Mongolian Population Research Articles

Association between ESR1 and COL1A1 gene polymorphisms and skeletal fluorosis in Tibetan, Kazakh, Mongolian and Russian populations, China.

Skeletal fluorosis is a chronic metabolic bone disease caused by excessive accumulation of fluoride in the bones. Previous studies have found that when the intake of tea fluoride is similar, the prevalence of skeletal fluorosis varies greatly among different ethnic groups, which may be related to different genetic backgrounds. Single nucleotide polymorphisms (SNPs) of estrogen receptor 1 (ESR1) and collagen type 1 α1 (COL1A1) were strongly associated with bone metabolism as well as bone growth and development, but their association with the risk of skeletal fluorosis has not been reported. To explore the incidence of skeletal fluorosis in different nationalities in the endemic fluorosis area of brick-tea type. To study the relationship between 4 SNPS of ESR1 and COL1A1 gene and skeletal fluorosis METHODS: A cross-sectional study was conducted in Inner Mongolia, Qinghai and Xinjiang. By including exclusion criteria, a total of 989 people were included in the study, demographic data were collected, and physical examinations and laboratory biochemical tests were performed. The X-ray of the participants were diagnosed according to the diagnostic criteria of Chinese endemic skeletal fluorosis (WS192-2008). Fluoride levels in tea or urine were measured using fluoride ion electrodes. SNP was evaluated using Sequenom-MassARRAY system. The prevalence of skeletal fluorosis varies among different nationalities. Binary logistic regression found that carried the ESR1 Rs9340799 G allele played a protective role in brick-tea-type fluorosis (OR=0.673[95% CI, 0.495,0.914]). Russians carried the COL1A1 Rs1800012 T allele had a significantly higher risk of developing skeletal fluorosis (OR=6.370 [95% CI, 1.413,28.715]). When stratified by sex, carriage of the T allele in COL1A1 Rs1800012 significantly increased the risk of developing skeletal fluorosis in Russian men. At the same time, changes in tea fluoride intake and older age can affect the effect of genetic background differences on the risk of skeletal fluorosis. Our data suggested that there may be a genetic component to the risk of skeletal fluorosis in participants of different ethnicities and that this difference could modified by tea fluoride intake, sex or age.

A Cross-sectional Study of Depression, Anxiety and Stress in Mongolians During COVID-19 Lockdowns

Mongolia remained one of the few countries with no registered cases of the COVID-19 virus for most of 2020. However, the number spiked after the first registered case, which was imported from abroad by a foreign individual. As a result, the Mongolian government implemented multiple lockdown restrictions, which impacted the overall mental health and well-being of the population. The purpose of this study was to investigate depression, anxiety and stress levels in the Mongolian population ( n = 344) during lockdowns using a Depression, Anxiety, Stress Scale (DASS-21) scale that included factors such as the health and well-being of loved ones, financial status and anhedonia. This study also aimed at establishing relationships between depression, anxiety, stress and the tendency to seek social support using an Oslo Social Support Scale (OSSS-3) scale. Participants who scored highest on depression, anxiety and stress tended to seek social support less. The findings increase understanding of the impact of social factors on mental well-being during global health crises and have implications for how governments can better approach the management of these issues.

Mongolian accessions of crested wheatgrass (Agropyron cristatum (L.) Beauv.) in the VIR collection

Recently, the interest in forage crops with resistance to adverse environmental factors in changing climate conditions has grown significantly among researchers. Among these crops is wheatgrass, diploid specimens of which are included as the initial genetic material in breeding and genetic programs. The first and only one wild specimen of crested wheatgrass was collected in 1922 by V.E. Pisarev, a close associate of N.I. Vavilov, during the Mongolian expedition of the State Institute of Experimental Agronomy. Two more wheatgrass specimens collected by A.I. Ivanov, the Leading Researcher of the Department of Forage Crops of VIR, arrived in 1966.It was only in 1986-1987 that the VIR collection was replenished with a rather large number of diploid wild-growing Mongolian specimens of crested wheatgrass, distinguished by traits valuable for breeding, such as short vegetation period, salt-, drought-, and winter hardiness, resistance to diseases and pests.In the summer of 1986 and from the end of summer until the autumn of 1987, scientists from the Plant Resources Team of the Joint Soviet-Mongolian Complex Biological Expedition (JSMKBE) examined the flora of several aimags of Mongolia: Selenge, Bulgan and Central aimags in 1986; Arkhangai, Bayankhongor, Bulgan, East Gobi, Selenge, Uvs, Arkhangai, Khentii, Central and South Gobi aimags in 1987.The objective of the Plant Resources Team was to broaden the gene pool of crop wild relatives (CWR). Seed samples of mid- and late-ripening perennial wild forage grasses resistant to limiting environmental factors, were collected for replenishing plant collections of the USSR and Mongolia, study, and further use by breeding centers of both countries. During the expedition, the institute’s collection was replenished with samples of forage grasses, including 30 of crested wheatgrass, one of Mongolian wheatgrass, Michno's wheatgrass and Ericksson crested wheatgrass. The geographical coordinates and collection sites of the samples were recorded, and the ecological and a geographical classification of the Mongolian populations of crested wheatgrass was created.

High Meat Intake and Ferritin Levels in Relation to Cardiovascular Risk Among Individuals with Diabetes in Mongolia.

Mongolian diets are characterized by high meat consumption, which may contribute to dietary iron intake and influence ferritin levels and cardiovascular risk. Elevated ferritin levels have been associated with inflammation and cardiovascular disease (CVD) risk in various populations; however, the specific effects of high meat intake and ferritin levels on CVD risk in Mongolian individuals with diabetes remain unclear. This study aimed to assess the relationship between meat intake, ferritin levels, and cardiovascular risk markers in a diabetic Mongolian population. A cross-sectional study was conducted involving 171 Mongolian adults with diabetes. Meat intake was assessed using 24 h dietary recall interviews, and participants were categorized into tertiles of low, medium, and high intake. Blood samples were collected to measure ferritin, lipid profiles, and other CVD markers. The Framingham Risk Score was calculated for each participant. Participants in the highest tertile of meat intake exhibited significantly elevated ferritin levels compared to those in the lower tertiles (275.6 ng/mL vs. 119.6 ng/mL, p = 0.001). Elevated ferritin levels were observed in 40% of participants and were associated with higher LDL cholesterol (3.75 vs. 3.22 mmol/L, p = 0.002), total cholesterol (5.63 vs. 5.2 mmol/L, p = 0.012), and Framingham Risk Scores (13.97 vs. 11.4, p = 0.0001). However, ferritin levels showed no significant association with other cardiovascular or inflammatory markers, including BMI, HbA1c, CRP, and IL-6 (p > 0.05). Mediation analysis revealed that ferritin partially mediated the relationship between meat intake and cardiovascular risk (beta coefficient = 0.539, p = 0.001), though the indirect effect was not statistically significant. Interaction analysis indicated no significant effect modification of meat intake and ferritin levels on cardiovascular risk (p = 0.844). In this diabetic Mongolian population, high meat intake was associated with elevated ferritin levels, which may have reflected dietary iron intake rather than systemic inflammation or increased CVD risk.

Multiple ancestral components and complex origins of the Yugur people in Gansu province revealing by 35 Y-STR.

The Yugur people represent one of the ethnic groups residing within the Hexi Corridor, distinguishable by their small population size, linguistic diversity, intricate ancestral components, serving as a quintessential exemplar of the populations inhabiting this corridor. There are still many controversial issues in the academic community regarding the origin, migration, and formation process of the Yugur. In this study, we explored the formation process of the Yugur from the perspective of molecular anthropology, based on the paternal genetic characteristics of the Yugur people. And the study will synthesize multiple disciplines, encompassing ethnology, history and linguistics, in order to offer a thorough analysis. Within this research endeavor, a high-resolution kit comprising 35 Y-STRs was employed to examine 237 male specimens from the Yugur people in Gansu province. Y-SNP haplogroups were deduced through the utilization of Y-STR data. The paternal genetic data from diverse populations documented in published literature were merged to construct a 16 Y-STR dataset, a 25 Y-STR dataset, and a dataset detailing haplogroup frequencies. In this study, we employed haplotype network analysis, principal component analysis, multidimensional scaling analysis, phylogenetic tree construction, and genetic distance calculations to delve into the genetic structure, haplotype distribution, and genetic relationship with neighboring populations of the Yugur people. The findings of this study reveal that the Yugur people are a blend of ancestral lineages from both Eastern and Western Eurasian origins, with approximately 13% of their genetic component traced back to Western Eurasian populations. The Yugur people in Gansu province exhibits a more intimate genetic relationship with the Han, Tibetan, and Mongolian populations inhabiting nearby regions, while showing distinct genetic differences with Turkic-speaking groups like the Uyghur. Based on the merged data, we identified Q1b1a3-L330 and R1a1a-M17 shared with Turkic-speaking people, C2a1a1-F1756, C2a1a3-M504, C2a1a3a-F3796, C2a1a2-M48 and C2b1a1a1a-M407 shared with Mongolic-speaking people, D1a1a-M15 and D1a1b1-P47 shared with Tibetans, and multiple paternal lineages shared with Han people, which are the main paternal lineages of Yugur people, indicating multiple ancestral components and complex origins of Yugur. In this study, we provided a clearer genetic landscape which further supports the formation process and population characteristics of the Yugur people recorded in history, ethnology, and linguistics, and lays the foundation for more detailed studies on population genetics and forensic genetics in the future.

Dissecting the genetic admixture and forensic signatures of ethnolinguistically diverse Chinese populations via a 114-plex NGS InDel panel

Comprehensive characterizations of genetic diversity and demographic models of ethnolinguistically diverse Chinese populations are essential for elucidating their forensic characteristics and evolutionary past. We developed a 114-plex NGS InDel panel to genotype 114 genome-wide markers and investigated the genetic structures of Zhuang, Hui, Miao, Li, Tibetan, Yi, and Mongolian populations, encompassing five language families. This panel demonstrated robust performance, with exceptional potential for forensic individual identification and paternity testing, evidenced by the combined power of discrimination for 77 autosomal InDels (ranged from 1-3.6400 × 10–30 to 1-3.5713 × 10–32) and the combined power of exclusion (ranged from 1-2.1863 × 10–6 to 1-2.1261 × 10–7). The cumulative mean exclusion chance for 32 X-chromosomal InDels varied between 0.99996 and 0.99999 for trios and 0.99760 to 0.99898 for duos. We also analyzed genetic similarities and differences between these populations and 27 global populations, revealing distinct clusters among African, South Asian, East Asian, and European groups, with a close genetic affinity to East Asians. Notably, we identified geography-related genetic substructures: Inner Mongolia Mongolians and Gansu Huis formed a northern branch, Tibetans and Yis from Sichuan constituted a highland branch, and Guangxi Zhuangs exhibited close ties with Hainan Lis and Guangxi Miaos in the southern branch. Additionally, many InDels proved to be ancestry-informative markers for biogeographic ancestry inference. Collectively, these findings underscore the utility of the 114-plex NGS InDel panel as a complementary tool for forensic investigations and as a source of insights into the genetic architecture of ethnolinguistically distinct Chinese populations.

Breeding success of the interspecies hybrids: Reduced fertility in the hybridogeneous magpie population (<i>Pica pica</i> × <i>Pica serica</i>, Aves)

Data on the breeding success of hybrids, collected during direct field observations, are principally important for understanding nature of the species isolating factors and future fate of the hybridogeneous populations. In the zone of secondary contact between Eurasian magpie Pica pica and Oriental magpie Pica serica, emerging right now, limited hybridization occurs, what has been shown in our reported data on nuclear single nucleotide polymorphisms (SNP). In the present work, we have analyzed composition of 119 nesting pairs and content of 89 nests in the hybridogeneous population of P. pica leucoptera × P. serica jankowskii in Eastern Mongolia, then in the recent contact zone in Eastern Transbaikalia (South Siberia) and the relatively pure populations of P. p. leucoptera in Central Transbaikalia and P. s. jankowskii in Northeast China. In the hybridogeneous population of Mongolia, significantly increased portion of nonviable clutches with all dead eggs was recorded, as well as a portion of partly dead clutches, compared with the data on the pure population of Central Transbaikalia. The egg mortality was found to be much less dramatic in the population of the Eastern Transbaikalia, where hybridization is less pronounced than in Mongolia. Several possible mechanisms of genetic incompatibilities breaking the reproductive barriers are discussed. The future fate of this magpie contact zone is considered, taking in account selection against hybridization which was revealed in this study. Among possible scenarios, reinforcement of prezygotic isolation may occur, i. e., in the species-specific calls. It is possible that a kind of mosaic hybrid zone with some features of tension zone will appear. Monitoring of the unique situation with the emerging zone of contact and hybridization of two young magpie species is needed, as a necessary addition to genomic studies.

Sex differences in the prevalence of metabolic syndrome and associated factors in the general population of Mongolia: A nationwide study.

The prevalence and factors associated with metabolic syndrome (MetS) between men and women in Mongolia were compared using secondary data from the STEPwise approach to non-communicable disease risk factor surveillance conducted in 2019. In total, 5,695 participants (2,577 males and 3,118 females) aged 18-69 years old were enrolled in the study. The prevalence of MetS was 37.4% in total and the prevalence was significantly higher in women (39.2%) than men (35.2%, P = 0.002). The most prevalent MetS components were abdominal obesity in women (74.2%) and high blood glucose levels in men (58.7%). All of the 2,128 participants who were categorized into MetS met the criteria of abdominal obesity. Factors associated with MetS included being 30-69 years old compared to 18-29 years old, low and moderate physical activity levels compared to high levels, history of hypertension and diabetes mellitus, and a high body mass index (overweight and obesity) compared to a normal body mass index in both sexes. Additional factors included Buryat ethnicity compared to Khalkh ethnicity, living in Ulaanbaatar, no education compared to primary education, higher monthly income, and currently drinking in men; and smoking and sufficient fruit and vegetable intake in women. Significant differences were observed between men and women in terms of the prevalence of MetS, components of MetS, and factors associated with MetS. To reduce MetS prevalence in Mongolia, sex-specific programs should be designed to promote health behavior, such as reducing alcohol consumption in men and smoking in women.

Cardiovascular Risk across Glycemic Categories: Insights from a Nationwide Screening in Mongolia, 2022–2023

(1) Background: Diabetes mellitus is a significant risk factor for cardiovascular disease (CVD), a leading cause of death globally. Recent studies have highlighted the role of pre-diabetes, particularly impaired fasting glucose (IFG), in elevating CVD risk even before the onset of diabetes. The objective of this study was to assess cardiovascular disease (CVD) risk across specific glycemic categories, including normoglycemia, impaired fasting glucose (IFG), newly diagnosed diabetes, and long-standing diabetes, in a large Mongolian population sample. (2) Methods: This cross-sectional study utilized data from a nationwide health screening program in Mongolia between 2022 and 2023, involving 120,266 adults after applying inclusion criteria. The participants were categorized based on fasting plasma glucose levels (NGT): normoglycemia, IFG, newly diagnosed diabetes, and long-standing diabetes. CVD risk was assessed using WHO risk prediction charts, considering factors like age, blood pressure, smoking status, and diabetes status. (3) Results: CVD risk varied significantly with glycemic status. Among those with NGT, 62.9% were at low risk, while 31.2% were at moderate risk. In contrast, the IFG participants had 49.5% at low risk and 39.9% at moderate risk. Newly diagnosed diabetes showed 38.1% at low risk and 43.3% at moderate risk, while long-standing diabetes had 33.7% at low risk and 45.9% at moderate risk. Regression analysis indicated that glycemic status was independently associated with moderate to high CVD risk (OR in IFG: 1.13; 95% CI: 1.09–1.18), even after adjusting for age, gender, and central obesity. (4) Conclusions: This study emphasizes the need for early cardiovascular risk assessment and intervention, even in pre-diabetic stages like IFG.

Investigation of physico-chemical and microbiological parameters of traditional mongolian cheese

The traditional technology of Mongolian cheese is almost the same in different parts of the country, it differs from other types of cheeses, there is no microbiological process in it. Within the framework of this study, physico-chemical and microbiological parameters were determined in order to assess the quality and safety of Mongolian cheese sold on the market in Ulanbaatar. The article is devoted to the traditional Mongolian cheese, which belongs to the group of fresh fermented milk cheeses produced by thermal acid coagulation of milk. The main stages of its production include pasteurization of milk, coagulation, molding and pressing of cheese mass. Unlike other types of cheese, the production process of Mongolian cheese does not include clot processing, salting and maturation, which limits its shelf life. However, this cheese is an important source of casein and whey proteins for the Mongolian population. The method of cheese production is based on thermic acid coagulation, which uses high temperature. Mongolian cheese, like other cheeses of this group, is absorbed by the body by 96-98%, being an important source of calcium, phosphorus and amino acids. Milk proteins in such cheeses are not decomposed by microorganisms, which reduces the content of soluble proteins. Studies of the microflora of Mongolian cheese have shown the presence of various microorganisms, mainly lactic acid bacteria, and the absence of pathogenic bacteria when properly stored. The addition of preservatives such as nisin and natamycin can extend the shelf life of cheese up to 15 days.

Genetic characterization of cashmere goat (Capra hircus) populations in Mongolia.

Characterization studies of the phenotypic and genetic diversity of Mongolian goats are limited, despite several goat breeds being registered in the country. This study aimed to evaluate the phenotypic and genetic diversity of 14 cashmere goat populations in Mongolia, consisting largely of identified goat breeds. Body weight, cashmere quality, and coat color were the phenotypic traits considered in this study. A linear model was used to fit body weight and cashmere traits, and least squares means (LSMs) were estimated for the region and location classes. Genetic diversity and structure were assessed using a goat 50K SNP array. The studied populations exhibited greater phenotypic diversity at the regional level. A very small overall differentiation index (Fst: 0.017) was revealed by Wright's Fst and a very small overall inbreeding index (F ROH1 :0.019) was revealed based on runs of homozygosity. Genetic clustering of populations by principal components showed large variances for the two goat populations of the Russian admixture (Gobi Gurvan Saikhan and Uuliin Bor), and smaller but differentiated clusters for the remaining populations. Similar results were observed in the admixture analysis, which identified populations with the highest (Govi Gurvan Saikhan and Uuliin Bor) and lowest (Tsagaan Ovoo Khar) exotic admixtures. A genomewide association study (GWAS) of body weight and cashmere traits identified a few significant variants on chromosomes 2, 4, 5, 9, and 15, with the strongest variant for cashmere yield on chromosome 4. The GWAS on coat color yielded nine significant variants, with the strongest variants located on chromosomes 6, 13, and 18 and potential associations with KIT, ASIP, and MC1R genes. These signals were also found in other studies on coat color and patterns in goats. Mongolian cashmere goats showed relatively low genetic differentiation and low inbreeding levels, possibly caused by the traditional pastoral livestock management system and the practice of trading breeding bucks across provinces, along with a recent increase in the goat population. Further investigation of cashmere traits using larger samples and alternative methods may help identify the genes or genomic regions underlying cashmere quality in goats.

The burden of headache disorders in the adult population of Mongolia: estimates, and a health-care needs assessment, from a cross-sectional population-based study

BackgroundHaving previously shown headache disorders to be prevalent in Mongolia, here we elaborate on headache as a public-health concern in this country, reporting symptom burden and headache-attributed impaired participation at individual and societal levels, and conducting a health-care needs assessment.MethodsThe study followed the standardized methodology developed by the Global Campaign against Headache, generating a representative general-population sample through multi-level randomized cluster sampling. Participants aged 18–65 years were interviewed at unannounced household visits by interviewers administering the HARDSHIP questionnaire. Symptom burden was established through questions on frequency, duration and intensity of headache, with proportion of time in ictal state calculated from frequency and duration. Individual impaired participation was established through the HALT questionnaire, enquiring into lost time from paid and household work and from leisure activities. Symptom burden and impaired participation yesterday were also assessed in those reporting headache yesterday. Population-level estimates were derived by factoring in prevalence.ResultsThe total sample included 2,043 participants. Those reporting any headache in the last year (n = 1,351) spent, on average, 9.7% of all their time with headache, losing 1.3 workdays and 2.4 household days/3 months. These losses were considerably higher among those with probable medication-overuse headache (37.5%, 3.5 workdays, 6.7 household days) or other headache on ≥ 15 days/month (H15+) (21.9%, 2.4 workdays, 5.1 household days). At population-level (including those with and without headache), 6.2–7.4% of all time was spent with headache, 3.1% with H15+; 0.8 workdays and 1.4 household days/person/3 months were lost to headache, 0.3 workdays and 0.6 household days to migraine (the biggest contributor of all headache types). Our needs assessment estimated that one third (33.2%) of the adult population of Mongolia have headache (mostly migraine or H15+) likely to benefit from health care.ConclusionThis first population-based study on headache burden in Mongolia shows high levels of individual and societal burden, with H15 + the cause of greater burden at population level than migraine and TTH combined. Migraine, however, has the biggest impact on the nation’s productivity. From a purely economic perspective, Mongolia, with limited health resources, would probably be best served by focusing on mitigating migraine-attributed burden.

The burden of liver cancer in Mongolia from 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.

Liver cancer remains the leading cause of death and public health threat among the Mongolian population. So far, there has been no in-depth analysis to describe the burden of common attributable factors to liver cancer in Mongolia. Therefore, we aimed to explore the most prevalent causes of liver cancer and its trends from 1990 to 2019. We extracted the primary liver cancer data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to examine the mortality and morbidity of liver cancer by its etiological types, which included alcohol, viral hepatitis B and C, and non-alcoholic steatohepatitis (NASH). The data was extracted by sex and 5-year age intervals from 1990 to 2019. Data included mortality, incidence, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) of liver cancer among the Mongolian population. Mongolia had the world's highest age-standardized DALYs for liver cancer (2558.1) in 2019. Alcohol-attributable DALYs (786.6) were 29 times higher than the global average (26.1), and liver cancer due to hepatitis C (752.6) and B (763.2) were 21.5 (35.0) and 10.9 (69.1) times higher, respectively. Over the past 30 years, there has been a steady increase in the incidence and number of deaths caused by liver cancer in Mongolia. In 2019, liver cancer incidence due to alcohol consumption was 3.1 times higher for males than females, and hepatitis B was 2.7 times higher for males than females. However, the incidence of hepatitis C and NASH were slightly higher for females. Deaths from liver cancer accounted for 9.51% (2365) of total deaths in Mongolia in 2019, with a continuously increasing trend in the fraction of death compared to 1990, which was 11 times higher than the global average (0.86%), particularly in females with a 319.6% (95% UI 234.9-435.7) increase observed during the study period. Liver cancer due to hepatitis B, C, and alcohol each shared about one-third of liver cancer deaths. A comprehensive analysis of the burden of liver cancer in Mongolia reveals alcohol use as a primary cause of liver cancer mortality, particularly affecting men and significantly impacting the disease burden. Viral hepatitis continues to pose a major public health concern in the country. Although significant milestones have progressed, addressing the unique demographic and geographical challenges requires tailored approaches for specific target populations. The evidence generated from this analysis is crucial to support policy guidance, contribute to evidence-based decisions, guide public health prevention measures, and amplify population health promotion and disease prevention throughout Mongolia.

Prevalence and risk factors for refractive error in older adults in eight ethnicities in China: The China national health survey

PurposeThis study aimed to investigate the prevalence of refractive error (RE) and risk factors for myopia among older adults in the Han and various minority ethnic groups across seven provinces in China. MethodsThis cross-sectional study forms a part of the ophthalmic dataset of the China National Health Survey (CNHS). Face-to-face interviews and ophthalmic examinations were conducted in seven provinces located in western and northern China. The age- and sex-adjusted prevalence of RE among Han and seven other ethnic groups aged 50–80 years were compared. A mixed-effects model was used to identify the risk factors associated with RE. ResultsA total of 12,902 participants, including 8800 Han and 4102 from ethnic minorities, were included in the study. The age- and sex-adjusted prevalence of myopia, high myopia, hyperopia, and astigmatism ranged from 15.3 % (Manchu) to 22.9 % (Han), 0.2 % (Yugur) to 2.8 % (Han), 21.6 % (Tibetan) to 48.9 % (Uyghur), and 38.7 % (Yi) to 57.5 % (Manchu) across different ethnicities, respectively. Compared to the Han population, the Mongolian (odds ratios (OR) 0.62, 95 % confidence interval (CI) 0.46–0.84, p = 0.002), Tibetan (OR 0.66, 95 % CI 0.52–0.85, p = 0.001), Uyghur (OR 0.63, 95 % CI 0.49–0.80, p < 0.001), Yi (OR 0.65, 95 % CI 0.46–0.92, p = 0.014), and Yugur (OR 0.65, 95 % CI 0.50–0.85, p = 0.001) ethnicities were less likely to have myopia. There was no significant difference in the prevalence of myopia between the Manchu, Korean, and Han ethnic groups. Factors associated with a lower prevalence of myopia included rural residence (p < 0.001), a body mass index (BMI) > 18.5 kg/m2 (all p < 0.001), residence in higher latitude areas (p = 0.020), and a history of smoking (p = 0.002 in the past smoking group, p = 0.031 in the current smoking group). The Mongolian (p = 0.006) and Yugur (p = 0.007) populations, participants living in rural areas (p = 0.012), and those with a BMI >24 kg/m2 (p = 0.038 in the >24.0 ≤ 27.0 kg/m2 group or p = 0.041 in the >27.0 kg/m2 group) were less likely to have high myopia. Factors associated with a higher prevalence of hyperopia included older age (all p < 0.001), rural residence (p = 0.039), higher latitude areas (p = 0.031), smoking history (p = 0.040), and Mongolian (p = 0.001), Uyghur (p < 0.001), Yi (p < 0.001), and Yugur (p = 0.002) ethnicities. Conversely, the Manchu population (p = 0.004) and individuals with higher education levels than illiteracy (p = 0.024 or p < 0.001) were less likely to have hyperopia. ConclusionsMyopia affected more than one-fifth of the older adults in the Han population in this survey. Significant differences in the prevalence of RE were observed between minority ethnicities and Han individuals, except for the Manchu and Korean groups.

Efficacy and safety of peroral endoscopic myotomy for pediatric achalasia: A nationwide study.

Achalasia, a rare esophageal motility disorder characterized by the inability of the lower esophageal sphincter to relax and loss of esophageal peristalsis, significantly impacts pediatric patient quality of life through symptoms like dysphagia, chest pain, and weight loss. This nationwide retrospective cohort study evaluates the efficacy and safety of peroral endoscopic myotomy (POEM) for pediatric achalasia in Mongolia, contributing to the limited global data on this minimally invasive treatment in children. Conducted between February 2020 and March 2022 at 2 tertiary centers, the study included symptomatic achalasia patients, treatment-naive or those with unsatisfactory outcomes from previous esophageal dilations. The POEM procedure was assessed for its impact on esophageal structure and function, symptom severity via the Eckardt score, and procedure-related safety, with outcomes measured at baseline, 3 days, and 12 months post-procedure. The study demonstrated notable post-procedure improvements across all measured outcomes: abnormal contraction length and esophageal width significantly reduced, underscoring the procedure's effectiveness. More precisely, the integrated relaxation pressure showed a significant improvement from a mean of 26.8 mm Hg (standard deviation [SD], 5.4 mm Hg) pre-procedure to 10.8 mm Hg (SD, 1.1 mm Hg) 12 months (P < .001). Similarly, Eckardt scores, which assess symptom severity, improved significantly from a pre-procedure mean of 7.0 (SD, 1.0) to a substantially lower score post-procedure (P < .001), reflecting enhanced patient quality of life and symptom alleviation. This study underscores POEM's role as an effective, minimally invasive option for pediatric achalasia management within the Mongolian population, offering significant symptomatic relief and improved esophageal function.

Gut Microbiota, Diet and Health Status of Nomadic and Urban Population in Mongolia

Gut Microbiota, Diet and Health Status of Nomadic and Urban Population in Mongolia

Incidence and Mortality due to Colorectal Cancer in Mongolia, 2018-2022.

We aimed to update data on the morbidity and mortality rate of colorectal cancer (CRC) among the population of Mongolia by province between 2018 and 2022. This study was designed using a descriptive method. The data were collected from 21 general hospitals of provinces, 9 general hospitals of districts, and the National Cancer Center in 2018-2022. The incidence and mortality were calculated as mean annual numbers per 100,000 populations. The age-standardized rate (ASR) was utilized by the direct method, and it was rated by weighted average of age-specific incidence rates against the world population. In the country, a total of 1316 new cases were diagnosed and 782 deaths were caused by CRC in the last 5 years (2018-2022). The incidence of CRC in the last 5 years (2018-2022) was 7.9 per 100,000 populations, and the mortality rate was 4.7 per 100,000. The provinces of Orkhon (12), Khentii (11), and Central (10) reported the highest incidences of CRC, whereas the provinces of Sukhbaatar (6.9), Selenge (6.6), Dornod (6), and Darkhan-Uul (6) had the highest death rates (per 100,000 populations). The incidence of CRC didn't differ statistically significantly between men and women. Additionally, the estimated incidence has grown dramatically with patients' ages. Our study presents evidence of a steadily increasing CRC incidence in Mongolia over the past five years. Therefore, it is necessary to determine the distribution of risk factors, learn from.

Harnessing Drones for Snow Leopard Conservation

Censusing snow leopard prey species like argali, ibex or blue sheep, is time-consuming, expensive, and challenging. We tested thermal-sensor-equipped drones to census ungulate populations in Mongolia’s Ikh Nart Nature Reserve. In 2019 and 2022 we used drones to detect wild ibex and argali. Here we report on 2022 findings: ~400 km along 5 fixed transects totaling forty-three missions, including several double count surveys. Drones detected 259 prey animals and 265 livestock; on average, 34% of all sightings were in areas obscured by topographic features from ground-based observers. Overall, tests reinforced the utility of drones for counting ungulates, along with highlighting important issues and future advances for supporting largely autonomous prey surveys. We recommend biologists build upon existing technology to attain an inexpensive, easy to use, and field ready set of equipment and procedures that can reliably improve or replace traditional walking or transect count methods for large prey species.

The Metabolic Functional Feature of Gut Microbiota in Mongolian Patients with Type 2 Diabetes.

The accumulating evidence substantiates the indispensable role of gut microbiota in modulating the pathogenesis of type 2 diabetes. Uncovering the intricacies of the mechanism is imperative in aiding disease control efforts. Revealing key bacterial species, their metabolites and/or metabolic pathways from the vast array of gut microorganisms can significantly contribute to precise treatment of the disease. With a high prevalence of type 2 diabetes in Inner Mongolia, China, we recruited volunteers from among the Mongolian population to investigate the relationship between gut microbiota and the disease. Fecal samples were collected from the Volunteers of Mongolia with Type 2 Diabetes group and a Control group, and detected by metagenomic analysis and untargeted metabolomics analysis. The findings suggest that Firmicutes and Bacteroidetes phyla are the predominant gut microorganisms that exert significant influence on the pathogenesis of type 2 diabetes in the Mongolian population. In the disease group, despite an increase in the quantity of most gut microbial metabolic enzymes, there was a concomitant weakening of gut metabolic function, suggesting that the gut microbiota may be in a compensatory state during the disease stage. β-Tocotrienol may serve as a pivotal gut metabolite produced by gut microorganisms and a potential biomarker for type 2 diabetes. The metabolic biosynthesis pathways of ubiquinone and other terpenoid quinones could be the crucial mechanism through which the gut microbiota regulates type 2 diabetes. Additionally, certain Clostridium gut species may play a pivotal role in the progression of the disease.

Years lived with disabilities of the working-age population owing to injuries

Introduction: Cases of mortality and illness caused by injury in Mongolian population have increased drastically in recent years, and in 2022, 5th cause of illness and the 3rd cause of mortality. On average, more than 146,000 new cases of accidents and injuries are registered in Mongolia every year. More than 69% of it is a working-age population. Purpose and objectives: The purpose of the research work is to calculate the number of years lived with disability due to accidents among the working-age population of Mongolia. Research materials and methods: The study design is a Retrospective Cohort Study. The research work was carried out according to the WHO's burden of disease determination method. We collected quantitative data on disease numbers in Mongolia from the year 2016 to 2020 from the database of the Health Development Centre and National Center for Traumatology. The number of years lived with a disability was calculated using 306,823 quantitative information of the working-age (15-61) population of Mongolia in 2016-2020. Results: In Mongolia, 61.0% (n=187047) of the causes of accidents and injuries among the working-age population over 5 years were men and 39.0% (n=119776) were women. Considering the causes of accidents and injuries among the working-age population, 49.3% of all illnesses are falls, 25.3% are homicides, 22.9% are road accidents, and the rest are suicides, intoxication/exposure to toxic substances.120469 years of living with disability due to accidents caused by external causes of the working-age population of Mongolia over 5 years. The number of years lived with a disability was 77,135 years (64.0%) for men and 43,334 (36.0%) years for women. Conclusion: The working-age population of Mongolia has 120,469 years of living with disabilities caused by accidents caused by external causes. 1.8 times more years are lost than men and women.