显示,检测到BDCIPP尿水平和不健康生活方式的参与者患HPL的风险最高.我们的发现提供了证据支持OPE暴露与HPL风险之间的相关性,需要进一步的前瞻性研究进行验证。
    Toxicologic studies reported that organophosphate esters (OPEs) may disrupt lipid metabolism, thus affecting serum lipid levels. However, epidemiological evidence regarding the association between OPEs and the risk of hyperlipidemia (HPL) as well as serum lipid levels is scarce. In the present study, our aim was to investigate the impact of individual and mixed OPE exposure on HPL. A total of 1981 Chinese adults were involved based on a cross-sectional design. Overall, we found a positive association between bis(1,3-dichloro-2-propyl) phosphate (BDCIPP) and the risk of HPL. Bis(1-chloro-2-propyl) phosphate (BCIPHIPP) showed a positive association with total cholesterol (TC) and low-density lipoprotein cholesterol (LDL-C). BDCIPP, diphenyl phosphate (DPHP), di-ocresyl phosphate and di-p-cresyl phosphate (Docp&Dpcp), and 4-hydroxyphenyl-diphenyl phosphate (4-OH-DPHP) exhibited a negative association with high-density lipoprotein cholesterol (HDL-C). In stratified analyses, BDCIPP and BCIPHIPP were significantly correlated with the increased risk of HPL in the age ≤ 45 group. Bis(2-butoxyethyl) phosphate (BBOEP) was in relationship with an elevated risk of HPL in the subgroup of BMI < 24 kg/m2. BDCIPP was also positively associated with HPL in men. Quantile-based g computation (qgcomp) and generalized weighted quantile sum regression (gWQS) models demonstrated a negative association between OPEs mixed exposure and HDL-c in the total population, as well as a positive effect of them on HPL in the subgroup of age ≤ 45 years, which is consistent with the individual analyses. Furthermore, joint effect analyses revealed that participants with detected BDCIPP urinary levels and unhealthy lifestyles had the highest risk of HPL. Our findings offer evidence supporting the correlation between exposure to OPE and the risk of HPL, necessitating further prospective studies for validation.
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  • 文章类型: Journal Article
    目标:使用牛奶纠正钙和蛋白质营养不足,酸奶,在老年护理院的老年人中,奶酪与减少骨折和跌倒有关。然而,这些食物含有潜在的致动脉粥样硬化的脂肪。我们的目的是确定将乳制品消费量增加到推荐水平的这种干预措施是否会对血脂谱产生不利影响。
    结果:这是对澳大利亚60家老年护理院的一项为期2年的整群随机试验的亚组分析。30个干预家庭提供了额外的牛奶,酸奶,菜单上有奶酪,而30个控制家庭继续使用他们通常的菜单。159名干预居民和86名对照居民(69%为女性,中位年龄87.8岁)使用平板废物分析记录饮食摄入量,并在基线和12个月测量空腹血脂。根据医疗记录确定心血管疾病的诊断和相关药物的使用。结果测量为血清总量,HDL和LDL胆固醇以及ApoA-1&B。干预措施使每日乳制品摄入量从1.9±1.0增加到3.5±1.4(p<0.001),而对照组继续每天摄入≤2份(1.7±1.0至2.0±1.0(p=0.028)。血清总胆固醇/高密度脂蛋白-C(TC/HDL-C)比值无组间差异,载脂蛋白B/载脂蛋白A-1(ApoB/ApoA-1)比值,低密度脂蛋白C(LDL-C),非HDL-C,或甘油三酯(TG)在12个月。
    结论:在老年护理院的老年人中,用牛奶纠正钙和蛋白质摄入量不足,酸奶和奶酪不会改变血脂水平,这表明这是降低跌倒和骨折风险的合适干预措施。
    背景:澳大利亚新西兰临床试验注册(ACTRN12613000228785)2012;https://www.anzctr.org.au.
    OBJECTIVE: Correction of calcium and protein undernutrition using milk, yoghurt, and cheese in older adults in aged care homes is associated with reduced fractures and falls. However, these foods contain potentially atherogenic fats. We aimed to determine whether this intervention that increased dairy consumption to recommended levels adversely affects serum lipid profiles.
    RESULTS: This was a sub-group analysis of a 2-year cluster-randomised trial involving 60 aged care homes in Australia. Thirty intervention homes provided additional milk, yoghurt, and cheese on menus while 30 control homes continued with their usual menus. A sample of 159 intervention and 86 controls residents (69% female, median age 87.8 years) had dietary intakes recorded using plate waste analysis and fasting serum lipids measured at baseline and 12 months. Diagnosis of cardiovascular disease and use of relevant medications were determined from medical records. Outcome measures were serum total, HDL and LDL cholesterol and ApoA-1 & B. Intervention increased daily dairy servings from 1.9 ± 1.0 to 3.5 ± 1.4 (p < 0.001) while controls continued daily intakes of ≤2 servings daily (1.7 ± 1.0 to 2.0 ± 1.0 (p = 0.028). No group differences were observed for serum total cholesterol/high-density lipoprotein-C (TC/HDL-C) ratio, Apoprotein B/Apoprotein A-1 (ApoB/ApoA-1) ratio, low-density lipoprotein-C (LDL-C), non-HDL-C, or triglycerides (TGs) at 12 months.
    CONCLUSIONS: Among older adults in aged care homes, correcting insufficiency in intakes of calcium and protein using milk, yoghurt and cheese does not alter serum lipid levels, suggesting that this is a suitable intervention for reducing the risk of falls and fractures.
    BACKGROUND: Australian New Zealand Clinical Trials Registry (ACTRN12613000228785) 2012; https://www.anzctr.org.au.
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  • 文章类型: Systematic Review
    (1)背景:哮喘是一种在成人和儿童中发现的综合征,以气道炎症引起的气流阻塞为特征。近年来,越来越多的研究发现,脂质代谢影响哮喘的发展和症状学。脂质代谢在加重的发生和减轻肺部炎症中起重要作用。我们的研究旨在确定诊断为哮喘的患者与血脂之间的任何类型的关联,包括HDL-胆固醇,LDL-胆固醇,总胆固醇,和成人的甘油三酯。(2)方法:找到供我们评论的文章,我们搜索了两个平台:PubMed和GoogleScholar。共分析了来自两个平台的309篇文章。最后,从最初的已识别文章库中选择了12篇论文。(3)结果:甘油三酯之间呈正相关,总胆固醇,低密度脂蛋白胆固醇(LDL-胆固醇),哮喘已在多项研究中得到证实。此外,在特应性患者中,2型炎症的生物标志物与HDL和血清甘油三酯之间似乎存在关联.关于哮喘患者的营养,对疾病发展的最大影响似乎是水果和蔬菜的消费。一些研究表明,以素食为主的饮食与更好地控制疾病和减少促炎细胞因子的数量有关。(4)结论:研究表明总胆固醇与胆固醇呈正相关,甘油三酯,LDL-胆固醇水平与哮喘呈负相关,HDL-胆固醇与哮喘呈负相关。增加的胆固醇值将导致促炎过程的刺激和参与这些过程的细胞因子的分泌。哮喘患者最成功的饮食似乎是那些食用水果的饮食,蔬菜,高纤维食物增加是因为所有这些食物都富含维生素,抗氧化剂,和矿物。
    (1) Background: Asthma is a syndrome found in both adults and children, characterized by airflow obstruction caused by the inflammation of the airways. In recent years, an increasing number of studies have found that lipid metabolism influences both the development and symptomatology of asthma. Lipid metabolism plays an important role both in the occurrence of exacerbations and in the reduction of lung inflammation. Our study aimed to identify any type of association between patients diagnosed with asthma and their serum lipids, including HDL-cholesterol, LDL-cholesterol, total cholesterol, and triglycerides in adults. (2) Methods: To find articles for our review, we searched two platforms: PubMed and Google Scholar. A total of 309 articles from two platforms were analyzed. Finally, 12 papers were selected from the initial pool of identified articles. (3) Results: The positive correlation between triglycerides, total cholesterol, low-density lipoprotein-cholesterol (LDL-cholesterol), and asthma has been demonstrated in several studies. Moreover, it appears that there is an association between biomarkers of type 2 inflammation and HDL and serum triglycerides in people with atopic status. Regarding the nutrition of asthmatic patients, the greatest impact on the development of the disease seems to be the consumption of fruit and vegetables. Several studies show that a predominantly vegan diet is associated with better control of the disease and a decrease in the number of pro-inflammatory cytokines. (4) Conclusions: Studies show a positive correlation between total cholesterol, triglyceride, and LDL-cholesterol levels and asthma and a negative correlation between HDL-cholesterol and asthma. Increased cholesterol values would lead to the stimulation of pro-inflammatory processes and the secretion of cytokines involved in these processes. The most successful diets for asthma patients seem to be those in which the consumption of fruit, vegetables, and high-fiber foods is increased because all of these food groups are rich in vitamins, antioxidants, and minerals.
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  • 文章类型: Journal Article
    背景:南亚心血管疾病(CVD)的高发病率与遗传易感性和高饱和脂肪酸(SFA)饮食有关。在一些南亚国家,CVD患病率的增加与棕榈油消费量的增加有关。椰子油和棕榈油是主要的SFA来源。
    目的:比较椰子油和棕榈油对健康成人血清脂蛋白脂质和生化指标的影响。
    方法:在40名健康成人中进行了为期8周的连续喂养交叉临床试验。参与者在第一个喂养期提供棕榈油,然后是椰子油,其间有16周的冲洗期。测量的结果是血清低密度脂蛋白胆固醇(LDL-C)的差异,总胆固醇(TC)和高密度脂蛋白胆固醇(HDL-C),TC/HDL-C比值,甘油三酯(TG),极低密度脂蛋白胆固醇(VLDL-C),空腹血糖(FPG),和肝酶。
    结果:37名参与者完成了研究。LDL-C在棕榈油中降低了13.0%(p<0.001),在椰子油中增加了5.6%(p=0.044),显着差异(p<0.001)。棕榈油的TC降低了9.9%(p<0.001),椰子油的TC增加了4.0%(p=0.044)。
    结论:棕榈油消耗导致脂质相关CVD危险因素的更有利变化(TC,LDL-C,TC:HDL-C,和FPG)与椰子油相比。临床试验登记号和获得它的网站:(SLCTR/2019/034);https://slctr。lk/试验/slctr-2019-034。
    BACKGROUND: High incidence of cardiovascular disease (CVD) in South Asia is linked to genetic predisposition and diets high in saturated fatty acids (SFAs). Increased CVD prevalence correlates with rising palm oil consumption in some South Asian countries, where coconut oil and palm olein oil are primary SFA sources.
    OBJECTIVE: Compare the effects of coconut oil and palm olein oil on serum lipoprotein lipids and biochemical parameters in healthy adults.
    METHODS: A sequential feeding crossover clinical trial with two feeding periods of 8 weeks each was conducted among 40 healthy adults. Participants were provided palm olein oil in the first feeding period followed by coconut oil with a 16-week washout period in between. The outcomes measured were the difference in serum low-density lipoprotein cholesterol (LDL-C), total cholesterol (TC) and high-density lipoprotein cholesterol (HDL-C), TC/HDL-C ratio, triglycerides (TG), very-low-density lipoprotein cholesterol (VLDL-C), fasting plasma glucose (FPG), and liver enzymes.
    RESULTS: Thirty-seven participants completed the study. LDL-C decreased by 13.0 % with palm olein oil (p < 0.001) and increased by 5.6 % with coconut oil (p = 0.044), showing a significant difference (p < 0.001). TC decreased by 9.9 % with palm olein oil (p < 0.001) and increased by 4.0 % with coconut oil (p = 0.044).
    CONCLUSIONS: Palm olein oil consumption resulted in more favorable changes in lipid-related CVD risk factors (TC, LDL-C, TC:HDL-C, and FPG) compared to coconut oil. Clinical Trial Registry number and website where it was obtained: (SLCTR/2019/034); https://slctr.lk/trials/slctr-2019-034.
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  • 文章类型: Journal Article
    目的:斑秃(AA)的病因与血脂的关系尚不清楚,从而促使我们打算对这个问题进行孟德尔研究。
    方法:本研究进行了双样本孟德尔随机化(MR)分析。主要采用方差加权逆方法。
    方法:在我们的研究中,我们将一组123个单核苷酸多态性(SNPs)整合到我们的分析中.这些SNP已被广泛研究并且已知表现出与血清脂质的关联。我们从各种相关研究和联盟中获得这些SNP,这些研究和联盟特别关注脂质相关研究,例如MRC综合流行病学部门。然后,这些精心策划的SNP被用作我们分析的工具变量,允许我们探索和评估这些遗传变异与血脂之间的因果关系。通过整合这一套全面的SNP,我们的目标是提高我们发现的准确性和稳健性,阐明遗传学和血脂之间复杂的相互作用。
    结果:在MR分析中,大低密度脂蛋白(LDL)颗粒中的总脂质浓度较高(比值比[OR]=1.502;95%置信区间[CI]=1.086-1.953;p=0.006),乳糜微粒和极大LDL(VLDL)颗粒中胆固醇酯与总脂质的比例更高(OR=2.174;95%CI=1.300-2.500;p=0.010),乳糜微粒和极大的VLDL颗粒中胆固醇与总脂质的比率更高(OR=2.363;95%CI=1.556-4.438;p=0.004),遗传预测与AA风险增加有因果关系,而乳糜微粒中甘油三酯与总脂质比率较高和VLDL颗粒过大的患者患AA的风险较低(OR=0.481;95%CI=0.191-1.270;p=0.002).
    结论:这项研究发现,血清脂质可能与AA有因果关系。
    OBJECTIVE: The etiology of alopecia areata (AA) in relation to serum lipids remains unclear, thereby prompting our intention to do Mendelian study on this subject.
    METHODS: Two-sample Mendelian randomization (MR) analysis was performed in the study. The inverse variance-weighted method was used as the primary method.
    METHODS: In our study, we integrated a set of 123 single-nucleotide polymorphisms (SNPs) into our analysis. These SNPs have been extensively studied and are known to exhibit associations with serum lipids. We sourced these SNPs from a variety of relevant studies and consortia that specifically focus on lipid-related research, such as the MRC Integrative Epidemiology Unit. These carefully curated SNPs were then utilized as instrumental variables in our analysis, allowing us to explore and evaluate the causal relationships between these genetic variants and serum lipids. By incorporating this comprehensive set of SNPs, we aimed to enhance the precision and robustness of our findings, shedding light on the intricate interplay between genetics and serum lipids.
    RESULTS: In the MR analysis, a higher total lipid concentration in large low-density lipoprotein (LDL) particles (odds ratio [OR] = 1.502; 95% confidence interval [CI] = 1.086-1.953; p = 0.006), a greater ratio of cholesteryl esters to total lipids in chylomicrons and extremely large very LDL (VLDL) particles (OR = 2.174; 95% CI = 1.300-2.500; p = 0.010), and a greater ratio of cholesterol to total lipids in chylomicrons and extremely large VLDL particles (OR = 2.363;95% CI = 1.556-4.438; p = 0.004), were genetically predicted to be causally associated with an increased risk of AA, while patients with a higher triglyceride to total lipids ratio in chylomicrons and extremely large VLDL particles had a lower risk of AA (OR = 0.481; 95% CI = 0.191-1.270; p = 0.002).
    CONCLUSIONS: This study found that serum lipids may be causally implicated in AA.
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  • 文章类型: Journal Article
    目的:探讨膝关节周围局限性骨肉瘤患者新辅助化疗前后的血脂变化。
    方法:在对2007年1月至2020年7月期间742例患者的数据进行回顾性筛选后,纳入了50例年龄在13至39岁的EnnekingII期疾病患者。血清脂质水平,包括总胆固醇(TC),甘油三酯(TG),高密度脂蛋白胆固醇(HDL-C),低密度脂蛋白胆固醇(LDL-C),脂蛋白-α[Lp(a)],和载脂蛋白A1,B,和E(ApoA1,ApoB,和ApoE),收集新辅助化疗前后的临床病理特征。
    结果:TC的平均水平,TG,和ApoB在新辅助化疗后显著增加(16%,38%,20%,分别,vs.预处理值;P<0.01)。LDL-C和ApoE的平均水平也分别高出19%和16%,分别为(P<0.05)。在治疗前的脂质分布和对化疗的组织学反应之间没有发现相关性。Lp(a)的增加与Ki-67指数密切相关(R=0.31,P=0.023)。此外,在化疗后TG降低和LDL-C升高的患者中观察到无病生存期(DFS)更长的趋势,尽管这种差异没有统计学意义(分别为P=0.23和P=0.24)。
    结论:局部骨肉瘤患者新辅助化疗后血脂显著升高。治疗前血脂水平对新辅助化疗的组织学反应无预后意义。血清Lp(a)的升高可能在骨肉瘤中具有潜在的预后作用。化疗后LDL-C升高或TG降低的患者似乎表现出有利的DFS趋势。
    OBJECTIVE: To investigate the serum lipid profiles of patients with localized osteosarcoma around the knee joint before and after neoadjuvant chemotherapy.
    METHODS: After retrospectively screening the data of 742 patients between January 2007 and July 2020, 50 patients aged 13 to 39 years with Enneking stage II disease were included in the study. Serum lipid levels, including total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), lipoprotein-α [Lp(a)], and apolipoprotein A1, B, and E (ApoA1, ApoB, and ApoE), and clinicopathological characteristics were collected before and after neoadjuvant chemotherapy.
    RESULTS: The mean levels of TC, TG, and ApoB were significantly increased following neoadjuvant chemotherapy (16%, 38%, and 20%, respectively, vs. pretreatment values; P<0.01). The mean levels of LDL-C and ApoE were also 19% and 16% higher, respectively (P<0.05). No correlation was found between the pretreatment lipid profile and the histologic response to chemotherapy. An increase in Lp(a) was strongly correlated with the Ki-67 index (R=0.31, P=0.023). Moreover, a trend toward longer disease-free survival (DFS) was observed in patients with decreased TG and increased LDL-C following chemotherapy, although this difference was not statistically significant (P=0.23 and P=0.24, respectively).
    CONCLUSIONS: Significant elevations in serum lipids were observed after neoadjuvant chemotherapy in patients with localized osteosarcoma. There was no prognostic significance of pretreatment serum lipid levels on histologic response to neoadjuvant chemotherapy. The scale of increase in serum Lp(a) might have a potential prognostic role in osteosarcoma. Patients with increased LDL-C or reduced TG after chemotherapy seem to exhibit a trend toward favorable DFS.
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  • 文章类型: Journal Article
    目标:二甲双胍,一种抗糖尿病药物,通过影响肠道微生物来调节血糖。然而,这种效应的潜在机制尚不清楚.本研究旨在评估二甲双胍对血糖调节的影响,脂质水平,以及链脲佐菌素高脂饮食诱导的2型糖尿病大鼠的肠道菌群。
    本实验使用30只Wistar大鼠。T2DM年夜鼠给予300mg/kg二甲双胍8周。葡萄糖调节,脂质水平,器官系数,用16SrDNA测量肠道微生物。
    结果:二甲双胍灌胃大鼠血糖和血脂水平显著改善,伴随着短链脂肪酸水平和肠道微生物群的变化(p<0.05)。在糖尿病大鼠中,二甲双胍可能增加特定的益生菌,从而改善口服抗糖尿病药物的降血糖作用。Further,二甲双胍灌胃大鼠对肝脏和肾脏的损害得到有效缓解。
    结论:本研究结果表明,二甲双胍对HFD和STZ诱导的T2DM大鼠具有积极的抗糖尿病作用。这些发现可能为推荐使用二甲双胍作为2型糖尿病的可靠口服药物提供了基础,因为它对肠道微生物群具有积极作用。
    OBJECTIVE: Metformin, an anti-diabetic drug, regulates blood glucose by affecting gut microbiotas. However, the potential mechanism underlying this effect remains unclear. This study aimed to evaluate the effect of metformin on glucose regulation, lipid levels, and the gut microbiota in rats with type 2 diabetes mellitus induced by a high-fat diet with streptozotocin.
    UNASSIGNED: Thirty Wistar rats was using in this experiment. T2DM rats were administered 300 mg/kg metformin for 8 weeks. The glucose regulation, lipid levels, organ coefficients, and gut microbiotawere measured by 16S rDNA.
    RESULTS: The metformin-gavaged rats exhibited significant improvements in blood glucose and serum lipid levels, accompanied by alterations in short-chain fatty acid levels and the intestinal microbiota (p < 0.05). In the diabetic rats, metformin potentially increased specific probiotics, thus improving the hypoglycaemic effects of the oral anti-diabetic drug. Further, damage to the liver and kidney was effectively alleviated in the metformin-gavaged rats.
    CONCLUSIONS: This study\'s findings demonstrate that metformin exerts a positive anti-diabetic effect in HFD- and STZ-induced T2DM rats. These findings potentially provide a basis for the recommended use of metformin as a reliable oral drug for T2DM owing to its positive effect on the intestinal microbiota.
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  • 文章类型: Journal Article
    降脂治疗是急性缺血性卒中(AIS)的组成部分,然而,AIS的血管内治疗(EVT)后,血脂参数与实质出血(PH)之间的联系尚不明确.这项研究旨在评估各种脂质参数与EVT后PH风险之间的关联。
    我们回顾性检查了2021年9月至2023年5月接受EVT治疗的AIS患者的数据库。记录了传统和非传统的脂质参数。在48小时内的双能量计算机断层扫描图像上确定了PH。我们采用逻辑回归分析和有限的三次样条来检查各种脂质参数与PH风险之间的关联。通过比较曲线下面积来评估脂质参数对PH的预测能力。
    该研究包括384名患者,其中65人(17.7%)发展为PH。在调整了潜在的混杂因素后,在传统的脂质参数中,只有甘油三酯与PH相关,而所有非传统脂质参数均与PH相关。根据ROC曲线,残余胆固醇与高密度脂蛋白胆固醇(RC/HDL-C)的比率对PH的预测能力最高。此外,我们的分析揭示了甘油三酯之间的显著非线性相关性,非高密度脂蛋白胆固醇,RC,RC/HDL-C和PH风险。
    在评估EVT后PH的风险时,非传统脂质参数通常优于传统脂质参数。建议在临床实践中也可以进行非传统脂质参数的常规评估。
    UNASSIGNED: Lipid-lowering therapy is integral in acute ischemic stroke (AIS), yet the connection between lipid parameters and parenchymal hemorrhage (PH) after endovascular treatment (EVT) for AIS is not well-defined. This research aims to assess the association between various lipid parameters and the PH risk following EVT.
    UNASSIGNED: We examined a database of patients who underwent EVT for AIS between September 2021 and May 2023 retrospectively. Traditional and non-traditional lipid parameters were documented. PH was identified on dual energy computed tomography images within 48 h. We employed logistic regression analysis and restricted cubic splines to examine the association between various lipid parameters and the risk of PH. The predictive capacity of the lipid parameters for PH was evaluated by comparing the area under the curve.
    UNASSIGNED: The study included 384 patients, 65 of whom (17.7%) developed PH. After adjusting for potential confounders, only triglyceride was associated with PH among the traditional lipid parameters, while all non-traditional lipid parameters were related to PH. Based on ROC curve, the ratio of remnant cholesterol to high-density lipoprotein cholesterol (RC/HDL-C) exhibited the highest predictive capability for PH. Furthermore, our analysis revealed a significant nonlinear correlation between triglyceride, non-high-density lipoprotein cholesterol, RC, RC/HDL-C and PH risk.
    UNASSIGNED: In assessing the risk of PH after EVT, non-traditional lipid parameters are often superior to traditional lipid parameters. It is recommended that routine evaluation of non-traditional lipid parameters could also be conducted in clinical practice as well.
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  • 文章类型: Journal Article
    背景:苯并三唑和苯并噻唑(BT)是高产量的化学品以及广泛分布的新兴污染物,具有潜在的健康风险。然而,关于人类暴露于BT和相关健康结果的信息有限.
    目标:我们旨在描述捷克男性接触BT的特征,包括消防员可能的职业暴露,它的预测因素,以及它与肝功能的关系,血脂和氧化应激。
    方法:165名参与者(包括110名消防员)提供了尿液和血液样本,用于量化8种BT的尿液水平(高效液相色谱-串联质谱法),和4种肝脏酶,胆固醇,低密度脂蛋白,和8-羟基-2'-脱氧鸟苷。线性回归用于评估与人群特征和肝功能生物标志物的关联,血脂和氧化应激。针对潜在的混杂变量调整回归模型,并应用错误发现率程序来解释多重性。
    结果:BT的范围从未检测到46.8ng/mL。2-羟基苯并噻唑是最主要的化合物(检测频率83%;中值1.95ng/mL)。1-甲基苯并三唑(1M-BTR)首次在人体样品中进行测定,检测频率为77%,中位数为1.75ng/mL。与非消防员相比,专业消防员的下尿路1M-BTR。尿1M-BTR与γ-谷氨酰转移酶水平相关(β=-17.54%;95%CI:-26.127,-7.962)。
    结论:这是第一项调查中欧BT暴露的研究,包括可能暴露的消防员。研究结果表明,在研究人群中,BT的患病率很高,1M-BTR作为一种新的暴露生物标志物的相关性,以及迫切需要进一步研究相关的不良健康结果。
    BACKGROUND: Benzotriazoles and benzothiazoles (BTs) are high-production volume chemicals as well as widely distributed emerging pollutants with potential health risk. However, information about human exposure to BTs and associated health outcomes is limited.
    OBJECTIVE: We aimed to characterise exposure to BTs among Czech men, including possible occupational exposure among firefighters, its predictors, and its associations with liver function, serum lipids and oxidative stress.
    METHODS: 165 participants (including 110 firefighters) provided urine and blood samples that were used to quantify the urinary levels of 8 BTs (high-performance liquid chromatography-tandem mass spectrometry), and 4 liver enzymes, cholesterol, low-density lipoprotein, and 8-hydroxy-2\'-deoxyguanosine. Linear regression was used to assess associations with population characteristics and biomarkers of liver function, serum lipids and oxidative stress. Regression models were adjusted for potential confounding variables and false discovery rate procedure was applied to account for multiplicity.
    RESULTS: The BTs ranged from undetected up to 46.8 ng/mL. 2-hydroxy-benzothiazole was the most predominant compound (detection frequency 83%; median 1.95 ng/mL). 1-methyl-benzotriazole (1M-BTR) was measured in human samples for the first time, with a detection frequency 77% and median 1.75 ng/mL. Professional firefighters had lower urinary 1M-BTR compared to non-firefighters. Urinary 1M-BTR was associated with levels of γ-glutamyl transferase (β = - 17.54%; 95% CI: - 26.127, - 7.962).
    CONCLUSIONS: This is the first study to investigate BT exposure in Central Europe, including potentially exposed firefighters. The findings showed a high prevalence of BTs in the study population, the relevance of 1M-BTR as a new biomarker of exposure, and an urgent need for further research into associated adverse health outcomes.
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  • 文章类型: Journal Article
    目的:目前中国儿童使用的血脂参考区间(RIs)不是基于对当地人群的研究,通常不考虑年龄或性别差异。本研究旨在建立年龄和性别特异性RIs在南京0-15岁儿童人群的空腹血脂水平,中国。
    方法:招募5,866名年龄在3天至<15岁的儿童建立血清脂质RIs,和甘油三酯(TG),总胆固醇(TC),用Rochecobas702全自动生化分析仪分析高密度脂蛋白胆固醇(HDL-C)水平。计算低密度脂蛋白胆固醇(LDL-C)和非高密度脂蛋白胆固醇(nHDL-C)水平(LDL-C=TC-HDL-C-TG/5,nHDL-C=TC-HDL-C)。使用LMS方法生成男孩和女孩的平滑百分位曲线。根据临床和实验室标准协会EP28-A3c指南推荐的方法确定年龄和性别特异性RI。
    结果:这项研究表明,整个儿童和青少年时期的血脂水平差异很大,性别差异,特别是在小于2岁和青春期的婴儿中。基于Harris-Boyd方法,TC指标中年龄<6个月,LDL-C和nHDL-C中年龄≤28天,需要性别分区。所有血清脂质参数也需要年龄划分。
    结论:我们为TG建立了年龄和性别特异性RI,TC,HDL-C,LDL-C,南京市0天至<15岁儿童的nHDL-C参数,中国。因此,这些数据被认为可用于筛查儿童和青少年的血脂异常。
    OBJECTIVE: The lipid reference intervals (RIs) that are currently used for children in China are not based on studies of the local population and normally do not consider age or gender differences. This study aimed to establish age- and sex-specific RIs for the fasting serum lipid levels in the pediatric population aged 0 - 15 years in Nanjing, China.
    METHODS: 5,866 children aged 3 days to <15 years were recruited to establish serum lipid RIs, and the triglyceride (TG), total cholesterol (TC), and high-density lipoprotein cholesterol (HDL-C) levels were analyzed using the Roche cobas702 automatic biochemical analyzer. Low-density lipoprotein cholesterol (LDL-C) and non-high-density lipoprotein cholesterol (nHDL-C) levels were calculated (LDL-C=TC-HDL-C-TG/5, and nHDL-C=TC-HDL-C). Smoothed percentile curves for the boys and girls were generated using the LMS method. Age- and sex-specific RIs were the determined according to the methods recommended by the Clinical and Laboratory Standards Institute EP28-A3c guidelines.
    RESULTS: This study showed that the serum lipid levels varied considerably throughout childhood and adolescence, with sex differences, especially in infants aged less than 2 years and puberty. Based on the Harris-Boyd method, sex partitions were required for ages <6 months in the TC indicator and for ages ≤ 28 days in LDL-C and nHDL-C. Age partitions were also required for all serum lipid parameters.
    CONCLUSIONS: We established age- and sex-specific RIs for TG, TC, HDL-C, LDL-C, and nHDL-C parameters in children aged 0 days to <15 years in Nanjing, China. These data are thus considered to be useful for the screening of dyslipidemia in children and adolescents.
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