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- Lind, Lars, et al.
(author)
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Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight NCD Risk Factor Collaboration (NCD-RisC)
- 2021
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In: eLife. - : eLife Sciences Publications Ltd. - 2050-084X. ; 10
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Journal article (peer-reviewed)abstract
- From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions.
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- Bixby, H., et al.
(author)
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Rising rural body-mass index is the main driver of the global obesity epidemic in adults
- 2019
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In: Nature. - : Springer Science and Business Media LLC. - 0028-0836 .- 1476-4687. ; 569:7755, s. 260-4
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Journal article (peer-reviewed)abstract
- Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities(.)(1,2) This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity(3-6). Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55% of the global rise in mean BMI from 1985 to 2017-and more than 80% in some low- and middle-income regions-was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing-and in some countries reversal-of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories.
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3. |
- Mishra, A, et al.
(author)
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Diminishing benefits of urban living for children and adolescents' growth and development
- 2023
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In: Nature. - : Springer Science and Business Media LLC. - 1476-4687 .- 0028-0836. ; 615:7954, s. 874-883
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Journal article (peer-reviewed)abstract
- Optimal growth and development in childhood and adolescence is crucial for lifelong health and well-being1–6. Here we used data from 2,325 population-based studies, with measurements of height and weight from 71 million participants, to report the height and body-mass index (BMI) of children and adolescents aged 5–19 years on the basis of rural and urban place of residence in 200 countries and territories from 1990 to 2020. In 1990, children and adolescents residing in cities were taller than their rural counterparts in all but a few high-income countries. By 2020, the urban height advantage became smaller in most countries, and in many high-income western countries it reversed into a small urban-based disadvantage. The exception was for boys in most countries in sub-Saharan Africa and in some countries in Oceania, south Asia and the region of central Asia, Middle East and north Africa. In these countries, successive cohorts of boys from rural places either did not gain height or possibly became shorter, and hence fell further behind their urban peers. The difference between the age-standardized mean BMI of children in urban and rural areas was <1.1 kg m–2 in the vast majority of countries. Within this small range, BMI increased slightly more in cities than in rural areas, except in south Asia, sub-Saharan Africa and some countries in central and eastern Europe. Our results show that in much of the world, the growth and developmental advantages of living in cities have diminished in the twenty-first century, whereas in much of sub-Saharan Africa they have amplified.
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7. |
- Ahmad, Noor Azlinda, et al.
(author)
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Characteristics of narrow bipolar pulses observed in Malaysia
- 2010
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In: Journal of Atmospheric and Solar-Terrestrial Physics. - : Elsevier BV. - 1364-6826 .- 1879-1824. ; 72:5-6, s. 534-540
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Journal article (peer-reviewed)abstract
- Narrow bipolar pulses (NBPs) are considered as isolated intracloud events with higher peak amplitude and strong high frequency emission compared to the first return strokes and other intracloud discharges. From 182 NBPs recorded in Malaysia in the tropic, 75 were narrow negative bipolar pulses (NNBPs) while 107 were narrow positive bipolar pulses (NPBPs). The mean duration of NNBPs was 24.6 +/- 17.1 mu s, while 30.2 +/- 12.3 mu s was observed for NPBPs. The mean full-width at half-maximum (FVVHM) was 2.2 +/- 0.7 and 2.4 +/- 1.4 mu s for NNBPs and NPBPs, respectively. The mean peak amplitude of NPBPs normalized to 100 km was 22.7 V/m, a factor of 1.3 higher than that of NNBPs which is 17.6 V/m. In contrast to the previous studies, it was observed that the electric field change was characterized by a bipolar pulse with a significant amount of fine structures separated by a few tens of nanoseconds intervals, embedded on it. (C) 2010 Elsevier Ltd. All rights reserved.
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8. |
- Ahmad, Noor Azlinda, et al.
(author)
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Radiation field spectra of long-duration cloud flashes
- 2015
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In: Atmospheric Science Letters. - : Wiley. - 1530-261X. ; 16:2, s. 91-95
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Journal article (peer-reviewed)abstract
- The preliminary results of radiation electric fields produced by long-duration cloud flashes have been Fourier analyzed to determine the frequency spectrum in the range of 10kHz-10MHz. The flashes were recorded within a distance of less than 20km. The spectrum was normalized to 50km distance and it shows a f(-1) dependence within the entire frequency range.
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9. |
- Ahmad, Noor Azlinda, et al.
(author)
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The first electric field pulse of cloud and cloud-to-ground lightning discharges
- 2010
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In: Journal of Atmospheric and Solar-Terrestrial Physics. - : Elsevier BV. - 1364-6826 .- 1879-1824. ; 72:2-3, s. 143-150
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Journal article (peer-reviewed)abstract
- In this study, the first electric field pulse of cloud and cloud-to-ground discharges were analyzed and compared with other pulses of cloud discharges. Thirty eight cloud discharges and 101 cloud-to-ground discharges have been studied in this analysis. Pulses in cloud discharges were classified as [`]small', [`]medium' and [`]large', depending upon the value of their relative amplitude with respect to that of the average amplitude of the five largest pulses in the flash. We found that parameters, such as pulse duration, rise time, zero crossing time and full-width at half-maximum (FWHMs) of the first pulse of cloud and cloud-to-ground discharges are similar to small pulses that appear in the later stage of cloud discharges. Hence, we suggest that the mechanism of the first pulse of cloud and cloud-to-ground discharges and the mechanism of pulses at the later stage of cloud discharges could be the same.
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10. |
- Baharudin, Zikri A., et al.
(author)
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Comparative study on preliminary breakdown pulse trains observed in Johor, Malaysia and Florida, USA
- 2012
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In: Atmospheric research. - : Elsevier BV. - 0169-8095 .- 1873-2895. ; 117, s. 111-121
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Journal article (peer-reviewed)abstract
- In this paper, the preliminary breakdown (PB) pulse train preceding the negative first return stroke (RS) is recorded using a broad band antenna system. These analyses were carried out in Johor Bahru, Malaysia and Florida, United States. This is a novel initiative at examining and identifying the characteristics of the PB pulse trains in the negative cloud-to-ground flashes observed in Malaysia. The arithmetic mean of the total pulse train duration is 12.3 ms and the weighted arithmetic mean of the pulse durations and interpulse intervals are 11 mu s and 152 mu s, respectively. The arithmetic mean ratio between the maximum peak amplitude of the PB pulse and the peak RS electric field was 27.8%, and the corresponding value in Florida was 29.4%. The arithmetic mean of the time duration between the most active part of the pulse train, and the RS was 57.6 ms in Malaysia and 22 ms in Florida. A qualitative comparison of our results with those obtained earlier in Sri Lanka. Sweden and Finland supports the hypothesis that the PBP/RS ratio is higher in the northern regions compared to the tropical regions. (C) 2012 Elsevier B.V. All rights reserved.
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