Publications by authors named "Xuemei Sui"

Background: Left atrial (LA) size and function are linked to exercise intolerance in heart failure, while associations between LA parameters and exercise performance remain unclear in athletes.

Objectives: This study aimed to identify correlations between echocardiographic LA size, pressure, stiffness, and composite indices, and various exercise performance indicators.

Methods: Echocardiographic parameters were obtained from 181 physically active military personnel receiving regular training and tests for a 3-km run and 2 min of push-ups and sit-ups.

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Context: Dietary fiber (DF) exhibits variations in its chemical and physical complexity, as well as in its utilization by the gut microbiota. However, the impact of these differences on the health status of adults with overweight or obesity remains unclear.

Objective: This meta-analysis aimed to explore the varying effects of supplementing with different specificities of DF on the health of adults with overweight or obesity, providing guidance on selecting DF supplementation to improve health status.

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Article Synopsis
  • The study explored the effectiveness of wheat peptide supplementation versus regular protein supplements in improving performance for elite cross-country skiers, aiming to aid athletes in choosing the best energy sources.
  • Nineteen male skiers participated in a four-week trial, split into two groups: those receiving wheat peptides (PEP) and those receiving regular proteins (PRO), with assessments done before and after the intervention to measure exercise performance and metabolism.
  • Results showed that while both groups improved athletic performance, the PEP group excelled in aerobic performance, whereas the PRO group favored anaerobic capacity, with no significant changes in blood metabolites but different metabolic pathways being affected for each group.
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Despite decades of extensive research and clinical insights on the increased risk of all-cause and disease-specific morbidity and mortality due to obesity, the obesity paradox still presents a unique perspective, i.e., having a higher body mass index (BMI) offers a protective effect on adverse health outcomes, particularly in people with known cardiovascular disease (CVD).

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Article Synopsis
  • The study investigated substance use (tobacco, betel nut, and alcohol) and its relationship with hypertension among Taiwanese military personnel aged 18-39 over a period from 2014 to 2020.
  • Out of 2,419 participants, a significant number (37.7%) developed new-onset hypertension during the follow-up, with 35.8% being active smokers, 9.8% actively chewing betel nut, and 39.7% consuming alcohol.
  • Findings showed that active holiday alcohol consumers had a lower risk of developing hypertension compared to non-drinkers, suggesting that not all substance use has the same impact on blood pressure.
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Aim(s): To examine the association between non-exercise estimated cardiorespiratory fitness (eCRF) and incident type 2 diabetes.

Methods: In a sample of 13,616 men and women without diabetes at baseline, incident type 2 diabetes were determined as fasting plasma glucose level ≥ 7 mmol/l (126 mg/dL), self-report, or insulin usage at follow-up. eCRF was calculated in metabolic equivalents (METs) at baseline using sex-specific algorithms, including physical activity, smoking status, age, body mass index, waist circumference, and resting heart rate.

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Rationale: While the beneficial effects of physical fitness on general health are well-documented, the specific relationship between different types of physical fitness, particularly cardiorespiratory fitness (CRF) and muscular endurance fitness (MEF), and lung function in physically active young adults remains less explored.

Objective: This study investigated the relationship between CRF and MEF, and their correlation with lung function in physically active young adults.

Methods: This cross-sectional study involved a cohort of 1227 physically active young adults without lung diseases.

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Background: Cardiorespiratory fitness (CRF) could reduce the risk of metabolic syndrome (MetS) while the association between muscular endurance capacity (MEC) and incident MetS has rarely been investigated in young adults.

Methods: A total of 2890 military men and women, aged 18-39 years, free of baseline MetS in Taiwan, were followed for incident MetS from baseline (2014) until the end of 2020. All subjects received annual health examinations for assessment of MetS.

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Joint modeling of longitudinal data and survival data has gained great attention in the last two decades. However, most of the existing studies have focused on right-censored survival data. In this article, we study joint analysis of longitudinal data and interval-censored survival data and conduct Bayesian variable selection in this framework.

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Article Synopsis
  • A study followed 2,448 young military adults in Taiwan over six years to investigate the link between non-insulin-based insulin resistance (NI-IR) indices and the development of hypertension.
  • The researchers measured various indicators of hypertension, categorizing them into isolated systolic hypertension, isolated diastolic hypertension, and combined hypertension, adjusting for multiple health and lifestyle factors.
  • Results showed that higher levels of certain NI-IR indices, especially the TyG index and METS-IR, significantly increased the risk of developing isolated diastolic hypertension.
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Objective: To evaluate the association of 5 major cause-specific non-cardiovascular disease (CVD) and non-cancer deaths with cardiorespiratory fitness (CRF).

Methods: Patients were 36,645 men (43.3±9.

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  • This study investigates the link between oral health and physical performance in 300 military adults in Taiwan, focusing on periodontitis and dental caries.
  • Researchers assessed physical performance through a 3000-m run and push-up tests, while adjusting for various health factors like age and lifestyle.
  • Findings indicate that poor oral health, specifically periodontitis and dental caries, is associated with decreased performance in both aerobic and muscular fitness tests.
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Purpose: To explore the impact of COVID-19 pandemic lockdown (CoPL) on body mass index (BMI) and physical fitness among college students.

Methods: Two one-year cohorts, one with no pandemic lockdown (NoPL) exposure and one with CoPL exposure, were included. Baseline measurements were performed in October 2018 (NoPL) and October 2019 (CoPL), and follow-up data were collected one year later.

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Abstract Background/purpose: It is unclear about whether the guideline-based physical activity (PA) level for cardiovascular health also benefits periodontal health. Therefore, this study aimed to clarify the association between guideline-based PA levels and periodontitis in young adults.

Materials And Methods: This was a cross-sectional study which included 334 military participants, aged 18-44 years in Taiwan.

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Objective: The purpose of this meta-analysis was to evaluate the effect of exercise training intervention in patients with abdominal aortic aneurysm (AAA).

Methods: Eight randomized controlled trials (RCTs) that recruited 588 AAA patients were extracted using 4 databases (PubMed, Embase, Wanfang Data, and Cochrane Library). Physiological and biochemistry parameters that included in this study are high-sensitivity C-reactive protein (hs-CRP), respiratory peak oxygen uptake rate (VOpeak), triglyceride (TG), total cholesterol (TC), anaerobic threshold (AT), the diameter of AAA, high density lipoprotein cholesterol (HDL), low density lipoprotein cholesterol (LDL), and matrix metalloproteinase-9 (MMP-9).

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Introduction: Studies have shown an inverse association between the risk of breast cancer in women and physical activity. However, information on the association between cardiorespiratory fitness (CRF) assessed objectively by a standardized test and the risk of developing breast cancer is limited.

Purpose: To examine the CRF-breast cancer risk association in healthy females.

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Background: Daily moderate coffee intake was found with a lower risk of specific metabolic abnormalities, e.g., hypertension and hyperglycemia, while the association of coffee intake and incident metabolic syndrome (MetS) has not been clarified in prior studies, particularly in young adults.

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Aims: Preventive strategies for heart failure with preserved ejection fraction (HFpEF) include pharmacotherapies and lifestyle modifications. However, the association between cardiorespiratory fitness (CRF) assessed objectively by a standardized exercise treadmill test (ETT) and the risk of HFpEF has not been evaluated. Thus, we evaluated the association between CRF and HFpEF incidence.

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Backgrounds: This study aimed to clarify the association of American guideline-based leisure time physical activity (PA) level with mental health in 4,080 military personnel in Taiwan.

Methods: The moderate intensity PA level was assessed according to the total running time per week (wk) reported in a self-administered questionnaire over the previous 6  months and was categorized into PA level <150, 150-299, and ≥300  min/wk. Mental stress was assessed by the Brief Symptom Rating Scale (BSRS)-5 for which ≥15 points were classified as great mental stress.

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The proportional hazards mixture cure model is a popular analysis method for survival data where a subgroup of patients are cured. When the data are interval-censored, the estimation of this model is challenging due to its complex data structure. In this article, we propose a computationally efficient semiparametric Bayesian approach, facilitated by spline approximation and Poisson data augmentation, for model estimation and inference with interval-censored data and a cure rate.

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(1) Background: Probiotics in the form of nutritional supplements are safe and potentially useful for strategic application among endurance athletes. BL-99 (BL-99) was isolated from the intestines of healthy Chinese infants. We combined plasma-targeted metabolomics and fecal metagenomics to explore the effect of 8 weeks of BL-99 supplementation on cross-country skiers' metabolism and sports performance.

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The American Heart Association recommends a cardiopulmonary exercise test (CPET) and some alternative exercise tests to evaluate maximal oxygen uptake (VO2 max) of youth. Power output has shown a high correlation with VO2 max on a CPET. However, the correlations between mean power output (MPO) for muscular endurance exercises and VO2 max measured from a CPET are not established in young adults.

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Background: Carbohydrates are often used as boosters for endurance and high-intensity exercise. However, it is unclear whether carbohydrate drinks intake before or during exercise can affect specific domains of cognitive function, such as Executive Function (EF).

Methods: Following the guidance of PRISMA 2020, we searched six major databases including PubMed, WOS, SPORTDiscus, Cochrane, Embase, and Scopus.

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To investigate the relationship between low back pain and cardiorespiratory fitness (CRF) among participants with and without self-report anxiety. Participants were 13,080 individuals (86.6% men; 44.

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Background: We investigated the association between cardiorespiratory fitness (CRF) and incident use of antidepressants or anxiolytics in the general adult population.

Methods: A non-exercise prediction model was used to estimate CRF in 32,603 participants in the third wave of the Trøndelag Health Study (HUNT3; 2006-08). Data on first purchase of antidepressants and anxiolytics were obtained from the Norwegian Prescription Database.

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