Abstract
Suboptimal health status (SHS) refers to the intermediate state between health and disease. When a person has SHS, there are no obvious or specific clinical manifestations and relevant laboratory indicators are not helpful, making SHS difficult to assess. SHS mainly manifests itself in the early stages of various chronic health conditions. Appropriate diagnostic tools are therefore essential for the proper assessment and intervention of SHS and for maintaining the health of the population. Research into the subjective and objective assessment and quantitative diagnosis of SHS is still in its infancy, and the main predictive diagnostic tools for SHS include subjective measures, i.e., health questionnaires and scales, and objective measures: laboratory-based biological, biochemical and molecular biology tests and big data analysis. The subjective method could reflect self-perceived SHS conveniently and the objective way is able to realise more precise evaluation. Each kind of assessment method has either advantages or disadvantages. It is imperative to develop an effective, precise, economical SHS assessment system to promote optimal health status. Subjective methods can easily reflect self-perceived SHS, whereas objective methods can provide a more accurate assessment. Each method of assessment has its advantages and disadvantages. It is therefore important to develop a valid, accurate and cost-effective SHS assessment system that promotes optimal health.
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Abbreviations
- AUC:
-
The area under the receiver operating characteristic curve
- CFS:
-
Chronic fatigue syndrome
- CI:
-
Confidence interval
- MSQA:
-
The multidimensional sub-health questionnaire for adolescents
- PPI:
-
Protein–protein interaction
- PPPM:
-
Predictive, preventive, and personalised medicine
- QOL:
-
Quality of life
- RTL:
-
Relative telomere length
- SHMS V1.0:
-
The sub-health measurement scale V1.0
- SHS:
-
Suboptimal health status
- SHSQ-25:
-
The suboptimal health status questionnaire-25
- SSS:
-
The sub-health self assessment scale
- T2DM:
-
Type 2 diabetes mellitus
- TGF-B1:
-
Transforming growth factor-β1
- WHO:
-
The World Health Organisation
- WHOQOL-100:
-
The WHO Quality of Life-100
References
Wang W, Yan Y (2012) Suboptimal health: a new health dimension for translational medicine. Clin Transl Med 1(1):28. https://doi.org/10.1186/2001-1326-1-28
Yan Y-X, Liu Y-Q, Li M, Hu P-F, Guo A-M, Yang X-H, Qiu J-J, Yang S-S, Shen J, Zhang L-P, Wang W (2009) Development and evaluation of a questionnaire for measuring suboptimal health status in urban Chinese. J Epidemiol 19(6):333–341. https://doi.org/10.2188/jea.je20080086
Group TW (1998) The World Health Organization quality of life assessment (WHOQOL): development and general psychometric properties. Soc Sci Med 46(12):1569–1585. https://doi.org/10.1016/s0277-9536(98)00009-4
Group W (1995) The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 41(10):1403–1409. https://doi.org/10.1016/0277-9536(95)00112-k
De Vries J, Van Heck GL (1997) The World Health Organization Quality of Life Assessment Instrument (WHOQOL-100): validation study with the Dutch version. Eur J Psychol Assess 13(3):164–178. https://doi.org/10.1027/1015-5759.13.3.164
Casamali FFC, Schuch FB, Scortegagna SA, Legnani E, De Marchi ACB (2019) Accordance and reproducibility of the electronic version of the WHOQOL-BREF and WHOQOL-OLD questionnaires. Exp Gerontol 125:110683. https://doi.org/10.1016/j.exger.2019.110683
Skevington SM, Sartorius N, Amir M (2004) Developing methods for assessing quality of life in different cultural settings: the history of the WHOQOL instruments. Soc Psychiatry Psychiatr Epidemiol 39(1):1–8. https://doi.org/10.1007/s00127-004-0700-5
Melo RL, Silva Júnior EG, Souto RQ, Leão ÍS, Eulálio MD (2018) Psychometric properties of the complete version of the World Health Organization quality of life assessment (WHOQOL-OLD): reduced response scale. Psicol Reflex Crít 31(1):1–10. https://doi.org/10.1186/s41155-018-0084-1
Rowthorn MJ, Billington DR, Krägeloh CU, Landon J, Medvedev ON (2019) Development of a mental health recovery module for the WHOQOL. Qual Life Res 28(12):3363–3374. https://doi.org/10.1007/s11136-019-02265-y
Ali AM, Otieno AC, Jie Z, Honghong F, Zhongyao Z, Xiuhua G, Manshu S, Yong Z, Naibai C, Youxin W, Wei W (2017) Telomere length and accelerated biological aging in the China suboptimal health cohort: a case-control study. Omics 21(6):333–339. https://doi.org/10.1089/omi.2017.0050
Wang W, Russell A, Yan Y (2014) Traditional Chinese medicine and new concepts of predictive, preventive and personalized medicine in diagnosis and treatment of suboptimal health. EPMA J 5(1):4. https://doi.org/10.1186/1878-5085-5-4
Anto EO, Roberts P, Coall D, Turpin CA, Adua E, Wang Y, Wang W (2019) Integration of suboptimal health status evaluation as a criterion for prediction of preeclampsia is strongly recommended for healthcare management in pregnancy: a prospective cohort study in a Ghanaian population. EPMA J 10(3):211–226. https://doi.org/10.1007/s13167-019-00183-0
Adua E, Roberts P, Wang W (2017) Incorporation of suboptimal health status as a potential risk assessment for type II diabetes mellitus: a case-control study in a Ghanaian population. EPMA J 8(4):345–355. https://doi.org/10.1007/s13167-017-0119-1
Kupaev V, Borisov O, Marutina E, Yan YX, Wang W (2016) Integration of suboptimal health status and endothelial dysfunction as a new aspect for risk evaluation of cardiovascular disease. EPMA J 7(1):19. https://doi.org/10.1186/s13167-016-0068-0
Ge S, Xu X, Zhang J, Hou H, Wang H, Liu D, Zhang X, Song M, Li D, Zhou Y, Wang Y, Wang W (2019) Suboptimal health status as an independent risk factor for type 2 diabetes mellitus in a community-based cohort: the China suboptimal health cohort study. EPMA J 10(1):65–72. https://doi.org/10.1007/s13167-019-0159-9
Hou H, Feng X, Li Y, Meng Z, Guo D, Wang F, Guo Z, Zheng Y, Peng Z, Zhang W, Li D, Ding G, Wang W (2018) Suboptimal health status and psychological symptoms among Chinese college students: a perspective of predictive, preventive and personalised health. EPMA J 9(4):367–377. https://doi.org/10.1007/s13167-018-0148-4
Zhu J, Ying W, Zhang L, Peng G, Chen W, Anto EO, Wang X, Lu N, Gao S, Wu G, Yan J, Ye J, Wu S, Yu C, Yue M, Huang X, Xu N, Ying P, Chen Y, Tan X, Wang W (2020) Psychological symptoms in Chinese nurses may be associated with predisposition to chronic disease: a cross-sectional study of suboptimal health status. EPMA J 11(4):1–13. https://doi.org/10.1007/s13167-020-00225-y
Wang Y, Ge S, Yan Y, Wang A, Zhao Z, Yu X, Qiu J, Alzain MA, Wang H, Fang H, Gao Q, Song M, Zhang J, Zhou Y, Wang W (2016) China suboptimal health cohort study: rationale, design and baseline characteristics. J Transl Med 14(1):291. https://doi.org/10.1186/s12967-016-1046-y
Bi JL, Chen J, Sun XM, Nie XL, Liu YY, Luo R, Zhao XS (2019) The development and evaluation of a sub-health self-rating scale for university students in China. BMC Public Health 19(1):330. https://doi.org/10.1186/s12889-019-6650-3
Xu J, Xue Y, Liu G, Feng Y, Xu M, Xie J, Wang X, Chen X, Jiang L (2019) Establishment of the norms of sub-health measurement scale version 1.0 for Chinese urban residents. Nan Fang Yi Ke Da Xue Xue Bao 39(3):271–278. https://doi.org/10.12122/j.issn.1673-4254.2019.03.03
Xue Y, Liu G, Feng Y, Xu M, Jiang L, Lin Y, Xu J (2020) Mediating effect of health consciousness in the relationship of lifestyle and suboptimal health status: a cross-sectional study involving Chinese urban residents. BMJ Open 10(10):e039701. https://doi.org/10.1136/bmjopen-2020-039701
Wu S, Xuan Z, Li F, Xiao W, Fu X, Jiang P, Chen J, Xiang L, Liu Y, Nie X, Luo R, Sun X, Kwan H, Zhao X (2016) Work-recreation balance, health-promoting lifestyles and suboptimal health status in southern China: a cross-sectional study. Int J Environ Res Public Health 13(3):339. https://doi.org/10.3390/ijerph13030339
Bi J, Huang Y, Xiao Y, Cheng J, Li F, Wang T, Chen J, Wu L, Liu Y, Luo R, Zhao X (2014) Association of lifestyle factors and suboptimal health status: a cross-sectional study of Chinese students. BMJ Open 4(6):e005156. https://doi.org/10.1136/bmjopen-2014-005156
Chen J, Xiang H, Jiang P, Yu L, Jing Y, Li F, Wu S, Fu X, Liu Y, Kwan H, Luo R, Zhao X, Sun X (2017) The role of healthy lifestyle in the implementation of regressing suboptimal health status among college students in China: a nested case-control study. Int J Environ Res Public Health 14(3):240. https://doi.org/10.3390/ijerph14030240
Chen J, Cheng J, Liu Y, Tang Y, Sun X, Wang T, Xiao Y, Li F, Xiang L, Jiang P, Wu S, Wu L, Luo R, Zhao X (2014) Associations between breakfast eating habits and health-promoting lifestyle, suboptimal health status in southern China: a population based, cross sectional study. J Transl Med 12:348. https://doi.org/10.1186/s12967-014-0348-1
Cao H, Tao FB, Huang L, Wan YH, Sun Y, Su PY, Hao JH (2012) Situation of common psychosomatic symptom in adolescent and its influence on 6 months later suicide and self-injurious behavior. Zhonghua Yu Fang Yi Xue Za Zhi 46(3):202–208
Yan Y-X, Dong J, Liu Y-Q, Zhang J, Song M-S, He Y, Wang W (2015) Association of suboptimal health status with psychosocial stress, plasma cortisol and mRNA expression of glucocorticoid receptor α/β in lymphocyte. Stress (Amsterdam, Netherlands) 18(1):29–34. https://doi.org/10.3109/10253890.2014.999233
Yu-Xiang Y, Li-Juan W, Huan-Bo X, Shuo W, Jing D, Wei W (2018) Latent class analysis to evaluate performance of plasma cortisol, plasma catecholamines, and SHSQ-25 for early recognition of suboptimal health status. EPMA J 9(3):299–305. https://doi.org/10.1007/s13167-018-0144-8
Anto EO, Roberts P, Coall DA, Adua E, Turpin CA, Tawiah A, Wang Y, Wang W (2020) Suboptimal health pregnant women are associated with increased oxidative stress and unbalanced pro- and antiangiogenic growth mediators: a cross-sectional study in a Ghanaian population. Free Radic Res 54(1):27–42. https://doi.org/10.1080/10715762.2019.1685668
Tomoda A, Joudoi T, Rabab E-M, Matsumoto T, Park TH, Miike T (2005) Cytokine production and modulation: comparison of patients with chronic fatigue syndrome and normal controls. Psychiatry Res 134(1):101–104. https://doi.org/10.1016/j.psychres.2005.01.002
Wang H, Tian Q, Zhang J, Liu H, Zhang J, Cao W, Zhang X, Li X, Wu L, Song M (2021) Blood transcriptome profiling as potential biomarkers of suboptimal health status: potential utility of novel biomarkers for predictive, preventive, and personalized medicine strategy. EPMA J 12(2):103–115. https://doi.org/10.1007/s13167-021-00238-1
Adua E, Memarian E, Russell A, Trbojević-Akmačić I, Gudelj I, Jurić J, Roberts P, Lauc G, Wang W (2019) Utilization of N-glycosylation profiles as risk stratification biomarkers for suboptimal health status and metabolic syndrome in a Ghanaian population. Biomark Med 13(15):1273–1287. https://doi.org/10.2217/bmm-2019-0005
Naviaux RK, Naviaux JC, Li K, Bright AT, Alaynick WA, Wang L, Baxter A, Nathan N, Anderson W, Gordon E (2016) Metabolic features of chronic fatigue syndrome. Proc Natl Acad Sci 113(46):E5472–E5480. https://doi.org/10.1073/pnas.1607571113
Wang H, Tian Q, Zhang J, Liu H, Zhang X, Cao W, Zhang J, Anto EO, Li X, Wang X (2020) Population-based case-control study revealed metabolomic biomarkers of suboptimal health status in Chinese population—potential utility for innovative approach by predictive, preventive, and personalized medicine. EPMA J 11(2):147–160. https://doi.org/10.1007/s13167-020-00200-7
Dunstan RH, Sparkes DL, Macdonald MM, De Jonge XJ, Dascombe BJ, Gottfries J, Gottfries CG, Roberts TK (2017) Diverse characteristics of the urinary excretion of amino acids in humans and the use of amino acid supplementation to reduce fatigue and sub-health in adults. Nutr J 16(1):19. https://doi.org/10.1186/s12937-017-0240-y
Kunin A, Sargheini N, Birkenbihl C, Moiseeva N, Fröhlich H, Golubnitschaja O (2020) Voice perturbations under the stress overload in young individuals: phenotyping and suboptimal health as predictors for cascading pathologies. EPMA J 11(4):1–11. https://doi.org/10.1007/s13167-020-00229-8
Yu Y, Yang S, Mao L-G, Liu C-M, Chen J, Hu Y-T, Gan L, Jiang T-T (2020) Identification of potential metabolic biomarkers in yin deficiency syndrome using LC-MS. Anat Rec 303(8):2121–2130. https://doi.org/10.1002/ar.24025
Zhao R, Cai Y, Shao X, Ma B (2015) Improving the activity of Lycium barbarum polysaccharide on sub-health mice. Food Funct 6(6):2033–2040. https://doi.org/10.1039/c4fo01108b
Gornik O, Wagner J, Pucic M, Knezevic A, Redzic I, Lauc G (2009) Stability of N-glycan profiles in human plasma. Glycobiology 19(12):1547–1553. https://doi.org/10.1093/glycob/cwp134
Kukuruzinska MA, Lennon K (1998) Protein N-glycosylation: molecular genetics and functional significance. Crit Rev Oral Biol Med 9(4):415–448. https://doi.org/10.1177/10454411980090040301
Dube DH, Bertozzi CR (2005) Glycans in cancer and inflammation. Potential for therapeutics and diagnostics. Nat Rev Drug Discov 4(6):477–488. https://doi.org/10.1038/nrd1751
Knezevic A, Polasek O, Gornik O, Rudan I, Campbell H, Hayward C, Wright A, Kolcic I, O’Donoghue N, Bones J, Rudd PM, Lauc G (2009) Variability, heritability and environmental determinants of human plasma N-Glycome. J Proteome Res 8(2):694–701. https://doi.org/10.1021/pr800737u
Lauc G, Zoldos V (2010) Protein glycosylation-an evolutionary crossroad between genes and environment. Mol BioSyst 6(12):2373–2379. https://doi.org/10.1039/c0mb00067a
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Li, B., Li, B. (2024). Tools of Predictive Diagnostics: Status Quo and Outlook. In: Wang, W. (eds) All Around Suboptimal Health . Advances in Predictive, Preventive and Personalised Medicine, vol 18. Springer, Cham. https://doi.org/10.1007/978-3-031-46891-9_5
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