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Evaluating Behavioral Risk Factor Interventions for Hypertensive and Diabetic Patient Management in the national Basic public health service Programs from 2009

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China CDC weekly 2022年第19期4卷 411-416页

作者： Liuxia Yan Ning Ji Jian Xu Min Liu Lizheng Guan Kejun Liu Ainan Jia Xianbin Ding Dan Liu Man Li Yanfang Zhao Shengquan Mi Wenhua Zhao Zhuoqun Wang Yamin Bai national Center for Chronic and Non-communicable Disease Control and Prevention CDC ChinaBeijingChina Shenzhen Center for Chronic Disease Control Shenzhen CityGuangdong ProvinceChina Capital Medical University BeijingChina China national health Development Research Center BeijingChina Chongqing Center for Disease Control and Prevention Chongqing MunicipalityChina Department of public health and Preventive Medicine School of MedicineJinan UniversityGuangzhou CityGuangdong ProvinceChina Department of Epidemiology and Statistic Hebei Key Laboratory of Environment and Human HealthHebei Medical UniversityShijiazhuang CityHebei ProvinceChina Beijing Union University BeijingChina national Institute for Nutrition and health CDC ChinaBeijingChina

BACKGROUND In recent decades,China has faced a double burden of infectious diseases and noncommunicable diseases(NCDs).The number of deaths due to NCDs accounts for 88.5%of total deaths in China in *** address these public health issues and improve the accessibility and affordability of primary health care,a national Basic public health service Program(NBPHSP)was introduced as part of China’s healthcare reform initiated in *** by national and local government budgets,NBPHSP is mainly implemented by community and township health service centers,as well as health stations in urban areas and village clinics in rural areas(1).health management of patients with hypertension and diabetes is an integral and pivotal part of the NBPHSP.

关键词： Basic service Program

Roles of serum uric acid on the association between arsenic exposure and incident metabolic syndrome in an older Chinese population

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Journal of Environmental Sciences 2025年第1期147卷 332-341页

作者： Haiyan Jiang Simei Zhang Yaoyao Lin Lin Meng Jiayi Li Wenqing Wang Kaixuan Yang Mingjuan Jin Jianbing Wang Mengling Tang Kun Chen Department of public health Fourth Affiliated HospitalZhejiang University School of MedicineHangzhou 310058China Department of public health Second Affiliated HospitalZhejiang University School of MedicineHangzhou 310058China Department of public health National Clinical Research Center for Child Health of Children’s HospitalZhejiang University School of MedicineHangzhou 310058China

Growing evidences showed that heavy metals exposure may be associated with metabolic ***,themechanism underlying arsenic(As)exposure and metabolic syndrome(MetS)risk has not been fully *** we aimed to prospectively investigate the role of serum uric acid(SUA)on the association between blood As exposure and incident MetS.A sample of 1045 older participants in a community in China was *** determined As at baseline and SUA concentration at follow-up in the Yiwu Elderly *** events were defined according to the criteria of the International Diabetes Federation(IDF).Generalized linear model with log-binominal regression model was applied to estimate the association of As with incident *** investigate the role of SUA in the association between As andMetS,amediation analysiswas *** the fully adjusted log-binominal model,per interquartile range increment of As,the risk of MetS increased *** with the lowest quartile of As,the adjusted relative risk(RR)of MetS in the highest quartile was 1.42(95%confidence interval,CI:1.03,2.00).Additionally,blood As was positively associated with SUA,while SUA had significant association with MetS *** mediation analysis demonstrated that the association of As and MetS risk was mediated by SUA,with the proportion of 15.7%.Our study found higher As was remarkably associated with the elevated risk of MetS in the Chinese older adults *** analysis indicated that SUA might be a mediator in the association between As exposure and MetS.

关键词： Arsenic(As)exposure Metabolic syndrome(MetS) Serum uric acid(SUA) Cohort study Mediation effect Older adults

The association of isocarbophos and isofenphos with different types of glucose metabolism:The role of inflammatory cells

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Journal of Environmental Sciences 2025年第1期147卷 322-331页

作者： Jintian Geng Dandan Wei Lulu Wang Qingqing Xu Juan Wang Jiayu Shi Cuicui Ma Mengzhen Zhao Wenqian Huo Tao Jing Chongjian Wang Zhenxing Mao Department of Epidemiology and Biostatistics College of Public HealthZhengzhou UniversityZhengzhou 450001China Department of Occupational and Environmental health Sciences College of Public HealthZhengzhou UniversityZhengzhou 450001China School of public health Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430074China

To investigate the associations between isocarbophos and isofenphos with impaired fasting glucose(IFG)and type 2 diabetes mellitus(T2DM),and to assess the mediation roles of inflammation *** were 2701 participants in the case-control study,including 896 patients with T2DM,900 patients with IFG,905 subjects with *** isocarbophos and isofenphos concentrationsweremeasured using gas chromatography and triple quadrupole tandem mass *** linear models were used to calculate the relationships between plasma isofenphos and isocarbophos levels with inflammatory factor levels and *** cell was used as mediators to estimate the mediating effects on the above *** and isofenphos were positively related with T2DM after adjusting for other *** odds ratio(95%confidence interval)(OR(95%CI))for T2DM was 1.041(1.015,1.068)and for IFG was 1.066(1.009,1.127)per unit rise in *** prevalence of T2DM increased by 6.4%for every 1 unit more of ln-isofenphos(OR(95%CI):1.064(1.041,1.087)).Additionally,a 100%rise in ln-isocarbophos was linked to 3.3%higher ln-HOMA2IR and a 0.029 mmol/L higher glycosylated hemoglobin(HbA1c)(95%CI:0.007,0.051).While a 100%rise in ln-isofenphos was linked to increase in ln-HOMA2 and ln-HOMA2IR of 5.8%and 3.4%,***,white blood cell(WBC)and neutrophilic(NE)were found to be mediators in the relationship between isocarbophos and T2DM,and the corresponding proportions were 17.12%and 17.67%,*** and isocarbophos are associated with IFG and T2DM in the rural Chinese population,WBC and NE have a significant role in this relationship.

关键词： Isocarbophos Isofenphos Type 2 diabetes mellitus Inflammatory cells Mediation effect

Oxidation-reduction process of Arabidopsis thaliana roots induced by bisphenol compounds based on RNA-seq analysis

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Journal of Environmental Sciences 2025年第2期148卷 188-197页

作者： Xiaotong Ji Weiwei Wang Jiande Li Liangpo Liu Huifeng Yue Department of Environmental health School of Public HealthShanxi Medical UniversityTaiyuan 030001China MOE Key Laboratory of Coal Environmental Pathogenicity and Prevention Shanxi Medical UniversityTaiyuan 030001China Center for Ecological public health Security of Yellow River Basin Shanxi Medical UniversityTaiyuan 030001China Department of public health Laboratory Sciences School of Public HealthShanxi Medical UniversityTaiyuan 030001China College of Environment and Resource Research Center of Environment and HealthShanxi UniversityTaiyuan 030006China

Bisphenol compounds(BPs)have various industrial uses and can enter the environment through various *** evaluate the ecotoxicity of BPs and identify potential gene candidates involved in the plant toxicity,Arabidopsis thaliana was exposed to bisphenol A(BPA),BPB,BPE,BPF,and BPS at 1,3,10 mg/L for a duration of 14 days,and their growth status were *** day 14,roots and leaves were collected for internal BPs exposure concentration detection,RNA-seq(only roots),and morphological *** shown in the results,exposure to BPs significantly disturbed root elongation,exhibiting a trend of stimulation at low concentration and inhibition at high ***,BPs exhibited pronounced generation of reactive oxygen species,while none of the pollutants caused significant changes in root *** exposure concentration analysis indicated that BPs tended to accumulate in the roots,with BPS exhibiting the highest level of *** results of RNA-seq indicated that the shared 211 differently expressed genes(DEGs)of these 5 exposure groups were enriched in defense response,generation of precursormetabolites,response to organic substance,response to oxygen-containing,response to hormone,oxidation-reduction process and so *** unique DEGs in each group,BPS wasmainly associated with the redox pathway,BPB primarily influenced seed germination,and BPA,BPE and BPF were primarily involved in metabolic signaling *** results provide newinsights for BPs induced adverse effects on Arabidopsis thaliana and suggest that the ecological risks associated with BPA alternatives cannot be ignored.

关键词： Bisphenol compounds Arabidopsis thaliana Root elongation RNA-seq ROS

health risks of rare earth elements exposure:Impact on mitochondrial DNA copy number and micronucleus frequency

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Journal of Environmental Sciences 2025年第5期151卷 150-160页

作者： Shiyi Hong Yali Zhang Qiaojian Zhang Zekang Su Guiping Hu Li Wang Shanfa Yu Xiaojun Zhu Guang Jia Department of Occupational and Environmental health Sciences School of Public HealthPeking UniversityBeijing 100083China School of Engineering Medicine and Beijing Advanced Innovation Center for Big Data-Based Precision Medicine Beihang UniversityBeijing 100083China Department of Toxicology School of Public HealthBaotou Medical CollegeBaotouInner Mongolia 014040China Henan Institute for Occupational Medicine Zhengzhou 450052China national Center for Occupational Safety and health Beijing 102308China Beijing Key Laboratory of Toxicological Research and Risk Assessment for Food Safety School of Public HealthPeking UniversityBeijing 100083China

Toxic effects in terms of mitochondria and hereditary substances have been characterized in vitro for individual rare earth elements,while,the joint effects of mixed elements exposure in the population remain *** on the Occupational Chromate Exposure Dynamic Cohort of China,this study investigated the relationship between 15 blood rare earth elements(cerium,dysprosium,erbium,europium,gadolinium,holmium,lanthanum,lutetium,neodymium,praseodymium,samarium,terbium,thulium,yttrium,and ytterbium)and mitochondrial DNA copy number(MtDNACN)as well as peripheral blood lymphocyte micronucleus frequency(MNF).The elastic net was used to select elements highly correlated with effect indicators,whose dose-response relationships were further illustrated by restricted cubic *** kernel regressionwas employed to explore the combined effects of elements and the contributions of single *** results showed that most rare earth elementswere positively correlatedwith effect indicators,with yttrium showing the strongest association(β(95%CI):0.139(0.1089–0.189)for MtDNACN,0.937(0.345–1.684)for MNF).In the mixed exposure model,with the exposure level fixed at the 50th percentile as the reference,the effect estimates on MtDNACN and MNF increased by 0.228 and 0.598 units,respectively,at the 75th *** single effect analysis implied that yttrium,lanthanum and terbium contributed the most to the elevation of MtDNACN,while yttrium posed the highest risk for genetic damage,accordingly,we provided recommendations to prioritize these elements of *** addition,we observed a chief mediating effect of MtDNACN on the elevation of MNF caused by lanthanum,whereas further mechanistic exploration is required to confirm this finding.

关键词： Rare earth elements Mitochondrial DNA copy number Micronucleus frequency Mixed effect

Arsenic exposure and oxidative damage to lipid,DNA,and protein among general Chinese adults:A repeated-measures cross-sectional and longitudinal study

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Journal of Environmental Sciences 2025年第1期147卷 382-391页

作者： Yongfang Zhang Min Zhou Dongming Wang Ruyi Liang Wei Liu Bin Wang Weihong Chen Department of Occupational and Environmental health School of Public HealthTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China Key Laboratory of Environment and health Ministry of Education and Ministry of Environmental Protectionand State Key Laboratory of Environmental Health(Incubating)School of Public HealthTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China

Arsenic-related oxidative stress and resultant diseases have attracted global concern,while longitudinal studies are *** assess the relationship between arsenic exposure and systemic oxidative damage,we performed two repeatedmeasures among 5236 observations(4067 participants)in theWuhan-Zhuhai cohort at the baseline and follow-up after 3 *** total arsenic,biomarkers of DNA oxidative damage(8-hydroxy-2-deoxyguanosine(8-OHdG)),lipid peroxidation(8-isoprostaglandin F2alpha(8-isoPGF2α)),and protein oxidative damage(protein carbonyls(PCO))were detected for all *** we used linearmixed models to estimate the cross-sectional and longitudinal associations between arsenic exposure and oxidative ***-response curves were constructed by utilizing the generalized additive mixed models with thin plate *** adjusting for potential confounders,arsenic level was significantly and positively related to the levels of global oxidative damage and their annual increased rates in dose-response *** cross-sectional analyses,each 1%increase in arsenic levelwas associated with a 0.406%(95%confidence interval(CI):0.379%to 0.433%),0.360%(0.301%to 0.420%),and 0.079%(0.055%to 0.103%)increase in 8-isoPGF2α,8-OHdG,and PCO,*** importantly,arsenic was further found to be associated with increased annual change rates of 8-isoPGF2α(β:0.147;95%CI:0.130 to 0.164),8-OHdG(0.155;0.118 to 0.192),and PCO(0.050;0.035 to 0.064)in the longitudinal *** study suggested that arsenic exposurewas not only positively related with global oxidative damage to lipid,DNA,and protein in cross-sectional analyses,but also associated with annual increased rates of these biomarkers in dose-dependent manners.

关键词： Arsenic Oxidative stress Oxidative damage 8-isoPGF2α 8-OHdG Protein carbonyls(PCO)

Water Quality,Influential Factors,and Management Strategies from 2016 to 2020 in the Yangtze River Economic Belt,China

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Chinese Geographical Science 2025年第1期35卷 175-186页

作者： LIN Lanyu GUO Congrong CHEN Yanan HE Lihuan YAN Luyu FANG Dekun MA Guangwen ZHANG Fengying LI Mingsheng China national Environmental Monitoring Centre Beijing 100012China Department of health Ethics&SocietyCare and Public Health Research InstituteFaculty of HealthMedicine and Life SciencesMaastricht UniversityMaastricht 6200the Netherlands

The Yangtze River economic belt(YREB),China is important to the Chinese economy and for supporting sustainable *** the relationship between water quality indices and socioeconomic indicators could help improve aquatic environment management in the YREB and our understanding of the causes and effects of water quality variations in other large river *** this study,river water quality,factors affecting water quality,and management strategies,and correlations between water quality indices and socioeconomic indicators in the YREB during the 13th Five-Year Plan period(2016-2020)were *** single-factor evaluation method,constant price for GDP,and correlation analyses were *** results showed that:1)water quality in the YREB improved during the 13th Five-Year Plan *** number of aquatic environment sections meeting GradeⅠ-Ⅲwater quality standards increased by 13.1%and the number below Grade V decreased by 2.9%.2)The values of 12 indicators in the YREB exceeded relevant *** indicators with highest concentreation were the total phosphorus,chemical oxygen demand,ammonia nitrogen,and permanganate index,which were relatively high in downstream regions in Anhui Province,Jiangsu Province,and Shanghai Municipality.3)Ammonia nitrogen,chemical oxygen demand,and total phosphorus emissions per unit area and water extraction per unit area are relatively high in the three downstream regions mentioned above.4)Increased domestic sewage discharges have increased total wastewater discharges in the YREB.5)River water quality in the YREB strongly correlated with population,economic,and water resource indices and less strongly correlated with government investment,agriculture,meteorology,energy,and forestry *** confirmed the need to decrease wastewater discharges and non-point-source pollutant *** aquatic environment could be improved by taking reasonable measures to control population growth,adjusting the industrial str

关键词： water quality factors coping strategies Yangtze River economic belt(YREB),China

Optimizing Nutrition to Reduce Cardiometabolic Disease Burden:Strategies for a healthier China

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Biomedical and Environmental Sciences 2025年第1期38卷 1-2页

作者： Gangqiang Ding Key-Laboratory of public health Nutrition and health National Institute for Nutrition and HealthChinese Center for Disease Control and PreventionBeijing 100050China

China faces a significant challenge with increasing cardiovascular disease(CVD)incidence and mortality rates,imposing a heavy disease *** of 2020,approximately 330 million individuals in China suffer from CVD,including 245 million with hypertension and 13 million with stroke,not accounting for those with cardiometabolic risk factors[1].Given this context,shifting from a diseasecentered approach to a population health-centered strategy,as outlined in the“healthy China Action(2019-2030)”,is critical.

关键词： mortality cardiovascular shifting

Consumer products are important reservoirs and sources of organophosphate tri-esters and di-esters:Characteristics,mass inventory,and implication for waste management

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Journal of Environmental Sciences 2025年第5期151卷 550-559页

作者： Jie Zhou Chan Liang Jinyun Li Jiayi Gu Amina Salamova Liangying Liu Guangdong Key Laboratory of Environmental Pollution and health School of EnvironmentJinan UniversityGuangzhou 511443China Gangarosa Department of Environmental health Rollins School of Public HealthEmory UniversityGeorgia 30322USA

Numerous studies documented the occurrence of organophosphate tri-esters(tri-OPEs)and di-esters(di-OPEs)in the *** information is available on their occurrence in waste consumer products,reservoirs and sources of these *** study collected and analyzed 92 waste consumer products manufactured from diverse polymers,including polyurethane foam(PUF),polystyrene(PS),acrylonitrile butadiene styrene(ABS),polypropylene(PP),and polyethylene(PE)to obtain information on the occurrence and profiles of 16 tri-OPEs and 10 *** concentrations of di-OPEs(18−370,000 ng/g,median 1,700 ng/g)were one order of magnitude lower than those of tri-OPEs(94−4,500,000 ng/g,median 5,400 ng/g).The concentrations of both tri-and di-OPEs in products made of PUF,PS,and ABS were orders of magnitude higher than those made of PP and *** compositional patterns of OPEs varied among different polymer types but were generally dominated by bisphenol A bis(diphenyl phosphate),triphenyl phosphate,tris(1-chloro-2-propyl)phosphate,di-phenyl phosphate(DPHP),and bis(2-ethylhexyl)*** industrially applied di-OPEs(di-n-butyl phosphate and DPHP)exhibited higher levels than their respective tri-OPEs,contrary to their production *** non-industrially applied chlorinated di-OPEs were also detected,with concentrations up to 97,000 ng/*** findings suggest that degradation of tri-OPEs during the manufacturing and use of products is an important source of *** mass inventories of tri-OPEs and di-OPEs in consumer products were estimated at 3,100 and 750 tons/year,*** study highlights the importance of consumer products as emission sources of a broad suite of OPEs.

关键词： Organophosphate tri-esters Organophosphate di-esters Waste consumer products Source assessment Mass inventory