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      Correlation between Helicobacter pylori Infection and Metabolic Abnormality in General Population: A Cross-Sectional Study

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          Abstract

          Background

          Previous studies have suggested a link between Helicobacter pylori ( H. pylori) and metabolic abnormality. This study aimed at investigating the correlation between H. pylori infection and metabolic abnormality in a general population.

          Methods

          All enrolled participants underwent a carbon-13 urea breath test ( 13C-UBT). For each individual, the following data were collected: age, gender, alanine transaminase (ALT), total protein, albumin, cholesterol, triglyceride (TG), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), urea nitrogen, creatinine, uric acid, fasting plasma glucose, postprandial blood sugar, nonalcoholic fatty liver disease (NAFLD), and bone mineral density (BMD).

          Results

          The study included 1867 (393 females and 1474 males, aged 54.0 ± 9.6 years) people that took a physical examination. There was no significant difference in gender and age between the study participants with and without H. pylori infection. The statistical data are as follows: albumin: P = 0.045, uric acid: P = 0.025, fasting glucose: P = 0.043, and postprandial blood glucose: P = 0.035. In terms of the patients with NAFLD, there were significant differences in ALT and HDL-C between the study participants with and without H. pylori infection. TG ( P = 0.048), HDL-C ( P = 0.011), and fasting blood glucose ( P = 0.018) were significantly different in both groups among individuals who got osteopenia.

          Conclusion

          H. pylori infection may be an important factor affecting metabolic abnormality and osteoporosis.

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          Most cited references38

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          Guidelines for the diagnosis and treatment of nonalcoholic fatty liver diseases.

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            Osteoporosis, Fractures, and Diabetes

            It is well established that osteoporosis and diabetes are prevalent diseases with significant associated morbidity and mortality. Patients with diabetes mellitus have an increased risk of bone fractures. In type 1 diabetes, the risk is increased by ∼6 times and is due to low bone mass. Despite increased bone mineral density (BMD), in patients with type 2 diabetes the risk is increased (which is about twice the risk in the general population) due to the inferior quality of bone. Bone fragility in type 2 diabetes, which is not reflected by bone mineral density, depends on bone quality deterioration rather than bone mass reduction. Thus, surrogate markers and examination methods are needed to replace the insensitivity of BMD in assessing fracture risks of T2DM patients. One of these methods can be trabecular bone score. The aim of the paper is to present the present state of scientific knowledge about the osteoporosis risk in diabetic patient. The review also discusses the possibility of problematic using the study conclusions in real clinical practice.
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              Virulence Factors of Helicobacter pylori: A Review

              Helicobacter pylori is a spiral-shaped Gram-negative bacterium that colonizes the human stomach and can establish a long-term infection of the gastric mucosa, a condition that affects the relative risk of developing various clinical disorders of the upper gastrointestinal tract, such as chronic gastritis, peptic ulcer disease, mucosa-associated lymphoid tissue (MALT) lymphoma, and gastric adenocarcinoma. H. pylori presents a high-level of genetic diversity, which can be an important factor in its adaptation to the host stomach and also for the clinical outcome of infection. There are important H. pylori virulence factors that, along with host characteristics and the external environment, have been associated with the different occurrences of diseases. This review is aimed to analyzing and summarizing the main of them and possible associations with the clinical outcome.
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                Author and article information

                Contributors
                Journal
                Gastroenterol Res Pract
                Gastroenterol Res Pract
                GRP
                Gastroenterology Research and Practice
                Hindawi
                1687-6121
                1687-630X
                2018
                20 March 2018
                : 2018
                : 7410801
                Affiliations
                1Department of Gastroenterology, General Hospital of the PLA Rocket Force, Beijing, China
                2Jinzhou Medical University, Jinzhou, China
                Author notes

                Academic Editor: Tatsuya Toyokawa

                Author information
                http://orcid.org/0000-0001-6022-440X
                Article
                10.1155/2018/7410801
                5883933
                29743888
                e34095fb-9992-4667-a684-2c8151211eaf
                Copyright © 2018 Li-juan Lu et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 28 October 2017
                : 1 February 2018
                : 7 February 2018
                Categories
                Research Article

                Gastroenterology & Hepatology
                Gastroenterology & Hepatology

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