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Infant weight gain and DXA-measured adolescent adiposity: data from the Japan Kids Body-composition Study. 婴儿体重增加和dxa测量的青少年肥胖:来自日本儿童身体成分研究的数据。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2021-08-27 DOI: 10.1186/s40101-021-00261-1
Yuki Fujita, Katsuyasu Kouda, Kumiko Ohara, Harunobu Nakamura, Chikako Nakama, Toshimasa Nishiyama, Masayuki Iki

Background: Rapid weight gain in early life is associated with adiposity later in life. However, there is limited information on the association between weight gain and body fat mass measured using precise methods. This study aimed to investigate whether weight gain is associated with body fat mass measured by dual-energy X-ray absorptiometry (DXA) in adolescents.

Methods: Participants of this retrospective cohort study were 423 adolescents born at full-term who were enrolled in the Japan Kids Body-composition Study. Anthropometric measurements related to pregnancy, delivery, and child health were obtained from the Japanese Maternal and Child Health Handbook. Fat mass in adolescents was measured with a DXA scanner. Weight gain was defined as the change in body weight from birth to age 1.5 years. Associations between birthweight and fat mass, and between weight gain and fat mass, were evaluated using multiple regression analysis.

Results: There was a significant positive association between weight gain from birth to age 1.5 years and fat mass in adolescents (boys: standardized regression coefficient (β) = 0.253, p < 0.01; girls: β = 0.246, p < 0.01), but not between birthweight standardized for gestational age and fat mass.

Conclusion: Children with a greater change in weight from birth to age 1.5 years tended to have increased fat mass in adolescence. Weight gain in early life has a greater impact on fat mass in adolescents than birthweight.

背景:生命早期体重的快速增加与生命后期的肥胖有关。然而,用精确的方法测量体重增加和体脂量之间的关系的信息有限。本研究旨在探讨体重增加是否与双能x线吸收仪(DXA)测量的青少年体脂量有关。方法:这项回顾性队列研究的参与者是423名足月出生的青少年,他们参加了日本儿童身体组成研究。与怀孕、分娩和儿童健康相关的人体测量数据来自《日本妇幼保健手册》。用DXA扫描仪测量青少年的脂肪量。体重增加被定义为从出生到1.5岁体重的变化。使用多元回归分析评估出生体重与脂肪量、体重增加与脂肪量之间的关系。结果:出生至1.5岁体重增加与青春期脂肪量呈正相关(男孩:标准化回归系数(β) = 0.253, p)。结论:出生至1.5岁体重变化较大的儿童青春期脂肪量增加。早期体重增加对青少年脂肪量的影响大于出生体重。
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引用次数: 1
Ambient-task combined lighting to regulate autonomic and psychomotor arousal levels without compromising subjective comfort to lighting. 环境任务结合照明来调节自主神经和精神运动唤醒水平,而不损害主观舒适的照明。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2021-08-09 DOI: 10.1186/s40101-021-00258-w
Junichiro Hayano, Norihiro Ueda, Masaya Kisohara, Yutaka Yoshida, Emi Yuda

Background: Although evidence of both beneficial and adverse biological effects of lighting has accumulated, biologically favorable lighting often does not match subjectively comfortable lighting. By controlling the correlated color temperature (CCT) of ambient lights, we investigated the feasibility of combined lighting that meets both biological requirements and subjective comfort.

Methods: Two types of combined lightings were compared; one consisted of a high-CCT (12000 K) light-emitting diode (LED) panel as the ambient light and a low-CCT (5000 K) LED stand light as the task light (high-low combined lighting), and the other consisted of a low-CCT (4500 K) LED panel as the ambient light and the same low-CCT (5000 K) stand light as the task light (low-low combined lighting) as control. Ten healthy subjects (5 young and 5 elderly) were exposed to the two types of lighting on separate days. Autonomic function by heart rate variability, psychomotor performances, and subjective comfort were compared.

Results: Both at sitting rest and during psychomotor workload, heart rate was higher and the parasympathetic index of heart rate variability was lower under the high-low combined lighting than the low-low combined lighting in both young and elderly subject groups. Increased psychomotor alertness in the elderly and improved sustainability of concentration work performance in both age groups were also observed under the high-low combined lighting. However, no significant difference was observed in the visual-analog-scale assessment of subjective comfort between the two types of lightings.

Conclusions: High-CCT ambient lighting, even when used in combination with low-CCT task lighting, could increase autonomic and psychomotor arousal levels without compromising subjective comfort. This finding suggests the feasibility of independent control of ambient and task lighting as a way to achieve both biological function regulation and subjective comfort.

背景:尽管照明的有利和不利的生物效应的证据已经积累,生物有利的照明往往不匹配主观舒适的照明。通过控制环境光的相关色温(CCT),探讨了同时满足生物需求和主观舒适度的组合照明的可行性。方法:对两种组合照明进行比较;一个由高cct (12000 K)的发光二极管(LED)面板作为环境光,一个低cct (5000 K)的LED站立灯作为任务灯(高低组合照明),另一个由低cct (4500 K)的LED面板作为环境光,同样低cct (5000 K)的站立灯作为任务灯(高低组合照明)作为控制。10名健康受试者(5名年轻人和5名老年人)分别在不同的日子暴露于两种类型的照明下。通过心率变异性、精神运动表现和主观舒适度来比较自主神经功能。结果:无论是坐着休息还是精神运动负荷时,高-低组合照明下的青年和老年被试心率均高于低-低组合照明,副交感神经心率变异性指数也低于低-低组合照明。在高低组合照明下,还观察到老年人的精神运动警觉性增加,两个年龄组的注意力工作表现的可持续性提高。然而,两种类型的照明在主观舒适度的视觉模拟尺度评估中没有观察到显着差异。结论:高cct环境照明,即使与低cct任务照明结合使用,也可以在不影响主观舒适度的情况下增加自主神经和精神运动唤醒水平。这一发现表明,独立控制环境和任务照明作为实现生物功能调节和主观舒适度的一种方式是可行的。
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引用次数: 3
Performance of newly developed body mass index cut-off for diagnosing obesity among Ethiopian adults. 最新开发的用于诊断埃塞俄比亚成年人肥胖的体重指数临界值的性能。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2019-10-26 DOI: 10.1186/s40101-019-0205-2
Makeda Sinaga, Tilahun Yemane, Elsah Tegene, David Lidstrom, Tefera Belachew

Background: Obesity is defined as unhealthy excess body fat, which increases the risk of premature mortality from noncommunicable diseases. Early screening and prevention of obesity is critical for averting associated morbidity, disability, and mortality. Ethiopia has been using the international (WHO's) BMI cut-off for diagnosing obesity even though its validity among Ethiopian population was questioned. To address this problem, a new body mass index cut-off was developed for Ethiopian adults using population-specific data. However, its performance in diagnosing obesity has not been validated. Therefore, this study determined the performance of the newly developed Ethiopian and World Health Organization (WHO) BMI cut-offs in detecting obesity among Ethiopian adults.

Methods: A cross-sectional study was carried out among 704 employees of Jimma University from February to April 2015. The study participants were selected using simple random sampling technique based on their payroll. Data on sociodemographic variables were collected using an interviewer-administered structured questionnaire. Anthropometric parameters including body weight and height were measured according to WHO recommendation. Body fat percentage (BF%) was measured using the air displacement plethysmography (ADP) after calibration of the machine. The diagnostic accuracy of the WHO BMI cut-off (≥ 30 kg/m2) for obesity in both sexes and Ethiopian BMI cut-off (> 22.2 kg/m2 for males and >  24.5 kg/m2 for females) were compared to obesity diagnosed using ADP measured body fat percentage (> 35% for females and >  25% for males). Sensitivity, specificity, predictive values, and kappa agreements were determined to validate the performance of the BMI cut-offs.

Results: In males, WHO BMI cut-off has a sensitivity of 5.3% and specificity of 99.4% (Kappa = 0.047) indicating a slight agreement. However, the Ethiopian cut-off showed a sensitivity of 87.5% and specificity of 87.7% (Kappa = 0.752) indicating a substantial agreement. Similarly, in females, the WHO BMI cut-off showed a sensitivity of 46.9%, while its specificity was 100% (Kappa = 0.219) showing a fair agreement. The Ethiopian BMI cut-off demonstrated a sensitivity 80.0% and a specificity 95.6% (Kappa = 0.701) showing a substantial agreement. The WHO BMI cut-off underestimated the prevalence of obesity by a maximum of 73.7% and by a minimum of 28.3% among males, while the values for underestimation ranged from 31.4-54.1% in females. The misclassification was minimal using the newly developed Ethiopian BMI cut-off. The prevalence of obesity was underestimated by a maximum of 9.2% and overestimated by a maximum of 6.2%. The WHO BMI cut-off failed to identify nearly half (46.6%) of Ethiopian adults who met the criteria for obesity using BF% in the overall sample.

Conclusions: The findings suggest that WHO BMI cut-o

背景:肥胖被定义为不健康的过量身体脂肪,这会增加非传染性疾病过早死亡的风险。早期筛查和预防肥胖对于避免相关的发病率、残疾和死亡率至关重要。埃塞俄比亚一直在使用国际(世界卫生组织)的BMI截止值来诊断肥胖,尽管其在埃塞俄比亚人口中的有效性受到质疑。为了解决这个问题,利用特定人群的数据为埃塞俄比亚成年人制定了一个新的体重指数截止值。然而,它在诊断肥胖方面的表现尚未得到验证。因此,本研究确定了新开发的埃塞俄比亚和世界卫生组织(世界卫生组织)BMI削减在检测埃塞俄比亚成年人肥胖方面的表现。方法:于2015年2月至4月对金马大学704名员工进行横断面调查。研究参与者是根据他们的工资单使用简单的随机抽样技术选择的。使用访谈者管理的结构化问卷收集社会人口统计变量的数据。根据世界卫生组织的建议测量了包括体重和身高在内的人体测量参数。机器校准后,使用空气置换体积描记术(ADP)测量体脂百分比(BF%)。世界卫生组织BMI临界值的诊断准确性(≥ 30 kg/m2)和埃塞俄比亚BMI临界值(> 22.2 雄性和> 24.5 女性为kg/m2)与使用ADP测量的体脂百分比诊断的肥胖进行比较(> 女性为35%,且> 男性为25%)。确定了敏感性、特异性、预测值和kappa协议,以验证BMI截断的性能。结果:在男性中,世界卫生组织BMI截断的敏感性为5.3%,特异性为99.4%(kappa = 0.047),表明略有一致。然而,埃塞俄比亚截止值显示出87.5%的敏感性和87.7%的特异性(Kappa = 0.752)表示实质性协议。同样,在女性中,世界卫生组织的BMI临界值显示出46.9%的敏感性,而其特异性为100%(Kappa = 0.219),显示了公平的协议。埃塞俄比亚BMI临界值显示敏感性为80.0%,特异性为95.6%(Kappa = 0.701),显示出实质性的一致性。世界卫生组织的BMI临界值低估了男性肥胖的患病率,最大值为73.7%,最小值为28.3%,而女性的低估值在31.4-54.1%之间。使用新制定的埃塞俄比亚BMI截止值,错误分类最小。肥胖的患病率被低估了最多9.2%,被高估了最多6.2%。世界卫生组织的BMI截止值未能在总体样本中使用BF%确定近一半(46.6%)符合肥胖标准的埃塞俄比亚成年人。结论:研究结果表明世界卫生组织的BMI临界值(≥ 30 kg/m2)不适合筛查埃塞俄比亚成年人中的肥胖。新开发的埃塞俄比亚BMI临界值显示出更好的性能,具有良好的敏感性、特异性、预测值和一致性,表明它在临床和社区设置中作为一种简单、经济高效的指标具有诊断意义。
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引用次数: 11
A review of the studies on nonvisual lighting effects in the field of physiological anthropology. 生理人类学领域非视觉照明效应研究综述。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2019-01-22 DOI: 10.1186/s40101-018-0190-x
Tetsuo Katsuura, Soomin Lee

Here, we review the history and the trends in the research on the nonvisual effect of light in the field of physiological anthropology. Research on the nonvisual effect of light in the field of physiological anthropology was pioneered by Sato and colleagues in the early 1990s. These authors found that the color temperature of light affected physiological functions in humans. The groundbreaking event with regard to the study of nonvisual effects of light was the discovery of the intrinsically photosensitive retinal ganglion cells in the mammalian retina in the early 2000s. The interest of the physiological anthropology scientific community in the nonvisual effects of light has been increasing since then. A total of 61 papers on nonvisual effects of light were published in the Journal of Physiological Anthropology (including its predecessor journals) until October 2018, 14 papers (1.4/year) in the decade from 1992 to 2001, 45 papers (2.8/year) in the 16 years between 2002 and 2017, and two papers in 2018 (January-October). The number of papers on this topic has been increasing in recent years. We categorized all papers according to light conditions, such as color temperature of light, light intensity, and monochromatic light. Among the 61 papers, 11 papers were related to color temperature, 20 papers were related to light intensity, 18 papers were related to monochromatic light, and 12 papers were classified as others. We provide an overview of these papers and mention future research prospects.

在此,我们将回顾生理人类学领域光的非视觉效应研究的历史和发展趋势。20 世纪 90 年代初,佐藤及其同事率先在生理人类学领域开展了关于光的非视觉效应的研究。这些作者发现,光的色温会影响人类的生理功能。关于光的非视觉效应研究的开创性事件是本世纪初在哺乳动物视网膜中发现的固有光敏性视网膜神经节细胞。此后,生理人类学科学界对光的非视觉效应的兴趣与日俱增。截至2018年10月,《生理人类学杂志》(包括其前身杂志)共发表61篇关于光的非视觉效应的论文,1992年至2001年的10年间共发表14篇论文(1.4篇/年),2002年至2017年的16年间共发表45篇论文(2.8篇/年),2018年(1月至10月)共发表2篇论文。近年来,该主题的论文数量不断增加。我们根据光照条件,如光照色温、光照强度和单色光,对所有论文进行了分类。在这 61 篇论文中,11 篇与色温有关,20 篇与光强度有关,18 篇与单色光有关,12 篇归类为其他。我们对这些论文进行了概述,并提到了未来的研究前景。
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引用次数: 0
Effects of the differences in mental states on the mirror system activities when observing hand actions. 观察手部动作时心理状态差异对镜像系统活动的影响。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2019-01-03 DOI: 10.1186/s40101-018-0192-8
Yuki Ikeda, Yuki Nishimura, Shigekazu Higuchi

Background: It is known that the activities of the mirror system are related to imitation and understanding of the intention of an action. It has been reported that the activity of the mirror system is higher for observations for imitating and understanding the intention of an action than for simple observations. However, observations that facilitate the mirror system's activities, if they are observations intending to imitate an action or observations for understanding the intention of an action, have not been clarified to date.

Methods: The types of observations of actions that highly facilitate mirror system activities were investigated. Participants were right-handed university students (N = 23). They observed videos showing hand actions following three types of instructions: (1) to observe the videos intending to understand the intention of the action (action understanding, AU), to observe the videos intending to imitate the hand action (imaginarily imitation, II), and to observe the videos without any intention (observation, OB). Brain waves during observation were measured, and the suppression rate of 8-10 Hz (lower mu/α) and 10-12 Hz (upper mu/α) in the central and occipital regions of the brain was calculated. The rate of suppression was compared among the conditions using a repeated measures analysis of variance for each region.

Results: There was a main effect of the condition in the central region in 10-12 Hz. The degree of suppression in the AU condition was significantly larger than SO condition (p < 0.05) and II condition (p < 0.1). However, there were no differences among conditions in 8-10 Hz, the occipital region, or in either frequency band.

Conclusions: These results suggest that activities of the mirror system are enhanced when observing an action with the purpose of understanding the intention of the action. Differences in the mirror system activities according to the changes of inner states might be better reflected in high-frequency mu waves.

背景:众所周知,镜像系统的活动与模仿和理解动作的意图有关。据报道,在模仿和理解动作意图的观察中,镜像系统的活动比简单的观察要高。然而,促进镜像系统活动的观察,如果它们是为了模仿一个动作或为了理解一个动作的意图而进行的观察,迄今为止尚未得到澄清。方法:研究了高度促进镜像系统活性的作用类型。参与者为右撇子大学生(N = 23)。他们按照三种类型的指导来观察手部动作的视频:(1)观看意图理解动作意图的视频(动作理解,AU),观看意图模仿手部动作的视频(想象模仿,II),以及观看没有任何意图的视频(观察,OB)。测量观察过程中的脑电波,计算脑中央和枕部8-10 Hz(下mu/α)和10-12 Hz(上mu/α)的抑制率。对不同条件下的抑制率进行了比较,使用了每个区域的重复测量方差分析。结果:在10 ~ 12 Hz范围内,中央区有主要作用。AU条件下的抑制程度明显大于SO条件下的抑制程度(p)。结论:这些结果表明,当以理解动作意图为目的观察动作时,镜像系统的活性得到增强。反射系统活动随内态变化的差异可能在高频mu波中得到更好的反映。
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引用次数: 5
Correction to: Eye movements and brain oscillations to symbolic safety signs with different comprehensibility. 纠正:对可理解性不同的安全标志的眼动和脑振荡。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2018-12-20 DOI: 10.1186/s40101-018-0191-9
Yohana Siswandari, Shuping Xiong

After the publication of the original article [1] it was highlighted that there was an omission regarding the online resources for the traffic signs in the section of "Experimental stimuli".

原文[1]发表后强调,在“实验刺激”部分,交通标志的在线资源有遗漏。
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引用次数: 0
Do green-blocking glasses enhance the nonvisual effects of white polychromatic light? 防绿眼镜能增强白色多色光的非视觉效果吗?
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2018-12-18 DOI: 10.1186/s40101-018-0189-3
Soomin Lee, Naoshi Kakitsuba, Tetso Katsuura

Background: It is well known that light containing the blue component stimulates the intrinsically photosensitive retinal ganglion cells (ipRGCs) and plays a role in melatonin suppression and pupillary constriction. In our previous studies, we verified that simultaneous exposure to blue and green light resulted in less pupillary constriction than blue light exposure. Hence, we hypothesized that the nonvisual effects of polychromatic white light might be increased by blocking the green component. Therefore, we conducted an experiment using optical filters that blocked blue or green component and examined the nonvisual effects of these lights on pupillary constriction and electroencephalogram power spectra.

Methods: Ten healthy young males participated in this study. The participant sat on a chair with his eyes facing an integrating sphere. After 10 min of light adaptation, the participant's left eye was exposed to white pulsed light (1000 lx; pulse width 2.5 ms) every 10 s with a blue-blocking glasses, a green-blocking glasses, or control glasses (no lens), and pupillary constriction was measured. Then, after rest for 10 min, the participant was exposed a continuous white light of 1000 lx with a blue- or green-blocking glasses or control glasses and electroencephalogram was measured.

Results: Pupillary constriction with the blue-blocking glasses was significantly less than that observed with the green-blocking glasses. Furthermore, pupillary constriction under the green-blocking glasses was significantly greater than that observed with the control glasses.

Conclusions: A reduction in the green component of light facilitated pupillary constriction. Thus, the effects of polychromatic white light containing blue and green components on ipRGCs are apparently increased by removing the green component.

背景:众所周知,含有蓝色成分的光刺激内在光敏视网膜神经节细胞(ipRGCs),并在褪黑激素抑制和瞳孔收缩中发挥作用。在我们之前的研究中,我们证实了同时暴露在蓝光和绿光下比暴露在蓝光下导致的瞳孔收缩更小。因此,我们假设多色白光的非视觉效果可能会通过阻挡绿色成分而增加。因此,我们进行了一个实验,使用光学滤光片阻挡蓝色或绿色成分,并检查了这些光对瞳孔收缩和脑电图功率谱的非视觉影响。方法:10名健康青年男性参与本研究。参与者坐在椅子上,眼睛对着一个积分球。光适应10分钟后,受试者的左眼暴露在白光脉冲下(1000 lx;脉冲宽度2.5 ms),每隔10 s分别佩戴蓝挡眼镜、绿挡眼镜或对照眼镜(无镜片),并测量瞳孔收缩。然后,在休息10分钟后,参与者戴上阻挡蓝色或绿色的眼镜或对照眼镜,连续暴露在1000 lx的白光下,并测量脑电图。结果:蓝挡镜组瞳孔收缩明显小于绿挡镜组。此外,绿色阻挡眼镜下的瞳孔收缩明显大于对照眼镜。结论:光的绿色成分的减少促进了瞳孔收缩。因此,去除绿色成分后,含有蓝色和绿色成分的多色白光对iprgc的影响明显增强。
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引用次数: 6
Evaluation of postural stability based on a force plate and inertial sensor during static balance measurements. 静态平衡测量中基于力板和惯性传感器的姿态稳定性评估。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2018-12-13 DOI: 10.1186/s40101-018-0187-5
Chia-Hsuan Lee, Tien-Lung Sun

Background: Previous research on balance mostly focused on the assessment, training, and improvements of balance through interventions. We investigated tools commonly used to study static balance. Differences in postural stability were analyzed using multiscale entropy (MSE) and feature analysis.

Methods: A force plate and inertial sensor were used to collect acceleration and center-of-pressure (COP) nonlinear signals. MSE was also used to detect fractal correlations and assess the complexity of univariate data complexity. Fifteen healthy subjects participated in the experiments. Each stood on a force plate and wore a sensor while attempting to maintain postural stability for 30 s in four randomized experiments to evaluate their static balance via a copositive experiment with eyes open/closed and with standing on one foot or both feet. A Wilcoxon-signed rank test was used to confirm that the conditions were significant. Considering the effect of the assessment tools, the influence of the visual and lower limb systems on postural stability was assessed and the results from the inertial sensor and force plate experiments were compared.

Results: Force plate usage provided more accurate readings when completing static balance tasks based on the visual system, whereas an inertial sensor was preferred for lower-limb tasks. Further, the eyes-open-standing-on-one-foot case involved the highest complexity at the X, Y, and Z axes for acceleration and at the ML axis for COP compared with other conditions, from which the axial directions can be identified.

Conclusions: The findings suggested investigation of different evaluation tool choices that can be easily adapted to suit different needs. The results for the complexity index and traditional balance indicators were comparable in their implications on different conditions. We used MSE to determine the equipment that measures the postural stability performance. We attempted to generalize the applications of complexity index to tasks and training characteristics and explore different tools to obtain different results.

Trial registration: This study was approved by the Research Ethics Committee of National Taiwan University and classified as expedited on August 24, 2017. The committee is organized under and operates in accordance with Social and Behavioral Research Ethical Principles and Regulations of National Taiwan University and government laws and regulations.

背景:以往关于平衡的研究主要集中在评估、训练和通过干预来改善平衡。我们调查了常用的静平衡研究工具。采用多尺度熵(MSE)和特征分析方法分析不同部位的体位稳定性差异。方法:采用测力板和惯性传感器采集加速度和压力中心(COP)非线性信号。MSE还用于检测分形相关性和评估单变量数据复杂性的复杂性。15名健康受试者参加了实验。在四个随机实验中,每个人站在一个测力板上,戴上传感器,同时试图保持30秒的姿势稳定性,通过睁/闭眼睛、单脚站立或双脚站立的合成实验来评估他们的静态平衡。使用wilcoxon符号秩检验来确认条件的显著性。考虑评估工具的作用,评估了视觉系统和下肢系统对姿态稳定性的影响,并比较了惯性传感器和力板实验的结果。结果:在完成基于视觉系统的静态平衡任务时,使用测力板提供了更准确的读数,而在完成下肢任务时,惯性传感器更受欢迎。此外,与其他可以识别轴向的情况相比,睁着眼睛单脚站立的情况在加速的X、Y和Z轴以及COP的ML轴上涉及的复杂性最高。结论:研究结果建议研究不同的评估工具选择,以适应不同的需求。复杂性指数和传统平衡指标的结果在不同条件下具有可比性。我们使用MSE来确定测量姿势稳定性性能的设备。我们尝试将复杂性指数的应用推广到任务和训练特征,并探索不同的工具来获得不同的结果。试验注册:本研究已于2017年8月24日获得国立台湾大学研究伦理委员会批准,并归类为加急。本会依据国立台湾大学社会与行为研究伦理准则及规定及国家法律法规组织运作。
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引用次数: 42
Stress, migration, and allostatic load: a model based on Mexican migrants in Columbus, Ohio. 压力、迁移和适应负荷:基于俄亥俄州哥伦布市墨西哥移民的模型。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2018-12-13 DOI: 10.1186/s40101-018-0188-4
Alexandra C Tuggle, Jeffrey H Cohen, Douglas E Crews

Background: Immigration is a disruptive event with multiple implications for health. Stressors, including family separation, acculturation, job insecurity, restricted mobility, sojourns, dangerous border crossings, stigmatization, and marginalization, shape immigrant health in ways we are only beginning to untangle. Around the world, there are over 200 million international migrants. In 2015, there were 43.2 million immigrants living in the US, 26.8% of whom were born in Mexico. Investigating how stress affects health among migrants facilitates better understanding of their experiences.

Methods: Here, we review existing research on stress and how allostatic load varies among migrants with specific attention to Mexican migrants in the US. Next, we explore research incorporating biomarkers of allostasis and narratives of migration and settlement to examine disease risks of Mexican migrants residing in Columbus, Ohio. This mixed-methods approach allowed us to examine how social stressors may influence self-reports of health differentially from associations with assessed discrimination and physiological biomarkers of health.

Results: These data sources are not significantly associated. Neither narratives nor self-reports of health provide significant proxies for participants' physiological health.

Conclusions: We propose, the pairing of objectively assessed health profiles with narratives of migration better illustrate risks migrants face, while allowing us to discern pathways through which future health challenges may arise. Immigration and acculturation to a new nation are biologically and culturally embedded processes, as are stress and allostatic responses. To understand how the former covary with the latter requires a mixed-methods bioethnographic approach. Differences across multiple social and physiological systems, affect individual health over time. We propose incorporating physiological biomarkers and allostatic load with migrants' narratives of their migration to unravel complex relationships between acculturation and health.

背景:移民是对健康具有多重影响的破坏性事件。压力源,包括家庭分离、文化适应、工作不安全、行动受限、滞留、危险的边境过境、污名化和边缘化,以我们才刚刚开始理清的方式影响着移民的健康。全世界有2亿多国际移民。2015年,美国有4320万移民,其中26.8%出生在墨西哥。调查压力如何影响移徙者的健康,有助于更好地了解他们的经历。方法:在这里,我们回顾了现有的关于压力和移民之间的适应负荷变化的研究,并特别关注在美国的墨西哥移民。接下来,我们将探索结合生物标志物和移民和定居叙事的研究,以检查居住在俄亥俄州哥伦布市的墨西哥移民的疾病风险。这种混合方法使我们能够研究社会压力源如何影响自我健康报告,而不是与评估歧视和健康生理生物标志物的关联。结果:这些数据来源无显著相关性。叙述和自我健康报告都不能为参与者的生理健康提供重要的代理。结论:我们提出,将客观评估的健康状况与移民叙述相结合,可以更好地说明移民面临的风险,同时使我们能够辨别未来可能出现的健康挑战的途径。对一个新国家的移民和文化适应是生物学和文化上根深蒂固的过程,压力和适应反应也是如此。要了解前者如何与后者协同变化,需要一种混合方法的生物人种学方法。多种社会和生理系统之间的差异会随着时间的推移影响个人健康。我们建议将生理生物标志物和适应负荷与移民的迁移叙述结合起来,以揭示文化适应与健康之间的复杂关系。
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引用次数: 16
Developing an equation for estimating body height from linear body measurements of Ethiopian adults. 从埃塞俄比亚成年人的线性身体测量中建立一个估算身高的方程。
IF 3.1 4区 医学 Q1 PHYSIOLOGY Pub Date : 2018-11-26 DOI: 10.1186/s40101-018-0185-7
Alemayehu Digssie, Alemayehu Argaw, Tefera Belachew

Background: Measurements of erect height in older people, hospitalized and bedridden patients, and people with skeletal deformity is difficult. As a result, using body mass index for assessing nutritional status is not valid. Height estimated from linear body measurements such as arm span, knee height, and half arm span was shown to be useful surrogate measures of stature. However, the relationship between linear body measurements and stature varies across populations implying the need for the development of population-specific prediction equation. The objective of this study was to develop a formula that predicts height from arm span, half arm span, and knee height for Ethiopian adults and assess its agreement with measured height.

Methods: A cross-sectional study was conducted from March 15 to April 21, 2016 in Jimma University among a total of 660 (330 females and 330 males) subjects aged 18-40 years. A two-stage sampling procedure was employed to select study participants. Data were collected using interviewer-administered questionnaire and measurement of anthropometric parameters. The data were edited and entered into Epi Data version 3.1 and exported to SPSS for windows version 20 for cleaning and analyses. Linear regression model was fitted to predict height from knee height, half arm span, and arm span. Bland-Altman analysis was employed to see the agreement between actual height and predicted heights. P values < 0.05 was used to declare as statistically significance.

Results: On multivariable linear regression analyses after adjusting for age and sex, arm span (β = 0.63, p < 0.001, R2 = 87%), half arm span (β = 1.05, p < 0.001, R2 = 83%), and knee height (β = 1.62, p < 0.001, R2 = 84%) predicted height significantly. The Bland-Altman analyses showed a good agreement between measured height and predicted height using all the three linear body measurements.

Conclusion: The findings imply that in the context where height cannot be measured, height predicted from arm span, half arm span, and knee height is a valid proxy indicator of height. Arm span was found to be the best predictor of height. The prediction equations can be used to assess the nutritional status of hospitalized and/or bedridden patients, people with skeletal deformity, and elderly population in Ethiopia.

背景:测量老年人、住院和卧床病人以及骨骼畸形患者的勃起高度是困难的。因此,使用身体质量指数来评估营养状况是无效的。从线性身体测量(如臂幅、膝盖高度和半臂幅)估计的身高被证明是有用的替代身高测量。然而,线性身体测量和身高之间的关系在不同的人群中有所不同,这意味着需要开发针对人群的预测方程。本研究的目的是开发一个公式,预测身高从臂展,半臂展,膝盖高度为埃塞俄比亚成年人,并评估其与测量身高的一致性。方法:于2016年3月15日至4月21日在吉马大学进行横断面研究,共660人(其中女性330人,男性330人),年龄18-40岁。采用两阶段抽样程序来选择研究参与者。数据收集采用访谈者管理的问卷和测量人体测量参数。数据编辑后输入Epi data 3.1版本,导出到SPSS for windows version 20进行清理和分析。拟合线性回归模型,从膝盖高度、半臂跨距和臂跨距预测身高。采用Bland-Altman分析来观察实际身高和预测身高之间的一致性。结果:在调整年龄和性别后的多变量线性回归分析中,臂幅(β = 0.63, P 2 = 87%)、半臂幅(β = 1.05, P 2 = 83%)和膝盖高度(β = 1.62, P 2 = 84%)与身高有显著相关性。Bland-Altman的分析表明,使用所有三种线性身体测量的测量身高和预测身高之间有很好的一致性。结论:在无法测量身高的情况下,臂幅、半臂幅和膝盖高度预测身高是有效的替代身高指标。研究发现,臂距是预测身高的最佳指标。该预测方程可用于评估埃塞俄比亚住院和/或卧床病人、骨骼畸形患者和老年人口的营养状况。
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引用次数: 6
期刊
Journal of Physiological Anthropology
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