Wei sheng yan jiu = Journal of hygiene research最新文献

Objective: To examine the association of pre-pregnancy body mass index(BMI) and first-trimester glucose and lipid metabolism.

Methods: A total of 298 pregnant women with high risk factors for gestational diabetes in early pregnancy, with an average age of 32.24 years, 66.11% were primiparous and the average time for blood collection was 12.5 weeks, were collected from August 2021 to April 2022 at the Department of Nutrition, Haidian District Maternal and Child Health Hospital, Beijing. Pregnant women were divided into low weight group(n=15), normal weight group(n=181), overweight/obese group(n=102) according to their pre-pregnancy BMI. Fasting glucose, fasting insulin, lipid quadruple, C-reactive protein, leptin and adiponectin levels were compared among groups.

Results: (1)Triglyceride concentrations were significantly higher in women in the overweight/obese group(1.51 mmol/L vs.1.15 mmol/L) than in women in low weight group(P<0.01). HDL cholesterol(HDL-C) levels were lower than in women with low weight(1.64 mmol/L vs.1.95 mmol/L)(P<0.01). (2)Pre-pregnancy low weight women had reduced pancreatic β-cell function in early pregnancy with the HOMA-β index of 60.41%, and women in the overweight/obese group had heavier fasting insulin levels(7.86 vs.3.42 μU/mL) and insulin resistance(1.75 vs 0.74) in early pregnancy than low weight women(P<0.01). (3)Pre-pregnancy BMI was positively correlated with triglycerides, fasting insulin, C-reactive protein levels, and degree of insulin resistance in early pregnancy(r=0.30, 0.28, 0.45 and 0.45, P<0.01)and negatively correlated with HDL-C levels in early pregnancy(r=-0.29, P<0.01).

Conclusion: Among pregnant women with risk factors for gestational diabetes, pre-pregnancy overweight and obesity are associated with glucose and lipid metabolism levels in early pregnancy.

Objective: To analyze the timing of supplementary food and its effect on the development of infants at 6-8 months of age.

Methods: A total of 168 breastfed healthy infants in Beijing and Chenzhou were selected and followed up from birth to 8 months of age. According to the time of the first supplementary food addition, the survey subjects were divided into a reasonable supplementary food group and an unreasonable supplementary food group. Repeated measures analysis was used to compare the differences in the Z scores of the two groups of infants.

Results: Infants who added complementary food between 4-6 months accounted for 80.4%(n=135). There were 6.0%(n=10) of infants who added complementary food for more than 8 months of age(added too late), and the timing was earlier than 4 months old infants accounted for 6.5%(n=11). The result of repeated measurement analysis showed that the body mass index for age Z score(BAZ) of infants whose complementary foods were added at an unreasonable time was different from that of infants with reasonable complementary food addition(P=0.046). Infants whose complementary food was added at an unreasonable time had higher BAZ at the age of 6 months(β=0.615, 95%CI 0.053-1.178).

Conclusion: Few infants add complementary foods too early or too late, and the timing of complementary foods for most infants was between 4-6 months of age. Unreasonable complementary food addition time might have a short-term impact on the infants' BAZ.

Objective: To establish a rapid and accurate method for the determination of 25-hydroxyvitamin D_3(25(OH)D_3) and 25-hydroxyvitamin D_2(25(OH)D_2)in serum by pre-column derivatization with stable isotope labeling and ultra performance liquid chromatography-quadrupole electrostatic field orbitrap high-resolution mass spectrometry, which could be used to diagnose vitamin deficiency and to assess the nutritional status of vitamin D in the population.

Methods: The serum samples with isotopic internal standard were extracted by mixed extraction solvent(ethyl acetate∶hexane = 2∶1, V/V), centrifuged and dried by the nitrogen blowing, and derivatized with 4-phenyl-1, 2, 4-triazoline-3, 5-dione(PTAD). The reaction products were separated on a BEH C_(18) column(2.1 mm×50 mm, 1.7 μm), and eluted with a 0.1% formic acid/water solution-acetonitrile gradient. The mass spectrometry was performed in positive electrospray ionization(ESI~+) and parallel reaction monitoring(PRM) for the detection of the targets, and quantified by isotope internal standard.

Results: The limits of detection both for 25(OH)D_3 and 25(OH)D_2 were 0.01 ng/mL and the limits of quantification were 0.03 ng/mL. The concentration series of 25(OH)D_2 ranged from 0.5 to 40.0 ng/mL and the concentration series of 25(OH)D_3 ranged from 2.5 to 200.0 ng/mL. The recoveries(n=5) were 95.7%-101.3% for 25(OH)D_3, and 98.7%-108.6% for 25(OH)D_2, with the relative standard deviations(RSDs) of 0.5%-4.9% and 2.2%-3.4%, respectively. The accuracy of the determination of 25(OH)D_3 and 25(OH)D_2 in Level 2 serum of the 25(OH)D standard reference material NIST SRM 972a was 104.8% and 94.9%, respectively. The M(P25, P75)serum levels of 25(OH)D_3 and 25(OH)D_2 for 116 pregnant women at the first trimester from Beijing were 25.7(20.8, 32.6) ng/mL and 0.8(0.4, 1.1) ng/mL, respectively.

Conclusion: This method is highly sensitive, qualitatively accurate and suitable for evaluation and monitoring the nutritional status of vitamin D in the population.

Objective: To investigate the current situation and related factors of adults environmental health knowledge-attitude-practice(KAP)in four cities.

Methods: From March to April 2021, 1252 permanent residents in Mianyang City, Ya'an City in Sichuan Province, Suzhou City and Yangzhou City in Jiangsu Province were investigated on environmental health KAP by using a self-made electronic questionnaire. Analysis of variance, multiple linear regression and Person rank correlation were used to analyze the difference of public environmental KAP level, related factors, and the correlation of knowledge, attitude and behavior scores.

Results: There were significant differences in the level of environmental health KAP among people in different cities(F=47.632, P<0.001), age group(F=34.676, P<0.001), education level(F=49.574, P<0.001), BMI(F=4.560, P=0.003), total annual family income(F=27.977, P<0.001), smoking status(t=11.121, P=0.001)and ways of ingesting environmental health knowledge(F=88.405, P<0.001), and except BMI, other items were the related factors of environmental health KAP. The score of environmental health attitude was higher than that of behavior and knowledge(F=154.34, P<0.001). The scores of knowledge and behavior, knowledge and attitude, attitude and behavior were correlated, and the correlation coefficients were 0.667, 0.414 and 0.450 respectively(P<0.01).

Conclusion: The number of ways to acquire environmental health knowledge, total annual family income, education level, age and smoking status are all related factors of the adults environmental knowledge-attitude-practice level in four cities in 2021.

Objective: To describe the breast milk intake of infants aged 0-5 months in China and its trends, and to analyze the effects of feeding mode, gender and regions on breast milk intake.

Methods: Data were extracted from Ministry of Science and Technology's basic resource survey project "China's 0-18-year-old children's nutrition and health system survey and application" project. Caregivers were face to face interviewed to collect the basic information of infants. Weighing method was used to measure 24 hourly breast milk intake of infants aged 0-5 months in China. The rank sum test was used to compare the differences in breast milk intake between groups, the Spearman rank sum test was used to analyze the trend of breast milk intake with increasing age, and the general linear regression model was used to analyze the effects of gender and region on breast milk intake.

Results: The mean breast milk intake of exclusively breastfed infants aged 0-5 months was 800.1 g/d, ranging from 696.4 to 937.7 g/d. Breast milk intake increased with age and remained stable at 5 months(β=29.6, P=0.009). There was a statistically significant difference in breast milk intake among infants in different month age groups(χ~2=17.96, P=0.003). Infants aged 0-5 months who are exclusively breastfed were fed 8 times in 24 hours, the breast milk intake per each time is 103.4-152.5 g, the duration of each feeding is 20.4-24.6 min, and the breast milk intake per minute is 4.4-7.0 g. Except for 5 months of age, there was no gender difference in the 24-hour breast milk intake of exclusively breastfed infants aged 0 to 4 months(P>0.05). Except for 4-month-old exclusively breastfed infants, there was no regional differences in the breast milk intake of others(t=-4.25, P<0.001). In the mixed feeding group, breast milk + complementary feeding group and breast milk + formula powder + complementary feeding group, the breast milk intake of infants aged 0-5 months were 341.1-496.7 g, 239.1-742.7 g and 90.0-508.0 g, respectively.

Conclusion: In 2019-2021, infants aged 0-5 months in China Breast milk intake increased with age, and remained stable at 5 months. The breast milk intake of infants aged 0-5 months in different regions or genders is similar except for individual months. The introduction of formula or complementary food directly affects the intake of breast milk in infants.

Objective: To investigate the effects of high selenium environment on the expression of selenoproteins and enzymes related to glucose and one-carbon metabolism in normal human hepatocytes.

Methods: Ten different concentrations of selenomethionine(SeMet, 0, 0.001, 0.005, 0.01, 0.05, 0.1, 0.5, 1, 5 and 10 μmol/L) was added into the normal human hepatocyts and incubated for 48 hours. The expressions of selenoprotein(GPX1 and SELENOP1) and metabolic enzymes(PHGDH, SHMT1, MTHFR and MS) were analyzed by Western blot.

Results: When the concentration of SeMet was 0-10 μmol/L, the expression trend of selenoprotein(GPX1 and SELENOP1) is similar, which first increases and then decreases. There is a slight difference between the inflection points of GPX1 and SELENOP1, which are respectively 0.5 μmol/L and 0.1 μmol/L. The expression trend of serine de novo synthesis pathway key enzymes(PHGDH) and folate cycle metabolizing enzymes(SHMT1, MTHFR and MS) is similar to that of selenoproteins, which also increases first and then decreases, but the inflection points are different, which are respectively 0.1 μmol/L(PHGDH and SHMT1) and 0.01 μmol/L(MTHFR and MS).

Conclusion: Under the high selenium environment, the glycolytic bypass-serine de novo synthesis pathway is activated to synthesize endogenous serine due to the insufficient intracellular serine supply, causing abnormal glucose metabolism, which is an important extension to the hypothesis of the molecular mechanism of high selenium causing IR.

Objective: To explore the differential metabolites in the serum of infants with iron deficiency anemia(IDA) and non iron deficiency anemia, and to explore the potential biomarkers.

Methods: Non-targeted metabolomics of 30 infants with iron deficiency anemia aged 6-11 months and 30 infants with non iron deficiency anemia aged 6-11 months were analyzed by ultra-high performance liquid chromatography with time of flight mass spectrometry using Acquity UPLC BEH C_(18) column(100 mm×2.1 mm, 1.8 μm). The differences of metabolites between the two groups were analyzed by principal component analysis(PCA) and orthogonal partial least squares discriminant analysis(OPLS-DA). Differential metabolites were screened according to OPLS-DA variable importance projection(VIP) >1. The related metabolic pathways involved in the markers were analyzed based on the KEGG database.

Results: Differences in serum metabolic profiles between iron deficiency anemia group and non iron deficiency anemia group were observed. The 44 potential biomarkers were mainly lipids. Combined with pathway analysis, the metabolic pathways related to different metabolites included glycerophosphingolipid metabolism and sphingolipid metabolism.

Conclusion: There are differences in lipid metabolites between infants with non iron deficiency anemia and iron deficiency anemia, suggesting that the occurrence and progress of iron deficiency anemia are related to lipid metabolism.

Objective: To describe dietary intake of calcium, iron, zinc, selenium, vitamin A, vitamin B_1, vitamin B_2 and vitamin C and compare the intake between urban and rural areas among preschool children aged 2-5 years based on the data from the National Nutrition and Health Systematic Survey for Children 0-17 Years of Age in China.

Methods: Children from 14 provinces were selected by multi-stage stratified random cluster sampling, and the dietary data of preschool children aged 2-5 years were recorded using the 3 day 24-hour weighted food records method. SAS 9.4 was used to calculate dietary intake of these micronutrients based on the Chinese Food Composition Table and to compare the intake between urban and rural areas. The risk of insufficient or excessive intake of micronutrients among Chinese children aged 2-5 years was assessed according to the Chinese Dietary Reference Intakes(DRIs) 2013 edition.

Results: A total of 820 children aged 2 to 5 years were selected. The median daily dietary calcium intake of children aged 2-5 years in China was 433.7, 338.9, 356.4 and 347.4 mg, respectively. The median daily dietary intake of vitamin B_1 of children aged 2-5 years was 0.5 mg for all age groups. The median daily dietary vitamin B_2 intake of children aged 2-5 years was 0.7, 0.6, 0.6 and 0.6 mg, respectively. The median daily dietary intake of vitamin C of children aged 2-5 years was 37.9, 37.4, 44.0 and 40.0 mg, respectively. The median daily dietary selenium intake of children aged 2-5 years was 17.1, 20.5, 22.7 and 22.3 μg, respectively. Dietary calcium intake for aged 2-5 years, dietary vitamin B_2 intake for aged 2-4 years, dietary iron, selenium, zinc and vitamin B_1 intake for aged 2-3 years was significantly greater in urban children than rural children. Among all nutrients, the proportion of dietary calcium intakes below the estimated average requirement(EAR) was the highest in aged 2-5 years(61.4%, 76.4%, 91.4% and 91.5%, respectively). The proportions of dietary vitamin B_1, vitamin C and selenium intake lower than EAR of children aged 2-5 years in China were 52.4%-63.2%, 42.8%-50.2% and 46.6%-58.7%, respectively.

Couclusion: The dietary calcium intake of children aged 2-5 years in China remains insufficient for these children, especially for rural children. Dietary vitamin B_1, vitamin C and selenium intake should be improved.

Objective: To analyze the dietary patterns of Chinese adults in 15 provinces and cities in China.

Methods: A total of 9208 adults aged 18-64 from the "China Health and Nutrition Survey" in 2018 were selected as subjects. Food consumption data were collected through 3 d-24 h dietary recalls and weighing household cooking oil and condiments, and the average daily dietary nutrient intake was calculated by the food composition table. Clustering analysis was used to analyze dietary patterns in different regions, and data from the 2009 China Health and Nutrition Survey were used for comparison.

Results: Three dietary patterns were obtained in this study, including northern pattern, coastal pattern and southern pattern. The analysis of demographic characteristics showed that the intake of cereals, vegetables and livestock were statistically different among different age groups, and livestock and poultry intake was higher in the 18-49 years; Fruit and milk were higher in women and other foods were higher in men; The intakes of cereals, tubers, legumes and vegetables were higher in rural areas, people with low income and low education levels, and other foods were higher in urban areas, people with high income and high education levels, especially milk. Compared with the dietary guidelines, it was found that the proportion of insufficient intake of dark vegetables, fruits and nuts in three patterns and milk, eggs in the southern pattern and aquatic products in the northern pattern was up to 80%, the other food intake was in 50%-80%; The proportion of excessive intake of livestock and poultry meat in the southern mode was significantly higher, reaching 78%. Nutrient analysis showed that the intake of carbohydrate, dietary fiber and carbohydrate energy ratio, vitamin E, magnesium and manganese were higher in the northern pattern; The intakes of protein, protein energy ratio, riboflavin, potassium, sodium, calcium, phosphorus, copper and selenium were higher in the coastal pattern; The southernpattern had a higher intake of energy, fat, fat energy ratio, niacin, retinol, zinc and vitamin C. In addition, the comparison between 2009 and 2018 showed that the intake of most foods except milk has decreased to varying degrees in the past decade, while the intake of some foods has increased.

Conclusion: The 15 provinces in China were divided into three dietary patterns. Unbalanced intake of food and nutrients was common among them, and the intake was influenced by different demographic characteristics. In addition, most food intake has declined over the past decade.