The association between screen time exposure and myopia in children and adolescents: a meta-analysis.

OBJECTIVE: This study aimed to systematically review epidemiological evidence on associations between screen time exposure and myopia in children and adolescents, and to quantitatively evaluate summary effect estimates from existing literature. METHOD: There were three online databases including PubMed, Embase, and Web of Science, for epidemiological studies on screen time exposure and myopia published before June 1, 2023. The risk of bias was assessed by the Newcastle Ottawa Scale (NOS) checklist. Summary odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to evaluate the correlation between screen time exposure and myopia using random or fixed-effect models by exposure type (categorical/continuous). We also performed subgroup analysis by screen device type, study quality, geographic region, and research period. RESULTS: We searched 7,571 records from three databases and identified 19 eligible studies, including 14 high-quality studies and 5 moderate-quality studies. Meta-analyses suggested that there was a statistically significant correlation between screen time (high vs. low) and myopia. The pooled ORs with 95%CIs were respectively 2.24 (1.47-3.42) for cross-sectional studies, and 2.39 (2.07-2.76) for cohort studies. We also found a significant association between continuous exposure to screen time (per 1 h/d increase) and myopia in cohort studies. The pooled ORs with 95%CIs were 1.07 (1.01-1.13). In subgroup analysis stratified by screen device type in cross-sectional studies, screen time exposures from computers (categorical: OR = 8.19, 95%CI: 4.78-14.04; continuous: OR = 1.22, 95%CI: 1.10-1.35) and televisions (categorical: OR = 1.46, 95%CI: 1.02-2.10) were associated with myopia, while smartphones were not. Although publication bias was detected, the pooled results did not show significant changes after adjustment using the trim and fill method. CONCLUSION: Our findings support that screen time exposure was significantly associated with myopia in children and adolescents. Notably, screen time exposure from computers may have the most significant impact on myopia.

Association between sleep-wake schedules and myopia among Chinese school-aged children and adolescents: a cross-sectional study.

BACKGROUND: This study aimed to investigate the relationship between sleep-wake schedules and self-reported myopia in the pediatric population. METHODS: In this cross-sectional study in 2019, school-aged children and adolescents in the Baoan District of Shenzhen City were sampled using a stratified cluster sampling approach. Sleep-wake schedules of children were determined by a self-administered questionnaire. The age that participants first reported using myopia correction glasses or contact lenses was used to identify those with myopia. Pearson χ2 test was used to examine differences in myopia prevalence among participants with different characteristics. Multivariate logistic regression, adjusted for potential confounding variables, was applied to examine the relationship between sleep-wake schedule and risk of self-reported myopia, and a stratification analysis by school grade was also performed. RESULTS: A total of 30,188 students were recruited. In this study, the overall prevalence of myopia was 49.8%, with prevalence rates of 25.6%, 62.4%, and 75.7% for primary, junior high, and senior high school students, respectively. Students with irregular sleep-wake times reported a higher prevalence of myopia than those with regular sleep-wake times. Nighttime sleep duration of < 7 hours/day (h/d) (OR = 1.27, 95%CI: 1.17-1.38), no daytime nap (OR = 1.10, 95%CI: 1.03-1.18), irregular weekday bedtime (OR = 1.11, 95%CI: 1.05-1.17), irregular weekday wake time (OR = 1.21, 95%CI: 1.12-1.30), weekend bedtime delayed > = 1 h/d (OR = 1.20, 95%CI: 1.11-1.29, P < 0.001), weekend wake time delayed > = 1 h/d (OR = 1.11, 95%CI: 1.03-1.19), irregular sleep-wake time on weekdays (OR = 1.13, 95%CI: 1.07-1.19), and social jetlag > = 1 h (OR = 1.08, 95%CI: 1.03-1.14) were likely to be associated with increased risks of self-reported myopia after adjusting age, sex, grade, parental education level, family income, parental myopia, academic record, and academic workload. When stratified by school grade, we observed that nighttime sleep duration < 7 h/d, no daytime naps, and irregular sleep-wake time on weekdays were significantly associated with self-reported myopia in primary school students. CONCLUSION: Insufficient sleep and irregular sleep-wake schedules can increase the risk of self-reported myopia in children and adolescents.

Carbon Nanotubes-Based Fuel Cell for Cr(VI) Removal and Electricity Generation.

A fuel cell, an energy transducer, can convert chemical energy into electrical energy. In this work, graphite felt (GF) loaded with polypyrrole (PPy) and carboxylic carbon nanotubes (CNTs-COOH) was used as a cathode (GF/PPy/CNTs-COOH) in a double-chamber nonbiofuel cell (D-nBFC) to remove Cr(VI) efficiently. Therein, Na2S2O3 in an alkaline solution and Cr(VI) in a strongly acidic solution were employed as anode and cathode solutions, respectively. An agar salt bridge, consisting of saturated KCl solution, was used to transport ions between the anode and cathode. This system suggested that the removal efficiency of Cr(VI) could reach 99.6%. The maximum current, power, and power density could achieve 136.8 µA, 18.7 µW, and 20.8 mW/m2 at 90 min, respectively. Additionally, GF/PPy/CNTs-COOH also had good electrocatalytic stability and reusability after four cycles, which played an important role in the development of the D-nBFC system. Therefore, this study provides an environmentally friendly and efficient method to remove Cr(VI) and generate electricity simultaneously.

Association between dietary flavonol intake and mortality risk in the U.S. adults from NHANES database.

Using updated National Health and Nutrition Examination Survey (NHANES) follow-up data, and a large nationwide representative sample of adult U.S. citizens, the aim of this study was to explore the relationship between dietary flavonol intake, all-cause and cause-specific mortality risks. In this prospective cohort study based on NHANES (2007-2008, 2009-2010, and 2017-2018), a total of 11,679 participants aged 20 years and above were evaluated. The amount and type of food taken during a 24-h dietary recall were used to estimate dietary flavonol intake, which includes total flavonol, isorhamnetin, kaempferol, myricetin, and quercetin. Each analysis of the weighted data was dealt with in accordance with the NHANES reporting requirements' intricate stratification design. The Cox proportional risk regression model or Fine and Gray competing risks regression model were applied to evaluate all-cause and cause-specific mortality risks, respectively. The follow-up period was calculated using the time interval between the baseline and the death date or December 31, 2019 (whichever occurs first). Each data analysis was performed between October 1, 2023, and October 22, 2023. Dietary flavonol intake included total flavonol, isorhamnetin, kaempferol, myricetin, and quercetin. Up to December 31, 2019, National Death Index (NDI) mortality data were used to calculate mortality from all causes as well as cause-specific causes. A total of 11,679 individuals, which represents 44,189,487 U.S. non-hospitalized citizens, were included in the study; of these participants, 49.78% were male (n = 5816), 50.22% were female (n = 5, 863); 47.56% were Non-Hispanic White (n = 5554), 18.91% were Non-Hispanic Black (n = 2209), 16.23% were Mexican American (n = 1895), and 17.30% were other ethnicity (n = 2021); The mean [SE] age of the sample was 46.93 [0.36] years, with a median follow-up of 7.80 years (interquartile range, 7.55-8.07 years). After adjusting covariates, Cox proportional hazards models and fine and gray competing risks regression models for specific-cause mortality demonstrated that total flavonol intake was associated with all-cause (HR 0.64, 95% CI 0.54-0.75), cancer-specific (HR 0.45, 95% CI 0.28-0.70) and CVD-specific (HR 0.67, 95% CI 0.47-0.96) mortality risks; isorhamnetin intake was associated with all-cause (HR 0.72, 95% CI 0.60-0.86), and cancer-specific (HR 0.62, 95% CI 0.46-0.83) mortality risks; kaempferol intake was associated with all-cause (HR 0.74, 95% CI 0.63-0.86), and cancer-specific (HR 0.62, 95% CI 0.40-0.97) mortality risks; myricetin intake was associated with all-cause (HR 0.77, 95% CI 0.67-0.88), AD-specific (HR 0.34, 95% CI 0.14-0.85), and CVD-specific (HR 0.61, 95% CI 0.47-0.80) mortality risks; quercetin intake was associated with all-cause (HR 0.66, 95% CI 0.54-0.81), cancer-specific (HR 0.54, 95% CI 0.35-0.84), and CVD-specific (HR 0.61, 95% CI 0.40-0.93) mortality risks; there was no correlation observed between dietary flavonol intake and DM-specific mortality. According to the current study, all-cause, AD, cancer, and CVD mortality risks declined with increased dietary flavonoid intake in the U.S. adults. This finding may be related to the anti-tumor, anti-inflammatory, and anti-oxidative stress properties of flavonol.

Exposure to pesticides and risk of colorectal cancer: A systematic review and meta-analysis.

Colorectal cancer (CRC) is a widespread malignancy worldwide, and its relationship with pesticide exposure remains inconclusive. This study aims to elucidate the relationship between pesticide exposure and the risk of colon, rectal, or CRC, focusing on specific pesticide groups. We conducted an extensive literature search for peer-reviewed studies published up to March 31, 2023. Summary risk ratios (RR) and their corresponding 95% confidence intervals (CI) were calculated using stratified random-effects meta-analyses, taking into account different types of exposure and outcomes, and various exposed populations and pesticide subgroups. This approach aimed to address the substantial heterogeneity observed across the literature. We also assessed heterogeneity and potential small-study effects to ensure the robustness of our findings. From the 50 studies included in this review, 33 contributed to the meta-analysis. Our results indicate a significant association between herbicide exposure and colon cancer in both lifetime-days (LDs) (RR = 1.20; 95% CI = 1.01-1.42) and intensity-weighted lifetime-days (IWLDs) (RR = 1.29, 95% CI = 1.12-1.49) exposure. Similarly, insecticide exposure was associated with an increased risk of colon cancer in IWLDs (RR = 1.32; 95% CI = 1.02-1.70) exposure, and rectal cancer in any versus never exposure (RR = 1.21; 95% CI = 1.07-1.36), IDs (RR = 1.86; 95% CI = 1.30-2.67) and IWLDs (RR = 1.70; 95% CI = 1.03-2.83) exposure. While these findings suggest significant associations of herbicide and insecticide exposure with colon and rectal cancer, respectively, further research is needed to explore the impact of other pesticide groups and deepen our understanding of pesticide exposure. These results have important implications for policymakers and regulators, underscoring the need for stricter supervision and regulation of pesticide use to mitigate CRC risk.

Persistent organic pollutants exposure and risk of autism spectrum disorders: A systematic review and meta-analysis.

Accumulating number of epidemiological studies has recently proposed that improvement in the risk of autism spectrum disorders (ASD) is associated with persistent organic pollutants (POPs) exposure. However, evidence from current researches is limited and inconsistent. Thus, we conducted a systematic review and meta-analysis to investigate the potential associations comprehensively. We systematically and extensively searched two electronic databases (PubMed and EMBASE) from inception to July 3, 2022 and an updated search was performed before submission. Summary odds ratios (ORs) and 95% confidence intervals (CIs) were derived from stratified random-effects meta-analyses by type of exposure and outcome. We also tested the potential heterogeneity across studies, conducted sensitivity analysis and evaluated publication bias. A total of 20 studies were finally included in our study. Meta-analytical effect estimates indicated a positive association between prenatal exposure to PCB-138, PCB-153 and PCB-170 and an increased risk of ASD, with OR of 1.89 (95% CI = 1.21-2.95, I2 = 0%), 1.61 (95% CI = 1.05-2.47, I2 = 0%) and 1.46 (95% CI = 1.03-2.06, I2 = 0%) respectively. In contrast, PFDA was found inversely associated with the risk of ASD (OR = 0.70, 95% CI = 0.52-0.94, I2 = 0%). The level of evidence supporting a link between ASD risk and exposure to PCB-138, PCB-153, PCB-170, and PFDA was respectively categorized as low, low, moderate, and low. In summary, this systematic review and meta-analysis suggest that exposure to PCB-138, PCB-153, and PCB-170 correlates with a heightened risk of ASD, with evidence levels rated as "low", "low", and "moderate", respectively. In contrast, PFDA exposure appears to be inversely associated with ASD risk, with a "low" level of supporting evidence. However, due to the limited number of studies available for each exposure and outcome pairing, these results should be interpreted with caution. Sufficiently powered studies are needed to validate our findings.

Association between Short-Term Exposure to Ozone and Heart Rate Variability: A Systematic Review and Meta-Analysis.

At present, ambient air pollution poses a significant threat to patients with cardiovascular disease (CVD). The heart rate variability (HRV) is a marker of the cardiac autonomic nervous system, and it is related to air pollution and cardiovascular disease. There is, however, considerable disagreement in the literature regarding the association between ozone (O3) and HRV. To further investigate the effects of short-term exposure to O3 on HRV, we conducted the first meta-analysis of relevant studies. The percentage change of HRV indicator(s) is the effect estimate extracted for the quantitative analysis in this study. In our meta-analysis, per 10 ppb increase in O3 was significantly associated with decreases in the time-domain measurements, for standard deviation of the normal-to-normal (NN) interval (SDNN) -1.11% (95%CI: -1.35%, -0.87%) and for root mean square of successive differences (RMSSD) -3.26% (95%CI: -5.42%, -1.09%); in the frequency-domain measurements, for high frequency (HF) -3.01% (95%CI: -4.66%, -1.35%) and for low frequency (LF) -2.14% (95%CI: -3.83%, -0.45%). This study showed short-term exposure to O3 was associated with reduced HRV indicators in adults, which suggested that the cardiac autonomic nervous system might be affected after O3 exposure, contributing to the association between O3 exposure and CVD risk.

Association between PM1 Exposure and Lung Function in Children and Adolescents: A Systematic Review and Meta-Analysis.

The detrimental effects of PM2.5 and PM10 (particulate matter less than 2.5 or 10 µm) on human respiratory system, including lung function, have been widely assessed. However, the associations between PM1 (particulate matter of less than 1 µm) and lung function in children and adolescents are less explored, and current evidence is inconsistent. We conducted a meta-analysis of the literature on the association between PM1 and lung function in children and adolescents to fill this gap. With no date or language constraints, we used a combination of MeSH (Medical Subject Headings) terms and free text to search PubMed, EMBASE and Web of Science databases through, 1 October 2022 for "PM1 exposure" and "lung function". A total of 6420 relevant studies were identified through our initial search, and seven studies were included in our study. In this meta-analysis, the fixed effect and random effects statistical models were used to estimate the synthesized effects of the seven included studies. For every 10 µg/m3 increase in short-term PM1 exposure, forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), peak expiratory flow (PEF) and maximal mid-expiratory flow (MMEF) decreased by 31.82 mL (95% CI: 20.18, 43.45), 32.28 mL (95% CI: 16.73, 48.91), 36.85 mL/s (95% CI: 15.33, 58.38) and 34.51 mL/s (95% CI: 19.61, 49.41), respectively. For each 10 µg/m3 increase in long-term PM1 exposure, FVC, FEV1, PEF and MMEF decreased by 102.34 mL (95% CI: 49.30, 155.38), 75.17 mL (95% CI: 39.61, 110.73), 119.01 mL/s (95% CI: 72.14, 165.88) and 44.94 mL/s (95% CI: 4.70, 85.18), respectively. Our study provides further scientific evidence for the harmful effects of PM1 exposure on lung function in children and adolescents, indicating that exposure to PM1 is detrimental to pulmonary health. To reduce the adverse health effects of air pollution on children and adolescents, effective preventive measures should be taken.

A sodium hyposulfite fuel cell for efficient Cr(VI) removal.

This work shows a strategy of reducing hexavalent chromium (Cr(VI)) by sodium hyposulfite (Na2S2O3) with self-generated electricity via a dual-chamber non-biological fuel cell (D-nBFC). Therein, Na2S2O3 was electro-oxidized on graphite felt (GF) at anode and Cr(VI) in strong acidic solution was electro-reduced at GF/CCP cathode (GF decorated with conductive carbon paint (CCP)). Additionally, an agar salt bridge, consisting of saturated KCl solution, was introduced to form complete circuit by offering ions. The results showed that Cr(VI) was reduced to trivalent chromium (Cr(III)) and the D-nBFC system could produce electricity in this process. This system could obtain a high Cr(VI) removal efficiency (97.0%), 110 µA maximum current, and 13.4 mW m-2 maximum power density in 4 h. In addition, the proposed system had high reusability after five cycles and the relative standard deviation was only 3.4% (n = 5). Thus, this D-nBFC system provides a promising and eco-friendly method for treatment of Cr(VI) pollution and generating electricity simultaneously, and also has potential application value for other heavy metals remediation.

[Difference of several major nutrients accumulation in vegetable and cereal crop soils].

Investigation and determination of several major nutrients in different types of vegetable and cereal crop soils were carried out in the Guanzhong Plain in Shaanxi Province. The results showed that organic matter, nitrogen, phosphorus and potassium accumulated more in the 0-200 cm profile of vegetable soils than in that of cereal crop soils. However, the accumulation degrees were different with different nutrient forms. The total amount of nitrate-N in the soil profile of plastic greenhouse and usual vegetable field was 1520.9 kg.hm-2 and 1358.8 kg.hm-2, being 5.2 and 4.5 times higher than that in the cereal crop fields respectively. The total amount of available-P was respectively 978.1 kg.hm-2 and 503.3 kg.hm-2 in the two vegetable soils, and 136.2 kg.hm-2 in cereal crop soils, and the former two were 6.2 and 2.7 times higher than the latter. For other nutrients, organic matter in cereal crop soil was 249.4 Mg.hm-2, and that in plastic greenhouse and usual vegetable soil was 280.5 Mg.hm-2 and 269.3 Mg.hm-2, respectively, which were only 12.5% and 8.0% higher than that in cereal crop soils. The total-N in plastic greenhouse and usual vegetable soils was 37.5 Mg.hm-2 and 32.7 Mg.hm-2, which was 36.2% and 18.6% higher than that (27.5 Mg.hm-2) in cereal crop soils, respectively. The ammonium-N was 211.5 kg.hm-2 and 197.8 kg.hm-2, which was 29.6% and 21.2% higher than that (163.2 kg.hm-2) in cereal crop soils. The available-K was 6567.8 kg.hm-2 and 5523.6 kg.hm-2, which was 30.6% and 9.8% higher than that (5029.7 kg.hm-2) in cereal crop soils. Furthermore, serious nutrient leaching occurred in vegetable soil profiles due to over-fertilization and irrigation.

[Nitrate accumulation in vegetables and its residual in vegetable fields].

Determinations of 11 kinds, 48 varieties of vegetables were carried out at different seasons. The results showed that nitrate-N concentrations in 20 vegetables reached Pollution Level 4 (NO3(-)-N > 325 mg.kg-1), which accounted for 41.7% of the total number of the sampled vegetables and included all of the leafy, and most of the melon, root, onion and garlic vegetables. Among them, 5 leafy vegetables even exceeded Level 4 (NO3(-)-N > 700 mg.kg-1). Although leafy vegetables were usually apt to heavily accumulate nitrate, most of them were with nitrate-N concentrations lower than Level 3 (NO3(-)-N < 325 mg.kg-1) in leave blades. Further investigation showed that vegetable soils accumulated more nitrates in each layer from 0 cm to 200 cm than did cereal crop soil. The total amount of residual nitrate-N was 1358.8 kg.hm-2 in the 200 cm soil profile of usual vegetable fields, and 1411.8 kg.hm-2 and 1520.9 kg.hm-2 in the 2-yaers and the 5-years long plastic greenhouse fields respectively, however that in the cereal crop fields was only 245.4 kg.hm-2. Nitrate residual in vegetable soils formed serious threats to underground water in vegetable growing areas.