21 research outputs found

    Use of anticoagulants and antiplatelet agents in stable outpatients with coronary artery disease and atrial fibrillation. International CLARIFY registry

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    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

    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 ≥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

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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-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

    Caracterização e incorporação de resíduos provenientes de Estação de Tratamento de Água em cerâmica argilosa Characterization and incorporation of wastes from Water Treatment Plant into clayey ceramic

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    O objetivo deste trabalho é caracterizar e incorporar, em cerâmica argilosa, três tipos de resíduos provenientes das etapas de desarenação, decantação e de filtração de uma estação de tratamento de água - ETA. Os resíduos foram caracterizados por difração de raios X, fluorescência de raios X, análise termogravimétrica e térmica diferencial, microscopia eletrônica de varredura e técnicas de peneiramento e sedimentação. As propriedades físicas e mecânicas avaliadas das cerâmicas incorporadas com até 10% em peso de resíduos e queimadas a 700 ºC foram retração linear, absorção de água e compressão diametral. Os resultados mostraram que os resíduos do decantador e do filtro possuem composição química e mineralógica semelhantes, formados por minerais argilosos, hidróxidos de alumínio e de ferro, mica e quartzo. O resíduo do desarenador é formado basicamente de quartzo com traços de mica e de caulinita. Os três tipos de resíduos apresentaram potencialidade para utilização em cerâmica vermelha. Entretanto, o resíduo arenoso do desarenador foi o tipo de resíduo que possibilitou benefícios diretos como a melhoria da trabalhabilidade da massa bem como redução da retração linear e da absorção de água da cerâmica queimada.<br>This work has for objective to characterize and to incorporate into a clayey body three types of wastes from the stage of sand collecting, decantation and filtration of a water treatment plant. The wastes were characterized by X-ray diffraction, X-ray fluorescence, thermogravimetric and differential thermal analyses as well as by sieving and sedimentation. The evaluated physical and mechanical properties of the ceramics, incorporated with up to 10 wt.% of wastes and fired at 700 ºC, were linear shrinkage, water absorption and diametrical compression. The results showed that the wastes from the decantation and filter have chemical and mineralogical compositions similar to clays, presenting clay minerals, aluminum and iron hydroxides, as well as mica and quartz. On the other hand, the waste from the sand collector is basically formed by quartz with traces of mica and kaolinite. The three types of wastes have potential to be incorporated into clayey ceramic. However, the sand waste from the sand collector in associate with direct benefits such as a better workability of the body as well as decrease of the fired ceramic linear shrinkage and water absorption
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