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Background: Newborn screening (NBS), such as tandem mass spectrometry (MS/MS), may yield false positive/negative results. Next-generation sequencing (NGS) has the potential to provide increased data output, efficiencies, and applications. This study aimed to analyze the types and distribution of pathogenic gene mutations in newborns in Huzhou, Zhejiang province, China and explore the applicability of NGS and MS/MS in NBS. Methods: Blood spot samples from 1263 newborns were collected. NGS was employed to screen for pathogenic variants in 542 disease-causing genes, and detected variants were validated using Sanger sequencing. Simultaneously, 26 inherited metabolic diseases (IMD) were screened using MS/MS. Positive or suspicious samples identified through MS/MS were cross-referenced with the results of NGS. Results: Among all newborns, 328 had no gene mutations detected. NGS revealed at least one gene mutation in 935 newborns, with a mutation rate of 74.0%. The top 5 genes were FLG, GJB2, UGT1A1, USH2A, and DUOX2. According to American College of Medical Genetics guidelines, gene mutations in 260 cases were classified as pathogenic or likely pathogenic mutation, with a positive rate of 20.6%. The top 5 genes were UGT1A1, FLG, GJB2, MEFV, and G6PD. MS/MS identified 18 positive or suspicious samples for IMD and 1245 negative samples. Verification of these cases by NGS results showed no pathogenic mutations, resulting in a false positive rate of 1.4% (18/1263). Conclusion: NBS using NGS technology broadened the range of diseases screened, and enhanced the accuracy of diagnoses in comparison to MS/MS for screening IMD. Combining NGS and biochemical screening would improve the efficiency of current NBS. [ABSTRACT FROM AUTHOR]

Background:It is important to update weight-for-length/height growth curves in China and re-examine their performance in screening malnutrition. Aim:To develop weight-for-length/height growth curves for Chinese children and adolescents. Subjects and methods:A total of 94 302 children aged 0–19 years with complete sex, age, weight and length/height data were obtained from two cross-sectional large-scaled national surveys in China. Weight-for-length/height growth curves were constructed using the LMS method before and after average spermarcheal/menarcheal ages, respectively. Screening performance in prevalence estimates of wasting, overweight and obesity was compared between weight-for-height and body mass index (BMI) criteria based on a test population of 21 416 children aged 3–18. Results:The smoothed weight-for-length percentiles andZ-scores growth curves with length 46–110 cm for both sexes and weight-for-height with height 70–180 cm for boys and 70–170 cm for girls were established. The weight-for-height and BMI-for-age had strong correlation in screening wasting, overweight and obesity in each age–sex group. There was no striking difference in prevalence estimates of wasting, overweight and obesity between two indicators except for obesity prevalence at ages 6–11. Conclusion:This set of smoothed weight-for-length/height growth curves may be useful in assessing nutritional status from infants to post-pubertal adolescents. [ABSTRACT FROM PUBLISHER]

Background: In China, the incidence of ulcerative colitis (UC) is increasing every year, but the etiology of UC remains unclear. UC is known to increase the risk of colorectal cancer (CRC). The aim of this study was to investigate the protective effects of crocin against UC and CRC in mouse models. Methods: Crocin was used to treat the dextran sodium sulfate (DSS)-induced UC mice for 3 weeks, and ApcMinC/Gpt mice with colorectal cancer for 8 weeks. Proteomics screening was used to detect changes in the protein profiles of colon tissues of UC mice. Enzyme-linked immunosorbent assays and western blot were used to verify these changes. Results: Crocin strongly reduced the disease activity index scores of UC mice, and improved the pathological symptoms of the colonic epithelium. The anti-inflammatory effects of crocin were indicated by its regulation of the activity of various cytokines, such as interleukins, via the modulation of nuclear factor kappa-B (NF-κB) signaling. Crocin significantly suppressed tumor growth in ApcMinC/Gpt mice and ameliorated pathological alterations in the colon and liver, but had no effects on spleen and kidney. Additionally, crocin significantly decreased the concentrations of interleukins and tumor necrosis factor-α in the sera and colon tissues, suggesting its anti-inflammatory effects related to NF-κB signaling. Finally, 12-h incubation of SW480 cells with crocin caused cell cycle arrest, enhanced the apoptotic rate, promoted the dissipation of mitochondrial membrane potential, and the over-accumulation of reactive oxygen species. From the theoretical analyses, phosphorylated residues on S536 may enhance the protein-protein interactions which may influence the conformational changes in the secondary structure of NF-κB. Conclusion: The protective effects of crocin on UC and CRC were due to its suppression of NF-κB-mediated inflammation. [ABSTRACT FROM AUTHOR]

Pinus massoniana is the major afforestation and vegetation restoration tree in southern China, and it plays an important role in the sustainable development of plantations. However, long-term single planting of P. massoniana has resulted in the decline of soil quality and forest productivity, and a soil fertility assessment is urgently needed. We selected P. massoniana plantations of four age stages for plot investigation and sampling to determine the soil physicochemical properties, microbial diversity and composition, and enzyme activities at different soil depths. The results showed that soil total phosphorus (TP) and available phosphorus (AP) decreased with the increase of age, especially low C/N ratio and high C/P and N/P ratio in the 30-year and 36-year stands, leading to P limitation. Meanwhile, the bacterial Shannon index also decreased with the increase of age and was positively correlated with AP, NO3−-N, and pH. However, the fungal Shannon index decreased first and then increased with the increase of age; soil acid phosphatase (S-ACP) and urease activities showed a similar trend. Correlation analysis demonstrated that the increase of total organic carbon (TOC) and total nitrogen (TN) promoted the increase of fungal Shannon index, which was beneficial to the secretion of more enzymes. We found that soil physicochemical properties, microbial diversity, and enzyme activity decreased simultaneously when soil depths increased. Moreover, Acidobacteria and Basidiomycota were the most abundant bacterial and fungal communities, respectively, followed by Proteobacteria and Actinobacteria for bacteria and Ascomycota for fungi, and these microbial taxa were significantly affected by soil water content (SWC), TOC, AP, and C/P. In conclusion, this work reveals the potential correlation among soil physicochemical properties, microbial diversity and composition, and enzyme activities, and revealed potential correlations among them which will help to improve understanding of soil conditions and provide a reference for rational management of soil resources. [ABSTRACT FROM AUTHOR]

Background: Currently, there is no standard technique for determining corneal astigmatism. The iTrace wavefront aberrometry of cornea calculated steep power and axis based on the best Zernike mathematical fit from all topo data within 4 mm circle. It was supposed to be more accurate than iTrace simulated keratometry which was calculated based on only 4 points on the circle of 3 mm. This aim of this study was to evaluate visual outcomes and rotational stability after toric intraocular lens (IOL) implantation using the wavefront aberrometry of the cornea with iTrace.Setting: Single site in China, Shanxi Eye Hospital, Shanxi, China.Design: Prospective case series.Methods: The study included 85 eyes of 63 patients undergoing phacoemulsification and toric IOL implantation. The IOL power and cylinders were chosen with the help of the iTrace toric planning program using wavefront keratometric astigmatism. Astigmatic changes were assessed using Alpins vector method over a 3-month follow-up period.Results: Preoperative mean corneal topographic astigmatism was 1.91 diopters (D) ± 0.69 (standard deviation). Postoperative mean refractive astigmatism decreased significantly to 0.48 D ± 0.34. Surgical induced astigmatism was 1.73 D ± 0.77 and the mean correction index was 0.89 ± 0.22, showing a slight undercorrection. The proportion of astigmatism ≤0.50 D increased from 0 to 71.8% postoperatively.Conclusions: This is the first study on evaluation of clinical outcomes of toric IOL implantation in corneal astigmatism patients using iTrace wavefront keratometric readings. The findings show that use of iTrace built-in toric calculator is safe and effective for planning toric IOL surgery for wavefront keratometric astigmatism.Trial Registration: Current Controlled Trials ISRCTN94956424 , Retrospectively registered (Date of registration: 05 February 2020). [ABSTRACT FROM AUTHOR]

Climate change considerably affects vegetation growth and may lead to changes in vegetation distribution. Leopard-skin camphor is an endangered species, and the main raw material for hawk tea, and has various pharmacodynamic functions. Studying the potential distribution of two leopard-skin camphor varieties under climate change should assist in the effective protection of these species. We collected the distribution point data for 130 and 89 Litsea coreana Levl. var. sinensis and L. coreana Levl. var. lanuginosa, respectively, and data for 22 environmental variables. We also predicted the potential distribution of the two varieties in China using the maximum entropy (MaxEnt) model and analyzed the key environmental factors affecting their distribution. Results showed that the two varieties are mainly located in the subtropical area south of the Qinling Mountains–Huai River line in the current and future climate scenarios, and the potentially suitable area for L. coreana Levl. var. lanuginosa is larger than that of L. coreana Levl. var. sinensis. Compared with current climatic conditions, the potentially suitable areas of the two leopard-skin camphor varieties will move to high-latitude and -altitude areas and the total suitable area will increase slightly, while moderately and highly suitable areas will be significantly reduced under future climatic scenarios. For example, under a 2070-RCP8.5 (representative of a high greenhouse gas emission scenario in the 2070s) climatic scenario, the highly suitable areas of L. coreana Levl. var. sinensis and L. coreana Levl. var. lanuginosa are 6900 and 300 km2, and account for only 10.27% and 0.21% of the current area, respectively. Temperature is the key environmental factor affecting the potential distribution of the two varieties, especially the mean daily diurnal range (Bio2) and the min temperature of the coldest month (Bio6). The results can provide a reference for relevant departments in taking protective measures to prevent the decrease or extinction of the species under climate change. [ABSTRACT FROM AUTHOR]

The ∼800 km long Heihe River in northwestern China originates from the North Qilian Mountain, and passes through the Beishan Mountain before it reaches the Juyanhai Lake. Geologically, the river crosscuts the North Qilian Orogenic Belt, the Alax Terrane, and the Beishan Orogenic Belt. LA-ICP-MS U-Pb dating of detrital zircon from Heihe River sediments shows four age groups: 2700–1700 Ma, 1700–650 Ma, 650–358 Ma, and 358–230 Ma, and age peaks at ∼2450 Ma, ∼1850 Ma, ∼950 Ma, ∼520 Ma, 505 Ma, ∼480 Ma, ∼450 Ma, ∼430 Ma, ∼380 Ma, ∼320 Ma, and ∼295 Ma. The age distribution patterns indicate that Heihe River sediments were mainly sourced from the North Qilian Orogenic Belt. The detrital zircon ages demonstrate that the North Qilian Orogenic Belt may have Archean to late Paleoproterozoic rocks. Several tectonothermal events are also identified: opening of the North Qilian Ocean (part of the Paleo-Tethys Ocean) at early Neoproterozoic, subduction of oceanic lithosphere and formation of a trench-arc-basin system at late Neoproterozoic to late Ordovician, closure of the oceanic basin at late Ordovician, and collision of the Qaidam and Alax terranes at early Devonian. Our study indicates that the formation of the North Qilian Orogenic Belt was mainly related to the formation and closure of the Paleo-Tethys Ocean. [ABSTRACT FROM AUTHOR]

• Compared with NO 2 and O 3 exposure, PM 2.5 exposure is the greatest threat to cognitive function. • Cognitive function is spatially correlated. • Both short- and long-term air pollution exposure can affect cognitive function, but long-term damage was more serious. • Air pollution have different effects on the cognitive function of people with different characteristics. • People with low cognitive function are more affected by air pollution exposure. In the field of environmental health, the impact of air pollution on people's cognitive function is receiving increasing attention. Various air pollution exposures and different exposure periods result in different degrees of damage to cognition. This paper first used CFPS cognitive tests to evaluate the cognitive function of 15,163 adults in 25 provinces of China. Next, based on the geographical location of the population, the kriging interpolation method was applied to evaluate the different exposure periods for various air pollutants (PM 2.5 , NO 2 and O 3). Air pollution exposures lasting 3 years and more were referred to in this paper as long-term exposures, while those lasting<3 years were short-term exposures. This paper used an ordinary least squares (OLS) regression model to explore the differential effects of various air pollutant exposures and discussed the impact of long- and short-term exposure to pollutants. Subsequently, Moran's index was used to test the spatial connection for cognitive function, and the spatial error model was used for analysis in the spatial autoregressive model. This research also conducted a heterogeneity study on the justice of air pollutant exposure among people with different characteristics. The population was classified according to cognitive function and geographic location using OLS regression and quantile regression, and a propensity score matching (PSM) model was used for cross-validation to explore whether people with different characteristics and attributes were differentially exposed to air pollution. We found that there were significant negative relationships between air pollutant exposure and cognitive function, especially PM 2.5 exposure and long-term exposure. In addition, air pollution had significantly different impacts on cognition based on the different characteristics and attributes of the person exposed. This study helps by analyzing the socioeconomic factors that affect the level of exposure and suggests that groups who are vulnerable to environmental pollution should be protected and the occurrence of injustice reduced. The study also provides a reference for the distribution of pollution sources and the allocation of health resources, which can be useful for population distribution planning. [ABSTRACT FROM AUTHOR]

Sorghum ratooning, a time and labor-saving cultivation practice, is increasingly being adopted by farmers in Southwest China as an alternative. Efficient N fertilizer management is critical for economical production of sorghum and the long-term protection of the environment. To investigate the impact of N management on grain yield and nitrogen use efficiencies (NUEs) of ratoon sorghum system, a three-year field experiment was conducted for Jinyunuo3 (a hybrid cultivar) and Guojiaohong1 (an inbred cultivar) using 12 combinations of N rates and splitting ratios. The results showed that increasing N rate and splitting application times led to improvements in various growth parameters such as dry matter weight, crop growth rate (CGR), leaf area index (LAI), and photosynthetic potential (PP). The main, ratoon, and annual yields increased with N rate increase, but there was no significant difference between 225 and 150 kg N ha -1 in the ratoon and annual yields. Splitting the application of N fertilizer enhanced grain yield compared to a single dose application method, especially three-split applications yielded higher than two-split applications. Compared with N rates of 225 and 150 kg ha -1 , N rate of 75 kg ha -1 increased apparent recovery rate of applied nitrogen (RE N ), agronomic efficiency of applied nitrogen (AE N ), and partial factor productivity from applied nitrogen (PFP N ) in both main season and whole year. But through splitting application methods at high N rates could achieve similar or even higher levels of NUEs compared to all applied as basal fertilizer at low N rates. Therefore, it could be recommended that applying 150 kg N ha -1 with a basal-jointing-heading fertilizer ratio of 2:4:4 represented an efficient N management practice to synchronously obtain high grain yield and NUEs in ratoon sorghum system in Southwest China., (© 2024. The Author(s).)

Objective: To analyze the types and distribution of pathogenic variants for neonatal genetic diseases in Huzhou, Zhejiang Province., Methods: One thousand neonates (48 ~ 42 h after birth) born to Huzhou region were selected as the study subjects. Dry blood spot samples were collected from the newborns, and targeted capture high-throughput sequencing was carried out for pathogenic genes underlying 542 inherited diseases. Candidate variants were verified by Sanger sequencing., Results: Among the 1 000 newborns, the male to female ratio was 1.02 : 1.00. No pathogenic variants were detected in 253 cases, whilst 747 cases were found to carry at least one pathogenic variant, which yielded a carrier rate of 74.7%. The most frequently involved pathogenic gene was FLG, followed by GJB2, UGT1A1, USH2A and DUOX2. The variants were classified as homozygous, compound heterozygous, and hemizygous variants. Based on the guidelines from the American College of Medical Genetics and Genomics (ACMG), 213 neonates were verified to have carried pathogenic and/or likely pathogenic variants, with a positive rate of 21.3%. The most commonly involved genes had included UGT1A1, FLG, GJB2, MEFV and G6PD., Conclusion: Newborn screening based on high-throughput sequencing technology can expand the scope of screening and improve the positive predictive value. Genetic counseling based on the results can improve the patients' medical care and reduce neonatal mortality and childhood morbidity, while provide assistance to family members' health management and reproductive decisions.

Background: Mother-to-child transmission (MTCT) is the main cause of hepatitis B virus (HBV) infections in China. However, there is a paucity of information on seroprevalence and mutations in HBV surface genes among pregnant women in Huzhou, China., Methods: In this retrospective cross-sectional study, serum markers of 31 681 pregnant women were collected and analysed. The surface genes were amplified and directly sequenced. Mutations in the major hydrophilic region (MHR) were analysed in 171 randomly selected subjects., Results: The seroprevalence of HBV infection was 3.32% (1053/31 681). The predominant HBV genotypes were B (57.4%) and C (42.6%). Pregnant women ≥30 y of age exhibited a higher hepatitis B surface antigen-positive rate than those <30 y of age. MHR mutations were found in 42.6% (72/169) of the subjects, several of which were escape mutations. The mutational frequencies in the a-determinant and first loop (AA124-137) were higher in genotype C than genotype B. Pregnant women with MHR mutations showed increased alanine transaminase, aspartate transaminase and gamma-glutamyl transpeptidase levels and decreased HBV loads., Conclusions: The HBV seroprevalence among pregnant women in Huzhou was intermediate. MHR mutations occur and the risk of MTCT still persists. Therefore, early screening, intervention and care for HBV-infected pregnant women should be strengthened to minimize or prevent MTCT of HBV., (© The Author(s) 2022. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.)

Background: Early postnatal growth monitoring and nutrition assessment for preterm infants is a public health and clinical concern. We aimed to establish a set of postnatal growth monitoring curves of preterm infants to better help clinicians make in-hospital and post-discharge nutrition plan of these vulnerable infants., Methods: We collected weight, length and head circumference data from a nationwide survey in China between 2015 and 2018. Polynomial regression and the modified LMS methods were employed to construct the smoothed weight, length and head circumference growth curves., Results: We established the P 3 , P 10 , P 25 , P 50 , P 75 , P 90 , P 97 reference curves of weight, length and head circumference that allowed for continuous use from 24 weeks of preterm birth to 50 weeks and developed a set of user-friendly growth monitoring charts. We estimated approximate ranges of weight gain per day and length and head circumference gains per week., Conclusions: Our established growth monitoring curves, which can be used continuously without correcting gestational age from 24 weeks of preterm birth to 50 weeks, may be useful for assessment of postnatal growth trajectories, definition of intrauterine growth retardation at birth, and classification of early nutrition status for preterm infants.

The purpose of this study aimed to develop and validate the Food and Nutrition Literacy Questionnaire for Chinese adults (FNLQ). The dimensions and core components of Food and Nutrition Literacy were constructed though literature review and qualitative consensus study. A cross-sectional survey of 8510 participants was conducted. The reliability of the questionnaire was determined by internal consistency, the construct validity was assessed by exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and the content validity was assessed by the Pearson correlation coefficient. From the literature review and qualitative methods, 20 core components and 50 questions of the FNLQ were developed, including 1 dimension of knowledge and 3 practice dimensions (ability of selection, preparing food and eating). The overall FNLQ questionnaire had good reliability and validity (Cronbach’s α = 0.893, χ2/DF = 4.750, RMSEA = 0.048, GFI = 0.891 and AGFI = 0.876). The average FNLQ score of all participants was (64.08 ± 12.77), and the score for the knowledge and understanding dimension was higher than that for the practice dimensions. In addition, 80 was set as the nutritional literacy threshold, and only 12.2% met this threshold in this survey. Sociodemographic and health status characteristics were predictors of FNLQ (R2 = 0.287, F = 244.132, p < 0.01). In conclusion, the FNLQ built in this study had good validity and reliability. It could be considered as a reliable tool to assess Food and Nutrition Literacy of Chinese adults.

Objective: To investigate the correlation of the Val109Asp polymorphism of the omentin-1 gene with the risk and severity of knee osteoarthritis (KOA) in a Chinese Han population., Methods: This study enrolled 383 patients with primary KOA and 460 healthy controls. The genotypes were determined by the detection of single nucleotide polymorphism. To explore the interaction between omentin-1 gene polymorphism and obesity and age, the body mass index (BMI) of 25 kg/m 2 and the age of 55 years old were preset as the cut-off value of stratified analysis. Furthermore, enzyme-linked immunosorbent assay was used to determine the levels of omentin-1, interleukin (IL)-1β, IL-6 in peripheral blood and synovial fluid and the contents of IL-1β, IL-6, metalloproteinase (MMP)-13 and collagen (COL)-II in the supernatant of knee joint cartilage tissue., Results: The Val109Asp polymorphism of the omentin-1 gene showed no obvious correlation with KOA. Compared with Asp/Asp genotype carriers with BMI <25 kg/m 2 and age <55 years old, Val109 allele carriers with BMI≥25 kg/m 2 and age ≥55 years old had obviously increased risk of KOA (adjusted OR = 1.416, p = 0.042; adjusted OR = 1.735, p = 0.038, respectively). In the KOA group, only the omentin-1 levels were significantly lower in the plasma and synovial fluid of Ala/Ala genotype carriers than in those of Asp/Asp genotype carriers. Meanwhile, the proportion of patients with moderate-severe K-L Classification, the levels of IL-1β, IL-6 in synovial fluid and the expression levels of IL-1β, IL-6 and MMP-13 in cartilage tissue significantly increased ( p < 0.05). By contrast, the expression level of COL-II in cartilage tissue significantly decreased ( p < 0.05)., Conclusions: The Val109Asp polymorphism of the omentin-1 gene may not be the primary pathogenic factor of KOA in Chinese. The Val/Val genotype can be regarded as a potential biomarker for the risk of KOA progression., Competing Interests: The authors declare that they have no competing interests., (© 2021 Chen et al.)

Context: Long-acting recombinant human growth hormone (rhGH) has transformed growth hormone deficiency (GHD) treatment. However, the possibility and rationality for flexible time regimen are pending., Objective: We studied the efficacy of biweekly versus weekly PEGylated rhGH (PEG-rhGH) therapy in GHD children., Design Setting and Patients: This multicenter, phase IV trial with a non-inferiority threshold ≥20% enrolled 585 Tanner stage I GHD children., Intervention: Subjects randomly received 0.20 mg/kg once-weekly or biweekly PEG-rhGH, or 0.25 mg/kg.w rhGH once daily for 26 weeks., Main Outcome Measure: The primary outcome was height SD scores for chronological age (HtSDS CA ) at week 26 and safety measurements including adverse events (AEs), IGF-2, and IGFBP-2 changes., Results: At week 26, the median HtSDS CA changed from -2.75, -2.82, and -2.78 to -2.31, -2.43, and -2.28 with weekly and biweekly PEG-rhGH, and daily rhGH, respectively. The difference in HtSDS CA was 0.17 ± 0.28 between weekly and biweekly PEG-rhGH, and 0.17 ± 0.27 between daily rhGH and biweekly PEG-rhGH, failing the non-inferiority threshold. Nevertheless, the height velocity of children receiving biweekly PEG-rhGH reached 76.42%-90.34% and 76.08%-90.60% that of children receiving weekly PEG-rhGH and daily rhGH, respectively. The rate of AEs was comparable among the groups. No statistical difference was observed in IGF-2 and IGFBP-2 levels among the groups. IGFBP-2 levels decreased over time in all groups, with no notable difference in IGF-2 and IGFBP-2 changes among the three treatment groups., Conclusions: Although notably promoted height velocity, biweekly PEG-rhGH failed the non-inferiority threshold as compared with either weekly PEG-rhGH or daily rhGH. Compared with short-term rhGH, long-acting PEG-rhGH did not significantly increase tumor-associated IGF-2 and IGFBP-2 expressions., Clinical Trial Registration: clinicaltrials.gov, identifier NCT02976675., Competing Interests: CS, RC, and FL received lecture fees from GeneScience Pharmaceuticals. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Sun, Lu, Liu, Zhang, Wei, Hu, Hu, Zhao, Liu, Ye, Wang, Gu, Liu, Ye, Zhang, Zhu, Jiang, Liu, Wan, Yan, Yin, Ying, Huang, Yin, Xi, Luo and Cheng.)

Objective: To explore the relationship between the omentin-1 gene rs2274907 A>T polymorphism and colorectal cancer (CRC) in the Chinese Han population., Methods: rs2274907 A>T was assessed by PCR-restriction fragment length polymorphism analysis. Plasma omentin-1 expression from 358 patients with CRC and 286 healthy controls was analyzed by enzyme-linked immunosorbent assay. CRC and control groups were divided into subgroups according to the body mass index (BMI) threshold of 25 kg/m 2 ., Results: No significant differences were observed between CRC and control groups in terms of genotype or allele frequencies of rs2274907 A>T. Compared with individuals with BMI <25 kg/m 2 and the rs2274907 TT genotype, those with AA+AT genotypes and BMI ≥25 kg/m 2 had a 3.027-fold increased risk of CRC. A significant tendency toward a higher stage of colorectal adenocarcinomas and depth of invasion was observed in individuals with the rs2274907 AA genotype compared with other genotypes., Conclusions: The omentin-1 gene rs2274907 A>T polymorphism does not seem to play a critical role in the development of CRC in the Chinese Han population, but an interaction between the rs2274907 A allele and BMI may increase the CRC risk. The rs2274907 AA genotype is a potential biomarker for CRC stage progression.

Objective: To explore the correlation between purine-rich food intake and hyperuricemia in Chinese adult residents., Method: A cross-sectional study was conducted on the purine-rich food intake of Chinese adult residents based on the China Health and Nutrition Survey (CHNS) in 2009. The subjects were divided into hyperuricemia group and nonhyperuricemia group according to serum uric acid level, and the differences of the sociodemographic information (age, gender, and region), health status (weight status, blood pressure, blood sugar status), living habits (alcohol consumption, smoking status) and food intake (purine-rich food, other food) were compared between the two groups. Logistic regressions investigated the associations between the daily intake of purine-rich food (animal-derived food and legumes) and hyperuricemia., Results: Eventually, 6813 subjects were included in our study, 1111 of them had hyperuricemia. The intake of seafood, legumes, red meat, and poultry all increased the risk of hyperuricemia ( p < 0.05), while the intake of purine-rich fungi and purine-rich vegetables did not affect the occurrence of hyperuricemia. Animal-derived food was the main source of purine-rich food consumed by Chinese adult residents (140.67g/day), which had a great impact on hyperuricemia. Finally, after adjusting for gender, age, region, body mass index (BMI), alcohol consumption, hypertension, and refined grains intake, the risk of hyperuricemia increased by 2.40% and 1.10% for each increase of 10 g in animal-derived food intake (OR = 1.024, 95% CI: 1.018-1.030) and legumes intake (OR = 1.011, 95% CI: 1.003-1.019), respectively., Conclusion: The intake of animal-derived food and legumes were positively correlated with the occurrence of hyperuricemia. Controlling the intake of animal-derived food and legumes would be more beneficial to controlling the risk of hyperuricemia.

Competing Interests: Competing interests: The BMJ has judged that there are no disqualifying financial ties to commercial companies. The authors declare the following other interests: none. Further details of The BMJ policy on financial interests are here: https://www.bmj.com/about-bmj/resources-authors/forms-policies-and-checklists/declaration-competing-interests

Background: Waist circumference (WC) and waist-to-height ratio (WHtR) distributions have been described in Chinese pre-school children only in local areas., Aim: To report reference data of WC and WHtR in a nationally representative sample of Chinese pre-school children., Subjects and Methods: A total of 53,172 children aged 3-7 years were surveyed as part of the 5th National Survey in 2015. WC and WHtR percentile values were calculated for each age- and sex-specific group. Urban-suburban rural differences of WC and WHtR were examined. Comparisons of WC and WHtR with other Chinese studies and foreign studies were assessed., Results: Eleven conventional percentile values of WC and WHtR were obtained for urban and suburban rural children. Urban-suburban rural differences of WC ranged from -0.2 cm to 0.6 cm for both boys and girls across all age groups and the differences of WHtR ranged from -0.01 to 0.01. Median WC and WHtR curves were generally in the middle of other Chinese studies. Median WC and WHtR curves in China were generally lower than other countries that were compared., Conclusion: The presented percentile values of WC and WHtR may be useful to monitor growth and development and to assess abdominal fat distribution of younger children.

Purpose: To examine the retinal nerve fiber layer (RNFL) ophthalmoscopically, to search for localized RNFL defects, and to assess factors associated with RNFL visibility in a population-based setting., Methods: The population-based cross-sectional Beijing Eye Study 2006 included 3251 subjects. Using color fundus photographs, RNFL visibility was assessed in grades from 0 to 8 in 8 fundus sectors. Localized RNFL defects were defined as wedge-shaped defects running towards the optic disc., Results: After exclusion of subjects with optic media opacities, 2602 subjects (mean age: 58.1±9.0 years) were included. RNFL visibility score was highest (P<0.001) in the temporal inferior region, followed by the temporal superior region, nasal superior region, and nasal inferior region. In multivariate analysis, higher RNFL visibility score was associated with younger age (P<0.001; standardized coefficient beta: -0.44; regression coefficient B: -0.22; 95%CI: -0.24, -0.20), female gender (P<0.001; beta: 0.11; B: 1.00; 95%CI: 0.67, 1.32), higher blood concentration of low-density lipoproteins (P = 0.002; beta: 0.07; B: 0.34; 95%CI: 0.13, 0.56), absence of dyslipidemia (P = 0.001; beta: -0.07; B: -0.58; 95%CI: -0.93, -0.24), lower blood glucose concentration (P = 0.006; beta: -0.05; B: -0.14; 95%CI: -0.24, -0.04), hyperopic refractive error (P<0.001; beta: 0.15; B: 0.45; 95%CI: 0.34, 0.56), smaller optic disc size (P<0.001; beta: -0.08; B: -0.72; 95% CI: -1.04, -0.40), absence of glaucomatous optic neuropathy (P<0.001; beta: -0.06; B: -2.69; 95%CI: -4.18, -1.21) and absence of non-glaucomatous optic nerve damage (P = 0.001; beta: -0.06; B: -4.80; 95%CI: 0. -7.64, -1.96). Localized RNFL defects were detected in 96 subjects (prevalence:3.7±0.45% (95% confidence interval (CI): 3.0, 4.4). In multivariate analysis, prevalence of localized RNFL defects was associated with higher blood pressure (P<0.001; odds ratio (OR): 1.07; 95%CI: 1.03, 1.10), higher concentration of low-density lipoproteins (P = 0.01; OR: 1.42; 95%CI: 1.08, 1.85), higher prevalence of glaucomatous optic neuropathy (P<0.001; OR: 46.8; 95%CI: 19.4, 113) and diabetic retinopathy (P = 0.002; OR: 3.20; 95%CI: 1.53, 6.67), and lower total RNFL visibility (P<0.001; OR: 0.92; 95%CI: 0.88, 0.96)., Conclusions: In Chinese aged 45+ years, a decreased RNFL visibility was associated with older age, male gender, dyslipidemia, hyperglycemia, myopia, larger optic disc, and glaucomatous or non-glaucomatous optic neuropathy. Localized RNFL defects (prevalence: 3.7±0.45%) were correlated mainly with higher blood pressure, higher concentration of low-density lipoproteins, glaucomatous optic neuropathy and diabetic retinopathy. These data are helpful for the routine ophthalmoscopic examination of the RNFL.