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基于中国深圳老龄化相关疾病队列的肝脏纤维化指标与认知功能减退相关性研究
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作者 王昊 吴凯钰 +10 位作者 邱国真 陈淳淳 黎明坤 郭启雯 许春燕 王敏 刘威 刘建军 刘佩意 刘亢丁 朱飞奇 《阿尔茨海默病及相关病杂志》 2025年第3期164-169,193,共7页
目的:探讨肝脏纤维化指标与认知功能减退的关系。方法:在本横断面研究中,共纳入2017—2018年来自深圳市罗湖区51个社区卫生中心,年龄大于60岁的患者8669人。根据患者简易精神状态量表(MMSE)评分,教育程度分为认知功能低风险组(n=8202)... 目的:探讨肝脏纤维化指标与认知功能减退的关系。方法:在本横断面研究中,共纳入2017—2018年来自深圳市罗湖区51个社区卫生中心,年龄大于60岁的患者8669人。根据患者简易精神状态量表(MMSE)评分,教育程度分为认知功能低风险组(n=8202)和认知功能高风险组(n=467)。采集患者空腹血样检测血常规和肝功指标,利用ALT、AST、PLT等参数通过公式计算得出肝脏纤维化指标FIB-4和APRI。采用t检验、秩和检验和卡方检验分析两组患者一般统计学特征及肝脏纤维化指标差异性,并对各指标进行二元Logistic回归分析,采用秩相关分析研究肝脏纤维化指标和饮酒习惯的关系。结果:与认知功能低风险组相比,认知功能高风险组的FIB-4明显增高[1.40(1.13,1.78)vs.1.49(1.21,1.88),Z=3.595,P<0.001],但不是认知功能减退的独立危险因素[OR(95%CI):0.718(0.444~1.159),P=0.175]。对于饮酒群体,FIB-4与开始饮酒年龄(r_(s)=0.089,P=0.005)和饮酒频次(r_(s)=0.149,P<0.001)呈正相关,APRI与饮酒频次(r_(s)=0.078,P=0.013)也呈正相关;对于戒酒群体,FIB-4与戒酒年龄(r_(s)=0.172,P=0.014)呈正相关关系。结论:认知功能减退人群的FIB-4增高,饮酒频次增加和FIB-4、APRI升高有关,尽早戒酒可保护肝脏、延缓认知功能衰退。 展开更多
关键词 认知功能减退 肝脏纤维化指标 FIB-4 APRI 肝功能标志物
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Exposure to bisphenol A and its analogs provides a preliminary indication of the risk of cognitive impairment for the elderly via an XGboost-based model
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作者 Yilan Deng Qunlin Xiao +9 位作者 peiyi liu Yiming Ge Xiaohu Ren Xinjie Li Qinru Xiao Benhong Xu Xiao Chen Jianjun liu Haiyan Huang Shaoyou Lu 《Emerging Contaminants》 2025年第2期153-162,共10页
Bisphenol A(BPA)and its bisphenol analogs(BPs)serve as key precursors in the manufacturing of polycarbonate plastics and epoxy resins.However,due to BPA’s detrimental health effects,there has been a growing global co... Bisphenol A(BPA)and its bisphenol analogs(BPs)serve as key precursors in the manufacturing of polycarbonate plastics and epoxy resins.However,due to BPA’s detrimental health effects,there has been a growing global consensus to restrict its use.The elderly,being particularly susceptible to neurodegenerative disorders,represent a population of concern;yet,research exploring the association between BPs exposure and neurodegenerative diseases in the elderly remains scarce.In this study,the urinary levels of six BPs among 267 participants from the Shenzhen aging-related disorder cohort in China during 2017–2018 were measured.Cognitive status was evaluated using the Mini-Mental State Examination(MMSE),and the impact of sociodemographic factors,lifestyle habits,and dietary practices was analyzed through the Extreme Gradient Boosting(XGBoost)classifier.In this study,BPA was the highest urinary level of bisphenol compound detected in the high-risk group(2.10 ng/mL,95.2%).Significant differences in BPs levels were observed to the degree of education,tea consumption frequency,meat intake frequency,and distance of main road groups(P<0.05).Notably,the absence of a significant positive correlation between BPF and BPA levels in high-risk groups for cognitive impairment implies more findings may be needed to fully evaluate BPF’s actual human exposure levels.The XGBoost models have further revealed that BPA analogs exposure and certain housing characteristics were substantial contributors to the potential impact on cognitive impairment during aging not only BPA. 展开更多
关键词 Endocrine disruptors Human exposure AGING Urine samples
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Implementing the free HPV vaccination for adolescent girls aged below 14 in Shenzhen,Guangdong Province of China:experience,challenges,and lessons 被引量:9
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作者 Dadong Wu peiyi liu +6 位作者 Danhong Song He Wang Siqi Chen Wanyi Tang Xuelian Zhao Fanghui Zhao Yueyun Wang 《Infectious Diseases of Poverty》 SCIE CAS CSCD 2023年第5期94-94,共1页
Cervical cancer is a major public health concern in China,accounting for almost one-fifth of the global incidence and mortality.The recently prequalified domestic bivalent human papillomavirus(HPV)vaccine offers a pra... Cervical cancer is a major public health concern in China,accounting for almost one-fifth of the global incidence and mortality.The recently prequalified domestic bivalent human papillomavirus(HPV)vaccine offers a practical and feasible preventive measure.In response to the global call for action,the National Health Commission issued an Action Plan to eliminate cervical cancer by 2030,with promotion of the HPV vaccination for school-aged girls as a critical step.Despite this,implementation of the vaccination has been patchy,with very low coverage among eligible girls.To address this,from December 2021 to December 2022,a demonstration project was launched in Shenzhen,Guangdong Province,to promote the inclusion of HPV vaccine in local immunisation programme and to address existing barriers to implementation.Using multiple sources of data,this article presents a case study of the demonstration project,analysing its impact on rolling out HPV vaccination among eligible girls and identifying any challenges encountered during implementation.The demonstration project has shown promising results in increasing the HPV vaccination rate,promoting public awareness and acceptance of the domestic HPV vaccine,and establishing a model for quickly scaling up the vaccination at the municipal level.The success of the project can be attributed to several factors,including strong governmental commitment,sufficient funding,multi-sectoral collaboration,ensured vaccine accessibility and affordability,improved vaccination services,and effective health education and communication strategies.Lessons learned from Shenzhen can provide valuable insights for future advocacy and implementation of the vaccination in other areas of China,but challenges must be addressed to achieve universal coverage.These include addressing vaccine hesitancy,expanding the programme to cover a broader age range,and ensuring consistent quality of vaccination services in primary care facilities.Overcoming these challenges will require innovative strategies,public-private partnerships,and sustained funding and resources.Future research should focus on evaluating the long-term effectiveness of the vaccination programme and identifying contextual factors that may impact its implementation in different settings.Overall,the effective control of cervical cancer in China will rely on the“political will”to ensure the incorporation of preventive interventions into policies and universal programme coverage. 展开更多
关键词 Cervical cancer Human papillomavirus VACCINATION ADOLESCENT Case study
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Immunosuppression Induced by Brain-Specific HDAC6 Knockdown Improves Aging Performance in Drosophila melanogaster 被引量:1
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作者 Yingying Zhao Hongwen Xuan +3 位作者 Chao Shen peiyi liu Jing-Dong J.Han Wei Yu 《Phenomics》 2022年第3期194-200,共7页
HDAC6 is involved in several biological processes related to aging-associated diseases.However,it was unknown whether HDAC6 could directly regulate lifespan and healthspan.We found that HDAC6 knockdown induced transcr... HDAC6 is involved in several biological processes related to aging-associated diseases.However,it was unknown whether HDAC6 could directly regulate lifespan and healthspan.We found that HDAC6 knockdown induced transcriptome changes to attenuate the aging changes in the Drosophila head,particularly on the inflammation and innate immunity-related genes.Whole-body knockdown of HDAC6 extended lifespan in the fly,furthermore brain-specific knockdown of HDAC6 extended both lifespan and healthspan in the fly.Our results established HDAC6 as a lifespan regulator and provided a potential anti-aging target. 展开更多
关键词 HDAC6 AGING DROSOPHILA INFLAMMATION Innate immunity Motor neuron
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