Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight NCD Risk Factor Collaboration (NCD-RisC)

From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions

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 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 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

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-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 &lt;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.</jats:p

Stabilization/solidification of spent grit in fly ash based geopolymers

Stabilization/solidification (S/S) method is a potential solution for immobilization of heavy metals containing waste. Immobilization of heavy metals from spent grit, waste material from the shipbuilding and ship repair industry, into the fly ash based geopolymers using the S/S method was evaluated. Addition of spent grit in the quantity of 10% of total solid content of geopolymer mixture decreased the compressive strength of fly ash based geopolymers but did not affect the change of geopolymer strength in function of synthesis parameters. TCLP and EN 12457-2 leaching test were used for the evaluation of chemical stability of contaminated geopolymers with respect to the leaching of heavy metals. The both, TCLP and EN 12457 leachates fulfill the maximum acceptable limits for landfill disposal with respect to the heavy metals concentration. The highest concentration of Zn is observed in a both, TCLP and EN 12457 leachates due to the synthesis parameters

Influence of Na

Electric arc furnace dust (EAFD) is by-product of iron and steel scrap remelting in electric arc furnace. This waste is classified as a hazardous material due to the leaching of heavy metals into the environment. Geopolymeryzation of fly ash into construction materials called - geopolymer is a considering as a possible way of immobilization of heavy metals from EAFD. Mechanical properties and chemical stability of geopolymers are mostly determined by the ratio between main oxides, Na2O, Al2O3 and SiO2. In this paper we have investigated possibility of Pb immobilization from EAFD into the fly ash based geopolymer. Geopolymers are synthesized at different Na2O/Al2O3 and SiO2/Al2O3 ratios. Compressive strength and chemical stability of geopolymers with respect to the leaching of Pb in water according to the EN 12457 regulation were tested. The results have shown that Na2O/Al2O3 and SiO2/Al2O3 ratios have influence on the compressive strength of geopolymers and Pb release in the water environment

Influence of Na2O/Al2O3 and SiO2/Al2O3 ratios on the immobilization of Pb from electric arc furnace into the fly ash based geopolymers

Electric arc furnace dust (EAFD) is by-product of iron and steel scrap remelting in electric arc furnace. This waste is classified as a hazardous material due to the leaching of heavy metals into the environment. Geopolymeryzation of fly ash into construction materials called - geopolymer is a considering as a possible way of immobilization of heavy metals from EAFD. Mechanical properties and chemical stability of geopolymers are mostly determined by the ratio between main oxides, Na2O, Al2O3 and SiO2. In this paper we have investigated possibility of Pb immobilization from EAFD into the fly ash based geopolymer. Geopolymers are synthesized at different Na2O/Al2O3 and SiO2/Al2O3 ratios. Compressive strength and chemical stability of geopolymers with respect to the leaching of Pb in water according to the EN 12457 regulation were tested. The results have shown that Na2O/Al2O3 and SiO2/Al2O3 ratios have influence on the compressive strength of geopolymers and Pb release in the water environment

Mobility and Bioavailability of Metals in sediments of Skadar Lake - Montenegro

Metals in sediments are present in different chemical forms, which mostly affect their ability to transfer in water and plants i.e. their bioavailability. The mobile part of metals is potentially toxic, thus for the evaluation of the bioavailability it is often enough to determine the metal content in the available and potentially available fraction of sediment. The aim of this study was to compare some methods of determination of mobile forms of heavy metals and to determine their share related to the “pseudo-total” metal content in the sediment from Skadar Lake, Montenegro. Mobile forms of Cu, Co, Cr, Mn, Ni, Pb, Zn, Sr and V were determined using: 0.1M NH4Cl (buffered to pH 9), 0.1M CaCl2 (pH 6), 0.1M CH3COONa (pH 9), 0.1M H2C2O4 (pH 2) and 0.1M EDTA (pH 6),. The largest amounts of Co (42.2 wt.%), Cr (11.4%) , Mn (59.9%), Ni (13.5%), Zn (41.0%) and V (42.2%) were extracted with oxalic acid and Cu (44.7 wt.%), Pb (49.3%), and Sr (61.2%) with EDTA. With NH4Cl, CaCl2 and CH3COONa small amounts of metals were extracted (except Sr), generally below 1%. Based on these results we can conclude that the metals in the sediments of Lake Skadar are found in a negligible amount in easily mobile, acid soluble and carbonate-related phase

Massive outbreak of viral gastroenteritis associated with consumption of municipal drinking water in a European capital city

International audienceOn 24 August 2008, an outbreak alert regarding cases of acute gastroenteritis in Podgorica triggered investigations to guide control measures. From 23 August to 7 September, 1699 cases were reported in Podgorica (population 136 000) and we estimated the total size of the outbreak to be 10 000–15 000 corresponding to an attack rate of ~10%. We conducted an age- and neighbourhood-matched case-control study, microbiologically analysed faecal and municipal water samples and assessed the water distribution system. All cases (83/83) and 90% (89/90) of controls drank unboiled chlorinated municipal water [matched odds ratio (mOR) 11·2, 95% confidence interval (CI), 1·6–∞]. Consumption of bottled water was inversely associated with illness (mOR 0·3, 95% CI 0·1–0·8). Analyses of faecal samples identified six norovirus genotypes (21/38 samples) and occasionally other viruses. Multiple defects in the water distribution system were noted. These results suggest that the outbreak was caused by faecally contaminated municipal water. It is unusual to have such a large outbreak in a European city especially when the municipal water supply is chlorinated. Therefore, it is important to establish effective multiple-barrier water-treatment systems whenever possible, but even with an established chlorinated supply, sustained vigilance is central to public health

Vprašalnik za merjenje kakovosti življenja, povezanega z zdravjem

Background: Translations of instruments for measuring quality of life developed in certain, mostly more developed, parts of the world usually do not cover regionally specific aspects of health-related quality of life, even after transcultural validation. The aim of this study was to develop and validate a reliable questionnaire in Serbian, Croatian, Bosnian, and Montenegrin languages suitable for measuring health-related quality of life in adults. Methods: The study was of a cross-sectional type, assessing the reliability and validity of a newly developed questionnaire for measuring health-related quality of life (HRQoL) in adults residing in western Balkan states (WB-HRQoL). It was conducted on a sample of 489 adults from Serbia, Croatia, Bosnia & Herzegovina, and Montenegro, with a mean age of 52.2±14.4 years and a male/female ratio of 195/294 (39.9%/60.1%). Result: The definitive version of the WB-HRQoL scale with 19 items showed very good reliability, with Cronbach's alpha 0.905. The scale was temporally stable, and satisfactory results were obtained for divergent and convergent validity tests. Exploratory factorial analysis brought to the surface four domains of health-related quality of life, namely the physical, psychical, social, and environmental. Conclusion: The WB-HRQoL scale is a reliable and valid generic instrument for measuring HRQoL that takes into account the cultural specifics of the western Balkan region