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Wang H, Yang Y, You Q, Wang Y, Wang R. Impacts of Physical Exercise and Media Use on the Physical and Mental Health of People with Obesity: Based on the CGSS 2017 Survey. Healthcare (Basel) 2022; 10:healthcare10091740. [PMID: 36141352 PMCID: PMC9498912 DOI: 10.3390/healthcare10091740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Revised: 09/02/2022] [Accepted: 09/08/2022] [Indexed: 11/21/2022] Open
Abstract
Obesity has become a common chronic disease in many countries around the world. People with obesity, as a minority, deserve more social attention. Currently, there are few studies on the health level of people with obesity from the perspective of social influencing factors. This study examines the effects of the frequency of physical exercise and frequency of use of different media types on the level of physical and mental health in people with obesity. In addition, we explore the mediating effect of physical exercise frequency on the relationship between online media use frequency and the mental health of people with obesity. The participants are 882 patients with obesity from the 2017 China General Social Survey (CGSS). The results show that: (1) Online media use was a possible positive predictor of physical health improvement among people with obesity. (2) Physical exercise was a possible positive predictor of mental health improvement among people with obesity. (3) Physical exercise played an entirely mediating role between online media use and mental health. The study is conducive to understanding the relationship and mediating mechanism between physical exercise, media use, and physical and mental health in people with obesity. The results of this study can provide suggestions for improving the health and well-being of people with obesity. Future research could explore more aspects of physical activity (e.g., the methods for physical exercise) and media use (e.g., media preference or compulsive use). More variables can be included in the study of influencing factors of the physical and mental health of people with obesity.
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Affiliation(s)
- Han Wang
- School of Journalism and Communication, Jinan University, Guangzhou 510632, China
| | - Yang Yang
- School of Journalism and Communication, Beijing Sport University, Beijing 100084, China
| | - Qingqing You
- School of Journalism and Communication, Nanjing Normal University, Nanjing 210098, China
| | - Yuwei Wang
- School of Journalism and Communication, Jinan University, Guangzhou 510632, China
| | - Ruyue Wang
- School of Journalism and Communication, Jinan University, Guangzhou 510632, China
- Correspondence:
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Effect of Acupoint Catgut Embedding for Middle-Aged Obesity: A Multicentre, Randomised, Sham-Controlled Trial. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2022; 2022:4780019. [PMID: 35265146 PMCID: PMC8898815 DOI: 10.1155/2022/4780019] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Accepted: 01/10/2022] [Indexed: 11/17/2022]
Abstract
Objectives This study aimed to examine the efficacy and safety of acupoint catgut embedding (ACE) for obesity over a 16-week treatment period using sham stimulation as the control. Methods A multicenter, randomised, parallel, sham-controlled trial was conducted from February 10, 2017, to May 15, 2018. Men with waistlines ≥85 cm and women with ≥80 cm at three sites were randomised to receive eight sessions (over 16 weeks) of ACE (n = 108) or sham ACE (n = 108) with skin penetration at sham acupoints. The catgut was embedded once every two weeks using two alternating sets of acupoints. The follow-up lasted for an additional 24 weeks. The primary outcome was the percentage waistline reduction from baseline to week 16. Results We included 216 individuals in the intention-to-treat analysis. At 16 weeks, the rate of waistline reduction was 8.80% (95% confidence interval (CI), 7.93% to 9.66%) in the ACE group and 4.09% (95% CI, 3.18% to 5.00%) in the sham control group, with a between-group difference of 4.71% (95% CI, 3.47% to 5.95%; P < 0.0001). This difference persisted throughout the entire follow-up period (between-group difference after 24-week additional weeks, 4.94% (95% CI, 3.58% to 6.30%); P < 0.001). The subgroup analyses of waistline by sex (male/female) revealed treatment effects of 1.93 (95% CI, -0.37 to 4.23, P = 0.1) in the male group and 3.19 (95% CI, 1.99 to 4.39, P < 0.001) in the female group. The adverse event analysis suggested that ACE and laboratory tests confirmed the safety of ACE. Discussion. ACE for 16 weeks could decrease the waistline and weight and was safe for the treatment of obesity. Further research is needed to evaluate the long-term efficacy and sex differences. This trial is registered with NCT02936973.
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Chen X, Huang W, Wei D, Ding DG, Jiao Y, Pan HL, Jin YT, Zheng YW, Zhang YJ, Zhang YR, Liu YR, Zhou ZY. Clinical effect of catgut implantation at acupoints for the treatment of simple obesity: A multicentre randomized controlled trial. Medicine (Baltimore) 2020; 99:e23390. [PMID: 33235115 PMCID: PMC7710253 DOI: 10.1097/md.0000000000023390] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Accepted: 10/29/2020] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Catgut implantation at acupoints (CIA) is a subtype of acupuncture that has been widely used to treat simple obesity, but evidence for its effectiveness remains scarce. The aim of this study is to evaluate the efficacy and safety of treating simple obesity with CIA. OBJECTIVE This clinical trial aims to evaluate the effectiveness and safety of CIA used for treatment of simple obesity. METHODS This is a multicentre, randomized, parallel, sham-controlled clinical trial. A total of 216 patients with simple obesity will be recruited. They will be randomly assigned in a 1:1 ratio to either the CIA group or the sham control group. All treatments will be given once every 2 weeks. The primary outcome measure is the rate of waistline reduction. Secondary outcome measures are the rates of reduction of body measurements, including weight, body mass index (BMI), hipline, waist-hip-ratio (WHR) and body fat percentage (BFP), the changes in scores on scales, including the Impact of Weight on Quality of Life Questionnaire (IWQOL-Lite), Short Form 36 (SF-36), the Hospital Anxiety and Depression Scale (HAD) and the Self-Esteem Scale (SES), Outcomes will be evaluated at baseline and at weeks 4, 8, 12, 16, 28, and 40, respectively. All adverse events that occur during this study will be recorded. If any participant withdraws from the trial, an intention-to-treat analysis (ITT) will be performed. CONCLUSION This is a randomized, sham-controlled trial of CIA treatment for simple obesity. The results of this trial will provide more evidence on whether CIA is efficacious and safe for treating obesity. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT02936973. Registered on October 18, 2016.
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Affiliation(s)
- Xia Chen
- Department of Acupuncture, Hubei Provincial Hospital of Traditional Chinese Medicine
- Hubei Province Academy of Traditional Chinese Medicine
| | - Wei Huang
- Department of Acupuncture, Hubei Provincial Hospital of Traditional Chinese Medicine
- Hubei Province Academy of Traditional Chinese Medicine
- Hubei University of Chinese Medicine/The Co-innovation Center for Preventive Treatment of Disease of Acupuncture-moxibustion in Hubei Province, Wuhan, China
| | - Dan Wei
- Department of Acupuncture, Hubei Provincial Hospital of Traditional Chinese Medicine
- Hubei Province Academy of Traditional Chinese Medicine
| | - De-Guang Ding
- Department of Acupuncture, Hubei Provincial Hospital of Traditional Chinese Medicine
- Hubei Province Academy of Traditional Chinese Medicine
| | - Yang Jiao
- Department of Acupuncture, Hubei Provincial Hospital of Traditional Chinese Medicine
- Hubei Province Academy of Traditional Chinese Medicine
| | - Hong-Ling Pan
- Department of Acupuncture, Hubei Provincial Hospital of Traditional Chinese Medicine
- Hubei Province Academy of Traditional Chinese Medicine
| | - Yi-Ting Jin
- Hubei University of Chinese Medicine/The Co-innovation Center for Preventive Treatment of Disease of Acupuncture-moxibustion in Hubei Province, Wuhan, China
| | - Yi-Wei Zheng
- Department of Acupuncture, Hubei Provincial Hospital of Traditional Chinese Medicine
- Hubei Province Academy of Traditional Chinese Medicine
| | - Yan-Ji Zhang
- Hubei University of Chinese Medicine/The Co-innovation Center for Preventive Treatment of Disease of Acupuncture-moxibustion in Hubei Province, Wuhan, China
| | - Ying-Rong Zhang
- Hubei University of Chinese Medicine/The Co-innovation Center for Preventive Treatment of Disease of Acupuncture-moxibustion in Hubei Province, Wuhan, China
| | - Yi-Ran Liu
- Department of Acupuncture, Hubei Provincial Hospital of Traditional Chinese Medicine
- Hubei Province Academy of Traditional Chinese Medicine
| | - Zhong-Yu Zhou
- Department of Acupuncture, Hubei Provincial Hospital of Traditional Chinese Medicine
- Hubei Province Academy of Traditional Chinese Medicine
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Bai R, Wu W, Dong W, Liu J, Yang L, Lyu J. Forecasting the Populations of Overweight and Obese Chinese Adults. Diabetes Metab Syndr Obes 2020; 13:4849-4857. [PMID: 33324082 PMCID: PMC7733397 DOI: 10.2147/dmso.s274110] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Accepted: 11/12/2020] [Indexed: 01/20/2023] Open
Abstract
PURPOSE The objective of this study was to forecast the prevalence rates and the populations of overweight and obese in Chinese adults for 2030. MATERIALS AND METHODS Nine waves of China Health and Nutrition Survey (CHNS) data from 1991 to 2015 were used. A polynomial regression model was fitted to obtain the average BMI change trajectory of the population born in different years according to different sexes and residence areas (urban and rural). The model fitted to CHNS 2015 survey data was used to forecast the distribution of BMI and the prevalence rates of overweight and obesity in 15 years. The United Nations population forecast was then used to predict the proportions of overweight obese adults in all age groups in China in 2030. RESULTS The prevalence rates of overweight and obesity were projected to increase in both sexes and all geographic areas in future. By 2030, urban males will have the highest prevalence of overweight, 50.7% (95% CI: 47.5%, 53.9%). Except urban males, the prevalence of overweight and obesity in rural areas will exceed that in urban for both sexes. In 2030, the numbers of overweight and obese people in China aged 20-89 years will reach 540 million and 150 million, respectively, which are 2.8 and 7.5 times higher compared to prevalences in 2000. In 2030, the number of overweight and obese people in China aged 60-89 years will reach 200 million and 40 million, respectively, 6.3 and 8.5 times increments from the year 2000. CONCLUSION The prevalence rates of overweight and obese in Chinese adults are projected to increase further, by 2030 more than half of adult males living in urban areas will be overweight. Combined with changes in the population age structure, overweight and obesity will have a huge impact on the health of the Chinese population over the next 15 years.
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Affiliation(s)
- Ruhai Bai
- Department of Clinical Research, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, People’s Republic of China
- Evidence-Based Research Center of Social Science & Health, Public Affair School of Nanjing University of Science & Technology, Nanjing, People’s Republic of China
| | - Wentao Wu
- School of Public Health, Xi’an Jiaotong University, Xi’an, Shaanxi, People’s Republic of China
| | - Wanyue Dong
- School of Public Health, Xi’an Jiaotong University, Xi’an, Shaanxi, People’s Republic of China
- School of Health Economics and Management, Nanjing Chinese Medicine University, Nanjing, People’s Republic of China
| | - Jinli Liu
- School of Public Health, Xi’an Jiaotong University, Xi’an, Shaanxi, People’s Republic of China
| | - Lili Yang
- Department of General Medicine, Lanzhou University Second Hospital, Lanzhou, Gansu, People’s Republic of China
| | - Jun Lyu
- Department of Clinical Research, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, People’s Republic of China
- Correspondence: Jun Lyu Jinan University, No. 601, West Huangpu Avenue, Guangzhou, Guangdong, People’s Republic of China Email
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Guo Y, Yin X, Wu H, Chai X, Yang X. Trends in Overweight and Obesity Among Children and Adolescents in China from 1991 to 2015: A Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E4656. [PMID: 31766709 PMCID: PMC6926698 DOI: 10.3390/ijerph16234656] [Citation(s) in RCA: 46] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/29/2019] [Revised: 11/19/2019] [Accepted: 11/20/2019] [Indexed: 01/06/2023]
Abstract
This meta-analysis of overweight and obesity (ow/ob) among children and adolescents in China from 1991 to 2015 provides a reference for promoting the healthy development of children and adolescents. The studies were retrieved from the China National Knowledge Infrastructure, Wanfang, and PubMed databases for the period from January 1991 to January 2018. The data were combined and analyzed, and the combined effect magnitude odds ratio and the 95% confidence interval were calculated. Publication bias was determined using Stata/SE12.0. We found that (1) the prevalence of ow/ob increased from 5.0% and 1.7% in 1991-1995 to 11.7% and 6.8% in 2011-2015, respectively, and the overweight rate was the greatest in 2006-2010; (2) from 1991 to 2015, the prevalence of ow/ob was greater in urban areas than in rural areas; (3) compared with girls, boys were more likely to be ow/ob; and (4) the prevalence rates of ow and ob were greater in infancy than in other growth stages, with values of 11.7% and 7.0%, respectively. The prevalence of ow/ob among Chinese children and adolescents showed significant differences based on region, sex, and age. An overall upward trend was observed that decreased slightly from 2011 to 2015.
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Affiliation(s)
- Yaru Guo
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention, Ministry of Education, College of Physical Education & Health, East China Normal University, Shanghai 200241, China; (Y.G.); (X.C.)
| | - Xiaojian Yin
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention, Ministry of Education, College of Physical Education & Health, East China Normal University, Shanghai 200241, China; (Y.G.); (X.C.)
- College of Economics and Management, Shanghai Institute of Technology, Shanghai 201418, China
| | - Huipan Wu
- Leisure Sports Department of Taiyuan Institute of Technology, Taiyuan 030008, China;
| | - Xiaojiang Chai
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention, Ministry of Education, College of Physical Education & Health, East China Normal University, Shanghai 200241, China; (Y.G.); (X.C.)
| | - Xiaofang Yang
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention, Ministry of Education, College of Physical Education & Health, East China Normal University, Shanghai 200241, China; (Y.G.); (X.C.)
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Differential effects of gastric bypass and banding on the cardiovascular risk profile in morbidly obese subjects: The correlation with plasma apolipoprotein A-IV concentration. ALEXANDRIA JOURNAL OF MEDICINE 2019. [DOI: 10.1016/j.ajme.2012.07.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
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Huang F, Zhang M, Li Y, Li Z, Fang J, Guo K. The longitudinal trajectory of body mass index in the Chinese population: A latent growth curve analysis. PLoS One 2018; 13:e0207845. [PMID: 30475874 PMCID: PMC6257919 DOI: 10.1371/journal.pone.0207845] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Accepted: 11/07/2018] [Indexed: 12/31/2022] Open
Abstract
Aims The objective of this study was to investigate the longitudinal trajectory of BMI in the Chinese population, and to assess whether the gender or other personal characteristics were related to BMI, and whether there was a change in trajectory over time. Methods Data were obtained from 3,574 Chinese (5 to 89 years of age) who participated in the 2000–2011 of the China Health and Nutrition Survey. Latent growth curve models were used to investigate the longitudinal trajectory of BMI, and to examine the effect of some personal characteristics on BMI trajectory. Results The linear model resulted in a mean initial BMI value of 22.90 and a significant mean slope (Ms = 0.19, t = 10.73, p<0.001), suggesting a steady increase in BMI over time for the whole sample. For covariates, the educational level, alcohol and physical activity had differences on initial scores for BMI (β = 0.05, p<0.001; β = -0.12, p<0.05; β = -0.08, p<0.05; respectively.), and the age had differences on both the initial scores and slope for BMI (β = 0.01, p = <0.05; β = -0.03, p<0.01; respectively.). Baseline measures revealed gender-associated differences on initial scores for BMI, and the slope for male was significantly steeper than that for female (β = -0.11, p<0.05). The initial BMI status of Chinese living in the rural areas was significantly higher than that of Chinese living in the urban areas, and the slope for rural status was significantly steeper than that for urban status (β = 0.21, p<0.001). Conclusions Results indicated a linear trajectory of BMI in the Chinese population over a 12-year period. The longitudinal trajectories differed by age, gender and urban-rural status, suggesting different interventions should be adopted for different groups.
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Affiliation(s)
- Feifei Huang
- School of Psychology, South China Normal University, Guangzhou, China
| | - Minqiang Zhang
- School of Psychology, South China Normal University, Guangzhou, China
- Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China
- * E-mail:
| | - Yan Li
- School of Psychology, South China Normal University, Guangzhou, China
| | - Zhe Li
- School of Psychology, South China Normal University, Guangzhou, China
| | - Junyan Fang
- School of Psychology, South China Normal University, Guangzhou, China
| | - Kaiyin Guo
- Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China
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Chang A, Schulz PJ, Schirato T, Hall BJ. Implicit Messages Regarding Unhealthy Foodstuffs in Chinese Television Advertisements: Increasing the Risk of Obesity. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15010070. [PMID: 29300366 PMCID: PMC5800169 DOI: 10.3390/ijerph15010070] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/17/2017] [Revised: 12/29/2017] [Accepted: 12/30/2017] [Indexed: 12/22/2022]
Abstract
Previous studies indicated that television (TV) advertising is associated with higher rates of obesity. The rate of obesity and overweight continues to rise in mainland China, bringing into question whether TV advertising to young audiences might be partly to blame. This study investigated messaging delivered through TV advertisements regarding healthy and unhealthy foodstuffs. A total of 42 major food brands and 480 advertisements were analysed for content in this study. The results showed that the majority of TV spots advertised products with poor nutritional content and had a potential to mislead audiences concerning products' actual nutritional value. The tactics of repetition and appeals of premium offerings on food brands have a potential to influence the purchase intentions. Additional qualitative observation involving the social bond, social context and cultural factors pertaining to mood alterations were highlighted. The discussion addressed product attributes reflected by culture and the implicit messages of marketing claims may increase the risk of obesity. Thus, public health policymakers and researchers were encouraged to act urgently to evaluate the obesity risks of unhealthy food advertised in the media and to support healthy foods.
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Affiliation(s)
- Angela Chang
- Department of Communication, University of Macau, E21, Avenida da Universidade, Taipa, Macau, China.
| | - Peter J Schulz
- Institute of Communication and Health, Lugano University, Switzerland, Ex Laboratorio, Office 010 (Level 0), Via Buffi 13, 6904 Lugano, Switzerland.
| | - Tony Schirato
- Department of Communication, University of Macau, E21, Avenida da Universidade, Taipa, Macau, China.
| | - Brian J Hall
- Department of Psychology, University of Macau, E21, Avenida da Universidade, Taipa, Macau, China.
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
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Xu Y, Xu L, Chen XT, Sun P, Guo Q, Wang HL. Bitter melon seed oil may reduce the adiposity through the hypothalamus mTOR signaling in mice fed a high fat diet. JOURNAL OF NUTRITION & INTERMEDIARY METABOLISM 2016. [DOI: 10.1016/j.jnim.2016.04.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
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10
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Novel bitter melon extracts highly yielded from supercritical extraction reduce the adiposity through the enhanced lipid metabolism in mice fed a high fat diet. JOURNAL OF NUTRITION & INTERMEDIARY METABOLISM 2016. [DOI: 10.1016/j.jnim.2016.04.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Yang Z, Yu Z, Jiang Y, Bai Y, Miller-Kovach K, Zhao W, Foster GD, Chen C. Evaluation of a community-based behavioral weight loss program in Chinese adults: A randomized controlled trial. Obesity (Silver Spring) 2016; 24:1464-70. [PMID: 27240140 DOI: 10.1002/oby.21527] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2016] [Revised: 03/24/2016] [Accepted: 03/28/2016] [Indexed: 11/07/2022]
Abstract
OBJECTIVE Weight losses between a group of participants assigned to a weight loss program based in the community [i.e., specifically the methodology used by Weight Watchers (WW)] and a Nutrition Education (NE) control group were compared in this study. METHODS In this 6-month trial, 300 participants with overweight or obesity were recruited from Beijing city, China, and randomly assigned to the WW or NE group. Weight, waist circumference, and biochemical parameters were assessed at baseline and 6 months. RESULTS At 6 months, the majority of participants (79% for WW; 89% for NE) completed the study. WW participants lost significantly more weight than the NE group (-4.2 ± 5.6 kg vs. -0.6 ± 3.6 kg). More WW participants lost 5% or 10% of their starting weight [≥5%: 52.0% of WW participants vs. 11.3% of NE participants (odds ratio 8.15, 95% CI: 4.43-14.97)]; [≥10%: 26.0% of WW vs. 3.3% of NE participants (odds ratio 9.39, 95% CI: 3.55-24.83)]. In addition, WW participants reduced waist circumference by 3.9 ± 6.3 cm, while the NE group increased waist circumference by 0.6 ± 5.5 cm. CONCLUSIONS The WW program was associated with clinically significant weight loss, demonstrating its potential value as an intervention strategy, based in the community, for the treatment of obesity in China.
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Affiliation(s)
- Zhengxiong Yang
- International Life Sciences Institute Focal Point in China, Beijing, China
| | - Zhiping Yu
- Department of Nutrition and Dietetics at University of North Florida, Jacksonville, Florida, USA
| | - Yingying Jiang
- National Center for Chronic and Non-Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Yamin Bai
- National Center for Chronic and Non-Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
| | | | - Wenhua Zhao
- International Life Sciences Institute Focal Point in China, Beijing, China
| | - Gary D Foster
- Weight Watchers International, Inc, New York, New York, USA
| | - Chunming Chen
- International Life Sciences Institute Focal Point in China, Beijing, China
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12
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Dong J, Ni YQ, Chu X, Liu YQ, Liu GX, Zhao J, Yang YB, Yan YX. Association between the abdominal obesity anthropometric indicators and metabolic disorders in a Chinese population. Public Health 2015; 131:3-10. [PMID: 26576475 DOI: 10.1016/j.puhe.2015.08.001] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2014] [Revised: 03/11/2015] [Accepted: 08/04/2015] [Indexed: 10/22/2022]
Abstract
BACKGROUND Obesity has become a major health problem in contemporary society and it is closely related to many chronic diseases, so it is an important issue for measuring adiposity accurately and predicting its future. Prevention and treatment of overweight and obesity has become one of the key prevention and treatment of metabolic disorders. OBJECTIVE In this study, we compared the ability of the four anthropometric indicators (body mass index, waist circumstance, waist-height ratio, waist-to-hip ratio) to identify metabolic disorders (hypertension, hyperlipidaemia, hyperglycemia and hyperuricemia) by receiver operating characteristic (ROC) curve analyses and to provide evidence for clinical practice. METHODS In this large scale cross-sectional study, 13,275 Han adults (including 7595 males and 5680 females) received physical examination between January, 2009 and January, 2010 in Xuanwu Hospital of Capital Medical University were investigated by the means of questionnaire, Meanwhile, the physical examination and serological results were recorded. A package known as Statistical Package for Social Scientist (SPSS) was employed to analyse the responses while t-test, one-way analysis of variance (ANOVA), ROC analysis and chi-square statistical methods were used to test the hypotheses. RESULTS WC, WHtR, WHR and BMI were all significantly (P < 0.001) correlated with all metabolic risk factors regardless of gender. And the area under the curve (AUC) of WHtR was significantly greater than that of WC, BMI or WHR in the prediction of hypertension, hyperlipidaemia, hyperglycemia and hyperuricemia. CONCLUSION Our data show that WHtR was the best predictor of various metabolic disorders. The diagnostic value in descending order was WHtR > WHR > WC > BMI. Therefore we recommend WHtR in assessment of obese patients, in order to better assess the risks of their metabolic diseases.
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Affiliation(s)
- J Dong
- Physical Examination Center, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Y-Q Ni
- Department of Epidemiology and Biostatistics, School of Public Health, Capital Medical University, Beijing, China
| | - X Chu
- Physical Examination Center, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Y-Q Liu
- Physical Examination Center, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - G-X Liu
- Department of Epidemiology and Biostatistics, School of Public Health, Capital Medical University, Beijing, China; Municipal Key Laboratory of Clinical Epidemiology, Beijing, China
| | - J Zhao
- Physical Examination Center, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Y-B Yang
- Department of Thoracic Surgery I, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing Cancer Hospital, Peking University School of Oncology, No. 52 Fucheng Road, Haidian District, Beijing 100142, China.
| | - Y-X Yan
- Department of Epidemiology and Biostatistics, School of Public Health, Capital Medical University, Beijing, China; Municipal Key Laboratory of Clinical Epidemiology, Beijing, China.
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Tafreschi D. The income body weight gradients in the developing economy of China. ECONOMICS AND HUMAN BIOLOGY 2015; 16:115-134. [PMID: 24680912 DOI: 10.1016/j.ehb.2014.02.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/03/2012] [Revised: 02/12/2014] [Accepted: 02/13/2014] [Indexed: 06/03/2023]
Abstract
Existing theories predict the income gradient of individual body weight to change sign from positive to negative in process of economic development. However, there are only few empirical studies which test this hypothesis. This paper adds to the literature on that topic by investigating the case of China. Using individual and community data from 1991 to 2009 waves of the China Health and Nutrition Survey regression analyses suggest that after controlling for important confounding factors (1) higher income is positively related to future growth of individuals' BMI in less developed areas (i.e. BMI growth is 0.7-1.5 percentage points higher when comparing the richest with the poorest individuals), but negatively related to BMI growth in more developed areas (i.e. BMI growth is 0.8-1.6 percentage points lower for the richest individuals), and (2) that concentrations of overweight are "trickling down" to lower income ranks as regions become more developed. Moreover, the reversal of the income gradient appears to happen at earlier stages of development for females.
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Affiliation(s)
- Darjusch Tafreschi
- Erasmus School of Economics, Erasmus University, Rotterdam, The Netherlands.
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Wang H, Zhai F. Programme and policy options for preventing obesity in China. Obes Rev 2013; 14 Suppl 2:134-40. [PMID: 24102781 PMCID: PMC4048452 DOI: 10.1111/obr.12106] [Citation(s) in RCA: 91] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/08/2013] [Accepted: 08/12/2013] [Indexed: 11/27/2022]
Abstract
By 2002, China's prevalence of overweight and obesity among adults was 18.9 and 2.9%, respectively. The replacement of traditional Chinese diet with 'Western diet', major declines in all phases of activity and increased sedentary activity are cited as the main reasons explaining the rapid increase in overweight and obesity, which bring major economic and health costs. The Nutrition Improvement Work Management Approach was released in 2010. Overweight and obesity prevention-related policies were added to national planning for disease prevention and control. The Guidelines for Prevention and Control of Overweight and Obesity of Chinese Adults and the School-age Children and Teenagers Overweight and Obesity Prevention and Control Guidelines in China were promulgated in 2003 and 2007, respectively. Few education programmes have been implemented. Selected academic intervention research projects dominate with a focus on reducing child obesity and promoting healthier diets; increasing physical activity and reducing sedentary time; and facilitating changes in family, school, social and cultural environments. Intervention samples are small and have not addressed the increasing rates of obesity throughout the entire population. Government provision of effective policy measures, multisectoral cooperation and increasing corporate social responsibility are keys to curbing the trend towards overweight and obesity in China.
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Affiliation(s)
- H Wang
- National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, Beijing, China
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An Y, Xu W, Li H, Lei H, Zhang L, Hao F, Duan Y, Yan X, Zhao Y, Wu J, Wang Y, Tang H. High-fat diet induces dynamic metabolic alterations in multiple biological matrices of rats. J Proteome Res 2013; 12:3755-68. [PMID: 23746045 DOI: 10.1021/pr400398b] [Citation(s) in RCA: 114] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Obesity is a condition resulting from the interactions of individual biology and environmental factors causing multiple complications. To understand the system's metabolic changes associated with the obesity development and progression, we systematically analyzed the dynamic metabonomic changes induced by a high-fat diet (HFD) in multiple biological matrices of rats using NMR and GC-FID/MS techniques. Clinical chemistry and histopathological data were obtained as complementary information. We found that HFD intakes caused systematic metabolic changes in blood plasma, liver, and urine samples involving multiple metabolic pathways including glycolysis, TCA cycle, and gut microbiota functions together with the metabolisms of fatty acids, amino acids, choline, B-vitamins, purines, and pyrimidines. The HFD-induced metabolic variations were detectable in rat urine a week after HFD intake and showed clear dependence on the intake duration. B-vitamins and gut microbiota played important roles in the obesity development and progression together with changes in TCA cycle intermediates (citrate, α-ketoglutarate, succinate, and fumarate). 83-day HFD intakes caused significant metabolic alterations in rat liver highlighted with the enhancements in lipogenesis, lipid accumulation and lipid oxidation, suppression of glycolysis, up-regulation of gluconeogenesis and glycogenesis together with altered metabolisms of choline, amino acids and nucleotides. HFD intakes reduced the PUFA-to-MUFA ratio in both plasma and liver, indicating the HFD-induced oxidative stress. These findings provided essential biochemistry information about the dynamic metabolic responses to the development and progression of HFD-induced obesity. This study also demonstrated the combined metabonomic analysis of multiple biological matrices as a powerful approach for understanding the molecular basis of pathogenesis and disease progression.
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Affiliation(s)
- Yanpeng An
- State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, Wuhan Centre for Magnetic Resonance, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan 430071, PR China
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Gao Y, Chen G, Tian H, Lin L, Lu J, Weng J, Jia W, Ji L, Xiao J, Zhou Z, Ran X, Ren Y, Chen T, Yang W. Prevalence of hypertension in china: a cross-sectional study. PLoS One 2013; 8:e65938. [PMID: 23776574 PMCID: PMC3679057 DOI: 10.1371/journal.pone.0065938] [Citation(s) in RCA: 173] [Impact Index Per Article: 15.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2013] [Accepted: 05/01/2013] [Indexed: 02/05/2023] Open
Abstract
Aims The present study aimed to assess the prevalence of hypertension among Chinese adults. Methods Data were obtained from sphygmomanometer measurements and a questionnaire administered to 46239 Chinese adults ≥20 years of age who participated in the 2007–2008 China National Diabetes and Metabolic Disorders Study. Hypertension was defined as blood pressure ≥140/90 mm Hg or use of antihypertensive medication. Results A total of 26.6% of Chinese adults had hypertension, and a significantly greater number of men were hypertensive than women (29.2% vs 24.1%, p<0.001). The age-specific prevalence of hypertension was 13.0%, 36.7%, and 56.5% among persons aged 20 to 44 years (young people), 45 to 64 years (middle-aged people), and ≥65 years (elderly people), respectively. In economically developed regions, the prevalence of hypertension was significantly higher among rural residents than among urban residents (31.3% vs 29.2%, p = 0.001). Among women or individuals who lived in the northern region, the disparity in the prevalence of hypertension between urban and rural areas disappeared (women: 24.0% vs. 24.0%, p = 0.942; northern region: 31.6% vs. 31.2%, p = 0.505). Among hypertensive patients, 45.0% were aware of their condition, 36.2% were treated, and 11.1% were adequately controlled. Conclusions The prevalence of hypertension in China is increasing. The trend of an increase in prevalence is striking in young people and rural populations. Hypertension awareness, treatment, and control are poor. Public health efforts for further improving awareness and enhancing effective control are urgently needed in China, especially in emerging populations.
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Affiliation(s)
- Yun Gao
- Department of Endocrinology, West China Hospital, Sichuan University, Chengdu, People’s Republic of China
| | - Gang Chen
- Department of Endocrinology, Fujian Provincial Hospital, Fuzhou, People’s Republic of China
| | - Haoming Tian
- Department of Endocrinology, West China Hospital, Sichuan University, Chengdu, People’s Republic of China
| | - Lixiang Lin
- Department of Endocrinology, Fujian Provincial Hospital, Fuzhou, People’s Republic of China
| | - Juming Lu
- Department of Endocrinology, Chinese People’s Liberation Army General Hospital, Beijing, People’s Republic of China
| | - Jianping Weng
- Department of Endocrinology, Sun Yat-sen University Third Hospital, Guangzhou, People’s Republic of China
| | - Weiping Jia
- Department of Endocrinology, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai, People’s Republic of China
| | - Linong Ji
- Department of Endocrinology, Peking University People’s Hospital, Beijing, People’s Republic of China
| | - Jianzhong Xiao
- Department of Endocrinology, China–Japan Friendship Hospital, Beijing, People’s Republic of China
| | - Zhiguang Zhou
- Department of Endocrinology, Xiangya Second Hospital, Changsha, People’s Republic of China
| | - Xingwu Ran
- Department of Endocrinology, West China Hospital, Sichuan University, Chengdu, People’s Republic of China
| | - Yan Ren
- Department of Endocrinology, West China Hospital, Sichuan University, Chengdu, People’s Republic of China
| | - Tao Chen
- Department of Endocrinology, West China Hospital, Sichuan University, Chengdu, People’s Republic of China
| | - Wenying Yang
- Department of Endocrinology, China–Japan Friendship Hospital, Beijing, People’s Republic of China
- * E-mail:
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Greater abdominal fat accumulation is associated with higher metabolic risk in Chinese than in white people: an ethnicity study. PLoS One 2013; 8:e58688. [PMID: 23516538 PMCID: PMC3597722 DOI: 10.1371/journal.pone.0058688] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2012] [Accepted: 02/07/2013] [Indexed: 02/08/2023] Open
Abstract
Introduction Chinese are reported to have a higher percent body fat (%BF) and a higher percent trunk fat (%TF) than whites for a given body mass index (BMI). However, the associations of these ethnic differences in body composition with metabolic risks remain unknown. Methods and Procedures A total of 1 029 Chinese from Hangzhou, China, and 207 whites from New York, NY, USA, were recruited in the present study. Body composition was measured using dual-energy X-ray absorptiometry (DXA). Analysis of covariance was used to assess the ethnic differences in fat, fat distribution, and metabolic risk factors. Results After adjusting for BMI, age, and height, Chinese men had an average of 3.9% more %BF and 12.1% more %TF than white men; Chinese women had an average of 2.3% more %BF and 11.8% more %TF than white women. Compared with whites, higher metabolic risks were detected in Chinese for a given BMI after adjusting for age and height. Further adjustment for %BF did not change these ethnic disparities. However, after adjusting for %TF, the ethnic differences decreased and become insignificant in triglyceride, high-density lipoprotein cholesterol, and blood pressure (except for systolic blood pressure in men). For fasting plasma glucose, the ethnic differences persisted after adjustment for %BF, but decreased significantly from 0.910 to 0.686 mmol/L among men, and from 0.629 to 0.355 mmol/L among women, when the analyses were further controlled for %TF. Discussion Chinese have both higher %BF and %TF than white people for a given BMI. However, only %TF could in part account for the higher metabolic risk observed in Chinese men and women.
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Association of obesity with socio-economic factors and obesity-related chronic diseases in rural southwest China. Public Health 2013; 127:247-51. [PMID: 23433575 DOI: 10.1016/j.puhe.2012.12.027] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2012] [Revised: 06/29/2012] [Accepted: 12/21/2012] [Indexed: 01/22/2023]
Abstract
OBJECTIVES This study examines how obesity is distributed across socio-economic gradients, and investigates the relationship between obesity and obesity-related chronic diseases in rural Yunnan province of China. STUDY DESIGN The study design is a cross-sectional community survey. METHODS A cross-sectional survey was conducted in three rural areas of Yunnan province between 2008 and 2010, among 10,007 consenting individuals aged ≥18 years. Information on demographic characteristics, smoking and drinking habits, self-reported stroke and ischemic heart disease (IHD), and family history of obesity-related chronic diseases was obtained using a standard questionnaire. Fasting blood sugar level, blood pressure, height, weight, and waist and hip circumference measurements were recorded for each individual. RESULTS The age-standardized prevalence of obesity and central obesity was 8.8% and 46.0% among the study populations, respectively. Obesity and central obesity were more common in females than in males. After adjusting for age, sex, and current smoking and drinking status, individuals who belonged to an ethnic minority group had a lower probability of being both obese and centrally obese. Educational level was found to be negatively associated with the prevalence of obesity, and yearly household income was found to be positively associated with prevalence of central obesity. The results of logistic regression analysis indicated that obese and centrally obese people were more likely to suffer from diabetes, hypertension, and stoke. A positive association of IHD was only found in centrally obese people. CONCLUSIONS In order to reduce the obesity epidemic in rural southwest China, effective interventions must address socio-economic factors. Reducing obesity has a profound impact on the reduction of morbidity associated with cardiovascular diseases and diabetes.
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Yu Z, Han S, Chu J, Xu Z, Zhu C, Guo X. Trends in overweight and obesity among children and adolescents in China from 1981 to 2010: a meta-analysis. PLoS One 2012; 7:e51949. [PMID: 23284829 PMCID: PMC3524084 DOI: 10.1371/journal.pone.0051949] [Citation(s) in RCA: 109] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2012] [Accepted: 11/07/2012] [Indexed: 12/12/2022] Open
Abstract
Background Overweight/obesity is a serious public health problem that affects a large part of the world population across all age and racial/ethnic groups. However, there has not been a meta-analysis of the prevalence of childhood and adolescent overweight/obesity in China during the past 30 years. Methods The China National Knowledge Infrastructure and Wanfang DATA, MEDLINE, EMBASE and Cumulative Index to Nursing and Allied Health Literature were searched for relevant studies published between January 1970 and June 2012. The prevalence of overweight/obesity over time was pooled using Stata/SE, version 9. Summary statistics (odds ratios, ORs) were used to compare sex-specific and urban-rural preponderance of overweight/obesity using Review Manager. Results After screening 1326 papers, we included 35 papers (41 studies), most of medium quality. The prevalence of overweight/obesity increased from 1.8% (95% confidence interval [CI], 0.4%–3.1%) and 0.4% (95% CI, −0.1% to −0.8%) respectively in 1981–1985 to 13.1% (95% CI, 11.2%–15.0%) and 7.5% (95% CI, 6.6%–8.4%) respectively in 2006–2010. The average annual increase was 8.3% and 12.4% respectively. Boys were more likely to be overweight/obese than girls (OR, 1.36; 95% CI, 1.24–1.49 and OR, 1.68; 95% CI, 1.52–1.86 respectively). The prevalence of overweight/obesity was higher in urban areas than in rural areas (OR, 1.66; 95% CI, 1.54–1.79 and OR, 1.97; 95% CI, 1.68–2.30 respectively). For age-specific subgroup analyses, both overweight and obesity increased more rapidly in the toddler stage than in other developmental stages. Sensitivity analyses showed that sample-size differences, study quality, overweight/obesity criteria and geographical distribution affected overweight/obesity prevalence. Conclusions Toddlers and urban boys were at particularly high risk; the prevalence in these groups increased more rapidly than in their counterparts. Public health prevention strategies are urgently needed to modify health behaviors of children and adolescents and control overweight/obesity in China.
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Affiliation(s)
- Zhangbin Yu
- State Key Laboratory of Reproductive Medicine, Department of Pediatrics, Nanjing Maternity and Child Health Care Hospital, Nanjing Medical University, Nanjing, China
| | - Shuping Han
- State Key Laboratory of Reproductive Medicine, Department of Pediatrics, Nanjing Maternity and Child Health Care Hospital, Nanjing Medical University, Nanjing, China
| | - Jiahui Chu
- State Key Laboratory of Reproductive Medicine, Department of Pediatrics, Nanjing Maternity and Child Health Care Hospital, Nanjing Medical University, Nanjing, China
- The First School of Clinical Medicine, Nanjing Medical University, Nanjing, China
| | - Zhongya Xu
- State Key Laboratory of Reproductive Medicine, Department of Pediatrics, Nanjing Maternity and Child Health Care Hospital, Nanjing Medical University, Nanjing, China
- The First School of Clinical Medicine, Nanjing Medical University, Nanjing, China
| | - Chun Zhu
- State Key Laboratory of Reproductive Medicine, Department of Pediatrics, Nanjing Maternity and Child Health Care Hospital, Nanjing Medical University, Nanjing, China
| | - Xirong Guo
- State Key Laboratory of Reproductive Medicine, Department of Pediatrics, Nanjing Maternity and Child Health Care Hospital, Nanjing Medical University, Nanjing, China
- * E-mail:
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McCrady-Spitzer SK, Levine JA. Nonexercise activity thermogenesis: a way forward to treat the worldwide obesity epidemic. Surg Obes Relat Dis 2012; 8:501-6. [DOI: 10.1016/j.soard.2012.08.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Pan C, Yoo HJ, Ho LT. Perspectives of CB1 Antagonist in Treatment of Obesity: Experience of RIO-Asia. J Obes 2011; 2011:957268. [PMID: 21253513 PMCID: PMC3021887 DOI: 10.1155/2011/957268] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2010] [Accepted: 11/09/2010] [Indexed: 02/05/2023] Open
Abstract
Rimonabant, a selective cannabinoid-1 (CB1) receptor antagonist, has been shown to reduce weight and enhance improvements in cardiometabolic risk parameters in Western populations. This study assessed these effects of rimonabant in Asian population. A total of 643 patients (BMI 25 kg/m(2) or greater without diabetes) from China, Republic of Korea, and Taiwan were prescribed a hypocaloric diet (600 kcal/day deficit) and randomized to rimonabant 20 mg (n = 318) or placebo (n = 325) for 9months. The primary efficacy variable was weight change from baseline after 9 months of treatment. Results showed that rimonabant group lost more weight than placebo, (LSM ± SEM of -4.7 ± 0.3 kg vs. -1.7 ± 0.3 kg, P < .0001). The 5% and 10% responders were 2 or 3 folds more in the rimonabant group (53.0% vs. 20.0% and 21.5% vs. 5.7%, resp.) (P < .0001). Rimonabant also significantly increased HDL-cholesterol, decreased triglycerides and waist circumference,by 7.1%, 10.6%, and 2.8 cm, respectively (P < .0001). This study confirmed the comparable efficacy and safety profile of rimonabant in Asian population to Caucasians. Owing to the recent suspension of all the CB1 antagonists off the pharmaceutical market for weight reduction in Europe and USA, a perspective in drug discovery for intervening peripheral CB1 receptor in the management of obesity is discussed.
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Affiliation(s)
- Changyu Pan
- Department of Endocrinology, Chinese PLA, General Hospital, No. 28, Fuxing Road, Beijing 100853, China
| | - Hyung Joon Yoo
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Hangang Sacred Heart Hospital, 94-200, Yeongdeungpo-Dong, Yeongdeungpo-Gu Seoul 150-719, Republic of Korea
| | - Low-Tone Ho
- Department of Medical Research & Education, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih-Pai Road, Taipei 112, Taiwan
- Division of Endocrinology & Metabolism, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih-Pai Road, Taipei 112, Taiwan
- Institute of Physiology, National Yang-Ming University, No. 155, Li-Nong Street, Taipei 112, Taiwan
- *Low-Tone Ho:
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Hollenberg NK. Obesity and the Kidney. Curr Hypertens Rep 2010. [DOI: 10.1007/s11906-010-0165-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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The relationship between the waist-to-height ratio and glucose and lipid metabolism in Han adolescents. Indian J Pediatr 2010; 77:547-50. [PMID: 20358314 DOI: 10.1007/s12098-010-0054-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2009] [Accepted: 01/12/2010] [Indexed: 10/19/2022]
Abstract
OBJECTIVE To evaluate the relationship between waist-to-height ratio (WHtR) and glucose and lipid metabolism in Han adolescents aged 13-15 years. METHODS A study was conducted on 1665 Han adolescents aged 13-15 years. Measurements included height, weight, waist circumference, fasting plasma glucose(FPG), triglyceride and high-density lipoprotein cholesterol. The subjects were divided into two groups according to WHtR. RESULTS Compared with the control group (n=1340,WHtR<0.46), the abdominal obesity group(n=325,WHtRe"0.46) had significantly higher levels of body mass index (BMI) (26.3+/-3.6 vs 18.9+/-2.3), WHtR (0.51+/-0.04 vs 0.40+/-0.03), FPG (4.99+/-0.48 vs 4.86+/-0.46), and triglyceride (1.21+/-0.62 vs 0.87+/-0.41), and a lower level of high-density lipoprotein cholesterol (1.26+/-0.27 vs 1.46+/-0.30) (P<0.01). Logistic regression analysis showed that after controlling for age, sex and BMI, the elevated FPG and dyslipidemia risk odds ratios of the abdominal obesity group were 1.954 (95% CI:1.250 approximately 3.054) and 2.012 (95% CI:1.204 approximately 3.362) (P<0.01) respectively. When clustered, the odds ratio of elevated FPG and dyslipidemia was 6.659 (95% CI: 1.337 approximately 33.159) (P<0.01). CONCLUSION The waist-to-height ratio is an appropriate measure to assess dyslipidemic-diabetic adolescents and should be used to guide early intervention with the aim of future prevention of these linked diseases.
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Guo AJ, Choi RCY, Cheung AWH, Li J, Chen IX, Dong TT, Tsim KWK, Lau BWC. Stimulation of Apolipoprotein A-IV expression in Caco-2/TC7 enterocytes and reduction of triglyceride formation in 3T3-L1 adipocytes by potential anti-obesity Chinese herbal medicines. Chin Med 2009; 4:5. [PMID: 19321011 PMCID: PMC2676280 DOI: 10.1186/1749-8546-4-5] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2008] [Accepted: 03/26/2009] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Chinese medicine has been proposed as a novel strategy for the prevention of metabolic disorders such as obesity. The present study tested 17 Chinese medicinal herbs were tested for their potential anti-obesity effects. METHODS The herbs were evaluated in terms of their abilities to stimulate the transcription of Apolipoprotein A-IV (ApoA-IV) in cultured Caco-2/TC7 enterocytes. The herbs that showed stimulating effects on ApoA-IV transcription were further evaluated in terms of their abilities to reduce the formation of triglyceride in differentiated 3T3-L1 adipocytes. RESULTS ApoA-IV transcription was stimulated by Rhizoma Alismatis and Radix Angelica Sinensis in a dose- and time-dependent manner in cultured Caco-2/TC7 cells. Moreover, these two herbs reduced the amount of triglyceride in differentiated 3T3-L1 adipocytes. CONCLUSION The results suggest that Rhizoma Alistmatis and Radix Angelica Sinensis may have potential anti-obesity effects as they stimulate ApoA-IV transcription and reduce triglyceride formation.
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Affiliation(s)
- Ava Jiangyang Guo
- Department of Biology, Hong Kong University of Science and Technology, Hong Kong SAR, PR China.
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