Repositioning of the global epicentre of non-optimal cholesterol

High blood cholesterol is typically considered a feature of wealthy western countries1,2. However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world3 and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein (HDL) cholesterol and non-HDL cholesterol, which have different effects on human health4,5. However, the trends of HDL and non-HDL cholesterol levels over time have not been previously reported in a global analysis. Here we pooled 1,127 population-based studies that measured blood lipids in 102.6 million individuals aged 18 years and older to estimate trends from 1980 to 2018 in mean total, non-HDL and HDL cholesterol levels for 200 countries. Globally, there was little change in total or non-HDL cholesterol from 1980 to 2018. This was a net effect of increases in low- and middle-income countries, especially in east and southeast Asia, and decreases in high-income western countries, especially those in northwestern Europe, and in central and eastern Europe. As a result, countries with the highest level of non-HDL cholesterol—which is a marker of cardiovascular risk—changed from those in western Europe such as Belgium, Finland, Greenland, Iceland, Norway, Sweden, Switzerland and Malta in 1980 to those in Asia and the Pacific, such as Tokelau, Malaysia, The Philippines and Thailand. In 2017, high non-HDL cholesterol was responsible for an estimated 3.9 million (95% credible interval 3.7 million–4.2 million) worldwide deaths, half of which occurred in east, southeast and south Asia. The global repositioning of lipid-related risk, with non-optimal cholesterol shifting from a distinct feature of high-income countries in northwestern Europe, north America and Australasia to one that affects countries in east and southeast Asia and Oceania should motivate the use of population-based policies and personal interventions to improve nutrition and enhance access to treatment throughout the world.</p

Repositioning of the global epicentre of non-optimal cholesterol

High blood cholesterol is typically considered a feature of wealthy western countries1,2. However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world3 and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein (HDL) cholesterol and non-HDL cholesterol, which have different effects on human health4,5. However, the trends of HDL and non-HDL cholesterol levels over time have not been previously reported in a global analysis. Here we pooled 1,127 population-based studies that measured blood lipids in 102.6 million individuals aged 18 years and older to estimate trends from 1980 to 2018 in mean total, non-HDL and HDL cholesterol levels for 200 countries. Globally, there was little change in total or non-HDL cholesterol from 1980 to 2018. This was a net effect of increases in low- and middle-income countries, especially in east and southeast Asia, and decreases in high-income western countries, especially those in northwestern Europe, and in central and eastern Europe. As a result, countries with the highest level of non-HDL cholesterol�which is a marker of cardiovascular risk�changed from those in western Europe such as Belgium, Finland, Greenland, Iceland, Norway, Sweden, Switzerland and Malta in 1980 to those in Asia and the Pacific, such as Tokelau, Malaysia, The Philippines and Thailand. In 2017, high non-HDL cholesterol was responsible for an estimated 3.9 million (95 credible interval 3.7 million�4.2 million) worldwide deaths, half of which occurred in east, southeast and south Asia. The global repositioning of lipid-related risk, with non-optimal cholesterol shifting from a distinct feature of high-income countries in northwestern Europe, north America and Australasia to one that affects countries in east and southeast Asia and Oceania should motivate the use of population-based policies and personal interventions to improve nutrition and enhance access to treatment throughout the world. © 2020, The Author(s), under exclusive licence to Springer Nature Limited

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)

Non-basaltic asteroidal magmatism during the earliest stages of solar system evolution: A view from Antarctic achondrites Graves Nunatak 06128 and 06129

The recently recovered paired Antarctic achondrites Graves Nunatak 06128 and 06129 (GRA) are meteorites that represent unique high-temperature asteroidal processes that are identified in only a few other meteorites. The GRA meteorites contain high abundances of sodic plagioclase, relatively Fe-rich pyroxenes and olivine, abundant phosphates, and low temperature alteration. They represent products of very early planetesimal melting (4565.9 ± 0.3 Ma) of an unsampled geochemical reservoir from an asteroid that has characteristics similar to the brachinite parent body. The magmatism represented by these meteorites is contrary to the commonly held belief that the earliest stages of melting on all planetary bodies during the first 2-30 Ma of solar system history were fundamentally basaltic in nature. These sodic plagioclase-rich rocks represent a series of early asteroidal high-temperature processes: (stage 1) melting and partial extraction of a low-temperature Fe-Ni-S melt, (stage 2) small degrees of disequilibrium partial melting of a sodium- or alkali-rich chondritic parent body with additional incorporation of Fe-Ni-S melt that was not fully extracted during stage 1, (stage 3) volatile-enhanced rapid extraction and emplacement of the Na-rich, high-normative plagioclase melt, (stage 4) final emplacement and accumulation of plagioclase and phosphates, (stage 5) subsolidus reequilibration of lithology between 962 and 600 °C at an fO2 of IW to IW + 1.1, and (stage 6) replacement of merrillite and pyroxene by Cl-apatite resulting from the interaction between magmatic minerals and a Cl-rich fluid/residuum melt. The subsolidus events started as early as 4561.1 Ma and may have continued for upwards of 144 million years. The existence of assemblages similar to GRA on several other planetary bodies with different geochemical characteristics (ureilite, winonaites, IAB irons) implies that this type of early asteroidal melting was not rare. Whereas, eucrites and angrites represent extensive melting of a parent body with low concentrations of moderately-volatile elements, GRA represents low-degrees of melting of a parent body with chondritic abundances of moderately volatile elements. The interpretation of the low-temperature mineral assemblage is somewhat ambiguous. Textural features suggest multiple episodes of alteration. The earliest stage follows the interaction of magmatic assemblages with a Cl-rich fluid. The last episode of alteration appears to cross-cut the fusion crust and earlier stages of alteration. Stable isotopic measurements of the alteration can be interpreted as indicating that an extraterrestrial volatile component was preserved in GRA