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  1. Article ; Online: Standardization of dual-energy x-ray visceral adipose tissue measures for comparison across clinical imaging systems.

    Bennett, Jonathan P / Fan, Bo / Liu, En / Kazemi, Leila / Wu, Xian-Ping / Zhou, Hou-De / Lu, Ying / Shepherd, John A

    Obesity (Silver Spring, Md.)

    2023  Volume 31, Issue 12, Page(s) 2936–2946

    Abstract: Objective: Excess visceral adipose tissue (VAT) is a major risk factor for metabolic syndrome (MetS) and clinical guidelines have been proposed to define VAT levels associated with increased risk. The aim was to standardize VAT measures between two dual- ...

    Abstract Objective: Excess visceral adipose tissue (VAT) is a major risk factor for metabolic syndrome (MetS) and clinical guidelines have been proposed to define VAT levels associated with increased risk. The aim was to standardize VAT measures between two dual-energy x-ray absorptiometry (DXA) manufacturers who provide different VAT estimates to support standardization of measures across imaging modalities.
    Methods: Scans from 114 individuals (ages 18-81 years) on GE HealthCare (GEHC) and Hologic DXA systems were compared via Deming regression to standardize VAT between the two systems, validated in a separate sample (n = 15), with κ statistics to assess agreement of VAT measurements for classifying patients into risk categories.
    Results: The GEHC and Hologic VAT measures were highly correlated and validated in the separate data set (r
    Conclusions: VAT measures can be estimated from GEHC and Hologic scans that classify individuals in a substantially similar way into metabolic risk categories, and systematic bias between the measures can be removed using simple regression equations. These findings allow for DXA VAT measures to be used in complement to other imaging modalities, regardless of whether scans used GEHC or Hologic systems.
    MeSH term(s) Humans ; Intra-Abdominal Fat/diagnostic imaging ; X-Rays ; Absorptiometry, Photon/methods ; Reference Standards ; Risk Factors ; Adipose Tissue
    Language English
    Publishing date 2023-10-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2230457-5
    ISSN 1930-739X ; 1071-7323 ; 1930-7381
    ISSN (online) 1930-739X
    ISSN 1071-7323 ; 1930-7381
    DOI 10.1002/oby.23885
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: MiR-96 regulates bone metabolism by targeting osterix.

    Liu, Hua / Liu, Qing / Wu, Xian-Ping / He, Hong-Bo / Fu, Lei

    Clinical and experimental pharmacology & physiology

    2018  Volume 45, Issue 6, Page(s) 602–613

    Abstract: MicroRNAs (miRNAs) play important roles in bone metabolism and aging. Here we show that miR-96 was markedly up-regulated in serum of elderly patients with osteoporosis by miRNA microarray analysis and qRT-PCR. Moreover miR-96 was also up-regulated in ... ...

    Abstract MicroRNAs (miRNAs) play important roles in bone metabolism and aging. Here we show that miR-96 was markedly up-regulated in serum of elderly patients with osteoporosis by miRNA microarray analysis and qRT-PCR. Moreover miR-96 was also up-regulated in bone marrow mesenchymal stem cells (BMSCs) of aged humans and mice. Our results show that the over-expression of miR-96 reduced osteogenic differentiation of BMSCs, whereas the inhibition of miR-96 increased osteogenic differentiation of BMSCs. At the molecular level, miR-96 regulated osteogenesis by targeting osterix. Interestingly, over-expression of miR-96 in young mice by intravenous injection of agomiR-96 developed a low bone mass due to impaired osteogenesis. However, inhibition of miR-96 in aged mice attenuated the age-related bone loss. Thus, our data suggest that miR-96 regulates osteogenesis and may represent a potential diagnostic marker or therapeutic target for age-related bone loss.
    MeSH term(s) Adult ; Aged ; Aging/genetics ; Aging/metabolism ; Animals ; Base Sequence ; Bone and Bones/metabolism ; Female ; Humans ; Male ; Mesenchymal Stem Cells/cytology ; Mesenchymal Stem Cells/metabolism ; Mice ; MicroRNAs/genetics ; Osteogenesis/genetics ; Osteoporosis/genetics ; Osteoporosis/metabolism ; Osteoporosis/pathology ; Osteoporosis/physiopathology ; Sp7 Transcription Factor/genetics ; Up-Regulation ; Young Adult
    Chemical Substances MIRN96 microRNA, human ; MicroRNAs ; Mirn96 microRNA, mouse ; Sp7 Transcription Factor
    Language English
    Publishing date 2018-02-14
    Publishing country Australia
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 189277-0
    ISSN 1440-1681 ; 0305-1870 ; 0143-9294
    ISSN (online) 1440-1681
    ISSN 0305-1870 ; 0143-9294
    DOI 10.1111/1440-1681.12912
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Changes in Bone Mineral Density Following Conventional Oral Phosphonate Treatment of Hypophosphatemic Osteomalacia: A Non-Randomized Controlled Study.

    Guo, Yue / Zhou, Ying-Hui / Wu, Xian-Ping / Tang, Chen-Yi / Wang, Min / Mo, Zhao-Hui / Shepherd, John A / Ng, Bennett K / Fan, Bo / Zhou, Hou-De

    International journal of general medicine

    2021  Volume 14, Page(s) 7925–7931

    Abstract: Purpose: There are limited clinical studies aimed at solving the problem of the efficiency of conventional treatment with oral phosphate and calcitriol in adults with hypophosphatemic osteomalacia (HO). In addition, there still had no good non-hazardous ...

    Abstract Purpose: There are limited clinical studies aimed at solving the problem of the efficiency of conventional treatment with oral phosphate and calcitriol in adults with hypophosphatemic osteomalacia (HO). In addition, there still had no good non-hazardous markers to evaluate the severity of bone loss of osteomalacia before and after treatment. Therefore, the purpose of this study was to assess the efficacy of conventional treatment with a self-blended phosphate supplementation and calcitriol on patients with HO and whether bone mineral density (BMD) can be helpful for monitoring the efficacy.
    Patients and methods: A total of 21 HO patients and 105 healthy controls were enrolled. All patients were tested for serum biomarkers and BMD of the lumbar spine (L1-L4), femoral neck, and total left hip. After three years of treatment, 11 of 21 HO patients were recalled for BMD measurement. According to the administration of drugs, HO patients with calcium and calcitriol were divided into three phosphate treatment groups: patients in group A (n = 3) received continuous phosphate supplementation, patients in group B (n = 5) received intermittent phosphate supplementation and patients in group C (n = 3) received no phosphate supplementation.
    Results: The diagnoses of 21 HO patients were 5 cases of hereditary hypophosphatemic rickets, 4 cases of Fanconi syndrome with the features of renal tubular acidosis and vitamin D deficiency, and 12 cases of hereditary vitamin D abnormality. The average initial serum phosphorus level of the patient group was approximately 50% lower than that of the control group. Lower BMD was significantly observed in the HO group than the control group at the lumbar spine and total hip. Continuous treatment with the phosphate supplement could increase BMD in the lumbar spine and total hip by 33.4-52.3% and in the femoral neck increased by 43.2-79.3% compared with baseline, and the effect appears to be continued once treatment is discontinued.
    Conclusion: These findings suggest that conventional therapy can improve bone mineral defects in patients with HO, especially in the femoral neck. Detection of BMD in HO patients is a good tool to assess the extent of bone defects and the therapeutic effect.
    Trial registration: Chinese Clinical Trial Registry, ChiCTR-OOC-16010095. Registered 7 December 2016. Retrospectively registered.
    Language English
    Publishing date 2021-11-08
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 2452220-X
    ISSN 1178-7074
    ISSN 1178-7074
    DOI 10.2147/IJGM.S332534
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Relationship between bone mineral density and fragility fracture risk: a case-control study in Changsha, China.

    Li, Hong-Li / Shen, Yi / Tan, Li-Hua / Fu, Song-Bo / Dai, Ru-Chun / Yuan, Ling-Qing / Sheng, Zhi-Feng / Xie, Zhong-Jian / Wu, Xian-Ping / Liao, Er-Yuan / Tang, Xu-Lei / Wu, Xi-Yu

    BMC musculoskeletal disorders

    2021  Volume 22, Issue 1, Page(s) 728

    Abstract: Background: Fragility fracture is associated with bone mineral density (BMD), and most databases used in related researches are instrument-matched. Little is known about the relationship between BMD and fragility fracture risk of native Chinese, ... ...

    Abstract Background: Fragility fracture is associated with bone mineral density (BMD), and most databases used in related researches are instrument-matched. Little is known about the relationship between BMD and fragility fracture risk of native Chinese, especially using local databases as reference databases.
    Objective: To investigate relationship between BMD and risk of fragility fracture in native China.
    Methods: 3,324 cases, including 2,423 women (67.7 ± 8.9 years) and 901 men (68.4 ± 11.6 years) having radiological fragility fractures and 3,324 age- and gender-matched controls participated in the study. We measured BMD at posteroanterior spine and hip using dual-energy X-ray absorptiometry (DXA), calculated BMD measurement parameters based on our own BMD reference database.
    Results: BMDs and mean T-scores were lower in case group (with clinical fragility) than in control group (without clinical fragility). In patients with fragility fractures, prevalence of lumbar osteoporosis, low bone mass, and normal BMD were 78.9 %, 19.3 %, and 1.8 %, respectively, in women, and 49.5, 44.8 %, and 5.7 %, respectively, in men. In hip, these prevalence rates were 67.2 %, 28.4 %, and 4.4 % in females, and 43.2 %, 45.9 %, and 10.9 % in males, respectively, showing differences between females and males. Multivariate Cox regression analysis showed that after adjusting age, height, weight, and body mass index, fracture hazard ratio (HR) increased by 2.7-2.8 times (95 % CI 2.5-3.1) and 3.6-4.1 times (95 %CI 3.0-5.1) for women and men respectively with decreasing BMD parameters. In both sexes, risk of fragility fracture increased approximately 1.6-1.7 times (95 % CI 1.5-1.8) for every 1 T-score reduction in BMD.
    Conclusions: Risk of clinical fragility fracture increases with decreasing BMD measurement parameters and anthropometric indicators in native China, and fracture HR varies from gender and site.
    MeSH term(s) Bone Density ; Case-Control Studies ; China/epidemiology ; Female ; Fractures, Bone ; Humans ; Lumbar Vertebrae ; Male
    Language English
    Publishing date 2021-08-24
    Publishing country England
    Document type Journal Article
    ISSN 1471-2474
    ISSN (online) 1471-2474
    DOI 10.1186/s12891-021-04616-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: microRNA-329 reduces bone cancer pain through the LPAR1-dependent LPAR1/ERK signal transduction pathway in mice.

    Wu, Xian-Ping / Yang, Yan-Ping / She, Rui-Xuan / Xing, Zu-Min / Chen, Han-Wen / Zhang, Yi-Wen

    Therapeutic advances in medical oncology

    2019  Volume 11, Page(s) 1758835919875319

    Abstract: Background: Bone cancer pain (BCP) is a common symptom occurring among patients with cancer and has a detrimental effect on their quality of life. Growing evidence has implicated microRNA-329 (miR-329) in the progression of bone diseases. In the present ...

    Abstract Background: Bone cancer pain (BCP) is a common symptom occurring among patients with cancer and has a detrimental effect on their quality of life. Growing evidence has implicated microRNA-329 (miR-329) in the progression of bone diseases. In the present study, we aimed to elucidate the potential effects of miR-329 on BCP in a BCP mouse model
    Methods: Initially, a BCP mouse model was established
    Results: The positive expression rate of LPAR1 protein and extent of ERK1/2 phosphorylation were increased in BCP mouse models. LPAR1 is a target gene of miR-329, which can inhibit the expression of LPAR1. In response to miR-329 overexpression and LPAR1 silencing, BCP mice showed increased PWT and PWL, along with decreased LPAR1 expression and ratio of p-ERK/ERK.
    Conclusions: Altogether, the results obtained indicated that miR-329 can potentially alleviate BCP in mice
    Language English
    Publishing date 2019-10-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 2503443-1
    ISSN 1758-8359 ; 1758-8340
    ISSN (online) 1758-8359
    ISSN 1758-8340
    DOI 10.1177/1758835919875319
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Lifestyle improvement and the reduced risk of cardiovascular disease: the China-PAR project.

    Jiang, Ying-Ying / Liu, Fang-Chao / Shen, Chong / Li, Jian-Xin / Huang, Ke-Yong / Yang, Xue-Li / Chen, Ji-Chun / Liu, Xiao-Qing / Cao, Jie / Chen, Shu-Feng / Yu, Ling / Zhao, Ying-Xin / Wu, Xian-Ping / Zhao, Lian-Cheng / Li, Ying / Hu, Dong-Sheng / Huang, Jian-Feng / Lu, Xiang-Feng / Gu, Dong-Feng

    Journal of geriatric cardiology : JGC

    2023  Volume 20, Issue 11, Page(s) 779–787

    Abstract: Background: The benefits of healthy lifestyles are well recognized. However, the extent to which improving unhealthy lifestyles reduces cardiovascular disease (CVD) risk needs to be discussed. We evaluated the impact of lifestyle improvement on CVD ... ...

    Abstract Background: The benefits of healthy lifestyles are well recognized. However, the extent to which improving unhealthy lifestyles reduces cardiovascular disease (CVD) risk needs to be discussed. We evaluated the impact of lifestyle improvement on CVD incidence using data from the China-PAR project (Prediction for Atherosclerotic Cardiovascular Disease Risk in China).
    Methods: A total of 12,588 participants free of CVD were followed up for three visits after the baseline examination. Changes in four lifestyle factors (LFs) (smoking, diet, physical activity, and alcohol consumption) were assessed through questionnaires from the baseline to the first follow-up visit. Cox proportional hazard models were used to estimate hazard ratios (HRs) and corresponding 95% confidence intervals (CIs). The risk advancement periods (RAPs: the age difference between exposed and unexposed participants reaching the same incident CVD risk) and population-attributable risk percentage (PAR%) were also calculated.
    Results: A total of 909 incident CVD cases occurred over a median follow-up of 11.14 years. Compared with maintaining 0-1 healthy LFs, maintaining 3-4 healthy LFs was associated with a 40% risk reduction of incident CVD (HR = 0.60, 95% CI: 0.45-0.79) and delayed CVD risk by 6.31 years (RAP: -6.31 [-9.92, -2.70] years). The PAR% of maintaining 3-4 unhealthy LFs was 22.0% compared to maintaining 0-1 unhealthy LFs. Besides, compared with maintaining two healthy LFs, improving healthy LFs from 2 to 3-4 was associated with a 23% lower risk of CVD (HR = 0.77, 95% CI: 0.60-0.98).
    Conclusions: Long-term sustenance of healthy lifestyles or improving unhealthy lifestyles can reduce and delay CVD risk.
    Language English
    Publishing date 2023-12-14
    Publishing country China
    Document type Journal Article
    ZDB-ID 2421391-3
    ISSN 1671-5411
    ISSN 1671-5411
    DOI 10.26599/1671-5411.2023.11.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: MicroRNA-365 alleviates morphine analgesic tolerance via the inactivation of the ERK/CREB signaling pathway by negatively targeting β-arrestin2.

    Wu, Xian-Ping / She, Rui-Xuan / Yang, Yan-Ping / Xing, Zu-Min / Chen, Han-Wen / Zhang, Yi-Wen

    Journal of biomedical science

    2018  Volume 25, Issue 1, Page(s) 10

    Abstract: Background: Morphine is widely used in clinical practice for a class of analgesic drugs, long-term use of morphine will cause the action of tolerance. MicroRNAs have been reported to be involved in morphine analgesic tolerance..: Methods: Forty male ... ...

    Abstract Background: Morphine is widely used in clinical practice for a class of analgesic drugs, long-term use of morphine will cause the action of tolerance. MicroRNAs have been reported to be involved in morphine analgesic tolerance..
    Methods: Forty male SD rats were selected and randomly divided into 5 groups: the control group, morphine tolerance group, miR-365 mimic + morphine (miR-365 mimic) group, miR-365 inhibitor + morphine (miR-365 inhibitor) group and miR-365 negative control (NC) + morphine (miR-365 NC) group. After the administration of morphine at 0 d, 1 d, 3 d, 5 d and 7 d, behavioral testing was performed. A dual luciferase reporter gene assay was performed to confirm the relationship between miR-365 and β-arrestin2, RT-qPCR was used to detect miR-365, β-arrestin2, ERK and CREB mRNA expressions, western blotting was used to evaluate the protein expressions of β-arrestin2, ERK, p-ERK, CREB and p-CREB, ELISA was used to detect the contents of IL-1β, TNF-α and IL-18, while immunofluorescence staining was used to measure the GFAP expression. Intrathecal injection of mir365 significantly increased the maximal possible analgesic effect (%MPE) in morphine tolerant rats. β-arrestin2 was the target gene of miR-365.
    Results: The results obtained showed that when compared with the morphine tolerance group, there was an increase in miR-365 expression and a decrease in the β-arrestin2, ERK, CREB protein expressions, contents of IL-1β, TNF-α, IL-18 and GFAP expression in the miR-365 mimic group, while the miR-365 inhibitor group displayed an opposite trend.
    Conclusions: The results of this experiment suggest that by targeting β-arrestin2 to reduce the contents of IL-1β, TNF-α and IL-18 and by inhibiting the activation of ERK/CREB signaling pathway, miR-365 could lower morphine analgesic tolerance.
    MeSH term(s) Analgesics/administration & dosage ; Animals ; Drug Tolerance ; Male ; MicroRNAs/genetics ; MicroRNAs/metabolism ; Morphine/administration & dosage ; Random Allocation ; Rats ; Rats, Sprague-Dawley ; Signal Transduction
    Chemical Substances Analgesics ; MicroRNAs ; Morphine (76I7G6D29C)
    Language English
    Publishing date 2018-02-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 1193378-1
    ISSN 1423-0127 ; 1021-7770
    ISSN (online) 1423-0127
    ISSN 1021-7770
    DOI 10.1186/s12929-018-0405-9
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  8. Article ; Online: GDF8 inhibits bone formation and promotes bone resorption in mice.

    Chen, Yu-Si / Guo, Qi / Guo, Li-Juan / Liu, Ting / Wu, Xian-Ping / Lin, Zhang-Yuan / He, Hong-Bo / Jiang, Tie-Jian

    Clinical and experimental pharmacology & physiology

    2017  Volume 44, Issue 4, Page(s) 500–508

    Abstract: Growth Differentiation Factor 8 (GDF8), also called myostatin, is a member of the transforming growth factor (TGF)-β super-family. As a negative regulator of skeletal muscle growth, GDF8 is also associated with bone metabolism. However, the function of ... ...

    Abstract Growth Differentiation Factor 8 (GDF8), also called myostatin, is a member of the transforming growth factor (TGF)-β super-family. As a negative regulator of skeletal muscle growth, GDF8 is also associated with bone metabolism. However, the function of GDF8 in bone metabolism is not fully understood. Our study aimed to investigate the role of GDF8 in bone metabolism, both in vitro and in vivo. Our results showed that GDF8 had a negative regulatory effect on primary mouse osteoblasts, and promoted receptor activator of nuclear factor κB ligand (RANKL)-induced osteoclastogenesis in vitro. Intraperitoneal injection of recombinant GDF8 repressed bone formation and accelerated bone resorption in mice. Furthermore, treatment of aged mice with a GDF8 neutralizing antibody stimulated new bone formation and prevented bone resorption. Thus, our study showed that GDF8 plays a significant regulatory role in bone formation and bone resorption, thus providing a potential therapeutic pathway for osteoporosis.
    MeSH term(s) Animals ; Bone Resorption/pathology ; Bone Resorption/physiopathology ; Calcification, Physiologic/drug effects ; Cell Differentiation/drug effects ; Female ; Mice ; Mice, Inbred C57BL ; Myostatin/metabolism ; Osteoblasts/drug effects ; Osteoblasts/pathology ; Osteogenesis/drug effects ; RANK Ligand/pharmacology
    Chemical Substances Myostatin ; RANK Ligand
    Language English
    Publishing date 2017-04
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 189277-0
    ISSN 1440-1681 ; 0305-1870 ; 0143-9294
    ISSN (online) 1440-1681
    ISSN 0305-1870 ; 0143-9294
    DOI 10.1111/1440-1681.12728
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: [Effect of ultra-early hyperbaric oxygenation on spinal edema and hind limb motor function in rats with complete spinal cord transection].

    Liu, Min / Wu, Xian-ping / Tong, Min

    Nan fang yi ke da xue xue bao = Journal of Southern Medical University

    2009  Volume 29, Issue 10, Page(s) 2014–2017

    Abstract: Objective: To evaluate the effect of ultra-early hyperbaric oxygenation on spinal edema and hind limb motor function in rats with complete spinal cord transection.: Methods: Fifty-five healthy 3-month-old female SD rats were randomly divided into ... ...

    Abstract Objective: To evaluate the effect of ultra-early hyperbaric oxygenation on spinal edema and hind limb motor function in rats with complete spinal cord transection.
    Methods: Fifty-five healthy 3-month-old female SD rats were randomly divided into sham-operated group (n=15), complete spinal cord transection group (CSCT group, n=20) and hyperbaric oxygen group (HBO group, n=20). The rats in the sham-operated group underwent only laminectomy, while those in the other 2 groups underwent CSCT at the T10 level. The rats in HBO group were placed in an oxygen chamber 3 h after the operation for 10 days as a treatment course, and 3 treatment courses were administered at the interval of 6 days. In the first treatment course, 2 hyperbaric oxygenation sessions were given daily, and in the following 2 course, only 1 session was given daily. The recovery of hindlimb motor function was evaluated using the open-field Basso-Beattie-Bresnahan (BBB) scoring system once a week for 6 weeks. All the rats were sacrificed 6 weeks after the operation to measure the water content in the injured tissues.
    Results: The BBB scores of CSCT group and HBO group gradually increased with the passage of time after the operation, and from week 2 to week 6, HBO group had significantly higher scores than CSCT group (P<0.05). The water content was markedly increased in CSCT group at 6 weeks after the operation as compared with that in the sham-operated group (P<0.01), and significantly reduced in HBO group in comparison with that in the CSCT group (P<0.05).
    Conclusion: Ultra-early HBO can suppress spinal cord edema and promote hindlimb locomotor recovery in rats with complete spinal cord transection.
    MeSH term(s) Animals ; Edema/pathology ; Female ; Hindlimb/physiopathology ; Hyperbaric Oxygenation/methods ; Lumbar Vertebrae ; Motor Activity/physiology ; Random Allocation ; Rats ; Rats, Sprague-Dawley ; Spinal Cord Injuries/pathology ; Spinal Cord Injuries/therapy ; Time Factors
    Language Chinese
    Publishing date 2009-10
    Publishing country China
    Document type English Abstract ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2250951-3
    ISSN 1673-4254
    ISSN 1673-4254
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Association of cardiovascular diseases with milk intake among general Chinese adults.

    Wang, Xin-Yan / Liu, Fang-Chao / Yang, Xue-Li / Li, Jian-Xin / Cao, Jie / Lu, Xiang-Feng / Huang, Jian-Feng / Li, Ying / Chen, Ji-Chun / Zhao, Lian-Cheng / Shen, Chong / Hu, Dong-Sheng / Zhao, Ying-Xin / Yu, Ling / Liu, Xiao-Qing / Wu, Xian-Ping / Gu, Dong-Feng

    Chinese medical journal

    2020  Volume 133, Issue 10, Page(s) 1144–1154

    Abstract: Background: The association of milk intake with cardiovascular disease (CVD) and cause-specific mortality remained controversial and evidence among the Chinese population was limited. We aimed to study the relationship between milk intake and CVDs among ...

    Abstract Background: The association of milk intake with cardiovascular disease (CVD) and cause-specific mortality remained controversial and evidence among the Chinese population was limited. We aimed to study the relationship between milk intake and CVDs among general Chinese adults.
    Methods: A total of 104,957 participants received questionnaire survey. Results of physical examination such as anthropometric measurements and biochemical tests during 2007 to 2008, demographic data and their information on milk intake were collected through standardized questionnaires. Cox proportional hazard regression models were used to calculate hazard ratios (HRs) and their corresponding 95% confidence intervals (CIs) of CVD incidence, cause-specific mortality and all-cause mortality related to milk intake. Restricted cubic splines (RCSs) were applied to examine dose-response associations.
    Results: Among the 91,757 participants with a median follow-up period of 5.8 years, we documented 3877 CVD cases and 4091 all-cause deaths. Compared with participants who never consumed milk, the multivariate-adjusted HRs (95% CIs) of CVD incidence for 1 to 150 g/day, 151 to 299 g/day, and ≥300 g/day were 0.94 (0.86-1.03) (P > 0.05), 0.77 (0.66-0.89) (P < 0.05), and 0.59 (0.40-0.89) (P < 0.05), respectively; each 100 g increase of daily milk intake was associated with 11% lower risk of CVD incidence (HR, 0.89; 95% CI: 0.85-0.94; P < 0.001), and 11% lower risk of CVD mortality (HR, 0.89; 95% CI: 0.82-0.97; P = 0.008) after adjustment for age, sex, residential area, geographic region, education level, family history of CVD, smoking, alcohol drinking, physical activity level, body mass index, and healthy diet status (ideal or not). RCS analyses also showed a linear dose-response relationship with CVD (P for overall significance of the curve <0.001; P for non-linearity = 0.979; P for linearity <0.001) and stroke (P for overall significance of the curve = 0.010; P for non-linearity = 0.998; P for linearity = 0.002) incidence, and CVD mortality (P for overall significance of the curve = 0.045; P for non-linearity = 0.768; P for linearity = 0.014) within the current range of daily milk intake.
    Conclusions: Daily milk intake was associated with lower risk of CVD incidence and mortality in a linear inverse relationship. The findings provide new evidence for dietary recommendations in CVD prevention among Chinese adults and people with similar dietary pattern in other countries.
    MeSH term(s) Adult ; Animals ; Cardiovascular Diseases/epidemiology ; China/epidemiology ; Humans ; Incidence ; Milk ; Proportional Hazards Models ; Risk Factors
    Language English
    Publishing date 2020-04-22
    Publishing country China
    Document type Journal Article
    ZDB-ID 127089-8
    ISSN 2542-5641 ; 0366-6999 ; 1002-0187
    ISSN (online) 2542-5641
    ISSN 0366-6999 ; 1002-0187
    DOI 10.1097/CM9.0000000000000786
    Database MEDical Literature Analysis and Retrieval System OnLINE

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