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相关作者:毕宇芳陆洁莉黄飞徐敏任晨曦更多>>
相关机构:上海交通大学医学院附属瑞金医院更多>>
发文基金:国家自然科学基金上海市浦江人才计划项目上海市自然科学基金更多>>
相关领域:医药卫生文化科学更多>>

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中年人内脏脂肪含量与2型糖尿病的相关性研究被引量:6
2012年
目的研究中年人内脏脂肪含量与2型糖尿病的相关性。方法选取上海市淞南社区40~60岁血糖正常者(221例)、糖耐量异常者(213例)、2型糖尿病患者(135例)共569例作为研究对象,进行问卷调查、体格检查,测定其血糖、血脂等生化指标,行CT及FATSCAN软件测量腹部内脏脂肪及腹部皮下脂肪面积。结果随糖代谢异常严重程度增加,内脏脂肪面积呈递增趋势(P〈0.05)。内脏脂肪面积与糖、脂质代谢指标明显相关(P〈0.05)。Logistic多元回归分析显示内脏脂肪含量是2型糖尿病的独立危险因素,内脏脂肪面积每增加1个标准差,2型糖尿病的患病风险增加0.438倍。结论中年人内脏脂肪堆积能够增加2型糖尿病的患病风险。
任晨曦张婕徐佰慧黄飞徐敏徐瑜刘宇陆洁莉王卫庆毕宇芳陈宇红宁光
关键词:2型糖尿病中年人
Serum Calcium Level is Associated with Brachial-ankle Pulse Wave Velocity in Middle-aged and Elderly Chinese被引量:2
2014年
Objective To study the relation between serum calcium level and elevated BaPWV in Chinese subjects. Methods The relation between serum calcium level and elevated BaPWV was studied in 9 615 subjects. The mean value of left and right BaPWV was analyzed. BaPWV was defined as high when it was31 752.5 cm/s (the upper quartile) either side. Results The BaPWV and its elevated percentage progressively increased across the quartiles of the serum calcium level (P〈0.05). The prevalence of elevated BaPWV was significantly higher in subjects of the second, third and highest quartiles than in those of the lowest quartile (26.9%, 28.4%, and 33.2%vs 23.7%, P=0.0116, P=0.0004, and P〈0.0001). Logistic regression analysis revealed that the risk of elevated BaPWV was 1.32- fold higher in subjects of the highest quartile than in those of the lowest quartile (OR=1.32, 95%CI:1.08-1.60). Conclusion The elevated serum calcium level is related to an elevated BaPWV and a higher risk of arterial stiffness, independent of conventional risk factors, in middle-aged and elderly Chinese subjects.
DENG Xin RuZHANG Yin FeiWANG Tian GeXU Bai HuiSUN Ji ChaoZHAO Lie BinXU MinCHEN Yu HongWANG Wei QingBI Yu FangLU Jie Li
关键词:CALCIUM
Elevated Resting Heart Rate is Associated with Dyslipidemia in Middle-aged and Elderly Chinese被引量:5
2014年
Objective To study the relationship between resting heart rate and blood lipid level. Methods A total of 9 415 subjects aged≥40 years were included in the present study. Their resting heart rate was monitored and their serum levels of triglyceride (TG), total cholesterol (TC), low density lipoprotein cholesterol (LDL-C) and high density lipoprotein cholesterol (HDL-C) were measured to define dyslipidemia according to the 2007 Chinese Guidelines on Prevention and Treatment of Dyslipidemia in Adults. Results The subjects were divided into group A with their resting heart rate〈70 beats/min, group B with their resting heart rate=70-79 beats/min, group C with their resting heart rate=80-89 beats/min, and group D with their resting heart rate≥90 beats/min. High TG, TC, and LDL-C were presented across the resting heart rate (Ptrend〈0.01). Multiple logistic regression analysis revealed that the risk of high TG and TC was higher in subjects with their resting heart rate≥90 beats/min than in those with their resting heart rate〈70 beats/min (OR=1.42;95%CI:1.16-1.74 and OR=1.33;95%CI:1.09-1.64, respectively). Conclusion Elevated resting heart rate is associated with high TG and TC in middle-aged and elderly Chinese subjects.
SUN Ji ChaoHUANG Xiao LinDENG Xin RuLV Xiao FeiLU Jie LiCHEN Yu HongBI Yu FangWANG Wei QingXU MinNING Guang
关键词:DYSLIPIDEMIA
案例教学法结合PBL在内分泌科临床教学中的应用被引量:1
2014年
目的:探索内分泌科的临床教学与培训。方法开展以案例教学法结合PBL应用于内分泌科临床教学。①教师选择当前病区中的住院患者,陈述其存在的主要问题;②请床位医生查阅文献获得更多的知识信息;③床位医生准备PPT,向本组医生介绍获得的新知识及新信息,并进一步应用这些新知识解释并解决原案例的问题;④教师对该案例进行分析与总结。结果成功实施了案例结合PBL的教学过程,有助于培养医师在临床诊疗工作后不断学习的意识,建立完善的临床诊疗思维。结论以案例教学法结合PBL教学方法激发临床医生学习的主观能动性,是值得推荐的新型医学教育格局下内分泌临床教学模式。
陆洁莉毕宇芳
关键词:问题导向学习案例教学法
Association of Bisphenol A Exposure with Circulating Sex Hormone Concentrations in Men and Postmenopausal Women被引量:1
2014年
A total of 1 116 middle-aged and elderly men and 1 442 postmenopausal women were recruited in this study. Whether bisphenol A exposure was associated with circulating sex hormone concentrations was studied. Univariate analysis revealed that the urinary bisphenol A concentration was negatively correlated with the serum levels of luteinizing hormone (B=-0.061, P〈0.0001) and follicle-stimulating hormone (B=-0.086, P〈0.0001) in men, and with the serum levels of follicle-stimulating hormone (B=-0.037, P=0.018) and sex hormone-binding globulin (B=-0.043, P=0.006) in women. However, no significant association was observed between the serum levels of urinary bisphenol A and circulating sex hormone after adjustment for the potential confounders.
LI MianWANG Tian GeXU YuZHANG JieXU Bai HuiXU MinCHEN Yu HongLU Jie LiBi Yu FangWANG Wei QingGU Yan YunNING Guang
关键词:SHBG
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