22 research outputs found

    Thermal instability of monoalkyl esters of phthalic acid during their gas chromatographic separation

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    ΠœΠΎΠ½ΠΎΠ°Π»ΠΊΠΈΠ»ΠΎΠ²Ρ‹Π΅ эфиры Π±Π΅Π½Π·ΠΎΠ»-1,2-Π΄ΠΈΠΊΠ°Ρ€Π±ΠΎΠ½ΠΎΠ²ΠΎΠΉ (Ρ„Ρ‚Π°Π»Π΅Π²ΠΎΠΉ) кислоты ΡΠ²Π»ΡΡŽΡ‚ΡΡ основными ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚Π°ΠΌΠΈ ΠΌΠ΅Ρ‚Π°Π±ΠΎΠ»ΠΈΠ·ΠΌΠ° (частичного Π³ΠΈΠ΄Ρ€ΠΎΠ»ΠΈΠ·Π°) Π΄ΠΈΠ°Π»ΠΊΠΈΠ»Ρ„Ρ‚Π°Π»Π°Ρ‚ΠΎΠ², ΡˆΠΈΡ€ΠΎΠΊΠΎ ΠΏΡ€ΠΈΠΌΠ΅Π½ΡΡŽΡ‰ΠΈΡ…ΡΡ Π² качСствС пластификаторов ΠΏΠΎΠ»ΠΈΠΌΠ΅Ρ€Π½Ρ‹Ρ… ΠΊΠΎΠΌΠΏΠΎΠ·ΠΈΡ†ΠΈΠΉ. ΠŸΡ€ΠΎΠ²Π΅Ρ€ΠΊΠ° возмоТностСй газохроматографичСского ΠΈ Ρ…Ρ€ΠΎΠΌΠ°Ρ‚ΠΎ-масс-спСктромСтричСского Π°Π½Π°Π»ΠΈΠ·Π° ΠΏΡ€ΠΎΡΡ‚Π΅ΠΉΡˆΠΈΡ… ΠΌΠΎΠ½ΠΎΠ°Π»ΠΊΠΈΠ»ΠΎΠ²Ρ‹Ρ… (Б₁-Б₇) эфиров ΠΏΠΎΠΊΠ°Π·Π°Π»Π°, Ρ‡Ρ‚ΠΎ эти соСдинСния тСрмичСски Π½Π΅ΡΡ‚Π°Π±ΠΈΠ»ΡŒΠ½Ρ‹ ΠΈ Ρ€Π°Π·Π»Π°Π³Π°ΡŽΡ‚ΡΡ Π² хроматографичСской ΠΊΠΎΠ»ΠΎΠ½ΠΊΠ΅, Ρ‡Ρ‚ΠΎ ΠΌΠΎΠΆΠ΅Ρ‚ ΠΎΡΠ»ΠΎΠΆΠ½ΡΡ‚ΡŒ ΠΈΡ… ΠΎΠ±Π½Π°Ρ€ΡƒΠΆΠ΅Π½ΠΈΠ΅ Π² Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… ΠΎΠ±Ρ€Π°Π·Ρ†Π°Ρ…. УстановлСно, Ρ‡Ρ‚ΠΎ основноС Π½Π°ΠΏΡ€Π°Π²Π»Π΅Π½ΠΈΠ΅ дСструкции ΠΌΠΎΠ½ΠΎΠ°Π»ΠΊΠΈΠ»Ρ„Ρ‚Π°Π»Π°Ρ‚ΠΎΠ² Π² газохроматографичСской ΠΊΠΎΠ»ΠΎΠ½ΠΊΠ΅ Π°Π½Π°Π»ΠΎΠ³ΠΈΡ‡Π½ΠΎ извСстному процСссу ΠΈΡ… ΠΏΠΈΡ€ΠΎΠ»ΠΈΠ·Π° с ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΡΠΎΠΎΡ‚Π²Π΅Ρ‚ΡΡ‚Π²ΡƒΡŽΡ‰ΠΈΡ… спиртов ΠΈ Ρ„Ρ‚Π°Π»Π΅Π²ΠΎΠ³ΠΎ Π°Π½Π³ΠΈΠ΄Ρ€ΠΈΠ΄Π°. По этой ΠΏΡ€ΠΈΡ‡ΠΈΠ½Π΅ для раздСлСния моноэфиров Ρ„Ρ‚Π°Π»Π΅Π²ΠΎΠΉ кислоты Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΠΎ ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΠΎΠ²Π°Ρ‚ΡŒ максимально ΠΊΠΎΡ€ΠΎΡ‚ΠΊΠΈΠ΅ ΠΊΠΎΠ»ΠΎΠ½ΠΊΠΈ с Ρ‚ΠΎΠ½ΠΊΠΈΠΌΠΈ ΠΏΠ»Π΅Π½ΠΊΠ°ΠΌΠΈ стандартных нСполярных Π½Π΅ΠΏΠΎΠ΄Π²ΠΈΠΆΠ½Ρ‹Ρ… Ρ„Π°Π· ΠΏΡ€ΠΈ минимальной скорости программирования Ρ‚Π΅ΠΌΠΏΠ΅Ρ€Π°Ρ‚ΡƒΡ€Ρ‹, Ρ‡Ρ‚ΠΎ ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΡ‚ ΡΠ½ΠΈΠ·ΠΈΡ‚ΡŒ Ρ‚Π΅ΠΌΠΏΠ΅Ρ€Π°Ρ‚ΡƒΡ€Ρ‹ удСрТивания Ρ‚Π°ΠΊΠΈΡ… Π°Π½Π°Π»ΠΈΡ‚ΠΎΠ² ΠΈ, ΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎ, ΠΌΠΈΠ½ΠΈΠΌΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Ρ‚ΡŒ ΠΈΡ… тСрмичСскоС Ρ€Π°Π·Π»ΠΎΠΆΠ΅Π½ΠΈΠ΅. Высказано ΠΏΡ€Π΅Π΄ΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΠ΅, Ρ‡Ρ‚ΠΎ ΠΈΠΌΠ΅Π½Π½ΠΎ Ρ€Π°Π·Π»ΠΎΠΆΠ΅Π½ΠΈΠ΅ с ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ Ρ„Ρ‚Π°Π»Π΅Π²ΠΎΠ³ΠΎ Π°Π½Π³ΠΈΠ΄Ρ€ΠΈΠ΄Π° ΠΎΠ±ΡŠΡΡΠ½ΡΠ΅Ρ‚ Π²Ρ‹ΡΠΎΠΊΡƒΡŽ Ρ‚ΠΎΠΊΡΠΈΡ‡Π½ΠΎΡΡ‚ΡŒ (Π² Ρ‚ΠΎΠΌ числС ΡΠ½Π΄ΠΎΠΊΡ€ΠΈΠ½Π½ΡƒΡŽ) ΠΌΠΎΠ½ΠΎΠ°Π»ΠΊΠΈΠ»Ρ„Ρ‚Π°Π»Π°Ρ‚ΠΎΠ² для Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊΠ° ΠΈ ΠΆΠΈΠ²ΠΎΡ‚Π½Ρ‹Ρ….Monoalkyl esters of benzene-1,2-dicarboxylic (phthalic) acid are the main metabolites (products of the partial hydrolysis) of dialkyl phthalates widely used as ingredients of polymeric compositions. Testing the possibilities of GC and GC-MS analysis of the simplest monoalkyl (C₁-C₇) esters indicates these compounds are thermally unstable and decompose in a chromatographic column during separation that may complicate their determination. The principal way of monoalkyl phthalate decomposition is similar to the known process of their pyrolysis with formation of corresponding alkanols and phthalic anhydride. It is concluded that GC analysis of these monoesters can be provided using short WCOT columns with thin layers of non-polar stationary phases at the smooth temperature ramps. It allows to reduce retention temperature of such analytes and, hence, to minimize their thermal decomposition. It is proposed that just the possibility of phthalic anhydride formation in the result of decomposition explains us high toxicity (including endocrine disruptions) of monoalkyl phthalates for mammals

    Features of the gas chromatographic analysis of aliphatic dicarboxylic acids

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    Π˜Π·ΡƒΡ‡Π΅Π½ΠΈΠ΅ Π»ΠΈΡ‚Π΅Ρ€Π°Ρ‚ΡƒΡ€Π½Ρ‹Ρ… Π΄Π°Π½Π½Ρ‹Ρ… ΡΠ²ΠΈΠ΄Π΅Ρ‚Π΅Π»ΡŒΡΡ‚Π²ΡƒΠ΅Ρ‚, Ρ‡Ρ‚ΠΎ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ прямого газохроматографичСского Π°Π½Π°Π»ΠΈΠ·Π° Ρ‚Π°ΠΊΠΈΡ… Ρ‚Ρ€ΡƒΠ΄Π½ΠΎΠ»Π΅Ρ‚ΡƒΡ‡ΠΈΡ… полярных соСдинСний ΠΊΠ°ΠΊ алифатичСскиС Π΄ΠΈΠΊΠ°Ρ€Π±ΠΎΠ½ΠΎΠ²Ρ‹Π΅ кислоты ΠΎΡ‚Π»ΠΈΡ‡Π°ΡŽΡ‚ΡΡ Π·Π°ΠΌΠ΅Ρ‚Π½ΠΎΠΉ Π½Π΅Π²ΠΎΡΠΏΡ€ΠΎΠΈΠ·Π²ΠΎΠ΄ΠΈΠΌΠΎΡΡ‚ΡŒΡŽ. Π—Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½Π°Ρ Ρ‡Π°ΡΡ‚ΡŒ ΠΎΠΏΡƒΠ±Π»ΠΈΠΊΠΎΠ²Π°Π½Π½Ρ‹Ρ… индСксов удСрТивания этих соСдинСний характСризуСтся сущСствСнным разбросом ΠΈ прСдставляСтся ΠΎΡˆΠΈΠ±ΠΎΡ‡Π½ΠΎΠΉ. Подобная ΠΆΠ΅ Π½Π΅Π²ΠΎΡΠΏΡ€ΠΎΠΈΠ·Π²ΠΎΠ΄ΠΈΠΌΠΎΡΡ‚ΡŒ присуща значСниям ΠΈ Π΄Ρ€ΡƒΠ³ΠΈΡ… ΠΈΡ… Ρ„ΠΈΠ·ΠΈΠΊΠΎ-химичСских свойств (Ρ‚Π΅ΠΌΠΏΠ΅Ρ€Π°Ρ‚ΡƒΡ€Π° плавлСния, Ρ€Π°ΡΡ‚Π²ΠΎΡ€ΠΈΠΌΠΎΡΡ‚ΡŒ Π² Π²ΠΎΠ΄Π΅ ΠΈ Ρ‚.Π΄.). Π’Ρ‹ΠΏΠΎΠ»Π½Π΅Π½Π° ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½Π°Ρ ΠΏΡ€ΠΎΠ²Π΅Ρ€ΠΊΠ° возмоТностСй газохроматографичСского ΠΈ Ρ…Ρ€ΠΎΠΌΠ°Ρ‚ΠΎ-масс-спСктромСтричСского Π°Π½Π°Π»ΠΈΠ·Π° ΠΏΡ€ΠΎΡΡ‚Π΅ΠΉΡˆΠΈΡ… Π΄ΠΈΠΊΠ°Ρ€Π±ΠΎΠ½ΠΎΠ²Ρ‹Ρ… кислот Π½Π° стандартных нСполярных полидимСтилсилоксановых Π½Π΅ΠΏΠΎΠ΄Π²ΠΈΠΆΠ½Ρ‹Ρ… Ρ„Π°Π·Π°Ρ… (BPX-1, RTX-5). УстановлСно, Ρ‡Ρ‚ΠΎ Π½Π΅ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ соСдинСния этого ряда (Π½Π°ΠΏΡ€ΠΈΠΌΠ΅Ρ€, глутаровая кислота) ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΡΡŽΡ‚ΡΡ Π±Π΅Π· разлоТСния, для Π΄Ρ€ΡƒΠ³ΠΈΡ… Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€Π½ΠΎ взаимодСйствиС с растворитСлСм (щавСлСвая), Π° Π² Π½Π΅ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… случаях СдинствСнными рСгистрируСмыми ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½Ρ‚Π°ΠΌΠΈ ΡΠ²Π»ΡΡŽΡ‚ΡΡ ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚Ρ‹ тСрмичСской дСструкции (лимонная). Π’Π°ΠΊ, ΠΏΡ€ΠΈ Π°Π½Π°Π»ΠΈΠ·Π΅ раствора Ρ‰Π°Π²Π΅Π»Π΅Π²ΠΎΠΉ кислоты Π² ΠΈΠ·ΠΎΠΏΡ€ΠΎΠΏΠΈΠ»ΠΎΠ²ΠΎΠΌ спиртС зафиксировано ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠ΅ Π΄Π²ΡƒΡ… слоТных эфиров - ΠΌΠΎΠ½ΠΎΠΈΠ·ΠΎΠΏΡ€ΠΎΠΏΠΈΠ»- ΠΈ диизопропилоксалатов.The literature data indicates that the results of gas chromatographic analysis of such low-volatile polar compounds as aliphatic dicarboxylic acids are characterized by high irreproducibility. Most of the previously published GC retention indices seem to be very spread out and appear to be erroneous. Similar irreproducibility is typical for some other physicochemical properties of these acids, namely melting temperatures, water solubility, etc. The experimental testing of the possibilities of gas chromatographic and/or GC-MS analysis of simplest dicarboxylic acids using standard non-polar polydimethylsiloxane stationary phases (BPX-1, RTX-5) has been fulfilled. It indicates that some compounds of this series (e.g., glutaric acid) are determined without decomposition, for others the interaction with solvent is typical (oxalic acid), and in some cases the single compounds observed are the products of thermal destruction (citric acid). Namely, the analysis of the solution of oxalic acid in isopropyl alcohol permits us to detect two esters - monoisopropyl and diisopropyl oxalates

    Diminishing benefits of urban living for children and adolescents’ growth and development

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    Optimal growth and development in childhood and adolescence is crucial for lifelong health and well-being1–6. Here we used data from 2,325 population-based studies, with measurements of height and weight from 71 million participants, to report the height and body-mass index (BMI) of children and adolescents aged 5–19 years on the basis of rural and urban place of residence in 200 countries and territories from 1990 to 2020. In 1990, children and adolescents residing in cities were taller than their rural counterparts in all but a few high-income countries. By 2020, the urban height advantage became smaller in most countries, and in many high-income western countries it reversed into a small urban-based disadvantage. The exception was for boys in most countries in sub-Saharan Africa and in some countries in Oceania, south Asia and the region of central Asia, Middle East and north Africa. In these countries, successive cohorts of boys from rural places either did not gain height or possibly became shorter, and hence fell further behind their urban peers. The difference between the age-standardized mean BMI of children in urban and rural areas was <1.1 kg m–2 in the vast majority of countries. Within this small range, BMI increased slightly more in cities than in rural areas, except in south Asia, sub-Saharan Africa and some countries in central and eastern Europe. Our results show that in much of the world, the growth and developmental advantages of living in cities have diminished in the twenty-first century, whereas in much of sub-Saharan Africa they have amplified

    Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories: a pooled analysis of 2181 population-based studies with 65 million participants

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    Summary Background Comparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents. Methods For this pooled analysis, we used a database of cardiometabolic risk factors collated by the Non-Communicable Disease Risk Factor Collaboration. We applied a Bayesian hierarchical model to estimate trends from 1985 to 2019 in mean height and mean BMI in 1-year age groups for ages 5–19 years. The model allowed for non-linear changes over time in mean height and mean BMI and for non-linear changes with age of children and adolescents, including periods of rapid growth during adolescence. Findings We pooled data from 2181 population-based studies, with measurements of height and weight in 65 million participants in 200 countries and territories. In 2019, we estimated a difference of 20 cm or higher in mean height of 19-year-old adolescents between countries with the tallest populations (the Netherlands, Montenegro, Estonia, and Bosnia and Herzegovina for boys; and the Netherlands, Montenegro, Denmark, and Iceland for girls) and those with the shortest populations (Timor-Leste, Laos, Solomon Islands, and Papua New Guinea for boys; and Guatemala, Bangladesh, Nepal, and Timor-Leste for girls). In the same year, the difference between the highest mean BMI (in Pacific island countries, Kuwait, Bahrain, The Bahamas, Chile, the USA, and New Zealand for both boys and girls and in South Africa for girls) and lowest mean BMI (in India, Bangladesh, Timor-Leste, Ethiopia, and Chad for boys and girls; and in Japan and Romania for girls) was approximately 9–10 kg/m2. In some countries, children aged 5 years started with healthier height or BMI than the global median and, in some cases, as healthy as the best performing countries, but they became progressively less healthy compared with their comparators as they grew older by not growing as tall (eg, boys in Austria and Barbados, and girls in Belgium and Puerto Rico) or gaining too much weight for their height (eg, girls and boys in Kuwait, Bahrain, Fiji, Jamaica, and Mexico; and girls in South Africa and New Zealand). In other countries, growing children overtook the height of their comparators (eg, Latvia, Czech Republic, Morocco, and Iran) or curbed their weight gain (eg, Italy, France, and Croatia) in late childhood and adolescence. When changes in both height and BMI were considered, girls in South Korea, Vietnam, Saudi Arabia, Turkey, and some central Asian countries (eg, Armenia and Azerbaijan), and boys in central and western Europe (eg, Portugal, Denmark, Poland, and Montenegro) had the healthiest changes in anthropometric status over the past 3Β·5 decades because, compared with children and adolescents in other countries, they had a much larger gain in height than they did in BMI. The unhealthiest changesβ€”gaining too little height, too much weight for their height compared with children in other countries, or bothβ€”occurred in many countries in sub-Saharan Africa, New Zealand, and the USA for boys and girls; in Malaysia and some Pacific island nations for boys; and in Mexico for girls. Interpretation The height and BMI trajectories over age and time of school-aged children and adolescents are highly variable across countries, which indicates heterogeneous nutritional quality and lifelong health advantages and risks

    Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants

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    Background Hypertension can be detected at the primary health-care level and low-cost treatments can effectively control hypertension. We aimed to measure the prevalence of hypertension and progress in its detection, treatment, and control from 1990 to 2019 for 200 countries and territories. Methods We used data from 1990 to 2019 on people aged 30–79 years from population-representative studies with measurement of blood pressure and data on blood pressure treatment. We defined hypertension as having systolic blood pressure 140 mm Hg or greater, diastolic blood pressure 90 mm Hg or greater, or taking medication for hypertension. We applied a Bayesian hierarchical model to estimate the prevalence of hypertension and the proportion of people with hypertension who had a previous diagnosis (detection), who were taking medication for hypertension (treatment), and whose hypertension was controlled to below 140/90 mm Hg (control). The model allowed for trends over time to be non-linear and to vary by age. Findings The number of people aged 30–79 years with hypertension doubled from 1990 to 2019, from 331 (95% credible interval 306–359) million women and 317 (292–344) million men in 1990 to 626 (584–668) million women and 652 (604–698) million men in 2019, despite stable global age-standardised prevalence. In 2019, age-standardised hypertension prevalence was lowest in Canada and Peru for both men and women; in Taiwan, South Korea, Japan, and some countries in western Europe including Switzerland, Spain, and the UK for women; and in several low-income and middle-income countries such as Eritrea, Bangladesh, Ethiopia, and Solomon Islands for men. Hypertension prevalence surpassed 50% for women in two countries and men in nine countries, in central and eastern Europe, central Asia, Oceania, and Latin America. Globally, 59% (55–62) of women and 49% (46–52) of men with hypertension reported a previous diagnosis of hypertension in 2019, and 47% (43–51) of women and 38% (35–41) of men were treated. Control rates among people with hypertension in 2019 were 23% (20–27) for women and 18% (16–21) for men. In 2019, treatment and control rates were highest in South Korea, Canada, and Iceland (treatment >70%; control >50%), followed by the USA, Costa Rica, Germany, Portugal, and Taiwan. Treatment rates were less than 25% for women and less than 20% for men in Nepal, Indonesia, and some countries in sub-Saharan Africa and Oceania. Control rates were below 10% for women and men in these countries and for men in some countries in north Africa, central and south Asia, and eastern Europe. Treatment and control rates have improved in most countries since 1990, but we found little change in most countries in sub-Saharan Africa and Oceania. Improvements were largest in high-income countries, central Europe, and some upper-middle-income and recently high-income countries including Costa Rica, Taiwan, Kazakhstan, South Africa, Brazil, Chile, Turkey, and Iran. Interpretation Improvements in the detection, treatment, and control of hypertension have varied substantially across countries, with some middle-income countries now outperforming most high-income nations. The dual approach of reducing hypertension prevalence through primary prevention and enhancing its treatment and control is achievable not only in high-income countries but also in low-income and middle-income settings. Funding WHO

    Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants

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    Background: Hypertension can be detected at the primary health-care level and low-cost treatments can effectively control hypertension. We aimed to measure the prevalence of hypertension and progress in its detection, treatment, and control from 1990 to 2019 for 200 countries and territories.Methods: We used data from 1990 to 2019 on people aged 30-79 years from population-representative studies with measurement of blood pressure and data on blood pressure treatment. We defined hypertension as having systolic blood pressure 140 mm Hg or greater, diastolic blood pressure 90 mm Hg or greater, or taking medication for hypertension. We applied a Bayesian hierarchical model to estimate the prevalence of hypertension and the proportion of people with hypertension who had a previous diagnosis (detection), who were taking medication for hypertension (treatment), and whose hypertension was controlled to below 140/90 mm Hg (control). The model allowed for trends over time to be non-linear and to vary by age.Findings: The number of people aged 30-79 years with hypertension doubled from 1990 to 2019, from 331 (95% credible interval 306-359) million women and 317 (292-344) million men in 1990 to 626 (584-668) million women and 652 (604-698) million men in 2019, despite stable global age-standardised prevalence. In 2019, age-standardised hypertension prevalence was lowest in Canada and Peru for both men and women; in Taiwan, South Korea, Japan, and some countries in western Europe including Switzerland, Spain, and the UK for women; and in several low-income and middle-income countries such as Eritrea, Bangladesh, Ethiopia, and Solomon Islands for men. Hypertension prevalence surpassed 50% for women in two countries and men in nine countries, in central and eastern Europe, central Asia, Oceania, and Latin America. Globally, 59% (55-62) of women and 49% (46-52) of men with hypertension reported a previous diagnosis of hypertension in 2019, and 47% (43-51) of women and 38% (35-41) of men were treated. Control rates among people with hypertension in 2019 were 23% (20-27) for women and 18% (16-21) for men. In 2019, treatment and control rates were highest in South Korea, Canada, and Iceland (treatment >70%; control >50%), followed by the USA, Costa Rica, Germany, Portugal, and Taiwan. Treatment rates were less than 25% for women and less than 20% for men in Nepal, Indonesia, and some countries in sub-Saharan Africa and Oceania. Control rates were below 10% for women and men in these countries and for men in some countries in north Africa, central and south Asia, and eastern Europe. Treatment and control rates have improved in most countries since 1990, but we found little change in most countries in sub-Saharan Africa and Oceania. Improvements were largest in high-income countries, central Europe, and some upper-middle-income and recently high-income countries including Costa Rica, Taiwan, Kazakhstan, South Africa, Brazil, Chile, Turkey, and Iran.Interpretation: Improvements in the detection, treatment, and control of hypertension have varied substantially across countries, with some middle-income countries now outperforming most high-income nations. The dual approach of reducing hypertension prevalence through primary prevention and enhancing its treatment and control is achievable not only in high-income countries but also in low-income and middle-income settings.Copyright (C) 2021 World Health Organization; licensee Elsevier.</p

    Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults

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    Background Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. Methods We used data from 3663 population-based studies with 222 million participants that measured height and weight in representative samples of the general population. We used a Bayesian hierarchical model to estimate trends in the prevalence of different BMI categories, separately for adults (age β‰₯20 years) and school-aged children and adolescents (age 5–19 years), from 1990 to 2022 for 200 countries and territories. For adults, we report the individual and combined prevalence of underweight (BMI 2 SD above the median). Findings From 1990 to 2022, the combined prevalence of underweight and obesity in adults decreased in 11 countries (6%) for women and 17 (9%) for men with a posterior probability of at least 0Β·80 that the observed changes were true decreases. The combined prevalence increased in 162 countries (81%) for women and 140 countries (70%) for men with a posterior probability of at least 0Β·80. In 2022, the combined prevalence of underweight and obesity was highest in island nations in the Caribbean and Polynesia and Micronesia, and countries in the Middle East and north Africa. Obesity prevalence was higher than underweight with posterior probability of at least 0Β·80 in 177 countries (89%) for women and 145 (73%) for men in 2022, whereas the converse was true in 16 countries (8%) for women, and 39 (20%) for men. From 1990 to 2022, the combined prevalence of thinness and obesity decreased among girls in five countries (3%) and among boys in 15 countries (8%) with a posterior probability of at least 0Β·80, and increased among girls in 140 countries (70%) and boys in 137 countries (69%) with a posterior probability of at least 0Β·80. The countries with highest combined prevalence of thinness and obesity in school-aged children and adolescents in 2022 were in Polynesia and Micronesia and the Caribbean for both sexes, and Chile and Qatar for boys. Combined prevalence was also high in some countries in south Asia, such as India and Pakistan, where thinness remained prevalent despite having declined. In 2022, obesity in school-aged children and adolescents was more prevalent than thinness with a posterior probability of at least 0Β·80 among girls in 133 countries (67%) and boys in 125 countries (63%), whereas the converse was true in 35 countries (18%) and 42 countries (21%), respectively. In almost all countries for both adults and school-aged children and adolescents, the increases in double burden were driven by increases in obesity, and decreases in double burden by declining https://researchonline.ljmu.ac.uk/images/research_banner_face_lab_290.jpgunderweight or thinness. Interpretation The combined burden of underweight and obesity has increased in most countries, driven by an increase in obesity, while underweight and thinness remain prevalent in south Asia and parts of Africa. A healthy nutrition transition that enhances access to nutritious foods is needed to address the remaining burden of underweight while curbing and reversing the increase in obesity

    Diminishing benefits of urban living for children and adolescents’ growth and development

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    AbstractOptimal growth and development in childhood and adolescence is crucial for lifelong health and well-being1–6. Here we used data from 2,325 population-based studies, with measurements of height and weight from 71 million participants, to report the height and body-mass index (BMI) of children and adolescents aged 5–19 years on the basis of rural and urban place of residence in 200 countries and territories from 1990 to 2020. In 1990, children and adolescents residing in cities were taller than their rural counterparts in all but a few high-incomeΒ countries. By 2020, the urban height advantage became smaller in most countries, and in many high-income western countries it reversed into a small urban-based disadvantage. The exception was for boys in most countries in sub-Saharan Africa and in some countries in Oceania, south Asia and the region of central Asia, Middle East and north Africa. In these countries, successive cohorts of boys from rural places either did not gain height or possibly became shorter, and hence fell further behind their urban peers. The difference between the age-standardized mean BMI of children in urban and rural areas was &lt;1.1 kg m–2 in the vast majority ofΒ countries. Within this small range, BMI increased slightly more in cities than in rural areas, except in south Asia, sub-Saharan Africa and some countries in central and eastern Europe. Our results show that in much of the world, the growth and developmental advantages of living in cities have diminished in the twenty-first century, whereas in much of sub-Saharan Africa they have amplified.</jats:p

    Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants.

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    BACKGROUND: Hypertension can be detected at the primary health-care level and low-cost treatments can effectively control hypertension. We aimed to measure the prevalence of hypertension and progress in its detection, treatment, and control from 1990 to 2019 for 200 countries and territories. METHODS: We used data from 1990 to 2019 on people aged 30-79 years from population-representative studies with measurement of blood pressure and data on blood pressure treatment. We defined hypertension as having systolic blood pressure 140 mm Hg or greater, diastolic blood pressure 90 mm Hg or greater, or taking medication for hypertension. We applied a Bayesian hierarchical model to estimate the prevalence of hypertension and the proportion of people with hypertension who had a previous diagnosis (detection), who were taking medication for hypertension (treatment), and whose hypertension was controlled to below 140/90 mm Hg (control). The model allowed for trends over time to be non-linear and to vary by age. FINDINGS: The number of people aged 30-79 years with hypertension doubled from 1990 to 2019, from 331 (95% credible interval 306-359) million women and 317 (292-344) million men in 1990 to 626 (584-668) million women and 652 (604-698) million men in 2019, despite stable global age-standardised prevalence. In 2019, age-standardised hypertension prevalence was lowest in Canada and Peru for both men and women; in Taiwan, South Korea, Japan, and some countries in western Europe including Switzerland, Spain, and the UK for women; and in several low-income and middle-income countries such as Eritrea, Bangladesh, Ethiopia, and Solomon Islands for men. Hypertension prevalence surpassed 50% for women in two countries and men in nine countries, in central and eastern Europe, central Asia, Oceania, and Latin America. Globally, 59% (55-62) of women and 49% (46-52) of men with hypertension reported a previous diagnosis of hypertension in 2019, and 47% (43-51) of women and 38% (35-41) of men were treated. Control rates among people with hypertension in 2019 were 23% (20-27) for women and 18% (16-21) for men. In 2019, treatment and control rates were highest in South Korea, Canada, and Iceland (treatment >70%; control >50%), followed by the USA, Costa Rica, Germany, Portugal, and Taiwan. Treatment rates were less than 25% for women and less than 20% for men in Nepal, Indonesia, and some countries in sub-Saharan Africa and Oceania. Control rates were below 10% for women and men in these countries and for men in some countries in north Africa, central and south Asia, and eastern Europe. Treatment and control rates have improved in most countries since 1990, but we found little change in most countries in sub-Saharan Africa and Oceania. Improvements were largest in high-income countries, central Europe, and some upper-middle-income and recently high-income countries including Costa Rica, Taiwan, Kazakhstan, South Africa, Brazil, Chile, Turkey, and Iran. INTERPRETATION: Improvements in the detection, treatment, and control of hypertension have varied substantially across countries, with some middle-income countries now outperforming most high-income nations. The dual approach of reducing hypertension prevalence through primary prevention and enhancing its treatment and control is achievable not only in high-income countries but also in low-income and middle-income settings. FUNDING: WHO

    Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants

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    Background Hypertension can be detected at the primary health-care level and low-cost treatments can effectively control hypertension. We aimed to measure the prevalence of hypertension and progress in its detection, treatment, and control from 1990 to 2019 for 200 countries and territories. Methods We used data from 1990 to 2019 on people aged 30-79 years from population-representative studies with measurement of blood pressure and data on blood pressure treatment. We defined hypertension as having systolic blood pressure 140 mm Hg or greater, diastolic blood pressure 90 mm Hg or greater, or taking medication for hypertension. We applied a Bayesian hierarchical model to estimate the prevalence of hypertension and the proportion of people with hypertension who had a previous diagnosis (detection), who were taking medication for hypertension (treatment), and whose hypertension was controlled to below 140/90 mm Hg (control). The model allowed for trends over time to be non-linear and to vary by age. Findings The number of people aged 30-79 years with hypertension doubled from 1990 to 2019, from 331 (95% credible interval 306-359) million women and 317 (292-344) million men in 1990 to 626 (584-668) million women and 652 (604-698) million men in 2019, despite stable global age-standardised prevalence. In 2019, age-standardised hypertension prevalence was lowest in Canada and Peru for both men and women; in Taiwan, South Korea, Japan, and some countries in western Europe including Switzerland, Spain, and the UK for women; and in several low-income and middle-income countries such as Eritrea, Bangladesh, Ethiopia, and Solomon Islands for men. Hypertension prevalence surpassed 50% for women in two countries and men in nine countries, in central and eastern Europe, central Asia, Oceania, and Latin America. Globally, 59% (55-62) of women and 49% (46-52) of men with hypertension reported a previous diagnosis of hypertension in 2019, and 47% (43-51) of women and 38% (35-41) of men were treated. Control rates among people with hypertension in 2019 were 23% (20-27) for women and 18% (16-21) for men. In 2019, treatment and control rates were highest in South Korea, Canada, and Iceland (treatment >70%; control >50%), followed by the USA, Costa Rica, Germany, Portugal, and Taiwan. Treatment rates were less than 25% for women and less than 20% for men in Nepal, Indonesia, and some countries in sub-Saharan Africa and Oceania. Control rates were below 10% for women and men in these countries and for men in some countries in north Africa, central and south Asia, and eastern Europe. Treatment and control rates have improved in most countries since 1990, but we found little change in most countries in sub-Saharan Africa and Oceania. Improvements were largest in high-income countries, central Europe, and some upper-middle-income and recently high-income countries including Costa Rica, Taiwan, Kazakhstan, South Africa, Brazil, Chile, Turkey, and Iran. Interpretation Improvements in the detection, treatment, and control of hypertension have varied substantially across countries, with some middle-income countries now outperforming most high-income nations. The dual approach of reducing hypertension prevalence through primary prevention and enhancing its treatment and control is achievable not only in high-income countries but also in low-income and middle-income settings. Copyright (C) 2021 World Health Organization; licensee Elsevier
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