ABSTRACT
Purpose@#Despite the high prevalence of postdialysis fatigue (PDF) in maintenance hemodialysis patients, no meta-analysis on the prevalence and risk factors of PDF has yet been published. This study aimed to identify the prevalence of PDF and explore its related factors. @*Methods@#PubMed, Embase, CENTRAL, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and the four Chinese databases (National Knowledge Infrastructure [CNKI], Chinese Biomedical Literature database [SinoMed], Wanfang Digital Periodicals [WANFANG], and Chinese Science and Technology Periodicals [VIP] database) were searched from inception up to July 2022. This study was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. The articles were independently searched by two reviewers, and the relevant data were extracted. The Agency for Healthcare Research and Quality was used to assess the quality of the included studies. @*Results@#Thirteen articles with 2,118 participants were included. The pooled prevalence was 60.0%. The meta-analysis results revealed that the ultrafiltration volume, mean arterial pressure after dialysis, and good sleep quality were potentially associated with PDF, whereas only good sleep quality (odds ratio 0.24, 95% confidence interval 0.19e0.30) was significantly associated with PDF. @*Conclusion@#PDF is common in maintenance hemodialysis patients, which is related to the ultrafiltration volume, sleep quality, and mean arterial pressure after dialysis. However, the mechanism underlying the risk factors and PDF remains unknown. Further research is warranted to investigate the risk factors, intervention, treatment, and mechanism in maintenance hemodialysis patients.
ABSTRACT
Aim: To observe the interference of corn water decoction on endogenous metabolites in urine of rats with type 2 diabetes mellitus (T2DM), and to investigate the hypoglycemic mechanism of corn silk in metabonomics. Methods: Wistar rats were fed with high-sugar and high-fat diet for four weeks, and a small dose of streptozotocin was intraperitoneally injected to replicate the T2DM model. The modeled rats were divided into model control group and corn silk group. The corn silk group was given water to the corn water decoction(10. 8 g · kg-1) for four weeks. The state of the rats was observed during the administration, and blood glucose levels were monitored every two weeks. After treatment, the fasted 12 h urine samples were collected and the changes analyzed by UPLC/Q-TOF-MS combined with principal component analysis and orthogonal partial least squares-discriminant analysis methods. Results: Maize water decoction could significantly reduce blood glucose levels and improve symptoms in diabetic rats. In the positive and negative ion modes, a total of 12 differential markers were screened. These differential markers include chenodeoxycholic acid, glycocholic acid, argininosuccinic acid, etc. Conclusions: The hypoglycemic mechanism of corn decoction may be related to the metabolism of tricarboxylic acid, biosynthesis of bile acids, metabolism of color amino acid, etc. It also suggests that it may play a protective role in liver and kidney function.