The relationship between weight-adjusted-waist index and diabetic kidney disease in patients with type 2 diabetes mellitus

PurposeObesity, particularly abdominal obesity, is seen as a risk factor for diabetic complications. The weight-adjusted-waist index (WWI) is a recently developed index for measuring adiposity. Our goal was to uncover the potential correlation between the WWI index and diabetic kidney disease (DKD) risk.MethodsThis cross-sectional study included adults with type 2 diabetes mellitus (T2DM) who participated in the NHANES database (2007-2018). The WWI index was calculated as waist circumference (WC, cm) divided by the square root of weight (kg). DKD was diagnosed based on impaired estimated glomerular filtration rate (eGFR<60 mL/min/1.73m2), albuminuria (urinary albumin to urinary creatinine ratio>30 mg/g), or both in T2DM patients. The independent relationship between WWI index and DKD risk was evaluated.ResultsA total of 5,028 participants with T2DM were included, with an average WWI index of 11.61 ± 0.02. As the quartile range of the WWI index increased, the prevalence of DKD gradually increased (26.76% vs. 32.63% vs. 39.06% vs. 42.96%, P<0.001). After adjusting for various confounding factors, the WWI index was independently associated with DKD risk (OR=1.32, 95%CI:1.12-1.56, P<0.001). The area under the ROC curve (AUC) of the WWI index was higher than that of body mass index (BMI, kg/m2) and WC. Subgroup analysis suggested that the relationship between the WWI index and DKD risk was of greater concern in patients over 60 years old and those with cardiovascular disease.ConclusionsOur findings suggest that higher WWI levels are linked to DKD in T2DM patients. The WWI index could be a cost-effective and simple way to detect DKD, but further prospective studies are needed to confirm this

Effects of brewers’ spent grains on fermentation quality, chemical composition and in vitro digestibility of mixed silage prepared with corn stalk, dried apple pomace and sweet potato vine

The experiment was conducted to evaluate the effects of brewers’ spent grains (BSG) on the fermentation quality, chemical composition and in vitro parameters of mixed silage prepared with corn stalk, dried apple pomace and sweet potato vine. In the experiment, a ternary mixture of corn stalk, sweet potato vine and dried apple pomace (50/30/20) was ensiled with 0%, 10%, 15% and 20% BSG on a fresh weight (FW) basis for 1, 3, 5, 7, 14 and 30 days, respectively. The application of BSG significantly (p<.05) increased lactic, acetic and total volatile fatty acids content, and significantly (p<.05) decreased pH, lactic acid/acetic acid, ammonia nitrogen, dry matter and water-soluble carbohydrates content during ensiling. None or tiny amounts of propionic and butyric acid were detected in all silages. Compared with the control, higher (p<.05) Flieg points, crude protein content and lower (p<.05) neutral detergent fibre, acid detergent fibre, cellulose and hemicellulose content were found in BSG-treated silages on day 30 of ensiling. After 72 h of incubation, the application of BSG significantly (p<.05) increased the cumulative gas production, potential gas production, in vitro dry matter, crude protein digestibility and metabolisable energy. The 20% BSG silages had better fermentation quality and higher in vitro digestibility, as indicated by higher lactic acid content, in vitro dry matter, crude protein digestibility, metabolisable energy, lower pH, and lower ammonia nitrogen content than other silages. The application of 20% BSG was recommended to ensure good quality silages.Highlights Ensiling in the form of mixed silages is a good way to consume largely agro-food by-products. Reducing the energy waste and environmental pollution caused by high-quantity agro-food by-products. 20% brewers’ spent grains application had positive effects on in vitro parameters

The effectiveness of chemical additives on fermentation profiles, aerobic stability and in vitro ruminal digestibility of total mixed ration ensiled with Napier grass and wet distillers’ grains in southeast China

Chemical additives have been widely used to restrain the growth of undesirable microorganisms, and they were ideal additives to well preserve silages. The work aimed at evaluating the effects of four chemical additives on fermentation quality, aerobic stability and in vitro ruminal digestibility of the fermented total mixed ration (FTMR). The TMR was treated with: (1) no additive (control); (2) sodium diacetate; (3) calcium propionate; (4) sodium benzoate (SB); (5) potassium sorbate (PS) on a fresh weight (FW) basis. After 60 days of ensiling, the silos were opened and sampled to determine fermentation quality, in vitro rumen parameters, and then the 60-day FTMR were subjected to a 9-day aerobic stability test. Chemical additives significantly (p < 0.05) increased dry matter, crude protein, and water-soluble carbohydrates contents, and decreased ammonia nitrogen, ethanol contents, aerobic bacteria and yeast counts after 60 days of ensiling. During aerobic exposure, chemical additives obviously improved aerobic stability as indicated by higher lactic acid, water-soluble carbohydrates contents and lactic acid bacteria counts, and lower pH, ethanol, ammonia nitrogen contents, aerobic bacteria and yeast counts. Treatments with SB and PS had higher (p < 0.05) lactic acid content, and lower (p < 0.05) pH, ammonia nitrogen content, aerobic bacteria and yeast counts than other FTMR. After 72 h of incubation, chemical additives significantly (p < 0.05) increased cumulative gas production, in vitro digestibility of dry matter and crude protein. The SB and PS-treated FTMR had higher (p < 0.05) cumulative gas production and in vitro dry matter digestibility than other FTMR. These results indicated that SB and PS were more effective to improve aerobic stability and in vitro ruminal parameters, and they were recommended as optimal additives for FTMR.HIGHLIGHTS Four chemical additives were served as additives for fermentation total mixed ration Chemical additives markedly improved fermentation quality, aerobic stability and in vitro ruminal parameters Sodium benzoate and potassium sorbate were optimal for improving aerobic stability and in vitro parameter

Isolation and Characterization of a Novel <i>Vibrio natriegens</i>—Infecting Phage and Its Potential Therapeutic Application in Abalone Aquaculture

Phage-based pathogen control (i.e., phage therapy) has received increasing scientific attention to reduce and prevent the emergence, transmission, and detrimental effects of antibiotic resistance. In the current study, multidrug-resistant Vibrio natriegens strain AbY-1805 was isolated and tentatively identified as a pathogen causing the death of juvenile Pacific abalones (Haliotis discus hannai Ino). In order to apply phage therapy, instead of antibiotics, to treat and control V. natriegens infections in marine aquaculture environments, a lytic phage, vB_VnaS-L3, was isolated. It could effectively infect V. natriegens AbY-1805 with a short latent period (40 min) and high burst size (~890 PFU/cell). Treatment with vB_VnaS-L3 significantly reduced the mortality of juvenile abalones and maintained abalone feeding capacity over a 40-day V. natriegens challenge experiment. Comparative genomic and phylogenetic analyses suggested that vB_VnaS-L3 was a novel marine Siphoviridae-family phage. Furthermore, vB_VnaS-L3 had a narrow host range, possibly specific to the pathogenic V. natriegens strains. It also exhibited viability at a wide range of pH, temperature, and salinity. The short latent period, large burst size, high host specificity, and broad environmental adaptation suggest that phage vB_VnaS-L3 could potentially be developed as an alternative antimicrobial for the control and prevention of marine animal infections caused by pathogenic V. natriegens

Soy sauce residue in total mixed ration silage: fermentation characteristics, chemical compositions, in vitro digestibility and gas production

The work aimed to evaluate the effect of different levels of soy sauce residue (SSR) replacement on chemical compositions, fermentation quality and in vitro digestibility of total mixed ration (TMR) silages. The experiment followed a completely randomised design, and four treatments were designed according to different mixing ration of SSR, Napier grass and concentrate (based on fresh weight): (1) 65% Napier grass + 35% concentrate (control); (2)15% SSR + 55% Napier grass + 30% concentrate (SS15); (3) 25% SSR + 50% Napier grass + 25% concentrate (SS25); (4) 35% SSR + 45% Napier grass + 20% concentrate (SS35). TMR was ensiled in a laboratory silo (10 L) after mixing. All silos were opened after 60 days of ensiling and then were sampled for chemical compositions, fermentation quality and in vitro digestibility analysis. All TMR silages were preserved well, as indicated by the low butyric acid (BA; 80.0). However, SS25 and SS35 significantly (P  0.05) difference in vitro neutral detergent fibre digestibility (IVNDFD) among all TMR silages. In conclusion, SS35 replacement was recommended for TMR silage making.Highlights Ensiling is an effective method to utilise soy sauce residue. Soy sauce residue replacement had no unfavourable effect on the fermentation quality of the total mixed ration. 35% soy sauce residue replacement improved the in vitro digestibility of total mixed ration silages