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精神应激对非胰岛素依赖型糖尿病的影响:确定应激、焦虑和抑郁产生的儿茶酚胺与肾上腺素能信号之间的关系对胰腺激素分泌生理变化的影响。

The Effects of Mental Stress on Non-insulin-dependent Diabetes: Determining the Relationship Between Catecholamine and Adrenergic Signals from Stress, Anxiety, and Depression on the Physiological Changes in the Pancreatic Hormone Secretion.

作者信息

Wong Hilda, Singh Jaya, Go Ryan M, Ahluwalia Nancy, Guerrero-Go Michelle A

机构信息

Primary Care, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.

Internal Medicine, Avalon University School of Medicine, Curcacao, USA.

出版信息

Cureus. 2019 Aug 24;11(8):e5474. doi: 10.7759/cureus.5474.

Abstract

Non-insulin-dependent diabetes or type II diabetes is prevalent around the world. A high-fat diet and chronic inactivity are often responsible for this chronic ailment. However, it is suspected that a high level of stress can also exacerbate diabetes. High anxiety can result in the release of sympathetic hormones that can elevate both cortisol and glucose levels, decrease insulin release, or affect the sensitivity and resistant of the insulin hormone. We have analyzed three research articles to see how stress and anxiety can affect non-insulin-dependent diabetes. In the first article, we selected participants with type II diabetes and injected them with saline or norepinephrine. The results indicated that participants with norepinephrine had experienced a decrease in glucose disposal and reduction in insulin secretion rate. Our second article utilizes African-American adults with type II diabetes. We provide them with a survey to determine how stress, anxiety, and depression can affect adherence to lifestyle modifications such as exercise and eating a proper diet. We find that subjects with higher stress levels tend to have lower compliance with their lifestyle regimes. Our third article focuses on female participants and divides them into two categories which are high chronic stress (HCS) and low chronic stress (LCS). We use an MRI to observe their brain activity while they stare at a picture of high-caloric type food. Our results indicate that there are different responses in various brain structure activities between subjects with HCS and LCS group. With these analyses, it can improve on the way healthcare providers can consult with their patients who have exacerbated type II diabetes despite proper medication and lifestyle modification.

摘要

非胰岛素依赖型糖尿病或II型糖尿病在全球普遍存在。高脂肪饮食和长期缺乏运动常常是导致这种慢性疾病的原因。然而,有人怀疑高水平的压力也会加重糖尿病。高度焦虑会导致交感激素释放,从而使皮质醇和血糖水平升高,胰岛素释放减少,或者影响胰岛素激素的敏感性和抵抗性。我们分析了三篇研究文章,以了解压力和焦虑如何影响非胰岛素依赖型糖尿病。在第一篇文章中,我们选择了II型糖尿病患者,并给他们注射生理盐水或去甲肾上腺素。结果表明,注射去甲肾上腺素的参与者葡萄糖代谢减少,胰岛素分泌率降低。我们的第二篇文章研究对象是患有II型糖尿病的非裔美国成年人。我们给他们提供了一项调查,以确定压力、焦虑和抑郁如何影响他们对运动和合理饮食等生活方式改变的坚持程度。我们发现,压力水平较高的受试者对生活方式的依从性往往较低。我们的第三篇文章聚焦于女性参与者,并将她们分为高慢性压力(HCS)和低慢性压力(LCS)两类。当她们盯着高热量食物的图片时,我们用核磁共振成像观察她们的大脑活动。我们的结果表明,HCS组和LCS组受试者在不同脑结构活动中的反应不同。通过这些分析,可以改进医疗服务提供者与那些尽管进行了适当药物治疗和生活方式改变但II型糖尿病仍加重的患者沟通的方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84e7/6710489/0fbf7e87e553/cureus-0011-00000005474-i01.jpg

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