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Liu H, Gan Q, Tan J, Sun X, Liu Y, Wan C. The association between quality of life and subjective wellbeing among older adults based on canonical correlation analysis. Front Public Health 2023; 11:1235276. [PMID: 37799159 PMCID: PMC10548456 DOI: 10.3389/fpubh.2023.1235276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Accepted: 08/31/2023] [Indexed: 10/07/2023] Open
Abstract
Introduction The study explored the relationship between subjective well-being and the quality of life among older adults. It highlights the importance of understanding how these factors are interconnected in the context of an aging population. Methods Descriptive statistics were used to analyze the scores of general demographic characteristics, subjective wellbeing and quality of life. Simple correlation analysis and canonical correlation analysis were employed to analyze the relationship between subjective wellbeing and quality of life among older adults. Results Data from 892 older adults were collected. Canonical correlation analysis revealed four pairs of canonical variables, with the first four pairs of canonical correlation coefficients all being statistically significant (0.695, 0.179, 0.147, 0.121) (p < 0.05), and the first pair of canonical variables explaining 93.03% of the information content. From the canonical loading coefficients, Vitality and mental health contributed the most to the quality of life (U1) canonical variable. The canonical variable V1, which corresponded to subjective wellbeing, was reflected by a combination of positive affect, negative affect, positive experience and negative experience. X1 (physical functioning), X2 (role-physical), X3 (bodily pain), X4 (general health), X5 (vitality), X6 (social functioning), X7 (role-emotional) and X8 (mental health) were positively correlated with Y1 (positive affect) and Y3 (positive experience), negatively correlated with Y2 (negative affect) and Y4 (negative experience). Cross-loadings revealed that physical functioning, bodily pain, general health, vitality, social functioning and mental health were the main factors reflecting the subjective wellbeing of older adults. Discussion As quality of life among older adults was highly correlated with subjective wellbeing, appropriate measures should be taken to account for individual characteristics of older adults, and various factors should be integrated to improve their subjective wellbeing.
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Affiliation(s)
- Huanting Liu
- Key Laboratory for Quality of Life and Psychological Assessment and Intervention, Research Center for Quality of Life and Applied Psychology, School of Humanities and Management, Guangdong Medical University, Dongguan, China
| | - Qihui Gan
- Institute of Health Law and Policy, Guangdong Medical University, Dongguan, China
| | - Jianfeng Tan
- Key Laboratory for Quality of Life and Psychological Assessment and Intervention, Research Center for Quality of Life and Applied Psychology, School of Humanities and Management, Guangdong Medical University, Dongguan, China
| | - Xiaoyuan Sun
- Key Laboratory for Quality of Life and Psychological Assessment and Intervention, Research Center for Quality of Life and Applied Psychology, School of Humanities and Management, Guangdong Medical University, Dongguan, China
| | - Yuxi Liu
- Institute of Health Law and Policy, Guangdong Medical University, Dongguan, China
| | - Chonghua Wan
- Key Laboratory for Quality of Life and Psychological Assessment and Intervention, Research Center for Quality of Life and Applied Psychology, School of Humanities and Management, Guangdong Medical University, Dongguan, China
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Zhang T, Kong W, Wang S, Mou X. Association Analysis of Peripheral and CSF Biomarkers in Late Mild Cognitive Impairment. Front Genet 2020; 11:834. [PMID: 32903489 PMCID: PMC7437457 DOI: 10.3389/fgene.2020.00834] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Accepted: 07/10/2020] [Indexed: 01/13/2023] Open
Abstract
Research shows that late mild cognitive impairment (LMCI) has a high risk of turning into Alzheimer's disease (AD). Due to the invasion of detection methods and physical damage to the patients, it is not a convenient way to diagnose and detect early AD and LMCI by cerebrospinal fluid (CSF) data. So there is an urgent need to find the correlation between peripheral biological data and CSF data in the brain, and to find new diagnostic methods through changes in the peripheral biological data. Studies have shown that during the pathogenesis of LMCI and AD, peripheral immune cells specifically infiltrate into the brain through the blood-brain barrier, causing an imbalance in the brain's immune response and dysregulating the clearance of Aβ in CSF. Therefore, in this paper, canonical correlation analysis (CCA) algorithm is presented to derive the correlation between peripheral and CSF biomarkers based on LMCI peripheral gene expression data and plasma marker information. Firstly, to explore the influence of the infiltration of peripheral blood immune cells on the brain, the abundance of 28 immune cells were calculated by using the gene set enrichment analysis algorithm of LMCI samples. Then, to identify the correlation between biomarkers inside and outside of the brain, we performed CCA to calculate the relationship between CSF and peripheral biomarkers. Results of CCA showed significant correlations between the variable sets of 8 peripheral biomarkers and the variable sets of CSF biomarkers (at 0.794). Finally, according to Kyoto Encyclopedia of Genes and Genomes and Gene Ontology analysis, it was found that the obtained peripheral biomarkers are involved in many immune-related pathways and functions which can be activated in peripheral blood of LMCI patients. Most related genes enriched in immune-related pathways and functions were up-regulated. Through receiver operating characteristic curve (ROC) analysis, it was also found that FP40/FP42 and type 1 T helper can accurately predict the pathological changes of LMCI (at 0.747).
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Affiliation(s)
- Tao Zhang
- College of Information Engineering, Shanghai Maritime University, Shanghai, China
| | - Wei Kong
- College of Information Engineering, Shanghai Maritime University, Shanghai, China
| | - Shuaiqun Wang
- College of Information Engineering, Shanghai Maritime University, Shanghai, China
| | - Xiaoyang Mou
- Department of Biochemistry, Rowan University and Guava Medicine, Glassboro, NJ, United States
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Basak SM, Wierzbowska IA, Gajda A, Czarnoleski M, Lesiak M, Widera E. Human-Wildlife Conflicts in Krakow City, Southern Poland. Animals (Basel) 2020; 10:ani10061014. [PMID: 32532090 PMCID: PMC7341330 DOI: 10.3390/ani10061014] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Revised: 06/04/2020] [Accepted: 06/05/2020] [Indexed: 11/17/2022] Open
Abstract
Simple Summary Human conflicts with wildlife (HWC) are gradually increasing in urban areas with changing patterns of land-use and fragmentation. We investigated the occurrence of human-wildlife conflicts in Krakow city, southern Poland, based on recorded conflict incidents with wild animals in three categories, i.e., animal-vehicle collisions, intrusion to property, and damages. The three most common conflict species were red fox, roe deer and wild boar. We analysed the spatial and temporal distribution of the HWC. The results of the study can be used to identify locations of potential HWC hot spots in the city and provide information for mitigation actions. Abstract Efforts to reduce human-wildlife-conflict are integral to wildlife management and conservation in urban habitats. In our study, we identified the HWC situations in urban areas of Krakow city, based on animal-vehicle collisions, intrusion to property, and damages. Hot spot analysis and Moran’s Index were used to identify the location of maximum potential conflict. We analysed 2512 incidents in which animals (of which 85% included mammals and 15% birds) were involved in conflict situations between 2007 and 2013. A significant seasonal variation was observed among the animals. We also identified roe deer (50.23%), red fox (22.80%) and wild boar (11.40%), as the three prominent conflicted animals. Getis–Ord Gi* analysis was used to identify spatial clusters of conflict. A significant spatial association was found in the location of clusters of hot spots in specific land-use based on Moran’s Index. Hot spots of roe deer and wild boar were high in grasslands and in forest and for red fox in built-up area. The results underscore the notion that conservation and wildlife management efforts must take into account differences in the seasonality of HWC among species. This information can be used to inform mitigation strategies.
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Affiliation(s)
- Sayantani M. Basak
- Institute of Environmental Sciences, Faculty of Biology, Jagiellonian University, Gronostajowa 7, 30-387 Krakow, Poland; (S.M.B.); (M.C.); (E.W.)
| | - Izabela A. Wierzbowska
- Institute of Environmental Sciences, Faculty of Biology, Jagiellonian University, Gronostajowa 7, 30-387 Krakow, Poland; (S.M.B.); (M.C.); (E.W.)
- Correspondence: ; Tel.: +48-126-645-140
| | - Agnieszka Gajda
- Institute of Urban and Regional Development, Targowa 45, 03-728 Warsaw, Poland;
| | - Marcin Czarnoleski
- Institute of Environmental Sciences, Faculty of Biology, Jagiellonian University, Gronostajowa 7, 30-387 Krakow, Poland; (S.M.B.); (M.C.); (E.W.)
| | - Maciej Lesiak
- Maciej Lesiak, “KABAN” Maciej Lesiak, os. Albertyńskie 1-2/125, 31-851 Krakow, Poland;
| | - Elzbieta Widera
- Institute of Environmental Sciences, Faculty of Biology, Jagiellonian University, Gronostajowa 7, 30-387 Krakow, Poland; (S.M.B.); (M.C.); (E.W.)
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Kabir A, Rashid MM, Hossain K, Khan A, Sikder SS, Gidding HF. Women's empowerment is associated with maternal nutrition and low birth weight: evidence from Bangladesh Demographic Health Survey. BMC WOMENS HEALTH 2020; 20:93. [PMID: 32370781 PMCID: PMC7201548 DOI: 10.1186/s12905-020-00952-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Accepted: 04/15/2020] [Indexed: 12/14/2022]
Abstract
Background The burden of maternal undernutrition and low birth weight (LBW) incurs enormous economic costs due to their adverse consequences. Women’s empowerment is believed to be one of the key factors for attaining maternal and child health and nutritional goals. Our objective was to investigate the association of women’s empowerment with maternal undernutrition and LBW. Methods We used nationally representative data from the Bangladesh Demographic Health Survey for 2011 and 2014. We analysed 27357 women and 9234 mother-child pairs. A women’s empowerment index (WEI) was constructed using principal component analysis with five groups of indicators: a) education, b) access to socio-familial decision making, c) economic contribution and access to economic decision making, d) attitudes towards domestic violence and e) mobility. We estimated odds ratios as the measure of association between the WEI and the outcome measures using generalized estimating equations to account for the cluster level correlation. Results The overall prevalence of maternal undernutrition was 20% and LBW was 18%. The WEI was significantly associated with both maternal undernutrition and LBW with a dose-response relationship. The adjusted odds of having a LBW baby was 32% [AOR (95% CI): 0.68 (0.57, 0.82)] lower in the highest quartile of the WEI relative to the lowest quartile. Household wealth significantly modified the effect of the WEI on maternal nutrition; in the highest wealth quintile, the odds of maternal undernutrition was 54% [AOR (95% CI): 0.46 (0.33, 0.64)] lower while in the lowest wealth quintile the odds of undernutrition was only 18% [AOR (95% CI): 0.82 (0.67, 1.00)] lower comparing the highest WEI quartile with the lowest WEI quartile. However, the absolute differences in prevalence of undernutrition between the highest and lowest WEI quartiles were similar across wealth quintiles (6–8%). Conclusions This study used a comprehensive measure of women’s empowerment and provides strong evidence that low levels of women’s empowerment are associated with maternal undernutrition as well as with delivering LBW babies in Bangladesh. Therefore, policies to increase empowerment of women would contribute to improved public health.
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Affiliation(s)
- Alamgir Kabir
- Centre for Primary Health Care and Equity, Faculty of Medicine, University of New South Wales, Level 3, AGSM Building, Sydney, NSW, 2052, Australia. .,School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia. .,Department of Statistics, University of Rajshahi, Rajshahi, Bangladesh. .,Asian Institute of Disability and Development, Dhaka, Bangladesh.
| | | | - Kamal Hossain
- Department of Statistics, University of Rajshahi, Rajshahi, Bangladesh
| | - Arifuzzaman Khan
- Asian Institute of Disability and Development, Dhaka, Bangladesh.,School of Public Health, The University of Queensland, Brisbane, Australia
| | | | - Heather F Gidding
- School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.,Women and Babies Research, Kolling Institute, Northern Sydney Local Health District, St Leonards, NSW, 2065, Australia.,The University of Sydney Northern Clinical School, Sydney, NSW, Australia.,National Centre for Immunisation Research and Surveillance, Westmead, NSW, Australia
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Zhang T, Tang X, Li H, Woodberry KA, Kline ER, Xu L, Cui H, Tang Y, Wei Y, Li C, Hui L, Niznikiewicz MA, Shenton ME, Keshavan MS, Stone WS, Wang J. Clinical subtypes that predict conversion to psychosis: A canonical correlation analysis study from the ShangHai At Risk for Psychosis program. Aust N Z J Psychiatry 2020; 54:482-495. [PMID: 31486343 DOI: 10.1177/0004867419872248] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
OBJECTIVE Since only 30% or fewer of individuals at clinical high risk convert to psychosis within 2 years, efforts are underway to refine risk identification strategies to increase their predictive power. The clinical high risk is a heterogeneous syndrome presenting with highly variable clinical symptoms and cognitive dysfunctions. This study investigated whether subtypes defined by baseline clinical and cognitive features improve the prediction of psychosis. METHOD Four hundred clinical high-risk subjects from the ongoing ShangHai At Risk for Psychosis program were enrolled in a prospective cohort study. Canonical correlation analysis was applied to 289 clinical high-risk subjects with completed Structured Interview for Prodromal Syndromes and cognitive battery tests at baseline, and at least 1-year follow-up. Canonical variates were generated by canonical correlation analysis and then used for hierarchical cluster analysis to produce subtypes. Kaplan-Meier survival curves were constructed from the three subtypes to test their utility further in predicting psychosis. RESULTS Canonical correlation analysis determined two linear combinations: (1) negative symptom and functional deterioration-related cognitive features, and (2) Positive symptoms and emotional disorganization-related cognitive features. Cluster analysis revealed three subtypes defined by distinct and relatively homogeneous patterns along two dimensions, comprising 14.2% (subtype 1, n = 41), 37.4% (subtype 2, n = 108) and 48.4% (subtype 3, n = 140) of the sample, and each with distinctive features of clinical and cognitive performance. Those with subtype 1, which is characterized by extensive negative symptoms and cognitive deficits, appear to have the highest risk for psychosis. The conversion risk for subtypes 1-3 are 39.0%, 11.1% and 18.6%, respectively. CONCLUSION Our results define important subtypes within clinical high-risk syndromes that highlight clinical symptoms and cognitive features that transcend current diagnostic boundaries. The three different subtypes reflect significant differences in clinical and cognitive characteristics as well as in the risk of conversion to psychosis.
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Affiliation(s)
- TianHong Zhang
- Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China
| | - XiaoChen Tang
- Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China
| | - HuiJun Li
- Department of Psychology, Florida A&M University, Tallahassee, FL, USA
| | - Kristen A Woodberry
- Beth Israel Deaconess Medical Center, Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| | - Emily R Kline
- Beth Israel Deaconess Medical Center, Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| | - LiHua Xu
- Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China
| | - HuiRu Cui
- Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China
| | - YingYing Tang
- Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China
| | - YanYan Wei
- Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China
| | - ChunBo Li
- Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China
| | - Li Hui
- Institute of Mental Health, Suzhou Psychiatric Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
| | - Margaret A Niznikiewicz
- Veterans Administration Medical Center, Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| | - Martha E Shenton
- Brigham and Women's Hospital, Departments of Psychiatry and Radiology, Harvard Medical School, Boston, MA, USA
- Research and Development, Veterans Affairs Boston Healthcare System, Brockton Division, Brockton, MA, USA
| | - Matcheri S Keshavan
- Veterans Administration Medical Center, Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| | - William S Stone
- Beth Israel Deaconess Medical Center, Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| | - JiJun Wang
- Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China
- Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), Bio-X Institutes, Shanghai, P.R. China
- CAS Center for Excellence in Brain Science and Intelligence Technology (CEBSIT), Chinese Academy of Sciences, Shanghai, P.R. China
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Wang J, Sun W, Tang X, Xu L, Wei Y, Cui H, Tang Y, Hui L, Jia Q, Zhu H, Wang J, Zhang T. Transdiagnostic Dimensions towards Personality Pathology and Childhood Traumatic Experience in a Clinical Sample: Subtype Classification by a Cross-sectional Analysis. Sci Rep 2019; 9:11248. [PMID: 31375755 PMCID: PMC6677786 DOI: 10.1038/s41598-019-47754-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Accepted: 07/23/2019] [Indexed: 12/23/2022] Open
Abstract
Psychiatric disorders are highly heterogeneous syndromes often explained by underlying and internalized personality disorder(PD) traits that are affected by externalized childhood trauma experiences(CTE). The present study investigated the differential subtype model by examining the association between PD traits and CTE in a clinical sample with transdiagnostic psychopathology. Outpatients(n = 2090) presenting for psychiatric treatment completed self-reported measures of PD traits(Personality Diagnostic Questionnaire) and the childhood adversity(Child Trauma Questionnaire). Canonical variates were generated by canonical correlation analysis(CCA) and then used for hierarchical cluster analysis to produce subtypes. A support vector machine(SVM) model was used and validated using a linear kernel to assess the utility of the extracted subtypes of outpatients in clinical diagnosis classifications. The CCA determined two linear combinations: emotional abuse related dissociality PD traits(antisocial and paranoid PD) and emotional neglect related sociality PD traits(schizoid, passive-aggressive, depressive, histrionic, and avoidant PD). A cluster analysis revealed three subtypes defined by distinct and relatively homogeneous patterns along two dimensions, and comprising 17.5%(cluster-1, n = 365), 34.8%(cluster-2, n = 727), and 47.8%(cluster-3, n = 998) of the sample, each with distinctive features of PD traits and CTE. These subtypes suggest more distinct PD trait correlates of CTE manifestations than were captured by clinical phenomenological diagnostic definitions. Our results highlight important subtypes of psychiatric patients that highlight PD traits and CTE that transcend current diagnostic boundaries. The three different subtypes reflect significant differences in PD and CTE characteristics and lend support to efforts to develop PD and childhood trauma targeted psychotherapy that extends to clinical diagnosis-based interventions.
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Affiliation(s)
- JunJie Wang
- Institute of Mental Health, Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow Unversity, Soochow Unversity, Suzhou, Jiangsu, 215137, China
| | - Wei Sun
- Department of Neurosurgery, Pu Nan Hospital, Shanghai, 200125, China
| | - XiaoChen Tang
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, 200030, P.R. China
| | - LiHua Xu
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, 200030, P.R. China
| | - YanYan Wei
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, 200030, P.R. China
| | - HuiRu Cui
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, 200030, P.R. China
| | - YingYing Tang
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, 200030, P.R. China
| | - Li Hui
- Institute of Mental Health, Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow Unversity, Soochow Unversity, Suzhou, Jiangsu, 215137, China
| | - QiuFang Jia
- Institute of Mental Health, Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow Unversity, Soochow Unversity, Suzhou, Jiangsu, 215137, China
| | - Hongliang Zhu
- Institute of Mental Health, Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow Unversity, Soochow Unversity, Suzhou, Jiangsu, 215137, China.
| | - JiJun Wang
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, 200030, P.R. China. .,Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), Shanghai, P.R. China. .,Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China.
| | - TianHong Zhang
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, 200030, P.R. China.
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Zhao H, Li J, Zhou Y, Zhu L, Zheng Y, Xia W, Li Y, Xiang L, Chen W, Xu S, Cai Z. Investigation on Metabolism of Di(2-Ethylhexyl) Phthalate in Different Trimesters of Pregnant Women. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2018; 52:12851-12858. [PMID: 30257557 DOI: 10.1021/acs.est.8b04519] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Di(2-ethylhexyl) phthalate (DEHP) is a widely used plasticizer but shows diverse toxicity. To investigate the time- and maternal age-differences in metabolism process of DEHP in pregnant women, three urine samples were collected from each pregnant woman ( n = 847) at the first (T1, mean 13.04 gestational weeks), the second (T2, mean 23.63 gestational weeks) and the third time point (T3, mean 35.91 gestational weeks), respectively. Four metabolites of DEHP were analyzed in 2541 urine samples (847 × 3) by using ultra-high performance liquid chromatography coupled with triple quadrupole mass spectrometry. The level of urinary mono(2-ethylhexyl) phthalate (MEHP) had a decreasing trend across the pregnancy periods. The geometric mean concentrations of mono(2-ethyl-5-hydroxyhexyl) phthalate (MEHHP), mono(2-ethyl-5-oxohexyl) phthalate (MEOHP) and mono(2-ethyl-5-carboxypentyl) phthalate (MECPP) were significantly decreased in T2 than T1, and recovered slightly in T3. The transformation rate of MEHP to MEHHP in T3 was significantly higher than those in other two time points. The transformation rate of MEHHP to MEOHP in T2 and T3 was significantly higher than that in T1, indicating the oxidation was more efficient in late pregnancy compared with early and middle pregnancy. The percentages of oxidation products MEHHP and MECPP were higher in the higher-age group compared with the lower-age group in the second trimester samples. It is therefore concluded that DEHP metabolism may be influenced by the pregnancy stage and maternal age. The findings may benefit the risk assessment and toxicity evaluation of DEHP.
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Affiliation(s)
- Hongzhi Zhao
- State Key Laboratory of Environmental and Biological Analysis, Department of Chemistry , Hong Kong Baptist University , Hong Kong SAR , China
| | - Jiufeng Li
- State Key Laboratory of Environmental and Biological Analysis, Department of Chemistry , Hong Kong Baptist University , Hong Kong SAR , China
| | - Yanqiu Zhou
- State Key Laboratory of Environmental and Biological Analysis, Department of Chemistry , Hong Kong Baptist University , Hong Kong SAR , China
| | - Lin Zhu
- State Key Laboratory of Environmental and Biological Analysis, Department of Chemistry , Hong Kong Baptist University , Hong Kong SAR , China
| | - Yuanyuan Zheng
- State Key Laboratory of Environmental and Biological Analysis, Department of Chemistry , Hong Kong Baptist University , Hong Kong SAR , China
| | - Wei Xia
- Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubation), School of Public Health , Tongji Medical College, Huazhong University of Science and Technology , Wuhan , China
| | - Yuanyuan Li
- Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubation), School of Public Health , Tongji Medical College, Huazhong University of Science and Technology , Wuhan , China
| | - Li Xiang
- State Key Laboratory of Environmental and Biological Analysis, Department of Chemistry , Hong Kong Baptist University , Hong Kong SAR , China
| | - Wei Chen
- State Key Laboratory of Environmental and Biological Analysis, Department of Chemistry , Hong Kong Baptist University , Hong Kong SAR , China
| | - Shunqing Xu
- Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubation), School of Public Health , Tongji Medical College, Huazhong University of Science and Technology , Wuhan , China
| | - Zongwei Cai
- State Key Laboratory of Environmental and Biological Analysis, Department of Chemistry , Hong Kong Baptist University , Hong Kong SAR , China
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Yao Y, Zhao S, Zhang Y, Tang L, An Z, Lu L, Yao S. Job-related burnout is associated with brain neurotransmitter levels in Chinese medical workers: a cross-sectional study. J Int Med Res 2018; 46:3226-3235. [PMID: 29808771 PMCID: PMC6134687 DOI: 10.1177/0300060518775003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Objective The aim of the present study was to investigate the relationship between job burnout and neurotransmitter levels in medical staff. Methods A total of 80 medical staff were enrolled in the study and assessed for occupational burnout using the Maslach Burnout Inventory – General Survey (MBI-GS). The levels of neurotransmitters in the cerebral cortex were analysed using an SP03 encephalofluctuograph. Results The levels of the neurotransmitters γ-aminobutyric acid, 5-hydroxytryptamine (5-HT), norepinephrine (NE), glutamate, acetylcholine (Achl) and dopamine (DA) were significantly lower in men than in women. Medical staff with lower levels of exhaustion had significantly higher neurotransmitter levels than staff with moderate levels of exhaustion. However, there was no significant interaction between sex and exhaustion on neurotransmitter levels. Canonical correlation showed that exhaustion was positively associated with 5-HT and DA, but negatively associated with NE and Achl, regardless of age and sex. Conclusion Neurotransmitter levels in the cerebral cortex were associated with job-related burnout in medical staff. The findings suggest that long-term job-related burnout may lead to behavioural and psychiatric disorders.
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Affiliation(s)
- Yongcheng Yao
- 1 Xinxiang Medical University, Xinxiang, China, School of Public Health, Department of Occupational and Environmental Medicine, Xinxiang, China.,2 Zhengzhou University, Zhengzhou, China, School of Basic Medical Sciences, Zhengzhou, China
| | - Shan Zhao
- 1 Xinxiang Medical University, Xinxiang, China, School of Public Health, Department of Occupational and Environmental Medicine, Xinxiang, China
| | - Yuhong Zhang
- 3 Zhengzhou Hospital for Occupational Diseases, Zhengzhou, China
| | - Lixia Tang
- 3 Zhengzhou Hospital for Occupational Diseases, Zhengzhou, China
| | - Zhen An
- 1 Xinxiang Medical University, Xinxiang, China, School of Public Health, Department of Occupational and Environmental Medicine, Xinxiang, China
| | - Lingeng Lu
- 4 Yale University, 60 College Street, New Haven, CT, USA.,5 Department of Chronic Disease Epidemiology, Yale School of Public Health, School of Medicine, Yale Cancer Center, New Haven, CT, USA
| | - Sanqiao Yao
- 1 Xinxiang Medical University, Xinxiang, China, School of Public Health, Department of Occupational and Environmental Medicine, Xinxiang, China
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Chowdhury M, Dibley MJ, Alam A, Huda TM, Raynes-Greenow C. Household Food Security and Birth Size of Infants: Analysis of the Bangladesh Demographic and Health Survey 2011. Curr Dev Nutr 2018; 2:nzy003. [PMID: 30019026 PMCID: PMC6041808 DOI: 10.1093/cdn/nzy003] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Revised: 11/06/2017] [Accepted: 12/31/2017] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND More than one-third of the population in Bangladesh is affected by household food insecurity in a setting where child survival and well-being are under threat. The relation between household food security and birth size of infants is an important area to explore given its explicit effect on mortality and morbidity. OBJECTIVE Our study aims to estimate the association between household food security and birth size of infants. METHODS For the analysis we used a nationally representative cross-sectional survey of 8753 households with a live birth between 2006 and 2011, collected under the Bangladesh Demographic and Health Survey (BDHS) 2011. We investigated the association of small birth size with the following potential explanatory variables: sex of the child; birth interval; mother's age at birth, height, body mass index (BMI), anemia status, parity, previous pregnancy loss, antenatal care visits, exposure to television, and participation in health care decisions; cooking fuel; parents' education level; region; place of residence; and wealth index using Pearson's chi-square test. We then constructed a multivariable logistic regression model of birth size on food security after controlling for all potential confounders as well as the cluster sampling design. The odds ratio (OR) was reported for each of the covariates; a P value <0.05 was interpreted as statistically significant. RESULTS A total of 1485 (17.3%) children were reported as small at the time of birth and more than one-third of households (35.7%) experienced some degree of food insecurity. Mothers from food-insecure households had 38% higher odds of having small-size infants compared to food-secure households (adjusted OR: 1.38; 95% CI: 1.19, 1.59; P < 0.001). CONCLUSION Household food security is one of the key factors associated with small birth size. Interventions to increase birth size should target women belonging to food-insecure households.
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Affiliation(s)
| | - Michael J Dibley
- School of Public Health, The University of Sydney, Camperdown NSW 2006, Australia
| | - Ashraful Alam
- School of Public Health, The University of Sydney, Camperdown NSW 2006, Australia
| | - Tanvir M Huda
- School of Public Health, The University of Sydney, Camperdown NSW 2006, Australia
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10
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Kabir A, Rahman MJ, Shamim AA, Klemm RDW, Labrique AB, Rashid M, Christian P, West KP. Identifying maternal and infant factors associated with newborn size in rural Bangladesh by partial least squares (PLS) regression analysis. PLoS One 2017; 12:e0189677. [PMID: 29261760 PMCID: PMC5738092 DOI: 10.1371/journal.pone.0189677] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2017] [Accepted: 11/30/2017] [Indexed: 11/19/2022] Open
Abstract
Birth weight, length and circumferences of the head, chest and arm are key measures of newborn size and health in developing countries. We assessed maternal socio-demographic factors associated with multiple measures of newborn size in a large rural population in Bangladesh using partial least squares (PLS) regression method. PLS regression, combining features from principal component analysis and multiple linear regression, is a multivariate technique with an ability to handle multicollinearity while simultaneously handling multiple dependent variables. We analyzed maternal and infant data from singletons (n = 14,506) born during a double-masked, cluster-randomized, placebo-controlled maternal vitamin A or β-carotene supplementation trial in rural northwest Bangladesh. PLS regression results identified numerous maternal factors (parity, age, early pregnancy MUAC, living standard index, years of education, number of antenatal care visits, preterm delivery and infant sex) significantly (p<0.001) associated with newborn size. Among them, preterm delivery had the largest negative influence on newborn size (Standardized β = -0.29 − -0.19; p<0.001). Scatter plots of the scores of first two PLS components also revealed an interaction between newborn sex and preterm delivery on birth size. PLS regression was found to be more parsimonious than both ordinary least squares regression and principal component regression. It also provided more stable estimates than the ordinary least squares regression and provided the effect measure of the covariates with greater accuracy as it accounts for the correlation among the covariates and outcomes. Therefore, PLS regression is recommended when either there are multiple outcome measurements in the same study, or the covariates are correlated, or both situations exist in a dataset.
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Affiliation(s)
- Alamgir Kabir
- Department of Statistics, University of Rajshahi, Rajshahi, Bangladesh
- The JiVitA Maternal and Child Health and Nutrition Research Project of Johns Hopkins University, Gaibandha, Bangladesh
- * E-mail:
| | | | - Abu Ahmed Shamim
- The JiVitA Maternal and Child Health and Nutrition Research Project of Johns Hopkins University, Gaibandha, Bangladesh
- Helen Keller International, Dhaka, Bangladesh
| | - Rolf D. W. Klemm
- Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America
- Helen Keller International, New York, New York, United States of America
| | - Alain B. Labrique
- Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Mahbubur Rashid
- The JiVitA Maternal and Child Health and Nutrition Research Project of Johns Hopkins University, Gaibandha, Bangladesh
| | - Parul Christian
- Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America
- The Bill & Melinda Gates Foundation, Seattle, Washington, United States of America
| | - Keith P. West
- Center for Human Nutrition, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America
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11
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Yu N, Zhang Q, Zhang L, He T, Liu Q, Zhang S. Canonical correlation analysis (CCA) of anthropometric parameters and physical activities with blood lipids. Lipids Health Dis 2017; 16:236. [PMID: 29216927 PMCID: PMC5721384 DOI: 10.1186/s12944-017-0630-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2017] [Accepted: 11/28/2017] [Indexed: 11/27/2022] Open
Abstract
Background Anthropometric parameters and physical activities are significant factors influencing lipid levels, but few research have demonstrated the effect of amount of activities on lipid levels. Our research analyzed and explored this relationships. Methods A multi-stage stratified sampling method was used to select the investigation subjects in Hubei, China. A questionnaire survey, physical measurements and biochemistry tests (including total cholesterol, high low-density lipoprotein cholesterol, high-density lipoprotein cholesterol and triacylglycerol) were conducted using CCA analysis. Results The first canonical correlation of the four biochemistry tests and anthropometric parameters with physical activities was 0.44 (P < 0.0001). Grouping by sex and areas, the first canonical correlation were 0.51 (p < 0.0001), 0.43 (p < 0.0001), 0.39 (p < 0.0001) and 0.45 (p < 0.0001). By CCA, blood lipids were negatively correlated with occupation activity, and positively associated with waistline, body mass index (BMI), sleep time, static behavior, and age. Conclusions CCA could be an efficient method to find out the most influential factors on exposure and outcome variables. Blood lipid had significant but moderate association with physical activities and anthropometric parameters. Waistline, BMI and occupation activity function as major influences on lipids. Trial registration Identifying number: 2,013,001. Date of trial registry: 8st Oct 2012. Electronic supplementary material The online version of this article (10.1186/s12944-017-0630-3) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Na Yu
- Department of Epidemiology and Medical Statistics, Wuhan University, Hubei, China
| | - Qingjun Zhang
- The Center for Disease Control and Prevention of Hubei Province, 2 Zhuodaoquan North Road, Wuhan, Hubei, 430000, China.
| | - Lan Zhang
- The Center for Disease Control and Prevention of Hubei Province, 2 Zhuodaoquan North Road, Wuhan, Hubei, 430000, China
| | - Tianjing He
- The Center for Disease Control and Prevention of Hubei Province, 2 Zhuodaoquan North Road, Wuhan, Hubei, 430000, China
| | - Qing Liu
- Department of Epidemiology and Medical Statistics, Wuhan University, Hubei, China
| | - Sheng Zhang
- Department of Epidemiology and Medical Statistics, Nantong University, Jiangsu, China
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12
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Gan L, Hu X. The pollutants from livestock and poultry farming in China-geographic distribution and drivers. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2016; 23:8470-8483. [PMID: 26782328 DOI: 10.1007/s11356-016-6075-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2015] [Accepted: 01/06/2016] [Indexed: 06/05/2023]
Abstract
Livestock and poultry farming is a major source of agricultural pollution. However, our knowledge of the constraining factors of the geographic distribution of pollutants from livestock and poultry farming is still limited. In this study, using the optimized pollutant generation coefficients, we estimated the annual pollutant productions of eight livestock and poultry species at the provincial level in 2005 and 2013 and their growth rates during the study period in China; using canonical correlation analysis, we also explored the association between the eight pollutant measurements as dependent variables and 14 factors (including resource endowment, developmental level, and economic structure factors) as independent variables. Results indicate that there exist spatial disparity in the distribution of pollutants from livestock and poultry farming across regions, with provinces in the Huang-Huai-Hai region and the southwestern region accounting for approximately 50 % of the total productions in the nation. Cattle, pig, and poultry constitute the primary pollution sources in terms of livestock and poultry farming not only at the national level but also at the province level. While the species constitute and their respective growth rates of the pollutants can be also characterized by spatial disparity across regions, canonical correlation analysis shows that the observed regional patterns of the pollutants can be largely explained by the resource endowment factors (positive effects) and the developmental level factors (negative effects). In addition, we found that the development of livestock and poultry farming is negatively associated with the growing rate of both the resource endowment and the socioeconomic factors. This indicates that there exist different driving patterns in the gross and increment of the pollutant productions. Our research has significant implications for the appropriate environmental protection policy formulation and implementation in livestock sector.
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Affiliation(s)
- Ling Gan
- Department of Veterinary Medicine, Rongchang Campus, Southwest University, Chongqing, 402460, People's Republic of China
| | - Xisheng Hu
- College of Transportation and Civil Engineering, Fujian Agriculture and Forestry University, Fuzhou, Fujian, 350002, People's Republic of China.
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