Showing 30 results for Eini
Ahmad Esmaillzadeh, Parvin Mirmiran, Masoud Mirhosseini, Fereidoun Azizi,
Volume 3, Issue 2 (16 2004)
Abstract
Background: Although dietary guidelines recommend increased intake of grain products to prevent chronic diseases, epidemiologic data regarding whole-grain intake associated with metabolic syndrome is sparse. This study was undertaken to evaluate the relationship between whole-grain intake, metabolic syndrome and metabolic risk factors in Tehran adults population.
Methods: In this cross-sectional study, 827 subjects aged 18-74 were randomly selected from participants of the Tehran Lipid and Glucose Study. Usual dietary intake was assessed using a semi-quantitative food frequency questionnaire and two 24-hour dietary recalls. BMI, FBS, blood pressure, hypertriglyceridemia, hypercholesterolemia, high LDL, low LDL, metabolic syndrome (according to ATP III guidelines) and hypertension (based on JNC VI) were assessed subjects were categorized on quartile cut-points of whole and refined grain intake.
Results: Mean (±SD) consumptions of whole- and refined grains were 93±29 and 201±57 g/d, respectively. Compared with subjects in the lower quartile category, those in the upper category of whole-grain intake had lower prevalence of metabolic risks. Conversely, those in the higher category of refined grain intake had higher prevalence of metabolic risk factors, except for diabetes. After controlling for confounders, a significant decreasing trend was observed for the risk of having hypertriglyceridemia [odds ratios among quartiles: 1.00,0.89, 0.74, 0.61, respectively], hypertension and metabolic syndrome. Higher consumption of refined grains were associated with higher risk of having hypercholestrolemia [1.00, 1.07, 1.19, 1.23), hypertriglyceridemia [1.00, 1.17, 1.49, 2.01), hypertension and metabolic syndrome.
Conclusion: Whole grain intake is inversely and refined grain intake is positively associated with the risk of developing metabolic syndrome. Recommendations to increase whole-grain intake may reduce the risk of developing metabolic syndrome.
Hasan Fallah Huseini, Bagher Larijani, Hossein Fakhrzadeh, Bita Radjabipour, Skahin Akhondzadeh, Taiebeh Toliat, Ramin Heshmat,
Volume 3, Issue 2 (16 2004)
Abstract
Background: Previous clinical and experimental studies suggest the valuable effect of antioxidants on lipids status. The present study was designed to investigate the efficacy of silymarin treatment as an antioxidants on lipids profile in type II diabetic hyperlipidemic patients.
Methods: A 4-month randomized double blind clinical trial was conducted in 54 non-insulin dependent diabetic hyperlipidemic patients in a two well – matched groups. First group (n=29) received 200mg silymarin tablet 3 times a day plus standard therapy, while the control group (n=25) received placebo tablet 3 times a day plus standard therapy. The patients were visited monthly and fasting blood glucose, total cholesterol, LDL, HDL cholesterol, triglyceride, SGOT and SGPT were determined at the beginning and at the end of the study after four months.
Results: Results revealed that in silymarin treated patients, fasting blood glucose, LDL and total cholesterol, triglycerid, SGOT, SGPT and glucose level at the end of the study were significantly decreased as compared to beginning of the study. In placebo treated patients fasting blood glucose level at the end of the study were significantly increased as compared to beginning of the study.
Conclusion: In conclusion, the silymarin as an herbal antioxidant have beneficial effects on reducing glucose and lipids profile in type II diabetic patients
Mostafa Najafi, Seyed Mahmood Mirhoseini, Maryam Moghani Lankarani, Shervin Assari, Seyed Abbas Tavalaie,
Volume 4, Issue 2 (17 2004)
Abstract
Background: Family satisfaction in subpopulations referred to the endocrine clinic including diabetic and non diabetic patients and their spouses are compared in the present study. This study also assesses the correlation between family satisfaction and variables such as age, sex, educational level, economic status, type of diabetes, duration of the disease, type of therapy and dosage of drugs. A comparison of the frequency of sexual dysfunction between diabetics and non-diabetic pairs was also done.
Methods: In this case- control study, 400 subjects were selected as simplified non-randomized method from outpatients referred to the Shahre Kord endocrine clinic in 2002. We assigned samples to group I (diabetic patients, n=100), group II (diabetic patients spouses, n=100), group III (non-diabetic patients, n=100) and group IV (non-diabetic patients spouses, n=100). Groups I and II were similar in sex, socioeconomic status and educational level. GRIMS family relationship questionnaire was used to evaluate family satisfaction.
Results: Family satisfaction for diabetics in comparison with non-diabetics (P=0.05), diabetics in comparison with their spouses (P=0.003), and non-diabetics in comparison with their spouses (p=0.002) were significantly less. There was no significant difference between family satisfaction in diabetic and non-diabetic patients spouses (p>0.05). Relative frequency of sexual dysfunction was 76% and 29% and relative frequency of decreased libido was 32% an 12%, in diabetic and non- diabetic couples, respectively. Family satisfaction was less in patients with diabetes type I and whom using higher dosage of drugs.
Conclusion: This study emphasized on the attention to the family as a part of approach to the diabetic patients. According to our results, it is recommended to focus the most attention in this field to the patients with type I diabetes and who consume more amounts of drugs.
Asal Ataie-Jafari, Saeed Hosseini, Ramin Heshmat, Mohammad Parviz, Sormeh Raees-Zadeh, Mehdi Yousefi, Mohammad Pajouhi,
Volume 5, Issue 4 (17 2006)
Abstract
Background: The risk of cardiovascular diseases increase in diabetic patients. So, it is important for patients to achieve the optimal lipid levels. Nutrition including consumption of anthocyanins plays a primary role in reducing the risk of heart disease and hypertension. In this study, we assessed the effect of concentrated sour cherry juice (SCJ) consumption as a rich source of anthocyanins on lipid profile and blood pressure of type II diabetic patients.
Methods: In this quasi-experimental study 16 type II diabetic women with fasting blood sugar ≥110 mg/dl and LDL-C ≥100 mg/dl were recruited and consumed 40 g/day of SCJ for 6 weeks. Measurements of weight, lipid profile and blood pressure were done in baseline and after completion of the study. A 2-day food records was completed by patients so. The Wilcoxon test was used for statistical analysis.
Results: Mean (± SD) age, weight, total cholesterol, LDL-C, systolic and diastolic blood pressure were 53.6±8.8 years, 72.8±14.9 kg, 213.9±27/0 mg/dl, 118.4±14.7 mg/dl, 129.1±15.7 mmHg and 81.7±8.1 mmHg respectively in the beginning of the study. After consumption of SCJ, a significant decrease (P<0.05) in weight, total cholesterol, LDL-C, systolic and diastolic blood pressure was seen. Changes in serum triglyceride and HDL-C concentrations were not significant statistically.
Conclusion: It is concluded that SCJ consumption may modify cardiovascular disease risk factors in diabetic type 2 patients.
Ali Mohammad Sharifi, Maryam Ghaderpanahi, Seyed Ziaedin Hosseini Mazhari,
Volume 6, Issue 3 (17 2007)
Abstract
Background: Cardiovascular disease including hypertension are complications of long-standing diabetes. A few Studies had shown the positive effects of L-carnitine on hypertension. In this study, the possible effects of L-carnitne on nitric oxide (NO) levels and angiotensin-converting enzyme (ACE) activity in serum as well as systolic blood pressure (SBP) in diabetic and normal rats were studied.
Methods: In this study forty rats were used in four groups including non-treated control (C), L-carnitne treated control (CT), diabetic (D) and L-carnitne treated diabetic (DT). Diabetes was induced in rats by injection of stereptozotosin. Both of C & D groups had a free access to food and water and CT & DT groups were received daily dose of L-carnation in drinking water. At the end of 12 weeks SBP, serum NO and ACE activity were measured.
Results: Systolic blood pressure was significantly decreased in DT group compared to D group. Serum ACE activity was also significantly decreased in DT group compared to D group and the serum NO levels were significantly increased in DT & CT groups compared to D & C groups respectively.
Conclusion: Finally it could be concluded that L-carnitine may reduce SBP in diabetic rats via elevation of serum NO levels and reduction of serum ACE activity.
Asal Ataie-Jafari, Saeed Hosseini, Hamid Alavi-Majd, Farideh Tahbaz,
Volume 7, Issue 2 (17 2007)
Abstract
Background: Milk and fermented milk products have been known as foods with possible hypocholesterolemic effects. In this study we compared the effects of milk replacement with regular and probiotic yogurt in normocholesterolemic (N) and hypercholesterolemic (H) subjects.
Methods: Twenty eight subjects with total serum cholesterol 160-280 mg/dl were included. They did not consume yogurt for 2 weeks after that 300 g/day of milk was added to their diet. Then, blood lipids were measured and they were randomly allocated to 2 groups to receive either 300g/day of ordinary yogurt or probiotic yogurt for 6 weeks as a substitution for milk. Blood lipid tests were repeated at the end of the study. Subjects in both groups were divided into these two subgroups according to their baseline blood cholesterol level: subgroup N (cholesterol<220mg/dl) and H (cholesterol≥220mg/dl). Blood lipid changes were compared between these subgroups in each experimental group.
Results: Total cholesterol and LDL-C levels reduced in the H as compared to N subgroup after regular yogurt consumption instead of milk and the reduction of LDL-C was significant (P=0.033). The effect of milk replacement with probiotic yogurt on total cholesterol and LDL-C reduction in H compared to N subgroup was higher than regular yogurt consumption (P=0.028 and P=0.014 for total cholesterol and LDL-C respectively).
Conclusion: The higher the baseline blood cholesterol level, the more beneficial effects of milk replacement with yogurt, especially probiotic yogurt. So, it is suggested for hypercholesterolemic individuals to consume more yogurt as the source of dairy products in their diet.
Samaneh Azizi, Haleh Sadrzadehyeganeh, Seid Mostafa Hosseini, Milad Daneshimaskooni,
Volume 13, Issue 2 (1-2014)
Abstract
Background: Food insecurity refers to the inability to afford enough food for an active, healthy life.
The metabolic syndrome, otherwise known as syndrome X or the insulin resistance syndrome, is a
collection of cardiovascular risk factors including hypertriglyceridemia, lowered HDL-cholesterol,
glucose intolerance, abdominal obesity and hypertension. Recent studies indicate widespread
prevalence of food insecurity and metabolic syndrome in various regions of Iran. No studies have been
conducted so far to investigate the relationship between food insecurity and the metabolic syndrome in
Iran. This study was conducted to investigate the relationship between food insecurity and metabolic
syndrome in women.
Methods: In this study, 130 women 30 to 60 years old with metabolic syndrome as cases and 130
women without metabolic syndrome as controls referred to clinics affiliated to Shiraz University of
Medical Sciences were selected. The USDA household food security questionnaire was used to assess
food insecurity status. The metabolic syndrome was defined according to the criteria of the Adult
Treatment Pane l II (ATP III).
Results: The prevalence of food insecurity was 69.2% in cases and 45.4% in controls (P< 0.001).
After multiple logistic regression and removal of potential confounders, food insecurity was
significantly associated with metabolic syndrome (OR3.2&CI 95%: 1.9-5.6)(P<0.05).
Conclusion: Given that food insecurity is an important risk factors for metabolic syndrome, Planners
should reduce food insecurity in society, especially women through measures to improve the economic
situation and dietary patterns of households.
Leila Eini, Negar Naghash, Bagher Larijani, Jafar Ai, Keivan Majidzadeh, Esmaeil Sadroddiny, Kobra Omidfar,
Volume 13, Issue 2 (1-2014)
Abstract
Background: Mesenchymal stem cells (MSCs), also known as mesenchymal stromal cells, are
considered as an important source of adult stem cells in tissue engineering and cell therapy. They are
present in various tissues such as, endometrium as the supportive cells. According to anatomical
position of endometrial mesenchymal stem cells that put them in neighborhood of the fetus, they may
have a significant role in fetus tolerance during pregnancy.
This study was conducted to evaluate the molecular mechanism of immunosuppressive affect of
endometrial mesenchymal stem cells.
Methods: Mesenchymal Cells from bone marrow and endometrium were cultured at density of 2 ×105
cells/ml at presence of 100IU/ml and 500IU/ml INF-γ (IFN-gamma) and expression of indoleamine 2
3-dioxygenase (IDO) were studied after 72 hours by real-time PCR and immunocytochemistry.
Results: The study showed that IDO expression in cells exposed to IFN-γ was increased compared to
the cells in the absence of IFN-γ (p<0.05). Additionally, up regulation of IDO expression was higher
in endometrial cells than bone marrow cells.
Conclusion: From these results it is concluded that endometrial mesenchymal stem cells may be used
as a good candidate for cell therapy.
Parvin Mirmiran, Zahra Bahadoran, Firoozeh Hosseini-Esfahani, Fereidoun Azizi,
Volume 13, Issue 2 (1-2014)
Abstract
Background: There are growing concern globally regarding fast food consumption and its
related cardiometabolic outcomes. In this study we investigated whether fast food
consumption could affect the occurrence of metabolic syndrome after 3-years of follow-up in
adults or not.
Methods: This longitudinal study was conducted in the framework of Tehran Lipid and
Glucose Study on 1476 adults, aged 19-70 years old. The usual intakes of participants were
measured using a validated semi-quantitative food frequency questionnaire at baseline.
Biochemical and anthropometric measurements were assessed at baseline (2006-2008) and 3
years later (2009-2011). Multiple logistic regression models were used to estimate the
incidence of the MetS in each quartile of fast food consumption.
Results: The mean age of participants was 37.8±12.3 years old, and the mean BMI was
26.0±4.5 kg/m2
at baseline. Participants in the highest quartile of fast food consumption were
significantly younger (33.7 vs. 43.4 years, P <0.01). Higher consumption of fast food was
accompanied with more increment in serum triglyceride levels after the 3-year follow-up
(10.6±2.3 vs. 4.4±2.3 percent in the fourth and first quartile, respectively, P<0.01). After
adjustment for all of the potential confounding variables, the risk of metabolic syndrome, in
the highest quartile of fast foods compared with the lowest, was 1.85 (95% CI= 1.17-2.95).
Conclusion: We demonstrated that higher consumption of fast foods had undesirable effects
on metabolic syndrome after 3-years of follow-up in Iranian adults.
Mehrnoosh Mahrou, Abbas Ali Gaeini, Sirous Chobbineh, Mohsen Javidi,
Volume 14, Issue 1 (1-2015)
Abstract
Background: Exercise is very important factor in control of diseases. It also has been suggested that angiogenesis inhibitor factor is controlled and angiogenesis simulative factor is intensified on those who are suffering diabetic and doing physical activity. This study is aimed to evaluate the effect of Eight-week Resistance Training on unbalanced Angiogenesis in Diabetic male rats.
Methods: Twenty-four diabetic male Wistar rats were divided into two groups of control and training. Resistance training protocol includes one set of 10 times per day climbing the ladder suffering a weight connected to each rat tail [with respect to the maximum volume carrying each rat] for 3days a week and for 8 weeks. After 48 hour of the last training session, blood samples were taken from rat's hearts and VEGF, NO, glucose and insulin were determined regarding to serum sample taken. Analytical statistics examined with the use of SPSS16 software and considering α< 0.05.
Results: this study of Eight-week Resistance Training resulted no significant increase on VEGF [P=0.776] and NO [p=0.946] in diabetic rats serum but there was a significant decrease in blood glucose [p=0.001] however, no significant difference was observed in insulin level between the groups [p=0.93].
Conclusion: Despite resistance training appears to improve glucose levels in diabetic rats it has no positive effect on the stimulation factors of angiogenesis.
Maryam Djamnezhad , Kurosh Djafarian, Mostafa Qorbani, Asal Ataie-Jafari, Saeed Hosseini,
Volume 14, Issue 1 (1-2015)
Abstract
Background: There is increasing interest about the relationship between metabolism, obesity and function of thyroid hormones in recent decades. This study aimed to determine the validity of a “thyroid and metabolism questionnaire” and its relationship with metabolism status and function of thyroid hormones.
Methods: It was a descriptive cross-sectional study on 164 people aged 20-64 years who were selected randomly from nutrition clinic. “Thyroid and Metabolism questionnaire” including 25 questions were completed for everyone. Biochemical parameters including serum level of T3, T4 and TSH were measured. Resting energy expenditure [REE] was measured by indirect calorimeter.
Results: The mean measured REE and calculated with Harris-Benedict formula were 1826.7 ± 475.34 and 2277.6 ± 454.54 kcal in men and 1410.8 ± 205.5 and 1670.73 ± 136.10 kcal in women respectively. The final score of this questionnaire had no significant association with measured REE. REE showed indirect relationship with serum level of T3, T4, T3/T4 and inverse relationship with TSH. Metabolism status of every participant was obtained via measuring and calculating REE with set and formula. The metabolism status of participants showed no agreements with metabolism status that predicted from “Thyroid and Metabolism” questionnaire. There was no significant association between metabolism status that was measured by indirect calorimeter and calculated from “Thyroid and Metabolism” questionnaire. From 25 questions of this questionnaire, only questions number 1, 4, 16 and 23 showed significant association with measured REE [P< 0.05].
Conclusion: Results of this study showed that “Thyroid and Metabolism” questionnaire had internal consistency, but not validity.
Maryam Karkhaneh, Ehsaneh Taheri, Mostafa Qorbani, Mohamad Reza Mohajeri Tehrani, Saeed Hoseini,
Volume 14, Issue 4 (5-2015)
Abstract
Background: A unique subset of Individuals with normal body mass index (BMI= 18.5-24.9 kg/m2) and high body fat percentage (above 30% in women and 23% in men) that are termed as normal weight obese, are at increased risk for development of the metabolic syndrome and chronic diseases because the adipose mass and the excess of fat mass are an important source of proinflammatory cytokines. The aim of the present study was based on this hypothesis that women with high body fat percentage and normal body mass index are at increased risk for the metabolic syndrome in compared to healthy non obese women. Methods: This was as case-control study in which 40 obese women with normal weight (BMI= 18.5-24.9 kg/m2) and body fat percentage above 30% (FM> 30%) and 30 non-normal weight obese women (BMI= 18.5-24.9 kg/m2) and fat percentage less than 25% (FM <25%) who were matched for age (mean age = 28 years) recruited for this study. The components of metabolic syndrome including Anthropometric variables, blood pressure and fasting plasma concentrations of total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, glucose and insulin were measured. Results: The anthropometric measurements including waist and hip circumferences in NWO was higher than non-NWO (respectively 74.78±4.81 vs. 70.76±2.91 and 99.12±4.32 versus 93.16±2/91, Pvalue<0.001), while the waist-to-hip ratio did not differ between the two groups (p=0.448).Also no significant differences were observed in concentrations of total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, fasting plasma glucose, systolic and diastolic pressure between groups. Fasting serum insulin and insulin resistance was higher in NOW compared to non NWO (Pvalue<0.05) and insulin sensitivity in NWO was lower than non NWO (0.357 versus 0.374, pvalue = 0.043). Conclusion: Because of the higher serum insulin concentration and the lower insulin sensitivity, obese women with normal body mass index but high body fat percentage can be associated with a higher risk for metabolic dysregulation and metabolic syndrome compared to healthy women with the same body mass index and normal body fat percentage
Nazanin Moslehi, Firoozeh Hosseini-Esfahani, Farhad Hosseinpanah, Parvin Mirmiran, Parvane Hojjat, Fereidoun Azizi,
Volume 15, Issue 2 (1-2016)
Abstract
Background: The aim of this study was to identify major dietary patterns in Iranian adults and their associations with the risk of type 2 diabetes (T2DM).
Methods: This nested case-control study was conducted among 698 women and men with a mean age of 43.6 ± 12.0 years in the Tehran Lipid and Glucose Study (TLGS). Among participants who were free of T2DM at baseline and developed T2DM during follow-up examinations, individuals with dietary intakes data were considered as cases. Each case was matched to three T2DM free controls on sex, age, and the date of blood drawing. Major dietary patterns were identified using principal component analysis and odds ratios of T2DM were estimated using conditional logistic regression.
Results: In this study, three major dietary patterns were identified. After adjusting for diabetes risk factors, 1-SD increase in score of the dietary pattern characterized by high intake of whole grain, legumes, egg, and red meat (traditional dietary pattern) was associated with reduced risk of T2DM (OR : 0.82; 95% CI: 0.67-0.99).
Conclusion: A whole grain and legumes based dietary pattern may be associated with reduced risk of T2DM in Iranian population.
Reza Ghadimi, Sadat Hoseini Seiyedi, Hasan Ashrafian Amiri, Seiyed Davoud Nasrollahpour Shirvani,
Volume 15, Issue 5 (7-2016)
Abstract
Background: In recent years, waist and hip circumference measurements simultaneously used as anthropometric factors to determine the prevalence of overweight and obesity in adults, in addition to Body Mass Index. Some studies have confirmed the relationship between the above mentioned factors and the hematological parameters of cardiometabolic disorders. This study aimed to determine the association between anthropometric factors and hematological factors in 25-60 years old couples of Babol, Mazandaran.
Methods: This cross-sectional descriptive study was conducted in spring 2014, on research population of 25-60 year old couples who were selected by random cluster. Data collected through a researcher-made questionnaire containing about demographic variables, underlying factors, dependent variables; its validity and reliability were confirmed. The collected data were analyzed by SPSS18 software.
Results: Men’s BMI had significant direct relationship with systolic and diastolic blood pressure, fasting blood sugar, cholesterol and triglycerides (p<0.05). Women’s BMI had a significant direct relations with systole and diastole blood pressure, fasting blood sugar and triglycerides (p<0.05). There was a significant direct relationship between men’s and women’s Waist/Hip Ratio (WHR) with systole and diastole blood pressure, fasting blood sugar, cholesterol and triglycerides (p<0.05). There was a significant direct relationship between men’s and women’s anthropometric indices (apart from the BMI) associated with serum biomarkers of cardiometabolic disorders (p<0.05).
Conclusion: The results showed that increased BMI and WHR in couples, increases the amount of cardiometabolic serum biomarkers and may directly and indirectly cause the risk of chronic diseases.
Leila Zamanpour, Ebrahim Banitalebi, Seyed Ehsan Amirhosseini,
Volume 15, Issue 5 (7-2016)
Abstract
Background: The purpose of this study is to the comparison of the effect of 12 weeks of sprint training and concurrent aerobic and strength training on high sensitive C-reactive protein (hs-CRP), interleukin-6 (IL-6), tumor necrosis factor alpha (TNF-α) and insulin resistance in women with diabetes mellitus (T2DM)
Methods: 52 overweight female type 2 diabetic patients (age; 45-60 years old and fasting blood glucose ≥ 126 mg/dl (7.0 mmol/l)) were assessed for eligibility. Participants were assigned to intense interval training group (N=17), concurrent resistance- endurance training group (N=17) and control group (N=18). The combined strength-endurance group did 12 weeks, three sessions per week endurance training with 60 % of maximal heart rate and two session resistance training with 70 % 1-RM. Intense interval training group did three session/week of 4-10 repetition of all out 30s Wingate on ergometer were included 10 weeks of concurrent resistance- endurance training and intense interval training.
Results: The results showed that following sprint training, there were significant changes in hs-CRP (p<0.001), but it wasn’t significant following concurrent training (p=0.062). According to results, TNF-α change were not significant in intense sprint (p=0.11) and concurrent training (p=0.23). Differences were not significant for the fasting blood glucose in the intense interval training groups (p=0.000). Serum insulin levels showed significant increases in the SIT (p<0.000) and concurrent training (p=0.000) significantly. The data showed significant differences in insulin resistance index (HOMA-IR) in intense interval training (p=0.000) and concurrent resistance- endurance training (p=0.008). ANCOVA test showed no significant difference in fasting blood glucose concentrations (P=0.171).
Conclusion: Intense sprint training compare to concurrent strength-endurance training can have better inflammatory status for patients with type 2diabete.
Vahid Maleki, Mohamad Reza Mohajeri Tehrani, Ehsaneh Taheri, Mostafa Qorbani, Mohsen Sedighiyan, Saeed Hoseini,
Volume 16, Issue 2 (1-2017)
Abstract
Background: The major cause of obesity is an imbalance between energy intake and energy expenditure and resting energy expenditure (REE) is the most important determining factor in metabolism because it can reduce obesity and body fat mass gain. Overt hypothyroidism is associated with a lower resting energy expenditure (REE). With treatment, the resting energy expenditure (REE) will be normal. But a group of patients with treatment and normal serum level of TSH and thyroid hormones, Continue to complain of the lack of improvement of Clinical signs of overt hypothyroidism. This study is designed whether patients that have Clinical signs of overt hypothyroidism in compared with patients without Clinical signs, resting metabolic rate, body composition and lipid profile are different or not.
Methods: This study is a descriptive and comparative study on 100 women with overt hypothyroidism are treated with levothyroxine. The patients were divided into 2 groups of 50 patients with and without clinical signs. All patients were matched for age and BMI and menstrual cycle. 2 groups regarding anthropometric measurements, resting energy expenditure (REE), body composition, thyroid hormones, lipid profile and diet were compared with each other.
Results: The average resting energy expenditure (REE) and adjusted of it for weight was significantly lower in the group with Clinical signs (Pvalue<0.03). But there was no significant difference between the 2 groups for the form of an adjustment for fat free mass (FMM) and FT3. The body fat mass (FM) was higher in the group with Clinical signs (Pvalue<0.005).But there was no significant difference between the 2 groups in the percentage of body fat mass and fat free mass (FMM). Serum levels of TSH, TF4, FT4, TT3, FT3, total cholesterol, HDL, LDL, there was no significant difference between the 2 groups. But the level of blood triglycerides (TG) in the group with Clinical signs was significantly higher than the group without Clinical signs (Pvalue<0.01).
Conclusion: Patients with Clinical signs, lower resting energy expenditure (REE) and fat mass (FM) and triglycerides blood (TG) is higher than in patients without Clinical signs.
Seyed Ali Hosseini, Fatemeh Rezvanipour, Nasibeh Kazemi, Omidreza Salehi, Maryam Kasraeian,
Volume 17, Issue 1 (3-2018)
Abstract
Background: Gestational diabetes in on of common complications of pregnancy which has different complications for fetus and mother. Aim of present study was to review the effect of six weeks aqua training in second trimester of pregnancy on visfatin and glucose tolerance of gestational diabetic women.
Methods: In this semi experimental research 24 gestational diabetic mothers who recourse to hafez clinic of shiraz city which were in 23- 24 week of pregnancy select as sample and divided in two groups of 12 persons of aqua training and control. Aqua training group trained aqua trainings 6 weeks, 3 sessions per week and 45 minutes per session. In this period of the time control group has just their daily activities. For measure the research variables fasting blood sample gathered from antecubital vein in pretest and post test.
Results: Six weeks aqua training in second trimester of pregnancy has significant effect on increase of visfatin and decrease of glucose tolerance of gestational diabetic women (p=0.001).
Conclusion: It seems that for improvement of visfatin levels and glucose tolerance of gestational diabetic women can use six weeks aqua training in second trimester of pregnancy.
Sima Zahedi, Ali Darvishpoor Kakhaki, Meimanat Hosseini, Zahra Razzaghi,
Volume 17, Issue 4 (5-2018)
Abstract
Background: Hemodialysis is the most common treatment in patients with end stage of renal disease (ESRD). Patients undergoing hemodialysis due to multiple drug treatments, special food programs and being able to cope with their illness need to self-care activities. Due to lack of information about the role of health literacy in effectiveness of self-care in these patients, this research aimed to determine the correlation between self-care and health literacy in patients undergoing hemodialysis in Valiasr Hospital of Arak in 2015.
Methods: In this descriptive correlational study, 93 undergoing hemodialysis patients selected by objective sampling method. Data collecting instruments were "demographic questionnaire", "self-care questionnaire " and "Health Literacy for Iranian Adults questionnaire". The content and face validity of questionnaires was assessed. Reliability assessed through internal consistency (Cronbach's alpha) and Intra- Class Correlation Coefficient. Data were analyzed by SPSS, version 21, using, Kolmogorov–Smirnov test, Descriptive Statistics and Kolmogorov–Smirnov test.
Results: The results showed that 79/6% of patients were male and 20/4% were female with an average age of 54/18 ± 13/9 year. The mean score of self-care and health literacy were 146/90± 45/46, 88/14± 36/42 and were at a moderate level. The lowest score of self-care and health education related to the field of fluid intake and decision-making and behavior. There was a significant positive correlation between self-care and health literacy (p<0/0001, r= 0/6).
Conclusion: The existence of a significant positive correlation between self-care and health literacy showed that the hospital managers and the nurses must pay more attention to what patients undergoing hemodialysis need. Considering the importance of health literacy in the care of patients undergoing hemodialysis, it seems necessary to nursing administrators and Politicians use educational programs tailored to the patient's health literacy level in order to promote their health and quality of life.
Ata Pourabassi, Zahra Kheiry, Sarah Nouriyengejeh, Solmaz-Sadat Naghavi Alhosseini, Farnaz Banakar,
Volume 18, Issue 3 (3-2019)
Abstract
Background: The main problem of modern humans is non-communicable diseases such as diabetes, cardiovascular disease, etc. Diabetes has the highest prevalence. It imposes many costs on society and the patient. Diabetics have special needs for a better life; hence, the researcher's aim is to accomplish them by defining researches and technology missions. Our purpose was to understand the real needs of a diabetic patient. Previous studies were evaluated to find out which one was effective.
Methods: In this research, 120 diabetic children's parents were requested to write a letter entitled "Hi Inventor" and describe any efficient inventions, which could make life easier for their children. Besides, research papers and patents from Iran over the past ten years have been evaluated in terms of their compliance with patients' needs.
Results: Parent's statements gathered in the form of 12 real needs. The main concern was the invasive method of blood glucose testing and they were asking for innovative method to measure blood glucose with less pain. Among published articles by Iranian researchers over the past ten years, 3% of the articles were in some way related to the actual needs of patients with diabetes. A total of 1017 patents from Iran was looked for, there were 3 diabetes-related patents.
Discussion: To sufficiently support the conducting research and identifying research priorities in the country, it is necessary to consider a balanced ratio between fundamental and applied research so that the patients' community can benefit from the early results of research as well.
Zahra Shafipour, Abdolrasoul Daneshjoo, Masoumeh Hoseini,
Volume 18, Issue 6 (9-2019)
Abstract
Background: Nesfatin-1 is an adipokine that released by adipose tissue and participated in the regulation of insulin activity and glucose metabolism. The aim of this research is the investigation the effect of aerobic training and walnut consumption on nesfatin-1 and insulin resistance index of women Type 2 diabetes.
Methods: 40 women aged 40 to 50 years old with type 2 diabetes after homogenization based on Bruce test were selected through targeted sampling and they were randomly assigned to four groups of training, walnut, training + walnut and control (each group was 10). The 8-week aerobic training was three sessions per week for 16 minutes with 65% of maximal heart rate in the first week, while in the eighth week it reached 30 minutes with 80% of maximal heart rate. The walnut groups each day replaced 25 to 27 grams of walnuts as part of a diet rich in PUFA fatty acids, replacing one third of total dietary fat. 24 hours before the first session and 48 hours after the last session of the protocol, all subjects received blood samples. The inter-subject inter-analysis variance analysis was used. The significance level was considered as P <0.05.
Results: In the training groups, weight, body mass index, glucose, insulin and insulin resistance decreased significantly and the maximum oxygen consumption and nesfatin -1 increased significantly(P<0.05).
Conclusion: Aerobic training with this intensity and amount can be recommended as auxiliary treatment for type 2 diabetic women. Walnut consumption with this value did not affect the level of blood glucose, insulin resistance index and nesfatin-1 in type 2 diabetic women. It is recommended that high-dose walnuts be used for effective operation.
