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A family history of diabetes is not associated with arterial stiffness in non-diabetic Japanese population

Open Journal of Epidemiology 2013年第4期3卷 177-183页

作者： Hirokazu Uemura Sakurako Katsuura-Kamano miwa yamaguchi Mariko Nakamoto Mineyoshi Hiyoshi Fusakazu Sawachika Kokichi Arisawa Department of Preventive Medicine Institute of Health Biosciences The University of Tokushima Graduate School Tokushima Japan Department of Public Health and Applied Nutrition Institute of Health Biosciences The University of Tokushima Graduate School Tokushima Japan

Prevalent diabetes is at high risk for cardiovascular diseases and has a high familial inheritance. However, little is known whether a non-diabetic subject with a family history of diabetes is at high risk for vascular damage or not. The purpose of this study was to evaluate the association between a family history of diabetes and arterial stiffness in adult non-diabetic Japanese population. We analyzed eligible 787 non-diabetic subjects (502 men and 285 women) aged 35-69 years who enrolled in the baseline survey of a cohort study in Tokushima Prefecture, Japan and who underwent a brachial-ankle pulse wave velocity (ba-PWV) measurement. Information on individual life-style characteristics including medical history and treatment for diseases and a first-degree family history of diabetes was obtained through a structured self-administered questionnaire. Analysis of covariance and logistic regression analyses were used to evaluate the association between a family history of diabetes and ba-PWV. We found no differences in age-and-systolic blood pressure-adjusted and multivariate-adjusted means of ba-PWVs between subjects of both sexes with and without a family history of diabetes. Logistic regression analyses including both sexes also revealed that subjects with a family history of diabetes showed no differences in age-and-systolic blood pressure-adjusted and multivariate-adjusted odds ratios for high ba-PWV compared to those without that trait. Our results suggest that a family history of diabetes itself is not associated with arterial stiffness in adult non-diabetic Japanese population.

关键词： Arterial Stiffness Brachial-Ankle Pulse Wave Velocity Family History of Diabetes Cross-Sectional Study

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Dietary counseling based on artificial intelligence for patients with nonalcoholic fatty liver disease

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Artificial Intelligence in Gastroenterology 2022年第4期3卷 105-116页

作者： Yumi Kusano Kei Funada Mayumi yamaguchi miwa Sugawara Masaya Tamano Department of Gastroenterology Dokkyo Medical University Saitama Medical CenterKoshigaya 343-8555SaitamaJapan Nutrition Unit Dokkyo Medical University Saitama Medical CenterKoshigaya 343-8555SaitamaJapan

BACKGROUND About 25%of the general population in Japan are reported to have nonalcoholic fatty liver disease(NAFLD).NAFLD and nonalcoholic steatohepatitis carry a risk of progressing further to hepatocellular *** primary treatment for NAFLD is dietary *** counseling plays an essential role in dietary *** artificial intelligence(AI)-based nutrition management software applications have been developed and put into practical use in recent years,the majority focus on weight loss or muscle strengthening,and no software has been developed for patient use in clinical *** To examine whether effective dietary counseling is possible using AI-based nutrition management *** NAFLD patients who had been assessed using an AI-based nutrition management software application(Calomeal)that automatically analyzed images of meals photographed by patients and agreed to receive dietary counseling were given dietary *** biochemistry tests were performed before(baseline)and 6 mo after(6M follow-up)dietary *** the dietary counseling,the patients were asked to complete a questionnaire *** A total of 29 patients diagnosed with NAFLD between August 2020 and March 2022 were *** were significant decreases in liver enzyme and triglyceride levels at the 6M follow-up compared to *** food analysis capability of the AI used by Calomeal in this study was 75.1%.Patient satisfaction with the AIbased dietary counselling was *** AI-based nutrition management appeared to raise awareness of dietary habits among NAFLD ***,it did not directly alleviate the burden of registered dietitians,and improvements are much anticipated.

关键词： Artificial intelligence Dietary counselling Nonalcoholic fatty liver disease Nonalcoholic steatohepatitis Nutrition management software applications

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