Evolution, Medicine, and Public Health最新文献

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Preterm birth, airway microbiome, and the evolutionary origins of asthma. 早产、气道微生物群和哮喘的进化起源。
IF 2.1 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2026-04-02 eCollection Date: 2026-01-01 DOI: 10.1093/emph/eoag005
Alisha Khalil, Zaneta Marie Thayer, Luisa Maria Rivera
{"title":"Preterm birth, airway microbiome, and the evolutionary origins of asthma.","authors":"Alisha Khalil, Zaneta Marie Thayer, Luisa Maria Rivera","doi":"10.1093/emph/eoag005","DOIUrl":"https://doi.org/10.1093/emph/eoag005","url":null,"abstract":"","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"14 1","pages":"1-2"},"PeriodicalIF":2.1,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147621925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The evolution of the Institute of Evolutionary Medicine at the University of Zurich (10-year anniversary). 苏黎世大学进化医学研究所的发展(十周年)。
IF 2.1 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2026-01-20 eCollection Date: 2026-01-01 DOI: 10.1093/emph/eoag003
Abigail E Colby, Shania Lüthold, Nicole Bender, Frank Rühli
{"title":"The evolution of the Institute of Evolutionary Medicine at the University of Zurich (10-year anniversary).","authors":"Abigail E Colby, Shania Lüthold, Nicole Bender, Frank Rühli","doi":"10.1093/emph/eoag003","DOIUrl":"10.1093/emph/eoag003","url":null,"abstract":"","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"14 1","pages":"1-4"},"PeriodicalIF":2.1,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12879187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146141472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Life history enlightened therapies: cell cycle mapping to identify molecular targets to prevent hepatocellular carcinoma. 生活史启蒙疗法:细胞周期定位识别分子靶点以预防肝细胞癌。
IF 2.1 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2026-01-14 eCollection Date: 2026-01-01 DOI: 10.1093/emph/eoag002
Anuraag Bukkuri, Janet McLaughlin, Andrew W Duncan, Wayne Stallaert
{"title":"Life history enlightened therapies: cell cycle mapping to identify molecular targets to prevent hepatocellular carcinoma.","authors":"Anuraag Bukkuri, Janet McLaughlin, Andrew W Duncan, Wayne Stallaert","doi":"10.1093/emph/eoag002","DOIUrl":"10.1093/emph/eoag002","url":null,"abstract":"<p><strong>Background and objectives: </strong>Life history enlightened therapies (LHETs) were originally developed in cancer to combat therapeutic resistance by targeting pathological cell state transitions that enable evolutionary rescue and adaptation to therapy. In this paper, we expand the scope of LHETs to cancer prevention, namely, metabolic dysfunction-associated steatohepatitis (MASH)-induced hepatocellular carcinoma (HCC) initiation. We focus on endocycling, a process wherein cells undergo whole-genome duplication via mitotic skipping, as a keystone life history transition that promotes HCC initiation.</p><p><strong>Methodology: </strong>A key obstacle to LHET translation is the lack of systematic methods that capture cellular life histories and their molecular drivers. To address this gap, we introduce cell cycle mapping, a technique that integrates <i>in situ</i> multiplexed immunofluorescence imaging with manifold learning to visualize the life history of proliferating cells and proteins involved in transitions to pathological cell states.</p><p><strong>Results: </strong>Mathematical modeling demonstrated how endocycling can create an environment that promotes HCC initiation and revealed the potential for endocycle-targeting therapies to prevent HCC. Using cell cycle mapping on human MASH liver tissues, we identified the molecular factors that drive pathological endocycling (Wee1, CDK2, and RAIDD), providing new therapeutic targets for pre-clinical investigation.</p><p><strong>Conclusions and implications: </strong>This application illustrates how cell cycle mapping can uncover key proteins that drive disease-associated cell state transitions and broaden the scope of LHETs from therapy resistance to cancer prevention. More broadly, our study establishes a generalizable pipeline for inferring the life history of cells in diseased tissues and potential interventions for disease management.</p>","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"14 1","pages":"1-13"},"PeriodicalIF":2.1,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12989716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147472954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reproductive and metabolic hormone associations in adult Samoan males with and without obesity. 患有和不患有肥胖症的萨摩亚成年男性的生殖和代谢激素的相关性。
IF 2.1 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2026-01-09 eCollection Date: 2026-01-01 DOI: 10.1093/emph/eoag001
Richard G Bribiescas, Kyle S Wiley, Amelia Sancilio, Catherine S Panter-Brick, Satupaitea Viali, Muagututia Sefuiva Reupena, Take Naseri, Nicola L Hawley, Geralyn Messerlian, Stephen T McGarvey
{"title":"Reproductive and metabolic hormone associations in adult Samoan males with and without obesity.","authors":"Richard G Bribiescas, Kyle S Wiley, Amelia Sancilio, Catherine S Panter-Brick, Satupaitea Viali, Muagututia Sefuiva Reupena, Take Naseri, Nicola L Hawley, Geralyn Messerlian, Stephen T McGarvey","doi":"10.1093/emph/eoag001","DOIUrl":"10.1093/emph/eoag001","url":null,"abstract":"<p><strong>Background: </strong>Obesity is a global health challenge prevalent in Samoa. However, the influence of obesity on adult male reproductive health in Samoa is poorly understood.</p><p><strong>Objectives: </strong>To determine if reproductive hormone levels differed between adult Samoan males with and without obesity.</p><p><strong>Methodology: </strong>Reproductive hormones (follicle stimulating hormone [FSH], luteinizing hormone [LH], inhibin b) and sex hormone binding globulin (SHBG) were compared between non-diabetic adult males in Samoa with and without obesity to test the hypothesis that obesity is associated with compromised reproductive function in this population. Metabolic hormones (insulin, leptin, adiponectin), fasting glucose, age, and anthropometrics were assessed and included in multivariable models.</p><p><strong>Results: </strong>Males with obesity exhibited higher FSH (<i>P</i> = 0.002), lower inhibin b (<i>P</i> = 0.004) and lower SHBG (<i>P</i> < 0.0001). LH levels were similar (<i>P</i> = 0.43). Significant associations were evident between LH and FSH (obesity: r<sup>2</sup> = 0.19, <i>P</i> = 0.003; without obesity: r<sup>2</sup> = 0.24, <i>P</i> = 0.001), inhibin b and FSH (obesity: r<sup>2</sup> = 0.21, <i>P</i> = 0.002; without obesity: r<sup>2</sup> = 0.02, <i>P</i> = 0.41), and LH and SHBG (obesity: r<sup>2</sup> = 0.25, <i>P</i> = 0.0005; without obesity: r<sup>2</sup> 0.01, <i>P</i> = 0.49). Multivariable models revealed insulin as an important contributor to inhibin b levels in all males.</p><p><strong>Conclusions: </strong>Obesity status is an important factor in variation in male reproductive hormone profiles in adult Samoan males.</p><p><strong>Implications: </strong>Obesity has potentially negative effects on male reproductive hormone function in Samoa. While the effects on male fertility remain unclear, further research is merited.</p>","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"14 1","pages":"eoag001"},"PeriodicalIF":2.1,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13014357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147520363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing the effectiveness of the one paleopathology workshop. 评估一次古病理学研讨会的有效性。
IF 2.1 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2026-01-06 eCollection Date: 2026-01-01 DOI: 10.1093/emph/eoaf041
Julianne R Stamer, Mario Apata Mamani, Bernardo Arriaza, Robin Bendrey, Kelly Blevins, Tessa Campbell, Nicole Gottdenker, Rebecca Gowland, Haagen Klaus, Anna Lagia, Judith Littleton, Kirk A Maasch, Carina Marques, Ana Cecilia Mauricio Llonto, Joanna Moore, Elizabeth A Nelson, Lexi O'Donnell, Charlotte Roberts, Daniel H Sandweiss, Ana Luisa Santos, Verena J Schuenemann, Dong Hoon Shin, Thomas Snyder, Anne C Stone, Richard Thomas, Elsa Tomasto-Cagigao, Katherine D Van Schaik, Maricarmen Vega, Joe W Walser, Emily Webster, Jordan A Wilson, Amanda Wissler, Molly Zuckerman, Gwen Robbins Schug, Elizabeth Uhl, Jane E Buikstra
{"title":"Assessing the effectiveness of the one paleopathology workshop.","authors":"Julianne R Stamer, Mario Apata Mamani, Bernardo Arriaza, Robin Bendrey, Kelly Blevins, Tessa Campbell, Nicole Gottdenker, Rebecca Gowland, Haagen Klaus, Anna Lagia, Judith Littleton, Kirk A Maasch, Carina Marques, Ana Cecilia Mauricio Llonto, Joanna Moore, Elizabeth A Nelson, Lexi O'Donnell, Charlotte Roberts, Daniel H Sandweiss, Ana Luisa Santos, Verena J Schuenemann, Dong Hoon Shin, Thomas Snyder, Anne C Stone, Richard Thomas, Elsa Tomasto-Cagigao, Katherine D Van Schaik, Maricarmen Vega, Joe W Walser, Emily Webster, Jordan A Wilson, Amanda Wissler, Molly Zuckerman, Gwen Robbins Schug, Elizabeth Uhl, Jane E Buikstra","doi":"10.1093/emph/eoaf041","DOIUrl":"10.1093/emph/eoaf041","url":null,"abstract":"<p><strong>Background and objectives: </strong>One Paleopathology is a novel concept in Paleopathology that extends the One Health paradigm into the past. A workshop at the University of Durham, UK, was held prior to the 2024 International Society for Evolution, Medicine, and Public Health (ISEMPH) meeting, firstly to define and expand the concept of One Paleopathology and secondly to generate transdisciplinary research and outreach under this framework. This article presents a logic model to evaluate how effectively the workshop met its goals.</p><p><strong>Methodology: </strong>Two surveys were conducted, one immediately following the workshop and at the 1-year mark. These surveys assess the direct outputs from the workshop-tangible research and outreach products-as well as changes in participants' attitudes toward One Paleopathology and the degree to which transdisciplinarity was incorporated into resulting projects.</p><p><strong>Results: </strong>Both the outputs (direct products of the workshop activities) and outcomes (changes in knowledge or attitude because of the activities) of the workshop suggest that the goals are being met. The first goal, to define and expand the concept of One Paleopathology, was met, with participants expressing strong acceptance of the framework. The second goal-generating transdisciplinary research-is reflected in eight ongoing projects initiated at the workshop.</p><p><strong>Conclusions and implications: </strong>The workshop structure and outcomes assessment presented here evaluate an initial effort in effecting conceptual change in the social sciences. Participants were enthusiastic about One Paleopathology, and over the following year new collaborations and research agendas aligned with the concept emerged. Importantly, participants reported integrating transdisciplinarity into their long-term research, indicating that the workshop had a sustained impact.</p>","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"14 1","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12874872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146141408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Leveraging comparative phylogenetics for evolutionary medicine: applications to comparative oncology. 利用比较系统遗传学进行进化医学:在比较肿瘤学中的应用。
IF 2.1 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2025-12-24 eCollection Date: 2026-01-01 DOI: 10.1093/emph/eoaf039
Walker J Compton Mellon, Beckett Sterner, J Arvid Ågren, Orsolya Vincze, Matthew Marx, Stefania Kapsetaki, Ping-Han Huang, Bryan Yavari, Hunter W McCollum, B Natterson-Horowitz, Hannah Human, Cristina Baciu, Harley Richker, Diego Mallo, Carlo C Maley, Luke Harmon, Zachary T Compton
{"title":"Leveraging comparative phylogenetics for evolutionary medicine: applications to comparative oncology.","authors":"Walker J Compton Mellon, Beckett Sterner, J Arvid Ågren, Orsolya Vincze, Matthew Marx, Stefania Kapsetaki, Ping-Han Huang, Bryan Yavari, Hunter W McCollum, B Natterson-Horowitz, Hannah Human, Cristina Baciu, Harley Richker, Diego Mallo, Carlo C Maley, Luke Harmon, Zachary T Compton","doi":"10.1093/emph/eoaf039","DOIUrl":"10.1093/emph/eoaf039","url":null,"abstract":"<p><p>Comparative phylogenetics provides a wealth of computational tools to understand evolutionary processes and their outcomes. Advances in these methodologies have occurred in parallel with a surge in cross-species genomic and phenotypic data. To date, however, the majority of published studies have focused on classical questions in evolutionary biology, such as speciation and the ecological drivers of trait evolution. Here, we argue that evolutionary medicine in general, and our understanding of the origin and diversification of disease traits in particular, would be greatly expanded by a wider integration of phylogenetic comparative methods (PCMs). We use comparative oncology-the study of cancer across the tree of life-as an example to demonstrate the power of the approach and show that implementing PCMs can highlight the mode and tempo of the evolutionary changes in intrinsic, species-level disease vulnerabilities.</p>","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"14 1","pages":"1-12"},"PeriodicalIF":2.1,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12817213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146017900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How and why does aging occur? Updating evolutionary theory to meet a new era of data. 衰老是如何以及为什么发生的?更新进化理论以适应数据的新时代。
IF 2.1 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2025-12-22 eCollection Date: 2026-01-01 DOI: 10.1093/emph/eoaf040
C Jessica E Metcalf, Rozalyn M Anderson, Michael E Hochberg, Joanna Masel, Jacob Moorad, Daniel E L Promislow, Shripad Tuljapurkar, Noah Snyder-Mackler
{"title":"How and why does aging occur? Updating evolutionary theory to meet a new era of data.","authors":"C Jessica E Metcalf, Rozalyn M Anderson, Michael E Hochberg, Joanna Masel, Jacob Moorad, Daniel E L Promislow, Shripad Tuljapurkar, Noah Snyder-Mackler","doi":"10.1093/emph/eoaf040","DOIUrl":"10.1093/emph/eoaf040","url":null,"abstract":"<p><p>Our ability to define the causes of aging could enable targeted interventions to extend healthspan. Classical evolutionary models based on individual age have provided critical insights into empirical trajectories of aging; however, gaps remain. We argue that technological advances in data capture, resolution, and scale present a rich opportunity to shed light on heterogeneity in patterns of aging. Computational and data analysis advances have produced expanded theoretical models that explicitly address details of the underlying biology, introducing variables and dynamics that go beyond 'age' itself. We argue that by incorporating richer biological detail to create more integrative predictive models, we can gain insight into expected future distributions of aging within populations, and better understand the molecular and demographic context in which selection has given rise to variability in aging. We provide an overview of existing models that address heterogeneity, and outline future directions and applications that would advance this key area in aging and biomedical research.</p>","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"14 1","pages":"1-11"},"PeriodicalIF":2.1,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12850536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146085062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Divergent evolution of hepatocellular carcinoma genomes in chimpanzees and humans. 黑猩猩和人类肝细胞癌基因组的分化进化。
IF 2.1 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2025-12-15 eCollection Date: 2026-01-01 DOI: 10.1093/emph/eoaf038
Lin Kang, Katarzyna Michalak, Robin Varghese, Ramu Anandakrishnan, Edward J Dick, Zakaria Abd Elmageed, Pawel Michalak
{"title":"Divergent evolution of hepatocellular carcinoma genomes in chimpanzees and humans.","authors":"Lin Kang, Katarzyna Michalak, Robin Varghese, Ramu Anandakrishnan, Edward J Dick, Zakaria Abd Elmageed, Pawel Michalak","doi":"10.1093/emph/eoaf038","DOIUrl":"10.1093/emph/eoaf038","url":null,"abstract":"<p><strong>Background and objectives: </strong>Somatic mutation patterns in cancer remain largely unexplored outside humans, despite their significance for aging and oncogenesis. Chimpanzees (<i>Pan troglodytes</i>), sharing >98% genomic similarity with humans, display markedly different cancer spectra. To gain comparative insights into cancer susceptibility and resistance, we sequenced chimpanzee hepatocellular carcinoma (HCC) genomes and analyzed their mutational profiles alongside human counterparts.</p><p><strong>Methodology: </strong>HCC and matched non-cancerous tissues from five chimpanzees were examined using histopathology, immunohistochemistry (β-catenin, ARID1A, TSC2, FAP, vimentin, TGF-β), whole-genome sequencing (one pair), and whole-exome sequencing (four pairs). Somatic variants were identified with GATK MuTect2, annotated with Ensembl VEP, and analyzed for functional enrichment. Comparative analyses were performed with subsets of human HCC datasets (TCGA, ICGC) including <i>TSC2</i>-positive and <i>TSC2</i>-negative cases.</p><p><strong>Results: </strong>Chimpanzee HCCs exhibited histological and immunohistochemical features similar to human tumors but displayed sharply divergent genomic landscapes. Chimpanzee tumors carried significantly higher coding mutation loads (mean 5632 per sample vs. 96-275 in humans). Non-synonymous <b><i>TSC2</i></b> mutations occurred in 80% of chimpanzees, versus ~7% in human HCC, suggesting a species-specific oncogenic pathway linked to the scirrhous subtype. Additional recurrently mutated genes included <b><i>ARID1A</i>, <i>FAT1-4</i>, <i>TP53</i>,</b> and <b><i>FGA</i></b> . Despite greater heterogeneity in chimpanzee tumors, humans showed stronger enrichment of non-synonymous single nucleotide variants, implying more intense positive selection. Shared alterations across species involved canonical drivers such as <b><i>TP53</i>, <i>CTNNB1</i>, <i>FAT4</i>,</b> and <b><i>TTN</i>.</b></p><p><strong>Conclusions and implications: </strong>Chimpanzee HCCs are defined by high mutational burden and frequent <b><i>TSC2</i></b> alterations, contrasting with the more selectively constrained mutation spectrum of human HCC. Divergent evolutionary patterns highlight species-specific oncogenic routes while underscoring conserved pathways. Comparative primate cancer genomics offers novel insights into cancer evolution, biomarkers, and therapeutic targets.</p>","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"14 1","pages":"1-14"},"PeriodicalIF":2.1,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12783088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145951809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An evolutionary perspective on the use of betel nut and its effects on health outcomes. 槟榔的使用及其对健康结果的影响的进化观点。
IF 2.1 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2025-12-15 eCollection Date: 2026-01-01 DOI: 10.1093/emph/eoaf037
Laura Perez, Katherine Wander, Kristin K Sznajder, Nurul Alam, Rubhana Raqib, Farjana Haque, Anjan Kumar, Tami Blumenfield, Siobhán M Cully, Mary K Shenk
{"title":"An evolutionary perspective on the use of betel nut and its effects on health outcomes.","authors":"Laura Perez, Katherine Wander, Kristin K Sznajder, Nurul Alam, Rubhana Raqib, Farjana Haque, Anjan Kumar, Tami Blumenfield, Siobhán M Cully, Mary K Shenk","doi":"10.1093/emph/eoaf037","DOIUrl":"10.1093/emph/eoaf037","url":null,"abstract":"<p><strong>Background and objectives: </strong>The use of psychoactive substances appears to be a consistent behavior throughout human evolutionary history. In contemporary research, this is often attributed to the addictive properties of such substances; an evolutionary perspective offers a more nuanced view. We take the case of betel nut use in Bangladesh to investigate the relationship between betel quid and chronic health outcomes, and to consider local disease ecology and evolutionary explanations for consumption of this psychoactive substance.</p><p><strong>Methodology: </strong>We analyzed data from a random sample of 765 women and 499 men in Matlab, Bangladesh, to assess associations between betel quid use and anemia, type 2 diabetes (T2D), hypertension, and inflammation (C-reactive protein, CRP).</p><p><strong>Results: </strong>Betel quid use was associated with all health outcomes investigated. Use of betel quid was inversely associated with CRP (β = -0.34; <i>P</i>-value = .007). For other outcomes, there were important interactions between betel quid use and gender. A positive association with anemia (aOR: 2.56, CI: 1.62, 4.04) and inverse associations with diabetes and hypertension (aOR: 0.38, CI: 0.22, 0.66; aOR: 0.41, 1.03, respectively) were apparent among men, but not women (anemia: aOR: 1.03, CI: 0.72, 1.49; diabetes: aOR: 0.98, CI: 0.58, 1.65; hypertension: aOR: 1.25, CI: 0.85, 1.85).</p><p><strong>Conclusions and implications: </strong>Betel quid use was inversely associated with inflammation and, among men, positively associated with anemia and inversely associated with diabetes and hypertension. Together, these findings suggest that the use of betel quid, and possibly other addictive substances, may have been a behavioral adaptation to diverse socioecological challenges.</p>","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"14 1","pages":"1-15"},"PeriodicalIF":2.1,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12887317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146164695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Functional neurological disorder: an evolutionary perspective. 功能性神经障碍:进化视角。
IF 2.1 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2025-12-12 eCollection Date: 2025-01-01 DOI: 10.1093/emph/eoaf036
Akihiro Nishi, Jon Stone
{"title":"Functional neurological disorder: an evolutionary perspective.","authors":"Akihiro Nishi, Jon Stone","doi":"10.1093/emph/eoaf036","DOIUrl":"10.1093/emph/eoaf036","url":null,"abstract":"","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"13 1","pages":"424-426"},"PeriodicalIF":2.1,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12757943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145899672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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