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Background Life's Essential 8 (LE8) metrics for cardiovascular health (CVH) aid primordial prevention in US populations. Methods and Results We conducted a child cohort study (PROC [Beijing Child Growth and Health Cohort]) with baseline (2018–2019) and follow‐up (2020–2021) assessments, enrolling disease‐free 6‐ to 10‐year‐old children from 6 elementary schools in Beijing. We collected LE8‐assessed components via questionnaire surveys and 3 cardiovascular structural parameters by 2‐dimensional M‐mode echocardiography: left ventricular mass (LVM), LVM index, and carotid intima‐media thickness. Compared with 1914 participants (mean age, 6.6 years) at baseline, we saw lower mean CVH scores at follow‐up (n=1789; 8.5 years). Among LE8 components, diet presented the lowest perfect‐score prevalence (5.1%). Only 18.6% of participants had physical activity ≥420 min/wk, 55.9% had nicotine exposure, and 25.2% had abnormal sleep duration. Prevalence of overweight/obesity was 26.8% at baseline and 38.2% at follow‐up. We noted optimal blood lipid scores in 30.7%, while 12.9% of children had abnormal fasting glucose. Normal BP was 71.6% at baseline and 60.3% at follow‐up. LVM (g), LVM index (g/m2.7), and carotid intima‐media thickness (mm) were significantly lower in children with high (56.8, 33.2, 0.35) or moderate CVH scores (60.6, 34.6, 0.36), compared with children with low CVH scores (67.9, 37.1, 0.37). Adjusting for age/sex, LVM (β=11.8 [95% CI, 3.5–20.0]; P=0.005), LVM index (β=4.4 [95% CI, 0.5–8.3]; P=0.027), and carotid intima‐media thickness (β=0.016 [95% CI, 0.002–0.030]; P=0.028) were higher in the low‐CVH group. Conclusions CVH scores were suboptimal, declining with age. LE8 metrics indicated worse CVH in children with abnormal cardiovascular structural measurements, suggesting the validity of LE8 in assessing child CVH. Registration URL: https://www.chictr.org.cn/index.html; Unique identifier: ChiCTR2100044027.

BackgroundHypoxia-inducible factor 1-alpha (HIF-1α) stability and transcriptional action are reduced by the hypoxia-inducible factor 1-alpha subunit suppressor (HIF1AN). Its inappropriate expression is associated with the development of cancer and immune control. It is yet unknown how HIF1AN, clinical outcomes, and immune involvement in breast cancer (BC) are related.MethodsUsing the GEPIA, UALCAN, TIMER, Kaplan-Meier plotter, and TISIDB datasets, a thorough analysis of HIF1AN differential expression, medical prognosis, and the relationship between HIF1AN and tumor-infiltrating immune cells in BC was conducted. Quantitative real-time PCR (qRT−PCR) analysis of BC cells were used for external validation.ResultsThe findings revealed that, as compared to standard specimens, BC cells had significantly lower levels of HIF1AN expression. Good overall survival (OS) for BC was associated with higher HIF1AN expression. Additionally, in BC, the expression of HIF1AN was closely associated with the chemokines and immune cell infiltration, including neutrophils, macrophages, T helper cells, B cells, Tregs, monocytes, dendritic cells, and NK cells. A high correlation between HIF1AN expression and several immunological indicators of T-cell exhaustion was particularly revealed by the bioinformatic study.ConclusionsHIF1AN is a predictive indicator for breast tumors, and it is useful for predicting survival rates.

Influenza vaccination rates among Chinese middle school students are low. This study aims to explore the influencing factors of vaccination among middle school students and promote vaccination. We conducted a mixed-methods study, integrating a questionnaire survey among 9145 middle school students in four cities in China and semi-structured interviews with 35 middle school students to understand their attitudes and perceptions toward vaccination based on the Health Belief Model. We found the overall vaccination rate was 38.2% (3493/9145), with students in Beijing, boarding at school, or senior high school showing higher values than their counterparts (p < 0.05). Multiple logistic regression results showed that non-boarding (OR = 0.46, 95%CI: 0.42–0.51) and perceived barriers (OR = 0.97, 95%CI: 0.96–0.98) were unfavorable factors for influenza vaccination, whereas perceived susceptibility (OR = 1.07, 95%CI: 1.05–1.08), perceived benefits (OR = 1.02, 95%CI: 1.01–1.04), cues to action (OR = 1.08, 95%CI: 1.05–1.11), and self-efficacy (OR = 1.04, 95%CI: 1.02–1.07) were facilitators. Qualitative results indicated that positive health beliefs, school, and the home environment contribute to vaccination. In conclusion, the influenza vaccination rate among middle school students remains low. The concerns about the safety and potential side effects of vaccines are the main barriers to vaccination, underscoring the need for strengthening communication, education, and information among students and their teachers/parents.

A rapid method was developed and validated for the simultaneous identification and quantitation of the residues of 5-nitroimidazoles and their metabolites in eggs by isotope dilution-ultra-high performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS). The samples were extracted with acetonitrile, purified with octadecylsilane-bonded silica gel as sorbent, and defatted with n-hexane. The target compounds were separated in the LC system by gradient elution, and detected using an electrospray ionization (ESI) source in the positive ion mode with multiple reaction monitoring (MRM). Under the optimal conditions, the calibration curves for seven nitroimidazoles were linear in the concentration range of 0.5–20 ng/mL, with correlation coefficient exceeding 0.999. The limits of detection (LOD) and quantification (LOQ) were 0.1–0.25 and 0.3–1.0 μg/kg, respectively. The average recoveries at three spiked levels (0.5, 1.0 and 5.0 μg/kg) were 96.5%–112.7%, with relative standard deviations (RSDs) (n = 6) of 0.82%–8.14%. The proposed method was used for the determination of nitroimidazoles in egg samples from Food Analysis Performance Assessment Scheme (FAPAS) with satisfactory results. The RSDs between the results and the assigned values were less than 10%. This method could accurately detect the seven nitroimidazoles and was validated to be suitable for 38 batches of commercial eggs. The developed method is convenient, sensitive and accurate, and can be applied for daily monitoring of 5-nitroimidazoles and their metabolites in eggs.