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1.
Clin Nutr ; 41(12): 2651-2658, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36308984

RESUMO

BACKGROUND: Fish oil is one of the most popular supplements in the UK and other developed countries. However, the relationship between fish oil use and chronic obstructive pulmonary disease (COPD) is unclear. OBJECTIVE: To prospectively examine the association of habitual fish oil supplementation with incident COPD risk and to evaluate potential effect modification by genetic predisposition. METHODS: This study included 484,414 participants (mean and standard deviation [SD] age: 56.5 [8.1] years) from the UK Biobank who completed a touchscreen questionnaire on habitual fish oil supplement use between 2006 and 2010 and were followed up through 2018. Cox regression models were used to estimate the hazard ratios (HRs) and 95% confidence intervals (95% CIs) with adjustment for sociodemographic and lifestyle behaviours, health conditions, and other potential confounding factors. A weighted genetic risk score (GRS) for COPD was derived from 112 validated single nucleotide polymorphisms. RESULTS: During a median follow-up of 9.0 years, 8860 incident COPD events were recorded. A total of 31.4% (152,230) of the study participants reported habitual fish oil supplementation at baseline. Habitual fish oil supplementation was significantly associated with a lower risk of incident COPD (adjusted HR: 0.88; 95% CI: 0.84-0.93). The association with COPD did not differ by GRS strata (P for interaction = 0.880). The results from subgroup and sensitivity analyses supported the robustness of our findings. CONCLUSIONS: Our findings suggest that habitual fish oil supplementation is associated with a lower risk of incident COPD, irrespective of genetic predisposition.


Assuntos
Óleos de Peixe , Doença Pulmonar Obstrutiva Crônica , Humanos , Estudos Prospectivos , Predisposição Genética para Doença , Doença Pulmonar Obstrutiva Crônica/epidemiologia , Doença Pulmonar Obstrutiva Crônica/genética , Doença Pulmonar Obstrutiva Crônica/complicações , Fatores de Risco , Suplementos Nutricionais
2.
Dis Aquat Organ ; 149: 33-45, 2022 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-35510819

RESUMO

The largemouth bass Micropterus salmoides is an important freshwater aquaculture fish in China. Recently, largemouth bass at a fish farm in Guangdong province experienced an outbreak of a serious ulcer disease. As part of the investigations conducted to identify the aetiology and identify potentially effective control measures, we isolated a pathogenic bacterium (NK-1 strain) from the diseased fish. It was identified as Nocardia seriolae through morphological observation, physiological and biochemical analysis, and molecular identification, and its pathogenicity was verified by experimental infection. Pathological changes in the diseased fish included granulomatous lesions in the liver and spleen, destruction of renal tubules, necrosis of intestinal epithelial cells, infiltration of inflammatory cells in the brain, vacuolation of cells, and swelling and cracking of the mitochondria and endoplasmic reticulum. Bacterial detection using qPCR showed that the spleen and intestine were the main organs targeted by N. seriolae. The mortality of largemouth bass experimentally infected with N. seriolae at 21°C was significantly lower than that in fish infected at higher temperatures between 24 and 33°C; there were no significant differences in the levels of mortality at these higher temperatures. The level of mortality of largemouth bass infected with N. seriolae was lowest at a neutral water pH of 7 but increased significantly at higher and lower pH. Of the tested Chinese herbal medicines, Chinese sumac Galla chinensis and Chinese skullcap Scutellaria baicalensis exhibited the best antibacterial effects. This study lays a foundation for the clinical diagnosis and scientific control of ulcer disease in largemouth bass.


Assuntos
Bass , Doenças dos Peixes , Nocardia , Animais , Doenças dos Peixes/epidemiologia , Doenças dos Peixes/microbiologia , Úlcera/veterinária
3.
J Glob Health ; 12: 11001, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35265334

RESUMO

Background: Cesarean delivery vs vaginal delivery was reported to increase the risks of childhood obesity, pneumonia, anemia, and neurobehavioral disorders, but few studies were able to deal with the confounding biases associated with medical conditions indicating cesareans. This prospective cohort study aims to investigate the associations of non-medically indicated cesarean delivery on maternal request (CDMR) with these child health outcomes. Methods: Among 17 748 liveborn infants whose mothers (primiparas) participated in a randomized controlled trial on micronutrient supplementation and pregnancy outcomes during 2006-2009 in 5 rural counties in Hebei Province, China, 6972 singletons born by full-term spontaneous vaginal delivery (SVD) and 3626 by CDMR were extracted for the assessments of obesity (weight-for-height z-score >3) and pneumonia (self-reported) at 1.5-5 years in 2011. Some children were further randomly selected from these two groups for the assessments of anemia (hemoglobin <110 g/L, 2341 SVD and 2417 CDMR) and neurobehavioral disorders (raw score of Child Behavior Checklist larger than the 90th percentile of the normative sample, 1257 SVD and 1060 CDMR). Results: Compared with SVD, CDMR was associated with increased risks of obesity (adjusted odds ratio (aOR) = 1.41, 95% confidence interval (CI) = 1.14-1.75, P = 0.002) and anemia (aOR = 1.65, 95% CI = 1.28-2.12, P < 0.001), but not with the risk of pneumonia (aOR = 1.16, 95% CI = 0.94-1.45, P = 0.17) or neurobehavioral disorders (aORs varied from 0.82 to 0.91, P > 0.05) in childhood. Conclusions: Cesarean delivery, independent of cesarean indications, is likely associated with childhood obesity and anemia, indicating a need to keep pregnant women informed, especially those seeking CDMR, a need to explore possible improvement on obstetric service, and even a need for main stakeholders to reach a compromise in making a cesarean decision. Trial registration: ClinicalTrials.gov: NCT00133744 and NCT01404416.


Assuntos
Saúde da Criança , Obesidade Infantil , Cesárea , Criança , Parto Obstétrico , Feminino , Humanos , Lactente , Obesidade Infantil/epidemiologia , Gravidez , Estudos Prospectivos
4.
Matern Child Nutr ; 17(3): e13157, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33594802

RESUMO

In this secondary analysis of data from a double-blind randomized controlled trial (clinicaltrials.gov identifier: NCT00133744) of micronutrient supplementation (multiple micronutrients [MMN], iron-folic acid [IFA] and folic acid [FA] alone), we examined the potential modifying effect of gestational age at enrolment on the association of antenatal supplementation and pregnancy-induced hypertension (PIH). We included 18,775 nulliparous pregnant women with mild or no anaemia who were enrolled at 20 weeks of gestation or earlier from five counties of northern China. Women were randomly assigned to receive daily FA, IFA or MMN from enrolment until delivery. We used logistic regression to evaluate the association between PIH and timing of micronutrient supplementation. The incidence of PIH was statistically significantly lower among women who began MMN supplementation before 12 gestational weeks compared with women who began MMN supplementation at 12 weeks or later (RR = 0.74, 95% CI: 0.60-0.91). A similar protective effect was observed for both early-onset (<28 weeks, RR 0.45, 0.21-0.96) and late-onset of PIH (≥28 weeks, RR 0.77, 0.63-0.96). No statistically significant association was observed between PIH occurrence and timing of supplementation for FA or IFA. Maternal MMN supplementation and antenatal enrolment during the first trimester of pregnancy appeared to be of importance in preventing both early- and late-onset of PIH.


Assuntos
Hipertensão Induzida pela Gravidez , China/epidemiologia , Suplementos Nutricionais , Feminino , Ácido Fólico , Humanos , Hipertensão Induzida pela Gravidez/epidemiologia , Hipertensão Induzida pela Gravidez/prevenção & controle , Micronutrientes , Gravidez
5.
Br J Nutr ; 126(6): 885-891, 2021 09 28.
Artigo em Inglês | MEDLINE | ID: mdl-33256875

RESUMO

Folate status for women during early pregnancy has been investigated, but data for women during mid-pregnancy, late pregnancy or lactation are sparse or lacking. Between May and July 2014, we conducted a cross-sectional study in 1211 pregnant and lactating women from three representative regions in China. Approximately 135 women were enrolled in each stratum by physiological periods (mid-pregnancy, late pregnancy or lactation) and regions (south, central or north). Plasma folate concentrations were measured by microbiological assay. The adjusted medians of folate concentration decreased from 28·8 (interquartile range (IQR) 19·9, 38·2) nmol/l in mid-pregnancy to 18·6 (IQR 13·2, 26·4) nmol/l in late pregnancy, and to 17·0 (IQR 12·3, 22·5) nmol/l in lactation (Pfor trend < 0·001). Overall, lower folate concentrations were more likely to be observed in women residing in the northern region, with younger age, higher pre-pregnancy BMI, lower education or multiparity, and in lactating women who had undergone a Caesarean delivery or who were breastfeeding exclusively. In total, 380 (31·4 %) women had a suboptimal folate status (folate concentration <13·5 nmol/l). Women in late pregnancy and lactating, residing in the northern region, having multiparity and low education level had a higher risk of suboptimal folate status, while those with older age had a lower risk. In conclusion, maternal plasma folate concentrations decreased as pregnancy progressed, and were influenced by geographic region and maternal socio-demographic characteristics. Future studies are warranted to assess the necessity of folic acid supplementation during later pregnancy and lactation especially for women at a higher risk of folate depletion.


Assuntos
Ácido Fólico/sangue , Lactação , Estado Nutricional , Gravidez , Povo Asiático , Aleitamento Materno , China , Estudos Transversais , Feminino , Geografia , Humanos , Fatores de Risco , Fatores Sociodemográficos
6.
Eur J Clin Nutr ; 73(11): 1473-1479, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-30446762

RESUMO

BACKGROUND: Although prenatal iron-containing supplements have been associated with lower anemia prevalence in later pregnancy, few trials have examined the effect of supplements on the anemia status of post-partum women and their infants. OBJECTIVE: We compared the effects of folic acid alone (FA), iron-folic acid (IFA) and multiple micronutrients (MMN) when provided to pregnant women with no or mild anemia on the hemoglobin levels of post-partum women and their infants at 6 and 12 months of age. We also examined the potential modifying effect of maternal hemoglobin concentration at enrollment. METHODS: A double-blind randomized controlled trial was conducted in China; 18,775 nulliparous women with a hemoglobin concentration > 100 g/L were randomly assigned to receive daily FA (400 µg); IFA (FA, Fe 30 mg), or MMN (FA, Fe and 13 micronutrients) from before 20 gestational weeks until delivery. RESULTS: Compared with daily prenatal FA, supplementation with IFA or MMN did not affect the prevalence of anemia at 4-6 weeks post-partum (27.2%, 26.8%, and 26.3%, respectively). At 6 months of age, the anemia prevalence in infants was 6.9%, 6.7%, and 6.7%, respectively. Findings were similar at 12 months of age. Among both post-partum women and infants, findings were similar across all levels of hemoglobin at enrollment. CONCLUSIONS: Compared to FA alone, prenatal IFA and MMN provided to women with no or mild anemia did not affect anemia in women post-partum or their infants regardless of baseline maternal hemoglobin concentration at enrollment.


Assuntos
Anemia , Hemoglobinas/análise , Ferro , Complicações Hematológicas na Gravidez , Cuidado Pré-Natal/métodos , Anemia/tratamento farmacológico , Anemia/epidemiologia , China , Suplementos Nutricionais , Método Duplo-Cego , Feminino , Ácido Fólico/sangue , Ácido Fólico/uso terapêutico , Humanos , Lactente , Ferro/administração & dosagem , Ferro/sangue , Ferro/uso terapêutico , Gravidez , Complicações Hematológicas na Gravidez/tratamento farmacológico , Complicações Hematológicas na Gravidez/epidemiologia
7.
Medicine (Baltimore) ; 97(9): e0029, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29489651

RESUMO

RATIONALE: Patients with Parkinson's disease (PD) frequently suffer from psychiatric disorders, and treating these symptom whereas managing the motor symptoms associated with PD can be a therapeutic challenge. PATIENT CONCERNS: We report a case of PD patient with severe depression and anxiety that refused to be treated with dopaminagonists or SSRIs, the most common treatments for PD patients suffering from psychiatric symptoms. DIAGNOSES: Parkinson's disease with severe depression and anxiety. INTERVENTIONS: This man was treated with hyperbaric oxygen treatment for 30 days. OUTCOMES: Clinical assessment scores for depression and anxiety, including Unified Parkinson's Disease Rating ScaleI (UPDRS I), UPDRS II, Hanmilton Depression Rating Scale, and Hamiliton Anxiety Rating Scale, were improved following the hyperbaric oxygen treatment. LESSONS: Hyperbaric oxygen treatment may be a potential therapeutic method for PD patient suffering from depression and anxiety. Further research is needed to validate this finding and explore a potential mechanism.


Assuntos
Ansiedade/terapia , Depressão/terapia , Oxigenoterapia Hiperbárica , Doença de Parkinson/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Resultado do Tratamento
8.
J Ayurveda Integr Med ; 8(4): 233-237, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28869083

RESUMO

BACKGROUND: Increase in resistance of Candida species, to routinely used antifungal agents has necessitated the quest for new drugs. Few studies have revealed that cow's urine can suppress the growth of pathogenic fungi. However there is no published report on antifungal effects of cow's urine on clinical Candida isolates. OBJECTIVE: The present study aims at exploring the antifungal potential of cow's urine on clinical isolates of Candida species. MATERIALS AND METHODS: In this in-vitro experimental study four standard strains and 37 clinical isolates of Candida species were tested for their susceptibility to amphotericin B, fluconazole and voriconazole, by disk diffusion method. Detection of MIC of cow's urine for the Candida isolates was done by agar dilution method using 20-50% concentration of cow's urine. RESULTS: Clinical isolates of Candida albicans n = 22 (59.5%) Candida glabrata n = 6 (16.2%), Candida tropicalis n = 3 (8.1%) and other Candida species n = 6 were tested for their antifungal susceptibility. Among them, 18.9% were resistant to voriconazole, 24.3% to amphotericin B and 35.1% to fluconazole. Statistically significant association was observed between susceptibility of voriconazole and that of cow's urine (p = 0.045). C. albicans ATCC14053, Candida parapsilosis ATCC22019 and 75.7% of clinical isolates of Candida were susceptible to cow's urine. CONCLUSION: Cow's urine distillate has concentration dependent inhibitory effect on Candida species and is effective on the isolates that are either resistant or sensitive to the routinely used antifungal agents.

9.
Am J Epidemiol ; 186(3): 318-325, 2017 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-28472219

RESUMO

In this secondary analysis of data from a double-blind randomized controlled trial carried out in northern China, we aimed to assess the effect of prenatal supplementation with multiple micronutrients (MMN) or iron + folic acid (IFA), versus folic acid (FA) alone, on risk of spontaneous preterm birth (SPB) and the impact of supplementation timing on SPB. A total of 18,775 nulliparous pregnant women enrolled between 2006 and 2009 were randomly assigned to receive daily FA, IFA, or MMN from the period before 20 weeks' gestation to delivery. The incidences of SPB for women consuming FA, IFA, and MMN were 5.7%, 5.6% and 5.1%, respectively. Compared with women given FA, the relative risks of SPB for those using MMN and IFA were 0.99 (95% confidence interval: 0.85, 1.16) and 0.89 (95% confidence interval: 0.79, 1.05), respectively. SPB incidence in women who started consuming FA, IFA, and MMN before the 12th week of gestation (4.6%, 4.2%, and 3.9%, respectively) was significantly reduced compared with starting supplement use on or after the 12th gestational week (6.9%, 7.2%, and 6.4%, respectively). Starting use of FA, IFA, or MMN supplements before the 12th week of gestation produced a 41%-45% reduction in risk of SPB. Early prenatal enrollment and micronutrient use during the first trimester of pregnancy appeared to be of particular importance for prevention of SPB, regardless of supplement group.


Assuntos
Suplementos Nutricionais , Micronutrientes/uso terapêutico , Nascimento Prematuro/epidemiologia , Método Duplo-Cego , Feminino , Ácido Fólico/uso terapêutico , Humanos , Gravidez , Nascimento Prematuro/prevenção & controle , Adulto Jovem
10.
J BUON ; 22(2): 519-523, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28534379

RESUMO

PURPOSE: To investigate the therapeutic effects of different doses of 125I radioactive particle brachytherapy on oral cancer. METHODS: Between September 2012 and September 2015, 78 patients with oral cancer who received 125I radioactive particle brachytherapy for the first time in our hospital were enrolled in this study. Patients were divided into high dose (≥3) and low dose (<3) groups. The treatment outcome, serum tumor marker levels and the expression levels of autophagy and apoptotic genes in tumor cells were compared between groups. RESULTS: Complete remission (CR)+partial remission (PR) ratio in the high dose group was significantly higher than that of the low dose group. Stable disease (SD)+ progressive disease (PD) ratio was significantly lower in the high dose group. The serum levels of TSGF, SCCA, CEA, CA125, CA15.3, CA19.9 and PSA oral cancer markers were significantly lower than those of the low dose group. In the high dose group, the expression levels of Beclin-1 and MAP1LC3 (autophagic genes) mRNAs were significantly higher than those of the low dose group, while the expression levels of EMMPRIN and MMP-14 (invasive genes) mRNAs were significantly lower in the high dose group. Also survival rates in the responsive patients were significantly better in comparison to non-responsive patients. CONCLUSION: High dose particle brachytherapy with radioactive 125I is a safe and effective treatment and its clinical results were more beneficial than the low dose therapy.


Assuntos
Carcinoma/radioterapia , Radioisótopos do Iodo/uso terapêutico , Neoplasias Bucais/radioterapia , Adulto , Idoso , Antígenos de Neoplasias/sangue , Basigina/sangue , Biomarcadores Tumorais/sangue , Braquiterapia/métodos , Antígeno Ca-125/sangue , Antígeno CA-19-9/sangue , Carcinoma/sangue , Carcinoma/metabolismo , Feminino , Humanos , Masculino , Metaloproteinase 14 da Matriz/sangue , Pessoa de Meia-Idade , Neoplasias Bucais/sangue , Neoplasias Bucais/metabolismo , Radiometria/métodos , Taxa de Sobrevida
11.
Am J Hum Biol ; 28(4): 574-9, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-26865074

RESUMO

OBJECTIVE: To examine the concentration of C-reactive protein (CRP) in relation to gestational weeks during pregnancy among Chinese women. METHODS: From a randomized control trial of prenatal supplementation with folic acid, iron-folic acid, and multiple micronutrients in China, we examined 834 pregnant women with CRP measured initially between 5 and 20 weeks and at follow-up between 28 and 32 weeks gestation. We calculated and plotted CRP geometric means by gestational weeks. The same analysis was repeated for women who had normal pregnancies (624 women) by excluding women with stillbirth, preterm, small for gestational age, body mass index <18.5 kg/m(2) or >30 kg/m(2) at enrollment, and hypertension or anemia during pregnancy. RESULTS: We observed a significant positive trend between log-transformed CRP and gestational age from 5 to 20 weeks and from 28 to 32 weeks both in the full sample and in the subset of women who had normal pregnancies. CRP geometric mean was 0.81 mg/l at 5-7 weeks of gestation, 2.85 mg/l at 19-20 weeks of gestation, and 3.89 mg/l at 32 weeks of gestation. A similar increasing trend in the CRP median or percentage of elevated CRP were also observed. CONCLUSION: We concluded that CRP increased with gestational age among healthy Chinese women who delivered healthy infants. Am. J. Hum. Biol. 28:574-579, 2016. © 2016 Wiley Periodicals, Inc.


Assuntos
Proteína C-Reativa/metabolismo , Suplementos Nutricionais , Ácido Fólico , Idade Gestacional , Ferro , Micronutrientes , Gravidez/fisiologia , Adulto , China , Feminino , Humanos , Adulto Jovem
12.
Nutrients ; 7(10): 8723-32, 2015 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-26506380

RESUMO

Few studies have examined docosahexaenoic acid (DHA) in pregnant and lactating women in developing countries like China, where DHA-enriched supplements are increasingly popular. We aimed to assess the DHA status among Chinese pregnant and lactating women residing areas differing in the availability of aquatic products. In total, 1211 women in mid-pregnancy (17 ± 2 weeks), late pregnancy (39 ± 2 weeks), or lactation (42 ± 7 days) were enrolled from Weihai (coastland), Yueyang (lakeland), and Baotou (inland) city, with approximately 135 women in each participant group by region. DHA concentrations were measured using capillary gas chromatography, and are reported as weight percent of total fatty acids. Mean plasma DHA concentrations were higher in coastland (mid-pregnancy 3.19%, late pregnancy 2.54%, lactation 2.24%) and lakeland women (2.45%, 1.95%, 2.26%) than inland women (2.25%, 1.67%, 1.68%) (p values < 0.001). Similar differences were observed for erythrocyte DHA. We conclude that DHA concentrations of Chinese pregnant and lactating women are higher in coastland and lakeland regions than in inland areas. DHA status in the study population appears to be stronger than populations from other countries studied to date.


Assuntos
Dieta , Ácidos Docosa-Hexaenoicos/sangue , Peixes , Abastecimento de Alimentos , Lactação , Gravidez/sangue , Características de Residência , Adulto , Animais , Aleitamento Materno , China/epidemiologia , Comportamento Alimentar , Feminino , Humanos , Lagos , Desnutrição/sangue , Desnutrição/epidemiologia , Estado Nutricional , Oceanos e Mares , Complicações na Gravidez/sangue , Complicações na Gravidez/epidemiologia , Alimentos Marinhos , Adulto Jovem
13.
Am J Clin Nutr ; 101(3): 523-9, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25733637

RESUMO

BACKGROUND: Cesarean delivery may reduce placental-fetal transfusion and thus increase the risk of early childhood anemia compared with vaginal delivery, but this notion has not been carefully studied in longitudinal cohorts. OBJECTIVE: The aim was to assess the association of cesarean delivery with anemia in infants and children in 2 longitudinal Chinese birth cohorts from different socioeconomic settings. DESIGN: Cohort 1 was recruited from 5 counties in northeastern China and cohort 2 from 21 counties or cities in southeastern China. Cohort 1 involved 17,423 infants born during 2006-2009 to mothers with early pregnancy baseline hemoglobin concentrations ranging from 100 to 177 g/L, whereas cohort 2 involved 122,777 children born during 1993-1996 to mothers with baseline hemoglobin concentrations ranging from 60 to 190 g/L. The main outcomes were anemia at 6 and 12 mo in cohort 1 and at 58 mo in cohort 2. Multiple logistic regressions were used to estimate adjusted ORs of anemia for cesarean compared with vaginal delivery. Stratified analyses were performed by pre- and postlabor cesarean delivery and according to maternal baseline hemoglobin concentration (≤109, 110-119, 120-129, and ≥130 g/L). RESULTS: Cesarean delivery was not associated with anemia at 6 mo in cohort 1 (adjusted OR: 1.05; 95% CI: 0.93, 1.19); however, cesarean delivery was associated with increased anemia at 12 mo in cohort 1 (adjusted OR: 1.19; 95% CI: 1.04, 1.37) and at 58 mo in cohort 2 (adjusted OR: 1.11; 95% CI: 1.08, 1.15). The positive associations for anemia at 12 and 58 mo were consistent across maternal hemoglobin subgroups and persisted for cesarean delivery subtypes. CONCLUSION: Cesarean delivery is likely associated with anemia in children, which suggests a possible need for exploring changes in obstetric care that might prevent anemia in cesarean-delivered children.


Assuntos
Anemia Ferropriva/etiologia , Anemia/etiologia , Cesárea/efeitos adversos , Fenômenos Fisiológicos da Nutrição Infantil , Fenômenos Fisiológicos da Nutrição do Lactente , Adulto , Anemia/epidemiologia , Anemia/etnologia , Anemia/prevenção & controle , Anemia Ferropriva/epidemiologia , Anemia Ferropriva/etnologia , Anemia Ferropriva/prevenção & controle , Pré-Escolar , China/epidemiologia , Estudos de Coortes , Monitoramento Epidemiológico , Feminino , Humanos , Lactente , Estudos Longitudinais , Masculino , Gravidez , Prevalência , Estudos Prospectivos , Risco , Saúde da População Rural/etnologia , Fatores Socioeconômicos , Saúde da População Urbana/etnologia
14.
J Nutr ; 144(6): 943-8, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24744317

RESUMO

Universal prenatal daily iron-folic acid (IFA) and multiple micronutrient (MM) supplements are recommended to reduce the risk of low birth weight, maternal anemia, and iron deficiency (ID) during pregnancy, but the evidence of their effect on iron status among women with mild or no anemia is limited. The aim of this study was to describe the iron status [serum ferritin (SF), serum soluble transferrin receptor (sTfR), and body iron (BI)] before and after micronutrient supplementation during pregnancy. We examined 834 pregnant women with hemoglobin > 100 g/L at enrollment before 20 wk of gestation and with iron measurement data from a subset of a randomized, double-blind trial in China. Women were randomly assigned to take daily 400 µg of folic acid (FA) (control), FA plus 30 mg of iron, or FA, iron, plus 13 additional MMs provided before 20 wk of gestation to delivery. Venous blood was collected in this subset during study enrollment (before 20 wk of gestation) and 28-32 wk of gestation. We found that, at 28-32 wk of gestation, compared with the FA group, both the IFA and MM groups had significantly lower prevalence of ID regardless of which indicator (SF, sTfR, or BI) was used for defining ID. The prevalence of ID at 28-32 wk of gestation for IFA, MM, and FA were 35.3%, 42.7%, and 59.6% by using low SF, 53.6%, 59.9%, and 69.9% by using high sTfR, and 34.5%, 41.2%, and 59.6% by using low BI, respectively. However, there was no difference in anemia prevalence (hemoglobin < 110 g/L) between FA and IFA or MM groups. We concluded that, compared with FA alone, prenatal IFA and MM supplements provided to women with no or mild anemia improved iron status later during pregnancy but did not affect perinatal anemia. This trial was registered at clinicaltrials.gov as NCT00137744.


Assuntos
Anemia Ferropriva/tratamento farmacológico , Anemia Ferropriva/epidemiologia , Povo Asiático , Suplementos Nutricionais , Ferro da Dieta/administração & dosagem , Micronutrientes/administração & dosagem , Adulto , Antropometria , China , Relação Dose-Resposta a Droga , Método Duplo-Cego , Feminino , Ferritinas/sangue , Ácido Fólico/administração & dosagem , Ácido Fólico/sangue , Hemoglobinas/metabolismo , Humanos , Ferro da Dieta/sangue , Modelos Lineares , Fenômenos Fisiológicos da Nutrição Materna , Assistência Perinatal , Gravidez , Prevalência , Adulto Jovem
15.
JAMA Intern Med ; 173(4): 276-82, 2013 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-23303315

RESUMO

BACKGROUND: Beyond perinatal folic acid supplementation, the need for additional prenatal prophylaxis of iron with or without other micronutrients remains unclear. We aim to investigate the maternal and infant health effects of iron plus folic acid and multiple micronutrient supplements vs folic acid alone when provided to pregnant women with no or mild anemia. METHODS: In this randomized double-blind controlled trial, 18,775 nulliparous pregnant women with mild or no anemia were enrolled from 5 counties of northern China from May 2006 through April 2009. Women were randomly assigned to daily folic acid (400 µg) (control), folic acid-iron (30 mg), or folic acid, iron, and 13 additional vitamins and minerals provided before 20 weeks gestation to delivery. Primary outcome was perinatal mortality. Secondary outcomes included neonatal and infant mortality, preterm delivery, birth weight, birth length, gestational duration, and maternal hemoglobin concentration and anemia. RESULTS: A total of 92.7% of women consumed 80% to 100% of supplements as instructed. On average, women consumed 177 supplements. Compared with daily prenatal folic acid, supplementation with iron-folic acid with or without other micronutrients did not affect the rate of perinatal mortality (8.8, 8.7, and 8.3, respectively) per 1000 births, and relative risks (RRs) were 1.00 (95% CI, 0.68-1.46; P = .99) and 0.94 (95% CI, 0.64-1.39; P = .76), respectively. Risk of other adverse maternal and infant outcomes also did not differ, except that RRs for third-trimester maternal anemia were 0.72 (95% CI, 0.63-0.83; P < .001) and 0.71 (95% CI, 0.62-0.82; P < .001), respectively. CONCLUSION: Prenatal iron-folic acid and other micronutrient supplements provided to Chinese women with no or mild anemia prevented later pregnancy anemia beyond any benefit conferred by folic acid alone but did not affect perinatal mortality or other infant outcomes. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00133744.


Assuntos
Ácido Fólico/uso terapêutico , Ferro/uso terapêutico , Micronutrientes/uso terapêutico , Resultado da Gravidez , Oligoelementos/uso terapêutico , Adulto , Anemia/tratamento farmacológico , Peso ao Nascer/efeitos dos fármacos , China , Método Duplo-Cego , Feminino , Humanos , Lactente , Mortalidade Infantil , Recém-Nascido , Mortalidade Perinatal , Gravidez , Complicações na Gravidez/tratamento farmacológico , Nascimento Prematuro , Fenômenos Fisiológicos da Nutrição Pré-Natal
16.
Huan Jing Ke Xue ; 32(1): 266-71, 2011 Jan.
Artigo em Chinês | MEDLINE | ID: mdl-21404697

RESUMO

A tetrahydrofuran (THF)-degrading strain Pseudomonas oleovorans DT4 was isolated from the activated sludge of a pharmaceutical plant. P. oleovorans DT4 was able to utilize THF as the sole carbon and energy source under aerobic condition. 5 mmol/L of THF could be completely degraded by 3.2 mg/L inoculums of P. oleovorans DT4 in 14 h at pH 7.2 and 30 degrees C, with the cells concentration increasing to 188.6 mg/L. After the complete consumption of THF, no TOC could be detected but IC reached the stable value of about 46 mg/L, with pH decreasing to 6.54, which indicated that the substance was totally mineralized by P. oleovorans DT4. The optimum conditions for THF biodegradation in shaking flasks were pH 7.5 and temperature 37 degrees C, respectively. Results from the oxygen control experiments revealed that the oxygen supply by shaking was the satisfactory growth condition. Additionally, as the important elements for DT4, Mg2+ and Ca2+ at concentrations of 0.80 mmol/L and 0.20 mmol/L, respectively, were suitable for THF degradation. All the results contribute to the efficient bioremediation for the THF contaminated.


Assuntos
Poluentes Ambientais/isolamento & purificação , Furanos/isolamento & purificação , Pseudomonas oleovorans/metabolismo , Aerobiose , Biodegradação Ambiental , Poluentes Ambientais/metabolismo , Furanos/metabolismo , Microbiologia Industrial , Pseudomonas oleovorans/isolamento & purificação , Esgotos/microbiologia
17.
Huan Jing Ke Xue ; 32(12): 3673-9, 2011 Dec.
Artigo em Chinês | MEDLINE | ID: mdl-22468538

RESUMO

In this study, biotrickling filter (BTF) inoculated with acclimated sludge was established to treat waste gas containing chlorobenzene. The BTF performance, average well color development (AWCD) values and microbial community were examined in steady state. Results revealed BTF achieved removal efficiency more than 80% of chlorobenzene under the conditions of < 0.6 g x m(-3) inlet concentration and > 45 s EBRT. Therefore, BTF have an advantage in treating low-concentration waste gas containing chlorobenzene (< or = 0.6 g x m(-3)). The overall chlorobenzene elimination capacity reached a maximum of 70 g x (m3 x h)(-1) at an inlet load of 80 g x (m3 x h)(-1). The mass ratio of carbon dioxide produced to the BTo-X removed was approximately 1.92, which confirms complete degradation of chlorobenzene, given that some of the organic carbon consumed is also used for the microbial growth. The degradation of chlorobenzene in the BTF followed Michaelis-Menten kinetic model, the maximum specific degradation rate (r(max)) was 35.6 g x (m3 x h)(-1). The AWCD values indicated that the microorganisms in the BTF showed high the microbial metabolic activity. The PCR-DGGE fingerprinting analysis on biofilm samples in the BTF indicated that the microbial community had a relative stability and complexity during the steady-state phase. The stability and complexity of microbial community could contribute to the degradation and mineralization of chlorobenzene in BTF.


Assuntos
Poluentes Atmosféricos/isolamento & purificação , Reatores Biológicos/microbiologia , Clorobenzenos/isolamento & purificação , Filtração/métodos , Aerobiose , Poluentes Atmosféricos/química , Bactérias/metabolismo , Clorobenzenos/química , Filtração/instrumentação , Gases , Compostos Orgânicos Voláteis/química , Compostos Orgânicos Voláteis/isolamento & purificação
18.
Huan Jing Ke Xue ; 30(2): 421-6, 2009 Feb 15.
Artigo em Chinês | MEDLINE | ID: mdl-19402492

RESUMO

By parallel operation of three phosphorus removal systems (SBR) using different electron acceptors of O2, NO3(-) and NO2(-), process characteristics and inherent competition mechanism of microorganisms were discussed. Although NO2(-) had no direct inhibition on anoxic phosphorus uptake after the DPAO cultivation, system performance was still much lower than that with NO3(-) as electron acceptor. And it ultimately resulted from the washout of the group of DPAO (DPAO5) that lacked the ability to denitrify NO2(-) and the enhanced GAO growth in the system. Being the efficient electron acceptor, NO3(-) or O2 supplying SBRs removed phosphorus smoothly and comparatively, in viewpoint of stiochoimetry and constitution of functional bacteria. In all three test systems, mass of GAO was present to exhaust limited organics with PAO population. Moreover, total PAO could be divided into 6 distinct groups, i.e., PO, PN, Pn, PNn, PON and PONn, based on the abilities of utilizing different electron acceptors. And facultative PAO of PON and PONn were found as the main contributors for the phosphorus removal. The higher ratio they accounted in sludge, the more capacity the system possessed to remove phosphorus, i.e., SBR0 > SBRn5 > SBRn3.


Assuntos
Nitratos/metabolismo , Nitritos/metabolismo , Oxigênio/metabolismo , Fósforo/isolamento & purificação , Eliminação de Resíduos Líquidos/métodos , Bactérias Aeróbias/metabolismo , Biodegradação Ambiental , Reatores Biológicos/microbiologia , Elétrons , Fósforo/química , Fósforo/metabolismo , Purificação da Água/métodos
19.
Artigo em Chinês | WPRIM | ID: wpr-350995

RESUMO

<p><b>OBJECTIVE</b>To assay salidroside and p-tyrosol in Hongjingtian for injection (freezing-dry).</p><p><b>METHOD</b>Samples were purified by Sep-Pak C18 column and salidroside and p-tyrosol were determined by HPLC with Irregular-H C18 (4.6 mm x 250 mm, 5 microm), and eluted with a mobile phase of methanol-acenitonitrile -0.06% phosphate (10: 10:80). The flow rate was 1.0 mL x min(-1), the detection wavelength was set at 275 nm and the column temperature was maintained at 30 degrees C.</p><p><b>RESULT</b>The calibration curves were linear in the range of 2.24-22.4 microg for salidroside (0.999 7) and 0.856-8.56 microg for p-tyrosol (0.999 6), the average recovery was 101.3%, 99.8% respectively.</p><p><b>CONCLUSION</b>The method is convenient, rapid, accurate and reliable.</p>


Assuntos
Cromatografia Líquida de Alta Pressão , Métodos , Medicamentos de Ervas Chinesas , Química , Glucosídeos , Injeções , Fenóis , Álcool Feniletílico , Plantas Medicinais , Química , Rhodiola , Química , Temperatura
20.
Am J Clin Nutr ; 78(6): 1160-7, 2003 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-14668279

RESUMO

BACKGROUND: Data on the determinants of body iron stores in middle-aged women are sparse. OBJECTIVE: We prospectively evaluated nondietary and dietary determinants of iron stores. DESIGN: Using blood samples collected in 1989-1990, we measured plasma ferritin concentrations in 620 healthy postmenopausal women aged 44-69 y who participated in the Nurses' Health Study. Food-frequency questionnaires completed in 1980, 1984, and 1986 were used to calculate average dietary intakes. Generalized linear regression and multiple logistic regression models were used to assess the association between plasma ferritin and its determinants. RESULTS: Among these postmenopausal women, the median plasma ferritin concentration was 73.8 ng/mL (interquartile range: 41.6-125.8 ng/mL), 2.7% were iron depleted (ferritin concentration < 12 ng/mL), and 9.8% had an elevated ferritin concentration (> 200 ng/mL). Age, time since menopause, time since the last postmenopausal hormone (PMH) use, body mass index, iron supplement use, and alcohol and heme-iron intakes were positively associated with ferritin concentrations, whereas PMH use, physical activity, aspirin use, and gastrointestinal ulcer were inversely related. The association between heme-iron intake and ferritin was most apparent among the women who consumed > 30 g alcohol/d. CONCLUSIONS: Our prospective data confirm that in postmenopausal women, intakes of heme iron, supplemental iron, and alcohol are dietary determinants of plasma ferritin, and age, PMH use, body mass index, physical activity, aspirin use, and gastrointestinal ulcer are nondietary determinants.


Assuntos
Dieta , Ferritinas/sangue , Ferro da Dieta/administração & dosagem , Ferro/metabolismo , Pós-Menopausa/metabolismo , Adulto , Idoso , Consumo de Bebidas Alcoólicas/efeitos adversos , Estudos de Coortes , Feminino , Inquéritos Epidemiológicos , Heme/metabolismo , Humanos , Sobrecarga de Ferro/epidemiologia , Modelos Lineares , Modelos Logísticos , Pessoa de Meia-Idade , Estado Nutricional , Estudos Prospectivos , Inquéritos e Questionários , Estados Unidos
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