Urinary electrolytes and blood pressure in three Yi farmer populations, China.

The relation between blood pressure and urinary electrolytes, including sodium, potassium, calcium, and magnesium were examined in male farmers of the Yi nationality who live in three separate communities in Sichuan and Yunnan provinces in China, where the lifestyles, habits, and living conditions are very different. One of these three communities was unacculturated and had the lowest average blood pressure as well as the lowest prevalence rate of hypertension in China; one was acculturated and had the highest average blood pressure; and the third was moderately acculturated with its average blood pressure between the other two. Blood pressure was taken on each of 3 days and corresponding 24-hour urine specimens were collected to measure potassium, sodium, calcium, magnesium, urea nitrogen, and creatinine. Ecological and individual-based data correlation analyses were employed to study the relations among age, body mass index, some related indexes of electrolyte derivatives, and blood pressure. Multiple regression analyses were used to explore the relation of blood pressure to the above indexes, adjusted for age, body mass index, urea nitrogen and creatinine, and geographical differences. Statistically significant correlation analyses showed that systolic blood pressure was positively associated with sodium-creatinine, calcium-creatinine, sodium-potassium, calcium-magnesium, and urea nitrogen and creatinine ratios; negatively associated with potassium-creatinine and magnesium-creatinine ratios. The ridge regression analysis selected only calcium-magnesium ratio as a predictor of systolic blood pressure.

Relation of electrolytes to blood pressure in men. The Yi people study.

The relations of sodium, potassium, calcium, and magnesium to blood pressure were investigated in four groups of men (119 high-mountain Yi farmers, 114 mountainside Yi farmers, 89 Yi migrants, and 97 Han people) with a wide range of electrolyte intake in Puge County, Sichuan Province, People's Republic of China. Electrolytes were measured in diet, serum, and urine. Sodium excretion was 73.9 mmol/24 hr in high-mountain Yi farmers, 117.9 mmol/24 hr in mountainside Yi farmers, 159.4 mmol/24 hr in Yi migrants, and 186.0 mmol/24 hr in the Han people. In ecological correlation analysis, dietary and urinary sodium were significantly and positively correlated with both systolic and diastolic pressure, whereas serum sodium showed no relation with blood pressure. In diet, serum, and urine, potassium was negatively related to systolic and diastolic pressure, whereas the sodium/potassium ratio showed a positive association. With regard to calcium, only urinary excretion was significantly and positively related to blood pressure. No relation was found between magnesium and blood pressure. Analyses at the individual level confirmed the results for sodium and potassium seen at the ecological level, but in addition, dietary calcium and magnesium were significantly and negatively correlated to both systolic and diastolic pressure, and urinary magnesium was inversely related to diastolic pressure. These relations persisted after controlling for age, body mass index (kg/m2), heart rate, alcohol, and total energy intake in multiple regression analysis performed separately for electrolytes in diet, serum, and urine. In multiple regression analysis, an increase in sodium intake of 100 mmol/day corresponded to an increase of 2.3 mm Hg systolic blood pressure and 1/8 mm Hg diastolic pressure.(ABSTRACT TRUNCATED AT 250 WORDS)

Alcohol use and blood pressure in an unacculturated society.

Alcohol intake has been associated with higher blood pressure in acculturated populations but not in unacculturated societies. We performed a cross-sectional survey of a random community sample of 5023 male Yi rural farmers and 1656 Yi and 2173 Han men living in an urban setting. Average alcohol intake among drinkers was 36.4 g/d in Yi farmers, 56.5 g/d in Yi migrants, and 38.7 g/d in Han men. Age-adjusted mean diastolic blood pressure was 66.9, 70.5, and 71.7 mm Hg, respectively. Diastolic blood pressure was higher at higher alcohol intakes in all three groups (all P < .001). After adjustment for age, body mass index, heart rate, smoking, and physical activity, the change (95% confidence interval) in diastolic blood pressure for each standard drink was 0.50 (0.38-0.62), 0.31 (0.18-0.43), and 0.24 (0.07-0.40) mm Hg for Yi farmers, Yi migrants, and Han men, respectively. The percentage of variance in diastolic blood pressure explained by alcohol intake was 5% for Yi farmers, 4% for Yi migrants, and 2% for Han men. In a random sample of 831 men, these associations were independent of urinary sodium, potassium, calcium, and magnesium and sodium-potassium ratio. In the Yi farmers, associations were less strong for systolic blood pressure and no longer significant after adjustment. Approximately 33% of hypertension could be attributed to daily alcohol use in the Yi groups compared with 9.5% in the Han people.(ABSTRACT TRUNCATED AT 250 WORDS)

Oats and buckwheat intakes and cardiovascular disease risk factors in an ethnic minority of China.

The relationship of oats and buckwheat intake to cardiovascular disease risk factors was studied in 850 Yi people, an ethnic minority in southwest China. Blood pressure was measured on 3 consecutive days. Serum total cholesterol, high-density-lipoprotein (HDL) cholesterol, and triglycerides were measured after a 14-h fast. Oats and buckwheat intakes were assessed by questionnaire. In multiple-regression analysis, oats intake (100 g/d) was associated with lower body mass index (-0.25, in kg/m2; P < 0.05), systolic (-3.1 mm Hg, P < 0.001) and diastolic (-1.3 mm Hg, P < 0.01) blood pressure, and HDL cholesterol (-0.13 mmol/L, P < 0.001). Buckwheat intake (100 g/d) was associated with lower serum total cholesterol (-0.07 mmol/L, P < 0.01) and low-density-lipoprotein cholesterol (-0.06 mmol/L, P < 0.05) and a higher ratio of HDL to total cholesterol (0.01, P < 0.05). These findings suggest a role for oats and buckwheat consumption in the prevention and treatment of both hypertension and hypercholesterolemia.

Effect of dietary electrolytes upon calcium excretion: the Yi People Study.

OBJECTIVE: To investigate the relations of dietary sodium, potassium, calcium and magnesium with urinary calcium excretion. DESIGN: Cross-sectional epidemiologic study of 417 Chinese men with a wide variation of electrolyte intakes. METHODS: Three consecutive 24-h dietary recall data and three 24-h urinary samples were obtained on the same days. Urinary analyses included calcium, sodium, potassium, magnesium and creatinine. A fasting blood sample was obtained on the first morning, and serum analyses included electrolytes, creatinine and urea nitrogen. Correlation and regression analyses were used to examine the relation between electrolyte intake and calcium excretion. RESULTS: Whilst urinary calcium was not related to dietary calcium, it was significantly correlated with dietary sodium and potassium. A linear relationship was seen between dietary sodium, potassium and urinary calcium. After adjustment for age, body mass index, serum creatinine, dietary calcium intake and other electrolytes, urinary calcium was positively related to dietary sodium and negatively related to dietary potassium. This relation was seen at different levels of dietary calcium intake. The relation between magnesium intake and calcium excretion was inconsistent. CONCLUSION: These results suggest that sodium and potassium intake influence urinary calcium excretion in normotensive men.

Dietary macronutrients and blood pressure in southwestern China.

OBJECTIVES: To study the relationship between dietary macronutrients and blood pressure. DESIGN: A cross-sectional study. SETTING: Liangshan, southwestern China. PARTICIPANTS: Three hundred and twelve Yi farmers living in a remote mountainous area, and 264 Yi migrants and 251 Han people living in an urban setting. MAIN OUTCOME MEASUREMENTS: Blood pressure and dietary nutrient intake, obtained by asking the subjects to recall their nutrient consumption during the previous 24 h, were measured on three consecutive days. RESULTS: After adjusting for age, body mass index, alcohol use, urinary excretion of sodium, total energy intake and area of residence and after correcting for the effects of regression dilution bias, a 1 SD higher intake of dietary total protein (39 g) was associated with lower systolic (-3.55 mmHg), and diastolic (-2.16 mmHg) blood pressures. Likewise, a 1 SD higher fiber intake (10 g) was significantly associated both with a lower systolic (-2.20 mmHg) and with a lower diastolic (-2.08 mmHg) blood pressure. CONCLUSION: Diets higher in protein and fiber content are associated with a lower blood pressure in the present population sample. The present results indicate that dietary intake of macronutrients might be important in the development and prevention of high blood pressure.

Cigarette smoking among junior high school students in Beijing, China, 1988.

Prevalence, behavioural patterns and risk factors of cigarette smoking were studied in a sample of 8437 junior high school students in Beijing in 1988. Smoking at least occasionally was reported by 34.4% of boys and 3.9% of girls, though the intensity tended to be low. Smoking prevalence increased with age among boys. Inhaling smoke into the lungs was practised by 68.2% of the boys who smoked and 37.3% of the girls. 'Believing that one looks elegant when smoking', 'trying to be fashionable' and 'seeking stimulation' were the most important reasons for smoking. Of the boys 83.5% and of the girls 86.5% usually smoked with friends or schoolmates. Many more boys (19.2%) than girls (1.7%) smoked at home. Examinations of risk factors for teenage smoking showed that it was associated with a combination of familial, psychological and socio-school factors, with peer group pressure being the most important one.

[Studies of the origin of Chinese domestic fowls].

A total of 539 bases fragment of mitochondrial DNA D-loop region of six domestic chicken breeds (30 individuals) were sequenced and compared to that of red junglefowl, grey junglefowl, green junglefowl and Lafayette's junglefowl issued in GenBank, and the phylogenetic trees for the chickens constructed based on the D-loop sequences. The results indicated that the four species of genus Gallus had great differences between each other, the G. g. domesticus was the next of kin to red junglefowl in Thailand and its adjacent regions, and near of kin to red junglefowl in Indonesian, Lafayette's junglefowl, grey junglefowl and green junglefowl one by one in proper order, suggesting that the red junglefowl in Thailand and its neighbour areas sufficed as the matriarchic ancestor of Chinese domestic fowls. It was also discovered that the two subspecies of Thailand i.e. G. g. gallus and G. g. spadiceus should belong to one subspecies because of their far lower differentiation compared to that among the domestic breeds.

[Effects of activin and follistatin on FSH receptor mRNA expression of cultured Shao duck granulosa cells].

The aim of this study was to investigate the action of activin and follistatin either alone or in combination on FSH receptor mRNA expression. The results showed that activin alone increased FSH receptor mRNA level in the presence or absence of FSH in cultured granulosa cells, and the stimulating effect of activin on FSH receptor level was dose-dependent. This effect of activin was inhibited by FSP treatment which alone had no effect on FSH receptor expression. From the results, it can be concluded that activin and follistatin both exert autocrine actions on granulosa cells, and the two factors, possibly by regulating FSH receptor expression, may play important roles in follicular development.

[Expression of inhibin alpha and inhibin/activin beta A subunits in the developing follicles of the duck].

The very sensitive quantitative competitive reverse transcription-polymerase chain reaction (RT-PCR) was used to investigate the expression of mRNA for the inhibin alpha and inhibin/activin beta A subunit in the developing ovarian follicles of the duck. The results indicated all follicles showed the expression of mRNA for the inhibin alpha and inhibin/activin beta A. The inhibin alpha subunit mRNA is expressed more abundantly than the beta A subunit in the large preovulatory follicles. Competitive RT-PCR revealed that the expression of inhibin alpha subunit is the highest in small yellow follicles (SYF), the mean relative content for the F1, F2, F3, F4/5 and LWF (large white follicle) was 0.26 +/- 0.05, 0.28 +/- 0.07, 0.57 +/- 0.12, 0.98 +/- 0.09 and 0.026 +/- 0.006, respectively, compared to a mean relative content of 1.00 for the SYF. The highest level of inhibin/activin beta A mRNA was found in the F1 follicle, the mean relative content for the F2, F3, F4/5, SYF and LWF was 0.218 +/- 0.09, 0.111 +/- 0.03, 0.058 +/- 0.011, 0.053 +/- 0.013 and 0.005 +/- 0.002, respectively, compared to a mean relative content of 1.00 for the F1 follicle. Our data suggest that the expression of the alpha subunit is reduced with follicular development whereas beta A subunit expression is dramatically enhanced, which indicates the expression of inhibin alpha and inhibin/activin beta A subunit is differentially regulated during follicular development. In addition, the highest level of beta A mRNA in F1 follicle indicates the production of dimeric inhibin and/or activin primarily occurred in the largest F1 follicle.

[cDNA cloning and mRNA expression pattern in follicles of the mature inhibin alpha subunit from Xianju chicken].

The mature region of Xianju chicken inhibin alpha-subunit was amplified from the total RNA of follicle granulosa cells by RT-PCR using the primer pair designed according to the reported cDNA sequence of chicken inhibin alpha-subunit, and this fragment of alpha-subunit was cloned and sequenced subsequently. The results revealed that the mature alpha-subunit of Xianju chicken was a fragment of 113 amino acids containing one glycosylation site and seven cysteine residues. It was approximately 98% and 61.4%-68.7% identical in nucleotide sequence, 97.3% and 64.6%-69% similar in deduced amino acid sequence, respectively, in the mature region to the chicken and mammalian inhibin alpha-subunit cDNA clone. As for the mature chicken inhibin alpha-subunit, the number of potential glycosylation site and cysteine residues was the same, and their corresponding positions in the amino acid sequences were almost identical as compared to chicken and mammalian inhibin alpha-subunit, which indicated that the inhibin alpha-subunit was highly conserved among different species, implying an important role of inhibin alpha-subunit in various animals. The quantitative analysis of competitive RT-PCR for inhibin alpha-subunit revealed that the expression of alpha-subunit decreased with further follicle maturity from SYF to F1 follicle. The highest level of inhibin alpha-subunit mRNA was found in the SYF and F6-8 follicles, which indicated that inhibin alpha-subunit played an important role during the course of follicular recruitment, selection and dominance.

[Expression pattern of mRNA for follistatin and inhibin/activin beta B-subunit during follicular and testicular development in duck].

Follistatin and inhibin/activin were closely related glycoprotein hormones. The quantitative competitive RT-PCR was used to investigate the expression of follistatin and inhibin/activin beta B-subunit mRNA in the developing ovarian follicles, immature and mature testes. The results revealed all samples showed the expression of mRNA for the two proteins, and the expression is more abundantly in the small follicles than in the large preovulatory follicles. Competitive RT-PCR revealed that the expression of follistatin is the highest in small yellow follicles (SYF), the mean relative content for the F1, F2, F3, F4, F5, F6-8, LWF (large white follicle), TI(immature testes), and TM(mature testes) was 0.011 +/- 0.004, 0.019 +/- 0.006, 0.021 +/- 0.009, 0.028 +/- 0.007, 0.075 +/- 0.023, 0.15 +/- 0.072, 0.29 +/- 0.068, 0.037 +/- 0.011, and 0.012 +/- 0.004, respectively, compared to a mean relative content of 1.00 for the SYF. The highest level of inhibin/activin beta B mRNA was also found in the SYF, the mean relative content for the F1, F2, F3, F4, F5, F6-8, LWF, TI, and TM was 0.009 +/- 0.003, 0.013 +/- 0.005, 0.019 +/- 0.007, 0.023 +/- 0.006, 0.29 +/- 0.084, 0.84 +/- 0.093, 0.031 +/- 0.008, 0.38 +/- 0.072, and 0.046 +/- 0.013, respectively, compared to a mean relative content of 1.00 for the SYF. Our data suggested that the expression pattern of mRNA for follistatin and inhibin/activin beta B-subunit was quite similar during follicular and testicular development. The great co-expression of mRNA for the two proteins in small follicles indicated that activin B(beta B-beta B) availability was tightly regulated by follistatin, and the two proteins might both play important roles in early follicular development.

Tobacco smoking among 847 residents of East Beijing, People's Republic of China.

A survey of 847 residents aged 15 and older of East Beijing, People's Republic of China was conducted to determine smoking prevalence, patterns of smoking behavior and related attitudes (response rate = 99.6%). The overall age-adjusted smoking prevalence was 32.2% (56.6% among men and 11.4% among women). Smoking prevalence was highest in the age groups under 45 among males and in the age groups over 45 among females. The most commonly smoked cigarettes were domestically manufactured, unfiltered brands high in tar and nicotine content. Most respondents were aware of the deleterious effects of smoking, and the majority felt that current antismoking measures were effective in discouraging smoking. Health policy implications are discussed in the context of various social practices in China that encourage cigarette smoking.

[Studies on polysaccharide alkaloids and minerals from Dendrobium moniliforme (L.) Sw].

OBJECTIVE: To explore contents of active substances in different part of Dendrobium monilifrome and the quality influenced by different drying processes. METHOD: Contents of alkaloids and polysaccharides in upper, middle, lower-stem and root part of Dendrobium moniliforme were determined by uv-spectrophotometer method. Contents of essential trace elements were determined by ICP method. RESULT: Contents of polysaccharides and alkaloids were highest in the upper-stem of D. montiliforme. Contents of active substances in different part of D. moniliforme were unequal. Distributions of polysaccharides and alkaloids in different parts were greatly influenced by drying procedures. CONCLUSION: Dendrobium moniliforme has higher contents of active ingredients, such as essential tract elements, alkaloids and polysaccharides. The ideal drying process after harvesting is to be the way dried by fire at a high temperature and desiccated at a temperature of 60 degreeC.

Status and costs of primary prevention for ischemic stroke in China.

Despite the benefits in reducing the risk of stroke, primary prevention is not well translated into practice. We sought to evaluate patient compliance with guidelines and the cost of primary stroke prevention in southwest China. We consecutively enrolled 305 patients with headaches and/or dizziness who were at high risk of stroke from our hospital. We retrospectively obtained their information, including the extent of their knowledge of stroke risk factors, adherence to guidelines, medications taken, and costs of primary prevention for stroke within the past year. Only 45.9% of patients had any knowledge of primary prevention, and only 17.0% had completely followed guidelines. Moreover, 79.0% of the patients were using medications, but only 39.3% took their medication as recommended. In patients who took medication, 89.6% were prescribed by physicians. The annual costs of primary prevention were estimated to be US$517.8 per capita, which included direct medical costs (US$435.4), direct non-medical costs (US$18.1), and indirect costs (US$64.3). Costs in the hypertension group were less than those reported by a similar international study. Although our population sample may not be representative of the population at high risk of stroke in China, it is appropriate for the evaluation of our primary prevention system. Primary prevention for stroke in southwest China is very challenging, with few medical resource investments. There is a current urgency to improve patient knowledge of primary prevention, which would bridge the gaps between guidelines and practice and increase medical resource investments.

Immunolocalization of aquaporins in rat brain.

The aquaporins (AQPs) are a family of homologous water channels expressed in many tissues. In this study, the expression and immunolocalization of different AQP subtypes in rat brains were investigated by RT-PCR, immunohistochemistry and immunofluorescence. The data showed that AQP1 was expressed in the subpial processes of astrocytes, choroid plexus and ependyma. AQP3, AQP5 and AQP8 had similar distribution patterns in piriform cortex, choroid plexus, hippocampus and dorsal thalamus. AQP4 and AQP9 were widely expressed in the rat brain and distributed in the subpial processes of astrocytes, ependyma, dorsal thalamus, hippocampus, white matter, suprachiasmatic nucleus (SCN) and supraoptic nucleus. AQP3, AQP4, AQP5, AQP8 and AQP9 were found in the Bergmann glial cells of cerebellum, cochlear nucleus and trapezoid nuclei. The distinct localization of various AQPs in cerebrum and the similarities of distribution patterns within cerebellum, cochlear nucleus and trapezoid nuclei suggest that AQPs may play an important role in maintaining the specific microenvironments of the brain.