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We aimed to validate In-Body BIA measures with DXA as reference and to describe the BC profiling of Tibetan adults.
Design:
This cross-sectional study included 855 participants (391 men and 464 women).Correlation and Bland-Altman analyses were performed for method agreement of In-Body BIA and DXA. BC were described by obesity and metabolic status.
Setting:
Bioelectrical Impedance Analysis (In-Body BIA) and Dual-energy X-ray absorptiometry (DXA) have not been employed to characterize the body composition (BC) of the Tibetan population living in the Qinghai-Tibet Plateau.
Participants:
A total of 855 Tibetan adults, including 391 men and 464 women, were enrolled in the study.
Results:
Concordance correlation coefficient for total fat mass (FM) and total lean mass (LM) between In-Body BIA and DXA were 0.91 and 0.89. The bias of In-Body BIA for percentages of total FM and total LM was 0.91% (2.46%) and -1.74% (-2.80%) compared with DXA, respectively. Absolute limits of agreement were wider for total FM in obese men and women and for total LM in overweight men than their counterparts. Gradience in the distribution of total and regional FM content was observed across different BMI categories and its combinations with waist circumference and metabolic status.
Conclusions:
In-Body BIA and DXA provided overall good agreement at group level in Tibetan adults, but the agreement was inferior in participants being overweight or obese.
The propulsive efficiency of flying and swimming animals propelled by oscillatory appendages typically peaks within a narrow Strouhal number range of $0.20 \lt St \lt 0.40$. Motivated by the ubiquitous presence of stratification in natural environments, we numerically investigate the optimal Strouhal numbers $S{t_m}$ for an oscillating foil in density stratified fluids. Our results reveal that $S{t_m}$ increases with the strength of stratification characterised by the internal Froude number $Fr$, giving rise to markedly higher values under strong stratifications compared with those observed in homogeneous fluids. The propulsive efficiency tends to maximise when there is a resonance between the oscillations of the foil and the fluid, as inferred from a fitted line in the ($St$, $Fr$) parameter space, which shows that $S{t_m}$ is proportional to $Fr^{-1}$. We further uncover that the significant increase in $S{t_m}$ in strongly stratified regimes is fundamentally driven by fluid entrainment. During this process, the oscillating foil induces perturbations in the density field, resulting in buoyancy-driven restoring forces which alter the pressure distribution on the foil and thus the hydrodynamic forces. Notably, only under strongly stratified conditions, where dominant buoyancy effects confine the density transport to the vicinity of the oscillating foil, the intensified density perturbation due to the increase in $St$ can be effectively harnessed to enhance thrust production, thereby contributing to the elevated $S{t_m}$. These insights suggest that oscillatory propulsors should adopt new kinematic strategies involving relatively large Strouhal numbers to achieve efficient cruising in strongly stratified environments.
We propose a hybrid numerical model for the collective motion of fish groups, which integrates an agent-based model with a computational fluid dynamics (CFD)-based model. In the agent-based model, the fish group is represented by self-propelled particles (SPPs), incorporating social forces with local interactive rules. The CFD-based model treats the fish body with an undulated filament that responds to the hydrodynamic forces imposed by the surrounding fluid flow. These two models are coupled using a central pattern generator controller. We test this hybrid model with groups of 30–50 individuals. The results show that the group exhibits various collective behaviours, including tight schooling, sparse schooling and milling patterns, by adjusting the coefficients in the SPP model. Due to the hydrodynamic interactions, particularly with the obstacle avoidance model, both the individuals’ and the group’s mean speed fluctuate, differentiating it from traditional SPP models that typically consider volumeless particles. More interestingly, our findings indicate that fish benefit from collective motion in terms of energetic consumption in both schooling and milling patterns. It is important to note that the swimming fish are actuated using a very simple mechanism without any optimisation strategy. An additional study investigates the effects of the Reynolds number, demonstrating the capability of the current hybrid model to account for fish groups of varying body lengths or swimming speeds. Future applications of this model are promising, offering potential insights into the energetic advantages of collective motion in large-scale fish groups.
Despite previous observational studies suggesting that malnutrition could be involved in venous thromboembolism (VTE), definitive causality still lacks high-quality research evidence. This study aims to explore the genetic causal association between malnutrition and VTE. The study was performed using summary statistics from genome-wide association studies for VTE (cases = 23 367; controls = 430 366). SNP associated with exposure was selected based on quality control steps. The primary analysis employed the inverse variance weighted (IVW) method, with additional support from Mendelian randomisation (MR)-Egger, weighted median and weighted mode approaches. MR-Egger, leave-one-SNP-out analysis and MR pleiotropy residual sum and outlier (MR-PRESSO) were used for sensitivity analysis. Cochran’s Q test was used to assess heterogeneity between instrumental variables (IV). IVW suggested that overweight has a positive genetic causal effect on VTE (OR = 1·1344, 95 % CI = 1·056, 1·2186, P < 0·001). No genetic causal effect of malnutrition (IVW: OR = 0·9983, 95 % CI = 0·9593, 1·0388, P = 0·9333) was found on VTE. Cochran’s Q test suggests no possible heterogeneity in both related exposures. The results of the MR-Egger regression suggest that the analysis is not affected by horizontal pleiotropy. The results of the MR-PRESSO suggest that there are no outliers. The results revealed a statistical genetic association where overweight correlates with an increased risk of VTE. Meanwhile, no genetic causal link was observed between malnutrition and VTE. Further research is warranted to deepen our understanding of these associations.
Spin coating is the process of generating a uniform coating film on a substrate by centrifugal forces during rotation. In the framework of lubrication theory, we investigate the axisymmetric film evolution and contact-line dynamics in spin coating on a partially wetting substrate. The contact-line singularity is regularized by imposing a Navier slip model. The interface morphology and the contact-line movement are obtained by numerical solution and asymptotic analysis of the lubrication equation. The results show that the evolution of the liquid film can be classified into two modes, depending on the rotational speed. At lower speeds, the film eventually reaches an equilibrium state, and we provide a theoretical description of how the equilibrium state can be approached through matched asymptotic expansions. At higher speeds, the film exhibits two or three distinct regions: a uniform thinning film in the central region, an annular ridge near the contact line, and a possible Landau–Levich–Derjaguin-type (LLD-type) film in between that has not been reported previously. In particular, the LLD-type film occurs only at speeds slightly higher than the critical value for the existence of the equilibrium state, and leads to the decoupling of the uniform film and the ridge. It is found that the evolution of the ridge can be well described by a two-dimensional quasi-steady analysis. As a result, the ridge volume approaches a constant and cannot be neglected to predict the variation of the contact-line radius. The long-time behaviours of the film thickness and the contact radius agree with derived asymptotic solutions.
Using the syntactic priming paradigm, this study investigated abstract syntactic knowledge of Chinese transitive structures (i.e., subject-verb-object [SVO], BA, and BEI) in deaf children with cochlear implants (CIs). Specifically, we focused on the differences in the development of various syntactic structures (within CI children and compared with their typically hearing children) and the possible individual differences during this process. Results showed that both CI and hearing children exhibited structural priming for all syntactic structures (i.e., SVO, SbaOV structure [agent-patient ordering], and ObeiSV structure [patient-agent ordering]) after comprehending and repeating the prime sentence regardless of verb repetition. However, verb repetition induced an intense abstract priming effect in CI children but not hearing children, with the lexical boost effect more significant for SVO and BA structures. In addition, CI children’s working memory capability modulated the production of the BA structure but not SVO and BEI structures.
Substantial changes resulting from the interaction of environmental and dietary factors contribute to an increased risk of obesity, while their specific associations with obesity remain unclear. We identified inflammation-related dietary patterns (DP) and explored their associations with obesity among urbanised Tibetan adults under significant environmental and dietary changes. Totally, 1826 subjects from the suburbs of Golmud City were enrolled in an open cohort study, of which 514 were followed up. Height, weight and waist circumference were used to define overweight and obesity. DP were derived using reduced rank regression with forty-one food groups as predictors and high-sensitivity C-reactive protein and prognostic nutritional index as inflammatory response variables. Altitude was classified as high or ultra-high. Two DP were extracted. DP-1 was characterised by having high consumptions of sugar-sweetened beverages, savoury snacks, and poultry and a low intake of tsamba. DP-2 had high intakes of poultry, pork, animal offal, and fruits and a low intake of butter tea. Participants in the highest tertiles (T3) of DP had increased risks of overweight and obesity (DP-1: OR = 1·37, 95 % CI 1·07, 1·77; DP-2: OR = 1·48, 95 % CI 1·18, 1·85) than those in the lowest tertiles (T1). Participants in T3 of DP-2 had an increased risk of central obesity (OR = 2·25, 95 % CI 1·49, 3·39) than those in T1. The positive association of DP-1 with overweight and obesity was only significant at high altitudes, while no similar effect was observed for DP-2. Inflammation-related DP were associated with increased risks of overweight and/or obesity.
Western Zhou Dynasty (ca. 1046–771 BC) was established soon after conquering the Shang Dynasty (ca. 1600–1046 BC) and brought about the earliest enfeoffment system in Chinese history. Yan was one of the vassal states of the same clan as Zhou. According to historical records, the capital of Yan state was located near Yan mountain, which is now known as the Liulihe site in the Fangshan District, Beijing. This study carries out the high-precision dating of two newly discovered Western Zhou Dynasty noble tombs at the Liulihe site. The man in tomb M1902 participated in the groundbreaking ceremony of Yan’s capital according to inscriptions on the bronze vessel found in this tomb. Samples of different materials, especially different parts of human skeletons from the tombs, were selected to form a sample series in chronological order. Wiggle-matching models were established in OxCal program based on the growth and development time of different teeth and bones of human skeletons. More accurate ages were acquired for the death of the individuals. The results indicate that the most probable distribution range of the death date of the individual in M1902 is about 1045–1010 BC. The radiocarbon dates of M1902 give important chronological information about the founding of Yan state, and they are very close to those of the year in which King Wu of Zhou conquered the Shang Dynasty.
Depressive disorders pose a significant global public health challenge, yet evidence on their burden remains insufficient.
Aims
To report the global, regional and national burden of depressive disorders and their attributable risk factors from 1990 to 2021.
Methods
Data from the Global Burden of Disease 2021 were analyzed for 204 countries and territories from 1990 to 2021. We explored the age-standardised incidence, prevalence and disability-adjusted life years (DALYs) of depressive disorders by age, gender and sociodemographic index.
Results
In 2021, there were 357.44 million incident cases, 332.41 million prevalent cases and 56.33 million DALYs. Age-standardised rates for incidence, prevalence and DALYs were 4333.62, 4006.82 and 681.14 per 100 000 persons, with annual declines of 0.06%, 0.03% and 0.04%. Uganda, Greenland and Lesotho had the highest prevalence, while Spain, Mexico and Uruguay showed the largest increases. Greenland and Brunei Darussalam had the highest and lowest age-standardised DALYs rates, respectively. DALYs peaked in the 55–59 age group for men and 60–64 for women, with higher rates in women. Regionally, a U-shaped association was found between the sociodemographic index and DALYs rates. Population growth was the main driver for the increase in DALYs cases. Childhood maltreatment was the leading risk factor, with intimate partner violence affecting more females and childhood sexual abuse more males.
Conclusions
Despite decreasing trends in incidence, prevalence and DALYs rates, absolute case numbers and age-standardised rates continue to increase for depressive disorders. Tackling childhood abuse and improving depressive disorder management are crucial to reducing future burdens.
We study the melting process of a solid under microgravity, driven solely by lateral vibrations that are perpendicular to the applied temperature gradient due to the absence of gravity-induced convection. Using direct numerical simulations with the phase-field method, we examine two-dimensional vibration-induced melting in a square cavity over four orders of magnitude of vibrational Rayleigh numbers, $10^5\le Ra_{{vib}}\le 10^9$. Our results show that as melting progresses, the flow structure transitions from a periodic-circulation regime with diffusion-dominated heat transfer to a columnar regime with vibroconvection. The mean height of the liquid–solid interface follows a power-law dependency with time, $\bar {\xi } \sim \tilde t^{1/(2-2\alpha )}$, where $\alpha = 0$ in the periodic-circulation regime and $\alpha = 1/2$ in the columnar regime. We further observe that within the columnar regime, the morphological evolution of the liquid–solid interface is influenced by the interaction of columnar thermal plumes in the central regions and the peripheral flow near the sidewalls. Specifically, we offer a comprehensive analysis of the plume merging behaviour, which is governed by the aspect ratio ($\bar {\xi }$) of the liquid layer and the intensity of vibration, quantified by the effective vibrational Rayleigh number $Ra_{vib}^{eff}$. We identify the relationship between the number of columnar plumes $K_m$ and $Ra_{vib}^{eff}$, finding that $K_m \sim \bar {\xi }^{-1} (Ra_{vib}^{eff})^{\gamma }$ with the fitting scaling exponent $\gamma = 0.150 \pm 0.025$. We subsequently quantify the characteristics of the interface roughness amplitude evolution in microgravity vibroconvection. Our results indicate that the roughness amplitude exhibits a power-law dependence on the mean height of the liquid layer. Drawing from the Stefan boundary condition, we theoretically deduce this dependence under the assumption of a non-uniform heat flux distribution at the interface, where the theory is corroborated by our numerical simulations.
Despite global efforts to end tuberculosis (TB), the goal of preventing catastrophic health expenditure (CHE) due to TB remains unmet. This cross-sectional study was conducted in Guizhou Province, Southwest China. Data were collected from the Hospital Information System and a survey of TB patients who had completed standardized antituberculosis treatment between January and March 2021. Among the 2 283 participants, the average total expenditure and out-of-pocket expenditure were $1 506.6 (median = $760.5) and $683.6 (median = $437.8), respectively. Health insurance reimbursement reduced CHE by 16.8%, with a contribution rate of 24.9%, and the concentration index changed from -0.070 prereimbursement to -0.099 postreimbursement. However, the contribution of health insurance varied significantly across different economic strata, with contribution rates of 6.4% for the lowest economic group and 53.1% for the highest group. For patients from lower socioeconomic strata, health insurance contributed 10.7% to CHE in the prediagnostic phase and 23.5% during treatment. While social health insurance alleviated the financial burden for TB patients, it did not provide sufficient protection for those in lower economic strata or during the prediagnostic stage. This study underscores the need for more effective and equitable subsidy policies for TB patients .
Understanding the genetic basis of porcine mental health (PMH)-related traits in intensive pig farming systems may promote genetic improvement animal welfare enhancement. However, investigations on this topic have been limited to a retrospective focus, and phenotypes have been difficult to elucidate due to an unknown genetic basis. Intensively farmed pigs, such as those of the Duroc, Landrace, and Yorkshire breeds, have undergone prolonged selection pressure in intensive farming systems. This has potentially subjected genes related to mental health in these pigs to positive selection. To identify genes undergoing positive selection under intensive farming conditions, we employed multiple selection signature detection approaches. Specifically, we integrated disease gene annotations from three human gene–disease association databases (Disease, DisGeNET, and MalaCards) to pinpoint genes potentially associated with pig mental health, revealing a total of 254 candidate genes related to PMH. In-depth functional analyses revealed that candidate PMH genes were significantly overrepresented in signaling-related pathways (e.g., the dopaminergic synapse, neuroactive ligand‒receptor interaction, and calcium signaling pathways) or Gene Ontology terms (e.g., dendritic tree and synapse). These candidate PMH genes were expressed at high levels in the porcine brain regions such as the hippocampus, amygdala, and hypothalamus, and the cell type in which they were significantly enriched was neurons in the hippocampus. Moreover, they potentially affect pork meat quality traits. Our findings make a significant contribution to elucidating the genetic basis of PMH, facilitating genetic improvements for the welfare of pigs and establishing pigs as valuable animal models for gaining insights into human psychiatric disorders.
Coronary artery lesions are the most severe complications of Kawasaki disease. Despite recent advances, evidence of the association between risk factors and coronary artery lesion is lacking. In this study, we demonstrated the potential clinical indicators that could assist to evaluate the prevalence of coronary artery lesion among paediatric patients with Kawasaki disease.
Methods:
We retrospectively enrolled 260 paediatric patients with Kawasaki disease. Patients with coronary dilation, coronary aneurysm, and intimal thickening of coronary arteries were included in this study. Medical records of each patient were collected. Logistic regression analysis was performed to explore risk factors and the occurrence of coronary artery lesion in patients with Kawasaki disease.
Results:
Respectively, 64 (24.6%), 39 (15%), and 56 patients (21.5%) of the participants had coronary dilation, coronary aneurysm, and intimal thickening of coronary arteries. Univariate analysis revealed that age, gender, duration of fever, time of initial use of intravenous immunoglobulin, erythrocyte sedimentation rate, white blood cell counts, time of platelet increase, the maximum value of platelet, albumin, and immunoglobulin G level was associated with coronary artery lesion. In multivariable logistic analysis, those younger and mainly males were associated with all three outcomes of coronary artery lesion, lower serum albumin levels, and later initial use of intravenous immunoglobulin were linked to a higher risk of coronary dilation and coronary aneurysm.
Conclusions:
The potential risk factors that could be used to estimate the occurrence of coronary artery lesion in Kawasaki disease patients are young age, male, lower serum albumin lever, and later initial use of intravenous immunoglobulin. However, long-term follow-up and multi-centre studies are required to verify our findings in the future.
Tea can improve the progression of some metabolic diseases through anti-inflammatory and antioxidant effects, but its impact on non-alcoholic fatty liver disease (NAFLD) is still controversial. The aim of this paper is to identify the relationship between tea and NAFLD by Mendelian randomisation (MR) and complete clinical validation using National Health and Nutrition Examination Survey (NHANES) database. MR used data from Genome Wide Association Study, with inverse-variance weighted (IVW) as principal analytical methods. The reliability of the results was verified by a series of sensitivity and heterogeneity tests. Subsequently, clinical validation was conducted using NHANES (2005–2018), involving 22 257 participants, grouped by the type of tea. Green tea drinkers were categorised into four groups (Q1–Q4) by quartiles of green tea intake, from lowest to highest (similar for black tea drinkers and other tea drinkers). Models were constructed by logistic regression to estimate the role of tea consumption (Q1–4) on NAFLD. Finally, using fibrosis-4 index (FIB-4) to evaluate the severity of hepatic fibrosis, the effect of tea consumption (Q1–4) on the degree of hepatic fibrosis was investigated by linear regression. IVW method (OR = 0·43, 95 % CI: 0·21, 0·85, P = 0·01) and weighted median method (OR = 0·35, 95 % CI: 0·14, 0·91, P = 0·03) revealed there was a causal relationship between tea and NAFLD. An array of sensitivity analyses validated the reliability of results. Analysis of NHANES indicated tea drinker present a slightly lower prevalence of NAFLD than non-tea drinker (green tea drinkers: 47·6 %, black tea drinkers: 46·3 %, other tea drinker: 43·2 %, non-tea drinkers: 48·1 %, P < 0·05). After adjusting for confounders, compared with the lowest black tea consumption (Q1), the population with the highest black tea consumption (Q4) was independently related to lower presence of NAFLD (Q4: OR = 0·69, 95 % CI: 0·50, 0·93, P < 0·05), such association remained stable in the overweight subgroup. As further analysed, Q4 also displayed a significant negative correlation with the level of hepatic fibrosis in patients with NAFLD (β = –0·073, 95 % CI: –0·126, −0·020, P < 0·01).Tea reduces the morbidity of NAFLD and ameliorates hepatic fibrosis degree in those already suffering from the disease.
The formation and evolution of unconfined counter-helicity spheromaks merging have been experimentally investigated by using a magnetized coaxial plasma gun. By comparing the time-dependent photodiode signals and plasma radiation images of counter-helicity spheromaks merging and plasma jets merging, it is found that the field-reversed configuration (FRC) plasma formed by counter-helicity spheromaks merging has a distinct contour and a long maintenance time. For plasma jets merging, the resulting plasma has no discernible contours and a shorter lifetime. In addition, it is inferred from these data that stagnation heating and magnetic reconnection events occur during the counter-helicity spheromaks merging, causing a rapid rise in plasma pressure at the merging midplane and sharp kinks in the field lines near the merger region. By changing different operating parameters and observing the impact on the merger characteristics, it is suggested that the qualitative dynamics of the FRC plasma depends on the balance between the plasma pressure and the magnetic pressure. The high discharge voltage breaks the equilibrium in the merged body, while the large gas-puffed mass just weakens the compression effect of the merged body. These results give us an intuitive understanding of the counter-helicity spheromak merger process and its dependence on discharge parameters, and also provide a distinct perspective for the optimal design of FRC.
Thin-film beam combining technology is an effective approach to improve output power while maintaining beam quality. However, the lack of comprehensive research into the key factors affecting the beam quality in systems makes it challenging to achieve a practical combined beam source with high brightness. This paper clearly established that the temperature rise of dichroic mirrors (DMs) and sub-beam overlapping precision are the main factors affecting the beam quality of the system, with quantified effects. Based on this understanding, a combined light source of four channels of 3 kW fiber lasers was achieved, and an output power of 11.4 kW with a beam quality of M2x = 1.601 and M2y = 1.558, using three high-steepness low-absorption DMs and the active control technique. To the best of our knowledge, this is the best beam quality for a 10 kW light source. This study offers a solution for practical high-power laser sources in the tens of kilowatts range.
The present work focuses on a specific bouncing behaviour as a spherical particle settles through a density interface in the absence of a neutral buoyant position. This behaviour was initially discovered by Abaid et al. (Phys. Fluids, vol. 16, issue 5, 2004, pp. 1567–1580) in salinity-induced stratification. Both experimental and numerical investigations are conducted to understand this phenomenon. In our experiments, we employ particle image velocimetry (PIV) to measure the velocity distribution around the particle and to capture the transient wake structure. Our findings reveal that the bouncing process begins after the wake detaches from the particle. The PIV results indicate that an upward jet forms at the central axis behind the particle following wake detachment. By performing a force decomposition procedure, we quantify the contributions from the buoyancy of the wake ($F_{sb}$) and the flow structure ($F_{sj}$) to the enhanced drag. It is observed that $F_{sb}$ contributes primarily to the enhanced drag at the early stage, whereas $F_{sj}$ plays a critical role in reversing the particle's motion. Furthermore, our results indicate that the jet is a necessary condition for the occurrence of the bouncing motion. We also explore the minimum velocities (where negative values denote the occurrence of bouncing) of the particle, while varying the lower Reynolds number $Re_l$, the Froude number $Fr$, and the upper Reynolds number $Re_u$, within the ranges $1 \leqslant Re_l\leqslant 125$, $115 \leqslant Re_u\leqslant 356$ and $2 \leqslant Fr\leqslant 7$. Our findings suggest that the bouncing behaviour is influenced primarily by $Re_l$. Specifically, we observe that the bouncing motion occurs below a critical lower Reynolds number $Re^\ast _{l}=30$ in our experiments. In the numerical simulations, the highest value for this critical number is $Re^\ast _{l}=46.2$, which is limited to the parametric ranges studied in this work.
By integrating the theory of purposeful work behavior with the person-environment (P-E) fit literature, we employ a bilateral approach to examine how employee-supervisor congruence in purposeful work striving (i.e., achievement striving) influences employee voice behavior via an internal motivation mechanism (i.e., organizational identification). Using polynomial regressions with response surface modeling, we analyze data from 827 employees and their 197 supervisors in two studies. The results show that achievement-driven employees are more likely to speak up when employee-supervisor achievement striving is congruent, regardless of whether it is high or low. Furthermore, employee-supervisor congruence in achievement striving enhances employees’ felt oneness with the organization and organizational identification, which in turn fuels their voice behavior. We conclude with theoretical and practical implications.
Modern studies suggest that the upper ocean heat content (OHC) in the tropical Indian Ocean (TIO) is a better qualitative predictor of the Indian summer monsoon rainfall (ISMR). But it is still unknown how the OHC is mechanically linked to ISMR and whether it can be applied to long-term climate changes. By analyzing reanalysis datasets across the 20th century, we illustrate that in contrast to those anomalies associated with stronger ISM westerlies, higher ISMR is accompanied with summer surface high pressure and east wind anomalies from the South China Sea to the Bay of Bengal (BOB), and is loosely related to increased western TIO OHC during decayed phases of positive Indian Ocean dipole (IOD) and of El Niño. Except for 1944–1968 AD, this interannually lagged ISMR response to winter OHC is insignificant, probably suppressed by those simultaneous effects of positive IOD and El Niño on ISMR. In our paleoclimatic simulations, this modern observed lagged response is interrupted by seasonally reversed insolation anomalies at the 23,000-year precessional band. Our sensitivity experiments further prove that, the ISMR can be simultaneously reduced by positive IOD-like summer OHC anomalies both for modern and precessional situations. This damping effect is mainly contributed by the warmer western TIO that triggers anomalous surface high pressure, easterly winds, and drastically reduced rainfall from BOB to Arabian Peninsula, but with slightly increased rainfall in the northern ISM region. And the cooler southeastern TIO will only moderately increase rainfall in the southern ISM region.
Studies on obesity and risk factors from a life-course perspective among residents in the Tibet Plateau with recent economic growth and increasing obesity are important and urgently needed. The birth cohort in this area provides a unique opportunity to examine the association between maternal dietary practice and neonatal obesity. The study aims to detect the prevalence of obesity among neonates, associated with maternal diet and other factors, supporting life-course strategies for obesity control. A cohort of pregnant women was enrolled in Tibet Plateau and followed till childbirth. Dietary practice during pregnancy was assessed using the Chinese FFQ – Tibet Plateau version, food items and other variables were associated with the risk for obesity of neonates followed by logistic regression, classification and regression trees (CART) and random forest. Of the total 1226 mother–neonate pairs, 40·5 % were Tibetan and 5·4 % of neonates with obesity. Consuming fruits as a protective factor for obesity of neonates with OR (95 % CI) = 0·61 (0·43, 0·87) from logistic regression; as well as OR = 0·20 (0·12, 0·35) for consuming fruits (≥ weekly) from CART. Removing fruit consumption to avoid overshadowing effects of other factors, the following were influential from CART: maternal education (more than middle school, OR = 0·22 (0·13, 0·37)) and consumption of Tibetan food (daily, OR = 3·44 (2·08, 5·69). Obesity among neonates is prevalent in the study population. Promoting healthy diets during pregnancy and strengthening maternal education should be part of the life-course strategies for obesity control.