Health Factors Research Articles

Spatiotemporal Evolution, Driving Mechanisms, and Zoning Optimization Pathways of Ecosystem Health in China

The health status of ecosystems is an important prerequisite for ensuring regional ecological security. Exploring the spatiotemporal patterns, driving mechanisms, and zoning regulation pathways of ecosystem health is of great significance for achieving co-ordinated and sustainable regional ecosystems. This study uses China as a case area and applies the InVEST model to measure integrated ecosystem services and incorporates it into an evaluation framework for ecosystem health based on the “Vigor-Organization-Resilience-Ecosystem Services” (VORS) model. It reveals the spatiotemporal evolution characteristics of ecosystem health in China from 2000 to 2020 and employs the geodetector and spatiotemporal geographically weighted regression model to analyze the main influencing factors and spatial differentiation characteristics, thereby exploring ecological management zoning and optimization pathways. The study results show that (1) during the study period, the overall ecosystem health level in China showed a declining trend, dropping from 0.397 in 2000 to 0.377 in 2020. (2) Overall, China’s ecosystem health exhibits strong spatial positive correlation and spatial clustering characteristics, with a basic pattern of lower values in the northwest and higher values in the southeast. (3) Vegetation coverage, population density, density of road network, and per capita GDP are the main influencing factors of ecosystem health in China. (4) China is divided into five types of Ecological Management Zones: Ecological Conservation Zone, Ecological Enhancement Zone, Ecological Buffer Zone, Ecological Remediation Zone, and Ecological Reshaping Zone, with differentiated strategies proposed for optimizing ecosystem health in each zone.

Targeting tRNA‐Derived Non‐Coding RNA Alleviates Diabetes‐Induced Visual Impairment through Protecting Retinal Neurovascular Unit

AbstractDiabetes is a major risk factor for compromised visual health, leading to retinal vasculopathy and neuropathy, both of which are hallmarks of neurovascular unit dysfunction. Despite the critical impact of diabetic retinopathy, the precise mechanism underlying neurovascular coupling and effective strategies to suppress neurovascular dysfunction remain unclear. In this study, the up‐regulation of a tRNA‐derived stress‐induced RNA, 5′tiRNA‐His‐GTG, in response to diabetic stress is revealed. 5′tiRNA‐His‐GTG directly regulates Müller glia action and indirectly alters endothelial angiogenic effects and retinal ganglion cell (RGC) survival in vitro. Downregulation of 5′tiRNA‐His‐GTG alleviates diabetes‐induced retinal neurovascular dysfunction, characterized by reduced retinal vascular dysfunction, decreased retinal neurodegeneration, and improved visually‐guided behaviors in vivo. Mechanistically, 5′tiRNA‐His‐GTG acts as a key regulator of retinal neurovascular dysfunction, primarily by modulating arachidonic acid (AA) metabolism via the CYPs pathway. The 5′tiRNA‐His‐GTG‐CYP2E1‐19(S)‐HETE signaling axis is identified as a key driver of retinal neurovascular dysfunction. Thus, targeting 5′tiRNA‐His‐GTG presents a promising therapeutic strategy for treating vasculopathy and neuropathy associated with diabetes mellitus. Modulating this novel signaling pathway can open up new avenues for intervention in diabetic retinopathy and its related complications.

Health promoting resources and lifestyle factors among higher education students in healthcare and social work programmes: a survey with a longitudinal multicentre design

BackgroundIt has been suggested that the university environment, to improve students’ health status and educational outcomes, should be based on a health promoting approach. More knowledge is needed about health promoting resources and lifestyle factors that may be of value for students in higher education and their future work-life balance. The aim of this study was to explore health-promoting resources, general health and wellbeing, and health promoting lifestyle factors among fourth and final semester students in higher education in healthcare and social work.MethodsThis longitudinal study is based on self-reported data collected through a web-based questionnaire that included questions about general health, wellbeing, and healthy lifestyle factors and made use of instruments: the Sense of Coherence (SOC) scale, the Salutogenic Health Indicator Scale (SHIS), and five questions from the General Nordic Questionnaire (QPS Nordic). The questionnaire was distributed among students enrolled in seven different healthcare and social work programmes at six universities in Sweden. Data was collected when students were in their fourth (2019/2020) and final (2020/2021) semesters analysed with multiple linear and logistic regressions.ResultsThe survey included responses from students during the fourth (n = 498) and the final (n = 343) semester of higher education programmes in health and social work. Total SOC scores decreased between the fourth semester and the final semester. The prevalence of the health promoting lifestyle factor of physical exercise decreased between the fourth and final semesters. Students in their final semester reported valuing group work more highly than did students in their fourth semester. Despite this, students in both the fourth and the final semester reported high SOC, low levels of good general health and perceived wellbeing, and sleeping problems.ConclusionsStudents’ report of good general health were associated with wellbeing, high-intensity physical training, and no sleeping problems A high SOC level was associated with good general health, perceived wellbeing, and no sleeping problems. A higher SHIS level was also associated with wellbeing and no sleeping problems. Therefore, we suggest further research focusing on how to prepare students in healthcare and social work during higher education for a future work-life in balance targeting effects on sleep quality.

Assessing the Establishment of American Mink (Neogale vison) Escapees from the Fur Industry in Bulgaria

Mink farming has seen a resurgence in Bulgaria since 2013, and this has led to a high risk of American mink escaping and establishing feral populations. The largest active commercial farm in the country has a capacity of nearly 130,000 animals. The aims of this study were to gather first-hand evidence of the presence of mink in the wild around the farm, assess their level of establishment, and document the native species and local communities for future impact assessment. Surveys were conducted using camera traps within a 3.7 km radius around the farm in the period 2020–2021 at ten stations with 1943 realised trap-nights. Some early signs of the establishment of the American mink in Bulgaria were documented. A large number of registrations was made, as frequently as the Eurasian otter and golden jackal and more frequently than other mustelids in the study area. Mink were observed throughout the two-year study, and escaped mink have been registered in the region as early as 2017. These factors are interpreted as signs of the early stages of establishment. When considering environmental, economic, public health, and social factors, we recommend that mink farming should be banned in Bulgaria and further monitoring and management actions must be undertaken for the individuals in the wild.

The influence of maternal long term health conditions including multimorbidity on child oral health: A scoping review and evidence gap map protocol

Objective This scoping review will map the extent and type of evidence in relation to the association between maternal long term health conditions (LTCs), including multimorbidity, and child oral health. Introduction Newer theories are emerging that detail the many factors that can influence child oral health at child, family and community levels. More recently, the association between maternal general health and child oral health has been explored, with preliminary evidence suggesting a link between shared environmental factors and diet/substance use during pregnancy causing childhood caries. Inclusion criteria All published studies that describe the relationship between maternal LTCs (including multimorbidity) and child oral health. There will be no limitation on the date of publication due to the limited number of studies available from the initial search of PubMed. The review will exclude case studies, abstracts, and grey literature. Literature must be in English language. Methods The following databases will be searched; CINAHL, Cochrane Library, Maternity and Infant Care, Medline via PubMed, Scopus, Web of Science. The search will include sources in English only and will be undertaken between April and July 2024. Studies to be included will be of any type of study design that describe a relationship between maternal long term health conditions, including maternal long term oral health conditions, and child oral health. Data extraction will be undertaken using tabulation of results by at least two independent reviewers. Narrative analysis of the evidence will be undertaken, and results will be presented in a narrative and tabular manner due to the heterogenous and limited evidence base found in the test search. This review has been registered prospectively on Open Science Framework, (https://doi.org/10.17605/OSF.IO/ECSWJ). The review will also inform an Evidence Gap Map (EGM) to illustrate the current evidence base regarding maternal health factors that influence child oral health.

Decadal changes in nocturia among American middle-aged and older men.

To estimate the prevalence of nocturia in middle-aged and elderly men and evaluate its associated factors and changes over time. Data of middle-aged and older men aged ≥40 years from the 2007-2008 and 2017-2020 cycles of the National Health and Nutrition Examination Survey were retrospectively analyzed. The prevalence of nocturia was estimated using participant questionnaires on nocturia, lifestyle-related factors, and health factors, and its decadal changes were examined using multivariate logistic regression analysis to determine related factors associated with the prevalence of nocturia. The prevalence of nocturia was 38.0% in 2007-2008 and 39.6% in 2017-2020, with no significant increase observed (P = 0.3989). Being a non-Hispanic black was positively correlated with nocturia (adjusted odds ratio [AOR] = 1.54, 1.22-1.93, P < 0.001), whereas the correlation with being a Mexican American disappeared (AOR = 1.25, 0.90-1.73, P = 0.187). Diabetes (AOR = 1.32, 1.07-1.64, P = 0.010) and sleep disorders (AOR = 1.31, 1.07-1.60, P = 0.008) showed a statistically significant positive correlation with nocturia, whereas a significant negative correlation was observed between employment (AOR = 0.66, 0.54-0.82, P < 0.001) and nocturia. Above-high-school education (AOR = 0.60, 0.47-0.76, P < 0.001) showed a constant trend toward a negative correlation with nocturia. The correlation between high school education or general educational development and nocturia disappeared (AOR = 0.81, 0.62-1.05, P = 0.112). Diabetes and sleep disorders contribute to the development of nocturia, while work and high educational attainment can actively combat nocturia. Geriatr Gerontol Int 2024; ••: ••-••.

ABORDAGEM FISIOTERAPÊUTICA NA REABILITAÇÃO DE PACIENTES COM EVALI

Electronic devices, commonly known as electronic cigarettes, aim to offer an alternative to traditional cigarette consumption, presenting similarities with these, but with the advantage of reducing the smoking habit and, according to their advertisements, causing less damage to users' health. This bibliographic review includes studies published from 2013 to 2024, selected through the Medline/PubMed, SciELO and LILACS databases. The pathophysiology of EVALI involves pulmonary surfactants, phagocytosis of inhaled particles and mucociliary clearance, essential factors for airway health. Respiratory physiotherapy emerges as an essential intervention for the rehabilitation and management of respiratory complications. The physiotherapeutic approach allows not only to minimize the risk of self-inflicted lung injuries, but also to help prevent muscle atrophy and optimize alveolar ventilation, promoting a safer and more efficient recovery.

The association between Geriatric Nutritional Risk Index and KSD disease: results from National Health and Nutrition Examination Survey 2007–2018

BackgroundKidney stone disease (KSD) is a widespread problem in urology. But the associations between the Geriatric Nutritional Risk Index (GNRI), an important indicator for assessing the nutritional status of elderly hospitalized patients, and KSD are understudied.ObjectiveUtilizing data from the National Health and Nutrition Examination Survey (NHANES) spanning 2007–2018, our study analyzed the correlation between the GNRI and KSD prevalence at cross-sectional level. The aim of the study was to explore the association between GNRI and the prevalence of KSD to identify potential risk factors and inform prevention and management strategies for KSD.MethodsThis cross-sectional study analyzed data focusing on 26,803 adults (20–80 years) after screening for complete data. It evaluated GNRI, a formula involving albumin, present, and ideal body weight, stratifying participants into quartiles. The primary outcome was the history of KSD, based on self-reports. Covariates included demographic, health, and lifestyle factors. Statistical analysis employed t-tests, ANOVA, Wilcoxon, and Kruskal-Wallis tests, with logistic regression modeling GNRI’s impact on KSD prevalence, assessing odds ratios and potential multicollinearity, and sensitivity analyses excluding individuals with low eGFR and adjusting cycle years.ResultsSignificant disparities are found in GNRI distributions between individuals with and without kidney stones. Higher GNRI levels are more common in kidney stone patients, with 39.249% in the highest quartile versus 33.334% in those without stones. Notably, those in the highest GNRI quartile (Q4) show a lower prevalence of kidney stone disease (KSD) than those in the lowest (Q1), with rates of 11.988% versus 8.631%, respectively (P &amp;lt; 0.0001). Adjusted model results reveal that higher GNRI quartiles (Q3-Q4) correlate with reduced KSD prevalence, with odds ratios of 0.85 (95% CI [0.72, 1.00]) and 0.76 (95% CI [0.65, 0.89]). A nonlinear inverse relationship exists between GNRI levels and KSD prevalence across the population (P &amp;lt; 0.001), confirming that higher GNRI lowers KSD prevalence. Subgroup and sensitivity analyses support these findings.ConclusionThe study underscores a significant, albeit nonlinear, association between elevated GNRI levels and decreased KSD prevalence. This relationship highlights the importance of nutritional assessment and management in KSD prevention strategies.

Evaluation of success factors of occupational health and safety management systems with the analytical hierarchy process: the case of ground handling companies in Turkey

Ground handling companies (GHCs) have the highest potential for occupational accidents in the air transportation sector. Understanding the success factors of occupational health and safety management systems (OHSMSs) implemented by GHCs ensures effective and efficient use of resources. Knowing the relative importance of success factors will enable companies to focus their energies on the most important factors. The analytic hierarchy process was used to determine the relative importance of success factors. The data of the study were obtained through a questionnaire survey of participants working as occupational safety and health (OSH) managers in GHCs operating in Turkey. According to the results of the study, the most critical success factor is ‘top management support’, followed by ‘positive safety culture’. The differentiating result of the research from the literature is that ‘OSH professionals’ ranks third as an important success factor. Other success factors include ‘OHSMS practices’, ‘stakeholder attitudes and characteristics’ and ‘regulations’.

Delirium risk profiles in a population-based study of United States older adults undergoing common noncardiac surgeries.

Older adults often require surgical care and are at elevated risk of delirium. We explored delirium risk profiles across the population of U.S. older adults who underwent one of 10 common noncardiac surgeries. We analyzed Health and Retirement Study (HRS) participants linked with Medicare billing data who underwent the following 10 noncardiac surgeries from 2000 to 2018 at age 65 or more: total knee arthroplasty (TKA), total hip arthroplasty (THA), spine surgery, cholecystectomy, colorectal surgery, hernia repair (ventral, umbilical, or incisional), endarterectomy, prostatectomy, transurethral resection of the prostate (TURP), and hysterectomy. Demographic and health covariates were obtained from the HRS dataset. Latent cognitive ability was calculated from cognitive testing, proxy reports, and demographics at the preoperative HRS interview. We compared standardized differences for delirium risk factors across the 10 surgeries and qualitatively clustered them into phenotypical subgroups. We analyzed 7424 older adults (mean age 76 ± 6 years, 45% male). Endarterectomy patients presented with the highest burden of nearly all health and cognitive factors, implying higher delirium risk (e.g., stroke, 22%; depressive symptoms, 30%; high school or less education, 73%; frailty, 42%; lowest latent cognitive ability). A second "general surgery" phenotype, including cholecystectomy, colorectal, and hernia surgery patients, experienced more frailty (29%-32%) and depressive symptoms (24%-26%), with moderate comorbidity burden. A third "pain" phenotype, which included TKA, THA, and spine surgery patients, commonly reported moderate or severe pain (47%-53%) and impairment in activities of daily living (ADL, 23%-30%), but fewer comorbid medical conditions. The remaining surgery types (hysterectomy, prostatectomy, TURP) were not phenotypically grouped and generally had lower risk features for delirium. In an epidemiological cohort of US older adults, we identified clinically meaningful heterogeneity in delirium risk profiles across different surgical types, which may have implications for delirium risk stratification and delirium prevention or treatment.

The association of reproductive health factors with periodontitis in 45-80 years old US women from NHANES 2009-2014.

We investigated the association of female reproductive factors with periodontitis. This cross-sectional study analyzed data from the US National Health and Nutrition Examination Survey 2009-2014 on 2321 women aged 45-80 years who had full-mouth periodontal examination and reproductive questionnaire. The 2018 World Workshop Classification of Periodontal and Peri-implant Diseases was used to classify periodontitis stages. After adjustment, > 3 pregnancies or live births were associated with increased stage III/IV periodontitis but age at first birth (AFB) > 23 years and female hormone use were associated with decreased stage III/IV periodontitis, while there were no associations of oral contraceptive use or menopause status with stage III/IV periodontitis. Stage III/IV periodontitis was more common in women with > 3 pregnancies or live births and AFB ≤ 23 years or never using female hormones but less common in women with ≥ 3 pregnancies or > 3 live births and AFB > 23 years or using female hormones. >3 pregnancies or live births were related with increased stage III/IV periodontitis and increased AFB was related with lowered stage III/IV periodontitis in overweight and smoking subgroups but using female hormone was related with reduced stage III/IV periodontitis in nonsmoking, non-overweight and black subgroups. >3 pregnancies/live births were related with severe periodontitis but AFB > 23 years and female hormone use were related with ameliorating periodontitis. Women with > 3 pregnancies/live births should receive intensive periodontal interventions. Female hormone therapy or AFB > 23 years may be beneficial for periodontal health of > 3 pregnancies/live births women.

Duckweed: Growth factor and applications in nonfood, food, and health

AbstractDuckweeds are aquatic plants and mainly constitute of five genera, Lemna, Spirodela, Wolffia, Wolffiella, and Landoltia. These are the smallest plants yet having a rapid growth rate. Hence, duckweeds are sustainable food sources for humans and animals, as well as sustainable feedstocks for biochemical production. Previously, duckweeds were discovered for their vital role in water purification by metabolizing chemicals and waste. However, many recent studies have discovered that duckweeds have a high amount of nutrients, which makes them a great substitute in human diets and animal feed. Their nutrient composition and growth rate are greatly affected by environmental factors. Hence, this review summarizes the characteristics of duckweeds, growth rate factors, and their applications in nonfood, food, and health. Duckweeds could improve health due to their large amounts of macro‐ and micronutrients. Future studies on the safety measures and duckweed culture are strongly recommended to safeguard the quality of the plants. Besides that, duckweeds have great potential to be used as heavy metals or contaminants absorbent, as well as a sustainable feedstock for biofuel production.

The moderating role of protective factors in shift work disorder and health outcomes: A cross-sectional study

ABSTRACT This study investigated whether sleep-specific (e.g. chronotype) and traditional (e.g. resilience) protective factors were associated with reduced shift work disorder (SWD) risk and explored their role as moderators in the relationship between SWD risk and health. Shift workers (n = 126) participated in a cross-sectional study evaluating SWD risk (i.e. low vs. high; SWD-screening Questionnaire), mental health (Patient Health Questionnaire-9; Generalized Anxiety Disorder Questionnaire-7), physical health (Subjective Health Complaints Inventory), sleep (Pittsburgh Sleep Quality Index; Insomnia Severity Index; Epworth Sleepiness Scale), and protective factors (Resilience Scale; Social Provisions Scale; Survey of Perceived Organizational Support; Short Impulsive Behavior Scale; Circadian Type Inventory; reduced-Morningness-Eveningness Questionnaire). Logistic regressions revealed lower sleep languidity was associated with reduced odds (OR = 0.88 [0.79,0.96]) for having high SWD risk. Multiple regression analyses showed in shift workers with high social support or morningness, having high SWD risk was not associated with increased depression symptoms, or insomnia severity and poor sleep quality, respectively. Finally, in those with high or medium levels of perceived organizational support, high SWD risk was not associated with increased gastrointestinal and allergy complaints. Longitudinal research with larger samples is needed to confirm the moderating role of protective factors in the relationship between SWD risk and health.

Assessing Mental Health During an Extreme Weather Event in Southern Brazil.

This study aimed to evaluate mental health factors in individuals affected by the floods in Rio Grande do Sul from May 10 to June 6, 2024. A real-time survey was conducted with 1,552 participants. The Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Acute Stress Disorder (ASD) symptom checklist were used to assess mental health outcomes. Sociodemographic factors, trauma exposure, rescue participation, and psychological support were evaluated. Statistical analyses included t-tests, ANOVA, linear regression, and MANCOVA. High rates of depressive and anxious symptoms were found, with over half of the individuals with moderate to severe symptoms reporting no prior history of these conditions. Participants directly affected by the floods, and those with close ones affected, had higher PHQ-9, GAD-7, and ASD scores compared to the unaffected group. Moreover, younger age, female sex, lower family income, participation in rescues, and unmet psychological support needs were correlated with worse mental health outcomes. Individuals who participated in rescues had significantly higher rates of suicide ideation. Notably, psychological support had the largest effect size in mitigating mental health symptoms, regardless of trauma exposure status, when controlled for age, sex, and income according to MANCOVA. The findings highlight the critical role of psychological support in disaster response and the importance of community resilience. Real-time data collection during crises can inform targeted interventions, emphasizing the need for robust mental health services and community support networks. These efforts are essential to reduce long-term psychological morbidity and foster recovery in vulnerable populations.

Non-Targeted Analysis of Environmental Contaminants and Their Associations with Semen Health Factors in Men from New York City

Non-Targeted Analysis of Environmental Contaminants and Their Associations with Semen Health Factors in Men from New York City

Gramian angular field-based state-of-health estimation of lithium-ion batteries using two-dimensional convolutional neural network and bidirectional long short-term memory

Accurate assessment of the state of health (SOH) of Lithium-ion batteries (LIBs) is crucial for ensuring the stability and reliability of associated equipment. However, in practical applications, current feature extraction techniques face challenges due to process complexity and the difficulty of models in capturing the dynamic evolution of time series data. This study introduces an advanced method for predicting LIBs SOH by integrating two-dimensional (2D) convolutional neural networks (CNN) and bidirectional long short-term memory (BiLSTM) with the Gramian angular field (GAF) technique. Health indicators (HIs) are derived from the incremental capacity and charging voltage curves, which are transformed into two-dimensional images using GAF. Bayesian optimization determines the optimal hyperparameters for the model, which uses image data of two health factors as inputs. The results demonstrate that the proposed dual-channel(CH2) image data input model, combined with voltage data during the charging phase, achieves superior performance, with lower errors and higher accuracy, evidenced by an average root mean square error (RMSE) of 0.0112 and an average mean absolute error (MAE) of 0.0087. The model's generalization capability and comparative analysis with existing methodologies affirm its practical significance.

Comorbidities and determinants of health on heart failure guideline-directed medical therapy adherence: All of us

BackgroundHeart failure with reduced ejection fraction (HFrEF) and heart failure with preserved ejection fraction (HFpEF) are challenging conditions to treat due to complex pathophysiology and associated comorbidities. However, recent trials have demonstrated improved outcomes with guideline-directed medical therapy (GDMT) for each subtype of heart failure. ObjectiveWe investigated the relationship of determinants of health and risk factors with GDMT use for HFrEF and HFpEF in a large, diverse US cohort. MethodsUsing the NIH-sponsored All of Us Program, we compared demographics, risk factors (e.g., hypertension, diabetes, smoking), and SDOH measures between HFrEF and HFpEF in US adults aged 18 years and older. We examined the proportions of HFrEF patients receiving fewer than four or all four GDMTs. HFpEF patients receiving two medications were compared with those receiving less than two recommended medications. Multiple logistic regression was used for data analysis. ResultOf 6049 HFrEF patients, 5838 (97 %) received fewer than four GDMTs, and 210 (3 %) received quadruple therapy. Of 3774 HFpEF patients, 162 (4 %) were on 2/3 GDMT, and only 38 (1 %) were on all three recommended medications. Patients with ASCVD and diabetes had higher odds of being on more than half of the recommended GDMT for both HFrEF and HFpEF. Additionally, females had higher odds of being on 2/3 GDMT for HFpEF (1.46 [1.08, 2.00]). Race, income, education, and health insurance types did not predict GDMT optimization. ConclusionHFrEF and HFpEF GDMT remain underutilized. Future efforts to address comorbidities and system-wide healthcare interventions may improve heart failure GDMT.

Association of the Life's Essential 8 cardiovascular health score with periodontitis among US adults.

To investigate whether cardiovascular health (CVH) is associated with periodontitis. We used data from the 2009 to 2014 National Health and Nutrition Examination Survey. We quantified CVH using Life's Essential 8, which includes four health behaviours (diet, smoking, physical activity and sleep) and four health factors (body mass index, blood cholesterol, glucose and pressure). We categorized scores as low (0-49), moderate (50-79) and high (80-100). We calculated subscores of health behaviours and factors and categorized them as low, moderate and high. We used logistic regression to assess the association of CVH with periodontitis, adjusting for age, gender, race/ethnicity, education, poverty index, marital status and health insurance. We computed odds ratios (ORs) and 95% confidence intervals (CIs). This study included 9296 adults ≥30 years old. Multivariable-adjusted models showed that subjects with moderate (OR, 0.62; 95% CI: 0.52-0.74) or high (OR, 0.43; 95% CI: 0.33-0.57) CVH had significantly lower odds of periodontitis compared to those with low CVH. These results were consistent in the health behaviours model, but the estimates in the health factors model were not significant. Improving CVH may help prevent periodontitis. Longitudinal studies are needed to confirm our findings.

Unhealthy Dietary Pattern Associated with Common Mental Disorders in Adults and Older Adults: A Population-based Study

Background:: Mental and behavioral disorders are influenced by biological, psychological and social factors, especially income, gender, age and family environment, indicating that physical health is directly associated with mental health. In this perspective, food consumption is highlighted as a risk factor for mental health, as healthy behaviors, along with a good quality diet, can reduce symptoms of anxiety and depression. Objective:: The objective of this a study is to investigate the association between CMD and dietary patterns, among other lifestyle and socioeconomic factors. Method:: Cross-sectional population-based and household study conducted with 1574 individuals aged over 20 years, of both sexes, residing in Teresina and Picos, Piaui, Brazil. Sociodemographic, lifestyle and food consumption data were collected. The instrument used to identify the presence of CMDs was the Self Reporting Questionnaire 20 (SRQ-20). Dietary patterns were obtained using the Principal Component Analysis method. Results:: Individuals of female sex, separated, with low education, smokers and lower level of physical activity had a higher prevalence of common mental disorders. As for the eating pattern, after adjustments, individuals who adhered to the unhealthy eating pattern had a 9% higher prevalence of CMD. Furthermore, adherence to the white meat standard represented 12% higher prevalence of CMD. Conclusion:: The results showed that, regardless of other socioeconomic and lifestyle factors, adherence to a more monotonous eating pattern in foods, characterized by the mainly consumption of animal protein and the lack consumption of foods like fruits and vegetables, as well as a less healthy one, characterized by the consumption of ultra-processed foods, increases the risk of developing CMD.

Construction Waste Management Strategies Towards Sustainable Practices in Malaysia

Malaysia has witnessed substantial rapid growth in construction waste management (CWM). However, this expansion has brought with it an obvious dilemma, namely an increasing amount of construction waste. The main aim of this study was to examine the critical issues of CWM in Malaysia, considering its various impacts on the environment, economy and society. Waste from various building materials increases with time, placing a heavy burden on ecosystems, public health and the economy. This study develops a strategic approach to CWM in Malaysia. The study focuses on identifying the common practices of construction waste and its’ relevant future strategies for enhancing sustainability. The method approach for this study was qualitative research, which consists of observation and semi-structured interview techniques. Respondents were from developers, management teams, contractors and site supervisors with expertise in CWM. Open-ended questions were designed and distributed to the respondents during the interview session to achieve information related to the current practice, challenges and solutions for improving CWM practices in Malaysia. The study highlights the importance of incorporating safety, health and environmental factors into CWM to facilitate the transformation of Malaysia's construction industry into a more ecologically conscious and productive sector. This will ultimately lead to a future characterized by enhanced security, improved sanitation and greater sustainability.