Dietary branched-chain amino acids intake and new-onset hypertension: a nationwide prospective cohort study in China.

OBJECTIVE: This study aimed to investigate the relationship between dietary branched-chain amino acids (BCAAs) and the risk of developing hypertension. METHODS: A cohort study of 14,883 Chinese adults without hypertension at baseline with were followed for an average of 8.9 years. Dietary intakes of BCAAs, including Ile, Leu, and Val, were collected using 3-day 24-h meal recall and household condiment weighing. Cox proportional hazards regression, restricted cubic splines, interaction analysis, and sensitivity analysis were used to assess the relationship between dietary BCAAs and risk of developing self-reported hypertension, adjusting for age, gender, region, body mass index (BMI), smoking and drinking status, physical activity, energy intake, salt intake. RESULTS: Among 14,883 study subjects, 6386(42.9%) subjects aged ≥ 45 years at baseline, 2692 (18.1%) had new-onset hypertension during the study period, with a median age of 56 years. High levels of dietary BCAAs were associated with an increased risk of new-onset hypertension. Compared with the 41st-60th percentile, multivariable adjusted hazard ratio (HR) for new-onset hypertension was 1.16 (95% CI 1.01-1.32) for dietary BCAAs 61st-80th percentiles, 1.30 (1.13-1.50) for 81st-95th, 1.60 (1.32-1.95) for 96th-100th. The cut-off value of new-onset hypertension risk, total BCAAs, Ile, Leu, and Val were 15.7 g/day, 4.1 g/day, 6.9 g/day, 4.6 g/day, respectively, and the proportion of the population above these intake values were 13.9%, 13.1%, 15.4%, and 14.4%, respectively. Age, BMI, and salt intake had an interactive effect on this relationship (P < 0.001). CONCLUSION: There was a significant positive association between total dietary BCAAs, Ile, Leu, Val intake and the risk of developing hypertension, after adjustment for confounders. This relationship was influenced by age, BMI, and salt intake. Further research is needed to clarify the mechanism and potential role of BCAAs in the pathogenesis of hypertension.

Association of foods consumption and physical activity with prefrailty and frailty among Chinese older adults in urban communities: A cross-sectional study.

BACKGROUND AND OBJECTIVES: Frailty has become a public health challenge in China. To investigate the association of foods consumption and physical activity with prefrailty and frailty among older Chinese adults in urban communities. METHODS AND STUDY DESIGN: In a cross-sectional study from February to July 2023, 1183 older adults aged between 65y-88y were enrolled from urban communities in Chongqing and Shandong province, China. Frailty Index (FI) was applied to measure prefrailty and frailty. Partial proportional odds model was used to assess the association between foods consumption, physical activity and prefrailty/frailty. RESULTS: Higher Dietary Diversity Score (DDS), (OR=0.61, 95% CI=0.46-0.80; OR=0.47, 95% CI=0.28-0.79), Consuming animal-based foods ≥2 times/day (OR=0.62, 95% CI=0.47-0.82; OR=0.54, 95% CI=0.33-0.88), soy products ≥2 times/week (OR=0.69, 95% CI=0.53-0.89; OR=0.51, 95% CI=0.31-0.84), fresh vegetables ≥2 times/day (OR=0.42, 95% CI=0.31-0.57; OR=0.41, 95% CI=0.23-0.72), and nuts ≥2 times/week (OR=0.71, 95% CI=0.55-0.91; OR=0.52, 95% CI=0.32-0.85) was associated with a lower risk of prefrailty and frailty. In addition, higher frequency and longer duration of walking (OR=0.61, 95% CI=0.42-0.88; OR=0.63, 95% CI=0.48-0.81), exercise (OR=0.48, 95% CI=0.35-0.64; OR=0.44, 95% CI=0.32-0.61) per week were significantly associated with lower risk of prefrailty. Furthermore, higher frequency and longer duration of walking (OR=0.42, 95% CI=0.25-0.72; OR=0.46, 95% CI=0.29-0.74), and housework (OR=0.39, 95% CI=0.24-0.65; OR=0.57, 95% CI=0.34-0.96) per week, were significantly associated with lower frailty. CONCLUSIONS: Higher DDS and higher frequency of animal-based foods, soy products, fresh vegetables, and nuts consumption is significantly associated with lower risk of prefrailty and frailty. Additionally, walking and exercising are significantly associated with lower risk of prefrailty, while walking and doing housework is significantly associated with lower frailty.

The association of prediabetes with dietary patterns, life behavior and cardiovascular risk factors among adult population without previously diagnosed non-communicable diseases.

BACKGROUND AND AIMS: Prediabetes and its risk factors are difficult to recognize because there may be no clear symptoms in that stage of diabetes mellitus (DM) progression. This cross-sectional study aims to examine associations between prediabetes and potential risk factors among adult population without previously diagnosed non-communicable diseases. METHODS AND RESULTS: Study participants (n = 30823) were selected all over China. Their dietary, life behavior and laboratory data were obtained through questionnaires, physical examination or biochemical measurement. Factor analysis was applied to identify dietary patterns. Non-proportional odds model was applied to analyze associations between those data and stages of DM progression. The prevalence of prediabetes and DM was 20.6% and 4.5%, respectively. Two dietary patterns were identified: the first pattern was characterized by high consumption of diverse plant- and animal-based food items, and the second pattern was characterized by high consumption of starchy food items. The risk of prediabetes was inversely associated with sufficient sleep duration (OR: 0.939, 95% CI: 0.888-0.993) and the second pattern (OR: 0.882, 95% CI: 0.850-0.914), but not significantly associated with the first pattern (OR: 1.030, 95% CI: 0.995-1.067). High density lipoprotein cholesterol was inversely associated with DM risk (OR: 0.811, 95% CI: 0.667-0.986) but not prediabetes (OR: 1.035, 95% CI: 0.942-1.137). CONCLUSIONS: The prevalence of undetected prediabetes was high among adult population, and some factors may exert different effects on different stages of DM progression. Dietary diversity, which was reflected by the first pattern to a certain extent, may be not significantly associated with risk of prediabetes.

Association between dietary approaches to stop hypertension (DASH) diet and hyperuricemia among Chinese adults: findings from a nationwide representative study.

BACKGROUND: Certain foods and food groups could positively or negatively impact serum uric acid (SUA) levels. However, evidence on the holistic dietary strategy to prevent and control hyperuricemia (HUA) development remains limited. OBJECTIVE: The aim of this research work was to explore the association of dietary approaches to stop hypertension (DASH) diet with SUA levels and odds of HUA among Chinese adults. METHODS: This research premise included 66,427 Chinese adults aged 18 and above who were part of the China Adult Chronic Disease and Nutrition Surveillance in 2015. Dietary consumptions were assessed via the household condiment weighing approach and a three-day, 24-hour dietary recall. Total fat, saturated fat, calcium, protein, potassium, cholesterol, magnesium, fiber, and sodium were all adopted to calculate the DASH score (score range, 0-9). The associations of DASH score with SUA levels and odds of HUA were evaluated using multiple linear and logistic regression models, respectively. RESULTS: We established that a higher DASH score was linked with a lower SUA levels (ß = - 0.11; 95% CI: - 0.12, - 0.1; p < 0.001) and odds of HUA (OR = 0.85; 95% CI: 0.83, 0.87; p < 0.001) after adjustment for age, sex, ethnicity, education status, marital status, health behaviours and health factors. The association of the DASH diet with odds of HUA was stronger among men (p-interaction = 0.009), non-Han Chinese (p-interaction< 0.001) as well as rural residents (p-interaction< 0.001). CONCLUSIONS: Our results illustrate that the DASH diet was remarkably negatively with SUA levels and odds of HUA in the Chinese adult population.

[Relationship between dietary fiber intake and glucose metabolism in the elderly of China in 2015].

OBJECTIVE: To investigate the dietary fiber intake status and analyze the relationship between dietary fiber and glucose metabolic disorder of the elderly in China. METHODS: Data were collected from the participants of Chinese adult chronic diseases and nutrition surveillance in 2015. General information were collected by standardized questionnaires, anthropometric index and blood pressure of respondents were measured according to standard method. Food intake was collected by three consecutive day 24 h dietary recalls, dietary fiber was calculated through China food composition. Fasting venous blood were collected to measure glucose, HbA1C, and other related biochemical index. Subjects were divided into three groups: normal glucose(NG, normal glucose), pre-diabetes(Pre-DM, pre-diabetes mellitus) and diabetes(T2DM, type 2 diabetes mellitus). Multiple logistic regression model was used to analyze the relationship between dietary fiber intake and Pre-DM as well as T2DM. RESULTS: A total of 20 996 elderly people aged 60 years and above were included. There 10 773 cases were males(51.3%) and 10 223 cases were females(48.7%), the age of both gender were(68.21±6.26) years and(67.67±6.26) years. A total of 6526 cases of pre-diabetes were detected in 20 996 elderly participants with detection rate of 31.1%. There 3274 cases were male and 3252 cases were female, the detection rates of both genders were 30.4% and 31.8%, respectively. While 1572 participants were detected as T2DM(784 of males and 788 of females), the detection rate of T2DM was 7.5%, 7.3% for males and 7.7% for females. There were significant differences in mean age, BMI, waist circumference, systolic blood pressure, diastolic blood pressure, TC, TG, HDL-C, LDL-C, HbA1c level among different dietary intake groups(P<0.005). With the increase of dietary fiber intake, the proportion of overweight and obesity, central obesity and dyslipidemia showed an increasing trend(P<0.05), and the proportion of hypertension showed a decreasing trend(P<0.000 1). After adjusting for potential confounding factors, compared to participants with lowest fiber intake, participants in subgroups of lower, minor lower, and higher fiber intake were associated with decreased risk of pre-diabetes, the OR and 95%CI were(OR=0.911, 95%CI 0.835-0.993), (OR= 0.861, 95%CI 0.790-0.938) and(OR= 0.913, 95%CI 0.838-0.994), respectively. However, there was only a statistically significant negative association between the higher intake of dietary fiber and T2DM(OR = 0.848, 95%CI 0.726-0.991). CONCLUSION: Dietary fiber intake was negatively related with diabetes and pre-diabetes mellitus. The risk of glucose metabolic disorder was decreased with the increase of dietary fiber intake.

[Effect of different delivery modes on the level of protein, glucose and blood lipids in cord artery and vein blood].

OBJECTIVE: To explore whether there are differences in the levels of protein, glucose and blood lipids in umbilical vein and umbilical artery blood of newborns with different delivery modes, and to evaluate their value as indicators of fetal intrauterine nutrition and nutritional support. METHODS: A total of 89 pairs of mothers and infants who were delivered in Danyang People's Hospital of Jiangsu Province from June to September 2021 were selected as the study subjects, including 38 cases of spontaneous delivery and 51 cases of cesarean section. The basic information of pregnant women, pregnancy information, newborn delivery and physical examination information were extracted from the medical record information system of the hospital. According to the mode of delivery, HITACHI 7600 automatic biochemical analyzer was used to measure the levels of protein, glucose and blood lipids in umbilical vein and umbilical artery blood, including total protein(TP), albumin(ALB), glucose(GLU), total cholesterol(TC), triglyceride(TG), high density lipoprotein cholesterol(HDL-C), low density lipoprotein cholesterol(LDL-C). The data were statistically analyzed using IBM SPSS Statistics 26.0 statistical software. RESULTS: The levels of TP, ALB, GLU, TC, TG, HDL-C and LDL-C in the umbilical vein blood of the spontaneous delivery group were(56.40±5.83)g/L, (38.41±3.43)g/L, (4.55±1.53)mmol/L, (1.68±0.42)mmol/L, (0.25±0.11)mmol/L, (0.84±0.17)mmol/L and(0.69±0.23)mmol/L, respectively. The levels of TP, ALB, GLU, TC, TG, HDL-C and LDL-C in umbilical artery blood were(56.49±9.91)g/L, (37.72±4.77)g/L, (4.07±1.52)mmol/L, (1.60±0.42)mmol/L, (0.24±0.10)mmol/L, (0.80±0.18)mmol/L and(0.68±0.24)mmol/L, respectively. The levels of TP, ALB, GLU, TC, TG, HDL-C and LDL-C in umbilical vein blood of cesarean section group were(52.08±4.12)g/L, (36.12±2.13)g/L, (3.45±1.16)mmol/L, (1.61±0.39)mmol/L, (0.19±0.08)mmol/L, (0.82±0.18)mmol/L and(0.61±0.20)mmol/L, respectively. The levels of TP, ALB, GLU, TC, TG, HDL-C and LDL-C in umbilical artery blood were(51.49±7.59)g/L, (35.40±3.60)g/L, (3.09±1.15)mmol/L, (1.48±0.40)mmol/L, (0.19±0.08)mmol/L, (0.78±0.18)mmol/L and(0.60±0.20)mmol/L, respectively. The levels of TP, ALB, Glu and TG in cord vein blood and cord artery blood in spontaneous labor group were significantly higher than those in cesarean section group(P<0.05); The levels of Glu, TC, TG and HDL-C in cord vein blood were significantly higher in spontaneous labor group and cesarean section group than those in cord artery blood(P<0.05). CONCLUSION: The levels of protein, glucose and blood lipids in umbilical vein and umbilical artery blood were different among different delivery modes.

[Effect of different delivery modes on the level of cortical hormones in cord artery and vein blood].

OBJECTIVE: To investigate the difference of cortical hormones in cord artery and vein blood of newborns with different delivery modes. METHODS: A total of 65 pregnant women who delivered in the People's Hospital of Danyang City, Jiangsu Province from June to September 2021 were selected as the study subjects, including 26 cases of spontaneous delivery and 39 cases of cesarean section. The basic information of 65 pregnant women and newborns was collected by questionnaire survey. According to the mode of delivery, the levels of corticosteroids in umbilical vein and umbilical artery blood were determined by liquid chromatography-tandem mass spectrometry(LC-MS/MS), including corticosterone, 11-desoxycorticosterone, aldosterone, cortisol, 11-deoxycortisol and cortisone. The data were statistically analyzed using IBM SPSS Statistics 26.0 statistical software. RESULTS: The levels of cortisol, 11-deoxycortisol, aldosterone, cortisol, 11-deoxycortisol and cortisone in the umbilical vein blood of the spontaneous delivery group were(2.44±1.87), (0.64±0.29), (0.49±0.35), (54.95±40.80), (3.20±1.23) and(142.27±57.42)ng/mL, respectively. The levels of corticosterone, 11-deoxycortisol, aldosterone, cortisol, 11-deoxycortisol and cortisone in umbilical artery blood were(4.51±4.47), (0.57±0.28), (0.42±0.29), (60.79±45.53), (2.69±1.25) and(123.10±46.32)ng/mL, respectively. The levels of corticosterone, 11-deoxycortisone, aldosterone, cortisol, 11-deoxycortisone and cortisone in umbilical vein blood of cesarean section group were(0.94±1.09), (0.47±0.14), (0.26±0.14), (22.63±19.82), (2.30±0.90) and(84.51±29.49)ng/mL, respectively. The levels of corticosterone, 11-deoxycortisol, aldosterone, cortisol, 11-deoxycortisol and cortisone in umbilical artery blood were(2.22±2.24), (0.43±0.17), (0.27±0.14), (30.09±25.93), (1.87±0.76) and(75.03±24.90)ng/mL, respectively. The levels of corticosterone, 11-desoxycorticosterone, aldosterone, cortisol, 11-deoxycortisol and cortisone in cord vein blood and cord artery blood in spontaneous labor group were significantly higher than those in cesarean section group(P<0.05). The levels of corticosterone and cortisol in cord vein blood were significantly lower in spontaneous labor group and cesarean section group than those in cord artery blood(P<0.05), the levels of 11-desoxycorticosterone, 11-deoxycortisol and cortisone in cord vein blood were significantly higher in spontaneous labor group and cesarean section group than those in cord artery blood(P<0.05). CONCLUSION: There are differences in the level of cortical hormones in cord artery and vein blood in different delivery modes.

[Bland-Altman consistency evaluation of blood lipid test results under different storage conditions].

OBJECTIVE: To evaluate the consistency of blood lipid test result under different storage conditions. METHODS: Blood samples from 140 subjects were collected, centrifuged and were divided into five aliquots. One aliquot was used to determine serum total cholesterol(TC), triglyceride(TG), high density lipoprotein cholesterol(HDL-C) and low density lipoprotein cholesterol(LDL-C) immediately, and the other four parts were stored at 4 ℃ for 4 h, 24 h, and frozen at-20 ℃ and-80 ℃ for 30 d, respectively, for the further measurement. RESULTS: Immediate 0 h detection was compared with 4 ℃ for 4 h and 24 h, -20 ℃and-80 ℃ for 30 d: The difference Bland-Altman method was used to analyze TC and LDL-C data, and the mean TC difference values was 0.00, 0.00, 0.07 and 0.03 mmol/L, respectively. LDL-C difference value was-0.02, -0.04, -0.02 and-0.07 mmol/L, respectively, and 95% of the points were within the clinically acceptable conformance threshold. Ratio Bland-Altman method was used to analyze TG and HDL-C data. The mean TG ratios was 1.01, 1.00, 1.05, 1.05, and the mean HDL-C was 1.01, 1.03, 1.05 and 1.03, respectively. Ninety-five percent of the points were within the clinically acceptable consistency boundary. According to the 2021 Interlaboratory Quality Evaluation Standard of Clinical Laboratory Center of National Health Commission, the Bland-Altman analysis showed good consistency between the test result of different blood samples under different storage conditions and the immediate test result. CONCLUSION: In large population epidemiological studies, the results of TC, LDL-C, HDL-C and TG in sera being refrigerated at 4 ℃ for 4 h and 24 h, and frozen at-20 ℃ and-80 ℃ for 30 d, were consistent with the result of immediate detection.

[Association between glucose and blood lipid among adolescents in eastern China].

OBJECTIVE: To analyze the relationship between glucose and blood lipid among adolescents aged 12-17 years in eastern China during 2016-2017. METHODS: The data comes from the "Chinese Children and Nursing Mothers Nutrition and Health Monitoring" during 2016-2017. The detection of blood glucose and blood lipids were conducted among 8873 subjects(4405 boys, 4468 girls) from 8 provinces and 3 municipality of eastern China by multi-stage stratified cluster sampling method. Logistic regression was used to explore the factors related to abnormal blood glucose. RESULTS: The average fasting blood-glucose of boys was(5. 24±0. 53)mmol/L, and girls was(5. 13±0. 54)mmol/L(t=9. 64, P<0. 05). The average fasting blood-glucose decreased with the increased of age(F=109. 50, P<0. 05). The abnormal rate of fasting blood-glucose differed among the subjects of various age groups were significant difference(χ~2=27. 16, P<0. 05). The abnormal rate fasting blood glucose of boys was 3. 44%(149 cases), and girls was 1. 93%(85 cases)(χ~2=14. 06, P<0. 05). The abnormal rate of 12-13 years old was the higest(n=126, 3. 58%) and the 16-17 years old was the lowest(n=42, 1. 67%). Both the TC and LDL-C were higher among the subjects with abnormal fasting blood glucose than those with normal fasting blood glucose(t=3. 03, P<0. 05;t=2. 41, P<0. 05). The result of logistic analysis showed that as the increase of TC level, the risk of abnormal fasting blood glucose was increased(OR=1. 98, 95%CI 1. 06-3. 71). CONCLUSION: The level of fasting blood glucose and the abnormal rate of fasting blood glucose varies in age and sex. The higher level of TC might be the risk factor of abnormal fasting blood glucose among adolescents.

[Association between different types of obesity and blood pressure among adolescents in eastern China].

OBJECTIVE: To explore the association between different types of obesity and blood pressure in adolescents aged 12-17 years in eastern China. METHODS: Using multi-stage stratified random sampling, a total of 8279 adolescents aged between 12 and 17 years in eastern China were selected as the research objects from the "Nutrition and Health Surveillance for Chinese Children and Nursing Mothers" project from 2016 to 2017. According to BMI and WHtR, the subjects were divided into four types: non-obesity, general obesity, simple abdominal obesity and combined obesity. The normal high blood pressure and high blood pressure of people with different types of obesity were determined according to Blood Pressure Standards for Children at 3-17 Years Old Per Year and Height in China. The relationship between different types of obesity and the prevalence of high blood pressure was analyzed by χ~2 test, analysis of variance, multi-level linear model and multi-level Logistic regression model. RESULTS: The prevalence of high normal blood pressure was 13. 66%(1069), and the prevalence of high blood pressure was 18. 79%(1782) in adolescents aged 12 to 17 years in eastern China. In the non-obese group, the prevalence of high normal blood pressure was 12. 85%(732), and the prevalence of high blood pressure was 13. 79%(999). In the general obesity group, the prevalence of high normal blood pressure was 20. 45%(99), and the prevalence of high blood pressure was 23. 62%(160). In the central obesity group, the prevalence of high normal blood pressure was 6. 95%(32), and the prevalence of high blood pressure was 14. 64%(87). The prevalence of high normal blood pressure was 16. 68%(206), and the prevalence of high blood pressure was 42. 42%(536) in the complex obesity group. The prevalence of high blood pressure(χ~2=8. 05, P<0. 01) the difference was statistically significant. Results of the multi-level model showed that the risk of high blood pressure in central obesity group was significantly higher in girls than in non-obese group(OR=1. 50, 95%CI 1. 12-2. 02). The risk of high normal blood pressure(OR=2. 05, 95%CI 1. 62-2. 58; OR=1. 83, 95%CI 1. 38-2. 42) and high blood pressure(OR=2. 06, 95%CI 1. 59-2. 67; OR=1. 57, 95%CI 1. 15-2. 14) in obese boys and girls were significantly higher than those in non-obese group. The risk of high normal blood pressure(OR=3. 80, 95%CI 3. 19-4. 51; OR=2. 79, 95%CI 2. 30-3. 37), high blood pressure(OR=4. 07, 95%CI 3. 39-4. 88; OR=2. 84, 95%CI 2. 32-3. 46) in both boys and girls with compound obesity was significantly higher than that in the non-obese group. CONCLUSION: Different types of obesity have varying degrees of correction with different blood pressure levels in adolescents aged 12-17 years, combined obesity has the highest risk of elevated blood pressure.

[Status of dietary energy and macronutrients intake among Chinese older adults from 2010 to 2012].

OBJECTIVE: To analyze dietary energy and macronutrients intake among Chinese older adults from 2010 to 2012. METHODS: Data was from Chinese Nutrition and Health Surveillance in 2010-2012. Dietary intake information was collected by three days food recall and weighed record of edible oil and condiments among 16 612 older adults. Daily energy and three macronutrients intake were calculated according to Chinese Food Composition 2004 and 2009 edition, and then evaluated by 2013 Chinese dietary reference intake. RESULTS: The daily average energy, carbohydrate, protein and fat intake of Chinese older adults was(1840. 9 ± 636. 7) kcal/d, (255. 9 ± 106. 8) g/d, (55. 6±22. 7) g/d and(66. 8±35. 0) g/d, respectively. The mean proportion of energy supplied from carbohydrate, protein and fat was(55. 7% ± 12. 1%), (12. 3% ± 3. 4%)and(32. 5% ± 11. 7%), respectively. Total energy intake, carbohydrate intake and proportion of energy from carbohydrate among urban elderly were lower than that in rural, whereas protein and fat intake as well as their contribute rate for energy were higher in urban than those in rural. Regardless of urban and rural areas, four regions and genders, there was a decreasing trend of energy and macronutrient intake with the increase of age(P<0. 01). There 57. 0% of male and 53. 8% of female had lower protein intake than the recommended value, while 56. 7% of male and 56. 8% of female had higher fat contribution for energy upper than 30%. The rate of protein intake deficiency among participants aged 60-69 years old, 70-79 years old, 80 years old and above was 51. 0%, 61. 2% and 68. 6% respectively, and the proportion of energy from fat that exceeded 30%was 56. 9%, 56. 3% and 57. 1%, respectively. CONCLUSION: The daily average macronutrients intake model was unreasonable with higher fat but lower protein among Chinese older adults.

Characterization of potential plasma biomarkers related to cognitive impairment by untargeted profiling of phospholipids using the HILIC-ESI-IT-TOF-MS system.

Early diagnosis of neural changes causing cognitive impairment is critical for development of preventive therapies for dementia. Biomarkers currently characterized cannot be extensively applied due to the invasive sampling of cerebrospinal fluid. The other imaging approaches are either expensive or require a high technique. Phospholipids (PLs), which are basic constituents of neurons, might be a key variable in the pathogenesis of cognitive impairment. Changes in plasma PL provide the possibility for development of novel biomarkers with minimal invasion and high patient acceptance. In this work, a HILIC-ESI-IT-TOF-MS system was introduced for untargeted profiling of plasma PLs to investigate the relationship between changes of plasma PL profiles and cognitive impairment. A total of 272 types of PL molecular structures were characterized in human plasma and quantified through the internal standard method. Univariate analysis shows 29 PLs were significantly different between the control (n = 41) and the cognitive impairment (CI) group (n = 41). Multivariate analysis (PCA and OPLS-DA) was conducted based on these 29 potential PL biomarkers. Both univariate and multivariate analyses show abnormality of PL metabolism in the CI group, and the downregulation of ethanolamine plasmalogen (pPE) supply, especially those with PUFAs, in the circulation system should be strongly associated with neurodegeneration. A discriminative model was established with satisfied fit (R2) and prediction (Q2) abilities, and the classification test showed better recognition of the CI group than the control group indicating that this model of PL biomarkers could be used as indicators for screening of CI. Graphical abstract Characterization of potential plasma biomarkers related to cognitive impairment by untargeted profiling of phospholipids.

[Prevalence and risk factors of low body weight among 45 years old and over residents in general rural areas in 2010-2012 in China].

OBJECTIVE: To know the prevalence of low body weight among middleaged and elderly people in general rural areas of China and investigate the influence factors. METHODS: A total of 25 464 participants who were 45 years old and above from2010-2012 China National Nutrition and Health Surveillance as subjects to investigate the prevalence of low body weight. For 545 low body weight participants, we performed a1∶ 2 case-control study to investigate the influence factors. The content of survey included3-condecutive days-24-hour dietary recall, physical examinations, physical activity and social economic factor. RESULTS: The prevalence of low body weight among middle-aged and elderly people was 5. 27%, 5. 52% for male and 5. 05% for female. The prevalence of low body weight increased with the age( P < 0. 01). The daily intake of energy, total proteins, high quality proteins, fat and fruits were lower in low body weight than normal body weight among middle-aged and elderly people( P < 0. 01), however, the consumption of smoking and alcohol were higher in low body weight than normal body weight( P < 0. 01). Multivariate conditional Logistic regression analysis showed that the daily intake of total proteins, vegetables and fruits were protective factors and unhealthy lifestyle such as smoking were risk factors among low body weight people. CONCLUSION: The prevalence of low body weight at a higher level among middle-aged and elderly people in general rural areas of China. It is necessary to promote the middle-aged and elderly people to increase the consumption of high-protein foods, vegetables and fruits, quit smoking and control drinking.

[Serum total cholesterol status among urban residents aged 18 and above in China from 2010 to 2012].

OBJECTIVE: To analyze the serum total cholesterol level and the prevalence of hypercholesterolemia and borderline high cholesterolemia among urban-resident adults in China from 2010 to 2012. METHODS: Data were from Chinese Nutrition and Health Surveillance in 2010-2012. Multi-stage stratified proportion to the population cluster random sampling method was conducted to determine 54 042 adult residents in 34 big cities and 41 small and medium-sized cities. Serum total cholesterol was measured by cholesterol oxidase method. Hypercholesterolemia and borderline high cholesterolemia were evaluated by Guidelines on Prevention and Treatment of Blood Lipid Abnormality in Chinese Adults 2007 edition. Standardized cholesterol level (x ± Sx) and prevalence of hypercholesterolemia and borderline high cholesterolemia were calculated through weighted complex sampling processing by population data released by the National Bureau of Statistics in 2009. RESULTS: The mean level of urban-resident adults's erum total cholesterol was (4.58 ± 0.05)mmol/L, (4.58 ± 0.05)mmol/L for both male and female. The cholesterol concentration level in big cities and small and medium-sized cities were (4.66 ± 0.04)mmol/L and (4.57 ± 0.06) mmol/L, respectively. It increased with age gradually from the minimum level, which was (4.18 ± 0.05)mmol/L in aged 18 to 29 group, till reached the maximum, which was (4.94 ± 0.05)mmol/L in aged 60 to 69 group, and then it declined to (4.92 ± 0.06)mmol/L in aged 70 group. The prevalence of hypercholesterolemia and borderline high cholesterolemia were 5.6%(95%CI:4.5%-6.6%) and 24.7%(95%CI:21.6%-27.9%) totally; 5.1% (95%CI:4.1%-6.1%) and 24.4% (95%CI:21.0%-27.6%) for male, 6.0% (95%CI:4.7%-7.3%) and 25.1%(95%CI:21.8%-28.4%) for female; 6.0%(95%CI: 5.0%-7.0%) and 27.7%(95%CI:24.9%-30.6%) in big cities, while 5.5%(95%CI: 4.2%-6.7%) and 24.2%(95%CI:20.5%-27.9%) in small and medium-sized cities. The minimum prevalence of hypercholesterolemia was in aged 18 to 29 group and maximum in aged 70 group, which were 2.2%(95%CI: 1.4%-3.0%) and 10.3%(95%CI: 7.1%-13.4%), respectively; while the lowest borderline high cholesterolemia prevalence was in aged 18 to 29 group and the highest in aged 60 to 69 year group, which were 12.9%(95%CI: 10.4%-15.4%) and 37.6% (95%CI: 33.6%-41.6%), respectively. CONCLUSION: The serum total cholesterol level and the prevalence of hypercholesterolemia and borderline high cholesterolemia were high among urban adults in China from 2010 to 2012, and more attention should be paid for high serum total cholesterol level among older adults.

[Status of salt intake among Chinese aged 60 and above in 2010-2012].

OBJECTIVE: To analyze salt intake among Chinese aged 60 and above in2010- 2012. METHODS: Data was from 2010- 2012 Chinese Nutrition and Health Surveillance. Salt and condiment intake information of Chinese elderly was collected by the 3-condecutive days-24-hour dietary recall and food weighting method, the average salt intake was calculated based on energy percentage of family members. RESULTS: The daily average salt intake of Chinese elderly was( 8. 8 ± 6. 8) g / d, the level was( 9. 5 ± 7. 2) g / d for male and( 8. 2 ± 6. 3) g / d for female, ( 7. 9 ± 6. 2) g / d for urban areas and( 9. 9 ±7. 2) g / d for rural areas. Salt intake among the elderly in big cities, medium-sized and small cities, general rural and poor rural was( 7. 3 ± 5. 8) g / d, ( 8. 6 ± 6. 6) g / d, ( 9. 9 ±6. 9) g / d and( 10. 1 ± 7. 9) g / d, respectively. The average daily salt intake decreased with increasing age and also declined with the increase of per capita annual income, while the average daily intake of salt increased from illiteracy to primary school and thendecreased in junior middle-school or above. Compared with the salt recommendation( less than 6g / d) from Chinese residents dietary guidelines 2016 edition, there were only37. 7% of elderly meet with salt recommendation, 41. 0% of participants were in the level between 6 g to 11 g, and 21. 4% were higher than 12 g. Urban participants whose salt intake were less than 6 g, 6 g to 11 g and higher than 12 g accounted for 43. 4%, 40. 3%and 16. 3%, while in rural areas these percentage were 30. 7%, 41. 7% and 27. 6%, respectively. CONCLUSION: The daily average salt intake among Chinese elderly was still in high level, and the elderly should reduce salt consumption gradually.

[Consumption of eggs in Chinese aged 65 and above in 2010-2012].

OBJECTIVE: To analyze the consumption of eggs in Chinese aged 65 years and above. METHODS: Data were collected from 2010- 2012 China National Nutrition and Health Surveillance. Information on consumption was collected by using the FFQ. The participants selected were 65 years old and above on 150 counties from 31 provinces in China by using the method of multi-stage stratified cluster randomization sampling. The average consumption of eggs was reported by quartile. RESULTS: The average daily consumptions of eggs in Chinese aged 65 and above residents were 25. 7 g( P25 9. 2 g / d, P50 25. 7 g / d, P75 50. 4 g / d). In the big city, small and medium-sized city, rural and poor rural areas, those were 36. 9- 50. 0 g / d, 21. 4-28. 6 g / d, 14. 3- 21. 4 g / d and 17. 1-21. 4 g / d, respectively. Percentage of these residents on intake of eggs were 93. 5%. In the big city, small and medium-sized city, rural and poor rural, those were 93. 0%-96. 8%, 87. 6%-95. 2%, 91. 5%-96. 0% and 85. 5%-94. 9%, respectively. The proportion of people whose total amount of eggs intake reached 40 g / d was 35. 5%. Insuch mentioned areas, those were 49. 1%-58. 7%, 29. 4%-37. 9%, 18. 5%-31. 0% and26. 4%-31. 3%, respectively. CONCLUSION: The consumption rates of eggs were quite high in Chinese aged 65 years and above, whereas the intake of eggs was inadequate. Compared with recommendation of The Dietary Guidelines for Chinese Residents, there was still a large gap.

[Consumption status of dairy products in Chinese aged 60 and above in 2010-2012].

OBJECTIVE: To understand the status of milk consumption in Chinese elderly from 2010 to 2012 and to compare with the status in 2002. METHODS: Using dietary data of the 24 h recall method for 3 consecutive days and food weighting method from the Chinese Nutrition and Health Surveillance in 2010- 2012 and the Chinese Nutrition and Health Survey in 2002, to analyze the consumption status of dairy products in Chinese elderly and the change between the past ten years. RESULTS: The average milk consumption for Chinese elderly was 32. 7 g / d. Rate on intake of dairy products during the three survey days was 21. 59%. Liquid milk was the most usual type of milk consumption. The milk consumption in urban area was significantly higher than rural area( P < 0. 001). The milk consumption of people in ≥70 years old was significantly higher than the people in 60- 69 years old( P < 0. 001). The proportion of Chinese elderly whose total amount of milk intake reached Chinese dietary guidelines recommended level( 300 g / d) was merely1. 21%. The milk intake of Chinese elderly in 2010- 2012 reduced 5%-43% comparedto 2002. The milk consumption in 60- 69 years old people in urban reduced the most obviously. The gap between urban and rural made narrower. CONCLUSION: The consumption of dairy products was seriously inadequate in Chinese elderly and the trend was reducing.

[Analysis of the dietary factors on sarcopenia in elderly in Beijing].

OBJECTIVE: To analyze the dietary factors on sarcopenia in elderly in Beijing and provide nutritional recommendations for the sarcopenia. METHOD: A total of 830 participants aged 60 and above and without serious diseases were selected from two representative communities in Beijing. A cross-sectional research design was used, including inquiry investigation, dietary surveys (food frequency questionnaire) anthropometry, muscle mass and functional assessment. RESULTS: The prevalence of sarcopenia was 20.1% in this area, the men was 17.1%, while the women was 21.6% (P > 0.05). The prevalence of sarcopenia in the five age groups has significant statistically difference (chi2 = 19.03, P = 0.0008) and increased with age rising (Z = -4.18, P < 0.0001). The prevalence of sarcopenia would be downward if the time of exercise prolonged and body mass index (BMI) increased (P < 0.05). The prevalence of sarcopenia in the group of meat consumption <35, 35-70, > 70 g/d was 24.5%,19.9% and 15. 3% (chi2 = 6.02, P = 0.0492), respectively (trend test for groups comparison, Z = 2.45, P =0.0141). The prevalence of sarcopenia in the group of egg consumption <35, 35-60, >60 g/d was 25.8%, 18.7% and 11.3% (chi2 = 6.50, P = 0.0388), respectively ( trend test for groups comparison, Z =2. 55, P = 0.0109). The prevalence of sarcopenia in the group of energy consumption < 1612, 1612-2109, > 2109 kcal/d was 25.8%,19.5% and 15. 0% (x2 = 8. 19 , P = 0. 0158), respectively (trend test for groups comparison, Z = 2.87, P = 0.0042). The prevalence of sarcopenia in the group of protein consumption < 58.2, 58.2 - 78.4, > 78.4 g/d was 25.3%, 18.2% and 16.7% (chi2 = 5.97, P = 0. 0505 ) , respectively (Z = 2.28, P = 0.0227). After controlling the influence of age, BMI, exercise and education, meat consumption (beta = -0.1703, P = 0.0119), egg consumption (beta = -0.1545, P = 0.0302) and the high quality protein consumption (beta = -0.1805, P = 0.0302) were negatively related with sarcopenia. CONCLUSION: Animal food, such as meet and egg, is an important protective factor for sarcopenia. Therefore, it is the first important thing for the elderly to ensure adequate energy intake, then you should increase the animal food intake which contains high quality protein to prevent sarcopenia.

[Relationship between dietary pattern and maternal state of fatty acids during pregnancy in three regions of China].

OBJECTIVE: To investigate the dietary pattern during pregnancy and the compositions of fatty acids of phosphatidylcholine (PC) during pregnancy in different regions of China. METHOD: 35 Health women of each region were recruited from three different geographical regions in China: Jurong (an inland region close to freshwater), Rizhao (a coastal region) and Xushui (an inland region with limited access to freshwater). All women were long-term residents of their respective region. Their dietary status (including consumption frequency of food and consumption of culinary oil) during second trimester pregnancy was recorded and the fatty acid composition of PC in plasma during late pregnancy (34 weeks gestation) was quantified by GC. RESULTS: The consumption frequency of marine fish in Rizhao was significant higher than in other two regions. The main n-3 polyunsaturated fatty acids of PC in plasma was docosahexaenoic acid (DHA) in all regions. The composition of DHA in three regions were (3.31 +/- 0.77) %, (3.74 +/- 1.21) % and (2.44 +/- 0.63) %, respectively. The composition of DHA in Xushui was significant lower than in other two regions (P < 0.017). There was positive relationship between consumption frequency of marine fish and composition of DHA of PC in plasma (r = 0.337, P < 0.05). CONCLUSION: There was relationship between pregnant women's fatty acids composition of PC in plasma and their dietary. The consumption of food with high content of n-3 long chain polyunsaturated fatty acids during pregnancy would be more practical for DHA store of pregnant women.

[Status of livestock and poultry meat intake of Chinese aged 65 and above in 2010-2012].

OBJECTIVE: To analyze the livestock and poultry intake of Chinese elderly. METHODS: Data were collected from 2010- 2012 China National Nutrition and Health Surveillance. Information on livestock and poultry intake was collected by using the food frequency questionnaire. Using the multi-stage stratified cluster randomization sampling method. The participants selected were more than 65 years old of 150 counties from 31 provinces in China. RESULTS: The average daily intake of livestock and poultry for Chinese elderly was 42. 0 g / d, In the big cities, small cities, general rural and poor rural, those were 60. 0 g / d, 42. 9 g / d, 34. 9 g / d and 26. 4 g / d, respectively. The average daily intake of livestock and poultry for Chinese elderly were 33. 0 g / d, 3. 3 g / d, respectively. In big cities, small cities, general rural and poor rural, the proportion of elderly whose intake exceed Chinese dietary guidelines recommended level were 58. 3%, 44. 8%, 39. 7% and 30. 1%. CONCLUSION: The livestock and poultry intake of Chinese elderlywere difference between urban and rural. The excessive intake was in urban elderly and the inadequate intake was in rural.