white

白色
  • 文章类型: Journal Article
    背景:镰刀菌枯萎病(FHB),由镰刀菌引起,是北美小麦的主要病害。FHB感染导致镰刀菌受损内核(FDK),谷物中脱氧雪腐镰刀菌烯醇(DON)的积累,品质和谷物产量下降。FHB抗性的遗传是复杂的并且涉及多个基因。这项研究的目的是在\'D8006W\'/\'Superior\'中鉴定与天然FHB和DON抗性相关的QTL,软白色冬小麦群体。
    结果:在多个环境中复制的FHB田间疾病苗圃中进行了表型分析,包括对形态学和FHB相关性状的评估。亲本系具有中度FHB抗性,然而,人口表现出越轨性的隔离。使用来自小麦90KInfiniumiSelectSNP阵列的SNP标记开发了该种群的1913.2cM连锁图。QTL剖析检测到2D染色体上主要的FHB抗性QTL,4B,5A,和7A跨多个环境,父母双方的抵制。在染色体1A(视觉性状)上检测到性状特异性独特的QTL,5D(FDK),6B(FDK和DON),7D(DON)。2D染色体上的株高和开花天数QTL与Ppd-D1重合,并与FHB性状相关。染色体4B上的株高QTL也与FHB性状相关;然而,Rht-B1基因座在人群中没有分离。
    结论:本研究确定了几个QTL,包括与Ppd-D1连锁的2D染色体,用于本地冬小麦种质中的FHB抗性。
    BACKGROUND: Fusarium head blight (FHB), caused by Fusarium graminearum, is a major disease of wheat in North America. FHB infection causes fusarium damaged kernels (FDKs), accumulation of deoxynivalenol (DON) in the grain, and a reduction in quality and grain yield. Inheritance of FHB resistance is complex and involves multiple genes. The objective of this research was to identify QTL associated with native FHB and DON resistance in a \'D8006W\'/\'Superior\', soft white winter wheat population.
    RESULTS: Phenotyping was conducted in replicated FHB field disease nurseries across multiple environments and included assessments of morphological and FHB related traits. Parental lines had moderate FHB resistance, however, the population showed transgressive segregation. A 1913.2 cM linkage map for the population was developed with SNP markers from the wheat 90 K Infinium iSelect SNP array. QTL analysis detected major FHB resistance QTL on chromosomes 2D, 4B, 5A, and 7A across multiple environments, with resistance from both parents. Trait specific unique QTL were detected on chromosomes 1A (visual traits), 5D (FDK), 6B (FDK and DON), and 7D (DON). The plant height and days to anthesis QTL on chromosome 2D coincided with Ppd-D1 and were linked with FHB traits. The plant height QTL on chromosome 4B was also linked with FHB traits; however, the Rht-B1 locus did not segregate in the population.
    CONCLUSIONS: This study identified several QTL, including on chromosome 2D linked with Ppd-D1, for FHB resistance in a native winter wheat germplasm.
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  • 文章类型: Journal Article
    斑点seatrout,念珠菌,是美国东南部一种流行的猎鱼。据估计,南卡罗来纳州河口近90%的成年人口在其骨骼肌中被粘液孢子虫感染,Kudoainornata.然而,对这种寄生虫的生物学知之甚少,包括被感染鱼类组织中粘孢子的分布和密度,我们预计这会影响宿主的生理机能。为了在未来的研究中将密度与生理参数相关联,我们量化了肌肉中的粘孢子密度,并表征了单个鱼之间的变化。通过假定的K.inornata放生孢子暴露于生海水中,实验感染了幼稚的幼鱼。从新鲜和冷冻尸体的上轴圆角中的两个两侧对称区域提取了一块肌肉。在个体内部和个体之间计算密度数据的变化。在个人内部,比较左侧和右侧活检的密度计数.新鲜和冷冻塞子之间没有显着差异,个体间的变异占变异比例最大,为68.8%,而个体内部的变异很大,为25.6%。模拟和相关测试证实,双侧对称的重复在个体内显着变化。当从初始活检周围的区域取样时,粘孢子密度估计比两侧更相似。我们的发现对抽样设计有重要意义,特别是用于研究与寄生虫感染相关的细胞或分子水平的生理参数。
    The spotted seatrout, Cynoscion nebulosus, is a popular game fish in the southeastern USA. It is estimated that nearly 90% of the adult population in South Carolina estuaries are infected in their skeletal muscle by the myxosporean, Kudoa inornata. However, little is known about this parasite\'s biology, including the distribution and densities of myxospores within tissues of infected fish, which we expect affect the physiology of their hosts. In order to correlate densities with physiological parameters in future studies, we quantified the myxospores density in muscle and characterized the variation among individual fish. Naïve juvenile seatrout was experimentally infected via presumed K. inornata actinospores exposure to raw seawater. A plug of muscle was extracted from two bilaterally symmetrical regions in the epaxial fillet from fresh and frozen carcasses. Variation in density data was calculated both within and among individuals. Within individuals, density counts were compared between left- and right-side biopsies. There was no significant difference between fresh and frozen plugs, and variation among individuals accounted for the greatest proportion of variation at 68.8%, while variation within individuals was substantial at 25.6%. Simulation and correlation tests confirmed that bilaterally symmetrical replicates varied significantly within individuals. When sampled from areas surrounding the initial biopsies, myxospore density estimates were more similar than between sides. Our findings have important implications for sampling design, particularly for studies investigating physiological parameters at the cellular or molecular level in association with parasite infection.
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  • 文章类型: Journal Article
    背景:导管原位癌(DCIS)是浸润性乳腺癌(IBC)的非强制性前体。研究表明,基于种族或民族的DCIS结果存在差异,但分子差异尚未被研究。
    方法:我们在一项大型DCIS病例对照队列研究中,通过自我报告种族(SRR)和结果组,在黑人(n=99)和白人(n=191)妇女中检查了DCIS的分子谱。
    结果:基因表达和通路分析表明,白人和黑人女性DCIS治疗后,不同的基因和通路参与诊断和同侧乳腺结局(DCIS或IBC)。我们确定了ER和HER2表达的差异,肿瘤微环境组成,和SRR和结果组的拷贝数变化。
    结论:我们的研究结果表明,在黑人和白人女性中,不同的分子机制驱动起始和随后的同侧乳房事件。
    BACKGROUND: Ductal carcinoma in situ (DCIS) is a non-obligate precursor to invasive breast cancer (IBC). Studies have indicated differences in DCIS outcome based on race or ethnicity, but molecular differences have not been investigated.
    METHODS: We examined the molecular profile of DCIS by self-reported race (SRR) and outcome groups in Black (n = 99) and White (n = 191) women in a large DCIS case-control cohort study with longitudinal follow up.
    RESULTS: Gene expression and pathway analyses suggested that different genes and pathways are involved in diagnosis and ipsilateral breast outcome (DCIS or IBC) after DCIS treatment in White versus Black women. We identified differences in ER and HER2 expression, tumor microenvironment composition, and copy number variations by SRR and outcome groups.
    CONCLUSIONS: Our results suggest that different molecular mechanisms drive initiation and subsequent ipsilateral breast events in Black versus White women.
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  • 文章类型: Journal Article
    北美白鼻综合症(WNS)的出现导致冬眠蝙蝠大量死亡,当地人口完全灭绝。缓解这种疾病的需要激起了大量研究以了解其发病机理。假木曲菌破坏,WNS的病原体,是一种嗜冷(爱冷)真菌,属于无性菌类,主要包含植物病原体,与动物的其他相应病原体无关。在这次审查中,我们重新审视了冬眠蝙蝠和P.破坏性的独特生物学,并对WNS进展的阶段和机制进行了更新分析。冬眠蝙蝠的极端生活史,破坏假单胞菌的嗜冷性质,它与其他特征明确的动物感染真菌的进化距离转化为独特的宿主-病原体相互作用,其中许多尚未被发现。
    The emergence of white-nose syndrome (WNS) in North America has resulted in mass mortalities of hibernating bats and total extirpation of local populations. The need to mitigate this disease has stirred a significant body of research to understand its pathogenesis. Pseudogymnoascus destructans, the causative agent of WNS, is a psychrophilic (cold-loving) fungus that resides within the class Leotiomycetes, which contains mainly plant pathogens and is unrelated to other consequential pathogens of animals. In this review, we revisit the unique biology of hibernating bats and P. destructans and provide an updated analysis of the stages and mechanisms of WNS progression. The extreme life history of hibernating bats, the psychrophilic nature of P. destructans, and its evolutionary distance from other well-characterized animal-infecting fungi translate into unique host-pathogen interactions, many of them yet to be discovered.
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  • 文章类型: Journal Article
    高比例剪接的肌动蛋白截短变体(hiPSITTNTvs)与房颤风险增加有关。欧洲祖先个体的扩张型心肌病(DCM)和心力衰竭1。然而,缺乏非洲血统个体的类似数据。在这里,我们检查了hiPSITTNTvs与心房颤动的关系,使用来自我们所有人研究计划的数据,非洲血统个体的DCM和心力衰竭。在38,154名非洲血统的人中,169人(0.4%)携带hiPSI电视。hiPSITTNtv携带者发生房颤的风险较高(调整后的危险比(HRadj)2.42,95%置信区间(CI)1.52-3.85),与非携带者相比,DCM(HRadj2.82,95%CI1.81-4.39)和心力衰竭(HRadj2.07,95%CI1.43-3.00)。hiPSITTNTvs与心房颤动的关系,DCM和心力衰竭在非洲血统和欧洲血统的个体中相似。因此,对hiPSITTNTvs进行基因检测可以早期识别携带者,并支持预防措施,以降低欧洲血统个体和非洲血统个体发生心力衰竭的可能性。
    High-proportion spliced-in titin truncating variants (hiPSI TTNtvs) have been associated with an increased risk of atrial fibrillation, dilated cardiomyopathy (DCM) and heart failure in individuals of European ancestry1. However, similar data in individuals of African ancestry are lacking. Here we examined the association of hiPSI TTNtvs with atrial fibrillation, DCM and heart failure in individuals of African ancestry using data from the All of Us Research Program. Among 38,154 individuals of African ancestry, 169 (0.4%) individuals carried a hiPSI TTNtv. hiPSI TTNtv carriers were at a higher risk of developing atrial fibrillation (adjusted hazard ratio (HRadj) 2.42, 95% confidence interval (CI) 1.52-3.85), DCM (HRadj 2.82, 95% CI 1.81-4.39) and heart failure (HRadj 2.07, 95% CI 1.43-3.00) compared with noncarriers. The association of hiPSI TTNtvs with atrial fibrillation, DCM and heart failure was similar in individuals of African ancestry and those of European ancestry. Therefore, genetic testing for hiPSI TTNtvs may permit early identification of carriers and support preventive measures to reduce the likelihood of heart failure development both in individuals of European ancestry and in individuals of African ancestry.
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  • 文章类型: Journal Article
    目的:本研究的目的是预测实施健康体重诊所(HWC)的成本效益,针对6至12岁超重或肥胖儿童的初级保健干预措施,在全国联邦合格的卫生中心(FQHC)。
    方法:我们从卫生保健部门和社会角度估计干预费用,并使用HWC试验的BMI变化估计值。我们对2023年至2032年所有FQHC中的国家HWC实施情况进行了微观模拟,估计每个儿童和每个质量调整生命年(QALY)的成本以及按种族和种族划分的对肥胖患病率的预测影响。概率敏感性分析评估了估计的不确定性。
    结果:国家实施计划将覆盖88000名10岁以上的儿童,医疗保健部门的平均干预成本为每名儿童456美元(95%不确定区间[UI]:409美元-506美元),家庭的平均干预成本为211美元(95%UI:175美元-251美元)(例如,时间参与)。假设效果维持,国家实施可能导致2070(95%UI:859-3220)QALYs在10年内获得并节省1460万美元(95%UI:5.6-2350万美元)的医疗保健费用,每QALY收益的净成本为278,000美元(95%CI:177,000美元-679,000美元)。我们预计西班牙裔/拉丁裔和黑人与白人人群的肥胖率会进一步下降。
    结论:HWC每名儿童的成本相对较低,如果在全国范围内实施FQHC,预计将减少肥胖差异。
    OBJECTIVE: The objective of this study was to project the cost-effectiveness of implementing the Healthy Weight Clinic (HWC), a primary care-based intervention for 6- to 12-year-old children with overweight or obesity, at federally qualified health centers (FQHCs) nationally.
    METHODS: We estimated intervention costs from a health care sector and societal perspective and used BMI change estimates from the HWC trial. Our microsimulation of national HWC implementation among all FQHCs from 2023 to 2032 estimated cost per child and per quality-adjusted life year (QALY) gained and projected impact on obesity prevalence by race and ethnicity. Probabilistic sensitivity analyses assessed uncertainty around estimates.
    RESULTS: National implementation is projected to reach 888,000 children over 10 years, with a mean intervention cost of $456 (95% uncertainty interval [UI]: $409-$506) per child to the health care sector and $211 (95% UI: $175-$251) to families (e.g., time participating). Assuming effect maintenance, national implementation could result in 2070 (95% UI: 859-3220) QALYs gained and save $14.6 million (95% UI: $5.6-$23.5 million) in health care costs over 10 years, yielding a net cost of $278,000 (95% CI: $177,000-$679,000) per QALY gained. We project greater reductions in obesity prevalence among Hispanic/Latino and Black versus White populations.
    CONCLUSIONS: The HWC is relatively low-cost per child and projected to reduce obesity disparities if implemented nationally in FQHCs.
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  • 文章类型: Journal Article
    白鼻综合症(WNS)是蝙蝠的真菌野生动物疾病,已导致某些近地蝙蝠物种急剧下降。死亡率的关键驱动因素是脂肪储备过早耗尽,主要是白色脂肪组织(WAT),蝙蝠依靠它们来满足冬季的新陈代谢需求。然而,WNS的病理生理和代谢作用仍然不明确。为了阐明与WNS死亡率相关的代谢机制,我们感染了一个WNS易感物种,小布朗肌炎(Myotislucifugus),与假木曲破坏(Pd),并收集WAT活检进行组织学和靶向脂质组学。将这些结果与抗WNS的大棕色蝙蝠(Eptesicusfuscus)进行比较。在两个物种中都观察到广泛的脂质类别中的相似分布,总WAT主要由三酰甘油酯组成。物种之间WAT化学组成的基线差异表明,E.fuscus中较高的甘油磷脂(GP)水平由不饱和或单不饱和部分和n-6(18:2、20:2、20:3、20:4)脂肪酸主导。相反,在M.lucifugusWAT中较高的GP水平主要是含有n-3(20:5和22:5)脂肪酸的化合物。Pd感染后,我们发现,对WAT储量的扰动发生在绿藻中,但在抗性E.fuscus中没有。在Pd感染的M.lucifugus中,总共有66个GP(主要是甘油磷酸胆碱和甘油磷酸乙醇胺)较高,指示对WAT结构组件的扰动。除了脂质化学的变化,在Pd感染的萤光分枝杆菌中观察到更小的脂肪细胞大小和增加的细胞外基质沉积。这是第一项描述对WNS具有不同敏感性的蝙蝠的WATGP组成的研究,并强调从WNS中恢复除了在春季出苗期间补充储库脂肪外,还可能需要从脂肪重塑中进行修复。
    White-nose syndrome (WNS) is a fungal wildlife disease of bats that has caused precipitous declines in certain Nearctic bat species. A key driver of mortality is premature exhaustion of fat reserves, primarily white adipose tissue (WAT), that bats rely on to meet their metabolic needs during winter. However, the pathophysiological and metabolic effects of WNS have remained ill-defined. To elucidate metabolic mechanisms associated with WNS mortality, we infected a WNS susceptible species, the Little Brown Myotis (Myotis lucifugus), with Pseudogymnoascus destructans (Pd) and collected WAT biopsies for histology and targeted lipidomics. These results were compared to the WNS-resistant Big Brown Bat (Eptesicus fuscus). A similar distribution in broad lipid class was observed in both species, with total WAT primarily consisting of triacylglycerides. Baseline differences in WAT chemical composition between species showed that higher glycerophospholipids (GPs) levels in E. fuscus were dominated by unsaturated or monounsaturated moieties and n-6 (18:2, 20:2, 20:3, 20:4) fatty acids. Conversely, higher GP levels in M. lucifugus WAT were primarily compounds containing n-3 (20:5 and 22:5) fatty acids. Following Pd-infection, we found that perturbation to WAT reserves occurs in M. lucifugus, but not in the resistant E. fuscus. A total of 66 GPs (primarily glycerophosphocholines and glycerophosphoethanolamines) were higher in Pd-infected M. lucifugus, indicating perturbation to the WAT structural component. In addition to changes in lipid chemistry, smaller adipocyte sizes and increased extracellular matrix deposition was observed in Pd-infected M. lucifugus. This is the first study to describe WAT GP composition of bats with different susceptibilities to WNS and highlights that recovery from WNS may require repair from adipose remodeling in addition to replenishing depot fat during spring emergence.
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  • 文章类型: Journal Article
    兔子由于其有效的生长和生产力而对商业肉类生产至关重要,品种像新西兰白(NZW),加利福尼亚(CAL),和Gabali(GAB)兔子在凋落物中具有独特的遗传性状,增长,和car体特征。本研究旨在评估遗传力(H2),产仔数的遗传和表型相关性(rg和rp),加利福尼亚州(CAL)的体重和car体特征,新西兰白兔(NZW)和Gabali(GA)。随着TBC1D1、NPY基因表达谱的探索,AGRP,POMC,瘦素,GH,GHR,IGF-1,CAA,GPR,ACC,CPT1、FAS、和大脑中的CART,肝脏,和不同品种兔的肉组织。品种基因型对产仔数(LS)有显著影响,产仔数(LW),12周时的体重(BW12),和每日体重增加(DWG)特征。NZW兔在产仔数和产仔数方面表现优异,而CAL兔记录的BW12和DWG值最高。产仔数的遗传力估计值(h2)通常较低(范围为0.05至0.12),体重中等(范围为0.16至0.31)。产仔数的遗传(rg)和表型(rp)相关性均为阳性和中等(范围为0.08至0.48),而体重的相关性范围为0.21至0.58。此外,与NZW和GA兔相比,CAL兔表现出更高的car体性状。就品种特异性基因表达模式而言,新西兰白兔(NZW)表现出与能量代谢相关的关键基因(TBC1D1)的最高表达水平,食欲调节(NPY,AGRP,POMC),养分运输(CAA),以及脑和肝组织中的G蛋白偶联受体(GPR)。加利福尼亚(CAL)兔在脑组织和GH中表现出ACC基因的优越基因表达,GHR,以及大脑和肉类组织中的IGF-1基因。Gabali(GAB)兔表现出最高的TBC1D1、NPY表达水平,AGRP,GPR,和肉组织中的ACC基因。这些品种特异性基因表达差异,结合基因评估工作,有可能提高兔子的繁殖和生产性能,为兔子育种计划和遗传选择提供有价值的见解。
    Rabbits are essential for commercial meat production due to their efficient growth and productivity, breeds like New Zealand White (NZW), Californian (CAL), and Gabali (GAB) rabbits offer unique genetic traits in litter, growth, and carcass traits. This study aimed to evaluate heritability (h2), genetic and phenotypic correlations (rg and rp) for litter size, body weight and carcass traits across California (CAL), New Zealand white (NZW) and Gabali (GA) rabbits. Along with exploring gene expression profiles of TBC1D1, NPY, AGRP, POMC, Leptin, GH, GHR, IGF-1, CAA, GPR, ACC, CPT1, FAS, and CART in the brain, liver, and meat tissues of different rabbit breeds. The breed genotype had a significant impact on litter size (LS), litter weight (LW), body weight at 12 weeks (BW12), and daily weight gain (DWG) traits. NZW rabbits displayed superior performance in terms of litter size and litter weight, while CAL rabbits recorded the highest values for BW12 and DWG. Heritability estimates (h2) were generally low for litter size (ranging from 0.05 to 0.12) and medium for body weight (ranging from 0.16 to 0.31). Both genetic (rg) and phenotypic (rp) correlations for litter size were positive and moderate (ranging from 0.08 to 0.48), while correlations for body weight ranged from 0.21 to 0.58. Additionally, CAL rabbits exhibited higher carcass traits compared to NZW and GA rabbits. In terms of breed-specific gene expression patterns, New Zealand White (NZW) rabbits displayed the highest expression levels of key genes related to energy metabolism (TBC1D1), appetite regulation (NPY, AGRP, POMC), nutrient transport (CAA), and G protein-coupled receptors (GPR) in both brain and liver tissues. Californian (CAL) rabbits exhibited superior gene expression of the ACC gene in brain tissue and GH, GHR, and IGF-1 genes in brain and meat tissues. Gabali (GAB) rabbits demonstrated the highest expression levels of TBC1D1, NPY, AGRP, GPR, and ACC genes in meat tissues. These breed-specific gene expression differences, combined with genetic evaluation efforts, have the potential to enhance reproductive and productive performance in rabbits, offering valuable insights for rabbit breeding programs and genetic selection.
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  • 文章类型: Journal Article
    背景:老年人抑郁症是一个紧迫的公共卫生问题,需要准确的评估工具。老年抑郁量表(GDS)提供了一个简短而有效的筛查抑郁症状的方法,然而,它在民族种族群体中的表现仍然被低估。这项研究旨在比较各种简短形式的GDS检测抑郁症状的能力,并评估白人之间症状认可的潜在种族差异,黑人/非裔美国人,和美洲印第安人/阿拉斯加原住民老年人。
    方法:数据来自威斯康星州阿尔茨海默病研究中心(ADRC)临床队列,由555名有痴呆症风险的认知健康个体组成。我们使用参与者的基线数据进行横断面分析。使用多种简短形式的GDS评估抑郁症状,来自系统评价和荟萃分析。我们检查了内部一致性和与全球临床痴呆评分(CDR)评分的相关性。我们进行了Kruskal-Wallis测试和事后成对比较,以评估症状认可的种族种族差异。
    结果:描述性统计数据显示,女性和白人参与者占主导地位,黑人和美洲印第安人/阿拉斯加原住民群体的显着代表。所有GDS版本都表现出中等到高的内部一致性。在GDS评分和全局CDR评分之间观察到显著正相关。抑郁症状认可的民族种族差异很明显,Black参与者在大多数GDS版本中始终报告更高水平的症状。然而,在一个GDS版本中,美洲印第安人/阿拉斯加原住民参与者认可的症状明显少于黑人参与者。
    结论:该研究强调了在评估老年人时考虑抑郁症状的种族差异的重要性。虽然GDS显示出整体可靠性,不同种族群体的症状认可差异强调了对文化敏感的评估工具和干预措施的必要性。未来的研究应该进一步探索这些群体差异,并开发针对不同老年人群的抑郁症筛查和治疗方法。
    BACKGROUND: Depression among older adults is a pressing public health concern, necessitating accurate assessment tools. The Geriatric Depression Scale (GDS) offers a brief and efficient means of screening depressive symptoms, yet its performance across ethno-racial groups remains understudied. This study aimed to compare the ability of various brief forms of the GDS to detect depressive symptoms and to assess potential ethno-racial differences in symptom endorsement among White, Black/African-American, and American Indian/Alaska Native older adults.
    METHODS: Data were obtained from the Wisconsin Alzheimer\'s Disease Research Center (ADRC) clinical cohort, comprising 555 cognitively healthy individuals at risk for dementia. We used participants\' baseline data for this cross-sectional analysis. Depressive symptoms were assessed using multiple brief forms of the GDS, derived from a systematic review and meta-analysis. We examined internal consistency and correlations with global Clinical Dementia Rating (CDR) scores. We conducted Kruskal-Wallis tests and post hoc pairwise comparisons to assess ethno-racial group differences in symptom endorsement.
    RESULTS: Descriptive statistics revealed a predominance of female and White participants, with notable representation from Black and American Indian/Alaska Native groups. All GDS versions demonstrated moderate to high internal consistency. Significant positive correlations were observed between GDS scores and global CDR scores. Ethno-racial group differences in depressive symptom endorsement were evident, with Black participants consistently reporting higher levels of symptoms across most GDS versions. However, American Indian/Alaska Native participants endorsed significantly fewer symptoms than Black participants in one GDS version.
    CONCLUSIONS: The study highlights the importance of considering ethno-racial differences in depressive symptomatology when assessing older adults. While the GDS demonstrates overall reliability, variations in symptom endorsement across different ethno-racial groups underscore the need for culturally sensitive assessment tools and interventions. Future research should further explore these group differences and develop tailored approaches to depression screening and treatment in diverse older adult populations.
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  • 文章类型: Journal Article
    使用1998-2022年妇女健康倡议(WHI)数据,我们的研究提供了按种族和种族划分的当代骨折数据,特别关注西班牙裔和亚洲女性。感兴趣的骨折包括任何临床,臀部,和严重的骨质疏松性骨折(MOFs)。我们利用了2003年收集的最新种族和种族信息,其中包括七个亚洲人和五个西班牙裔人。我们计算了种族和种族类别以及亚洲和西班牙裔起源的每10000名妇女年的粗略和年龄标准化骨折发生率。我们使用Cox比例风险模型,调整年龄和WHI临床试验臂,与白人女性相比,按种族评估骨折的风险(1),(2)亚洲血统与白人女性相比,(3)西班牙裔与非西班牙裔女性相比,和(4)亚洲和西班牙裔起源比较最普遍的起源群体。在19.4(9.2-24.2)年的中位数(四分位数范围)随访中,在160824名女性中,有44.2%的女性经历了任何临床骨折,包括36278个MOFs和8962个髋部骨折。与白人女性相比,黑色,太平洋岛民,亚洲人,多种族女性的任何临床和MOFs的风险显着降低,而只有黑人和亚洲女性的髋部骨折风险明显降低。在亚洲女性中,与日本女性相比,菲律宾女性发生任何临床骨折的风险降低了24%。西班牙裔女性的任何临床风险都显着降低,臀部,和MOF骨折与非西班牙裔女性相比,在西班牙裔起源组中观察到的骨折风险没有差异。在这个不同的绝经后妇女样本中,我们证实了骨折率和风险的种族和民族差异,在亚洲和西班牙裔亚组中的新发现。这些数据可以帮助未来的纵向研究评估骨折中种族和民族差异的贡献者。
    我们提供了按种族和民族划分的当代骨折率,特别关注多个西班牙裔和亚洲亚群,使用1998-2022年妇女健康倡议的数据。在19.4年的中位随访中,154948名妇女中有43.4%经历了任何临床骨折,包括8679例髋部和34546例严重骨质疏松性骨折。与白人女性相比,黑色,太平洋岛民,亚洲人,多种族女性发生任何临床和严重骨质疏松性骨折(MOFs)的风险显著较低;而与白人女性相比,只有黑人和亚洲女性的髋部骨折风险显著较低.在亚洲女性中,与日本女性相比,菲律宾女性发生任何临床骨折的风险降低了24%。西班牙裔女性的任何临床风险都显着降低,臀部,和MOF骨折与非西班牙裔女性相比,在西班牙裔女性中观察到的骨折风险没有差异。在这个不同的绝经后妇女样本中,我们证实了骨折率和风险的种族和民族差异,在太平洋岛民妇女以及亚洲和西班牙裔亚组中的新发现。
    Using 1998-2022 Women\'s Health Initiative (WHI) data, our study provides contemporary fracture data by race and ethnicity, specifically focusing on Hispanic and Asian women. Fractures of interest included any clinical, hip, and major osteoporotic fractures (MOFs). We utilized the updated race and ethnicity information collected in 2003, which included seven Asian and five Hispanic origin groups. We computed crude and age-standardized fracture incidence rates per 10 000 woman-years across race and ethnic categories and by Asian and Hispanic origin. We used Cox proportional hazards model, adjusting for age and WHI clinical trial arm, to evaluate the risk of fracture (1) by race compared to White women, (2) Asian origin compared to White women, (3) Hispanic compared to non-Hispanic women, and (4) Asian and Hispanic origins compared the most prevalent origin group. Over a median (interquartile range) follow-up of 19.4 (9.2-24.2) years, 44.2% of the 160 824 women experienced any clinical fracture, including 36 278 MOFs and 8962 hip fractures. Compared to White women, Black, Pacific Islander, Asian, and multiracial women had significantly lower risk of any clinical and MOFs, while only Black and Asian women had significantly lower hip fracture risk. Within Asian women, Filipina women had 24% lower risk of any clinical fracture compared to Japanese women. Hispanic women had significantly lower risk of any clinical, hip, and MOF fractures compared to non-Hispanic women, with no differences in fracture risk observed within Hispanic origin groups. In this diverse sample of postmenopausal women, we confirmed racial and ethnic differences in fracture rates and risk, with novel findings among within Asian and Hispanic subgroups. These data can aid in future longitudinal studies evaluate contributors to racial and ethnic differences in fractures.
    We provided contemporary fracture rates by race and ethnicity, specifically focusing on multiple Hispanic and Asian subgroups, using 1998-2022 data from the Women’s Health Initiative. Over a median follow-up of 19.4 years, 43.4% of the 154 948 women experienced any clinical fracture, including 8679 hip and 34 546 major osteoporotic fractures. Compared to White women, Black, Pacific Islander, Asian, and multiracial women had significantly lower risk of any clinical and major osteoporotic fractures (MOFs); while only Black and Asian women had significantly lower hip fracture risk when compared to White women. Within Asian women, Filipina women had 24% lower risk of any clinical fracture compared to Japanese women. Hispanic women had significantly lower risk of any clinical, hip, and MOF fractures compared to non-Hispanic women, with no differences in fracture risk observed within Hispanic women. In this diverse sample of postmenopausal women, we confirmed racial and ethnic differences in fracture rates and risk, with novel findings among Pacific Islander women and within Asian and Hispanic subgroups.
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