RESUMO
The adverse psychological and social impacts of COVID-19 pandemic are well characterized, but the role of composite, modifiable lifestyle factors that may interact to mitigate these impacts is not. The effect of socioeconomic deprivation on these lifestyle risks also remains unclear. Based on a nationally representative, longitudinal cohort, we assessed the association between a combination of pre-pandemic lifestyle factors and mental health conditions during pandemic, and the contribution of deprivation to it. Composite lifestyle factors included BMI, smoking status, alcohol consumption, physical activity, sedentary time, sleep duration, and fruit and vegetable intake, with lifestyle scores and lifestyle categories calculated for each participant. Symptoms of depression and anxiety, and personal well-being were assessed by validated scales during the pandemic. Socioeconomic deprivation was characterized by both individual-level (income, wealth, and education) and group-level factors (Index of Multiple Deprivation). Of the 5049 eligible participants (mean [SD] age, 68.1 [10.9] years; 57.2% were female) included in the study, 41.6% followed a favorable lifestyle, 48.9% followed an intermediate lifestyle, and 9.5% followed an unfavorable lifestyle. Compared with favorable lifestyle category, participants in the intermediate and unfavorable lifestyle category were at increased risk of mental health conditions, with the hazard ratio (HR) for trend per increment change towards unfavorable category of 1.17 (95% CI 1.09-1.26) for depression, 1.23 (1.07-1.42) for anxiety, and 1.39 (1.20-1.61) for low well-being. A significant trend of lower risk for mental health conditions with increasing number of healthy lifestyle factors was observed (P < 0.001 for trend). There were no significant interactions between lifestyle factors and socioeconomic deprivation for any of the outcomes, with similar HRs for trend per one increment change in lifestyle category observed in each deprivation group. Compared with those in the least deprived group with favorable lifestyle, participants in the most deprived group adherent to unfavorable lifestyle had the highest risk of mental health outcomes. These results suggest that adherence to a broad combination of healthy lifestyle factors was associated with a significantly reduced risk of mental health conditions during the COVID-19 pandemic. Lifestyle factors, in conjunction with socioeconomic deprivation, independently contribute to the risk of mental health issues. Although further research is needed to assess causality, the current findings support public health strategies and individual-level interventions that provide enhanced support in areas of deprivation and target multiple lifestyle factors to reduce health inequalities and promote mental well-being during the ongoing COVID-19 pandemic.
Assuntos
Ansiedade , COVID-19 , Depressão , Estilo de Vida Saudável , Saúde Mental , Pandemias , Fatores Socioeconômicos , Humanos , COVID-19/epidemiologia , COVID-19/psicologia , Feminino , Masculino , Pessoa de Meia-Idade , Idoso , Estudos Prospectivos , Depressão/epidemiologia , Ansiedade/epidemiologia , Exercício Físico/psicologia , Estudos Longitudinais , Estilo de Vida , SARS-CoV-2 , Consumo de Bebidas Alcoólicas/epidemiologia , Consumo de Bebidas Alcoólicas/psicologia , Fumar/epidemiologia , Fumar/psicologiaRESUMO
The sub-micron polystyrene (PS) microspheres with adjustable size were firstly synthesized using emulsion polymerization method by adding only a small amount of emulsifier. Then, three dimensionally ordered macroporous alumina with mesoporous walls and adjustable macropore size was facilely prepared by the colloidal template method. The alumina and PS spheres were characterized by nanoparticle size analyzer, SEM, XRD and N2 adsorption. The results show that the polystyrene microsphere has adjustable single-sized pore with diameter in the range of 100-350 nm and the yield is higher than that prepared by soap free emulsion polymerization. The alumina materials as prepared using the PS colloidal crystals as the template, had ordered meso-macroporous structures and adjustable apertures. The mesopores (about 3.6 nm) in γ-alumina were formed by controlling the heat treatment of alumina precursor. BET surface area and pore volume of the hierarchical alumina as obtained can reach to 241.3 m2/g and 0.33 cm3/g, respectively.
Assuntos
Óxido de Alumínio/química , Nanopartículas/química , Poliestirenos/química , Nanotecnologia , Tamanho da Partícula , PorosidadeRESUMO
Single measures of adiposity markers, such as body mass index (BMI) and waist circumference (WC), are associated with adverse mental health outcomes; however, long-term patterns of adiposity and their health effects remain unclear. The current study assessed adiposity trajectories during a 14-year span beyond middle age and their relevance to mental well-being in late life, and the contribution of genetic and lifestyle factors to the trajectories. Based on a nationally representative sample with longitudinal anthropometric measures, adiposity trajectories were identified by latent mixture modeling, and logistic regression model was used to estimate their associations with mental well-being, with adjustment for confounders. Of the 3491 eligible participants included (mean [SD] age, 69.5 [8.9] years), five discrete BMI and four WC trajectory patterns were identified over 14 years. Compared with the low-stable BMI group (range, 22.8 to 22.9 kg/m²; representing stable healthy body weight), the high-stable group (range, 34.3 to 35.4 kg/m²; stable obese) was associated with increased risk of depression (odds ratio [OR], 1.63; 95 % CI, 1.28-2.07) and low subjective well-being (OR, 1.35; 95 % CI, 1.02-1.79). Compared with the low-stable WC group (range, 75 to 79 cm healthy WC), the high-increasing group (range, 114 to 121 cm) was associated with increased risk of depression (odds ratio [OR], 1.64; 95 % CI, 1.19-2.25) and low well-being (OR, 1.48; 95 % CI, 1.01-2.16). The adiposity trajectories, especially the high-stable/increasing groups, were driven by genetic factors in a dose-response manner, whereas the high/moderate-increasing groups were also behaviorally related. This longitudinal cohort study reveals that stably high trajectory patterns of central and general adiposity during middle age were associated with higher risk of depression and low well-being in late life. The findings indicate the importance of weight management beyond middle age, such as adherence to a healthy lifestyle, in promoting mental health and well-being.
Assuntos
Adiposidade , Saúde Mental , Humanos , Pessoa de Meia-Idade , Idoso , Estudos Longitudinais , Adiposidade/fisiologia , Obesidade/complicações , Obesidade Abdominal , Índice de Massa Corporal , Circunferência da Cintura , Redução de Peso , Fatores de RiscoRESUMO
A series of ZSM-5 zeolites with hierarchical porous structure were synthesized using NaOH solutions treatment method. The structural and acidity properties of hierarchical ZSM-5 zeolites as-synthesized were characterized by X-ray diffraction (XRD), N2 adsorption, scanning electron microscope (SEM), NH3-temperature programmed desorption (TPD), and pyridine Fourier transform infrared spectroscopy (Py-FTIR). The adsorption and diffusion performances of benzene in hierarchical ZSM-5 zeolites were studied by an intelligent gravimetric analyzer (IGA). It was found that mass transfer (adsorption and diffusion) performance of benzene was significantly affected by synergetic effect of hierarchical structure, acid amount, acidity, adsorption sites of ZSM-5 zeolites. After suitable alkali treatment, the crystal structure of ZSM-5 was retained and finely tailored. Hierarchical ZSM-5 was obtained with a uniform size of mesoporous and microporous structure. Acidity of hierarchical ZSM-5 zeolites was improved, which produced more adsorption sites and thus increased the adsorption performance of benzene in hierarchical ZSM-5. As a result, connectivity in hierarchical ZSM-5 was improved with increasing of mesopores in hierarchical ZSM-5. Hierarchical ZSM-5 well-contributed to the adsorption performance of benzene on active sites and improved catalytic performance of hierarchical ZSM-5.