Showing 146 results for Type 2
Rohollah Nikooie, Malihe Aveseh, Kobra Omidfar,
Volume 13, Issue 2 (1-2014)
Abstract
Background: the aim of the present study was to investigate the effects of diabetes and seven weeks
of endurance training on RBP4 expression in Soleus, extensor digiturom longuse (EDL), liver, visceral
and subcutaneous fat in type 2 diabetic rats.
Methods: Fifty male wistar rats (93.7 ± 8.9 g) were randomly divided into four groups including:
control (C) [n=10], trained (T) [n=10], diabetic control (DC) [n=15] and diabetic trained (TD) [n=15].
The combination of Intraperitoneally injection of streptozotocin (STZ) and high fat diet feeding were
used for diabetes induction. After seven weeks of endurance training, serum RBP4 and its expression
in above tissues were measured by ELISA and western blotting techniques, respectively.
Results: diabetes induction increased the RBP4 expression of the liver (3.57-fold, p < 0.01), visceral
fat (2.02-fold, p < 0.01), and subcutaneous fat (1.84-fold, p < 0.01) and EDL (2.29-fold, p < 0.01) in
DC in comparison to C group. Serum RBP4 concentration was significantly higher in DC (2.9-fold, p
< 0.01) and TD (1.84-fold, p < 0.01) in comparison to C group. Endurance training significantly
decreased serum RBP4 (p < 0.01) and its expression in visceral fat (p < 0.01) in DT in comparison to
DC.
Conclusion: type 2 diabetes extensively decreases the skeletal muscle RBP4 expression in isoform –
specific manner, liver, subcutaneous and visceral fat. In addition, endurance training decreases serum
RBP4 concentration and its expression in visceral fat.
Maryam Aalaa, Maryam Peimani, Hamid Reza Aghaei Meybodi,
Volume 13, Issue 3 (3-2014)
Abstract
Background: Today, the internet has been emerged as a potentially effective medium for information
exchange and in recent years, the use of web-based training programs has been steadily considered in
the prevention and management of chronic diseases such as diabetes. This technology provides an
opportunity to make health care more accessible for a large number of people and reduce costs. This
review provides a descriptive discussion of web-based behavioural interventions for the management
of type 2 diabetes mellitus.
Methods: Systematic literature searches were performed using Medline, Embase, Psycinfo, Web of
Science and Cochrane library to retrieve articles written in english and published between 2000 and
2012 which fulfilled all inclusion criteria. The search keywords were “diabetes” AND “intervention”
AND (“internet OR web”). Only randomised controlled trials and quasi experimental studies were
included in this review.
Results: A total of 15 studies were reviewed. Goal-setting, personalised coaching, interactive
feedback and online peer support groups were some of the successful approaches which were applied
in e-interventions to manage type 2 diabetes mellitus. Strong theoretical background, use of other
technologies and longer duration of intervention were proven to be successful strategies as well.
Conclusion: The web-based interventions have demonstrated some level of favourable outcomes,
provided they are further enhanced with proper e-research strategies.
Roya Kolahdouz Mohammadi, Mohammad Javad Hosseinzadeh-Attar, Mina Kolahdouzmohammadi, Mohammad Reza Eshraghian, Elnaz Khorrami, Alireza Esteghamati,
Volume 13, Issue 3 (3-2014)
Abstract
Background: CoQ10 is a lipid-soluble and a powerful antioxidant. Decreased level of this antioxidant
was reported in many conditions like vascular, diabetes, high blood pressure and coronary artery
diseases. With regards to increased oxidative stress in diabetes and its role in the development of high
blood pressure, this study aimed to examine the effect of Q10 supplementation on blood pressure level
and its relation to nitric oxide metabolites (NOx) level in type 2 diabetic patients.
Methods: In this 12-week randomized controlled trial, T2D subjects received either placebo or
coenzyme Q10 (100 mg twice a day). Anthropometric measures, blood pressure, biochemical analysis
including NOx level, fasting blood glucose, glycosylated hemoglobin (HbA1c) and lipid profile were
evaluated at the beginning and after the intervention.
Results: The intervention resulted in a significant improvement in systolic blood pressure
(115.3±27.61 versus 118.2±12.6 mmHg), diastolic blood pressure (77.1±8.22 versus
80.3±12.11mmHg), NOx (Pvalue=0.014) and HbA1c. Moreover Q10 supplementation resulted a
significant decrease in elevated levels of cholesterol.
Conclusions: In conclusion, CoQ10 supplementation (200 mg/day) for 12 weeks, significantly
decreased systolic and diastolic blood pressure, NOx, HbA1c, total cholesterol and LDL-C in type 2
diabetic patients.
Fatemeh Mokhtari, Fahime Esfarjani, Mehdi Kargar Fard,
Volume 13, Issue 4 (5-2014)
Abstract
Background: Physical activity with diet and medication–considered fundamental in the treatment of diabetes. The aim of this study was to determine the effect of combined 12-week aerobic exercise and barley β glucan (BBG) on blood glucose and lipid profile in patients with type 2 diabetes.
Methods: Twenty- four female volunteers (49±5 years) were selected, and after completion of questionnaires, were randomly divided into three groups a) aerobic training with diet group (n=8), b) diet group (n=8) and c) control group (n=8). The diet group used one barley bread per day with 4 gram beta glucan during 12 week. The combined group participated in progressive walking training program with intensity of 60-70% of maximal heart rate 2 to 3 times a week, 20 to 60 minutes in each session in addition to diet program. The variables measured included blood sugar, triglyceride, cholesterol, LDL, HDL. For data analysis ANOVA used to compare mean differences between groups.
Results: Results indicated significant difference in blood sugar between control and experimental groups while non significant changes was observed in lipid profile.
Conclusion: Aerobic exercise and BBG can decrease blood glucose in patients with diabetes Therefore, it should be considered seriously as part of the treatment of these patients.
Esmat Mosayebi, Maryam Sharifi, Mahgol Tavakoli,
Volume 13, Issue 5 (7-2014)
Abstract
Background: One of the important indicators of diabetes treatment and control is enhancement of quality of life in patients with diabetes. Therefore, in recent years, quality of life in these patients regarded by therapists and researchers and increased studies in this field. The aim of this study was collection and integration of these studies results to investigate the effect size of sport and psychological interventions on quality of life in patients with type 2 diabetes by meta-analysis method.
Methods: For this purpose, 25 acceptable studies (15 psychological interventions, 10 sport interventions) in terms of methodology (hypothesis, research method, statistic population, volume of sample, sampling method, instrument measure & statistic analysis method) selected, and meta-analysis performed on them. Research instrument was checklist of meta-analysis.
Results: The study findings showed that the rate of effect size of psychological interventions on quality of life in patients with type 2 diabetes was d=0.95 (p<0.00001) and the effect size of sport interventions on quality of life in this patients was d=2.2(p<0.00001). According to Cohen’s chart both effect sizes of sport and psychological interventions were high.
Conclusion: psychological and sport interventions can be effective on improvement of quality of life in patient with 2 diabetes.
Elaheh Khajouee, Zohreh Elahi-Moghaddam, Morteza Behnam-Rasouli, Naser Mahdavi-Shahri,
Volume 13, Issue 5 (7-2014)
Abstract
Background: Diabetes is a kind of metabolic disorder characterized by hyperglycemia, caused by defect in insulin function, secretion or both. In chronic hyperglycemia different tissues and organs, such as thyroid gland underwent histophysiological alterations. The aim of the present study was to compare the effects of type 1 and type 2diabetes on the serum levels of biochemical factors and histological changes in the thyroid gland in male Wistar rats.
Methods: After induction of type 1 diabetes (Alloxan 135 mg/kg BW) and type 2diabetes (10% fructose administrated through drinking water for 8 weeks) all rats were kept for 2 months. Blood samples were collected at the beginning and in the middle and at the end of experiment for biochemical factors analysis. After that, the thyroid gland of all rats were removed and processed for histological preparation. Then the HE stained sections were examined for thyroid gland volume and follicular surface density measurements, using Cavalieri’s Principle and stereological method, respectively.
Results:The results showed an increase in surface density and a decrease in thyroid volume in type 1 diabetic and type 2 diabetic groups, when compared with control. Furthermore, in type 1 diabetic group, the Triglycerid and Cholesterol levels increased and LDL level decreased, while in type 2 diabetic group, LDL and HDL levels slightly decreased. These results reveal that type 1 and type 2 diabetic conditions probably cause hypo- and hyper activity of thyroid gland, respectively.
Amirabbas Monazzami, Hamid Rajabi, Kobra Omidfar, Ali Mostafaie,
Volume 13, Issue 5 (7-2014)
Abstract
Background: The purpose of this study was to investigate the effects of endurance training on muscle NHE1 and NBC1 gene expressions in type 2 diabetic rats.
Methods: Male wistar rats (n=40), 4weeks old and 93.7±9.8g, were randomly selected and divided into control, diabetic control and diabetic training groups. The Endurance training was performed for 7 weeks on diabetic training groups (running on treadmill forrodent). NHE1 and NBC1 gene expression were determined by Realtime-PCR technique. The differences between groups in variables were determined by an independent t-test using REST Software.
Results: NHE1 mRNA expression reduced significantly in EDL and Soleus by 25% and 19% in the diabetic control group compared with the control group, respectively (P<0/05).NHE1 mRNA expression also reduced significantly in EDL and Soleus by 35% and 29% in the diabetic control group compared with the control group, respectively (P<0/05).Endurance training increased NHE1 and NBC1 geneexpressions in both EDL and Soleus in the diabetic training group.
Conclusion: The present study showed that NHE1 and NBC1 mRNA expressions decreased significantly in the diabetic control group and endurance training increased NHE1 and NBC1 mRNA expressions in the diabetic trained group leading to normalizing the mRNAs in diabetic trained group.
Nooshin Poorsoltan, Yadollah Mehrabi, Zhaleh Shadman, Mahdieh Akhoundan, Arash Rashidi, Mohsen Khoshniat Nikoo,
Volume 14, Issue 1 (1-2015)
Abstract
Background: Physiological stress may affect eating habits and also foods intake may alter the physiological stress. According to the reports of high levels of serum cortisol as a stress biomarker in type 2 diabetic patients the aim of this study was to investigate the relationship between dietary patterns and serum cortisol concentration in type 2 diabetic patents.
Methods: This cross-sectional study was conducted on 241 type 2 diabetic patients in 2013. Major dietary patterns were obtained by factor analysis. Serum cortisol was measured at 8 am. Serum cortisol level was compared among tertiles of dietary patterns using ANCOVA adjusted for confounders (age, sex, BMI, and fasting blood glucose). Linear regression analysis was performed to assess the association between serum cortisol and scores of dietary patterns.
Results: Three major dietary patterns were identified as Western, healthy and healthy like. None of the variables age, waist circumference, body mass index, physical activity level, duration of diabetes and fasting blood glucose was significantly associated with serum cortisol. After adjustment for confounders, no statistically significant difference was found in mean serum cortisol among tertiles of dietary patterns or no statistically significant association between serum cortisol and dietary patterns scores. Mean serum cortisol was 12.95±5.10 nmol/L which was in normal range.
Conclusion: This study showed that in type 2 diabetic patients, normal levels of serum cortisol were not associated with the adherence to Western, Healthy and Healthy like dietary patterns.
Zeynab Nezamdoust , Marziyeh Saghebjoo, Afson Barzgar,
Volume 14, Issue 2 (1-2015)
Abstract
Background: This study was conducted to determine the effect of 12 weeks of aerobic training on serum levels of vaspin and glucose homeostasis variables in patients with type 2 diabetes. Methods: In this quasi-experimental study, 20 women with type П diabetes (mean±SD: age 43.30 ±3.02 yr, body mass index 27.089±3.23 kg/m2 and body fat 29.46 ±2.71%) were randomized into experimental (n = 10) and control (n = 10) groups. Experimental group performed twelve weeks aerobic training (3 times per week at an intensity of 75-85 % of maximum heart rate reserve). Blood samples were collected 24h before and 48h after the training. Data was analyzed by paired and independent samples t-test (P <0.05). Results: Results showed a significant decrease in serum levels of vaspin, fasting blood sugar and insulin resistance index (P value 0.001, 0.01 and 0.007 respectively) ) in experimental group and body weight, body mass index, percent body fat and waist to hip ratio significantly decreased in experimental group (P value 0.002, 0.01, 0.04 and 0.03 respectively). Conclusion: The results of this study showed that aerobic training along with decrease in body weight and percent body fat leads to significant decrease in serum levels of vaspin, fasting glucose and insulin resistance index, so can be considered as a complementary therapy method in patients with type 2 diabetes.
Asiyeh Taji Tabas, Mehdi Mogharnasi,
Volume 14, Issue 3 (3-2015)
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 10 week resistance exercise training on serum levels of nesfatin-1 and insulin resistance index in women with type 2 diabetes. Methods: Eighteen women with type 2 diabetes recruited this study by using of the Purposive Sampling method and were randomly divided into two experimental (n= 10) and control (n= 8) groups. The experimental group participated in resistance exercise training (the exercises training started with 30-50% intensity of one maximum repetition in the first training session and increased to 70-80% intensity of one maximum repetition in the final session) in three times per week for 10 weeks. Also, the control group not participated in exercise program. Blood samples were taken pre-and post-exercise test in the 12 h fasting conditions for evaluation of nesfatin-1, insulin and glucose levels. The resulting data was analyzed by SPSS 21 and used of Kolmogorov-Smirnov, t-independent and dependent t-tests at a significance level of &alpha<0.05. Results: Intra-group changes in the experimental group showed that a significant increase in nesfatin-1 levels and a significant reduction in blood glucose and insulin resistance levels after 10 weeks resistance training (P<0.05). However, there was no significant change in insulin levels (P>0.05). In the comparison between groups, the changes of nesfatin-1 and glucose levels were significantly in pre- and post-exercise test in the experimental group compared with the control group (P<0.05). Conclusion: According to the results of this research, resistance exercise training could be recommended as adjunctive therapy method for women with type 2 diabetes.
Mahnoush Reisi, Firoozeh Mostafavi, Homamodin Javadzade, Behzad Mahaki, Elahe Tavassoli, Gholamreza Sharifirad,
Volume 14, Issue 3 (3-2015)
Abstract
Background: Diabetes is a chronic disease that can cause severe complications such as cardiovascular disease, blindness and kidney failure. Given the importance of self-care in diabetic patients, and considering that inadequate health literacy is a serious barrier for the management of diabetes that can affect patients' participation in self-care, Therefore this study aimed to assess the status of health literacy in patients with type 2 diabetes in three domains of functional, communicative and critical and Determine the factors associated with self-care behaviors in these patients. Methods: A cross-sectional study on 187 diabetic patients referred to Hazrat Ali diabetes clinic in Isfahan. The samples were selected by randomly Convenience sampling method. The level of health literacy and Status of self-care behaviors in patients was assessed by a standardized questionnaire (FCCHL) and (DMSES) respectively. Collected data were analyzed Using the ANOVA, t-independent, Pearson correlation coefficient at SPSS v.21 statistical software. Results: The mean age of the study population was 57.40 ± 11.07. Average health literacy score and self-care behaviors of the participants were 2.28± 0.57 and 3.84 ± 1.56 respectively. There was significant relationship between total health literacy, communicational and critical health literacy with self-care behaviors. There was no significant relationship between functional health literacy and self-care behaviors. Communicational health literacy was associated with diet, physical activity, blood glucose monitoring and foot care. Critical health literacy was associated with physical activity, blood glucose monitoring, foot care, and taking medication. There was no significant relationship between Communicational health literacy and taking medication and also between critical health literacy and diet. Conclusion: Considering that communication and critical health literacy was associated with the self-care of patients with diabetes so Emphasis and consideration should primarily be given on skills related to these domains of health literacy. Since that Patients’ functional HL capabilities that was associated with basic skills in reading and writing was not related to self-care, therefore assessment of education levels alone in the clinical setting is not recommended.
Zeinab Shayeghian, Parisa Amiri, Maria E. Aguilar-Vafaie, Mohammad Ali Besharat, Mahmoud Parvin, Kobra Roohi Gilani,
Volume 14, Issue 4 (5-2015)
Abstract
Background: One of the important goals in control diabetes to maintain normal levels of glycated hemoglobin, but different social and psychological factors such as social support and alexithymia play role on process of this control. The purpose of present study was to examine the role of alexithymia on the association of social support and glycated hemoglobin in patients with type 2 diabetes. Methods: This was a cross-sectional study. The study sample consisted of 100 (60% females, 40-60 years) type 2 diabetic out-patients visiting the Labbafinejad hospital in 2013. The sample of the present study was a convenience sample. Measures of data collection included demographic and anthropometric questionnaires, Multidimensional Scale of Perceived Social Support, Toronto Alexithymia Scale and test of glycated hemoglobin. The collected data were analyzed, using multiple regression analysis. Results: Pearson's correlation coefficients showed a significant association between better reported perceived social support and lower alexithymia and glycated hemoglobin. Results of hierarchical linear regression analyses indicated that social support explained 23% and alexithymia 31% of glycated hemoglobin variance. As well as, alexithymia moderated association between perceived social support and glycated hemoglobin in patient with type 2 diabetes. Conclusion: Based on the present data, alexithymia has moderate role on the association between perceived social support and glycated hemoglobin in patient with type 2 diabetes. The results of this study highlight effective psychological factors in glycated hemoglobin which can help in the conceptualization, planning and design of treatment policies for control and treatment of type 2 diabetes.
Abodulaziz Aflakseir, Sare Raoofi, Javad Mollazadeh, Farhad Khormaei, Azam Farmani,
Volume 14, Issue 5 (7-2015)
Abstract
Background: Health locus of control is an important variable in diabetes. The aims of the present study were to investigate the role of health locus of control in predicting psychosocial adjustment to illness and compare psychosocial adjustment to illness and dimensions of health locus of control among male and female type 2 diabetic patients.
Methods: One hundred and eighteen patients were recruited via convenience sampling method from type 2 diabetic patients who were referred to the Shahid Motahari diabetes clinic in Shiraz. The participants filled Multidimensional Health Locus of Control (MHLC) and Psychosocial Adjustment to Illness Scale (PAIS).
Results: The results indicated that there were significant positive correlations between psychosocial adjustment to illness and internal health locus of control (r= .30, P &le .001) and God health locus of control (r= .18, P &le .05). Internal health locus of control (&beta= .28, P &le .01) significantly predicted psychosocial adjustment to illness. There were significant differences between male and female diabetic patients on the basis of chance health locus of control. Female patients got higher scores on chance health locus of control. Moreover, there were no significant differences between male and female diabetic patients on the basis of psychosocial adjustment to illness.
Conclusion: The findings highlighted that internal health locus of control and God health locus of control play significant role in psychosocial adjustment to illness. Therefore, it is recommended that psychologists and clinicians take the dimensions of health locus of control into considerations in the treatment of psychological problems of diabetic patients.
Jafar Sadegh Tabrizi, , Saeide Alidoost, , , ,
Volume 14, Issue 6 (9-2015)
Abstract
Background: Type 2 diabetes is one of the chronic diseases and quality of care for people with type 2 diabetes is important. Hence, measuring the quality of care for patients leads to identification of weaknesses and improves the quality of services. The aim of this study is to assess the quality of care provided to patients with type 2 diabetes by CQMH model.
Methods: This cross sectional study was conducted on 180 patients with type 2 diabetes in diabetes clinic of sina hospital in Tabriz, in 2012. Participants were selected with convenience sampling method. Validity of questionnaire was confirmed by experts. Principal Component Analysis (PCA) was used to calculate quality index. Chi-squared test, Independent T test, and ANOVA test were used to investigate association between different variables and aspects of quality (technical quality, customer quality and service quality). Statistical analysis was carried out using SPSS software version 17 and P-value &le 0.05 were considered as statistically significant level.
Results: There is a wide gap between standards and care provided for people with diabetes especially in self-management and lifestyle. Continuity of care and safety, respectively, were aspects with the highest and lowest score. Customer quality score is 72.62 (from 100) and only 9.4% of participants reached to stage 4 that shows weakness of this aspect of quality. Also, there was statistically significant relationship between customer quality score and educational level and diabetes status. (P-value &le 0/05).
Conclusion: The results of study show wide gap between standards and care provided. Also, there was wide gap between customers' expectations and providers' performance. In the other hand, self-management behavior among patients was not suitable and most of them were not able to action under stress.
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.
Maryam Peimani, Camelia Rambod, Robabeh Ghodsi, Ensieh Nasli Esfahani,
Volume 15, Issue 4 (5-2016)
Abstract
Background: The objective of the current study is to assess the effectiveness of Mobile Short Message Service (SMS) intervention on education of basic self-care skills in patients with type 2 diabetes. Moreover, we aimed to determine whether delivering individually-tailored educational messages can be more effective than general educational messages.
Methods: A total of 150 patients with diabetes type 2 were randomized into three groups: tailored SMS group, non-tailored SMS group, and the control group. Biochemical parameters including HbA1c, FBS, lipid profile were evaluated for the three groups at baseline and after 12 weeks. Moreover, self-care Inventory (SCI), Diabetes Management Self-Efficacy Scale (DMSES) and Diabetes Self -Care Barriers assessment scale for Older Adults (DSCB-OA) were completed. In the tailored SMS group, each person received 75% of their messages based on the top two barriers to adherence that they had experienced and reported in their scale. In the non-tailored SMS group, random messages were sent to every patient.
Results: After12 weeks, although HgA1c levels did not significantly change, significant decline was observed in FBS and mean BMI in both intervention groups. Mean SCI-R scores significantly increased and mean DSCB and DMSES scores significantly decreased in both tailored and non-tailored SMS groups. In the control group, mean SCI-R scores decreased and mean DSCB and DMSES scores significantly increased (P< 0.001).
Conclusion: Sending short text messages as a method of education in conjunction with conventional diabetes treatment can improve glycemic control and positively influence other aspects of diabetes self-care. According to our findings, sending SMS regularly in particular times appears to be as effective as sending individually tailored messages.
Zahra Jafari, Neda Mehrdad, Farshad Sharifi, Hamid Haghani, Soghra Nikpour,
Volume 15, Issue 4 (5-2016)
Abstract
Background: Prevalence of diabetes increases along with aging. Due to various reasons, rate of falling in the aged suffering from diabetes is higher. Therefore, this study aims at determining factors relating falling of the aged suffering from type 2 diabetes.
Methods: A total of 60 years old or older with type 2 diabetes that referred to selected hospitals of Tehran University of Medical Sciences using continues method. Cases that had experienced falling during last year and controls that had no such experience were assigned to two separate groups. Questionnaire used in this study included demographic data and factors relating falling. Data obtained were analyzed using descriptive statistics, independent t- test, Chi square and logistic regression.
Results: Results showed that postural blood pressure (p=0.02) dizziness (p=0.05), fecal incontinency (p<0.01), auditory disorder (p<0.01), visual disorder (p<0.01), pain in the lower extremity (p= 0.027), taking anti-coagulation medicine (p=0.017) had a significant correlation with falling.
Conclusion: Multivariate logistic regression illustrated that fecal incontinency and auditory disorder happened along with falling in the aged suffering from type 2 diabetes. Therefore, preventing falling must be considered in care plan for such groups of people.
Mahnaz Seyedoshohadaee, Morteza Kaghanizade, Mohsen Nezami, Behzad Hamedani, Salman Barasteh,
Volume 15, Issue 5 (7-2016)
Abstract
Background: Type 2 diabetes mellitus is a major general health problem that causes widespread effects on the individual and social functions. The purpose of this study was to investigate the relationship between health literacy and general health in type 2 diabetic patients.
Methods: This cross-sectional study was done on 200 patients referred to the Diabetes Research Center, Tehran University of Medical Sciences in 1392. Data were collected using three questionnaires: demographic characteristics, health literacy (TOHFLA), general health (GHQ28 . Data analyses were done by using descriptive statistical tests, frequency distribution tables and tests (test t, ANOVA) using SPSS (Version 16).
Result: More than half of participants (58%) didn't have adequate health literacy and their general health was average (average: 53/7 ± 58/48). There was a significant correlation between health literacy and public health (p: 0.007, r:-0.191). Health Literacy was statistically significant with three aspect of general health, anxiety and sleep disorders (p: 0/0029, -0/154), social functioning (p: 0/013, r:-0/176) and depression (p: 0/002, r:-0/218).
Conclusion: In general, chronic diseases, including diabetes type 2 has clinical, social and psychological problems, which leads to mental and physical limitations in these people. This study showed that inadequate health literacy and public health are common problems, which indicate that diabetic patients need more education to improve their level of health literacy and general health.
Maryam Mortezaee, Abbasali Raz, Shole Mansouri, Zohreh Annabestani, Zahra Mirzaeezadeh, Bagher Larijani, Mehrdad Hashemi, Kobra Omidfar,
Volume 15, Issue 5 (7-2016)
Abstract
Background: Insulin resistance and progressive β-cells failure are the key factors in type 2 diabetes mellitus (T2DM) pathogenesis. Many studies support a primary role of RBP4 in insulin resistance and suggest that genetic variations which alter the expression level of RBP4 might influence the risk of T2DM and its complications. Diabetic foot is one of the main complications of diabetes leading to disability and hospitalization. In addition, it reduces quality of life and imposes great cost to patients. The purpose of this study was to evaluate the correlation between two single nucleotide polymorphisms (rs10882273 and rs10882283) of RBP4 genes with diabetic foot ulcer in order to identify a biomarker for prediction of diabetic foot ulcer.
Methods: This is a case-control study. Two single nucleotide polymorphisms of RBP4 genes were genotyped by hit Tetra ARMS PCR technique. In this study, 100 and 133 diabetic patients with and without foot ulcer were selected as the cases and controls, respectively.
Results: The Chi-square test revealed no significant difference in frequency of TT, CC and TC alleles of rsl0882273 between case and control groups (P=0.414). Also, Comparison of AA, CC and AC alleles of rsl0882283 in both groups did not show significant difference (P=0.85).
Conclusion: According to this study, there is no relationship between two single nucleotide polymorphisms of RBP4 genes (rs10882273 and rs10882283) with diabetic foot ulcer in type2 diabetes patients.
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.
