Iranian Journal of

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Background: Oxidative stress and insulin resistance in type 2 diabetes are one of the factors in the development of cognitive disorders and Alzheimer's. So measuring the changes in beta amyloid gene expression and insulin resistance as one of the prominent disorders in type 2 diabetes, following HIIT and thyme’s honey consumption is the aim of the research.
Methods: The present study was conducted with 36 young male Wistar rats, which were divided into 4 groups: control (C), interval training (T), thyme’s honey (H) and interval training-thyme’s honey (TH) was performed. The rats in the T and TH groups were trained for two months with intervals and intensity gradually increasing, and in the H and TH groups, they received 3 g/kg of thyme’s honey. Weight, fasting glucose and insulin were measured through the kit and insulin resistance index was done through the formula and gene expression were evaluated by RT-PCR. The findings were subjected to one-way and two-way ANOVA and Bonferroni's test.
Results: Non-significant (NS) increase in weight, significant increase in insulin and significant decrease in gene expression in all intervention groups compared to C, significant decrease in fasting glucose in T and TH groups compared to C, significant decrease in insulin resistance in T group compared to other groups, NS increase was observed in group H and TH compared to C.
Conclusion: HIIT and thyme’s honey had synergistic effect to reduce glucose and beta-amyloid gene expression as a preventive strategy for the occurrence of pathological features related to Alzheimer's and memory impairment in diabetics.

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Background: We aimed to examine the distribution of all types of musculoskeletal diseases and then to estimate the direct and indirect costs caused by these complaints among soldiers and non-soldiers’ employees in military.
Methods: We recruited all patients referred with musculoskeletal complaints who were admitted to the rheumatology, orthopedics and neurosurgery committees of 501 army hospital from 2013 to 2015. The cost of diagnostic procedures was calculated based on the data of records and the cost of treatment for each complaint was estimated by calculating the average cost of treatment plans proposed by two physical medicine and rheumatology specialists. Indirect costs due to leave and reduced working time and hospitalization and disability were estimated and added to the direct cost.
Results: 2116 patients with an average age of 25.84 ± 8.17 years were examined. 1252 people were soldiers and 864 people were non-soldiers. Fracture (301 cases), lumbar disc bulges and herniation (303 cases), and geno varus/geno valgus (257 cases) were three most common complaints. The most damaged site were lower limbs and spine. In total, 4,120 person-days of absence were estimated for these people annually, and the annual economic effect was calculated to be 1,713,903,120 Tomans.
Conclusion: Musculoskeletal diseases are one of the prevalent health and economic problems in military. Therefore, application of diagnostic and therapeutic strategies and considering the cost & benefit law to reduce the economic burden and disability should be among the priorities of the Army University to prevent and save health costs.

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Background: The purpose of the research was to compare the effect of two types of aerobic exercise—with and without incline—on the modulation of oxidative stress and kidney function in chronic kidney disease (CKD) mice.
Methods: A total of 24 two-month-old female C57b16 mice weighing 25±26.1 grams, were randomly divided into four groups: healthy control, CKD-affected mice, CKD mice undergoing aerobic exercise without incline, and CKD mice undergoing aerobic exercise with incline. To induce CKD, they received adenine powder at a concentration of 0.2% mg/kg for four weeks. The training groups performed eight weeks of treadmill training (five sessions per week), whit one group exercising on a 20-degree incline and the other on a zero-degree incline. After the last training session, blood samples were collected to measure blood urea nitrogen, urea and glutathione concentration using the ELISA method. The expression levels of the SIRT1, NRF1 and TNF-α genes were measured using qPCR (Real-Time PCR) technique. For statistical analysis, a one-way ANOVA test and Tukey's post hoc test were employed, with a significance level set at P≤ 0.05.
Results: The results showed that the induction of CKD caused a significant increase in blood urea nitrogen and a significant decrease in glutathione concentration compared to the healthy control group (P< 0.05). Conversely, in the exercise groups, there was a significant increase in glutathione concentration and a significant decrease in blood urea nitrogen (P< 0.05). The expression level of SIRT1 and NRF1 in the slope training group increased significantly, while the expression level of TNF-α decreased significantly (P< 0.05).
Conclusion: Exercises performed on an incline moderates oxidative stress through the TNFα/SIRT1/NRF1 signaling pathway, improving glutathione concentration and blood urea nitrogen levels in mice with chronic kidney disease. Furthermore, the effects of incline exercise were found to be superior to those of exercise without incline.
 

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Background: National Document for the Prevention and Control of Non-Communicable Diseases (NCDs) and Related Risk Factors, developed in 2015, serves as Iran’s roadmap for guiding health policies to manage NCDs. After a decade, assessing its implementation and progress is essential. We aimed to review and synthesize existing evidence on the implementation status of the document’s interventions, and identify facilitators, barriers, and strategies to enhance its execution.
Methods: Following the PRISMA-ScR 2020 checklist, a systematic search was conducted in PubMed, Scopus, Web of Science, SID databases, Google Scholar, organizational repositories, and reference lists of related studies in Persian and English. Research or review studies that evaluated at least one objective or intervention of the national document—using health or health system indicators in Iran—were included. Three researchers independently performed screening and data extraction. Data were analyzed narratively and organized into thematic categories.
Results: Overall, 78 studies, reports, and national documents were included. Implemented actions encompassed establishing committees, developing action plans, integrating services into the health system, revising standards, producing educational materials, launching registries, and signing multisectoral cooperation agreements. Facilitators included legal support, intersectoral collaboration capacities, service delivery structures, and community capabilities. Major challenges were deficiencies in the national document, limited resources, weak coordination, and external disruptions such as COVID-19 and sanctions. Recommended strategies emphasized strengthening cost-effective interventions, continuous monitoring, securing sustainable resources, improving service delivery models, and enhancing multi-sectoral approaches.
Conclusion: Successful implementation of NCD prevention and control policies requires evidence-informed policymaking, prioritization of cost-effective interventions, ongoing evaluation, and sustained managerial support.