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The effect of 5G policy development on self-rated health among Chinese older adults: A quasi-experimental study 5G政策发展对中国老年人自我评价健康的影响:一项准实验研究
Q1 Social Sciences Pub Date : 2023-01-01 DOI: 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.

目标中国政府高度重视第五代移动通信技术基础设施建设。本研究旨在评估5G政策发展对中国大陆老年人自我评价健康的影响。方法利用2018年中国家庭小组研究及其2020年随访的全国代表性数据,对2334名60岁及以上的参与者进行了分析。我们在差异设置中采用双向固定估计器,分析了以政策数量衡量的不同5G发展水平的队列中老年人的SRH,并探讨了5G政策实施前后的相对差异。在分析中进行了异质性和若干稳健性检验。结果5G政策实施后,调整协变量后,5G政策发展水平每增加一个单位,老年人自我评价健康状况良好的概率就会增加31%。在年龄组、性别和生活地区也存在显著差异。5G政策对性健康和生殖健康的改善作用在65-74岁的年轻人、女性和城市居民中得到了加强。结论我们的研究结果表明,5G政策的制定对老年人的SRH具有积极作用,表明了技术进步对健康的促进作用。考虑到异质性,必须采取更多的关注和有针对性的措施来帮助社会经济弱势群体避免数字恶性循环。
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引用次数: 0
Blockchain, sustainability and clean energy transition 区块链、可持续发展和清洁能源转型
Q1 Social Sciences Pub Date : 2023-01-01 DOI: 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.

数字经济的新型工业化本身加速了资源消耗,广泛的自动化不可避免地预示着技术的飞跃。这篇文章从概念和经验上为区块链的系统愿景做出了贡献,以解决气候变化挑战和清洁能源转型,同时提高良好实践的生产力和效率。这一愿景涵盖了推广生态倡议、减少废物、组织可持续投资、控制应对和预测气候变化的责任以及清洁能源转型。通过接受区块链作为气候变化和清洁能源转型解决问题工具的概念,本文借鉴并调查了36个数字发达经济体和25个数字发展中经济体的经验。它还考察了工业4.0中替代实践的有效性。该论文的发现代表了实施区块链举措以解决气候变化和清洁能源转型的系统愿景。具有区块链的节能模式为生态监测、支持能源转型和改善经济可持续性开辟了巨大机会。由于区块链的潜力尚未完全释放,因此提出了一种模式,即扩大区块链在教育中的使用,以培训绿色人才,并在科学中支持气候创新。
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引用次数: 4
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 1990 - 2017年风险因素对健康调整预期寿命(HALE)变化的影响:GBD研究的系列横断面分析
Q1 Social Sciences Pub Date : 2022-01-01 DOI: 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.

在为决策提供信息和确定卫生干预措施的优先次序方面应用健康调整预期寿命需要可靠的数量和比较信息。为了量化1990年至2017年风险因素如何影响HALE以及与归因疾病和损伤的关联,我们使用2017年全球疾病负担(GBD)研究的连续横断面数据进行了人口统计分析,并分析了全球21个地区和195个国家和地区对出生时HALE (HALE0)变化的风险特异性贡献。从1990年到2017年,全球HALE0增加了6.33年,其中3.94年归因于所有指定风险。具体来说,2.38年来自行为风险的改善,其次是1.20年来自环境和职业风险的改善。HALE0增加的前三大因素是更好地控制儿童生长障碍(0.68岁)、固体燃料造成的家庭空气污染(0.47岁)和吸烟(0.42岁)。导致HALE0下降的主要危险因素是高体质指数(BMI, - 0.08岁)、不安全性行为(- 0.07岁)和吸毒(- 0.03岁)。这些HALE0的下降分别与糖尿病、艾滋病毒/艾滋病和药物使用障碍有关。各国HALE0下降幅度最大的原因是高BMI(61个国家)、不安全性行为(34个国家)和吸毒(29个国家)。改善对行为和环境风险的控制对增进人口健康贡献最大。具有负面影响的个别风险因素需要未来采取有效的干预措施来扭转其影响。这一定量分析突出了针对全球和地方特定风险因素进行持续干预的潜在路线图。
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引用次数: 1
Potential of ecosystem carbon sinks to “neutralize” carbon emissions: A case study of Qinghai in west China and a tale of two stages 生态系统碳汇“中和”碳排放的潜力——以青海省为例及两个阶段的故事
Q1 Social Sciences Pub Date : 2022-01-01 DOI: 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.

基于自然的气候解决方案在碳中和的长期目标下发挥着越来越重要的作用。碳储存和固碳是生态系统的重要服务功能,但在省级层面上对其中和碳排放的潜力评价较少。这里我们以中国西北的青海省为例进行研究,因为青海省拥有全国最好的太阳能和风能资源,是最大的生态系统之一,因此具有很大的碳封存潜力,并且一直在努力启动中国的碳中和试点。结合碳密度观测数据库和土地利用/覆被变化(LUCC)数据,利用InVEST模型研究青海省陆地生态系统碳储量的时空动态,并与能源相关碳排放进行比较。研究结果显示,青海经历了两个阶段,从2000年至2015年碳排放快速增长的省份转变为“十三五”(2015-2020)期间的碳中和国家。土地管理干预措施可以通过避免生态系统退化造成的排放,以及通过生物量增长和土壤固碳产生的负排放,促进减缓气候变化。绿色电网和增强生态系统固碳的双管齐下是实现青海转型的关键。在贫瘠或退化土地上建立农用光伏电站等做法,在收集太阳能和加强生态系统固碳方面显示出巨大的协同效应,为类似地区提供了良好的示范。
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引用次数: 3
Traditional postpartum customs in modern urban Chinese women and its association with dietary quality 现代中国城市妇女的产后传统习俗及其与饮食质量的关系
Q1 Social Sciences Pub Date : 2022-01-01 DOI: 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.

背景,目的中国传统习俗在产后的实践对产妇健康的影响好坏参半。本研究的目的是1)描述中国不同地区哺乳期妇女的产后习俗,2)探讨其对饮食摄入的影响。方法本研究是“YI”研究的一部分;数据来自中国10个城市的974名哺乳期妇女。使用食物频率问卷评估过去一个月的食物摄取频率。采用24小时膳食回忆法估算营养摄入量和评估膳食多样性。还要求参与者详细报告她们在产后实践的传统习俗,并根据某些习俗的报告频率绘制词云。结果49.9%的产妇在产后有一定的传统习俗。共记录了159种风俗,其中饮食风俗130种。最常见的习俗包括“避免吃冷的食物”(164例)、“不吃辛辣的食物”(121例)和“避免吃影响母乳分泌的食物”(42例)。饮食多样性与产后习惯没有关系;然而,有风俗习惯的妇女对马铃薯和山药、海藻、水果、牲畜肉和其他乳制品的摄入频率明显较高,而对深绿色蔬菜的摄入频率较低。在营养摄入方面,研究人员观察到,实行某些做法的女性在能量、蛋白质、碳水化合物、烟酸、磷、钾和镁的摄入量方面明显更高。结论传统的产后习俗在中国妇女中仍然普遍存在,并与膳食摄入有关。
{"title":"Traditional postpartum customs in modern urban Chinese women and its association with dietary quality","authors":"Ai Zhao ,&nbsp;Hanglian Lan ,&nbsp;Ignatius Man-Yau Szeto ,&nbsp;Shanshan Huo ,&nbsp;Yucheng Yang ,&nbsp;Jiaqi Yang ,&nbsp;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 &amp; 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}
引用次数: 0
Peking Union Health Application (PUHApp): Modern solution for effective epidemiological survey administration and health promotion 北京联合健康应用:流行病学调查管理和健康促进的现代解决方案
Q1 Social Sciences Pub Date : 2022-01-01 DOI: 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.

大规模人口流行病学健康调查需要有效的管理。表型数据集的多样化也给健康检查结果的快速、直观反馈或满足自我健康管理的需要带来挑战。随着智能手机的快速普及,基于智能手机的应用为传统的流行病学研究带来了新的灵感,以满足各种健康和研究需求。2015年,我们设计了一款名为“北京协和健康应用”(PUHApp)的软件,可以通过智能手机或现代桌面网络浏览器非商业使用。超过5万人使用PUHApp获取他们的电子卫生报告。各种健康数据已与此应用程序相关联。自我健康评估模块和疾病风险预测模块使个人能够方便地估计自己的身体健康状况。通过描述PUHApp的概念和用法,旨在说明其作为有效的流行病学调查管理和健康促进的现代解决方案的关键作用,并为其他研究人员提供实用案例。
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引用次数: 0
The role of dietary and blood inflammation on the relation of diabetes and cognition in Chinese elderly people 饮食和血液炎症在中国老年人糖尿病与认知关系中的作用
Q1 Social Sciences Pub Date : 2022-01-01 DOI: 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.

糖尿病和痴呆正在成为老年人的主要问题。本研究评估饮食炎症指数(DII)、全身免疫炎症指数(SII)和系统炎症反应指数(SIRI)与糖尿病和MCI的关系,并探讨DII、SII和SIRI在糖尿病状态下对血糖和认知的不同协同作用。纳入了1050名来自北京的符合条件的参与者。通过神经心理学测试评估认知功能。采用食物频率问卷计算能量调整后的DII得分。取血测空腹血糖(FPG),计算SII、SIRI。不同糖尿病状态之间的膳食摄入量没有差异,而MCI糖尿病患者的Mg、烟酸和硫胺素的摄入量明显低于其他糖尿病患者。较低水平的DII、SIRI和SII可能会增加糖尿病、MCI和糖尿病合并MCI的风险。较高的FPG增强了DII和SII对MCI以及DII和SIRI的协同作用。糖尿病患者较低的DII、SIRI和SII水平与较高的MoCA评分和较低的FPG水平显著相关。在非糖尿病人群中,炎症与认知或FPG之间的关系明显减弱甚至消失。综上所述,较低水平的DII、SIRI和SII可能对降低糖尿病和/或MCI的风险起保护作用。低饮食和血液炎症对老年糖尿病患者认知保护和FPG控制的协同作用更为敏感。
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引用次数: 0
Global Transitions: A multidisciplinary journal on human and planetary health 全球转型:关于人类和地球健康的多学科期刊
Q1 Social Sciences Pub Date : 2022-01-01 DOI: 10.1016/j.glt.2022.11.001
Wannian Liang (Editor-in-Chief)
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引用次数: 0
Association of dietary sodium, potassium, sodium/potassium, and salt with objective and subjective cognitive function among the elderly in China: A prospective cohort study 中国老年人膳食钠、钾、钠/钾和盐与主客观认知功能的关系:一项前瞻性队列研究
Q1 Social Sciences Pub Date : 2022-01-01 DOI: 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.

背景,目的关于膳食钠、钾、钠/钾和盐与认知功能的关系,以往的证据各不相同。本研究旨在探讨中国老年人钠、钾、钠/钾和盐摄入量与认知功能的关系。方法数据来自1997-2006年中国健康与营养调查数据库,包括4213名基线年龄在50岁以上的参与者。采用连续3 d的24 h膳食召回法收集个人和家庭水平的膳食数据。通过客观和主观两种方法测量认知功能。建立了线性回归模型和多项logistic回归模型来阐明膳食钠、钾、钠/钾和盐与认知功能的关系。并进行了中介效应分析和替代分析。结果Q3(中位数:1653.3 g/d, β = 1.366, 95%可信区间[CI]: 0.845 ~ 1.887)和Q4(中位数:2181.4 g/d, β = 1.454, 95% CI: 0.865 ~ 2.044)与Q1(中位数:1053.7 g/d)相比,较高的钾摄入量与更高的认知测试分数显著相关。与Q1(中位数:2.0)相比,Q3(中位数:3.8,β = - 0.791, 95% CI: -1.264至- 0.317)和Q4(中位数:5.5,β = - 0.909, 95% CI: -1.401至- 0.417)的钠/钾摄入量与认知测试分数呈负相关。在过去的12个月里,较高的饮食钠和钠/钾摄入量与自我报告的记忆力差和恶化的风险相关。此外,较高的钾摄入量与较低的记忆力退化风险显著相关。饮食中钾和钠/钾的相关性由CCVD介导,以等量钾替代1000 mg/d钠后,平均认知测试得分提高约1分。结论限制钠、增加钾,保持饮食钠钾平衡,可预防老年人认知能力下降和痴呆。
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引用次数: 0
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 在中国中老年妇女中,自己和配偶家庭内外的不良童年经历与认知功能和抑郁的关系
Q1 Social Sciences Pub Date : 2022-01-01 DOI: 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.

目的探讨自身和配偶家庭内外不良童年经历(ace)与女性认知功能的关系及其在抑郁症中的作用。方法数据来源于中国健康与退休纵向研究。ace包括11个家族内域和3个家族外域。主成分分析将ace分为轻度、中度、重度和最重度。抑郁评估采用cced -10(截止值≥10)。整体认知包括情景记忆和精神完整性,其值在0到31之间。分析1采用调整后的多元广义线性回归模型(GLM)分别考察普通女性和已婚女性自身或配偶ace与女性认知功能的关系及其抑郁的作用。结果在分析1中,4613名年龄为59.0(52.0-65.0)的女性中,抑郁症介导了12.3%、14.6%和9.5%的最严重总体ace对整体认知、情景记忆和精神完整性的影响。在分析2中,最严重的配偶总体ace与女性精神完整性相关,β (95% CI)为- 0.120(- 0.217至- 0.023),其中女性抑郁介导了19.8%。此外,最严重的配偶家族外ace与女性的整体认知、情景记忆和精神完整性相关(β = - 0.210, 95% CI -0.297至- 0.123;β = - 0.150, 95% CI -0.241 ~ - 0.060;β = - 0.211, 95% CI -0.302 ~ - 0.121),其中由抑郁介导的分别为7.6%、9.4%和6.0%。结论抑郁介导了自身和配偶家族外(非家族内)ace对女性认知功能的影响。
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Global Transitions
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