General and abdominal adiposity and risk of death in Europe

BACKGROUND Previous studies have relied predominantly on the body-mass index (BMI, the weight in kilograms divided by the square of the height in meters) to assess the association of adiposity with the risk of death, but few have examined whether the distribution of body fat contributes to the prediction of death. METHODS We examined the association of BMI, waist circumference, and waist-to-hip ratio with the risk of death among 359,387 participants from nine countries in the European Prospective Investigation into Cancer and Nutrition (EPIC). We used a Cox regression analysis, with age as the time variable, and stratified the models according to study center and age at recruitment, with further adjustment for educational level, smoking status, alcohol consumption, physical activity, and height. RESULTS During a mean follow-up of 9.7 years, 14,723 participants died. The lowest risks of death related to BMI were observed at a BMI of 25.3 for men and 24.3 for women. After adjustment for BMI, waist circumference and waist-to-hip ratio were strongly associated with the risk of death. Relative risks among men and women in the highest quintile of waist circumference were 2.05 (95% confidence interval [CI], 1.80 to 2.33) and 1.78 (95% CI, 1.56 to 2.04), respectively, and in the highest quintile of waist-to-hip ratio, the relative risks were 1.68 (95% CI, 1.53 to 1.84) and 1.51 (95% CI, 1.37 to 1.66), respectively. BMI remained significantly associated with the risk of death in models that included waist circumference or waist-to-hip ratio (P<0.001). CONCLUSIONS These data suggest that both general adiposity and abdominal adiposity are associated with the risk of death and support the use of waist circumference or waist-tohip ratio in addition to BMI in assessing the risk of death

A century of trends in adult human height

Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1996 in 200 countries. The largest gain in adult height over the past century has occurred in South Korean women and Iranian men, who became 20.2 cm (95% credible interval 17.5-22.7) and 16.5 cm (13.3-19.7) taller, respectively. In contrast, there was little change in adult height in some sub-Saharan African countries and in South Asia over the century of analysis. The tallest people over these 100 years are men born in the Netherlands in the last quarter of 20th century, whose average heights surpassed 182.5 cm, and the shortest were women born in Guatemala in 1896 (140.3 cm; 135.8-144.8). The height differential between the tallest and shortest populations was 19-20 cm a century ago, and has remained the same for women and increased for men a century later despite substantial changes in the ranking of countries

Rising rural body-mass index is the main driver of the global obesity epidemic in adults

Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities 1,2 . This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity 3�6 . Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55 of the global rise in mean BMI from 1985 to 2017�and more than 80 in some low- and middle-income regions�was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing�and in some countries reversal�of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories. © 2019, The Author(s)

Plantas medicinais no processo de cicatrização de feridas: uma revisão de literatura

Uma busca foi realizada na literatura, visando sumarizar as pesquisas realizadas e obter informações acerca da utilização de plantas medicinais no processo de cicatrização de feridas. Utilizaram-se os descritores: Plantas Medicinais e Cicatrização de Feridas e seus equivalentes em inglês e espanhol, com o operador booleano "AND" em três bases eletrônicas de dados (PubMed, LILACS e COCHRANE). Foram selecionados 57 artigos para compor a revisão. Os resultados apontam que um total de 52 plantas medicinais e um composto de ervas foram estudados experimentalmente ou clinicamente, quanto aos seus efeitos no auxílio do processo de cicatrização, sendo que a maioria (88,5%) apresentou eficácia. Com isso, verifica-se que a utilização de plantas medicinais trata de importante alternativa no tratamento de feridas, que começa a fazer parte da atenção à saúde brasileira, o que sugere novos estudos de comprovação clínica, custos, e benefícios e a constante atualização acerca das publicações realizadas

Simultaneous nitrification and phosphate removal by bioaugmented aerobic granules treating a fluoroorganic compound

The presence of toxic compounds in wastewater can cause problems for organic matter and nutrient removal. In this study, the long-term effect of a model xenobiotic, 2-fluorophenol (2-FP), on ammonia-oxidizing bacteria (AOB), nitrite oxidizing bacteria (NOB) and phosphate accumulating organisms (PAO) in aerobic granular sludge was investigated. Phosphate (P) and ammonium (N) removal efficiencies were high (&gt;93%) and, after bioaugmentation with 2-FP degrading strain FP1, 2-FP was completely degraded. Neither N nor P removal were affected by 50 mg L1 of 2-FP in the feed stream. Changes in the aerobic granule bacterial communities were followed. Numerical analysis of the denaturing gradient gel electrophoresis (DGGE) profiles showed low diversity for the ammonia monooxygenase (amoA) gene with an even distribution of species. PAOs, including denitrifying PAO (dPAO), and AOB were present in the 2-FP degrading granules, although dPAO population decreased throughout the 444 days reactor operation. The results demonstrated that the aerobic granules bioaugmented with FP1 strain successfully removed N, P and 2-FP simultaneously.BT/Environmental BiotechnologySanitary Engineerin

Avaliação do regime estacionário em colunas de amostras deformadas de solo sob saturação Evaluation of the stationary condition in disturbed saturated soil columns

Estudos sobre o movimento de solutos no solo freqüentemente são realizados em laboratório, sob condições aparentemente controladas. Uma revisão desses estudos mostrou, no entanto, que a variável tempo, para obtenção do regime estacionário tem sido freqüentemente negligenciada. Face ao exposto, o presente trabalho teve por objetivo registrar o tempo para que o fluxo da água no solo sob condições de saturação atinja o equilíbrio dinâmico, medindo-se a condutividade hidráulica saturada (K0) do solo. A condição de equilíbrio dinâmico é a etapa que antecede a aplicação do íon no solo em estudos de eluição de solutos. Utilizaram-se amostras deformadas de três solos com diferentes granulometrias: muito argilosa, média e arenosa, coletadas em área experimental da ESALQ/USP. As amostras foram acondicionadas em colunas de PVC, e utilizou-se água destilada e deaerada para saturação e posterior escoamento nas colunas, conforme montagem experimental do permeâmetro de carga constante. Pelos resultados, constatou-se que, nas amostras dos solos muito argiloso e médio, o equilíbrio dinâmico foi atingido após 15 dias de drenagem e, para o arenoso, após 27 dias, sendo a variabilidade de K0 maior nos primeiros seis dias depois de iniciado o ensaio. Essa situação evidenciou que a adoção de um tempo fixo para adição dos solutos pode levar a uma baixa confiabilidade nos resultados.<br>Studies about solute movement in soil are frequently realized under laboratory conditions, in apparently controlled situations. A review of these studies showed that the variable time, to obtain the stationary condition, is frequently neglected. In view of this fact, the purpose of this study was to evaluate the time it takes until the water flow in saturated soil reaches the steady-state, by measuring saturated hydraulic conductivity (K0). The steady-state is the stage that precedes the application of the ion into soil samples in solute elution studies. Disturbed soil samples were collected in an experimental area of the ESALQ/USP. The soils had three different granulometries: very clayey, sandy-loam and sandy soil. PVC columns were filled with soil samples and then distilled and deaerated water was used for saturation and subsequent drainage in the columns, according to the experimental set-up of a constant-head permeameter. The data showed that for very clayey and sandy-loam samples, the steady-state was reached after 15 days and for the sandy soil after 27 days. The variability of K0 was higher in the first six test days. It was therefore concluded that the use of a fixed time for the addition of solutes in soil can result in a reduction of reliability in results