Triglyceride-glucose index in predicting the risk of new-onset diabetes in the general population aged 45 years and older: a national prospective cohort study
BMC Endocrine Disorders,
Journal Year:
2025,
Volume and Issue:
25(1)
Published: Jan. 26, 2025
Insulin
resistance
(IR)
is
often
present
in
diabetes,
which
imposes
a
heavy
burden
on
the
prevention
and
treatment
of
diabetes.
Triglyceride
glucose
index
(TyG)
simple,
reliable
reproducible
detecting
IR,
has
great
advantages
predicting
risk
The
aim
this
study
was
to
analyze
potential
association
between
TyG
diabetes
Chinese
middle-aged
older
adults
using
prospective
cohort
design.
This
used
longitudinal
data
from
five
waves
China
Health
Retirement
Longitudinal
Study
(CHARLS)
conducted
2011,
2013,
2015,
2018,
2020,
involving
5886
participants.
We
Cox
proportional
regression
modeling
investigate
new-onset
decision
tree
analysis
identify
high-risk
groups
for
Finally,
ROC
curves
were
applied
order
construct
predictive
model
A
total
1054
(17.9%)
participants
developed
throughout
9-year
follow-up.
Our
utilized
multivariate
found
significant
correlation
risk.
also
revealed
nonlinear
relationship
risk.Receiver
Operating
Characteristic(ROC)
curve
showed
that
Area
under
curve(AUC)
area
0.652
(P
<
0.05).
can
be
as
factor
elderly
population
China.
In
addition,
there
Improving
insulin
by
regulating
lipid
metabolism
plays
an
important
role
primary
Language: Английский
Caregiver Burden and Associated Factors Among Informal Caregivers of Hospitalized Elderly Patients in China: A Latent Profile Analysis
Hui Lv,
No information about this author
Shujie Yang,
No information about this author
Yuxi Zhang
No information about this author
et al.
Risk Management and Healthcare Policy,
Journal Year:
2025,
Volume and Issue:
Volume 18, P. 547 - 559
Published: Feb. 1, 2025
Caregiver
burden
is
a
critical
issue
in
healthcare,
particularly
among
informal
caregivers
of
hospitalized
elderly
patients,
as
it
can
significantly
impact
both
the
caregivers'
well-being
and
quality
patient
care.
This
study
aims
to
identify
latent
profiles
caregiver
patients
factors
associated
with
burden.
506
pairs
their
were
interviewed
using
Sociodemographic
questionnaire,
Burden
Inventory,
Perceived
Social
Support
Scale,
Generalized
Anxiety
Disorder,
Barthel
Index.
Latent
profile
analysis
identified
profiles,
multinomial
logistic
regression
determined
factors.
The
was
classified
into
three
profiles:
low
(49.01%),
moderate
(41.90%),
high
(9.09%).
Individual
(older
age,
economic
stress,
poor
self-rated
health,
caregiving
ability
profound
anxiety)
situational
(inadequate
social
support,
caring
for
limited
ADL)
level
(P<0.05).
These
showed
different
characteristics
dimensions
findings
provide
basis
developing
targeted
interventions
alleviate
enhance
care
quality.
Language: Английский
Comorbidity Patterns and Influencing Factors in Elderly Chronic Disease Patients: A Five-Year Retrospective Study
Yugao Wu,
No information about this author
Rongyue Li,
No information about this author
Guanghui Guo
No information about this author
et al.
Research Square (Research Square),
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 11, 2025
Abstract
Background:
This
study
aims
to
analyze
the
comorbidity
patterns
of
chronic
diseases
in
elderly
patients
aged
65
and
above
at
Panzhihua
Central
Hospital
their
relationships
with
gender
age,
revealing
strength
associations
between
common
diseases,
thereby
providing
data
support
for
clinical
management
public
health
strategies.
Methods:
retrospective
analyzed
medical
records
88,742
hospitalized
from
January
2019
December
2023.
Patient
data,
including
gender,
primary
diagnosis,
other
disease
diagnoses,
were
collected
through
hospital's
information
system.
Diseases
classified
statistically
according
International
Classification
Diseases,
10th
Revision
(ICD-10).
The
among
13
analyzed.
Results:
Hypertension,
diabetes,
coronary
heart
are
most
patients.
three-way
pattern
is
HTN
+
DM
CA,
a
prevalence
41.05%.
Gender
age
have
significant
impacts
on
patterns.
Chronic
obstructive
pulmonary
(COPD)
failure
(HF)
more
male
patients,
while
gastrointestinal
renal
predominant
females.
As
increases,
rate
cardiovascular
neurological
rises
significantly,
particularly
individuals
80
above.
Hypertension
shows
association
like
diabetes
disease,
relationship
atrial
fibrillation
strong,
suggesting
potential
shared
pathological
mechanism
these
diseases.
Conclusions:
there
high
degree
significantly
influence
patterns,
strong
findings
provide
important
evidence
population,
development
personalized
strategies
based
characteristics
optimize
allocation
resources.
Language: Английский
The characteristics of adverse reactions of three anti-prostate cancer drugs based on Vigiaccess database and bibliometric analysis
Frontiers in Pharmacology,
Journal Year:
2025,
Volume and Issue:
16
Published: March 27, 2025
Background
Androgen
antagonists,
including
apalutamide,
darolutamide,
and
enzalutamide,
play
a
crucial
role
in
the
treatment
of
prostate
cancer.
This
research
evaluated
adverse
drug
reactions
(ADRs)
associated
with
use
these
androgen
antagonists
as
reported
by
World
Health
Organization
(WHO).
Additionally,
it
compared
reaction
(ADR)
profiles
three
drugs
to
identify
which
one
presents
lowest
risk
for
individualized
patient
use.
Methods
study
employed
retrospective
descriptive
analysis
design.
We
collected
event
reports
marketed
from
WHO-VigiAccess
analyzed
them
combination
bibliometric
analysis.
calculated
percentage
each
compare
similarities
differences
among
drugs.
Results
A
total
172,020
events
(AEs)
were
VigiAccess
at
time
this
study.
Our
findings
show
apalutamide
causes
most
endocrine
disorders.
Darolutamide
has
highest
rate
blood
lymphatic
disorders,
while
enzalutamide
nervous
system
The
ten
common
ADRs
identified
fatigue,
rash,
death,
hot
flush,
diarrhoea,
asthenia,
nausea,
dizziness,
arthralgia,
decreased
appetite.
Conclusion
utilizes
real
data
WHO-VigiAccess,
offers
valuable
insights
clinical
reference.
On
hand,
we
confirm
both
existing
potential
effects
antagonists.
other
possible
future
directions,
thereby
supporting
case
more
scientific
treatment.
Language: Английский
Impact of medical-nursing combined policy pilot on hospitalization frequency of middle-aged and older patients with chronic diseases: a quasi-experimental study based on China Health and Retirement Longitudinal Study
Frontiers in Public Health,
Journal Year:
2024,
Volume and Issue:
12
Published: Oct. 11, 2024
Background
To
address
the
growing
burden
of
older
adult
care,
Chinese
government
has
introduced
a
policy
that
integrates
medical
care
with
elder
launching
two
batches
national
pilot
projects.
A
majority
population
suffers
from
one
or
more
chronic
diseases,
many
experiencing
multiple
conditions,
necessitating
support
both
and
services.
Methods
Using
panel
data
China
Health
Retirement
Longitudinal
Study
(CHARLS)
spanning
2011
to
2020,
this
study
employs
difference-in-difference
(DID)
model
analyze
impact
integrated
medical-nursing
on
physical
health
patients
diseases.
Results
The
found
average
annual
number
hospitalizations
for
individuals
diseases
was
0.276.
reduced
by
0.0405.
Additionally,
hospitalization
rate
0.339,
higher
than
former
group.
0.0738
in
Conclusion
demonstrates
implementation
significantly
improved
should
promote
these
policies
larger
scale,
explore
various
forms
provide
comprehensive
services
Language: Английский
Inhibition of the RXRA-PPARα-FABP4 signaling pathway alleviates vascular cellular aging by an SGLT2 inhibitor in an atherosclerotic mice model
Weiwei Zhang,
No information about this author
Linghuan Wang,
No information about this author
Yujia Wang
No information about this author
et al.
Science China Life Sciences,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Aug. 29, 2024
Language: Английский
The clinical advantages of making our hospitals older adult friendly.
Canadian Journal of Cardiology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 1, 2024
Language: Английский
Wearable equipment-based telemedical management via multiparameter monitoring on cardiovascular outcomes in elderly patients with chronic coronary heart disease: an open-labelled, randomised, controlled trial
BMJ Health & Care Informatics,
Journal Year:
2024,
Volume and Issue:
31(1), P. e101135 - e101135
Published: Dec. 1, 2024
Background
The
prevalence
of
chronic
coronary
heart
diseases
(CHDs)
increases
with
age
in
the
elderly,
which
represents
one
top-ranked
causes
death
and
disease
burden.
Methods
This
study
aimed
to
investigate
management
efficiency
telemedicine
based
on
remote
multiparameter
monitoring
elderly
patients
CHD.
A
total
1248
diagnosed
CHD
were
enrolled.
subjects
randomly
divided
into
two
groups,
wearable
equipment-based
telemedical
(WTM)
group
traditional
follow-up
(TFM)
group.
Face-to-face
clinical
interview
at
least
once
every
2
months
was
required
TFM
collect
medical
records.
Patients
WTM
provided
equipment
complete
monitoring,
real-time
alerts
health
intervention
via
virtual
consultations
medication
recommendations.
Results
mean
71.1
(68.0–82.0)
years
71.0
(68.0–81.0)
years,
respectively.
After
a
12-month
management,
presented
lower
occurrence
hospitalisation
(HR
0.59,
95%
CI=0.47
0.73,
p<0.0001)
major
adverse
cardiac
events
0.60,
CI=0.44
0.82,
p=0.0012)
compared
Conclusion
could
help
out-of-hospital
reduce
incidence
rehospitalisation
Language: Английский
Prevalência da participação de pessoas idosas brasileiras em Atividades Avançadas da Vida Diária e fatores associados
Revista Brasileira de Epidemiologia,
Journal Year:
2024,
Volume and Issue:
27
Published: Jan. 1, 2024
Resumo
Objetivo:
Estimar
a
prevalência
da
participação
de
pessoas
idosas
brasileiras
em
Atividades
Avançadas
Vida
Diária
e
fatores
associados.
Métodos:
Estudo
transversal
desenvolvido
com
dados
secundários
Pesquisa
Nacional
Saúde
(PNS).
Foram
incluídas
(60
anos
ou
mais).
A
variável
dependente
foi
composta
pelas
questões
PNS
referentes
à
realização
relacionadas
trabalho,
lazer
social.
realizados
análise
descritiva,
teste
Rao-Scott
resíduo
padronizado.
As
medidas
efeito
foram
calculadas
por
modelos
simples
múltiplos
regressão
logística
multinominal.
Resultados:
maioria
das
apresenta
baixa
para
as
Diária.
do
sexo
masculino,
entre
60
69
anos,
brancas,
regiões
Sudeste,
Sul
Centro-Oeste,
níveis
educacionais
mais
elevados,
ausência
doenças
crônicas,
consumo
mensal
álcool,
prática
atividade
física
regular,
ingestão
frequente
verduras
legumes,
uso
óculos
independência
no
deslocamento
estavam
propensas
executar
Conclusão:
Esses
resultados
reforçam
influência
significativa
dos
demográficos,
socioeconômicos
clínicos
ligados
ao
estilo
vida
capacidade
intrínseca
na
execução
No
âmbito
amplo,
tais
descobertas
podem
fortalecer
políticas
públicas
envelhecimento
ativo
saudável.
Prevalence of participation of Brazilian aged people in Advanced Activities of Daily Living and associated factors
Revista Brasileira de Epidemiologia,
Journal Year:
2024,
Volume and Issue:
27
Published: Jan. 1, 2024
ABSTRACT
Objective:
To
estimate
the
prevalence
of
participation
aged
Brazilians
in
Advanced
Activities
Daily
Living
and
associated
factors.
Methods:
Cross-sectional
study
developed
with
secondary
data
from
National
Health
Survey.
Aged
people
(60
years
old
or
older)
were
included.
The
dependent
variable
consisted
questions
Survey
regarding
performance
Living,
related
to
work,
leisure,
social
participation.
Descriptive
analysis,
Rao-Scott
test,
standardized
residual
analysis
performed.
Effect
measures
calculated
using
simple
multiple
multinominal
logistic
regression
models.
Results:
majority
Brazilian
have
low
Living.
males,
between
60
69
old,
white,
Southeast,
South
Central-West
regions,
higher
educational
levels,
absence
chronic
diseases,
monthly
alcohol
consumption,
regular
physical
activity,
frequent
intake
vegetables,
use
glasses
independence
when
moving,
more
likely
perform
Conclusion:
These
results
reinforce
significant
influence
demographic,
socioeconomic,
clinical
factors,
linked
lifestyle
intrinsic
capacity
execution
In
a
broader
sense,
such
discoveries
can
strengthen
public
policies
for
active
healthy
aging.
Language: Английский