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1.
Obes Rev ; 23(12): e13510, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36261077

RESUMO

The dose-response association between sedentary time and the risk of metabolic syndrome is unclear, which indicates an important knowledge gap in public health. The objective of this study was to determine the categorical and continuous dose-response associations between sedentary time and the risk of metabolic syndrome. A systematic literature search of English articles published in PubMed, CINHAL, Embase, and Web of Science Core Collection prior to June 2022 was conducted. All cohort and cross-sectional studies that examined the association between sedentary time and the risk of metabolic syndrome were considered, and duplicate and non-related studies were excluded. Data extraction using a standardized chart and quality assessment using two appraisal tools were also performed. Two independent reviewers were involved in these processes. In categorical meta-analyses, the pooled effect sizes for metabolic syndrome associated with different categories of sedentary time were calculated by comparing the highest and intermediate with the lowest categories. In continuous meta-analyses, the linear and nonlinear dose-response associations were estimated using generalized least squares and restricted cubic spline models, respectively. Data were collected and analyzed from March to June 2022. Four prospective cohort studies and 22 cross-sectional studies with 105,239 participants and 16,185 MetS cases were included in this study. In categorical analyses, both intermediate (median duration: 4.11 h/day; pooled OR: 1.17, 95% CI: 1.08-1.26, P < 0.001) and high levels (median duration: 7.26 h/day; pooled OR: 1.71, 95% CI: 1.43-2.04, P < 0.001) of total sedentary time were significantly associated with an increased risk of metabolic syndrome. Similarly, a significant association between screen time and the risk of metabolic syndrome was also found in intermediate (median duration: 2.22 h/day; pooled OR: 1.20, 95% CI: 1.10-1.32, P < 0.001) and high levels (median duration: 3.40 h/day; pooled OR: 1.63, 95% CI: 1.44-1.86, P < 0.001) of exposure. Of note, these associations were significantly stronger in women. Different patterns of the behavior-disease association were not observed in children, adolescents, and adults. The findings of continuous meta-analyses could not provide solid evidence for the linearity and nonlinearity of the behavior-disease association. This study demonstrated that long-time sedentary behavior was associated with a higher risk of MetS independent of physical activity and the patterns of association varied by gender instead of age. These findings have implications for future guideline recommendations on physical activity, sedentary behavior, and prevention of metabolic syndrome.


Assuntos
Síndrome Metabólica , Comportamento Sedentário , Criança , Adolescente , Adulto , Humanos , Feminino , Síndrome Metabólica/epidemiologia , Síndrome Metabólica/etiologia , Estudos Transversais , Estudos Prospectivos , Exercício Físico
2.
BMC Public Health ; 22(1): 1740, 2022 09 14.
Artigo em Inglês | MEDLINE | ID: mdl-36104817

RESUMO

BACKGROUND: Adherence to physical activity is inadequate in adults with metabolic syndrome. Adherence to physical activity recommendations is crucial and can result in improved health outcomes and reduced medical burdens. A comprehensive behavior change intervention, including identifying determinants of adherence to physical activity recommendations, intervention options, intervention content and implementation options, was imperative for enhancing physical activity adherence. The aim of the study is to develop an intervention to increase physical activity adherence among individuals with metabolic syndrome. METHODS: The study followed the eight steps of the Behavior Change Wheel guide, including defining the problem in behavioral terms (Step 1), selecting target behavior (Step 2), specifying target behavior (Step 3), identifying what needs to change (Step 4), identifying intervention functions (Step 5), identifying policy categories (Step 6), identifying behavior change techniques (Step 7), and determining model of delivery (Step 8). The semi-structured, in-depth interviews were employed to identify the determinants of adherence to physical activity among twenty-eight individuals with metabolic syndrome based on capability, opportunity, motivation and behavior model. Next, the intervention functions and policy categories were chosen to address these determinants. Finally, behavior change techniques were selected to assist in the delivery of the intervention functions and be translated into intervention content. RESULTS: Our study identified eighteen facilitators and fifteen barriers to physical activity adherence. It resulted in the selection of seven intervention functions and nineteen behavior change techniques for the intervention program. Then, the current study identified an app as the delivery mode. Finally, a behavioral change intervention was generated for individuals with metabolic syndrome to increase physical activity recommendation adherence. CONCLUSIONS: The Behavior Change Wheel provided a systematic approach to designing a behavior change intervention, which helped improve the health outcomes and reduce medical burdens and economic burdens among individuals with metabolic syndrome. The findings suggested that potential intervention should pay special attention to increasing knowledge in metabolic syndrome, imparting skills of physical activity, offering a supportive environment, and providing suggestions on regular physical activity using the appropriate behavior change techniques. A feasibility study will be undertaken to assess the acceptability and effectiveness of the intervention program in the future.


Assuntos
Síndrome Metabólica , Adulto , Terapia Comportamental/métodos , Exercício Físico , Estudos de Viabilidade , Humanos , Síndrome Metabólica/terapia , Motivação
3.
Nutrients ; 14(14)2022 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-35889811

RESUMO

Mindful eating has gained attention in studies on healthy eating. However, measurement of it is scarce, particularly in pediatrics. This study aimed to translate and modify the 12-item Mindful Eating Questionnaire for Children (MEQ-C) using techniques based on both classical test theory (ICC) and item response theory (IRT) in Chinese children and adolescents. Of the 426 participants enrolled and randomly grouped, the test (n = 223) and validation (n = 203) subsamples were well-matched in age, gender, body mass index z score (BMIz), and waist to height ratio (WHtR) (p > 0.556). Three items were eliminated due to deviating from the mindful eating concept (content validity index < 0.71) and presenting as an independent dimension in parallel analysis, or yielding a poor distribution (-4.331 < b < -0.111). The final 5-item Mindless Eating and 4-item Awareness subscales were identified with sound Cronbach's α of 0.802 and 0.779, respectively. The remaining items functioned well (a > 1, -3 < b < 3), and the Mindless Eating subscale was accurate for the low-to-medium range (-2 to 0) of the mindful eating measure. The Awareness one was reliable for the relatively high range (0 to 2). Participants' mindful eating characteristics should be taken into consideration in practice.


Assuntos
Atenção Plena , Traduções , Adolescente , Criança , China , Humanos , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
4.
Chemosphere ; 304: 135308, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35709837

RESUMO

Agricultural waste was characterized by large quantity and low degree of resource utilization. The peanut shell waste was converted into value-added biochar to alleviate the pollution of dyeing wastewater, which caters to the concept of resource recovery and sustainable utilization. In this work, peroxydisulfate (PDS) could be efficiently activated by biochar obtained by pyrolysis at 700 °C (BC) and Acid Orange 7 (AO7) was rapidly eliminated with 96% removal ratio in 10 min. Meanwhile, BC catalyst performed good stability and reusability. In addition, remarkable removal performance within 40 min (>94%) could be achieved in a wide range of pH (3.0-11.0). Through series characterizations, it was found that 700 °C was the critical pyrolysis temperature to prepare material with excellent property mainly attributing to large specific surface area (SSA), followed by high defect structure and rich C-O. It was speculated that radical pathway mainly especially surface-bounded radicals (SO4•-、•OH、O2-•) worked in the degradation of AO7. Specifically, abundant and typical oxygen-containing functional groups (OFGs) and defect structure catalytic sites of BC enhanced PDS activation. In addition, various radicals participated the whole degradation processes, such as the cleavage of azo bond (-NN-), hydroxylation, deamination and desulfurization.


Assuntos
Poluentes Ambientais , Poluentes Químicos da Água , Arachis , Catálise , Carvão Vegetal/química , Sulfatos/química , Poluentes Químicos da Água/análise
5.
Artigo em Inglês | MEDLINE | ID: mdl-35672276

RESUMO

AIMS: Adherence to diet and exercise recommendations is crucial among metabolic syndrome (MetS) individuals. However, no studies have focused on comprehensive behavioural changes of diet and exercise among individuals with MetS. The present study aimed to explore determinants of adherence to diet and exercise behaviours among people with MetS based on the Capability, Opportunity, Motivation, and Behaviour (COM-B) model. METHODS AND RESULTS: A cross-sectional study was conducted in a health promotion centre of a large and general university hospital in Zhejiang Province, China, in 2021. A total of 241 individuals with MetS completed all scales. The mediation model was tested using structural equation modelling with bootstrapped samples. In the regression-based path analysis, MetS knowledge (ß = 0.140), socioeconomic status (ß = 0.162), and social support (ß = 0.143) directly positively influenced diet behaviour. In addition, social support indirectly positively influenced exercise behaviour through coping and adaptation (ß = 0.090). The final theoretical model showed a good fit (root mean square error of approximation = 0.057, comparative fit index = 0.946). CONCLUSION: Factors associated with diet behaviour were knowledge of MetS, socioeconomic status, and social support. Adaptation may be a mediator between social support and exercise behaviour. Intervention programmes targeting increased adherence to diet and exercise could include these factors for individuals with MetS.

6.
Sci Total Environ ; 839: 156229, 2022 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-35643135

RESUMO

The heterogeneity of arsenic (As) and cadmium (Cd) in paddy soils seriously hinders the assessment of contamination status and prediction of rice uptake. Their vertical patterns across different environmental conditions and the underlying mechanisms remain largely unexplored. In this study, maximum vertical differences of bioavailable As and Cd within 0-30 cm depth in paddy soils were 4.1-fold and four orders of magnitude, respectively. The vertical patterns of As and Cd followed the vertical redox gradient in long-term reduced paddies, but were shaped by the vertical pH gradient derived from acidic wastewater irrigation in partly oxidized soils. Iron(III)- and sulfate-reducing bacteria played key roles in the formation of vertical pH gradient and the immobilization of As and Cd by iron (hydr)oxides and sulfides under varied redox conditions. Soil redox and organic matter determined the transition between these two mechanisms via regulating microbial iron(III) and sulfate reduction processes. The work proposes that soil vertical As and Cd patterns directly affect the accumulation of As and Cd in different rice cultivars with different vertical root patterns. This is the first study elucidating the controlling mechanisms governing the vertical As and Cd patterns in paddy fields, providing important references to identify, manage and remediate contaminated paddy fields.


Assuntos
Arsênio , Oryza , Poluentes do Solo , Arsênio/análise , Cádmio/análise , Compostos Férricos , Ferro/análise , Oxirredução , Solo , Poluentes do Solo/análise , Sulfatos
7.
Zhejiang Da Xue Xue Bao Yi Xue Ban ; 51(1): 19-26, 2022 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-35576110

RESUMO

: To explore the potential associations between perceived stress and health-promoting behaviors based on the theoretical schema of the middle-range theory of adaptation to chronic illness. From January to May 2021, a convenience sampling method was used to recruit 230 young and middle-aged patients with metabolic syndrome who underwent physical examination in the inpatient center of Sir Run Run Shaw Hospital, Zhejiang University School of Medicine. The Health-Promoting Health Profile-Ⅱ, Chinese Perceived Stress Scale, Coping and Adaptation Processing Scale-Short Form, and Multi-dimensional Scale of Perceived Social Support were used in the cross-sectional study. The chain mediation effect procedure and bootstrap sampling test were used to examine the mediating role of adaptability and social support between perceived stress and health-promoting behaviors. The mean score of health-promoting behaviors was 100.0±14.6, the mean score of perceived stress was 22.0± 6.9, the mean score of adaptability was 47.0±6.1, and the mean score of social support was 63.8±10.8. Perceived stress had a negative impact on patients' health-promoting behaviors (=-0.309, <0.05). The adaptability (effect size= -0.112, 95%:-0.199~-0.038) and social support (effect size= -0.032, 95%:-0.083~played a mediating role and a chain mediating role in the process of perceived stress influencing patients' health-promoting behaviors (effect size= -0.045, 95%:-0.093~-0.020). Adaptability and social support play an intermediary role between perceived stress and health-promoting behaviors in young and middle-aged patients with metabolic syndrome. Healthcare professionals can motivate patients to develop healthy behaviors by developing intervention strategies on adaptability and social support.


Assuntos
Síndrome Metabólica , Adaptação Psicológica , Estudos Transversais , Humanos , Pessoa de Meia-Idade , Apoio Social , Estresse Psicológico
8.
Zhejiang Da Xue Xue Bao Yi Xue Ban ; 51(1): 115-121, 2022 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-35576113

RESUMO

: To design and develop a Wechat applet for intelligent health management of metabolic syndrome. Based on the needs and requirements of individuals undergoing health check-up, patients with metabolic syndrome and medical workers, a Wechat applet for metabolic syndrome management was designed and developed, which involving health data collection, health risk prediction, health management knowledge base fusion and intelligent recommendation, data privacy and security. The platform consists of three user ports: individuals undergoing health check and patients with metabolic syndrome, the medical workers and the system administrators. The main functions of the platform included metabolic syndrome risk prediction, intelligent recommendation of health management strategies, health behavior record and supervision, experts' consultation and health knowledge guide. The Wechat applet developed in this study can be used for metabolic syndrome risk prediction for general population, and health management for patients with metabolic syndrome, which helps them to enhance health management awareness and health behavior adherence.


Assuntos
Síndrome Metabólica , Humanos , Síndrome Metabólica/terapia , Software
9.
Zhejiang Da Xue Xue Bao Yi Xue Ban ; 51(1): 27-37, 2022 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-35576114

RESUMO

To evaluate and summarize the evidence of diet and physical activity management in patients with metabolic syndrome (MS). BMJ Best Practice, UpToDate, Joanna Briggs Institute (JBI) database, Agency for Healthcare Research and Quality (AHRQ) network, National Institute for Health and Clinical Excellence (NICE) network, Scottish Intercollegiate Guidelines Network (SIGN), Guidelines International Network (GIN), Medlive, Registered Nurses' Association of Ontario (RNAO) network, American Diabetes Association (ADA) network, New Zealand Guideline Group (NZGG) network, Canadian medical association clinical practice guidelines network, PubMed, EmBase, Web of Science, CINAHL, Cochrane Library, CNKI, China Science and Technology Journal Database, Wanfang Knowledge Data Service Platform and Chinese biomedical database were searched systematically to obtain guidelines, evidence summary, expert consensus, best practice information book, clinical decision-making, recommended practice, and systematic review on diet and physical activity management in patients with MS. The retrieval period is from the establishment of database to November 2021. Two researchers with evidence-based medicine background evaluated the quality and evidence level of the included literature. A total of 36 articles met the criteria, including 3 guidelines, 5 expert consensus, 1 clinical decision and 27 systematic reviews. We summarized 49 pieces of evidence related to diet and physical activity in patients with MS, involving 15 aspects, namely diet goals, diet patterns, diet time, carbohydrate intake, fat intake, fiber intake, salt intake, fruits, vegetables and grains intake, coffee intake, effects of diet, principle of physical activity, intensity, form, time of physical activity, effects of physical activity, physical activity prescription of patients with MS and cardiovascular disease, and the joint effects of diet and physical activity. Diet and physical activity management can effectively improve the health outcomes of patients with MS. Health professionals should choose and apply the best evidence with consideration of the clinical situation and patient preference.


Assuntos
Síndrome Metabólica , Canadá , Consenso , Dieta , Exercício Físico , Humanos , Síndrome Metabólica/terapia
10.
Environ Sci Pollut Res Int ; 29(31): 46875-46884, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35169949

RESUMO

The feasibility of removal of chemical oxygen demand (COD) and ammonia nitrogen (NH4+-N) from landfill leachate by an electrochemical assisted HClO/Fe2+ process is demonstrated for the first time. The performance of active chlorine generation at the anode was evaluated in Na2SO4/NaCl media, and a higher amount of active chlorine was produced at greater chloride concentration and higher current density. The probe experiments confirmed the coexistence of hydroxyl radical (•OH) and Fe(IV)-oxo complex (FeIVO2+) in the HClO/Fe2+ system. The influence of initial pH, Fe2+ concentration, and applied current density on COD and NH4+-N abatement was elaborately investigated. The optimum pH was found to be 3.0, and the proper increase in Fe2+ dosage and current density resulted in higher COD removal due to the accelerated accumulation of •OH and FeIVO2+ in the bulk liquid phase, whereas, the NH4+-N oxidation was significantly affected by the applied current density because of the effective active chlorine generation at higher current but was nearly independent of Fe2+ concentration. The reaction mechanism of electrochemical assisted HClO/Fe2+ treatment of landfill leachate was finally proposed. The powerful •OH and FeIVO2+, in concomitance with active chlorine and M(•OH), were responsible for COD abatement, and active chlorine played a key role in NH4+-N oxidation. The proposed electrochemical assisted HClO/Fe2+ process is a promising alternative for the treatment of refractory landfill leachate.


Assuntos
Poluentes Químicos da Água , Análise da Demanda Biológica de Oxigênio , Cloretos , Cloro , Peróxido de Hidrogênio , Radical Hidroxila , Oxirredução , Poluentes Químicos da Água/análise
11.
Environ Sci Pollut Res Int ; 29(14): 21184-21197, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34755294

RESUMO

The reclamation of mine waste deposits is often hindered by the scarcity of natural topsoil. Acid mine drainage sludge (AMDS), as a mass-produced waste in metalliferous mines, is a potential topsoil substitute but had not been validated. In this study, a pot experiment with three plant species was conducted to evaluate the capacity of AMDS to support plant growth, buffer acidification, and immobilize heavy metal(loid)s when reclaiming mine waste rocks. Chemical fertilizer and compost chicken manure were applied to AMDS at different rates to explore their effects on plant growth and the physicochemical properties of AMDS. Results showed that all the plants could survive in AMDS even without fertilization. The contents of heavy metal(loid)s in rhizosphere remained almost unchanged over the experimental period, indicating low leachability of revegetated AMDS. Fertilizers enhanced macronutrients and soil enzyme activities, leading to significant increases in plant biomass. However, owing to manure composting and low richness and diversity of the bacterial community in AMDS, the NH4+-N and bioavailable phosphorus contents were extremely low. Bermuda grass was a suitable pioneer species for reclamation for its better adaptability to nutrient deficiency and heavy metal(loid) stress. Overall, AMDS is a viable soil substitute for mine reclamation due to its capability to support plant growth and environmental safety.


Assuntos
Metais Pesados , Poluentes do Solo , Metais Pesados/análise , Esgotos , Solo/química , Poluentes do Solo/análise , Resíduos Sólidos
12.
Nurs Open ; 9(1): 513-518, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34655279

RESUMO

AIM: To investigate the characteristics of workplace violence at primary hospitals in Southeast China and identify associated risk factors. DESIGN: A cross-sectional survey design was used for this work. METHODS: We distributed a workplace violence questionnaire among medical staff at primary hospitals in Southeast Zhejiang Province, China. The data were collected between December 2016 and December 2017. We analysed the categorical data by using the chi-square test and expressed it as frequencies. The risk factors were analysed by using multiple logistic regression analysis. RESULTS: Among the 2,560 questionnaires, 1,842 (71.9%) medical staff indicated that they had experienced workplace violence. Verbal assault was the most common type, followed by physical and sexual assault. Furthermore, gender, age, marital status, education, technical position and number of hospital beds' numbers were independent risk factors.


Assuntos
Recursos Humanos de Enfermagem no Hospital , Violência no Trabalho , Estudos Transversais , Hospitais , Humanos , Prevalência
13.
Arch Gerontol Geriatr ; 98: 104559, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34741896

RESUMO

OBJECTIVES: 1) examine the association between lifestyle and mortality; 2) examine the association between two aging measures and mortality; 3) evaluate the mediating effect of the two aging measures on the association between lifestyle and mortality among older Chinese adults. METHODS: We used data from 2039 older adults (≥ 65 years) from the 2011/2012 biomarker substudy of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). We created a healthy lifestyle index based on 5 factors (exercise, smoking, drinking, diet, and BMI, range: 0-5). We calculated two aging measures, the Klemera and Doubal method-biological age (KDM-BA) and physiological dysregulation (PD), based on 10 blood-based biomarkers using algorithms developed previously. A Cox proportional hazards model, general linear regression model, and formal mediation analysis were performed. RESULTS: After adjustment for age and sex, compared to participants without any healthy lifestyle factors, those with 5 healthy lifestyle factors had an 85% lower risk of mortality (hazard ratio [HR] = 0.15, 95% confidence interval [CI]: 0.04, 0.60). PD, but not KDM-BA, was significantly associated with mortality (HR = 1.69, 95% CI: 1.25, 2.29). The healthy lifestyle index was negatively associated with PD (ß = -0.021, P = 0.012). PD mediated 9% (95% CI: 1%, 52%, P = 0.043) of the total effect of the healthy lifestyle index on mortality. CONCLUSIONS: In the older Chinese population, healthy lifestyle reduces mortality risk and aging partially mediates this association. The findings highlight the importance of adherence to a healthy lifestyle for promoting phenotypic aging even in late life.


Assuntos
Envelhecimento , Estilo de Vida , Idoso , China/epidemiologia , Humanos , Longevidade , Estudos Longitudinais , Pessoa de Meia-Idade , Mortalidade , Fatores de Risco
14.
Risk Manag Healthc Policy ; 14: 4361-4368, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34707419

RESUMO

PURPOSE: Machine learning (ML) techniques have emerged as a promising tool to predict risk and make decisions in different medical domains. We aimed to compare the predictive performance of machine learning-based methods for 4-year risk of metabolic syndrome in adults with the previous model using logistic regression. PATIENTS AND METHODS: This was a retrospective cohort study that employed a temporal validation strategy. Three popular ML techniques were selected to build the prognostic models. These techniques were artificial neural networks, classification and regression tree, and support vector machine. The logistic regression algorithm and ML techniques used the same five predictors. Discrimination, calibration, Brier score, and decision curve analysis were compared for model performance. RESULTS: Discrimination was above 0.7 for all models except classification and regression tree model in internal validation, while the logistic regression model showed the highest discrimination in external validation (0.782) and the smallest discrimination differences. The logistic regression model had the best calibration performance, and ANN also showed satisfactory calibration in internal validation and external validation. For overall performance, logistic regression had the smallest Brier score differences in internal validation and external validation, and it also had the largest net benefit in external validation. CONCLUSION: Overall, this study indicated that the logistic regression model performed as well as the flexible ML-based prediction models at internal validation, while the logistic regression model had the best performance at external validation. For clinical use, when the performance of the logistic regression model is similar to ML-based prediction models, the simplest and more interpretable model should be chosen.

15.
Front Psychiatry ; 12: 692485, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34603098

RESUMO

Objectives: This study aimed to explore the association between hospitalized cardiovascular patients' life events and adaptive coping approaches to self-management. Methods: The study was a qualitative study that was conducted in a cardiology department of one affiliated university hospital in Hangzhou, China. Twenty-eight participants with cardiovascular diseases were recruited through a purposive sampling procedure. Semi-structured interviews were used to gain insights into adaptive coping approaches to self-management when living with different life events. Interviews were audio-recorded and transcribed, and the data were analyzed by thematic analysis. Results: Life events reported by hospitalized cardiovascular participants could be summarized in four categories: daily routines, life changes, life-threatening experiences, and emotional sufferings. The adaptive coping approaches were also summarized in four themes: decision-making, avoidance, consistent responses, and episodic responses. Conclusion: This study described essential insights into the mutual influences between various life events and adaptive coping approaches to self-management by a group of hospitalized cardiovascular patients. Participants coped with their problems flexibly by processing comprehensive information from various and unpredictable life events regarding the situations and contexts. While inequity was cumulated, psychological resilience was a vital mediator between stressful events and their responses. The study illuminated the importance of understanding context, situations, and experiences on how cardiovascular patients adapted to their self-management regimens.

16.
BMJ Open ; 11(9): e048875, 2021 09 07.
Artigo em Inglês | MEDLINE | ID: mdl-34493514

RESUMO

OBJECTIVE: Caregiver contribution (CC) is important for the self-care behaviors of chronic disease individuals, as it could enhance patient outcomes. Therefore, it is necessary to assess this CC by using a good validity and reliability instrument. The Caregiver Contribution to Self-Care Chronic Illness Inventory (CC-SC-CII) was designed to assess CC to self-care behaviors of patients with chronic illness in Italy. However, it was unclear whether this tool had sound psychometrics properties in the context of Chinese culture. Therefore, we performed the cross-cultural adaption of the CC-SC-CII and we tested its psychometric properties among Chinese caregivers of patients with chronic disease. DESIGN: A cross-sectional observational design. SETTINGS: Participants were recruited from communities and institutions in Pingdingshan, Henan Province, China. PARTICIPANTS: 301 caregivers of care recipients with chronic disease completed the Chinese version of the CC-SC-CII (C-CC-SC-CII). PRIMARY AND SECONDARY OUTCOME MEASURES: The content validity index of items (I-CVI), the scale content validity index-average (S-CVI/Ave), exploratory factor analysis, confirmatory factor analysis (CFA), internal consistency and item analysis were tested. RESULTS: The range of I-CVI was between 0.833 and 1.00, and the score of S-CVI was 0.991. In CFA, the C-CC to self-care monitoring scale had satisfactory fit indices. However, the C-CC to self-care maintenance and management scales had unsupported fit indices. The reliability coefficients of C-CC-SC-CII were 0.792, 0.880 and 0.870 for its three scales. Item-total correlations were all over 0.590. Test-retest reliability showed that the range of intraclass correlation coefficients was from 0.728 to 0.783. CONCLUSION: The C-CC-SC-CII has sound psychometrics characteristics and is a culturally appropriate and reliable instrument for assessing CC to the self-care behaviours of patients with chronic disease in China.


Assuntos
Cuidadores , Autocuidado , China , Doença Crônica , Comparação Transcultural , Estudos Transversais , Análise Fatorial , Humanos , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
17.
Ecotoxicol Environ Saf ; 222: 112474, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34214770

RESUMO

Cadmium (Cd) and arsenic (As) contamination in paddy soils poses serious health risks to humans. The accumulation of Cd and As in rice (Oryza sativa L.) depends on their bioavailability, which is affected by soil physicochemical properties and soil microbial activities. However, little is known about the intricate interplay between rice plants and their rhizosphere microbes during the uptake of Cd and As. In this study, different bacterial communities were established by sterilizing paddy soils with γ-radiation. A pot experiment using two paddy soils with different levels of contamination was conducted to explore how the bacterial community composition affects Cd and As accumulation in rice plants. The results showed that the sterilization treatment substantially changed the bacterial composition in the rhizosphere, and significantly increased the grain yield (by 33.5-38.3%). The sterilization treatment resulted in significantly decreased concentrations of Cd (by 18.2-38.7%) and As (by 20.3-36.7%) in the grain, straw, and root of rice plants. The accumulation of Cd and As in rice plants was negatively correlated with the relative abundance of sulfate-reducing bacteria and iron-oxidizing bacteria in the rhizosphere. Other specific taxa associated with the accumulation of Cd and As in rice plants were also identified. Our results suggest that regulating the composition of the rhizosphere bacterial community could simultaneously reduce Cd and As accumulation in rice grain and increase the grain yield. These results would be useful for developing strategies to cultivate safe rice crops in areas contaminated with Cd and As.


Assuntos
Arsênio , Oryza , Poluentes do Solo , Bactérias , Cádmio/análise , Cádmio/toxicidade , Humanos , Rizosfera , Solo , Poluentes do Solo/análise , Poluentes do Solo/toxicidade
18.
Diabetes Metab Syndr Obes ; 14: 3027-3034, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34234498

RESUMO

PURPOSE: A prediction model for 4-year risk of metabolic syndrome in adults was previously developed and internally validated. However, external validity or generalizability for this model was not assessed so it is not appropriate for clinical application. We aimed to externally validate this model based on a retrospective cohort. PATIENTS AND METHODS: A retrospective cohort design and a temporal validation strategy were used in this study based on a dataset from 1 January 2015 to 31 December 2018. Multiple imputation was used for missing values. Model performance was evaluated by using discrimination, calibration (calibration plot, calibration slope, and calibration intercept), overall performance (Brier score), and decision curve analysis. RESULTS: In external validation, the C-statistic was 0.782 (95% CI, 0.771-0.793). The calibration plot shows good calibration, calibration slope was 1.006 (95% CI, -0.011-1.063), and calibration intercept was -0.045 (95% CI, -0.113-0.022). Brier score was 0.164.The discrimination and calibration of the prediction model were good in temporal external validation. CONCLUSION: The discrimination and calibration of the prediction model were satisfactory in the temporal external validation. However, clinicians should be aware that this prediction model was developed and validated in a tertiary setting. It is strongly recommended that further studies validate this model in international cohorts and large, prospective cohorts in different institutions.

19.
Diabetes Metab Syndr Obes ; 14: 2229-2237, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34040408

RESUMO

PURPOSE: A prognostic prediction model for metabolic syndrome can help nurses or physicians evaluate the future individual absolute risk of MetS in order to develop personalized care strategies. We aimed to derive and internally validate a prognostic prediction model for 4-year risk of metabolic syndrome in adults. PATIENTS AND METHODS: This was a retrospective cohort study conducted in a tertiary care setting, and the dataset was obtained from the Healthcare Information and Management Systems of a tertiary hospital. The cohort included Chinese adults attending health examination from 1 January 2011 to 31 December 2014. A total of 6793 participants without metabolic syndrome were included in the cohort and were followed up for 4 years. Available candidate predictors in the dataset were weight, MCV, MCH, AST, ALT, BMI, NGC, TC, serum uric acid, gender, smoking, WBC, LC, Hb, HCT, and age. A logistic regression model was adopted to build the risk equation, and bootstrapping was used when considering internal validation. Calibration, discrimination, and the clinical utility were calculated for the model's performance. RESULTS: Of the 6793 participants, 1750 participants were diagnosed with metabolic syndrome within 4 years. The developed prediction model contained 5 predictors (body mass index, age, total cholesterol, alanine transaminase, and serum uric acid). After internal validation, the C-statistic was 0.783 (95% CI, 0.772-0.795). Additionally, the current model had good calibration. Calibration slope was 0.995 (95% CI, 0.934-1.058), and calibration intercept was -0.008 (95% CI, -0.088-0.073). The Brier score was 0.156. The decision-curve analysis indicated that the prediction model provided greater net benefit than the default strategies of providing treatment or not providing treatment for all patients. CONCLUSION: A prognostic risk prediction model for determining 4-year risk of metabolic syndrome onset in adults was developed and internally validated. This model was based on routine clinical measurements that quantified individual future risk of metabolic syndrome.

20.
Front Cardiovasc Med ; 8: 627741, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34046436

RESUMO

Background: Hypertension is a leading cause of cardiovascular-related morbidity and mortality. Elevated blood pressure (BP) in children is related to long-term adverse health effects. Until recently, few studies have reported the secular trend and associated factors of hypertension phenotypes in Chinese children and adolescents. Methods: From the China Health and Nutrition Survey (CHNS) 1991-2015, a total of 15,143 records of children aged 7-17 years old were included. Following definitions of hypertension from the Chinese Child Blood Pressure References Collaborative Group, we estimated the prevalence of prehypertension, hypertension, stage 1 hypertension, stage 2 hypertension and its phenotypes (ISH, isolated systolic hypertension; IDH, isolated diastolic hypertension; SDH, combined systolic and diastolic hypertension). General estimation equation was used to analyze the trends in the prevalence of hypertension and hypertension phenotypes, and a multivariable logistic regression was constructed to explore the associated factors. Results: During 1991-2015, increasing trends were revealed in BP and hypertension prevalence (P < 0.001) in Chinese children and adolescents. For ISH, IDH and SDH, the age-standardized prevalence increased dramatically from 0.9 to 2.2%, from 6.2 to 14.1%, and from 1.4 to 2.9%, respectively (all P < 0.001). Adolescents aged 13-17 years (OR = 1.76, 95% CI: 1.56-1.97, P < 0.001), general obesity (OR = 2.69, 95% CI: 2.10-3.44, P < 0.001) and central obesity (OR = 1.49, 95% CI: 1.21-1.83, P < 0.001) were positively associated with hypertension, whereas the South region (OR = 0.65, 95% CI: 0.58-0.73, P < 0.001) was a negative factor. Furthermore, body mass index (BMI) and general obesity were linked to the presence of ISH, IDH and SDH. Age, waist circumference (WC) and central obesity were additionally associated with ISH, and sex, age, urban/rural setting, North/South region, WC and central obesity were additionally associated with IDH. Conclusion: BP levels and prevalence of hypertension and phenotypes increased dramatically in Chinese children and adolescents from 1991 to 2015. Regional discrepancy, demographic features, BMI, WC and overweight/obesity status were associated factors of hypertension among youths.

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