RESUMO
Background: Modifiable non-communicable disease (NCD) risk factors are becoming increasingly common among adolescents, with clustering of these risk factors in individuals of particular concern. The aim of this study was to assess global status of clustering of common modifiable NCD risk factors among adolescents. Methods: We used latest available data from nationally representative survey for 140 countries, namely the Global School-based Student Health Survey, the Health Behaviour in School-Aged Children and the longitudinal study of Australian Children. Weighted mean estimates of prevalence with corresponding 95% confidence intervals of nine NCD risk factors - physical inactivity, sedentary behaviour, insufficient fruits and vegetable consumption, carbonated soft drink consumption, fast food consumption, tobacco use, alcohol consumption and overweight/obesity - were calculated by country, region and sex. Findings: Over 487,565 adolescents, aged 11-17 years, were included in this study. According to trend analysis, prevalence of four or more NCD risk factors increased gradually over time. Prevalence of four or more NCD risk factors was 14.8% in 2003-2007 and increased to 44% in 2013-2017, an approximately three-fold increase (44.0%). Similar trends were also observed for three and two risk factors. Large variation between countries in the prevalence of adolescents with four or more risk factors was found in all regions. The country level range was higher in the South-East Asia Region (minimum Sri Lanka = 8%, maximum Myanmar = 84%) than Western Pacific Region (minimum China = 3%, maximum Niue = 72%), European Region (minimum Sweden = 13.9%, maximum Ireland = 66.0%), African Region (minimum Senegal = 0.8%, maximum Uganda = 82.1%) and Eastern Mediterranean Region (minimum Libya = 0.2%, maximum Lebanon = 80.2%). Insufficient vegetable consumption, insufficient fruit consumption and physically inactivity were three of the four most prevalent risk factors in all regions. Interpretation: Our results suggest a high prevalence of four or more NCD risk factors in adolescents globally, although variation was found between countries. Results from our study indicate that efforts to reduce adolescent NCD risk factors and the associated health burden need to be improved. These findings can assist policy makers to target the rollout of country- specific interventions. Funding: None.
RESUMO
The oxidation mechanism of metals depends, among other factors, on the surface integrity. The surface and rim zone properties are often determined by the manufacturing process that was used to machine the material. Laser chemical machining (LCM) is a manufacturing process that uses laser radiation as a localized and selective heat source to activate a chemical reaction between an electrolyte and a metallic surface. The objective of this work is first to investigate how different LCM processes affect the rim zone properties of 42CrMo4. For this purpose, the surface chemistry is analyzed by EDS and XPS, phases and residual stresses are determined by XRD, and the morphology is investigated by SEM. Second, the influence of these modified rim zones on the oxidation properties of the steel at 500 °C in air is to be demonstrated in oxidation tests by in situ XRD and subsequent SEM/EDS investigations. A decisive influence of the oxides formed on the surface of 42CrMo4 during LCM in different electrolytes (NaNO3 solution and H3PO4) at two different laser powers on the high-temperature oxidation properties was demonstrated. These oxides were supposed to act as nucleation sites for oxide layer formation at 500 °C and led to an overall increase in oxide layer thickness after high-temperature oxidation compared to non-LCM-processed surfaces.
