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Dou F, Tian Q, Zhang R. Analysis of risk factors and construction of a predictive model for macrosomia in deliveries with gestational diabetes. Technol Health Care 2024; 32:3595-3604. [PMID: 38968033 DOI: 10.3233/thc-240679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/07/2024]
Abstract
BACKGROUND Gestational diabetes, a frequent pregnancy complication marked by elevated maternal blood glucose, can cause serious adverse effects for both mother and fetus, including increased amniotic fluid and risks of fetal asphyxia, hypoxia, and premature birth. OBJECTIVE To construct a predictive model to analyze the risk factors for macrosomia in deliveries with gestational diabetes. METHODS From January 2021 to February 2023, 362 pregnant women with gestational diabetes were selected for the study. They were followed up until delivery. Based on newborn birth weight, the participants were divided into the macrosomia group (birth weight ⩾ 4000 g) and the non-macrosomia group (birth weight < 4000 g). The data of the two groups of pregnant women were compared. ROC curves were plotted to analyze the predictive value of multiple factors for the delivery of macrosomic infants among pregnant women with gestational diabetes. A logistic regression model was constructed to identify the risk factors for delivering macrosomic infants and the model was tested. RESULTS A total of 362 pregnant women with gestational diabetes were included, of which 58 (16.02%) had babies with macrosomia. The macrosomia group exhibited higher metrics in several areas compared to those without: pre-pregnancy BMI, fasting glucose, 1 h and 2 h OGTT sugar levels, weight gain during pregnancy, and levels of triglycerides, LDL-C, and HDL-C, all with significant differences (P< 0.05). ROC analysis revealed predictive value for macrosomia with AUCs of 0.761 (pre-pregnancy BMI), 0.710 (fasting glucose), 0.671 (1 h OGTT), 0.634 (2 h OGTT), 0.850 (weight gain), 0.837 (triglycerides), 0.742 (LDL-C), and 0.776 (HDL-C), indicating statistical significance (P< 0.05). Logistic regression identified high pre-pregnancy BMI, fasting glucose, weight gain, triglycerides, and LDL-C levels as independent risk factors for macrosomia, with odds ratios of 2.448, 2.730, 1.884, 16.919, and 5.667, respectively, and all were statistically significant (P< 0.05). The model's AUC of 0.980 (P< 0.05) attests to its reliability and stability. CONCLUSION The delivery of macrosomic infants in gestational diabetes may be related to factors such as body mass index before pregnancy, blood-glucose levels, gain weight during pregnancy, and lipid levels. Clinical interventions targeting these factors should be implemented to reduce the incidence of macrosomia.
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Affiliation(s)
- Fengjiao Dou
- Shaoxing University Yuanpei College, Shaoxing, China
| | - Qingxiu Tian
- Department of Endocrinology, The First Affiliated Hospital of Shandong First Medical University, Shandong Provincial Qianfoshan Hospital, Jinan, China
| | - Ran Zhang
- Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
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Cho S, Upadhaya SD, Seok WJ, Mun S, Lee H, van der Veen RH, Han K, Kim IH. Marine-derived Ca-Mg complex influences lipid and glucose metabolism, serum metabolites, colostrum profile, and stress hormone in sows over four-parity periods. JOURNAL OF ANIMAL SCIENCE AND TECHNOLOGY 2023; 65:1308-1322. [PMID: 38616871 PMCID: PMC11007293 DOI: 10.5187/jast.2023.e116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 10/20/2023] [Accepted: 10/20/2023] [Indexed: 04/16/2024]
Abstract
Minerals is required small amounts among various nutrients, but it has a significant impact on sow longevity and reproduction performance. This study was carried out to see the beneficial effects of marine-derived Ca-Mg complex on the reproductive performance of sows during four-parity periods. Seventy-two gilts ([Yorkshire × Landrace] × Duroc), with an average body weight of 181 kg, were randomly allocated to three groups; CON (basal diet), 0.3LC (CON - MgO - 0.3% limestone + 0.4% Ca-Mg complex), and 0.7LC (CON - MgO - 0.7% limestone + 0.4% Ca-Mg complex). During parity 3 and 4, the expression level of SCD gene was lower in the umbilical cord of piglets born to 0.3LC and 0.7LC sows compared with the CON sows. During parity 2, 3 and 4, SLC2A2 and FABP4 gene expressions were higher in the umbilical cord of piglets born to 0.7LC sows and the placenta of sows from 0.3LC groups, respectively. Ca-Mg complex increased (p < 0.05) Ca and Mg concentrations in sows and their piglets' serum as well as in colostrum regardless of parities. The serum vitamin D concentration was higher (p < 0.05) in their first parity, whereas serum prolactin and estrogen concentrations were higher (p < 0.05) during the fourth and third parity, respectively. The growth hormone concentrations were higher (p < 0.05) in the piglets born to sows during the first and second parity. The fat and immunoglobulin A (IgA) concentrations in colostrum were higher (p < 0.05) during the third and fourth parity, respectively. A reduction (p < 0.05) in salivary cortisol, epinephrine, and norepinephrine concentrations was observed in 0.3LC and 0.7LC sow groups compared with CON after farrowing regardless of parity, however before farrowing, a reduction in norepinephrine was observed. Before farrowing, the epinephrine and norepinephrine concentrations were higher (p < 0.05) during the first and second parity. After farrowing, the concentration of these hormones was higher during the second parity. Taken together, sows' parity and dietary Ca-Mg complex supplementation influenced serum metabolites, colostrum nutrients, stress hormones as well as the gene expressions related to lipid and glucose metabolism.
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Affiliation(s)
- Sungbo Cho
- Department of Animal Resource and Science,
Dankook University, Cheonan 31116, Korea
| | - Santi Devi Upadhaya
- Department of Animal Resource and Science,
Dankook University, Cheonan 31116, Korea
| | - Woo Jeong Seok
- Department of Animal Resource and Science,
Dankook University, Cheonan 31116, Korea
| | - Seyoung Mun
- Center for Bio-Medical Engineering Core
Facility, Dankook University, Cheonan 31116, Korea
| | - Haeun Lee
- Department of Bioconvergence Engineering,
Dankook University, Jukjeon 16890, Korea
| | | | - Kyudong Han
- Center for Bio-Medical Engineering Core
Facility, Dankook University, Cheonan 31116, Korea
- Department of Microbiology, College of
Science and Technology, Dankook University, Cheonan 31116,
Korea
| | - In Ho Kim
- Department of Animal Resource and Science,
Dankook University, Cheonan 31116, Korea
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Hintze S, Baber L, Hofmeister F, Jarmusch S, Todorow V, Mehaffey S, Tanganelli F, Ferrari U, Neuerburg C, Teupser D, Bidlingmaier M, Marques JG, Koletzko B, Schoser B, Drey M, Meinke P. Exploration of mitochondrial defects in sarcopenic hip fracture patients. Heliyon 2022; 8:e11143. [PMID: 36303924 PMCID: PMC9593198 DOI: 10.1016/j.heliyon.2022.e11143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Revised: 08/05/2022] [Accepted: 10/13/2022] [Indexed: 11/06/2022] Open
Abstract
Severe cases of age-related loss of muscle function and mass are clinically unique to sarcopenia. Mitochondrial dysfunction has been associated with aging and sarcopenia, but the causal connection in this context is not well eluded. Here we investigated different aspects of mitochondrial respiration in sarcopenia. Open muscle biopsies were taken from a total of 31 hip fracture patients, older than 70 years. Patients were assigned a sarcopenia Z-score based on EWGSOP2 criteria. Primary myoblast cultures were generated from the muscle tissue samples and used for real time metabolic measurement. Muscle and serum samples showed correlation of high Z-scores with reduced mitochondrial complex I activity, increased tricarboxylic acid cycle (TCA) metabolites, reduced vitamin D3 levels, and signs of an altered iron metabolism. Primary myoblast cultures gained from the same muscle biopsies did not show significant mitochondrial defects. We hypothesize that a sum of external consequences, including vitamin D3 deficiency and iron deficiency caused by disturbances in the iron metabolism, result in complex I deficiency, which in turn affects the TCA and contributes to muscle weakness and loss.
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Affiliation(s)
- Stefan Hintze
- Friedrich-Baur-Institute at the Department of Neurology, LMU Klinikum, LMU Munich, Germany
| | - Lisa Baber
- Department of Medicine IV, Geriatrics, LMU Klinikum, LMU Munich, Germany
| | - Fabian Hofmeister
- Department of Medicine IV, Geriatrics, LMU Klinikum, LMU Munich, Germany
| | - Stefanie Jarmusch
- Department of Medicine IV, Geriatrics, LMU Klinikum, LMU Munich, Germany
| | - Vanessa Todorow
- Friedrich-Baur-Institute at the Department of Neurology, LMU Klinikum, LMU Munich, Germany
| | - Stefan Mehaffey
- Department of General-, Trauma- and Reconstructive Surgery, LMU Klinikum, LMU Munich, Germany
| | - Fabiana Tanganelli
- Department of Medicine IV, Geriatrics, LMU Klinikum, LMU Munich, Germany
| | - Uta Ferrari
- Department of Medicine IV, Geriatrics, LMU Klinikum, LMU Munich, Germany
| | - Carl Neuerburg
- Department of General-, Trauma- and Reconstructive Surgery, LMU Klinikum, LMU Munich, Germany
| | - Daniel Teupser
- Institute of Laboratory Medicine, LMU Klinikum, LMU Munich, Germany
| | | | - Jair Gonzalez Marques
- Department Pediatrics, Dr. von Hauner Children's Hospital, LMU Klinikum, LMU Munich, Germany
| | - Berthold Koletzko
- Department Pediatrics, Dr. von Hauner Children's Hospital, LMU Klinikum, LMU Munich, Germany
| | - Benedikt Schoser
- Friedrich-Baur-Institute at the Department of Neurology, LMU Klinikum, LMU Munich, Germany
| | - Michael Drey
- Department of Medicine IV, Geriatrics, LMU Klinikum, LMU Munich, Germany
| | - Peter Meinke
- Friedrich-Baur-Institute at the Department of Neurology, LMU Klinikum, LMU Munich, Germany
- Corresponding author.
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Li C, Zhang Y, Ge Y, Qiu B, Zhang D, Wang X, Liu W, Tao H. Comparative transcriptome and microbiota analyses provide new insights into the adverse effects of industrial trans fatty acids on the small intestine of C57BL/6 mice. Eur J Nutr 2020; 60:975-987. [PMID: 32564148 DOI: 10.1007/s00394-020-02297-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2019] [Accepted: 06/04/2020] [Indexed: 12/25/2022]
Abstract
PURPOSE To reveal the mechanism that links industrial trans fatty acids (iTFAs) to various chronic diseases, we examined the impact of iTFAs on the local microenvironment of the small intestine (duodenum, jejunum and ileum). METHODS Forty male 8-week-old mice were fed diets containing one of the following: (1) low soybean oil (LS); (2) high soybean oil (HS); (3) low partially hydrogenated oil (LH), and (4) high partially hydrogenated oil (HH). The analysis of microbiota from small intestinal content was performed by real-time qPCR. The fatty acid composition of small intestine mucosa was measured by GC/MS, and comparative transcriptome of the small intestinal mucosa was analyzed by RNA-sequencing. RESULTS The intake of iTFAs changed the fatty acid spectrum of the small intestine mucosa, especially the excessive accumulation of iTFA (mainly elaidic acid). For microbiota, the relative abundance of δ- and γ-proteobacteria, Lactobacillus, Desulfovibrio, Peptostreptococcus and Turicibacter were significantly different in the iTFA diet groups compared to the control group. Based on the identification of differently expressed genes(DEGs) and pathway annotation, comparative transcriptome analysis of the small intestine mucosa revealed obvious overexpression of genes involved in the extracellular matrix (ECM)-receptor interaction and the peroxisome proliferator-activated receptor signaling pathway, which suggests that ECM remodeling and abnormal lipid metabolism may have occurred with iTFA ingestion. CONCLUSION Our research demonstrated multiple adverse effects of iTFA that may have originated from the small intestine. This finding could be to facilitate the development of new strategies to suppress iTFA-related diseases by reversing the adverse effects of iTFA on intestinal health.
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Affiliation(s)
- Can Li
- State Key Laboratory of Biobased Material and Green Papermaking, Qilu University of Technology, Shandong Academy of Sciences, Jinan, 250353, China
| | - Yuhan Zhang
- Institute of Agro-Food Science and Technology, Shandong Academy of Agricultural Sciences, Jinan, 250100, China.,College of Life Science, Shandong Normal University, Jinan, 250014, China
| | - Yueting Ge
- Institute of Agro-Food Science and Technology, Shandong Academy of Agricultural Sciences, Jinan, 250100, China
| | - Bin Qiu
- Institute of Agro-Food Science and Technology, Shandong Academy of Agricultural Sciences, Jinan, 250100, China
| | - Di Zhang
- Qilu Hospital, Shandong University, Jinan, 250012, China
| | - Xianshu Wang
- Institute of Agro-Food Science and Technology, Shandong Academy of Agricultural Sciences, Jinan, 250100, China
| | - Wei Liu
- Institute of Agro-Food Science and Technology, Shandong Academy of Agricultural Sciences, Jinan, 250100, China.
| | - Haiteng Tao
- State Key Laboratory of Biobased Material and Green Papermaking, Qilu University of Technology, Shandong Academy of Sciences, Jinan, 250353, China.
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