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PURPOSE: To evaluate the association of comorbid depression and obesity with the risk of incident cardiometabolic multimorbidity among middle-aged and older Chinese adults. METHODS: This cohort study extracted data from the 2011 and 2015 waves of the China Health and Retirement Longitudinal Study (CHARLS). Depression was confirmed by the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10) with a cut-off score ≥10. Obesity was defined as a body mass index ≥28 kg/m2. Participants were categorized into four groups based on depression and obesity status at baseline, i.e., with neither condition, depression only, obesity only, and with both conditions. Cardiometabolic multimorbidity was defined as the coexistence of two or more of heart diseases, stroke, and diabetes mellitus. Logistic regression models were established to estimate the associations. RESULTS: A total of 9,308 participants without cardiometabolic multimorbidity at baseline were included (mean [SD] age, 58.8 [9.0] years; 4,449 [47.8%] were males). During four-year of follow-up, 349 (3.8%) participants developed cardiometabolic multimorbidity. Compared to participants without depression or obesity, comorbid depression and obesity was associated with greater risk of cardiometabolic multimorbidity (adjusted OR: 4.79, 95% CI: 3.09-7.43) than that in participants with depression alone (adjusted OR: 1.84, 95% CI: 1.37-2.46) or obesity alone (adjusted OR: 2.26, 95% CI: 1.48-3.45). The findings were consistent in different gender and age groups. CONCLUSIONS: Comorbid depression and obesity was associated with excessive risk of cardiometabolic multimorbidity. Intervention targeting at individuals with both depression and obesity might have substantial benefit in minimizing the risk of cardiometabolic multimorbidity.

Asunto(s)

Enfermedades Cardiovasculares , Multimorbilidad , Masculino , Humanos , Persona de Mediana Edad , Anciano , Femenino , Estudios de Cohortes , Estudios Longitudinales , Depresión/complicaciones , Pueblos del Este de Asia , Obesidad/complicaciones

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BACKGROUND: Evidence has indicated that depression and obesity were associated with functional disability, independently. However, little is known about the detrimental impact of comorbid depression and obesity, as well as its transition on functional disability. This study investigated the association of baseline depression-obesity status and its dynamic change with incident functional disability among middle-aged and older Chinese. METHODS: This cohort study included 5507 participants aged ≥45 years from the 2011 and 2015 waves of China Health and Retirement Longitudinal Study. Depression was defined with a score ≥ 10 using the 10-item Centre for Epidemiologic Studies Depression Scale. Obesity was defined as body mass index ≥28 kg/m2. Participants were cross-classified by depression and obesity status at baseline, and its change during follow-up. Logistic regression models were constructed to evaluate the association of baseline depression-obesity status and its transition with incident functional disability defined by the Katz index of activities of daily living scale. RESULTS: Over four-year follow-up, 510 (9.3%) participants developed functional disability. Individuals with baseline comorbid depression and obesity had the highest risk of functional disability (OR = 2.84, 95% CI: 1.95-4.15) than non-depressive participants without obesity, or those with depression or obesity alone. When investigating the dynamic changes of depression-obesity status on functional disability incidence, those with stable comorbidity throughout two surveys had the greatest risk of functional disability (OR = 4.06, 95% CI: 2.11-7.80). Progression of depression-obesity status was associated with increased risk of functional disability, while regression from baseline to follow-up was linked to attenuated risk estimates. CONCLUSIONS: Among middle-aged and older Chinese adults, the risk of functional disability was exaggerated with comorbid depression and obesity. Our data further suggest that transitions of depression and obesity over time are associated with the risk of developing functional disability.

Asunto(s)

Actividades Cotidianas , Depresión , Anciano , China/epidemiología , Estudios de Cohortes , Comorbilidad , Depresión/complicaciones , Depresión/diagnóstico , Depresión/epidemiología , Humanos , Estudios Longitudinales , Persona de Mediana Edad , Obesidad/complicaciones , Obesidad/diagnóstico , Obesidad/epidemiología , Factores de Riesgo

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Currently, laser-driven lighting based on phosphor-in-glass (PIG) has drawn much interest in solid state lighting due to its high electro-optical efficiency and high-power density. However, the fabrication of PIG requires expensive equipment, long sintering time, and high cost. In this work, we utilized a simple, fast, and high temperature Joule heating process to make phosphor-in-glass bulk sintered in less than 20 s, which greatly improved the production efficiency. The PIG converters sintered under different sintering temperatures were investigated experimentally. The optimized PIG converter exhibited high and robust luminous efficacy (164.24 lm/W), a high radiant flux, and a small CCT deviation at 3.00 W. Moreover, the optimized sample also showed high temperature resistance at 3.00 W, robust temperature management during normal working. These results indicated that the optimized PIG converter sintered by the Joule heating process could offer great potential for the application in high-power laser-driven white lighting.

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Miniaturized and flexible power resources such as supercapacitors with resistance of high voltage play a critical role as potential energy storage devices for implantable and portable electronics because of their convenience, high power density, and long-term stability. Herein, we propose a novel strategy for the fabrication of high voltage microsupercapacitors (HVMSCs) employing porous laser-induced graphene (from polyimide films with alkalization treatment) followed by laser carving of the polyvinyl alcohol/H3PO4 gel electrolyte to realize a series assembly of supercapacitors and significantly increase the voltage resistance. The results elucidated that HVMSCs (3 mm × 21.15 mm) exhibited excellent capacitive performance including exceptional potential window (10 V), high areal capacitance (244 µF/cm2), acceptable power density (274 µW/cm2) and energy density (3.22 µW h/cm2), good electrochemical stability and flexibility at different bending status (0, 45, 90, 135, and 180°), as well as impressive voltage durability more than 5 V in smaller scale (0.5 mm × 5.5 mm). As such, the HVMSCs have great potential to be integrated with microcircuit modules for the next-generation self-powered systems and storage electronic devices in high voltage applications.