Estimating the prevalence of depression in people with acute coronary syndromes: A systematic review and meta-analysis.

BACKGROUND: The epidemic of acute coronary syndromes (ACS) poses a great challenge to depression. However, the prevalence of depression among ACS patients has not been fully determined. This meta-analysis aimed to provide an estimation of the global prevalence of depression among ACS patients (ACS depression). METHODS: Online databases including PubMed, Cochrane Library, Web of Science, and Scopus were searched for all relevant studies that reported the prevalence of ACS depression through March 2023. Pooled prevalence of ACS depression with 95% confidence interval (CI) was estimated by the random-effect model. All statistical analyses were performed using comprehensive meta-analysis software. This review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (identifier CRD42023409338). RESULTS: A total of 28 studies (17 cohort studies, 9 cross-sectional studies, and 2 case-control studies) were included. The overall pooled prevalence of depression in ACS, derived from 28 studies, was 28.5% (95% CI: 0.28-0.29, P = .000, I2 = 99%). 21 included studies showed a prevalence of 20.3% (95% CI: 0.20-0.21, P = .000, I2 = 96%) in men, and the prevalence in women was 13.6% (95% CI: 0.13-0.14, P = .000, I2 = 95%). Subgroup analysis showed the lowest prevalence in Europe (20.7%, 95% CI: 0.20-0.22, P = .000, I2 = 98%); On different diagnostic criteria, the diagnostic and statistical manual of mental disorders (DSM-IV) (36.8%, 95% CI: 0.35-0.38, P = .000, I2 = 96%) has the highest prevalence. In terms of end year of data collection, the prevalence of ACS depression was lower for studies that ended data collection after 2012 (25.7%, 95% CI: 0.25-0.27, P = .000, I2 = 99%) than in studies before 2012 (30%, 95% CI: 0.29-0.31, P = .000, I2 = 98%). CONCLUSION SUBSECTIONS: This systematic review and meta-analysis suggest high global prevalence of depression among ACS patients, underlining the necessity of more preventive interventions among ACS patients especially in Asian and North American regions.

Effects of traditional Chinese exercise on physiological indicators and quality of life in patients with coronary heart disease: A systematic review and meta-analysis.

BACKGROUND: The efficacy of traditional Chinese exercise (TCE)-based intervention in the improvement of physiological indicators and quality of life in patients with coronary heart disease (CHD) is controversial. METHOD: Five databases were systematically searched for relevant articles published from inception to February 2023. Controlled trials examining TCE intervention in patients with CHD. The treatment effects were estimated using a random-effect meta-analysis model with standardized mean differences (Hedges g). The categorical and continuous variables were used to conduct moderator analyses. Two investigators independently screened abstracts and full-text articles and graded the certainty of evidence based on the Grading of Recommendations Assessment, Development and Evaluation approach. This review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (identifier CRD42023401934). RESULT: Ten studies involving a total of 718 participants were included in the final analysis. In the physiological indicators outcomes, the meta-analytic findings revealed large and significant improvements in systolic blood pressure (g = 0.78, 95% confidence interval [CI] = 0.51-1.05, P = .00, I2 = 98%), diastolic blood pressure (g = 0.90, 95% CI = 0.61-1.20, P = .00, I2 = 98%) and body mass index (g = 1.05, 95% CI = 0.75-1.34, P = .00, I2 = 99%), small and significant improvements in heart rate (g = 0.28, 95% CI = 0.01-0.54, P = .04, I2 = 98%) and ventilatory equivalents/carbon dioxide (g = -1.10, 95% CI = -1.47 to -0.74, P = .00, I2 = 96%).In the quality of life outcomes, the findings revealed small and significant improvements in physical functioning (g = -3.01, 95% CI = -3.45 to -2.57, P = .00, I2 = 96%), bodily pain (g = -2.16, 95% CI = -2.57 to -1.74, P = .00, I2 = 98%), vitality (g = -3.67, 95% CI = -4.16 to -3.16, P = .00, I2 = 97%) and mental health (g = -1.23, 95% CI = -1.771 to -0.692, P = .00, I2 = 99%). The moderator shows that the effects of TCE on physiological indicators and quality of life were moderated by PEDro score, type of exercise, exercise frequency, exercise duration, and number of sessions. CONCLUSION: TCE intervention is a beneficial nonpharmacological approach to improving physiological indicators in patients with CHD, especially in systolic blood pressure, diastolic blood pressure, and body mass index. However, there was no significant effect on quality of life. Our findings require broader clinical trials and higher-quality study designs to strengthen the evidence.

Efficacy of traditional Chinese exercises in improving anthropometric and biochemical indicators in overweight and obese subjects: A systematic review and meta-analysis.

BACKGROUND: The efficacy of traditional Chinese exercise (TCE)-based intervention in the improvement of anthropometric and biochemical indicators in overweight and obese patients is controversial. In this regard, the aim of this review was to summarize the evidence of TCE interventions to evaluate their effectiveness on the anthropometric and biochemical indicators of overweight and obese patients. METHOD: Five databases were systematically searched for relevant articles published from inception to October 2022. Randomized controlled trials examining TCE intervention in overweight and obese patients The treatment effects were estimated using a random-effect meta-analysis model with standardized mean differences (Hedges' g). The categorical and continuous variables were used to conduct moderator analyses. This review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (identifier CRD42022377632). RESULT: Nine studies involving a total of 1297 participants were included in the final analysis. In the anthropometric indicators outcomes, the meta-analytic findings revealed large and significant improvements in body mass index (g = 1.44, 95% confidence interval [CI] = 1.27-1.61, P = .000, I2 = 99%), weight (g = 1.47, 95% CI = 1.25-1.68, P = .000, I2 = 95%), fat percentage (g = 1.22, 95% CI = 0.52-1.93, P = .000, I2 = 93%), and small and significant improvements in waist circumference (g = 0.38, 95% CI = 0.21-0.54, P = .000, I2 = 99%). In the biochemical indicators outcomes, the findings revealed large and significant improvements in low density lipoprotein (g = 2.08, 95% CI = 1.80-2.37, P = .000, I2 = 98%), moderate and significant improvements in triglyceride (g = 0.69, 95% CI = 0.56-0.81, P = .000, I2 = 96%), small and significant improvements in total cholesterol (g = 0.37, 95% CI = 0.19-0.54, P = .000, I2 = 77%), and high-density lipoprotein (g = -0.71, 95% CI = -0.86 to 0.57, P = .000, I2 = 99%). The moderator shows that the effects of TCE on anthropometric and biochemical indicators were moderated by frequency of exercise, exercise duration, and type of control group. CONCLUSION: TCE intervention is a beneficial non-pharmacological approach to improving anthropometric and biochemical indicators in overweight and obese subjects, especially in body mass index, weight, fat percentage, triglyceride, and low-density lipoprotein. The clinical relevance of our findings is pending more extensive trials and more rigorous study designs to strengthen the evidence.

Migration, accumulation, and risk assessment of potentially toxic elements in soil-plant (shrub and herbage) systems at typical polymetallic mines in Northwest China.

In grassland systems of the semi-arid mining area, the migration, accumulation, and bioavailability of potentially toxic elements (PTEs) are important ecological and health risk issues. Thirty-eight pairs of topsoil (0-20 cm) and plant samples were collected around Baiyin City and in Dongdagou stream valley to investigate the migration of PTEs in soils, transfer of PTEs in soil-plant (shrub and herbage) systems, and assess the risk in soils and plants. The total concentrations of PTE (Hg, As, Cu, Zn, Cd, and Pb) were analyzed following digestion in mixture acid solution, and bioavailable PTE was extracted with a strong chelating agent (DTPA-TEA-CaCl2). The transfer factor (TF) and bioaccumulation factor (BCF) were calculated to examine the migration of PTEs in soil-plant. Hazard quotient (HQ) and total hazard index (THI) were calculated to assess the risk and migration of PTEs in soils. The results showed that PTEs in soils and plants of study area exceeded the soil background value and Hygienic Standard for Feeds. Correlation among the total Hg, As, Cu, Zn, Cd, and Pb in soils of Dongdagou stream valley was significant at p < 0.01. A good correlation was exhibited between PTEs in root/aboveground parts of plants and DTPA-soil extractable. Difference of TF and BCF was existed between Dongdagou stream valley and around Baiyin City. Hg, Cu, Zn, Cd, and Pb were mainly accumulated in soils near the mining area. The calculated THI exceeded 1, and As and Pb were the major risk factors. The ability to absorb and transfer Hg, As, Cu, and Pb of plants was lower in more serious polluted area. As had a stronger migration capacity in study area. PTEs in soils had an adverse health effect for residents, and PTEs in plants may cause toxicity to cattle and sheep.

Risk assessment of trace elements accumulation in soil-herbage systems at varied elevation in subalpine grassland of northern Tibet Plateau.

Ecological environment of remote grassland has become a problem in many countries due to mining, tourism, grazing, and other human activities. In this study, a total of 15 pairs of soil-herbage samples were collected in the northeast of the Tibet Plateau to study the relationship between physicochemical properties and content of trace elements in soils at different elevation, and to examine the accumulation and fractionation of heavy metals in soil-herbage systems. In addition, the ecological risk of the subalpine grassland was also assessed. The average concentrations of Hg, As, Cu, Zn, Pb, Cd, Cr, and Mn in soil were higher than their background values of Gansu soil, but the average concentrations of these heavy metals in herbage satisfied Hygienical Standard for Feeds. The speciation analysis of heavy metals in soil indicated that the exchangeable content of heavy metal was very low, except Pb, Cd, and Mn. There was a linear relationship between pH, CaCO3, total phosphorus (TP), organic matter (OM), concentrations of Hg, As, Zn, Pb, Cr, and Mn in soils, dry weight of herbage, and elevation, while there was a quadratic curve trend between Cu, Cd in soils, and elevation. The results of risk assessment showed that there was no obvious ecological risk in the study area.

Composition, environmental implication and source identification of elements in soil and moss from a pristine spruce forest ecosystem, Northwest China.

The environmental quality of remote alpine ecosystem has been drawn increasing attention owing to the increasingly severe atmospheric pollution. This study investigated the composition and sources of elements in the soil and moss collected from a pristine spruce forest in the Qilian Mountains, Northwest China. The order of mean concentrations of elements investigated in soil was Fe > K > Na > Mg > Ca > Mn > Cr > Zn > Pb > Ni > Cu > As > Cd > Hg, and that of moss was Ca > Fe > Mg > K > Na > Mn > Cr > Zn > Pb > Ni > Cu > As > Cd > Hg. The concentrations of trace metals (except for As) in soil were greater than the soil background values, with Pb contamination more serious than the other elements. The Nemerow integrated pollution index (NIPI) values indicated that the soils were heavily polluted by Pb, Cd and Ni. The potential ecological risk index (PERI) suggested that the soils were at moderate risk. In particular, Hg and Cd were the most critically potential factors for ecological risk. According to the bioaccumulation factors (BAF), the accumulated concentrations of Ca, Hg, Cd, Pb, Ni, Mg, Cr and Zn in moss were higher than those in soil. By performing the multivariate analyses, natural sources (airborne soil particles) were identified to be the major contributors for all elements, whereas anthropogenic sources also contributed to the accumulations of Pb and Cd in the soil and moss in this region.