Search Results (4,889)

Background/Objectives: Perioperative fasting combined with procedure-related trauma increases the risk of malnutrition and determines the treatment outcomes of surgical patients. The aim of this study was to assess the range of metabolic deficiencies and the effectiveness of oral nutritional supplements (ONSs) after surgical intervention. Methods: 84 patients undergoing elective abdominal surgery were included in this study. Patients were divided into three groups: receiving a low-osmotic ONS (Group I), high-osmotic ONS (Group II), and Group III, who did not receive any oral supplementation. The clinical assessment involved body weight measurements and metabolic blood tests preoperatively and on the 4th, 7th, 14th, and 28th postoperative days. Results: The mean blood levels of total protein, albumin, cholesterol, and blood lymphocyte count decreased in the first 4 days after surgery and returned to baseline between 7 and 14 days. Similarly, BMI dropped during the first two weeks and then stabilized or returned to pre-surgery values. Triglycerides initially increased and, after 14 days, started to normalize. Patients receiving an ONS compensated quicker than the control group and more efficiently with low-osmotic supplements. Conclusions: Surgical trauma is associated with metabolic deficiency. The early administration of ONSs provides significant benefits to patients undergoing abdominal surgery. Low-osmotic supplements are especially recommended due to better tolerance. Full article

Background: Gastrectomy for gastric cancer is associated with substantial metabolic, nutritional, and immunological disturbances that may significantly influence postoperative recovery. Increasing evidence suggests that perioperative immunonutritional status, particularly when assessed by the Controlling Nutritional Status (CONUT) score, represents an important predictor of surgical outcomes. However, prospective data evaluating sex-related differences in postoperative nutritional recovery after gastrectomy remain limited. The aim of this study was to evaluate sex-related differences in perioperative immunonutritional status and functional recovery after gastrectomy for gastric cancer using serial CONUT score assessment. Methods: This prospective observational cohort study included 150 consecutive patients undergoing curative-intent gastrectomy for gastric adenocarcinoma at a tertiary referral center between 2021 and 2024. Nutritional and immune status were longitudinally assessed using the CONUT score at predefined perioperative timepoints: preoperatively (T0), early postoperatively (T1), and at 3-month follow-up (T3). Functional recovery outcomes, postoperative complications, and mid-term functional parameters were compared between male and female patients. Multivariable logistic regression analysis was performed to identify independent predictors of delayed postoperative recovery. Results: The study population included 91 male patients (60.7%) and 59 female patients (39.3%). Significant postoperative deterioration in albumin levels, lymphocyte counts, total cholesterol, and CONUT scores were observed in the entire cohort (p-time < 0.001 for all comparisons), followed by partial recovery during follow-up. No significant sex-related differences were identified regarding longitudinal immunonutritional evolution, postoperative complications, gastrointestinal recovery, or functional outcomes (p > 0.05). Overall postoperative complications occurred in 31.3% of patients, while 90-day mortality was 2.7%. An elevated baseline CONUT score ≥ 5 (OR 2.74, 95% CI 1.48–5.09, p = 0.001), postoperative CONUT score T1 ≥ 5 (OR 3.36, 95% CI 1.82–6.19, p < 0.001), ASA class III (OR 2.08, 95% CI 1.19–3.63, p = 0.010), and anastomotic leakage (OR 4.91, 95% CI 1.74–13.88, p = 0.003) independently predicted delayed functional recovery. Male sex was not independently associated with adverse postoperative recovery (OR 1.18, 95% CI 0.74–1.89, p = 0.44). Conclusions: Gastrectomy induces significant postoperative immunonutritional deterioration irrespective of sex. Although biological sex did not independently influence postoperative recovery trajectories, impaired perioperative immunonutritional status—particularly elevated postoperative CONUT score—was strongly associated with delayed functional recovery. Serial perioperative CONUT assessment may represent a valuable tool for individualized postoperative risk stratification and nutritional management in gastric cancer patients undergoing gastrectomy. Full article

Background/Objectives: Glucagon-like peptide-1 receptor agonists (GLP-1 RAs), particularly semaglutide, have demonstrated efficacy for weight loss in obesity; however, up to 40% of weight lost may derive from lean body mass. The ketogenic diet independently improves insulin sensitivity and promotes fat oxidation while preserving lean tissue. This study aimed to describe changes in body composition, insulin sensitivity, and cardiometabolic markers in patients who followed a personalized ketogenic dietary protocol while receiving low-dose semaglutide over a 6-month insulin resistance reversal program. Methods: Seven analyzed adults (six female, one male) with overweight or obesity (baseline BMI 25.6–47.2 kg/m²) participated in a clinician-supervised 6-month program combining a whole-food ketogenic diet with semaglutide (≤1.0 mg/week). Body composition and fasting metabolic markers were assessed at 1, 3, and 6 months. Results: Mean total weight loss was 21.9 kg, of which a mean of 92% was attributable to BIA-estimated fat mass. Skeletal muscle mass was largely preserved as measured by BIA (mean loss 1.2 kg), and one patient gained lean tissue. Fasting insulin declined by a mean of 15.6 µIU/mL. Visceral fat decreased by a mean of 37.0%. Six of seven patients showed reductions in high-sensitivity C-reactive protein. Triglycerides decreased in six of seven patients, and HDL cholesterol increased in all seven. LDL cholesterol responses were heterogeneous. Conclusions: In this small, uncontrolled case series, combining a ketogenic diet with low-dose semaglutide was associated with substantial fat loss, apparent preservation of lean mass as measured by BIA, and improvements in insulin sensitivity and cardiometabolic markers. Because the semaglutide dose and dietary protocol were individualized to each patient’s response, the program illustrates a personalized approach to insulin resistance. These preliminary findings are hypothesis-generating and warrant confirmation in controlled prospective studies. Full article

Aging-associated dyslipidemia and chronic low-grade inflammation contribute to atherosclerosis and cardiovascular risk. As a blend of long-chain aliphatic alcohols, policosanol from insect wax (PIW) has been documented to regulate lipid metabolism. However, the effects of PIW on atherosclerosis remain insufficiently characterized. In this study, ApoE^−/− mice fed a high-fat diet were concurrently administered PIW (75 and 150 mg/kg) for eight weeks. PIW was associated with weight gain reduction and improvement in lipid profile, particularly a decrease in triglycerides and total cholesterol. PIW also lowered circulating inflammatory biomarkers (IL-6, TNF-α, and C-reactive protein). Histopathological analyses revealed attenuated hepatic injury and reduced aortic lipid deposition and lesion features. In parallel, PIW reduced serum endothelin-1 and oxidized LDL levels and modulated aortic ET-1, MMP-9/TIMP-1 balance, and LOX-1/NF-κB-related protein signals. Notably, as PIW was administered concurrently with high-fat diet induction, these findings should be interpreted within a preventive intervention framework. Collectively, PIW help attenuate HFD-associated atherosclerotic features and hold promise as a functional food ingredient for cardiovascular health and healthy aging. Full article

Owing to their favorable stability and safety profile, postbiotics—defined as functional metabolites originating from probiotic microbes—have attracted growing interest in the field of companion animal health care. The present work sought to evaluate how postbiotics prepared from Lactiplantibacillus plantarum and Pediococcus lactis influence lipid metabolism, blood biochemistry, and the composition of fecal microbiota in felines. Eighteen clinically healthy adult cats were assigned at random to three equal-sized groups: a control treatment (n = 6, a basal diet), a L. plantarum postbiotic L-27-2 group (n = 6, a basal diet with 10⁹ CFU equivalent/kg/day), and a P. lactis L-14-1 postbiotic group (n = 6, a basal diet with 10⁹ CFU equivalent/kg/day). The supplementation lasted four weeks. Both postbiotics significantly lowered serum total cholesterol (TC) and triglycerides (TG) concentrations (p < 0.05), demonstrating a modulatory action on lipid metabolism in cats. The L-27-2 postbiotic selectively enriched beneficial taxa, notably Bifidobacterium (p < 0.05). Furthermore, fecal levels of malodorous compounds were significantly decreased by both treatments (p < 0.05). The results suggested both postbiotics have potential positive effects in cats. These findings are preliminary and hypothesis-generating. Full article

Background/Objectives: Intramuscular adipose tissue (IntraMAT) is the ectopic fat which accumulates within skeletal muscle. The relationship between trunk IntraMAT content and dietary intake was shown to differ with age in men, but it remains unclear the relationship in women. Therefore, the present study investigated the associations of IntraMAT content with dietary intake and eating behavior in younger and older women. Methods: This cross-sectional study involved 24 young women aged 18 to 23 years (body mass index (BMI): 20.5 ± 2.3 kg/m²) and 25 older women aged 66 to 77 years (BMI: 21.7 ± 2.5 kg/m²) who participated. IntraMAT content was assessed by magnetic resonance imaging at the height of the 3rd lumbar vertebra. Dietary intake was evaluated using a self-administered diet history questionnaire. Eating behavior was evaluated by scores calculated using the eating behavior questionnaire in the guideline for obesity (2022). Blood properties related to metabolic syndrome were also measured. Results: In the younger group, IntraMAT content was significantly related to HDL cholesterol and insulin (r_s = −0.411 and 0.415, p < 0.05). In the older group, IntraMAT content significantly correlated with the percentage of energy from protein, sense of hunger, and total eating behavior (r_s = −0.410 to 0.412, p < 0.05). Conclusions: Trunk IntraMAT content may be related to dietary protein intake and eating behavior in the older group. Full article

The rs1544410 (BsmI) polymorphism of the vitamin D receptor (VDR) gene has been implicated in metabolic regulation, although its role in metabolic syndrome (MetS) and related phenotypes remains unclear. This study aimed to evaluate associations between rs1544410, MetS status, and anthropometric and biochemical parameters in institutionalized older adults. A total of 95 participants were included, of whom 40% met the criteria for MetS. Anthropometric and biochemical profiles were assessed, and rs1544410 genotyping was performed. Differences between MetS and non-MetS groups were analyzed, and two-way ANOVA was used to evaluate genotype, MetS status, and their interaction effects. Participants with MetS showed an adverse cardiometabolic profile, characterized by higher triglycerides (TGs), waist-to-hip ratio (WHR), and atherogenic index of plasma (AIP), as well as lower HDL-C levels compared with non-MetS individuals. No differences were observed for total cholesterol (TC), LDL-C, or non-esterified fatty acids (NEFAs) between groups. Genotype distributions did not differ between MetS and non-MetS participants. However, significant genotype × MetS interactions were observed for TG and NEFA, with a borderline interaction for WHR that was not confirmed in post hoc analyses. Carriers of the rs1544410 AA genotype within the MetS group exhibited higher TG and NEFA levels compared with other genotypes, whereas no genotype-dependent differences were observed in the non-MetS group. Importantly, AIP was higher in participants with MetS, with the highest values observed in AA genotype carriers. In conclusion, the rs1544410 polymorphism was not associated with MetS status but was linked to MetS-related differences in TG, NEFA, and AIP, suggesting selective effects on lipid metabolism. Full article

Background: Chronic exposure to artificial light at night (light pollution) causes circadian desynchronosis and melatonin deficiency, which is considered an independent driver of metabolic disorders and accelerated aging. However, the long-term effects of chronic desynchronosis on systemic metabolism and liver structure throughout the life cycle, as well as the potential of preventive melatonin administration, remain poorly understood. Objective: To evaluate the effects of chronic dark deprivation and prevention of metabolic disorders by exogenous melatonin on plasma melatonin levels, metabolic profile, liver function, and morphological changes in rats over a 24-month experiment. Methods: A 24-month experiment was conducted on 360 male Wistar rats divided into three groups: control (standard 10:14 h light/dark photoperiod), dark deprivation (DD, constant illumination), and correction (DD+Mel, constant illumination + melatonin 10 mg/kg five times per week). Animals were sacrificed at 6, 12, 18, and 24 months. Plasma melatonin was assessed by ELISA. Biochemical parameters (ALT, AST, LDH, total protein, albumin, bilirubin, glucose, triglycerides, and cholesterol), body weight, liver weight, relative liver weight, and histological parameters (steatosis, fibrosis, nuclear area, nuclear/cytoplasmic ratio, and binucleated hepatocytes) were analyzed. Results: In the DD group, a persistent progressive melatonin deficiency was detected (5.1-fold decrease by 6 months, p < 0.0005), accompanied by hypertriglyceridemia (Cohen’s d = 6.40), hypercholesterolemia (d = 4.59), biphasic dysglycemia (hypoglycemia followed by hyperglycemia), elevated ALT and AST activity (d = 2.60 and 2.46, respectively), hypoproteinemia (d = 5.33), hypoalbuminemia (d = 3.34), and hyperbilirubinemia (d = 3.22–4.37), as well as progressive steatosis (2.8 ± 0.3 points, d = 7.20) and pericellular fibrosis (1.8 ± 0.4 points, d = 4.50). In the DD group, a decrease in relative liver weight during the first 12 months was observed (metabolic disproportion, d = 2.31), reflecting disproportionate body weight gain. In the DD+Mel group, exogenous melatonin restored the biochemical parameters to values that did not differ statistically from the control values (Cohen’s d < 0.2 for most parameters), prevented steatosis (0.8 ± 0.3 points, d = 0.80) and fibrosis (0 points), increased relative liver weight by 24 months (3.83 ± 0.49 vs. 3.27 ± 0.029 in the control, d = 1.60), and increased the hepatocyte nuclear area (58.4 ± 4.1 vs. 48.6 ± 3.8 μm², d = 2.32). Conclusions: Chronic desynchronosis induced by constant illumination leads to persistent melatonin deficiency and complex metabolic and structural liver disturbances modeling accelerated aging. Exogenous melatonin (10 mg/kg five times per week) exhibits pronounced geroprotective, hepatoprotective, and antifibrotic effects, normalizing all biochemical parameters and preventing age-related liver involution. Full article

Background: Obesity is closely associated with gut microbiota dysbiosis. Nervonic acid (NA; (15Z)-15-tetracosenoic acid) is a bioactive fatty acid with reported metabolic effects. This study aimed to investigate the associations between NA administration, gut microbiota composition changes, and host metabolic phenotypes in high-fat diet (HFD)-fed mice. Methods: C57BL/6J mice were fed an HFD for 12 weeks and concurrently administered NA at doses of 20, 40, and 60 mg/(kg·d) by gavage. Metabolic parameters, histopathological changes, and fecal microbiota composition (via 16S rRNA gene sequencing) were evaluated. Results: NA administration was associated with significantly attenuated HFD-induced increases in body weight and adipose tissue mass, as well as marked reductions in serum total cholesterol, triglycerides, and low-density lipoprotein cholesterol (all p < 0.05). Hepatic steatosis and adipose tissue inflammation were also attenuated. 16S rRNA gene sequencing revealed that NA was associated with the counteraction of HFD-induced gut microbiota dysbiosis, including alterations in α-diversity and community structure. NA was associated with higher relative abundances of taxa such as Blautia, Oscillibacter, Faecalibaculum, Parabacteroides, Dubosiella, and Odoribacter and lower relative abundances of Lachnoclostridium, Mucispirillum, and Alistipes. Within-group correlation analyses showed that genera with higher relative abundances were inversely associated with lipid parameters and adiposity, whereas genera with lower relative abundances correlated positively with these metabolic indicators. Conclusions: NA administration was associated with bidirectional changes in gut microbiota composition—the enrichment of certain taxa and the suppression of others—concomitant with the amelioration of HFD-induced metabolic dysfunction. These findings indicate correlations between NA, gut microbiota alterations, and improved metabolic phenotypes; however, causality remains to be established. Full article

Broiler production has frequently faced economic losses due to infectious diseases caused by pathogenic microorganisms. These problems are commonly resolved using antibiotics, but doing so could lead to antibiotic resistance and impair food safety. This study evaluated the effects of a tamarind (Tamarindus indica L.) shell powder (TSP) supplementation on the growth performance and overall health status in broiler chickens. A total of 375 one-day-old male Ross 308 broilers were randomly assigned to five dietary treatment groups in a completely randomized design. Broilers received either a basal diet; antibiotic-supplemented diet; or diet supplemented with TSP at 1 × MIC, 16 × MIC, or 32 × MIC daily for 42 days. The results showed that treatment 4 (TSP 16 × MIC—64 mg per bird) had the best growth performance in broilers. Intestinal permeability measurements assessed using 4 kDa fluorescein isothiocyanate-conjugated dextran (FITC–dextran) showed that broilers fed the treatment 5 (TSP 32 × MIC—128 mg per bird) diet had significantly lower FITC–dextran concentrations in all intestinal segments (p < 0.05) and were determined to have higher serum FITC–dextran than the control group. The hematological parameters can significantly reduce serum cholesterol and triglycerides. Finally, the application of tamarind shell powder promoted probiotic proliferation within the broilers’ gastrointestinal tract and mitigated Enterobacteriaceae infections, demonstrating comparable efficacy to the antibiotic-treated control group. This research suggests that tamarind shell powder supplementation, especially at a medium dosage (treatment 4), may beneficially influence gut morphology, modulate the gut microbiota, and enhance intestinal health in broiler chickens. Full article

Background/Objectives: The Indian star tortoise (Geochelone elegans) is a protected species for which physiological and molecular health indicators remain poorly characterized. This study aimed to monitor and analyze plasma proteome profiles and biochemical parameters in captive adult Indian star tortoises and to identify potential diagnostic biomarkers. Methods: Plasma samples from nine clinically healthy adult Indian star tortoises (four males and five females) maintained in captivity were subjected to biochemical profiling and proteomic analysis. Sex-related differences in biochemical parameters were evaluated, and differentially expressed proteins were mapped to Homo sapiens Reactome pathways to identify significantly enriched biological processes. Results: Plasma biochemical profiling established baseline reference values, indicating stable hepatic and metabolic function in captive tortoises. Creatinine and urea concentrations were significantly higher in females than in males (p < 0.05), suggesting sex-related differences in protein metabolism or renal function. No significant sex-related differences were observed in hepatic enzymes (ALP, ALT, AST, and GGT), muscle-associated enzymes (CK and LDH), glucose, cholesterol, triglycerides, total proteins, albumin, or electrolyte concentrations (Na, K, Ca, Mg, Cl, P, and Fe). Proteomic analysis identified 12 differentially expressed proteins, including nine upregulated and three downregulated proteins. Functional pathway analysis revealed 90 significantly enriched Reactome pathways (FDR < 0.05). Upregulated proteins were primarily associated with cytoskeletal organization (KRT75, KRT5, and KRT17), lipid transport and remodeling (APOB), coagulation (F10), extracellular transport (TTR), immune response (WFDC3), transmembrane signaling (KCP), and gamete interaction (ZAN). Downregulated proteins (C7, SERPING1, and PZP) were linked to complement activation and acute-phase response pathways. Conclusions: Captive Indian star tortoises exhibited increased cytoskeletal remodeling and coagulation activity together with reduced complement activation. These findings provide novel insights into the plasma proteome of this species and identify candidate biomarkers that may support future health assessment, physiological monitoring, and diagnostic applications in Indian star tortoises. Full article

This study investigated the effects of single-strain fermentation (using Lactobacillus paracasei XY1-4 and Saccharomyces cerevisiae XX1-2) and 1:1 mixed fermentation on the differential metabolites and in vitro cholesterol-lowering activity of Cyperus esculentus L. tuber milk. A non-targeted metabolomics approach based on liquid chromatography-tandem mass spectrometry (LC-MS/MS) was applied, and the dynamic changes in physicochemical properties and in vitro cholesterol-lowering rates during fermentation were determined to systematically compare the metabolite profiles and functional characteristics of tuber milk samples subjected to single-strain fermentation and mixed fermentation for 12 h and 24 h, respectively. The results showed that a total of 1085 differential metabolites were screened across all fermentation groups under the criteria of VIP ≥ 1, p < 0.05, and FC ≥ 2 or FC ≤ 0.5, which were primarily classified as lipids and lipid-like molecules as well as organic acids and their derivatives. Enrichment analysis of these differential metabolites identified ten metabolic pathways closely associated with fermentation progression and functional activity, including arginine biosynthesis, the tricarboxylic acid (TCA) cycle, and glutathione metabolism. Further correlation analysis demonstrated that key metabolites such as succinic acid and L-glutamic acid were significantly and positively correlated with the in vitro cholesterol-lowering rate. This study clarifies the effects of different fermentation treatments on the metabolome and functional properties of tuber milk, laying a solid theoretical foundation for the development and quality optimization of functional fermented Cyperus esculentus L. products. Full article

Objective: To investigate the associations between body weight status and anthropometric parameters, lipid profile, eating behavior characteristics, and physical activity levels among children in a developing country. Methods: The study included 80 children aged 7–11 years, divided into two groups: children with normal body weight (n = 40) and children with overweight or obesity classified using WHO BMI-for-age growth reference standards (overweight >+1 SD, obesity >+2 SD). BMI, waist circumference, and lipid profile (total cholesterol, LDL, HDL, triglycerides) were measured. Eating behavior characteristics and physical activity levels were assessed using standardized questionnaires. Statistical analysis included descriptive statistics, comparative tests, correlation analysis, and exploratory regression models. Results: Children with increased body weight had significantly higher BMI, waist circumference, and a more unfavorable lipid profile (p < 0.01). BMI showed a positive correlation with food enjoyment, emotional overeating, and eating speed, and a negative correlation with satiety responsiveness and food fussiness. Lower physical activity levels were associated with higher BMI and higher total cholesterol in unadjusted analyses. Conclusions: Excess body weight among children in a developing country is associated with metabolic and behavioral characteristics in this sample. Given the cross-sectional design and limited sample size, findings should be interpreted as exploratory. The findings highlight associations between body weight status, metabolic parameters, eating behavior, and physical activity, without implying causality due to the cross-sectional design. Full article

Despite advances in lifestyle-based therapy, achieving clinically meaningful reductions in blood lipid levels remains a major challenge in obese men with secondary hypercholesterolemia. Hypoxic exposure encompassing both training sessions and nocturnal rest may offer a novel adjunct to conventional interventions; however, no study has evaluated such a protocol in this population. Twenty sedentary men with obesity-related hypercholesterolemia were randomly allocated to a hypoxic group (H) or normoxic control group (C). Both groups completed an identical two-week high-intensity training program under an individualized calorie-restricted diet, residing at the same lowland location (~100 m above sea level). The H group trained and rested under normobaric hypoxia (FiO₂ = 14.4%, simulated altitude ~3000 m, 8 h nightly); C remained under normoxic conditions. The H group demonstrated significantly greater reductions in body mass (−4.1%) and fat mass (−11.0%). Significant reductions in total cholesterol (−20.1%), low-density lipoprotein cholesterol (−21.3%), non-high-density lipoprotein cholesterol (−23.1%), atherogenic index of plasma (−42.4%), and Castelli Risk Index I (−19.4%) occurred exclusively in the H group, accompanied by a strong downward trend in Castelli Risk Index II (p = 0.072). High-density lipoprotein cholesterol did not change; for triglycerides, a clear downward trend was observed in the H group, approaching statistical significance within-group (p = 0.052). The magnitude of cholesterol reduction was significantly associated with body mass and fat loss (r = 0.61–0.67). A two-week intervention combining hypoxic training with nocturnal normobaric hypoxic exposure and caloric restriction produces clinically relevant improvements in lipid profile and body composition in men with obesity-related hypercholesterolemia. Full article

Background/Objectives: Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder associated with insulin resistance, β-cell dysfunction, and systemic complications. Methods: In this preliminary study, the metabolic effects of BE-FD-1, a water extract of Raphanus sativus L. leaves cultivated under a mineral-fortification protocol, were investigated in a high-fat-diet/streptozotocin (HFD/STZ)-induced diabetic mouse model. Inductively coupled plasma mass spectrometry analysis confirmed the presence of vanadium, chromium, magnesium, zinc, and calcium in radish leaf. Male C57BL/6 mice (n = 5/group) were orally administered BE-FD-1 at 250 or 500 mg/kg once daily for four weeks, with metformin (250 mg/kg) as a positive reference. Results: BE-FD-1 at 500 mg/kg significantly reduced the oral glucose tolerance test area under the curve and fasting blood glucose levels, significantly restored serum insulin levels, and significantly decreased serum ALT, triglyceride, and total cholesterol levels relative to the HFD/STZ control group. Body weight gain and AST showed non-significant decreasing tendencies. Serum creatinine remained within the normal range, providing a preliminary safety signal that should be interpreted with caution given the absence of additional renal biomarkers and histopathological evaluation. Conclusions: These exploratory findings suggest that BE-FD-1 may warrant further investigation as a candidate functional ingredient for T2DM-related metabolic dysfunction; however, larger studies with comprehensive phytochemical characterization, mechanistic validation, and broader safety evaluation are required. Full article