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  1. Article ; Online: Prognostic Nutritional Index and the Risk of Postoperative Complications After Spine Surgery: A Meta-Analysis.

    Guo, Hubing / Yang, Lingxia / Liu, Jin / Yu, Xinfu / Chen, Liqi / Huang, Yufeng

    World neurosurgery

    2024  

    Abstract: Background: A low prognostic nutritional index (PNI) may reflect malnutrition, which has been associated with poor prognosis in patients with various clinical conditions. The aim of the systematic review and meta-analysis was to investigate the ... ...

    Abstract Background: A low prognostic nutritional index (PNI) may reflect malnutrition, which has been associated with poor prognosis in patients with various clinical conditions. The aim of the systematic review and meta-analysis was to investigate the association between preoperative PNI and risk of postoperative complications in adult patients after spine surgery.
    Methods: An extensive search was conducted on PubMed, Embase, and Web of Science to identify relevant cohort studies. Random-effects models were employed to combine the findings, taking into account the potential influence of heterogeneity.
    Results: Ten cohort studies involving 3,249 patients receiving spine surgeries were included. Pooled results showed that a low preoperative prognostic nutritional index (PNI) was associated with an increased risk of overall postoperative complications in these patients (odds ratio [OR]: 1.82, 95% confidence interval [CI]: 1.42 to 2.34, P < 0.001; I
    Conclusions: A preoperative low prognostic nutritional index (PNI) may be a risk factor of increased incidence of overall postoperative complications, postoperative delirium, and surgical site infection in adult patients after spine surgeries.
    Language English
    Publishing date 2024-02-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2024.02.077
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Characteristics associated with trial of labor among patients with twin pregnancies.

    Cipres, Danielle T / Cowherd, Rachael / Barry, Olivia H / Chen, Liqi / Yee, Lynn M

    American journal of perinatology

    2024  

    Abstract: Objective: This study aimed to identify patient and provider factors associated with undergoing trial of labor among eligible patients with twin gestations.: Study design: This retrospective cohort study of patients with twin gestations who received ... ...

    Abstract Objective: This study aimed to identify patient and provider factors associated with undergoing trial of labor among eligible patients with twin gestations.
    Study design: This retrospective cohort study of patients with twin gestations who received care at a large tertiary care center from 2000-2016 included individuals with live pregnancies greater than twenty-three weeks of gestation and cephalic-presenting twin. Patients with a prior uterine scar or contraindication to vaginal delivery were excluded from analyses. Maternal and clinical characteristics were compared among patients who did and did not undergo trial of labor. Multivariable logistic regression models included characteristics chosen a priori and those with bivariable associations with p <0.1. Interactions between parity and other significant variables in the primary models were also investigated.
    Results: Among 1888 eligible patients, 80.7% (N=1524) underwent trial of labor. Those undergoing trial of labor were more likely to be younger, multiparous, and have a maternal-fetal medicine physician as the delivering provider (p<0.01). Hypertensive disorders of pregnancy were less prevalent among patients undergoing trial of labor (20.2% vs. 27.8%, p<0.01). In multivariable analysis, advanced maternal age (aOR 0.55, 95% CI 0.40-0.74) and nulliparity (aOR 0.36, 95% CI 0.25-0.52) conferred a lower odds of trial of labor, while having a maternal-fetal medicine provider (aOR 2.74, 95% CI 1.55-4.83) was associated with higher odds. Interaction analyses demonstrated no significant interaction effects between parity and other characteristics. Among those undergoing trial of labor, 76.0% (1158/1524) had a successful vaginal delivery of both twins, with 48.1% (557/1158) having breech extraction of the second twin.
    Conclusion: In this cohort of twin gestations with a high frequency of trial of labor, patient and provider characteristics are associated with attempting vaginal delivery. Variation in provider practices suggests differing skills and comfort with twin vaginal delivery may influence route of delivery decision-making in patients with twins.
    Language English
    Publishing date 2024-03-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605671-4
    ISSN 1098-8785 ; 0735-1631
    ISSN (online) 1098-8785
    ISSN 0735-1631
    DOI 10.1055/a-2295-3329
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: KLF5 promotes the ossification process of ligamentum flavum by transcriptionally activating CX43.

    Guo, Hubing / Yang, Lingxia / Liu, Jin / Chen, Liqi / Huang, Yufeng / Li, Jinsong

    Journal of orthopaedic surgery and research

    2024  Volume 19, Issue 1, Page(s) 244

    Abstract: Background: Ossification of ligamentum flavum (OLF) is a prevalent degenerative spinal disease, typically causing severe neurological dysfunction. Kruppel-like factor 5 (KLF5) plays an essential role in the regulation of skeletal development. However, ... ...

    Abstract Background: Ossification of ligamentum flavum (OLF) is a prevalent degenerative spinal disease, typically causing severe neurological dysfunction. Kruppel-like factor 5 (KLF5) plays an essential role in the regulation of skeletal development. However, the mechanism KLF5 plays in OLF remains unclear, necessitating further investigative studies.
    Methods: qRT-PCR, immunofluorescent staining and western blot were used to measure the expression of KLF5. Alkaline Phosphatase (ALP) staining, Alizarin red staining (ARS), and the expression of Runt-related transcription factor 2 (RUNX2), osteopontin (OPN), and osteocalcin (OCN) were used to evaluate the osteogenic differentiation. Luciferase activity assay and ChIP-PCR were performed to investigate the molecular mechanisms.
    Results: KLF5 was significantly upregulated in OLF fibroblasts in contrast to normal ligamentum flavum (LF) fibroblasts. Silencing KLF5 diminished osteogenic markers and mineralized nodules, while its overexpression had the opposite effect, confirming KLF5's role in promoting ossification. Moreover, KLF5 promotes the ossification of LF by activating the transcription of Connexin 43 (CX43), and overexpressing CX43 could reverse the suppressive impact of KLF5 knockdown on OLF fibroblasts' osteogenesis.
    Conclusion: KLF5 promotes the OLF by transcriptionally activating CX43. This finding contributes significantly to our understanding of OLF and may provide new therapeutic targets.
    MeSH term(s) Humans ; Cells, Cultured ; Connexin 43/genetics ; Kruppel-Like Transcription Factors/genetics ; Kruppel-Like Transcription Factors/metabolism ; Ligamentum Flavum ; Ossification, Heterotopic/genetics ; Ossification, Heterotopic/metabolism ; Osteogenesis/genetics ; Transcription Factors/metabolism
    Chemical Substances Connexin 43 ; KLF5 protein, human ; Kruppel-Like Transcription Factors ; Transcription Factors ; GJA1 protein, human
    Language English
    Publishing date 2024-04-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2252548-8
    ISSN 1749-799X ; 1749-799X
    ISSN (online) 1749-799X
    ISSN 1749-799X
    DOI 10.1186/s13018-024-04702-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Risk Factors for the Development of Shoulder Pain in Elite Sled Hockey Players.

    Spangenberg, Jacqueline / Nussbaum, Ryan / Chen, Liqi / Jayabalan, Prakash

    PM & R : the journal of injury, function, and rehabilitation

    2021  Volume 13, Issue 12, Page(s) 1392–1398

    Abstract: Background: Shoulder pain is one of the most common injuries in adaptive athletes. There are minimal prior studies that investigate shoulder pain prevalence and associated risk factors in sled hockey players.: Objective: To characterize the ... ...

    Abstract Background: Shoulder pain is one of the most common injuries in adaptive athletes. There are minimal prior studies that investigate shoulder pain prevalence and associated risk factors in sled hockey players.
    Objective: To characterize the prevalence of shoulder pain in elite-level adaptive sled hockey athletes and identify associated risk factors.
    Design: Cross-sectional observational study.
    Setting: 2019 USA Sled Hockey Classic in Chicago, IL from 7 February 2019 to 10 February 2019.
    Participants: Eighty-two elite sled hockey athletes who participated in a nationally sanctioned sports event.
    Interventions: Not applicable.
    Main outcome measures: The primary outcome of the study was to describe the experience of shoulder pain using player-reported outcomes of pain including: binary (yes/no) pain reporting in the last month, Performance-Corrected Wheelchair User's Shoulder Pain Index (PC-WUSPI) reporting pain in the last week, and Visual Analog Scale (VAS) reporting pain in the last month. Associations were assessed between the measurements of pain and characteristics of participants.
    Results: Of all participants, 70.5% endorsed shoulder pain in the last month. The average VAS for the past month was 2.13 and average PC-WUSPI for the past week was 15.46. Statistically significant associations were found between endorsement of pain in the last month and specific correlative factors including increased weight (P value .008; odds ratio [OR] 1.04, 95% confidence interval [CI] 1.01-1.07) and increased duration of manual wheelchair use (P-value .002; OR 1.13, 95% CI 1.04-1.22).
    Conclusion: Elite-level sled hockey athletes commonly report experiencing shoulder pain. There is evidence that an elite-level sled hockey player's weight and longer duration of manual wheelchair use are both associated with a greater likelihood for self-reporting shoulder pain rather than number of years of playing the sport.
    MeSH term(s) Athletes ; Cross-Sectional Studies ; Hockey ; Humans ; Risk Factors ; Shoulder Pain/epidemiology ; Shoulder Pain/etiology
    Language English
    Publishing date 2021-03-03
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 2608988-9
    ISSN 1934-1563 ; 1934-1482
    ISSN (online) 1934-1563
    ISSN 1934-1482
    DOI 10.1002/pmrj.12553
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Double Network Physical Crosslinked Hydrogel for Healing Skin Wounds: New Formulation Based on Polysaccharides and Zn

    Cui, Shenghao / Yang, Faming / Yu, Dingyi / Shi, Chao / Zhao, Di / Chen, Liqi / Chen, Jingdi

    International journal of molecular sciences

    2023  Volume 24, Issue 17

    Abstract: Developing convenient, efficient, and natural wound dressings remain the foremost strategy for treating skin wounds. Thus, we innovatively combined the semi-dissolved acidified sol-gel conversion method with the internal gelation method to fabricate SA ( ... ...

    Abstract Developing convenient, efficient, and natural wound dressings remain the foremost strategy for treating skin wounds. Thus, we innovatively combined the semi-dissolved acidified sol-gel conversion method with the internal gelation method to fabricate SA (sodium alginate)/CS (chitosan)/Zn
    MeSH term(s) Hydrogels/pharmacology ; Skin ; Polysaccharides/pharmacology ; Alginates ; Zinc
    Chemical Substances Hydrogels ; Polysaccharides ; Alginates ; Zinc (J41CSQ7QDS)
    Language English
    Publishing date 2023-08-22
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms241713042
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Characteristics Associated with Trial of Labor among Patients with Twin Pregnancies

    Cipres, Danielle T. / Cowherd, Rachael B. / Barry, Olivia H. / Chen, Liqi / Yee, Lynn M.

    American Journal of Perinatology

    2024  

    Abstract: Objective: This study aimed to identify patient and provider factors associated with undergoing trial of labor (TOL) among eligible patients with twin gestations.: Study Design: This retrospective cohort study of patients with twin gestations who ... ...

    Abstract Objective: This study aimed to identify patient and provider factors associated with undergoing trial of labor (TOL) among eligible patients with twin gestations.
    Study Design: This retrospective cohort study of patients with twin gestations who received care at a large tertiary care center from 2000 to 2016 included individuals with live pregnancies greater than 23 weeks of gestation and cephalic-presenting twin. Patients with a prior uterine scar or contraindication to vaginal delivery were excluded from analyses. Maternal and clinical characteristics were compared among patients who did and did not undergo TOL. Multivariable logistic regression models included characteristics chosen a priori and those with bivariable associations with p  < 0.1. Interactions between parity and other significant variables in the primary models were also investigated.
    Results: Among 1,888 eligible patients, 80.7% ( N  = 1,524) underwent TOL. Those undergoing TOL were more likely to be younger, multiparous, and have a maternal–fetal medicine physician as the delivering provider ( p  < 0.01). Hypertensive disorders of pregnancy were less prevalent among patients undergoing TOL (20.2 vs. 27.8%, p  < 0.01). In multivariable analysis, advanced maternal age (adjusted odds ratio [aOR]: 0.55, 95% confidence interval [CI]: 0.40–0.74) and nulliparity (aOR: 0.36, 95% CI: 0.25–0.52) conferred a lower odds of TOL, while having a maternal–fetal medicine provider (aOR: 2.74, 95% CI: 1.55–4.83) was associated with higher odds. Interaction analyses demonstrated no significant interaction effects between parity and other characteristics. Among those undergoing a TOL, 76.0% (1,158/1,524) had a successful vaginal delivery of both twins, with 48.1% (557/1,158) having breech extraction of the second twin.
    Conclusion: In this cohort of twin gestations with a high frequency of TOL, patient and provider characteristics are associated with attempting vaginal delivery. Variation in provider practices suggests differing skills and comfort with twin vaginal delivery may influence route of delivery decision-making in patients with twins.
    Keypoints: Most patients with twin pregnancies undergoing TOL had successful vaginal deliveries. Having an MFM delivering provider was associated with higher odds of attempting twin TOL. Nulliparity and advanced maternal age were associated with lower odds of twin TOL.
    Keywords breech extraction ; delivery route ; maternal–fetal medicine ; trial of labor ; twin pregnancy ; vaginal delivery
    Language English
    Publishing date 2024-03-26
    Publisher Thieme Medical Publishers, Inc.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 605671-4
    ISSN 1098-8785 ; 0735-1631
    ISSN (online) 1098-8785
    ISSN 0735-1631
    DOI 10.1055/a-2295-3329
    Database Thieme publisher's database

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  7. Article ; Online: Marine-Derived Bioactive Peptides Self-Assembled Multifunctional Materials: Antioxidant and Wound Healing

    Yu, Dingyi / Cui, Shenghao / Chen, Liqi / Zheng, Shuang / Zhao, Di / Yin, Xinyu / Yang, Faming / Chen, Jingdi

    Antioxidants. 2023 May 31, v. 12, no. 6

    2023  

    Abstract: Peptide self-assembling materials have received significant attention from researchers in recent years, emerging as a popular field in biological, environmental, medical, and other new materials studies. In this study, we utilized controllable enzymatic ... ...

    Abstract Peptide self-assembling materials have received significant attention from researchers in recent years, emerging as a popular field in biological, environmental, medical, and other new materials studies. In this study, we utilized controllable enzymatic hydrolysis technology (animal proteases) to obtain supramolecular peptide self-assembling materials (CAPs) from the Pacific oyster (Crassostrea gigas). We conducted physicochemical analyses to explore the pro-healing mechanisms of CAPs on skin wounds in both in vitro and in vivo experiments through a topical application. The results demonstrated that CAPs exhibit a pH-responsive behavior for self-assembly and consist of peptides ranging from 550 to 2300 Da in molecular weight, with peptide chain lengths of mainly 11–16 amino acids. In vitro experiments indicated that CAPs display a procoagulant effect, free radical scavenging activity, and promote the proliferation of HaCaTs (112.74% and 127.61%). Moreover, our in vivo experiments demonstrated that CAPs possess the ability to mitigate inflammation, boost fibroblast proliferation, and promote revascularization, which accelerates the epithelialization process. Consequently, a balanced collagen I/III ratio in the repaired tissue and the promotion of hair follicle regeneration were observed. With these remarkable findings, CAPs can be regarded as a natural and secure treatment option with high efficacy for skin wound healing. The potential of CAPs to be further developed for traceless skin wound healing is an exciting area for future research and development.
    Keywords Crassostrea gigas ; animals ; antioxidants ; collagen ; enzymatic hydrolysis ; fibroblasts ; free radicals ; hair follicles ; inflammation ; molecular weight ; peptides ; proteinases ; research and development ; topical application
    Language English
    Dates of publication 2023-0531
    Publishing place Multidisciplinary Digital Publishing Institute
    Document type Article ; Online
    ZDB-ID 2704216-9
    ISSN 2076-3921
    ISSN 2076-3921
    DOI 10.3390/antiox12061190
    Database NAL-Catalogue (AGRICOLA)

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  8. Article ; Online: The demographic and disability characteristics of individuals who regularly attend an urban adaptive fitness center: An observational study.

    Nalla, Sindhoori / Huang, Kevin / Spangenberg, Jacqueline / Chen, Liqi / Jayabalan, Prakash

    PM & R : the journal of injury, function, and rehabilitation

    2021  Volume 14, Issue 12, Page(s) 1454–1460

    Abstract: Introduction: While it is well known that regular physical activity provides significant physical and psychosocial health benefits, people with disabilities have disproportionately lower rates of exercise compared to the able-bodied population. Reduced ... ...

    Abstract Introduction: While it is well known that regular physical activity provides significant physical and psychosocial health benefits, people with disabilities have disproportionately lower rates of exercise compared to the able-bodied population. Reduced levels of physical activity can put this population at an increased risk of chronic health conditions, highlighting the importance of ensuring that our communities have accessible adaptive fitness opportunities.
    Objectives: To evaluate the demographic and disability characteristics in individuals who regularly attend a specialized urban adaptive fitness center, to provide foundational understanding about the population that uses such resources.
    Design: Cross-sectional study SETTING: Specialized urban adaptive fitness center PARTICIPANTS: Sixty-three (n = 63) participants who regularly attend an urban Adaptive Sports and Fitness Center INTERVENTION: Not applicable MAIN OUTCOME MEASURE: World Health Organization (WHO) Disability Assessment Schedule (WHODAS) 2.0, evaluating disability in six domains: cognition, mobility, self-care, getting along, life activities, and participation. Results were converted into scores ranging from 0 (no disability) to 100 (total disability) and compared to WHO published norms for the general population and a demographics intake form.
    Results: Participants with mean age of 52.9 ±14.3 years were grouped into three diagnostic categories: spinal cord injury (30.2%), traumatic brain injury/stroke (36.5%), and other neurologic disease/chronic medical disease (33.3%). A total of 45.9% live alone, 96.8% exercise at least twice/week, and 43.5% participate in adaptive sports. Participants travel 8.0 miles on average for attendance. WHODAS disability summary score was 26.48 (86th percentile).
    Conclusions: Although adaptive fitness center participants had a higher level of disability than 80% to 90% of the general population, regular participation was realistic and feasible. Further understanding of the barriers in those who do not engage in such facilities is needed.
    MeSH term(s) Humans ; Adult ; Middle Aged ; Aged ; Cross-Sectional Studies ; Fitness Centers ; Disabled Persons/psychology ; Disability Evaluation ; World Health Organization
    Language English
    Publishing date 2021-11-18
    Publishing country United States
    Document type Observational Study ; Journal Article
    ZDB-ID 2608988-9
    ISSN 1934-1563 ; 1934-1482
    ISSN (online) 1934-1563
    ISSN 1934-1482
    DOI 10.1002/pmrj.12720
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Distributions of water-soluble ions in size-aggregated aerosols over the Southern Ocean and coastal Antarctica.

    Xu, Guojie / Chen, Liqi / Xu, Tianyi / He, Shichang / Gao, Yuan

    Environmental science. Processes & impacts

    2021  Volume 23, Issue 9, Page(s) 1316–1327

    Abstract: To investigate mass size distributions of water-soluble ions in aerosols in the marine boundary layer (MBL) over the Southern Ocean, size-segregated (0.056-18 μm in aerodynamic diameter) aerosols were collected on the ... ...

    Abstract To investigate mass size distributions of water-soluble ions in aerosols in the marine boundary layer (MBL) over the Southern Ocean, size-segregated (0.056-18 μm in aerodynamic diameter) aerosols were collected on the 28
    MeSH term(s) Aerosols/analysis ; Air Pollutants/analysis ; Antarctic Regions ; Ecosystem ; Environmental Monitoring ; Ions/analysis ; Oceans and Seas ; Water
    Chemical Substances Aerosols ; Air Pollutants ; Ions ; Water (059QF0KO0R)
    Language English
    Publishing date 2021-09-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 2703814-2
    ISSN 2050-7895 ; 2050-7887
    ISSN (online) 2050-7895
    ISSN 2050-7887
    DOI 10.1039/d1em00089f
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Relationship of anthropometric measurements and percent body fat mass to cardiovascular disease risk factors in adults with cerebral palsy.

    Kivlehan, Emily / Gaebler-Spira, Deborah / Chen, Liqi / Garrett, Ariane / Wysocki, Nicole / Marciniak, Christina

    PM & R : the journal of injury, function, and rehabilitation

    2022  Volume 15, Issue 2, Page(s) 192–202

    Abstract: Introduction: Adults with cerebral palsy (CP) face high morbidity from cardiovascular disease (CVD). Of concern, classic screening parameters are inconsistent in identifying CVD risk in this population. Dual-energy x-ray absorptiometry (DEXA), which ... ...

    Abstract Introduction: Adults with cerebral palsy (CP) face high morbidity from cardiovascular disease (CVD). Of concern, classic screening parameters are inconsistent in identifying CVD risk in this population. Dual-energy x-ray absorptiometry (DEXA), which provides direct measurements of fat mass (FM), may be an alternative screening method.
    Objective: To evaluate whether FM measurement with DEXA is feasible in screening adults with CP and compare FM and anthropometric measures to CVD risk factors.
    Design: Cross-sectional study.
    Setting: Outpatient rehabilitation hospital.
    Participants: Forty-seven adults with CP.
    Main outcome measures: Weight, height, waist circumference (WC), and hip circumference (HC) were measured; waist-to-hip ratio (WHR) and body mass index (BMI) were calculated. Blood pressure (BP), FM by DEXA, hemoglobin A1c (HbA1c), and lipid measurements were obtained. Logistic regression models investigated odds ratios (ORs) and 95% confidence intervals (CIs) between anthropometric measurements/FM and CVD risk factors; correlations were assessed using Pearson correlation coefficients.
    Results: Elevated BP or hypertension diagnosis was present in 47.8%; HbA1c ≥5.7% in 22.2%; and high-density lipoprotein (HDL) level below optimal for 33.3%. DEXA FM was obtained in 29 of 47 participants, as surgical metal and positioning limited many studies. Excess FM was noted in 75.9% versus 41.3% overweight/obese by BMI. WC correlated with HbA1c (r = 0.46, p = .002), HDL (r = -0.36, p = .018), and triglyceride (TG) levels (r = 0.30, p = .045); however at-risk WC values were associated only with odds of elevated HbA1c (OR 8.53, 95% CI 1.46-50.05; p = .018). HC correlated with HbA1c levels (r = 0.38, p = .011) and systolic BPs (r = 0.35, p = .019); similarly, ORs for elevated HC were weakly associated with elevated HbA1c and BPs (OR 1.08, 95% CI 1.01-1.16; p = .024 and OR 1.07, 95% CI 1.01-1.14; p = .024, respectively). WHR correlated with TGs; however few TG levels were elevated. FM measures were not associated with at-risk lab values or BPs.
    Conclusions: DEXA FM measurements may not be feasible for CVD screening in many adults with CP. Although CVD risk factors are frequently present, anthropometric measurements commonly used for general population screening may not translate well to adults with CP.
    MeSH term(s) Humans ; Adult ; Cardiovascular Diseases/epidemiology ; Risk Factors ; Glycated Hemoglobin ; Cerebral Palsy/complications ; Cross-Sectional Studies ; Body Mass Index ; Adipose Tissue
    Chemical Substances Glycated Hemoglobin
    Language English
    Publishing date 2022-07-04
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2608988-9
    ISSN 1934-1563 ; 1934-1482
    ISSN (online) 1934-1563
    ISSN 1934-1482
    DOI 10.1002/pmrj.12797
    Database MEDical Literature Analysis and Retrieval System OnLINE

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