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1.
Small ; 20(2): e2305506, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37661344

RESUMO

Bilayer semiconductors have attracted much attention due to their stacking-order-dependent properties. However, as both 3R- and 2H-stacking are energetically stable at high temperatures, most of the high-temperature grown bilayer materials have random 3R- or 2H-stacking orders, leading to non-uniformity in optical and electrical properties. Here, a chemical vapor deposition method is developed to grow bilayer semiconductors with controlled stacking order by modulating the resolidified chalcogen precursors supply kinetics. Taking tungsten disulfide (WS2 ) as an example, pure 3R-stacking (100%) and 2H-stacking dominated (87.6%) bilayer WS2 are grown by using this method and both show high structural and optical quality and good uniformity. Importantly, the bilayer 3R-stacking WS2 shows higher field effect mobility than 2H-stacking samples, due to the difference in stacking order-dependent surface potentials. This method is universal for growing other bilayer semiconductors with controlled stacking orders including molybdenum disulfide and tungsten diselenide, paving the way to exploit stacking-order-dependent properties of these family of emerging bilayer materials.

2.
Biomed Eng Online ; 22(1): 129, 2023 Dec 19.
Artigo em Inglês | MEDLINE | ID: mdl-38115029

RESUMO

BACKGROUND: Haemorrhage transformation (HT) is a serious complication of intravenous thrombolysis (IVT) in acute ischaemic stroke (AIS). Accurate and timely prediction of the risk of HT before IVT may change the treatment decision and improve clinical prognosis. We aimed to develop a deep learning method for predicting HT after IVT for AIS using noncontrast computed tomography (NCCT) images. METHODS: We retrospectively collected data from 828 AIS patients undergoing recombinant tissue plasminogen activator (rt-PA) treatment within a 4.5-h time window (n = 665) or of undergoing urokinase treatment within a 6-h time window (n = 163) and divided them into the HT group (n = 69) and non-HT group (n = 759). HT was defined based on the criteria of the European Cooperative Acute Stroke Study-II trial. To address the problems of indiscernible features and imbalanced data, a weakly supervised deep learning (WSDL) model for HT prediction was constructed based on multiple instance learning and active learning using admission NCCT images and clinical information in addition to conventional deep learning models. Threefold cross-validation and transfer learning were performed to confirm the robustness of the network. Of note, the predictive value of the commonly used scales in clinics associated with NCCT images (i.e., the HAT and SEDAN score) was also analysed and compared to measure the feasibility of our proposed DL algorithms. RESULTS: Compared to the conventional DL and ML models, the WSDL model had the highest AUC of 0.799 (95% CI 0.712-0.883). Significant differences were observed between the WSDL model and five ML models (P < 0.05). The prediction performance of the WSDL model outperforms the HAT and SEDAN scores at the optimal operating point (threshold = 1.5). Further subgroup analysis showed that the WSDL model performed better for symptomatic intracranial haemorrhage (AUC = 0.833, F1 score = 0.909). CONCLUSIONS: Our WSDL model based on NCCT images had relatively good performance for predicting HT in AIS and may be suitable for assisting in clinical treatment decision-making.


Assuntos
Isquemia Encefálica , Aprendizado Profundo , AVC Isquêmico , Acidente Vascular Cerebral , Humanos , Ativador de Plasminogênio Tecidual/uso terapêutico , Acidente Vascular Cerebral/diagnóstico por imagem , Acidente Vascular Cerebral/tratamento farmacológico , Acidente Vascular Cerebral/complicações , Isquemia Encefálica/diagnóstico por imagem , Isquemia Encefálica/tratamento farmacológico , Isquemia Encefálica/complicações , Estudos Retrospectivos , Terapia Trombolítica , AVC Isquêmico/diagnóstico por imagem , AVC Isquêmico/tratamento farmacológico , AVC Isquêmico/complicações , Tomografia Computadorizada por Raios X , Hemorragia/complicações , Hemorragia/tratamento farmacológico
3.
Small ; 18(14): e2107490, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35187848

RESUMO

In recent years, 2D layered semiconductors have received much attention for their potential in next-generation electronics and optoelectronics. Wide-bandgap 2D semiconductors are especially important in the blue and ultraviolet wavelength region, although there are very few 2D materials in this region. Here, monolayer ß-type zirconium nitride chloride (ß-ZrNCl) is isolated for the first time, which is an air-stable layered material with a bandgap of ≈3.0 eV in bulk. Systematical investigation of layer-dependent Raman scattering of ZrNCl from monolayer, bilayer, to bulk reveals a blueshift of its out-of-plane A1g peak at ≈189 cm-1 . Importantly, this A1g peak is absent in the monolayer, suggesting that it is a fingerprint to quickly identify the monolayer and for the thickness determination of 2D ZrNCl. The back gate field-effect transistor based on few-layer ZrNCl shows a high on/off ratio of 108 . These results suggest the potential of 2D ß-ZrNCl for electronic applications.

4.
Small ; 18(32): e2201051, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35841344

RESUMO

2D material-based heterostructures are constructed by stacking or spicing individual 2D layers to create an interface between them, which have exotic properties. Here, a new strategy for the in situ growth of large numbers of 2D heterostructures on the centimeter-scale substrate is developed. In the method, large numbers of 2D MoS2 , MoO2 , or their heterostructures of MoO2 /MoS2 are controllably grown in the same setup by simply tuning the gap distance between metal precursor and growth substrate, which changes the concentration of metal precursors feed. A lateral force microscope is used first to identify the locations of each material in the heterostructures, which have MoO2 on the top of MoS2 . Noteworthy, the creation of a clean interface between atomic thin MoO2 (metallic) and MoS2 (semiconducting) results in a different electronic structure compared with pure MoO2 and MoS2 . Theoretical calculations show that the charge redistribution at such an interface results in an improved HER performance on the MoO2 /MoS2 heterostructures, showing an overpotential of 60 mV at 10 mA cm-2 and a Tafel slope of 47 mV dec-1 . This work reports a new strategy for the in situ growth of heterostructures on large-scale substrates and provides platforms to exploit their applications.

5.
Small ; 16(35): e2003357, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32743967

RESUMO

Monolayer transition metal dichalcogenides are 2D materials with many potential applications. Chemical vapor deposition (CVD) is a promising method to synthesize these materials. However, CVD-grown materials generally have poorer quality than mechanically exfoliated ones and contain more defects due to the difficulties in controlling precursors' distribution and concentration during growth where solid precursors are used. Here, thiol is proposed to be used as a liquid precursor for CVD growth of high quality and uniform 2D MoS2 . Atomic-resolved structure characterizations indicate that the concentration of sulfur vacancies in the MoS2 grown from thiol is the lowest among all reported CVD samples. Low temperature spectroscopic characterization further reveals the ultrahigh optical quality of the grown MoS2 . Density functional theory simulations indicate that thiol molecules could interact with sulfur vacancies in MoS2 and repair these defects during the growth of MoS2 , resulting in high-quality MoS2 . This work provides a facile and controllable method for the growth of high-quality 2D materials with ultralow sulfur vacancies and high optical quality, which will benefit their optoelectronic applications.

6.
J Nanosci Nanotechnol ; 19(8): 5310-5316, 2019 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-30913849

RESUMO

Flexible humidity sensors play important roles in wearable devices and consuming electronics which provide a convenient way between digital and physical worlds. This work presents an easy fabricated method for flexible humidity sensors all based on carbon material including electrodes and functional layers. The interdigital electrodes are made by direct laser writing on commercial Kapton tapes and the transferring to flexible Polydimethylsiloxane (PDMS) substrates. The humidity sensing material is reduced graphene oxide (rGO) in nanometer thickness by electrospray. The rGO flakes covered the micro-size laser induced graphite (LIG), forming rGO-graphite balls, dramatically increase surface areas to interact with water molecules. The results show high precision sensitivity and fast response time for adsorption (0.9 s) and desorption (4.5 s). This method provides a novel method for fabricating cost-effective flexible humidity sensors.

7.
Luminescence ; 33(7): 1262-1267, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30338620

RESUMO

The effects of Tm3+ concentration on upconversion emission and temperature-sensing behavior of Tm3+/Yb3+:Y2O3 nanocrystals were investigated. Blue and red emissions were observed under 980 nm excitation. Both upconversion emissions and the blue to red intensity ratio were found to decrease with increasing Tm3+ concentration. The temperature-sensing performances of the samples were studied, the fluorescence intensity ratio of 1G4(a)→3H6 (477 nm) and 1G4(b)→3H6 (490 nm) transitions from Tm3+ ions was chosen as the thermometric index. The results showed that the sensor sensitivity was sensitive to Tm3+ ion concentration. The maximum sensitivity of ~32 × 10-4 K-1 was obtained for 0.1%Tm3+/5%Yb3+:Y2O3 nanocrystals at 344 K. Moreover, a marked optical induced heating effect was also found in the nanocrystals. The prepared Tm3+/Yb3+:Y2O3 nanocrystals could be used in temperature-sensing probes and in optical heaters.


Assuntos
Nanopartículas/química , Óxidos/química , Temperatura , Túlio/análise , Itérbio/química , Ítrio/química , Luminescência , Tamanho da Partícula , Propriedades de Superfície
8.
Sensors (Basel) ; 17(6)2017 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-28561748

RESUMO

Er3+/Yb3+ codoped tellurite-zinc-niobium (TZNb) glass was prepared by the melt-quenching method and used for the construction of a point all-fiber temperature sensor. The glass thermal stability and network structural properties were studied by differential thermal analysis and Raman spectrum, respectively. High glass transition temperature is beneficial to widen the working temperature range. The dependence of fluorescence intensity ratio (FIR) of green upconversion emissions on the surrounding temperature from 276 to 363 K was experimentally investigated and the maximum temperature sensitivity is 95 × 10-4 K-1 at 363 K. Strong green upconversion emission, broad temperature measurement range and high sensitivity indicate this point temperature sensor is a promising optical device for application on optical temperature sensing.

9.
J Am Chem Soc ; 136(30): 10736-42, 2014 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-25011035

RESUMO

Protein misfolding to form amyloid aggregates is the main cause of neurodegenerative diseases. While it has been widely acknowledged that amyloid formation in vivo is highly associated with molecular surfaces, particularly biological membranes, how their intrinsic features, for example, chirality, influence this process still remains unclear. Here we use cysteine enantiomer modified graphene oxide (GO) as a model to show that surface chirality strongly influences this process. We report that R-cysteine modification suppresses the adsorption, nucleation, and fiber elongation processes of Aß(1-40) and thus largely inhibits amyloid fibril formation on the surface, while S-modification promotes these processes. And surface chirality also greatly influences the conformational transition of Aß(1-40) from α-helix to ß-sheet. More interestingly, we find that this effect is highly related to the distance between chiral moieties and GO surface, and inserting a spacer group of about 1-2 nm between them prevents the adsorption of Aß(1-40) oligomers, which eliminates the chiral effect. Detailed study stresses the crucial roles of GO surface. It brings novel insights for better understanding the amyloidosis process on surface from a biomimetic perspective.


Assuntos
Peptídeos beta-Amiloides/química , Amiloide/química , Cisteína/análogos & derivados , Grafite/química , Óxidos/química , Fragmentos de Peptídeos/química , Adsorção , Humanos , Modelos Moleculares , Simulação de Dinâmica Molecular , Estrutura Secundária de Proteína , Propriedades de Superfície
10.
Adv Mater ; 36(7): e2304946, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37482950

RESUMO

2D magnets have generated much attention due to their potential for spintronic devices. Heterostructures of 2D magnets are interesting platforms for exploring physical phenomena and applications. However, the controlled growth of 2D room-temperature ferromagnetic heterostructures is challenging. Here, one-pot chemical vapor deposition growth of stable 2D Cr2 O3 -CrN mosaic heterostructures (MHs) is reported with a controlled ratio of components that possess robust room-temperature ferromagnetism. The 2D MHs consist of Cr2 O3 flakes with embedded CrN subdomains and the CrN:Cr2 O3 ratio can be tuned from 0% to 100% during growth. By changing the CrN:Cr2 O3 ratio, the ferromagnetism of the MHs (e.g., saturation magnetization, coercive field), which originates from the interfacial coupling between Cr2 O3 and CrN, can be controlled. Importantly, the obtained Cr2 O3 -CrN MHs are stable in air at elevated temperatures and have robust ferromagnetism with Curie temperature >400 K. This work presents a facile method for fabricating 2D MHs with tunable magnetism which will benefit high-temperature spintronics.

11.
Viruses ; 16(1)2024 01 03.
Artigo em Inglês | MEDLINE | ID: mdl-38257777

RESUMO

Enhancing cross-protections against diverse influenza viruses is desired for influenza vaccinations. Neuraminidase (NA)-specific antibody responses have been found to independently correlate with a broader influenza protection spectrum. Here, we report a sequential immunization regimen that includes priming with NA protein followed by boosting with peptide nanoclusters, with which targeted enhancement of antibody responses in BALB/c mice to certain cross-protective B-cell epitopes of NA was achieved. The nanoclusters were fabricated via desolvation with absolute ethanol and were only composed of composite peptides. Unlike KLH conjugates, peptide nanoclusters would not induce influenza-unrelated immunity. We found that the incorporation of a hemagglutinin peptide of H2-d class II restriction into the composite peptides could be beneficial in enhancing the NA peptide-specific antibody response. Of note, boosters with N2 peptide nanoclusters induced stronger serum cross-reactivities to heterologous N2 and even heterosubtypic N7 and N9 than triple immunizations with the prototype recombinant tetrameric (rt) N2. The mouse challenge experiments with HK68 H3N2 also demonstrated the strong effectiveness of the peptide nanocluster boosters in conferring heterologous protection.


Assuntos
Influenza Humana , Neuraminidase , Animais , Camundongos , Humanos , Influenza Humana/prevenção & controle , Vírus da Influenza A Subtipo H3N2 , Peptídeos , Imunização Secundária , Anticorpos , Camundongos Endogâmicos BALB C
12.
Adv Mater ; : e2405145, 2024 Jun 14.
Artigo em Inglês | MEDLINE | ID: mdl-38877385

RESUMO

Biomimetic humidity sensors offer a low-power approach for respiratory monitoring in early lung-disease diagnosis. However, balancing miniaturization and energy efficiency remains challenging. This study addresses this issue by introducing a bioinspired humidity-sensing neuron comprising a self-assembled peptide nanowire (NW) memristor with unique proton-coupled ion transport. The proposed neuron shows a low Ag+ activation energy owing to the NW and redox activity of the tyrosine (Tyr)-rich peptide in the system, facilitating ultralow electric-field-driven threshold switching and a high energy efficiency. Additionally, Ag+ migration in the system can be controlled by a proton source owing to the hydrophilic nature of the phenolic hydroxyl group in Tyr, enabling the humidity-based control of the conductance state of the memristor. Furthermore, a memristor-based neuromorphic perception neuron that can encode humidity signals into spikes is proposed. The spiking characteristics of this neuron can be modulated to emulate the strength-modulated spike-frequency characteristics of biological neurons. A three-layer spiking neural network with input neurons comprising these highly tunable humidity perception neurons shows an accuracy of 92.68% in lung-disease diagnosis. This study paves the way for developing bioinspired self-assembly strategies to construct neuromorphic perception systems, bridging the gap between artificial and biological sensing and processing paradigms.

13.
Materials (Basel) ; 16(4)2023 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-36837311

RESUMO

The rocket nozzle is one of the core components to ensure the safe flight of rockets. To overcome the problems of multi-step forming, the occurrence of defects, and severe plastic deformation in traditional technology, a novel forming method named tube upsetting-bulging (TUBG) is put forward. With the support of internal pressure, a tube is deformed with an upsetting and bulging process at the same time. The tube is thickened at the small end and thinned at the large end. A nozzle with sharply varying diameters can be obtained. A theoretical model of TUBG that considers wrinkles and rupture is built. The influence factors of internal pressure during TUBG are discussed. Experiments and simulation works are conducted to analyze the plastic deformation process of TUBG. Results show that mechanical properties and geometrical parameters have an obvious influence on critical internal pressure. The proposed theoretical model can be used to predict a forming zone without wrinkles, rupture, and severe strain values. A well-formed nozzle can be obtained using the predicted forming zone, which verifies the correctness of the theoretical analysis. It can be found that TUBG is a novel potential method to fabricate rocket nozzles with high efficiency and quality without defects.

14.
Front Nutr ; 10: 1139098, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36819691

RESUMO

[This corrects the article DOI: 10.3389/fnut.2022.1073576.].

15.
Genes (Basel) ; 15(1)2023 12 26.
Artigo em Inglês | MEDLINE | ID: mdl-38254929

RESUMO

Trehalose-6-phosphate synthase (TPS) is essential for plant growth and development, linking trehalose-6-phosphate (T6P) to carbon metabolism. However, little is known about the TPS gene family in peaches and their potential roles in regulating carbohydrates in peach fruit. In this study, nine TPS genes were identified in the peach genome and named according to the homologous genes in Arabidopsis. Phylogenetic analysis showed that three subfamilies were identified, including TPSI, TPSII-1, and TPSII-2, which were also consistent with gene structure analysis. Considerable cis-elements were enriched in the promoters, including plant hormone-related elements. Tissue-specific analysis showed that these TPS genes were mainly expressed in leaves, stems, and fruit, showing different expression patterns for each gene. In addition, during fruit development, the content of trehalose-6-phosphate (T6P) was positively correlated with the expression of PpTPS7a and negatively with sucrose non-fermenting-1-related kinase 1 (SnRK1) activity. Transient overexpression and silencing of PpTPS7a in peach fruit validated its function in regulating T6P content and SnRK1 activity.


Assuntos
Proteínas de Arabidopsis , Arabidopsis , Prunus persica , Prunus persica/genética , Filogenia , Metabolismo dos Carboidratos , Glucosiltransferases/genética , Proteínas Serina-Treonina Quinases
16.
Front Nutr ; 10: 1119768, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37252231

RESUMO

Introduction: In this paper, microbiota analysis was determined to analyze the structure and difference of intestinal microbiota between LBMJ (late-onset breast milk jaundice) infants and healthy individuals. Methods: We collected fresh fecal samples from 13 infants with LBMJ and 13 healthy individuals, then determined the intestinal microbiota by 16 s rRNA sequencing. The differences of microbiota structure, diversity and functional characteristics between the two groups were analyzed, and the correlation between dominant genus and TcB (transcutaneous bilirubin) value was calculated. Results: In this study, there were no significant differences in maternal demographic characteristics, neonatal status and macronutrients in breast milk between the two groups (p > 0.05). There are differences in the structure of intestinal microbiota between LBMJ and the control group. At the genus level, the relative abundance of Klebsiella in the case group is high (p < 0.05). At the same time, correlation analysis indicates that the abundance of Klebsiella is positively correlated with TcB value. The intestinal microbiota richness and diversity (Alpha diversity and Beta diversity) of the two groups were significantly different (p < 0.05). LEfSe analysis showed that 25 genera including Klebsiella was significantly enriched in the LBMJ infants, and the other 17 species are enriched in the control group. Functional prediction analysis indicated that 42 metabolic pathways may be related to the occurrence of LBMJ. Conclusion: In conclusion, characteristic changes are seen in intestinal microbiota compositions between LBMJ infants and the healthy controls. Klebsiella is closely associated with the severity of the disease, which may be due to enhanced ß-glucuronidase activity.

17.
Front Aging ; 4: 1239945, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37693853

RESUMO

Background: Sarcopenia, defined as the loss of muscle mass and strength, has been associated with increased hospitalization and mortality. Dietary pattern analysis is a whole diet approach which in this study was used to investigate the relationship between diet and sarcopenia. This study aims to estimate the prevalence of sarcopenia and explore possible factors associated with it among a large population in Beijing, China. Methods: A cross-sectional study with 1,059 participants aged more than 50 years was performed. Sarcopenia was defined based on the guidelines of the Asian Working Group for Sarcopenia. The total score of the MNA-SF questionnaire was used to analyse nutrition status. The baseline demographic information, diet structure and eating habits were collected by clinicians trained in questionnaire data collection and anthropometric and bioimpedance measurements. Results: The overall prevalence of sarcopenia was 8.8% and increased with age: 5%, 5.8%, 10.3% and 26.2% in the 50-59, 60-69, 70-79, and ≥80 years groups, respectively. Marital status (with or without a spouse) was not an independent factor associated with sarcopenia adjusted by age and sex. However, nutritional risk or malnutrition, vegetable diet, advanced age and spicy eating habits were risk factors for sarcopenia. Meanwhile, daily fruit, dairy and nut consumption were protective factors against sarcopenia adjusted by age, sex, income status and spouse status. Conclusion: Although further studies are required to explore the association between healthy dietary patterns and the risk of sarcopenia, the present study provides basic data for identifying correlates of sarcopenia in elderly Chinese individual.

18.
Cell Rep ; 42(7): 112766, 2023 07 25.
Artigo em Inglês | MEDLINE | ID: mdl-37421618

RESUMO

Neuraminidase is suggested as an important component for developing a universal influenza vaccine. Targeted induction of neuraminidase-specific broadly protective antibodies by vaccinations is challenging. To overcome this, we rationally select the highly conserved peptides from the consensus amino acid sequence of the globular head domains of neuraminidase. Inspired by the B cell receptor evolution process, a reliable sequential immunization regimen is designed to result in immuno-focusing by steering bulk immune responses to a selected region where broadly protective B lymphocyte epitopes reside. After priming neuraminidase protein-specific antibody responses in C57BL/6 or BALB/c inbred mice strains by immunization or pre-infection, boost immunizations with certain neuraminidase-derived peptide-keyhole limpet hemocyanin conjugates significantly strengthened serum neuraminidase inhibition activities and cross-protections. Overall, this study provides proof of concept for a peptide-based sequential immunization strategy for achieving targeted induction of cross-protective antibody response, which provides references for designing universal vaccines against other highly variable pathogens.


Assuntos
Vírus da Influenza A Subtipo H1N1 , Virus da Influenza A Subtipo H5N1 , Vacinas contra Influenza , Influenza Humana , Infecções por Orthomyxoviridae , Animais , Camundongos , Humanos , Infecções por Orthomyxoviridae/prevenção & controle , Neuraminidase , Anticorpos Antivirais , Camundongos Endogâmicos C57BL , Vacinação , Peptídeos , Camundongos Endogâmicos BALB C , Glicoproteínas de Hemaglutininação de Vírus da Influenza
19.
Front Nutr ; 9: 1073576, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36570146

RESUMO

Introduction: Obesity has become a major health problem worldwide. Diet management is an important means of weight loss. The aim of this study was to explore the improvement effect of a calorie-restricted diet (CRD), 5 + 2 intermittent fasting (5 + 2 IF), and high protein diet (HPD) on weight composition and serum lipid level of overweight and obese people in a short period (3 months). Methods: Fifty-three participants aged 18-60 years and with body mass index (BMI) ranging from 24 to 35 kg/m2 were screened for inclusion and exclusion criteria and were randomly divided into three groups, i.e., CRD, 5 + 2 IF, and HPD. Basic information, body composition, and venous blood samples were collected at baseline and after 3 months of intervention. Body composition was measured using a body composition analyzer (SK-V9), and serum lipids were assayed using the Roche Cobas e702 automatic biochemistry analysis system. The generalized estimating equation (GEE) was used to analyze and compare the repeated measurements of body composition and levels of serum lipids. Results: The results showed that total weight, BMI, body fat mass, muscle mass, visceral fat index, and waist and hip circumferences had significantly decreased in all three groups after 3 months of intervention, and the average weight loss was 3.3 ± 1.14, 4.12 ± 0.05, and 2.62 ± 0.13 kg in CRD, 5 + 2 IF, and HPD groups, respectively. The results of the GEE model indicated that compared with the CRD group, the 5 + 2 IF group showed a more significant decrease in weight (ß = -0.272, P < 0.001), BMI (ß = -0.091, P < 0.001), body fat mass (ß = -0.172, P < 0.001), muscle (ß = -0.043, P < 0.001), and visceral fat index (ß = -0.019, P < 0.001), however, HPD has more advantages in visceral fat index loss (ß = -0.011, P < 0.001) and lean body mass preserve (ß = 0.229, P < 0.001). Conclusion: Our findings showed that the 5 + 2 IF may be more effective in reducing total weight and body fat, and HPD may be more helpful in preventing lean body mass loss during a short-term weight loss intervention.

20.
Nutrients ; 14(2)2022 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-35057540

RESUMO

Carbohydrates play an important role in blood glucose control in pregnant women with GDM. Carbohydrate-restricted dietary (CRD) pattern for gestational diabetes mellitus (GDM) has been widely used in clinics, but the change in insulin utilization rate beyond CRD intervention in GDM remains unclear. The aim of the present study was to explore the application of insulin in pregnancy with GDM, as well as the influence of CRD pattern on lipid metabolism and nutritional state. A retrospective study of 265 women with GDM who delivered in Peking University People's Hospital from July 2018 to January 2020 was conducted using a questionnaire survey. Women were divided into a CRD group or a control group according to whether they had received CRD intervention during pregnancy. There was no statistically significant difference in the rate of insulin therapy between the two groups (p > 0.05), the initial gestational week of the CRD group combined with insulin treatment was significantly higher than that of the control group (p < 0.05), and the risk of insulin therapy was positively correlated with fasting plasma glucose (FPG) in early pregnancy (p < 0.05). The incidence of abnormal low-density lipoprotein cholesterol levels in the CRD group was significantly lower than that in the control group (p < 0.05). There were no significant differences in nutritional indexes between the two groups. The results indicate that CRD intervention may be effective in delaying the use of insulin and improving the blood lipids metabolism during GDM pregnancy, while nutritional status may not be significantly affected under CRD intervention, and a high FPG in early pregnancy with GDM may be a risk factor for combined insulin therapy with CRD intervention.


Assuntos
Diabetes Gestacional/terapia , Dieta com Restrição de Carboidratos/métodos , Hipoglicemiantes/uso terapêutico , Insulina/uso terapêutico , Cuidado Pré-Natal/estatística & dados numéricos , Adulto , Glicemia/metabolismo , China , Diabetes Gestacional/sangue , Jejum/sangue , Feminino , Idade Gestacional , Humanos , Metabolismo dos Lipídeos , Lipídeos/sangue , Estado Nutricional , Gravidez , Cuidado Pré-Natal/métodos , Estudos Retrospectivos , Fatores de Risco , Resultado do Tratamento
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