| 1. |
- Dao, Trong Tuan, et al.
(författare)
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Resveratrol suppressed lps-induced cox-2 VIA miR-146a-5p inhibition in raw246.7 cells
- 2017
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Ingår i: Farmacia. - 0014-8237. ; 65:2, s. 214-218
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Tidskriftsartikel (refereegranskat)abstract
- Trans-resveratrol (Res) is a well-known natural stilbene frequently found in grapes which have been reported to possess antioxidant, anti-cancer activities and inhibited COX-2 expression. MicroRNAs (miRNAs) are short endogenous non-coding RNAs involved in the regulation of mRNA stability and protein synthesis. In our research, resveratrol isolated from Vitis heyneana Roem. & Schult Vitis heyneana was observed to suppress lipopolysaccharides (LPS)-induced COX-2 expression in Raw264.7 cells in a dose dependent manner. Using qPCR it was revealed that LPS induced the expression of miR-25, miR- 125a, miR-125b, miR-146a-5p, miR-146a-3p and miR-455. However, we only observed miR-146a-5p expression significantly decreased in resveratrol compared to untreated-control group. In addition, resveratrol abrogated the effect of miR-146a-5p mimic induced-COX-2 expression in Raw264.7 cells. Taken together, this study demonstrated for the first time the involvement of miR-146a-5p in resveratrol inhibited LPS-induced COX-2 expression in Raw264.7 cells.
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| 2. |
- Duyen, Nguyen Thi, et al.
(författare)
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Steroid glycosides isolated from Paris polyphylla var. chinensis aerial parts and paris saponin II induces G1/S-phase MCF-7 cell cycle arrest
- 2022
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Ingår i: Carbohydrate Research. - : Elsevier BV. - 0008-6215. ; 519
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Tidskriftsartikel (refereegranskat)abstract
- In our previous research on Vietnamese medicinal plants, we found that the ethanolic extract of the aerial parts of Paris polyphylla var. chinensis exhibited cytotoxic effects in vitro in the MCF-7 human cancer cell line. Here, we used combined chromatographic separations to isolate six compounds including a new steroid glycoside, paripoloside A (3), and five known compounds, from the butanol extract of the aerial parts of P. polyphylla. We unambiguously elucidated their structures based on spectroscopic data (proton and carbon-13 nuclear magnetic resonance, heteronuclear single quantum coherence, heteronuclear multiple bond correlation, correlation spectroscopy, and high-resolution electrospray ionization mass spectroscopy data), and chemical reactions. Among the isolated compounds, paris saponin II (PSII) had the strongest cytotoxic effects against MCF-7 breast cancer cells. Interestingly, PSII significantly increased the expression of p53, p21, p27, and Bax protein levels and significantly suppressed the expression of cyclin D1 and retinoblastoma protein. These data suggest that PSII may induce G1/S phase cell cycle arrest and apoptosis pathway development in MCF-7 cells. Furthermore, the MCF-7 breast cancer cells mechanism of PSII was also investigated using molecular docking. Together, our results demonstrate that isolated compounds from P. polyphylla are promising candidates as breast cancer inhibitors.
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| 3. |
- Hoi, Le Van, et al.
(författare)
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Willingness to use and pay for options of care for community dwelling older people in rural Vietnam
- 2012
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Ingår i: BMC Health Services Research. - : BioMed Central. - 1472-6963. ; 12, s. 36-
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Tidskriftsartikel (refereegranskat)abstract
- Background: The proportion of people in Vietnam who are 60 years and over has increased rapidly. The emigration of young people and impact of other socioeconomic changes leave more elderly on their own and with less family support. This study assesses the willingness to use and pay for different models of care for community-dwelling elderly in rural Vietnam. Methods: In 2007, people aged 60 and older and their family representatives, living in 2,240 households, were randomly selected from the FilaBavi Demographic Surveillance Site. They were interviewed using structured questionnaires to assess dependence in activities of daily living (ADLs), willingness to use and to pay for day care centres, mobile care teams, and nursing centres. Respondent socioeconomic characteristics were extracted from the FilaBavi repeated census. Percentages of those willing to use models and the average amount (with 95% confidence intervals) they are willing to pay were estimated. Multivariate analyses were performed to measure the relationship of willingness to use services with ADL index and socioeconomic factors. Four focus group discussions were conducted to explore people's perspectives on the use of services. The first discussion group was with the elderly. The second discussion group was with their household members. Two other discussion groups included community association representatives, one at the communal level and another at the village level. Results: Use of mobile team care is the most requested service. The fewest respondents intend to use a nursing centre. Households expect to use services for their elderly to a greater extent than do the elderly themselves. Willingness to use services decreases when potential fees increase. The proportion of respondents who require that services be free-of-charge is two to three times higher than the proportion willing to pay full cost. Households are willing to pay more than the elderly for day care and nursing centres. The elderly are more willing to pay for mobile teams than are their households. Age group, sex, literacy, marital status, living arrangement, living area, working status, poverty, household wealth and dependence in ADLs are factors related to willingness to use services. Conclusions: Community-centric elderly care will be used and partly paid for by individuals if it is provided by the government or associations. Capacity building for health professional networks and informal caregivers is essential for developing formal care models. Additional support is needed for the most vulnerable elderly to access services.
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| 4. |
- Thanh Hoan, Nguyen, et al.
(författare)
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Novel Time Series Bagging Based Hybrid Models for Predicting Historical Water Levels in the Mekong Delta Region, Vietnam
- 2022
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Ingår i: CMES - Computer Modeling in Engineering & Sciences. - : Tech Science Press. - 1526-1492 .- 1526-1506. ; 131:3, s. 1431-1449
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Tidskriftsartikel (refereegranskat)abstract
- Water level predictions in the river, lake and delta play an important role in flood management. Every year Mekong River delta of Vietnam is experiencing flood due to heavy monsoon rains and high tides. Land subsidence may also aggravate flooding problems in this area. Therefore, accurate predictions of water levels in this region are very important to forewarn the people and authorities for taking timely adequate remedial measures to prevent losses of life and property. There are so many methods available to predict the water levels based on historical data but nowadays Machine Learning (ML) methods are considered the best tool for accurate prediction. In this study, we have used surface water level data of 18 water level measurement stations of the Mekong River delta from 2000 to 2018 to build novel time-series Bagging based hybrid ML models namely: Bagging (RF), Bagging (SOM) and Bagging (M5P) to predict historical water levels in the study area. Performances of the Bagging-based hybrid models were compared with Reduced Error Pruning Trees (REPT), which is a benchmark ML model. The data of 19 years period was divided into 70:30 ratio for the modeling. The data of the period 1/2000 to 5/2013 (which is about 70% of total data) was used for the training and for the period 5/2013 to 12/2018 (which is about 30% of total data) was used for testing (validating) the models. Performance of the models was evaluated using standard statistical measures: Coefficient of Determination (R2), Root Mean Square Error (RMSE) and Mean Absolute Error (MAE). Results show that the performance of all the developed models is good (R2 > 0.9) for the prediction of water levels in the study area. However, the Bagging-based hybrid models are slightly better than another model such as REPT. Thus, these Bagging-based hybrid time series models can be used for predicting water levels at Mekong data.
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| 5. |
- Dung, Nguyen Van, et al.
(författare)
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Exploring novel hybrid soft computing models for landslide susceptibility mapping in Son La hydropower reservoir basin
- 2021
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Ingår i: Geomatics, Natural Hazards and Risk. - : Taylor & Francis. - 1947-5705 .- 1947-5713. ; 12:1, s. 1688-1714
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Tidskriftsartikel (refereegranskat)abstract
- In this study, two novel hybrid models namely Bagging-based Rough Set (BRS) and AdaBoost-based Rough Set (ABRS) were used to generate landslide susceptibility maps of Son La hydropower reservoir basin, Vietnam. In total, 186 past landslide events and twelve landslides affecting factors (slope degree, slope aspect, elevation, curvature, focal flow, river density, rainfall, aquifer, weathering crust, lithology, fault density and road density) were considered in the modeling study. The landslide data was split into training (70%) and testing (30%) for the model's development and validation. One R feature selection method was used to select and prioritize the landslide affecting factors based on their importance in model prediction. Performance of the hybrid developed models was evaluated and also compared with single rough set (RS) and support vector machine (SVM) models using various standard statistical measures including area under the curve (AUC)-receiver operating characteristics (ROC) curve. The results show that the developed hybrid model BRS (AUC = 0.845) is the most accurate model in comparison to other models (ABRS, SVM and RS) in predicting landslide susceptibility. Therefore, the BRS model can be used as an effective tool in the development of an accurate landslide susceptibility map of the hilly area.
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| 6. |
- Le, Ngai Kien, et al.
(författare)
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High prevalence of hospital-acquired infections caused by gram-negative carbapenem resistant strains in Vietnamese pediatric ICUs A multi-centre point prevalence survey
- 2016
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Ingår i: Medicine. - : LIPPINCOTT WILLIAMS & WILKINS. - 0025-7974 .- 1536-5964. ; 95:27
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Tidskriftsartikel (refereegranskat)abstract
- There is scarce information regarding hospital-acquired infections (HAIs) among children in resource-constrained settings. This study aims to measure prevalence of HAIs in Vietnamese pediatric hospitals. Monthly point prevalence surveys (PPSs) in 6 pediatric intensive care units (ICUs) in 3 referral hospitals during 1 year. A total of 1363 cases (1143 children) were surveyed, 59.9% male, average age 11 months. Admission sources were: other hospital 49.3%, current hospital 36.5%, and community 15.3%. Reasons for admission were: infectious disease (66%), noninfectious (20.8%), and surgery/trauma (11.3%). Intubation rate was 47.8%, central venous catheter 29.4%, peripheral venous catheter 86.2%, urinary catheter 14.6%, and hemodialysis/filtration 1.7%. HAI was diagnosed in 33.1% of the cases: pneumonia (52.2%), septicemia (26.4%), surgical site infection (2%), and necrotizing enterocolitis (2%). Significant risk factors for HAI included age under 7 months, intubation and infection at admission. Microbiological findings were reported in 212 cases (43%) with 276 isolates: 50 Klebsiella pneumoniae, 46 Pseudomonas aeruginosa, and 39 Acinetobacter baumannii, with carbapenem resistance detected in 55%, 71%, and 65%, respectively. Staphylococcus aureus was cultured in 18 cases, with 81% methicillin-resistant Staphylococcus aureus. Most children (87.6%) received antibiotics, with an average of 1.6 antibiotics per case. Colistin was administered to 96 patients, 93% with HAI and 49% with culture confirmed carbapenem resistance. The high prevalence of HAI with carbapenem resistant gram-negative strains and common treatment with broad-spectrum antibiotics and colistin suggests that interventions are needed to prevent HAI and to optimize antibiotic use.
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| 7. |
- Nguyen, Thi Quynh Hoa, et al.
(författare)
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Numerical study of a wide incident angle- and polarisation-insensitive microwave metamaterial absorber based on a symmetric flower structure
- 2019
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Ingår i: AIP Advances. - : AIP Publishing. - 2158-3226. ; 9:6
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Tidskriftsartikel (refereegranskat)abstract
- In this study, we propose a wide incident angle- and polarisation-insensitive metamaterial absorber covered with structures comprising a metallic flower shape layer, a dielectric layer and a metallic ground plane. The influences of the structural parameters on the absorptivity are investigated numerically. The proposed absorber exhibits polarisation insensitivity as the number of symmetric petals of a flower shape reaches as high as 4, 6 and 8. Particularly, the absorber based on 8 petals shows an absorptivity of above 90% for wide incident angles up to 70° under transverse electric and transverse magnetic polarisations. The physical mechanism of these observations is clarified by investigating the electric, power loss density and induced current distributions, which is also supported by the retrieved constitutive electromagnetic parameters. That is, the absorption phenomenon is considerably affected by magnetic resonance. By modifying the petals into hollow shapes, the absorber becomes effective in confining the magnetic resonance and can thus minimise the resonant frequency variation to 0.22% without affecting the absorption performance. In comparison with other reported metamaterial absorbers, our design shows considerable practical feasibility in terms of resonant frequency stability, wide incident angle and polarisation insensitivity, thereby making it suitable for various applications in microwave frequency region.
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| 8. |
- Halvorsen, Cecilia Pegelow, et al.
(författare)
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A rapid smartphone-based lactate dehydrogenase test for neonatal diagnostics at the point of care
- 2019
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Ingår i: Scientific Reports. - : Nature Publishing Group. - 2045-2322. ; 9
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Tidskriftsartikel (refereegranskat)abstract
- There is a growing recognition of the importance of point-of-care tests (POCTs) for detecting critical neonatal illnesses to reduce the mortality rate in newborns, especially in low-income countries, which account for 98 percent of reported neonatal deaths. Lactate dehydrogenase (LDH) is a marker of cellular damage as a result of hypoxia-ischemia in affected organs. Here, we describe and test a POC LDH test direct from whole blood to provide early indication of serious illness in the neonate. The sample-inresult- out POC platform is specifically designed to meet the needs at resource-limited settings. Plasma is separated from whole blood on filter paper with dried-down reagents for colorimetric reaction, combined with software for analysis using a smartphone. The method was clinically tested in newborns in two different settings. In a clinical cohort of newborns of Stockholm (n = 62) and Hanoi (n = 26), the value of R using Pearson's correlation test was 0.91 (p < 0.01) and the R-2 = 0.83 between the two methods. The mean LDH (+/- SD) for the reference method vs. the POC-LDH was 551 (+/- 280) U/L and 552 (+/- 249) U/L respectively, indicating the clinical value of LDH values measured in minutes with the POC was comparable with standardized laboratory analyses.
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| 9. |
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| 10. |
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| 11. |
- Tien Viet Dung, Vu, et al.
(författare)
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Antimicrobial susceptibility testing and antibiotic consumption results from 16 hospitals in Viet Nam: The VINARES project 2012-2013
- 2019
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Ingår i: Journal of Global Antimicrobial Resistance. - : ELSEVIER SCI LTD. - 2213-7165 .- 2213-7173. ; 18, s. 269-278
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To establish a hospital-based surveillance network with national coverage for antimicrobial resistance (AMR) and antibiotic consumption in Viet Nam. Methods: A 16-hospital network (Viet Nam Resistance: VINARES) was established and consisted of national and provincial-level hospitals across the country. Antimicrobial susceptibility testing results from routine clinical diagnostic specimens and antibiotic consumption data in Defined Daily Dose per 1000 bed days (DDD/1000 patient-days) were prospectively collected and analysed between October 2012 and September 2013. Results: Data from a total of 24 732 de-duplicated clinical isolates were reported. The most common bacteria were: Escherichia coli (4437 isolates, 18%), Klebsiella spp. (3290 isolates, 13%) and Acinetobacter spp. (2895 isolates, 12%). The hospital average antibiotic consumption was 918 DDD/1000 patient-days. Third-generation cephalosporins were the most frequently used antibiotic class (223 DDD/1000 patient-days, 24%), followed by fluoroquinolones (151 DDD/1000 patient-days, 16%) and second-generation cephalosporins (112 DDD/1000 patient-days, 12%). Proportions of antibiotic resistance were high: 1098/1580 (69%) Staphylococcus aureus isolates were methicillin-resistant (MRSA); 115/344 isolates (33%) and 90/358 (25%) Streptococcus pneumoniae had reduced susceptibility to penicillin and ceftriaxone, respectively. A total of 180/2977 (6%) E. coli and 242/1526 (16%) Klebsiella pneumoniae were resistant to imipenem, respectively; 602/1826 (33%) Pseudomonas aeruginosa were resistant to ceftazidime and 578/1765 (33%) to imipenem. Of Acinetobacter spp. 1495/2138 (70%) were resistant to carbapenems and 2/333 (1%) to colistin. Conclusions: These data are valuable in providing a baseline for AMR among common bacterial pathogens in Vietnamese hospitals and to assess the impact of interventions. (C) 2019 The Authors. Published by Elsevier Ltd on behalf of International Society for Antimicrobial Chemotherapy.
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| 12. |
- Andermo, Susanne, et al.
(författare)
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School-related physical activity interventions and mental health among children : a systematic review and meta-analysis.
- 2020
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Ingår i: Sports medicine - open. - : Springer Science and Business Media LLC. - 2199-1170 .- 2198-9761. ; 6:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Low levels of physical activity, sedentary behaviour and mental health problems are issues that have received considerable attention in the last decade. The aim of this systematic review and meta-analysis was to investigate effects of interventions targeting school-related physical activity or sedentary behaviour on mental health in children and adolescents and to identify the features of effective interventions.METHODS: Scientific articles published between January 2009 and October 2019 fulfilling the following criteria were included: general populations of children and adolescents between age 4 and 19, all types of school-related efforts to promote physical activity or reduce sedentary behaviour. Study selection, data extraction and quality assessment were done by at least two authors independently of each other. Data were analysed with a random effects meta-analysis and by narrative moderator analyses.RESULTS: The literature search resulted in 10265 unique articles. Thirty-one articles, describing 30 interventions, were finally included. Eleven relevant outcomes were identified: health-related quality of life, well-being, self-esteem and self-worth, resilience, positive effect, positive mental health, anxiety, depression, emotional problems, negative effect and internalising mental health problems. There was a significant beneficial effect of school-related physical activity interventions on resilience (Hedges' g = 0.748, 95% CI = 0.326; 1.170, p = 0.001), positive mental health (Hedges' g = 0.405, 95% CI = 0.208; 0.603, p = < 0.001), well-being (Hedges' g = 0.877, 95% CI = 0.356; 1.398, p = < 0.001) and anxiety (Hedges' g = 0.347, 95% CI = 0.072; 0.623, p = 0.013). Heterogeneity was moderate to high (I2 = 59-98%) between studies for all outcomes except positive effect, where heterogeneity was low (I2 = 2%). The narrative moderator analyses of outcomes based on 10 or more studies showed that age of the children moderated the effect of the intervention on internalising mental health problems. Interventions in younger children showed a significantly negative or no effect on internalising mental health problems while those in older children showed a significant positive or no effect. Moreover, studies with a high implementation reach showed a significant negative or no effect while those with a low level of implementation showed no or a positive effect. No signs of effect moderation were found for self-esteem, well-being or positive mental health. Risk of publication bias was evident for several outcomes, but adjustment did not change the results.CONCLUSIONS: School-related physical activity interventions may reduce anxiety, increase resilience, improve well-being and increase positive mental health in children and adolescents. Considering the positive effects of physical activity on health in general, these findings may reinforce school-based initiatives to increase physical activity. However, the studies show considerable heterogeneity. The results should therefore be interpreted with caution. Future studies should report on implementation factors and more clearly describe the activities of the control group and whether the activity is added to or replacing ordinary physical education lessons in order to aid interpretation of results.TRIAL REGISTRATION: PROSPERO, CRD42018086757.
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| 13. |
- Hallgren, Mats, et al.
(författare)
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Associations of exercise frequency and cardiorespiratory fitness with symptoms of depression and anxiety - a cross-sectional study of 36,595 adults
- 2020
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Ingår i: Mental Health and Physical Activity. - : Elsevier. - 1755-2966 .- 1878-0199. ; 19
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Tidskriftsartikel (refereegranskat)abstract
- Introduction. Regular exercise has been associated with better mental health, but relationships of cardiorespiratory fitness (CRF) with mental health symptoms are less certain. We conducted a large cross-sectional study to examine associations of exercise frequency and objectively measured CRF with symptoms of depression and anxiety.Methods. Data originates from the Swedish Health Profile Assessment (HPA) database, a general health assessment offered to all employees working for companies or organizations connected to occupational and health services. Participants reported the frequency (last 30 days) of structured exercise and completed a 6-min VO2max test on a cycle ergometer to determine CRF. Data on relevant covariates including leisure-time sedentary behavior were also collected. The study outcome was self-reported frequent (often/very often) symptoms of depression and anxiety.Results. Complete data from 36,595 participants were analyzed (41% female, mean age = 42 years). In fully-adjusted models, compared to those in the lowest exercise frequency category (never/sometimes), those exercising 1–2 times/week and ≥3 times/week had 0.75 (95% CI = 0.68–0.82) and 0.72 (95% CI = 0.65–0.79) lower odds of reporting frequent symptoms of depression/anxiety, respectively. For CRF, crude models indicated a dose-response with the odds of frequent depression/anxiety symptoms reducing with higher CRF levels (low versus medium and high, respectively). No associations were found after adjustment for leisure-time sedentary behavior.Conclusions. Exercising at least 1–2 times per week is associated with lower odds of depression/anxiety symptoms. Leisure-time sedentary behavior attenuates relationships of CRF with depression/anxiety symptoms.
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| 14. |
- Hallgren, Mats, et al.
(författare)
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Associations of interruptions to leisure-time sedentary behaviour with symptoms of depression and anxiety.
- 2020
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Ingår i: Translational Psychiatry. - : Nature Publishing Group. - 2158-3188. ; 10:1
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Tidskriftsartikel (refereegranskat)abstract
- Interruptions to time spent sitting can ameliorate detrimental metabolic-health consequences of high volumes of sedentary time, but their potential mental health benefits have not been examined. We used the Swedish Health Profile Assessment database, a general health assessment offered to all employees working for companies or organisations connected to occupational and health services. Cross-sectional analyses examined data from 40,550 employees (60% male, mean age = 42 years), collected in 2017-2019. Participants reported the proportion of time (almost always; 75% of the time; 50% of the time; 25% of the time; and almost never) usually spent in leisure-time sedentary behaviours; and, separately, the frequency (never; rarely; sometimes; often; and very often) of interruptions (every 30 min) to sedentary time. Logistic regression models assessed associations of sedentary time, and the frequency of interruptions to sedentary time, with depression/anxiety symptoms. Fully adjusted models included physical exercise. Compared to those in the lowest sedentary time category, those in the medium and high categories had 1.52 (95% confidence interval (CI) = 1.40-1.66) and 3.11 (95% CI = 2.82-3.42) higher odds of frequent depression/anxiety symptoms, respectively. Compared to those who never/rarely interrupted their sedentary time, those who reported interruptions sometimes, often and very often had 0.72 (95% CI = 0.65-0.80), 0.59 (95% CI = 0.53-0.65), and 0.53 (95% CI = 0.46-0.59) lower odds of depression/anxiety symptoms, respectively. In stratified analyses, more frequent interruptions to sedentary time were associated with lower odds of depression/anxiety symptoms, except among those in the lowest interruptions categories (never/25% of the time). More regularly interrupting sitting during leisure-time may reduce the odds of experiencing symptoms of depression and anxiety.
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| 15. |
- Hallgren, Mats, et al.
(författare)
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Associations of sedentary behavior in leisure and occupational contexts with symptoms of depression and anxiety.
- 2020
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Ingår i: Preventive Medicine. - : Elsevier. - 0091-7435 .- 1096-0260. ; 133
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Tidskriftsartikel (refereegranskat)abstract
- Sedentary behaviors (SB) can be associated with poorer mental health, but it remains unclear whether contexts for these behaviors may be important. We assessed relationships of SB in leisure-time and occupational contexts with frequent symptoms of depression and anxiety. Data originate from the Swedish Health Profile Assessment (HPA) database, a health assessment offered to employees working for companies or organizations connected to healthcare services. Analyses are based on data from 2017 onwards (N = 23,644; 57% male, mean age = 42 years). Two self-report questions assessed proportions of time spent in SB in leisure contexts and in the occupational setting. Logistic regressions examined relationships of SB in each context with the self-reporting of frequent symptoms of depression/anxiety. A separate model for the leisure plus occupational SB was also generated. Fully-adjusted models included exercise frequency. Compared to those reporting that they were 'almost never' sedentary in leisure-time contexts, a detrimental dose-response with frequent depression/anxiety symptoms was observed with increasing proportions of sedentary time: 50% of the time (OR = 1.44; 1.23-1.70), 75% (OR = 2.95; 2.45-3.54), almost always (OR = 3.85; 2.84-5.22). For occupational SB, the only associations were among those who reported being sedentary almost always, compared to almost never (OR = 1.47; 1.25-1.73). Associations of 'overall' SB with depression/anxiety symptoms mirrored the dose-response relationship for leisure-time SB. Exercise frequency attenuated the association for leisure-time SB only, but it remained statistically significant. Adults who spend ≥50% of their leisure-time in sedentary pursuits experience more frequent symptoms of depression and anxiety, compared to those who are less sedentary in that context.
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| 16. |
- Hallgren, Mats, et al.
(författare)
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Physical Activity, Sedentary Behavior, and Cardiorespiratory Fitness in Hazardous and Non-Hazardous Alcohol Consumers.
- 2021
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Ingår i: American Journal of Health Promotion. - : Sage Publications. - 0890-1171 .- 2168-6602. ; 35:5, s. 669-678
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: To describe physical activity habits, sedentary behavior, and cardiorespiratory fitness levels among alcohol abstainers, hazardous and non-hazardous drinkers.DESIGN: Cross-sectional study with data collected between 2017-19.SETTING: Sweden.SUBJECTS: Adults aged 18-65 years (n = 47,559; 59.4% male).MEASURES: During a routine health assessment, participants answered validated single-item questions regarding: habitual physical activity, structured exercise, and the percentage of time spent sedentary during leisure-time (past 30 days), and completed a 6-minute cycle ergometer test (V02max) to determine cardiorespiratory fitness (CRF). Participants were categorized as alcohol abstainers, non-hazardous drinkers or hazardous drinkers (low/high) based on the Alcohol Use Disorders Identification Test (AUDIT-C) cut-points for men and women.ANALYSIS: Logistic regression models stratified by sex and age.RESULTS: Compared to non-hazardous drinkers, the heaviest drinkers were less physically active (males: OR = 1.38, CI = 1.13-1.67, p = .001; females: OR = 1.41, CI = 1.01-1.97, p = .040) and more sedentary during leisure time (males: OR = 1.94, CI = 1.62-2.32, p = .000; females: OR = 1.62, CI = 1.21-2.16, p = .001). Apart from young females, the heaviest drinkers also did less structured exercise than non-hazardous drinkers (males: OR = 1.22, CI = 1.15-1.51, p = .000; females: OR = 1.43, CI = 1.15-1.78, p = .001). The strongest associations were seen among adults aged 40-65 years (shown here). High-hazardous drinking was associated with low CRF among older males only (OR = 1.19, CI = 1.00-1.41).CONCLUSION: Middle-aged adults with AUDIT-C scores of ≥6 (women) and ≥7 (men) were less physically active and more sedentary during leisure time and may be appropriate targets for physical activity interventions.
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| 17. |
- Nguyen, Thi Thuy Dung, et al.
(författare)
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GENETIC CONTRIBUTION TO MAJOR DEPRESSIVE DISORDER HETEROGENEITY- FAMILY DESIGNS USING SWEDISH NATIONAL REGISTERS
- 2021
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Ingår i: European Neuropsychopharmacology. - : Elsevier. - 0924-977X .- 1873-7862. ; 51, s. e110-e111
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Background: Major depressive disorders (MDD) is a common disorder with lifetime prevalence of ∼20%. MDD is phenotypically and genetically heterogenous. Estimated heritability of the disorder ranged between 30% and 50%. Heterogeneity hinders the discovery of genetic risk factors as well as treatment optimization of MDD. Some previous studies demonstrated the heterogeneity of MDD by comparing heritability and genetic correlation of MDD subtypes based on sexes, age at onset, recurrence, vegetative symptoms (atypical MDD). However, the results are inconclusive, and we still lack a comprehensive evidence of MDD subgroups heterogeneity.In our previous study (https://doi.org/10.1101/2021.03.05.21252911), we investigated major depression heterogeneity using genetic data in the UK Biobank cohort. The results indicated that major depression subtypes were divergent in their genetic architectures.Here we aim to unravel heterogeneity in key clinical indicators of MDD by estimating heritability (h2), and genetic correlations (rg) using diagnostic data from the Swedish population.Methods: Using the Swedish registers, we included ∼1.5 million individuals who were born in Sweden between 1977-1993. MDD cases (ICD-10 codes: F32, F33) were identified from the Swedish patients register. We defined 16 MDD clinical subgroups within 8 categories, severity (severe vs mild/moderate cases), anxiety comorbidity (MDD with vs without comorbid anxiety disorder), age at onset (early onset vs late onset), recurrence (recurrent vs single episode), suicidality (suicidal vs non-suicidal MDD), impairment (MDD with vs without impairment), disability (measured by MDD with vs without early retirement), and care unit (inpatient vs outpatient cases).We used structural equation modelling to estimate the proportion of genetic contribution to the liability of MDD subgroups (i.e., heritability), and the variance due to genetic contribution shared between 2 traits (i.e., genetic correlation). We estimated three components, additive genetic (A), shared environment (C), and unique environment (E) by contrasting full siblings and maternal half siblings.Results: Of the entire cohort, ∼88,000 MDD cases (∼5.9%) were identified. Estimated heritability of MDD was ∼40% which agreed with previous studies.Overall, subgroups with more severe manifestation tend to be more heritable compared with the subgroups in the same categories. MDD with comorbid anxiety disorder, early onset, recurrent episodes, suicide, and early retirement had higher heritability than the counterpart subgroups. Estimated heritability ranged between 19.6% (for late onset MDD) and 51.5% (for MDD with early retirement).All estimates for genetic correlation were lower than one which indicate non-identical genetic contribution of the subgroups within the same category. Three of the eight studied subgroup categories (suicidality, impairment, disability) showed genetic correlations (range 0.6-0.7) that significantly differ from one.Discussion: Our study suggested that heterogeneity of MDD can be demonstrated by clinical subgroups. The tendency of divergence in heritability, and the genetic correlations are lower than one in many subgroup categories indicated that the genetic profile of those subgroups are partially distinct. Finally, our results suggested that some clinical indices including suicidality, impairment and disability, may index genetic heterogeneity of MDD better than others indices.
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| 18. |
- Van Hoi, Le, 1971-
(författare)
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Health for community dwelling older people : trends, inequalities, needs and care in rural Vietnam
- 2011
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background InVietnam, the proportion of people aged 60 and above has increased rapidly in recent decades. The majority live in rural areas where socioeconomic status is more disadvantaged than in urban areas.Vietnam’s economic status is improving but disparities in income and living conditions are widening between groups and regions. A consistent and emerging danger of communicable diseases and an increase of non-communicable diseases exist concurrently. The emigration of young people and the impact of other socioeconomic changes leave more elderly on their own and with less family support. Introduction of user fees and development of a private sector improve the coverage and quality of health care but increase household health expenditures and inequalities in health care. Life expectancy at birth has increased, but not much is known about changes during old age. There is a lack of evidence, particularly in rural settings, about health-related quality of life (HRQoL) among older people within the context of socioeconomic changes and health-sector reform. Knowledge of long-term elderly care needs in the community and the relevant models are still limited. To provide evidence for developing new policies and models of care, this thesis aimed to assess general health status, health care needs, and perspectives on future health care options for community-dwelling older people. Methods An abridged life table was used to estimate cohort life expectancies at old age from longitudinal data collected by FilaBavi DSS during 1999-2006. This covered 7,668 people aged 60 and above with 43,272 person-years. A 2007 cross-sectional survey was conducted among people aged 60 and over living in 2,240 households that were randomly selected from the FilaBavi DSS. Interviews used a structured questionnaire to assess HRQoL, daily care needs, and willingness to use and to pay for models of care. Participant and household socioeconomic characteristics were extracted from the 2007 DSS re-census. Differences in life expectancy are examined by socioeconomic factors. The EQ-5D index is calculated based on the time trade-off tariff. Distributions of study subjects by study variables are described with 95% confidence intervals. Multivariate analyses are performed to identify socioeconomic determinants of HRQoL, need of support, ADL index, and willingness to use and pay for models of care. In addition, four focus group discussions with the elderly, their household members, and community association representatives were conducted to explore perspectives on the use of services by applying content analysis. Results Life expectancy at age 60 increased by approximately one year from 1999-2002 to 2003-2006, but tended to decrease in the most vulnerable groups. There is a wide gap in life expectancy by poverty status and living arrangement. The sex gap in life expectancy is consistent across all socioeconomic groups and is wider among the more disadvantaged populations. The EQ-5D index at old age is 0.876. Younger age groups, position as household head, working, literacy, and belonging to better wealth quintiles are determinants of higher HRQoL. Ageing has a primary influence on HRQoL that is mainly due to reduction in physical (rather than mental) functions. Being a household head and working at old age are advantageous for attaining better HRQoL in physical rather than psychological terms. Economic conditions affect HRQoL through sensory rather than physical functions. Long-term living conditions are more likely to affect HRQoL than short-term economic conditions. Dependence in instrumental or intellectual activities of daily living (ADLs) is more common than in basic ADLs. People who need complete help are fewer than those who need some help in almost all ADLs. Over two-fifths of people who needed help received enough support in all ADL dimensions. Children and grand-children are confirmed to be the main caregivers. Presence of chronic illness, age groups, sex, educational level, marital status, household membership, working status, household size, living arrangement, residential area, household wealth, and poverty status are determinants of the need for care. Use of mobile teams is the most requested service; the fewest respondents intend to use a nursing centre. Households expect to use services for their elderly to a greater extent than did the elderly themselves. Willingness to use services decreases when potential fees increase. The proportion of respondents who require free services is 2 to 3 times higher than those willing to pay full cost. Households are willing to pay more for day care and nursing centres than are the elderly. The elderly are more willing to pay for mobile teams than are their households. ADL index, age group, sex, literacy, marital status, living arrangement, head of household status, living area, working status, poverty and household wealth are factors related to willingness to use services. Conclusions There is a trend of increasing life expectancy at older ages in ruralVietnam. Inequalities in life expectancy exist between socioeconomic groups. HRQoL at old age is at a high level, but varies substantially according to socioeconomic factors. An unmet need of daily care for older people remains. Family is the main source of support for care. Need for care is in more demand among disadvantaged groups. Development of a social network for community-based long-term elderly care is needed. The network should focus on instrumental and intellectual ADLs rather than basic ADLs. Home-based care is more essential than institutionalized care. Community-based elderly care will be used and partly paid for if it is provided by the government or associations. The determinants of elderly health and care needs should be addressed by appropriate social and health policies with greater targeting of the poorest and most disadvantaged groups. Building capacity for health professionals and informal caregivers, as well as support for the most vulnerable elderly groups, is essential for providing and assessing the services.
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