Publications by authors named "Marta Balasko"

Middle-aged obesity and aging anorexia with muscle loss (sarcopenia) of old people present public health burden. These alterations may appear both in humans and rodents suggesting the role for regulatory alterations. Previously, we demonstrated that biphasic changes in the weight-reducing (catabolic) effects of neuropeptides of the hypothalamus-adipose tissue axis (e.

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  • * Findings show that older adults with sarcopenic obesity have a 15% lower risk of mortality compared to their non-obese counterparts, suggesting that SO may be a more favorable health state in this age group.
  • * While SO adults faced lower physical performance and a higher risk for metabolic syndrome, they exhibited similar cognitive function and cardiovascular risks compared to SNO adults, indicating complex interactions between obesity, aging, and health outcomes.
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Introduction: There is only limited and controversial information available on the cardiovascular (CV) risk in coeliac disease (CD). In this study, we plan to investigate the body composition and CV risk-related metabolic parameters at the diagnosis of CD and on a gluten-free diet in a Hungarian cohort of patients with CD.

Methods And Analysis: This study consists of two case-control studies and a prospective cohort study, involving newly diagnosed and treated patients with CD with age and sex-matched non-CD control subjects with an allocation ratio of 1:1.

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Middle-aged obesity and aging cachexia present healthcare challenges. Central responsiveness to body-weight-reducing mediators, e.g.

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  • Noninvasive ventilation (NIV) shows promise in reducing mortality and intubation rates in adults with pneumonia-associated respiratory failure compared to not using NIV, although overall hospital mortality differences were not statistically significant.
  • In intensive care settings, NIV significantly lowered mortality rates, demonstrating its effectiveness, especially among patients with overlapping conditions like COPD.
  • The results suggest that NIV should be considered in treatment guidelines for pneumonia-related respiratory failure due to its substantial benefits in critical care outcomes.
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Obstructive sleep apnea (OSA) is associated with treatment-resistant hypertension and high cardiovascular risk. Continuous positive airway pressure (CPAP) fails to reduce cardiovascular risks consistently. Obesity and OSA show reciprocal association and they synergistically increase hypertension via different pathways.

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  • Maternal overnutrition during pregnancy is linked to higher blood pressure (BP) in offspring, with a positive correlation found between maternal prepregnancy body mass index (ppBMI) and both systolic and diastolic BP in children.
  • In the analysis of data from 17 studies with over 140,000 mother-offspring pairs, every 5 kg/m² increase in maternal ppBMI was associated with an increase of 1.9 mmHg in systolic and 0.5 mmHg in diastolic BP of offspring.
  • While gestational weight gain (GWG) initially showed a relationship with offspring systolic BP, the correlation diminished when adjusting for the child's BMI,
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The centrally-projecting Edinger-Westphal nucleus (EWcp) hosts a large population of neurons expressing urocortin 1 (Ucn1) and about half of these neurons also express the leptin receptor (LepRb). Previously, we have shown that the peripheral adiposity hormone leptin signaling energy surfeit modulates EWcp neurons' activity. Here, we hypothesized that Ucn1/LepRb neurons in the EWcp would act as a crucial neuronal node in the brain-white adipose tissue (WAT) axis modulating efferent sympathetic outflow to the WAT.

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The regulatory (neuro)peptide galanin is widely distributed in the central and peripheral nervous systems, where it mediates its effects via three G protein-coupled receptors (GALR). Galanin has a vast diversity of biological functions, including modulation of feeding behavior. However, the clinical application of natural galanin is not practicable due to its rapid in vivo breakdown by peptidases and lack of receptor subtype specificity.

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Heart failure (HF) and cardiovascular diseases present public health challenges. Although great progress was achieved in their treatment, there is continuous need for new therapies. Urocortins of the corticotropin neuropeptide family were reported to exert beneficial effects in animal models of HF and cardiovascular diseases.

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Abnormal cholesterol level is a major risk factor in the development of atherosclerosis, which is a fundamental derangement in cardiovascular diseases. Any efforts should be undertaken to lower blood cholesterol levels. Among dietary interventions, capsaicinoid supplementation is also considered as a novel cholesterol-lowering approach, but human studies concluded contradictory results about its effectiveness.

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In Sub-Saharan Africa, African giant pouched rats (Cricetomys gambianus) are trained to identify TB patients by smelling sputum. We conducted a systematic review and meta-analysis of the data to see if this novel method is comparable to traditional laboratory screening and detection methods like Ziehl-Neelsen stain-based assays (ZN) and bacterial culture. The search and data processing strategy is registered at PROSPERO (CRD42019123629).

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The rising prevalence of cirrhotic cases related to non-alcoholic steatohepatitis has led to an increased number of cirrhotic patients with coexistence of obesity and muscle mass loss, known as sarcopenic obesity (SO). In patients undergoing liver transplantation (LT), the presence of SO may worsen prognosis, and increase morbidity and mortality. We aimed to evaluate the effect of the presence of pre-transplant SO on the outcomes of LT.

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Introduction: The introduction of tyrosine kinase inhibitors (TKIs) has revolutionized the therapy of chronic myeloid leukemia (CML). Although the efficacy of TKIs is beyond dispute, conception-related safety issues are still waiting to be explored, particularly in males. This systematic review aimed to summarize all available evidence on pregnancy outcomes of female spouses of male CML patients who fathered children after TKI treatment for CML.

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Objective: A higher BMI has become acknowledged as one of the important risk factors for developing critical condition in coronavirus disease 2019 (COVID-19). In addition to BMI, body composition, and particularly visceral adiposity, might be an even more accurate measure to stratify patients. Therefore, the aim of this study was to evaluate the association between the distributions of computed-tomography-quantified fat mass and critical condition of patients with COVID-19.

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Studies on the effectiveness of ultrafiltration (UF) in patients hospitalized with acute decompensated heart failure (ADHF) have led to heterogeneous study outcomes. This meta-analysis aimed to assess the impact of UF therapy in ADHF patients. We searched the medical literature to identify well-designed studies comparing UF with the usual diuretic therapy in this setting.

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Purpose: Pain after bariatric surgery can prolong recovery. This patient group is highly susceptible to opioid-related side effects. Enhanced Recovery After Surgery guidelines strongly recommend the administration of multimodal medications to reduce narcotic consumption.

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  • Adequate anticoagulation during catheter ablation for atrial fibrillation is essential to prevent serious bleeding and clot-related events.
  • This updated meta-analysis evaluated the safety and effectiveness of uninterrupted and minimally interrupted direct oral anticoagulants (DOACs) compared to uninterrupted vitamin K antagonists (VKAs) in patients undergoing the procedure, based on 42 studies involving over 22,000 patients.
  • The results indicated that patients on uninterrupted DOAC therapy experienced significantly lower major bleeding rates than those on VKAs, while both DOAC strategies proved effective in preventing strokes and transient ischemic attacks, making them preferable options for anticoagulation during the procedure.
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This systematic review and meta-analysis aimed to investigate the association between maternal overnutrition and offspring's insulin sensitivity-following the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement. Studies published in English before April 22, 2019, were identified through searches of four medical databases. After selection, 15 studies aiming to explore the association between prepregnancy body mass index (ppBMI) or gestational weight gain (GWG) of non-diabetic mothers and their offspring's insulin sensitivity (fasting insulin or glucose level and Homeostatic Measurement Assessment for Insulin Resistance [HOMA-IR]) were included in the meta-analysis.

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Introduction: Translational science has gained prominence in medicine, but there is still much work to be done before scientific results are used optimally and incorporated into everyday health practice. As the main focus is still on generating new scientific data with financial resources primarily available for that purpose, other activities that are necessary in the transition from research to community benefit are considered less needy. The European Statistical Office of the European Commission has recently reported that 1.

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We assessed the cardiovascular safety of long-term direct-acting oral anticoagulant (DOAC) treatment. A search of the medical literature was performed from inception until May 31, 2019. Inclusion criteria were (1) randomized trial that assessed the clinical efficacy and/or safety of 1 or more DOAC, (2) control group including oral anticoagulation and/or antiplatelet and/or placebo treatment, and (3) the incidence of acute coronary syndrome during follow-up was reported.

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  • The management of acute pancreatitis (AP) with complications remains difficult, and various scoring systems are used to predict severity and mortality.
  • A meta-analysis of 30 studies involving nearly 6,000 cases found that the APACHE II score was the most accurate in predicting mortality, outperforming other scores like CTSI.
  • When assessing severity, all scoring systems including CTSI, BISAP, and APACHE II showed similar predictive capabilities, indicating that multiple tools can effectively evaluate the condition.
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  • - The Baveno VI Consensus established criteria (liver stiffness <20 kPa and platelet count >150 x 10 cells/L) to identify patients with compensated advanced chronic liver diseases (cACLD) who are unlikely to need treatment for varices, allowing them to skip screening endoscopy.
  • - A meta-analysis reviewed 13 studies with 4,464 patients to evaluate the safety and efficacy of these criteria, finding that the missed rate of varices needing treatment was just 0.3%, while the rate of spared endoscopies was 32.8%.
  • - For cCLD patients (with 27 studies involving 7,534 patients), the missed rate was 0.2% and the
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  • - The study investigates how effective biological therapies, specifically anti-TNFα agents, are in preventing postoperative recurrence (POR) of Crohn's disease compared to conventional treatments.
  • - A comprehensive search of research articles was conducted, revealing that anti-TNFα therapies demonstrated significantly better outcomes in preventing various types of POR, including clinical and endoscopic recurrence.
  • - The findings suggest that anti-TNFα agents like infliximab and adalimumab are more effective than conventional therapies in preventing POR in Crohn's disease patients, indicating a favorable option for treatment post-surgery.
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