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15 pages, 1104 KB  
Article
Comparative Accuracy of Machine Learning and GBLUP for Predicting Genomic Estimated Breeding Values in Chickens
by Haoxiang Chai, Yuqi Yang, Dan Wang, Chao Ning, Xuguang Zhang, Wenwen Wang, Qin Zhang, Haigang Bao and Hui Tang
Genes 2026, 17(3), 315; https://doi.org/10.3390/genes17030315 - 12 Mar 2026
Viewed by 506
Abstract
Background: Machine learning (ML) holds great promise for genomic breeding value prediction in livestock and poultry, yet its application in layer breeding remains limited. Methods: In this study, we used whole-genome resequencing data from 834 Wenshui Luhua Green-Shelled (WLGS) laying hens to predict [...] Read more.
Background: Machine learning (ML) holds great promise for genomic breeding value prediction in livestock and poultry, yet its application in layer breeding remains limited. Methods: In this study, we used whole-genome resequencing data from 834 Wenshui Luhua Green-Shelled (WLGS) laying hens to predict genomic breeding values for eight egg production and egg quality traits using multilayer perceptron (MLP), random forest (RF), and genomic best linear unbiased prediction (GBLUP). Model performance was evaluated via 10-fold cross-validation, and the effects of data type and single nucleotide polymorphism (SNP) density were examined. Results: Heritability analysis indicated moderate heritability for egg number (EN) at 0.327. Egg weight-related traits (EW-30W, EW-40W, and EHD-40W) exhibited high heritability (0.570–0.631), while eggshell strength (ESS-40W) and thickness (EST-40W) showed moderate heritability at 0.228 and 0.220, respectively. Model comparisons revealed that RF performed best for egg shape index (ESI-30W, 0.395) and most egg quality traits, whereas GBLUP yielded optimal results for egg weight traits, achieving prediction accuracies of 0.392 for EW-30W and 0.432 for EW-40W. Whole-genome resequencing data consistently outperformed 50K chip data across all models, with GBLUP improving EW-40W prediction accuracy by 24.9%. SNP density analysis further showed that GBLUP remained stable under low-density conditions, while MLP and RF progressively improved with increasing density, with RF demonstrating the most pronounced advantage at high densities. Conclusions: In summary, the GBLUP model is suitable for traits with high heritability and low-density marker scenarios, while the RF model demonstrates significant predictive advantages for egg production and specific egg quality traits under high-density conditions. This study provides scientific basis for model selection in the genomic selection program for laying hens. Full article
(This article belongs to the Section Animal Genetics and Genomics)
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25 pages, 97187 KB  
Article
Trade-Off/Synergy Relationships of Ecosystem Services and Their Driving Mechanisms Based on Land Use Change Analysis
by Keke Sun, Yuhang Li, Weicheng Wu, Changsheng Ye, Wenwei Bao, Mo Chen, Fangyu Shi, Mingyue Liu, Kexin Zheng and Yueting Ren
Land 2026, 15(3), 357; https://doi.org/10.3390/land15030357 - 24 Feb 2026
Viewed by 460
Abstract
Land use transformation directly affects the stability and sustainability of regional ecosystems. Clarification of the trade-off/synergy dynamics among ecosystem services (ESs) provides a theoretical foundation to understand the transition of ES interactions from trade-offs to synergies, thereby facilitating the achievement in ecological sustainability [...] Read more.
Land use transformation directly affects the stability and sustainability of regional ecosystems. Clarification of the trade-off/synergy dynamics among ecosystem services (ESs) provides a theoretical foundation to understand the transition of ES interactions from trade-offs to synergies, thereby facilitating the achievement in ecological sustainability in the ecoregion. This study, taking Jiangxi Province, China, as an example, utilized the InVEST model, Theil–Sen estimator, Mann–Kendall test, bivariate spatial autocorrelation, ecosystem service bundles (ESBs), and Random Forest (RF) models to conduct such an ecosystem-focused integrated analysis. According to land use changes from 1980 to 2020, the time-series spatiotemporal patterns of water yield (WY), soil conservation (SC), habitat quality (HQ), and carbon storage (CS) were analyzed. Differences in ES trade-off/synergy relationships and their underlying motivating factors were examined using a 3 km spatial grid framework. Compared with previous studies that mainly focused on typical subregions and of which driver analyses often remained at the individual ES level, this study introduced an explainable RF-SHAP framework based on the cooperative game theory at the grid scale, to quantitatively characterize the relative contributions of every motivating factor to ES trade-off/synergy relationships. The results indicate that from 1980 to 2020, forests and croplands constituted the predominant land use types, taking up 88% of the studied area. Throughout this period, forests, croplands, and grasslands decreased markedly, while built-up areas expanded notably, with a rise of 2876.65 km2. Over the same time span, WY increased on average by 0.50% whereas SC, HQ, and CS declined by 0.50%, 0.98%, and 1.30%, respectively. Overall, these ESs demonstrated a geographical distribution characterized by low levels in SC, HQ and CS in the central area and high levels towards the provincial boundary. At the grid scale, the four ESs demonstrated predominantly a synergistic relationship while WY&HQ and WY&SC pairs were characterized by trade-offs. The constraint effect analysis revealed U-shaped relationships for SC&HQ, WY&HQ, and WY&SC, and inverted U-shaped relationships for SC&CS and HQ&CS, with clear threshold effects among these ES pairs. Based on self-organizing maps, the study area is partitioned into six ESBs, and the trade-off/synergy linkages of ESs are affected by the interplay of natural and societal forces. Elevation, slope, and rainfall emerge as the primary driving variables accompanied by population density and proximity to urban centers. These results are anticipated to offer reference to governments for their sustainable management in environmental resources to achieve United Nations Sustainable Development Goal (SDG) 15 (Life on Land: Protect, restore and promote sustainable use of terrestrial ecosystems). The methods used in this paper provide a replicable framework for exploring ES interactions and driving mechanisms in other ecologically sensitive regions in the world. Full article
(This article belongs to the Special Issue Land Degradation: Global Challenges and Sustainable Solutions)
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23 pages, 888 KB  
Article
Quantifying Urban Ecosystem Services for Community-Level Planning: A Machine Learning Framework for Service Quality and Residents’ Perceptions in Wuhan, China
by Fan Zhang, Yuqing Dong, Qikai Zhang, Yifang Luo and Aihua Han
Urban Sci. 2025, 9(11), 449; https://doi.org/10.3390/urbansci9110449 - 30 Oct 2025
Cited by 1 | Viewed by 1161
Abstract
Urban ecosystem services (ESs) are increasingly recognized as critical determinants of residents’ quality of life and well-being. This study develops a data-driven demand–supply matching framework to integrate ES concepts into community-level planning and service performance evaluation. Based on 312 resident surveys across 10 [...] Read more.
Urban ecosystem services (ESs) are increasingly recognized as critical determinants of residents’ quality of life and well-being. This study develops a data-driven demand–supply matching framework to integrate ES concepts into community-level planning and service performance evaluation. Based on 312 resident surveys across 10 communities in Wuhan, China, we identify the key environmental attributes shaping perceived service quality. A random forest (RF) algorithm is employed to assess the relative importance of environmental features, while a multinomial logit (Mlogit) model quantifies their specific effects. The results highlight that community autonomy, neighborhood relations, environmental awareness, and infrastructure—such as broadband networks and security systems—play pivotal roles in improving service quality. Although provisioning and regulating ESs, such as safety and infrastructure, are relatively well established, cultural services that promote social cohesion and civic participation remain under-supported. These findings uncover the heterogeneity of residents’ environmental expectations and provide actionable insights for incorporating ES-oriented thinking into community planning and fiscal decision-making. By bridging ecological theory with operational urban governance, this study contributes a replicable approach for advancing more inclusive and sustainable community development. Full article
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25 pages, 22900 KB  
Article
Urbanization and Ecosystem Services Supply–Demand Mismatches Across Diverse Resource-Based Cities: Evidence from Sichuan, China
by Tianwen Wang, Mingliang Luo, Leichao Bai and Weijie Li
Sustainability 2025, 17(16), 7331; https://doi.org/10.3390/su17167331 - 13 Aug 2025
Cited by 3 | Viewed by 1370
Abstract
Resource-based cities, characterized by a prolonged dependence on resource extraction and persistent urban expansion, frequently exhibit significant imbalances between the supply and demand of ecosystem services (ESs). Understanding how various types of resource-based cities respond to urbanization in terms of ESs supply–demand relationships [...] Read more.
Resource-based cities, characterized by a prolonged dependence on resource extraction and persistent urban expansion, frequently exhibit significant imbalances between the supply and demand of ecosystem services (ESs). Understanding how various types of resource-based cities respond to urbanization in terms of ESs supply–demand relationships is crucial for advancing sustainable urban development. This study examines three representative resource-based cities in Sichuan Province—Nanchong (growing), Luzhou (declining), and Panzhihua (mature)—to analyze changes in six key ESs from 2000 to 2020, including soil retention, carbon sequestration, water yield, habitat quality, food production, and recreational services. Ordinary least squares (OLS) regression and random forest (RF) models were employed to evaluate the effects of gross domestic product (GDP) density, construction land proportion (CLP), and population (POP) density on the ecosystem service supply–demand ratio (ESDR), and to explore variations in sensitivity among these cities. The results demonstrate that (1) ESs’ supply–demand patterns differ significantly among the three city types. Nanchong exhibited a declining supply and increasing demand for regulating services; Luzhou displayed improvements in its water yield and recreational services but persistent degradation of habitat quality; and Panzhihua achieved notable gains in carbon sequestration and habitat quality. (2) Urbanization generally reduced the ESDR across all three cities. However, the GDP density positively influenced the ESDR in Nanchong, while the CLP and the POP density exerted widespread negative effects. In Luzhou, the ESDR was primarily constrained by the CLP, whereas in Panzhihua, both the CLP and the POP density significantly reduced the ratio. (3) The sensitivity analysis revealed distinct response patterns: Nanchong was most sensitive to CLP, Luzhou responded most strongly to GDP density, and Panzhihua was highly sensitive to both GDP density and POP density. These findings underscore the necessity of formulating city-type-specific development strategies—such as land restoration, population control, and industrial upgrading—tailored to different types of resource-based cities, in order to reconcile urbanization with ecosystem service dynamics, promote green transformation, and contribute to the achievement of the Sustainable Development Goals (SDGs). Full article
(This article belongs to the Special Issue Land Use Planning for Sustainable Ecosystem Management)
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21 pages, 1675 KB  
Review
Biomarkers of Skeletal Muscle Atrophy Based on Atrogenes Evaluation: A Systematic Review and Meta-Analysis Study
by André Luiz Gouvêa de Souza, Anna Luisa Rosa Alves, Camila Guerra Martinez, Júlia Costa de Sousa and Eleonora Kurtenbach
Int. J. Mol. Sci. 2025, 26(8), 3516; https://doi.org/10.3390/ijms26083516 - 9 Apr 2025
Cited by 8 | Viewed by 2981
Abstract
Muscle atrophy leads to decreased muscle mass, weakness, inactivity, and increased mortality. E3 ubiquitin ligases, key regulators of protein degradation via the ubiquitin–proteasome system, play a critical role in atrophic mechanisms. This meta-analysis followed Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) [...] Read more.
Muscle atrophy leads to decreased muscle mass, weakness, inactivity, and increased mortality. E3 ubiquitin ligases, key regulators of protein degradation via the ubiquitin–proteasome system, play a critical role in atrophic mechanisms. This meta-analysis followed Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines, and its objective was to evaluate the association between E3 ligases Muscle Atrophy F-box (MAFbx)/Atrogin-1 (Fbxo32) and Muscle RING-finger protein 1 (MuRF-1) (TRIM63) E3 ligase mRNA levels, reductions in skeletal muscle CSA measures, and atrophy conditions. We examined papers published on PubMed®, Scopus, and Web of Science that studied E3 ligase gene expression signatures for Fbxo32 (MAFbx/Atrogin-1) and Trim63 (MuRF1) in different types of muscle atrophy and hypertrophy murine models. Twenty-nine studies selected by two independent raters were analyzed. Standardized mean differences (SMDs)/effect sizes (ESs) and 95% confidence intervals (CIs) were calculated for the outcomes using fixed-effects models. We found that 6- and 4.8-fold upregulation, respectively, of Fbxo32 and Trim63 was sufficient to reduce the ES to −3.89 (95% CI: −4.45 to −3.32) for the muscle fiber cross-sectional area and the development of skeletal muscle atrophy. I² and Q test statistics did not indicate heterogeneous data. There was a low probability of bias after both the funnel plot and Egger’s test analyses. These results were sustained independently of the atrophic model and muscle type. Therefore, the magnitude of the increase in muscle Fbxo32 and Trim63 mRNA is a feasible, reliable molecular marker for skeletal muscle atrophy in mice. The next step for the Ubiquitin-proteasome system (UPS) field involves elucidating the targets of E3 ligases, paving the way for diagnostic and treatment applications in humans. Full article
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17 pages, 6081 KB  
Article
Driving Mechanisms of Ecological Suitability Index in the Yellow River Basin from 1990 to 2020
by Bingbing Zhang, Yanjun Liu, Shuyao Du, Dengshuai Chen, Xin Li, Teng Liu, Jianrong Cao and Zengxin Zhang
Sustainability 2025, 17(3), 1307; https://doi.org/10.3390/su17031307 - 6 Feb 2025
Cited by 3 | Viewed by 1256
Abstract
Ecological security is of central significance for maintaining the integrity and stability of regional ecosystems. Nevertheless, current academic research systematically studying the complex driving mechanisms behind ecological security is deficient. Therefore, this study utilised ecological sources (ESs) and ecological resistance surfaces [...] Read more.
Ecological security is of central significance for maintaining the integrity and stability of regional ecosystems. Nevertheless, current academic research systematically studying the complex driving mechanisms behind ecological security is deficient. Therefore, this study utilised ecological sources (ESs) and ecological resistance surfaces (ERSs) to calculate and obtain the Ecological Suitability Index (ESI), thereby reflecting the ecological security status. The drivers of ESI in different areas of the Yellow River Basin (YRB) from 1990 to 2020 were explored using the random forest (RF) model and GeoDetector. The results of the study show that: (1) according to the results of the RF model, LANDUSE, NDVI, and PRE are the most important driving factors of the ESI in the upper (UYR), middle (MYR), and lower (LYR) reaches of the YRB; (2) according to the results of GeoDetector factor detection, in the UYR and MYR, the ESI is primarily influenced by natural factors such as NDVI and PRE, showing particularly significant impacts in 2010 and 2020; (3) in the LYR, the ESI is mainly influenced by NDVI, but the degree of influence from socioeconomic factors has significantly strengthened. This study provides a decision-making direction for ecological protection and coordinated development in the YRB. Full article
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30 pages, 12686 KB  
Article
Regional Urban Shrinkage Can Enhance Ecosystem Services—Evidence from China’s Rust Belt
by Ziqi Xu, Jiang Chang, Ziyi Wang, Zixuan Li, Xiaoyi Liu, Yedong Chen, Zhongyin Wei and Jingyu Sun
Remote Sens. 2024, 16(16), 3040; https://doi.org/10.3390/rs16163040 - 19 Aug 2024
Cited by 8 | Viewed by 3940
Abstract
Rapid urbanization is universally acknowledged to degrade ecosystem services, posing significant threats to human well-being. However, the effects of urban shrinkage, a global phenomenon and a counterpart to urbanization, on ecosystem services (ESs) remain unclear. This study focuses on China’s Rust Belt during [...] Read more.
Rapid urbanization is universally acknowledged to degrade ecosystem services, posing significant threats to human well-being. However, the effects of urban shrinkage, a global phenomenon and a counterpart to urbanization, on ecosystem services (ESs) remain unclear. This study focuses on China’s Rust Belt during the period from 2000 to 2020, constructing a comprehensive analytical framework based on long-term remote sensing data to reveal the temporal and spatial patterns of ESs and their associations with cities experiencing varying degrees of shrinkage. It employs a random forest (RF) model and a Shapley additive explanation (SHAP) model to measure and visualize the significance and thresholds of socioeconomic factors influencing changes in ESs. Our findings highlight the following: (1) Since 2010, the three provinces of Northeast China (TPNC) have begun to shrink comprehensively, with the degree of shrinkage intensifying over time. Resource-based cities have all experienced contraction. (2) Regional urban shrinkage has been found to enhance the overall provision capacity of ESs, with the most significant improvements in cities undergoing continuous shrinkage. (3) The impact of the same socioeconomic drivers varies across cities with different levels of shrinkage; increasing green-space ratios and investing more in public welfare have been identified as effective measures to enhance ESs. (4) Threshold analysis indicates that the stability of the tertiary sector’s proportion is critically important for enhancing ESs in cities undergoing intermittent shrinkage. An increase of 10% to 15% in this sector can allow continuously shrinking cities to balance urban development with ecological improvements. This research highlights the positive aspects of urban shrinkage, demonstrating its ability to enhance the provision capacity of ESs. It offers new insights into the protection and management of regional ecosystems and the urban transformation of the three eastern provinces. Full article
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12 pages, 2589 KB  
Review
Future of Endoscopic Spine Surgery: Insights from Cutting-Edge Technology in the Industrial Field
by Woon-Tak Yuh, You-Sang Lee, Jong-Hyeok Jeon and Il Choi
Bioengineering 2023, 10(12), 1363; https://doi.org/10.3390/bioengineering10121363 - 27 Nov 2023
Cited by 12 | Viewed by 7148
Abstract
In the evolving landscape of spinal surgery, technological advancements play a pivotal role in enhancing surgical outcomes and patient experiences. This paper delves into the cutting-edge technologies underpinning endoscopic spine surgery (ESS), specifically highlighting the innovations in scope cameras, RF equipment, and drills. [...] Read more.
In the evolving landscape of spinal surgery, technological advancements play a pivotal role in enhancing surgical outcomes and patient experiences. This paper delves into the cutting-edge technologies underpinning endoscopic spine surgery (ESS), specifically highlighting the innovations in scope cameras, RF equipment, and drills. The modern scope camera, with its capability for high-resolution imaging, offers surgeons unparalleled visualization, enabling precise interventions. Radiofrequency (RF) equipment has emerged as a crucial tool, providing efficient energy delivery for tissue modulation without significant collateral damage. Drills, with their enhanced torque and adaptability, allow for meticulous bone work, ensuring structural integrity. As minimally invasive spine surgery (MISS) becomes the standard, the integration and optimization of these technologies are paramount. This review captures the current state of these tools and anticipates their continued evolution, setting the stage for the next frontier in spinal surgery. Full article
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13 pages, 348 KB  
Article
Mental Health of the Russian Federation Population versus Regional Living Conditions and Individual Income
by Sergey A. Maksimov, Marina B. Kotova, Liliya I. Gomanova, Svetlana A. Shalnova, Yulia A. Balanova, Svetlana E. Evstifeeva and Oksana M. Drapkina
Int. J. Environ. Res. Public Health 2023, 20(11), 5973; https://doi.org/10.3390/ijerph20115973 - 27 May 2023
Cited by 6 | Viewed by 3623
Abstract
The objective of our study was to assess the impact of regional living conditions on the Russian population’s mental health. For the analysis, we used data from the cross-sectional stage of a 2013–2014 study, “Epidemiology of Cardiovascular Diseases in the Regions of the [...] Read more.
The objective of our study was to assess the impact of regional living conditions on the Russian population’s mental health. For the analysis, we used data from the cross-sectional stage of a 2013–2014 study, “Epidemiology of Cardiovascular Diseases in the Regions of the Russian Federation (ESSE-RF)”. The final sample included 18,021 men and women 25–64 years of age from 11 regions of Russia. Using principal component analysis, we performed an integral simultaneous assessment of stress, anxiety, and depression. To describe the regional living conditions, we utilized five regional indices, which were computed from publicly available data of the Federal State Statistics Service of Russia. Overall, mental health indicators were improved, on the one hand, with the deterioration of social conditions and an aggravation of the demographic depression in the region, but on the other hand, they were improved with an increase in economic and industrial development, along with economic inequality among the population. In addition, the impact of regional living conditions on mental health increased with a higher individual wealth. The obtained results provided new fundamental knowledge on the impact of the living environment on health, using the case study of the Russian population, which has been little studied in this regard. Full article
28 pages, 653 KB  
Article
Universal Local Linear Kernel Estimators in Nonparametric Regression
by Yuliana Linke, Igor Borisov, Pavel Ruzankin, Vladimir Kutsenko, Elena Yarovaya and Svetlana Shalnova
Mathematics 2022, 10(15), 2693; https://doi.org/10.3390/math10152693 - 29 Jul 2022
Cited by 18 | Viewed by 3865
Abstract
New local linear estimators are proposed for a wide class of nonparametric regression models. The estimators are uniformly consistent regardless of satisfying traditional conditions of dependence of design elements. The estimators are the solutions of a specially weighted least-squares method. The design can [...] Read more.
New local linear estimators are proposed for a wide class of nonparametric regression models. The estimators are uniformly consistent regardless of satisfying traditional conditions of dependence of design elements. The estimators are the solutions of a specially weighted least-squares method. The design can be fixed or random and does not need to meet classical regularity or independence conditions. As an application, several estimators are constructed for the mean of dense functional data. The theoretical results of the study are illustrated by simulations. An example of processing real medical data from the epidemiological cross-sectional study ESSE-RF is included. We compare the new estimators with the estimators best known for such studies. Full article
(This article belongs to the Special Issue New Advances and Applications of Extreme Value Theory)
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14 pages, 4426 KB  
Article
Lipoprotein Profile in Populations from Regions of the Russian Federation: ESSE-RF Study
by Victoria A. Metelskaya, Svetlana A. Shalnova, Elena B. Yarovaya, Vladimir A. Kutsenko, Sergey A. Boytsov, Eugeny V. Shlyakhto and Oxana M. Drapkina
Int. J. Environ. Res. Public Health 2022, 19(2), 931; https://doi.org/10.3390/ijerph19020931 - 14 Jan 2022
Cited by 7 | Viewed by 2839
Abstract
This study aimed to describe the dyslipidemia prevalence and pattern among adult populations from different regions (n = 13) of the Russian Federation (RF). Randomly selected samples (n = 22,258, aged 25–64) were studied according to the ESSE-RF protocol. Lipoprotein parameters [...] Read more.
This study aimed to describe the dyslipidemia prevalence and pattern among adult populations from different regions (n = 13) of the Russian Federation (RF). Randomly selected samples (n = 22,258, aged 25–64) were studied according to the ESSE-RF protocol. Lipoprotein parameters were estimated by routine methods. Statistical analyses were performed using R software (v.3.5.1). The overall dyslipidemia prevalence was 76.1% (76.9/75.3% for men/women). In women, total cholesterol (TC) and low-density lipoprotein (LDL)-C levels gradually increased with age (from 4.72 to 5.93 and from 2.76 to 3.79 mmol/L, respectively); in men, they reached a maximum by 45–54 (5.55 and 3.55 mmol/L, respectively) and then decreased. No differences in high-density lipoprotein (HDL)-C in men of different ages were found, but slight decreases in HDL-C and apo AI were observed in women by 55–64 years. No pronounced associations between education and lipid levels in men were observed; higher-educated women showed significantly better lipoprotein profiles. Similar associations between lipids and income level were detected. Women from rural areas had higher TC and triglycerides than urban residents. Regardless of sex, rural residents had higher HDL-C and apo AI, and reduced apo B/apo AI. Conclusion: Information on the peculiarities of dyslipidemia prevalence and lipoprotein profile depending on sex, age, residential place, and socioeconomic status is useful for assessing the global ASCVD risk, and for risk modeling based on national data. Full article
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12 pages, 538 KB  
Article
The Prevalence of Heterozygous Familial Hypercholesterolemia in Selected Regions of the Russian Federation: The FH-ESSE-RF Study
by Alexey N. Meshkov, Alexandra I. Ershova, Anna V. Kiseleva, Svetlana A. Shalnova, Oxana M. Drapkina, Sergey A. Boytsov and on behalf of the FH-ESSE-RF Investigators
J. Pers. Med. 2021, 11(6), 464; https://doi.org/10.3390/jpm11060464 - 24 May 2021
Cited by 36 | Viewed by 4398
Abstract
Heterozygous familial hypercholesterolemia (HeFH) is one of the most common genetic conditions but remains substantially underdiagnosed. The aim of our study was to investigate the prevalence of HeFH in the population of 11 different regions of Russia. Individuals were selected from the Epidemiology [...] Read more.
Heterozygous familial hypercholesterolemia (HeFH) is one of the most common genetic conditions but remains substantially underdiagnosed. The aim of our study was to investigate the prevalence of HeFH in the population of 11 different regions of Russia. Individuals were selected from the Epidemiology of Cardiovascular Risk Factors and Diseases in Regions of the Russian Federation Study. All participants who had low-density lipoprotein cholesterol (LDL-C) higher than 4.9 mmol/L, or LDL-C lower than 4.9 mmol/L, but had statin therapy, were additionally examined by FH experts. FH was diagnosed using the Dutch Lipid Clinic Network criteria, incorporating genetic testing. HeFH prevalence was assessed for 18,142 participants. The prevalence of patients with definite or probable HeFH combined was 0.58% (1 in 173). A total of 16.1% of patients with definite or probable HeFH had tendon xanthomas; 36.2% had mutations in one of the three genes; 45.6% of FH patients had coronary artery disease; 63% of HeFH patients received statins; one patient received an additional PCSK9 inhibitor; no patients received ezetimibe. Only 3% of patients reached the LDL-C goal based on 2019 ESC/EAS guidelines. Underdiagnosis and undertreatment of FH in Russia underline the need for the intensification of FH detection with early and aggressive cholesterol-lowering treatment. Full article
(This article belongs to the Section Epidemiology)
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16 pages, 1227 KB  
Article
Cardio-Ankle Vascular Index in the Persons with Pre-Diabetes and Diabetes Mellitus in the Population Sample of the Russian Federation
by Alexei N. Sumin, Natalia A. Bezdenezhnykh, Andrey V. Bezdenezhnykh and Galina V. Artamonova
Diagnostics 2021, 11(3), 474; https://doi.org/10.3390/diagnostics11030474 - 8 Mar 2021
Cited by 8 | Viewed by 2530
Abstract
The aim of this study was to evaluate Cardio-Ankle Vascular Index (CAVI) and increased arterial stiffness predictors in patients with carbohydrate metabolism disorders (CMD) in the population sample of Russian Federation. Methods: 1617 patients (age 25–64 years) were enrolled in an observational cross-sectional [...] Read more.
The aim of this study was to evaluate Cardio-Ankle Vascular Index (CAVI) and increased arterial stiffness predictors in patients with carbohydrate metabolism disorders (CMD) in the population sample of Russian Federation. Methods: 1617 patients (age 25–64 years) were enrolled in an observational cross-sectional study Epidemiology of Cardiovascular Diseases and Their Risk Factors in the Regions of the Russian Federation (ESSE-RF). The standard ESSE-RF protocol has been extended to measure the cardio-ankle vascular index (CAVI), a marker of arterial stiffness. Patients were divided into three groups: patients with type 2 diabetes mellitus (n = 272), patients with prediabetes (n = 44), and persons without CMD (n = 1301). Results: Median CAVI was higher in diabetes and prediabetes groups compared with group without CMD (p = 0.009 and p < 0.001, respectively). Elevated CAVI (≥9.0) was detected in 16.8% of diabetes patients, in 15.9% of those with prediabetes, and in 9.0% of those without CMD (p < 0.001). The factors affecting on CAVI did not differ in CVD groups. In logistic regression the visceral obesity, increasing systolic blood pressure (SBP) and decreasing glomerular filtration rate (GFR) were associated with a pathological CAVI in CMD patients, and age, diastolic blood pressure (DBP), and cholesterol in persons without CMD. Conclusions: the CAVI index values in the prediabetes and diabetes patients were higher than in normoglycemic persons in a population sample of the Russian Federation. Since the identified disorders of arterial stiffness in prediabetes are similar to those in diabetes, their identification is important to prevent further cardiovascular complications. Full article
(This article belongs to the Section Medical Imaging and Theranostics)
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