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Background Comparing body fat and the effect of body fat on metabolic abnormalities in Chinese and USA teenagers may provide clues for the early prevention and control of cardiovascular disease (CVD). We aimed to compare the prevalence of glucose and lipid metabolism abnormalities, body fat amount and distribution, and the effect of body fat on glucose and lipid metabolism in Chinese and US teenagers. Methods We included 5424 Chinese teenagers (48.5% male) from the China Child and Adolescent Cardiovascular Health (CCACH) study and 8704 USA teenagers (55.6% male) from the USA National Health and Nutrition Examination Survey (NHANES). Blood lipid, blood glucose, and body fat indicators were obtained using the same standardised measurements. Results The prevalence of dyslipidaemia in Chinese teenagers was of those in the USA (hypercholesterolaemia = 3.5% vs 7.4%; high low-density lipoprotein cholesterol (LDL-C) = 3.6% vs 5.0%; low high-density lipoprotein cholesterol (HDL-C)=9.9% vs 14.3%; hypertriglyceridaemia=3.7% vs 10.1%) (P<0.05). However, with the increase in body mass index (BMI), the prevalence of high LDL-C increased more in Chinese than in US teenagers, even exceeding them in the obese group (2.7% in non-overweight to 9.7% in overweight group in China, P<0.05; 3.5% in non-overweight to 6.5% in the obese group in the USA, P<0.05). The prevalence of impaired fasting glucose was higher in China than in the USA (28.0% vs 17.5%, P<0.05). Besides, Chinese adolescents are more likely to accumulate fat in the abdomen, and the per-unit fat increase would bring a higher risk of dyslipidaemia in Chinese boys than in USA boys. Conclusions Dyslipidaemia was more prevalent in US teenagers than in Chinese teenagers, but with the increase in BMI, the prevalence of high LDL-C increased more in Chinese than in US teenagers. Impaired fasting glucose (IFG) was significantly more prevalent in China than in the USA. The unfavoured body fat and higher risk of body fat on metabolic disorders in Chinese teenagers suggest that Chinese teenagers should pay more attention to the adverse effect of body fat on metabolic abnormalities. [ABSTRACT FROM AUTHOR]

Responsive feeding serves as an important protective factor for infant growth and overall health development. This study based on self‐determination theory (SDT) aimed to assess the effects of a responsive breastfeeding (RBF) intervention programme on maternal breastfeeding and infant growth and development. A total of 110 mother–infant pairs were recruited and randomly divided into an intervention group (n = 55) and a control group (n = 55). The primary outcomes were breastfeeding motivation score, breastfeeding self‐efficacy (BSE) and exclusive breastfeeding rate; the secondary outcomes were infant physical development at 6 weeks and 3 months. A repeated measures ANOVA indicated that the intervention group had significantly higher Enjoyment scores compared to the control group at three time points: at discharge (MD: 5.28; 95% CI: 3.68 to 6.89; p < 0.001), 6 weeks post‐partum (MD: 5.06; 95% CI: 3.80 to 6.31; p < 0.001) and 3 months post‐partum (MD: 5.24; 95% CI: 4.12 to 6.35; p < 0.001). Similarly, the intervention group reported significantly higher connection and mother's self‐perception scores at discharge (MD: 4.31; 95% CI: 3.07 to 5.56; p < 0.001), 6 weeks post‐partum (MD: 4.69; 95% CI: 3.71 to 5.68; p < 0.001) and 3 months post‐partum (MD: 4.93; 95% CI: 4.14 to 5.72; p < 0.001), compared to the control group. In contrast, the pressure from significant others scores were higher in the control group relative to the intervention group at discharge (MD: −2.09; 95% CI: −2.88 to −1.31; p < 0.001), 6 weeks post‐partum (MD: −4.35; 95% CI: −5.20 to −3.49; p < 0.001) and 3 months (MD: −4.89; 95% CI: −5.70 to −4.08; p < 0.001). Finally, the intervention group also reported higher Instrumental Needs scores at all three time points: at discharge (MD: 1.96; 95% CI: 1.35 to 2.58; p < 0.001), 6 weeks post‐partum (MD: 3.58; 95% CI: 3.05 to 4.11; p < 0.001) and 3 months post‐partum (MD: 1.18; 95% CI: 0.68 to 1.69; p < 0.001). BSE scores were significantly higher in the intervention group compared to the control group at discharge (MD: 14.29; 95% CI: 10.38 to 18.21; p < 0.001), 6 weeks post‐partum (MD: 14.04; 95% CI: 11.05 to 17.02; p < 0.001) and 3 months post‐partum (MD: 6.80; 95% CI: 4.66 to 8.94; p < 0.001). The rates of exclusive breastfeeding were higher in the intervention group than in the control group at each stage of the intervention (p < 0.01). At 6 weeks post‐partum, the intervention group's infants showed slower weight (t = −0.90, p = 0.371) and length (t = −0.69, p = 0.495) growth compared to the control group, though not significantly. By 3 months post‐partum, there was a significant difference in both weight (t = −3.46, p = 0.001) and length (t = −2.95, p = 0.004) between the groups. The findings in this study suggest that the RBF intervention programme based on SDT may be effective in improving mothers' motivation to breastfeed, building breastfeeding self‐confidence and increasing the rate of exclusive breastfeeding. The effects of the intervention on infant physical development will need to be verified with longer follow‐up in future research. Key messages: This study validated the application of responsive breastfeeding (RBF) intervention during the exclusive breastfeeding phase of Chinese infants.The RBF intervention may help to increase mothers' level of autonomous motivation for breastfeeding, enhance breastfeeding self‐efficacy and increase exclusive breastfeedingrates. The intervention had no significant effect on the weight and length of 6 week old infants but significantly impacted 3monthold infants, with slower growth observed in the intervention group compared to the control group.Future intervention programmes shouldinclude extended follow‐up periods to investigate the long‐term effects of RBF on infant growth and development. [ABSTRACT FROM AUTHOR]

In this paper, a capital asset pricing model (CAPM) incorporating liquidity and skewness factors is proposed and tested by using the Chinese stock market data. The empirical results indicate that, under various market conditions, the liquidity-adjusted three-moment CAPM provides a better fit to the realized returns of various stock portfolios. Overall, this research reveals that illiquidity cost, liquidity risk and as well as skewness have important impacts on asset pricing in the Chinese stock market. [ABSTRACT FROM AUTHOR]

Levels of anxiety and stress vary throughout the lifespan and across cultures. Uncertainty appears particularly relevant during emerging adulthood, thus potentially affecting both stress and anxiety. Uncertainty as a construct was identified by Hofstede (i.e., Uncertainty Avoidance Index, UAI), who defined it as the extent to which members of a culture feel threatened by ambiguous or unknown situations and tend to avoid them. The UAI was considered as a means to understand cultures in addition to the "classic" distinction between collectivist and individualistic cultures. The present study compared levels of anxiety and stress in 1790 university students (18–21 years old) from two individualistic (Italy and the US) and two collectivistic (China and Russia) countries, with a consideration of country UAI levels. Results showed that country-level UAI scores were associated with levels of anxiety and stress, controlling for age and sex. Italian and Russian students reported greater anxiety than American and Chinese ones. Chinese emerging adults reported the lowest stress levels, followed by American, Italian, and Russian students. The study findings provide initial evidence that anxiety and stress in emerging adults are associated with how a culture deals with perceived instability and uncertainty about the future. [ABSTRACT FROM AUTHOR]

Turbulence characteristics of an atmospheric surface layer over a coastal mountain area were investigated under different coordinate frames. Performances of three methods of coordinate rotation: double rotation (DR), triple rotation (TR), and classic planar-fit rotation (PF) were examined in terms of correction of eddy covariance flux. Using the commonly used DR and TR methods, unreasonable rotation angles are encountered at low wind speeds and cause significant run-to-run errors of some turbulence characteristics. The PF method rotates the coordinate system to an ensemble-averaged plane, and shows large tilt error due to an inaccurate fit plane over variable terrain slopes. In this paper, we propose another coordinate rotation scheme. The observational data were separated into two groups according to wind direction. The PF method was adapted to find an ensemble-averaged streamline plane for each group of hourly runs with wind speed exceeding 1.0 m s. Then, the coordinate systems were rotated to their respective best-fit planes for all available hourly observations. We call this the PF10 method. The implications of tilt corrections for the turbulence characteristics are discussed with a focus on integral turbulence characteristics, the spectra of wind-velocity components, and sensible heat and momentum fluxes under various atmospheric stabilities. Our results show that the adapted application of PF provides greatly improved estimates of integral turbulence characteristics in complex terrain and maintains data quality. The comparisons of the sensible heat fluxes for four coordinate rotation methods to fluxes before correction indicate that the PF10 scheme is the best to preserve consistency between fluxes. [ABSTRACT FROM AUTHOR]

Background. Acute coronary syndromes (ACSs) are clinically cardiovascular events associated with dyslipidemia in common. Single nucleotide polymorphisms (SNPs) and haplotypes in the APOA1/C3/A5 gene cluster are associated with diabetes and familial combined hyperlipidaemia (FCH). Little is known about whether the polymorphisms in these genes affect lipid homeostasis in patients with ACSs. The present paper aimed to examine these associations with 4 SNPs in the APOA1 -75G > A, the APOC3 -455T > C, and APOA5 -1131T > C, c.553G > T variant to ACSs in Chinese Han. Methods. Chinese Han of 229 patients with ACSs and 254 unrelated controls were analyzed. Four SNPs in APOA1/C3/A5 cluster were genotyped and lipid was determined. Results. Our data show that minor allelic frequencies of APOC3 -455T > C, APOA5 -1131T > C, and c.553G > T polymorphisms in patients with ACSs were significantly higher than control group (P < 0.05). Furthermore, the 3 polymorphic sites were strongly of linkage disequilibrium, and minor alleles of 3 SNP sites had higher TG level than wild alleles (P < 0.05), APOC3 -455C and APOA5 c.553T allele carriers also had lower level of HDL-C. Conclusions. The minor alleles of APOC3 -455T > C, APOA5 -1131T > C, and c.553G > T polymorphisms are closely associated with ACSs. [ABSTRACT FROM AUTHOR]

The use of high-density remote sensing buoys and ship-based observations play an increasingly crucial role in the operational assimilation and forecast of oceans. With the recent release of several high-resolution observation datasets, such as the Global Ocean Data Assimilation Experiment (GODAE) high-resolution SST (GHRSST) datasets, the development of observation-thinning schemes becomes important in the process of data assimilation because the huge quantity and dense spatial–temporal distributions of these datasets might make it expensive to assimilate the full dataset into ocean models or even decay the assimilation result. In this paper, an objective model simulation ensemble-based observation-thinning scheme is proposed and applied to a Chinese shelf–coastal seas eddy-resolving model. A successful thinning scheme should select a subset of observations yielding a small analysis error variance (AEV) while keeping the number of observations to as few as possible. In this study, the background error covariance (BEC) is estimated using the historical ensemble and then the subset of observations to minimize the AEV is selected, which is estimated from the Kalman theory. The authors used this method in the GHRSST product to cover the shelf and coastal seas around China and then verified the result with an estimation function and assimilation–forecast systems. [ABSTRACT FROM AUTHOR]

Both reading difficulties (RD) and mathematics difficulties (MD) are common neurodevelopmental disorders. The co-occurrence of RD and MD, known as comorbid RDMD, is estimated to range between 21% and 45% of children with learning disabilities. Deficits in working memory have been reported in both RD and MD groups, as well as among comorbid RDMD. However, previous comorbidity studies have only examined the role of some components of working memory, and they do not strictly match their groups on relevant reading and mathematics tasks. Thus, the purpose of this study is to examine the nature of working memory deficits in comorbid RDMD after matching groups based on reading and mathematics tasks. We assessed four groups of children (RD [n = 21, Mage = 10.96 years], MD [n = 24, Mage = 11.04 years], comorbid RDMD [n = 26, Mage = 10.90 years], and chronological-age controls [n = 27, Mage = 10.96 years]) on measures of the phonological loop (word span and digit span forward tasks), central executive (complex word and digit span), and updating tasks (word and digit 2-back). The results of ANCOVA (covarying for gender and non-verbal IQ) showed first that the RD and RDMD groups performed significantly worse than the MD and control groups in both measures of the phonological loop. For the central executive and updating tasks, we found an effect based on stimulus type. For word-related tasks, the RD and comorbid RDMD groups performed worse than the MD and control groups, and for number-related tasks, the MD and comorbid RDMD groups performed worse than the RD and control groups. Taken together, our findings provide support for the correlated liability model of comorbidity, which indicates that working memory deficits experienced by the RDMD group are an additive combination of deficits observed in the RD and MD groups, suggesting that working memory tasks used to examine underlying deficits in reading and/or mathematics difficulties may dictate whether or not significant group differences are found. [ABSTRACT FROM AUTHOR]

Background: The cut-off date in the education system causes a relative age difference, with developmental advantages for children who are born on the "early side" of the cut-off date and disadvantages for those born later, which is known as the relative age effect (RAE). Very few studies have examined whether there is a RAE on the development of fundamental movement skills (FMSs) in preschool children, and no studies have been conducted in China. The purpose of this study is to identify whether a RAE exists on FMS in Chinese preschool children, comparing RAEs according to gender and age. Methods: From a total of 378 invited preschool children regularly registered at one Chinese kindergarten, a total of 288 healthy and typically developing preschoolers (4.33 ± 0.84 years-old; 56.6% boys) were included in this study. All children were required to take part in anthropometry and FMS assessments. Analysis of covariance (ANCOVA) was applied to examine the difference in each of the FMS items across quarter categories, year and gender groups, controlling for body mass index (BMI). Results: For the overall sample, the data show the significant main effects on the quarter of birth factor in locomotor skills (LC; F (3, 265) = 2.811, p = 0.04, ηp2 = 0.031), object control skills (OB; F (3, 265) = 6.319, p = 0.04, ηp2 = 0.031), and total test score (TTS; F (3, 265) = 5.988, p = 0.001, ηp2 = 0.063). There were also significant differences in the age effect on all the domains of FMS (FLC (2, 265) = 100.654, p < 0.001, ηp2 = 0.432; FOB (2, 265) = 108.430, p < 0.001, ηp2 = 0.450; FTTS (2, 265) = 147.234, p < 0.001, ηp2 = 0.526) but a gender effect only in LC (F (1, 265) = 20.858; p < 0.001; ηp2 = 0.073). For gender and quarter of birth groups, RAEs in LC only exists in girls. Moreover, regarding age and quarter of birth factors, RAEs are only found at younger ages. Conclusions: This study suggests the existence of RAEs in the FMS of Chinese preschool children. Teachers need to be aware of the effect of RAEs on the FMS when approaching development, evaluation, and teaching approaches in preschools. [ABSTRACT FROM AUTHOR]

As in conventional error matrix-based accuracy assessments, collocated reference sample data are often used for characterizing per-pixel (local) accuracies in land-cover change maps so that local accuracy predictions can be made using direct methods. In that way, correctness in "from-to" change categorization at sample pixels is assessed and modeled directly. To circumvent the issue of reference sample data being non-collocated, as is often the case for sample data collected independently for mono-temporal reference land-cover labeling or those added necessarily to reflect landscape changes, the PXCOV (Product rule with adjustment for cross-COVariance between single-date classification correctness) method was developed previously. However, the use of PXCOV becomes complicated when few or no collocated sample data are available and cross-validation cokriging, a procedure involving non-trivial geostatistical modeling, has to be incurred for estimation of cross-correlation. To overcome PXCOV's lack of practicality when using mostly non-collocated sample data, this paper presents a simple alternative. It is furnished through stratified approximation of cross-correlation and features combined use of minimum and multiplication operators. Specifically, in this composite method (named Fuzzy+Product), minimum operator (resembling fuzzy set "min" operator and thus named Fuzzy) is applied over no-change pixels stratum where maximum correlation is assumed, while multiplication operator (i.e., product rule named Product) is applied for change pixels stratum where cross-correlation is assumed negligible (i.e., minimum correlation), without having to run cross-validation cokriging as in PXCOV. Studies were undertaken to test the proposed method based on datasets collected previously concerning GlobeLand30 2000 and 2010 land-cover at five sites in China. For each site, five model-training samples (being mostly non-collocated) of equal sizes and one independent model-testing sample (collocated) were used. Logistic regression models fitted with relevant sample data were applied to predict local accuracies in single-date classifications using selected map class occurrence pattern indices quantified in optimized moving windows. The area under the curve (AUC) of the receiver operating characteristic was used for evaluating alternative methods. Empirical results confirmed that method Fuzzy+Product is more accurate than both Fuzzy and Product in general and there are no statistically significant differences between it and PXCOV. This indicates Fuzzy+Product being a method of relative simplicity but reasonable accuracy when reference data are non-collocated or mostly so. Its value is likely best manifested when local and global accuracy characterization in multi-temporal change information (discrete and fractional) is concerned. [ABSTRACT FROM AUTHOR]

Postgraduates being as the backbone of the innovative talent team, the enhancement of postgraduates' innovative behavior has become the focus of higher education reform in the new era. Postgraduate students' innovative behaviors are influenced by multiple factors, and mentorship plays a crucial role in the cultivation of postgraduate students' innovative behaviors. This study is based on social cognitive theory and empirical analysis from the perspective of individual postgraduate students and mentorship cultivation. Multisource data were obtained from a research team attending a teacher training college in southwest China, and a questionnaire survey was conducted on 362 postgraduate students based on an online approach. The empirical study was conducted using SPSS software and AMOS software combined with hierarchical regression analysis and structural analysis of covariance to examine the mechanism of the effect of transformational tutoring style on postgraduate students' innovative behavior, using creative self-efficacy as a mediating variable. The results showed that the transformational tutoring style had a significant positive effect on the innovation behavior of postgraduate students, and the creative self-efficacy partially mediated the effect of the transformational tutoring style on the innovation behavior. According to the findings of the study, the creative self-efficacy of postgraduate students is enhanced through the collaboration of "multiple" subjects; the "integrated" cultivation model is built to create a transformative tutor team; a mentoring community is established. The study is aimed at providing a reference for the cultivation of innovation ability of master students. [ABSTRACT FROM AUTHOR]

Obstructive sleep apnea (OSA) and obesity can increase the risk of hypertension, but the combined effects of these two conditions on hypertension are not yet known. We collected the basic characteristics, sleep parameters, and glucose levels of subjects with a polysomnography test and divided them into four groups, according to whether they had severe OSA and obesity or not. The main effects of severe OSA and obesity and the interactions of the two on systolic blood pressure (SBP) and diastolic blood pressure (DBP) levels were detected using analysis of covariance. The association between obesity and severe OSA and abnormal blood pressure and their combined effects were detected with logistic regression. In total, 686 subjects were included. After adjusting for multiple confounding factors, the strong main effects of obesity and severe OSA were detected in the SBP and DBP levels, with no combined effects from the two conditions on SBP or DBP. Obesity was independently associated with the presence of hyper-systolic blood pressure (hyper-SBP) and hypertension, and severe OSA was independently associated with the presence of hyper diastolic blood pressure (hyper-DBP) and hypertension. No effects of the interaction between severe OSA and obesity on the presence of abnormal blood pressure were observed. Both severe OSA and obesity were associated with hypertension, while obesity was closely associated with hyper-SBP, and severe OSA was associated with hyper-DBP. No effects of the interaction between these two on hypertension were observed. [ABSTRACT FROM AUTHOR]

Abstract: This paper presents a real-time traveler information system (RTIS) for journey time estimation using automatic vehicle identification (AVI) data in Hong Kong. This RTIS can also deduce the travel times on the other road links without real-time AVI data. The travel times, in RTIS, are estimated by the real-time AVI data, the off-line travel time estimates and the related spatial variance–covariance relationships between road links. The real-time AVI data adopted for RTIS are Autotoll tag data in Hong Kong; whereas the off-line link travel time estimates and their spatial variance–covariance matrices are obtained from a traffic flow simulator. By integration of these real-time and off-line traffic data together, the travel times on the road links either with or without real-time AVI data can be updated at 5-min intervals. Validation of journey time estimates is carried out at various selected paths in Hong Kong urban area. The results show that the performance of RTIS on real-time journey time estimation in Hong Kong is satisfactory and acceptable. [ABSTRACT FROM AUTHOR]

Background: Nurses play critical roles when providing health care in high-risk situations, such as during the COVID-19 outbreak. However, no previous study had systematically assessed nurses' mental workloads and its interaction patterns with fatigue, work engagement and COVID-19 exposure risk. Methods: A cross-sectional study was conducted via online questionnaire. The NASA Task Load Index, Fatigue Scale-14, and Utrecht Work Engagement Scale were used to assess nurses' mental workload, fatigue and work engagement, respectively. A total of 1337 valid questionnaires were received and analyzed. Nurses were categorized into different subgroups of mental workload via latent class analysis (LCA). Cross-sectional comparisons, analysis of covariance (ANCOVA), and multivariate (or logistic) regression were subsequently performed to examine how demographic variables, fatigue and work engagement differ among nurses belonging to different subgroups. Results: Three latent classes were identified based on the responses to mental workload assessment: Class 1 – low workload perception & high self-evaluation group (n = 41, 3.1%); Class 2 – medium workload perception & medium self-evaluation group (n = 455, 34.0%); and Class 3 – high workload perception & low self-evaluation group (n = 841, '62.9%). Nurses belonging into class 3 were most likely to be older and have longer professional years, and displayed higher scores of fatigue and work engagement compared with the other latent classes (p < 0.05). Multivariate analysis showed that high cognitive workload increased subjective fatigue, and mental workload may be positively associated with work engagement. Group comparison results indicated that COVID-19 exposure contributed to significantly higher mental workload levels. Conclusions: The complex scenario for the care of patients with infectious diseases, especially during an epidemic, raises the need for improved consideration of nurses' perceived workload, as well as their physical fatigue, work engagement and personal safety when working in public health emergencies. [ABSTRACT FROM AUTHOR]

Background: Patient-centred care is a core attribute of primary care. Not much is known about the relationship between patient-centred care and doctor-patient familiarity. This study aimed to explore the association between general practitioner (GP) perceived doctor-patient familiarity and the provision of patient-centred care during GP consultations. Methods: This is a direct observational study conducted in eight community health centres in China. Level of familiarity was rated by GPs using a dichotomized variable (Yes/No). The provision of patient-centred care during GP consultations was measured by coding audiotapes using a modified Davis Observation Code (DOC) interactional instrument. Eight individual codes in the modified DOC were selected for measuring the provision of patient-centred care, including 'family information', 'treatment effects', 'nutrition guidance', 'exercise guidance', 'health knowledge', 'patient question', 'chatting', and 'counseling'. Multivariate analyses of covariance were adopted to evaluate the association between GP perceived doctor-patient familiarity and patient-centred care. Results: A total of 445 audiotaped consultations were collected, with 243 in the familiar group and 202 in the unfamiliar group. No significant difference was detected in overall patient-centred care between the two groups. For components of patient-centred care, the number of intervals (1.36 vs 0.88, p = 0.026) and time length (7.26 vs. 4.40 s, p = 0.030) that GPs spent in 'health knowledge', as well as time length (13.0 vs. 8.34 s, p = 0.019) spent in 'patient question' were significantly higher in unfamiliar group. The percentage of 'chatting' (11.9% vs. 7.34%, p = 0.012) was significantly higher in the familiar group. Conclusions: This study suggested that GP perceived doctor-patient familiarity may not be associated with GPs' provision of patient-centred care during consultations in the context of China. Not unexpectedly, patients would show more health knowledge and ask more questions when GPs were not familiar with them. Further research is needed to confirm and expand on these findings. [ABSTRACT FROM AUTHOR]

Background: Apolipoprotein (Apo) may be associated with type 2 diabetes (T2D), however, little is known whether or not serum apolipoproteins are correlated with fasting blood glucose (FBG) and the prevalence of T2D in Chinese populations. In this study, we examined the association of serum ApoA1, ApoB, and the ratio of ApoB/ApoA1 (ApoB/A1 ratio) with T2D and FBG level, and compared apolipoprotein indicators in predicting T2D in Chinese adults. Methods: A total of 1027 subjects were enrolled in this cross-sectional study. The association of ApoA1, ApoB, and ApoB/A1 ratio with T2D prevalence was determined using logistic regression models. Multivariate-analysis of covariance (ANCOVA) was performed for comparisons of the mean difference in FBG level. Results: We found that ApoB and ApoB/A1 ratio were positively associated with T2D prevalence and FBG, while inverse association was noted between ApoA1 and T2D prevalence as well as FBG. Stratified analyses for sex, age, body mass index (BMI), smoking, and alcohol consumption showed no significant difference for the association of ApoA1, ApoB, and ApoB/A1 ratio with the prevalence of T2D among subgroups (all p-interactions> 0.05). Nonetheless, ApoA1 poorly performed in predicting T2D as it provided an AUC value of 0.310 that was significantly lower than those observed for ApoB (AUC value: 0.631) and ApoB/A1 ratio (AUC value: 0.685). Finally, path analyses indicated that the association between ApoB and T2D was mediated by BMI. Conclusions: This study reveals the association of serum ApoA1, ApoB, and ApoB/A1 ratio with T2D and FBG in Chinese adults, suggesting that ApoB and ApoB/A1 ratio may be early indicators for predicting T2D. Prospective investigation in large cohort is needed. [ABSTRACT FROM AUTHOR]

Background: Biqi capsule is a traditional Chinese medicine widely used as a complementary and alternative treatment for rheumatoid arthritis (RA). The objective is to understand the efficacy, safety and mechanism of Biqi combined with methotrexate (MTX) in RA. Methods: We present a randomized, controlled pilot trial on Biqi combined with MTX against patients with active RA. Seventy patients were randomized 1:1 to receive Biqi + MTX or Leflunomide (LEF) + MTX for 24 weeks, and were assessed at baseline, 4, 12 and 24 weeks. Serum and urine samples were collected for metabolomics. Results: Overall, 81.2% patients in Biqi group achieved ACR20 at 24 weeks. No statistically significant differences were observed in primary or secondary outcomes between the two groups. A better safety profile was observed for Biqi with significantly fewer adverse effects reported (11.4%) compared to LEF group (40%, P < 0.05). Comparison between treatment responders and non-responders indicated a unique urine metabolic profile of enriched fatty acids and decreased acylcarnitines associated with Biqi responders, indicating a restored energy homeostasis in response to Biqi. The gene targets of these metabolites were significantly enriched in interleukin-4 and interleukin-13 pathways, implying that Biqi could ameliorate Th2-derived inflammatory response. Multivariate network analysis indicated that patient morning stiffness and SJC were key factors associated with metabolomics in Biqi-treated patients, whereas CRP was the main factor in LEF group. Therefore, Biqi and LEF likely work by influencing different patient clinical parameters. Conclusions: Our study suggests that Biqi capsule can be a promising alternative option in combination with MTX for RA treatment, and demonstrates the capability of using metabolomics to interrogate mechanism of action for traditional Chinese medicine. Trial registration This trial is registered with ChiCTR, No. ChiCTR-IPR-16009029. Registered August 15, 2016. http://www.chictr.org.cn/showprojen.aspx?proj=15034 [ABSTRACT FROM AUTHOR]

Background: China uses both social health insurance (SHI) programs and a medical financial assistance (MFA) program to protect the poor from illness-induced financial risks. The MFA provides a dual benefit package targeting low-income families: subsidizing these families' participation in SHI programs, and providing cash aid to protect them from catastrophic health expenditure (CHE). This study aims to investigate: (1) the association between MFA subvention for SHI enrollment and SHI enrollment; (2) the association between MFA cash aid and CHE; and (3) the association between SHI enrollment and CHE in low-income households in China. Methods: Using nationally representative data from a comprehensive survey of low-income households in 2014, we construct an estimate of CHE based on out-of-pocket health spending data. Controlling for other covariates, we estimate the three associations using a three-level logistic model. Results: The MFA program subsidizes 50.1% of low-income households to aid their enrollment in SHI programs and provides cash aid to 24.1% of these households. Multilevel logistic analysis reveals that MFA subvention has no significant association with low-income households' SHI enrollment, that MFA cash aid has no significant association with CHE, and that full SHI enrollment is inversely associated with CHE status. Conclusions: The MFA program is currently not an effective supplement to SHI programs in China in terms of promoting SHI enrollment and providing financial risk protection. The Chinese government needs to invest more funds to expand further low-income household enrollment in SHI programs and to widen the benefit package of MFA cash aid. [ABSTRACT FROM AUTHOR]

Background: It is becoming increasingly evident that platelet chemokines are involved in distinct aspects of atherosclerosis. The aim of this study was to examine the effects of long-term supplementation with purified anthocyanins on platelet chemokines in hypercholesterolemic individuals and to identify correlations of decreased platelet chemokine levels with serum lipid and inflammatory marker levels. Methods: A total of 146 hypercholesterolemic individuals were recruited and treated with 320 mg of purified anthocyanins (n = 73) or a placebo (n = 73) daily for 24 weeks in this randomized, double-blind, placebo-controlled trial. Results: Anthocyanin supplementation for 24 weeks significantly decreased the plasma CXCL7 (-12.32% vs. 4.22%, P =0 . 001), CXCL5 (-9.95% vs. 1.93%, P = 0.011), CXCL8 (-6.07% vs. 0.66%, P = 0.004), CXCL12 (-8.11% vs. 5.43%, P = 0.023) and CCL2 levels (-11.63% vs. 12.84%, P = 0.001) compared with the placebo. Interestingly, the decreases in the CXCL7 and CCL2 levels were both positively correlated with the decreases in the serum low-density lipoprotein-cholesterol (LDL-C), high-sensitivity C-reactive protein (hsCRP) and interleukin-1β (IL-1β) levels after anthocyanin supplementation for 24 weeks. The decrease in the CXCL8 level was negatively correlated with the increase in the how-density lipoprotein- cholesterol (HDL-C) level and was positively correlated with the decrease in the soluble P-selectin (sP-selectin) level in the anthocyanin group. In addition, a positive correlation was observed between the decreases in the CXCL12 and tumornecrosis factor-α (TNF-α) levels after anthocyanin supplementation. However, the plasma CXCL4L1, CXCL1, macrophage migration inhibitory factor (MIF) and human plasminogen activator inhibitor 1 (PAI-1) levels did not significantly change following anthocyanin supplementation. Conclusions: The present study supports the notion that platelet chemokines are promising targets of anthocyanins in the prevention of atherosclerosis. Trial registration: ChiCTR-TRC-08000240. Registered: 10 December 2008. [ABSTRACT FROM AUTHOR]

Background: The marginal division of neostriatum (MrD) is a flat, pan-shaped zone between the neostriatum and the globus pallidus, and previous documents demonstrated that it was involved in the modulation of pain. The aim of this study is to investigate the roles of the MrD of the human brain in the chronicization migraine using resting state functional magnetic resonance imaging (rs-fMRI). Methods: Conventional MRI, 3D structure images, and rs-fMRI were performed in 18 patients with episodic migraines (EM), 16 patients with chronic migraine (CM), 44 patients with medication overuse headache plus chronic migraine (MOH + CM), and 32 normal controls (NC). MrD was defined using manual delineation on structural images, and was selected as the seed to calculate the functional connectivity (FC). Results: Compared with the NC group, the decreased FC of MrD was observed in the EM and CM groups, and increased FC of MrD was demonstrated in all patient groups. Compared with the EM group, the decreased FC of MrD was revealed in the CM and MOH + CM groups, and the increased FC occurred only in the CM group. Increased FC of MrD alone was observed in the MOH + CM group compared with that in the CM group. Conclusion: This study confirmed the double neuromodulation network of MrD in pain modulation and migraine chronicization; however, the mechanism requires further investigation. [ABSTRACT FROM AUTHOR]

Background: The primary objective of this study was to assess whether Zhengtian Capsule was non-inferior to flunarizine in efficacy and safety profile for prevention of migraine in adults. Methods: This was a double-dummy, double-blind, multicenter, positive drug (flunarizine), parallel randomized controlled, non-inferior clinical trial. Patients (n = 360) were randomized in a 1:1 to receive either Zhengtian Capsule or flunarizine, including 12 weeks' intervention and 4 weeks' follow-up. The primary outcome measure was responder rate (defined as the percentage of subjects in a treatment group with 50 % or greater reduction in attack frequency during treatment compared with the baseline period). The secondary outcome measures included migraine attack frequency, the number of migraine days, pain evaluated by visual analogue scale (VAS) score, duration of migraine attacks, the times of using analgesics, patient-reported outcome (PRO) measure of migraine and the scores of short-form 36 Health Survey Scale (SF-36). Weight variation in both groups was also evaluated. Adverse events were monitored throughout the trial. Results: Zhengtian Capsule was non-inferior to flunarizine in responder rate at week 12 and follow-up period (P = 0.002, P < 0.001). There was fewer migraine days in Zhengtian Capsule group at follow-up period compared with flunarizine (P = 0.001). For the total duration of migraine attacks, there was significant group difference at week 4 which favored the control group (P= 0.009). For the total score of PRO scale, there was statistical difference between the two groups at follow-up period (P = 0.021). There were also group differences between the two groups in the dimensions of somatization symptoms at week 4 (P = 0.022) and functional status at week 12 and follow-up period (P< 0.001, P < 0.001). However, there were no significant differences between the two groups in migraine attack frequency, VAS scores reduction, consumption of acute pain drugs and the dimension scores of SF-36 at any time interval of the treatment period (P > 0.05). No severe adverse events occurred in the trial. Flunarizine was found associated with a weight gain. Conclusion: Zhengtian Capsule was non-inferior to flunarizine with regard to the primary endpoint. In addition, it could reduce migraine days and improve the functional status and somatization symptoms of migraine patients with good safety profile. [ABSTRACT FROM AUTHOR]

Previous studies have suggested that vitamin E (VE) may affect bone health, but the findings have been inconclusive. We examined the relationship between VE status (in both diet and serum) and bone mineral density (BMD) among Chinese adults. This community-based study included 3203 adults (2178 women and 1025 men) aged 40–75 years from Guangzhou, People’s Republic of China. General and dietary intake information were collected using structured questionnaire interviews. The serum α-tocopherol (TF) level was quantified by reversed-phase HPLC. The BMD of the whole body, the lumbar spine and left hip sites (total, neck, trochanter, intertrochanter and Ward’s triangle) were measured using dual-energy X-ray absorptiometry. In women, the dietary intake of VE was significantly and positively associated with BMD at the lumbar spine, total hip, intertrochanter and femur neck sites after adjusting for covariates (Ptrend: 0·001–0·017). Women in quartile 3 of VE intake typically had the highest BMD; the covariate-adjusted mean BMD were 2·5, 3·06, 3·41 and 3·54 % higher, respectively, in quartile 3 (v. 1) at the four above-mentioned sites. Similar positive associations were observed between cholesterol-adjusted serum α-TF levels and BMD at each of the studied bone sites (Ptrend: 0·001–0·022). The covariate-adjusted mean BMD were 1·24–4·83 % greater in quartile 4 (v. 1) in women. However, no significant associations were seen between the VE levels (dietary or serum) and the BMD at any site in men. In conclusion, greater consumption and higher serum levels of VE are associated with greater BMD in Chinese women but not in Chinese men. [ABSTRACT FROM AUTHOR]

Increasing dietary Ca intake may prevent the excessive mobilisation of bone mineral in nursing mothers. We aimed to investigate whether higher Ca intake could positively modulate the bone mineral changes in Chinese postpartum lactating women. The study was a 12-month randomised, double-blinded, parallel group trial conducted over 12 months. A total of 150 postpartum women were randomly selected to receive either 40 g of milk powder containing 300 mg of Ca and 5 μg of vitamin D (Low-Ca group) or same milk powder additionally fortified with 300 mg of Ca (Mid-Ca group) or 600 mg of Ca (High-Ca group). Bone mineral density (BMD) for the whole body, the lumbar spine, the total left hip and its sub-regions was measured using dual-energy X-ray absorptiometry. A total of 102 subjects completed the whole trial. The duration of total lactating time was 7·9 (sd 2·8) months on average. The intention-to-treat analysis yielded the following mean percentage changes in BMD for the whole body, the lumbar spine and the total left hip, respectively: −0·93 (sd 1·97), 2·11 (sd 4·90) and −1·60 (sd 2·65) % for the Low-Ca group; −0·56 (sd 1·89), 2·21 (sd 3·77) and −1·43 (sd 2·30) % for the Mid-Ca group; and −0·44 (sd 1·67), 2·32 (sd 4·66) and −0·95 (sd 4·08) % for the High-Ca group. The differences between the groups were not statistically significant (P: 0·5–0·9). The results of the complete case analysis were similar. In sum, we found no significant differences in the bone mineral changes from baseline to 12 months in postpartum lactating women consuming milk powder fortified with different levels of Ca. [ABSTRACT FROM AUTHOR]

Objective: the aim of this study was to compare the effects of a functional tasks exercise programme to a cognitive training programme in older adults with mild cognitive impairment.Design: a single-blind randomised control trial with the intervention group compared with an active control group.Setting: out-patient clinic.Participants: older adults with mild cognitive impairment (n = 83) aged 60 and older living in the community.Methods: participants were randomised to either a functional task exercise group (n = 43) or an active cognitive training group (n = 40) for 10 weeks. All outcome measures were undertaken at baseline, post-intervention and 6-month follow-up using Neurobehavioral Cognitive Status Examination, Trail Making Test, Chinese Version Verbal Learning Test, Category Verbal Learning Test, Lawton Instrumental Activities of Daily Living Scale and Problems in Everyday Living Test.Results: the functional task exercise group showed significant between-group differences in general cognitive functions, memory, executive function, functional status and everyday problem solving ability. The improvements were sustained over time at 6-month follow-up.Conclusion: a functional tasks exercise programme is feasible for improving cognitive functions and functional status of older adults with mild cognitive impairment. This may serve as a cost-effective adjunct to the existing interventions for populations with mild cognitive impairment.Trial registration number: ACTRN12610001025022. [ABSTRACT FROM AUTHOR]

Background: The neurobiology of suicide is largely unknown. Studies of white matter tracts in patients with a history of suicidal behaviour have shown alteration in the left anterior limb of the internal capsule (ALIC). Our aim was to determine whether particular target fields of fibre projections through the ALIC are affected in depressed patients who recently attempted suicide. Methods: We studied patients with major depressive disorder (MDD) with and without a history of suicide attempts and healthy controls using diffusion tensor imaging (DTI) and deterministic tractography to generate fibre tract maps for each participant. Tract voxels were coded as being unique to the left ALIC. We compared the mean percentage of fibres projecting to relevant brain regions in the 3 groups using analysis of covariance. Results: We included 63 patients with MDD (23 with and 40 without a history of suicide attempts) and 46 controls in our study. Both groups of depressed patients had reduced fibre projections through the ALIC to the left medial frontal cortex, orbitofrontal cortex and thalamus. Those with a history of suicide attempts had greater abnormalities than those without suicide attempts in the left orbitofrontal cortex and thalamus. Limitations: Diffusion tensor imaging deterministic tracking is unable to distinguish between afferent and efferent pathways, limiting our ability to distinguish the directionality of altered fibre tracts. Conclusion: Frontothalamic loops passing through the ALIC are abnormal in patients with depression and significantly more abnormal in depressed patients with a history of suicide attempts than in those without a history of suicide attempts. Abnormal projections to the orbitofrontal cortex and thalamus may disrupt affective and cognitive functions to confer a heightened vulnerability for suicidal behaviour. [ABSTRACT FROM AUTHOR]

Background Bulang is one of the 55 ethnic minorities in China with a population of around 120,000. They live mainly in Yunnan, which is a less-developed province in southwestern China. Many Bulang people live in remote villages and have little access to dental care. They like hot and sour food and chew betel nut. This study examines the caries status of 5-year-old Bulang children and factors that influence their caries status. Methods A sample of 5-year-old Bulang children in Yunnan was selected using a multi-stage cluster sampling method. One trained dentist examined the children using dental mirrors with intraoral LED light and CPI probes. Caries experience was measured according to the dmft index. Oral hygiene status was recorded according to the visible plaque index (VPI). A parental questionnaire was used to study the children's oral health-related behaviours. Results A total of 775 children were invited and 723 joined the survey. The caries prevalence was 85%, and 38% of them had caries involved in pulp. The mean dmft and dt score were 5.8 ± 4.9 and 5.6 ± 4.8, respectively. Visible plaque was found on 636 children (88%). Multi-factor ANCOVA analysis found that higher dmft scores were found among the children who snacked on sweets daily, had visited a dentist within the last year and had higher VPI scores. Conclusions The caries prevalence and experience among 5-year-old Bulang children in Yunnan was high, and most of the caries were left untreated. The caries experience was associated with snacking habits, dental visit habits and oral hygiene. [ABSTRACT FROM AUTHOR]

Breast milk fatty acid composition may be affected by the maternal diet during gestation and lactation. The influence of dietary and breast milk fatty acids on breast milk immune factors is poorly defined. We determined the fatty acid composition and immune factor concentrations of breast milk from women residing in river/lake, coastal and inland regions of China, which differ in their consumption of lean fish and oily fish. Breast milk samples were collected on days 3–5 (colostrum), 14 and 28 post-partum (PP) and analysed for soluble CD14 (sCD14), transforming growth factor (TGF)-β1, TGF-β2, secretory IgA (sIgA) and fatty acids. The fatty acid composition of breast milk differed between the regions and with time PP. The concentrations of all four immune factors in breast milk decreased over time, with sCD14, sIgA and TGF-β1 being highest in the colostrum in the river and lake region. Breast milk DHA and arachidonic acid (AA) were positively associated, and γ-linolenic acid and EPA negatively associated, with the concentrations of each of the four immune factors. In conclusion, breast milk fatty acids and immune factors differ between the regions in China characterised by different patterns of fish consumption and change during the course of lactation. A higher breast milk DHA and AA concentration is associated with higher concentrations of immune factors in breast milk, suggesting a role for these fatty acids in promoting gastrointestinal and immune maturation of the infant. [ABSTRACT FROM PUBLISHER]

In this study we investigated the problems involved in assimilating surface pressure in the current global and regional assimilation and prediction system, GRAPES. A new scheme of assimilating surface pressure was proposed, including a new interpolation scheme and a refreshed background covariance. The new scheme takes account of the differences between station elevation and model topography, and it especially deals with stations located at elevations below that of the first model level. Contrast experiments were conducted using both the original and the new assimilation schemes. The influence of the new interpolation scheme and the updated background covariance were investigated. Our results show that the new interpolation scheme utilized more observations and improved the quality of the mass analysis. The background covariance was refreshed using statistics resulting from the technique proposed by Parrish and Derber in 1992. Experiments show that the updated vertical covariance may have a positive influence on the analysis at higher levels of the atmosphere when assimilating surface pressure. This influence may be more significant if the quality of the background field at high levels is poor. A series of assimilation experiments were performed to test the validity of the new scheme. The corresponding simulation experiments were conducted using the analysis of both schemes as initial conditions. The results indicated that the new scheme leads to better forecasting of sea level pressure and precipitation in South China, especially the forecast of moderate and heavy rain. [ABSTRACT FROM AUTHOR]

Background: Abnormalities in the anterior interhemispheric connections provided by the corpus callosum (CC) have long been implicated in major depressive disorder (MDD). The purpose of this study was to investigate interhemispheric connectivity in medicationnaive patients with MDD by measuring fractional anisotropy in the CC with diffusion tensor imaging (DTI) techniques. Methods: We obtained DTI scans from medication-naive patients with MDD and from matched healthy controls. Fractional anisotropy values were compared using semiautomatic region of interest methods to localize the regional CC differences between these 2 groups. Results: We enrolled 27 patients and 27 controls in our study. Fractional anisotropy values were significantly lower in the anterior genu of the CC in the MDD group than in the control group (p = 0.009, corrected); results were not significantly different in any other CC subregions. Limitations: As patients with MDD were already experiencing acute episodes, future studies of individuals at risk for MDD are warranted to elucidate the interhemispheric connectivity abnormalities associated with the predisposition to MDD. Conclusion: The findings demonstrate abnormalities in the structural integrity of the anterior genu of the CC in medication-naive individuals with MDD, which may contribute to impairment of interhemispheric connectivity in patients with this disorder. [ABSTRACT FROM AUTHOR]

Long-term measurements of carbon dioxide flux (Fc) and the latent and sensible heat fluxes were performed using the eddy covariance (EC) method in Beijing, China over a 4-yr period in 2006-2009. The EC setup was installed at a height of 47 m on the Beijing 325-m meteorological tower in the northwest part of the city. Latent heat flux dominated the energy exchange between the urban surface and the atmosphere in summer, while sensible heat flux was the main component in the spring. Winter and autumn were two transition periods of the turbulent fluxes. The source area of Fc was highly heterogeneous, which consisted of buildings, parks, highways. It was of interest to study of the temporal and spatial variability of Fc in this urban environment of a developing country. Both on diurnal and monthly scale, the urban surface acted as a net source for 11c and downward fluxes were only occasionally observed. The diurnal pattern of Fc showed dependence on traffic and the typical two peak traffic patterns appeared in the diurnal cycle. Also Fc was higher on weekdays than on weekends due to the higher traffic volumes on weekdays. On seasonal scale, Fc was generally higher in winter than during other seasons likely due to domestic heating during colder months. Total annual average CO2 emissions from the neighborhood of the tower were estimated to be 4.90 kg C m-2 yr-1 over the 4-yr period. Total vehicle population was the most important factor controlling the inter-annual variability of Fc in this urban area. [ABSTRACT FROM AUTHOR]

Ecology Letters (2012) Abstract Anthropogenic perturbations may affect biodiversity and ecological stability as well as their relationships. However, diversity-stability patterns and associated mechanisms under human disturbances have rarely been explored. We conducted a 7-year field experiment examining the effects of mowing and nutrient addition on the diversity and temporal stability of herbaceous plant communities in a temperate steppe in northern China. Mowing increased population and community stability, whereas nutrient addition had the opposite effects. Stability exhibited positive relationships with species richness at population, functional group and community levels. Treatments did not alter these positive diversity-stability relationships, which were associated with the stabilising effect of species richness on component populations, species asynchrony and portfolio effects. Despite the difficulty of pinpointing causal mechanisms of diversity-stability patterns observed in nature, our results suggest that diversity may still be a useful predictor of the stability of ecosystems confronted with anthropogenic disturbances. [ABSTRACT FROM AUTHOR]

Background: To evaluate different types of acupuncture treatment for migraine in China from the perspective of health economics, particularly the comparison between treatment of specific acupoints in Shaoyang meridians and penetrating sham acupoints treatment. Methods: Data were obtained from a multicenter, randomized controlled trial of acupuncture treatment in patients with migraine. Four-hundred eighty migraineurs were randomly assigned to 3 arms of treatment with genuine acupoints and 1 arm of penetrating sham acupoints. The primary outcome measurement was the cost effectiveness ratio (C/E), expressed as cost per 1 day reduction of headache days from baseline to week 16. Cost-comparison analyses, differences in the migraine-specific quality of life questionnaire (MSQ), and the incremental cost-effectiveness ratio were taken as secondary outcome measurements. In addition, a sensitivity analysis was conducted. Results: The total cost per patient was ¥1273.2 (95% CI 1171.3-1375.1) in the Shaoyang specific group, ¥1427.7 (95% CI 1311.8-1543.6) in the Shaoyang non-specific group, ¥1490.8 (95% CI 1327.1-1654.6) in the Yangming specific group, and ¥1470.1 (95% CI 1358.8-1581.3) in the sham acupuncture group. The reduced days with migraine were 3.972 ± 2.7, 3.555 ± 2.8, 3.793 ± 3.6, and 2.155 ± 3.7 in these 4 groups (P<0.05 for each genuine acupoints group vs the sham group), respectively, at week 16. The C/Es of the 4 groups were 320.5, 401.6, 393.1, and 682.2, respectively. Results of the sensitivity analysis were consistent with that of the cost-effectiveness analysis. The Shaoyang specific group significantly improved in all 3 MSQ domains compared with the sham acupuncture group. Conclusions: Treatment of specific acupoints in Shaoyang meridians is more cost-effective than that of nonacupoints, representing a dramatic improvement in the quality of life of people with migraine and a significant reduction in cost. Compared with the other 3 groups, Shaoyang-specific acupuncture is a relatively cost-effective treatment for migraine prophylaxis in China. [ABSTRACT FROM AUTHOR]

Background Surveillance of physical activity trends in older adults is limited in developing nations. This study examined 10-year leisure-time physical activity trends of elderly residents of Shanghai, the largest Chinese city with the nation's highest proportion of senior citizens. Methods The study used panel data from the Shanghai Longitudinal Survey of Elderly Life and Opinion (1998, 2003, 2005 and 2008). Leisure-time physical activity questions included (i) 16 major leisure-time habitual activities and (ii) regular exercise in the previous 6 months. Results In comparison to 1998, for Shanghai elders, the trend for engaging in leisure-time habits not related to physical activity increased over time, becoming statistically significant in 2005 and 2008 (e.g. OR for watching TV in 2003, 2005 and 2008 is 1.04 [0.91, 1.19], 1.17 [1.00, 1.38] and 1.78 [1.51, 2.09], respectively). Simultaneously, the trend for engaging in regular exercise declined significantly in each observation year in comparison to 1998 (OR in 2003, 2005 and 2008 is 0.70 [0.61, 0.80], 0.36 [0.30, 0.42] and 0.28 [0.24, 0.33], respectively). Discussion An increasingly sedentary lifestyle has evolved over the past decade in Shanghai. This highlights a need for public health agencies to develop effective active lifestyle interventions and physical activity promotion programs for local elders. [ABSTRACT FROM PUBLISHER]

Growing prosperity and changing diets have contributed to a surge in obesity prevalence in China. Previous research has investigated the relationships between BMI and several socioeconomic, diet-related, and health-related variables in China. This study proposes that such relationships are likely to differ along the conditional BMI distribution, and seeks to investigate such quantile-dependent variation in effects. Special attention is paid to how variables affect the upper tail of the conditional BMI distribution where overweight and obesity concerns are more acute. Quantile regressions (QRs) and ordinary least squares (OLS) regressions are estimated. The sample consists of 3,407 adult individuals aged 20–45 who participated in the China Health and Nutrition Survey (CHNS), 2006. Substantial cross quantile variation is observed in the relationships between several key variables and BMI. The QR shows that the relationship between energy intake and BMI is largely insignificant in the lower and middle quantiles, whereas the upper quantiles show a positive and significant effect substantially larger than predicted by the least squares regression and by previous studies. This implies that a food-based strategy aimed at limiting energy intake can be an effective way to fight obesity in China. The negative association between smoking and BMI, on the other hand, is found largely to hold only in the lower and middle quantiles, with the upper tail relatively unaffected by smoking status. Thus, smoking cessation policies may not exacerbate obesity. [ABSTRACT FROM AUTHOR]

This study compared the CO2 fluxes over three grassland ecosystems in China, including a temperate steppe (TS) in Inner Mongolia, an alpine shrub-meadow (ASM) in Qinghai and an alpine meadow-steppe (AMS) in Tibet. The measurements were made in 2004 and 2005 using the eddy covariance technique. Objectives were to document the different seasonality of net ecosystem exchange of CO2 (NEE) and its components, gross ecosystem photosynthesis (GEP) and ecosystem respiration (Reco), and to examine how environmental factors affect carbon exchange in the three grassland ecosystems. It was warmer in 2005 than in 2004, especially during the growing season (from May to September), across the three sites. The annual precipitation at TS in 2004 (364.4 mm) was close the annual average (350 mm), whereas the precipitation at TS in 2005 (153.3 mm) was significantly below the average. Both GEP and Reco of the temperate steppe in 2005 were significantly reduced by the extreme drought stress, resulting in net carbon release during almost the whole growing season. The magnitude of CO2 fluxes (daily and annual sums) was largest for the alpine shrub-meadow and smallest for the alpine meadow-steppe. The seasonal trends of GEP, Reco and NEE of the alpine shrub-meadow tracked closely with the variation in air temperature, while the seasonality of GEP, Reco and NEE of the temperate steppe and the alpine meadow-steppe was more related to the variation in soil moisture. The alpine shrub20 meadow was a local carbon sink over the two years. The temperate steppe and alpine meadow-steppe were acting as net carbon source, with more carbon loss to the atmosphere in warmer and drier year of 2005. Annual precipitation was the primary climate driver for the difference in annual GEP and NEE among the three sites and between the two years. We also found the annual GEP and NEE depended significantly on the 25 growing season length, which was mainly a result of the timing and amount of precipitation for the temperate steppe and the alpine meadow-steppe, but was more linked to the variation in air temperature for the alpine shrub-meadow. [ABSTRACT FROM AUTHOR]

The research on the impact of rainfall patterns on runoff and sediment yield is still insufficient, especially under natural rainfall conditions. We analyzed the influence of rain peak morphology on runoff and sediment yield based on the data of rainfall, runoff, and sediment in the bare runoff plot of Shixia, a small watershed in the Miyun district of Beijing, from 2007 to 2016. We took 0.4 mm min−1 as the standard of rain peak classification and the peak width, peak number, peak value, peak position and multi-peak continuity as the indexes of rain peak morphology. The results showed that: (1) Peak number, peak value, and peak width were significantly correlated with runoff and sediment yield, while peak position was irrelevant. The order of correlation between rain peak morphology indexes and runoff yield was peak width (0.71) > peak number (0.69) > peak value (0.33) > peak position (0.05). The order of correlation between rain peak morphological indexes and sediment yield was peak width (0.62) > peak value (0.36) > peak number (0.36) > peak position (−0.09). The multi-peak continuity was not correlated with runoff (0.12) and sediment yield (0.45). (2) When the number of rain peaks was greater than one in a single rainfall, the amount of runoff and sediment production increased significantly. (3) For multi-peak rainfall, 90 min was the boundary point of the rain peak interval, and the sediment yield formed by rainfall with a rain peak continuity >1/90 min−1 was significantly larger than the rainfall of ≤1/90 min−1. (4) Covariance analysis showed that the runoff caused by rainfall with a peak at the middle positions was obviously more than rainfall with a peak at the front position. However, the peak position had no significant effect on the sediment yield. (5) The peak rainfall amount of a rainfall (TPR) was a comprehensive index reflecting peak number, peak value and peak width, and the correlation between it and the sediment yield and runoff reached 0.60 and 0.71, respectively. Statistical rainfall characteristic indexes included rainfall amount, average rainfall intensity, rainfall duration, I5 (maximum 5-min rainfall intensity), I10, I15, I20, I30, and I60, among which I60 had the strongest correlation with runoff and sediment yield (0.69, 0.60), which were much larger than other rainfall indexes (0.08~0.47, 0.14~0.48) except rainfall amount (0.75, 0.37). By establishing a regression equation, it was found that both TPR and I60 had good explanatory power for runoff and weak explanatory power for sediment yield. [ABSTRACT FROM AUTHOR]

The frequent episodes of severe air pollution over China during recent years have posed serious health threats to densely populated eastern China. Although several studies investigated the linkage between enhanced severity and frequency of air pollution and the large‐scale weather patterns over China, the day‐to‐day covariability between them, as well as its local and remote mechanisms, has not been systematically documented. The wintertime synoptic covariability between PM2.5 and large‐scale meteorological fields is studied using surface observations of PM2.5 in 2013/2014–2016/2017 and ERA‐Interim meteorological fields through maximum covariance analysis (MCA). The first MCA mode (MCA1) suggests a consistent accumulation of ambient PM2.5 as a result of weakened winds that block the pollutant removal passage in heavily polluted areas of eastern China, as well as moist air from southeast coast favoring haze formation. A northeast–southwest belt that extends into northeastern China and central China on each end is more sensitive to MCA1. The second MCA mode (MCA2) shows a north–south dipole in PM2.5 linked to the contrast of boundary layer height and surface wind speed between northern and southern regions of China. Spatial patterns of both modes are supported by the GEOS‐Chem chemistry transport model with realistic emission inventory. The spatial patterns of the two modes are robust on the interannual time scales. Based on that, we investigate the variability of the first two modes of the identified modes on the multidecadal scale by projecting GPM_500 pattern to 1981–2010. Correlation analysis of the projected time series and climate indices over 30 years indicates the possible linkage of Arctic oscillation, ENSO indices, Pacific decadal oscillation and east Atlantic/western Russia to regional air pollution patterns over China. [ABSTRACT FROM AUTHOR]