RESUMO
BACKGROUND: A number of studies have explored the association between depression and ghrelin, leptin, and cortisol; further, postprandial C-peptide levels have a therapeutic effect on type 2 diabetes mellitus (T2DM). However, the relationship between C-peptide and depression in patients with diabetes, remains unclear. The aim of this study was to explore the association between depression and ghrelin, leptin, cortisol, and C-peptide in patients with diabetes. METHODS: We enrolled 50 adults without T2DM, 77 non-depressed adults with T2DM (free of Axis-I psychiatric disorders as assessed using the Mental Illness Needs Index (MINI), Patient Health Questionnaire (PHQ-9 score ≤ 4)) and 59 patients with T2DM and depression (PHQ-9 ≥ 7 and positive by the Structured Clinical Interview for DSM-5). The age range of the participants was 45-59 years of age. We compared the above three groups and explored the association between ghrelin, leptin, cortisol, C-peptide, and depression in patients with diabetes. A post-hoc power-analysis was finished. RESULTS: Compared with the non-depression T2DM group, the depression T2DM group had significantly higher blood glucose fluctuations. Further, compared with the non-depression T2DM and non-diabetic groups, the depression T2DM group had significantly lower levels of post-meal 2-h C-peptide and elevated evening cortisol (p < 0.01). Regression analysis revealed a significant negative correlation between depression severity and 2-h postprandial C-peptide in patients with diabetes (p < 0.01) and a significant positive correlation with midnight cortisol levels (p < 0.01). A post hoc power analysis showed that we had an adequate sample size and met the minimum requirement to attain 80% power. A post hoc power calculation also demonstrated that this study basically achieved power of 80% at 5% alpha level. CONCLUSIONS: Our findings indicate a correlation of low fasting levels of 2-h C-peptide as well as higher midnight cortisol levels with higher depression severity in middle-aged patients with T2DM.
Assuntos
Diabetes Mellitus Tipo 2 , Hidrocortisona , Adulto , Idoso , Glicemia , Peptídeo C , Depressão/complicações , Diabetes Mellitus Tipo 2/complicações , Grelina , Humanos , Pessoa de Meia-IdadeRESUMO
Although the awareness of ecosystem services provided by natural landscape is increa-sing, few studies integrate ecosystem services value (ESV) into ecological risk management and its control. With Ziwuling region as an example, we carried out the gridding resampling of landscape pattern types in the forest area of Ziwuling region in 1980, 1990, 2000, 2010 and 2017. We quantified the ESV and landscape ecological risk and their spatiotemporal variations, based on the 2.5 km×2.5 km grid. The spatial correlation between the ESV and landscape ecological risk was examined. The results showed that the ESV decreased from the center to the outside of Ziwuling region, which increased from 12.345 to 12.633 billion yuan from 1980 to 2017. The landscape ecological risk increased from the center to the outside edge of Ziwuling region, indicating that the landscape ecological risk of Ziwuling region was reduced and the overall ecological situation was improved. There was a significant negative correlation and negative spatial correlation between ESV and landscape ecological risk in this area. The high value-low risk area was mainly located in Ziwu-ling forest area, while the ESV might be maintained in the future.
Assuntos
Conservação dos Recursos Naturais , Ecossistema , China , FlorestasRESUMO
The approximately planar mol-ecule of the title compound, C(14)H(12)N(2)O(4), is centrosymmetric and has an E configuration with respect to the N-N bond. This compound adopts the ketoamine form with C=O and C-N distances of 1.233â (3) and 1.331â (4)â Å, respectively. Adjacent mol-ecules are assembled into a two-dimensional supra-molecular structure parallel to the (101) plane via inter-molecular O-Hâ¯O hydrogen bonds.