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Type 2 diabetes-related sarcopenia: role of nitric oxide. 2型糖尿病相关肌肉减少症:一氧化氮的作用
IF 3.9 2区 医学
Nutrition & Metabolism Pub Date : 2024-12-18 DOI: 10.1186/s12986-024-00883-z
Zahra Bahadoran, Parvin Mirmiran, Asghar Ghasemi
{"title":"Type 2 diabetes-related sarcopenia: role of nitric oxide.","authors":"Zahra Bahadoran, Parvin Mirmiran, Asghar Ghasemi","doi":"10.1186/s12986-024-00883-z","DOIUrl":"10.1186/s12986-024-00883-z","url":null,"abstract":"<p><p>Sarcopenia, characterized by progressive and generalized loss of skeletal muscle (SkM) mass, strength, and physical performance, is a prevalent complication in type 2 diabetes (T2D). Nitric oxide (NO), a multifunctional gasotransmitter involved in whole-body glucose and insulin homeostasis, plays key roles in normal SkM physiology and function. Here, we highlight the role of NO in SkM mass maintenance and its potential contribution to the development of T2D-related sarcopenia. Physiologic NO level, primarily produced by sarcolemmal neuronal nitric oxide synthase (nNOSμ isoform), is involved in protein synthesis in muscle fibers and maintenance of SkM mass. The observed effect of nNOSμ on SkM mass is muscle-type specific and sex-dependent. Impaired NO homeostasis [due to a diminished nNOSμ-NO availability and excessive NO production through inducible NOS (iNOS) in response to atrophic stimuli, e.g., inflammatory cytokines] in SkM occurred during the development and progression of T2D, may cause sarcopenia. Theoretically, restoration of NO through nNOS overexpression, supplying NOS substrates (e.g., L-arginine and L-citrulline), phosphodiesterase (PDE) inhibition, and supplementation with NO donors (e.g., inorganic nitrate) may be potential therapeutic approaches to preserve SkM mass and prevents sarcopenia in T2D.</p>","PeriodicalId":19196,"journal":{"name":"Nutrition & Metabolism","volume":"21 1","pages":"107"},"PeriodicalIF":3.9,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Foods, dietary patterns, and risk of vascular dementia: a systematic review. 食物、饮食模式和血管性痴呆风险:系统综述。
IF 3.9 2区 医学
Nutrition & Metabolism Pub Date : 2024-12-18 DOI: 10.1186/s12986-024-00880-2
Alex Griffiths, Jamie Matu, Eugene Y H Tang, Sarah Gregory, Emma Anderson, Andrea Fairley, Rebecca Townsend, Emma Stevenson, Blossom C M Stephan, Mario Siervo, Oliver M Shannon
{"title":"Foods, dietary patterns, and risk of vascular dementia: a systematic review.","authors":"Alex Griffiths, Jamie Matu, Eugene Y H Tang, Sarah Gregory, Emma Anderson, Andrea Fairley, Rebecca Townsend, Emma Stevenson, Blossom C M Stephan, Mario Siervo, Oliver M Shannon","doi":"10.1186/s12986-024-00880-2","DOIUrl":"10.1186/s12986-024-00880-2","url":null,"abstract":"<p><strong>Background: </strong>Vascular dementia (VaD) is the second most common cause of dementia globally and is associated with a significant economic and social burden. Diet could represent an important tractable risk factor for VaD. We synthesised current evidence on associations between consumption of specific foods or dietary patterns and VaD risk.</p><p><strong>Methods: </strong>Five databases were searched from inception to January 2024 for prospective cohort studies exploring associations between individual foods or dietary patterns and incident VaD.</p><p><strong>Results: </strong>Sixteen studies were included. Compared with low intake reference groups, higher fruit and vegetable intake, moderate alcoholic drink intake (1-3 drinks/day), higher tea and coffee intake, and following a plant-based dietary pattern were associated with lower VaD risk. Conversely, moderate fried fish intake (0.25-2 servings/week), higher ultra-processed food intake (especially intake of sweetened beverages) and higher processed meat intake (≥ 2 servings/week) were associated with increased VaD risk. Inconsistent findings were observed for other dietary exposures.</p><p><strong>Discussion: </strong>A healthy diet could lower VaD risk. However, evidence is characterised by a limited number of studies for specific dietary exposures. Further research is needed to inform personalised and population-based approaches to lower VaD risk.</p>","PeriodicalId":19196,"journal":{"name":"Nutrition & Metabolism","volume":"21 1","pages":"105"},"PeriodicalIF":3.9,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of circulating polyunsaturated fatty acids in mediating the effect of BMI on leukocyte telomere length: analysis using Mendelian randomization. 循环多不饱和脂肪酸在介导BMI对白细胞端粒长度的影响中的作用:使用孟德尔随机化分析。
IF 3.9 2区 医学
Nutrition & Metabolism Pub Date : 2024-12-05 DOI: 10.1186/s12986-024-00882-0
Li Tan, Meng-Mei Zhong, Ya-Qiong Zhao, Yao Feng, Qin Ye, Jing Hu, Ze-Yue Ou-Yang, Ning-Xin Chen, Xiao-Lin Su, Qian Zhang, Qiong Liu, Hui Yuan, Min-Yuan Wang, Yun-Zhi Feng, Yue Guo
{"title":"The role of circulating polyunsaturated fatty acids in mediating the effect of BMI on leukocyte telomere length: analysis using Mendelian randomization.","authors":"Li Tan, Meng-Mei Zhong, Ya-Qiong Zhao, Yao Feng, Qin Ye, Jing Hu, Ze-Yue Ou-Yang, Ning-Xin Chen, Xiao-Lin Su, Qian Zhang, Qiong Liu, Hui Yuan, Min-Yuan Wang, Yun-Zhi Feng, Yue Guo","doi":"10.1186/s12986-024-00882-0","DOIUrl":"10.1186/s12986-024-00882-0","url":null,"abstract":"<p><strong>Background: </strong>polyunsaturated fatty acids (PUFAs) are a category of fatty acids that contain omega-3 and omega-6 fatty acids, which constitute a substantial portion of the Western diet and are vital for maintaining human wellness. The extent to which circulating PUFAs influence the effects of BMI on leukocyte telomere length (LTL) is unknown. Additionally, the impact of circulating PUFA on LTL remains controversial in observational studies.</p><p><strong>Methods: </strong>Using publicly accessible datasets, a genome-wide association study (GWAS) was carried out to determine genetic association estimates for BMI, circulating PUFAs, and LTL. The circulating PUFAs considered were omega-3 PUFAs (i.e., docosahexaenoic acid (DHA) and total omega-3 PUFAs) and omega-6 PUFAs (i.e., linoleic acid (LA) and total omega-6 PUFAs). Two-sample Mendelian randomization (MR) was used to investigate the causal relationships between BMI and PUFA with LTL. Additionally, we examined whether certain PUFA mediate the impact of BMI on LTL.</p><p><strong>Results: </strong>None of the evidence supported a causal effect of genetically predicted DHA and total omega-3 PUFA on LTL (DHA: β = 0.001, 95% CI: -0.023 to 0.026, p = 0.926; total omega-3 PUFA: β = 0.008, 95% CI: -0.013 to 0.029, p = 0.466). After conducting sensitivity analyses to account for various models of horizontal pleiotropy, the causal association between higher levels of LA and longer LTL persisted (β = 0.034, 95% CI 0.016 to 0.052, p < 0.001). Adjusting for LA in genetics reduced the effect of BMI on LTL from β = -0.039 (95% CI: -0.058 to -0.020, p < 0.001) to -0.034 (95% CI: -0.054 to -0.014, p < 0.001).</p><p><strong>Conclusions: </strong>This MR study indicates that an increase in genetically predicted circulating LA levels is associated with longer LTL. Additionally, it appears that circulating LA levels play a role in mediating some of the impact that BMI has on LTL.</p>","PeriodicalId":19196,"journal":{"name":"Nutrition & Metabolism","volume":"21 1","pages":"104"},"PeriodicalIF":3.9,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between modified dietary inflammation index score and lumbar vertebrae bone mineral density in patients with hypertension: data from NHANES-a population-based study. 高血压患者改良饮食炎症指数评分与腰椎骨矿物质密度之间的关系:来自nhanes的数据——一项基于人群的研究
IF 3.9 2区 医学
Nutrition & Metabolism Pub Date : 2024-12-04 DOI: 10.1186/s12986-024-00877-x
Guangbin Chen, Bo Qu, Pan Liu, Zhengdong Zhang
{"title":"Association between modified dietary inflammation index score and lumbar vertebrae bone mineral density in patients with hypertension: data from NHANES-a population-based study.","authors":"Guangbin Chen, Bo Qu, Pan Liu, Zhengdong Zhang","doi":"10.1186/s12986-024-00877-x","DOIUrl":"10.1186/s12986-024-00877-x","url":null,"abstract":"<p><strong>Background: </strong>The modified Dietary Inflammation Index Score (M-DIS) is a scoring system used to quantify the inflammatory effects of nutrients and foods. Inflammation may affect Bone Mineral Density (BMD) and increase the risk of osteoporosis and fractures. The purpose of this study was to utilize data from the National Health and Nutrition Examination Survey (NHANES) to evaluate the relationship between M-DIS and lumbar vertebrae BMD in patients with hypertension.</p><p><strong>Methods: </strong>Data from 2007 to 2008, 2009-2010, 2013-2014 and 2017-2018 NHANES cycles were collected for secondary analysis. Information provided by NHANES participants included complete dietary intake interviews and BMD measurements. M-DIS was calculated based on dietary intake interviews. Dual energy X-ray absorptiometry (DXA) was used to evaluate the average BMD of lumbar vertebrae (L1-L4). As an indicator of bone health, weighted multiple logistic regression and restricted spline analysis were utilized to study the relationship between M-DIS and lumbar vertebrae BMD in American patients with hypertension.</p><p><strong>Results: </strong>A total of 3864 participants aged ≥ 20 years with complete data were included in this study. The proportion of osteopenia in the lumbar spine was 7.2%. After adjusting for confounding factors, negative correlations were observed between the BMD of each vertebral and its average BMD with M-DIS. In Model 3, the relationship between mean lumbar BMD and M-DIS was β = - 0.0103 (95% CI - 0.0160 to - 0.0046, P < 0.001). Notably, L1 showed a particularly significant negative correlation with β = - 0.0120 (95% CI - 0.0172 to - 0.0067, P < 0.001), while the proportion of osteopenia was highest in the L3 vertebra, accounting for 8.3%. Higher M-DIS was positively correlated with the incidence of osteopenia (OR 0.595, 95% CI 0.371-0.965, P = 0.041). Further analyses revealed that in hypertensive patients, elevated M-DIS in women was associated with lower lumbar BMD (P for nonlinearity = 0.093), while this trend was not significant in hypertensive men.</p><p><strong>Conclusions: </strong>The results of this study suggest that a higher M-DIS (pro-inflammatory diet) is significantly associated with BMD in females with hypertension. These results indicate that female with hypertension who prefer a pro-inflammatory diet may be at an increased risk of osteopenia, highlighting the necessity for tailored dietary recommendations.</p>","PeriodicalId":19196,"journal":{"name":"Nutrition & Metabolism","volume":"21 1","pages":"102"},"PeriodicalIF":3.9,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: The acute effect of a β-glucan-enriched oat bread on gastric emptying, GLP-1 response, and postprandial glycaemia and insulinemia: a randomised crossover trial in healthy adults. 更正:一种富含β-葡聚糖的燕麦面包对胃排空、GLP-1反应、餐后血糖和胰岛素血症的急性影响:一项健康成人的随机交叉试验。
IF 3.9 2区 医学
Nutrition & Metabolism Pub Date : 2024-12-04 DOI: 10.1186/s12986-024-00872-2
Ingrid Revheim, Simon Ballance, Adelheid Fretland Standal, Anne Rieder, Jutta Dierkes, Anette E Buyken, Odd Helge Gilja, Trygve Hausken, Hanne Rosendahl-Riise
{"title":"Correction: The acute effect of a β-glucan-enriched oat bread on gastric emptying, GLP-1 response, and postprandial glycaemia and insulinemia: a randomised crossover trial in healthy adults.","authors":"Ingrid Revheim, Simon Ballance, Adelheid Fretland Standal, Anne Rieder, Jutta Dierkes, Anette E Buyken, Odd Helge Gilja, Trygve Hausken, Hanne Rosendahl-Riise","doi":"10.1186/s12986-024-00872-2","DOIUrl":"10.1186/s12986-024-00872-2","url":null,"abstract":"","PeriodicalId":19196,"journal":{"name":"Nutrition & Metabolism","volume":"21 1","pages":"101"},"PeriodicalIF":3.9,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
L-arginine mitigates cardiac lipid and glucose accumulation through leptin modulation and enhancement of PIK3 activities in high fat-fed male Wistar rats. 在高脂肪喂养的雄性Wistar大鼠中,l -精氨酸通过瘦素调节和增强PIK3活性来减轻心脏脂质和葡萄糖的积累。
IF 3.9 2区 医学
Nutrition & Metabolism Pub Date : 2024-12-04 DOI: 10.1186/s12986-024-00852-6
Adewumi Oluwafemi Oyabambi, Olubayode Bamidele, Blessing Boluwatife Aindero, Adeoba Mobolaji Awolola
{"title":"L-arginine mitigates cardiac lipid and glucose accumulation through leptin modulation and enhancement of PIK3 activities in high fat-fed male Wistar rats.","authors":"Adewumi Oluwafemi Oyabambi, Olubayode Bamidele, Blessing Boluwatife Aindero, Adeoba Mobolaji Awolola","doi":"10.1186/s12986-024-00852-6","DOIUrl":"10.1186/s12986-024-00852-6","url":null,"abstract":"<p><strong>Background and aim: </strong>Insulin resistance and other metabolic risk factors are associated with increased cardiovascular diseases in animals fed with high fat diets (HFD). L-arginine is a semi-essential amino acid produced both endogenously and taken in the diet as supplements. It has been documented to possess antioxidant and anti-inflammatory properties and has been considered a plausible candidate for the management of metabolic disorders. Therefore, this study is aimed to determine the effects of L-arginine on lipid dysregulation and insulin resistance in high fat-fed male Wistar rats.</p><p><strong>Methods and results: </strong>Twenty-four (24) male Wistar rats randomly selected into 4 groups, mean weight 110 ± 5 and, (n = 6) were fed rat chow + distilled water (vehicle); CTR, rat chow + L-arginine (150 mg/kg), HFD + vehicle, HFD + L-Arginine (150 mg/kg) for 6 weeks. The animals were anesthetized with 50 mg/kg pentobarbital sodium intraperitoneally, blood sample was taken via cardiac puncture and thereafter collected into a heparinized tube. Data were expressed as means ± SEM. HFD increased body weight gain, serum Insulin, Homeostasis model assessment of insulin resistance (HOMA-IR), area under the curve (AUC), leptin, Lipoprotein(a) or Lp(a), triglyceride-glucose index (TYG), triglycerides (TG), free fatty acids (FFAs), total cholesterol (TC), low density lipoprotein (LDL-C), TC/HDL-C, Log TG/HDL-C, TC-HDL-C)/HDL-C but decreased phospoinositide-3-kinase (PIK3) when compared with control. L-arginine, resulted in significant reduction in weight gain, fasting blood sugar (FBS), insulin, AUC, HOMA-IR, leptin, while increasing PIK3, Lp(a), TG, TC and FFA when compared with HFD.</p><p><strong>Conclusion: </strong>The amelioration of lipid and glucose accumulation by L-arginine supplementation in high fat diet-fed male Wistar rats is accompanied by reduced leptin levels and PIK3 augmentation.</p>","PeriodicalId":19196,"journal":{"name":"Nutrition & Metabolism","volume":"21 1","pages":"103"},"PeriodicalIF":3.9,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Deciphering the role of oleic acid in diabetic retinopathy: an empirical analysis of monounsaturated fatty acids. 解读油酸在糖尿病视网膜病变中的作用:单不饱和脂肪酸的实证分析。
IF 3.9 2区 医学
Nutrition & Metabolism Pub Date : 2024-12-02 DOI: 10.1186/s12986-024-00874-0
Ziyi Wang, Hui Wang, Yuxin Chen, Yang Chen, Xinlv Zhang, Anthony Diwon, Guomiao Zhang, Qichao Sheng, Huiqin Mei, Yixi Xu, Xiaoyu Zhang, Qingyang Mao, Chao Zheng, Guangyun Mao
{"title":"Deciphering the role of oleic acid in diabetic retinopathy: an empirical analysis of monounsaturated fatty acids.","authors":"Ziyi Wang, Hui Wang, Yuxin Chen, Yang Chen, Xinlv Zhang, Anthony Diwon, Guomiao Zhang, Qichao Sheng, Huiqin Mei, Yixi Xu, Xiaoyu Zhang, Qingyang Mao, Chao Zheng, Guangyun Mao","doi":"10.1186/s12986-024-00874-0","DOIUrl":"https://doi.org/10.1186/s12986-024-00874-0","url":null,"abstract":"<p><strong>Aims: </strong>The existing literature indicates that oleic acid (OA) is the most prevalent monounsaturated fatty acid (MUFA) in both diet and plasma, known for its beneficial impact on insulin resistance and inflammation. However, its role in diabetic retinopathy (DR) remains unclear. This study aims to elucidate the association between OA and DR and explore its potential in DR detection.</p><p><strong>Methods: </strong>We conducted a two-center, propensity score-matched case-control study, including 69 type 2 diabetes (T2D) patients with diagnosed DR (cases) and 69 matched T2D individuals without DR (control), in China from August 2017 to June 2018. Multiple logistic regression models analyzed the association between MUFAs and DR. The impact of 7 distinct MUFAs on DR was examined using elastic net regression (ENET), weighted quantile regression (WQS), and Bayesian kernel machine regression (BKMR), focusing on key lipid biomarkers. The diagnostic utility of these biomarkers was assessed by calculating the AUC.</p><p><strong>Results: </strong>A significant negative correlation was found between MUFAs and DR, with OA identified as pivotal by ENET, WQS, and BKMR. The adjusted OR and 95% CI for DR were 0.25 (0.09, 0.69) for subjects in the 2nd tertile of OA and 0.11 (0.04, 0.30) for the 3rd tertile, compared to the lowest tertile. These results were consistent across subgroup and sensitivity analyses. The AUC (95% CI) for OA alone was 0.72 (0.63, 0.81), increasing to 0.77 (0.69, 0.85) when combined with other covariates.</p><p><strong>Conclusions: </strong>Our findings reveal a robust inverse relationship between plasma OA levels and DR risk, suggesting that OA could serve as a valuable biomarker for identifying type 2 diabetic patients with DR.</p>","PeriodicalId":19196,"journal":{"name":"Nutrition & Metabolism","volume":"21 1","pages":"97"},"PeriodicalIF":3.9,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring basal metabolic rate and dietary adequacy in twin pregnancies: the VENERE study. 探索双胎妊娠的基础代谢率和饮食充分性:VENERE研究。
IF 3.9 2区 医学
Nutrition & Metabolism Pub Date : 2024-12-02 DOI: 10.1186/s12986-024-00881-1
Monica Dinu, Antonia Napoletano, Ilaria Giangrandi, Sofia Lotti, Agostino Ruotolo, Irene Renda, Luca Nardone, Irene Paternò, Viola Seravalli, Marta Tristan Asensi, Giuditta Pagliai, Barbara Colombini, Mariarosaria Di Tommaso, Francesco Sofi
{"title":"Exploring basal metabolic rate and dietary adequacy in twin pregnancies: the VENERE study.","authors":"Monica Dinu, Antonia Napoletano, Ilaria Giangrandi, Sofia Lotti, Agostino Ruotolo, Irene Renda, Luca Nardone, Irene Paternò, Viola Seravalli, Marta Tristan Asensi, Giuditta Pagliai, Barbara Colombini, Mariarosaria Di Tommaso, Francesco Sofi","doi":"10.1186/s12986-024-00881-1","DOIUrl":"10.1186/s12986-024-00881-1","url":null,"abstract":"<p><strong>Background: </strong>Twin pregnancies present unique challenges in maternal healthcare. However, current guidelines primarily address singleton pregnancies, resulting in a knowledge gap regarding their specific metabolic and dietary needs. This study aimed to follow women with twin pregnancies through all three trimesters, assessing basal metabolic rate (BMR), dietary intake, and diet quality.</p><p><strong>Methods: </strong>A two-year prospective observational study was conducted at AOU Careggi Hospital, Florence, Italy, involving 35 twin-pregnant women, with 32 completing the study. Participants underwent calorimetric, anthropometric, and dietary assessments during the first (8-13 weeks), second (14-27 weeks), and third trimesters (28-34 weeks). BMR was measured using indirect calorimetry and compared with predictive equations. Dietary intake was evaluated using 7-day food diaries and the Medi-Lite adherence score.</p><p><strong>Results: </strong>Indirect calorimetry revealed an increase in BMR by 16%, rising from 1479 ± 196 kcal in the first trimester to 1733 ± 224 kcal in the third trimester. Hronek's equation, previously validated for singleton pregnancies, was identified as the most accurate predictive tool for estimating BMR. Dietary analysis revealed that mean daily energy intake increased from 1660 ± 244 kcal in the first trimester to 1889 ± 262 kcal in the third trimester, consistently below recommendations, with insufficient macro- and micronutrient consumption. Poor diet quality was characterized by low intake of fruits, vegetables, legumes, and fresh fish, and high consumption of processed meats, cheese, and sugar-sweetened beverages. Adherence to the Mediterranean diet was moderate across all three trimesters.</p><p><strong>Conclusions: </strong>This study highlights the increased energy demands and nutritional inadequacies in twin pregnancies, underscoring the need for tailored dietary guidelines and interventions.</p>","PeriodicalId":19196,"journal":{"name":"Nutrition & Metabolism","volume":"21 1","pages":"99"},"PeriodicalIF":3.9,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aortic pulse wave velocity predicts cardiovascular mortality among middle-aged metabolic syndrome subjects without overt cardiovascular disease. 主动脉脉波速度预测无明显心血管疾病的中年代谢综合征患者的心血管死亡率。
IF 3.9 2区 医学
Nutrition & Metabolism Pub Date : 2024-12-02 DOI: 10.1186/s12986-024-00875-z
Agnė Jucevičienė, Roma Puronaitė, Jolita Badarienė, Ligita Ryliškytė
{"title":"Aortic pulse wave velocity predicts cardiovascular mortality among middle-aged metabolic syndrome subjects without overt cardiovascular disease.","authors":"Agnė Jucevičienė, Roma Puronaitė, Jolita Badarienė, Ligita Ryliškytė","doi":"10.1186/s12986-024-00875-z","DOIUrl":"https://doi.org/10.1186/s12986-024-00875-z","url":null,"abstract":"<p><strong>Background: </strong>The objective of this cohort study was to assess the predictive value of main arterial markers for cardiovascular death in middle-aged subjects with metabolic syndrome (MetS).</p><p><strong>Methods: </strong>This prospective longitudinal study analyzed data from 5829 metabolic syndrome subjects without overt cardiovascular disease aged between 40 and 64 years and enrolled in the Lithuanian High Cardiovascular Risk primary prevention program. Initial assessment comprised the evaluation of aortic pulse wave velocity (aPWV), carotid intima-media thickness (cIMT), carotid stiffness index, cardio-ankle vascular index (CAVI), ankle-brachial index (ABI), aortic augmentation index adjusted for a heart rate of 75 bpm (AIXHR75), and endothelium-dependent flow-mediated dilatation (FMD).</p><p><strong>Results: </strong>During the mean follow-up period of 6.35 ± 2.99 years, 170 subjects (2.9%) had died, with 41 out of these deaths (24.1%) related to cardiovascular causes. Cox proportional hazard regression analysis revealed associations between cardiovascular deaths and increases in aPWV (HR 1.34, 95% CI 1.14-1.58, p < 0.001), CAVI (HR 1.28, 95% CI 1.09-1.50, p = 0.002), and cIMT (HR 1.004, 95% CI 1.001-1.006, p = 0.003), as well as a decrease in ABI (HR 0.020, 95% CI 0.001-0.359, p = 0.008). However, after adjustment for age and gender, only aPWV remained a statistically significant predictor. Common survival tree analysis foregrounded the predictive significance of C-reactive protein (CRP), as the primary variable associated with an increased risk of cardiovascular death, followed by aPWV and smoking as secondary and tertiary variables. The analysis also demonstrated sex-related differences: in women, the primary predictive variable was aPWV, whereas in men, CRP was identified as the primary variable, followed by CAVI and cIMT.</p><p><strong>Conclusions: </strong>The findings of this study suggest that, among the markers of subclinical arterial damage, an increase in both aPWV and CAVI has a statistically significant predictive value for cardiovascular mortality in the middle-aged subjects with MetS. However, only aPWV demonstrated predictive value that was independent of age and gender.</p>","PeriodicalId":19196,"journal":{"name":"Nutrition & Metabolism","volume":"21 1","pages":"98"},"PeriodicalIF":3.9,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Protein restriction associated with high fat induces metabolic dysregulation without obesity in juvenile mice. 在幼鼠中,与高脂肪相关的蛋白质限制诱导代谢失调而不导致肥胖。
IF 3.9 2区 医学
Nutrition & Metabolism Pub Date : 2024-12-02 DOI: 10.1186/s12986-024-00879-9
Amélie Joly, Jean-Louis Thoumas, Anne Lambert, Estelle Caillon, François Leulier, Filipe De Vadder
{"title":"Protein restriction associated with high fat induces metabolic dysregulation without obesity in juvenile mice.","authors":"Amélie Joly, Jean-Louis Thoumas, Anne Lambert, Estelle Caillon, François Leulier, Filipe De Vadder","doi":"10.1186/s12986-024-00879-9","DOIUrl":"10.1186/s12986-024-00879-9","url":null,"abstract":"<p><p>Dysregulation of energy metabolism, including hyperglycemia, insulin resistance and fatty liver have been reported in a substantial proportion of lean children. However, non-obese murine models recapitulating these features are lacking to study the mechanisms underlying the development of metabolic dysregulations in lean children. Here, we develop a model of diet-induced metabolic dysfunction without obesity in juvenile mice by feeding male and female mice a diet reflecting Western nutritional intake combined with protein restriction (mWD) during 5 weeks after weaning. mWD-fed mice (35% fat, 8% protein) do not exhibit significant weight gain and have moderate increase in adiposity compared to control mice (16% fat, 20% protein). After 3 weeks of mWD, juvenile mice have impaired glucose metabolism including hyperglycemia, insulin resistance and glucose intolerance. mWD also triggers hepatic metabolism alterations, as shown by the development of simple liver steatosis. Both male and female mice fed with mWD displayed metabolic dysregulation, which a probiotic treatment with Lactiplantibacillus plantarum WJL failed to improve. Overall, mWD-fed mice appear to be a good preclinical model to study the development of diet-induced metabolic dysfunction without obesity in juveniles.</p>","PeriodicalId":19196,"journal":{"name":"Nutrition & Metabolism","volume":"21 1","pages":"100"},"PeriodicalIF":3.9,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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