Linking Artificial Sweetener Intake With Kidney Function: Insights From Nhanes 2003-2006 and Findings From Mendelian Randomization Research

BACKGROUND: The current investigation examines the association between artificial sweetener (AS) consumption and the likelihood of developing chronic kidney disease (CKD), along with its impact on kidney function. METHODS: We utilized data from the National Health and Nutrition Examination Survey from 2003-2006 to conduct covariance analysis and weighted adjusted logistic regression, aiming to assess the association between artificial sweetener intake and CKD risk, as well as kidney function indicators. Subsequently, we employed Mendelian randomization methods to validate the causal relationship between the intake of artificial sweeteners, CKD risk, and kidney function indicators. Instrumental variable analysis using inverse-variance weighting and Robust adjusted profile score were the primary analytical methods employed. RESULTS: A total of 20,470 participants were included in the study, with 1,257 participants ultimately included in the analysis. In all adjusted logistic regression models, no significant association was found between the intake of artificial sweeteners and CKD risk. Similarly, the summary odds ratios (OR) for each unit change in genetically predicted CKD risk were 2.14 (95% CI: 0.83, 5.21, CONCLUSION: Our study does not support a causal relationship between artificial sweetener intake and the risk of CKD. However, due to the limitations and potential confounding factors, these findings need to be further validated through larger sample sizes in observational studies and Mendelian randomization analyses

Interocular anatomical and visual functional differences in pediatric patients with unilateral cataracts

BACKGROUND: Congenital cataracts are often complicated by anterior segment dysgenesis. This study aims to compare bilateral anterior segment parameters, macular thickness, and best-corrected visual acuity (BCVA) in pediatric cataract patients at 3 months after unilateral cataract extraction with intraocular lens implantation. METHODS: Fifty-three pediatric patients with uncomplicated unilateral total cataracts were included. At 3 months post-surgery, bilateral corneal thickness at the thinnest location (CTTL), anterior chamber depth (ACD), and anterior chamber volume (ACV) were measured using Pentacam. Central macular thickness (CMT) was evaluated using spectral-domain optical coherence tomography. BCVA was measured by experienced optometrists concurrently. Descriptive statistics and bivariate corrections were performed to analyze the interocular differences in bilateral anatomic parameters and their relationships with BCVA. RESULTS: For all 53 included patients (mean age 5.2 ± 2.3 years), the median BCVA was 10/40 in the operated eyes and 40/40 in the contralateral eyes, which indicates a significant interocular difference. BCVA values in the contralateral eyes were significantly correlated with patient age at surgery, but this result differed for BCVA in the operated eyes. The Pentacam analysis revealed no significant interocular differences in bilateral CTTL and ACV, but significant differences were found for ACD. CONCLUSIONS: At 3 months after surgery, unilateral pediatric cataract patients exhibited no significant interocular differences in identified anatomical parameters (except for ACD), and these parameters were not significantly correlated with BCVA in bilateral eyes. Therefore, amblyopia, but not anatomical factors, might be the main cause of interocular visual functional differences in our study population. TRIAL REGISTRATION: ClinicalTrial.gov, NCT02765230, 05/05/2016, retrospectively registered. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12886-016-0371-5) contains supplementary material, which is available to authorized users

Postoperative myopic shift and visual acuity rehabilitation in patients with bilateral congenital cataracts

BackgroundThis study aimed to explore the postoperative myopic shift and its relationship to visual acuity rehabilitation in patients with bilateral congenital cataracts (CCs).MethodsBilateral CC patients who underwent cataract extraction and primary intraocular lens implantations before 6 years old were included and divided into five groups according to surgical ages (<2, 2–3, 3–4, 4–5, and 5–6 years). The postoperative myopic shift rates, spherical equivalents (SEs), and the best corrected visual acuity (BCVA) were measured and analyzed.ResultsA total of 1,137 refractive measurements from 234 patients were included, with a mean follow-up period of 34 months. The postoperative mean SEs at each follow-up in the five groups were linearly fitted with a mean R2 = 0.93 ± 0.03, which showed a downtrend of SE with age (linear regression). Among patients with a follow-up of 4 years, the mean postoperative myopic shift rate was 0.84, 0.81, 0.68, 0.24, and 0.28 diopters per year (D/y) in the five age groups (from young to old), respectively. The BCVA of those with a surgical age of <2 years at the 4-year visit was 0.26 (LogMAR), and the mean postoperative myopic shift rate was 0.84 D/y. For patients with a surgical age of 2–6 years, a poorer BCVA at the 4-year visit was found in those with higher postoperative myopic shift rates (r = 0.974, p = 0.026, Pearson’s correlation test).ConclusionPerforming cataract surgery for patients before 2 years old and decreasing the postoperative myopic shift rates for those with a surgical age of 2–6 years may benefit visual acuity rehabilitation

Longtime Vision Function Prediction in Childhood Cataract Patients Based on Optical Coherence Tomography Images

The results of visual prediction reflect the tendency and speed of visual development during a future period, based on which ophthalmologists and guardians can know the potential visual prognosis in advance, decide on an intervention plan, and contribute to visual development. In our study, we developed an intelligent system based on the features of optical coherence tomography images for long-term prediction of best corrected visual acuity (BCVA) 3 and 5 years in advance. Two hundred eyes of 132 patients were included. Six machine learning algorithms were applied. In the BCVA predictions, small errors within two lines of the visual chart were achieved. The mean absolute errors (MAEs) between the prediction results and ground truth were 0.1482–0.2117 logMAR for 3-year predictions and 0.1198–0.1845 logMAR for 5-year predictions; the root mean square errors (RMSEs) were 0.1916–0.2942 logMAR for 3-year predictions and 0.1692–0.2537 logMAR for 5-year predictions. This is the first study to predict post-therapeutic BCVAs in young children. This work establishes a reliable method to predict prognosis 5 years in advance. The application of our research contributes to the design of visual intervention plans and visual prognosis.</jats:p

Origin and distribution of rare earth elements (REEs) in the soils of Meizhou City, southern China with high abundance of regolith-hosted REEs

Currently, regolith-hosted rare earth element (REE) deposits in South China are the major source of global REEs, particularly heavy REEs (HREEs). This type of REE resource contains abundant movable, bioavailable, and ion-exchangeable REEs and may act as an environmental hazard; however, little is known regarding REEs in soils from areas with abundant deposits. Here, we investigated the REEs in the soil, surface water and crops, collected from Meizhou City, Guangdong Province, South China, as a representative region with abundant regolith-hosted REEs. Mean REE concentration (Sigma REE) in the soil (318 mu g g(-1)) exceeded the local soil background (169 mu g g(-1)). The LREE/HREE ratio ranged from 2.04 to 69.4 in soil samples, suggesting the enrichment of light REEs (LREEs) compared with HREEs. Most soil samples exhibited positive Ce anomalies and negative Eu anomalies. The highest Sigma REE (1162 mu g g(-1)) was detected in forest land, followed by garden land (793 mu g g(-1)) and paddy field (519 mu g g(-1)). According to the correlation analysis, pH as well as soil organic matter (SOM), Fe, and Mn content contributed to REE enrichment, while SOM and Mn content affected REE fractionation. REE enrichment in soil may be related to natural sources (e.g., parent materials) and anthropogenic activities (e.g., fertilizer application and coal combustion). The REE contamination of surface water was not serious. However, Sigma REE in crops (7.08 mu g g(-1).dw) indicated that these elements migrate from soils to plants, producing potential adverse effects on crops and humans. These findings shed new light on the geochemical behavior of REEs in the environments with abundant regolith-hosted REEs and can serve as a reference to prevent and control REE contamination