• 제목/요약/키워드: Serum vitamin D

검색결과 277건 처리시간 0.031초

신증후군 환아에서 스테로이드에 의한 골다공증 치료에 $1{\alpha}-(OH)D_3$와 Pamidronate의 효과 (The Effects of $1{\alpha}-(OH)D_3$ and Pamidronate on Steroid Induced Osteoporosis (SIO) in Children with Nephrotic Syndrome (NS))

  • 김성도;전혜원;조병수
    • Childhood Kidney Diseases
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    • 제6권2호
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    • pp.209-217
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    • 2002
  • 목적: 스테로이드 투여 요법은 소아기의 신증후군에 있어 표준적인 치료요법이 되어왔다. 그러나, 성장하는 소아에서 장기간 스테로이드 투여로 인한 골다공증은 심각한 합병증의 하나이다. 최근 골다공증의 예방과 치료에 calcium, calcitonin, parathyroid hormone, vitamin D, bisphosphonate 제재 등이 성인환자에서 사용되어지고 있으나 소아 신증후군 환아에서의 치료보고는 거의 없는 실정이다. 이에 저자들은 $1{\alpha}-(OH)D_3$와 Pamidronate의 치료효과를 보고자 골밀도 이중 에너지 흡수법을 이용하여 연구하였다. 대상 및 방법 :경희대학교 의과대학 부속병원 소아과에서 장기간 스테로이드 치료를 받았으며 이차적 골다공증이 생긴 60 명의 환아를 대상으로 하였다. 30명에겐 $1{\alpha}-(OH)D_3$를, 30명에겐 Pamidronate를 투여하였고, 혈청 단백질, 알부민, 요소질소, 크레아티닌, 칼슘, 인의 농도와 골밀도의 변화를 약제 투여전과 투여 6개월 후에 각각 측정하였다. 결과 및 결론 : 대상 환아의 평균 연령은 $1{\alpha}-(OH)D_3$ 와 Pamidronate 투여 집단에서 각각 평균 $6.9{\pm}3.3$$6.5{\pm}2.05$ 였고, 평균 스테로이드 투여 기간은 $28.8{\pm}1.8$$27.6{\pm}1.0$였다. 혈청 생화학 검사는 두 치료군 모두에서 치료 전과 후의 유의한 차이를 보이지 않았으나, 골밀도는 각각 치료전 $0.472{\pm}0.12$$0.457{\pm}0.10\;g/cm^2$에서 치료후 $0.533{\pm}0.12$$0.529{\pm}0.09\;g/cm^2$ 으로 의미있게 증가하였다. (P<0.05) $1{\alpha}-(OH)D_3$ 와 Pamidronate는 모두 장기간 스테로이드 치료를 요하는 소아 신증후군 환자에서 골다공증의 예방과 치료에 좋은 효과를 보여 주었다.

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Prepartum body condition score affects milk yield, lipid metabolism, and oxidation status of Holstein cows

  • Zhao, Wei;Chen, Xue;Xiao, Jun;Chen, Xiao Hui;Zhang, Xue Feng;Wang, Tao;Zhen, Yu Guo;Qin, Gui Xin
    • Asian-Australasian Journal of Animal Sciences
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    • 제32권12호
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    • pp.1889-1896
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    • 2019
  • Objective: This study aimed to investigate the effects of prepartum body condition score (BCS) on the milk yield, lipid metabolism, and oxidative status of Holstein cows. Methods: A total of 112 multiparous Holstein cows were divided into 4 groups according to the BCS at 21 days before calving: medium BCS (3.0 to 3.25, MBCS), high BCS (3.5 to 3.75, HBCS), higher BCS (4.0 to 4.25, HerBCS), and highest BCS (4.5 to 5.0, HestBCS). Blood samples were collected on 21, 14, and 7 days before calving (precalving), on the calving day (calving), and on 7, 14, and 21 days after calving (postcalving). The indices of lipid metabolism and oxidative status were analyzed using bovine-specific enzyme-linked immunosorbent assay kit. Colostrum were taken after calving and analyzed by a refractometer and milk analyzer. The individual milk yield was recorded every 3 days. Results: The density and levels of immune globulin and lactoprotein of colostrum from Holstein cows in the HestBCS group were the highest (p<0.05). These animals not only had the highest (p<0.05) levels of serum non-esterified fatty acids and beta-hydroxybutyrate, but also had the highest (p<0.05) levels of malondialdehyde, superoxide dismutase, catalase, vitamin A, and vitamin E. In addition, greater (p<0.05) BCS loss was observed in the HestBCS cows. Conclusion: This study demonstrates that the milk yield, lipid metabolism, and oxidative status of Holstein cows are related to prepartum BCS and BCS loss during the transition period. HestBCS cows are more sensitive to oxidative stress and suffer greater loss of BCS after calving, whereas the MBCS animals had better milk yield performance.

채식 성인여성의 식사형태 및 비타민, 영양제 복용과 혈중 지질, 혈당, 혈압과의 관련성에 관한 비교연구 (The Study of the Diet Style and Relationships among Vitamin and Nutrient Supplement Intakes, Serum Lipid Levels, Blood Sugar and Blood Pressure of Adult Female)

  • 차복경;최원경
    • 한국식품영양과학회지
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    • 제31권2호
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    • pp.306-314
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    • 2002
  • 조사대상자의 평균나이는 채식인 44.2세, 비채식인 40.5세, BMI는 각각 22.4, 21.0이었고, WHR은 0.8, 0.8였고, %BF는 28.7, 26.5였으며, 채식인의 평균채식기간은 13.1년이었다. 조사대상자중 비만인 사람의 식사 형태는 채식인은 볼륨형(58.8 %), 미식가형(20.6%), 다이어트형(8.8%), 패스트푸드형 (5.9%), 밸런스형(5.9%)의 순이었고 비채식인은 미식가형(33.3%), 볼륨형 (27.8%), 다이어트형 (16.7%), 패스트푸드형 (11.1%), 밸런스형(11.1%)의 순이었다. 채식인은 식사의 양이 많은 사람에게서 비채식인은 미식가형에서 비만이 많은 것으로 나타났다. 정상체중인 사람의 식사형태는 책식인은 볼륨형(45.1 %), 미식가형 (32.4%), 밸런스형 (16.2%), 다이어트형 (4.2%), 패스트푸드형 (2.1%)의 순으로 볼륨형과 미식가형이 약 78% 정도를 차지하였다. 비채식인은 볼률형(34.2%), 미식가형(26.1 %), 패스트푸드형 (22.6%), 밸런스형 (10.6%), 다이어트형 (6.5 %)의 순으로 의외로 볼륨형이 가장 많았다. 조사대상자의 평균 중성지방은 채식인 136.7 mg/dL, 비채식인 130.5 mg/dL 였고, total-cholesterol은 채식인 161.4 mg/dL, 비채식인 189.6 mg/dL, HDL-cholesterol은 채식인 48.2 mg/dL, 비채식인 50.8 mg/dL, LDL-cholesterol은 채식인 86.6 mg/dL, 비채식인 111.1 mg/dL, AI는 채식인 2.4, 비채식인 2.9, 혈당은 채식인 90.8 mg/dL, 비채식인 103.6 mg/dL, 수축기 혈압은 채식인 107.5 mmHg, 비채식인 119.3 mmHg, 이완기혈압은 채식인 72.4 mmHg, 비채식인 73.6 mmHg이었다. 조사대상자의 total-cholesterol, LDL-cholesterol, HDL-cholesterol, AI, 수축기혈압 및 혈당은 비채식인이 유의적으로(p<0.05) 높았으며, 심혈관질환 예견지수인 HDL-cholesterol/total-cholesterol 비는 채식인이 유의적으로(p<0.05) 높았다. 조사 대상자의 비타민 및 영양제 복용실태는 비타민을 복용한다고 한 사람은 채식인 53명(22.6%), 비채식인 71명 (29.0%), 영양제를 복용한다고 한 사람은 채식인 24명(10.2%), 비채식인 15명 (11.0%), 비타민이나 영양제를 먹지 않는다고 한 사람은 채식인 158명(67.2%), 비채식인 147명(60.0%)으로 두 군이 비슷한 비율이었다.

저병원성 조류인플루엔자 감염에 따른 육계의 면역인자 변화 (Changes in Immunological Factors Induced by H9N2 Avian Influenza Challenge in Broilers)

  • 김덕환;김규직;노진용;이선학;송창선;박혜경;남상섭
    • 한국가금학회지
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    • 제47권4호
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    • pp.229-235
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    • 2020
  • 가금산업에서 전염성 질병은 농장의 생산성에 악영향을 미치는 중요한 요인이다. 그 중 저병원성 조류인플루엔자는 산란율과 증체율에 영향을 준다. 본 연구에서는 육계에서 저병원성 조류인플루엔자 감염시 혈청 단백질 및 사이토카인의 변화 양상을 조사하였다. 1일령의 육계를 1주령부터 4주령까지 각 주령마다 저병원성 조류인플루엔자를 공격 접종 후 혈중 chDBP, Chicken Ovotransferrin, chIL-1β, chIL-6, chIFN-γ의 양을 비교하였다. 어린 주령에 저병원성 조류인플루엔자를 공격접종한 그룹에서는 4주령에 음성대조군과 비교해 chIL-1β, chIL-6가 유의성 있는 낮은 값을 보이는 것을 확인하였다. 추가적인 연구를 통하여 chIL-1β, chIL-6가 질병의 경과를 확인할 수 있는 보조적인 감염 지표로 활용될 수 있을 것으로 판단된다.

Effects of age on intestinal phosphate transport and biochemical values of broiler chickens

  • Li, Jianhui;Yuan, Jianmin;Miao, Zhiqiang;Guo, Yuming
    • Asian-Australasian Journal of Animal Sciences
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    • 제30권2호
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    • pp.221-228
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    • 2017
  • Objective: The objective of this experiment was to characterize the mRNA expression profile of type IIb sodium-inorganic phosphate cotransporter (NaPi-IIb) and the biochemical values of serum alkaline phosphatase (AKP), calcium, inorganic phosphorus, tibial ash and minerals of broiler chickens with aging. Methods: A total of 56 one-day-old Arbor Acres male broiler chickens were used. Broiler chickens were weighed and samples were collected weekly from day 1. Results: The result showed that before the growth inflection point, ash, calcium, and phosphorus content in the tibia of broiler chickens increased with growth (before 3 weeks of age), although there were no significant differences in chicks at different ages in the later period of the experiment and weight gain rate was relatively slow at this stage (4 to 6 weeks). NaPi-IIb gene expression in the small intestine in the early growth stage was higher than that in the later growth stage. Expression of calbindin and the vitamin D receptor protein in the intestinal mucosa increased with age in the duodenum and jejunum. Serum AKP activity first increased and subsequently decreased after peaking at 1 week of age, but there was no significant difference after 3 weeks of age. Conclusion: These results show that compared with the early growth stage, the weight-gain rate of broiler chickens in the late growth stage gradually decreased with gradual tibia maturation, along with weaker positive transport of phosphorus in the intestine and reinforced re-absorption of phosphorus in the kidney, which might be the reason that phosphorus requirement in the late growth stage was decreased.

Preliminary Investigation of Association between Methylphenidate and Serum Growth Markers in Children with Attention-Deficit/Hyperactivity Disorder: A Cross-Sectional Case-Control Study

  • Kim, Woo Jin;Bang, Young Rong;Kang, Je-Wook;Yoo, Jae Ho;Kim, Seong Hwan;Park, Jae Hong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제31권3호
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    • pp.154-160
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    • 2020
  • Objectives: It remains unclear whether methylphenidate (MPH) has yadverse effects on growth in children. This study aimed to investigate the association of MPH with serum biological markers of growth in children with attention-deficit/hyperactivity disorder (ADHD). Methods: The present study included 103 children with ADHD (64 drug-naive children, 39 MPH-treated children) and 112 control subjects. Children with ADHD were diagnosed on the basis of a semi-structured interview. Levels of biochemical markers of growth, including insulin-like growth factor-I, thyroid stimulating hormone (TSH), free T4, calcium, phosphorus, alkaline phosphatase, vitamin D, hemoglobin, total protein, albumin, total cholesterol, and hematocrit were measured in these individuals. Results: Except in case of TSH, no intergroup differences were found in the levels of the growth markers. The levels of TSH were found to be lower in the MPH-treated boys with ADHD than in the drug-naive and control groups (p<0.05), although the levels of TSH in all the groups were within normal limits. Conclusion: In this cross-sectional study, no significant association was found between MPH and growth markers. This calls for the need to carry out prospective longitudinal research studies in the future that investigate the effect of MPH on the growth trajectory in children.

30대 남성의 결혼 여부에 따른 신체계측, 혈액성상, 건강상태, 식품섭취빈도 및 영양소 섭취량 비교 - 국민건강영양조사(2008~2015년)에 기초하여 - (Anthropometic Characteristics, Serum Profiles, Health Status, Food Intakes Frequency and Nutrient Intakes by Married Status of Men Aged 30-39 - Based on Korean National Health and Nutrition Examination Survey (2008-2015) -)

  • 최순남;조광현;정남용
    • 대한영양사협회학술지
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    • 제23권3호
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    • pp.223-239
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    • 2017
  • This study was conducted to investigate the anthropometric data, serum profiles, nutrient intakes and diet quality of men in their 30s. The subjects were divided into a married group and an unmarried group. For the study, we obtained data for analysis from the combined 2008~2015 Korean National Health and Nutrition Examination Survey (KNHANES). Mean height and weight of study population were 173.5 cm, and 74.0 kg in the married group and 173.1 cm, and 73.6 kg in the unmarried group, respectively. Systolic blood pressure in the unmarried group was significantly higher than that of the married group (P<0.001), while circulating vitamin D levels in the married group were significantly higher than those of the unmarried group (P<0.001). The proportion of obesity in the two groups was 42.41% and 38.40%, respectively. In the unmarried group, prevalence of depression was significantly higher than that those of the married group. Intakes of energy, water, protein, fat, carbohydrate and calcium in the married group were significantly higher than those of the unmarried group. In both groups, water and fiber intakes were low and sodium intakes were extremely high based on the KDRIs (Dietary Reference Intakes for Koreans). The mean adequacy ratio (MAR) of the married group was higher than that of the unmarried group. The index of nutritional quality (INQ) in the married group was also higher than that of the unmarried group. Therefore, we propose development of dietary guidelines and education programs for improvement of food and nutrient intakes, nutrition balance and dietary quality of unmarried men in their 30s.

Effect of methyl donors supplementation on performance, immune responses and anti-oxidant variables in broiler chicken fed diet without supplemental methionine

  • Savaram, Venkata Rama Rao;Mantena, Venkata Lakshmi Narasimha Raju;Bhukya, Prakash;Paul, Shyam Sunder;Devanaboyina, Nagalakshmi
    • Animal Bioscience
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    • 제35권3호
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    • pp.475-483
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    • 2022
  • Objective: Methionine (Met) is involved in methyl group transfer besides protein synthesis. As the availability is limited and cost is high for synthetic Met, reductions in its inclusion in broiler diet may be possible by supplementing the low Met diets with methyl donors (MD) like betaine (Bet), folic acid (FA), vitamin B12 (B12), and biotin (Bio). An experiment was conducted to study the effects of supplementing the MD on performance (average daily gain [ADG], daily feed intake, feed efficiency [FE]), anti-oxidant variables, immune responses and serum protein concentration in broilers fed sub-optimal concentrations of dietary Met. Methods: Maize-soybean meal diet was used as control (CD). Different MD like Bet (0.2%), B12 (0.1 mg), FA (4 mg), or Bio (1.5 mg/kg) were supplemented to basal diet (BD) having no supplemental Met. The BD without MD was kept for comparison. Each diet was fed ad libitum to 10 replicates of 25 chicks in each from 1 to 42 d of age. Results: At the end of experiment, the ADG in MD group was higher than BD and lower than CD. The FE improved with FA or Bet compared to the BD. Breast meat weight was higher in Bet compared to the BD, while it was intermediate between BD and CD in other groups. The lipid peroxidation reduced with Bio, B12, or Bet, while the glutathione peroxidase activity improved with Bio or B12 compared to the BD. Lymphocyte proliferation improved with Bet compared to the BD. The serum protein concentrations increased with FA, Bio, or Bet compared to those fed BD. Conclusion: It can be concluded that the ADG can be improved partially with supplementation of MD while the FE improved with FA or Bet. Some MD also reduced the stress indices and improved immune responses compared to the BD fed broilers.

A novel de novo mosaic mutation in PHEX in a Korean patient with hypophosphatemic rickets

  • Yang, Misun;Kim, Jinsup;Yang, Aram;Jang, Jahyun;Jeon, Tae Yeon;Cho, Sung Yoon;Jin, Dong-Kyu
    • Annals of Pediatric Endocrinology and Metabolism
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    • 제23권4호
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    • pp.229-234
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    • 2018
  • X-linked hypophosphatemic rickets is caused by loss-of-function mutations in PHEX, which encodes a phosphate-regulating endopeptidase homolog. We report a 26-year-old man with X-linked hypophosphatemic rickets who showed decreased serum phosphate accompanied by bilateral genu valgum and short stature. He had received medical treatment with vitamin D (alfacalcidol) and phosphate from the age of 3 to 20 years. He underwent surgery due to valgus deformity at the age of 14 and 15. Targeted gene panel sequencing for Mendelian genes identified a nonsense mutation in PHEX (c.589C>T; p.Gln197Ter) and a mosaic pattern where only 38% of sequence reads showed the variant allele. This mutation was not found in his mother, who had a normal phenotype. This is a case of a sporadic nonsense mutation in PHEX and up to date, this is the first case of a mosaic mutation in PHEX in Korea.

항바이러스제에 의한 저인산성 골연화증으로 진단된 난치성 요통 (Recalcitrant Low Back Pain Diagnosed as Hypophosphatemic Osteomalacia Induced by Antiviral Medication)

  • 채현준;원준희;이원경;김기원
    • Clinical Pain
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    • 제20권2호
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    • pp.131-134
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    • 2021
  • We report a rare case of anti-viral agent induced hypophosphatemic osteomalacia presented with localized and radicular pain. A 51-year-old man, who had been taking adefovir for chronic hepatitis, had experienced low back pain radiating to his right thigh for 2 years. With impression of lumbar disc herniation, he underwent magnetic resonance imaging and found multi-level disc herniation with facet joint synovial cysts. He received transforaminal epidural steroid injections, however, symptoms did not improve. To find other possible causes, additional tests were performed. Blood tests revealed hypophosphatemia and increased serum alkaline phosphatase, and osteoporosis was noted in dual-energy X-ray absorptiometry with multiple hot uptakes in bone scan. After replacement of adefovir to entecavir and supplement of phosphate and vitamin D, phosphate level and the clinical symptoms were improved. This is the first to report the presentation of osteomalacia due to anti-viral agent as radicular low back pain with facet synovial cysts.