Journal of School of Public Health and

---

Background and Aim: We studied 1800 pregnant women receiving routine prenatal care in the urban and rural health centers of Shahr-e-Rey in south of Tehran, for a comparative assessment of 5-minute neonatal Apgar Scores in wanted versus unwanted pregnancies.

Material and Methods: The subjects were studied in 2 groups, each comprising 900 pregnant women. Group A consisted of mothers with wanted pregnancy and group B of mothers with unwanted pregnancy. Inclusion criteria were gestational age less than 28 weeks at the time of entering the study. The two groups were followed through their prenatal care to the time of delivery. For each neonate, we extracted the 5-minute Apgar score from the birth certificate.

For a more precise assessment, the impact of conditions affecting the Apgar score of newborns (such as normal vaginal delivery vs. caesarean section, premature birth, low birth weight, congenital anomalies, and birth place (hospital and health center, or house) was assessed by logistic regression.

Results: We found 15 cases (0.4%) of low 5-minute Apgar score (under 8) among newborns of wanted pregnancies and 4 such cases (1.1%) among those of unwanted pregnancies. The difference between the 2 groups was significant (P= 0.011). After applying the logistic regression model to adjust for other factors, unwanted pregnancies still had a significant association with low Apgar scores (increasing the risk 3-fold).The attributable risk for low 5-minute Apgar score in unwanted pregnancies was 0.54 (CI_.95 = 0.132 to 0.813).

Conclusion: The estimated attributable risk means that with 95% confidence, between 13.2% and 81.3% of the low Apgar scores could have been prevented by eliminating unwanted pregnancy. As there have been no similar studies in Iran, more research with larger samples must be performed to assess these results more precisely.

---

Background and Aim: The normal plasma fatty acid (FA) composition changes in hypertriglyceridemic obese and overweight indiuviduals. The objective of this study was to determine the plasma fatty acid composition in hypertriglyceridemic obese or overweight subjects with different FABP2 genotypes.

Methods and Materials: Forty-six hypertriglyceridemic subjects (33 men and 13 women, 25-60 years old) referred to the Endocrinology and Metabolism Research Center (EMRC), Shariaty Hospital in Thehran, between Mehr and Esfand 1386 (September 2007-March 2008), were genotyped for FABP2 polymorphism by PCR-RFLP. In addition, their blood lipid profile was determind enzymetically, photometrically and immunoturbidometrically, and their plasma fatty acid composition by gas-choromatography. Also, body weights and heights were measured and body mass index calculated.

Results: Positive associations were observed between Thr54 polymorphism in FABP2 protein and plasma lipid fractions (SFA, PUFA, ω-6-, ω-3- and total fatty acids (P<0.001 )). No significant differences were observed between PPARα polymorphism and plasma fatty acid composition, except for ω-3 fatty acids,

Conclusion: In obese or overweight hypertriglyceridemic subjects the plasma fatty acid compositions are different. The levels of some fatty acids are higher, while those of some others are lower, in different FABP2 genotypes. On the whole, higher levels of SFA, PUFA, ω-6, ω-3, and total fatty acids were more pronounced in Thr54- than in Ala54-carrieres.

---

Background and Aim: Adolescence is the transition period between childhood and adulthood, a period in life that begins at puberty. It is one of the fastest growth periods in a person's life. During this time, physical changes affect the body's nutritional needs, while changes in one's lifestyle may affect eating habits and food choices. Nutritional health during adolescence is important for supporting the growing body and for preventing future health problems. In Iran, the prevalence of anemia, obesity, and other chronic nutritional diseases has increased in recent years due to undesirable eating habits. This survey was conducted to determine consumption of the four major food groups (vegetables, fruits, milk products, and meat) among a group of high school students in Zanjan Province, Iran.

Methods and Materials: A descriptive, cross-sectional study was carried out on 1500 students, selected by random cluster sampling, in Zanjan high schools, Iran in 2005. The daily intakes of the 4 food groups during the previous week were determined using a food frequency questionnaire. The potential determinants of the pattern of food consumption were also determined.

Results: The proportions of the students not having consumed fruits, vegetables, and meat during the weak were 16%, 6.8%, and 10%, respectively. More than 95% of the students said that they had consumed milk/milk products at least once a day. Only 8.7% consumed fruits and 27% consumed vegetables 3 times or more daily.

Conclusion: The consumption of the 4 food groups of large proportions of Zanjan Province adolescents is below the current recommendations. Health and nutrition educational programs would be a valuable tool to correct erroneous food habits of the adolescents leading to improvements in their nutritional status.

---

  Background and Aim: Physical inactivity is one of the 10 leading causes of mortality and disability. This study aimed to investigate the effect of e-learning on physical activity and body mass index (BMI) of female-employees.

Materials and Methods: In this semi-experimental interventional study, 120 female-employees of Tehran University of Medical Sciences were selected randomly and assigned to a case or control group. Data were collected using a demographic and an international physical activity questionnaire. Pre-test and post-test questionnaires were completed by the case and control subjects prior to, and 2 months after the final phase of, the intervention. The intervention included virtual education through short message service (SMS), email messages or messages via intanet, and educational films for a period of 16 weeks. SPSS-17 was used to analyze the data, the statistical tests being Chi-square, independent and paired-t, and Fisher's exact tests.

  Results: The mean age of the participants was 41 and 39 years in the case and control group, respectively. Most of them held a bachelor's degree and were married with 1 or 2 children. After the intervention, the mean score of physical activity in the intervention group increased significantly as compared with the control value (p<0.001). However, the intervention did not produce any change in the mean BMI of the case in comparison with the control group (p=0.119), although it brought about a statistically significant reduction in the initial BMI (p<0.001).

  Conclusion: Web-based education, SMS and multi-media messages can increase physical activity in female-employees and might prevent illnesses caused by physical inativity.