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جستجوی مقالات مرتبط با کلیدواژه « Life styles » در نشریات گروه « پزشکی »

  • محمد نریمانی، سپیده محمودزاده*، سجاد بشرپور
    زمینه و هدف
    هدف این مطالعه، مقایسه واکنش پذیری به استرس، راهبردهای مقابله ای و سبک های زندگی در افراد مبتلا و غیر مبتلا به اختلال بی خوابی بود.
    روش کار
    روش این پژوهش از نوع علی- مقایسه ای و جامعه آماری شامل کلیه بیماران مبتلا به اختلال بی خوابی بود که در نیمه دوم سال 95 به مراکز روانپزشکی و روانشناسی شهر گنبد کاووس مراجعه کرده و اختلال بی خوابی آن ها توسط روانپزشک یا روانشناس تشخیص داده شده بود. تعداد30 نفر از این جامعه با روش نمونه گیری غیرتصادفی هدفمند انتخاب شدند، تعداد 30 نفر نیز از جامعه افراد عادی با همین روش به عنوان گروه مقایسه انتخاب شدند. دو گروه از نظر متغیرهای سن، جنس، تحصیلات و وضعیت تاهل تا حد امکان همتا شدند. برای جمع آوری داده ها از پرسشنامه های شاخص شدت بی خوابی (ISI) ، واکنش پذیری به استرس ادراک شده (PSRS) ، راهبردهای مقابله ای اندلر و پارکر و سبک های زندگی (LSQ) استفاده شد. اطلاعات بدست آمده با استفاده از تحلیل واریانس چند متغیری مورد تجزیه و تحلیل قرار گرفت.
    یافته ها
    نتایج نشان داد که بین واکنش پذیری به استرس و تمام زیرمولفه های آن در دو گروه مبتلا و غیرمبتلا تفاوت معناداری وجود دارد. به این صورت که گروه بیمار نسبت به گروه سالم واکنش پذیری به استرس بالاتری دارند. راهبرد مقابله ای غالب گروه سالم، راهبرد مساله مدار و اجتنابی و راهبرد مقابله ای غالب گروه بیمار راهبرد هیجان مدار بود و در مقایسه سبک های زندگی بین دو گروه تفاوت معناداری مشاهده شد که بیانگر سبک زندگی بهترگروه افراد سالم نسبت به گروه افراد مبتلا به اختلال بی خوابی بود.
    نتیجه گیری
    می توان این طور نتیجه گیری کرد که افراد مبتلا به اختلال بی خوابی نسبت به افراد غیرمبتلا واکنش پذیری به استرس بالاتری دارند، بیشتر از راهبرد مقابله ای هیجان مدار استفاده می کنند و در مولفه های سبک زندگی نمره کمتری می گیرند. از آن جایی که پاتوفیزیولوژی بی خوابی را می توان یک وضعیت برانگیختگی سایکوفیزیولوژیک در نظر گرفت، لذا واکنش پذیری به استرس بالا، با فعالیت بیشتر محورهیپوتالاموس- هیپوفیز- آدرنال می تواند منجر به افزایش بی خوابی می شود. مقابله هیجان مدار نیز با مهار پاسخ های هیجانی و برانگیختگی فیزیولوژیایی در جهت کاهش فشار روانی منجر به برانگیختگی شده و بی خوابی به دنبال دارد. سبک های زندگی نیز می تواند با تحت تاثیر قراردادن ساز و کارهای زیست‫شناختی منجر به اختلال بی خوابی شوند.
    کلید واژگان: واکنش پذیری به استرس, راهبردهای مقابله ای, سبک های زندگی, اختلال بی خوابی}
    M Narimani, S Mahmoodzadeh*, S Basharpoor
    Background & objectives
    This study aims to compare stress reactivity, coping and life styles in people with and without insomnia.
    Methods
    Among a population of all patients with insomnia disorder who attended Psychology and Psychiatry clinics in the first semester of 2017 and were diagnosed with insomnia, 30 persons were selected through non-random sampling. On the other hand, other 30 persons were selected as a comparing group from the main population. The two groups were matched as much as possible on age, gender, education, and marital status. Data were collected using Insomnia Saverity Index (ISI), Perceived Stress Reactivity Scale (PSRS), Andler & Parker Coping Style Questionnaire, and Lifestyle Questionnaire (LSQ). Data were analyzed by means of multivariate analysis of variance.
    Results
    These findings show that, there is a significant difference between stress reactivity and its entire component in both groups. In other words, patients' group shows sever reaction to problem focused coping style, Emotion focused coping style and avoidance oriented coping style. This means that patients had higher stress reactivity than normal people. Predominant coping style in normal group were problem-focused and avoidance. In addition, prevailing coping style in patient group was emotion-focused. There was also a significant difference between patient and normal groups in terms of physical health, sports and fitness, disease prevention, mental health, spiritual health, social health drug avoidance and drug abuse and prevention of accidents.
    Conclusion
    It can be concluded that the normal group have higher score in components of life style and their life style is better. However, in terms of weight control, nutrition and environmental health, no significant difference was found between two groups. It can also be concluded that patient group have high reaction to stress and mostly use emotion focused coping style and have low score in life style components. Since the pathophysiology of insomnia can be considered as a psychophysiologic hyperarousal status, higher Stress Reactivity with activating the hypothalamus-pituitary-adrenal axis can lead to increase insomnia. Emotion focused coping style by controlling emotional responses and physiological arousal to reduce stress, leads to arousal and insomnia. Lifestyle can also lead to insomnia through affecting the biological mechanisms.
    Keywords: Stress Reactivity, Coping Styles, Life Styles, Insomnia}
  • Zahra Heidari, Awat Feizi
    Background
    Tis paper presents the objectives, research design, methodology, and primary fndings of the Isfahan Comprehensive Elderly Study (ICES).
    Materials And Methods
    In this cross?sectional study, 603 elderly persons (aged 60 and over) were selected by multistage cluster sampling method from Isfahan, Iran, in 2016 comprehensive questionnaires along with a detailed interview were used to collect information on personal, family, socioeconomic, health and social services characteristics, life styles, physical illnesses and chronic diseases, mental, emotional and cognition disorders, quality of life, disabilities, sleep quality, social supports, life satisfaction, self?efcacy, and of participants.
    Results
    Te mean ± standard deviation (SD) age of participants was 69.66 ± 6.31 years, consisting of 50.75% females. About 23% of elderly persons were at the risk of malnutrition and 4.5% were current smoker. Severe and mild depression were documented in 9.3% and 30.2% among included study subjects, respectively. About half of the participants had hypertension, and 26.8% su?ered from cardiovascular disease. Te mean ± SD of total score of Geriatric Depression Scale, Perceived Stress Scale, Older People’s Quality of Life, Physical Activity Scale for the Elderly and Pittsburg Sleep Quality Index was 8.84 ± 6.79, 14.76 ± 5.92, 133.99 ± 10.55, 142.04 ± 120.53, and 6.17 ± 3.44, respectively. Elderly males had signifcantly higher life satisfaction and self?efcacy and better cognitive function than females (P
    Conclusions
    Te fndings of current study provided a comprehensive overview of the current health status and lifestyle of older adults in Isfahan city. Te ICES could help policy makers to design ppropriate prevention and interventional programs and policies to cover the specifc needs of the elderly population.
    Keywords: Disabilities, elderly, Isfahan, life styles, memory, cognitive impairment, methodology, physical, mental illnesses, quality of life}
  • Awat Feizi, Zahra Heidari
    Background
    Tis paper presents the objectives, research design, methodology, and primary fndings of the Isfahan Comprehensive Elderly Study (ICES).
    Materials And Methods
    In this cross?sectional study, 603 elderly persons (aged 60 and over) were selected by multistage cluster sampling method from Isfahan, Iran, in 2016 comprehensive questionnaires along with a detailed interview were used to collect information on personal, family, socioeconomic, health and social services characteristics, life styles, physical illnesses and chronic diseases, mental, emotional and cognition disorders, quality of life, disabilities, sleep quality, social supports, life satisfaction, self?efcacy, and of participants.
    Results
    Te mean ± standard deviation (SD) age of participants was 69.66 ± 6.31 years, consisting of 50.75% females. About 23% of elderly persons were at the risk of malnutrition and 4.5% were current smoker. Severe and mild depression were documented in 9.3% and 30.2% among included study subjects, respectively. About half of the participants had hypertension, and 26.8% su?ered from cardiovascular disease. Te mean ± SD of total score of Geriatric Depression Scale, Perceived Stress Scale, Older People’s Quality of Life, Physical Activity Scale for the Elderly and Pittsburg Sleep Quality Index was 8.84 ± 6.79, 14.76 ± 5.92, 133.99 ± 10.55, 142.04 ± 120.53, and 6.17 ± 3.44, respectively. Elderly males had signifcantly higher life satisfaction and self?efcacy and better cognitive function than females (P
    Conclusions
    Te fndings of current study provided a comprehensive overview of the current health status and lifestyle of older adults in Isfahan city. Te ICES could help policy makers to design ppropriate prevention and interventional programs and policies to cover the specifc needs of the elderly population.
    Keywords: Disabilities, elderly, Isfahan, life styles, memory, cognitive impairment, methodology, physical, mental illnesses, quality of life}
  • Dr. As. Shah *, Hameedullah, S. Farrukh, Ka. Shah, Au. Khan, Mr. Khattak
    Background
    Radioactive iodine is widely used for the treatment of various thyroid disorders. Safety issues are often a source of worry and anxiety for the patients, their families and comforters. The patients are advised to restrict their social and work related activities. The work presented in this study describes the results of a structured survey conducted on patients visiting our hospital.
    Materials And Methods
    The total number of patients inducted was 419. The patients were asked about their housing conditions, family set up, number of children, travelling modes and travelling time back to home. The hospital leaving exposure rates from the patients were measured and radiation doses to others were estimated.
    Results
    Patients residing in joint family system were 93%. The measured dose rate at one meter were 5.7, 11.0, 15.7, 18.7, 23.0 and 28.0 µSvh-1 for the administered 131I activity of 185, 370, 555, 740, 925 and 1100 MBq respectively. The corresponding radiation doses to others from the patient were estimated as 0.76, 1.53, 2.29, 3.06, 3.82 and 4.58 mSv. The patients using public transport were 78.04% whereas 21.96% used private transport. There were 11.93% of the patients with no children and 88.07% of the patients had children residing with them. It was observed that 1.67% of the patients had no toilets at home and 98.33% had multiple toilets available.
    Conclusion
    The radiation protection advice and regulatory requirements need to be formulated keeping in view the individual patient life styles and other living conditions.
    Keywords: Radioactive iodine, hyperthyroidism, protection advice, radiation doses, life styles}
  • Yuan Zhao, Wenya Liu, Ma Hua, Raoni Shi, Haitao Wang, Wen Yang
    Background
    Peak bone mineral density (PBMD) is influenced by both genetic and environmental factors, genes explains most of variation. As the novel candidate genes CATSPERB and NR5A2 may have been associated with spinal PBMD in adult. This study was to investigate the relationship among these two genes、PBMD and the life style factors in young female.
    Methods
    The rs1298989 single nucleotide polymorphism (SNP) of the CATSPERB gene and the rs3762397 SNP of the NR5A2 gene were genotyped using SNaPshot® in 359 students from Xinjiang. The prospective study included 203 Han and 156 Uyghur subjects. PBMD was measured using quantitative computed tomography (QCT). Calcium, phosphate and alkaline phosphatase were measured by ELISA method. Physical activity, dietary calcium and life styles were assessed by questionnaire.
    Results
    Both SNPs showed differences in genotype and allele frequencies (P < 0.05) between the Han and Uyghur subjects. Total calcium intake, energy intake, tea and milk intake were also significantly different between two groups(P < 0.05). Multiple regression analysis showed an association between PBMD and vitamin D intake (P = 0.000), milk (P = 0.000), exercise (P = 0.029), rs1298989 (P = 0.028), energy intake (P = 0.043).
    Conclusion
    This study demonstrated the polymorphisms of the rs1298989 and rs3762397 are associated with PBMD both in Han and Uyghur subjects. PBMD, in Xinjiang, appears to be associated with several known factors that are well described in the literature. While the genotypes of rs1298989 and rs3762397 do not appear have a strong effect on the PBMD.
    Keywords: Peak bone mineral density (PBMD), Life styles, CATSPERB, rs1298989 NR5A2, rs3762397}
نکته
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