Publications by authors named "Sheng Zhi-Feng"

Aim: To assess the global and regional burden of hip fractures associated with type 1 diabetes (T1D) from 1990 to 2021.

Materials And Methods: The population attributable fraction was calculated by combining the published risk ratio with T1D prevalence (age ≥ 20 years) from the Global Burden of Disease study to estimate the T1D-associated hip-fracture burden. Trends were assessed using the age-standardized incidence rate (ASIR) and estimated annual percentage change (EAPC).

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Purpose: This study aimed to understand how age, health status, and lifestyle impact bone mineral density (BMD) in middle-aged and older adults, focusing on predicting osteoporosis risk.

Methods: This study included 2836 participants aged 50-88 from the Health Improvement Program of Bone (HOPE) conducted from 2021 to 2023. We used logistic regression to make a prediction tool.

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Article Synopsis
  • The study examines the rising burden of HIV in the Asia-Pacific region from 1990 to 2019, highlighting a lack of comprehensive evidence despite increasing severity.
  • Findings show that countries with low sociodemographic indicators, particularly Papua New Guinea and Nepal, experience significantly high rates of age-standardized disability-adjusted life years (ASDR), mortality (ASMR), and incidence (ASIR) related to HIV/AIDS.
  • Unsafe sex is identified as the leading cause of HIV-related ASDR across 29 countries in the region, emphasizing the need for targeted public health policies tailored to each country's socioeconomic status to reduce the impact of HIV/AIDS.
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Background: Although it is generally believed that the femoral neck fracture is related to the femoral neck geometric parameters (FNGPs), the association between the risk of osteoporotic fracture of the femoral neck and FNGPs in native Chinese women is still unclear.

Methods: A total of 374 female patients (mean age 70.2 ± 9.

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Unlabelled: Postmenopausal patients with osteoporosis who have a recent fracture are at very high risk of fracture, and this study finds that stratified treatment based on fracture risk would be a cost-effective treatment option for this population.

Purpose: To evaluate the cost-effectiveness of four anti-osteoporosis medications (denosumab, zoledronate, teriparatide, and alendronate) for postmenopausal osteoporotic women in mainland China, using a stratified treatment strategy recommended by the American Association of Clinical Endocrinologists and the American College of Endocrinology (AACE/ACE).

Methods: A microsimulation Markov model was used to compare the cost-effectiveness of the four treatments in postmenopausal osteoporotic patients of different ages (65, 70, 75, and 80 years), with a recent fracture from the Chinese healthcare perspective.

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Background: Elevated follicle-stimulating hormone (FSH) is associated with an increased risk of postmenopausal osteoporosis. This study investigated the association of serum FSH with bone turnover markers (BTMs) and bone mineral density (BMD) in healthy women undergoing menopausal transition.

Methods: A total of 487 healthy women (age 35-65 years, 50 ± 8.

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Clinical vertebral fractures and femoral neck fractures are severe osteoporotic fractures that increase morbidity and mortality. Anthropometric variables are associated with an increased risk of osteoporotic fractures, but it is not clear whether body surface area (BSA) has an effect on clinically severe osteoporotic fractures. The study included total of 3,694 cases of clinical vertebral fractures and femoral neck fractures (2,670 females and 1,024 males) and 3,694 controls without fractures who were matched with the cases by sex and age.

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Background: Osteoporotic vertebral fractures are often clinically silent and unrecognized. The present study aimed to determine whether routine chest radiographs could be a potential screening tool for identifying missed vertebral fractures in men aged over 50 years or postmenopausal women, especially those with type 2 diabetes mellitus (T2DM). In this study, we aimed to determine the prevalence of undetected vertebral fractures in elderly Chinese patients with and without T2DM.

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Background: Early detection and timely prophylaxis can retard the progression of osteoporosis. The purpose of this study was to determine the validity of peripheral Dual Energy X-ray Absorptiometry (DXA) test for osteoporosis screening. We examined peripheral bone mineral density (BMD) using AKDX-09 W-I DXA densitometer.

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Article Synopsis
  • The study focuses on identifying risk factors for very low bone mineral density (BMD) among older men and postmenopausal women in China, linked to a higher risk of fractures.
  • The research analyzed data from 1,084 participants, finding that 5.8% had T-scores lower than -3, with age and weight as significant predictors for low BMD.
  • A nomogram was developed to help identify individuals at risk for very low BMD, showing a strong predictive ability with an area under the ROC curve of 0.861.
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Background: There is a positive association between serum magnesium and hemoglobin levels in the general population. However, no studies have evaluated the association between serum magnesium and hemoglobin levels in patients with primary hyperparathyroidism (PHPT). We aimed to investigate whether there is a relationship between serum magnesium and hemoglobin levels in the patient population with PHPT.

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Article Synopsis
  • - The study investigated the link between bone mineral density (BMD) and fragility fracture risk in native Chinese individuals, using a local database for reference, involving 3,324 participants (2,423 women and 901 men) with radiological fragility fractures compared to matched controls.
  • - Results showed significantly lower BMD and mean T-scores in the fragility fracture group, with notable differences in osteoporosis prevalence between genders, highlighting 78.9% of women and 49.5% of men with lumbar osteoporosis.
  • - Multivariate analysis indicated that the risk of fragility fractures increased by 2.7-4.1 times for women and men, respectively, with each 1-point reduction in T
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Background: The occurrence of hypomagnesemia in patients with primary hyperparathyroidism (PHPT) has been noted previously; however, the association of hypomagnesemia and severity of primary hyperparathyroidism remains unknown. The present study aimed to evaluate the association of hypomagnesemia with biochemical and clinical manifestations in patients with PHPT.

Methods: This was a retrospective study conducted at a tertiary hospital.

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Background: The evidence supporting the use of antiresorptive and anabolic agents for fracture prevention in elderly patients is still inconclusive. Whether it is too late to alter the course of the disease in this age-group has remained uncertain.

Objectives: The objective of this study was to determine the efficacy and safety of antiresorptive and anabolic agents in elderly patients.

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Paget's disease of bone (PDB) is a metabolic bone disease with distinct geographical and ethnic differences in its pathogenesis. In this study, we aimed to retrospectively analyze the clinical features and the status of diagnosis and treatment of PDB in mainland China to improve the clinician's understanding of this disease. For this purpose, we conducted a systematic review of 118 articles, including a total of 332 patients with PDB.

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Article Synopsis
  • The study evaluates the effectiveness of two osteoporosis management strategies, NOF and NOGG, specifically for Chinese postmenopausal women, since there are no tailored FRAX® thresholds for this population.
  • A total of 264 women over 50 participated, undergoing assessments to determine their osteoporosis risk using the Chinese FRAX® model.
  • Results showed that the NOF thresholds were more accurate (83.33%) in detecting osteoporosis compared to NOGG thresholds (74.24%), suggesting that NOF is a better fit for Chinese menopausal women.
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Femoral neck geometric parameters (FNGPs) are closely related to the strength of the femoral neck and the risk of fragility fractures. No reference database is available for FNGPs for Chinese population, and gender-related differences in FNGPs as well as their association with the risk of femoral neck fractures are unknown. This investigation aimed to set up reference databases for FNGPs, understand gender-related differences in FNGPs, and examine the association between FNGPs and the risk of osteoporotic fractures of the femoral neck.

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Article Synopsis
  • * Osteoporotic fractures, particularly in the hip and vertebrae, lead to increased morbidity and a higher risk of mortality, posing challenges to families and the healthcare system.
  • * The review aims to summarize the epidemiology of osteoporosis in China and discusses the importance of preventive strategies and management methods, including both lifestyle changes and medications.
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