Rate Of Weight Change Research Articles

In vitro release kinetic and in vivo field trial performance of a long term sustained-release bolus for saanen goats

Controlled release studies of sustained-release boluses are of critical importance as their application in ruminants has been varying from providing mineral and vitamin support to prevent the development of clinical problems such as hypocalcemia, ketosis, and others. This study examines both morphological and kinetic release of a sustained-release bolus and its performance study on Saanen goats. The bolus was studied by the means of continued flow rig which the artificial rumen saliva was pumped through with a flow rate of 3 mL/min. In addition to zero order kinetic, there was no crack or deformation observed through the immersion times but erosion was present. Field trials conducted with a number of 28 Saanen goats show that the treatment group is of higher multiple birth rates than the control group. No triple birth was observed on the control group. However, the rate of change in the body weight significantly increased in twins and triplets compared to the control group.

Utilization of circulating fluidized bed coal ash in autoclaved aerated concrete manufacture by mineral carbonation

Using circulating fluidized bed combustion (CFBC) ash discharged from thermal power plants, we identified factors affecting mineral carbonation to sequester CO2 and produced autoclaved aerated concrete (AAC). To use CFBC ash as a raw material for AAC, free-CaO, which causes volume expansion, was replaced through hydration and carbonation. During the raw material replacement process, carbonation behavior was confirmed through pH and temperature. A Ca(OH)2 to liquid ratio similar to a fly ash to liquid ratio of 0.25 is considered to provide sufficient diffusion distance, and the reaction rate may increase due to the rise in water temperature caused by Ca2+ leaching. Additionally, the results of XRD, XRF, TG-DTA, and SEM analyses indicate that hydration and carbonation reactions were stably achieved in the materials, suggesting that CO2 sequestration allows the materials to be used as alternative raw materials. After identifying the characteristics of the CFBC ash and the substituted material, AAC was manufactured through pressurized carbonation. The weight change rate, carbonation depth, ventilation rate, pore structure, and compressive strength of the manufactured AAC were measured. As a result, the alternative raw material exhibited higher permeability and a larger pore size range in the specimens compared to the original material, indicating easier CO2 penetration into the specimens. Consequently, this experiment suggests the potential of using the material in AAC production by providing a theoretical basis for solving volume expansion issues associated with concrete admixtures and CO2 sequestration in waste materials.

Prognostic significance of body mass index and weight loss in patients with idiopathic pleuroparenchymal fibroelastosis.

Idiopathic pleuroparenchymal fibroelastosis (IPPFE) is a rare form of idiopathic interstitial pneumonias; its physical characteristics include a slender build with platythorax and progressive weight loss. However, the clinical significance of body mass index (BMI) and weight loss remains unclear in patients with IPPFE. Therefore, we aimed to clarify the association between baseline BMI, weight loss after diagnosis, and the prognosis of patients with IPPFE. This retrospective study included 71 patients diagnosed with IPPFE at our institution between 2005-2021. BMI at diagnosis was classified into three: underweight (<18.5 kg/m2), normal weight (≥18.5 to <25.0 kg/m2), or overweight (≥25.0 kg/m2). An annual rate of weight change after the diagnosis was evaluated, and ≥5% per year decrease was defined as a significant weight loss. We investigated clinical features and prognosis based on baseline BMI and weight loss. Of the 71 patients, 48 (67.6%) and 23 (32.4%) were classified as underweight and normal weight, respectively, and none were overweight. Significant weight loss occurred in 24 (33.8%) patients, and they tended to have more cases of dyspnea and had significantly older age, lower BMI, higher rates of co-existence of lower-lobe interstitial lung disease, lower pulmonary function test results and higher incidence of pneumothorax after the diagnosis than those without weight loss. Patients with BMI <18.5 kg/m2 and those with weight loss had a significantly worse prognosis than those with BMI ≥18.5 kg/m2 or those without weight loss, respectively (p=0.005, p<0.001). Multivariate analysis revealed that low BMI and weight loss were independent poor prognostic factors. Low BMI and weight loss are associated with poor prognosis in patients with IPPFE.

Predicting Mortality Risks Using Body Mass Index and Weight Loss at Admission in Patients with Heart Failure.

The association of the combination of body mass index (BMI) and weight change at admission with prognoses in patients with heart failure (HF) is unclear. Therefore, we investigated whether BMI and weight changes at admission affect mortality in patients with HF. This retrospective cohort study lasted 99 months, starting in April 2014, and included 4,862 patients with HF from a Japanese real-world database. Cubic and thin-plate smoothing spline analyses were performed to investigate the association of BMI and weight changes with mortality. The percentage weight change was calculated every 6 months. The study outcome was the presence or absence of death. The patients' mean age was 81.5±9.6 years, and 1,239 (25.5%) patients died. Cubic spline analysis revealed a negative correlation of BMI with mortality hazard ratio (HR) (BMI of 18.5 kg/m2 and 25 kg/m2; HR=1.3 [1.2-1.4] and 0.8 [0.7-0.9], respectively). Cubic spline analysis of weight change showed that weight loss tended to increase the mortality HR (each 6% decrease in weight change rate was associated with a 1.1 times higher mortality risk (95% CI [1.0-1.2]) Thin-plate smoothing spline analysis showed that the odds ratio (OR) negatively correlated with BMI (1-year mortality: BMI of 18.5 kg/m2, 22 kg/m2, and 25 kg/m2; OR at 0% weight change=1.5, 1.0, and 0.7, respectively; 2-year mortality: BMI=18.5 kg/m2, 22 kg/m2, and 25 kg/m2; OR at 0% weight change=1.4, 0.9, and 0.7, respectively). A low BMI in patients with HF was associated with a higher risk of mortality. Weight loss in patients, regardless of BMI, was associated with a higher OR for mortality.

A prospective observational study examining weight and psychosocial change in adolescent and adult eating disorder inpatients admitted for nutritional rehabilitation using a high-energy re-feeding protocol

BackgroundHigh-energy re-feeding protocols are increasingly utilised for nutritional rehabilitation in adolescents with anorexia nervosa (AN), however, concern persists that adults with AN may be at greater risk of developing complications. In addition, research on psychological outcomes of eating disorder (ED) inpatient treatment programs, and outcomes of high-energy protocols in avoidant restrictive food intake disorder (ARFID) and bulimia nervosa (BN), is limited. This study of an ED inpatient program using a high-energy protocol, compared changes in weight and psychosocial outcomes between adolescents and adults, and identified medical risk factors associated with deviation from the protocol.MethodThis prospective observational study took place in a voluntary ED treatment program in a private hospital. Weight, height, and psychosocial questionnaires (ED Examination-Questionnaire, Depression Anxiety Stress Score, Clinical Impairment Assessment and AN/BN Stage of Change) were collected from consenting adolescents (16–20 years) and adults (> 20 years) on admission and discharge. Medical tolerance to the high-energy protocol was assessed daily. Independent samples t-tests and paired samples t-tests were applied to normally distributed data, and Mann–Whitney U tests and Wilcoxon signed-rank tests to skewed data. P-values < 0.05 were considered significant statistically.ResultsNinety-seven participants were recruited. The majority (n = 91, 94%) were female and most (n = 80, 83%) had AN. Forty-two (43%) were adolescents and 55 (57%) were adults. In participants with AN, weight change (Δ) was significant [median Δ 8.0 (interquartile range (IQR) 4.3) kg]. There was no difference in rate of weight change between adolescents and adults with AN [mean Δ 1.8 (standard deviation (SD) 0.5) kg/week vs. Δ 1.8 (SD 0.6) kg/week; p = 0.841, respectively]. One (1%) participant with AN did not tolerate the high-energy protocol due to oedema. Participants achieved positive change in psychosocial questionnaire scores (p < 0.001) after the the specialist ED program, with no difference between adolescents and adults (p > 0.05).ConclusionsThis voluntary ED treatment program using a high energy re-feeding protocol was effective in achieving positive weight and psychological change for adolescents and adults with minimal adverse events. This indicates that the specialist ED program has both nutritional and psychological benefits.

First Lactation Milk Yield Predicted by the Heifer’s Growth Curve Derivatives

Replacement heifers are regularly weighed to assess their health. These data also predict the milk yield in their first lactation (L). The first derivative of the growth curve represents the weight change rate at a given time. It is interesting to use the higher-order derivatives of one biological process, such as growth, to predict the outcome of another process, like lactation. With 78 records of grazing heifers, machine learning was used to predict the L based on variables calculated during the rearing period, from 3 to 21 months of age, every 3 months: body weight (P), first (1D), and second derivative (2D) of an individually modeled Fourier function. Other variables were the age at effective insemination (AI) and the season of the year when the heifer was born (E). The average deviance of the fitted models represented the goodness of fit. The models were trained using 85% of the records, and the fit was evaluated using the remaining data. The deviance was lower for the models including both derivatives in comparison to the models where the derivatives were not included (p = 0.022). The best models predicted the L using data of heifers at six months of age (r2 = 0.62) and the importance of the variables in the model was 35, 28, 21, and 16% for 1D, AI, 2D, and P, respectively. By utilizing this type of model, it would be possible to select and eliminate excess heifers early on, thereby reducing the financial and environmental costs.

Weight Loss Trajectories and Short-Term Prediction in an Online Weight Management Program.

The extent to which early weight loss in behavioral weight control interventions predicts long-term success remains unclear. In this study, we developed an algorithm aimed at classifying weight change trajectories and examined its ability to predict long-term weight loss based on weight early change. We utilized data from 667 de-identified individuals who participated in a commercial weight loss program (Instinct Health Science), comprising 69,363 weight records. Sequential polynomial regression models were employed to classify participants into distinct weight trajectory patterns based on key model parameters. Next, we applied multinomial logistic models to evaluate if early weight loss in the first 14 days and prolonged duration of participation were significantly associated with long-term weight loss patterns. The mean percentage of weight loss was 7.9 ± 5.1% over 133 ± 69 days. Our analysis revealed four main weight loss trajectory patterns: a steady decrease over time (30.6%), a decrease to a plateau with subsequent decline (15.8%), a decrease to a plateau with subsequent increase (46.9%), and no substantial decrease (6.7%). Early weight change rate and total participating duration emerged as significant factors in differentiating long-term weight loss patterns. These findings contribute to support the provision of tailored advice in the early phase of behavioral interventions for weight loss.

Network Pharmacology and Intestinal Microbiota Analysis Revealing the Mechanism of Punicalagin Improving Bacterial Enteritis.

The Chinese medicine punicalagin (Pun), the most important active ingredient in pomegranate peel, has significant bacteriostatic and anti-inflammatory properties. The potential mechanisms of Pun for bacterial enteritis, however, are unknown. The goal of our research is to investigate the mechanism of Pun in the treatment of bacterial enteritis using computer-aided drug technology, as well as to investigate the intervention effect of Pun on mice with bacterial enteritis using intestinal flora sequencing. The targets of Pun and Bacterial enteritis were obtained by using the specific database, and cross-targets were screened among these targets, followed by PPI and enrichment analysis of the targets. Furthermore, the degree of binding between Pun and key targets was predicted through molecular docking. After successfully establishing the bacterial enteritis model in vivo, mice were randomly assigned to groups. They were treated for 7 days, the symptoms were observed daily, and the daily DAI and body weight change rate were calculated. Following administration, the intestinal tissue was removed, and the contents were separated. The tight junction protein expression was detected in the small intestine by the immunohistochemical method; ELISA and Western Blot (WB) were performed to detect the expressions of tumor necrosis factor-α (TNF-α) and interleukin- 6 (IL-6) in the serum and intestinal wall of mice. The 16S rRNA sequence was used to determine the composition and diversity of the intestinal flora of mice. In total, 130 intersection targets of Pun and disease were screened by network pharmacology. The enrichment analysis showed cross genes were closely related and enriched in the cancer regulation and the TNF signal pathway. The active components of Pun could specifically bind to the core targets TNF, IL-6, etc., determined from molecular docking results. In vivo experiment results showed that the symptoms in the PUN group mice were alleviated, and the expression levels of TNF-α and IL-6 were significantly reduced. A Pun can cause substantial changes in the intestinal flora of mice in terms of structure and function. Pun plays a multi-target role in alleviating bacterial enteritis by regulating intestinal flora.

Abstract P492: Polygenic Risk for Obesity and Race Modify the Effect of a Low Fat Dietary Clinical Trial on Weight Loss

Introduction: Research populations harbor innate and acquired characteristics that can introduce substantial treatment response heterogeneity. Weight loss interventions show this variability, likely due to behavioral and physiological characteristics. Genetic risk for obesity is a potential but largely unexplored factor in weight loss trials. We examined whether genetic risk for obesity modified the effect of a low-fat diet on weight change in a randomized controlled trial. Methods: A data from the Women’s Health Initiative Dietary Modification Trial, including 10,353 postmenopausal women aged 50-79 with genotype data [63% European American (EAs), 37% African American (AAs)] were randomized into control and low-fat diet groups. The outcome was visit-specific weight difference (kg) from baseline. The Polygenic Risk Score of body mass index (PRS BMI ) was computed using the PRS-CS method and an independent trans-ancestry genome-wide association study of BMI (N = ~ 2M; 79 % EAs and 4 % AAs). We operationalized PRS BMI as a binary variable, distinguishing individuals in the 95 th percentile from the remaining individuals. Association was tested using generalized estimated equations with a 3-way interaction term (PRS х randomization х time), adjusting for 10 principal components, age, baseline BMI, and follow-up status. Analyses were performed separately by race/ethnicity, because body weight is influenced by ancestral diversity, which affects both linkage disequilibrium, PRS effect sizes, and cultural factors (e.g., racism). Results: Baseline, we had 6,473 EAs (mean age: 65.4 ± 6.6 years, mean BMI: 29.5 ± 6.5 kg/m 2 ) and 3,880 AAs (mean age: 60.9 ± 6.7years, mean BMI: 32.1 ± 6.8 kg/m 2 ) and mean follow-up was 6.0 ± 1.8 years. PRS BMI explained 12% of the variance in the baseline BMI measure in EAs and 8% in AAs. During the first year of intensive dietary intervention (18 sessions/yr), the low-fat diet group experienced 2.1 kg and 1.1 kg weight loss in European and AAs respectively, with no differences in PRS BMI . During years 1-7 with reduced intervention intensity (4 sessions/yr), the rate of weight change in both race/ethnic groups were modified by PRS BMI , although in different directions. EAs with high PRS (95 th percentile) in the intervention group rebounded towards initial weight (0.35 kg/year, p&lt;0.001) nearly twice as fast as those women with PRS &lt; 95 th percentile (0.19 kg/year, p&lt;0.001). Conversely, high PRS African American women in the intervention group maintained their weight loss without rebound (-0.10 kg/year, p=0.48), distinctly different from those with PRS &lt; 95 th percentile, who gained 0.25 kg annually (p&lt;0.001). Conclusions: Impact of long-term low-fat dietary intervention on weight change was modified by genetic risk and race/ethnicity. Genetic predisposition and other contextual factors may be considered in the design and analysis of relevant clinical trials.

Analyzing Children's Weight Growth Variations and Associated Factors in Ethiopia, India, Peru, and Vietnam: Using Fractional Polynomial Mixed-Effects Model.

Children's growth is increasingly considered a key mediator of later life outcomes. When examining weight growth, the correlation between repeated observations on the same subject must be regarded as well-modelled. This study aimed to analyze children's weight growth variations and associated factors in Ethiopia, India, Peru, and Vietnam using a fractional polynomial mixed-effects model. This study used longitudinal data from the Young Lives Cohort Study conducted from 2002 to 2016 in Ethiopia, India, Peru, and Vietnam. The study included 7,140 children of 1 to 15 years old A fractional polynomial mixed-effects model was used to analyze the data. Ethiopian, Peruvian, and Vietnamese children had significantly higher average body weights than children in India (1.426, P<0.001; 1.992, P<0.001; 1.334, P<0.001, respectively). Girl children's average body weight was significantly 0.15 times less than that of boys (-0.148; P=0.027). The average weight of rural children was significantly 0.671 times less than that of urban children (0.671, P<0.001). Children from Peru and Vietnam had higher rates of weight change than those from India. However, the rate of weight change was lower in Ethiopian children than in Indian children. Children from urban areas had a significantly higher rate of weight gain than those from rural areas. Country, sex, residence, parental education, household size, wealth, good drinking water, and reliable power affected children's longitudinal weight growth. Therefore, WHO and the nation's health ministry should monitor children's weight growth status and these associated factors to plan future action.

Effects of dapagliflozin on body weight in patients with type 2 diabetes mellitus: Evidence‑based practice.

The dose-dependent pharmacological response to dapagliflozin in patients with type 2 diabetes mellitus (T2DM) with regard to weight loss remain unknown. The aim of the present study was to investigate the effects of dapagliflozin on weight loss in patients with T2DM. A total of 8,545 patients with T2DM from 24 randomized controlled trials reported in the literature were selected for inclusion in the study. Data from these trials were analyzed using maximal effect (Emax) models with nonlinear mixed effects modeling; the evaluation index was the body weight change rate from baseline values. Patients treated with 2.5 mg/day dapagliflozin exhibited an Emax of -3.04%, and the time taken for therapy to reach half of the Emax (ET50) was estimated to be 30.8 weeks for patients treated with this dose. Patients treated with 5, 10 and 20 mg/day dapagliflozin exhibited Emax values of -6.57, -4.12 and -3.23%, respectively, and their ET50 values were estimated to be 27.3, 20.4 and 4.23 weeks, respectively. The data indicated ideal linear relationships between individual predictions and observations, suggesting the optimal fitting of the final models. The present study is the first systematic analysis of the effect of dapagliflozin on weight loss in patients with T2DM. The application of dapagliflozin at 5 mg/day exhibited a greater weight loss effect compared with the other doses used, and the weight loss onset time shortened as the dose of dapagliflozin increased.

Eco-toxicity assessment of fossil fuel tainted soil before phytoremediation trial

The research objective was to assess the extent of fossil fuel toxicity in the contaminated soil for an improved appraisal before phytoremediation trial and eco-safety of the soil. We used Bonny light fossil fuel to contaminate soil at different percentage levels of concentrations (5%, 3%, 1% and 0%). We assessed earthworm weight change and survival rate and plant response of Zea mays to the various treatments. Our results show that soil treated at concentration level of 5% had the highest earthworm mortality rate while the control soils had the highest earthworm survival rate. In addition, there was a noticeable change in the body weight of surviving earthworms in the 5% and 3% treated soil. Germination, shoot length and root length of the experimental plant was not totally inhibited in all the different concentrations. There was greater germination percentage obtained in 3%, 1% and 0% fossil fuel concentrations. The study verifies that high fossil fuel contamination percentage affects the biota of the soil by inhibiting plant germination and growth as well as reducing the survival and body mass of earthworms in the soil. The petroleum oil percentages utilized in this investigation can support phytoremediation trial and proposes that petroleum oil soil contamination ≤ 3% is ecologically safe for plants and animals’ survival as well as development.

Micromorphology evolution, growth mechanism, and oxidation behaviour of the silicon-rich MoSi2 coating at 1200 °C in air

The silicon-rich MoSi2 coating with a submicron surface roughness is deposited on Mo substrate by the hot-dip silicon (HDS) plating process. The microstructure, phase composition, and growth mechanism of the silicon-rich MoSi2 coating are characterized. The oxidation kinetics and oxidation mechanism of the coated samples and bare Mo at 1200 °C are also analyzed and compared. The results indicate that the silicon-rich MoSi2 coating is comprised of Si outermost layer, MoSi2 intermediate layer and Mo5Si3 interface layer. The coating has a high surface silicon concentration and a dense structure, and the average surface roughness (RSa) is only 0.248 μm. After exposed at 1200 °C for 20 h, the per unit area weight change rate (Mc) of the coating is only 0.183 mg/cm2 and the thickness of oxide layer is 6.72 μm. The smooth surface, compact structure and excellent self-healing ability of the silicon-rich coating ensure its outstanding antioxidant.

Damage and failure characteristics of single fractured cyan sandstone subjected to freeze–thaw cycles under uniaxial compression

In order to explore the freeze–thaw (FT) damage characteristics of fractured rock masses, FT cycle tests and uniaxial compression tests were conducted on intact and pre-cracked cyan sandstone samples, respectively. The degradation laws of physical and mechanical properties of samples under FT cycle conditions were analyzed, and the FT damage mechanism and failure mechanism were explored accordingly. The results indicate that as the number of FT cycles (N) increases, the saturation weight change rate and porosity of the sample continue to increase, while the P-wave velocity continues to decrease. The closure stress, initiation stress, damage stress, and peak stress decrease linearly with increasing FT cycles, and increase linearly with increasing crack inclination angle (β). Moreover, as FT cycles increase, the geological strength index GSI decreases linearly, while the damage factor (D) increases linearly. A Hoek Brown strength degradation model for fractured rocks subjected to FT damage under uniaxial compression was obtained, and its high reliability was verified using test results. The FT damage of cyan sandstone is mainly dominated by the frost heave force inside the rock, and the degree of FT damage of fractured samples is much higher than that of intact ones. The concentration of frost heave force at the crack tip leading to cracking is the key to exacerbating the FT damage in fractured rock masses. However, the crack initiation mechanism is still controlled by β. Whenβ = 90°, it exhibits tensile initiation mode, and whenβ = 45°, it mainly exhibits shear initiation mode. Moreover, the fracture of the single crack sample conforms to the compression-shear fracture criterion. Taking the sample with pre-crack inclination angle of 45° as an example, the variation of KI and KII, and the relationship between them are discussed accordingly. The results of this paper are beneficial to clarify the influence of FT cycles on the mechanical properties of cyan sandstone, and can provide reference for the study of related issues.

Физико-химические свойства суспензий на основе оксида алюминия и перспективы их применения

Cordierite blocks of a honeycomb structure with square cross-section channels are used as ceramic carriers for three-route automotive catalysts. Catalytically active layers are applied from suspensions based on γ-Al2O3, which is introduced into the internal volume of the carrier. The preparation of suspensions included impregnation of Al2O3 powder with solutions of Pt, Eu precursors, dilution with water, grinding to particles with an average size of 4 microns, setting acidity in the required range. The study of the physicochemical properties (point of zero charge, specific surface area, particle size, pore volume, average pore diameter) of a suspension prepared on the basis of aluminium oxide and modified with europium and platinum ions is relevant due to the possibility of using three-path catalysts in technology. The surface and porosity parameters were determined by low-temperature nitrogen adsorption/desorption. pHzcp values were determined by gravimetric titration, the pH of the points were in the range of 6.01-7.1, therefore, the specified acidity range should not be beyond these limits. The processes of thermal destruction of suspensions during heating were studied by thermal analysis. During the heating process from -100 to 250°C, a weight loss was observed throughout the heating process. Endothermic effects were discovered, corresponding to the melting of ice, evaporation of moisture, and decomposition of nitrogen-containing compounds. The greatest weight loss was observed in an aluminium oxide sample modified with europium and platinum ions (Eu,Pt/γ-Al2O3). Quantitative assessment of the forms of moisture bonds in the suspension was carried out using experimental dependences on weight changes of the TG sample and the rate of change in the DTG weight in the temperature range of 270-380 K. Based on the activation energy values, it was established that the mechanism of moisture release from the Eu,Pt/γ-Al2O3 differs from others. The calculated activation energies for the release of moisture was high (41-92 kJ/mol), which indicates the bound state of water in the structure of the solid phase. The suspension was applied to a ceramic catalyst base and annealed at 500 °C, information about the mechanism of moisture release during heating of the suspension will help to avoid a decrease in the specific surface area.

Interaction and joint association of gestational diabetes mellitus and subsequent weight gain rate on macrosomia

Background & aimsGestational diabetes mellitus (GDM) and gestational weight gain are two crucial modifiable nutritional factors during pregnancy in preventing macrosomia, warranting appropriate management of both glycemic levels and weight gain to prevent macrosomia, particularly in individuals with GDM. Unfortunately, current general weight targets appear not to apply to individuals with GDM, suggesting that weight gain, specifically following an oral glucose tolerance test (OGTT), may affect risk of macrosomia dependent on GDM status. Therefore, this study aims to evaluate the interaction and joint association of GDM and post-OGTT weight gain rate (PWGR) in relation to macrosomia. MethodsThis was a population-based cohort study of 59,421singleton pregnant women in South China during 2017-2020. Among them, 9,856 were diagnosed with GDM while 49,565 did not have the condition. All participants underwent an OGTT between 20 and 28 weeks of pregnancy, typically occurring between 24 and 28 weeks. PWGR was defined as the average rate of change in maternal weight with gestational weeks following OGTT, which was estimated using a repeated linear mixed effects model including a random intercept and slope for each individual. The relative risk (RR) of macrosomia associated with GDM and PWGR was estimated using a multivariate generalized linear model. ResultsThere was a significant interaction between GDM and PWGR in increasing the risk of macrosomia. The combination of GDM and a 1-SD increase in PWGR was associated with a 2.26-fold higher risk of macrosomia (95% CI 1.92 to 2.65), with the interaction of these two factors contributing to 58.0% (95% CI 31.4% to 84.7%) of this association. Moreover, we observed a significant heterogeneity in susceptibility to macrosomia due to increased PWGR between GDM and non-GDM populations, with the highest PWGR quartile having respective RRs of 2.27 (95% CI 1.62 to 3.18) and 1.41 (95% CI 1.18 to 1.69) compared to the lowest quartile category, which was corresponded to 55.9% (95% CI 38.3% to 68.6%) and 29.1% (95% CI 15.3% to 40.8%) preventable proportions of macrosomia cases in these populations. ConclusionsGDM and PWGR had a synergistic effect in increasing the risk of macrosomia. Furthermore, individuals with GDM exhibited a heightened susceptibility to macrosomia due to elevated PWGR. These findings emphasize the importance of appropriate weight interventions during late pregnancy and suggest the need for different weight targets between these two populations, with a stricter PWGR potentially being more effective for the GDM population.

Twelve-Month Reach and Effectiveness of a University-Based Diabetes Prevention Initiative

The University of California (UC) implemented the Diabetes Prevention Program (DPP) to address diabetes and obesity risk. This project examined the reach and effectiveness of this university-based DPP delivery approach. This project compared 12-month weight change among three groups of UC beneficiaries with overweight/obesity: (1) those who received invitation letters and enrolled in UC DPP, (2) those mailed invitation letters but did not enroll, and (3) those who were not mailed letters and did not enroll (controls). Using 2012-2022 EHR, administrative and DPP cohort data, an interrupted time series was conducted in 2022-2023 to compare group differences in rate of weight change. Among 6,231 beneficiaries (132 UC DPP aware enrollees, 1,750 DPP aware non-enrollees, 4,349 controls), UC DPP enrollees were older (mean age 49), mostly women (76%), and more diverse (33% Asian, 8% Black, 20% Hispanic, 4% Multi/Other). Over 12 months of follow-up, UC DPP enrollee postenrollment rate of weight loss was -0.68 lbs./month. UC DPP enrollees had significantly greater weight change from pre- to post-enrollment than DPP aware non-enrollees (adjusted Δ-1.02 vs. Δ-0.07 lbs./month, difference= -0.95, p<0.001). Weight change among all participants who received letters with/without DPP enrollment was similar to controls. UC DPP reached a diverse group and was effective for weight loss at 12-month follow-up. However, UC DPP invitation letters to raise prediabetes and DPP awareness were not associated with significant weight change in the absence of DPP enrollment. University-based approaches to DPP delivery are effective and may enhance reach of DPP among at-risk adults.

Investigation of the Bioactivity of Escin in Hydrogen Peroxide-Induced Oxidative Stress

Escin is a triterpene saponin obtained from the horse chestnut tree Aesculus hippocastanum L. (Hippocastanaceae). The aim of this study is to investigate the bioactivity of escin against hydrogen peroxide-induced oxidative stress in quails. The study was conducted in male Japanese quails (n=10) with similar pre-experimental weights (Coturnix coturnix japonica) on average. In order to create oxidative stress in quails, hydrogen peroxide was given to drinking water ad libitum for 1 week. At the end of the period, escin was injected intraperitoneally to the quails twice, every other day. The weights of the experimental animals were measured at the beginning and the end of the experiment and compared. In addition, the 10-day live weight change rate and feed consumption rates of the experimental animals were also compared. Total antioxidant (TAC), total oxidant (TOC) and oxidative stress index (OSI) were measured colorimetrically from serum and liver homogenates of animals in the experimental groups. In addition, IL-1β translation levels from serum samples were investigated by ELISA method. According to the data obtained from the study, 10-day body weight change rates increased by 33% in the hydrogen peroxide added group compared to the control group, while an increase of 133% was observed in the escin-treated group. Besides, in serum and liver samples, it was found that escin showed strong antioxidant properties by decreasing the amount of TOC and increasing TAC levels in the group escin administered with hydrogen peroxide, compared to the group administered only with hydrogen peroxide. It was also observed that escin significantly suppressed the levels of IL-1β induced by hydrogen peroxide. As a result, escin was thought to be an alternative molecule in improving growth performance by showing significant antioxidant activity in the prevention of oxidative stress and inflammation in quails. However, multiple trials and detailed molecular analyzes are needed to obtain more detailed information on the subject.

Association of body mass index and weight change with death in patients with advanced cancer

ObjectiveConventional diagnostic criteria for cachexia are based on Western studies. The aim of this study was to investigate trends in body mass index (BMI) and the rate of weight change associated with adverse outcomes in Asian patients with advanced cancer. MethodsThis retrospective cohort study was conducted using the administrative claims database compiled by the Japan Medical Data Center Inc. The study was conducted between April 2014 and September 2022 on patients with advanced cancer. A Cox regression model was used to perform a restricted cubic spline analysis with four knots for BMI and weight change. Additionally, thin-plate smoothed splines were used to generate contour plots of the odds ratios of BMI and weight change for mortality. ResultsThe study analyzed 48 600 patients. The mean age was 71.9 ± 10 y. There were 33 051 men (68%) and 17 853 deaths (37%). The smoothed splines for BMI showed that low BMI was associated with high hazard ratio (HR, [95% confidence interval]; BMI = 18.5 kg/m2, HR, 1.2; [1.1–1.2]; BMI = 25 kg/m2, HR, 0.9; [0.9–0.9]). The smoothed spline of weight change showed a higher HR with an increasing rate of weight change (weight change rate –10%, HR, 1.1; [1.1–1.2]; weight change rate +10%, HR, 1; [1–1]). In the thin-plate smoothed spline analysis, patients with BMI <17 to 18.5 kg/m2 were at a higher risk for death regardless of weight change. ConclusionsLow BMI, a large degree of weight change, or a combination of both, predicted death in Asian patients with advanced cancer.

Body mass index and weight change are associated with mortality in chronic kidney disease: A retrospective cohort study using a Japanese medical claims database

ObjectivesThis study aimed to investigate body mass index (BMI) and rate of weight change associated with adverse outcomes in Asian patients with chronic kidney disease. MethodsA retrospective cohort study was performed between April 2014 and June 2022 using the administrative claims database compiled by the Japan Medical Data Center. Patients were defined as individuals with comorbidities with chronic kidney disease stages 3 to 5 on admission and were aged ≥40 y with BMI at admission and BMI information from a previous admission 3 to 12 mo earlier. Restricted cubic spline analysis and thin-plate smoothed spline analysis were performed. ResultsA total of 10 802 individuals were analyzed. The mean age was 74.6 ± 11.3 y, number of men was 7175 (66.4%), and 2115 (19.6%) deaths were recorded. Smoothed splines for BMI found that low BMI was associated with high hazard ratio (HR) (BMI = 18.5 kg/m2; HR = 1.3 [1.2–1.4]). Smoothed splines of weight change found higher HR with increasing rate of weight change for both weight gain and loss (weight change rate = –10%; HR = 1.4 [1.3–1.5]; weight change rate = 10%; HR = 1.2 [1.1–1.3]). In thin-plate smoothed spline analysis, the U-curve had a higher odds ratio as BMI decreased in patients with or without dialysis and as the degree of weight change increased. ConclusionsWe found trends in BMI and rate of weight change associated with mortality in Asian patients with chronic kidney disease.