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Early-life famine exposure,adulthood obesity patterns,and risk of low-energy fracture

Frontiers of Medicine 2024年第1期18卷 192-203页

作者： Hongyan Qi Chunyan Hu Jie Zhang Lin Lin Shuangyuan Wang Hong Lin Xiaojing Jia Yuanyue Zhu Yi Zhang Xueyan Wu Mian Li Min Xu Yu Xu Tiange Wang Zhiyun Zhao Weiqing Wang yufang bi Meng Dai Yuhong Chen Jieli Lu Department of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic DiseasesRuijin HospitalShanghai Jiao Tong University School of MedicineShanghai200025China Shanghai National Clinical Research Center for Endocrine and Metabolic Diseases Key Laboratory for Endocrine and Metabolic Diseases of the National Health Commission of the People’s Republic of ChinaShanghai National Center for Translational MedicineRuijin HospitalShanghai Jiao Tong University School of MedicineShanghai200025China

Malnutrition in early life increases the risk of osteoporosis,but the association of early-life undernutrition combined with adulthood obesity patterns with low-energy fracture remains unknown.This study included 5323 community-dwelling subjects aged⩾40 years from China.Early-life famine exposure was identified based on the participants’birth dates.General obesity was assessed using the body mass index(BMI),and abdominal obesity was evaluated with the waist-to-hip ratio(WHR).Low-energy fracture was defined as fracture occurring after the age of⩾40 typically caused by falls from standing height or lower.Compared to the nonexposed group,the group with fetal,childhood,and adolescence famine exposure was associated with an increased risk of fracture in women with odds ratios(ORs)and 95%confidence intervals(CIs)of 3.55(1.57–8.05),3.90(1.57–9.71),and 3.53(1.05–11.88),respectively,but not in men.Significant interactions were observed between fetal famine exposure and general obesity with fracture among women(P for interaction=0.0008).Furthermore,compared with the groups with normal BMI and WHR,the group of women who underwent fetal famine exposure and had both general and abdominal obesity had the highest risk of fracture(OR,95%CI:3.32,1.17–9.40).These results indicate that early-life famine exposure interacts with adulthood general obesity and significantly increases the risk of low-energy fracture later in life in women.

关键词： famine obesity body mass index waist-to-hip ratio low-energy fracture

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Associations of sleeping patterns and isotemporal substitution of other behavior with the prevalence of CKD in Chinese adults

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Frontiers of Medicine 2024年第2期18卷 303-314页

作者： Yi Ding Xiaoli Xu Zhuojun Xin Qiuyu Cao Jiaojiao Huang Xianglin Wu Yanan Huo Qin Wan Yingfen Qin Ruying Hu Lixin Shi Qing Su Xuefeng Yu Li Yan Guijun Qin Xulei Tang Gang Chen Min Xu Tiange Wang Zhiyun Zhao Zhengnan Gao Guixia Wang Feixia Shen Zuojie Luo Li Chen Qiang Li Zhen Ye Yinfei Zhang Chao Liu Youmin Wang Tao Yang Huacong Deng Lulu Chen Tianshu Zeng Jiajun Zhao Yiming Mu Shengli Wu Yuhong Chen Jieli Lu Weiqing Wang Guang Ning Yu Xu yufang bi Mian Li Department of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic DiseasesRuijin HospitalShanghai Jiao Tong University School of MedicineShanghai200025China Shanghai National Clinical Research Center for Metabolic Diseases Key Laboratory for Endocrine and Metabolic Diseases of the National Health Commission of ChinaShanghai Key Laboratory for Endocrine TumorState Key Laboratory of Medical GenomicsRuijin HospitalShanghai Jiao Tong University School of MedicineShanghai200025China Jiangxi Provincial People’s Hospital Affiliated to Nanchang UniversityNanchang330000China Department of Endocrinology The Affiliated Hospital of Southwest Medical UniversityLuzhou646000China Department of Endocrinology The First Affiliated Hospital of Guangxi Medical UniversityNanning530000China Zhejiang Provincial Center for Disease Control and Prevention Hangzhou310000China Department of Endocrinology Affiliated Hospital of Guiyang Medical UniversityGuiyang550000China Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai200000China Tongji Hospital Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan430000China Sun Yat-sen Memorial Hospital Sun Yat-sen UniversityGuangzhou510000China Department of Endocrinology The First Affiliated Hospital of Zhengzhou UniversityZhengzhou450000China Department of Endocrinology The First Hospital of Lanzhou UniversityLanzhou730000China Fujian Provincial Hospital Fujian Medical UniversityFuzhou350000China Dalian Municipal Central Hospital Affiliated of Dalian Medical UniversityDalian116000China Department of Endocrinology The First Hospital of Jilin UniversityChangchun130000China Department of Endocrinology The First Affiliated Hospital of Wenzhou Medical UniversityWenzhou325000China Qilu Hospital of Shandong University Jinan250000China Department of Endocrinology The Second Affiliated Hospital of Harbin Medical UniversityHarbin150000China Department of Endocrinology Cen

Studies have found a U-shaped relationship between sleep duration and chronic kidney disease(CKD)risk,but limited research evaluated the association of reallocating excessive sleep to other behavior with CKD.We included 104538 participants from the nationwide cohort of the Risk Evaluation of Cancers in Chinese Diabetic Individuals:A Longitudinal Study,with self-reported time of daily-life behavior.Using isotemporal substitution models,we found that substituting 1 h of sleeping with sitting,walking,or moderate-to-vigorous physical activity was associated with a lower CKD prevalence.Leisure-time physical activity displacement was associated with a greater prevalence reduction than occupational physical activity in working population.In stratified analysis,a lower CKD prevalence related to substitution toward physical activity was found in long sleepers.More pronounced correlations were observed in long sleepers with diabetes than in those with prediabetes,and they benefited from other behavior substitutions toward a more active way.The U-shaped association between sleep duration and CKD prevalence implied the potential effects of insufficient and excessive sleep on the kidneys,in which the pernicious link with oversleep could be reversed by time reallocation to physical activity.The divergence in the predicted effect on CKD following time reallocation to behavior of different domains and intensities and in subpopulations with diverse metabolic statuses underlined the importance of optimizing sleeping patterns and adjusting integral behavioral composition.

关键词： sleep physical activity chronic kidney disease isotemporal substitution behavioral pattern

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Small-molecule anti-COVID-19 drugs and a focus on China's homegrown mindeudesivir(WV116)

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Frontiers of Medicine 2023年第6期17卷 1068-1079页

作者： Qiuyu Cao Yi Ding Yu Xu Mian Li Ruizhi Zheng Zhujun Cao Weiqing Wang yufang bi Guang Ning Yiping Xu Ren Zhao Department of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic DiseasesRuijin HospitalShanghai Jiao Tong University School of MedicineShanghai 200025China Shanghai National Clinical Research Center for Metabolic Diseases State Key Laboratory of Medical GenomicsKey Laboratory for Endocrine and Metabolic Diseases of the National Health CommissionShanghai National Center for Translational MedicineRuijin HospitalShanghai Jiao Tong University School of MedicineShanghai 200025China Department of Infectious Disease Ruijin HospitalShanghai Jiao Tong University School of MedicineShanghai 200025China Clinical Trials Center Ruijin HospitalShanghai Jiao Tong University School of MedicineShanghai 200025China Department of General Surgery Ruijin HospitalShanghai Jiao Tong University School of MedicineShanghai 200025China

The coronavirus disease 2019(COVID-19)pandemic has stimulated tremendous efforts to develop therapeutic agents that target severe acute respiratory syndrome coronavirus 2 to control viral infection.So far,a few small-molecule antiviral drugs,including nirmatrelvir-ritonavir(Paxlovid),remdesivir,and molnupiravir have been marketed for the treatment of COVID-19.Nirmatrelvir-ritonavir has been recommended by the World Health Organization as an early treatment for outpatients with mild-to-moderate COVID-19.However,the existing treatment options have limitations,and effective treatment strategies that are cost-effective and convenient for tackling COVID-19 are still needed.To date,four domestically developed oral anti-COVID-19 drugs have been granted conditional market approval in China.These drugs include azvudine,simnotrelvir-ritonavir(Xiannuoxin),leritrelvir,and mindeudesivir(VV11).Preclinical and clinical studies have explored the efficacy and tolerability of mindeudesivir and supported its early use in mild-to-moderate COVID-19 cases at high risk for progression.In this review,we discuss the most recent findings regarding the pharmacological mechanism and therapeutic effects focusing on mindeudesivir and other small-molecule antiviral agents for COVID-19.These findings will expand our understanding and highlight the potential widespread application of China's homegrown anti-COVID-19 drugs.

关键词： COVID-19 antiviral drugs mindeudesivir

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Interplay between diet and genetic susceptibility in obesity and related traits

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Frontiers of Medicine 2018年第6期12卷 601-607页

作者： Tiange Wang Min Xu yufang bi Guang Ning State Key Laboratory of Medical Genomics Key Laboratory for Endocrine and Metabolic Diseases of the Ministry of HealthNational Clinical Research Center for Metabolic DiseasesShanghai Institute of Endocrine and Metabolic DiseasesDepartment of Endocrine and Metabolic DiseasesRuijin Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200025China

The incidence of obesity has been rapidly increasing, and this condition has become a major public health threat. A substantial shift in environmental factors and lifestyle, such as unhealthy diet, is among the major driving forces of the global obesity pandemic. Longitudinal studies and randomized intervention trials have shown that genetic susceptibility to obesity may interact with dietary factors in relation to the body mass index and risk of obesity. This review summarized data from recent longitudinal studies and intervention studies on variations and diets and discussed the challenges and future prospects related to this area and public health implications.

关键词： diet genetic susceptibility obesity interaction

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New definition of metabolic dysfunction-associated fatty liver disease with elevated brachial-ankle pulse wave velocity and albuminuria: a prospective cohort study

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Frontiers of Medicine 2022年第5期16卷 714-722页

作者： Jialu Wang Shanshan Liu Qiuyu Cao Shujing Wu Jingya Niu Ruizhi Zheng Lizhan bie Zhuojun Xin Yuanyue Zhu Shuangyuan Wang Hong Lin Tiange Wang Min Xu Jieli Lu Yuhong Chen Yiping Xu Weiqing Wang Guang Ning Yu Xu Mian Li yufang bi Zhiyun Zhao Department of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic DiseasesRuijin HospitalShanghai Jiao Tong University School of MedicineShanghai 200025China Shanghai National Clinical Research Center for Metabolic Diseases Key Laboratory for Endocrine and Metabolic Diseases of the National Health Commission of the PR ChinaShanghai Key Laboratory for Endocrine TumorState Key Laboratory of Medical GenomicsRuijin HospitalShanghai Jiao Tong University School of MedicineShanghai 200025China Clinical Trials Center Ruijin HospitalShanghai Jiao Tong University School of MedicineShanghai 200025China

A new definition of metabolic dysfunction-associated fatty liver disease(MAFLD)has recently been proposed.We aim to examine the associations of MAFLD,particularly its discordance from non-alcoholic fatty liver disease(NAFLD),with the progression of elevated brachial-ankle pulse wave velocity(baPWV)and albuminuria in a community-based study sample in Shanghai,China.After 4.3 years of follow-up,778 participants developed elevated baPWV and 499 developed albuminuria.In comparison with the non-MAFLD group,the multivariable adjusted odds ratio(OR)of MAFLD group for new-onset elevated baPWV was 1.25(95%confidence interval(CI)1.01–1.55)and 1.35(95%CI 1.07–1.70)for albuminuria.Participants without NAFLD but diagnosed according to MAFLD definition were associated with higher risk of incident albuminuria(OR 1.77;95%CI 1.07–2.94).Patients with MAFLD with high value of hepamet fibrosis score or poor-controlled diabetes had higher risk of elevated baPWV or albuminuria.In conclusion,MAFLD was associated with new-onset elevated baPWV and albuminuria independently of body mass index,waist circumference,and hip circumference.Individuals without NAFLD but diagnosed as MAFLD had high risk of albuminuria,supporting that MAFLD criteria would be practical for the evaluation of long-term risk of subclinical atherosclerosis among fatty liver patients.

关键词： metabolic dysfunction-associated fatty liver disease non-alcoholic fatty liver disease fibrosis score brachial-ankle pulse wave velocity albuminuria

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Type 2diabetes is causally associated with depression: a Mendelian randomization analysis

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Frontiers of Medicine 2018年第6期12卷 678-687页

作者： Liping Xuan Zhiyun Zhao Xll Jia Yanan Hou Tiange Wang Mian Li Jieli Lu Yu Xu Yuhong Chen Lu Qi Weiqing Wang yufang bi Min Xu State Key Laboratory of Medical Genomics Key Laboratory for Endocrine and Metabolic Diseases of Ministry of HealthNational Clinical Research Center for Metabolic DiseasesCollaborative Innovation Center of Systems BiomedicineRuij'in Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200025China Shanghai Institute of Endocrine and Metabolic Diseases Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200025China Department of Endocrine and Metabolic Diseases Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200025China Department of Epidemiology Tulane University School of Public Health and Tropical MedicineNew OrleansLA 70112USA

Type 2 diabetes (T2D) has been associated with a high prevalence of depression. We aimed to determine the causal relation by performing a Mendelian randomization (MR) study using 34 T2D risk genetic variants validated in East Asians as the instrumental variable (IV). An MR analysis was performed involving 11 506 participants from a large longitudinal study. The T2D genetic risk score (GRS) was built using the 34 typical T2D common variants. We used T2D_GRS as the IV estimator and performed inverse-variance weighted (IVW) and Egger MR analysis. The T2D_GRS was found to be associated with depression with an OR of 1.21 (95% CI: 1.07–1.37) after adjustments for age, sex, body mass index, current smoking and drinking, physical activity, education, and marital status. Using T2D_GRS as the IV, we similarly found a causal relationship between genetically determined T2D and depression (OR: 1.84, 95% CI: 1.25–2.70). Though we found no association between the combined effect of the genetic IVs for T2D and depression with Egger MR (OR: 0.95, 95% CI: 0.42–2.14), we found an association for T2D and depression with IVW (OR: 1.75, 95% CI: 1.31–2.46) after excluding pleiotropic SNPs. Overall, the MR analyses provide evidence inferring a potential causal relationship between T2D and depression.

关键词： causal modeling depression Mendelian randomization type 2 diabetes

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Serum uric acid and risk of incident diabetes in middle-aged and elderly Chinese adults: prospective cohort study

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Frontiers of Medicine 2020年第6期14卷 802-810页

作者： Di Cheng Chunyan Hu Rui Du Hongyan Qi Lin Lin Xueyan Wu Lina Ma Kui Peng Mian Li Min Xu Yu Xu yufang bi Weiqing Wang Yuhong Chen Jieli Lu Department of Endocrine and Metabolic Diseases Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 200025China Department of Endocrine and Metabolic Diseases Ruijin Hospital NorthRuijin Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai 201821China

The association between serum uric acid and the risk of incident diabetes in Chinese adults remains unknown.This study aimed to investigate this association in a community-dwelling population aged≥40 years in Shanghai,China.Oral glucose tole3rance test was conducted during baseline and follow-up visits.Relative risk regression was utilized to examine the associations between baseline gender-specific serum uric acid levels and incident diabetes risk.A total of 613(10.3%)incident diabetes cases were identified during the follow-up visit after 4.5 years.Fasting plasma glucose,postload glucose,and glycated hemoglobin A1c during the follow-up visit progressively increased across the sex-specific quartiles of serum uric acid(all Ps<0.05).The incidence rate of diabetes increased across the quartiles of serum uric acid(7.43%,8.77%,11.47%,and 13.43%).Multivariate adjusted regression analysis revealed that individuals in the highest quartile had 1.36-fold increased risk of diabetes compared with those in the lowest quartile of serum uric acid(odds ratio(95%confidence interval)=1.36(1.06−1.73)).Stratified analysis indicated that the association was only observed in women.Accordingly,serum uric acid was associated with the increased risk of incident diabetes among middle-aged and elderly Chinese women.

关键词： incident diabetes prospective study uric acid

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Therapeutic strategies against bacterial biofilms

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Fundamental Research 2021年第2期1卷 193-212页

作者： yufang bi Guixue Xia Chao Shi Jianglin Wan Longqiang Liu Yuan Chen Yueming Wu Wenjing Zhang Min Zhou Hongyan He Runhui Liu State Key Laboratory of bioreactor Engineering East China University of Science and TechnologyShanghai 200237China Frontiers Science Center for Materiobiology and Dynamic Chemistry Key Laboratory o f Specially Functional Polymeric Materials and Related Technology(ECUST)Ministry of EducationSchool of Materials Science and EngineeringEast China University of Science and TechnologyShanghai 200237China

The emergence of multi-drug resistance makes bacterial infection a major threat to public health and economy.The formation of bacterial biofilms is one of the main reasons of bacterial resistance.The complexity of chemical composition and physical structure makes the elimination of mature biofilms a difficult problem.The highly antibiotic resistant property of biofilms urgently calls for potent antimicrobial agents and novel antibiofilm strategies.Researchers have made a lot of efforts in this field.Here we review the current strategies to eliminate mature biofilms and progress in related drug delivery nanosystems,with the aim of inspiring researchers to design new antibiofilm systems.

关键词： Antimicrobial resistance biofilm Persister cell Nanomaterials Drug delivery

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施肥对毛竹林产量影响的Meta分析

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南京林业大学学报（自然科学版） 2024年第1期48卷 88-96页

作者：陆启帆林上平刘胜辉郑翔毕毓芳肖子璋姜姜王安可杜旭华国家林业和草原局竹子研究开发中心竹林生态与资源利用国家林业和草原局重点实验室浙江杭嘉湖平原森林生态系统国家定位观测研究站浙江杭州310012 南京林业大学林草学院、水土保持学院南方现代林业协同创新中心江苏南京210037 龙泉市道太乡林业工作站浙江龙泉323700

【目的】施肥及其配比是决定毛竹(Phyllostachys edulis)林产量的重要因素,但当前毛竹林的最佳施肥方案仍存在争议。笔者综合汇总分析已有文献,用Meta分析比较施肥总量和元素配比对产量及其构成因子的影响,提出相对普适的毛竹林施肥方... 详细信息

【目的】施肥及其配比是决定毛竹(Phyllostachys edulis)林产量的重要因素,但当前毛竹林的最佳施肥方案仍存在争议。笔者综合汇总分析已有文献,用Meta分析比较施肥总量和元素配比对产量及其构成因子的影响,提出相对普适的毛竹林施肥方案。【方法】基于Meta分析,搜集汇总当前3种重要数据库中有关于“主题[毛竹(moso bamboo/Phyllostachys edulis)]和(and)主题[施肥(apply fertilizer/fertilization)]和(and)主题[产量(yield)]”的文献,再对收录数据划级分类,系统探究施肥总量、氮肥占比、磷肥占比、钾肥占比对毛竹林产量及其构成因子的影响。【结果】施肥使新竹产量(YB)、竹笋产量(YS,包括春笋产量和冬笋产量)、春笋产量(YSS)、冬笋产量(YWS)、新竹胸径(DB)、新竹高度(HB)、成竹数(NB)、出笋数(NS)、春笋出笋数(NSS)、春笋退笋数(NRSS)分别提升了42.76%、57.01%、62.88%、67.78%、7.22%、8.17%、35.84%、40.35%、38.35%、33.38%。磷肥占比与YB呈正相关,而与YSS和YWS呈负相关,钾肥占比则与YB呈负相关,与YSS和YWS呈正相关。【结论】材用毛竹林的施肥策略建议为施肥总量不超过337.5 kg/hm^(2),不低于228.7 kg/hm^(2),其中氮肥占比不超过62.5%,不低于50.9%,磷肥占比为14.0%~32.7%,钾肥占比低于16.4%。笋用毛竹林的施肥策略建议为施肥总量不超过228.7 kg/hm^(2),氮肥占比在37.8%~62.5%之间,磷肥占比低于22.3%,钾肥占比高于24.9%。笋材两用毛竹林施肥量应在228.7~337.5 kg/hm^(2)之间,氮肥占比在50.9%~62.5%之间,磷肥占比应在14.0%~22.3%之间,钾肥占比则应控制在16.4%~24.9%之间。

关键词：新竹产量竹笋产量产量构成因子施肥总量养分配比 Meta分析毛竹

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Detail control strategies for topology optimization in architectural design and development

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Frontiers of Architectural Research 2022年第2期11卷 340-356页

作者： Xin Yan Dingwen Bao yufang Zhou Yimin Xie Tong Cui Center of Architecture Research and Design University of Chinese Academy of SciencesBeijing 100190China School of Architecture and Urban Design RMIT UniversityMelbourne 3001Australia School of Architecture Central Academy of Fine ArtsBeijing 100105China Centre for Innovative Structures and Materials RMIT UniversityMelbourne 3001Australia

With the ability to generate forms with high efficiency and elegant geometry,topology optimization has been increasingly used in architectural and structural designs.However,the conventional topology optimization techniques aim at achieving the structurally most efficient solution without any potential for architects or designers to control the design details.This paper introduces three strategies based on bi-directional Evolutionary Structural Optimization(BESO)method to artificially pre-design the topological optimized structures.These strategies have been successfully applied in the computational morphogenesis of various structures for solving practical design problems.The results demonstrate that the developed methodology can provide the designer with structurally efficient and topologically different solutions according to their proposed designs with multi-filter radii,multi-volume fractions,and multi-weighting coefficients.This work establishes a general approach to integrating objective topology optimization methods with subjective human design preferences,which has great potential for practical applications in architecture and engineering industry.

关键词： bi-directional evolutionary structural optimization(BESO) Topology optimization Detail control Diverse design Architectural formfinding

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