Hormones-International Journal of Endocrinology and Metabolism最新文献

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Predictors of the clinical severity of T1DM presentation at diagnosis in children and adolescents with type 1 diabetes mellitus (T1DM). 1 型糖尿病(T1DM)儿童和青少年确诊时 T1DM 临床表现严重程度的预测因素。
IF 2.4 4区 医学
Hormones-International Journal of Endocrinology and Metabolism Pub Date : 2024-09-01 Epub Date: 2023-12-27 DOI: 10.1007/s42000-023-00518-7
Kyriaki Karavanaki, Anastasia Korona, Spyridon Karanasios, Lydia Kossiva
{"title":"Predictors of the clinical severity of T1DM presentation at diagnosis in children and adolescents with type 1 diabetes mellitus (T1DM).","authors":"Kyriaki Karavanaki, Anastasia Korona, Spyridon Karanasios, Lydia Kossiva","doi":"10.1007/s42000-023-00518-7","DOIUrl":"10.1007/s42000-023-00518-7","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to assess factors associated with the presence and severity of ketoacidosis (DKA) at pediatric type 1 diabetes (T1DM) diagnosis, in relation to pancreatic, associated and familial autoimmunity.</p><p><strong>Methods: </strong>Antibodies against pancreatic beta-cells, organ specific autoantibodies (thyroid, celiac, and parietal) and family history of autoimmunity were retrospectively evaluated in 116 T1DM patients aged 11.9 ± 4.6 (mean ± SD) years, with disease duration 7.62 ± 3.67 years (mean ± SD).</p><p><strong>Results: </strong>Most patients (67.2%) presented with DKA at diagnosis. Younger children (< 2 years) had tenfold risk of DKA, compared to older children (12.1-15 years) (OR = 10.8, 95% CI: 1.0-116.9, P = 0.05). Fasting c-peptide levels were lower in the DKA group (OR = 0.26, 95% CI = 0.07-0.89, P = 0.033). The number of anti-pancreatic antibodies at disease onset did not show any significant correlations with the presence (p = 0.889) or severity of DKA (p = 0.863). All patients with multiple autoimmunity (> 2 autoimmune diseases plus T1DM) presented with DKA. Familial autoimmunity acted protectively against DKA manifestation (OR = 0.40, 95% CI = 0.16-1.0, P = 0.051).</p><p><strong>Conclusions: </strong>Among newly diagnosed T1DM patients, 67.2% presented with DKA. Younger age, lower c-peptide and the presence of associated autoimmunity were predictive factors of the presence and severity of DKA at diagnosis. High degree of suspicion, due to family history, may prevent DKA development and severity.</p>","PeriodicalId":50399,"journal":{"name":"Hormones-International Journal of Endocrinology and Metabolism","volume":" ","pages":"395-405"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11436423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Effects of letrozole alone or in combination with gonadotropins on ovulation induction and clinical pregnancy in women with polycystic ovarian syndrome: a systematic review and meta-analysis of randomized controlled trials. 来曲唑单独使用或与促性腺激素联合使用对多囊卵巢综合征妇女诱导排卵和临床妊娠的影响:随机对照试验的系统回顾和荟萃分析。
IF 2.4 4区 医学
Hormones-International Journal of Endocrinology and Metabolism Pub Date : 2024-09-01 Epub Date: 2024-01-27 DOI: 10.1007/s42000-024-00531-4
Saeed Baradwan, Faisal Al-Shalhoub, Majed Saeed Alshahrani, Samah Himayda, Rayan AlSghan, Hussein Sabban, Inass Hassan Ahmad, Marwa Fekry Mohamed El Sayed, Entesar Omar Mohamad, Abdulhadi A AlAmodi, Ahmed Mohamed Abdelhakim, Kareem Shaheen
{"title":"Effects of letrozole alone or in combination with gonadotropins on ovulation induction and clinical pregnancy in women with polycystic ovarian syndrome: a systematic review and meta-analysis of randomized controlled trials.","authors":"Saeed Baradwan, Faisal Al-Shalhoub, Majed Saeed Alshahrani, Samah Himayda, Rayan AlSghan, Hussein Sabban, Inass Hassan Ahmad, Marwa Fekry Mohamed El Sayed, Entesar Omar Mohamad, Abdulhadi A AlAmodi, Ahmed Mohamed Abdelhakim, Kareem Shaheen","doi":"10.1007/s42000-024-00531-4","DOIUrl":"10.1007/s42000-024-00531-4","url":null,"abstract":"<p><strong>Objective: </strong>To compare letrozole in combination with gonadotropins versus letrozole monotherapy in ovulation induction and clinical pregnancy among infertile women with polycystic ovarian syndrome (PCOS).</p><p><strong>Methods: </strong>Several databases were searched for available clinical trials from inception until March 2023. We selected randomized controlled trials (RCTs) that compared sequential letrozole/gonadotropin versus letrozole alone among infertile women who met the Rotterdam criteria for PCOS. RevMan software was used to perform our meta-analysis. Our primary outcomes were ovulation and clinical pregnancy rates. Our secondary outcomes were endometrial thickness, number of mature follicles (diameter ≥ 18 mm), and incidence of miscarriage and ovarian hyperstimulation syndrome (OHSS).</p><p><strong>Results: </strong>Six RCTs were retrieved with a total number of 723 patients. The ovulation and clinical pregnancy rates were significantly higher among the letrozole/gonadotropin group versus the letrozole monotherapy group (p < 0.001). In addition, there were significant improvements in endometrial thickness and number of mature follicles in the letrozole/gonadotropin group. There were no significant differences between the two groups regarding incidence of miscarriage and ovarian hyperstimulation syndrome.</p><p><strong>Conclusion: </strong>Letrozole in combination with gonadotropin is superior to letrozole alone in improving ovulation induction and clinical pregnancy among PCOS patients. More trials are required to confirm our findings.</p>","PeriodicalId":50399,"journal":{"name":"Hormones-International Journal of Endocrinology and Metabolism","volume":" ","pages":"497-508"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical prediction model for primary aldosteronism subtyping and special focus on adrenal volumetric assessment. 原发性醛固酮增多症亚型临床预测模型,特别关注肾上腺体积评估。
IF 2.4 4区 医学
Hormones-International Journal of Endocrinology and Metabolism Pub Date : 2024-09-01 Epub Date: 2024-03-27 DOI: 10.1007/s42000-024-00548-9
Tugba Barlas, Erhan Turgut Ilgit, Mehmet Koray Akkan, Emetullah Cindil, Isil Imge Gultekin, Hulya Nur Sodan, Mehmet Muhittin Yalcin, Ethem Turgay Cerit, Sinan Sozen, Mujde Akturk, Fusun Toruner, Ayhan Karakoc, Alev Eroglu Altinova
{"title":"Clinical prediction model for primary aldosteronism subtyping and special focus on adrenal volumetric assessment.","authors":"Tugba Barlas, Erhan Turgut Ilgit, Mehmet Koray Akkan, Emetullah Cindil, Isil Imge Gultekin, Hulya Nur Sodan, Mehmet Muhittin Yalcin, Ethem Turgay Cerit, Sinan Sozen, Mujde Akturk, Fusun Toruner, Ayhan Karakoc, Alev Eroglu Altinova","doi":"10.1007/s42000-024-00548-9","DOIUrl":"10.1007/s42000-024-00548-9","url":null,"abstract":"<p><strong>Purpose: </strong>Our aim was to develop a prediction model based on a simple score with clinical, laboratory, and imaging findings for the subtype diagnosis of primary aldosteronism (PA). The contribution of adrenal volumetric assessment to PA subtyping was also investigated.</p><p><strong>Methods: </strong>Thirty-five patients with adequate cannulation in adrenal venous sampling (AVS) were included. Laboratory data, the saline infusion test (SIT), and the AVS results of patients with PA were retrospectively evaluated. Volumetric assessment was performed using magnetic resonance imaging (MRI) and the ratio of adrenal volumes was calculated after adjusting for gender- and side-specific mean reference values of both adrenal glands.</p><p><strong>Results: </strong>The AVS was consistent with unilateral PA in 49% and bilateral in 51% of the patients. Hypertension as a reason for work-up, the highest aldosterone/lowest potassium value higher than 12, the percentage of plasma aldosterone concentration (PAC) reduction after SIT by equal or less than 43.5%, the use of oral potassium replacement, unilateral disease at pre-AVS imaging, and a ratio of adjusted adrenal volumes equal to or below 1.7 were indicative of unilateral disease in univariate logistic regression analysis concerning the distinction of PA subtyping (p < 0.05). Multivariate logistic regression analysis also revealed that adrenal volumetric assessment has an impact on PA subtyping (p < 0.05). In the prediction model, when each of the six parameters that were significant in the univariate logistic regression analysis was assigned one point, < 4 predicted bilateral PA, whereas ≥ 4 predicted unilateral PA (AUC:0.92, p < 0.001).</p><p><strong>Conclusion: </strong>This prediction model before AVS may serve as a convenient and practical approach, while an adjusted adrenal volumetric assessment can make a positive contribution to PA subtyping.</p>","PeriodicalId":50399,"journal":{"name":"Hormones-International Journal of Endocrinology and Metabolism","volume":" ","pages":"575-584"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fibroblast growth-factor 23-Klotho axis is associated with systemic inflammation and myokine profile in children with chronic kidney disease. 成纤维细胞生长因子 23-Klotho 轴与慢性肾病患儿的全身炎症和肌肽谱相关。
IF 2.4 4区 医学
Hormones-International Journal of Endocrinology and Metabolism Pub Date : 2024-09-01 Epub Date: 2024-08-07 DOI: 10.1007/s42000-024-00586-3
Vasiliki Karava, Antonia Kondou, John Dotis, Athanasios Christoforidis, Anna Taparkou, Evangelia Farmaki, Nikoleta Printza
{"title":"Fibroblast growth-factor 23-Klotho axis is associated with systemic inflammation and myokine profile in children with chronic kidney disease.","authors":"Vasiliki Karava, Antonia Kondou, John Dotis, Athanasios Christoforidis, Anna Taparkou, Evangelia Farmaki, Nikoleta Printza","doi":"10.1007/s42000-024-00586-3","DOIUrl":"10.1007/s42000-024-00586-3","url":null,"abstract":"<p><strong>Background: </strong>Chronic kidney disease is linked to a disturbed fibroblast growth factor-23 (FGF23)-Klotho axis and an imbalance between myostatin and insulin-like growth factor-1 (IGF-1) expression. This cross-sectional study investigates the association of the FGF23-Klotho axis and myokine profile with serum interleukin-6 (IL-6) and their interactions in pediatric patients.</p><p><strong>Methods: </strong>Serum calcium, phosphorus, 25-hydroxyvitamin D, parathormone, c-terminal FGF23, a-Klotho, myostatin, follistatin, IGF-1, and IL-6 were measured in 53 patients with GFR < 60 ml/min/1,73m<sup>2</sup>. Myostatin to lean mass (LM) and to IGF-1 ratios were calculated. IL-6 level > 3rd quartile was considered as high.</p><p><strong>Results: </strong>Myostatin, IGF-1, and follistatin were correlated to LM (rs = 0.513, p < 0.001, rs = 0.652, p < 0.001, rs=-0.483, p < 0.001). Myostatin and follistatin were correlated to IGF-1 (rs = 0.340, p = 0.014, rs=-0.385, p = 0.005). Myostatin/LM but not myostatin or myostatin/IGF-1 ratio was significantly higher in CKD 5D patients (p = 0.001,p = 0.844, p = 0.111). Among mineral bone parameters, lnFGF23 was correlated to lnIL-6 (rs = 0.397, p = 0.004) and associated with high IL-6 (OR 1.905, 95% CI 1.023-3.548). Among myokines, myostatin/IGF-1 ratio was correlated to lnIL-6 (rs = 0.395, p = 0.004) and associated with high IL-6 (OR 1.113, 95% CI 1.028-1.205). All associations were adjusted to CKD stage. Myostatin was correlated to lnFGF23 (rs = 0.331, p = 0.025) and myostatin/IGF-1 ratio to lnKlotho (rs=-0.363, p = 0.013), after adjustment for CKD stage, lnIL-6 and other mineral bone parameters.</p><p><strong>Conclusions: </strong>In pediatric CKD, FGF23 and myostatin/IGF-1 ratio are associated with IL-6, indicating a link between systemic inflammation, mineral bone, and myokine disorders. The correlations between myostatin and FGF23 and between myostatin/IGF-1 and Klotho suggest an interaction between mineral bone and muscle metabolism.</p>","PeriodicalId":50399,"journal":{"name":"Hormones-International Journal of Endocrinology and Metabolism","volume":" ","pages":"517-526"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The interlink between thyroid autoimmunity and type 1 diabetes and the impact on male and female fertility. 甲状腺自身免疫与 1 型糖尿病之间的相互联系,以及对男性和女性生育能力的影响。
IF 2.4 4区 医学
Hormones-International Journal of Endocrinology and Metabolism Pub Date : 2024-09-01 Epub Date: 2024-05-15 DOI: 10.1007/s42000-024-00563-w
Sanja Medenica, Vukasin Stojanovic, Umberto Capece, Rossella Mazzilli, Milica Markovic, Virginia Zamponi, Tanja Vojinovic, Silvia Migliaccio, Giuseppe Defeudis, Francesca Cinti
{"title":"The interlink between thyroid autoimmunity and type 1 diabetes and the impact on male and female fertility.","authors":"Sanja Medenica, Vukasin Stojanovic, Umberto Capece, Rossella Mazzilli, Milica Markovic, Virginia Zamponi, Tanja Vojinovic, Silvia Migliaccio, Giuseppe Defeudis, Francesca Cinti","doi":"10.1007/s42000-024-00563-w","DOIUrl":"10.1007/s42000-024-00563-w","url":null,"abstract":"<p><p>The aim of this review is to discuss the several interconnections between thyroid autoimmunity and type 1 diabetes in terms of epidemiology, immunoserology, genetic predisposition, and pathogenic mechanisms. We will also analyze the impact of these conditions on both male and female fertility. A literature search was carried out using the MEDLINE/PubMed, Scopus, Google Scholar, ResearchGate, and Clinical Trials Registry databases with a combination of keywords. It was found that the prevalence of thyroid autoantibodies in individuals with type 1 diabetes (T1DM) varied in different countries and ethnic groups from 7 to 35% in both sexes. There are several types of autoantibodies responsible for the immunoserological presentation of autoimmune thyroid diseases (AITDs) which can be either stimulating or inhibiting, which results in AITD being in the plus phase (thyrotoxicosis) or the minus phase (hypothyroidism). Different types of immune cells such as T cells, B cells, natural killer (NK) cells, antigen presenting cells (APCs), and other innate immune cells participate in the damage of the beta cells of the islets of Langerhans, which inevitably leads to T1D. Multiple genetic and environmental factors found in variable combinations are involved in the pathogenesis of AITD and T1D. In conclusion, although it is now well-known that both diabetes and thyroid diseases can affect fertility, only a few data are available on possible effects of autoimmune conditions. Recent findings nevertheless point to the importance of screening patients with immunologic infertility for AITDs and T1D, and vice versa.</p>","PeriodicalId":50399,"journal":{"name":"Hormones-International Journal of Endocrinology and Metabolism","volume":" ","pages":"429-437"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-alcoholic fatty liver disease in patients with type 2 diabetes: diagnostic and therapeutic considerations. 2 型糖尿病患者的非酒精性脂肪肝:诊断和治疗注意事项。
IF 2.4 4区 医学
Hormones-International Journal of Endocrinology and Metabolism Pub Date : 2024-09-01 Epub Date: 2023-12-14 DOI: 10.1007/s42000-023-00514-x
Eleni-Maria Paraschou, Almog Shalit, Stavroula A Paschou
{"title":"Non-alcoholic fatty liver disease in patients with type 2 diabetes: diagnostic and therapeutic considerations.","authors":"Eleni-Maria Paraschou, Almog Shalit, Stavroula A Paschou","doi":"10.1007/s42000-023-00514-x","DOIUrl":"10.1007/s42000-023-00514-x","url":null,"abstract":"","PeriodicalId":50399,"journal":{"name":"Hormones-International Journal of Endocrinology and Metabolism","volume":" ","pages":"415-417"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11436443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Endocrine-disrupting effects of bisphenol-A, thiamethoxam, and fipronil in hormone-naïve transmen compared to cis-women. 与顺式女性相比,双酚 A、噻虫嗪和氟虫腈对荷尔蒙缺乏的变性人的内分泌干扰作用。
IF 2.4 4区 医学
Hormones-International Journal of Endocrinology and Metabolism Pub Date : 2024-09-01 Epub Date: 2024-07-11 DOI: 10.1007/s42000-024-00574-7
Özlem Üstay, Onur Elbasan, Pınar Erel, Necati Serkut Bulut, Neşe Yorguner
{"title":"Endocrine-disrupting effects of bisphenol-A, thiamethoxam, and fipronil in hormone-naïve transmen compared to cis-women.","authors":"Özlem Üstay, Onur Elbasan, Pınar Erel, Necati Serkut Bulut, Neşe Yorguner","doi":"10.1007/s42000-024-00574-7","DOIUrl":"10.1007/s42000-024-00574-7","url":null,"abstract":"<p><strong>Background: </strong>Current evidence suggests that the etiology of gender dysphoria (GD) is multifactorial: this, however, remains unclear. Endocrine-disrupting chemicals (EDCs) are one of the etiological hypotheses.</p><p><strong>Objectives: </strong>In this study, we aimed to evaluate the urinary levels of bisphenol A (BPA), thiamethoxam, and fipronil in hormone-naïve transmen compared with case-matched cis-women as well as the relation between sex hormone levels and EDCs.</p><p><strong>Methods: </strong>Drug-naïve transmen diagnosed with GD and who were referred from the psychiatry outpatient clinic to the outpatient clinic of the Department of Endocrinology, Marmara University Hospital, were included in the study. These individuals were assessed for eligibility; 38 drug-naïve transmen and 22 cis-women were recruited as the control group. After anthropometric evaluation laboratory tests for FSH, LH, total testosterone, and estradiol were carried out, spot urine samples were collected to evaluate the urine metabolic excretion of BPA, thiamethoxam, and fipronil.</p><p><strong>Results: </strong>We found that androgens, total testosterone, androstenedione, and DHEAS levels were significantly higher in transmen than in cis-women. Thiamethoxam was considerably higher in cis-women than in transmen, whereas fipronil and BPA levels were similar in both groups. A negative correlation was found between thiamethoxam and testosterone and between thiamethoxam and BPA levels.</p><p><strong>Conclusion: </strong>The available data suggest that the EDCs that we are most exposed to in our lives are not the only factor in GD development. Even transmen who have not taken hormone replacement have high testosterone levels; however, the mechanism has not as yet been elucidated. The challenge is to determine whether this is a factor leading to GD or a condition that develops in common with GD.</p>","PeriodicalId":50399,"journal":{"name":"Hormones-International Journal of Endocrinology and Metabolism","volume":" ","pages":"375-383"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spontaneous hypoglycemia: should we mind the gap? Long-term follow-up of healthy people who met Whipple's triad criteria. 自发性低血糖:我们应该注意差距吗?对符合惠普尔三联征标准的健康人群进行长期随访。
IF 2.4 4区 医学
Hormones-International Journal of Endocrinology and Metabolism Pub Date : 2024-09-01 Epub Date: 2024-03-08 DOI: 10.1007/s42000-024-00542-1
Jan Adelmeyer, Christian Marcel Schauer, Peter Herbert Kann
{"title":"Spontaneous hypoglycemia: should we mind the gap? Long-term follow-up of healthy people who met Whipple's triad criteria.","authors":"Jan Adelmeyer, Christian Marcel Schauer, Peter Herbert Kann","doi":"10.1007/s42000-024-00542-1","DOIUrl":"10.1007/s42000-024-00542-1","url":null,"abstract":"<p><strong>Context: </strong>Patients discharged as \"healthy\" with the symptoms of spontaneous hypoglycemia, commonly known as Whipple's triad, need more attention.</p><p><strong>Objective: </strong>Characterization and long-term follow-up of symptom development in patients with spontaneous hypoglycemia discharged as \"healthy\". The objective was to ascertain whether any conditions related to the symptoms were diagnosed during the follow-up period.</p><p><strong>Methods: </strong>Retrospective analysis of patient data and evaluation of a specific questionnaire on the development of symptoms of spontaneous hypoglycemia. In addition, patient questionnaires were evaluated and primary care physicians were asked about possible diseases not recorded at baseline that occurred during the follow-up period.</p><p><strong>Setting: </strong>Center for Endocrinology, Diabetology, and Osteology at the University Hospital Marburg, Inpatient Department, Germany.</p><p><strong>Patients: </strong>All patients who presented to our center for the 72-hour fast between 2005 and 2018 and were discharged without an internal medicine diagnosis were included.</p><p><strong>Interventions: </strong>Survey by questionnaire, via telephone interview.</p><p><strong>Main outcome measures: </strong>Patient-reported information on current symptoms compared to original symptoms, diagnosis of insulinoma or diabetes mellitus during follow-up, matched with primary care physician data, and metabolic and biometric data such as body mass index (BMI), homeostasis model assessment for insulin resistance (HOMA IR), insulin sensitivity Matsuda Index (ISI-M), and area under the curve.</p><p><strong>Results: </strong>A total of 41 datasets were evaluated at baseline and 38 patients were followed for an average of approximately 10 years. In total, 61% of respondents still reported the same symptoms as at baseline. No insulinoma was missed in these patients. Only two of the 38 patients developed diabetes mellitus.</p><p><strong>Conclusion: </strong>The high percentage of patients who are discharged as \"healthy\" and still have symptoms after many years is disturbing. It is possible that the symptoms are not due to low blood glucose. We urge caution with use of the term \"healthy\". We advocate a multidisciplinary therapeutic approach after an organic cause of hypoglycemia has been ruled out. Psychosomatic treatment seems to be useful. In addition, more research should be conducted on this topic.</p>","PeriodicalId":50399,"journal":{"name":"Hormones-International Journal of Endocrinology and Metabolism","volume":" ","pages":"447-455"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11436464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140061145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Impact of bariatric surgery on carotid intima-media thickness and arterial stiffness in metabolically healthy obesity: a prospective study. 减肥手术对代谢健康肥胖症患者颈动脉内膜厚度和动脉僵化的影响:一项前瞻性研究。
IF 2.4 4区 医学
Hormones-International Journal of Endocrinology and Metabolism Pub Date : 2024-09-01 Epub Date: 2024-05-31 DOI: 10.1007/s42000-024-00568-5
Yanxia Zhang, Jiping Xue, Shuai Li, Hongyu Yang, Chunsong Kang
{"title":"Impact of bariatric surgery on carotid intima-media thickness and arterial stiffness in metabolically healthy obesity: a prospective study.","authors":"Yanxia Zhang, Jiping Xue, Shuai Li, Hongyu Yang, Chunsong Kang","doi":"10.1007/s42000-024-00568-5","DOIUrl":"10.1007/s42000-024-00568-5","url":null,"abstract":"<p><strong>Purpose: </strong>Cardiovascular disease is one of the leading causes of mortality in patients with obesity. Metabolically healthy obesity (MHO), in which people do not have metabolic disorders, is a transient state of obesity. However, over the long term, a proportion of individuals with MHO develop metabolic syndrome (MetS). We aimed to investigate the effect of substantial weight loss following bariatric surgery in MHO on carotid intima-media thickness (CIMT) and pulse-wave velocity (PWV), which are independent predictors of subclinical atherosclerosis.</p><p><strong>Methods: </strong>This prospective study included 38 patients (34 women, four men) undergoing bariatric surgery who had severe obesity but without comorbidities (hypertension, diabetes, and hyperlipidemia), and 28 control individuals who were matched for age and sex. CIMT and PWV of the left common carotid artery were measured. At 12-month follow-up after bariatric surgery, measurements were repeated in the 38 patients with obesity.</p><p><strong>Results: </strong>Mean baseline body mass index (BMI) in the MHO group was 40.55 ± 3.59 kg/m<sup>2</sup>, which decreased by 33.1% after bariatric surgery. Compared with controls, CIMT and PWV were increased in MHO (543.53 ± 55.29 vs. 407.82 ± 53.09 μm, 6.70 ± 1.22 vs. 5.45 ± 0.74 m/s, respectively; all P < 0.001). At 12 months post-bariatric surgery, CIMT in MHO was lower than baseline (466.79 ± 53.74 vs. 543.53 ± 55.29 μm, P = 0.009), but PWV was not significantly different from baseline (6.27 ± 0.86 vs. 6.70 ± 1.22 m/s, P = 0.132). Multivariate regression showed that BMI was an independent predictor of CIMT (β = 0.531, P < 0.001).</p><p><strong>Conclusion: </strong>Carotid artery structure and function were impaired in MHO, and improved carotid artery structure was associated with weight loss in MHO after bariatric surgery.</p>","PeriodicalId":50399,"journal":{"name":"Hormones-International Journal of Endocrinology and Metabolism","volume":" ","pages":"467-475"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The passing of the creator of dolly and other pioneers, endocrine disruptors, metabolic syndrome, and more. 多莉和其他先驱的逝世、内分泌干扰素、代谢综合征等。
IF 2.4 4区 医学
Hormones-International Journal of Endocrinology and Metabolism Pub Date : 2024-09-01 DOI: 10.1007/s42000-024-00601-7
Constantine A Stratakis
{"title":"The passing of the creator of dolly and other pioneers, endocrine disruptors, metabolic syndrome, and more.","authors":"Constantine A Stratakis","doi":"10.1007/s42000-024-00601-7","DOIUrl":"10.1007/s42000-024-00601-7","url":null,"abstract":"","PeriodicalId":50399,"journal":{"name":"Hormones-International Journal of Endocrinology and Metabolism","volume":" ","pages":"359-360"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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