Publications by authors named "Zumin Shi"

Background: Children and adolescents are increasingly exposed to processed food in China, however, its association with obesity has not been investigated.

Objectives: To assess the consumption of ultra-processed food (UPF) and its association with overweight/obesity among children and adolescents in China.

Methods: A total of 3437 children and adolescents aged 6-18 years, participating at least twice in the China Nutrition and Health Survey, were included.

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: Adolescence is a crucial stage when young people adopt various lifestyle behaviours that can impact their health. However, the broader determinants of these behaviours remain underexplored. This study aimed to investigate clustering patterns of lifestyle behaviours, including physical activity, sedentary behaviour, and dietary habits, among adolescents and examine their determinants across individual, community, and societal levels.

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Background And Objectives: Metabolic syndrome (MetS) and its constituent comorbidities, along with mineral imbalances, pose a significant health burden in the Qatari population. Although Magnesium (Mg) and Calcium (Ca) have been individually linked to MetS, the impact of the calcium-to-magnesium ratio (Ca: Mg) on MetS remains unclear, especially in the adult population of Qatar. In this study, we aim to investigate the association between the total serum concentrations of Ca, Mg and Ca: Mg ratio with the outcome of MetS.

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Substantial changes resulting from the interaction of environmental and dietary factors contribute to an increased risk of obesity, while their specific associations with obesity remain unclear. Identify inflammation-related dietary patterns (DPs) and explore their associations with obesity among urbanized Tibetan adults under significant environmental and dietary changes.Totally, 1826 subjects from the suburbs of Golmud City were enrolled in an open cohort study, of which 514 were followed up.

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Objectives: Increasing research has shown that heavy metal as a neurotoxicant affects cognitive function across the lifespan. Nutritional status may modify susceptibility to heavy metal exposures, which further impacts cognition.

Methods: We conducted a comprehensive search for cross-sectional studies, longitudinal studies, case-control studies and clinical trials on the interaction between nutrient and heavy metal, as well as mixed heavy metal exposure, in relation to cognition across the lifespan.

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Background: Inadequate maternal dietary intakes remain a public health challenge in low-income countries like Malawi and can cause adverse birth outcomes.

Objectives: To improve maternal dietary intakes and thus reduce the prevalence of adverse birth outcomes in rural Malawi.

Methods: We performed a 2-armed (1:1) cluster-randomized controlled trial in Southern Malawi, enrolling pregnant women at gestational age 12-18 wk.

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Article Synopsis
  • Excessive consumption of oil and salt is a significant public health concern in China, particularly in Southwestern regions where intakes often exceed WHO guidelines.
  • A study involving over 7,300 participants from Sichuan, Chongqing, Yunnan, and Guizhou investigated their knowledge, attitudes, and practices (KAP) towards oil and salt intake using surveys and statistical models.
  • Results indicated that residents in Guizhou had poor KAP scores, with urban areas showing better performance; factors influencing KAP included education level, taste preferences, ethnicity, and the presence of chronic diseases like diabetes.
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Background: There is increasing evidence suggesting that daily oral hygiene self-care measures may alleviate cardiovascular disease (CVD) risk. The authors aimed to determine the influence of self-reported dental flossing behavior on the prevalence of CVD events, CVD-linked mortality, and a CVD risk marker of inflammation (ie, C-reactive protein [CRP]).

Methods: Data from 18,801 adult participants of the 2009-2016 National Health and Nutrition Examination Surveys were analyzed with regard to flossing behavior, prevalence of CVD events, mortality cause data, and CRP levels.

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Objective: Obesity has become a major public health problem worldwide and particularly in China. This study examined the secular trend of overweight and obesity in China over the past 100 years.

Methods: Nationwide data from the China Health and Nutrition Survey and the Chinese General Social Survey were used.

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: Coronary artery bypass graft (CABG) is associated with inflammation and complications, potentially leading to prolonged ICU and hospital stays. Omega-3 PUFA has anti-inflammatory properties, thought to potentially reduce complications in CABG patients. This study aims to systematically review and meta-analyze the impact of perioperative omega-3 PUFA supplementation on total ICU and total hospital stays in CABG patients; : Randomized controlled trials examining the effects of omega-3 PUFA supplementation (IV/oral) on ICU and hospital stays in CABG patients were included.

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Objective: Multimorbidity, particularly diabetes combined with hypertension (DCH), is a significant public health concern. Currently, there is a gap in research utilizing machine learning (ML) algorithms to predict hypertension risk in Chinese middle-aged and elderly diabetic patients, and gender differences in DCH comorbidity patterns remain unclear. We aimed to use ML algorithms to predict DCH and identify its determinants among middle-aged and elderly diabetic patients in China.

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Objectives: We aimed to assess the influence of psychosocial profiles on dietary behaviors among school-aged adolescents in China.

Methods: A cross-sectional study was conducted involving 7,862 adolescents from 100 schools in Shandong, China. Psychosocial profiles and dietary behaviors were assessed using the Junior High School Students' Psychosocial Profiles Questionnaire (JPPQ) and the Chinese Diet Quality Questionnaire (DQQ), respectively.

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Objective: To explore the correlation between different types of vegetable and fruit intake and cognitive function among the older adults in Chongqing, China, and to provide a scientific basis for developing efficient lifestyle interventions for the prevention of Mild Cognitive Impairment (MCI).

Method: Approximately 728 older adults in urban and rural areas of Chongqing were surveyed using face-to-face questionnaires. Cognitive function was assessed with the Montreal Cognitive Assessment-Basic (MoCA-B) scale, and the vegetable and fruit intake groups were investigated with the Simple Food Frequency Counting Survey Scale.

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Article Synopsis
  • The study examined how different macronutrient intakes vary among adults based on their economic status and how these dietary patterns relate to health issues like central obesity and inflammation.* -
  • Researchers analyzed data from over 41,000 US participants and identified four distinct dietary patterns, discovering that higher economic status correlates with diets rich in fats and proteins, while lower status is linked to higher saturated fat and low alcohol consumption.* -
  • Findings revealed that a high saturated fat diet is associated with greater waist circumference and increased levels of inflammatory marker C-reactive protein, suggesting a link between economic status, dietary choices, and metabolic health.*
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Background: Influenza vaccination is essential for type 2 diabetes mellitus (T2DM) patients due to their higher risks of severe complications and mortality from influenza. This study investigated the willingness of T2DM patients in Chongqing, China, to receive the influenza vaccination during the 2023/2024 season, using behavioral and social drivers (BeSD) tools to improve vaccination uptake in this high-risk group.

Methods: A multi-stage sampling method was used to select participants, and face-to-face surveys were conducted in community health centers between March 1 and May 1, 2023.

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Clinical nutritionists are responsible for nutritional therapy in clinical practice, which significantly enhances patients' nutritional status. This study aims to develop and validate a competency evaluation scale to effectively assess the abilities of clinical nutritionists. The competency evaluation scale for clinical nutritionists was developed based on the iceberg model, utilizing literature review, semi-structured interviews, and the Delphi method.

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Background And Aims: Current evidence of the association between egg consumption and cardiovascular diseases (CVD) is controversial. We aim to investigate the longitudinal association between egg consumption and the risk of CVD among Chinese adults.

Methods And Results: A total of 16,030 adults who attended China Health and Nutrition Survey 1991-2015 were included in this study.

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Background: Diabetes is a major public health problem in Qatar and is associated with an increased risk of depression. However, no study has been conducted in Qatar on the relationship between dietary patterns and depression symptoms in adults. The aim of this study was to assess the association between dietary patterns and depression symptoms among adults with or without diabetes in Qatar.

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We aimed to examine the association between weight loss, dietary patterns, diabetes, and glycemic control among Qatari adults with a history of bariatric surgery (BS). Data from 1893 adults from the Qatar Biobank study were analyzed. Diabetes was defined by blood glucose, HbA1c, and medical history, with poor glycemic control defined as HbA1c ≥ 7.

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The concept of Circadian Syndrome (CircS) aims to emphasize the circadian disruptions underlying cardiometabolic conditions. Meal timing and shiftwork may disrupt circadian rhythms, increasing cardiometabolic risk. This study aimed to assess the associations of meal timing, meal skipping, and shiftwork with CircS in US adults and explore effect modifications by sociodemographic and lifestyle factors.

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Article Synopsis
  • Salt sensitivity of blood pressure (SSBP) is a key factor in understanding hypertension and cardiovascular risks, but its genetic components are not well-defined. This study aimed to identify relevant genes and create a risk evaluation model for SSBP.
  • Through a genome-wide association study and transcriptome-wide analysis of 12 tissues, researchers identified 2,605 genes connected to SSBP, with 69 showing significant expression differences. The analysis revealed that these genes are mainly involved in metabolic processes.
  • The study developed risk evaluation models based on genetic data, finding that a polygenic risk score with a P-value less than 0.05 was the most effective for predicting SSBP, though combining different scores did
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Article Synopsis
  • Circadian syndrome (CircS) is a more significant predictor of cognitive impairment compared to metabolic syndrome (MetS) in Chinese adults aged 40 and older.
  • CircS consists of MetS components plus short sleep and depression, showing a negative impact on global cognition scores, while MetS alone seems to correlate with better cognitive function.
  • Individuals with CircS are significantly more likely to report poor memory, whereas MetS appears to have a protective effect against memory issues.
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Unhealthy lifestyles among adolescents are reaching alarming levels and have become a major public health problem. This study aimed to assess the relationship between sleep time, physical activity (PA) time, screen time (ST), and nutritional literacy (NL). This cross-sectional online study involving adolescents aged 10-18 years was conducted in September 2020 in 239 schools in Chongqing, China.

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Aim: This study investigated the depot- and sex-specific associations of adiposity indicators with incident multimorbidity and comorbidity pairs.

Materials And Methods: We selected 382 678 adults without multimorbidity (≥2 chronic diseases) at baseline from the UK Biobank. General obesity, abdominal obesity and body fat percentage indices were measured.

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