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"Goldilocks day": identifying the optimal awake movement behaviour composition for predicted cardiometabolic health outcomes in youth. “金发姑娘日”:确定预测青年心脏代谢健康结果的最佳清醒运动行为组成。
IF 1.2 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-07-09 DOI: 10.1080/03014460.2025.2523764
Joey Murphy, Charlotte Lund Rasmussen, Javier Brazo-Sayavera, Ademola Victor Damilola, Nastja Podrekar Loredan, Aoko Oluwayomi, Luís Bettencourt Sardinha, Niels Wedderkopp, Elaine Murtagh

Background: Most research focuses on the relationship of individual movement behaviours, neglecting how different compositions throughout the day associate with cardiometabolic health outcomes.

Aim: The aim of this study was to explore the optimal awake movement behaviour composition associated with predicted cardiometabolic health outcomes in youth.

Subjects and methods: The study included participants (N = 1,310 participants; 11.1 ± 2.5 [range = 7.98-17.1 years]; 55.9% female; 100% European) from the International Children's Accelerometry Database. Accelerometer measured sedentary behaviour (SB), light-(LPA) and moderate-to-vigorous physical activity (MVPA) defined the awake movement behaviour composition. Four cardiometabolic health outcomes (lipid profile, blood pressure, glucose metabolism, and body mass) were assessed through nine parameters. These were regressed against the awake movement behaviour composition, adjusting for relevant covariates to estimate the optimal awake movement behaviour composition for each predicted cardiometabolic health outcome (i.e. "Goldilocks Day").

Results: The final models found a significant relationship between the awake movement behaviour composition and cardiometabolic health outcome, excluding lipid profile indicators. For indicators of glucose metabolism, blood pressure and body mass, the Goldilocks Day consisted of less SB (-12 to -39 min), LPA (-8 to -32 min) and more MVPA (+44 to 47 min) when compared to the sample mean.

Conclusion: These findings concur with current guidelines that more MVPA and less SB are better, but the optimal time youth should spend in each behaviour depends on the health outcome of interest. This indicates that one size does not fit all when making recommendations for multiple cardiometabolic health outcomes.

背景:大多数研究集中在个体运动行为的关系上,忽视了一天中不同成分与心脏代谢健康结果的关系。目的:本研究的目的是探索与预测的青年心脏代谢健康结果相关的最佳清醒运动行为组成。研究对象和方法:本研究包括参与者(N = 1,310名参与者;11.1±2.5岁[范围= 7.98-17.1岁];55.9%的女性;100%欧洲),来自国际儿童加速度测量数据库。加速度计测量的久坐行为(SB)、轻度(LPA)和中度至剧烈身体活动(MVPA)定义了清醒运动行为的组成。通过9个参数评估4个心脏代谢健康结果(血脂、血压、葡萄糖代谢和体重)。将这些结果与清醒运动行为组成进行回归,调整相关协变量,以估计每个预测的心脏代谢健康结果(即:“金发女孩日”)。结果:最终模型发现清醒运动行为组成与心脏代谢健康结果之间存在显著关系,不包括脂质指标。对于葡萄糖代谢、血压和体重指标,与样本平均值相比,金发姑娘日的SB(-12至-39分钟)、LPA(-8至-32分钟)和MVPA(+44至47分钟)均较低。结论:这些发现与目前的指南一致,即MVPA越多越好,SB越少越好,但青少年应该在每种行为中花费的最佳时间取决于感兴趣的健康结果。这表明,在对多种心脏代谢健康结果提出建议时,一个标准并不适用于所有人。
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引用次数: 0
Intergenerational effects of climate disasters: trimester of pregnancy when a hurricane hits predicts neonate body size. 气候灾害的代际影响:飓风袭击时的怀孕三个月可以预测新生儿的体型。
IF 1.2 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-05-15 DOI: 10.1080/03014460.2025.2494570
Michaela Emily Howells, Jessica C Reich, Lenis P Chen-Edinboro, Alexandra Faith Ortiz Blair

Context: Climate disasters have been tied to prenatal stress and pregnancy outcomes. However, it is unclear if these outcomes are influenced by the stage of foetal development when the disaster hits.

Objective: To compare the birth outcomes by trimester for those pregnant during Hurricane Florence and those in the same community 1-2 years earlier. We further assessed the role of marital status and race.

Methods: We included people who gave birth between 2016-2019 in one of the coastal communities impacted by Hurricane Florence (n = 7,240). We used multiple logistic regression to determine the effects of period (hurricane or pre-hurricane) and trimester and their respective interactions on birth outcomes controlling for key demographic variables.

Results: Individuals in their first trimester during the hurricane had a greater likelihood of having low-birthweight, low-APGAR, or preterm babies compared to those in the same community a year earlier and those in later trimesters during the hurricane. Unmarried individuals in their first trimester during the hurricane were particularly at risk for low-birthweight neonates.

Conclusion: Increased prenatal stress associated with disasters disrupts first trimester foetal development across all groups but is most pronounced in unmarried individuals. Differences in birthweight reflect intergenerational impacts in disaster events.

背景:气候灾害与产前压力和妊娠结局有关。然而,目前尚不清楚这些结果是否受到灾难发生时胎儿发育阶段的影响。目的:比较佛罗伦萨飓风期间孕妇和同一社区1-2年前孕妇的妊娠结局。我们进一步评估了婚姻状况和种族的作用。方法:我们纳入了2016-2019年期间在受佛罗伦萨飓风影响的沿海社区之一分娩的人(n = 7240)。我们使用多元逻辑回归来确定时期(飓风或飓风前)和妊娠期及其各自的相互作用对出生结果的影响,控制了关键的人口统计学变量。结果:与同一社区一年前和飓风期间孕晚期的个体相比,飓风期间孕早期的个体更有可能出现低出生体重、低apgar或早产。在飓风期间的前三个月未婚的人尤其有低出生体重新生儿的风险。结论:与灾难相关的产前压力增加会破坏所有群体的前三个月胎儿发育,但在未婚个体中最为明显。出生体重的差异反映了灾难事件中代际影响。
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引用次数: 0
Facial shapes in Frankfurt Horizontal and natural head positions: a methodological study. 法兰克福人的面部形状水平和自然的头部位置:一项方法学研究。
IF 1.3 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-08-12 DOI: 10.1080/03014460.2025.2536162
Anna A Mezentseva, Victoria V Rostovtseva, Anna V Komarova, Anna A Korotkova, Nadezhda B Dashieva, Marina L Butovskaya

Background: Head orientation during photography can distort facial shape, but this is rarely considered in cross-population studies focusing on facial morphology and its perception.

Aim: To assess how head positioning (Frankfurt Horizontal [FH] vs. natural position [NP]) affects facial shape and trait perception across two ethnic populations.

Subjects and methods: Facial photographs were collected from Buryats of Mongolian descent (N = 148) and Russians of European descent (N = 155). Geometric morphometrics were used to compare the facial shapes in the FH and NP positions. Independent rater groups with similar population origins, Kalmyks (N = 162) and Russians (N = 242), evaluated perceived aggressiveness and attractiveness based on these portraits.

Results: Head orientation significantly altered facial shape, particularly among the Buryat group. Despite the larger facial sexual dimorphism in the Buryat group, sex differences were more pronounced in FH across both samples. Correlations between facial shape and body metrics (height, Body Mass Index, and body fat mass) were stronger in FH. Ratings of male aggressiveness and female attractiveness were consistently influenced by head position across both rater populations and sexes.

Conclusion: Head positioning introduces systematic bias into facial shape analysis and perception. Failure to control for this factor may compromise study comparability and distort meta-analytic findings.

背景:摄影时的头部方向会扭曲面部形状,但在关注面部形态学及其感知的跨人群研究中很少考虑到这一点。目的:评估头部定位(法兰克福水平位[FH]和自然位[NP])如何影响两个种族人群的面部形状和特征感知。对象和方法:收集蒙古血统布里亚特人(N = 148)和欧洲血统俄罗斯人(N = 155)的面部照片。几何形态计量学用于比较FH和NP位置的面部形状。卡尔梅克人(N = 162)和俄罗斯人(N = 242)这两个人口来源相似的独立评分组,根据这些肖像来评估人们对攻击性和吸引力的感知。结果:头部方向明显改变了面部形状,特别是在布里亚特组中。尽管布里亚特人的面部性别二态性更大,但在两个样本中,FH的性别差异更为明显。面部形状与身体指标(身高、身体质量指数和身体脂肪质量)之间的相关性在FH中更强。男性攻击性和女性吸引力的评分一直受到头部位置的影响,不分性别。结论:头部定位在面部形状分析和感知中引入了系统偏差。未能控制这一因素可能会损害研究的可比性并扭曲元分析结果。
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引用次数: 0
Identification of biomarkers related to iron death in diabetic kidney disease based on machine learning algorithms. 基于机器学习算法的糖尿病肾病铁死亡相关生物标志物鉴定
IF 1.2 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-04-02 DOI: 10.1080/03014460.2025.2477248
Wen Xiong, Hongxia Liu, Bo Xiang, Guangyu Shang

Background: While ferroptosis has been recognised for its key role in tumour development, its involvement in DKD is not well understood. Identifying differentially expressed ferroptosis-related genes (DEIRGs) could help improve early diagnosis and treatment strategies for DKD.

Aim: Diabetic kidney disease (DKD) is a complication of diabetes that can progress to end-stage renal disease. Early diagnosis and identification of biomarkers related to its pathogenesis are crucial. This study aims to investigate the role of ferroptosis, a type of programmed cell death, in DKD, which remains largely unexplored.

Objective: The objective of this study was to screen for diagnosis-related DEIRGs (DDEIRGs) in DKD and construct a diagnostic model with high accuracy.

Method: We intersected differentially expressed genes in the DKD dataset with ferroptosis-related genes to obtain DEIRGs. Gene importance was ranked using the random forest and Adaboost algorithms, and DDEIRGs were identified by intersecting results. A diagnostic model was constructed using logistic regression, and its accuracy was evaluated. Additionally, the immune landscape of DDEIRGs was analysed, and RT-qPCR was used to validate gene expression levels.

Results: The diagnostic model constructed with logistic regression demonstrated high diagnostic accuracy for DKD. Immune landscape analysis of DDEIRGs provided further insights into their potential roles. RT-qPCR confirmed the differential expression of diagnosis-related genes.

Conclusion: This study successfully identified diagnosis-related ferroptosis genes in DKD and constructed an accurate diagnostic model. These findings enhance our understanding of the role of ferroptosis in DKD and may contribute to the development of new diagnostic and therapeutic approaches.

背景:虽然人们已认识到铁蛋白沉积在肿瘤发生中的关键作用,但对其在糖尿病肾病中的参与还不甚了解。目的:糖尿病肾病(DKD)是糖尿病的一种并发症,可发展为终末期肾病。早期诊断和确定与其发病机制相关的生物标志物至关重要。本研究旨在探讨铁变态反应(一种程序性细胞死亡)在 DKD 中的作用:本研究的目的是筛选 DKD 中与诊断相关的 DEIRGs(DDEIRGs),并构建一个高精确度的诊断模型:方法:我们将DKD数据集中的差异表达基因与铁突变相关基因进行交叉,以获得DEIRGs。使用随机森林算法和 Adaboost 算法对基因重要性进行排序,并通过交叉结果确定 DDEIRG。利用逻辑回归构建了诊断模型,并对其准确性进行了评估。此外,还分析了 DDEIRGs 的免疫景观,并使用 RT-qPCR 验证了基因表达水平:结果:利用逻辑回归构建的诊断模型对 DKD 的诊断准确率很高。DDEIRGs的免疫图谱分析进一步揭示了它们的潜在作用。RT-qPCR证实了诊断相关基因的差异表达:本研究成功鉴定了 DKD 中与诊断相关的铁中毒基因,并构建了一个准确的诊断模型。这些发现加深了我们对铁蛋白沉积在 DKD 中的作用的理解,可能有助于开发新的诊断和治疗方法。
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引用次数: 0
Secular trends in age at menarche in Norwegians born from 1840 to 2008. 1840年至2008年出生的挪威人初潮年龄的长期趋势。
IF 1.3 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-12-03 DOI: 10.1080/03014460.2025.2589079
Ingvild Særvold Bruserud, Edda Greaker, Martin Flatø, Mathieu Roelants, Ninnie H B Oehme, Petur B Juliusson

Background: It is uncertain if age of menarche continues to decline. There has been no systematic meta-analysis of ages at menarche in Norway the past three decades.

Aim: To conduct a systematic review and meta-analysis to assess secular trends in menarcheal age in Norway.

Subjects and methods: A literature search was performed in PubMed, Web of Science, and Embase to identify studies including ages at menarche from healthy females. Re-analysis of data from 16 surveys were included together with 17 published studies in a meta-analysis using weighted regression analyses with fitted restricted cubic splines. Each study or dataset was given a random intercept to account for within-survey correlation.

Results: In total, 783,757 observations were included in the meta-analysis. Three distinct periods were identified. For women born 1840-1910, a large and stable decline with -0.14 to -0.20 years per decade (y/d) was observed, whilst in women born 1910-1950 this decline accelerated up to -0.30 y/d. The third period of women born 1950-2008 saw a small and stable decline with -0.06 to -0.08 y/d.

Conclusion: Age at menarche declined throughout the study period from 1840-2008, but more rapidly in girls born between 1910-1950. Data suggest an ongoing, modest decline.

背景:月经初潮年龄是否持续下降尚不确定。在过去的30年里,挪威没有对初潮年龄进行系统的荟萃分析。目的:进行系统回顾和荟萃分析,以评估挪威月经初潮年龄的长期趋势。研究对象和方法:在PubMed、Web of Science和Embase中进行文献检索,以确定包括健康女性月经初潮年龄的研究。重新分析了16项调查的数据和17项已发表的研究,使用加权回归分析和拟合的限制性三次样条进行meta分析。每个研究或数据集都有一个随机截距,以说明调查内的相关性。结果:meta分析共纳入783,757项观察。确定了三个不同的时期。在1840-1910年出生的妇女中,观察到每十年-0.14至-0.20年(年/日)的大幅稳定下降,而在1910-1950年出生的妇女中,这种下降加速至-0.30年/日。出生在1950年至2008年的女性的第三个时期出现了小而稳定的下降,为-0.06至-0.08 y/d。结论:在1840-2008年的研究期间,初潮年龄下降,但在1910-1950年出生的女孩中,初潮年龄下降得更快。数据显示,这一数字正在温和下降。
{"title":"Secular trends in age at menarche in Norwegians born from 1840 to 2008.","authors":"Ingvild Særvold Bruserud, Edda Greaker, Martin Flatø, Mathieu Roelants, Ninnie H B Oehme, Petur B Juliusson","doi":"10.1080/03014460.2025.2589079","DOIUrl":"10.1080/03014460.2025.2589079","url":null,"abstract":"<p><strong>Background: </strong>It is uncertain if age of menarche continues to decline. There has been no systematic meta-analysis of ages at menarche in Norway the past three decades.</p><p><strong>Aim: </strong>To conduct a systematic review and meta-analysis to assess secular trends in menarcheal age in Norway.</p><p><strong>Subjects and methods: </strong>A literature search was performed in PubMed, Web of Science, and Embase to identify studies including ages at menarche from healthy females. Re-analysis of data from 16 surveys were included together with 17 published studies in a meta-analysis using weighted regression analyses with fitted restricted cubic splines. Each study or dataset was given a random intercept to account for within-survey correlation.</p><p><strong>Results: </strong>In total, 783,757 observations were included in the meta-analysis. Three distinct periods were identified. For women born 1840-1910, a large and stable decline with -0.14 to -0.20 years per decade (y/d) was observed, whilst in women born 1910-1950 this decline accelerated up to -0.30 y/d. The third period of women born 1950-2008 saw a small and stable decline with -0.06 to -0.08 y/d.</p><p><strong>Conclusion: </strong>Age at menarche declined throughout the study period from 1840-2008, but more rapidly in girls born between 1910-1950. Data suggest an ongoing, modest decline.</p>","PeriodicalId":50765,"journal":{"name":"Annals of Human Biology","volume":"52 1","pages":"2589079"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationships and agreement between Yo-Yo intermittent recovery test level 1 performance and laboratory VO2max in adolescent male soccer players: roles of maturity status, playing position, and running economy. 青少年男子足球运动员溜溜球间歇恢复测试一级成绩与实验室VO2max的关系及一致性:成熟度、位置和跑动经济性的作用
IF 1.3 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-11-25 DOI: 10.1080/03014460.2025.2566327
Yaohui Xu, Naidan Xu, Rou Wang, Weiming Li, Indy Man Kit Ho, Eric Tsz-Chun Poon, Weijun Liu, Haochong Liu

Background: Accurate assessment of aerobic fitness is essential in youth soccer. The Yo-Yo Intermittent Recovery Test Level 1 (YYIR1) provides a practical estimate of maximal oxygen uptake (VO2max), but its agreement with laboratory values across maturity stages remains uncertain.

Aim: To examine the relationship and agreement between YYIR1 performance and laboratory-measured VO2max in adolescent male soccer players, and to assess whether biological maturation, playing position, and running economy (RE) affect estimation consistency.

Subjects and methods: Twenty-three players (13.7 ± 0.5 years) completed YYIR1 and laboratory treadmill tests (LTT). VO2max was measured during LTT and estimated from YYIR1 performance. Effects of biological maturation [pre-, circa-, post-peak height velocity (PHV)], position, and RE were analysed.

Results: YYIR1 underestimated VO2max by 5.2% versus LTT (p < 0.001) but showed strong correlation (r = 0.82). Bland-Altman analysis indicated acceptable agreement. Estimation consistency was higher in pre- and circa-PHV players, though subgroup sizes were small. Maturation, position, and RE had no significant effects.

Conclusions: YYIR1 is strongly associated with laboratory VO2max but systematically underestimates it. Coaches may use YYIR1 distance to monitor intermittent endurance, while interpreting estimated VO2max with caution. Larger, maturity-balanced samples are needed to clarify subgroup differences and improve youth-specific prediction accuracy.

背景:在青少年足球运动中,准确评估有氧适能是必不可少的。溜溜球间歇恢复试验1级(YYIR1)提供了最大摄氧量(VO2max)的实际估计,但其与各成熟阶段的实验室值的一致性仍不确定。目的:探讨青少年男子足球运动员YYIR1表现与实验室测量的最大摄氧量之间的关系和一致性,并评估生物学成熟度、踢球位置和跑步经济性(RE)是否影响估计的一致性。受试者和方法:23名运动员(13.7±0.5岁)完成YYIR1和实验室跑步机测试(LTT)。在LTT期间测量VO2max,并从YYIR1性能估计。分析了生物成熟度[峰前、峰中、峰后高度速度(PHV)]、位置和RE的影响。结果:YYIR1与LTT相比低估了5.2%的VO2max (p < 0.001),但具有很强的相关性(r = 0.82)。Bland-Altman分析显示了可接受的一致。在phv前和phv前后的玩家中,估计一致性更高,尽管亚组规模较小。成熟度、体位和RE无显著影响。结论:YYIR1与实验室VO2max密切相关,但系统性地低估了它。教练可以使用YYIR1距离来监测间歇耐力,同时谨慎解释估计的最大摄氧量。需要更大的、成熟度平衡的样本来澄清亚组差异并提高针对年轻人的预测准确性。
{"title":"Relationships and agreement between Yo-Yo intermittent recovery test level 1 performance and laboratory VO<sub>2max</sub> in adolescent male soccer players: roles of maturity status, playing position, and running economy.","authors":"Yaohui Xu, Naidan Xu, Rou Wang, Weiming Li, Indy Man Kit Ho, Eric Tsz-Chun Poon, Weijun Liu, Haochong Liu","doi":"10.1080/03014460.2025.2566327","DOIUrl":"https://doi.org/10.1080/03014460.2025.2566327","url":null,"abstract":"<p><strong>Background: </strong>Accurate assessment of aerobic fitness is essential in youth soccer. The Yo-Yo Intermittent Recovery Test Level 1 (YYIR1) provides a practical estimate of maximal oxygen uptake (VO<sub>2max</sub>), but its agreement with laboratory values across maturity stages remains uncertain.</p><p><strong>Aim: </strong>To examine the relationship and agreement between YYIR1 performance and laboratory-measured VO<sub>2max</sub> in adolescent male soccer players, and to assess whether biological maturation, playing position, and running economy (RE) affect estimation consistency.</p><p><strong>Subjects and methods: </strong>Twenty-three players (13.7 ± 0.5 years) completed YYIR1 and laboratory treadmill tests (LTT). VO<sub>2max</sub> was measured during LTT and estimated from YYIR1 performance. Effects of biological maturation [pre-, circa-, post-peak height velocity (PHV)], position, and RE were analysed.</p><p><strong>Results: </strong>YYIR1 underestimated VO<sub>2max</sub> by 5.2% versus LTT (<i>p</i> < 0.001) but showed strong correlation (<i>r</i> = 0.82). Bland-Altman analysis indicated acceptable agreement. Estimation consistency was higher in pre- and circa-PHV players, though subgroup sizes were small. Maturation, position, and RE had no significant effects.</p><p><strong>Conclusions: </strong>YYIR1 is strongly associated with laboratory VO<sub>2max</sub> but systematically underestimates it. Coaches may use YYIR1 distance to monitor intermittent endurance, while interpreting estimated VO<sub>2max</sub> with caution. Larger, maturity-balanced samples are needed to clarify subgroup differences and improve youth-specific prediction accuracy.</p>","PeriodicalId":50765,"journal":{"name":"Annals of Human Biology","volume":"52 1","pages":"2566327"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The changes in the prevalence of underweight and short stature among Polish youth from 1938 to 2020. 1938年至2020年波兰青少年体重不足和身材矮小患病率的变化。
IF 1.2 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-05-06 DOI: 10.1080/03014460.2025.2495749
Łukasz Kryst, Magdalena Żegleń, Małgorzata Kowal, Agnieszka Woronkowicz

Background: The issues of underweight and short stature are significant yet underrepresented in the literature.

Aim: This study examines the prevalence of changes in underweight and short stature among Polish youth from 1938 to 2020.

Subjects and methods: Utilising five cross-sectional data sets from Kraków, Poland, the study analysed 24,655 children and adolescents aged 3-18 years. Height and weight were measured, with BMI calculated. Underweight was determined using Cole's cut-off points, while short stature was defined as height below -2 standard deviations from the mean for age and sex.

Results: For girls, the prevalence of underweight remained stable at approximately 9.5% from 1938 to 2020, peaking in 1983, particularly during puberty, before declining in subsequent cohorts. In boys, underweight prevalence varied more, from 5.6% in 1938 to 11.1% in 1983, with a steady decline thereafter. Short stature prevalence for both sexes remained low (1.5-2.5%) and unchanged over 85 years.

Conclusion: Underweight prevalence increased significantly from 1938 to 1983, reflecting adverse environmental conditions, but has decreased in the last four decades, highlighting socioeconomic influences. Both underweight and short stature can significantly affect children's health.

背景:体重不足和身材矮小的问题是重要的,但在文献中代表性不足。目的:本研究考察了1938年至2020年波兰青少年体重不足和身材矮小的流行变化。研究对象和方法:利用来自波兰Kraków的五个横断面数据集,研究分析了24,655名3-18岁的儿童和青少年。测量身高和体重,并计算BMI。体重不足是根据科尔的分界点来确定的,而身材矮小是指身高低于年龄和性别平均水平的-2个标准差。结果:从1938年到2020年,女孩体重不足的患病率稳定在约9.5%,在1983年达到顶峰,特别是在青春期,随后的队列中下降。在男孩中,体重不足的患病率变化更大,从1938年的5.6%到1983年的11.1%,此后稳步下降。身材矮小的男女患病率仍然很低(1.5-2.5%),85年来没有变化。结论:体重不足患病率在1938年至1983年间显著上升,反映了不利的环境条件,但在过去40年中有所下降,突出了社会经济的影响。体重不足和身材矮小都会严重影响儿童的健康。
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引用次数: 0
High wet-bulb temperatures, time allocation, and diurnal patterns of breastfeeding in Bangladeshi fisher-traders. 孟加拉国渔民的高湿球温度、时间分配和母乳喂养的日模式。
IF 1.2 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-02-24 DOI: 10.1080/03014460.2025.2461709
Kathrine Starkweather, Haley Ragsdale, Margaret Butler, Fatema T Zohora, Nurul Alam

Background: Climate change is a growing threat to population health, with dangerous combinations of heat and humidity increasing in frequency, particularly in South Asia. Evidence suggests that high temperatures and heat stress influence breastfeeding behaviour and may lead to suboptimal infant and young child nutrition.

Aim: Few studies have quantified the relationship between ambient heat and breastfeeding. Here we evaluate associations between wet-bulb temperature and daily breastfeeding patterns in a rural community in Bangladesh.

Subjects and methods: We used 23 months of daily time-diary data from 68 maternal-child dyads and regional wet-bulb temperatures to test the hypothesis that increased heat and humidity negatively influence breastfeeding outcomes among Shodagor fisher-traders.

Results: We found that higher wet-bulb temperatures predicted reduced daily breastfeeding time allocation, particularly among fishers, and drove shifts towards increased night-time and decreased mid/late morning feeding. Maternal occupation and the interaction of child age with heat strongly influenced diurnal breastfeeding patterns.

Conclusion: These results highlight an important role of maternal work on infants' vulnerability to environmental stress. Dyads' ability to behaviourally compensate for extreme heat may be constrained by extended heatwaves, humidity, and economic circumstances, suggesting that climate change will likely exacerbate heat-related risks to global child health going forward.

背景:气候变化对人口健康的威胁越来越大,特别是在南亚,高温和潮湿的危险组合越来越频繁。有证据表明,高温和热应激会影响母乳喂养行为,并可能导致婴幼儿营养不佳。目的:很少有研究量化环境温度与母乳喂养之间的关系。在这里,我们评估了湿球温度和日常母乳喂养模式在孟加拉国农村社区之间的关系。研究对象和方法:我们使用了来自68对母子的23个月的每日时间日记数据和区域湿球温度来检验热量和湿度增加对Shodagor渔民的母乳喂养结果产生负面影响的假设。结果:我们发现较高的湿球温度预示着每日母乳喂养时间分配的减少,特别是在渔民中,并导致夜间喂养时间增加,上午中晚些时候喂养时间减少。母亲的职业和儿童年龄与热的相互作用强烈影响母乳喂养的日模式。结论:这些结果突出了母亲工作对婴儿环境应激易感性的重要作用。长时间的热浪、湿度和经济环境可能会限制儿童对极端高温的行为补偿能力,这表明气候变化可能会加剧未来全球儿童健康面临的与热相关的风险。
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引用次数: 0
Lactose in human milk is associated with lower rates of infection during a drought. 在干旱期间,母乳中的乳糖与较低的感染率有关。
IF 1.2 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-02-12 DOI: 10.1080/03014460.2025.2455703
Masako Fujita, Katherine Wander

Background: Infants given mothers' milk have higher resistance against infections than formula-fed counterparts. This protection is likely multifactorial, with roles for both milk immune factors and nutrients, particularly under elevated nutritional and disease stress.

Aim: This study evaluated several milk nutrients/immune factors to assess associations with infant infectious disease during a severe drought.

Subjects and methods: The study analysed morbidity recall data from Kenyan mother-infant dyads surveyed during a historic drought (n 84). Predictors of interest in logistic regression models of infant infections included milk sIgA, lactoferrin, retinol, folate receptor-α, fat, protein, and lactose. Adjustment variables included dyadic demographic characteristics and maternal infection. Akaike Information Criterion guided model fit assessment. Interactions between variables were allowed in the best-fit model.

Results: In the best-fit model, lactose was inversely (OR 0.93; 90% CI 0.89, 0.97), and maternal infection was positively (OR 2.80; 90% CI 1.04, 7.52) associated with infant infection. Milk immune factors (sIgA, lactoferrin) were not included in the final models.

Conclusion: Mothers' milk may protect infants against infection through a broad range of immune and nutrient components. In the context of severe drought with heightened nutritional and disease stress, lactose may protect against infection or decrease in the presence of an infection.

背景:母乳喂养的婴儿比配方奶粉喂养的婴儿对感染有更高的抵抗力。这种保护可能是多因素的,牛奶免疫因子和营养成分都有作用,特别是在营养和疾病压力升高的情况下。目的:本研究评估了几种牛奶营养素/免疫因子,以评估在严重干旱期间与婴儿传染病的关系。研究对象和方法:该研究分析了在历史性干旱期间调查的肯尼亚母子对的发病率回忆数据(1984年)。在婴儿感染的逻辑回归模型中,有兴趣的预测因子包括牛奶sIgA、乳铁蛋白、视黄醇、叶酸受体-α、脂肪、蛋白质和乳糖。调整变量包括二元人口统计学特征和产妇感染。赤池信息准则指导模型拟合评价。在最佳拟合模型中允许变量之间的相互作用。结果:在最佳拟合模型中,乳糖呈负相关(OR 0.93;90% CI 0.89, 0.97),母体感染呈阳性(OR 2.80;90% CI 1.04, 7.52)与婴儿感染相关。最终模型不包括乳免疫因子(sIgA,乳铁蛋白)。结论:母乳可以通过广泛的免疫和营养成分保护婴儿免受感染。在营养和疾病压力加剧的严重干旱情况下,乳糖可以防止感染或在感染的情况下减少。
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引用次数: 0
Cardiorespiratory fitness in Chinese children and adolescents: a systematic review and meta-analysis. 中国儿童和青少年的心肺健康:系统回顾和荟萃分析。
IF 1.3 4区 医学 Q2 ANTHROPOLOGY Pub Date : 2025-12-01 Epub Date: 2025-02-24 DOI: 10.1080/03014460.2025.2459141
Yihan Meng, Yu Song, Hongjuan Li

Background: Cardiorespiratory fitness (CRF) has become a significant focus in the field of public health. CRF is considered a strong predictor of health outcomes. However, cardiorespiratory fitness levels of children and adolescents are declining.

Aims: (1) To analyse the cardiorespiratory fitness levels of children and adolescents in China, focusing on maximum oxygen uptake (VO2max), maximum heart rate (HRmax), peak oxygen uptake (Peak VO2) and 20-metre shuttle run test (20 m-SRT). (2) To provide baseline data, with the goal of supporting the development of sports programs, intervention strategies, and public health decision-making.

Subjects and methods: A meta-analysis was conducted using 30 studies selected from five databases.

Results: The average performance on 20 m-SRT for Chinese children and adolescents was 34.67 laps, with a VO2max of 46.47 ml/kg/min, HRmax of 195.02 bpm, and Peak VO2 of 48.58 ml/kg/min. Boys outperformed girls in VO2max, 20 m-SRT, and HRmax, although the differences in HRmax and Peak VO2 were not statistically significant. Tibetan children showed better performance than Han children in three indicators with no significant differences found.

Conclusion: Cardiorespiratory fitness in Chinese children and adolescents is within a healthy range but not optimal. Boys generally perform better than girls, and Tibetan children outperform Han children.

背景:心肺健康(CRF)已成为公共卫生领域的一个重要焦点。CRF被认为是健康结果的有力预测指标。然而,儿童和青少年的心肺健康水平正在下降。目的:(1)分析中国儿童和青少年的心肺健康水平,重点分析最大摄氧量(VO2max)、最大心率(HRmax)、峰值摄氧量(peak VO2)和20米穿梭跑测试(20m - srt)。(2)提供基线数据,以支持体育项目、干预策略和公共卫生决策的制定。研究对象和方法:从5个数据库中选择30项研究进行荟萃分析。结果:我国儿童青少年20 m-SRT的平均成绩为34.67圈,最大摄氧量46.47 ml/kg/min,最大HRmax 195.02 bpm,最大摄氧量48.58 ml/kg/min。男生在VO2max、20m - srt和HRmax方面优于女生,但HRmax和Peak VO2的差异无统计学意义。藏族儿童在三项指标上均优于汉族儿童,但差异不显著。结论:我国儿童青少年心肺健康状况处于健康范围内,但并非最佳。男孩普遍比女孩表现好,藏族儿童比汉族儿童表现好。
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Annals of Human Biology
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