Healthy behavior has long been linked to mental health outcomes.However,the role of artificial intelligence(AI)literacy in shaping healthy behaviors and its potential impact on mental health remains underexplored.This...Healthy behavior has long been linked to mental health outcomes.However,the role of artificial intelligence(AI)literacy in shaping healthy behaviors and its potential impact on mental health remains underexplored.This paper presents a scoping review offering a novel perspective on the intersection of healthy behaviors,mental health,and AI literacy.By examining how individuals’understanding of AI influences their choices regarding nutrition and their susceptibility to mental health issues,the current study explores emerging trends in health behavior decision-making.This emphasizes the need for integrating AI literacy into mental health and health behaviors education,as well as the development of AI-driven tools to support healthier behavior choices.It highlights that individuals with low AI literacy may misinterpret or overly depend on AI guidance,resulting in maladaptive health choices,while those with high AI literacy may be more likely to engage reflectively and sustain positive behaviors.The paper outlines the importance of inclusive education,user-centered design,and community-based support systems to enhance AI literacy for digitally marginalized groups.AI literacy may be positioned as a key determinant of health equity,better allowing for interdisciplinary strategies that empower individuals to make informed,autonomous decisions that promote both physical and mental health.展开更多
The national weight management campaign,part of the broader Healthy China strategy,enhances public health literacy,fosters healthy living habits,and creates supportive environments for sustained weight control.
Research on urban health constitutes an important issue in the field of health geography and also a strong propeller of the Healthy China Initiative.As the main form that realizes new-type urbanization,urban agglomera...Research on urban health constitutes an important issue in the field of health geography and also a strong propeller of the Healthy China Initiative.As the main form that realizes new-type urbanization,urban agglomerations should become the primal sites for the construction of a“Healthy China”.The evaluation of healthy cities’development in urban agglomerations has both theoretical and practical values.Based on the concept of urban health and its evaluation models,this paper developed an evaluation framework for healthy cities that involved multiple data sources.With 19 urban agglomerations in China as the research subjects,we used CRITIC weighting and geographical detectors to examine the geographies of healthy cities and their influencing factors in 2010 and 2020.The results were fourfold.Firstly,the urban health level of China significantly increased from 2010 to 2020,and the comprehensive health index developed towards a positive skewed distribution,along with a shift from“low in the hinterland-high in the coastal areas”to a“multipolar”pattern led by the coastal and southwest urban agglomerations.Secondly,among various dimensions of urban health,the healthy environment index became improved with narrowed regional differences;while the health services index was still polarized;health collaboration was upgraded with a strengthened intercity health network;the healthy population index slightly declined and converged to the middle.Thirdly,urban health in China has initially demonstrated the characteristics of a H-H pattern in the Yangtze River Delta and ChengduChongqing regions,as well as L-L clusters in the northern urban agglomerations,the narrowed regional differences,and increasing coordination within each urban agglomeration.Fourthly,the geographical detector found that economy,urbanization and the human capital were significant external factors that affected urban health development.The explanatory power of technological innovation and opening to the outside world were also increasing.The development of healthy cities is yet to be transformed into regional health integration.展开更多
Urban environments offer a wealth of opportunities for residents to respite from their hectic life.Outdoor running or jogging becomes increasingly popular of an option.Impacts of urban environments on outdoor running,...Urban environments offer a wealth of opportunities for residents to respite from their hectic life.Outdoor running or jogging becomes increasingly popular of an option.Impacts of urban environments on outdoor running,despite some initial studies,remain underexplored.This study aims to establish an analytical framework that can holistically assess the urban environment on the healthy vitality of running.The proposed framework is applied to two modern Chinese cities,i.e.,Guangzhou and Shenzhen.We construct three interpretable random forest models to explore the non-linear relationship between environmental variables and running intensity(RI)through analyzing the runners'trajectories and integrating with multi-source urban big data(e.g.,street view imagery,remote sensing,and socio-economic data)across the built,natural,and social dimensions,The findings uncover that road density has the greatest impact on RI,and social variables(e.g.,population density and housing price)and natural variables(e.g.,slope and humidity)all make notable impact on outdoor running.Despite these findings,the impact of environmental variables likely change across different regions due to disparate regional construction and micro-environments,and those specific impacts as well as optimal thresholds also alter.Therefore,construction of healthy cities should take the whole urban environment into account and adapt to local conditions.This study provides a comprehensive evaluation on the influencing variables of healthy vitality and guides sustainable urban planning for creating running-friendly cities.展开更多
BACKGROUND Shear wave elastography(SWE)is a non-invasive ultrasound-based technique used to assess tissue stiffness,which reflects underlying pathological changes.While SWE has been widely applied for liver fibrosis e...BACKGROUND Shear wave elastography(SWE)is a non-invasive ultrasound-based technique used to assess tissue stiffness,which reflects underlying pathological changes.While SWE has been widely applied for liver fibrosis evaluation,its application to other abdominal organs,such as the spleen and pancreas,is gaining interest.However,normal stiffness values and inter-system agreement remain poorly defined.AIM To assess the feasibility and agreement of liver,spleen,and pancreas stiffness using three SWE methods.METHODS This single-center observational study enrolled 50 healthy adult volunteers.Liver,spleen,and pancreas stiffness were assessed using three SWE methods:Point-SWE(p-QElaXto)and 2-Dimensional-SWE(2D-QElaXto)with Esaote MyLab 9,and 2D-SWE with SuperSonic Imagine.Feasibility,inter-operator reproducibility,and concordance among systems were evaluated.Stiffness was expressed as median kPa values,and technical reliability was assessed using the interquartile range/median ratio and stability index thresholds.RESULTS Liver and spleen stiffness assessment was feasible in>98%of patients,while pancreas stiffness was measurable in 84%-88%depending on the SWE technique.Mean liver stiffness ranged between 3.9-4.7 kPa across techniques,spleen stiffness ranged from 19.4-23.0 kPa,and pancreas stiffness from 5.2-7.6 kPa.Inter-operator agreement was excellent for liver(intraclass correlation coefficient>0.90)and good to moderate for spleen and pancreas(intraclass correlation coefficient from 0.43 to 0.90).Bland-Altman analysis confirmed good correlation but also systematic differences among devices,especially in pancreas measurements.CONCLUSION This is the first study to establish normal liver,spleen,and pancreas stiffness using MyLab 9 SWE integrated methods as compared to SuperSonic Imagine,with acceptable inter-technique agreement.Liver and spleen values matched existing guidelines;pancreas SWE showed more variability and reduced reproducibility.展开更多
The obesity epidemic continues to challenge global cardiovascular(CV)health,but not all obesity is equal.Emerging evidence underscores that distinct obesity phenotypes—particularly metabolically healthy vs unhealthy ...The obesity epidemic continues to challenge global cardiovascular(CV)health,but not all obesity is equal.Emerging evidence underscores that distinct obesity phenotypes—particularly metabolically healthy vs unhealthy profiles—confer differential CV risks.Recent large-scale studies have revealed that even metabol-ically healthy obesity(MHO)is associated with an increased risk of adverse CV events,particularly in the context of socioeconomic disadvantage.Central is the role of chronic low-grade inflammation,termed“metaflammation”,which can persist even in the absence of overt metabolic syndrome and is shaped by both gender and fat distribution.Epicardial and visceral adiposity contribute to this pro-inflammatory state and are strongly associated with conditions such as heart failure and atrial fibrillation.Notably,aging and hormonal changes,particularly in women,may destabilize MHO status,increasing CV vulnerability over time.This overview calls for a paradigm shift in cardiometabolic care,moving beyond anthropometric parameters toward a more refined assessment that incorporate inflammatory biomarkers,fat distribution and sex-specific factors.Recognizing these underlying biological and phenotypic differences enables more accurate CV risk stratification and supports the development of precision-based therapeutic strategies.Ultimately,understanding not just who is at risk,but why,is essential to improving prevention and outcomes across diverse populations facing the bur-den of obesity.展开更多
BACKGROUND Working memory serves as a fundamental cognitive function that substantially impacts performance in various cognitive tasks.Extensive neurophysiological research has established that theta oscillations(4-8 ...BACKGROUND Working memory serves as a fundamental cognitive function that substantially impacts performance in various cognitive tasks.Extensive neurophysiological research has established that theta oscillations(4-8 Hz)play an essential role in supporting working memory operations.Theta-band transcranial alternating current stimulation(tACS)offers a potential mechanism for working memory enhancement through direct modulation of these fundamental neural oscillations.Nevertheless,current empirical evidence shows substantial variability in the observed effects of theta-tACS across studies.AIM To conduct a systematic review and meta-analysis evaluating the effects of thetatACS on working memory performance in healthy adults.METHODS A systematic literature search was performed on PubMed,EMBASE,and Web of Science up to March 10,2025.Effect sizes were computed using Hedges’g with 95%confidence intervals(CIs),with separate meta-analyses for all included studies and for distinct working memory paradigms[n-back and delayed matchto-sample(DMTS)tasks]to examine potential task-specific effects.Subgroup analyses and meta-regression were performed to evaluate the influence of key moderating variables.RESULTS The systematic review included 21 studies(67 effect sizes).Initial meta-analysis showed theta-tACS moderately improved working memory(Hedges’g=0.405,95%CI:0.212-0.598).However,this effect became nonsignificant after correcting for publication bias(trim-and-fill adjusted Hedges’g=0.082,95%CI:-0.052 to 0.217).Task-specific analyses revealed significant benefits in n-back tasks(Hedges’g=0.463,95%CI:0.193-0.733)but not in DMTS tasks(Hedges’g=0.257,95%CI:-0.186 to 0.553).Moderator analyses showed that performance in n-back tasks was influenced by stimulation frequency(P=0.001),concurrent status(P=0.014),task modality(P=0.005),and duration(P=0.013),whereas only the region of targeted stimulation(P=0.012)moderated DMTS tasks.CONCLUSION Theta-tACS enhances working memory in healthy adults,with effects modulated by the task type and protocol parameters,offering dual implications for cognitive enhancement and clinical interventions.展开更多
Objective To examine the mechanistic of organochlorine-associated changes in lung function.Methods This study investigated 76 healthy older adults in Jinan,Shandong Province,over a fivemonth period.Personal exposure t...Objective To examine the mechanistic of organochlorine-associated changes in lung function.Methods This study investigated 76 healthy older adults in Jinan,Shandong Province,over a fivemonth period.Personal exposure to organochlorines was quantified using wearable passive samplers,while inflammatory factors and thyroid hormones were analyzed from blood samples.Participants’lung function was evaluated.After stratifying participants according to their thyroid hormone levels,we analyzed the differential effects of organochlorine exposure on lung function and inflammatory factors across the low and high thyroid hormone groups.Mediation analysis was further conducted to elucidate the relationships among organochlorine exposures,inflammatory factors,and lung function.Results Bis(2-chloro-1-methylethyl)ether(BCIE),was negatively associated with forced vital capacity(FVC,–2.05%,95%CI:–3.11%to–0.97%),and associated with changes in inflammatory factors such as interleukin(IL)-2,IL-7,IL-8,and IL-13 in the low thyroid hormone group.The mediation analysis indicated a mediating effect of IL-2(15.63%,95%CI:0.91%to 44.64%)and IL-13(13.94%,95%CI:0.52%to 41.07%)in the association between BCIE exposure and FVC.Conclusion Lung function and inflammatory factors exhibited an increased sensitivity to organochlorine exposure at lower thyroid hormone levels,with inflammatory factors potentially mediating the adverse effects of organochlorines on lung function.展开更多
With the civilization and modernization of human society,occupational health has emerged as a fundamental goal of social justice,as highlighted in the United Nations'Sustainable Development Goals(SDGs)since 2016.S...With the civilization and modernization of human society,occupational health has emerged as a fundamental goal of social justice,as highlighted in the United Nations'Sustainable Development Goals(SDGs)since 2016.Specifically,"SDG Goal 1:No Poverty","SDG 3:Good Health and Well-being",and"SDG 8:Decent Work and Economic Growth",are interconnected with other SDGs to support the pursuit of occupational health.展开更多
With the accelerating pace of population aging in China,various issues related to elderly care have emerged one after another,becoming a severe social problem.Especially against the backdrop of increasing economic pre...With the accelerating pace of population aging in China,various issues related to elderly care have emerged one after another,becoming a severe social problem.Especially against the backdrop of increasing economic pressure,the traditional family-based elderly care model is facing significant challenges and can hardly meet the elderly care needs.At present,the geriatric nursing models are relatively backward,which directly affects the quality of daily life,physical health and mental well-being of the elderly.Therefore,it is necessary to explore an appropriate geriatric nursing model to address the aging problem.Based on this,this paper analyzes and studies the current situation of geriatric nursing models under the background of healthy aging,providing references for relevant research and practice.展开更多
Objectives This study aimed to quantify the impact of major chronic diseases on changes in healthy life expectancy(HLE)from 2011 to 2020 in China using an age-specific disability weights(DW)estimation method.Methods H...Objectives This study aimed to quantify the impact of major chronic diseases on changes in healthy life expectancy(HLE)from 2011 to 2020 in China using an age-specific disability weights(DW)estimation method.Methods HLE at age 60(HLE_(60))was used as the indicator of HLE in China.Cause-specific mortality rates were obtained from the cause-of-death database of the National Health Commission.Selfreported disease and disability status were derived from the China Health and Retirement Longitudinal Study.A total of 55,861 participants were included for DW estimation.Rates of disability,which was assessed using the Activities of Daily Living questionnaires,were estimated using data from 5,465 participants in 2011 and 9,910 participants in 2020.Age-specific DWs were calculated using a Bayesian logistic regression model.Changes in HLE_(60) were decomposed into mortality and disability effects by cause,based on the estimated DWs.Results HLE_(60) in China increased by 0.83 years from 2011 to 2020.Ischemic heart disease(IHD)contributed the most to the decline in HLE_(60),remaining the leading cause of reduction in terms of mortality effects.Diabetes showed the greatest impact on HLE_(60) due to disability,followed by stroke.The largest sex disparities in HLE_(60) were associated with disability from arthritis.Conclusion HLE_(60) in China improved from 2011 to 2020 and IHD remained the leading contributor to its decline,particularly through increased mortality.Disabilities related to diabetes,stroke,and arthritis had significant negative impacts.These findings highlight the need to strengthen integrated chronic disease prevention and rehabilitation services at community health centers.展开更多
Under the background of the“Healthy China”strategy,preventive medicine courses shoulder the responsibility of cultivating students’health literacy and strengthening their sense of social responsibility.As a key par...Under the background of the“Healthy China”strategy,preventive medicine courses shoulder the responsibility of cultivating students’health literacy and strengthening their sense of social responsibility.As a key part of education in the new era,ideological and political education in courses should not only focus on knowledge transmission but also emphasize the integration of ideological and political education.By exploring the implementation path of ideological and political education in preventive medicine courses under the“Healthy China”strategy,this paper proposes the organic combination of course content and ideological and political education,focusing on how to integrate socialist core values into teaching,and enhance students’health awareness,social responsibility,and national identity.展开更多
This study aimed to evaluate the association of a healthy lifestyle pattern with mortality risk among patients with type 2 diabetes mellitus(T2DM).Data were derived from a prospective cohort study enrolling 13776Chine...This study aimed to evaluate the association of a healthy lifestyle pattern with mortality risk among patients with type 2 diabetes mellitus(T2DM).Data were derived from a prospective cohort study enrolling 13776Chinese patients with T2DM.A healthy lifestyle pattern was constructed based on six lifestyle factors,including smoking status,alcohol consumption,dietary habits,physical activity,sedentary time,and sleep duration.Multivariate Cox proportional hazards models were used to estimate hazard ratios(HRs)and 95%confidence intervals(CIs)for all-cause and cause-specific mortality.During a median follow-up of 9.78 years,2497 deaths were recorded.Compared with T2DM patients with a lifestyle pattern scoring 0–2,those scoring 5–6 had a 40%lower risk for all-cause mortality(HR=0.60,95%CI:0.52–0.69),a 33%lower risk for cardiovascular disease mortality(HR=0.67,95%CI:0.52–0.86),and a 25%lower risk for cancer mortality(HR=0.75,95%CI:0.58–0.97).Additionally,we found that the association between the lifestyle pattern and all-cause mortality risk was stronger in females than in males(P for interaction<0.05).In conclusion,adherence to a healthy lifestyle pattern is associated with a decreased risk of all-cause,cardiovascular disease,and cancer mortality.These findings have important implications for reducing premature mortality among patients with T2DM.展开更多
Background Both medication and non-medication therapies are effective approaches to control blood pressure (BP) in hypertension patients.However,the association of joint changes in antihypertensive medication use and ...Background Both medication and non-medication therapies are effective approaches to control blood pressure (BP) in hypertension patients.However,the association of joint changes in antihypertensive medication use and healthy lifestyle index (HLI)with BP control among hypertension patients is seldom reported,which needs to provide more evidence by prospective intervention studies.We examined the association of antihypertensive medication use and HLI with BP control among employees with hypertension in China based on a workplace-based multicomponent intervention program.Methods Between January 2013 and December 2014,a cluster randomized clinical trial of a workplace-based multicomponent intervention program was conducted in 60 workplaces across 20 urban areas in China.Workplaces were randomly divided into intervention (n=40) and control (n=20) groups.Basic information on employees at each workplace was collected by trained professionals,including sociodemographic characteristics,medical history,family history,lifestyle behaviors,medication status and physical measurements.After baseline,the intervention group received a 2-year intervention to achieve BP control,which included:(1) a workplace wellness program for all employees;(2) a guidelines-oriented hypertension management protocol.HLI including nonsmoking,nondrinking,adequate physical activity,weight within reference range and balanced diet,were coded on a 5-point scale (range:0-5,with higher score indicating a healthier lifestyle).Antihypertensive medication use was defined as taking drug within the last 2 weeks.Changes in HLI,antihypertensive medication use and BP control from baseline to 24 months were measured after the intervention.Results Overall,4655 employees were included (age:46.3±7.6 years,men:3547 (82.3%)).After 24 months of the intervention,there was a significant improvement in lifestyle[smoking (OR=0.65,95%CI:0.43-0.99;P=0.045),drinking (OR=0.52,95%CI:0.40-0.68;P<0.001),regular exercise (OR=3.10,95%CI:2.53-3.78;P<0.001),excessive intake of fatty food (OR=0.17,95%CI:0.06-0.52;P=0.002),restrictive use of salt (OR=0.26,95%CI:0.12-0.56;P=0.001)].Compare to employees with a deteriorating lifestyle after the intervention,those with an improved lifestyle had a higher BP control.In the intervention group,compared with employees not using antihypertensive medication,those who consistent used (OR=2.34;95%CI:1.16-4.72;P=0.017) or changed from not using to using antihypertensive medication (OR=2.24;95%CI:1.08-4.62;P=0.030) had higher BP control.Compared with those having lower HLI,participants with a same (OR=1.38;95%CI:0.99-1.93;P=0.056) or high (OR=1.79;95%CI:1.27~2.53;P<0.001) HLI had higher BP control.Those who used antihypertensive medication and had a high HLI had the highest BP control (OR=1.88;95%CI:1.32-2.67,P<0.001).Subgroup analysis also showed the consistent effect as the above.Conclusion These findings suggest that adherence to antihypertensive medication treatment and healthy lifestyle were associated with a significant improvement in BP control among employees with hypertension.展开更多
BACKGROUND There is widespread debate about the impact of metabolically healthy obesity(MHO)on cardiovascular outcomes.However,studies have not exclusively examined the impact of MHO on cardiovascular outcomes in the ...BACKGROUND There is widespread debate about the impact of metabolically healthy obesity(MHO)on cardiovascular outcomes.However,studies have not exclusively examined the impact of MHO on cardiovascular outcomes in the postmeno-pausal population.AIM To explore the prevalence of MHO and its relationship with hospitalization outcomes,including major adverse cardiac or cerebrovascular events(MACCE),in postmenopausal women.METHODS We extracted data from the National Inpatient Sample 2020 database using International Classification of Disease,Tenth Revision,Clinical Modification codes for all admissions of postmenopausal women.We excluded patients with diabetes,hypertension,and hyperlipidemia to obtain metabolically healthy patients and then identified patients with obesity to create obese and non-obese cohorts.We used a 1:1 propensity score matching method to match patients with and without MHO based on age,and then we did a multivariable regression analysis for in-hospital MACCE.RESULTS In 2020,1304185 metabolically healthy postmenopausal women were admitted;148250(11.4%)had MHO.After propensity score matching for age,a statistically significant difference was observed in overall MACCE[odds ratio(OR):1.08,95%confidence interval(CI):1.01-1.16,P=0.028]among MHO and non-MHO cohorts,especially in patients of African-American ethnicity(OR:1.23,95%CI:1.01-1.49,P=0.035)and the lowermost income quartile(OR:1.24,95%CI:1.06-1.44,P=0.007).CONCLUSION Postmenopausal patients with MHO are at risk of MACCE,especially black patients and those with lower incomes.Larger prospective studies can demystify MHO’s impact on cardiovascular outcomes among postmenopausal women.展开更多
Considering student obesity problem,this study investigated Chilean teachers’behavioral intentions to include two anti-obesity health messages into their classroom teaching activities,which belonged to the“Choose to...Considering student obesity problem,this study investigated Chilean teachers’behavioral intentions to include two anti-obesity health messages into their classroom teaching activities,which belonged to the“Choose to Live Healthy”campaign.Using the traditional model of the Theory of Planned Behavior(TPB;Ajzen,1985),three research questions were answered:(a)Which of the two messages from the“Choose to Live Healthy”Campaign are known by Chilean schools’teachers?(b)According to the level of knowledge of each message declared by teachers,how do the TPB model and its subcomponents explain teachers’intentions variability to include an anti-obesity message based on the campaign studied in their teaching activities?and(c)Based on the knowledge declared by teachers of the campaign messages,do the TPB model’s subcomponents explain the variability on teachers’intentions to include the anti-obesity content of the campaign message in their teaching activities by types of schools?A total of 245 Chilean teachers were surveyed across three different types of schools.Results from regression analysis confirmed that five of the TPB subcomponents made a fundamental contribution to examine the variability of the theoretical framework upon teachers’behavioral intentions,with the exemption of perceived behavioral control autonomy.This study confirmed the great relevance and effectiveness of the TPB model to contribute to the interpretation of behavioral intentions variability across different types of contexts.Implications for health campaigns are mentioned.展开更多
Background:Obesity remains a major global health challenge,closely linked to individuals'health beliefs and lifestyle behaviors.Descriptive and relational research methods were used to ascertain the correlation be...Background:Obesity remains a major global health challenge,closely linked to individuals'health beliefs and lifestyle behaviors.Descriptive and relational research methods were used to ascertain the correlation between health beliefs and healthy lifestyle behaviors in obese individuals based on the Health Belief Model.Methods:The population of the research are obese individuals who are treated in the internal medicine clinic in a state hospital in Diyarbakır and applied to a dietitian.Based on power analysis,the study’s sample consisted of 192 obese people.The health belief model scale in obese individuals(HBMSO),the Healthy Lifestyle Behaviors Scale-II(HLBS-II),and the Personal Information Form were used to gather the data.The data was evaluated using the following methods:mean,standard deviation,linear regression analysis,Mann-Whitney U test,Kruskal-Wallis test,Shapiro Wilk and Kolmogorov Smirnov tests,post-hoc Dunn-Benferronni tests,Pearson and Spearman correlation,and others.Results:It was determined that 26.0%of obese individuals were in the 46–55 age range,63.5%were female,64.6%were married,60.4%had a BMI in the range of 30–34.9 kg/m^(2),and 42.7%partially exercised.All sub-dimensions and HBMSO sub-dimensions had statistically significant correlation with the HLBS-II total score.The linear regression analysis results used to identify the predictors of the HLBS-II total score showed that the increase in the level of education and the HBMSO“Importance of Health”sub-dimension score increased the HLBS-II total score,while not exercising and an increase in the HBMSO“Obstacle Perception”sub-dimension score decreased the HLBS-II total score.Conclusion:Individuals’health attitudes have a major impact on leading a healthy lifestyle,which is consistent with the research results.展开更多
Objective To observe the effects of cupping on blood flow under different skins of back in healthy human. Methods With meridian-cupping dredging apparatus to set cupping pressure at -0.04 MPa, cupping was applied at D...Objective To observe the effects of cupping on blood flow under different skins of back in healthy human. Methods With meridian-cupping dredging apparatus to set cupping pressure at -0.04 MPa, cupping was applied at Dhzhui （大椎 GV 14） and bilateral Dazhu （大杼 BL 11） for 10 min in healthy subject. Blood flow monitoring video system of laser speckle was used to record blood flow of GV 14, Shenzhu （身柱 GV 12）, bilateral Feishu （肺俞 BL 13） and Xinshu （心俞 BL 15） before cupping therapy, immediate time of cupping removal and 5 min, 10 rain, 15 min, 20 min, 25 rain and 30 rain after cupping removal. Results Compared before cupping therapy, the blood flow of GV 14, GV 12 and bilateral BL 13 was obviously increased at immediate time of cupping removal （all P〈0.05）. Compared with immediate time of cupping removal, the blood flow of GV 14 at each time point after 20 rain of cupping removal, GV 12 at 10 min and 15 min after cupping removal, bilateral BL 13 at each time point after cupping removal was all obviously decreased （all P〈0.05）. The difference of blood flow of Shendao （神道 GV 11） and bilateral BL 15 before and after cupping therapy was not significantly different （all P〉0.05）. Conclusion The cupping therapy could adjust skin blood flow, which is more obvious near the cupping area.展开更多
Based on the author＇s practice in river harnessing, this paper defines that a healthy river is a river whose social and natural functions can be balanced or compromised in terms of the socio-economic, ecological and ...Based on the author＇s practice in river harnessing, this paper defines that a healthy river is a river whose social and natural functions can be balanced or compromised in terms of the socio-economic, ecological and environmental values associated with the river. The environmental values of river systems should be judged according to the following criteria： the signal of a healthy river should be associated with favorable riverbed, acceptable water quality, sustainable river ecosystem and compatible runoff. The river health criterion should reflect the river＇s natural function status which includes the riverbed, water quality, river ecosystem and runoff. But, the variety and quantity would be different for different rivers depending on different natural features and social background. The standards to be adopted for a healthy river should be determined according to the requirements for maintaining river＇s normal natural functions and the extent whether the social and natural functions could perform in a balanced way, and also the standards adopted should be adjusted according to the change of the given conditions. The key factor of river health is the enough and clean flow. The authors stressed that human activities would hurt the river health which include excessive water di- version and excessive power generation from the river, improper regulation of flood and sediment, and over discharge of sewage into the river and over change in fish habitat. Taking the Yellow River as a case, this paper also discussed the method to identify what are the standards of a healthy river as well as environmental flows.展开更多
AIM： To evaluate the gastro-protective effect of capsaicin against the ethanol- and indomethacin （IND）-induced gastric mucosal damage in healthy human subjects. METHODS： The effects of small doses （1-8 μg/mL, 10...AIM： To evaluate the gastro-protective effect of capsaicin against the ethanol- and indomethacin （IND）-induced gastric mucosal damage in healthy human subjects. METHODS： The effects of small doses （1-8 μg/mL, 100 mL） of capsaicin on the gastric acid secretion basal acid output （BAO） and its electrolyte concentration, gastric transmucosal potential difference （GTPD）, ethanol- （5 mL 300 mL/L i.g.） and IND- （3×25 mg/d） induced gastric mucosal damage were tested in a randomized, prospective study of 84 healthy human subjects. The possible role of desensitization of capsaicin-sensitive afferents was tested by repeated exposures and during a prolonged treatment. RESULTS： Intragastric application of capsaicin decreased the BAO and enhanced “non-parietal” component, GTPD in a dose-dependent manner. The decrease of GTPD evoked by ethanol was inhibited by the capsaicin application, which was reproducible. Gastric microbleeding induced by IND was inhibited by co-administration with capsaicin, but was not influenced by two weeks pretreatment with a daily capsaicin dose of 3×400μg i.g. CONCLUSION： Capsaicin in low concentration range protects against gastric injuries induced by ethanol or IND, which is attributed to stimulation of the sensory nerve endings.展开更多
文摘Healthy behavior has long been linked to mental health outcomes.However,the role of artificial intelligence(AI)literacy in shaping healthy behaviors and its potential impact on mental health remains underexplored.This paper presents a scoping review offering a novel perspective on the intersection of healthy behaviors,mental health,and AI literacy.By examining how individuals’understanding of AI influences their choices regarding nutrition and their susceptibility to mental health issues,the current study explores emerging trends in health behavior decision-making.This emphasizes the need for integrating AI literacy into mental health and health behaviors education,as well as the development of AI-driven tools to support healthier behavior choices.It highlights that individuals with low AI literacy may misinterpret or overly depend on AI guidance,resulting in maladaptive health choices,while those with high AI literacy may be more likely to engage reflectively and sustain positive behaviors.The paper outlines the importance of inclusive education,user-centered design,and community-based support systems to enhance AI literacy for digitally marginalized groups.AI literacy may be positioned as a key determinant of health equity,better allowing for interdisciplinary strategies that empower individuals to make informed,autonomous decisions that promote both physical and mental health.
文摘The national weight management campaign,part of the broader Healthy China strategy,enhances public health literacy,fosters healthy living habits,and creates supportive environments for sustained weight control.
基金National Natural Science Foundation of China,No.42171216,No.71733001Key R&D Program of Beijing Municipal Education Commission,No.KZ202210038047Tsinghua University Initiative Scientific Research Program,No.2022THZWJC15。
文摘Research on urban health constitutes an important issue in the field of health geography and also a strong propeller of the Healthy China Initiative.As the main form that realizes new-type urbanization,urban agglomerations should become the primal sites for the construction of a“Healthy China”.The evaluation of healthy cities’development in urban agglomerations has both theoretical and practical values.Based on the concept of urban health and its evaluation models,this paper developed an evaluation framework for healthy cities that involved multiple data sources.With 19 urban agglomerations in China as the research subjects,we used CRITIC weighting and geographical detectors to examine the geographies of healthy cities and their influencing factors in 2010 and 2020.The results were fourfold.Firstly,the urban health level of China significantly increased from 2010 to 2020,and the comprehensive health index developed towards a positive skewed distribution,along with a shift from“low in the hinterland-high in the coastal areas”to a“multipolar”pattern led by the coastal and southwest urban agglomerations.Secondly,among various dimensions of urban health,the healthy environment index became improved with narrowed regional differences;while the health services index was still polarized;health collaboration was upgraded with a strengthened intercity health network;the healthy population index slightly declined and converged to the middle.Thirdly,urban health in China has initially demonstrated the characteristics of a H-H pattern in the Yangtze River Delta and ChengduChongqing regions,as well as L-L clusters in the northern urban agglomerations,the narrowed regional differences,and increasing coordination within each urban agglomeration.Fourthly,the geographical detector found that economy,urbanization and the human capital were significant external factors that affected urban health development.The explanatory power of technological innovation and opening to the outside world were also increasing.The development of healthy cities is yet to be transformed into regional health integration.
基金National Natural Science Foundation of China,No.42171455The Hong Kong RGC Research Impact Fund,No.R5011-23The Hong Kong General Research Fund,No.15204121。
文摘Urban environments offer a wealth of opportunities for residents to respite from their hectic life.Outdoor running or jogging becomes increasingly popular of an option.Impacts of urban environments on outdoor running,despite some initial studies,remain underexplored.This study aims to establish an analytical framework that can holistically assess the urban environment on the healthy vitality of running.The proposed framework is applied to two modern Chinese cities,i.e.,Guangzhou and Shenzhen.We construct three interpretable random forest models to explore the non-linear relationship between environmental variables and running intensity(RI)through analyzing the runners'trajectories and integrating with multi-source urban big data(e.g.,street view imagery,remote sensing,and socio-economic data)across the built,natural,and social dimensions,The findings uncover that road density has the greatest impact on RI,and social variables(e.g.,population density and housing price)and natural variables(e.g.,slope and humidity)all make notable impact on outdoor running.Despite these findings,the impact of environmental variables likely change across different regions due to disparate regional construction and micro-environments,and those specific impacts as well as optimal thresholds also alter.Therefore,construction of healthy cities should take the whole urban environment into account and adapt to local conditions.This study provides a comprehensive evaluation on the influencing variables of healthy vitality and guides sustainable urban planning for creating running-friendly cities.
文摘BACKGROUND Shear wave elastography(SWE)is a non-invasive ultrasound-based technique used to assess tissue stiffness,which reflects underlying pathological changes.While SWE has been widely applied for liver fibrosis evaluation,its application to other abdominal organs,such as the spleen and pancreas,is gaining interest.However,normal stiffness values and inter-system agreement remain poorly defined.AIM To assess the feasibility and agreement of liver,spleen,and pancreas stiffness using three SWE methods.METHODS This single-center observational study enrolled 50 healthy adult volunteers.Liver,spleen,and pancreas stiffness were assessed using three SWE methods:Point-SWE(p-QElaXto)and 2-Dimensional-SWE(2D-QElaXto)with Esaote MyLab 9,and 2D-SWE with SuperSonic Imagine.Feasibility,inter-operator reproducibility,and concordance among systems were evaluated.Stiffness was expressed as median kPa values,and technical reliability was assessed using the interquartile range/median ratio and stability index thresholds.RESULTS Liver and spleen stiffness assessment was feasible in>98%of patients,while pancreas stiffness was measurable in 84%-88%depending on the SWE technique.Mean liver stiffness ranged between 3.9-4.7 kPa across techniques,spleen stiffness ranged from 19.4-23.0 kPa,and pancreas stiffness from 5.2-7.6 kPa.Inter-operator agreement was excellent for liver(intraclass correlation coefficient>0.90)and good to moderate for spleen and pancreas(intraclass correlation coefficient from 0.43 to 0.90).Bland-Altman analysis confirmed good correlation but also systematic differences among devices,especially in pancreas measurements.CONCLUSION This is the first study to establish normal liver,spleen,and pancreas stiffness using MyLab 9 SWE integrated methods as compared to SuperSonic Imagine,with acceptable inter-technique agreement.Liver and spleen values matched existing guidelines;pancreas SWE showed more variability and reduced reproducibility.
文摘The obesity epidemic continues to challenge global cardiovascular(CV)health,but not all obesity is equal.Emerging evidence underscores that distinct obesity phenotypes—particularly metabolically healthy vs unhealthy profiles—confer differential CV risks.Recent large-scale studies have revealed that even metabol-ically healthy obesity(MHO)is associated with an increased risk of adverse CV events,particularly in the context of socioeconomic disadvantage.Central is the role of chronic low-grade inflammation,termed“metaflammation”,which can persist even in the absence of overt metabolic syndrome and is shaped by both gender and fat distribution.Epicardial and visceral adiposity contribute to this pro-inflammatory state and are strongly associated with conditions such as heart failure and atrial fibrillation.Notably,aging and hormonal changes,particularly in women,may destabilize MHO status,increasing CV vulnerability over time.This overview calls for a paradigm shift in cardiometabolic care,moving beyond anthropometric parameters toward a more refined assessment that incorporate inflammatory biomarkers,fat distribution and sex-specific factors.Recognizing these underlying biological and phenotypic differences enables more accurate CV risk stratification and supports the development of precision-based therapeutic strategies.Ultimately,understanding not just who is at risk,but why,is essential to improving prevention and outcomes across diverse populations facing the bur-den of obesity.
基金Supported by Shanghai Municipal Health Commission’s Special Clinical Research Project for the Hygiene Industry,No.20244Y0041Youth Initiation Fund of Naval Medical University,No.2023QN028 and No.2023QN030。
文摘BACKGROUND Working memory serves as a fundamental cognitive function that substantially impacts performance in various cognitive tasks.Extensive neurophysiological research has established that theta oscillations(4-8 Hz)play an essential role in supporting working memory operations.Theta-band transcranial alternating current stimulation(tACS)offers a potential mechanism for working memory enhancement through direct modulation of these fundamental neural oscillations.Nevertheless,current empirical evidence shows substantial variability in the observed effects of theta-tACS across studies.AIM To conduct a systematic review and meta-analysis evaluating the effects of thetatACS on working memory performance in healthy adults.METHODS A systematic literature search was performed on PubMed,EMBASE,and Web of Science up to March 10,2025.Effect sizes were computed using Hedges’g with 95%confidence intervals(CIs),with separate meta-analyses for all included studies and for distinct working memory paradigms[n-back and delayed matchto-sample(DMTS)tasks]to examine potential task-specific effects.Subgroup analyses and meta-regression were performed to evaluate the influence of key moderating variables.RESULTS The systematic review included 21 studies(67 effect sizes).Initial meta-analysis showed theta-tACS moderately improved working memory(Hedges’g=0.405,95%CI:0.212-0.598).However,this effect became nonsignificant after correcting for publication bias(trim-and-fill adjusted Hedges’g=0.082,95%CI:-0.052 to 0.217).Task-specific analyses revealed significant benefits in n-back tasks(Hedges’g=0.463,95%CI:0.193-0.733)but not in DMTS tasks(Hedges’g=0.257,95%CI:-0.186 to 0.553).Moderator analyses showed that performance in n-back tasks was influenced by stimulation frequency(P=0.001),concurrent status(P=0.014),task modality(P=0.005),and duration(P=0.013),whereas only the region of targeted stimulation(P=0.012)moderated DMTS tasks.CONCLUSION Theta-tACS enhances working memory in healthy adults,with effects modulated by the task type and protocol parameters,offering dual implications for cognitive enhancement and clinical interventions.
基金supported by the National Key Research and Development Program of China(No.2022YFC3702700)the National Natural Science Foundation of China(No.82025030)the National Research Program for Key Issues in Air Pollution Control of China(No.DQGG0401)。
文摘Objective To examine the mechanistic of organochlorine-associated changes in lung function.Methods This study investigated 76 healthy older adults in Jinan,Shandong Province,over a fivemonth period.Personal exposure to organochlorines was quantified using wearable passive samplers,while inflammatory factors and thyroid hormones were analyzed from blood samples.Participants’lung function was evaluated.After stratifying participants according to their thyroid hormone levels,we analyzed the differential effects of organochlorine exposure on lung function and inflammatory factors across the low and high thyroid hormone groups.Mediation analysis was further conducted to elucidate the relationships among organochlorine exposures,inflammatory factors,and lung function.Results Bis(2-chloro-1-methylethyl)ether(BCIE),was negatively associated with forced vital capacity(FVC,–2.05%,95%CI:–3.11%to–0.97%),and associated with changes in inflammatory factors such as interleukin(IL)-2,IL-7,IL-8,and IL-13 in the low thyroid hormone group.The mediation analysis indicated a mediating effect of IL-2(15.63%,95%CI:0.91%to 44.64%)and IL-13(13.94%,95%CI:0.52%to 41.07%)in the association between BCIE exposure and FVC.Conclusion Lung function and inflammatory factors exhibited an increased sensitivity to organochlorine exposure at lower thyroid hormone levels,with inflammatory factors potentially mediating the adverse effects of organochlorines on lung function.
文摘With the civilization and modernization of human society,occupational health has emerged as a fundamental goal of social justice,as highlighted in the United Nations'Sustainable Development Goals(SDGs)since 2016.Specifically,"SDG Goal 1:No Poverty","SDG 3:Good Health and Well-being",and"SDG 8:Decent Work and Economic Growth",are interconnected with other SDGs to support the pursuit of occupational health.
文摘With the accelerating pace of population aging in China,various issues related to elderly care have emerged one after another,becoming a severe social problem.Especially against the backdrop of increasing economic pressure,the traditional family-based elderly care model is facing significant challenges and can hardly meet the elderly care needs.At present,the geriatric nursing models are relatively backward,which directly affects the quality of daily life,physical health and mental well-being of the elderly.Therefore,it is necessary to explore an appropriate geriatric nursing model to address the aging problem.Based on this,this paper analyzes and studies the current situation of geriatric nursing models under the background of healthy aging,providing references for relevant research and practice.
基金National Key Research and Development Plan of China(2022YFC3600800)Shenzhen Medical Academy of Research and Translation(Grants C2302001)。
文摘Objectives This study aimed to quantify the impact of major chronic diseases on changes in healthy life expectancy(HLE)from 2011 to 2020 in China using an age-specific disability weights(DW)estimation method.Methods HLE at age 60(HLE_(60))was used as the indicator of HLE in China.Cause-specific mortality rates were obtained from the cause-of-death database of the National Health Commission.Selfreported disease and disability status were derived from the China Health and Retirement Longitudinal Study.A total of 55,861 participants were included for DW estimation.Rates of disability,which was assessed using the Activities of Daily Living questionnaires,were estimated using data from 5,465 participants in 2011 and 9,910 participants in 2020.Age-specific DWs were calculated using a Bayesian logistic regression model.Changes in HLE_(60) were decomposed into mortality and disability effects by cause,based on the estimated DWs.Results HLE_(60) in China increased by 0.83 years from 2011 to 2020.Ischemic heart disease(IHD)contributed the most to the decline in HLE_(60),remaining the leading cause of reduction in terms of mortality effects.Diabetes showed the greatest impact on HLE_(60) due to disability,followed by stroke.The largest sex disparities in HLE_(60) were associated with disability from arthritis.Conclusion HLE_(60) in China improved from 2011 to 2020 and IHD remained the leading contributor to its decline,particularly through increased mortality.Disabilities related to diabetes,stroke,and arthritis had significant negative impacts.These findings highlight the need to strengthen integrated chronic disease prevention and rehabilitation services at community health centers.
文摘Under the background of the“Healthy China”strategy,preventive medicine courses shoulder the responsibility of cultivating students’health literacy and strengthening their sense of social responsibility.As a key part of education in the new era,ideological and political education in courses should not only focus on knowledge transmission but also emphasize the integration of ideological and political education.By exploring the implementation path of ideological and political education in preventive medicine courses under the“Healthy China”strategy,this paper proposes the organic combination of course content and ideological and political education,focusing on how to integrate socialist core values into teaching,and enhance students’health awareness,social responsibility,and national identity.
基金supported by the Jiangsu Provincial Health Commission Medical Research Project(Grant Nos.M2020085 to J.S.and H2023022 to X.F.)the Outstanding Youth Fund of Jiangsu Natural Science Foundation(Grant No.BK20230005 to D.H.)Suzhou Science and Technology Bureau Livelihood Technology-Technology Demonstration Project(Grant No.SS202010 to Y.L.)。
文摘This study aimed to evaluate the association of a healthy lifestyle pattern with mortality risk among patients with type 2 diabetes mellitus(T2DM).Data were derived from a prospective cohort study enrolling 13776Chinese patients with T2DM.A healthy lifestyle pattern was constructed based on six lifestyle factors,including smoking status,alcohol consumption,dietary habits,physical activity,sedentary time,and sleep duration.Multivariate Cox proportional hazards models were used to estimate hazard ratios(HRs)and 95%confidence intervals(CIs)for all-cause and cause-specific mortality.During a median follow-up of 9.78 years,2497 deaths were recorded.Compared with T2DM patients with a lifestyle pattern scoring 0–2,those scoring 5–6 had a 40%lower risk for all-cause mortality(HR=0.60,95%CI:0.52–0.69),a 33%lower risk for cardiovascular disease mortality(HR=0.67,95%CI:0.52–0.86),and a 25%lower risk for cancer mortality(HR=0.75,95%CI:0.58–0.97).Additionally,we found that the association between the lifestyle pattern and all-cause mortality risk was stronger in females than in males(P for interaction<0.05).In conclusion,adherence to a healthy lifestyle pattern is associated with a decreased risk of all-cause,cardiovascular disease,and cancer mortality.These findings have important implications for reducing premature mortality among patients with T2DM.
基金supported by grant 2011BAI11B01 from the Projects in the Chinese National Science and Technology Pillar Program during the 12th Five-year Plan Periodby grant 2017-I2M-1-004 from the Chinese Academy of Medical Science Innovation Fund for Medical Sciencesby the Major science and technology special plan project of Yunnan Province (202302AA310045)。
文摘Background Both medication and non-medication therapies are effective approaches to control blood pressure (BP) in hypertension patients.However,the association of joint changes in antihypertensive medication use and healthy lifestyle index (HLI)with BP control among hypertension patients is seldom reported,which needs to provide more evidence by prospective intervention studies.We examined the association of antihypertensive medication use and HLI with BP control among employees with hypertension in China based on a workplace-based multicomponent intervention program.Methods Between January 2013 and December 2014,a cluster randomized clinical trial of a workplace-based multicomponent intervention program was conducted in 60 workplaces across 20 urban areas in China.Workplaces were randomly divided into intervention (n=40) and control (n=20) groups.Basic information on employees at each workplace was collected by trained professionals,including sociodemographic characteristics,medical history,family history,lifestyle behaviors,medication status and physical measurements.After baseline,the intervention group received a 2-year intervention to achieve BP control,which included:(1) a workplace wellness program for all employees;(2) a guidelines-oriented hypertension management protocol.HLI including nonsmoking,nondrinking,adequate physical activity,weight within reference range and balanced diet,were coded on a 5-point scale (range:0-5,with higher score indicating a healthier lifestyle).Antihypertensive medication use was defined as taking drug within the last 2 weeks.Changes in HLI,antihypertensive medication use and BP control from baseline to 24 months were measured after the intervention.Results Overall,4655 employees were included (age:46.3±7.6 years,men:3547 (82.3%)).After 24 months of the intervention,there was a significant improvement in lifestyle[smoking (OR=0.65,95%CI:0.43-0.99;P=0.045),drinking (OR=0.52,95%CI:0.40-0.68;P<0.001),regular exercise (OR=3.10,95%CI:2.53-3.78;P<0.001),excessive intake of fatty food (OR=0.17,95%CI:0.06-0.52;P=0.002),restrictive use of salt (OR=0.26,95%CI:0.12-0.56;P=0.001)].Compare to employees with a deteriorating lifestyle after the intervention,those with an improved lifestyle had a higher BP control.In the intervention group,compared with employees not using antihypertensive medication,those who consistent used (OR=2.34;95%CI:1.16-4.72;P=0.017) or changed from not using to using antihypertensive medication (OR=2.24;95%CI:1.08-4.62;P=0.030) had higher BP control.Compared with those having lower HLI,participants with a same (OR=1.38;95%CI:0.99-1.93;P=0.056) or high (OR=1.79;95%CI:1.27~2.53;P<0.001) HLI had higher BP control.Those who used antihypertensive medication and had a high HLI had the highest BP control (OR=1.88;95%CI:1.32-2.67,P<0.001).Subgroup analysis also showed the consistent effect as the above.Conclusion These findings suggest that adherence to antihypertensive medication treatment and healthy lifestyle were associated with a significant improvement in BP control among employees with hypertension.
文摘BACKGROUND There is widespread debate about the impact of metabolically healthy obesity(MHO)on cardiovascular outcomes.However,studies have not exclusively examined the impact of MHO on cardiovascular outcomes in the postmeno-pausal population.AIM To explore the prevalence of MHO and its relationship with hospitalization outcomes,including major adverse cardiac or cerebrovascular events(MACCE),in postmenopausal women.METHODS We extracted data from the National Inpatient Sample 2020 database using International Classification of Disease,Tenth Revision,Clinical Modification codes for all admissions of postmenopausal women.We excluded patients with diabetes,hypertension,and hyperlipidemia to obtain metabolically healthy patients and then identified patients with obesity to create obese and non-obese cohorts.We used a 1:1 propensity score matching method to match patients with and without MHO based on age,and then we did a multivariable regression analysis for in-hospital MACCE.RESULTS In 2020,1304185 metabolically healthy postmenopausal women were admitted;148250(11.4%)had MHO.After propensity score matching for age,a statistically significant difference was observed in overall MACCE[odds ratio(OR):1.08,95%confidence interval(CI):1.01-1.16,P=0.028]among MHO and non-MHO cohorts,especially in patients of African-American ethnicity(OR:1.23,95%CI:1.01-1.49,P=0.035)and the lowermost income quartile(OR:1.24,95%CI:1.06-1.44,P=0.007).CONCLUSION Postmenopausal patients with MHO are at risk of MACCE,especially black patients and those with lower incomes.Larger prospective studies can demystify MHO’s impact on cardiovascular outcomes among postmenopausal women.
文摘Considering student obesity problem,this study investigated Chilean teachers’behavioral intentions to include two anti-obesity health messages into their classroom teaching activities,which belonged to the“Choose to Live Healthy”campaign.Using the traditional model of the Theory of Planned Behavior(TPB;Ajzen,1985),three research questions were answered:(a)Which of the two messages from the“Choose to Live Healthy”Campaign are known by Chilean schools’teachers?(b)According to the level of knowledge of each message declared by teachers,how do the TPB model and its subcomponents explain teachers’intentions variability to include an anti-obesity message based on the campaign studied in their teaching activities?and(c)Based on the knowledge declared by teachers of the campaign messages,do the TPB model’s subcomponents explain the variability on teachers’intentions to include the anti-obesity content of the campaign message in their teaching activities by types of schools?A total of 245 Chilean teachers were surveyed across three different types of schools.Results from regression analysis confirmed that five of the TPB subcomponents made a fundamental contribution to examine the variability of the theoretical framework upon teachers’behavioral intentions,with the exemption of perceived behavioral control autonomy.This study confirmed the great relevance and effectiveness of the TPB model to contribute to the interpretation of behavioral intentions variability across different types of contexts.Implications for health campaigns are mentioned.
文摘Background:Obesity remains a major global health challenge,closely linked to individuals'health beliefs and lifestyle behaviors.Descriptive and relational research methods were used to ascertain the correlation between health beliefs and healthy lifestyle behaviors in obese individuals based on the Health Belief Model.Methods:The population of the research are obese individuals who are treated in the internal medicine clinic in a state hospital in Diyarbakır and applied to a dietitian.Based on power analysis,the study’s sample consisted of 192 obese people.The health belief model scale in obese individuals(HBMSO),the Healthy Lifestyle Behaviors Scale-II(HLBS-II),and the Personal Information Form were used to gather the data.The data was evaluated using the following methods:mean,standard deviation,linear regression analysis,Mann-Whitney U test,Kruskal-Wallis test,Shapiro Wilk and Kolmogorov Smirnov tests,post-hoc Dunn-Benferronni tests,Pearson and Spearman correlation,and others.Results:It was determined that 26.0%of obese individuals were in the 46–55 age range,63.5%were female,64.6%were married,60.4%had a BMI in the range of 30–34.9 kg/m^(2),and 42.7%partially exercised.All sub-dimensions and HBMSO sub-dimensions had statistically significant correlation with the HLBS-II total score.The linear regression analysis results used to identify the predictors of the HLBS-II total score showed that the increase in the level of education and the HBMSO“Importance of Health”sub-dimension score increased the HLBS-II total score,while not exercising and an increase in the HBMSO“Obstacle Perception”sub-dimension score decreased the HLBS-II total score.Conclusion:Individuals’health attitudes have a major impact on leading a healthy lifestyle,which is consistent with the research results.
基金Supported by Natural Science Foundaion of China in 2012(No.81273673)
文摘Objective To observe the effects of cupping on blood flow under different skins of back in healthy human. Methods With meridian-cupping dredging apparatus to set cupping pressure at -0.04 MPa, cupping was applied at Dhzhui （大椎 GV 14） and bilateral Dazhu （大杼 BL 11） for 10 min in healthy subject. Blood flow monitoring video system of laser speckle was used to record blood flow of GV 14, Shenzhu （身柱 GV 12）, bilateral Feishu （肺俞 BL 13） and Xinshu （心俞 BL 15） before cupping therapy, immediate time of cupping removal and 5 min, 10 rain, 15 min, 20 min, 25 rain and 30 rain after cupping removal. Results Compared before cupping therapy, the blood flow of GV 14, GV 12 and bilateral BL 13 was obviously increased at immediate time of cupping removal （all P〈0.05）. Compared with immediate time of cupping removal, the blood flow of GV 14 at each time point after 20 rain of cupping removal, GV 12 at 10 min and 15 min after cupping removal, bilateral BL 13 at each time point after cupping removal was all obviously decreased （all P〈0.05）. The difference of blood flow of Shendao （神道 GV 11） and bilateral BL 15 before and after cupping therapy was not significantly different （all P〉0.05）. Conclusion The cupping therapy could adjust skin blood flow, which is more obvious near the cupping area.
基金Chinese National Research Program,No.2006BAB06BNational Key Basic Research Development Program of China "973",No.G1999043601
文摘Based on the author＇s practice in river harnessing, this paper defines that a healthy river is a river whose social and natural functions can be balanced or compromised in terms of the socio-economic, ecological and environmental values associated with the river. The environmental values of river systems should be judged according to the following criteria： the signal of a healthy river should be associated with favorable riverbed, acceptable water quality, sustainable river ecosystem and compatible runoff. The river health criterion should reflect the river＇s natural function status which includes the riverbed, water quality, river ecosystem and runoff. But, the variety and quantity would be different for different rivers depending on different natural features and social background. The standards to be adopted for a healthy river should be determined according to the requirements for maintaining river＇s normal natural functions and the extent whether the social and natural functions could perform in a balanced way, and also the standards adopted should be adjusted according to the change of the given conditions. The key factor of river health is the enough and clean flow. The authors stressed that human activities would hurt the river health which include excessive water di- version and excessive power generation from the river, improper regulation of flood and sediment, and over discharge of sewage into the river and over change in fish habitat. Taking the Yellow River as a case, this paper also discussed the method to identify what are the standards of a healthy river as well as environmental flows.
文摘AIM： To evaluate the gastro-protective effect of capsaicin against the ethanol- and indomethacin （IND）-induced gastric mucosal damage in healthy human subjects. METHODS： The effects of small doses （1-8 μg/mL, 100 mL） of capsaicin on the gastric acid secretion basal acid output （BAO） and its electrolyte concentration, gastric transmucosal potential difference （GTPD）, ethanol- （5 mL 300 mL/L i.g.） and IND- （3×25 mg/d） induced gastric mucosal damage were tested in a randomized, prospective study of 84 healthy human subjects. The possible role of desensitization of capsaicin-sensitive afferents was tested by repeated exposures and during a prolonged treatment. RESULTS： Intragastric application of capsaicin decreased the BAO and enhanced “non-parietal” component, GTPD in a dose-dependent manner. The decrease of GTPD evoked by ethanol was inhibited by the capsaicin application, which was reproducible. Gastric microbleeding induced by IND was inhibited by co-administration with capsaicin, but was not influenced by two weeks pretreatment with a daily capsaicin dose of 3×400μg i.g. CONCLUSION： Capsaicin in low concentration range protects against gastric injuries induced by ethanol or IND, which is attributed to stimulation of the sensory nerve endings.
