Research progress of 24-hour movement behaviors in chronic non-communicable disease

Chronic non-communicable diseases(NCDs)represent a significant impediment to improve life expectancy and remain a focal point in global public health and disease prevention efforts.24-hour movement behaviors,which include sleep,sedentary behavior(SED),and physical activity,underscore the inherent connections between different daily activities and the comprehensive impact of overall movement patterns on health.Evidence suggested that modifying patterns of 24-hour movement behaviors can aid in preventing and attenuating the progression of NCDs.This study systematically delineated the concept,evolution,analytical methods,and intrinsic associations of 24-hour movement behaviors,emphasizing their pivotal role in the prevention and management of NCDs such as obesity,mental disorders,cardiovascular diseases,diabetes,and renal diseases.Future research endeavors should focus on refining methodologies,broadening study populations,developing research tools,and exploring precise intervention strategies and interdisciplinary approaches to comprehensively enhance the effectiveness of NCDs prevention and management from a temporal perspective.Such efforts are poised to provide substantive guidance and support for public health practices.

Associations between meeting 24-hour movement guidelines and quality of life among children and adolescents with autism spectrum disorder

Background:The Canadian 24-hour movement behavior(24-HMB)guidelines suggest that a limited amount of screen time use,an adequate level of physical activity(PA),and sufficient sleep duration are beneficial for ensuring and optimizing the health and quality of life(QoL)of children and adolescents.However,this topic has yet to be examined for children and adolescents with autism spectrum disorder(ASD)specifically.The aim of this cross-sectional observational study was to examine the associations between meeting 24-HMB guidelines and several QoLrelated indicators among a national sample of American children and adolescents with ASD.Methods:Data were taken from the 2020 U.S.National Survey of Children’s Health dataset.Participants(n=956)aged 617 years and currently diagnosed with ASD were included.The exposure of interest was adherence to the 24-HMB guidelines.Outcomes were QoL indicators,including learning interest/curiosity,repeating grades,adaptive ability,victimization by bullying,and behavioral problems.Categorical variables were described with unweighted sample counts and weighted percentages.Age,sex,race,preterm birth status,medication,behavioral treatment,household poverty level,and the educational level of the primary caregivers were included as covariates.Odds ratio(OR)and 95%confidence interval(95%CI)were used to present the strength of association between adherence to 24-HMB guidelines and QoL-related indicators.Results:Overall,452 participants(45.34%)met 1 of the 3 recommendations,216(22.65%)met 2 recommendations,whereas only 39 participants(5.04%)met all 3 recommendations.Compared with meeting none of the recommendations,meeting both sleep duration and PA recommendations(OR=3.92,95%CI:1.639.48,p<0.001)or all 3 recommendations(OR=2.11,95%CI:1.034.35,p=0.04)was associated with higher odds of showing learning interest/curiosity.Meeting both screen time and PA recommendations(OR=0.15,95%CI:0.040.61,p<0.05)or both sleep duration and PA recommendations(OR=0.24,95%CI:0.070.87,p<0.05)was associated with lower odds of repeating any grades.With respect to adaptive ability,participants who met only the PA recommendation of the 24-HMB were less likely to have difficulties dressing or bathing(OR=0.11,95%CI:0.020.66,p<0.05)than those who did not.For participants who met all 3 recommendations(OR=0.38,95%CI:0.150.99,p=0.05),the odds of being victimized by bullying was lower.Participants who adhered to both sleep duration and PA recommendations were less likely to present with severe behavioral problems(OR=0.17,95%CI:0.040.71,p<0.05)than those who did not meet those guidelines.Conclusion:Significant associations were found between adhering to 24-HMB guidelines and selected QoL indicators.These findings highlight the importance of maintaining a healthy lifestyle as a key factor in promoting and preserving the QoL of children with ASD.

Interdialytic 24-Hours Ambulatory Blood Pressure versus Dialysis Unit Blood Pressure for the Diagnosis of Electrocardiographic-Left Ventricular Hypertrophy in Chronic Hemodialysis Black Patients

Background and Aim: In hemodialysis patients, 24-hours interdialytic ABPM better detects TOD than dialysis unit blood pressure. Therefore, the present study was aimed to assess the diagnostic performance of 24-hours ABPM vs. dialysis unit BPs for the diagnosis of ECG-LVH in steady state chronic hemodialysis black patients. Methods: From March 31 to September 30, 2018, interdialytic ABPM was performed after a mid-week hemodialysis session for 24 hours using a Spacelab 90207 ABPM monitor in the non-access arm in 45 stable chronic hemodialysis black patients (age ≥ 20 years, hemodialysis for at least 3 months and informed consent) attending 3 hemodialysis centers in Kinshasa. Ambulatory BP was recorded every 20 minutes during the day (6 AM to 10 PM) and every 30 minutes during the night (10 PM to 6 AM). ECG-LVH was defined using Cornell product criteria. ROC curve method was used to assess the performance of dialysis unit BPs vs. interdialytic 24-hours ABPM in diagnosing ECG-LVH. P 0.05 defined the level of statistical significance. Results: Whatever the method of BP measurement, all the SBP values were related to ECG-LVH with similar AUC and overlapping 95% CI;however, they were not significantly different from each other. 24-hours interdialytic ambulatory SBP (AUC 0.748;95% CI 0.58 - 0.94) had the highest area under the curve. Conclusion: The present study showed that although all the two BP measurement methods equally detected ECG-LVH, 24-hours ABPM tended to have the highest diagnostic performance.

The nurses’ voice of working in a newly established community based 24-hour support center for people with psychiatric disabilities

This study explores the perceptions of a small group of nurses working at a newly established 24-hour community-based service enter (SC) for users with psychiatric disability using a qualitative approach. Since the mental health reform in Sweden in 1995 where the communities (in Sweden called municipalities) were given the responsibility to establish service and support to people with severe psychiatric disabilities, they have struggled in finding suitable forms of these kinds of areas. In 2010, this led to the creation and development of a new center aiming to provide services and support based on the expressed needs of people with physchiatric disability in a community located in southern Sweden. During 2011, a total of three group interviews were performed to capture the employed nurses’ perceptions of this newly established SC. The interview texts were analyzed by way of qualitative content analysis. A first reading of the interview texts revealed that the nurses’ perceptions of the service center were unwaveringly positive but that their beliefs about who the specific target group were differed. The main finding was summarized by the theme: Making a difference—on an individual, professional, and organizational level. The sub themes were: 24-hour availability, unclear assignment, and preventing mental illness. The findings indicate a need for a community round-the-clock service center in this Swedish community and a more clear definition of the target group.

China introduces the 24-hour rule

Recently, international movement measures that may be causing tension between the of cargo had been the subject of increasing border control needs for security and the needs for trade facilitations. On the one hand customs authorities are charged with the responsibility for policing a country＇s borders, and consequently they need to have in place measures to ensure that only legitimate trade takes place and that this trade does not present security concerns. On the other hand we have the requirements of traders, who benefit from an environment of trade facilitation with speedy and efficient movement of cargo across international borders, with minimal bureaucratic intervention. This paper focuses on and provides early discussion and comments on the possible ramifications of the introduction of the 24-hour rule in China, effective for all exports and imports of sea freight container traffic since January 1, 2009. The new rules will have significant impact on the logistics flows of exporters and importers alike. Specifically, the reporting requirements timelines are likely to result in increased costs in cargo processing at wharves that traders will have to bear; place added pressure on storage facilities at wharves, or at container depots; and may additionally increase the amount of inventory buffer because of the timing of the data reporting requirements. The paper concludes that security needs have prevailed over trade facilitation considerations and that traders should urgently implement a review of existing practices to ensure they comply with the China Customs requirements, whilst simultaneously minimizing cost increases.

The lived experience of a 24-hour support center for persons with psychiatric disabilities: Making me feel almost like an ordinary person

This study illuminates nine psychiatric disabled persons’ lived experience of a newly established community-based service center open around the clock. This new 24-hour support center (SC) was established in 2011 in a Swedish community to better match and facilitate the disabled persons’ needs. In order to illuminate the disabled person’s experiences individual interview was performed. A phenomenological-hermeneutical method inspired by Paul Ricoeur was used to interpret the texts. After a naive reading, a structural analysis revealed two themes: 1), becoming aware of myself as a person, and 2) having a lifeline and belongingness. The comprehensive understanding was interpreted as meaning “Making me feel almost like an ordinary person”, which incorporated the person’s past with their present together with a direction for the future and hope for a more fulfilling life.

Esophageal manometry and 24-hour pH monitoring in esophagus surgery:28-year Chinese experience in a single center

Objective To retrospectively review the experience of esophageal manometry and 24-hour pH monitoring in e-sophagus surgery. Methods From 1982 to 2010,patients with unspecific chest pain and undergone esophageal surgery were received esophageal manometry and 24-hour pH monitoring. Results Among the patients with

24小时个人膳食询问法在中国营养调查中的应用

利用１９９１年中国健康与营养调查中家庭膳食称重法和２４ｈ个人膳食询问法结果的准确性，通过对８省的３５６３户中１３６０６名居民进行连续３天的２４ｈ个人膳食询问和家庭称重调查结果比较表明：在用全家称重法所得的食用油和其他调味品修正２４ｈ个人膳食询问结果后，两种方法平均每标准人日热能摄入仅相差０．３１ＭＪ，相对误差只有１％，蛋白质相对误差较大为５％，脂肪为３％。协方差分析比较除掉混杂因子的影响之后的标准人均每日几种营养素的摄入量，差别最大的是家中有客人的组，脂肪摄入明显较高。本研究说明，用全家称重法调查所得食用油的消耗量，对２４ｈ个人询问结果进行修正，调整了两种方法的差异，从而得到较准确的个人膳食及营养素的摄入水平估计。

称重法和24h膳食回顾法用于评估住院病人一日膳食的比较

目的:评价我院日常开展的24h膳食回顾在评估住院病人膳食摄入状况的准确性。方法:选取我院40名普通饭住院病人,分别用称重法、24h膳食回顾法对其进行一日膳食调查。将24h膳食回顾法获得的食物消费量和营养素摄入量,与称重法获得的相应数据进行比较,计算两者差值占称重法数据的比例,以此判断24h膳食回顾法数据的准确性。结果:在食物消费量方面,除牛肉和鸡蛋外,其余7种食物的2种方法的差值均有显著差异;但相关分析显示2种方法的数据无相关性。在能量和营养素摄入量方面,2种方法调查结果均有差异;2种方法获得的脂肪、总维生素E、钠、钙和膳食纤维摄入量数据呈一定程度的正相关,能量和其它营养素摄入量则未见相关性。结论:缺少必要辅助工具时,一般专业人员实施的24h膳食回顾调查,往往难以获得良好的质量控制,不能获得理想的评估数据。

24 h膳食回顾法应用与发展现状

目的:研究24 h膳食回顾法的应用和发展现状。方法:对于24 h回顾法在营养学研究中的应用情况、质量控制方法、信效度研究、调查方式和工具发展进行综述。结果:24 h回顾法调查适用于食物消费量调查、营养流行病学研究、营养关联因素研究和临床研究等。在方法学层面,根据调查实际情况定制合适的方法和工具,通过与食物频率法、称重法等方法结合获取更全面的膳食营养信息。在实际应用中,采取严格的质量控制保证调查结果的可信,通过人员培训、工具使用和方法统一等策略减少偏倚。信效度研究可以评估膳食调查问卷的质量及结论的可信度。新型调查方式和工具的开发,也为24 h回顾法的发展和应用提供了新的方向。结论:24 h回顾法是获取中国人群营养数据的重要工具,在营养学研究中有广泛且重要的应用,也将因新型调查方式和工具的开发获得新的发展和应用。

Dietary Surveys Carried out among Diabetic Patients Hospitalized in the Metabolic and Endocrine Diseases Department of the C.H.U-B

A varied and balanced diet has always been essential in the optimal management of diabetes. The objective of this work was to evaluate dietary surveys among 50 diabetic patients hospitalized in the metabolic and endocrine diseases department of the Brazzaville Hospital and University Center. This survey was carried out using two methods: dietary history and 24-hour recall. The results relating to the dietary history revealed in the patients a dietary imbalance characterized by snacking at meals, non-compliance with a balanced diet and a high frequency of consumption of foods rich in simple sugar. and saturated fats. Regarding the 24-hour recall, the survey showed that the average blood sugar levels of hospitalized patients increased depending on the number of meals. This meant that these hyperglycemias (2 to 5 g/L) observed in these patients exceeded three meals per day and required, among other things, an increase in insulin intake or doses. The age groups of diabetic patients were also divided. These age groups had partly defined the types of diabetes encountered. Regarding body mass index, women had a body mass index greater than 30 kg/m2 compared to men. This increase in body mass index was explained by being overweight or even obese due to excess body fat.

慢性肾脏病患者的膳食评估

慢性肾脏病(CKD)常用的膳食评估方法包括24 h膳食回顾(24-h DR)/3 d膳食回顾(3DDR)、食物频率问卷(FFQ)、饮食记录及基于氮动态平衡估计膳食蛋白摄入量。由于亚洲人群CKD患者较多,且对其采用FFQ方法进行的相关研究很少,因此,建立适合中国CKD人群的FFQ十分重要。本文针对CKD膳食评估方法的优缺点和研究现状,以及建立FFQ的内容和步骤进行综述,旨在为改良中国CKD患者的FFQ提供参考。

不同膳食调查方法评估人群能量和营养素摄入量的比较

目的比较称重法、回顾法和食物频率法在评估人群能量和营养素摄入的差异性和相关性。方法2002年中国居民营养与健康调查中同时使用称重法、回顾法和食物频率法进行膳食调查的15～75岁居民23198名(男性11107,女性12091),利用称重法和食物频率法的结果对回顾法进行修正。结果与称重法相比,回顾法低估能量、脂肪、脂肪供能比、维生素E以及大部分矿物质的摄入,频率法低估脂肪、蛋白质供能比、脂肪供能比、维生素E和钠的摄入,称重法修正回顾法和频率法修正回顾法与称重法的相关系数,以及高估和低估人群方面都没有明显的差别。结论以称重法为标准的验证结果表明,称重法修正回顾法和频率法修正回顾法在调查能量和营养素摄入时与称重法的相关性均较好,后者可以代替前者。

中国南北方居民一年中营养素摄入量的变化趋势研究

目的 了解我国南北方居民一年内营养素摄入量的变化 ,判定营养素摄入是否具有季节性差异。方法 采用 2 4小时膳食回顾调查法对中国典型的北方农村和南方城乡三地合计约 30 0名健康成年居民进行膳食调查 ,一年内共调查 6次 ,两月一次 ,每次连续调查 3天。根据食物摄入量的调查结果 ,计算出每人每天能量和各种营养素的摄入量。结果 三地居民平均每天的能量、蛋白质以及脂肪的摄入量是充足的。我国典型南北方居民能量以及三大营养素 (蛋白质、脂肪和碳水化合物 )摄入量的季节性差异较小 ;硫胺素、核黄素、维生素E、烟酸以及锌的季节性变化也不大 ;视黄醇当量、抗坏血酸、钾和钙的摄入量则存在明显季节性差异。结论 通过对我国南北方三地一年多次的膳食调查结果分析 ,农村地区若避开 1月份的农闲季节和 7月份的农忙季节 ,其它月份进行的营养调查结果可以代表调查对象平常的膳食摄入情况 ;城市地区在一年的任何月份进行营养调查 。

补中益气汤对阿霉素诱导的大鼠肾病的作用

以阿霉素肾病大鼠模型为研究对象,采用了血液生化学和组织病理学方法,分析了补中益气汤对阿霉素肾病的作用和可能的机制.Wistar雄性大鼠60只,随机分为对照组(n=10)、模型组(n=10)、激素组(n=10)和补中益气汤低剂量组(n=10)、中剂量组(n=10)和高剂量组(n=10).采用阿霉素二次尾静脉注射法(首次6mg/kg,二次3mg/kg)制作阿霉素肾病的大鼠模型.在阿霉素注射后7,21,42d将大鼠置于代谢笼中分别收集24h尿液,测定24h尿蛋白.末次给药后,眼眶取血检测肾功能指标,包括肌肝SCR(serum creatine)和尿素氮BUN(blood urea nitrogen);处死大鼠并观察肾组织病理改变.结果表明:补中益气汤可以显著减少尿蛋白的排泄并缓解肾皮质上皮细胞的病理学改变.这提示补中益气汤对阿霉素大鼠能够通过改善尿蛋白的排泄,缓解肾脏病理改变,从而起到对肾脏的保护作用.

男性食物频率问卷中食物组摄入量重现性和有效性的影响因素分析

目的评估和分析一份男性食物频率问卷(food frequency questionnaire,FFQ)中食物组摄入量的重现性和有效性的影响因素。方法从一项大规模人群队列研究"上海市男性健康队列"中随机选取了214名对象,在进入队列时均完成了第1次FFQ调查,其后开始进行每月1次、为期1年的24 h膳食回顾调查(24-hour dietary recall,24-HDR),在12次24-HDR调查完成后再重新进行与第1次FFQ相同的第2次FFQ调查,2次FFQ的平均间隔时间为1.2年。将FFQ及24-HDR调查所得的食物项归类为11个食物组,通过2次FFQ的食物组摄入量的Pearson相关系数,来评估和分析FFQ测量食物组摄入量的重现性的影响因素。有效性的影响因素则通过比较第2次FFQ与24-HDR的食物组摄入量的Pearson相关系数来评估。结果共有195名研究对象完成了全部的2次FFQ与12次24-HDR调查。2次FFQ之间各食物组摄入量的Pearson相关系数的中位数在高、低年龄组分别为0.62、0.50;高、低教育水平组分别为0.58、0.50;高、低收入组分别为0.51、0.50;高、低BMI组分别为0.50、0.49。第2次FFQ与24-HDR的各食物组摄入量的Pearson相关系数的中位数在高、低年龄组分别为0.61、0.45;高、低教育水平组分别为0.49、0.47;高、低收入组分别为0.43、0.57;高、低BMI组分别为0.48、0.51。结论上海市男性健康队列所采用的食物频率问卷中食物组摄入量的重现性的影响因素主要是研究对象的年龄,有效性的影响因素主要是年龄和收入水平。

采用食物频率问卷评估8月龄婴儿能量和营养素摄入量的准确性

目的：了解食物频率问卷法评估辅食添加期婴儿膳食能量和营养素摄入量的准确性。方法采用方便抽样方式抽取230名8月龄婴儿，使用24 h 膳食回顾法（24HDR）和食物频率问卷法（FFQ）收集其食物摄入资料，通过24HDR 和 FFQ 对能量和营养素水平进行比较，评价 FFQ 评估的准确性。结果由 FFQ 计算得到的能量和营养素摄入水平普遍高于24HDR，高估率为2．1％（铁）～40．9％（锰），平均高估16．2％。膳食能量和营养素摄入相关系数为0．49（β-胡萝卜素）～0．82（维生素 E），均相关。结论 FFQ 可用于评估辅食添加期8月龄婴儿能量和各项营养素摄入水平，但应注意其估计值较24HDR 偏高。

三维膳食调查辅助工具箱的设计及制作

目的:设计并制作国内首套便携式三维膳食调查辅助工具箱,提高回顾法膳食调查时食物份量估计的准确性。方法:根据文献资料及上海市和南通市长途汽车司机经常就餐的食堂及菜市场调查,设计并制作三维膳食调查用模型,将市场购买的蔬菜按相同方法烹调后,计算出100g模型所代表实际食物的熟重和生重。结果:制作了膳食调查用工具箱,该工具箱除含常见水果和馒头模型外,还有20多种不同食物原料模型;该套模型基本满足了长途汽车司机膳食调查的需要。结论:三维食物模型形象逼真,激发了调查对象参与的兴趣,可有效提高调查对象的依从性和对食物份量估计的准确性。

Association between endogenous cortisol level and the risk of central serous chorioretinopathy:a Meta-analysis

AIM： To assess the association between endogenous cortisol level and the risk of central serous chorioretinopathy（CSC）.METHODS： Case-control studies were systematically searched on PubM ed, Embase, Cochrane, China National Knowledge Infrastructure（CNKI） for publishes between January 1990 and July 2017 to assess the association between endogenous cortisol level and CSC. The main endpoints were serum cortisol level at 8 a.m. and 24-hour urine 17-hydroxysteroids level. We assessed pooled data using a random-effects model.RESULTS： Of 86 identified studies, 5 were eligible included in our analysis. The 5 studies included a total of 315 participants, of whom 187 had CSC. Statistically significant association was observed between serum cortisol level（summary SMD=0.77, 95%CI=0.55-0.99）, 24-hour urine 17-hydroxysteroids level（summary SMD=0.95, 95%CI=0.61-1.30）, and the risk of CSC.CONCLUSION： Endogenous cortisol level is associated with an increased risk of CSC. Combined treatment targeting the serum cortisol level at 8 a.m. and 24-hour urine 17-hydroxysteroids level can be a potential preventive strategy for individuals who are at risk of CSC and therapeutic strategy for patients with CSC.

即时性图像法应用于学龄儿童膳食评估的效果评价

目的:将即时性图像法膳食调查技术应用于学龄儿童膳食评估,并进行效果评价,为学生营养改善计划中膳食评估方法的改良提供参考。方法:在贵州省龙里县民族完全中学和铜仁市正光小学各招募20名学生,分别使用称重法、24小时回顾法、即时性图像法对其进行膳食评估,通过相关性分析及配对t检验/Wilcoxon秩和检验对即时性图像法和24小时回顾法分别与称重法的一致性进行评价。结果:相关性分析结果显示,即时性图像法与称重法的相关性更优,数据的分布更集中于线性趋势(r=0.954,P<0.01),配对t检验或秩和检验结果显示,即时性图像法与称重法数据的差异较小,四分位数间距较小(P<0.01)。24小时膳食回顾法在单个膳食或是总膳食都高估了食物摄入量(d=4.00±16.00,P<0.001),而即时性图像法对总膳食的评估则没有出现这种情况(d=0.00±8.63, P=0.852)。结论:即时性图像法应用在学龄儿童膳食摄入量评估中显示出相对有效性,有望应用于农村义务教育学生营养改善计划。