Association between body mass index and cardiovascular disease mortality in east Asians and south Asians: pooled analysis of prospective data from the Asia Cohort Consortium

Objective: To evaluate the association between body mass index and mortality from overall cardiovascular disease and specific subtypes of cardiovascular disease in east and south Asians. Design: Pooled analyses of 20 prospective cohorts in Asia, including data from 835 082 east Asians and 289 815 south Asians. Cohorts were identified through a systematic search of the literature in early 2008, followed by a survey that was sent to each cohort to assess data availability. Setting: General populations in east Asia (China, Taiwan, Singapore, Japan, and Korea) and south Asia (India and Bangladesh). Participants: 1 124 897 men and women (mean age 53.4 years at baseline). Main outcome measures: Risk of death from overall cardiovascular disease, coronary heart disease, stroke, and (in east Asians only) stroke subtypes. Results: 49 184 cardiovascular deaths (40 791 in east Asians and 8393 in south Asians) were identified during a mean follow-up of 9.7 years. East Asians with a body mass index of 25 or above had a raised risk of death from overall cardiovascular disease, compared with the reference range of body mass index (values 22.5-24.9; hazard ratio 1.09 (95% confidence interval 1.03 to 1.15), 1.27 (1.20 to 1.35), 1.59 (1.43 to 1.76), 1.74 (1.47 to 2.06), and 1.97 (1.44 to 2.71) for body mass index ranges 25.0-27.4, 27.5-29.9, 30.0-32.4, 32.5-34.9, and 35.0-50.0, respectively). This association was similar for risk of death from coronary heart disease and ischaemic stroke; for haemorrhagic stroke, the risk of death was higher at body mass index values of 27.5 and above. Elevated risk of death from cardiovascular disease was also observed at lower categories of body mass index (hazard ratio 1.19 (95% confidence interval 1.02 to 1.39) and 2.16 (1.37 to 3.40) for body mass index ranges 15.0-17.4 and less than 15.0, respectively), compared with the reference range. In south Asians, the association between body mass index and mortality from cardiovascular disease was less pronounced than that in east Asians. South Asians had an increased risk of death observed for coronary heart disease only in individuals with a body mass index greater than 35 (hazard ratio 1.90, 95% confidence interval 1.15 to 3.12). Conclusions: Body mass index shows a U shaped association with death from overall cardiovascular disease among east Asians: increased risk of death from cardiovascular disease is observed at lower and higher ranges of body mass index. A high body mass index is a risk factor for mortality from overall cardiovascular disease and for specific diseases, including coronary heart disease, ischaemic stroke, and haemorrhagic stroke in east Asians. Higher body mass index is a weak risk factor for mortality from cardiovascular disease in south Asians

Burden of Total and Cause-Specific Mortality Related to Tobacco Smoking among Adults Aged ≥45 Years in Asia: A Pooled Analysis of 21 Cohorts

Background:Tobacco smoking is a major risk factor for many diseases. We sought to quantify the burden of tobacco-smoking-related deaths in Asia, in parts of which men's smoking prevalence is among the world's highest.Methods and Findings:We performed pooled analyses of data from 1,049,929 participants in 21 cohorts in Asia to quantify the risks of total and cause-specific mortality associated with tobacco smoking using adjusted hazard ratios and their 95% confidence intervals. We then estimated smoking-related deaths among adults aged ≥45 y in 2004 in Bangladesh, India, mainland China, Japan, Republic of Korea, Singapore, and Taiwan-accounting for ∼71% of Asia's total population. An approximately 1.44-fold (95% CI = 1.37-1.51) and 1.48-fold (1.38-1.58) elevated risk of death from any cause was found in male and female ever-smokers, respectively. In 2004, active tobacco smoking accounted for approximately 15.8% (95% CI = 14.3%-17.2%) and 3.3% (2.6%-4.0%) of deaths, respectively, in men and women aged ≥45 y in the seven countries/regions combined, with a total number of estimated deaths of ∼1,575,500 (95% CI = 1,398,000-1,744,700). Among men, approximately 11.4%, 30.5%, and 19.8% of deaths due to cardiovascular diseases, cancer, and respiratory diseases, respectively, were attributable to tobacco smoking. Corresponding proportions for East Asian women were 3.7%, 4.6%, and 1.7%, respectively. The strongest association with tobacco smoking was found for lung cancer: A 3- to 4-fold elevated risk, accounting for 60.5% and 16.7% of lung cancer deaths, respectively, in Asian men and East Asian women aged ≥45 y.Conclusions:Tobacco smoking is associated with a substantially elevated risk of mortality, accounting for approximately 2 million deaths in adults aged ≥45 y throughout Asia in 2004. It is likely that smoking-related deaths in Asia will continue to rise over the next few decades if no effective smoking control programs are implemented.Please see later in the article for the Editors' Summary. © 2014 Zheng et al

Body Mass Index and Diabetes in Asia: A Cross-Sectional Pooled Analysis of 900,000 Individuals in the Asia Cohort Consortium

10.1371/journal.pone.0019930PLoS ONE66

Evolution modes of interbedded weathering crust karst: A case study of the 1st and 2nd members of Ordovician Yingshan Formation in EPCC block, Tazhong, Tarim Basin

The evolution of interbedded weathering crust karst on the top of the Ordovician Yingshan Formation were described based on the geological background, oil and gas show while drilling, core, log imaging and seismic reflection features in the Tazhong area. The study shows that: Filling features of dissolved caves near unconformities depend on the hydrodynamic strength, which, together with the vertical lithofacies, determines the development degree of the interbedded karst. Karst units are classified into several first order units, namely highland, sub-high, slope, and sub-sag, and some secondary units such as dissolved peak, cliff, platform, and dissolved mound, stretching like a strip from northwest to southeast on the whole. The surface weathering zone developed only in the north of the EPCC block, the vertical vadose zone has different thickness in south and north, while the seasonal variation zone changes to horizontal vadose zone from south to north. Sedimentary microfacies affects karst development, but it is not the deciding factor of karst cycle classification, the main factors resulting in the karst difference between south and north are structural uplift, climate, and ancient hydrological conditions. Three cycles and eight secondary cycles are identified in the interbedded weathering karst in Member Ying1-Ying2 in the EPCC block, among them, the third cycle, including the fifth to the eighth secondary cycles, remains, and the fifth and eighth secondary cycles show obvious “different facies” features from south to north

Porous Organic Polymers-Supported Metallocene Catalysts for Ethylene/1-Hexene Copolymerization

Porous organic polymers (POPs) have received much attention in adsorption, separation, and catalysis. In this paper, porous organic polymers with different pore structure were used as metallocene catalyst supports, and ethylene/1-hexene copolymerizations were conducted using the POPs-supported metallocene catalyst. The pore structure of the prepared POPs and the supported metallocene catalyst were characterized by nitrogen sorption porosimetry and non-local density functional theory simulation, and the molecular chain structure of the produced ethylene/1-hexene copolymers were investigated through gel permeation chromatography (GPC), IR analysis, differential scanning calorimetry (DSC), and temperature rising elution fractionation (TREF). The results show that the loading amount of active sites varied with different pore structures of the POP supports, and the active species scattered in different pore sizes had a moderate impact on the molecular chain growth and the molecular weight distribution. The IR, DSC, and TREF analysis revealedthat different branching degree, double bond content, and chemical composition distributions were detected from the molecular chain structure of the ethylene/α-olefin copolymers from different POPs and silica-supported metallocene catalysts, despite their similar IR, DSC, and TREF curves due to the same active species. Scanning electron microscopy (SEM) showed that porous ethylene/α-olefin copolymers with varied surface morphology were obtained from the POPs-supported metallocene catalysts with different pore structure

Performances of Water Management, Foliage Dressing, and Variation Screening in Controlling the Accumulation of As and Cd and Maintaining the Concentrations of Essential Elements in the Grains of Rice Plant

This study was conducted to understand why and how the technologies of variety screening, foliar dressing, and water management can reduce As/Cd accumulation and affect the concentrations of essential elements in different rice plants. In Trial I (variety screening), the grain As and Cd concentrations in Zhongguyou1361 variety (P3) were both lower than their individual National Food Hygiene Standard of China (NFHSC) under insufficient field drying condition. The P3 also had a relatively high yield and high essential element contents among 15 selected rice varieties. In Trial II (foliar dressing), selenite foliar spray showed a better ability than silicate to reduce the grain As content in Guangliangyou1128 variety (P1). However, spraying Se and Si onto the Fengliangyou1 variety (P2) both showed a limited effect on the grain As and Cd contents, suggesting a different effect of Se on grain As content in various rice varieties. The insufficient field drying in Trial II resulted in the grain Cd content being lower but the grain As content being higher than their individual NFHSC in both P1 and Fengliangyou1 (P2) varieties. Se or Si did not affect the yields and the grain contents of most essential elements in P1 and P2. In Trial III (water management), increasing field drying time enhanced the Cd content but reduced the As content in the grains of P1, P2, and P3, and maintained their yields. Similar to the results of Trial II, the changes in soil pH, organic matter concentration and elemental available concentrations could hardly be used to explain why the contents of corresponding essential elements kept approximately constant in the grains of different rice varieties. Foliar dressing with selenite combined with water regulation can simultaneously reduce the As and Cd contents, and maintain the yields and the essential element contents in the grains of rice plants cultivated in As− and Cd− contaminated soil