Association between age at diagnosis of diabetes and ocular disease:Insights from a recent article

In this article,we discuss Ye et al's recent article on the association between age at diabetes diagnosis and subsequent risk of age-related ocular diseases.The study,which utilized United Kingdom Biobank data,highlighted a strong link between early diabetes onset and major eye conditions,such as cataracts,glaucoma,agerelated macular degeneration,and vision loss,independent of glycemic control and disease duration.This finding challenges the previous belief that diabetic eye disease primarily correlates with hyperglycemia.As lifestyles evolve and the age of diabetes diagnosis decreases,understanding this relationship may reveal the complex pathogenesis underlying diabetes-related complications.This editorial summarizes potential mechanisms connecting the age of diabetes onset with four types of ocular diseases,emphasizing the significance of early diagnosis.

Fresh insights into the onset of big mantle wedge beneath the North China Craton

The onset of the big mantle wedge(BMW)structure beneath the North China Craton remains debated.Research on the genesis of Late Mesozoic granites associated with gold deposits in the Jiaodong Peninsula above the BMW could provide fresh insights into this question.The monzogranite from the Zhaoxian-Shaling gold district was intruded during 154-148 Ma.This I-type granite has high-K calc-alkaline and metaluminous characteristics.The monzogranite formed at medium temperatures(718-770℃)and was generated in a thickened lower crust at depths within the stability field of garnet.The monzogranite’s high zircon Ce^(4+)/Ce^(3+)and Eu_(N)/Eu_(N)^(*)values and low FeOT/MgO ratios,suggest that it formed in a high oxygen environment.Its variableε_(Hf)(t)values with T_(DM2)of 1.93-2.87 Ga imply that it originated from the melting of ancient crust basement,with contributions from mantle-derived materials.The granite’s enrichment in LREEs and LILEs,and depletion in HREEs and HFSEs,along with its trace element tectonic discrimination diagrams and medium Sr/Y,indicate an adakite affinity in an active continental margin setting.The transition from S-type granites to I-type granites and finally to A-type granites observed in the eastern part of North China Craton suggests a shift in the tectonic environment from compression to extension.This change is also reflected in the transition from flat subduction to steep subduction.Therefore,the monzogranite was formed in a tectonic transition setting triggered by a change in the subduction angle of the PaleoPacific Ocean slab during the Late Jurassic.This event may have marked the initiation of the BMW above the North China Craton.

Polymetamorphism of the ultrahigh-temperature granulites in the Rauer Group,East Antarctica:new evidence from zircon SHRIMP U-Pb ages

The Rauer Group is located on the eastern margin of the early Paleozoic Prydz Belt in East Antarctica,and the typical ultrahigh-temperature(UHT,>900℃)granulites outcrop on Mather Peninsula.However,the timing of UHT metamorphism and P–T path of the UHT granulites have long been debated,which is critical to understanding the tectonic nature and evolution history of the Prydz Belt.Thus,both a sapphirine-bearing UHT metapelitic granulite and a garnet-bearing UHT mafic granulite are selected for zircon SHRIMP U-Pb age dating.The results show that metamorphic zircon mantles yield weighted mean^(206)Pb/^(238)U ages of 918±29 Ma and 901±29 Ma for the metapelitic and mafic granulites,respectively,while zircon rims and newly grown zircons yield weighted mean^(206)Pb/^(238)U ages of 523±9 Ma and 532±11 Ma,respectively.These new zircon age data suggest that the UHT granulites may have experienced polymetamorphism,in which pre-peak prograde stage occurred in the early Neoproterozoic Grenvillian orogenesis(1000–900 Ma),whereas the UHT metamorphism occurred in the late Neoproterozoic to early Paleozoic Pan-African orogenesis(580–460 Ma).This implies that P–T path of the UHT granulites should consist of two separate high-grade metamorphic events including the Grenvillian and Pan-African events,which are supposed to be related to assembly of Rodinia and Gondwana supercontinents respectively,and hence the overprinting UHT metamorphic event may actually reflect an important intracontinental reworking.

Afforestation with an age-sequence of Mongolian pine plantation promotes soil microbial residue accumulation in the Horqin Sandy Land, China

Land use change affects the balance of organic carbon(C)reserves and the global C cycle.Microbial residues are essential constituents of stable soil organic C(SOC).However,it remains unclear how microbial residue changes over time following afforestation.In this study,16-,23-,52-,and 62-year-old Mongolian pine stands and 16-year-old cropland were studied in the Horqin Sandy Land,China.We analyzed changes in SOC,amino sugar content,and microbial parameters to assess how microbial communities influence soil C transformation and preservation.The results showed that SOC storage increased with stand age in the early stage of afforestation but remained unchanged at about 1.27-1.29 kg/m2 after 52 a.Moreover,there were consistent increases in amino sugars and microbial residues with increasing stand age.As stand age increased from 16 to 62 a,soil pH decreased from 6.84 to 5.71,and the concentration of total amino sugars increased from 178.53 to 509.99 mg/kg.A significant negative correlation between soil pH and the concentration of specific and total amino sugars was observed,indicating that the effects of soil acidification promote amino sugar stabilization during afforestation.In contrast to the Mongolian pine plantation of the same age,the cropland accumulated more SOC and microbial residues because of fertilizer application.Across Mongolian pine plantation with different ages,there was no significant change in calculated contribution of bacterial or fungal residues to SOC,suggesting that fungi were consistently the dominant contributors to SOC with increasing time.Our results indicate that afforestation in the Horqin Sandy Land promotes efficient microbial growth and residue accumulation in SOC stocks and has a consistent positive impact on SOC persistence.

An Overview on the Composition and Age of Upper Crust of Proto-Tethyan Lajishan Intra-oceanic Arc,NE Tibet Plateau

Identification and anatomy of oceanic arcs within ancient orogenic belt are significant for better understanding the tectonic framework and closure process of paleo-ocean basin.This article summarizes the geological,geochemical,and geochronological characteristics of upper crust of Proto-Tethyan Lajishan intra-oceanic arc and provides new data to constrain the subduction evolution of the South Qilian Ocean.The intra-oceanic arc volcanic rocks,including intermediate-mafic lava,breccia,tuff,and minor felsic rocks,are distributed along southern part of the Lajishan ophiolite belt.Geochemical and isotopic compositions indicate that the intermediate-mafic lava were originated from depleted mantle contaminated by sediment melts or hydrous fluids,whereas the felsic rocks were likely generated by partial melting of juvenile mafic crust in intra-oceanic arc setting.Zircons from felsic rocks yield consistent and concordant ages ranging from 506 to 523 Ma,suggesting these volcanic rocks represent the relicts of upper crust of the Cambrian intra-oceanic arc.Combined with the Cambrian forearc ophiolite and accretionary complex,we suggest that the Cambrian intra-oceanic arc in the Lajishan ophiolite belt is belonging to the intra-oceanic arc system which was generated by south-directed subduction in the South Qilian Ocean at a relatively short interval between approximately 530 and 480 Ma.

Geographic patterns and climatic drivers of the mean genus age of liverworts in North America

Phylogenetic niche conservatism posits that species tend to retain ancestral ecological traits and distributions,which has been broadly tested for lineages originating in tropical climates but has been rarely tested for lineages that originated and diversified in temperate climates.Liverworts are thought to originate in temperate climates.Mean lineage age reflects evolutionary history of biological communities.Here,using regional liverwort floras across a long latitudinal gradient from tropical to arctic climates in North America,we test the age-component of the temperate niche conservatism hypothesis.Mean genus age(MGA)was estimated for each of 76 regional floras of liverworts.We related MGA to climatic variables for North America as a whole and for its eastern and western parts separately,and used variation partitioning analysis to assess the relative importance of temperature-versus precipitationrelated variables and of climate extremes versus seasonality on MGA.We found that older genera of liverworts tend to concentrate in humid regions of intermediate temperatures in the range of 10℃-20℃,from which liverworts have adapted to and diversified into more arid,colder,and hotter regions,supporting the temperate niche conservatism hypothesis.We also found that across North America the MGA of liverwort assemblages is more strongly affected by precipitation-related variables than by temperature-related variables,and is more strongly affected by climate extremes than by climate seasonality.Geographic patterns of the MGA of liverworts are consistent with the temperate niche conservatism hypothesis,rather than the tropical niche conservatism hypothesis,the latter of which is broadly supported by angiosperms.

The Exploration of Teaching Historical Narratives Through Edith Wharton’s The Age of Innocence

Wharton’s novels serve as compelling cases for understanding the complexities of late 19th-century American society.The paper uses The Age of Innocence as an example to examine detailed depiction of the era’s social hierarchy,fashion,architecture,and the intricate social rituals that defined New York’s upper class.It explores the constraints and dilemmas women faced within a patriarchal society,highlighting Wharton’s personal experiences and her critical stance on the social norms of her time.The characters of Newland Archer,May Welland,and Ellen Olenska are analyzed to reveal the pressures of societal expectations and the struggles for individual desires within a rigid social structure.Additionally,the paper proposes various teaching methods,including contextual understanding,literary analysis with a historical focus,and historical research projects,to enhance students’comprehension of the cultural and historical context of the novel.These methods aim to immerse students in the narrative and promote their understanding of the Gilded Age’s social dynamics.

Microbiomics and metabolomics insights into the microbial regulation on the formation of flavor components in the traditional fermentation process of Chinese Hongqu aged vinegar

This study aimed to investigate microbial succession and metabolic dynamics during the traditional fermentation of Hongqu aged vinegar,and explore the core functional microbes closely related to the formation of flavor components.Microbiome analysis demonstrated that Lactobacillus,Acetobacter,Bacillus,Enterobacter,Lactococcus,Leuconostoc and Weissella were the predominant bacterial genera,while Aspergillus piperis,Aspergillus oryzae,Monascus purpureus,Candida athensensis,C.xylopsoci,Penicillium ochrosalmoneum and Simplicillium aogashimaense were the predominant fungal species.Correlation analysis revealed that Acetobacter was positively correlated with the production of tetramethylpyrazine,acetoin and acetic acid,Lactococcus showed positive correlation with the production of 2-nonanone,2-heptanone,ethyl caprylate,ethyl caprate,1-hexanol,1-octanol and 1-octen-3-ol,C.xylopsoci and C.rugosa were positively associated with the production of diethyl malonate,2,3-butanediyl diacetate,acetoin,benzaldehyde and tetramethylpyrazine.Correspondingly,non-volatile metabolites were also detected through ultra-performance liquid chromatography-quadrupole time-of-flight mass spectrometry.A variety of amino acids and functional dipeptides were identified during the traditional brewing of Hongqu aged vinegar.Correlation analysis revealed that Lactobacillus was significantly associated with DL-lactate,indolelactic acid,D-(+)-3-phenyllactic acid,pimelic acid,pregabalin and 3-aminobutanoic acid.This study is useful for understanding flavor formation mechanism and developing effective strategies for the suitable strains selection to improve the flavor quality of Hongqu aged vinegar.

The updated understanding of advanced maternal age

The rising rates of pregnancies associated with advanced maternal age(AMA)have created unique challenges for healthcare systems worldwide.The elevated risk of poor maternal outcomes among AMA pregnancies is only partially understood and hotly debated.Specifically,AMA is associated with reduced fertility and an in-creased incidence of pregnancy complications.Finding a balance between global fertility policy,socioeconomic development and health care optimization ultimately depends on female fertility.Therefore,there is an urgent need to develop technologies and identify effective interventions.Support strategies should include prepregnancy screening,intervention and postpartum maintenance.Although some reviews have considered the relationship between AMA and adverse pregnancy outcomes,no previous work has comprehensively considered the long-term health effects of AMA on mothers.In this review,we will begin by presenting the current knowledge of global health issues associated with AMA and the effects of advanced age on the female reproductive system,endocrine metabolism,and placental function.We will then discuss physiological alterations,pregnancy complications,and long-term health problems caused by AMA.

Feeding Practices, Nutritional and Hemoglobin Status of Children Aged 6 to 59 Months in the Republic of Guinea: A Case Study of the Prefecture of Fria

Malnutrition is a major public health concern in developing countries,contributing to 45%of deaths among children under five years old.In the Republic of Guinea,the prevalence of acute malnutrition is estimated at 6.7%,largely influenced by inadequate breastfeeding and complementary feeding practices.A descriptive cross-sectional study was conducted in the Prefecture of Fria to assess the impact of feeding practices on the growth and development of children aged 6 to 59 months.A sample of 450 children residing in the prefecture was included in the study.The findings revealed a prevalence of acute malnutrition of 8.9%,while 4.4%of the children were underweight,and 7.1%suffered from chronic malnutrition.

Evaluation of the Integrated Management Program for Acute Malnutrition in the Douentza Health District, Mopti Region, Mali

Introduction: Malnutrition is a major public health problem in Mali, despite the efforts of the government, its technical and financial partners. The aim of this study was to evaluate the integrated management program for acute malnutrition (IMPAM). Methodology: This was a descriptive cross-sectional study that took place from January to December 2020 in the Douentza health district. The study included anyone with at least one malnourished child aged 6 to 59 months in their care who agreed to take part in the study, community health center staff who had given their consent, and the URENI manager at the Douentza reference health center. Data collected via questionnaires were entered into Excel and then analyzed using Epi-Info version 7 software. Results: A total of 138 acutely malnourished children aged 6 - 59 months, including 71 girls (51.45%), 138 accompanying mothers and 11 health workers, were included in our case study. Among the malnourished, 54.34% were in the 12 - 23 months age group and 69.57% had the severe form. 93% of the mothers interviewed were satisfied with the care provided, and all the health staff interviewed stated that community conflicts had an impact on IMPAM’s activities. Cure rates were 81% in Moderate Outpatient Nutritional Recovery and Education Unit (URENAM), 84% in Severe Ambulatory Nutritional Recovery and Education Unit (URENAS) and 92% in Recovery and Intensive Nutritional Education Unit (URENI). Drop-out rates were 19% in URENAM, 16% in URENAS and 0% in URENI. The death rate was 8% in URENI and 0% in URENAM and URENAS. Conclusion: This study confirms the high prevalence of malnutrition in the district (10.54%). It also reveals that factors such as inter-community conflict and insecurity have seriously affected the IMPAM program.

Contraception among Women Aged 35 and over at the University Hospital Center of Brazzaville

Objective: To study contraception among women aged 35 and over at the University Hospital of Brazzaville. Population and Methods: This was a retrospective descriptive study, conducted from April 1st 2017 to January 31st 2022 in the Obstetrics and Gynecology Department of the University Hospital of Brazzaville, including women aged 35 years and over who had received a contraceptive method. The study variables were sociodemographic, reproductive, clinical and contraceptive method related. Results: Two hundred and thirty customers were collected during the study period, i.e., 10.8% of the patients who received contraception. They were 38.4 ± 3 years old on average, had secondary education (46.1%), were of low socioeconomic status (54.3%), lived with a partner (98.7%) and came from an urban area (97.4%). They were multigravida (85.2%), and multiparous (63.9%) with an average of 4 living children. The indications were of two types: convenience (26.2%) and medical (73.8%). The most commonly used contraceptives were implants (72.2%) and injectable progestin (20.5%). Conclusion: The indication for contraception for women over 35 years of age at the University Hospital Center of Brazzaville is more medical, with the use of long-acting contraceptives.

Trace Element Status in Women of Childbearing Age in Kisangani, Democratic Republic of the Congo

Introduction: Trace element deficiency is a major nutritional problem worldwide, affecting more than two billion people, or around a quarter of the world’s population. This situation is even more acute in developing countries than in developed countries. In sub-Saharan Africa, research and recent data on trace elements (micronutrients) are scarce. The aim of this study was to determine the serum status of calcium (Ca+), copper (Cu), magnesium (Mg), selenium (Se) and zinc (Zn) in women of childbearing age in Kisangani. Methods: We have conducted a descriptive cross-sectional study in Kisangani, Democratic Republic of the Congo. Our sample consists of 596 women of childbearing age in apparent good health. The data collection has been prospective. Concentrations of trace elements in serum were analysed using an inductively coupled plasma mass spectrophotometer (ICP-MS Agilent 7700X). Results: The mean and median concentrations were: Calcium: 2.35 mmol/l and 2.31 mmol/l, Copper: 13.55 and 13.49 µmol/l, Magnesium: 0.85 and 0.81 mmol/l, Selenium: 0.99 and 0.76 µmol/l, and Zinc: 13.85 and 13.79 µmol/l. Respondents aged 20 - 34 had mean serum concentrations of 2.4 mmol/l for calcium, 13.7 µmol/l for copper, 0.9 mmol/l for magnesium, 1.1 µmol/l for selenium and 14.0 µmol/l for zinc. Conclusion: The trace element status of women of childbearing age in Kisangani was lower than that observed by other researchers, which suggests the need for a general nutritional intervention in our environment.

The Application of Digital Optical 3D Image Analyzer Evaskin in The Evaluation of Wrinkles

To verify the effectiveness of digital optical 3D image analyzer EvaSKIN in the objective and quantitative evaluation of wrinkles.A total of 115 subjects were recruited,the facial images of the subjects were collected by digital optical 3D image analyzer and manual camera,the changes of crow’s feet with age were analyzed.Pictures obtained by manual photography can be directly used for observation and preliminary grading of wrinkles.However,the requirements for evaluators are high,and the results are prone to errors,which will affect the accuracy of the evaluation.Therefore,skilled raters are needed.Compared with the manual photography method,the digital optical 3D image analyzer EvaSKIN can realize three-dimensional extraction of wrinkles,and obtain the change trend of crow’s feet with age.20~30 years old,wrinkles begin to appear slowly;wrinkles will increase rapidly at the age of 30~50;The length of 50~60 year old wrinkles is basically fixed,the wrinkles develop longitudewise,gradually widen and deepen,and the area,depth and volume increase is obvious,and the skin aging condition is intensified.the digital optical 3D image analyzer EvaSKIN realizes the 3D extraction of wrinkles,quantifies the circumference,area,average depth,maximum depth and volume of wrinkles,realizes the objective and quantitative evaluation of wrinkle state,is more accurate in the measurement of wrinkles,and provides a new instrument and method for the evaluation of wrinkles.it is a perfect and supplement to the traditional evaluation methods,and to a certain extent,it helps the research and development and evaluation institutions of cosmetics to obtain more abundant and three-dimensional data support.

Epidemio-Clinical Profile and Factors Associated with Performance Indicators of Integrated Management of Severe Acute Malnutrition in Children Aged 6 - 59 Months Hospitalized at the Kalaban Coro Reference Health Center

Introduction: Malnutrition is an important reason for consultation in Mali’s health facilities and remains a major public health problem. The aim of this study was to describe the epidemioclinical profile and associated factors with performance indicators of integrated management of severe acute malnutrition in children aged 06 to 59 months. Methodology: this was a cross-sectional study with retrospective data collection (January 2021 to December 2022). All children hospitalized for severe acute malnutrition in the pediatric department and whose medical records were usable were included. Data collected using a standardized questionnaire was analyzed with SPSS Version 20 software. Results: A total of 534 children were included. The 12 to 23 months age group (49.1%) and the female sex (53.18%) were the most affected. Fully vaccinated children by age represented 49.4%. The predominant form of malnutrition was marasmus (77.7%). Diarrhea/vomiting (30.3%), fever (18.4%) and cough (15.5%) were the main reasons for consultations. Cure, discontinuation and death rates were 78.5%, 2.1% and 9.2%, respectively. On univariate analysis, the factors statistically associated with performance indicators (cure, drop-out, death) were gastroenteritis (P-value Conclusion: This study reveals that the frequency of severe acute malnutrition remains high at the Kalaban Coro reference health center. Better prevention of illnesses such as malaria, gastroenteritis, and respiratory infections, as well as timely referral, could help facilitate its management.

Factors Associated with Acute Respiratory Infections in Children Aged 0 - 5 Years in the Yénawa District of Cotonou (Benin) in 2023

Introduction: Acute respiratory infections remain one of the main causes of mortality in children aged 0 to 5. This work aimed to study the associated factors with the occurrence of acute respiratory infections in children 0 to 5 years old in Yénawa, Cotonou in 2023. Subjects and Method: It was an analytical cross-sectional study of children aged 0 - 5 years and their mothers in Yénawa, selected by four-degree random sampling. The sampling size, calculated using the Schwartz formula, was 126 children and 126 mothers. The dependent variable was the occurrence of acute respiratory infections. The independent variables were classified into four groups: socio-demographic and economic characteristics, behavioral factors, child-related factors, and environmental factors. Data collected by observation and questionnaire survey were analyzed using STATA version 15 software. Associated factors were investigated by bivariate analysis and multiple logistic regression, at the 5% significance level. Results: A total of 126 children aged 0 - 5 years and 126 mothers were surveyed, aged 23.5 (11 - 36) months and 30 (18 - 48) years respectively. The prevalence of acute respiratory infections was 74.60% (CI95% = 66.89 to 82.30). The associated factors were the mother’s age between 18 and 28 (OR = 10.77;CI95% = 1.89 to 61.27;p = 0.007), the use of charcoal/wood for cooking (OR = 7.36;IC = 1.99 to 27.10;p = 0.003)), children's poor personal hygiene (OR = 8.87;IC = 2.92 to 26.97;p 0.001)), and cohabitation with domestic animals (OR = 7.27;IC = 1.67 to 31.71;p = 0.015). Conclusion: Communicating with mothers about the factors identified will help reduce the prevalence of acute respiratory infections in children aged 0 to 5.

Factors Associated with Mortality in Children Aged 1 Month to 15 Years Hospitalized in the Pediatric Ward of the Kalaban-Coro Reference Health Center: Cross-Sectional Study

Introduction: Infant and child mortality is a worldwide concern, but developing countries such as Mali are more affected. The aim of this study was to investigate morbidity and factors associated with mortality in children aged 1 month to 15 years. Methodology: This was a cross-sectional study which took place from January 1 to December 31, 2020 covering children aged 1 month to 15 years hospitalized at the Kalaban-Coro CSRéf. Data were entered into Excel and analyzed using SPSS version 20 software. Results: Five hundred children aged 1 months to 15 years were included. The age range 1 to 5 years (53.6%) and male sex (58.2%) were the most represented. Malaria (72.2%), acute respiratory infections (6.2%) and diarrhea/dehydration (3%) were the main morbidities. Mortality was estimated at 10.6%, and the two main causes of death were malaria (56.6%) and acute respiratory infections (7.54%). Univariate analysis revealed a statistically significant association between the dependent variable (death) and age (p Conclusion: This study confirms the high rate of infant and child morbidity and mortality in our health facilities. Strengthening human resources and intensifying behavior-change communication can help reverse the trend.

Exploration of the Path of Intelligent Development of Continuing Education in the Digital Age

With the rapid development of big data and intelligent technology,opportunities and challenges coexist in continuing education work,and the integration of continuing education and intelligent education is imperative.Therefore,China’s continuing education should strengthen the construction of the education system,make long-term plans,strengthen overall management in system construction,promote the transformation of continuing education models,and accelerate the modernization process of education.Based on this,this article analyzes and studies the path of intelligent development of continuing education in the digital era,explores its inevitability,analyzes the main characteristics of intelligent continuing education,explores the problems of intelligent development of continuing education,and proposes strategies for the intelligent development of continuing education.

Analysis of Urban Public Building Space Design Strategies in the Digital Age

Urban public building spaces involve various aspects of people’s daily activities and interactions,making the rationality and scientific nature of the design of these spaces crucial.This article first discusses the role and impact of digitization in the design of public building spaces,covering aspects such as digital design methods,visual expression and presentation,augmented reality’s spatial interaction experience,and integrated design and construction.Following that,it analyzes the process of digitized urban public building space design by exploring topics like digital space design and modeling,visual representation of digital spaces,digital performance analysis of spaces,and the integration of digital projects.This article aims to provide insights and references for urban public building space design in the digital era.

The Association Between Daily Physical Activity and Risk of Hypertension in Middle-Aged and Older Adults:A Nationwide Cohort Study in China

Physical activity (PA) plays a key role in the treatment of hypertension, and moderate to vigorous PA has been documented to lower the risk of developing hypertension. However, dose-response relationships between PA and hypertension are not consistent, and little is known about this relationship within the Chinese middle-aged and older people. We investigated the relationship between PA and hypertension within this population using China Health and Nutrition Survey 1991-2015 data. Physical activity was expressed in terms of the metabolic equivalent task (MET) and participants were divided into groups according to quartiles, namely, Q1 (< 32.97 METs-h/w), Q2 (32.97-60.38 METs-h/ w), Q3 (60.38-98.95 METs-h/w), and Q4 (> 98.95 METs-h/w). Compared with the Q1 group, the odds ratio of risk with hypertension (95% CIs) after adjusting for confounding factors were 0.63 (0.35, 1.12), 0.49 (0.28, 0.86), and 0.62 (0.35, 1.09) for those in Q2, Q3, and Q4, respectively. Restricted cubic spline functions were used and a U-shaped relationship between physical activity and hypertension risk was found, indicative of an optimal level of physical activity, which was found to be 112 METs-h/w. Our data suggest maintenance of optimal levels of total daily physical activity may be important for preventing hypertension in Chinese adults over the age of 40.