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Background: Hypertension is a major public health concern in low-and middle-income countries. A nationwide Health, Population, and Nutrition Sector Development Program in Bangladesh has been shown to be effective in resource-poor settings. This article aims to investigate whether the prevalence and determinants of adult hypertension changed from 2011 to 2018. Methods: The determinants of adult hypertension were assessed in 2011 and 2018 data of Bangladesh Demographic and Health surveys. These two surveys included both men and women over the age of 34 years and measured their blood pressure, weight, height, and other covariates. For both surveys, we estimated the age-standard prevalence of hypertension and relative, attributable and mediated risk of determinants of hypertension using hierarchical mixed-effects sequential Poisson regression models. Results: The prevalence of adult hypertension increased by 10.9% from 29.5% in 2011 to 40.4% in 2018. The nationwide awareness program on the Health, Population and Nutrition Sector changed the risks associated with hypertension determinants over the years. During 2011, Socio-economic status (SES) was a major distal determinant of adult hypertension, explaining 21% of population-attributable risk (ART). However, other factors accounted for 90% of risk, mainly by excessive body weight (51%) and awareness of hypertension (39%). In contrast, SES only explained 16% of ART risk, with 97% of the risk mediated by excessive body weight (55%) and awareness of hypertension (41%). Conclusion: The study results highlight that hypertension among older adult was significantly increased over the six-year period. Specially, the socio-economic status, awareness of hypertension and excessive body weight were the significant determinants. Being awareness of hypertension and excessive body weight changed the causal pathways of socio-economic status. The results also highlight the value of studying the effect of non-communicable disease awareness programs to enhance our comprehension of factors influencing health. [ABSTRACT FROM AUTHOR]

Cactus pear (Opuntia ficus-indica (L.) Mill.) can survive extreme environmental condition and is known for its fodder potential in many parts of the world. The morphological diversity of 15 introduced accessions was evaluated at Jhansi, Uttar Pradesh, India. The plants were established in 2013. Survival and nutrient status were evaluated after two years. Above-ground plant height, biomass, primary and secondary cladode numbers, primary and secondary cladode lengths and below-ground root length, weight, and surface area measurements were done six years after cladode planting. Yellow San Cono, White Roccapalumba, and Seedless Roccapalumba survived 100%. The discriminant traits according to principal component analysis were: primary cladodes plant−1 (component loading, 0.87), primary cladodes biomass (0.95), secondary cladodes plant−1 (0.83), canopy width (0.84), and plant biomass (0.92). Hierarchical cluster analysis grouped 15 accessions into two main clusters based on 17 morphological traits. Cluster I showed favorable values for many above- and below-ground morphological traits while Cluster II showed higher performance for root system width, height, and biomass, and primary and secondary cladode numbers. The results indicate that cactus pear accessions have considerable morphological variability and genetic diversity suitable for promotion as alternative fodder resources in semi-arid regions of India. [ABSTRACT FROM AUTHOR]

Soil-test crop response (STCR) approach is aiming to precise adjustment of fertilizers under varying soil-test values for targeted-yield, presently gaining recognitions for sustainable nutrient management. The study aimed to envisage the precision scale of STCR targeted-yield models in maize-lentil rotation in alkaline Fluvisol under sole-fertilizer and integrated nutrient management (with farmyard manure). Fertility-gradient, test-crop diagnostic, and validation trials were conducted following STCR technical program. Soil fertility gradient and variable fertilizer doses had caused a large variation in grain yield of maize (0.99–4.94 t ha−1, CV = 30%) and lentil (1.11–2.02 t ha−1, CV = 13%). Lentil had increased potential to utilize soil nutrient pools; in contrast, maize was highly responsive to fertlizer nutrients. Multivariate-regression analysis revealed that fertilizers N, P, and S had a strong and direct influence on maize yield; where fertilizer-P was the primary yield-determining variable for lentil. Both sole-fertilizer and integrated STCR-based treatments attained the targeted-yields in maize. However, STCR treatments could not attain the targeted-yields in lentil (17–29% deviation), but had yield advantage over the blanket recommended fertilizer dose. Hence, in tropical-alkaline soils, integrated STCR targeted-yield approach could be the sustainable nutrient management option(s) for improving the productivity of the maize-lentil system. [ABSTRACT FROM AUTHOR]

Soil organic carbon (SOC) is highly sensitive to land use change and helps in maintaining soil quality. Changes in soil fertility status, SOC dynamics, and carbon indices were studied in a four-year experiment with nine sets of food-fodder cropping systems (CS) and three resource conservation techniques like rainfed (RC1), life saving irrigation (RC2) and in-situ moisture conservation practices (RC3). Results showed that the CS5 [Tri-Specific Hybrid (TSH) + Desmanthus virgatus+ (Sorghum + Cowpea – Chickpea)] recorded the highest values 12.25 g kg−1, 41.5 mg kg−1, 3.5 g kg−1, 289.5 mg kg−1, 424.8 µg g−1 soil, 54.69% and 39.31% of total carbon (TC), hot water-soluble carbon (HWSC), particulate organic carbon (POC), labile carbon (LC), soil microbial biomass carbon (SMBC), humic acid carbon (HA-C) and fulvic acid carbon (FA-C), respectively. Among resources conservation practices, RC3 improved the SOC (56.16%) and other carbon fractions significantly as compared to RC1. Significant and positive correlations (P < 0.05) were found between carbon pools and available nutrients. The carbon management index (CMI) was also maximum (193) with CS5 and CS9 [TSH + Sesbania sesban+ (Sorghum + Cowpea – Barley)] and RC3 (232). Therefore, promoting cultivation of food-fodder system with in-situ moisture conservation practices is considered as sustainable management option for sequester more carbon, sustainability and soil quality in rainfed semi-arid ecosystem. [ABSTRACT FROM AUTHOR]

Objectives: We explored the maternal characteristics that mediate the effect of household poverty on childhood undernutrition. Methods: We used the population-based Bangladesh Demographic Health Survey data from 2014 for demographic characteristics, child and maternal factors. Results: Of the 7173 under-5 children, 3456 (48.2%) had undernutrition. The prevalence of undernutrition was less common in wealthy households (poorest vs richest: adjusted prevalence ratio [aPR] = 1.37), mothers having history of antenatal care (ANC) visits (no visit vs ≥ 4 visits: aPR = 1.22), maternal higher education (no education vs higher education: aPR = 1.54), and mothers with good nutritional status (underweight vs healthy: aPR = 1.13). The risk of undernutrition (37.1%) was attributed to household wealth, mediated 55% by maternal factors; of which 20% by maternal education, 21% by ANC visits, and 14% by maternal nutritional status. Conclusions: Our study findings outlined higher maternal education, ≥ 4 ANC visits and good maternal nutritional status in mediating the impact of household wealth on childhood nutrition. [ABSTRACT FROM AUTHOR]