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1.
Food Chem ; 462: 141010, 2025 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-39217745

RESUMEN

In this study, we investigated how different proportions blends of Rhamnogalacturonan-I pectic polysaccharides and hesperidin impact the gut microbiota and metabolites using an in vitro simulated digestion and fermentation model. The results indicated that both of them could modulate the gut microbiota and produce beneficial metabolites. However, their blends in particular proportions (such as 1:1) exhibited remarkable synergistic effects on modulating the intestinal microenvironment, surpassing the effects observed with individual components. Specifically, these blends could benefit the host by increasing short-chain fatty acids production (such as acetate), improving hesperidin bioavailability, producing more metabolites (such as hesperetin, phenolic acids), and promoting the growth of beneficial bacteria. This synergistic and additive effect was inseparable from the role of gut microbiota. Certain beneficial bacteria, such as Blautia, Faecalibacterium, and Prevotella, exhibited strong preferences for those blends, thereby contributing to host health through participating in carbohydrate and flavonoid metabolism.


Asunto(s)
Bacterias , Microbioma Gastrointestinal , Hesperidina , Pectinas , Hesperidina/farmacología , Hesperidina/metabolismo , Microbioma Gastrointestinal/efectos de los fármacos , Bacterias/metabolismo , Bacterias/genética , Bacterias/efectos de los fármacos , Bacterias/clasificación , Bacterias/aislamiento & purificación , Humanos , Pectinas/metabolismo , Pectinas/química , Pectinas/farmacología , Fermentación , Polisacáridos/farmacología , Polisacáridos/metabolismo , Polisacáridos/química , Ácidos Grasos Volátiles/metabolismo , Digestión , Modelos Biológicos
2.
Food Chem ; 462: 140969, 2025 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-39197245

RESUMEN

Alcoholic beverages flavour is complex and unique with different alcohol content, and the application of flavour perception could improve the objectivity of flavour evaluation. This study utilized electroencephalogram (EEG) to assess brain reactions to alcohol percentages (5 %-53 %) and Baijiu's complex flavours. The findings demonstrate the brain's proficiency in discerning between alcohol concentrations, evidenced by increasing physiological signal strength in tandem with alcohol content. When contrasted with alcohol solutions of equivalent concentrations, Baijiu prompts a more significant activation of brain signals, underscoring EEG's capability to detect subtleties due to flavour complexity. Additionally, the study reveals notable correlations, with δ and α wave intensities escalating in response to alcohol stimulation, coupled with substantial activation in the frontal, parietal, and right temporal regions. These insights verify the efficacy of EEG in charting the brain's engagement with alcoholic flavours, setting the stage for more detailed exploration into the neural encoding of these sensory experiences.


Asunto(s)
Bebidas Alcohólicas , Encéfalo , Electroencefalografía , Etanol , Humanos , Encéfalo/efectos de los fármacos , Encéfalo/fisiología , Encéfalo/metabolismo , Adulto , Bebidas Alcohólicas/análisis , Masculino , Adulto Joven , Femenino , Etanol/análisis , Gusto , Aromatizantes/química , Percepción del Gusto
3.
Sci Total Environ ; 954: 176483, 2024 Sep 24.
Artículo en Inglés | MEDLINE | ID: mdl-39322078

RESUMEN

Changes in precipitation patterns induced by global climate change have profound implications for the structure and function of grassland ecosystems. However, the relationship between plant diversity and ecosystem function across different grassland types, particularly those with varying plant compositions and dominant species, remains inadequately understood. To address this knowledge gap, a five-year experimental manipulation of precipitation was conducted within herbaceous and shrub communities in the desert grasslands of Inner Mongolia. We found that increased precipitation significantly enhances aboveground biomass (AGB), belowground biomass (BGB), and community total biomass (CTB) in both herbaceous and shrub communities. In herbaceous communities, increased precipitation led to a disproportionate increase in both aboveground and belowground biomass, supporting the optimal allocation hypothesis. Structural equation modeling (SEM) further elucidated that precipitation regulates AGB and CTB through species richness and functional traits in herbaceous communities. In shrub communities, precipitation influences AGB, BGB, and CTB by affecting species richness and soil water content. This study highlights the critical role of precipitation in shaping biomass dynamics and allocation strategies within herbaceous and shrub communities in desert steppe of Inner Mongolia. These findings provide essential insights into the potential responses of desert grassland ecosystems to ongoing climate change.

4.
Food Res Int ; 195: 114966, 2024 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-39277236

RESUMEN

Salty peptide as an important sodium substitute, which could reduce the risk of cardiovascular disease caused by excessive sodium intake. In this study, novel salty peptides were prepared and identified from enzymolysis extract of oysters by peptitomic identification, virtual screening and solid phase synthesis. Additionally, molecular simulation was used to study the taste mechanism of salty peptides. 316 peptides were identified in the enzymatic hydrolysates of oysters. 6 peptides, selected through virtual screening, were synthesized using solid-phase synthesis, and EK, LFE, LEY and DR were confirmed to possess a pleasing salty taste through electronic tongue evaluation. Molecular docking results indicated that these 4 peptides could enter the binding pocket within the transmembrane channel-like 4 (TMC4) cavity, wherein salt bridges, hydrogen bonds and attractive charges were the main binding forces. This study provides a rapid screening method for salty peptides in sea food products but possibly applied for other sources.


Asunto(s)
Simulación del Acoplamiento Molecular , Péptidos , Animales , Péptidos/química , Ostreidae/química , Gusto , Proteómica/métodos , Humanos
5.
Carbohydr Polym ; 346: 122645, 2024 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-39245506

RESUMEN

Melanoma either intrinsically possesses resistance or rapidly acquires resistance to anti-tumor therapy, which often leads to local recurrence or distant metastasis after resection. In this study, we found histone 3 lysine 27 (H3K27) demethylated by an inhibitor of histone methyltransferase EZH2 could epigenetically reverse the resistance to chemo-drug paclitaxel (PTX), or enhance the efficacy of immune checkpoint inhibitor anti-TIGIT via downregulating TIGIT ligand CD155. Next, to address the complexity in the combination of multiple bioactive molecules with distinct therapeutic properties, we developed a polysaccharides-based organohydrogel (OHG) configured with a heterogenous network. Therein, hydroxypropyl chitosan (HPC)-stabilized emulsions for hydrophobic drug entrapment were crosslinked with oxidized dextran (Odex) to form a hydrophilic gel matrix to facilitate antibody accommodation, which demonstrated a tunable sustained release profile by optimizing emulsion/gel volume ratios. As results, local injection of OHG loaded with EZH2 inhibitor UNC1999, PTX and anti-TIGIT did not only synergistically enhance the cytotoxicity of PTX, but also reprogrammed the immune resistance via bi-directionally blocking TIGIT/CD155 axis, leading to the recruitment of cytotoxic effector cells into tumor and conferring a systemic immune memory to prevent lung metastasis. Hence, this polysaccharides-based OHG represents a potential in-situ epigenetic-, chemo- and immunotherapy platform to treat unresectable metastatic melanoma.


Asunto(s)
Quitosano , Dextranos , Proteína Potenciadora del Homólogo Zeste 2 , Epigénesis Genética , Melanoma , Proteína Potenciadora del Homólogo Zeste 2/antagonistas & inhibidores , Proteína Potenciadora del Homólogo Zeste 2/metabolismo , Proteína Potenciadora del Homólogo Zeste 2/genética , Proteína Potenciadora del Homólogo Zeste 2/inmunología , Quitosano/química , Quitosano/análogos & derivados , Dextranos/química , Animales , Melanoma/tratamiento farmacológico , Melanoma/patología , Melanoma/inmunología , Ratones , Humanos , Epigénesis Genética/efectos de los fármacos , Paclitaxel/farmacología , Paclitaxel/química , Paclitaxel/uso terapéutico , Resistencia a Antineoplásicos/efectos de los fármacos , Hidrogeles/química , Línea Celular Tumoral , Receptores Inmunológicos/antagonistas & inhibidores , Receptores Inmunológicos/metabolismo , Antineoplásicos/farmacología , Antineoplásicos/química
6.
Chem Sci ; 2024 Aug 16.
Artículo en Inglés | MEDLINE | ID: mdl-39184303

RESUMEN

The advent of dual-atom nanozymes (DAzymes) featuring distinctive bimetallic active sites garnered significant attention, representing enhanced iterations of conventional single-atom nanozymes. The quest for an effective and universal strategy to modulate the catalytic activity of DAzymes posed a formidable challenge, yet few published reports addressed this. Herein, we designed and synthesized S-doped Fe/Co DAzymes (S-FeCo-NC) under theoretical guidance and revealed their excellent oxidase-like activity. Experimental and theoretical calculations indicated that the superior oxidase-like activity exhibited by S-FeCo-NC was attributed to the S-doping, which modulated the local electronic structure of the dual-atom active site. This modulation of the local electronic structure significantly optimizes oxygen adsorption energy, thereby accelerating the rate of enzyme-catalyzed reactions. As a proof-of-concept, this study integrated S-FeCo-NC with the cascade inhibition reaction of acetylcholinesterase (AChE) to devise a sensitive analytical platform for detecting organophosphorus pesticides. This study paved the way for elucidating the correlation between the local electronic structure of the active site and enzyme activity, offering novel methodologies and insights for the rational design of DAzymes.

7.
Carbohydr Polym ; 343: 122499, 2024 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-39174108

RESUMEN

3D printing technology, especially coaxial 3D mode of multiple-component shaping, has great potential in the manufacture of personalized nutritional foods. However, integrating and stabilizing functional objectives of different natures remains a challenge for 3D customized foods. Here, we used starch nanoparticle (SNP) to assisted soy protein (SPI) emulsion to load hydrophilic and hydrophobic bioactives (anthocyanin, AC, and curcumin, Cur). The addition of SNP significantly improved the storage stability of the emulsion. Xanthan gum (XG) was also added to the SNP/SPI system to enhance its rheology and form an emulsion gel as inner core of coaxial 3D printing. Low field nuclear magnetic resonance and emulsification analyses showed that AC/Cur@SNP/SPI/XG functional inner core had a strong water binding state and good stability. After printing with outer layer, the SNP/SPI coaxial sample had the lowest deviation rate of 0.8 %. Also, SNP/SPI coaxial sample showed higher AC (90.2 %) and Cur (90.8 %) retention compared to pure starch (S), pure SNP, pure SPI, and S/SPI samples as well as SNP/SPI sample printed without outer layer. In summary, this study provides a new perspective for the manufacture of customized products as multifunctional foods, feeds and even potential delivery of drugs.


Asunto(s)
Curcumina , Emulsiones , Interacciones Hidrofóbicas e Hidrofílicas , Nanopartículas , Polisacáridos Bacterianos , Impresión Tridimensional , Proteínas de Soja , Almidón , Emulsiones/química , Proteínas de Soja/química , Almidón/química , Curcumina/química , Nanopartículas/química , Polisacáridos Bacterianos/química , Geles/química , Reología
8.
Foods ; 13(16)2024 Aug 14.
Artículo en Inglés | MEDLINE | ID: mdl-39200459

RESUMEN

Resistant starch (RS) has the advantage of reshaping gut microbiota for human metabolism and health, like glycemic control, weight loss, etc. Among them, RS3 prepared from pure starch is green and safe, but it is hard to achieve structural control. Here, we regulate the crystal structure of starch with different chain-length distributions (CLDs) via extrusion at low/high shearing levels. The change in CLDs in extruded starch was obtained, and their effects on the fine structure (Dm, dBragg, dLorentz, degree of order and double helix, degree of crystal) of RS and its physicochemical properties were investigated by SAXS, FTIR, XRD and 13C NMR analyses. The results showed that the RS content under a 250 r/min extrusion condition was the highest at 61.52%. Furthermore, the crystalline system induced by high amylopectin (amylose ≤ 4.78%) and a small amount of amylose (amylose ≥ 27.97%) was favorable for obtaining a high content of RS3-modified products under the extruding environment. The control of the moderate proportion of the A chains (DP 6-12) in the starch matrix was beneficial to the formation of RS.

9.
Food Chem ; 460(Pt 1): 140461, 2024 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-39047481

RESUMEN

This study endeavors to examine the levels of risk factors in alcoholic beverages and propose mitigation strategies. GC-MS analysis was utilized to assess risk factors in various distilled-spirits. The content of such risk factors in spirits ranked as follows: vodka ≈ gin < baijiu < whiskey < brandy, and all were adhering to the Chinese national standard. Additionally, a method was refined to alleviate these risks, employing various reagents for activated carbon modification and evaluating their adsorption efficiency for risk factors reduction. Oxalic acid-modified activated carbon exhibited promising adsorption rates for risk factors with acceptable flavor compounds loss, rendering it a prospective solution for health hazard reduction. Characterization via SEM and nitrogen-adsorption-desorption was conducted on the optimal material, complemented by sensory experiments to optimize its application. This study offers valuable insights into the content of risk factors in alcoholic beverages, aiding in improving quality and safety of alcoholic beverages.


Asunto(s)
Acetaldehído , Bebidas Alcohólicas , Cromatografía de Gases y Espectrometría de Masas , Metanol , Adsorción , Bebidas Alcohólicas/análisis , Acetaldehído/análisis , Acetaldehído/química , Metanol/química , Metanol/análisis , Carbón Orgánico/química , Alcoholes/química , Alcoholes/análisis , Factores de Riesgo , Humanos , Gusto
10.
Rev Cardiovasc Med ; 25(5): 149, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-39076494

RESUMEN

Acute myocardial infarction (AMI) is triggered by the blockage of coronary arteries, leading to restricted blood flow to the myocardium, which results in damage and cell death. While the traditional understanding of cell death primarily revolves around apoptosis, a new player in the game has emerged: ferroptosis. This novel form of cell death relies on iron and is propelled by reactive oxygen species (ROS). Lipid metabolism, an indispensable physiological process, plays a vital role in preserving cellular homeostasis. However, when this metabolic pathway is disrupted, the accumulation of excess waste increases, specifically lipid peroxides, which are strongly linked to the occurrence and progression of AMI. As a result, comprehending this complex interaction between ferroptosis and lipid metabolism could pave the way for new therapeutic approaches in tackling AMI.

11.
Tzu Chi Med J ; 36(3): 298-303, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38993826

RESUMEN

Objectives: Discectomy is the most common surgery for lumbar herniated intervertebral disc (HIVD) disease. However, 5%-24% of patients undergo a second surgery due to recurrent disc herniation. Materials and Methods: This study was aimed to identify the risk factors for reoperation after discectomy of lumbar HIVD and recommend treatment for patients with a high risk of reoperation. We recruited patients diagnosed as having single-level lumbar HIVD who underwent open discectomy from January 1, 2000, to December 31, 2012 in our hospital. We used a survival curve to inspect the survival time and reoperation rate after surgery. We discussed the correlation of reoperation rate with discectomy level, body mass index, heavy lifting after surgery, sex, and age. Furthermore, we investigated the correlation between the experience of a surgeon and the reoperation rate. Results: A total of 619 patients were enrolled in our study. Most patients were 40-60 years old (48.8%), and most of them had herniation at L4/5 level (48.9%). The 8-year survival rate was 92%. Weight lifting after surgery may increase the reoperation rate by 115 and 18 times for those >60 years and <40 years, respectively. In addition, less experience of the surgeon and female sex had a high reoperation rate. Conclusion: Postoperative working modification may be very important for preventing patients from recurrent HIVD. For elderly people with HIVD, a more conservative therapy could be selected. If patients with lumbar spine hypermobility or severe degeneration require wide laminectomy, primary fusion should be considered.

12.
J Agric Food Chem ; 72(32): 18067-18077, 2024 Aug 14.
Artículo en Inglés | MEDLINE | ID: mdl-39082634

RESUMEN

Propanil residues can contaminate habitats where microbial degradation is predominant. In this study, an efficient propanil-degrading strain C-1 was isolated from paddy and identified as Rhodococcus sp. It can completely degrade 10 µg/L-150 mg/L propanil within 0.33-10 h via the hydrolysis of the amide bond, forming 3,4-dichloroaniline. A novel bifunctional amidase, PamC, was identified in strain C-1. PamC can catalyze the hydrolysis of the amide bond of propanil to produce 3,4-dichloroaniline as well as the hydrolysis of the ester bonds of aryloxyphenoxypropionate herbicides (APPHs, clodinafop-propargyl, cyhalofop-butyl, fenoxaprop-p-ethyl, fluazifop-p-butyl, haloxyfop-p-methyl, and quizalofop-p-ethyl) to form aryloxyphenoxypropionic acids. Molecular docking and site-directed mutagenesis confirmed that the catalytic triad Lys82-Ser157-Ser181 was the active center for PamC to hydrolyze propanil and cyhalofop-butyl. This study presents a novel bifunctional amidase with capabilities for both amide and ester bond hydrolysis and enhances our understanding of the molecular mechanisms underlying the degradation of propanil and APPHs.


Asunto(s)
Amidohidrolasas , Proteínas Bacterianas , Biodegradación Ambiental , Herbicidas , Propanil , Rhodococcus , Rhodococcus/enzimología , Rhodococcus/genética , Rhodococcus/metabolismo , Herbicidas/metabolismo , Herbicidas/química , Proteínas Bacterianas/metabolismo , Proteínas Bacterianas/genética , Proteínas Bacterianas/química , Propanil/metabolismo , Propanil/química , Amidohidrolasas/metabolismo , Amidohidrolasas/química , Amidohidrolasas/genética , Simulación del Acoplamiento Molecular , Hidrólisis , Biocatálisis
13.
J Agric Food Chem ; 72(30): 16955-16965, 2024 Jul 31.
Artículo en Inglés | MEDLINE | ID: mdl-39013108

RESUMEN

The research focused on the distinctive empty cup aroma, with the aim of identifying the key aroma compounds and the formation mechanism of empty cup aroma in soy sauce aroma type baijiu (SSB). The lasting times of SSB is significantly longer than that of other types of baijiu, with an average duration of 28 days. Key compounds such as 2,3-dimethyl-5-ethylpyrazine, phenylethyl alcohol, p-cresol, sotolon, benzeneacetic acid were identified in empty cup aroma due to their highest flavor dilution factor. Molecular dynamics (MD) simulation was performed to study the mechanism of empty cup aroma on the liquid-gas interface and solid-gas interface. The results revealed the existence of hydrogen bonding and van der Waals forces between sotolon and lactic acid, a representative nonvolatile compound, which are speculated to be an important reason for the empty cup aroma.


Asunto(s)
Aromatizantes , Odorantes , Alimentos de Soja , Gusto , Compuestos Orgánicos Volátiles , Alimentos de Soja/análisis , Odorantes/análisis , Aromatizantes/química , Humanos , Compuestos Orgánicos Volátiles/química , Cromatografía de Gases y Espectrometría de Masas , Simulación de Dinámica Molecular , Masculino , Adulto
14.
Langmuir ; 40(23): 11959-11965, 2024 Jun 11.
Artículo en Inglés | MEDLINE | ID: mdl-38801068

RESUMEN

Interfacial self-assembly is a well-established method for the preparation of a two-dimensional (2D) metal nanofilm from nanoscale building blocks. However, the as-prepared nanofilm exhibits limited conductivity because of the large contact resistance at the junctions among its building blocks. Here, we report a salt-assisted, in situ current nanowelding strategy to weld an interfacial Au nanoparticle (NP) film for downstream applications, such as high-performance electrocatalysts. Particularly, we found that salt-assisted interfacial assembly can reduce the size of the nanogaps among neighboring Au NPs and, in turn, greatly improve the conductivity of the resultant Au NP film. Consequently, the Au NP film can be readily welded using current, and the welding extent can be monitored in real-time by looking at the passing current. The welding finally produces a nanoporous Au film (NPGF) with a network nanostructure, high conductivity, and abundant active sites so that it delivers a large current density of 86.96 µA·cm-2 (1.81 times higher than that from the pristine Au NP film) and shows improved cycling stability for methanol electrooxidation. Thus, these results offer a low-cost, solution-processable approach for the fabrication of a large-area, interconnected nanofilm from nanoscale building blocks beyond Au NPs, which may find diverse downstream applications.

15.
ACS Appl Mater Interfaces ; 16(19): 24863-24870, 2024 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-38706443

RESUMEN

Water evaporation-induced electricity generators (WEGs) have drawn widespread attention in the field of hydrovoltaic technology, which can convert atmospheric thermal energy into sustainable electric power. However, it is restricted in the wide application of WEGs due to the low power output, complex fabrication process, and high cost. Herein, we present a simple and effective approach to fabricate TiO2-carbon black film-based WEGs (TC-WEGs). A single TC-WEG device can sustainably output an open-circuit voltage of 1.9 V and a maximum power density of 40.9 µW/cm2. Moreover, it has been shown that TC-WEGs exhibit stable electrical energy output when operating in seawater, which can yield a short-circuit current of 1.2 µA. The superior electricity generation performance can be attributed to the intrinsic characteristics of the TC-WEGs, including hydrophilicity, porous structure, and electrical conductivity. This work provides an important reference for the constant harvesting of clean energy.

16.
Food Chem ; 452: 139604, 2024 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-38749139

RESUMEN

This study aims to repurpose waste grain from the Baijiu brewing process into activated carbon for mitigating risk factors in alcoholic beverages, enhancing quality and ensuring safety. For attaining the most effective activated carbon, tailored carbon synthesis conditions were identified for diverse alcoholic beverages, optimising strategies. For beverages with low flavour compound content, optimal conditions include 900 °C calcination, 16-hour activation and a 1:2 activation ratio. In contrast, for those with abundant flavour compounds, 800 °C calcination, 16-hour activation and a 1:1 activation ratio are recommended. Post-synthesis analyses, employing nitrogen physisorption-desorption isotherms, FT-IR and SEM, validated a significant BET surface area of 244.871 m2/g for the KOH-activated carbon. Critical to adsorption efficiency, calcination temperature showcased noteworthy micro-porosity (0.8-1 nm), selectively adsorbing higher alcohols (C3-C6) and acetaldehyde while minimising acid and ester adsorption. Sensory evaluations refined optimal parameters, ensuring efficient spent grain management and heightened beverage safety without compromising aroma.


Asunto(s)
Bebidas Alcohólicas , Carbón Orgánico , Hidróxidos , Compuestos de Potasio , Bebidas Alcohólicas/análisis , Carbón Orgánico/química , Humanos , Hidróxidos/química , Compuestos de Potasio/química , Adsorción , Gusto , Residuos/análisis , Aromatizantes/química , Grano Comestible/química , Odorantes/análisis , Factores de Riesgo , Masculino , Femenino , Adulto , Adulto Joven , Persona de Mediana Edad
17.
Front Immunol ; 15: 1352946, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38660308

RESUMEN

Macrophages are crucial cells in the human body's innate immunity and are engaged in a variety of non-inflammatory reactions. Macrophages can develop into two kinds when stimulated by distinct internal environments: pro-inflammatory M1-like macrophages and anti-inflammatory M2-type macrophages. During inflammation, the two kinds of macrophages are activated alternatively, and maintaining a reasonably steady ratio is critical for maintaining homeostasis in vivo. M1 macrophages can induce inflammation, but M2 macrophages suppress it. The imbalance between the two kinds of macrophages will have a significant impact on the illness process. As a result, there are an increasing number of research being conducted on relieving or curing illnesses by altering the amount of macrophages. This review summarizes the role of macrophage polarization in various inflammatory diseases, including autoimmune diseases (RA, EAE, MS, AIH, IBD, CD), allergic diseases (allergic rhinitis, allergic dermatitis, allergic asthma), atherosclerosis, obesity and type 2 diabetes, metabolic homeostasis, and the compounds or drugs that have been discovered or applied to the treatment of these diseases by targeting macrophage polarization.


Asunto(s)
Inflamación , Activación de Macrófagos , Macrófagos , Humanos , Macrófagos/inmunología , Inflamación/inmunología , Animales , Activación de Macrófagos/inmunología , Hipersensibilidad/inmunología , Enfermedades Autoinmunes/inmunología
18.
Women Health ; 64(4): 330-340, 2024 04.
Artículo en Inglés | MEDLINE | ID: mdl-38556776

RESUMEN

Pelvic girdle pain (PGP) is a common problem during pregnancy and postpartum and negatively affects women's well-being. Yet it is not well known in China. This study assessed PGP's intensity, location, and quality and the status of daily activities on postpartum women with pain, and explored the relationship between pain and the prevalence of depressive symptoms. A cross-sectional study recruiting 1,038 eligible women at 6 weeks postpartum from the obstetric clinic of a hospital was conducted in Beijing, China. Data were collected using self-reported questionnaires, including Introductory information form, Body chart, Number Rating Scale, McGill Pain Questionnaire-2, Pelvic Girdle Questionnaire, and Edinburgh Postnatal Depression Scale. In this study, 32.2 percent women experienced pain. The mean (SD) pain intensity score was 3.07 ± 1.60. About 50.6 percent women experienced sacroiliac joint pain, and 25.5 percent women experienced pain in a combination of locations. About 73.1 percent women experienced aching pain, and 57.5 percent experienced more than one kind of pain quality. The mean total score, which assesses activity and symptom limitations, was 21.93 ± 17.35 (percent), of which a normal sex life (1.29 ± 0.94) was made more challenging due to pain. In mental health, the prevalence of depressive symptoms coincided with the prevalence of pain (p = 0.008). Postpartum PGP still needs to be taken seriously, and women with pain require further support. The above knowledge offers information to manage pain, daily lives and depressive symptoms, contributes to think about strategies to better promote postpartum women physical and mental health in the future.


Asunto(s)
Actividades Cotidianas , Dimensión del Dolor , Dolor de Cintura Pélvica , Periodo Posparto , Humanos , Femenino , Periodo Posparto/psicología , Adulto , Dolor de Cintura Pélvica/epidemiología , Dolor de Cintura Pélvica/psicología , Estudios Transversales , Encuestas y Cuestionarios , China/epidemiología , Prevalencia , Beijing/epidemiología , Embarazo , Calidad de Vida , Depresión/epidemiología , Depresión/psicología , Depresión Posparto/epidemiología , Depresión Posparto/psicología , Adulto Joven
19.
BMC Musculoskelet Disord ; 25(1): 288, 2024 Apr 13.
Artículo en Inglés | MEDLINE | ID: mdl-38614984

RESUMEN

BACKGROUND: Teriparatide, a recombinant parathyroid hormone, is pivotal in osteoporosis treatment, particularly in post-surgical recovery for hip fractures. This study investigates its efficacy in functional recovery post-hip fracture surgery in elderly patients, a demographic particularly susceptible to osteoporotic fractures. METHODS: In this retrospective cohort study, 150 elderly patients with proximal femoral fractures undergoing open reduction and internal fixation were enrolled. They were categorized into two groups: receiving 20 µg of daily teriparatide injections for 18 months and receiving standard antiresorptive medications during a 24-month follow-up. Detailed records of patient demographics, Fracture Risk Assessment Tool scores, and comorbidities were kept. Key outcomes, including bone mineral density (BMD) and functional scores (Barthel Index and Visual Analog Scale for hip pain), were evaluated at 3 and 24 months post-surgery. RESULTS: Out of the original cohort, 126 patients (20 men and 106 women with an average age of 85.5 ± 9.3 years) completed the study. The teriparatide group exhibited significant enhancements in both functional scores and BMD when compared to the control group. Notably, functional improvements were less pronounced in male patients compared to female patients. Additionally, the incidence of new fractures was markedly lower in the teriparatide group. CONCLUSION: Administering teriparatide daily for 18 months post-surgery for proximal femoral fractures significantly benefits very elderly patients by improving functionality and bone density, with observed differences in recovery between genders. These results reinforce the efficacy of teriparatide as a potent option for treating osteoporosis-related fractures in the elderly and highlight the importance of considering gender-specific treatment and rehabilitation strategies.


Asunto(s)
Fracturas de Cadera , Osteoporosis , Fracturas Femorales Proximales , Anciano , Femenino , Humanos , Masculino , Anciano de 80 o más Años , Teriparatido/uso terapéutico , Densidad Ósea , Estudios Retrospectivos , Fracturas de Cadera/cirugía , Osteoporosis/complicaciones , Osteoporosis/tratamiento farmacológico
20.
Curr Rheumatol Rep ; 26(5): 188-195, 2024 05.
Artículo en Inglés | MEDLINE | ID: mdl-38372871

RESUMEN

PURPOSE OF REVIEW: The purpose of this literature review was to determine if medications used to treat osteoporosis are also effective for treating osteoarthritis (OA). RECENT FINDINGS: A total of 40 relevant articles were identified. Studies were categorized into those (1) discussing estrogen and selective estrogen receptor modulators (SERMs), (2) bisphosphonates, (3) parathyroid hormone (PTH) analogs, and (4) denosumab, and (5) prior review articles. A large amount of evidence suggests that estrogen and SERMs are effective at reducing OA symptoms and disease progression. Evidence suggests that bisphosphonates, the most common medications used to treat osteoporosis, can reduce OA symptoms and disease progression. In vivo studies suggest that PTH analogs may improve the cartilage destruction associated with OA; however, few human trials have examined its use for OA. Denosumab is approved to treat osteoporosis, bone metastases, and certain types of breast cancer, but little study has been done with respect to its effect on OA. The current evidence indicates that medications used to treat osteoporosis are also effective for treating OA. Estrogen, SERMs, and bisphosphonates have the most potential as OA therapies. Less is known regarding the effectiveness of PTH analogs and denosumab in OA, and more research is needed.


Asunto(s)
Conservadores de la Densidad Ósea , Denosumab , Difosfonatos , Progresión de la Enfermedad , Osteoartritis , Osteoporosis Posmenopáusica , Moduladores Selectivos de los Receptores de Estrógeno , Humanos , Osteoartritis/tratamiento farmacológico , Conservadores de la Densidad Ósea/uso terapéutico , Femenino , Difosfonatos/uso terapéutico , Denosumab/uso terapéutico , Moduladores Selectivos de los Receptores de Estrógeno/uso terapéutico , Osteoporosis Posmenopáusica/tratamiento farmacológico , Hormona Paratiroidea/uso terapéutico , Estrógenos/uso terapéutico , Anticuerpos Monoclonales Humanizados/uso terapéutico , Resultado del Tratamiento
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