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1.
肥胖人群糖脂代谢、体脂水平与胰岛素抵抗的关系   总被引:2,自引:0,他引:2  
巫世庆 《现代医院》2007,7(7):20-22
目的观察肥胖人群糖脂代谢、体脂水平与胰岛素抵抗的关系。方法将社区人群中体重指数(BMI)>25kg/m2者96例纳入本研究,测量血压、身高、体重、腰围、臀围、体脂含量及重量,并抽血检测空腹及口服75g葡萄糖2h后血糖(FBS,2hPBS)、胰岛素水平(Fins,2hIns),采用稳态模型评估法(HO-MA)中的HOMA-IR公式评价胰岛素抵抗程度;空腹检测血脂、尿酸及糖化血红蛋白(HbAlc)水平。结果①本组肥胖人群64.0%存在胰岛素抵抗,糖、脂代谢异常,高血压和高尿酸血症者分别为31.2%、74.4%、44.8%及43.2%;②存在糖代谢异常者HOMA-IR和(或)2hIns、WHR、TG高于糖代谢正常组;血脂或尿酸水平异常者WHR大于正常组;高血压组HDL水平低于血压正常组;胰岛素抵抗组WHR、体脂重量、体脂含量、FBS、TC及BMI高于非胰岛素抵抗组;③HOMA-IR指数与体脂重量和TG呈正相关(r=0.448,p=0.000;r=0.411,p=0.000)。结论本组肥胖人群存在糖脂代谢异常、体脂水平增高及胰岛素抵抗,对于肥胖患者应尽早进行相关代谢指标的筛查。  相似文献   

2.
目的 研究脂代谢相关指标及肥胖与血尿酸的关系.方法 选择30~60岁2 566名健康居民为研究对象,进行血尿酸及血脂相关生化指标的测定.结果 高尿酸组甘油三酯、总胆固醇、腰臀比、体质指数水平均高于尿酸正常组,差异均有统计学意义(P<0.01);Pearson相关分析结果表明,血尿酸与甘油三酯、总胆固醇呈正相关(r值分别为0.34,0.19,P<0.01).结论 高尿酸血症与脂代谢紊乱、肥胖相关.  相似文献   

3.
目的 探讨儿童期腹型肥胖及其腹型肥胖前期与高尿酸血症的关系,为儿童高尿酸血症的防治提供科学依据。方法 数据来源于2017年11月—2018年1月在山东省淄博市桓台县开展的“桓台儿童心血管健康队列”的基线调查。本研究共纳入信息完整的儿童1 202名,采用协方差分析比较儿童期腹型肥胖状态(正常腰围、腹型肥胖前期、腹型肥胖)儿童的尿酸水平,采用多因素Logistic回归模型分析儿童期腹型肥胖及其腹型肥胖前期与高尿酸血症之间的关联。结果 调整潜在协变量后,腹型肥胖前期[(289.7±80.6)μmol/L]、腹型肥胖[(332.2±87.8)μmol/L]儿童的尿酸水平均显著高于正常腰围儿童[(268.6±71.3)μmol/L](F=88.51,P<0.05)。与腰围正常儿童相比,儿童腹型肥胖前期(OR=2.71,95%CI:1.38~5.31)、腹型肥胖(OR=7.97,95%CI:4.61~13.76)儿童罹患高尿酸血症的风险增加(P<0.01)。采用腰围身高比指标进行腹型肥胖评价,得到相似的结果。结论 儿童腹型肥胖及其腹型肥胖前期与高尿酸血症存在正向关联,提示今后应采取积极...  相似文献   

4.
目的:探讨尿酸检测在2型糖尿病的临床意义.方法:对127例2型糖尿病的血清尿酸进行检测,分为高尿酸血症组与尿酸正常对照组,并对两组的其他检验指标和临床资料进行比较.结果:2型糖尿病并高尿酸血症组体重指数(BMI)、腰臀比(WHR)、甘油三酯(TG)、糖化血红蛋白(HbA1c%)、C肽(CP)明显高于正常尿酸组,冠心病、高血压病发病率明显高于正常尿酸组,而高密度脂蛋白(HDL C)低于正常尿酸组.结论:2型糖尿病并高尿酸血症(HUA)与肥胖、脂代谢紊乱、胰岛素抵抗、代谢综合征、冠心病、高血压病密切相关,应积极治疗  相似文献   

5.
目的探讨2型糖尿病患者的高尿酸血症与血管并发症的相关性。方法对468例2型糖尿病患者的血尿酸及血管病变的相关性进行分析,根据血尿酸水平分为高尿酸水平组和正常尿酸水平组.分析两组患者的大血管和微血管病变发生率的差别。结果高尿酸组的体重指数(BMI)、甘油三酯(TG)、总胆固醇(TO)、尿素氮(BUN)、肌酐(Cr)、尿微量自蛋白,以及高血压、冠心病、糖尿病肾病合并率均高于尿酸正常组;而高密度脂蛋白-胆固醇(HDL—C)低于尿酸正常组,差异均有统计学意义。血尿酸水平与BMI、BUN、HDL、TG、空腹血糖(FPG)密切相关。结论2型糖尿病患者的血尿酸水平与高血压、冠心病合并率密切相关,与肥胖、脂代谢紊乱、肾功能等危险因素密切相关。预防糖尿病的慢性并发症不仅要生活方式干预,控制体重、血糖、血压、血脂.还应密切注意尿酸代谢。  相似文献   

6.
目的:探讨高尿酸血症与血糖、血脂、肥胖、年龄、性别等的关系。方法:对2052名参考健康体检者进行高尿酸血症与血脂、血糖、肥胖等相关数据进行统计分析。结果:(1)血清高甘油三酯、高总胆固醇、高空腹血糖、高血尿酸检出率分别为9.55%、7.75%、5.26%、12.04%;(2)50岁以上人群高血脂、高血糖检出率显著高于50岁以下人群(P〈0.05);40岁以上人群高尿酸血症检出率显著高于40岁以下人群(P〈0.01);(3)高尿酸血症组中肥胖、高腰臀比、IFG、高TC、高TG、高血压病的发生率均比正常尿酸组显著增多(P〈0.05)。结论:血脂、血糖、血尿酸总趋势均随年龄增长而增高,高尿酸血症与高血脂、高血糖、肥胖等有较高的相关性。  相似文献   

7.
大连市2067例健康体检者血尿酸水平的检测及结果分析   总被引:2,自引:1,他引:2  
目的了解大连市区人群血尿酸水平与高尿酸血症患病率及其影响因素。方法对进行健康体检的2067名大连市民的血尿酸、血糖、血脂水平及一些基础指标进行分析,用尿酸酶法检测血尿酸含量。结果(1)男性血尿酸平均值为(376±79)μmol/L,女性为(309±67)μmol/L;男性高尿酸血症患病率为19.2%,女性为15.1%;男性均显著高于女性(P〈0.01),且不同年龄组之间有统计学差异(P〈0.05)。(2)超重和肥胖人群中血尿酸水平和高尿酸血症患病率显著增高(P〈0.01)。(3)高尿酸血症组FBG、TG、LDL-C和TC水平明显高于血尿酸正常组(P〈0.05)。(4)高尿酸血症组高TG血症、超重和肥胖、高血糖、高血压和高LDL-C血症的检出率显著高于血尿酸正常组。结论大连地区血尿酸水平和高尿酸血症患病率较高,肥胖容易引发高尿酸血症,高尿酸血症更容易伴发高血脂、高血糖和高血压等代谢性疾病,应该引起重视、加强控制。  相似文献   

8.
周红坚  周雪坚 《中国医师杂志》2008,10(10):1376-1377
目的探讨老年2型糖尿病(DM)患者合并高尿酸血症对代谢状态的影响。方法142例老年2型DM患者分为高尿酸血症组和对照组,高尿酸血症组29例(占20.42%),对照组113例。对其血尿酸(BUA)、血糖、糖化血红蛋白(HbA,C)、血脂代谢以及血清同型半胱氨酸(Hcy)等代谢指标进行回顾性分析。结采高尿酸血症组甘油三脂(TG)高于对照组(t=2.37,P〈0.05);高尿酸血症组Hcy水平明显高于对照组(t=3.65,P〈0.01)。结论老年2型DM合并高尿酸血症能加重血脂代谢和Hcy代谢异常,共同促进机体代谢紊乱的发生与发展。  相似文献   

9.
2型糖尿病患者高尿酸血症与代谢综合征的相关性   总被引:10,自引:0,他引:10  
目的研究2型糖尿病患者中血清尿酸水平在代谢综合征发病中的作用,探讨其可能的发病机制。方法627例2型糖尿病患者按血清尿酸水平分两组:高尿酸水平组77例,非高尿酸组(尿酸水平偏低或正常组)550例,观察血清尿酸水平与代谢综合征主要参数的相关性。结果血尿酸与血压、甘油三酯、体质指数呈正相关(P〈0.01),与高密度脂蛋白胆固醇呈负相关(P〈0.01);代谢综合征患病率高尿酸组为74.03%,非高尿酸组为48.00%(P〈0.01)。结论2型糖尿病患者血尿酸水平与多因素相关,提示2型糖尿病高尿酸血症可能是代谢综合征等发病的危险因素之一。  相似文献   

10.
单纯性肥胖症儿童血脂、红细胞膜脂及其流动性的研究   总被引:4,自引:0,他引:4  
朱惠莲  王身笏 《营养学报》1999,21(3):306-309
目的:通过对单纯性肥胖儿童血脂、红细胞膜脂及其流动性的研究,初步了解其脂代谢紊乱的状况,并探讨其动脉粥样硬化危险性增加的可能机制。方法:对筛选出的49 名肥胖儿童及其正常对照,测定其血清脂质、红细胞膜磷脂( P L) 、膜胆固醇( C H O) 及膜流动性( P) 。结果:肥胖组儿童 T G、 V L D L C 的浓度、动脉粥样硬化指数( A I) 、 L D L C/ H D L C 比值均显著高于正常组( P< 0 .05) ;而 H D L C 的浓度及 H D L C/ T C 比值则显著低于正常组( P< 0 .05) ,但两组的 T C 含量无显著性差异。肥胖组儿童 P L 含量显著低于正常组( P< 0 .05) , C H O 和 C H O/ P L 比值显著高于正常组( P< 0 .05) ;而 P 显著低于正常儿童。结论:单纯性肥胖症儿童血脂代谢出现紊乱,膜脂和膜流动性在血清胆固醇水平正常的情况下即出现异常变化,肥胖儿童脂代谢异常在红细胞膜脂质及其流动性方面可能比血脂更早表现出来,并对肥胖儿童 A S的预测和预防可能会有更大的价值。  相似文献   

11.
目的 探索孕哺期高脂膳食对子代SD大鼠血尿酸的影响。方法 10只成年雌性SD孕鼠随机分为对照组和高脂组,分别饲以标准鼠粮和含20%猪油的高脂饲料。4周龄断乳后,对照组雄性仔鼠中10只维持标准鼠粮(B/B),10只转饲以高脂饲料(B/HF);高脂组雄性仔鼠中10只维持原饲料(HF/HF),10只转饲以标准鼠粮(HF/B)。至12周龄,称量体重,测定血尿酸水平及黄嘌呤氧化酶和腺苷脱氨酶活性。结果 HF/HF组仔鼠体重、血尿酸水平及黄嘌呤氧化酶(xanthine oxidase,XOD)活性均显著高于B/B组及HF/B组(P<0.05),HF/B组仔鼠血尿酸水平及XOD活性高于B/B组(P<0.05),血ADA活性各组间差异无统计学意义(P>0.05)。结论 孕哺期高脂膳食可对子代高尿酸血症的发生产生影响,断乳后膳食调整可减弱其影响,机制可能与血黄嘌呤氧化酶活性的改变有关。  相似文献   

12.
Rats fed a diet with high fat concentration produce larger amounts of milk with a higher lipid concentration than rats fed a lower fat diet. This investigation was designed to study the relationship between dietary fat intake, mammary gland lipid uptake and lipogenesis in rat dams fed, during pregnancy and lactation, one of two purified diets, with equal energy density, containing 2.5 (LL) or 20 g fat/100 g diet (HL). Milk lipid concentration and fatty acid composition were determined at d 14 of lactation. Mammary gland lipogenesis, lipoprotein lipase (LPL) activity and the uptake of [1-(14)C]triolein by the mammary gland and its transfer to the pups was measured. The intestinal absorption of oral (14)C-lipid, (14)CO(2) production and the amount of (14)C-lipid transferred to the pups (milk clot + pups carcass) were significantly higher in the HL group than in the LL group (P < 0.05). Mammary gland lipogenesis was 75% lower and LPL activity was 30% higher in the HL group (P < 0.05). Medium-chain fatty acids (C6-C14) excretion was 46% lower and that of long-chain fatty acids was 142% (P < 0.001) higher in the HL group than in the LL group. The higher milk lipid excretion in the rats fed a high-fat diet resulted from a larger uptake of dietary lipid by the mammary gland, indicated by a larger transfer of (14)C-lipid to the pups and by a higher LPL activity in the mammary gland.  相似文献   

13.
OBJECTIVE: Lipoprotein lipase (LPL) and hepatic lipase (HL) are essential in hydrolysis of triglyceride-rich lipoproteins. LPL activity is negatively, whereas HL activity is positively, associated with total body fat. We determined the associations of trunk and leg fat mass with plasma LPL and HL activities in a cross-sectional study. RESEARCH METHODS AND PROCEDURES: LPL and HL activities were determined in post-heparin plasma in a sample of 197 men and 209 women, 60 to 87 years of age. A total body DXA scan was performed to determine trunk and leg fat mass. RESULTS: In women, but not in men, trunk fat mass was negatively associated with LPL activity, whereas leg fat mass was positively associated, after mutual adjustment and adjustment for age. Standardized betas (95% confidence interval) for trunk and leg fat mass were -0.24 (-0.41; -0.08) and 0.14 (-0.02; 0.31), respectively (interaction by sex, p = 0.03). Larger trunk fat mass was associated with higher HL activity in men [0.48 (0.28; 0.68)] and women [0.40 (0.24; 0.56)]. A negative association of leg fat mass and HL activity was observed in men, although not statistically significant [-0.13 (-0.33; 0.06)], and in women [-0.28 (-0.38; -0.18)]. DISCUSSION: Abdominal fat is associated with unfavorable and femoral fat with favorable LPL and HL activities in plasma.  相似文献   

14.
目的 探讨成年人高尿酸血症(HUA)的临床特征及血尿酸(SUA)水平与代谢综合征(MS)的关系.方法 对≥20岁健康体检者共18 862例的资料进行统计分析.结果 HUA检出率为14.8%(2788/18 862),其中男性为18.4%( 1926/10 445),女性为10.2%( 862/8417);HUA患病率随着年龄的增长而升高,不同年龄段之间比较差异有统计学意义(P=0.000);各年龄段检出率男性均高于女性(P<0.01或<0.05).与正常SUA患者相比,HUA患者的体质指数(BMI)、收缩压(SBP)、舒张压(DBP)、总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)水平均明显增高(P<0.01或<0.05),高密度脂蛋白胆固醇(HDL-C)水平则明显降低(P<0.05).多元逐步回归分析显示:BMI、SBP、DBP、空腹血糖(FPG)、TG、HDLC均是SUA的独立相关因素.HUA患者中高血压、超重/肥胖、血脂紊乱、高血糖及MS的检出率分别为24.1% (672/2788)、36.2% (1009/2788)、31.2%(870/2788)、18.0%(502/2788)、20.8%( 580/2788),均显著高于正常SUA患者的18.2%(2925/16 074)、26.4%(4244/16 074)、22.0%(3536/16 074)、15.0%(2411/16 074)、17.0%(2733/16 074)(P< 0.01 );SUA在MS患者为(342.3±64.2)μmol/L,明显高于非MS患者的(319.3±67.1)μmol/L,差异有统计学意义(P=0.000).结论 HUA患病率随着年龄的增长而升高,多种代谢异常在HUA患者中呈现聚集倾向,SUA与MS密切相关.  相似文献   

15.
目的研究同等剂量槲皮素(Quercetin,Que)和芹菜素(Apigenin,Api)对腺嘌呤+盐酸乙胺丁醇诱导大鼠高尿酸血症的影响及其机制。方法利用腺嘌呤+盐酸乙胺丁醇片灌胃法诱导SD大鼠制备高尿酸血症模型,槲皮素、芹菜素预防治疗3周,测定血清尿酸(SerumUricAcid,SUA)、血清以及肝脏中的黄嘌呤氧化酶(Xanthine Oxidase,XOD)、腺苷脱氨酶(adenosine deaminase,ADA)的活性。结果槲皮素和芹菜素均可显著降低SUA水平,抑制血清和肝脏中的ADA水平,槲皮素能够显著抑制血清和肝脏中的XOD的活性,但是芹菜素对肝脏XOD活性影响不大。结论槲皮素、芹菜素均有干预腺嘌呤+盐酸乙胺丁醇诱导高尿酸血症的作用。可能的机制是槲皮素通过抑制机体XOD和ADA的活性,减少血尿酸的生成量,从而降低血清尿酸水平;而芹菜素可能通过抑制体内ADA的活性,或许还有别的途径来降低SUA水平,但是具体机制有待于进一步研究。  相似文献   

16.
红松仁不饱和脂肪酸对肥胖大鼠肝脏脂肪代谢的影响   总被引:3,自引:0,他引:3  
目的研究红松仁不饱和脂肪酸对大鼠脂肪代谢的调节作用。方法采用从超临界法提取的红松仁油为原料,用尿素包合法制得不饱和脂肪酸。将大鼠随机分为8组,除1组为基础对照组外,其他7组给予高脂饲料,每周称重一次,建立肥胖模型。基础对照组和肥胖对照组分别灌胃生理盐水(1.2g/kgbw),松仁原油对照组灌胃松仁油(1.2g/kgbw),5个剂量组分别灌胃不饱和脂肪酸0.4、0.8、1.2、1.6和2.0g/kgbw。连续4w后,分别测定大鼠体重、脂/体质量比、血清总胆固醇(TC)、血清总甘油三酯(TG)、高密度脂蛋白(HDL-C)、肝脂酶(HL)活性、脂蛋白脂酶(LPL)活性及肝脏脂褐质(LP)含量。结果与肥胖对照组相比,红松仁不饱和脂肪酸能显著降低大鼠体重、脂体比、TG、LP和TC水平,而HL水平和总脂酶(LA)水平显著提高。结论红松仁不饱和脂肪酸对大鼠脂代谢具有积极的调节作用。  相似文献   

17.
The time course of changes in tissue lipolytic activities was studied in young rats during the consumption of a low-protein diet containing 50 g protein/kg (40 g wheat gluten +10 g casein/kg) for 28 d followed by balanced refeeding with 200 g protein/kg (160 g wheat gluten +40 g casein/kg) for 28 d. Lipoprotein lipase (LPL) activities were compared with the values of a control group fed a balanced diet containing 200 g protein/kg for 56 d. At the end of protein malnutrition period, the epididymal fat tissue LPL activity represented 36 %, and that of heart and gastrocnemius was 44 %, of those of the control group. These differences were accompanied by lower serum- and VLDL-triacylglycerols (TAG), respectively 47.6 % and 31 % of the control group values, probably resulting from reduced synthesis of VLDL-apolipoproteins (29 % of control group values), concomitant with liver lipid accumulation (4.8-fold) and little lipid storage in epididymal fat tissue. At day 2 of refeeding, there was no significant difference in liver and epididymal fat tissue LPL activities between experimental and control rats. At the end of the refeeding period, LPL activity of epididymal fat and liver lipolytic activity had increased and became similar to control group values. The consumption of a low-protein diet prevented the increase in extrahepatic LPL activities as observed in the control group. The alterations in LPL activity suggest that a low-protein diet limits lipid storage in adipose tissue due to reduced serum VLDL-TAG availability.  相似文献   

18.
老年2型糖尿病患者营养不良及腹型肥胖发生率   总被引:1,自引:0,他引:1  
目的调查老年2型糖尿病患者营养不良(包括营养不足、超重和肥胖)及腹型肥胖发生率。方法随机选取符合纳入标准并获知情同意的老年2型糖尿病患者133例[研究组,平均年龄(66.9±5.4)岁]及老年健康者133名[对照组,平均年龄(66.3±5.8)岁],采用多频生物电阻抗法测定体重、总体脂肪、腹部脂肪、内脏脂肪、内脏脂肪面积和腰臀围比值(WHR),以体重指数(BMI)判定营养不足、超重和肥胖的发生率,以WHR判定腹型肥胖发生率,并比较两组结果。结果与对照组比较,老年2型糖尿病患者的BMI[(25.7±3.8)%(24.2.4±2.2)kg/m^2,P=0.001]、总体脂肪[(20.1±6.9)/)5.(17.4±5.0)kg,P=0.001]、WHR(0.92±0.10w.0.87±0.06,P=0.001)、腹部脂肪[(10.2±3.4)讹(8.6±2.5)kg,P=0.001]、内脏脂肪[(2.7±0.9)w.(2.3±0.7)kg,P=0.001]和内脏脂肪面积[(89.1±28.8)强(75.74±21.6)cm^2,P=0.001]均显著增高。老年2型糖尿病患者的营养不足(BMI〈18.5)(3.8%w.0,P=0.024)和肥胖(BMI≥28.0)发生率(26.3%%6.0%,P=0.001)均显著高于对照组。老年男性2型糖尿病患者体脂过高(52.1%傩.34.1%,P=0.023)和腹型肥胖的发生率(83.6%%67.1%,P=0.017)均显著高于对照组。结论对老年2型糖尿病患者应强调总体脂肪、腰围、腹部和内脏脂肪的测定与控制。  相似文献   

19.
OBJECTIVE: The present study explored the effect of antioxidant capacity on blood lipid metabolism and lipoprotein lipase (LPL) activity of rats fed with a high-fat diet (HFD). Furthermore, the relation of the atherosclerotic index (AI) and LPL activity to total antioxidant capacity (TAC) was studied. METHODS: Thirty-two Sprague-Dawley rats were randomly assigned to one of four groups (n = 8). The control group consumed an ordinary diet (5.1% fat, w/w). The other three experimental groups were fed with an HFD (14.1% fat, w/w), an HFD plus 0.1% lipoic acid (LA), or an HFD plus 0.1% N-acetylcysteine (NAC). After 4 wk, serum levels of triacylglycerol, total cholesterol, low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol and LPL activity were examined. To evaluate rats' antioxidant status, TAC and superoxide dismutase activities and malondialdehyde level were measured. RESULTS: The HFD induced abnormal increases in lipid peroxidation, serum concentrations of total cholesterol, triacylglycerol, and low-density lipoprotein cholesterol, and a decrease in high-density lipoprotein cholesterol concentration. Decreased activity of LPL, accompanied by a depressed antioxidant defense system, was observed in HFD-fed rats. These changes were partially restored in the NAC- and LA-treated groups. There was a negative correlation between AI and TAC (r = -0.969, P < 0.05). In addition, a significant positive correlation between LPL activity and TAC was found (r = 0.979, P < 0.05). CONCLUSION: Oxidative injury and lipid abnormalities were induced by an HFD. Administration of LA and NAC can improve the antioxidant capacity and activity of LPL and reduce blood lipid significantly. Antioxidant capacity is correlated with AI and LPL activity.  相似文献   

20.
幼年雌性SD大鼠营养性肥胖模型的建立   总被引:5,自引:0,他引:5  
目的建立一种适合儿童肥胖研究的幼年大鼠营养性肥胖模型。方法45只刚离乳SD雌性大鼠按区组随机分为对照组、肥胖A组与B组,A组在给予普通饲料的基础上添加由黄豆芽、奶粉、猪油、鸡蛋、鱼肝油组成的高能量饲料,B组自由进食合成高脂饲料,喂养45 d后观察三组大鼠体重、Lee’s指数、腹腔内脂肪重量及其重量系数、肝脏体比、血脂、血糖、胰岛素、瘦素等肥胖相关指标。结果肥胖A组摄入的总能量及蛋白、脂肪量明显高于其他两组,A组体重4周末就明显高于对照组,6周末显著高于B组;A组的Lee’s指数、腹腔内脂肪重量及其重量系数、肝脏体比也明显高于其他两组,A组的肥胖率高于B组;但血脂、血糖、胰岛素、胰岛素敏感指数三组间无显著差异,血瘦素水平A组明显高于对照组与B组,且与体重呈正相关。结论自由进食普通饲料的基础上,每天15 g/只的高能量饲料的喂饲方式可诱导幼年雌性SD大鼠营养性肥胖模型。  相似文献   

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