(单词翻译:单击)
With the emergence1 of an epidemic2 of obesity3 and type 2 diabetes4 (DM) throughout the world, the association of lifestyle habits that may affect the risk of metabolic5 diseases(代谢性疾病) is especially important. Most prospective6 studies have shown that moderate drinkers tend to have about 30% lower risk of developing late onset7 diabetes than do non-drinkers, and moderate drinkers also tend to be at lower risk of developing metabolic syndrome8 (MS). A cross-sectional analysis of 6172 subjects age 35 -75 in Switzerland related varying levels of alcohol intake9 to the presence of DM, MS, and an index of insulin resistance (HOMA-IR). Alcohol consumption was categorized as non-drinkers (0), low-risk (1 drinks a week), medium-to-high-risk (14) and very-high-risk (= 35) drinkers. 73% of participants consumed alcohol, 16% were medium-to-high-risk drinkers and 2% very-high risk drinkers
Study findings: In multivariate analysis, the prevalence of the metabolic syndrome(综合症) , diabetes and mean HOMA-IR decreased with low-risk drinking and increased with high-risk drinking. Adjusted prevalence of the metabolic syndrome was 24% in non-drinkers, 19% in low-risk, 20% in medium-to-high-risk and 29% in very-high-risk drinkers. Adjusted prevalence of diabetes was 6.0% in non-drinkers, 3.6% in low-risk, 3.8% in medium-to-high-risk and 6.7% in very-high-risk drinkers. These relationships did not differ according to beverage10(饮料) types.
Moderate drinkers also had the lowest weight, tryglycerides, and blood pressure. All drinkers had higher HDL-cholesterol11 values (that is 'good cholesterol) than did non-drinkers.
Metabolic syndrome is the name given to a so called 'lifestyle disease', where patients exhibit multiple medical problems including high blood pressure, late on set diabetes, and high cholesterol(胆固醇) .
The strengths of this paper include being population-based and having a large number of subjects who reported that they consumed 14 or more drinks/week. Also, there was a good percentage (27%) of subjects reporting no alcohol intake during the one week of assessment13 used for classifying subjects. Another strength is the careful confirmation14 of drinking status with state-of-the-art laboratory tests. In multivariate(多元的) analysis, the prevalence of the metabolic syndrome, diabetes and mean HOMA-IR decreased with low-risk drinking and increased with high-risk drinking. No differences were noted15 according to the type of beverage consumed.
This is a cross-sectional analysis, so a causative relation between alcohol intake and the metabolic outcomes cannot be assessed. Still, the data supports much that has been shown in prospective studies. Several Forum members commented on potential problems when considering a number of physiologic16(生理的) conditions as the "metabolic syndrome" and focusing therapy on the syndrome; they believed that each metabolic factor should be evaluated and treated singly.
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1
emergence
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| n.浮现,显现,出现,(植物)突出体 | |
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epidemic
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| n.流行病;盛行;adj.流行性的,流传极广的 | |
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obesity
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| n.肥胖,肥大 | |
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diabetes
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| n.糖尿病 | |
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metabolic
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| adj.新陈代谢的 | |
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6
prospective
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| adj.预期的,未来的,前瞻性的 | |
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onset
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| n.进攻,袭击,开始,突然开始 | |
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syndrome
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| n.综合病症;并存特性 | |
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intake
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| n.吸入,纳入;进气口,入口 | |
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beverage
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| n.(水,酒等之外的)饮料 | |
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cholesterol
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| n.(U)胆固醇 | |
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forum
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| n.论坛,讨论会 | |
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assessment
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| n.评价;评估;对财产的估价,被估定的金额 | |
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confirmation
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| n.证实,确认,批准 | |
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noted
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| adj.著名的,知名的 | |
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physiologic
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| a.生理学的 | |
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