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Reading performance of alpine schoolchildren in relationship to physical, social, and perceptual characteristics of the home and school environments 高山学童阅读表现与家庭及学校环境之生理、社会及知觉特征之关系
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-01-01 Epub Date: 2025-10-14 DOI: 10.1016/j.ijheh.2025.114683
Angel M. Dzhambov , Peter Lercher , Jan Spilski , Johannes Rüdisser , Matthew H.E.M. Browning , Iana Markevych
The objective of this study was to examine the relationships between the physical, social, and perceptual characteristics of the home and school environments and children's reading performance. A cross-sectional sample of 1251 8-12-year-old schoolchildren from the Tyrol region of Austria and Italy was analyzed. Reading performance was measured based on the number of correctly read sentences in 3 min. Teacher ratings of self-regulation and inattention, child reports of the restorative quality and safety of the residential area, and good family relations, as reported by mothers were also considered. Sociodemographic and lifestyle factors were obtained from mother questionnaires, and secondhand smoke exposure of the child was measured by cotinine in urine. A built environment score was constructed using imperviousness density, modeled traffic noise, and air pollution. Landscape diversity and natural surroundings around the school, and the presence of a domestic garden represented directly accessible nature. Structural equation modeling was used to examine the relationships between these variables. A positive parent-child relationship, higher maternal education, better self-regulation, being female, lower cotinine, and a greater level of school natural land use were associated with better reading performance. These associations were mediated by a combination of factors, including higher neighborhood safety and inattention. There was a positive association between reading and being native German speaker in North Tyrol. Exposure to the built environment and the absence of a domestic garden were also associated with better reading. Understanding local socioeconomic, land use, and cultural patterns can help better explain complex observed associations.
本研究的目的是探讨家庭和学校环境的物理、社会和感知特征与儿童阅读表现之间的关系。对来自奥地利和意大利蒂罗尔地区的1251名8-12岁学童的横断面样本进行了分析。阅读表现是根据3分钟内正确阅读句子的数量来衡量的。教师对自我调节和注意力不集中的评分,儿童对住宅区的恢复质量和安全的报告,以及母亲报告的良好家庭关系也被考虑在内。从母亲问卷中获得社会人口和生活方式因素,并通过尿中可替宁测定儿童的二手烟暴露。使用不透水密度、模拟交通噪音和空气污染来构建建筑环境评分。学校周围的景观多样性和自然环境,以及一个家庭花园的存在代表了直接进入自然。结构方程模型被用来检验这些变量之间的关系。积极的亲子关系、较高的母亲教育水平、更好的自我调节、女性、较低的可替宁和较高的学校自然土地利用水平与更好的阅读成绩有关。这些关联是由一系列因素介导的,包括较高的邻里安全和注意力不集中。在北蒂罗尔,阅读和以德语为母语之间存在正相关。暴露于建筑环境和没有家庭花园也与更好的阅读有关。了解当地的社会经济、土地利用和文化模式有助于更好地解释观察到的复杂关联。
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引用次数: 0
Prenatal nitrate and nitrite intake in mammals: A scoping review of effects and associations with pregnancy and maternal and child health 哺乳动物产前硝酸盐和亚硝酸盐摄入:与妊娠和母婴健康的影响和关联的范围审查。
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-01-01 Epub Date: 2025-11-16 DOI: 10.1016/j.ijheh.2025.114712
Leaf R. Kardol , Amina Rhaman , Erin Kelty , Shannon Morgan , Danielle J. Russell , Aster Gebremedhin , Sarah Bourke , Caitlin S. Wyrwoll
Nitrate and nitrite are present in drinking water, vegetables and processed meats. While they may offer health benefits in some contexts, high levels, especially during pregnancy, can be harmful. This scoping review investigates prenatal nitrate/nitrite exposure and maternal, child, pregnancy and birth outcomes, in animal models and humans. Six databases were searched systematically for peer-reviewed publications relating to nitrate and/or nitrite exposure in pregnancy. 3834 unique papers were identified, with 133 meeting inclusion criteria. In human studies (n = 66), high processed meat nitrite exposure was associated with congenital anomalies and childhood cancer, although primarily in conjunction with nitrosatable medication exposure. Fresh vegetable sources of nitrate/nitrite were associated with neutral or positive health outcomes. Prenatal drinking water nitrate exposure was moderately associated with preterm birth, while evidence for congenital anomalies, growth restriction, preeclampsia and early puberty was limited or inconsistent. Associations appeared at concentrations as low as 5 % of the WHO drinking water guideline. However, other water contaminants and exposures such as nitrosatable medications were only addressed in a minority of studies. Animal studies (n = 67) reported effects of nitrate/nitrite exposure on mortality and birthweights through pathways involving methemoglobinemia, inflammation, DNA-damage and endocrine disruption, however, dosing was often extreme. While vegetable sources of nitrate/nitrite show some health benefits, exposure to meat and drinking water sources should be limited, although safe limits and causal evidence are not fully established. Public health policy should prioritise decreasing nitrate exposure within the context of broader water quality concerns and barriers to perinatal health.
硝酸盐和亚硝酸盐存在于饮用水、蔬菜和加工肉类中。虽然它们在某些情况下可能对健康有益,但高剂量,特别是在怀孕期间,可能是有害的。本综述在动物模型和人类中调查了产前硝酸盐/亚硝酸盐暴露与孕产妇、儿童、妊娠和分娩结局。系统地检索了六个数据库,以获得与怀孕期间硝酸盐和/或亚硝酸盐暴露有关的同行评审出版物。鉴定出3834篇独特论文,其中133篇符合纳入标准。在人体研究中(n = 66),高加工肉类亚硝酸盐暴露与先天性异常和儿童癌症有关,尽管主要与亚硝酸盐药物暴露有关。新鲜蔬菜来源的硝酸盐/亚硝酸盐与中性或积极的健康结果相关。产前饮用水硝酸盐暴露与早产中度相关,而先天性异常、生长受限、先兆子痫和性早熟的证据有限或不一致。当浓度低至世卫组织饮用水指南的5%时,出现了关联。然而,其他水污染物和暴露,如亚硝基药物,只在少数研究中得到解决。动物研究(n = 67)报告了硝酸盐/亚硝酸盐暴露通过涉及高铁血红蛋白血症、炎症、dna损伤和内分泌干扰的途径对死亡率和出生体重的影响,然而,剂量往往是极端的。虽然蔬菜来源的硝酸盐/亚硝酸盐显示出一些健康益处,但应限制接触肉类和饮用水源,尽管安全限度和因果证据尚未完全确定。公共卫生政策应优先考虑在更广泛的水质问题和围产期健康障碍的背景下减少硝酸盐接触。
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引用次数: 0
Effect of water, sanitation, and hygiene on childhood growth in Ethiopia: a cluster-randomized trial 水、环境卫生和个人卫生对埃塞俄比亚儿童成长的影响:一项集群随机试验
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-01-01 Epub Date: 2025-11-27 DOI: 10.1016/j.ijheh.2025.114718
Tahvi Frank , Isabel J.B. Thompson , Solomon Aragie , Dionna M. Wittberg , Wondyifraw Tadesse , Adane Dagnew , Dagnachew Hailu , Jason S. Melo , Taye Zeru , Zerihun Tadesse , Benjamin F. Arnold , Matthew C. Freeman , Scott D. Nash , E Kelly Callahan , Travis C. Porco , Thomas M. Lietman , Jeremy D. Keenan

Background

Child growth faltering contributes significantly to global morbidity and mortality, with a disproportionate impact on low- and middle-income countries. Poor quality water, sanitation, and hygiene (WASH) has been identified as a risk factor, though prior studies have found mixed evidence for the effectiveness of WASH interventions.

Methods

The WASH Upgrades for Health in Amhara (WUHA) trial was a two-arm, parallel-group, cluster-randomized trial carried out in three districts of the Wag Hemra Zone of Amhara from 2016 to 2019 (ClinicalTrials.gov #NCT02754583). The intervention consisted of hygiene infrastructure improvements and hygiene promotion at the household, community, and school level. Height and weight were pre-specified secondary outcomes that were measured annually in the longitudinal cohort of children aged 0–5 years at baseline.

Results

Twenty communities were randomized to the WASH intervention and 20 to the control (delayed WASH) arm. Anthropometric measurements were done at baseline for a random sample of 613 children in the WASH intervention arm and 644 children in the control arm. There was no statistically significant difference over the 3-year study period for either height (0.1 cm lower in the WASH arm, 95 %CI -0.5 to 0.2, P = 0.45) or weight (0.02 kg higher in the WASH arm, 95 %CI -0.06 to 0.10, P = 0.64).

Conclusions

A comprehensive WASH intervention implemented for three years in rural Ethiopia did not improve growth among children 0–5 years old.
儿童生长迟缓是全球发病率和死亡率的重要因素,对低收入和中等收入国家的影响尤为严重。低质量的水、环境卫生和个人卫生(WASH)已被确定为一个风险因素,尽管先前的研究发现了关于WASH干预措施有效性的混合证据。方法:Amhara地区WASH健康升级(WUHA)试验是一项两组、平行组、集群随机试验,于2016 - 2019年在Amhara地区Wag Hemra区的三个地区进行(ClinicalTrials.gov #NCT02754583)。干预措施包括在家庭、社区和学校层面改善卫生基础设施和促进卫生。身高和体重是预先指定的次要结果,每年在0-5岁儿童的纵向队列中进行基线测量。结果20个社区随机分为WASH干预组和对照组(延迟WASH)。在基线时对WASH干预组的613名儿童和对照组的644名儿童进行了人体测量。在3年的研究期间,身高(WASH组低0.1 cm, 95% CI -0.5 ~ 0.2, P = 0.45)或体重(WASH组高0.02 kg, 95% CI -0.06 ~ 0.10, P = 0.64)均无统计学差异。结论在埃塞俄比亚农村实施3年的WASH综合干预并没有改善0-5岁儿童的生长。
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引用次数: 0
Microbial dynamics in a swine wastewater treatment plant and prediction of potential hosts of antibiotic resistance genes 猪污水处理厂微生物动态及抗生素耐药基因潜在宿主预测。
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-01-01 Epub Date: 2025-10-26 DOI: 10.1016/j.ijheh.2025.114698
Andressa Rezende Pereira , Lauro Ângelo Gonçalves de Moraes , Izinara Rosse , Sérgio Francisco de Aquino , Silvana de Queiroz Silva
Using a culture-independent approach, this study aimed to evaluate microbial community changes in a swine wastewater treatment plant (SWWTP) and investigate the presence of bacteria for public health concerns, particularly those harboring antibiotic resistance genes (ARG) with pathogenic potential. Through sequencing of fifteen samples collected across five sampling campaigns — at the influent, biodigester outlet, and final effluent — higher microbial diversity was observed in the untreated waste, reflected by a greater relative abundance of operational taxonomic units (OTUs) linked to the families Streptococcaceae (up to 27 %), unidentified members of the order Clostridiales (up to 33 %), and Moraxellaceae (up to 19 %). A microbial succession was observed across subsequent treatment stages, characterized by an increased relative abundance of OTUs associated with Clostridiaceae (0–68 %) and Peptostreptococcaceae (8–25 %), likely driven by environmental conditions. Sequences related to the order Clostridiales and the family Moraxellaceae showed correlations with the resistance genes blaTEM, ermB, qnrB, sul1, and tetA, suggesting that members of these groups could serve as potential gene hosts. The detection of residual ARGs and OTUs related to potentially pathogenic genera such as Clostridium butyricum and Terrisporobacter glycolicus species in the treated effluent raises concerns about the final disposal of this waste, given the possibility of horizontal gene transfer in the environment.
本研究采用不依赖培养的方法,旨在评估猪废水处理厂(SWWTP)微生物群落的变化,并调查公共卫生问题细菌的存在,特别是那些携带具有致病潜力的抗生素耐药基因(ARG)的细菌。通过对五次采样活动中收集的15个样本(在进水、生物消化器出口和最终流出处)进行测序,在未经处理的废物中观察到较高的微生物多样性,反映在与链球菌科(高达27%)、梭菌目未确定成员(高达33%)和莫拉菌科(高达19%)相关的操作分类单位(otu)的相对丰度更高。在随后的处理阶段观察到微生物演替,其特征是与梭菌科(0- 68%)和胃链球菌科(8- 25%)相关的OTUs相对丰度增加,可能是由环境条件驱动的。与Clostridiales目和Moraxellaceae科相关的序列与抗性基因blaTEM、ermB、qnrB、sul1和tetA相关,表明这些类群的成员可能是潜在的基因宿主。在处理后的废水中检测到与潜在致病属(如丁酸梭菌和糖酸恐怖杆菌)相关的残留ARGs和OTUs,这引起了人们对这种废物最终处置的担忧,因为环境中可能存在水平基因转移。
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引用次数: 0
Influence of anthropogenic inputs on microbial risks and resistance genes in a riverine environment 人为输入对河流环境中微生物风险和抗性基因的影响。
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-01-01 Epub Date: 2025-10-27 DOI: 10.1016/j.ijheh.2025.114699
Guadalupe Ortiz-López , Ayixon Sánchez-Reyes , Alexis Téllez-Galván , Víctor H. Bustamante , Luz Breton-Deval
Rivers face significant anthropogenic pressures due to diverse water discharges, which alter microbial community structures and may facilitate the dissemination of potentially pathogenic microorganisms and antibiotic-resistance genes (ARGs). This study used metagenomic analysis to characterize microbial and viral communities, determine antibiotic resistance profiles, and evaluate potential public health risks associated with different discharges sources. Water samples were collected from agricultural, hospital, untreated domestic wastewater, treated wastewater, and environmental inputs. Results revealed that hospital wastewater (HW) had microbial genera associated with the wastewater treatment plant; however, we were able to isolate a multidrug-resistant Klebsiella aerogenes, Enterobacter spp. and Staphylococcus spp. Untreated domestic wastewater (UW) was dominated by species such as Arcobacter cryaerophilus, Acinetobacter johnsonii, Escherichia coli, and Acinetobacter lwoffii, while treated wastewater (TW) showed the presence of Arcobacter cryaerophilus, Aeromonas caviae, Prevotella copri, Arcobacter butzleri, Acinetobacter johnsonii, Escherichia coli, and Pseudomonas stutzeri. Regarding ARGs, HW contributed significantly to ARGs diversity, particularly genes conferring resistance to critical antibiotics such as meropenem and vancomycin. TW exhibits the highest ARG diversity, including genes for broad-spectrum resistance to aminoglycosides, penicillins, and cephalosporins, suggesting cumulative contamination from multiple sources. These findings emphasize the importance of advancing efforts to tackle this challenge in wastewater treatment practices and stricter regulations to mitigate the spread of antibiotic resistance and pathogenic microorganisms in aquatic environments.
由于不同的水排放,河流面临着巨大的人为压力,这改变了微生物群落结构,并可能促进潜在病原微生物和抗生素抗性基因(ARGs)的传播。本研究使用宏基因组分析来表征微生物和病毒群落,确定抗生素耐药性概况,并评估与不同排放源相关的潜在公共卫生风险。从农业、医院、未经处理的生活废水、处理过的废水和环境投入物中收集水样。结果表明:医院污水(HW)中存在与污水处理厂相关的微生物属;未经处理的生活污水(UW)中以嗜冷弧菌、约氏不动杆菌、大肠杆菌和伊氏不动杆菌为主,而处理后的生活污水(TW)中则存在嗜冷弧菌、鱼子鱼气单胞菌、copri普雷沃氏菌、butzleri弧菌、约氏不动杆菌、大肠杆菌和stutzeri假单胞菌。就ARGs而言,HW对ARGs的多样性有显著贡献,特别是对美罗培南和万古霉素等关键抗生素产生耐药性的基因。TW表现出最高的ARG多样性,包括对氨基糖苷类、青霉素类和头孢菌素的广谱耐药基因,表明来自多种来源的累积污染。这些发现强调了在废水处理实践中推进应对这一挑战的重要性,并强调了更严格的法规以减轻抗生素耐药性和水生环境中病原微生物的传播。
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引用次数: 0
Hygiene system modeling for toileting in schools 学校厕所卫生系统建模
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-09-01 Epub Date: 2025-09-22 DOI: 10.1016/j.ijheh.2025.114667
Jonny Crocker , Jeffrey Walters , Jenala Chipungu , Jay Bhagwan , Michel Dione , Robert Dreibelbis , Maria Corazon Dumlao , A.S.G. Faruque , Meriel Flint-O'Kane , Om Prasad Gautam , Ndeye Aissatou Lakhe , Richard Muga , Arundati Muralidharan , Idrissa Ndiaye , Moussa Sarr , Matthew C. Freeman

Background

Hygienic toileting is associated with positive health outcomes; yet efforts to provide the necessary preconditions for this behavior, namely provision of anal cleansing materials, a well-maintained toilet facility, and handwashing, are often limited—especially in schools—by a complex set of determinants and upstream factors that hinder access to the materials and behavioral drivers required for effective practice. Systems thinking, and its associated tools, is one approach to understanding and developing interventions to address the complexity of an interconnected set of factors impacting hygiene program outcomes.

Methods

This study modeled the interconnected factors influencing preconditions for hygienic toileting in schools using expert-based participatory systems modeling. Two global hygiene meetings were utilized to recruit participants for hygiene systems modeling, and to compare results across two distinct groups of model participants. Participants identified and prioritized hygiene system factors, created systems models, and performed structural analyses using influence maps and causal loop diagrams to compare key leverage points driving hygienic toileting in schools.

Results

Participants prioritized nine factors. Three of the nine factors were found to be highly influential and to drive the core system dynamics across both groups of participants: WASH leadership, governance, and partnerships; resource mobilization; and human resource capacity.

Discussion

Our study identified leverage points for system strengthening to deliver the preconditions for hygienic toileting in schools. Systems thinking should precede system strengthening to ensure the efficient and effective use of resources and to enhance the sustainability of outcomes.
卫生的厕所与积极的健康结果相关;然而,为这种行为提供必要前提条件的努力,即提供肛门清洁材料、维护良好的厕所设施和洗手,往往受到一系列复杂的决定因素和上游因素的限制,这些因素和上游因素阻碍了获得有效实践所需的材料和行为驱动因素。系统思考及其相关工具是理解和制定干预措施以解决影响卫生规划结果的一系列相互关联的因素的复杂性的一种方法。方法采用基于专家的参与式系统建模方法,对影响学校卫生厕所先决条件的相互关联因素进行建模。利用两次全球卫生会议来招募卫生系统建模的参与者,并比较两组不同模型参与者的结果。参与者确定并优先考虑卫生系统因素,创建系统模型,并使用影响图和因果循环图进行结构分析,以比较推动学校卫生厕所的关键杠杆点。结果参与者对9个因素进行了排序。9个因素中有3个被发现具有高度影响力,并在两个参与者群体中推动核心系统动态:讲卫生运动的领导、治理和伙伴关系;资源动员;人力资源能力。我们的研究确定了加强系统的杠杆点,以提供学校卫生厕所的先决条件。系统思考应先于系统加强,以确保资源的高效和有效利用,并提高成果的可持续性。
{"title":"Hygiene system modeling for toileting in schools","authors":"Jonny Crocker ,&nbsp;Jeffrey Walters ,&nbsp;Jenala Chipungu ,&nbsp;Jay Bhagwan ,&nbsp;Michel Dione ,&nbsp;Robert Dreibelbis ,&nbsp;Maria Corazon Dumlao ,&nbsp;A.S.G. Faruque ,&nbsp;Meriel Flint-O'Kane ,&nbsp;Om Prasad Gautam ,&nbsp;Ndeye Aissatou Lakhe ,&nbsp;Richard Muga ,&nbsp;Arundati Muralidharan ,&nbsp;Idrissa Ndiaye ,&nbsp;Moussa Sarr ,&nbsp;Matthew C. Freeman","doi":"10.1016/j.ijheh.2025.114667","DOIUrl":"10.1016/j.ijheh.2025.114667","url":null,"abstract":"<div><h3>Background</h3><div>Hygienic toileting is associated with positive health outcomes; yet efforts to provide the necessary preconditions for this behavior, namely provision of anal cleansing materials, a well-maintained toilet facility, and handwashing, are often limited—especially in schools—by a complex set of determinants and upstream factors that hinder access to the materials and behavioral drivers required for effective practice. Systems thinking, and its associated tools, is one approach to understanding and developing interventions to address the complexity of an interconnected set of factors impacting hygiene program outcomes.</div></div><div><h3>Methods</h3><div>This study modeled the interconnected factors influencing preconditions for hygienic toileting in schools using expert-based participatory systems modeling. Two global hygiene meetings were utilized to recruit participants for hygiene systems modeling, and to compare results across two distinct groups of model participants. Participants identified and prioritized hygiene system factors, created systems models, and performed structural analyses using influence maps and causal loop diagrams to compare key leverage points driving hygienic toileting in schools.</div></div><div><h3>Results</h3><div>Participants prioritized nine factors. Three of the nine factors were found to be highly influential and to drive the core system dynamics across both groups of participants: WASH leadership, governance, and partnerships; resource mobilization; and human resource capacity.</div></div><div><h3>Discussion</h3><div>Our study identified leverage points for system strengthening to deliver the preconditions for hygienic toileting in schools. Systems thinking should precede system strengthening to ensure the efficient and effective use of resources and to enhance the sustainability of outcomes.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"270 ","pages":"Article 114667"},"PeriodicalIF":4.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between residential greenness and coronary heart disease: A proteomics and miRNA microarray analysis 住宅绿化与冠心病之间的关系:蛋白质组学和miRNA微阵列分析
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-09-01 Epub Date: 2025-09-23 DOI: 10.1016/j.ijheh.2025.114675
Le Yang , Qinfei Wei , Jianhui Guo , Xingyan Xu , Li Zhu , Zhiyu Zhang , Jungu Zhou , Yuting Dong , Donghong Wei , Yeying Wen , Liuyan Zheng , Shaowei Lin , XiaoXu Xie , Huangyuan Li , Siying Wu
Greenness has been linked to cardiovascular disease. However, the specific biological mechanisms through which greenness impacts coronary heart disease (CHD) remain unclear. We aim to explore the underlying epigenetic mechanisms linking greenness and CHD by using proteomics and miRNA microarray. A total of 2387 participants were included in the population study, 816 of whom were diagnosed with CHD. Residential greenness exposure was characterized using the normalized difference vegetation index (NDVI). Generalized additive models and restricted cubic splines investigated the association between greenness and CHD. Mediation analysis examined whether cardiovascular metabolic risk factors (blood pressure, inflammation indicators, and glucose) mediated the association. After proteomics and miRNA microarray screening, Elisa and qRT-PCR validated selected proteins (THBS1, FCN3, and LTBP1) and miRNAs (miR-671-5p, miR-124-3p, and miR-379-5p) in CHD. Among these, LTBP1 and miR-379-5p showed significant differential expression (P < 0.05) and were examined as potential molecular mediators. Higher greenness exposure within a 1000-m area was associated with a lower risk of CHD (OR: 0.86, 95 % CI: 0.81, 0.92). Systolic blood pressure (6.32 % [95 % CI: 1.49 %, 13.12 %]), lymphocyte (10.98 % [95 % CI: 3.76 %, 22.00 %]), monocyte (9.94 % [95 % CI: 3.42 %, 20.87 %]), and fasting blood glucose (3.41 % [95 % CI: 0.56 %, 7.84 %]) mediated this association. LTBP1 and miR-379-5p were differentially expressed in CHD and mediated 7.19 % [95 % CI: 0.01 %, 23.37 %] and 20.03 % [95 % CI: 2.85 %, 69.71 %] of greenness effect on CHD, respectively. Combining the population study and experiments, we found that miR-379-5p and LTBP1 may jointly modulate vascular constriction and immune inflammation in the association between greenness and CHD.
绿色与心血管疾病有关。然而,绿色影响冠心病(CHD)的具体生物学机制尚不清楚。我们的目的是通过蛋白质组学和miRNA芯片来探索绿色与冠心病之间的潜在表观遗传机制。共有2387名参与者被纳入人口研究,其中816人被诊断患有冠心病。采用归一化植被指数(NDVI)对住宅绿化暴露进行表征。广义加性模型和限制三次样条研究了绿化与冠心病的关系。中介分析考察了心血管代谢危险因素(血压、炎症指标和葡萄糖)是否介导了这种关联。经过蛋白质组学和miRNA芯片筛选,Elisa和qRT-PCR验证了冠心病中选定的蛋白(THBS1、FCN3和LTBP1)和miRNA (miR-671-5p、miR-124-3p和miR-379-5p)。其中,LTBP1和miR-379-5p表达差异显著(P < 0.05),被认为是潜在的分子介质。1000米范围内较高的绿化暴露与较低的冠心病风险相关(OR: 0.86, 95% CI: 0.81, 0.92)。收缩压(6.32% [95% CI: 1.49%, 13.12%])、淋巴细胞(10.98% [95% CI: 3.76%, 22.00%])、单核细胞(9.94% [95% CI: 3.42%, 20.87%])和空腹血糖(3.41% [95% CI: 0.56%, 7.84%])介导了这种关联。LTBP1和miR-379-5p在冠心病中差异表达,分别介导7.19% [95% CI: 0.01%, 23.37%]和20.03% [95% CI: 2.85%, 69.71%]的冠心病绿度效应。结合群体研究和实验,我们发现miR-379-5p和LTBP1可能共同调节血管收缩和免疫炎症,在绿度与冠心病的关系中发挥作用。
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引用次数: 0
Strengthening pathogen and antimicrobial resistance surveillance through environmental monitoring in sub-Saharan Africa: stakeholder perspectives 通过撒哈拉以南非洲的环境监测加强病原体和抗微生物药物耐药性监测:利益攸关方的观点
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-09-01 Epub Date: 2025-09-02 DOI: 10.1016/j.ijheh.2025.114651
Ananda Tiwari , Taru Miller , Vito Baraka , Marc Christian Tahita , Vivi Maketa , Bérenger Kaboré , Paul Tunde Kingpriest , Patrick Mitashi , Eric Lyimo , Hillary Sebukoto , Ana Maria de Roda Husman , Tarja Pitkänen
Wastewater and environmental surveillance (WES) is an emerging tool for monitoring emergence and trends of waterborne, respiratory, and antimicrobial-resistant (AMR) pathogens. In many developing countries with limited pathogen surveillance systems, WES can complement and support existing monitoring efforts and strengthen pathogen surveillance capacity. This study explored priority pathogens for WES and assessed existing surveillance practices, including WES, in Tanzania, Burkina Faso, and the Democratic Republic of the Congo (DRC). National hybrid workshops were held in each country, engaging stakeholders from diverse fields, including academia, research, policy, environmental health, and healthcare. Two structured surveys, administered via Webropol platform and Mentimeter. com, were conducted during each workshop to gather information on existing clinical and environmental surveillance systems and potential WES targets. Survey responses were analysed thematically, with each theme thoroughly evaluated using scientific evidence from the literature. Key pathogens identified for WES included waterborne pathogens, such as poliovirus, Salmonella Typhi, Vibrio cholerae, and non-waterborne pathogens, such as influenza A&B, SARS-CoV-2, measles, rubella. High-priority AMR targets for WES included multidrug-resistant Mycobacterium tuberculosis, Salmonella spp., and ESBL-producing E. coli. All three countries were found to use centralised electronic systems for clinical data collection, while WES was still limited and largely confined to project-based applications. Respondents highlighted that adopting WES could enhance surveillance systems, track circulating pathogens, and safeguard human, animal, and environmental health. Thus, WES could play a pivotal role in preventing waterborne outbreaks, protecting drinking water sources, and supporting integrated risk management, contributing to achieving various UN Sustainable Development Goals (SDGs).
废水和环境监测(WES)是监测水生、呼吸道和抗微生物药物耐药性(AMR)病原体的出现和趋势的新兴工具。在许多病原体监测系统有限的发展中国家,WES可以补充和支持现有的监测工作,并加强病原体监测能力。本研究探索了WES的重点病原体,并评估了坦桑尼亚、布基纳法索和刚果民主共和国(DRC)现有的监测做法,包括WES。在每个国家都举办了国家混合讲习班,吸引来自学术界、研究、政策、环境卫生和保健等不同领域的利益攸关方参加。通过Webropol平台和Mentimeter进行两项结构化调查。. com,在每次讲习班期间进行,以收集有关现有临床和环境监测系统以及潜在WES目标的信息。调查结果按主题进行分析,每个主题都使用文献中的科学证据进行彻底评估。WES鉴定的主要病原体包括水媒病原体,如脊髓灰质炎病毒、伤寒沙门氏菌、霍乱弧菌,以及非水媒病原体,如甲型B型流感、SARS-CoV-2、麻疹、风疹。WES的高优先抗菌素耐药性靶点包括耐多药结核分枝杆菌、沙门氏菌和产esbl的大肠杆菌。发现这三个国家都使用集中电子系统收集临床数据,而WES仍然有限,而且主要局限于基于项目的应用。答复者强调,采用WES可加强监测系统,追踪传播的病原体,并保障人类、动物和环境健康。因此,WES可在预防水传播疾病暴发、保护饮用水源和支持综合风险管理方面发挥关键作用,有助于实现各项联合国可持续发展目标。
{"title":"Strengthening pathogen and antimicrobial resistance surveillance through environmental monitoring in sub-Saharan Africa: stakeholder perspectives","authors":"Ananda Tiwari ,&nbsp;Taru Miller ,&nbsp;Vito Baraka ,&nbsp;Marc Christian Tahita ,&nbsp;Vivi Maketa ,&nbsp;Bérenger Kaboré ,&nbsp;Paul Tunde Kingpriest ,&nbsp;Patrick Mitashi ,&nbsp;Eric Lyimo ,&nbsp;Hillary Sebukoto ,&nbsp;Ana Maria de Roda Husman ,&nbsp;Tarja Pitkänen","doi":"10.1016/j.ijheh.2025.114651","DOIUrl":"10.1016/j.ijheh.2025.114651","url":null,"abstract":"<div><div>Wastewater and environmental surveillance (WES) is an emerging tool for monitoring emergence and trends of waterborne, respiratory, and antimicrobial-resistant (AMR) pathogens. In many developing countries with limited pathogen surveillance systems, WES can complement and support existing monitoring efforts and strengthen pathogen surveillance capacity. This study explored priority pathogens for WES and assessed existing surveillance practices, including WES, in Tanzania, Burkina Faso, and the Democratic Republic of the Congo (DRC). National hybrid workshops were held in each country, engaging stakeholders from diverse fields, including academia, research, policy, environmental health, and healthcare. Two structured surveys, administered via Webropol platform and Mentimeter. com, were conducted during each workshop to gather information on existing clinical and environmental surveillance systems and potential WES targets. Survey responses were analysed thematically, with each theme thoroughly evaluated using scientific evidence from the literature. Key pathogens identified for WES included waterborne pathogens, such as poliovirus, <em>Salmonella</em> Typhi, <em>Vibrio cholerae</em>, and non-waterborne pathogens, such as influenza A&amp;B, SARS-CoV-2, measles, rubella. High-priority AMR targets for WES included multidrug-resistant <em>Mycobacterium tuberculosis</em>, <em>Salmonella</em> spp., and ESBL-producing <em>E. coli</em>. All three countries were found to use centralised electronic systems for clinical data collection, while WES was still limited and largely confined to project-based applications. Respondents highlighted that adopting WES could enhance surveillance systems, track circulating pathogens, and safeguard human, animal, and environmental health. Thus, WES could play a pivotal role in preventing waterborne outbreaks, protecting drinking water sources, and supporting integrated risk management, contributing to achieving various UN Sustainable Development Goals (SDGs).</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"270 ","pages":"Article 114651"},"PeriodicalIF":4.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhancing data interoperability in human biomonitoring studies: the HBM data toolkit 加强人类生物监测研究中的数据互操作性:HBM数据工具包
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-09-01 Epub Date: 2025-09-11 DOI: 10.1016/j.ijheh.2025.114669
Ruben Peeters , Laura Rodriguez Martin , Fen Zhang , Hanny Willems , Liese Gilles , Jan Theunis , Jos Bessems , Caio Mescouto Terra de Souza , Stijn Baken , Dirk Devriendt , Eva Govarts
Harmonization and aggregation of heterogeneous data from Human Biomonitoring (HBM) studies is critical to enhance the reliability of conclusions and move towards FAIR (i.e., Findable, Accessible, Interoperable, Reusable) data. We introduce the HBM Data Toolkit developed by the Flemish Institute for Technological Research (Vlaamse Instelling voor Technologisch Onderzoek - VITO) with the primary goal of optimizing data integrity and interoperability, key steps towards FAIR, while using flexible templates and ensuring data confidentiality. The HBM Data Toolkit was built in 2023–2024 and made available for stakeholders (via https://hbm.vito.be/tools) within the Partnership for the Assessment of Risks from Chemicals (PARC eu-parc.eu). The toolkit consists of 4 modules including data harmonization, data validation, derived variables, and summary statistics calculation. A Python package was created to interpret the templates, making validation and transformation possible. Using Pyodide and WebAssembly, the toolkit runs entirely in the web browser, enabling secure, local execution of Python code without uploading any data. In the validation module, input files in common format (i.e., Excel) were used to configure data templates, aligning with standards and formats as specified under the HBM4EU project (hbm4eu.eu) and PARC. The HBM Data Toolkit allows harmonized data storage in the Personal Exposure and Health (PEH) data platform. Formatted and validated HBM data were made compatible with the Monte Carlo Risk Assessment (MCRA) platform. In the derived variables calculation module, the toolkit also allows users to calculate imputed censored data and standardize/normalize the biomarker data. Furthermore, summary statistics (e.g., geometric mean, percentiles) can be calculated and further visualized in the European HBM dashboard and integrated into the Information Platform for Chemical Monitoring (IPCHEM). In conclusion, the current toolkit proves effective in advancing data quality, harmonization, and aggregation in HBM studies. With local execution, user-friendly codebooks, and standardized schemas, it supports a unified framework that enables consistent analysis and interpretation across diverse studies and datasets.
人类生物监测(HBM)研究中异构数据的协调和聚合对于提高结论的可靠性和向FAIR(即可查找、可访问、可互操作、可重复使用)数据迈进至关重要。我们介绍了由弗拉芒技术研究所(Vlaamse Instelling voor technology Onderzoek - VITO)开发的HBM数据工具包,其主要目标是优化数据完整性和互操作性,这是实现公平的关键步骤,同时使用灵活的模板并确保数据机密性。HBM数据工具包于2023-2024年建立,并在化学品风险评估伙伴关系(PARC eu-parc.eu)内提供给利益相关者(通过https://hbm.vito.be/tools)。该工具包由4个模块组成,包括数据协调、数据验证、派生变量和汇总统计计算。创建了一个Python包来解释模板,使验证和转换成为可能。使用pyoide和WebAssembly,该工具包完全在web浏览器中运行,无需上传任何数据即可安全本地执行Python代码。在验证模块中,使用通用格式(即Excel)的输入文件来配置数据模板,并与HBM4EU项目(HBM4EU .eu)和PARC规定的标准和格式保持一致。HBM数据工具包允许在个人暴露和健康(PEH)数据平台中统一存储数据。格式化和验证的HBM数据与蒙特卡洛风险评估(MCRA)平台兼容。在衍生变量计算模块中,该工具包还允许用户计算输入的审查数据并标准化/规范化生物标志物数据。此外,汇总统计数据(如几何平均值、百分位数)可以在欧洲HBM仪表板中计算和进一步可视化,并集成到化学品监测信息平台(IPCHEM)中。总之,目前的工具包在提高HBM研究中的数据质量、协调和聚合方面被证明是有效的。通过本地执行、用户友好的代码本和标准化的模式,它支持一个统一的框架,可以跨不同的研究和数据集进行一致的分析和解释。
{"title":"Enhancing data interoperability in human biomonitoring studies: the HBM data toolkit","authors":"Ruben Peeters ,&nbsp;Laura Rodriguez Martin ,&nbsp;Fen Zhang ,&nbsp;Hanny Willems ,&nbsp;Liese Gilles ,&nbsp;Jan Theunis ,&nbsp;Jos Bessems ,&nbsp;Caio Mescouto Terra de Souza ,&nbsp;Stijn Baken ,&nbsp;Dirk Devriendt ,&nbsp;Eva Govarts","doi":"10.1016/j.ijheh.2025.114669","DOIUrl":"10.1016/j.ijheh.2025.114669","url":null,"abstract":"<div><div>Harmonization and aggregation of heterogeneous data from Human Biomonitoring (HBM) studies is critical to enhance the reliability of conclusions and move towards FAIR (i.e., Findable, Accessible, Interoperable, Reusable) data. We introduce the HBM Data Toolkit developed by the Flemish Institute for Technological Research (Vlaamse Instelling voor Technologisch Onderzoek - VITO) with the primary goal of optimizing data integrity and interoperability, key steps towards FAIR, while using flexible templates and ensuring data confidentiality. The HBM Data Toolkit was built in 2023–2024 and made available for stakeholders (via <span><span>https://hbm.vito.be/tools</span><svg><path></path></svg></span>) within the Partnership for the Assessment of Risks from Chemicals (PARC eu-parc.eu). The toolkit consists of 4 modules including data harmonization, data validation, derived variables, and summary statistics calculation. A Python package was created to interpret the templates, making validation and transformation possible. Using Pyodide and WebAssembly, the toolkit runs entirely in the web browser, enabling secure, local execution of Python code without uploading any data. In the validation module, input files in common format (i.e., Excel) were used to configure data templates, aligning with standards and formats as specified under the HBM4EU project (hbm4eu.eu) and PARC. The HBM Data Toolkit allows harmonized data storage in the Personal Exposure and Health (PEH) data platform. Formatted and validated HBM data were made compatible with the Monte Carlo Risk Assessment (MCRA) platform. In the derived variables calculation module, the toolkit also allows users to calculate imputed censored data and standardize/normalize the biomarker data. Furthermore, summary statistics (e.g., geometric mean, percentiles) can be calculated and further visualized in the European HBM dashboard and integrated into the Information Platform for Chemical Monitoring (IPCHEM). In conclusion, the current toolkit proves effective in advancing data quality, harmonization, and aggregation in HBM studies. With local execution, user-friendly codebooks, and standardized schemas, it supports a unified framework that enables consistent analysis and interpretation across diverse studies and datasets.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"270 ","pages":"Article 114669"},"PeriodicalIF":4.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prenatal bisphenol analogues exposure, metabolites in breast milk and offspring anthropometric growth during infancy: The Wuhan twin birth cohort study 产前双酚类似物暴露,母乳代谢物和婴儿时期后代的人体测量生长:武汉双胞胎出生队列研究
IF 4.4 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2025-09-01 Epub Date: 2025-10-01 DOI: 10.1016/j.ijheh.2025.114678
Hong Mei , Liqin Hu , Haoshuang Liu , Neng Li , Yunxia Li , Jiali Xu , Hailin Gu , Feiyan Xiang , Meng Yang , Pan Yang , Jianduan Zhang , Han Xiao , Aifen Zhou

Objectives

This study aimed to explore the associations between trimester-specific prenatal bisphenol analogues (BPs) exposures and offspring growth during infancy. Additionally, it sought to evaluate the mediating effect of breast milk metabolites on this relationship.

Methods

The research examined the associations among bisphenol A (BPA), bisphenol F (BPF), bisphenol S (BPS) levels collected from mothers during the 1st, 2nd and 3rd trimesters, breast milk metabolites when the offspring were 1 month old, and infant growth measurements at 1, 3, 6, 9 and 12 months of age. General linear models (GLM), multiple logistic regression models, and generalized estimating equations (GEE) were employed to assess the relationships between BPs, breast milk metabolites and offspring growth. The mediation package was utilized to evaluate the mediating effect of breast milk metabolites.

Results

Significant associations were observed between first-trimester BPA (BPA_1) and 369 breast milk metabolites, primarily influencing glycometabolism and lipid metabolism pathways. BPA_1 were positively associated with infants' growth and ZBMI trajectory. Breast milk metabolites were also correlated with growth measurements and trajectories, predominantly categorized as glycometabolites and lipids. A mediating role was identified for 10 breast milk metabolites in the relationship between prenatal BPA_1 and infants’ ZBMI at 12 months.

Conclusion

First-trimester BPA exposure may promote early growth and high ZBMI trajectory, which are risk factors for obesity in later life. This study highlights BPA_1's impact on breast milk metabolites and first reports breast milk metabolites as mediators on relationship between prenatal BPA exposure and offspring growth.
目的:本研究旨在探讨孕期特异性产前双酚类似物(bp)暴露与婴儿时期后代生长之间的关系。此外,它试图评估母乳代谢物在这种关系中的中介作用。方法:研究了母亲在妊娠1、2、3个月时采集的双酚A (BPA)、双酚F (BPF)、双酚S (BPS)水平、婴儿1月龄时的母乳代谢物以及婴儿1、3、6、9、12月龄时的生长测量结果之间的关系。采用一般线性模型(GLM)、多元logistic回归模型和广义估计方程(GEE)评估体重、母乳代谢物与子代生长之间的关系。采用中介包对母乳代谢物的中介作用进行评价。结果:孕早期BPA (BPA_1)与369种母乳代谢物存在显著相关性,主要影响糖代谢和脂代谢途径。BPA_1与婴儿的生长和ZBMI轨迹呈正相关。母乳代谢物也与生长测量和轨迹相关,主要分类为糖代谢物和脂质。研究发现10种母乳代谢物在产前BPA_1与婴儿12月龄ZBMI的关系中起中介作用。结论:妊娠早期BPA暴露可促进早期生长和高ZBMI轨迹,这是后期肥胖的危险因素。本研究强调了BPA_1对母乳代谢物的影响,并首次报道了母乳代谢物在产前BPA暴露与后代生长之间的中介作用。
{"title":"Prenatal bisphenol analogues exposure, metabolites in breast milk and offspring anthropometric growth during infancy: The Wuhan twin birth cohort study","authors":"Hong Mei ,&nbsp;Liqin Hu ,&nbsp;Haoshuang Liu ,&nbsp;Neng Li ,&nbsp;Yunxia Li ,&nbsp;Jiali Xu ,&nbsp;Hailin Gu ,&nbsp;Feiyan Xiang ,&nbsp;Meng Yang ,&nbsp;Pan Yang ,&nbsp;Jianduan Zhang ,&nbsp;Han Xiao ,&nbsp;Aifen Zhou","doi":"10.1016/j.ijheh.2025.114678","DOIUrl":"10.1016/j.ijheh.2025.114678","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore the associations between trimester-specific prenatal bisphenol analogues (BPs) exposures and offspring growth during infancy. Additionally, it sought to evaluate the mediating effect of breast milk metabolites on this relationship.</div></div><div><h3>Methods</h3><div>The research examined the associations among bisphenol A (BPA), bisphenol F (BPF), bisphenol S (BPS) levels collected from mothers during the 1st, 2nd and 3rd trimesters, breast milk metabolites when the offspring were 1 month old, and infant growth measurements at 1, 3, 6, 9 and 12 months of age. General linear models (GLM), multiple logistic regression models, and generalized estimating equations (GEE) were employed to assess the relationships between BPs, breast milk metabolites and offspring growth. The mediation package was utilized to evaluate the mediating effect of breast milk metabolites.</div></div><div><h3>Results</h3><div>Significant associations were observed between first-trimester BPA (BPA_1) and 369 breast milk metabolites, primarily influencing glycometabolism and lipid metabolism pathways. BPA_1 were positively associated with infants' growth and ZBMI trajectory. Breast milk metabolites were also correlated with growth measurements and trajectories, predominantly categorized as glycometabolites and lipids. A mediating role was identified for 10 breast milk metabolites in the relationship between prenatal BPA_1 and infants’ ZBMI at 12 months.</div></div><div><h3>Conclusion</h3><div>First-trimester BPA exposure may promote early growth and high ZBMI trajectory, which are risk factors for obesity in later life. This study highlights BPA_1's impact on breast milk metabolites and first reports breast milk metabolites as mediators on relationship between prenatal BPA exposure and offspring growth.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"270 ","pages":"Article 114678"},"PeriodicalIF":4.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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International journal of hygiene and environmental health
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