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Commentary: The Life-Long Importance of Nutrition in the First 1000 Days 评论:头1000天营养对一生的重要性
IF 1.7 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-09-25 DOI: 10.1002/ajhb.70137
Reynaldo Martorell
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引用次数: 0
Toward New Directions in Human Biology: A Roadmap for Anthropological Causal Inference With Observational Data 走向人类生物学的新方向:用观测数据进行人类学因果推理的路线图
IF 1.7 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-09-22 DOI: 10.1002/ajhb.70149
Elijah J. Watson, Delaney J. Glass, Lucia C. Petito

Human biologists seek to understand how cultural, environmental, and biological forces shape observed patterns of human variation. Yet contemporary insights and approaches to observational causal inference remain underutilized in the field. We outline a structured but flexible roadmap for causal inference in human biology that begins with theory development, defines causal questions and estimands, employs directed acyclic graphs (DAGs) to clarify assumptions, and evaluates key identification criteria prior to statistical analysis. We position this framework within a spectrum of causal inference traditions, spanning from interventionist approaches rooted in well-defined, manipulable exposures to realized approaches that engage historically situated and ecologically embedded phenomena. Rather than offering a prescriptive checklist, we frame this toolkit as an opening: a step toward anthropological causal inference that integrates transparency, theoretical and methodological coherence, and the epistemological commitments of the biocultural synthesis in human biology and anthropology.

人类生物学家试图了解文化、环境和生物力量如何塑造观察到的人类变异模式。然而,当代观察因果推理的见解和方法在该领域仍未得到充分利用。我们概述了人类生物学因果推理的结构化但灵活的路线图,从理论发展开始,定义因果问题和估计,采用有向无环图(dag)澄清假设,并在统计分析之前评估关键识别标准。我们将这一框架置于一系列因果推理传统中,从植根于定义明确、可操纵的暴露的干预主义方法到涉及历史情境和生态嵌入现象的实现方法。我们不是提供一个规定性的清单,而是将这个工具包作为一个开端:迈向人类学因果推理的一步,它整合了透明度、理论和方法的一致性,以及人类生物学和人类学中生物文化综合的认识论承诺。
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引用次数: 0
Time Trends in Adult Height Among Russian Males and Females (1966–2000) and Projections to 2050 in the Context of Changing Living Conditions 俄罗斯男性和女性成人身高的时间趋势(1966-2000)和2050年生活条件变化背景下的预测
IF 1.7 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-09-22 DOI: 10.1002/ajhb.70145
Marina A. Negasheva, Ainur A. Khafizova, Alla A. Movsesian

Objectives

To model the temporal dynamics of adult height among Russian males and females born between 1966 and 2000, in relation to changes in socio-economic and demographic indicators reflecting population living conditions.

Methods

The study is based on publicly available anthropometric, socio-economic, and demographic data. Time trends in adult height were examined using mean values recorded at age 19 for males and females born between 1966 and 2000. Eleven proxy variables representing environmental conditions (e.g., nutrition, health, and urbanization) were analyzed across the study period. Statistical methods included correlation analysis and multiple linear regression to identify key predictors of cohort-level height variation.

Results

From 1966 to 2000, adult height increased steadily up to the cohorts born in the late 1980s, declined in the 1990s, and rose again in the early 2000s. Regression models identified five key predictors most strongly associated with height trends: the share of urban population, life expectancy at birth, crude birth and death rates, and per capita meat consumption. A preliminary projection based on these models suggests a continued increase in average adult height for cohorts born through 2050.

Conclusion

This study introduces original theoretical models that link time trends in adult height in Russia to long-term changes in environmental conditions shaped by major historical events in the latter half of the 20th century. The findings highlight the substantial impact of urbanization, nutritional status, and population health on physical growth outcomes. For the first time, these regression-based models have been used to generate a projection of adult height trends in the Russian population through 2050. The proposed framework offers valuable insight into the biological consequences of socio-economic transformation and provides a basis for future research and public policy aimed at supporting child development and improving population health.

目的对1966年至2000年间出生的俄罗斯男性和女性成人身高的时间动态进行建模,并与反映人口生活条件的社会经济和人口指标的变化相关联。方法本研究基于公开的人体测量学、社会经济和人口统计数据。研究人员使用1966年至2000年间出生的男性和女性在19岁时的身高平均值来研究成人身高的时间趋势。在整个研究期间,对代表环境条件的11个代理变量(如营养、健康和城市化)进行了分析。统计方法包括相关分析和多元线性回归,以确定队列水平身高变化的关键预测因素。结果1966 - 2000年,80后人群成人身高稳步上升,90后下降,21世纪初再次上升。回归模型确定了与身高趋势最密切相关的五个关键预测因素:城市人口比例、出生时预期寿命、粗出生率和死亡率以及人均肉类消费量。基于这些模型的初步预测表明,到2050年出生的人群的平均成人身高将持续增长。本研究引入了原始的理论模型,将俄罗斯成人身高的时间趋势与20世纪下半叶重大历史事件形成的环境条件的长期变化联系起来。研究结果强调了城市化、营养状况和人口健康对身体发育结果的重大影响。这些基于回归的模型第一次被用来预测到2050年俄罗斯人口的成人身高趋势。拟议的框架对社会经济变革的生物学后果提供了宝贵的见解,并为旨在支持儿童发展和改善人口健康的未来研究和公共政策提供了基础。
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引用次数: 0
A 2-Year Follow-Up Study of Changes in Handgrip Strength in Young Athletes Playing With and Without Gripping Sports Equipment 年轻运动员使用和不使用握力运动器材时握力变化的2年随访研究。
IF 1.7 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-09-20 DOI: 10.1002/ajhb.70139
Takashi Abe, Akemi Abe, Jeremy P. Loenneke

Objectives

This study compared changes in handgrip strength (HGS) over 2 years in young athletes participating in two sports: kendo, which involves gripping equipment during play, and soccer, which does not.

Methods

One hundred eleven young athletes (54 kendo boys [mean age at baseline: 10.1 ± 1.7 years] and 57 soccer boys [mean age at baseline: 10.3 ± 1.8 years]) underwent three HGS measurements, spaced 1 year apart (Test 1, Test 2, and Test 3). The Q–Q plot indicated some violations of normality; therefore, we used a robust repeated measures ANOVA function in R.

Results

We found evidence for a localized interaction effect (p = 0.02), with a sport difference in the change from Test 1 (baseline) to Test 3 and Test 2 to Test 3 (kendo > soccer). There was no statistically significant main effect of sport (p = 0.06); however, kendo was on average 2.4 (95% CI: −0.08, 4.9) kg stronger than soccer athletes. When collapsing across groups, HGS increased from Test 1 to Test 2 by 1.9 (1.5, 2.3) kg, and from Test 2 to Test 3 by 2.8 (2.1, 3.6) kg.

Conclusions

Sports that involve gripping tools in conjunction with natural movements may help improve HGS during the developmental period.

目的:本研究比较了两项运动中年轻运动员的握力(HGS)在2年内的变化:剑道(在比赛中涉及握力设备)和足球(没有)。方法:111名年轻运动员(54名剑道男孩[平均基线年龄:10.1±1.7岁]和57名足球男孩[平均基线年龄:10.3±1.8岁])接受了3次HGS测量,间隔1年(测试1、测试2和测试3)。Q-Q图显示了一些违反常态的情况;因此,我们在r中使用了稳健的重复测量方差分析函数。结果:我们发现了局部交互效应的证据(p = 0.02),从测试1(基线)到测试3和测试2到测试3(剑道>足球)的变化存在运动差异。运动的主效应无统计学意义(p = 0.06);然而,剑道运动员比足球运动员平均重2.4公斤(95% CI: -0.08, 4.9)。跨组塌陷时,HGS从试验1到试验2增加1.9 (1.5,2.3)kg,从试验2到试验3增加2.8 (2.1,3.6)kg。结论:在发育期间,包括握持工具和自然运动的运动可能有助于改善HGS。
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引用次数: 0
Prevalence of Low EPHX1 Activity-Associated Genotypes in Himalayan Populations of India 印度喜马拉雅人群中EPHX1低活性相关基因型的流行
IF 1.7 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-09-20 DOI: 10.1002/ajhb.70148
Divya Rai, Saptaparni De, Debashruti Das, Shishir Tamang, Kumaresh Mandal, Soni Subba, L. Suhasini Sahithi, Alla G. Reddy, Periyasamy Govindaraj, Kumarasamy Thangaraj, Gyaneshwer Chaubey, Rakesh Tamang

Objectives

The EPHX1 gene encodes human microsomal epoxide hydrolase 1, which helps in biotransformation processes. Its activity is influenced by combinations of genotypes at its polymorphic sites. There are no data on the EPHX1 gene variants in the Indian Himalayan and adjoining populations (HAAPs). Therefore, this study aims to investigate the activity-associated genotypes of the EPHX1 gene variants in the HAAPs.

Materials and Methods

The EPHX1 activity-associated variants, located in exon 3 (Tyr113His) and exon 4 (His139Arg), were analyzed among 607 samples from 16 different HAAPs. Genotype data from previously published 14 Indian populations were combined and evaluated for pan-India comparison.

Results

We observed the prevalence of low EPHX1 activity-associated genotypes compared to the intermediate and high activity combinations in the HAAPs. There was a significant difference (p < 0.05) between the HAAPs and the reference Indian population based on variants in the EPHX1 gene. Comparison based on linguistic affiliation revealed that low EPHX1 activity-related genotypes were significantly higher in frequency among Tibeto-Burman speaking HAAPs (p < 0.001), followed by the other three major linguistic groups in India.

Conclusion

Our study highlights the variations in both the studied loci among the HAAPs. We observed the widespread presence of low-activity-associated genotypes of the EPHX1 gene in the HAAPs. The pan-India comparison revealed the highest prevalence of low-activity-associated genotypes among the Tibeto-Burman speaking HAAPs compared to other linguistic groups. In the future, high-resolution genetic and molecular studies on EPHX1 are necessary to corroborate this finding and better understand human health holistically.

目的:EPHX1基因编码人微粒体环氧化物水解酶1,该酶有助于生物转化过程。其活性受多态位点基因型组合的影响。在印度喜马拉雅和邻近人群(HAAPs)中没有EPHX1基因变异的数据。因此,本研究旨在研究HAAPs中EPHX1基因变异的活性相关基因型。材料和方法:对来自16个不同HAAPs的607个样本进行了EPHX1活性相关变异分析,这些变异位于外显子3 (Tyr113His)和外显子4 (His139Arg)。对先前发表的14个印度人群的基因型数据进行合并和评估,以便进行全印度比较。结果:我们观察到在HAAPs中,与中高活性组合相比,EPHX1低活性相关基因型的患病率。结论:我们的研究强调了HAAPs中两个研究位点的差异。我们观察到在HAAPs中广泛存在EPHX1基因的低活性相关基因型。泛印度比较显示,与其他语言群体相比,藏缅语HAAPs中低活性相关基因型的患病率最高。在未来,有必要对EPHX1进行高分辨率的遗传和分子研究,以证实这一发现,并更好地从整体上了解人类健康。
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引用次数: 0
Minoritized and Poorly Understood: A Scoping Review of Mental and Physical Health Among Arab Adolescents in Canada and the United States 少数和知之甚少:在加拿大和美国的阿拉伯青少年心理和身体健康的范围审查。
IF 1.7 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-09-20 DOI: 10.1002/ajhb.70144
Delaney J. Glass, Hani Alsamawi, Alexa Fairclough-Dick, Aya Ahmad, Mahdi Taye, Maryam Shaoob

Arab adolescents are both racialized and invisible minorities in Canada and the United States (US), following the war on terror, incomplete ethnic categorization, Islamophobia, and anti-Arab racism. We conducted a scoping review of physical and psychological health in Arab adolescent populations living in the US and Canada. Inclusion criteria encompassed adolescents and emerging adults aged 10–24 who identified as Arab or having Arab identity and Southwest Asia and North Africa (SWANA) origins. Included scholarly literature reported at least one physical or psychological health outcome and was published in English or Arabic up until 2025. We identified over 200 relevant studies using PubMed, Web of Science, ResearchRabbit.ai, Google Scholar, and Undermind AI. We reviewed 50 total studies that met our inclusion criteria, highlighting the paucity of research on health and biopsychosocial variation among Arab adolescents in North America over a 30-year period. Despite heterogeneity in the health outcomes reported across studies, many focused on acculturative stress, ethnic identity formation, mental health, and discrimination. Few studies examined physical health and sexual and reproductive health; none examined pubertal, immunological, or linear growth outcomes. We discuss how biocultural and human biological research approaches can contribute to advancing a needed and more holistic understanding of health variation among Arab adolescent populations.

在反恐战争、不完整的种族分类、伊斯兰恐惧症和反阿拉伯种族主义之后,在加拿大和美国,阿拉伯青少年既是种族化的,也是隐形的少数民族。我们对居住在美国和加拿大的阿拉伯青少年人口的生理和心理健康进行了范围审查。纳入标准包括被认定为阿拉伯人或具有阿拉伯身份以及西南亚和北非(SWANA)血统的10-24岁青少年和即将成年的人。包括报告至少一项身体或心理健康结果的学术文献,并以英语或阿拉伯语出版,直到2025年。我们通过PubMed、Web of Science、ResearchRabbit等网站确定了200多项相关研究。b谷歌Scholar和Undermind ai。我们审查了总共50项符合纳入标准的研究,强调了30年来北美阿拉伯青少年健康和生物心理社会差异研究的缺乏。尽管各研究报告的健康结果存在异质性,但许多研究关注的是异文化压力、种族认同形成、心理健康和歧视。很少有研究审查身体健康以及性健康和生殖健康;没有人检查青春期、免疫或线性生长结果。我们讨论了生物文化和人类生物学研究方法如何有助于促进对阿拉伯青少年人口健康差异的必要和更全面的了解。
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引用次数: 0
Comparing Physical Activity Levels and Metabolic Quotients to Quantify the Physical Activity Transition in Rwanda 比较身体活动水平和代谢商以量化卢旺达的身体活动过渡。
IF 1.7 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-09-19 DOI: 10.1002/ajhb.70142
Alexandra R. Harris, Andrew K. Yegian, Benjamin E. Sibson, Aimable Uwimana, Jean-Baptiste Niyibizi, Denis Regnier, Robert M. Ojiambo, Asuman Nuhu, Alec Thomas, Laszlo Kocsis, Torsten Vennemann, Aaron L. Baggish, Daniel E. Lieberman

Objectives

Although humans used to be physically active hunter-gatherers and subsistence farmers, there has been a recent and ongoing global physical activity transition as billions of people adopt industrial lifestyles primarily in urban areas. In order to analyze how to quantify the magnitude of this physical activity transition in a natural experiment, we compared two different metrics of physical activity metabolism among intensive subsistence farmers in northern Rwanda (Burera District, Northern Province) and urban professionals in the country's main city, Kigali.

Methods

We used the doubly labeled water (DLW) method to measure body composition, daily energy expenditure, and estimate activity energy expenditure in 36 individuals (n = 19 rural, n = 17 urban). We then used two metrics to compare activity energetics between the groups: Physical Activity Level (PAL), the ratio of total to resting energy expenditure, and Activity Metabolic Quotients (AMQ), a size-normalized measure of the daily metabolic demand from physical activity.

Results

While PALs suggest that Rwandan farmers are 1.5 times more active than urban office workers on average (PAL: 2.41 vs. 1.56), AMQs indicate that the rural farmers actually spend 2.6 times more energy on physical activity than urban office workers (AMQ: 1.85 ± 0.09 vs. 0.72 ± 0.05, p < 0.0001).

Conclusions

Metrics based on total daily metabolism such as PAL and TMQ captured some of the differences in physical activity metabolism between the farmers and office workers but severely underestimated the magnitude of the difference as illustrated by AMQ. We find that rural Rwandan farmers have some of the highest physical activity metabolic rates ever measured in humans, emphasizing the magnitude of the physical activity transition and suggesting that subsistence farming can demand much higher energy expenditures compared not just to industrial lifestyles but also to hunting and gathering.

虽然人类曾经是体力活动的狩猎采集者和自给自足的农民,但随着数十亿人主要在城市地区采用工业生活方式,全球体力活动正在发生转变。为了分析如何在自然实验中量化这种体力活动转变的幅度,我们比较了卢旺达北部(北部省布雷拉区)集约自给农民和该国主要城市基加利的城市专业人员的体力活动代谢的两种不同指标。方法:采用双标记水(DLW)法测量36例个体(农村19例,城市17例)的身体成分、每日能量消耗和活动能量消耗。然后,我们使用两个指标来比较各组之间的活动能量学:体力活动水平(PAL),总能量消耗与静息能量消耗的比率,以及活动代谢商(AMQ),体力活动每日代谢需求的大小标准化度量。结果:PAL表明卢旺达农民的平均活动量是城市上班族的1.5倍(PAL: 2.41比1.56),AMQ表明农村农民实际花费的体力活动能量是城市上班族的2.6倍(AMQ: 1.85±0.09比0.72±0.05,p)。基于每日总代谢(如PAL和TMQ)的指标捕捉到了农民和上班族之间身体活动代谢的一些差异,但严重低估了AMQ所显示的差异的幅度。我们发现,卢旺达农村农民的身体活动代谢率是人类中测量过的最高的,这强调了身体活动转变的重要性,并表明,与工业生活方式相比,自给农业不仅需要更高的能量消耗,而且与狩猎和采集相比也需要更高的能量消耗。
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引用次数: 0
Micronutrient Deficiencies and Association With Hypertension: The Role of Folate, Vitamin B12, and Homocysteine 微量营养素缺乏与高血压的关系:叶酸、维生素B12和同型半胱氨酸的作用。
IF 1.7 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-09-17 DOI: 10.1002/ajhb.70143
Suresh Dahal, Debashis Bhattacharjee, Anshika Kaushik, Sapana Kasaudhan, Kallur Nava Saraswathy, Naorem Kiranmala Devi, Ram Prasad Mitra, Ranjita Pandey, Rajinder Kumar Dhamija, Kewal Krishan, Vineet Chaudhary

Objectives

Folate and vitamin B12 are essential micronutrients involved in one-carbon metabolism. Deficiencies in these nutrients can elevate homocysteine levels, a recognized risk factor for hypertension. This study investigates the prevalence of folate and vitamin B12 deficiencies, hyperhomocysteinemia, and their association with hypertension in a North Indian population.

Methods

This cross-sectional study analyzed data from 1398 adult participants aged 30–75 years from rural Punjab, India. Biochemical parameters, including folate, vitamin B12, and homocysteine levels, were assessed using the Chemiluminescence Immunoassay technique. Hypertension was defined as SBP ≥ 140 mmHg and DBP ≥ 90 mmHg or the use of antihypertensive medication.

Results

The findings revealed a sizable prevalence of folate (26.4%) and vitamin B12 (30.7%) deficiencies, along with a high prevalence of hyperhomocysteinemia (64.8%). Homocysteine levels showed an inverse relationship with folate and vitamin B12 levels, though this association was evident only up to a specific threshold. Further, hyperhomocysteinemia was associated with prehypertension and hypertension, and low folate with prehypertension. Paradoxically, a positive correlation was observed between folate levels and blood pressure.

Conclusions

These findings underscore the widespread prevalence of micronutrient deficiencies and hyperhomocysteinemia and their potential association with hypertension. The study also highlights the importance of establishing upper cutoff levels for folate and vitamin B12 to refine dietary and supplementation guidelines. The positive correlation between folate levels and blood pressure suggests potential interference with cellular nutrient uptake in hypertensive individuals, warranting further investigation.

目的:叶酸和维生素B12是参与单碳代谢的必需微量营养素。缺乏这些营养物质会使同型半胱氨酸水平升高,这是高血压的一个公认的危险因素。本研究调查了北印度人群中叶酸和维生素B12缺乏、高同型半胱氨酸血症的患病率及其与高血压的关系。方法:这项横断面研究分析了来自印度旁遮普省农村的1398名年龄在30-75岁的成年人的数据。生化参数,包括叶酸、维生素B12和同型半胱氨酸水平,使用化学发光免疫测定技术进行评估。高血压的定义为收缩压≥140 mmHg,舒张压≥90 mmHg或使用抗高血压药物。结果:研究结果显示,叶酸(26.4%)和维生素B12(30.7%)缺乏症的患病率相当高,同时高同型半胱氨酸血症的患病率也很高(64.8%)。同型半胱氨酸水平与叶酸和维生素B12水平呈反比关系,尽管这种联系仅在特定阈值内才明显。此外,高同型半胱氨酸血症与高血压前期和高血压有关,低叶酸与高血压前期有关。矛盾的是,叶酸水平和血压之间存在正相关。结论:这些发现强调了微量营养素缺乏和高同型半胱氨酸血症的普遍存在及其与高血压的潜在关联。该研究还强调了建立叶酸和维生素B12的上限水平对于完善饮食和补充指南的重要性。叶酸水平与血压之间的正相关表明高血压个体的细胞营养摄取可能受到干扰,值得进一步研究。
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引用次数: 0
Biosocial Factors Shaping Perceptions of Disease Risk Among a Community-Based Sample of Sexual and Gender Minority People Living in Toronto During the COVID-19 Pandemic 在COVID-19大流行期间,影响多伦多性和性别少数群体社区样本中疾病风险认知的生物社会因素
IF 1.7 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-09-17 DOI: 10.1002/ajhb.70131
James K. Gibb, Sarah Williams, Kaspars Mikelstiens, Jada Charles, Leela McKinnon, Laura Beach, Luseadra McKerracher, Jessica Fields

Introduction

The COVID-19 pandemic has disproportionately affected vulnerable populations, including sexual and gender minority (SGM) people. Food insecurity, prevalent among this population, may influence perceived vulnerability to infection and related psychological outcomes. This study investigated the association between food insecurity and perceived vulnerability to infection among SGM adults in Toronto, Canada, during the third wave of the COVID-19 pandemic.

Methods

A mixed-methods study was conducted with 338 self-identified SGM adults recruited via respondent-driven sampling to complete an internet-based survey between March and July 2021. Measures included food security status, germ aversion, perceived infectability, and COVID-19 worry. Structural equation modeling (SEM) examined pathways linking food insecurity, discrimination, sleep quality, and perceived vulnerability to disease, adjusting for demographic and socioeconomic covariates.

Results

The SEM showed that discrimination predicted increased food insecurity (β = 0.30, p < 0.001) and poorer sleep quality (β = 0.26, p < 0.001). Sleep quality mediated the relationship between food insecurity and perceived vulnerability to disease (indirect effect = 0.16, p < 0.001). Discrimination had a significant total effect on perceived vulnerability to disease (β = 0.22, p < 0.001).

Discussion

These findings highlight the roles of food insecurity, discrimination, and sleep quality in shaping perceptions of disease vulnerability and risk among SGM people. Interventions addressing food security, mental health, and structural inequities are crucial for mitigating health disparities both during public health crises and in everyday life.

2019冠状病毒病大流行对弱势人群的影响尤为严重,包括性少数群体和性别少数群体。在这一人群中普遍存在的粮食不安全可能会影响人们对感染的感知脆弱性和相关的心理后果。本研究调查了第三波COVID-19大流行期间加拿大多伦多SGM成年人的粮食不安全与感知感染脆弱性之间的关系。方法:在2021年3月至7月期间,通过受访者驱动抽样,对338名自我认定的SGM成年人进行了一项混合方法研究,以完成基于互联网的调查。措施包括食品安全状况、细菌厌恶程度、感知传染性和对COVID-19的担忧。结构方程模型(SEM)研究了食物不安全、歧视、睡眠质量和疾病易感性之间的联系,并根据人口和社会经济协变量进行了调整。结果:扫描电镜显示,歧视预示着粮食不安全的增加(β = 0.30, p)。讨论:这些发现强调了粮食不安全、歧视和睡眠质量在塑造SGM人群对疾病易感性和风险的看法中的作用。解决粮食安全、心理健康和结构性不平等问题的干预措施对于减轻公共卫生危机期间和日常生活中的健康差距至关重要。
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引用次数: 0
Immunity Switches and Macrophage Manipulations: Trauma, Ovulation, and Depression as Latent Tuberculosis Reactivation Risks 免疫开关和巨噬细胞操作:创伤、排卵和抑郁是潜在的结核病再激活风险。
IF 1.7 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2025-09-17 DOI: 10.1002/ajhb.70146
Stacie Burke

Inflammation is the immune system's natural response to initial tuberculosis infection. Tuberculosis bacteria have gained adaptations to manipulate the inflammatory process, sometimes settling into latency and containment in granulomas, ensuring their survival. Grounded in an evolutionary framework, this hypothesis-driven narrative synthesis centers upon immune-related switches, macrophage manipulations, and the critical roles of vascular endothelial growth factor A (VEGFA) in the body, exploring how this pro-inflammatory mitogen expressed by M1 macrophages frames risks for latent tuberculosis reactivation. The review focuses on trauma, ovulation, and depression, three case studies of pro-inflammatory switches creating risks for reactivation because of M1 macrophage polarization, the up-regulation of VEGFA expression, and angiogenesis (the sprouting of new blood vessels). A biological rationale is extended for why skeletal tuberculosis is so often connected with onsets in childhood, why adolescent and reproductive age females may experience heightened risks for latent tuberculosis reactivation relative to males, and why there is a potential for latent tuberculosis reactivation following onsets of depression. The immunity switches and reactivation risks of trauma, ovulation, and depression are problematic, particularly in contexts of endemic tuberculosis if large numbers of people are routinely latently infected, and among individuals with natural “high producer” VEGFA phenotypes, or those with strong type 1/M1/TH1 or type 3/M1/TH17 pro-inflammatory switch tendencies, and in infections with tuberculosis bacteria possessing macrophage- and granuloma-manipulating adaptations (virulence factors). Arguably, any disease or physiological state engaging pro-inflammatory switches (common and sometimes chronic in the modern population) and M1 macrophage polarizations, and any drug treatments or therapeutics intending to alter VEGFA expression should be considered for latent tuberculosis reactivation risk.

炎症是免疫系统对初始结核感染的自然反应。结核杆菌已经获得了控制炎症过程的适应性,有时会在肉芽肿中潜伏和遏制,以确保它们的生存。在进化框架的基础上,这一假设驱动的叙事综合以免疫相关开关、巨噬细胞操作和血管内皮生长因子A (VEGFA)在体内的关键作用为中心,探索M1巨噬细胞表达的促炎丝裂原如何构成潜伏性结核病再激活的风险。这篇综述的重点是创伤、排卵和抑郁,三个促炎开关因M1巨噬细胞极化而产生再激活风险的案例研究,VEGFA表达上调和血管生成(新血管的发芽)。为什么骨骼结核经常与儿童期发病有关,为什么青春期和育龄女性相对于男性可能经历潜伏性结核病再激活的高风险,以及为什么抑郁症发病后有潜伏性结核病再激活的可能性。创伤、排卵和抑郁的免疫开关和再激活风险是有问题的,特别是在流行性结核病的情况下,如果大量人群常规潜伏感染,在具有天然“高生产者”VEGFA表型的个体中,或具有强1/M1/TH1或3/M1/TH17促炎开关倾向的个体中,以及具有巨噬细胞和肉芽肿操纵适应性(毒力因子)的结核细菌感染中。可以说,任何涉及促炎开关(在现代人群中常见,有时是慢性的)和M1巨噬细胞极化的疾病或生理状态,以及任何旨在改变VEGFA表达的药物治疗或疗法,都应考虑潜在结核再激活风险。
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American Journal of Human Biology
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