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

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 ≥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 <18·5 kg/m2) and obesity (BMI ≥30 kg/m2). For schoolaged children and adolescents, we report thinness (BMI <2 SD below the median of the WHO growth reference) and obesity (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 0·80 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 0·80. 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 0·80 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 0·80, and increased among girls in 140 countries (70%) and boys in 137 countries (69%) with a posterior probability of at least 0·80. 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 0·80 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 underweight 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 obesit

Analysis of the effects of some surface preparation methods on the bond strength of orthodontic attachments to amalgam surface

This in-vitro research was aimed to examine the shear bond strength of metal brackets to silver amalgam using various surface preparation techniques to determine the best method to achieve appropriate bond strength between bracket and amalgam surface. Ninety amalgam blocks were divided into six groups and randomly assigned to one of the following conditioning groups (n=15): group 1 (control): etching with 37% phosphoric acid for 20 seconds, group 2: sand blasting with aluminum oxide (Al2O3), group 3: CO2 laser, group 4: CO2 laser plus sand blast, group 5: Er:YAG laser and group 6:Er:YAG laser plus sandblast. All Bond II was used in all groups and brackets were bonded with Transbond XT. After thermocycling, all samples were tested for shear bond strength by a universal testing machine. Data were analyzed by SPSS-22 software using Kruskal-Wallis and Mann-Whitney tests. The significance level was set at p <= 0.05.The results showed the mean shear bond strength was significantly higher in all five experimental groups than in control group (p <= 0.05). Shear bond strength was significantly higher in CO2 + sandblasting group than in sandblast group, but it was not significantly higher than Er:YAG,Er:YAG + sandblast and CO2 groups. Moreover, the results indicated a significantly higher shear bond strength in Er:YAG group than in sandblast group (p <= 0.05). Preparation by CO2 + sandblast (with mean shear bond strength of 6.3 Mpa) showed a higher shear bond strength than other methods, so it is considered an acceptable preparation method. Keywords:Surface treatment; amalgam; CO2 laser; Er:YAG laser; shear bond strengt

Survey Electrocoagulation Process in Removal of Acid Blue 113 Dye from Aqueous Solutions

Background: Treatment of textile industry wastewaters, due to having color and many pollutants, is one of the most important environmental issues. Acid Blue 113 dyes because of having benzene ring, which is not biodegradable, is toxic and carcinogen. The main objective of this study was determination of electrochemical process efficacy for removal acid blue 113 from aqueous solutions by using aluminum electrodes in batch reactor. Methods: This study performed in lab-scale in batch reactor. The effect of different parameters such as voltages (10, 20, and 40 volt), electrode distance (0.5 and 1 cm), and electrolysis times (5 to 80 min) was investigated. Results: The results of experiments demonstrated that with applying voltage 40V, 0.5 cm distance between electrodes, electrolyte concentration equal to 5 g/l, and 20 minutes electrolysis time, the color and COD removal rate was 99 and 78%, respectively. By increasing voltage and reaction time and reducing distance between the electrodes, power consumption is reduced and also final pH and dye removal efficiency increased. Conclusion: According to the results, the best removal efficiency of dye was obtained after 20 minutes contact time on the electric potential of 40 V, which was 99%. This process is environmental friendly and can be economically acceptable. Therefore, it can be results that electrocoagulation process by using aluminum electrode is an efficient and suitable method for acid blue 113 dye removal from aqueous solutions

Effect of SnO2, ZrO2, and CaCO3 nanoparticles on water transport and durability properties of self-compacting mortar containing fly ash: experimental observations and ANFIS predictions

This paper investigates the influence of the addition of nanoparticles, namely SnO2, ZrO2 and CaCO3, at different doses on the durability and the microstructure of self-compacting mortar (SCM). Rheological characteristics were observed through mini slump flow diameter and mini V-funnel flow time. Transport properties were studied by the water absorption and capillary absorption tests. Mechanical properties were determined by the compression tests. Durability properties were examined by the electrical resistivity and rapid chloride permeability tests. Microstructure of SCMs was investigated through scanning electron microscopy (SEM). The mixtures containing nanoparticles exhibit improved transport properties, with increased compressive strengths and resistance to water and chloride ion penetration. These improvements are attributed to the compact microstructures, as the micro pore system was refined in the presence of nanoparticles. Based on fresh and hardened mortar properties, it is found that 5 wt% SnO2, 4 wt% ZrO2, and 3 wt% CaCO3 would serve as suitable replacement levels in optimizing the overall performance. An adaptive neuro-fuzzy inference system (ANFIS) was employed to predict the SCM properties. The numerical results show that the metamodels provide accurate estimates of experimental results

National trends of pre-hypertension and hypertension among Iranian adolescents across urban and rural areas (2007–2011)

Abstract Background The current nationwide study, for the first time, aimed to assess and compare the trend of pre-hypertension and hypertension among urban and rural adolescents in Iran. Methods This study has been conducted in the framework of the National Surveys of Risk Factors for Non-Communicable Diseases. To estimate pre-hypertension and hypertension prevalence among 9715 adolescents, aged 15–19 years, data collected in four repeated cross-sectional surveys (2007–2011) has been used. The prevalence trends of pre-hypertension and hypertension were examined across urban and rural areas of Iran. To calculate the adjusted prevalence ratios (PRs) of pre-hypertension and hypertension over cycles across area of residence and genders, a complex sample survey and multinomial logistic analysis were performed. Results Using the definition of pre-hypertension and hypertension presented by the seventh Joint National Committee (JNC-VII) for adolescents, after adjusting for confounders, the prevalence of pre-hypertension changed in both urban (boys:28.96% to 29.24% and girls:18.33% to 20.06%) and rural (boys 31.58% to 32.05% and girls 22.25% to 24.13%) areas over the study duration. Non-significant rising prevalence of hypertension was also observed in boys and girls of both regions (urban 12.76% to 15.04% and 8.02% to 9.06%; rural 9.95% to 11.79% and 10.35% to 11.60%, for boys and girls respectively). The adjusted prevalence ratios (PRs) of pre-hypertension (2.16; 95% CI 1.68–2.79 and 1.92, 95% CI 1.57–2.34, in urban and rural, respectively) and hypertension (2.40; 95% CI 1.65–3.51 and 1.82, 95% CI 1.36–2.45, in urban and rural, respectively) were higher in boys than girls. Comparing the adjusted PRs of pre-hypertension and hypertension in urban versus rural areas, in both genders, showed higher PRs of pre-hypertension in rural girls (1.33, 95% CI 1.01–1.75). Conclusion The current results showed high constant trends of pre-hypertension and hypertension in Iranian boys and girls, residing in both urban and rural areas