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Physical Activity,Sedentary Behavior,and the Risk of Cardiovascular Disease in Type 2 Diabetes Mellitus Patients:The MIDiab Study 被引量:1
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作者 Yafei Wu Guijun Qin +32 位作者 guixia wang Libin Liu Bing Chen Qingbo Guan Zhongshang Yuan Xu Hou Ling Gao Chao Xu Haiqing Zhang Xu Zhang Qiu Li Yongfeng Song Fei Jing Shizhan Ma Shanshan Shao Meng Zhao Qingling Guo Nanwei Tong Hongyan Zhao Xiaomin Xie Chao Liu Zhongyan Shan Zhifeng Cheng Xuefeng Yu Shulin Chen Tao Yang Yangang wang Dongmei Li Zhaoli Yan Lixin Guo Qiuhe Ji Wenjuan wang Jiajun Zhao 《Engineering》 SCIE EI CAS CSCD 2023年第1期26-35,共10页
The aim of this study was to explore the associations of moderate-to-vigorous-intensity physical activity(MVPA)time and sedentary(SED)time with a history of cardiovascular disease(CVD)and multifactorial(i.e.,blood pre... The aim of this study was to explore the associations of moderate-to-vigorous-intensity physical activity(MVPA)time and sedentary(SED)time with a history of cardiovascular disease(CVD)and multifactorial(i.e.,blood pressure(BP),body mass index(BMI),low-density lipoprotein cholesterol(LDL-C),and glycated hemoglobin A1c(HbA1c))control status among type 2 diabetes mellitus(T2DM)patients in China.A cross-sectional analysis of 9152 people with type 2 diabetes from the Multifactorial Intervention on Type 2 Diabetes(MIDiab)study was performed.Patients were grouped according to their self-reported MVPA time(low,<150 min·week−1;moderate,150 to<450 min·week−1;high,≥450 min·week−1)and SED time(low,<4 h·d–1;moderate,4 to<8 h·d–1;high,≥8 h·d–1).Participants who self-reported a history of CVD were identified as having a CVD risk.Odds ratios(ORs)and 95%confidence intervals(CIs)of CVD risk and multifactorial control status associated with MVPA time and SED time were estimated using mixed-effect logistic regression models,adjusting for China’s geographical region characteristics.The participants had a mean±standard deviation(SD)age of(60.87±8.44)years,44.5%were women,and 25.1%had CVD.After adjustment for potential confounding factors,an inverse association between high MVPA time and CVD risk that was independent of SED time was found,whereas this association was not observed in the moderate-MVPA group.A higher MVPA time was more likely to have a positive effect on the control of BMI.Compared with the reference group(i.e.,those with MVPA time≥450 min·week−1 and SED time<4 h·d–1),CVD risk was higher in the low-MVPA group:The OR associated with an SED time<4 h·d–1 was 1.270(95%CI,1.040–1.553)and that associated with an SED time≥8 h·d–1 was 1.499(95%CI,1.149–1.955).We found that a high MVPA time(i.e.,≥450 min·week−1)was associated with lower odds of CVD risk regardless of SED time among patients with T2DM. 展开更多
关键词 Type 2 diabetes Physical activity Sedentary time Car diovascular disease
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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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作者 Yi Ding Xiaoli Xu +41 位作者 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 《Frontiers of Medicine》 SCIE CSCD 2024年第2期303-314,共12页
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 includ... 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. 展开更多
关键词 SLEEP physical activity chronic kidney disease isotemporal substitution behavioral pattern
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门冬胰岛素30注射液治疗2型糖尿病的疗效及安全性比较:多中心、随机、开放、平行对照Ⅲ期临床研究 被引量:4
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作者 王维敏 李玲 +16 位作者 张秀珍 单忠艳 王桂侠 张力辉 马建华 李冬梅 杨静 李兴 杨金奎 王长江 冉兴无 薛耀明 杨艳兰 李全民 蔡韩青 闫朝丽 朱大龙 《中华糖尿病杂志》 CAS CSCD 北大核心 2023年第1期32-38,共7页
目的探讨门冬胰岛素30注射液锐舒霖®30和诺和锐®30治疗2型糖尿病的疗效及安全性。方法本研究为多中心、随机、开放、平行、阳性药物对照Ⅲ期临床研究。纳入2018年10月10日至2021年1月5日来自国内35家研究中心口服药治疗血糖... 目的探讨门冬胰岛素30注射液锐舒霖®30和诺和锐®30治疗2型糖尿病的疗效及安全性。方法本研究为多中心、随机、开放、平行、阳性药物对照Ⅲ期临床研究。纳入2018年10月10日至2021年1月5日来自国内35家研究中心口服药治疗血糖控制不佳的2型糖尿病患者,按照3∶1的比例根据区组随机方法分配至锐舒霖®30组和诺和锐®30组。治疗24周后,比较2组受试者治疗前后糖化血红蛋白(HbA1c)、空腹血糖(FPG)、标准餐后2 h静脉血糖(2hPG)的变化,以及低血糖事件和不良事件发生率、门冬胰岛素特异性抗体阳性率。有效性指标分析采用全分析集和符合方案集,安全性指标分析采用安全性数据集。组内比较采用配对t检验,组间比较采用独立样本t检验、χ2检验或Wilcoxon秩和检验。结果本研究共纳入受试者588例,完全符合方案病例528例(锐舒霖®30组395例,诺和锐®30组133例),全分析集和安全性数据集583例(锐舒霖®30组439例,诺和锐®30组144例),符合方案集515例(锐舒霖®30组386例,诺和锐®30组129例)。经过24周治疗后,锐舒霖®30组和诺和锐®30组的HbA1c分别下降1.73%±1.27%和1.77%±1.40%,FPG分别下降(2.34±2.69)和(2.68±2.84)mmol/L,2hPG分别下降(4.37±4.59)和(4.81±4.43)mmol/L,差异均无统计学意义(P>0.05)。治疗24周时,锐舒霖®30组和诺和锐®30组低血糖事件的发生率[分别为74.3%(326/439)和68.1%(98/144)]、不良事件发生率[分别为68.1%(299/439)和66.7%(96/144)]与门冬胰岛素特异性抗体阳性率[分别为51.9%(228/439)和50.7%(73/144)]相近,差异均无统计学意义(P>0.05)。结论锐舒霖®30和诺和锐®30控制血糖的总体疗效相当,具有良好的安全性,在临床上有应用价值。 展开更多
关键词 糖尿病 2型 门冬胰岛素30 有效性 安全性
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西格列他钠与西格列汀单药治疗2型糖尿病患者的随机、双盲、Ⅲ期临床试验(CMAS) 被引量:13
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作者 贾伟平 马建华 +36 位作者 缪珩 王长江 王晓岳 李全民 陆卫平 杨架林 张力辉 杨金奎 王桂侠 张秀珍 张敏 孙丽 余学锋 杜建玲 施秉银 肖常青 朱大龙 刘红 钟历勇 徐春 许琪 梁干雄 张莹 李光伟 顾鸣宇 刘军 袁国跃 闫朝丽 闫德文 叶山东 张帆 宁志强 曹海湘 潘德思 姚何 鲁先平 纪立农 《Science Bulletin》 SCIE EI CSCD 2021年第15期1581-1590,M0004,共11页
西格列他钠(Chiglitazar,CGZ)是新型过氧化物酶体增殖物激活受体(PPAR)全激动剂,在针对2型糖尿病(T2DM)患者的前期探索性临床研究中已初步显示良好的疗效与安全性特征.本Ⅲ期临床试验比较CGZ与西格列汀(SGT)在经生活方式控制血糖不佳的T... 西格列他钠(Chiglitazar,CGZ)是新型过氧化物酶体增殖物激活受体(PPAR)全激动剂,在针对2型糖尿病(T2DM)患者的前期探索性临床研究中已初步显示良好的疗效与安全性特征.本Ⅲ期临床试验比较CGZ与西格列汀(SGT)在经生活方式控制血糖不佳的T2DM患者中的有效性和安全性.患者随机(1:1:1)接受CGZ 32 mg(n=245)、CGZ 48 mg(n=246)或SGT 100 mg(n=248)治疗24周.CGZ 32 mg组、48 mg组与SGT 100 mg组在主要疗效终点指标——24周糖化血红蛋白(HbA_(1c))较基线变化值上分别为-1.40%、-1.47%和-1.39%,CGZ两组与SGT组为非劣效.CGZ具有更强降低空腹和餐后2 h血糖及空腹胰岛素的趋势.三组总体不良事件发生率相似,CGZ 48 mg组轻度水肿略增加,CGZ两组均有轻度体重增加.试验结果表明,西格列他钠对生活方式控制血糖不佳的T2DM患者具有总体良好的疗效和安全性,为这一PAR全激动剂治疗T2DM提供了确证性临床试验证据. 展开更多
关键词 Ⅲ期临床试验 西格列汀 控制血糖 T2DM 疗效与安全性 疗效和安全性 不良事件发生率 单药治疗
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Oxygen-containing-defect-induced synergistic nonlinear optical enhancement of graphene/CdS nanohybrids under single pulse laser irradiation
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作者 BAOHUA ZHU FANGFANG wang +1 位作者 guixia wang YUZONG GU 《Photonics Research》 SCIE EI 2018年第12期1158-1169,共12页
Oxygen-containing defects are very important for altering the nonlinear optical (NLO) properties of graphene. To investigate the correlation between oxygen-containing defects and the synergistic NLO response in graphe... Oxygen-containing defects are very important for altering the nonlinear optical (NLO) properties of graphene. To investigate the correlation between oxygen-containing defects and the synergistic NLO response in graphenebased nanocomposites, we attached CdS nanocrystals on the surface of graphene (G) and prepared G/CdS nanohybrids (NHs) consisting of various oxygen-containing functional groups via a chemical method. The NLO absorption and refraction of G/CdS NHs under single pulse laser irradiation are enhanced by 10.8 times with the concentration decrease of surface oxygen-containing groups, which might be attributed to the local field effects and synergetic effects stemming from charge transfer between the two components. However, the optical nonlinearity is decreased with further concentration decrease, which might arise from sp^2 fragment interconnection and surface defects in the NHs. The NLO absorption transformation from two-photon absorption to saturable absorption with oxygen decrease is observed, and intensity-related NLO absorption and refraction in NHs are also discussed. Meanwhile, the G/CdS NHs exhibit superior NLO properties, implying potential applications of NH material in NLO devices. 展开更多
关键词 SINGLE pulse laser GRAPHENE CDS nanocomposites
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