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1.
Environ Monit Assess ; 196(3): 323, 2024 Feb 29.
Article in English | MEDLINE | ID: mdl-38421451

ABSTRACT

This study aims to generate a satellite-based qualitative emission source characterization for the heavily polluted eastern part of China in the 2010-2016 time period. The applied source identification technique relies on satellite-based NOx and SO2 emission estimates by OMI, their SO2:NOx ratio, and the MIX anthropogenic emission inventory to distinguish emissions from different emission categories (urban, industrial, natural) and characterize the dominant source per 0.25° × 0.25° grid cell in East China. Overall, we find good agreement between the satellite- and emission inventory-based spatiotemporal distribution and characterization of the dominant emission sources in East China in 2010-2016. In 2010, the satellite measurements suggest an emission distribution less dominated by industrial areas, a somewhat larger role for urban/transportation areas and agricultural activities, and more natural emissions in the southern part compared to the bottom-up emission categorization. In 2016, more than half of the classified emission categories over East China have remained the same. At the same time, there is a notable increase of agricultural lands and decrease of areas dominated by industry/transportation in 2016, suggestive of an overall decrease in heavy air pollution in East China over the course of 7 years. This is likely attributed to the sustained efforts of the Chinese government to drastically improve the air quality, especially since 2013 when the National Air Pollution Prevention and Control Action Plan was enacted. However, signs of urban expansion (urbanization) and rural-urban migration ("Go West" motion) stemmed from China's rapid economic growth and labour demand are evident; escalating industrialization (even with cleaner means) and the urban population growth in East China resulted in stronger emissions from sources representing consumption and transportation which are strongly related to NO2 and PM10 pollution (rather than SO2) and are directly influenced by the population size. This resulted to a shift of the emissions from the east mainly to the north and northwest of East China. Overall, although the effectiveness of the Chinese environmental control policies has been successful, the air pollution problem remains an important concern.


Subject(s)
Air Pollution , Environmental Monitoring , Environmental Pollution , Air Pollution/prevention & control , Agriculture , China
2.
Neuroimage Clin ; 40: 103515, 2023.
Article in English | MEDLINE | ID: mdl-37797435

ABSTRACT

BACKGROUND: Antipsychotic drugs are the first-choice therapy for psychotic episodes, but antipsychotic treatment response (AP-R) is unpredictable and only becomes clear after weeks of therapy. A biomarker for AP-R is currently unavailable. We reviewed the evidence for the hypothesis that functional magnetic resonance imaging functional connectivity (fMRI-FC) is a predictor of AP-R or could serve as a biomarker for AP-R in psychosis. METHOD: A systematic review of longitudinal fMRI studies examining the predictive performance and relationship between FC and AP-R was performed following PRISMA guidelines. Technical and clinical aspects were critically assessed for the retrieved studies. We addressed three questions: Q1) is baseline fMRI-FC related to subsequent AP-R; Q2) is AP-R related to a change in fMRI-FC; and Q3) can baseline fMRI-FC predict subsequent AP-R? RESULTS: In total, 28 articles were included. Most studies were of good quality. fMRI-FC analysis pipelines included seed-based-, independent component- / canonical correlation analysis, network-based statistics, and graph-theoretical approaches. We found high heterogeneity in methodological approaches and results. For Q1 (N = 17) and Q2 (N = 18), the most consistent evidence was found for FC between the striatum and ventral attention network as a potential biomarker of AP-R. For Q3 (N = 9) accuracy's varied form 50 till 93%, and prediction models were based on FC between various brain regions. CONCLUSION: The current fMRI-FC literature on AP-R is hampered by heterogeneity of methodological approaches. Methodological uniformity and further improvement of the reliability and validity of fMRI connectivity analysis is needed before fMRI-FC analysis can have a place in clinical applications of antipsychotic treatment.


Subject(s)
Antipsychotic Agents , Humans , Antipsychotic Agents/therapeutic use , Magnetic Resonance Imaging/methods , Reproducibility of Results , Brain/diagnostic imaging , Brain/physiology , Biomarkers , Brain Mapping
3.
Sci Adv ; 9(29): eadg7429, 2023 07 21.
Article in English | MEDLINE | ID: mdl-37478188

ABSTRACT

Response actions to the coronavirus disease 2019 perturbed economies and carbon dioxide (CO2) emissions. The Omicron variant that emerged in 2022 caused more substantial infections than in 2020 and 2021 but it has not yet been ascertained whether Omicron interrupted the temporary post-2021 rebound of CO2 emissions. Here, using satellite nitrogen dioxide observations combined with atmospheric inversion, we show a larger decline in China's CO2 emissions between January and April 2022 than in those months during the first wave of 2020. China's CO2 emissions are estimated to have decreased by 15% (equivalent to -244.3 million metric tons of CO2) during the 2022 lockdown, greater than the 9% reduction during the 2020 lockdown. Omicron affected most of the populated and industrial provinces in 2022, hindering China's CO2 emissions rebound starting from 2021. China's emission variations agreed with downstream CO2 concentration changes, indicating a potential to monitor CO2 emissions by integrating satellite and ground measurements.


Subject(s)
COVID-19 , Carbon Dioxide , Humans , Carbon Dioxide/analysis , COVID-19/epidemiology , SARS-CoV-2 , Communicable Disease Control , China
4.
J Geophys Res Atmos ; 128(3): e2022JD037479, 2023 Feb 16.
Article in English | MEDLINE | ID: mdl-37034455

ABSTRACT

Emissions of methane (CH4) in the Permian basin (USA) have been derived for 2019 and 2020 from satellite observations of the Tropospheric Monitoring Instrument (TROPOMI) using the divergence method, in combination with a data driven method to estimate the background column densities. The resulting CH4 emission data, which have been verified using model data with known emissions, have a spatial resolution of approximately 10 km. The CH4 emissions show moderate spatial correlation with the locations of oil and gas production and drilling activities in the Permian basin, as well as with emissions of nitrogen oxides (NOx). Analysis of the emission maps and time series indicates that a significant fraction of methane emissions in the Permian basin is from frequent widespread emissions sources, rather than from a few infrequent very large unplanned releases, which is important considering possible CH4 emission mitigation strategies. In addition to providing spatially resolved emissions, the divergence method also provides the total emissions of the Permian basin and its main sub-basins. The total CH4 emission of the Permian is estimated as 3.0 ± 0.7 Tg yr-1 for 2019, which agrees with other independent estimates based on TROPOMI data. For the Delaware sub-basin, it is estimated as 1.4 ± 0.3 Tg yr-1 for 2019, and for the Midland sub-basin 1.2 ± 0.3 Tg yr-1. In 2020 the emissions are 9% lower compared to 2019 in the entire Permian basin, and respectively 19% and 27% for the Delaware and Midland sub-basins.

5.
Environ Sci Technol ; 57(6): 2322-2332, 2023 02 14.
Article in English | MEDLINE | ID: mdl-36724410

ABSTRACT

The Arctic region is experiencing notable warming as well as more lightning. Lightning is the dominant source of upper tropospheric nitrogen oxides (NOx), which are precursors for ozone and hydroxyl radicals. In this study, we combine the nitrogen dioxide (NO2) observations from the TROPOspheric Monitoring Instrument (TROPOMI) with Vaisala Global Lightning Dataset 360 to evaluate lightning NO2 (LNO2) production in the Arctic. By analyzing consecutive TROPOMI NO2 observations, we determine the lifetime and production efficiency of LNO2 during the summers of 2019-2021. Our results show that the LNO2 production efficiency over the ocean is ∼6 times higher than over continental regions. Additionally, we find that a higher LNO2 production efficiency is often correlated with lower lightning rates. The summertime lightning NOx emission in the Arctic (north of 70° N) is estimated to be 219 ± 116 Mg of N, which is equal to 5% of anthropogenic NOx emissions. However, for the span of a few hours, the Arctic LNO2 density can even be comparable to anthropogenic NO2 emissions in the region. These new findings suggest that LNO2 can play an important role in the upper-troposphere/lower-stratosphere atmospheric chemical processes in the Arctic, particularly during the summer.


Subject(s)
Air Pollutants , Lightning , Ozone , Nitrogen Dioxide/analysis , Air Pollutants/analysis , Arctic Regions , Nitrogen Oxides , Ozone/analysis , Environmental Monitoring/methods
6.
J Affect Disord ; 325: 321-328, 2023 03 15.
Article in English | MEDLINE | ID: mdl-36623568

ABSTRACT

BACKGROUND: Electroconvulsive therapy (ECT) in patients with major depression is associated with volume changes and markers of neuroplasticity in the hippocampus, in particular in the dentate gyrus. It is unclear if these changes are associated with cognitive side effects. OBJECTIVES: We investigated whether changes in cognitive functioning after ECT were associated with hippocampal structural changes. It was hypothesized that 1) volume increase of hippocampal subfields and 2) changes in perfusion and diffusion of the hippocampus correlated with cognitive decline. METHODS: Using ultra high field (7 T) MRI, intravoxel incoherent motion and volumetric data were acquired and neurocognitive functioning was assessed before and after ECT in 23 patients with major depression. Repeated measures correlation analysis was used to examine the relation between cognitive functioning and structural characteristics of the hippocampus. RESULTS: Left hippocampal volume, left and right dentate gyrus and right CA1 volume increase correlated with decreases in verbal memory functioning. In addition, a decrease of mean diffusivity in the left hippocampus correlated with a decrease in letter fluency. LIMITATIONS: Due to methodological restrictions direct study of neuroplasticity is not possible. MRI is used as an indirect measure. CONCLUSION: As both volume increase in the hippocampus and MD decrease can be interpreted as indirect markers for neuroplasticity that co-occur with a decrease in cognitive functioning, our results may indicate that neuroplastic processes are affecting cognitive processes after ECT.


Subject(s)
Cognitive Dysfunction , Depressive Disorder, Major , Electroconvulsive Therapy , Humans , Electroconvulsive Therapy/adverse effects , Electroconvulsive Therapy/methods , Pilot Projects , Treatment Outcome , Hippocampus/diagnostic imaging , Cognitive Dysfunction/diagnostic imaging , Cognitive Dysfunction/etiology , Depressive Disorder, Major/diagnostic imaging , Depressive Disorder, Major/therapy , Magnetic Resonance Imaging , Perfusion
7.
Tijdschr Psychiatr ; 65(10): 633-636, 2023.
Article in Dutch | MEDLINE | ID: mdl-38174399

ABSTRACT

BACKGROUND: Delirium is associated with neurophysiological changes that can be identified with quantitative EEG analysis techniques (qEEG). AIM: To provide an overview of studies on neurophysiological changes in delirium using various qEEG analysis techniques. METHOD: Literature review. RESULTS: In delirium, there is an increase in delta and theta activity but a decrease in activity in the alpha frequency band. Additionally, there is a decrease in functional connectivity and efficiency of the brain network in the alpha frequency band. CONCLUSION: Delirium is characterized by diffuse slowing of the EEG, reduced functional connectivity, and decreased efficiency of the brain network. Improved functional connectivity could be a new approach to treat delirium.


Subject(s)
Delirium , Electroencephalography , Humans , Electroencephalography/methods , Brain , Delirium/diagnosis
8.
Sci Adv ; 6(49)2020 12.
Article in English | MEDLINE | ID: mdl-33268360

ABSTRACT

Changes in CO2 emissions during the COVID-19 pandemic have been estimated from indicators on activities like transportation and electricity generation. Here, we instead use satellite observations together with bottom-up information to track the daily dynamics of CO2 emissions during the pandemic. Unlike activity data, our observation-based analysis deploys independent measurement of pollutant concentrations in the atmosphere to correct misrepresentation in the bottom-up data and can provide more detailed insights into spatially explicit changes. Specifically, we use TROPOMI observations of NO2 to deduce 10-day moving averages of NO x and CO2 emissions over China, differentiating emissions by sector and province. Between January and April 2020, China's CO2 emissions fell by 11.5% compared to the same period in 2019, but emissions have since rebounded to pre-pandemic levels before the coronavirus outbreak at the beginning of January 2020 owing to the fast economic recovery in provinces where industrial activity is concentrated.


Subject(s)
COVID-19/epidemiology , Carbon Dioxide/analysis , Pandemics , Satellite Communications , China/epidemiology , Geography , Nitrates/analysis , SARS-CoV-2/physiology
9.
Sci Adv ; 6(28): eabc2992, 2020 Jul.
Article in English | MEDLINE | ID: mdl-32923601

ABSTRACT

China's policy interventions to reduce the spread of the coronavirus disease 2019 have environmental and economic impacts. Tropospheric nitrogen dioxide indicates economic activities, as nitrogen dioxide is primarily emitted from fossil fuel consumption. Satellite measurements show a 48% drop in tropospheric nitrogen dioxide vertical column densities from the 20 days averaged before the 2020 Lunar New Year to the 20 days averaged after. This decline is 21 ± 5% larger than that from 2015 to 2019. We relate this reduction to two of the government's actions: the announcement of the first report in each province and the date of a province's lockdown. Both actions are associated with nearly the same magnitude of reductions. Our analysis offers insights into the unintended environmental and economic consequences through reduced economic activities.

10.
Geophys Res Lett ; 47(11): e2020GL087978, 2020 Jun 16.
Article in English | MEDLINE | ID: mdl-32836515

ABSTRACT

Spaceborne NO2 column observations from two high-resolution instruments, Tropospheric Monitoring Instrument (TROPOMI) on board Sentinel-5 Precursor and Ozone Monitoring Instrument (OMI) on Aura, reveal unprecedented NO2 decreases over China, South Korea, western Europe, and the United States as a result of public health measures enforced to contain the coronavirus disease outbreak (Covid-19) in January-April 2020. The average NO2 column drop over all Chinese cities amounts to -40% relative to the same period in 2019 and reaches up to a factor of ~2 at heavily hit cities, for example, Wuhan, Jinan, while the decreases in western Europe and the United States are also significant (-20% to -38%). In contrast with this, although Iran is also strongly affected by the disease, the observations do not show evidence of lower emissions, reflecting more limited health measures.

11.
J Nutr Health Aging ; 22(1): 8-15, 2018.
Article in English | MEDLINE | ID: mdl-29300416

ABSTRACT

OBJECTIVES: Previous studies showed a U-shaped association between BMI and (physical) frailty. We studied the association between BMI and physical, cognitive, psychological, and social frailty. Furthermore, the overlap between and prevalence of these frailty domains was examined. DESIGN: Cross-sectional study. SETTING: The Doetinchem Cohort Study is a longitudinal population-based study starting in 1987-1991 examining men and women aged 20-59 with follow-up examinations every 5 yrs. PARTICIPANTS: For the current analyses, we used data from round 5 (2008-2012) with 4019 participants aged 41-81 yrs. MEASUREMENTS: Physical frailty was defined as having ≥ 2 of 4 frailty criteria from the Frailty Phenotype (unintentional weight loss, exhaustion, physical activity, handgrip strength). Cognitive frailty was defined as the < 10th percentile on global cognitive functioning (based on memory, speed, flexibility). Psychological frailty was defined as having 2 out of 2 criteria (depression, mental health). Social frailty was defined as having ≥ 2 of 3 criteria (loneliness, social support, social participation). BMI was divided into four classes. Analyses were adjusted for sex, age, level of education, and smoking. RESULTS: A U-shaped association was observed between BMI and physical frailty, a small linear association for BMI and cognitive frailty and no association between BMI and psychological and social frailty. The four frailty domains showed only a small proportion of overlap. The prevalence of physical, cognitive and social frailty increased with age, whereas psychological frailty did not. CONCLUSION: We confirm that not only underweight but also obesity is associated with physical frailty. Obesity also seems to be associated with cognitive frailty. Further, frailty prevention should focus on multiple domains and target individuals at a younger age (<65yrs).


Subject(s)
Body Mass Index , Frailty/physiopathology , Adult , Aged , Aged, 80 and over , Cognition Disorders/physiopathology , Cohort Studies , Cross-Sectional Studies , Depression , Exercise , Female , Frail Elderly/psychology , Frailty/prevention & control , Hand Strength , Humans , Life Style , Longitudinal Studies , Male , Mental Health , Middle Aged , Obesity/physiopathology , Social Support , Sociological Factors , Thinness/physiopathology , Weight Loss
12.
Sci Total Environ ; 612: 923-930, 2018 Jan 15.
Article in English | MEDLINE | ID: mdl-28886544

ABSTRACT

A method is developed that allows the construction of spatial emission inventories. The method is applied for anthropogenic SO2 over China (0.25°×0.25°). The Enhancement Ratio Method (ERM) allows for the calculation of SO2 emissions using relationships between gridded satellite measurements of SO2 and NO2 at low wind speeds, and satellite-based NOx emission estimates. Here, we derive SO2 emissions for five years (2007-2011). A large decrease of emissions during 2007-2009 and a modest increase between 2010 and 2011 is observed. The evolution of emissions over time calculated here is in general agreement with bottom-up inventories, although differences exist, not only between the current inventory and other inventories but also among the bottom up inventories themselves. The ERM-derived emissions are consistent, spatially and temporally, with existing inventories.

13.
Eur Heart J ; 39(5): 397-406, 2018 02 01.
Article in English | MEDLINE | ID: mdl-29020414

ABSTRACT

Aims: The hypothesis of 'metabolically healthy obesity' implies that, in the absence of metabolic dysfunction, individuals with excess adiposity are not at greater cardiovascular risk. We tested this hypothesis in a large pan-European prospective study. Methods and results: We conducted a case-cohort analysis in the 520 000-person European Prospective Investigation into Cancer and Nutrition study ('EPIC-CVD'). During a median follow-up of 12.2 years, we recorded 7637 incident coronary heart disease (CHD) cases. Using cut-offs recommended by guidelines, we defined obesity and overweight using body mass index (BMI), and metabolic dysfunction ('unhealthy') as ≥ 3 of elevated blood pressure, hypertriglyceridaemia, low HDL-cholesterol, hyperglycaemia, and elevated waist circumference. We calculated hazard ratios (HRs) and 95% confidence intervals (95% CI) within each country using Prentice-weighted Cox proportional hazard regressions, accounting for age, sex, centre, education, smoking, diet, and physical activity. Compared with metabolically healthy normal weight people (reference), HRs were 2.15 (95% CI: 1.79; 2.57) for unhealthy normal weight, 2.33 (1.97; 2.76) for unhealthy overweight, and 2.54 (2.21; 2.92) for unhealthy obese people. Compared with the reference group, HRs were 1.26 (1.14; 1.40) and 1.28 (1.03; 1.58) for metabolically healthy overweight and obese people, respectively. These results were robust to various sensitivity analyses. Conclusion: Irrespective of BMI, metabolically unhealthy individuals had higher CHD risk than their healthy counterparts. Conversely, irrespective of metabolic health, overweight and obese people had higher CHD risk than lean people. These findings challenge the concept of 'metabolically healthy obesity', encouraging population-wide strategies to tackle obesity.


Subject(s)
Coronary Disease , Obesity , Body Mass Index , Case-Control Studies , Coronary Disease/complications , Coronary Disease/epidemiology , Coronary Disease/physiopathology , Europe/epidemiology , Female , Humans , Male , Metabolic Syndrome , Middle Aged , Obesity/complications , Obesity/epidemiology , Obesity/physiopathology
14.
Atmos Chem Phys ; 17(15): 9261-9275, 2017.
Article in English | MEDLINE | ID: mdl-29104586

ABSTRACT

Satellite NO2 observations have been widely used to evaluate emission changes. To determine trends in NOx emission over China, we used a method independent of chemical transport models to quantify the NOx emissions from 48 cities and 7 power plants over China, on the basis of Ozone Monitoring Instrument (OMI) NO2 observations during 2005 to 2015. We found that NOx emissions over 48 Chinese cities increased by 52% from 2005 to 2011 and decreased by 21% from 2011 to 2015. The decrease since 2011 could be mainly attributed to emission control measures in power sector; while cities with different dominant emission sources (i.e. power, industrial and transportation sectors) showed variable emission decline timelines that corresponded to the schedules for emission control in different sectors. The time series of the derived NOx emissions was consistent with the bottom-up emission inventories for all power plants (r=0.8 on average), but not for some cities (r=0.4 on average). The lack of consistency observed for cities was most probably due to the high uncertainty of bottom-up urban emissions used in this study, which were derived from downscaling the regional-based emission data to cities by using spatial distribution proxies.

15.
BMC Geriatr ; 17(1): 196, 2017 08 30.
Article in English | MEDLINE | ID: mdl-28854882

ABSTRACT

BACKGROUND: Accumulation of problems in physical, psychological, cognitive, or social functioning is characteristic for frail individuals. Using a four-domain approach of frailty, this study explored how sociodemographic and lifestyle factors, life events and health are associated with frailty. METHODS: The study sample included 4019 men and women (aged 40-81 years) examined during the fifth round (2008-2012) of the Doetinchem Cohort Study. Four domains of frailty were considered: physical (≥4 of 8 criteria: unintentional weight loss, exhaustion, strength, perceived health, walking, balance, hearing and vision impairments), psychological (2 criteria: depressive symptoms, mental health), cognitive (<10th percentile on global cognitive functioning), and social frailty (≥2 of 3 criteria: loneliness, social support, social participation). Logistic regression was used to study the cross-sectional association of sociodemographic factors, lifestyle, life events and chronic diseases with frailty domains. RESULTS: About 17% of the population was frail on one or more domains. Overlap between the frailty domains was limited since 82% of the frail population was frail on one domain only. Low educated respondents were at higher risk of being psychologically and socially frail. Having multiple diseases was associated with a higher risk of being physically and psychologically frail. Being physically active was consistently associated with a lower risk of frailty on each of the four domains. Short or long sleep duration was associated with a higher risk of being physically, psychologically, and socially frail. CONCLUSIONS: Sociodemographic factors, lifestyle and multimorbidity contributed differently to the four frailty domains. It is important to consider multiple frailty domains since this helps to identify different groups of frail people, and as such to provide tailored care and support. Lifestyle factors including physical activity, smoking and sleep duration were associated with multiple domains of frailty.


Subject(s)
Frailty , Adult , Aged , Aged, 80 and over , Chronic Disease , Cohort Studies , Female , Frail Elderly/psychology , Frail Elderly/statistics & numerical data , Frailty/diagnosis , Frailty/epidemiology , Frailty/psychology , Health Status , Humans , Life Change Events , Life Style , Male , Mental Health , Middle Aged , Netherlands/epidemiology , Social Participation , Social Support , Sociological Factors
16.
J Mol Model ; 23(10): 298, 2017 Sep 27.
Article in English | MEDLINE | ID: mdl-28956172

ABSTRACT

Protein stability is known to be influenced by the presence of Hofmeister active ions in the solution. In addition to direct ion-protein interactions, this influence manifests through the local alterations of the interfacial water structure induced by the anions and cations present in this region. In our earlier works it was pointed out that the effects of Hofmeister active salts on the stability of Trp-cage miniprotein can be modeled qualitatively using non-polarizable force fields. These simulations reproduced the structure-stabilization and structure-destabilization effects of selected kosmotropic and chaotropic salts, respectively. In the present study we use the same model system to elucidate atomic processes behind the chaotropic destabilization and kosmotropic stabilization of the miniprotein. We focus on changes of the local hydration environment of the miniprotein upon addition of NaClO4 and NaF salts to the solution. The process is separated into two parts. In the first, 'promotion' phase, the protein structure is fixed, and the local hydration properties induced by the simultaneous presence of protein and ions are investigated, with a special focus on the interaction of Hofmeister active anions with the charged and polar sites. In the second, 'rearrangement' phase we follow changes of the hydration of ions and the protein, accompanying the conformational relaxation of the protein. We identify significant factors of an enthalpic and entropic nature behind the ion-induced free energy changes of the protein-water system, and also propose a possible atomic mechanism consistent with the Collins's rule, for the chaotropic destabilization and kosmotropic stabilization of protein conformation.


Subject(s)
Protein Stability , Proteins/chemistry , Thermodynamics , Anions/chemistry , Entropy , Protein Conformation , Salts/chemistry , Solutions/chemistry , Water/chemistry
17.
Nutrients ; 9(7)2017 Jul 22.
Article in English | MEDLINE | ID: mdl-28737692

ABSTRACT

BACKGROUND AND OBJECTIVES: High salt intake increases blood pressure and thereby the risk of chronic diseases. Food reformulation (or food product improvement) may lower the dietary intake of salt. This study describes the changes in salt contents of foods in the Dutch market over a five-year period (2011-2016) and differences in estimated salt intake over a 10-year period (2006-2015). METHODS: To assess the salt contents of foods; we obtained recent data from chemical analyses and from food labels. Salt content of these foods in 2016 was compared to salt contents in the 2011 version Dutch Food Composition Database (NEVO, version 2011), and statistically tested with General Linear Models. To estimate the daily dietary salt intake in 2006, 2010, and 2015, men and women aged 19 to 70 years were recruited through random population sampling in Doetinchem, a small town located in a rural area in the eastern part of the Netherlands. The characteristics of the study population were in 2006: n = 317, mean age 49 years, 43% men, in 2010: n = 342, mean age 46 years, 45% men, and in 2015: n = 289, mean age 46 years, 47% men. Sodium and potassium excretion was measured in a single 24-h urine sample. All estimates were converted to a common metric: salt intake in grams per day by multiplication of sodium with a factor of 2.54. RESULTS: In 2016 compared to 2011, the salt content in certain types of bread was on average 19 percent lower and certain types of sauce, soup, canned vegetables and legumes, and crisps had a 12 to 26 percent lower salt content. Salt content in other types of foods had not changed significantly. Between 2006, 2010 and 2015 the estimated salt intake among adults in Doetinchem remained unchanged. In 2015, the median estimated salt intake was 9.7 g per day for men and 7.4 g per day for women. As in 2006 and 2010, the estimated salt intake in 2015 exceeded the recommended maximum intake of 6 g per day set by the Dutch Health Council. CONCLUSION: In the Netherlands, the salt content of bread, certain sauces, soups, potato crisps, and processed legumes and vegetables have been reduced over the period 2011-2016. However, median salt intake in 2006 and 2015 remained well above the recommended intake of 6 g.


Subject(s)
Food Analysis , Sodium Chloride, Dietary/urine , Adult , Aged , Blood Pressure/drug effects , Cohort Studies , Female , Food Handling , Food Labeling , Humans , Male , Mental Recall , Middle Aged , Netherlands , Potassium/urine , Recommended Dietary Allowances , Rural Population , Sodium/urine , Sodium Chloride, Dietary/administration & dosage , Surveys and Questionnaires , Young Adult
18.
JAMA ; 316(13): 1383-1391, 2016 Oct 04.
Article in English | MEDLINE | ID: mdl-27701660

ABSTRACT

Importance: Low-density lipoprotein cholesterol (LDL-C)-lowering alleles in or near NPC1L1 or HMGCR, encoding the respective molecular targets of ezetimibe and statins, have previously been used as proxies to study the efficacy of these lipid-lowering drugs. Alleles near HMGCR are associated with a higher risk of type 2 diabetes, similar to the increased incidence of new-onset diabetes associated with statin treatment in randomized clinical trials. It is unknown whether alleles near NPC1L1 are associated with the risk of type 2 diabetes. Objective: To investigate whether LDL-C-lowering alleles in or near NPC1L1 and other genes encoding current or prospective molecular targets of lipid-lowering therapy (ie, HMGCR, PCSK9, ABCG5/G8, LDLR) are associated with the risk of type 2 diabetes. Design, Setting, and Participants: The associations with type 2 diabetes and coronary artery disease of LDL-C-lowering genetic variants were investigated in meta-analyses of genetic association studies. Meta-analyses included 50 775 individuals with type 2 diabetes and 270 269 controls and 60 801 individuals with coronary artery disease and 123 504 controls. Data collection took place in Europe and the United States between 1991 and 2016. Exposures: Low-density lipoprotein cholesterol-lowering alleles in or near NPC1L1, HMGCR, PCSK9, ABCG5/G8, and LDLR. Main Outcomes and Measures: Odds ratios (ORs) for type 2 diabetes and coronary artery disease. Results: Low-density lipoprotein cholesterol-lowering genetic variants at NPC1L1 were inversely associated with coronary artery disease (OR for a genetically predicted 1-mmol/L [38.7-mg/dL] reduction in LDL-C of 0.61 [95% CI, 0.42-0.88]; P = .008) and directly associated with type 2 diabetes (OR for a genetically predicted 1-mmol/L reduction in LDL-C of 2.42 [95% CI, 1.70-3.43]; P < .001). For PCSK9 genetic variants, the OR for type 2 diabetes per 1-mmol/L genetically predicted reduction in LDL-C was 1.19 (95% CI, 1.02-1.38; P = .03). For a given reduction in LDL-C, genetic variants were associated with a similar reduction in coronary artery disease risk (I2 = 0% for heterogeneity in genetic associations; P = .93). However, associations with type 2 diabetes were heterogeneous (I2 = 77.2%; P = .002), indicating gene-specific associations with metabolic risk of LDL-C-lowering alleles. Conclusions and Relevance: In this meta-analysis, exposure to LDL-C-lowering genetic variants in or near NPC1L1 and other genes was associated with a higher risk of type 2 diabetes. These data provide insights into potential adverse effects of LDL-C-lowering therapy.


Subject(s)
Cholesterol, LDL/genetics , Coronary Artery Disease/genetics , Diabetes Mellitus, Type 2/genetics , Genetic Variation , Hydroxymethylglutaryl-CoA Reductase Inhibitors/adverse effects , Membrane Proteins/genetics , ATP Binding Cassette Transporter, Subfamily G, Member 5/genetics , Adult , Aged , Cholesterol, LDL/blood , Cohort Studies , Diabetes Mellitus, Type 2/blood , Drug Therapy, Combination/adverse effects , Ezetimibe/administration & dosage , Ezetimibe/adverse effects , Genetic Association Studies , Humans , Hydroxymethylglutaryl CoA Reductases/genetics , Lipoproteins/genetics , Membrane Transport Proteins , Middle Aged , Odds Ratio , Polymorphism, Genetic , Proprotein Convertase 9/genetics , Receptors, LDL/genetics , Risk , Simvastatin/administration & dosage , Simvastatin/adverse effects
19.
Sci Rep ; 6: 32307, 2016 08 31.
Article in English | MEDLINE | ID: mdl-27577535

ABSTRACT

The large-scale burning of crop residues in the North China Plain (NCP), one of the most densely populated world regions, was recently recognized to cause severe air pollution and harmful health effects. A reliable quantification of the magnitude of these fires is needed to assess regional air quality. Here, we use an eight-year record (2005-2012) of formaldehyde measurements from space to constrain the emissions of volatile organic compounds (VOCs) in this region. Using inverse modelling, we derive that satellite-based post-harvest burning fluxes are, on average, at least a factor of 2 higher than state-of-the-art bottom-up statistical estimates, although with significant interannual variability. Crop burning is calculated to cause important increases in surface ozone (+7%) and fine aerosol concentrations (+18%) in the North China Plain in June. The impact of crop fires is also found in satellite observations of other species, glyoxal, nitrogen dioxide and methanol, and we show that those measurements validate the magnitude of the top-down fluxes. Our study indicates that the top-down crop burning fluxes of VOCs in June exceed by almost a factor of 2 the combined emissions from other anthropogenic activities in this region, underscoring the need for targeted actions towards changes in agricultural management practices.


Subject(s)
Air Pollutants/analysis , Fires , Particulate Matter/analysis , Aerosols , Agriculture , Air Pollution/analysis , Atmosphere , China , Crops, Agricultural , Environmental Monitoring , Formaldehyde/analysis , Glyoxal/analysis , Methanol/analysis , Nitrogen Dioxide/analysis , Ozone/analysis
20.
PLoS Med ; 13(7): e1002094, 2016 07.
Article in English | MEDLINE | ID: mdl-27434045

ABSTRACT

BACKGROUND: Whether and how n-3 and n-6 polyunsaturated fatty acids (PUFAs) are related to type 2 diabetes (T2D) is debated. Objectively measured plasma PUFAs can help to clarify these associations. METHODS AND FINDINGS: Plasma phospholipid PUFAs were measured by gas chromatography among 12,132 incident T2D cases and 15,919 subcohort participants in the European Prospective Investigation into Cancer and Nutrition (EPIC)-InterAct study across eight European countries. Country-specific hazard ratios (HRs) were estimated using Prentice-weighted Cox regression and pooled by random-effects meta-analysis. We also systematically reviewed published prospective studies on circulating PUFAs and T2D risk and pooled the quantitative evidence for comparison with results from EPIC-InterAct. In EPIC-InterAct, among long-chain n-3 PUFAs, α-linolenic acid (ALA) was inversely associated with T2D (HR per standard deviation [SD] 0.93; 95% CI 0.88-0.98), but eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) were not significantly associated. Among n-6 PUFAs, linoleic acid (LA) (0.80; 95% CI 0.77-0.83) and eicosadienoic acid (EDA) (0.89; 95% CI 0.85-0.94) were inversely related, and arachidonic acid (AA) was not significantly associated, while significant positive associations were observed with γ-linolenic acid (GLA), dihomo-GLA, docosatetraenoic acid (DTA), and docosapentaenoic acid (n6-DPA), with HRs between 1.13 to 1.46 per SD. These findings from EPIC-InterAct were broadly similar to comparative findings from summary estimates from up to nine studies including between 71 to 2,499 T2D cases. Limitations included potential residual confounding and the inability to distinguish between dietary and metabolic influences on plasma phospholipid PUFAs. CONCLUSIONS: These large-scale findings suggest an important inverse association of circulating plant-origin n-3 PUFA (ALA) but no convincing association of marine-derived n3 PUFAs (EPA and DHA) with T2D. Moreover, they highlight that the most abundant n6-PUFA (LA) is inversely associated with T2D. The detection of associations with previously less well-investigated PUFAs points to the importance of considering individual fatty acids rather than focusing on fatty acid class.


Subject(s)
Diabetes Mellitus, Type 2/etiology , Fatty Acids, Omega-3/blood , Fatty Acids, Omega-6/blood , Fatty Acids, Unsaturated/blood , Case-Control Studies , Diabetes Mellitus, Type 2/blood , Fatty Acids, Omega-3/adverse effects , Fatty Acids, Omega-6/adverse effects , Fatty Acids, Unsaturated/adverse effects , Humans , Male , Middle Aged
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