7 research outputs found

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

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    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.Peer reviewe

    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 3·5 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 changes—gaining too little height, too much weight for their height compared with children in other countries, or both—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

    Measurement of the 244^{244}Cm and 246^{246}Cm Neutron-Induced Cross Sections at the n_TOF Facility

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    The neutron capture reactions of the 244^{244}Cm and 246^{246}Cm isotopes open the path for the formation of heavier Cm isotopes and of heavier elements such as Bk and Cf in a nuclear reactor. In addition, both isotopes belong to the minor actinides with a large contribution to the decay heat and to the neutron emission in irradiated fuels proposed for the transmutation of nuclear waste and fast critical reactors. The available experimental data for both isotopes are very scarce. We measured the neutron capture cross section with isotopically enriched samples of 244^{244}Cm and 246^{246}Cm provided by JAEA. The measurement covers the range from 1 eV to 250 eV in the n_TOF Experimental Area 2 (EAR-2). In addition, a normalization measurement with the 244^{244}Cm sample was performed at Experimental Area 1 (EAR-1) with the Total Absorption Calorimeter (TAC)

    The utility of making functional Area 39 a branch

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    The purpose of this thesis is to suggest that it is time for Functional Area 39 (Psychological Operations/Civil Affairs) to become a branch. We hope to stimulate critical thinking on this issue and illustrate the demands that are presently being placed on the FA 39 community by utilizing the Spectrum of Conflict as a frame of reference. As experienced officers with a vested interest in the future of FA 39, we believe it is important to the future of the Functional Area to take a critical look at where it is and where it appears to be going. Our present degree of reliance on the reserves, we argue, is a sub- optimal long-term solution. Utilizing the Spectrum of Conflict as a model, we illustrate that conflict trends over the past twenty years show a significantly higher incidence of sub-state conflict, with no change in the foreseeable future. This suggests an increased need for soldiers with Special Operations Forces (SOF) related skills. By examining possible alternatives, we provide arguments and illustrate the merits of change. The findings of our analysis lead us to recommend that FA 39 become a branch within the U.S. Army. While it may appear that the organization is healthy, the threat environment and increased OPTEMPO necessitate a need for change.http://archive.org/details/theutilityofmaki1094513446U.S. Army (USA) authorsApproved for public release; distribution is unlimited

    7Be(n,p)7Li cross section measurement for the cosmological lithium problem at the n_TOF Facility at CERN

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    One of the most puzzling problems in Nuclear Astrophysics is the ldquoCosmological Lithium Problemrdquo, i.e the discrepancy between the primordial abundance of 7Li observed in metal poor halo stars (Asplund et al. in Astrophys J 644:229- 259, 2006, [1]), and the one predicted by Big Bang Nucleosynthesis (BBN). One of the reactions that could have an impact on the problem is 7Be(n,p)7Li. Despite of the importance of this reaction in BBN, the cross-section has never been directly measured at the energies of interest for BBN. Taking advantage of the innovative features of the second experimental area at the n_TOF facility at CERN (Sabate-Gilarte et al. in Eur Phys J A 53:210, 2017, [2]; Weiss et al. in NIMA 799:90, 2015, [3]), an accurate measurement of 7Be(n,p) cross section has been recently performed at n_TOF, with a pure 7Be target produced by implantation of a 7Be beam at ISOLDE. The mesurement started in April 2016 and lasted for two months. The experimental procedure, the setup used in the measurement and the results obtained so far will be here presented

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

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

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