Comparative analysis of the association between traditional and lipid-related obesity indicators and isolated systolic hypertension : Association of obesity indicators with ISH.

BACKGROUND: Obesity is a well-known modified risk factor for isolated systolic hypertension (ISH), but evidence is lacking regarding whether the combination of anthropometric and lipid indicators could strengthen their correlation with ISH. Therefore, we compared the association of body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), visceral adiposity index (VAI), lipid accumulation product index (LAP), and cardiometabolic index (CMI) with ISH. METHODS: A total of 106,248 adults who received routine health screening and did not have diastolic blood pressure ≥ 90 mmHg were recruited in this cross-sectional study. The associations between these indicators and ISH were evaluated using multivariate regression. RESULTS: Each standard deviation (SD) increase in traditional obesity indicators (especially WHR and WHtR) had significantly higher multivariate-adjusted odds ratios (ORs) than each SD increase in lipid-related obesity indicators. In addition, multivariate-adjusted ORs for ISH in the third (vs. the first) tertile of traditional obesity indicators were also significantly higher than those of lipid-related indicators. Moreover, traditional obesity indicators exhibited a higher area under the ROC curve for discriminating ISH than lipid-related obesity indicators. CONCLUSIONS: Traditional obesity indicators were more strongly associated with ISH than lipid-related obesity indicators among Chinese adults.

[Responses of subalpine meadow to climatic factors and the time lag effects in Wuyi Mountains from 2000 to 2019]. / 2000­2019å¹´æ­¦å¤·å±±äºšé«˜å±±è‰ç”¸å¯¹æ°”å€™å› å­çš„å“åº”åŠå ¶æ—¶æ»žæ•ˆåº”.

Subalpine meadow is extremely sensitive to climate change. Few studies, however, focused on the responses of subalpine meadow to climatic factors in subtropical regions. It is still a challenge to extract the biophysical parameters from optical remote sensing imagery during the growing season. Based on the normalized difference vegetation index (NDVI) time series dataset from the MOD13Q1 vegetation index products and meteorological data, we analyzed the changes of vegetation growth of subalpine meadow at Huanggang Mountain in the top of Wuyishan National Park from 2000 to 2019, its responses to climate factors and the time lag effects. The results showed that NDVI in summer increased insignificantly during 2000-2019, and that NDVI in the growing season, spring, and autumn increased significantly. The enhancement of NDVI was mainly contributed by the increasing temperature (0.026 ℃·a-1) from 2000 to 2019. The increasing temperature in spring and autumn influenced meadow growth more than that in summer and growing season. NDVI of the growing season in subalpine meadow was sensitive to precipitation,indicating that the growth of subalpine meadow was strongly affected by precipitation even in the subtropical region with sufficient precipitation. Temperature and precipitation in different growth periods had different time lag effects on the NDVI of subalpine meadowo. The time lag effects of temperature on subalpine meadow were 0-1 month, and that of precipitation were 2-3 month.

Association between three non-insulin-based indexes of insulin resistance and hyperuricemia.

OBJECTIVE: The association between hyperuricemia and insulin resistance (IR) has been demonstrated by many studies, but the traditional IR indexes are too impractical to be used in clinical practice for the recognition of the IR state in individuals with hyperuricemia. Therefore, we aimed to further investigate the association between hyperuricemia and three non-insulin-based IR indexes in this large-scale cross-sectional study. METHODS: A total of 174,695 adults without self-reported use of antihyperuricemic agents, hypoglycemic agents, or lipid-lowering drugs were included in the current analysis. The triglyceride to high-density lipoprotein cholesterol ratio (TG/HDLc), the product of fasting triglycerides and glucose (TyG), and metabolic score for IR (METS-IR) were calculated. Then, logistic regression analyses were applied to explore their association with hyperuricemia. RESULTS: The TG/HDLc, TyG, and METS-IR all had positive correlations with uric acid level. However, only TG/HDLc and TyG were significantly associated with hyperuricemia in both sexes and body mass index (BMI) classification (the ORs of the highest quartile for each were 6.751 and 1.505 in females and 6.487 and 1.646 in males, respectively). The AUC values of TG/HDLc and TyG to discriminate hyperuricemia were also statistically significant in both sexes and BMI classification (all greater than 0.7). CONCLUSIONS: TG/HDLc and TyG are strongly associated with hyperuricemia regardless of BMI classification. These two obtainable and cost-effective non-insulin-based IR indexes could be potential monitors during the management of hyperuricemia and prevention of its IR-driven comorbidities. Key Points • In this large-scale study, we identified TG/HDLc and TyG as indicators for identification of IR in patients with hyperuricemia. • These simple and practical IR indicators are of substantial clinical importance for implementing preventive strategies against IR-driven comorbidities of hyperuricemia.