Pub Date : 2023-01-01DOI: 10.1016/j.glt.2023.08.002
Huameng Tang, Dianqi Yuan, Chao Guo
Objectives
The Chinese government attaches great importance to the construction of 5th Generation Mobile Communication Technology infrastructure. This study aimed to estimate the effect of the 5G policy development on the self-rated health of older adults in mainland China.
Methods
Using the nationally representative data from the China Family Panel Studies in 2018 and its follow-up in 2020, 2334 participants aged 60 and older were analyzed in our study. We employed the two-way fixed estimator in the difference in difference setting to analyse the SRH of the older adults in the cohort with different development level of the 5G measured by the number of policies, and explore the relative differences before and after the onset of 5G policies. And the heterogeneity and several robustness checks were conducted in the analysis.
Results
After the onset of the 5G policies, the probability of older adults self-rating good health increased by 31% for each unit increase in the development level of 5G policies, after adjusting covariates. And there were notable disparities in age group, gender, and living areas. The improving effect of the 5G policies on SRH was intensified in the younger ones aged 65–74 years, the females, and those living in urban areas.
Conclusions
Our findings showed that the development of 5G policies has a positive role in the SRH of older adults, indicating the health-promoting effects of technological advances. Considering the heterogeneity, more attention and target measures must be taken to help socio-economically disadvantaged groups avoid the digital vicious cycle.
{"title":"The effect of 5G policy development on self-rated health among Chinese older adults: A quasi-experimental study","authors":"Huameng Tang, Dianqi Yuan, Chao Guo","doi":"10.1016/j.glt.2023.08.002","DOIUrl":"https://doi.org/10.1016/j.glt.2023.08.002","url":null,"abstract":"<div><h3>Objectives</h3><p>The Chinese government attaches great importance to the construction of 5th Generation Mobile Communication Technology infrastructure. This study aimed to estimate the effect of the 5G policy development on the self-rated health of older adults in mainland China.</p></div><div><h3>Methods</h3><p>Using the nationally representative data from the China Family Panel Studies in 2018 and its follow-up in 2020, 2334 participants aged 60 and older were analyzed in our study. We employed the two-way fixed estimator in the difference in difference setting to analyse the SRH of the older adults in the cohort with different development level of the 5G measured by the number of policies, and explore the relative differences before and after the onset of 5G policies. And the heterogeneity and several robustness checks were conducted in the analysis.</p></div><div><h3>Results</h3><p>After the onset of the 5G policies, the probability of older adults self-rating good health increased by 31% for each unit increase in the development level of 5G policies, after adjusting covariates. And there were notable disparities in age group, gender, and living areas. The improving effect of the 5G policies on SRH was intensified in the younger ones aged 65–74 years, the females, and those living in urban areas.</p></div><div><h3>Conclusions</h3><p>Our findings showed that the development of 5G policies has a positive role in the SRH of older adults, indicating the health-promoting effects of technological advances. Considering the heterogeneity, more attention and target measures must be taken to help socio-economically disadvantaged groups avoid the digital vicious cycle.</p></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"5 ","pages":"Pages 125-132"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1016/j.glt.2023.04.002
Elena G. Popkova , Aleksei V. Bogoviz , Svetlana V. Lobova , Natalia G. Vovchenko , Bruno S. Sergi
The digital economy's neo-industrialization self-accelerates resource consumption and wide automatization inevitably envisage a technological leap. The article contributes conceptually and empirically to a systemic vision of blockchain to sort out climate change challenges and clean energy transition and simultaneously increase the productivity and efficiency of good practices. This vision covers the popularization of ecological initiatives, waste reduction, organization of sustainable investments, control over responsibilities on both fighting and forecasting climate change and clean energy transition. By embracing the notion of blockchain as a problem-solving tool for climate change and clean energy transition, the paper draws and investigates the experiences of the 36 digitally developed and 25 digitally developing economies. It also examines the effectiveness of alternative practices in Industry 4.0. The paper's findings represent a systematic vision of implementing blockchain initiatives to solve climate change and clean energy transition. An energy-efficient model with a blockchain opens up massive opportunities for ecological monitoring, supports energy transition and ameliorates economic sustainability. Since the blockchain potential is not fully unlocked, a model expanding the use of blockchain in education to train green personnel and in science to support climate innovations is proposed.
{"title":"Blockchain, sustainability and clean energy transition","authors":"Elena G. Popkova , Aleksei V. Bogoviz , Svetlana V. Lobova , Natalia G. Vovchenko , Bruno S. Sergi","doi":"10.1016/j.glt.2023.04.002","DOIUrl":"https://doi.org/10.1016/j.glt.2023.04.002","url":null,"abstract":"<div><p>The digital economy's neo-industrialization self-accelerates resource consumption and wide automatization inevitably envisage a technological leap. The article contributes conceptually and empirically to a systemic vision of blockchain to sort out climate change challenges and clean energy transition and simultaneously increase the productivity and efficiency of good practices. This vision covers the popularization of ecological initiatives, waste reduction, organization of sustainable investments, control over responsibilities on both fighting and forecasting climate change and clean energy transition. By embracing the notion of blockchain as a problem-solving tool for climate change and clean energy transition, the paper draws and investigates the experiences of the 36 digitally developed and 25 digitally developing economies. It also examines the effectiveness of alternative practices in Industry 4.0. The paper's findings represent a systematic vision of implementing blockchain initiatives to solve climate change and clean energy transition. An energy-efficient model with a blockchain opens up massive opportunities for ecological monitoring, supports energy transition and ameliorates economic sustainability. Since the blockchain potential is not fully unlocked, a model expanding the use of blockchain in education to train green personnel and in science to support climate innovations is proposed.</p></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"5 ","pages":"Pages 64-78"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50197651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1016/j.glt.2022.12.002
Guanqiao Li , Zhenghao Fan , Yangzhong Zhou , Yijun Chen , Xuanling Shi , Xiaolei Xie , Linqi Zhang
The application of health adjusted life expectancy (HALE) in informing policy-making decisions and prioritizing health interventions require reliable quantitative and comparative information. To quantify how risk factors affect HALE from 1990 to 2017 and associations with attributable diseases and injuries, we conducted a demographic analysis using serial cross-sectional data from the Global Burden of Disease (GBD) Study 2017 and analysed risk-specific contribution to changes in HALE at birth (HALE0) globally and by 21 regions, and 195 countries and territories. From 1990 to 2017, global HALE0 increased by 6.33 years, of which 3.94 years were attributed to all designated risks. Specifically, 2.38 years came from improvement in behavioural risks, followed by 1.20 years from environmental and occupational risks. The top three contributors to increased HALE0 were due to better control of child growth failure (0.68 years), household air pollution from solid fuels (0.47 years), and smoking (0.42 years). The leading risks causing HALE0 decrease were high body-mass index (BMI, −0.08 years), unsafe sex (−0.07 years) and drug use (−0.03 years). These HALE0 decreases were linked to diabetes, HIV/AIDS, and drug use disorders, respectively. The largest decline in HALE0 across countries was due to high BMI (in 61 countries), unsafe sex (34), and drug use (29). Improved control of behavioural and environmental risks contributed most to increase in population health. Individual risk factors with negative contributions require future effective interventions to reversing the effects. This quantitative analysis highlights the potential roadmaps for sustained interventions on specific risk factors globally and locally.
{"title":"The contributions of risk factors on health adjusted life expectancy (HALE) changes from 1990 to 2017: A serial cross-sectional analysis from the GBD study","authors":"Guanqiao Li , Zhenghao Fan , Yangzhong Zhou , Yijun Chen , Xuanling Shi , Xiaolei Xie , Linqi Zhang","doi":"10.1016/j.glt.2022.12.002","DOIUrl":"https://doi.org/10.1016/j.glt.2022.12.002","url":null,"abstract":"<div><p>The application of health adjusted life expectancy (HALE) in informing policy-making decisions and prioritizing health interventions require reliable quantitative and comparative information. To quantify how risk factors affect HALE from 1990 to 2017 and associations with attributable diseases and injuries, we conducted a demographic analysis using serial cross-sectional data from the Global Burden of Disease (GBD) Study 2017 and analysed risk-specific contribution to changes in HALE at birth (HALE<sub>0</sub>) globally and by 21 regions, and 195 countries and territories. From 1990 to 2017, global HALE<sub>0</sub> increased by 6.33 years, of which 3.94 years were attributed to all designated risks. Specifically, 2.38 years came from improvement in behavioural risks, followed by 1.20 years from environmental and occupational risks. The top three contributors to increased HALE<sub>0</sub> were due to better control of child growth failure (0.68 years), household air pollution from solid fuels (0.47 years), and smoking (0.42 years). The leading risks causing HALE<sub>0</sub> decrease were high body-mass index (BMI, −0.08 years), unsafe sex (−0.07 years) and drug use (−0.03 years). These HALE<sub>0</sub> decreases were linked to diabetes, HIV/AIDS, and drug use disorders, respectively. The largest decline in HALE<sub>0</sub> across countries was due to high BMI (in 61 countries), unsafe sex (34), and drug use (29). Improved control of behavioural and environmental risks contributed most to increase in population health. Individual risk factors with negative contributions require future effective interventions to reversing the effects. This quantitative analysis highlights the potential roadmaps for sustained interventions on specific risk factors globally and locally.</p></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"4 ","pages":"Pages 90-99"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589791822000172/pdfft?md5=ab4a9b1a94c8ea68280217be06324fc1&pid=1-s2.0-S2589791822000172-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91660600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1016/j.glt.2022.08.001
Ya Gao , Yijia Zhang , Qunxin Zhou , Liangyu Han , Ji Zhou , Yi Zhang , Baoping Li , Weifeng Mu , Chaochao Gao
Nature-based climate solutions are playing an increasingly significant role under the long-term goal of carbon-neutrality. Carbon storage and sequestration are important service functions of the ecosystem, but these potential in neutralizing carbon emissions at provincial level is rarely evaluated. Here we take Qinghai province in northwest China to conduct a case study, as it possesses the country's best solar and wind energy resource, one of the largest ecosystem therefore great carbon sequestration potential, and has been strived to set off a carbon neutral pilot in China. We combine the carbon density observation database and the land use/cover change (LUCC) data with the InVEST model to study the spatiotemporal dynamics of the carbon stock for Qinghai's terrestrial ecosystem, which are then compared to the energy related carbon emissions. The results reveal a tale of two stages, as Qinghai transformed from being a fast growing carbon emitter during 2000–2015 to be a carbon neutral player during the 13th Five-Year Plan (2015–2020). Land management interventions can contribute to climate change mitigation through avoided emissions from ecosystem degradation, and through negative emissions via biomass growth and, soil carbon sequestration. The duel-effort of greening the power grid and enhancing the ecosystem carbon sequestration is critical in achieving Qinghai's transition. Practices like agrophotovoltaic power plant in the barren or degraded lands have demonstrated great synergies of harvesting solar energy and enhancing ecosystem carbon sequestration, and offer good example for regions alike.
{"title":"Potential of ecosystem carbon sinks to “neutralize” carbon emissions: A case study of Qinghai in west China and a tale of two stages","authors":"Ya Gao , Yijia Zhang , Qunxin Zhou , Liangyu Han , Ji Zhou , Yi Zhang , Baoping Li , Weifeng Mu , Chaochao Gao","doi":"10.1016/j.glt.2022.08.001","DOIUrl":"https://doi.org/10.1016/j.glt.2022.08.001","url":null,"abstract":"<div><p>Nature-based climate solutions are playing an increasingly significant role under the long-term goal of carbon-neutrality. Carbon storage and sequestration are important service functions of the ecosystem, but these potential in neutralizing carbon emissions at provincial level is rarely evaluated. Here we take Qinghai province in northwest China to conduct a case study, as it possesses the country's best solar and wind energy resource, one of the largest ecosystem therefore great carbon sequestration potential, and has been strived to set off a carbon neutral pilot in China. We combine the carbon density observation database and the land use/cover change (LUCC) data with the InVEST model to study the spatiotemporal dynamics of the carbon stock for Qinghai's terrestrial ecosystem, which are then compared to the energy related carbon emissions. The results reveal a tale of two stages, as Qinghai transformed from being a fast growing carbon emitter during 2000–2015 to be a carbon neutral player during the 13th Five-Year Plan (2015–2020). Land management interventions can contribute to climate change mitigation through avoided emissions from ecosystem degradation, and through negative emissions via biomass growth and, soil carbon sequestration. The duel-effort of greening the power grid and enhancing the ecosystem carbon sequestration is critical in achieving Qinghai's transition. Practices like agrophotovoltaic power plant in the barren or degraded lands have demonstrated great synergies of harvesting solar energy and enhancing ecosystem carbon sequestration, and offer good example for regions alike.</p></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"4 ","pages":"Pages 1-10"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589791822000093/pdfft?md5=366a73f54055a235869eb16b6c25f350&pid=1-s2.0-S2589791822000093-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91739982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1016/j.glt.2022.12.003
Ai Zhao , Hanglian Lan , Ignatius Man-Yau Szeto , Shanshan Huo , Yucheng Yang , Jiaqi Yang , Yumei Zhang
Background & aims
Traditional Chinese customs practicing in postpartum yield mixed results on maternal health. The objectives of this study are 1) to depict the postpartum customs in Chinese lactating women in varied areas and 2) to explore its effects on dietary intake.
Method
This study is part of the “YI” study; data of 974 lactating women from ten cities of China were used. Food intake frequencies in the past month were assessed with the Food Frequency Questionnaire. The 24-h dietary recall was used to estimate nutrient intake and assess dietary diversity. Participants were also required to report in detail those traditional customs which they had practiced in postpartum, and word clouds were drawn according to the report frequencies of certain customs.
Results
In total, 49.9% of women practiced certain traditional customs in postpartum. A total of 159 customs were recorded, including 130 dietary customs. The most frequently reported customs included “avoid eating cold food” (n = 164), “no spicy food” (n = 121) and “avoiding food influencing breast milk secretion” (n = 42). The dietary diversity was not associated with practicing postpartum customs; however, women with customs had significantly higher intake frequencies of potato and yam, seaweed, fruits, livestock meat and other dairy products, yet a lower intake frequency of dark green vegetables. For nutrient intake, women who practicing certain practices were observed to have a significantly higher intake of energy, protein, carbohydrate, niacin, phosphorus, potassium and magnesium.
Conclusions
Traditional postpartum customs are still common in Chinese women and associated with dietary intake.
{"title":"Traditional postpartum customs in modern urban Chinese women and its association with dietary quality","authors":"Ai Zhao , Hanglian Lan , Ignatius Man-Yau Szeto , Shanshan Huo , Yucheng Yang , Jiaqi Yang , Yumei Zhang","doi":"10.1016/j.glt.2022.12.003","DOIUrl":"https://doi.org/10.1016/j.glt.2022.12.003","url":null,"abstract":"<div><h3>Background & aims</h3><p>Traditional Chinese customs practicing in postpartum yield mixed results on maternal health. The objectives of this study are 1) to depict the postpartum customs in Chinese lactating women in varied areas and 2) to explore its effects on dietary intake.</p></div><div><h3>Method</h3><p>This study is part of the “YI” study; data of 974 lactating women from ten cities of China were used. Food intake frequencies in the past month were assessed with the Food Frequency Questionnaire. The 24-h dietary recall was used to estimate nutrient intake and assess dietary diversity. Participants were also required to report in detail those traditional customs which they had practiced in postpartum, and word clouds were drawn according to the report frequencies of certain customs.</p></div><div><h3>Results</h3><p>In total, 49.9% of women practiced certain traditional customs in postpartum. A total of 159 customs were recorded, including 130 dietary customs. The most frequently reported customs included “avoid eating cold food” (n = 164), “no spicy food” (n = 121) and “avoiding food influencing breast milk secretion” (n = 42). The dietary diversity was not associated with practicing postpartum customs; however, women with customs had significantly higher intake frequencies of potato and yam, seaweed, fruits, livestock meat and other dairy products, yet a lower intake frequency of dark green vegetables. For nutrient intake, women who practicing certain practices were observed to have a significantly higher intake of energy, protein, carbohydrate, niacin, phosphorus, potassium and magnesium.</p></div><div><h3>Conclusions</h3><p>Traditional postpartum customs are still common in Chinese women and associated with dietary intake.</p></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"4 ","pages":"Pages 82-89"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589791822000184/pdfft?md5=c92aa9fe2e2c56f314271b9d662bd66b&pid=1-s2.0-S2589791822000184-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91660599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1016/j.glt.2022.10.003
Huijing He, Li Pan, Yaoda Hu, Ji Tu, Chengdong Yu, Guangliang Shan
Large scale population-based epidemiological health surveys require effective administration. The diverse phenotype data sets also lead to challenge to quick and visual feedback of health check-up results or meeting the need of self-health management. With the rapid popularization of smartphone use, the smartphone-based applications bring about new inspirations for traditional epidemiological studies to fulfill various health and research needs. In 2015, we designed a software named Peking Union Health Application (PUHApp), which can be used noncommercially via smartphone or modern desktop web browser. PUHApp has been used by over 50 000 individuals to obtain their e-health reports. Diverse health data have been linked to this application. The module of self-health assessment and disease risk prediction modules enable individuals to estimate their physical fitness conveniently. By describing the concepts and usage of PUHApp, we aim to demonstrate its key role as modern solution for effective epidemiological survey administration and health promotion, and to provide practical cases that could be helpful for other researchers.
{"title":"Peking Union Health Application (PUHApp): Modern solution for effective epidemiological survey administration and health promotion","authors":"Huijing He, Li Pan, Yaoda Hu, Ji Tu, Chengdong Yu, Guangliang Shan","doi":"10.1016/j.glt.2022.10.003","DOIUrl":"https://doi.org/10.1016/j.glt.2022.10.003","url":null,"abstract":"<div><p>Large scale population-based epidemiological health surveys require effective administration. The diverse phenotype data sets also lead to challenge to quick and visual feedback of health check-up results or meeting the need of self-health management. With the rapid popularization of smartphone use, the smartphone-based applications bring about new inspirations for traditional epidemiological studies to fulfill various health and research needs. In 2015, we designed a software named Peking Union Health Application (PUHApp), which can be used noncommercially via smartphone or modern desktop web browser. PUHApp has been used by over 50 000 individuals to obtain their e-health reports. Diverse health data have been linked to this application. The module of self-health assessment and disease risk prediction modules enable individuals to estimate their physical fitness conveniently. By describing the concepts and usage of PUHApp, we aim to demonstrate its key role as modern solution for effective epidemiological survey administration and health promotion, and to provide practical cases that could be helpful for other researchers.</p></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"4 ","pages":"Pages 40-44"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589791822000123/pdfft?md5=721b8e6226844d18f493543726bacf96&pid=1-s2.0-S2589791822000123-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91660596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1016/j.glt.2022.11.002
Tiantian Li, Xuan Wang, Lizheng Guan, Xianyun Wang, Jing Shen, Dajun Li, Hongrui Li, Rong Xiao, Yuandi Xi
Diabetes and dementia are becoming the major problems in elderly people. This study evaluated the relationships of dietary inflammatory index (DII), systemic immune inflammation index (SII) and system inflammation response index (SIRI) with diabetes as well as MCI, and explored the different synergistic effects of DII, SII and SIRI on blood glucose and cognition based on diabetes status. 1050 eligible participants from Beijing were included. Cognitive function was evaluated by neuropsychological tests. Food frequency questionnaire was used to calculate energy-adjusted DII scores. Blood samples were applied to obtain fasting plasma glucose (FPG) and calculate SII, SIRI. The dietary intake between different diabetes status had no differences, while the consumption of Mg, niacin and thiamin were significantly lower in diabetes patients with MCI than others. Lower levels of DII, SIRI and SII might increase the risk of diabetes, MCI and co-morbidity of diabetes with MCI. Higher FPG enhanced the synergistic effects of DII and SII on MCI, as well as DII and SIRI. The lower levels of DII, SIRI and SII were significantly correlated with higher MoCA scores and lower FPG in diabetes patients. The relationships between inflammatory and cognition or FPG were significantly diminished or even disappeared in non-diabetes population. In conclusion, lower levels of DII, SIRI and SII might play protective roles in reducing the risks of diabetes and/or MCI. The synergistic effects of low dietary and blood inflammation on cognitive protection and FPG control were more sensitive in elderly people with diabetes.
{"title":"The role of dietary and blood inflammation on the relation of diabetes and cognition in Chinese elderly people","authors":"Tiantian Li, Xuan Wang, Lizheng Guan, Xianyun Wang, Jing Shen, Dajun Li, Hongrui Li, Rong Xiao, Yuandi Xi","doi":"10.1016/j.glt.2022.11.002","DOIUrl":"https://doi.org/10.1016/j.glt.2022.11.002","url":null,"abstract":"<div><p>Diabetes and dementia are becoming the major problems in elderly people. This study evaluated the relationships of dietary inflammatory index (DII), systemic immune inflammation index (SII) and system inflammation response index (SIRI) with diabetes as well as MCI, and explored the different synergistic effects of DII, SII and SIRI on blood glucose and cognition based on diabetes status. 1050 eligible participants from Beijing were included. Cognitive function was evaluated by neuropsychological tests. Food frequency questionnaire was used to calculate energy-adjusted DII scores. Blood samples were applied to obtain fasting plasma glucose (FPG) and calculate SII, SIRI. The dietary intake between different diabetes status had no differences, while the consumption of Mg, niacin and thiamin were significantly lower in diabetes patients with MCI than others. Lower levels of DII, SIRI and SII might increase the risk of diabetes, MCI and co-morbidity of diabetes with MCI. Higher FPG enhanced the synergistic effects of DII and SII on MCI, as well as DII and SIRI. The lower levels of DII, SIRI and SII were significantly correlated with higher MoCA scores and lower FPG in diabetes patients. The relationships between inflammatory and cognition or FPG were significantly diminished or even disappeared in non-diabetes population. In conclusion, lower levels of DII, SIRI and SII might play protective roles in reducing the risks of diabetes and/or MCI. The synergistic effects of low dietary and blood inflammation on cognitive protection and FPG control were more sensitive in elderly people with diabetes.</p></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"4 ","pages":"Pages 58-67"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589791822000159/pdfft?md5=3b19df081a8a4be21a1752157691dafe&pid=1-s2.0-S2589791822000159-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91660597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1016/j.glt.2022.11.001
Wannian Liang (Editor-in-Chief)
{"title":"Global Transitions: A multidisciplinary journal on human and planetary health","authors":"Wannian Liang (Editor-in-Chief)","doi":"10.1016/j.glt.2022.11.001","DOIUrl":"10.1016/j.glt.2022.11.001","url":null,"abstract":"","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"4 ","pages":"Pages 68-69"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589791822000147/pdfft?md5=7e57574c2a1e1e653d4a14af8f5e1b2d&pid=1-s2.0-S2589791822000147-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43690721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1016/j.glt.2022.10.002
Xiaona Na , Menglu Xi , Yiguo Zhou , Jiaqi Yang , Jian Zhang , Yuandi Xi , Yucheng Yang , Haibing Yang , Ai Zhao
Background & aims
Previous evidence varied on the relationship of dietary sodium, potassium, sodium/potassium, and salt with cognitive function. This study aimed to explore the associations of sodium, potassium, sodium/potassium, and salt intakes with cognitive function among the elderly in China.
Methods
Data were accessed from the database of the 1997–2006 China Health and Nutrition Survey, including 4213 participants aged at least 50 years at baseline. Dietary data at individual and household levels were collected using the method of 24-h dietary recall in three consecutive days. Cognitive function was measured through objective and subjective methods. Linear regression models and multinomial logistic regression models were established to elucidate the association of dietary sodium, potassium, sodium/potassium, and salt with cognitive function. Mediation effect analysis and substitution analysis were also conducted.
Results
Higher potassium intakes in Q3 (Median: 1653.3 g/day, β = 1.366, 95% confidence interval [CI]: 0.845 to 1.887) and Q4 (Median: 2181.4 g/day, β = 1.454, 95% CI: 0.865 to 2.044) were significantly associated with higher cognitive test score compared with Q1 (Median: 1053.7 g/day). Sodium/potassium intake in Q3 (Median: 3.8, β = −0.791, 95% CI: -1.264 to −0.317) and Q4 (Median: 5.5, β = −0.909, 95% CI: -1.401 to −0.417) were inversely associated with the cognitive test score compared with Q1 (Median: 2.0). Higher dietary sodium and sodium/potassium intakes were associated with a higher risk of a self-reported poor and deteriorated memory during the past 12 months. Additionally, higher potassium intakes were significantly associated with a lower risk of deteriorated memory. The associations of dietary potassium and sodium/potassium were mediated by CCVD, and average cognitive test score increased by about 1 point after replacing 1000 mg/day of sodium with an equal intake of potassium.
Conclusions
Restricting sodium and increasing potassium, and keeping the balance of dietary sodium and potassium are encouraged to prevent cognitive decline and dementia in the elderly.
{"title":"Association of dietary sodium, potassium, sodium/potassium, and salt with objective and subjective cognitive function among the elderly in China: A prospective cohort study","authors":"Xiaona Na , Menglu Xi , Yiguo Zhou , Jiaqi Yang , Jian Zhang , Yuandi Xi , Yucheng Yang , Haibing Yang , Ai Zhao","doi":"10.1016/j.glt.2022.10.002","DOIUrl":"https://doi.org/10.1016/j.glt.2022.10.002","url":null,"abstract":"<div><h3>Background & aims</h3><p>Previous evidence varied on the relationship of dietary sodium, potassium, sodium/potassium, and salt with cognitive function. This study aimed to explore the associations of sodium, potassium, sodium/potassium, and salt intakes with cognitive function among the elderly in China.</p></div><div><h3>Methods</h3><p>Data were accessed from the database of the 1997–2006 China Health and Nutrition Survey, including 4213 participants aged at least 50 years at baseline. Dietary data at individual and household levels were collected using the method of 24-h dietary recall in three consecutive days. Cognitive function was measured through objective and subjective methods. Linear regression models and multinomial logistic regression models were established to elucidate the association of dietary sodium, potassium, sodium/potassium, and salt with cognitive function. Mediation effect analysis and substitution analysis were also conducted.</p></div><div><h3>Results</h3><p>Higher potassium intakes in Q3 (<em>Median</em>: 1653.3 g/day, <em>β</em> = 1.366, 95% confidence interval [CI]: 0.845 to 1.887) and Q4 (<em>Median</em>: 2181.4 g/day, <em>β</em> = 1.454, 95% CI: 0.865 to 2.044) were significantly associated with higher cognitive test score compared with Q1 (<em>Median</em>: 1053.7 g/day). Sodium/potassium intake in Q3 (<em>Median</em>: 3.8, <em>β</em> = −0.791, 95% CI: -1.264 to −0.317) and Q4 (<em>Median</em>: 5.5, <em>β</em> = −0.909, 95% CI: -1.401 to −0.417) were inversely associated with the cognitive test score compared with Q1 (<em>Median</em>: 2.0). Higher dietary sodium and sodium/potassium intakes were associated with a higher risk of a self-reported poor and deteriorated memory during the past 12 months. Additionally, higher potassium intakes were significantly associated with a lower risk of deteriorated memory. The associations of dietary potassium and sodium/potassium were mediated by CCVD, and average cognitive test score increased by about 1 point after replacing 1000 mg/day of sodium with an equal intake of potassium.</p></div><div><h3>Conclusions</h3><p>Restricting sodium and increasing potassium, and keeping the balance of dietary sodium and potassium are encouraged to prevent cognitive decline and dementia in the elderly.</p></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"4 ","pages":"Pages 28-39"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589791822000111/pdfft?md5=07c84a03e1b4524dd20f3d64f5a69adc&pid=1-s2.0-S2589791822000111-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91660601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1016/j.glt.2022.12.001
Ziyang Ren , Xinyao Lian , Yushan Du , Yating Liu , Yanqing Han , Jufen Liu
Objective
To explore the associations of own and spousal intra- and extra-familial adverse childhood experiences (ACEs) with cognitive function and the role of depression in women.
Methods
Data were from the China Health and Retirement Longitudinal Study. ACEs included 11 intra-familial and 3 extra-familial domains. Principal component analysis was used to divide ACEs into mild, moderate, severe, and most severe. Depression was assessed using CESD-10 (cutoff≥10). Global cognition included episodic memory and mental intactness, with values ranging from 0 to 31. Adjusted multiple generalized linear regression models (GLM) were used to investigate the associations of own or spousal ACEs with women's cognitive function and the role of their depression in general women in Analysis 1 and married women in Analysis 2, respectively.
Results
Among 4613 women aged 59.0 (52.0–65.0) in Analysis 1, depression mediated 12.3%, 14.6%, and 9.5% the effects of most severe overall ACEs on global cognition, episodic memory, and mental intactness. In Analysis 2, most severe spousal overall ACEs were associated with women's mental intactness, with β (95% CI) of −0.120 (−0.217 to −0.023), which was mediated by women's depression by 19.8%. Furthermore, most severe spousal extra-familial ACEs were associated with women's global cognition, episodic memory, and mental intactness (β = −0.210, 95% CI -0.297 to −0.123; β = −0.150, 95% CI -0.241 to −0.060; β = −0.211, 95% CI -0.302 to −0.121), which was 7.6%, 9.4%, and 6.0% mediated by their depression.
Conclusion
Depression mediated the effects of own and spousal extra-familial (not intra-familial) ACEs on women's cognitive function.
{"title":"Association of own and spousal intra- and extra-familial adverse childhood experiences with cognitive function and the role of depression in middle-aged and older Chinese women","authors":"Ziyang Ren , Xinyao Lian , Yushan Du , Yating Liu , Yanqing Han , Jufen Liu","doi":"10.1016/j.glt.2022.12.001","DOIUrl":"https://doi.org/10.1016/j.glt.2022.12.001","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the associations of own and spousal intra- and extra-familial adverse childhood experiences (ACEs) with cognitive function and the role of depression in women.</p></div><div><h3>Methods</h3><p>Data were from the China Health and Retirement Longitudinal Study. ACEs included 11 intra-familial and 3 extra-familial domains. Principal component analysis was used to divide ACEs into mild, moderate, severe, and most severe. Depression was assessed using CESD-10 (cutoff≥10). Global cognition included episodic memory and mental intactness, with values ranging from 0 to 31. Adjusted multiple generalized linear regression models (GLM) were used to investigate the associations of own or spousal ACEs with women's cognitive function and the role of their depression in general women in Analysis 1 and married women in Analysis 2, respectively.</p></div><div><h3>Results</h3><p>Among 4613 women aged 59.0 (52.0–65.0) in Analysis 1, depression mediated 12.3%, 14.6%, and 9.5% the effects of most severe overall ACEs on global cognition, episodic memory, and mental intactness. In Analysis 2, most severe spousal overall ACEs were associated with women's mental intactness, with β (95% CI) of −0.120 (−0.217 to −0.023), which was mediated by women's depression by 19.8%. Furthermore, most severe spousal extra-familial ACEs were associated with women's global cognition, episodic memory, and mental intactness (β = −0.210, 95% CI -0.297 to −0.123; β = −0.150, 95% CI -0.241 to −0.060; β = −0.211, 95% CI -0.302 to −0.121), which was 7.6%, 9.4%, and 6.0% mediated by their depression.</p></div><div><h3>Conclusion</h3><p>Depression mediated the effects of own and spousal extra-familial (not intra-familial) ACEs on women's cognitive function.</p></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"4 ","pages":"Pages 70-81"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589791822000160/pdfft?md5=fbaee047f0ab21ba7c694084b16ae27c&pid=1-s2.0-S2589791822000160-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91660598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}