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Two studies of Tsarang village, Upper Mustang Nepal with different results. 尼泊尔上野马省察朗村的两项研究结果不同。
IF 2.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2025-10-06 DOI: 10.1186/s40101-025-00405-7
Sienna R Craig, Anna Di Rienzo, Frank L Powell, Kingman P Strohl, Cynthia M Beall

The recent Journal of Physiological Anthropology article on polycythemia among Tibetan highlanders (Arima et al., J Physiol Anthropol 43:25, 2024) piqued our interest because we collected similar data in the same Nepali village in Upper Mustang two years later with notably different results (Cho et al., Evol Med Public Health 2017:82-96, 2017; Ye et al., Proc Natl Acad Sci U S A 121:e2403309121, 2024). Arima et al report high prevalences of chronic disease and conclude that Tsarang villagers have poor health. Here, we describe our relevant findings to show that authors' definitions and other research design elements can yield different population health implications. Our study sampled ethnic Tibetan Upper Mustang women 39 Years and older in 2012 who had been married or pregnant and were lifelong residents of this village at 3500m. At our 2019 follow-up study, the women were 46 Years and older. Fifty-five of the 64 eligible Tsarang residents (85%) participated in 2019 study designed to examine the influences of genes and physiology on reproductive success. Arima et al. sampled all Tsarang residents 18 or older in 2017, therefore, our studies include many of the same women in their mid-40s and older. Arima et al reported that 12% of the sample were polycythemic, whereas we found none; they reported 26% obesity whereas we found none; they showed 17% of the sample had hypertension, whereas we found 27%. Factors that may account for the differences in estimates of chronic disease prevalence in Tsarang include age differences in the samples, a wider age range in the currently reported sample, undefined cut-off values for disease categories, while we applied and reported chronic diseases using standard definitions. Because our study did not replicate the findings of Arima et al., we caution against concluding that women in Tsarang have alarming rates of obesity, polycythemia, and hypoxia. Our studies agree that high blood pressure is a public health problem among women in Tsarang. Future use of clear definitions of disease categories will help establish a common understanding of a population's health.

, J Physiol Anthropol 43:25, 2024)引起了我们的兴趣,因为我们在两年后在Upper Mustang的同一个尼泊尔村庄收集了类似的数据,结果明显不同(Cho et al., Evol Med Public Health 2017:82-96, 2017; Ye et al., Proc Natl Acad Sci U, 121:e2403309121, 2024)。Arima等人报告了慢性疾病的高患病率,并得出结论认为,Tsarang村民的健康状况不佳。在这里,我们描述了我们的相关发现,以表明作者的定义和其他研究设计元素可以产生不同的人群健康影响。在我们2019年的随访研究中,这些女性的年龄在46岁及以上。64名符合条件的察朗居民中有55人(85%)参加了2019年的研究,该研究旨在研究基因和生理对生殖成功的影响。Arima等人在2017年对所有18岁及以上的查朗居民进行了抽样,因此,我们的研究包括了许多40多岁及以上的女性。Arima等人报道12%的样本是红细胞增多,而我们没有发现;他们报告了26%的肥胖,而我们没有发现;他们显示17%的样本有高血压,而我们发现27%。可能导致察朗慢性病患病率估计值差异的因素包括样本的年龄差异、目前报告的样本的年龄范围更大、疾病类别的未定义截止值,而我们使用标准定义应用和报告慢性病。由于我们的研究没有重复Arima等人的研究结果,因此我们要谨慎,不要得出结论说察朗妇女的肥胖、红细胞增多症和缺氧的发生率令人担忧。我们的研究一致认为,高血压是察朗妇女的一个公共卫生问题。今后使用疾病类别的明确定义将有助于建立对人口健康的共同理解。
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引用次数: 0
Characteristics of cold-induced vasodilation among Tibetans and Han Chinese at high altitudes.
IF 2.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2025-09-30 DOI: 10.1186/s40101-025-00404-8
Hong-Chen Xie, Qi Cui, Shen-Wei Xie, Wen-Jun Jiang, Xiang-Qiong Meng, Ming-Hai Zheng, Xiao-Yong Huang, Xiao-Ling Tan

Background: Cold-induced vasodilation (CIVD) reduces the risk of local cold injuries. There are obvious differences in CIVD characteristics among different ethnic groups. This study aimed to compare cold tolerance manifested through CIVD responses in indigenous Tibetans and Han residents in Tibet.

Methods: A total of 12 Tibetans and 10 Han individuals (residence duration at high altitude > 5 years) from high altitudes were recruited in the study. The CIVD test was performed by immersing the participants' middle finger of the non-dominant hand in cold water (0 ℃) for 30 min followed by recovery for 10 min at a temperature of 25 ± 1 ℃. During the CIVD tests, the participants provided perceptual responses for the immersed hand every 5 min. The participants completed their baseline questionnaires and physiological assessments before the start of the CIVD test, and they completed their hematological tests the following morning.

Results: Compared with Hans at high altitude, Tibetans had higher minimum temperature (Tmin), maximum temperature (Tmax), and Resistance Index for Frostbite (RIF) scores (p < 0.05), and warmer perceptual responses (p < 0.05). We found that red blood cell (RBC) count, hemoglobin (HGB) and hematocrit (HCT) were positively correlated with onset time (Δtonset), peak time (Δtpeak), frequency of CIVD waves (CIVDwaves), and negatively correlated with Tmin, Tmax, mean finger temperature (Tmean) in the general population (p < 0.05), whereas these correlations were not observed in the Tibetan and Han populations (p > 0.05). However, the basophil percentage (BAS%), neutrophil percentage (NEU%) and γ-glutamyl transpeptidase (GGT) levels (p < 0.05) correlated with the RIF score in Han population.

Conclusion: Compared with Hans at high altitude, indigenous Tibetans demonstrated superior local cold resistance phenotypes in vasomotor regulation, evidenced by their distinct CIVD and perceptual responses. Hematological and biochemical parameters, erythrocytosis is a critical determinant of local cold tolerance at high altitude in the general population. BAS%, NEU%, and GGT are related to local cold tolerance in Han residents.

背景:冷致血管舒张术(CIVD)可降低局部冷损伤的风险。不同民族之间的CIVD特征存在明显差异。CIVD测试的方法是将参与者的非优势手中指浸入0℃的冷水中30分钟,然后在25±1℃的温度下恢复10分钟。在CIVD测试中,参与者每5分钟提供一次浸入手的感知反应。参与者在CIVD测试开始前完成了基线问卷和生理评估,并在第二天早上完成了血液学测试(05)。血液学和生化参数,红细胞数量是高海拔地区普通人群局部耐寒性的关键决定因素。汉族居民BAS%、NEU%、GGT与局部耐寒性有关。
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引用次数: 0
Three sets of low-intensity resistance exercises with slow movement and tonic force generation cause more muscular fatigue. 三组低强度的阻力运动,缓慢的运动和张力的产生会导致更多的肌肉疲劳。
IF 2.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2025-09-30 DOI: 10.1186/s40101-025-00401-x
Takashi Yamashita, Yulong Ren, Yuta Kosuge, Eisuke Ochi

Purpose: There are no previous reports investigating the effects of different set numbers in low-intensity resistance exercise with slow movement and tonic force generation (LST) on muscle fatigue using surface electromyography (sEMG). This study aimed to examine muscle fatigue induced by one set and three sets of LST and to compare the impact of set differences on muscle activity by comparing LST with traditional high-intensity resistance exercise (TRAD).

Methods: Twenty-three healthy male students participated in this study. After 1RM testing in each leg was completed, participants were randomly assigned to either a group performing one set of exercises (n = 10) or a group performing three sets (n = 13). Each participant performed the LST protocol (50% 1RM) and the TRAD protocol (80% 1RM) with single leg extension until failure. The LST protocol consisted of a 3-s concentric, a 1-s isometric, and a 3-s eccentric phase. In contrast, the TRAD protocol consisted of a 1-s concentric, a 1-s eccentric, and a 1-s rest phase. For the three-set group, a 2-min rest interval was provided between sets. The outcome measures included maximal isometric knee extension torque (MVC) before and after exercise, root mean square (RMS), and mean power frequency (MPF) values recorded during the exercises.

Results: No significant differences in MVC were observed between the type of exercise or the number of sets. Similarly, no significant differences in the RMS during the exercise were observed across exercise types or number of sets. On the other hand, with the significant interaction of MPF (p = 0.001, ηp2 = 0.399), there was a significant difference in three sets of LST compared to one set of LST (p = 0.012, d = 1.16) and three sets of TRAD (p < 0.001, d = 0.93).

Conclusion: Our findings suggest that performing three sets of LST induces significant muscle fatigue. Therefore, we speculate that performing three sets of LST may lead to the accumulation of metabolic stress and thereby cause muscle fatigue.

目的:利用肌表电图(sEMG)研究慢速运动和强直力产生(LST)低强度阻力运动中不同组数对肌肉疲劳的影响,目前尚未见报道。本研究旨在通过对比LST和传统的高强度阻力运动(TRAD),检验一组和三组LST诱导的肌肉疲劳,并比较组差对肌肉活动的影响。方法:以23名健康男大学生为研究对象。在每条腿的1RM测试完成后,参与者被随机分配到一组进行一组锻炼(n = 10)或一组进行三组锻炼(n = 13)。每个参与者执行LST方案(50% 1RM)和TRAD方案(80% 1RM),单腿伸展直到失败。LST协议包括一个3-s同心相位、一个1-s等距相位和一个3-s偏心相位。相比之下,TRAD协议由1-s同心相位、1-s偏心相位和1-s休息相位组成。对于三组,两组之间有2分钟的休息时间。结果测量包括运动前后的最大等距膝关节伸展扭矩(MVC),运动期间记录的均方根(RMS)和平均功率频率(MPF)值。结果:MVC在运动类型和运动次数之间无显著差异。同样,在运动过程中,RMS在运动类型或组数上也没有显著差异。另一方面,在MPF的显著交互作用下(p = 0.001, ηp2 = 0.399),三组LST与一组LST (p = 0.012, d = 1.16)和三组TRAD (p)之间存在显著差异(p = 0.012, d = 1.16)。因此,我们推测进行三组LST可能会导致代谢应激的积累,从而导致肌肉疲劳。
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引用次数: 0
A study on the effect of acute hyperbaric oxygen intervention on aerobic endurance. 急性高压氧干预对有氧耐力影响的研究。
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2025-07-17 DOI: 10.1186/s40101-025-00400-y
Zepeng Hu, Wenjing Guo, Hao Wu

Introduction: This study aimed to explore the effects of a single mild-dose, acute hyperbaric oxygen (HBO) intervention (1.3 ATA, 100% oxygen, 60 min) on aerobic endurance, cardiac function, pulmonary function, and autonomic nervous system balance in healthy young men.

Methods: Using a randomized crossover design, 14 participants received both the HBO intervention and the control condition (seated rest). For each condition, heart rate variability (HRV), cardiac function, and pulmonary function were assessed before and after the intervention, while aerobic endurance indicators-such as peak oxygen uptake (VO₂peak) and time to exhaustion (TTE)-were measured once following each condition.

Results: HBO significantly decreased resting heart rate (from 63.64 ± 7.75 to 58.79 ± 7.29 bpm, Δ = -7.23%, p = 0.009), with a significant main effect of time (F(1,13) = 7.657, p = 0.016, η2ₚ = 0.371) and a significant time × condition interaction effect (F(1,13) = 4.51, p = 0.048, η²ₚ = 0.268). Root mean square of successive differences (RMSSD) increased from 44.50 [24.50, 59.75] to 54.00 [35.50, 67.50] (Z = 2.261, p = 0.024, r = - 0.604), and standard deviation of successive differences (SDSD) increased from 55.50 [31.75, 76.50] to 71.00 [55.75, 87.75] (Z = 2.701, p = 0.007, r = - 0.722). Both parameters also demonstrated significant differences in condition comparisons (RMSSD: Z = - 2.826, p = 0.005, r = - 0.755; SDSD: Z = - 2.796, p = 0.005, r = - 0.747). No significant changes were observed in aerobic endurance, pulmonary function, or other cardiac function parameters.

Conclusion: A single mild-dose, acute HBO intervention can significantly improve resting heart rate and enhance short-term HRV parameters, suggesting a beneficial effect on parasympathetic activity. However, it does not directly enhance aerobic endurance, and long-term interventions or combined training may be needed to realize its potential benefits.

简介:本研究旨在探讨单次轻剂量急性高压氧(HBO)干预(1.3 ATA, 100%氧气,60分钟)对健康青年男性有氧耐力、心功能、肺功能和自主神经系统平衡的影响。方法:采用随机交叉设计,14例患者同时接受HBO干预和对照组(坐式休息)。对于每种情况,在干预前后评估心率变异性(HRV),心功能和肺功能,而有氧耐力指标-如峰值摄氧量(vo2峰值)和耗竭时间(TTE)-在每种情况下测量一次。结果:HBO显著降低静息心率(从63.64±7.75 bpm降至58.79±7.29 bpm, Δ = -7.23%, p = 0.009),其中时间为主效应显著(F(1,13) = 7.657, p = 0.016, η2ₚ= 0.371),时间-条件交互效应显著(F(1,13) = 4.51, p = 0.048, η²ₚ= 0.268)。连续差异均方根(RMSSD)从44.50[24.50,59.75]增加到54.00 [35.50,67.50](Z = 2.261, p = 0.024, r = - 0.604),连续差异标准差(SDSD)从55.50[31.75,76.50]增加到71.00 [55.75,87.75](Z = 2.701, p = 0.007, r = - 0.722)。两个参数在条件比较中也存在显著差异(RMSSD: Z = - 2.826, p = 0.005, r = - 0.755;SDSD: Z = - 2.796, p = 0.005, r = - 0.747)。有氧耐力、肺功能或其他心功能参数未见明显变化。结论:单次小剂量急性HBO干预可显著提高静息心率,提高短期HRV参数,提示对副交感神经活动有益。然而,它并不能直接提高有氧耐力,可能需要长期干预或联合训练来实现其潜在的好处。
{"title":"A study on the effect of acute hyperbaric oxygen intervention on aerobic endurance.","authors":"Zepeng Hu, Wenjing Guo, Hao Wu","doi":"10.1186/s40101-025-00400-y","DOIUrl":"10.1186/s40101-025-00400-y","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to explore the effects of a single mild-dose, acute hyperbaric oxygen (HBO) intervention (1.3 ATA, 100% oxygen, 60 min) on aerobic endurance, cardiac function, pulmonary function, and autonomic nervous system balance in healthy young men.</p><p><strong>Methods: </strong>Using a randomized crossover design, 14 participants received both the HBO intervention and the control condition (seated rest). For each condition, heart rate variability (HRV), cardiac function, and pulmonary function were assessed before and after the intervention, while aerobic endurance indicators-such as peak oxygen uptake (VO₂peak) and time to exhaustion (TTE)-were measured once following each condition.</p><p><strong>Results: </strong>HBO significantly decreased resting heart rate (from 63.64 ± 7.75 to 58.79 ± 7.29 bpm, Δ = -7.23%, p = 0.009), with a significant main effect of time (F(1,13) = 7.657, p = 0.016, η<sup>2</sup>ₚ = 0.371) and a significant time × condition interaction effect (F(1,13) = 4.51, p = 0.048, η²ₚ = 0.268). Root mean square of successive differences (RMSSD) increased from 44.50 [24.50, 59.75] to 54.00 [35.50, 67.50] (Z = 2.261, p = 0.024, r = - 0.604), and standard deviation of successive differences (SDSD) increased from 55.50 [31.75, 76.50] to 71.00 [55.75, 87.75] (Z = 2.701, p = 0.007, r = - 0.722). Both parameters also demonstrated significant differences in condition comparisons (RMSSD: Z = - 2.826, p = 0.005, r = - 0.755; SDSD: Z = - 2.796, p = 0.005, r = - 0.747). No significant changes were observed in aerobic endurance, pulmonary function, or other cardiac function parameters.</p><p><strong>Conclusion: </strong>A single mild-dose, acute HBO intervention can significantly improve resting heart rate and enhance short-term HRV parameters, suggesting a beneficial effect on parasympathetic activity. However, it does not directly enhance aerobic endurance, and long-term interventions or combined training may be needed to realize its potential benefits.</p>","PeriodicalId":48730,"journal":{"name":"Journal of Physiological Anthropology","volume":"44 1","pages":"22"},"PeriodicalIF":3.3,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of taking a nap or break immediately after night shift on nurses' fatigue recovery and sleep episodes: a quasi-experimental study. 夜班后立即小睡或休息对护士疲劳恢复和睡眠发作的影响:一项准实验研究。
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2025-07-15 DOI: 10.1186/s40101-025-00399-2
Issei Konya, Inaho Shishido, Kazuhiro Watanabe, Masayuki Ikebuchi, Toshiyasu Tanaka, Hisao Kataoka, Rika Yano

Background: Excessive fatigue, sleep deprivation, and poor intershift recovery after night shifts are associated with an increased risk of traffic accidents and maladaptive chronic fatigue. However, little is known about whether taking a nap or break immediately after a night shift improves fatigue recovery and sleep among nurses. This study aimed to examine the effects of taking a 30-min nap or break immediately after a 16-h night shift on fatigue recovery and sleep episodes among nurses.

Methods: A quasi-experimental crossover study was conducted with 62 nurses who worked 16-h night shifts. Nurses were randomly assigned to two condition sequences (AB or BA): (A) intervention (the nurses took a 30-min nap or break in a nap environment control system after a night shift) and (B) control (the nurses went home as usual after a night shift). Fatigue was measured immediately after the night shift, after taking a nap or break, and after getting up from nighttime sleep on the day after the night shift. Sleep episodes were assessed using a wearable device. Outcomes were compared between the two conditions.

Results: In the intervention condition, fatigue immediately after the night shift was significantly reduced by taking a nap or break, with a large effect size. Recovery from "local pain or dullness," one of the symptoms of work-related fatigue, was significantly higher in the intervention than control condition. Compared to the control condition, the intervention condition significantly delayed the timing of the first sleep episode, whereas no significant differences were observed in the main sleep parameters.

Conclusions: Taking a nap or break immediately after the night shift could be a countermeasure to address fatigue/sleep-related problems among nurses. For nursing managers, encouraging nurses to take a nap or break immediately after the night shift could be a viable option in comprehensive fatigue risk management. Therefore, appropriate napping environments should be installed in clinical settings.

Trial registration: UMIN000038444 (date of registration: 30 Oct 2019).

背景:过度疲劳、睡眠剥夺和夜班后轮班间恢复不良与交通事故风险增加和慢性疲劳适应不良有关。然而,对于夜班后立即小睡或休息是否能改善护士的疲劳恢复和睡眠,人们知之甚少。本研究旨在探讨护士在16小时夜班后小睡30分钟或立即休息对疲劳恢复和睡眠发作的影响。方法:对62名16小时夜班护士进行准实验交叉研究。护士被随机分配到两个条件序列(AB或BA):(A)干预(护士夜班后在午睡环境控制系统中小睡30分钟或休息)和(B)控制(护士夜班后照常回家)。在夜班结束后,小睡或休息后,以及夜班结束后第二天从夜间睡眠中起床后,立即测量疲劳程度。使用可穿戴设备评估睡眠时间。比较两种情况的结果。结果:在干预条件下,夜班后立即小睡或休息可显著减轻疲劳,且效应量较大。从“局部疼痛或麻木”(与工作有关的疲劳症状之一)中恢复过来,干预组明显高于对照组。与对照组相比,干预组显著延迟了第一次睡眠发作的时间,而在主要睡眠参数上没有观察到显著差异。结论:夜班后立即小睡或休息是解决护士疲劳/睡眠相关问题的对策。对于护理管理者来说,鼓励护士在夜班后立即小睡或休息可能是全面疲劳风险管理的一个可行选择。因此,在临床环境中应设置适当的午睡环境。试验注册号:UMIN000038444(注册日期:2019年10月30日)。
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引用次数: 0
Household wealth index is associated with stunting among children under 5: a cross-sectional analysis of the Lao Social Indicator Survey II. 家庭财富指数与5岁以下儿童发育迟缓有关:老挝社会指标调查II的横断面分析。
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2025-07-12 DOI: 10.1186/s40101-025-00402-w
Soulattana Vongsakit, Kumiko Ohara, Yuki Fujita, Akihiro Takada, Katsuyasu Kouda

Background: Stunting in early life is associated with increased morbidity and mortality among children under 5, as well as impaired health and educational and economic performance in later life. However, few studies have investigated risk factors associated with stunting using nationwide representative data in Lao People's Democratic Republic (Lao PDR). The present study investigated the association of the household wealth index with stunting among children under 5 in Lao PDR using data from the Lao Social Indicator Survey II (LSIS II).

Methods: The present cross-sectional study used secondary data from the LSIS II in 2017. The survey used multi-stage stratified cluster sampling, covering all 18 provinces with 1170 clusters (village), resulting in a sample size of 23,400 households. The final analysis included 11,339 (weighted) children under 5. Multivariable logistic regression analysis was performed to examine associated factors.

Results: Risk factors significantly associated with stunting were no health insurance coverage, minority ethnic groups, having ≥ 7 family members in the household, a poor household wealth index, having ≥ 2 children under 5 in the household, living in rural areas, living in the southern part, and low birth weight. Among them, household wealth index was significantly associated with stunting, independent of other socioeconomic risk factors.

Conclusions: The household wealth index was significantly associated with child stunting. Given the high prevalence of stunting in Lao PDR, there may be a need for the government to implement programs to improve household socioeconomic status in order to address stunting in Lao PDR.

背景:生命早期发育迟缓与5岁以下儿童发病率和死亡率增加以及晚年健康、教育和经济表现受损有关。然而,很少有研究利用老挝人民民主共和国(Lao PDR)的全国代表性数据调查与发育迟缓相关的风险因素。本研究利用老挝社会指标调查II (LSIS II)的数据调查了老挝人民民主共和国家庭财富指数与5岁以下儿童发育迟缓之间的关系。方法:本横断面研究使用2017年LSIS II的二手数据。调查采用多阶段分层整群抽样,覆盖全国18个省份1170个整群(村),样本量为23400户。最终的分析包括11339名(加权)5岁以下儿童。采用多变量logistic回归分析检验相关因素。结果:无医疗保险、少数民族、家庭成员≥7人、家庭财富指数较低、家庭中有≥2名5岁以下儿童、生活在农村、生活在南方、出生体重低与发育迟缓显著相关。其中,家庭财富指数与发育迟缓显著相关,独立于其他社会经济风险因素。结论:家庭财富指数与儿童发育迟缓显著相关。鉴于老挝人民民主共和国发育迟缓的高发率,政府可能需要实施改善家庭社会经济地位的规划,以解决老挝人民民主共和国的发育迟缓问题。
{"title":"Household wealth index is associated with stunting among children under 5: a cross-sectional analysis of the Lao Social Indicator Survey II.","authors":"Soulattana Vongsakit, Kumiko Ohara, Yuki Fujita, Akihiro Takada, Katsuyasu Kouda","doi":"10.1186/s40101-025-00402-w","DOIUrl":"10.1186/s40101-025-00402-w","url":null,"abstract":"<p><strong>Background: </strong>Stunting in early life is associated with increased morbidity and mortality among children under 5, as well as impaired health and educational and economic performance in later life. However, few studies have investigated risk factors associated with stunting using nationwide representative data in Lao People's Democratic Republic (Lao PDR). The present study investigated the association of the household wealth index with stunting among children under 5 in Lao PDR using data from the Lao Social Indicator Survey II (LSIS II).</p><p><strong>Methods: </strong>The present cross-sectional study used secondary data from the LSIS II in 2017. The survey used multi-stage stratified cluster sampling, covering all 18 provinces with 1170 clusters (village), resulting in a sample size of 23,400 households. The final analysis included 11,339 (weighted) children under 5. Multivariable logistic regression analysis was performed to examine associated factors.</p><p><strong>Results: </strong>Risk factors significantly associated with stunting were no health insurance coverage, minority ethnic groups, having ≥ 7 family members in the household, a poor household wealth index, having ≥ 2 children under 5 in the household, living in rural areas, living in the southern part, and low birth weight. Among them, household wealth index was significantly associated with stunting, independent of other socioeconomic risk factors.</p><p><strong>Conclusions: </strong>The household wealth index was significantly associated with child stunting. Given the high prevalence of stunting in Lao PDR, there may be a need for the government to implement programs to improve household socioeconomic status in order to address stunting in Lao PDR.</p>","PeriodicalId":48730,"journal":{"name":"Journal of Physiological Anthropology","volume":"44 1","pages":"20"},"PeriodicalIF":3.3,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144620865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Loneliness, insomnia symptoms, social jetlag, and vitamin D deficiency in relation to mental health problems in Japanese female university students: a cross-sectional study. 日本女大学生孤独感、失眠症状、社交时差和维生素D缺乏与心理健康问题的关系:一项横断面研究
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2025-07-09 DOI: 10.1186/s40101-025-00403-9
Nodoka Yamashita, Shioka Ishii, Yoriko Kotoku, Takuya Shuo, Hiromi Eto, Hideaki Kondo

Background: Vitamin D deficiency is highly prevalent among Japanese female university students. Vitamin D deficiency is associated with physical and mental health problems, including sleep disorders. This study aimed to clarify the relationship between vitamin D deficiency and sleep and mental health problems among Japanese female university students.

Methods: Participants were 224 female university students. Blood levels of 25-hydroxyvitamin D [25(OH)D] were measured using liquid chromatography-tandem mass spectrometry for vitamin D assessment. Mental health was assessed using the K6. Sleep-wake status as a factor related to mental health was assessed using the Athens Insomnia Scale (AIS) and Munich ChronoType Questionnaire. Loneliness was assessed using the Three-Item Loneliness Scale. Factors predicting mental health problems with a K6 score ≥ 5 were explored using the Mann-Whitney U test, Fisher's exact probability test, and classification and regression tree (CART) analysis.

Results: The median (interquartile range) serum 25(OH)D concentration was 14.5 (11.8-18.3) ng/mL. Of the participants, 80.8% had vitamin D deficiency (25(OH)D < 20 ng/mL), and 26.3% had severe vitamin D deficiency (25(OH)D < 12 ng/mL). In total, 41.1% had mental health problems with a K6 score of ≥ 5. Although there was no significant association between vitamin D deficiency and sleep-wake problems, vitamin D deficiency was more prevalent among those with K6 scores ≥ 5 (P = 0.02). Compared to those with K6 < 5, those with K6 ≥ 5 had significantly higher Loneliness and AIS scores (P < 0.001), greater social jetlag (P = 0.03), shorter sleep duration on weekdays (P = 0.03), and lower serum 25(OH)D concentration (P = 0.02). In the CART analysis, the algorithm was set in the order of Loneliness score ≥ 6, AIS score ≥ 7, social jetlag ≥ 150 min, and serum 25(OH)D concentration < 14 ng/mL, and the target accuracy (95% confidence interval: CI) was 76.5 (70.3-81.9)%, and sensitivity and specificity (95% CI) were 62.2 (51.4-72.2)% and 86.3 (79.2-91.6)%, respectively.

Conclusions: Loneliness, insomnia symptoms, social jetlag, and vitamin D deficiency were associated with mental health problems among Japanese female university students.

背景:维生素D缺乏症在日本女大学生中非常普遍。维生素D缺乏与身体和精神健康问题有关,包括睡眠障碍。本研究旨在阐明日本女大学生维生素D缺乏与睡眠和心理健康问题之间的关系。方法:调查对象为224名女大学生。采用液相色谱-串联质谱法测定25-羟基维生素D [25(OH)D]的血药浓度。使用K6评估心理健康状况。使用雅典失眠症量表(AIS)和慕尼黑睡眠类型问卷评估睡眠-觉醒状态作为与心理健康相关的因素。孤独感采用三项孤独感量表进行评估。采用Mann-Whitney U检验、Fisher精确概率检验和分类回归树(CART)分析探讨K6评分≥5的心理健康问题的预测因素。结果:血清25(OH)D浓度中位数(四分位数范围)为14.5 (11.8-18.3)ng/mL。在参与者中,80.8%的人缺乏维生素D (25(OH)D)。结论:孤独、失眠症状、社交时差和维生素D缺乏与日本女大学生的心理健康问题有关。
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引用次数: 0
The effect of dynamic stimuli on attention under different perceptual loads. 不同知觉负荷下动态刺激对注意的影响。
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2025-07-04 DOI: 10.1186/s40101-025-00398-3
Yuanli Li, Yoshihiro Shimomura

Background: Perceptual load is a major determinant of visual attentional selection patterns, and dynamic stimuli are salient bottom-up distractors. The present study investigated how dynamic stimuli, presented under different perceptual loads, impact the process of visual attentional selection.

Methods: Fourteen participants (8 females and 6 males) were measured on task performance (reaction time and correctness) and event-related potentials while searching for visual exploratory task in a perceptual load paradigm.

Results: In terms of behavioral performance, longer reaction times were required for the visual exploratory task under high perceptual load, whereas a trend suggestive of attentional capture reversal emerged under low perceptual load. Regarding ERP components, the P1 amplitude was more positive in the response to dynamic stimuli, while the N1 amplitude was more negative when dynamic stimuli were absent. The P3 amplitude was more positive in the presence of dynamic stimuli than in their absence and was also more positive under low perceptual load than under high perceptual load.

Conclusions: This study found that N1 and P1 components were more sensitive to dynamic stimuli and insensitive to perceptual loads, while the P3 component effectively assessed both perceptual loads and dynamic stimuli. These variations reflect differential attentional allocation. Based on these findings, adapting interface displays according to gaze direction and perceptual load level can inform the design of user interfaces, such as those in navigation systems, educational materials, and assistive devices.

Trial registration: This study was approved by the Ethics Committee of Chiba University Graduate School of Engineering (acceptance number: R4-20, Acceptance date: March 22, 2023).

背景:知觉负荷是视觉注意选择模式的主要决定因素,动态刺激是显著的自下而上干扰因素。本研究探讨了不同知觉负荷下呈现的动态刺激对视觉注意选择过程的影响。方法:对14名被试(女8名,男6名)在知觉负荷范式下寻找视觉探索性任务时的任务表现(反应时间和正确性)和事件相关电位进行测量。结果:在行为表现方面,在高知觉负荷下,视觉探索性任务需要更长的反应时间,而在低知觉负荷下,出现了注意捕获逆转的趋势。在ERP分量中,动态刺激时P1幅值更正向,无动态刺激时N1幅值更负向。P3波幅在有动态刺激时比无动态刺激时更正,在低知觉负荷下比高知觉负荷下更正。结论:本研究发现,N1和P1分量对动态刺激更敏感,对知觉负荷不敏感,而P3分量对知觉负荷和动态负荷都有效。这些差异反映了不同的注意力分配。基于这些发现,根据凝视方向和感知负荷水平调整界面显示可以为导航系统、教育材料和辅助设备等用户界面的设计提供信息。试验注册:本研究经千叶大学工学研究生院伦理委员会批准(受理号:R4-20,受理日期:2023年3月22日)。
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引用次数: 0
Longitudinal actigraphy study on sleep patterns under reduced social restrictions in Japanese university students. 减少社会限制下日本大学生睡眠模式的纵向活动描记研究。
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2025-06-10 DOI: 10.1186/s40101-025-00397-4
Yuna Enomoto, Hiroko Kubo

Background: Sleep deprivation and irregular sleep patterns can adversely affect physical and mental health. The COVID-19 pandemic presented a naturalistic opportunity to examine how reduced social time restrictions influence sleep behavior. This study aimed to investigate both group-level and individual-level changes in sleep patterns among Japanese university students before and during the pandemic and to explore how individual characteristics may contribute to these changes.

Methods: Twenty-two female university students wore waist-worn actigraphy devices for approximately 16 weeks in both 2019 and 2020. Objective sleep data were collected alongside questionnaire assessments of chronotype, personality traits, and subjective sleep feeling.

Results: In total, 4,432 valid days of actigraphy data were analyzed. Compared with the pre-pandemic year, sleep timing was delayed by approximately 20 min for bed-in time and 40 min for bed-out time in 2020. Time in bed (TIB) increased by about 20 min, while total sleep time (TST) remained largely unchanged. Sleep efficiency declined, but subjective sleep feeling remained stable. Individual-level analyses revealed substantial variability: 9 of 22 participants showed significant changes in TST, with both increases and decreases observed. Increased TIB was associated with later bed-out time, shorter baseline sleep duration, and lower neuroticism. A later bed-in time was associated with reduced TST.

Conclusions: These findings suggest that while social time restrictions can influence sleep timing and duration, the effects vary considerably across individuals. Earlier bedtimes may be more effective than simply extending TIB in promoting adequate sleep. Furthermore, individual characteristics such as personality traits may play a role in sleep adaptation under changing social contexts. Given the diversity of responses observed, both group- and individual-level perspectives are essential for understanding sleep behavior in real-world settings.

背景:睡眠不足和不规律的睡眠模式会对身心健康产生不利影响。COVID-19大流行为研究减少社交时间限制如何影响睡眠行为提供了一个自然的机会。本研究旨在调查大流行之前和期间日本大学生睡眠模式的群体水平和个人水平变化,并探讨个体特征如何导致这些变化。方法:2019年和2020年,22名女大学生分别佩戴腰戴式活动记录仪约16周。在收集客观睡眠数据的同时,对睡眠类型、人格特征和主观睡眠感觉进行问卷评估。结果:共分析了4432天的活动图数据。与大流行前一年相比,2020年的就寝时间和就寝时间分别推迟了约20分钟和40分钟。床上时间(TIB)增加了约20分钟,而总睡眠时间(TST)基本保持不变。睡眠效率下降,但主观睡眠感觉保持稳定。个体水平的分析揭示了大量的可变性:22名参与者中有9人的TST出现了显著变化,既有升高的,也有降低的。TIB的增加与较晚的上床时间、较短的基线睡眠时间和较低的神经质有关。较晚的就寝时间与较低的TST有关。结论:这些发现表明,虽然社交时间限制会影响睡眠时间和持续时间,但影响因人而异。在促进充足睡眠方面,早睡可能比简单地延长TIB更有效。此外,人格特征等个体特征可能在不断变化的社会环境下的睡眠适应中发挥作用。鉴于观察到的反应的多样性,群体和个人层面的观点对于理解现实环境中的睡眠行为至关重要。
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引用次数: 0
Loss of significant association between high-sensitivity C-reactive protein (hs-CRP) and metabolic syndrome after adjustment for waist circumference found in 2022 Korea National Health and Nutrition Examination Survey data. 在2022年韩国国家健康和营养检查调查数据中发现,调整腰围后,高敏c反应蛋白(hs-CRP)与代谢综合征之间的显著相关性消失。
IF 3.3 4区 医学 Q1 PHYSIOLOGY Pub Date : 2025-06-05 DOI: 10.1186/s40101-025-00396-5
Bo-Min Kim, So-Yeon Ryu, Mi-Ah Han, Seong-Woo Choi

Background: Metabolic syndrome (MetS) is a cluster of metabolic abnormalities that increase the risk of cardiovascular disease and type 2 diabetes. High-sensitivity C-reactive protein (hs-CRP) is a biomarker of systemic inflammation, but its relationship with MetS and its components remains unclear. This study investigates the association between hs-CRP and MetS in a representative Korean population.

Methods: Using data from the 2022 Korea National Health and Nutrition Examination Survey (KNHANES), we analyzed 4,823 adults. MetS was defined according to revised NCEP-ATP III criteria. Multivariate analyses were conducted, adjusting for confounders such as sex, age, income, education, smoking, alcohol consumption, physical activity, and waist circumference.

Results: Among the study population, 1,784 participants (37.0%) were diagnosed with MetS. hs-CRP levels were significantly higher in individuals with MetS (1.06 mg/L vs. 0.79 mg/L, p < 0.001) and increased with the number of MetS components (p for trend < 0.001). Significant associations were observed between hs-CRP and all MetS components. However, after adjusting for waist circumference, these associations lost statistical significance.

Conclusion: This study confirms a strong association between hs-CRP and MetS, primarily influenced by central obesity. The findings highlight abdominal obesity as a key contributor to systemic inflammation in MetS. Further longitudinal studies are needed to explore the causal relationship and underlying mechanisms.

背景:代谢综合征(MetS)是一组代谢异常,增加心血管疾病和2型糖尿病的风险。高敏c反应蛋白(hs-CRP)是全身性炎症的生物标志物,但其与MetS及其组分的关系尚不清楚。本研究调查了具有代表性的韩国人群中hs-CRP与MetS之间的关系。方法:利用2022年韩国国家健康和营养检查调查(KNHANES)的数据,我们分析了4,823名成年人。MetS是根据修订的NCEP-ATP III标准定义的。进行多变量分析,调整混杂因素,如性别、年龄、收入、教育、吸烟、饮酒、体育活动和腰围。结果:在研究人群中,1784名参与者(37.0%)被诊断为MetS。MetS患者的hs-CRP水平显著升高(1.06 mg/L vs. 0.79 mg/L)。结论:本研究证实hs-CRP与MetS之间存在强烈关联,主要受中心肥胖的影响。研究结果强调,腹部肥胖是MetS全身性炎症的关键因素。需要进一步的纵向研究来探索因果关系和潜在的机制。
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引用次数: 0
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