bmi
در نشریات گروه پزشکی-
Background
Anti-Müllerian hormone (AMH) is widely used as a predictor of ovarian reserve. Although increased body weight is associated with reduced fertility, the relationship between Body Mass index (BMI) and AMH remains inconclusive, limiting its accurate interpretation.
ObjectivesThis study aims to investigate the association between serum AMH levels and BMI among individuals with and without polycystic ovarian syndrome (PCOS).
MethodsThis cross-sectional, single-center study analyzed 522 patients who attended an Obstetrics and Gynecology clinic in Al-Diwaniyah, Iraq, from January 2022 to October 2024. Patients were categorized based on BMI into two groups: Those with a BMI ≥ 30 kg/m2 and those with a BMI < 30 kg/m2. The PCOS diagnosis was based on the International Classification of Diseases, 10th Revision (ICD-10) code and the Rotterdam Criteria. Inclusion criteria required female participants to be at least 19 years old with documented BMI and AMH test results within the study period. Exclusion criteria included diabetes, systemic diseases, galactorrhea, endocrine disorders, metformin intake, and contraceptive use within the past four weeks. Statistical Analysis: The chi-square test, receiver operating characteristic (ROC) curve, one-way analysis of variance (ANOVA), independent samples t-test, and Pearson correlation test were used for data analysis. A P-value of ≤ 0.05 was considered statistically significant.
ResultsThe mean BMI of the PCOS group was significantly higher than that of the non-PCOS group (31.16 ± 5.55 kg/m2 vs. 28.69 ± 5.04 kg/m2, P < 0.001). The AMH levels were significantly higher in the PCOS group compared to the non-PCOS group (4.70 ± 3.23 ng/mL vs. 1.59 ± 1.57 ng/mL, P < 0.001). However, the correlation between BMI and serum AMH levels was not statistically significant in either the PCOS group (P = 0.318) or the non-PCOS group (P = 0.417).
ConclusionsThere is no significant correlation between AMH levels and BMI across the study population, regardless of PCOS status. Additionally, no significant differences in serum AMH levels were observed between patients with BMIs ≥ 30 kg/m2 and those with BMIs < 30 kg/m2. A key limitation of this study is that it was conducted in a single clinic. Therefore, further studies involving a broader population are recommended.
Keywords: AMH, BMI, Polycystic Ovary Syndrome -
High Body Mass Index (BMI) represents a significant global health challenge. This study aimed to investigate the relationship between gestational weight gain and depression during pregnancy and the postpartum period. Conducted as a descriptive-analytical study, it involved 115 pregnant women attending Shahid Akbar Abadi Hospital in Tehran. Data were collected using a demographic questionnaire and the Edinburgh Postnatal Depression Scale, both before during pregnancy, and the postpartum period. Data were analyzed using SPSS software, Pearson correlation, linear regression, and multivariate regression tests. A correlation was identified between changes in body mass index during pregnancy and maternal depression levels. The results of the logistic regression analysis indicated a significant association between increased body mass index during pregnancy and the likelihood of developing mental health disorders. These findings underscore the changes in body mass index during pregnancy, particularly in the third trimester, are associated with an elevated risk of maternal depression. Targeted interventions focusing on weight management and body image improvement may play a critical role in mitigating the risk of developing mental disorders.Keywords: Perinatal Phase, BMI, Mental Health, Weight Gain, Depression
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Background
Knowing the normal size of children's testis can identify abnormal cases and related pathologies.
ObjectivesIn this study, normal size and normogram of testicular volume in children patients were investigated.
MethodsThis study was a cross-sectional study which the sampling method was census. Eight hundred and twenty-five boys aged 0 to 15 years in 15 groups of 55 people were included in the study. Ultrasound and the formula of (length × width × height of a fixed number 0.71) was used to calculate the volume of the testis. After data collection, it was entered into SPSS-Ver.20 and data analysis was performed using statistical tests.
ResultsThe mean volume of the left testicle was 2.14 ± 2.02 cc, the mean volume of the right testicle was 1.93 ± 1.74 cc and the mean total volume of both testes was 3.42 ± 6.01 cc. There was a statistically significant difference between the mean Body Mass Index (BMI), height and weight between the groups (P < 0.05). Also, according to the results, a statistically significant difference was found between the mean volume of right testicle, left testicular volume and total testicular volume (TTV) in the studied groups. There was a statistically significant difference between the mean TTV in terms of BMI, height and weight; So that with the increase of the mentioned variables, the total volume of the testis in the patients increased.
ConclusionsIt can be concluded that three criteria of weight, BMI and height, affect the testicular volume in boys 0 - 15 years. In addition, it is recommended that testicular volume be monitored annually for children.
Keywords: Testicular Volume, Normogram, BMI, Children, Iran -
Background & Aims
Glycemic control is very important to prevent or suspend complications in patients with type 2 diabetes (PT2D). The aim of this study was to investigate the status of glycemic control and its related factors in patients with type 2 diabetes (PT2D) based on HbA1c, fasting blood glucose, and non-fasting blood glucose levels in Golestan Province, Northern Iran.
Materials & MethodsThe study employed a retrospective cohort design, collecting data longitudinally and retrospectively from 500 patients with type 2 diabetes (PT2D) who were referred to health centers in Golestan Province between 2013 and 2016 (every three months). The study focused on hbA1c, fasting blood glucose (FBG), and non-fasting blood glucose (NFBG) levels, which were recorded as binary data (1 = abnormal; if the value exceeded its cut point), indicating a lack of control over these markers. The Index of Glycemic Control (IGC) was calculated for each patient, with an IGC of 3 indicating inadequate glycemic control. Related factors were analyzed using a generalized linear mixed model with a beta-binomial distribution.
ResultsThe results indicated that 93% of patients had an Index of Glycemic Control (IGC) equal to 3 in the first year, and this percentage decreased to 60.7% by the third year. The downward trend in IGC was gradual over the three years. Factors contributing to poor glycemic control included younger age, shorter duration of diabetes care, elevated blood lipid levels, high blood pressure, insulin therapy, and overweight or obesity as indicated by BMI.
ConclusionThe results obtained from the samples in Golestan Province indicate inadequate blood glucose control and poor quality of care. It is essential to implement more intensive diabetes management strategies within national healthcare plans.
Keywords: Blood Pressure, BMI, Fasting Blood Glucose, Generalized Linear Mixed Models, Hba1c, Long-Term Care, Overdispersion -
زمینه و هدفچاقی می تواند بر سلامت پرسنل نظامی تاثیرگذار باشد و تهدیدی جدی بر آمادگی عملیاتی پرسنل نظامی و امنیت ملی باشد. استفاده از مدل های پیشرفته به عنوان یک ابزار تحلیلی مفید برای پیش بینی وضعیت سلامتی اهمیت زیادی دارد؛ لذا هدف از مطالعه حاضر بررسی عوامل مرتبط با نمایه توده بدنی در پرسنل نظامی با استفاده از مدل GLMMtree در نظر گرفته شد.روش هامطالعه حاضر به صورت مقطعی با استفاده از اطلاعات پرونده سلامت 153 نفر از کارکنان نظامی شهر تهران در سال های 1399 و 1400 انجام شد. از پرونده سلامت افراد مورد مطالعه اطلاعات دموگرافیک، سابقه و نوع بیماری، فشارخون، نمایه توده بدنی، کم خونی، لیپید پروفایل خون، قند خون ناشتا، آنزیم های کبدی و ویتامین دی اخذ شد. رابطه بین وضعیت چاقی و متغیرهای مذکور با استفاده از مدل GLMMtree در نرم افزار R 4.4.1 بررسی شد.یافته هایافته ها نشان داد که میانگین سنی افراد 7/93 ± 40/60 سال با میانگین 6/51 ± 8/26 سال سابقه کار است. یافته های مطالعه ارتباط قابل توجهی را بین وضعیت نمایه توده بدنی با سابقه خانوادگی بیماری (0/002=P)، سابقه مصرف دارو (0/003=P) و سابقه بستری در بیمارستان (0/002=P) نشان داد. علاوه بر این، ارتباط معناداری بین وضعیت نمایه توده بدنی با فاکتورهای قند خون ناشتا (0/002=P) و تری گلیسیرید (0/014=P) مشاهده شد.نتیجه گیرییافته های مطالعه حاضر نشان می دهد که کارکنان نظامی با BMI بالا، بیشتر مستعد ابتلا به دیابت و سطوح غیرطبیعی چربی خون هستند.کلید واژگان: BMI، پرسنل نظامی، چاقی، مدل GlmmtreeJournal of Military Medicine, Volume:26 Issue: 4, 2024, PP 2430 -2438Background and AimObesity can affect the health of military personnel and pose a serious threat to the operational readiness of military personnel and national security. The use of advanced models as a useful analytical tool for predicting health status is essential; Therefore, the purpose of this study was to investigate the factors related to body mass index in military personnel using the GLMMtree model.MethodsThe present study was conducted cross-sectional using the health file information of 153 military personnel in Tehran in 2020 and 2021. Demographic information, medical history, disease type, blood pressure, body mass index (BMI), anemia status, lipid profile, fasting blood sugar levels, liver enzyme levels, and vitamin D3 levels were obtained from the health records of the subjects under study. The relationship between BMI and the mentioned variables was investigated using the GLMMtree model in R software.ResultsThe findings showed that the average age of people is 40.60 ± 7.93 years with an average of 8.26 ± 6.51 years of work experience. The findings of the study show a significant relationship between BMI status and family history of disease (P=0.002), history of drug use (P=0.003), and history of hospitalization (P=0.002). In addition, a significant correlation was observed between BMI status and fasting blood sugar (P=0.002) and triglyceride (P=0.014) factors.ConclusionThe current study's findings indicate that military personnel with a high BMI are more susceptible to diabetes and abnormal blood lipid levels. Consequently, it is crucial to identify and treat individuals who are overweight or obese through routine screenings.Keywords: BMI, Military Personnel, Obesity, Glmmtree Model
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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد، سال شصت و هفتم شماره 2 (پیاپی 194، خرداد و تیر 1403)، صص 669 -679مقدمه
مشکلات هیجانی و استرس ناشی از آن می تواند به عنوان مقدم ه ای برای پرخوری محسوب شوند و حتی پرخوری به عنوان یک مکانیسم تنظیم هیجان ناسازگارانه در افراد دارای اضافه وزن یا مبتلا به چاقی مطرح شده است. پژوهش حاضر با هدف بررسی اثربخشی طرحواره درمانی ذهنیت مداربر خوردن هیجانی و شاخص توده بدنی زنان چاق دارای اختلال پرخوری انجام شد.
روش کارپژوهش حاضر نیمه تجربی با طرح پیش آزمون-پس آزمون-گروه کنترل بود. جامعه آماری پژوهش شامل کلیه زنان چاق با اختلال پرخوری دارای پرخوری هیجانی مراجعه کننده به کلینیک های مشاوره منطقه 2 شهر تهران در سال 1402 بود. از بین این افراد تعداد 30 نفر به روش نمونه گیری در دسترس و با توجه به ملاکهای ورود و خروج انتخاب شدند. ابزار پژوهش شامل مقیاس خوردن هیجانی آرنو و شاخص توده بدنی بود. آزمودنی های گروه آزمایش طی 20 جلسه یک ساعته، تحت مداخله طرحواره درمانی ذهنیت مدارقرار گرفتند. تجزیه و تحلیل داده ها با استفاده از نرم افزار SPSS-26 و آزمون تحلیل کوواریانس چند متغیره و آزمون تعقیبی بن فرونی با رعایت مفروضه های آماری انجام شد.
نتایجنتایج حاصل از آزمون کوواریانس چند متغیره نشان داد که بین گروه طرحواره درمانی ذهنیت مدار و کنترل در ترکیبی از متغیرهای خوردن هیجانی و شاخص توده بدنی تفاوت معناداری وجود دارد (F=22/41 و P<0/05). همچنین نتایج آزمون تعقیبی بن فرونی نشان داد که میانگین گروه دریافت کننده برنامه طرحواره درمانی ذهنیت مدار هم در متغیر خوردن هیجانی و هم در متغیر شاخص توده بدنی از میانگین گروه کنترل به طور معناداری کوچکتر است (P<0/05).
نتیجه گیریبا نظر به یافته های پژوهش، به منظور کمک به مشکل اضافه وزن و خوردن هیجانی زنان چاق دارای اختلال پرخوری، استفاده از طرحواره درمانی ذهنیت مدار می تواند مثمرثمر باشد.
کلید واژگان: طرحواره درمانی ذهنیت مدار، خوردن هیجانی، شاخص توده بدنی، اختلال پرخوریIntroductionEmotional problems and it’s following stress can be a starter for binge eating and binge eating is considerd as a a maladaptive emotion regulation mechanism in overweight or obese people. The present study was conducted with the aim of investigating the effectiveness of schema therapy mode model on emotional eating and BMI of obese women with binge eating disorder.
MethodsThe research method was semi-experimental with a pre-test-post-test design with a control group. The statistical population of the study included all the obese women with binge eating who referred to counseling clinics in Tehran’s district 2 in 1402. Among these people, 30 people were selected by available sampling and according to the entry and exit criteria; And they were randomly placed in the experimental group and the control group (15 people in each group). The participants completed the Emotional Eating Scale (EES) and the Body Mass Index (BMI) in the pre-test and post-test stages. The experimental group received the Psychotherapy sessions based on Schema therapy mode model in 20 sessions of 60 minutes. Data analysis was done using SPSS-24 software and multivariate analysis of covariance test in compliance with statistical assumptions.
ResultsThe results of the multivariate covariance test showed that there is a significant difference between the schema therapy mode model group and the control group in a combination of variables of emotional eating and body mass index (F=41.22 and P<0.5). Also, the results of Bonferoni's post hoc test showed that the average of the group receiving the schema therapy mode model program is significantly less than the average of the control group in both the variable of emotional eating and the variable of body mass index (P<0/05).
ConclusionAccording to the results of the research, it can be said that the Schema therapy mode model can be an effective treatment for overweightness and emotional eating of obese women with binge eating disorder.
Keywords: Schema Therapy Mode Model, Emotional Eating, BMI, Binge Eating Disorder -
BackgroundBariatric surgery has been known as an efficient treatment for morbid obesity during the last few decades. Considering the high prevalence of anemia in obese patients and the changes in the iron status of the body after bariatric surgery, the purpose of this study was to assess the pattern of changes in the ferritin and hemoglobin (Hb) levels in obese patients before and after bariatric surgery.MethodsThe current retrospective cohort study was done on 241 obese patients of both genders undergoing bariatric surgery between 2018 and 2021. Preoperatively, 3, 6, and 12 months post-bariatric surgery, data considering body mass index (BMI), mean corpuscular volume (MCV), Platelet (PLT), Hb, ferritin, and hematocrit (Hct) was extracted from the National Obesity Surgery database.ResultsBefore the surgery, the Hb, ferritin, and Hct levels in female and male groups were significantly different (p<0.001). The mean Hb, ferritin, and Hct levels in female and male participants were significantly different over the time (p<0.001, p=0.002, p<0.001, respectively). The levels of Hb, Hct, PLT, ferritin, and BMI variables decreased over the time in patients after bariatric surgery, and were significantly lower in women than men.ConclusionOur findings revealed that anemia caused by micronutrient deficiency was relatively common in patients who underwent bariatric surgery and got worse over the time.Keywords: Bariatric Surgery, Hemoglobin, Ferritin, BMI, Hematocrit
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مجله علمی دانشگاه علوم پزشکی کردستان، سال بیست و نهم شماره 1 (پیاپی 130، فروردین و اردیبهشت 1403)، صص 46 -58مقدمه و هدف
تغذیه مطلوب و کافی در دوران بارداری برای زنان باردار و جنین اهمیت فراوانی دارد چون سلامت تا حد زیادی به میزان مصرف غذا و وضعیت تغذیه آن ها در این دوره بستگی دارد. مطالعه حاضر با هدف شناسایی عوامل موثر بر رفتارهای تغذیه ای زنان باردار دارای الگوی نامناسب افزایش وزن در دوران بارداری انجام شد.
مواد و روش هااین مطالعه از نوع توصیفی- تحلیلی است که روی 423 زن باردار مراجعه کننده به مراکز خدمات جامع سلامت شهری و روستایی سنندج که دارای پرونده مراقبت دوران بارداری بودند و وزن گیری آن ها خارج از الگوی استاندارد وزن گیری دوران بارداری بود، انجام شد. نمونه گیری به طور تصادفی انجام شد. برای جمع آوری داده ها از دو پرسشنامه بررسی رفتار تغذیه ای زنان باردار و پرسشنامه سواد سلامت استفاده شد. تحلیل داده ها با آزمون های آمار توصیفی و استنباطی با نرم افزار SPSS نسخه 16 انجام شد.
یافته هانتایج نشان داد که از نظر مصرف روزانه بهینه پنج گروه اصلی غذایی در مادران باردار مورد مطالعه، تعداد 233 نفر (56/7%) سه تا چهار سهم مصرف میوه جات داشتند، تعداد 106 نفر (25/8%) چهار تا پنج سهم از گروه سبزی ها، تعداد 160 نفر(38/9%) سه سهم از گروه گوشت و حبوبات، تعداد 204 نفر (49/6%) هفت تا یازده سهم از گروه نان و غلات و تعداد 135 نفر (32/8%) سه تا چهار سهم از گروه شیر و لبنیات مصرف می کردند. همچنین بین الگوی تغذیه مادران باردار با تحصیلات مادر (0/012= p)، تحصیلات همسر (0/045 =p) و سواد سلامت (0/0001=p) ارتباط معنی داری وجود داشت.
نتیجه گیریوضعیت تغذیه مادران باردار سنندج در چهار گروه اصلی غذایی (سبزی ها، گوشت و حبوبات، نان و غلات و شیر و لبنیات) کمتر از 50 درصد و در گروه میوه جات 56/7درصد بود که نسبتا نامطلوب است.
کلید واژگان: نمایه توده بدنی، رفتار تغذیه ای، زنان باردار، سواد سلامتBackground and AimAdequate and optimal nutrition during pregnancy is important for both pregnant women and their fetuses. The current study was conducted to identify the factors that influence the nutritional behavior of the pregnant women with an inappropriate pattern of weight gain during pregnancy.
Materials and MethodsThis descriptive-analytical study included 423 pregnant women seeking prenatal care in urban and rural comprehensive health service centers in Sanandaj. These women had prenatal care records and exhibited weight gain patterns that deviated from the standard scale during pregnancy.Sampling was performed randomly. Data were collected using questionnaires to investigate the nutritional behavior of the pregnant women and health literacy. Using SPSS version 16 software, data were analyzed by descriptive and inferential statistical tests.
ResultsThe results revealed that among the pregnant mothers examined, 233 (56.7%) consumed three to four portions of fruits daily, while 106 (25.8%) consumed four to five portions of vegetables. 160 women (38.9%) consumed three portions of meat and legumes, 204 (49.6%) consumed seven to eleven portions of bread and grain group, and 135 (32.8%) consumed three to four portions of milk and dairy products. There was a significant relationship between the nutrition pattern of the pregnant mothers and mother's education (p=0.012), husband's education (p=0.045) and health literacy (p=0.0001).
ConclusionThe results of this study showed that less than 50% of the women had optimal food consumption in regard to the four main food groups, namely vegetables, meat and beans, bread and cereals, and milk and dairy products, and 56.7% of the women had optimal fruit intake which is indicatve of a relatively unfavorable condition.
Keywords: BMI, Nutritional Behavior, Pregnant Women, Health Litracy -
مقدمه
هدف از انجام مطالعه حاضر، تعیین تاثیر تمرینات دایره ای خیلی شدید همراه با مکمل سازی آغوز بر ترکیب بدنی و فاکتورهای سلامت مردان دارای اضافه وزن بود.
مواد و روش ها40 مرد سالم دارای اضافه وزن به صورت تصادفی به چهار گروه تمرین و مکمل آغوز، تمرین و دارونما، مکمل آغوز و کنترل تقسیم شدند. پروتکل تمرینی شامل سه جلسه در هفته به مدت هشت هفته بود. آزمودنی های گروه مکمل و مکمل-تمرین یک روز در میان به مقدار 20 گرم پودر شده آغوز را با 200 میلی لیتر آب مخلوط و مصرف کردند. قبل و بعد از مکمل سازی و تمرین، متغیرهای درصد چربی، چربی خون، شاخص BMI و نسبت دور کمر به لگن تمامی آزمودنی ها اندازه گیری شد.
یافته هانتایج نشان داد درصد چربی بدنی در گروه تمرین مکمل نسبت به گروه مکمل آغوز و تمرین-دارونما و کنترل کاهش معنی داری پیدا کرد. همچنین چربی خون، BMI و نسبت دور کمر به لگن نیز در گروه تمرین-مکمل نسبت به سه گروه دیگر کاهش معنی داری را نشان داد.
بحث و نتیجه گیریدر مجموع تعامل تمرین دایره ای با شدت بالا و مکمل سازی آغوز موجب کاهش معنی دار درصد چربی بدنی، چربی خون، BMI و نسبت دور کمر به لگن می شود. با این حال با توجه به محدودیت های تحقیق نیاز به مطالعات بیشتر ضروری به نظر می رسد.
کلید واژگان: تمرین دایره ای، اضافه وزن، آغوز، درصد چربی، BMI، نسبت دور کمر به لگنIntroductionThe purpose of this study was to determine the effect of high-intensity circuit training with colostrum supplementation on the body composition and health factors of overweight men.
Methods and Materials:
40 healthy overweight men were randomly divided into four groups of exercise and colostrum supplement, exercise and placebo, colostrum supplement and control. The training protocol consisted of three sessions per week for eight weeks. Subjects in the supplement and exercise-supplement group took 20 grams of powdered colostrum mixed with 200 ml of water every other day; then, they consumed them. The variables of fat percentage, blood fat, BMI index and waist to hip ratio were measured in all the subjects before and after supplementation and exercise.
ResultsThe results showed that the percentage of body fat in the supplemental training group was significantly reduced compared to the colostrum supplement and exercise-placebo and control groups. Furthermore, blood fat, BMI and waist-to-hip ratio index showed a significant decrease in the exercisesupplement group compared to the other three groups.
Discussion and ConclusionIn general, the interaction of high-intensity circuit training and colostrum supplementation causes a significant reduction in body fat percentage, blood fat, BMI, and waist-to-hip ratio. However, the need for more studies seems necessary considering the limitations of the research.
Keywords: Circuit Training, Overweight, Colostrum, Fat Percentage, BMI, Waist-to-hip ratio -
زمینه و هدف
هدف از انجام مطالعه حاضر، تعیین تاثیر تمرینات دایره ای خیلی شدید همراه با مکمل سازی آغوز بر ترکیب بدنی و فاکتورهای سلامت مردان دارای اضافه وزن بود.
روش ها40 مرد سالم میانسال دارای اضافه وزن به صورت تصادفی به 4 گروه تمرین و مکمل آغوز، تمرین و دارونما، مکمل آغوز و کنترل تقسیم شدند. پروتکل تمرینی شامل 3 جلسه در هفته به مدت 8 هفته بود. آزمودنی های گروه مکمل و مکمل-تمرین یک روز در میان به مقدار 20 گرم پودر شده آغوز را با 200 میلی لیتر آب مخلوط و مصرف کردند. قبل و بعد از مکمل سازی و تمرین، متغیرهای درصد چربی، چربی خون، شاخص BMI و نسبت دور کمر به لگن تمامی آزمودنی ها اندازه گیری شد.
یافته هانتایج نشان داد درصد چربی بدنی در گروه تمرین مکمل نسبت به گروه مکمل آغوز و تمرین-دارونما و کنترل کاهش معنی داری پیدا کرد. همچنین چربی خون، BMI و نسبت دور کمر به لگن نیز در گروه تمرین-مکمل نسبت به سه گروه دیگر کاهش معنی داری را نشان داد.
نتیجه گیریدر مجموع تعامل تمرین دایره ای با شدت بالا و مکمل سازی آغوز موجب کاهش معنی دار درصد چربی بدنی، چربی خون، BMI و نسبت دور کمر به لگن می شود.
کلید واژگان: تمرین دایره ای، اضافه وزن، آغوز، درصد چربی، BMI، نسبت دور کمر به لگنBackground and AimThe purpose of this study was to determine the effect of high-intensity circuit training with colostrum supplementation on the body composition and health factors of overweight men.
Methods40 healthy overweight middle-aged men were randomly divided into four groups: exercise and colostrum supplement, exercise and placebo, colostrum supplement and control. The training protocol consisted of three sessions per week for eight weeks. Subjects in the supplement and exercise-supplement group took 20 grams of powdered colostrum mixed with 200 ml of water every other day and then consumed it. Before and after supplementation and exercise, the variables of fat percentage, blood lipid, BMI index and waist to hip ratio were measured.
ResultsThe results showed that the percentage of body fat in the supplement plus training group was significantly reduced compared to the colostrum supplement and exercise-placebo and control groups. Also, blood lipid, BMI and waist-to-hip ratio index showed a significant decrease in the exercise-supplement group compared to the other three groups.
ConclusionIn general, the interaction of high-intensity circuit training and colostrum supplementation causes a significant reduction in body fat percentage, blood fat, BMI, and waist-to-hip ratio.
Keywords: Circuit Training, Overweight, Colostrum, Fat Percentage, BMI, Waist-To-Hip Ratio -
فصلنامه پرستاری دیابت، سال یازدهم شماره 4 (پاییز 1402)، صص 2281 -2291مقدمه و هدف
استعمال سیگار مهمترین علت قابل پیشگیری مرگ و میر در سراسر جهان است. هدف از مطالعه حاضر، تعیین شیوع مصرف سیگار و وضعیت آن در شاخص های بالینی در میان بیماران مبتلا به دیابت نوع دو شهر سلیمانیه در شمال عراق بود.
مواد و روش هااین مطالعه توصیفی تحلیلی در میان 602 نفر از بیماران مبتلا به دیابت نوع دو در سال 1402 انجام گرفت. نمونه گیری به صورت تصادفی ساده از بیماران دارای پرونده ی درمانی در مرکز دیابت شهر سلیمانیه در شمال عراق انجام شد. ابزار سنجش، پرسشنامه ی کتبی بود و داده ها بصورت مصاحبه از بیماران گردآوری گردید. داده ها با استفاده از آمار توصیفی و تحلیلی در نرم افزار SPSS ویرایش 16 تجزیه و تحلیل گردید.
یافته هامیانگین سن بیماران 17/53 سال در دامنه سن 30 تا 77 سال با انحراف معیار 9/38 سال بود. 31/7درصد از بیماران سابقه مصرف سیگار را گزارش کردند. جنسیت مرد (10/316= OR) و سکونت در شهر (1/754 = OR) پیش بینی کننده های مصرف سیگار بودند. میانگین قندخون ناشتا (0/027= P) و شاخص توده بدنی (0/018= P) در میان بیمارانی که سابقه مصرف سیگار را گزارش کردند بطور معناداری بیشتر بود.
نتیجه گیرییافته ها نشاندهنده شیوع بالاتر از میانگین جهانی مصرف سیگار در میان بیمارن مبتلا به دیابت در شمال عراق بود. قندخون ناشتا در بیماران مصرف کننده سیگار بالاتر بود. این یافته ها، اهمیت بالینی توسعه و پیاده سازی برنامه های ترک سیگار در میان بیماران مبتلا به دیابت را برجسته می کند.
کلید واژگان: دیابت نوع دو، سیگار، قند خون ناشتا، شاخص توده بدنی، شمال عراقJournal of Diabetes Nursing, Volume:11 Issue: 4, 2024, PP 2281 -2291IntroductionSmoking stands as the most significant preventable cause of death globally. This study aims to assess the prevalence of smoking and its impact on clinical indicators among individuals with type II diabetes in Sulaymaniyah, Northern Iraq.
Materials and MethodsThis descriptive-analytical study involved 602 patients with type II diabetes in 2023. A simple random sampling method was employed, selecting patients with medical records from the diabetes center in Sulaymaniyah. Data were collected using a written questionnaire through interviews and analyzed using descriptive and analytical statistics in SPSS version 16.
ResultsThe patients' mean age was 53.17 years (range: 30 to 77 years, standard deviation: 9.38 years). Approximately 31.7% of patients reported a history of smoking. Male gender (OR = 10.316) and urban residence (OR = 1.754) were predictors of smoking. Patients with a history of smoking exhibited significantly higher levels of Fasting Blood Sugar (FBS) (P = 0.027) and body mass index (BMI) (P = 0.018).
ConclusionThe study revealed a higher prevalence of smoking among patients with diabetes in Northern Iraq compared to the global average. Smoking was associated with elevated FBS levels. These findings underscore the clinical significance of developing and implementing smoking cessation programs among individuals with type II diabetes.
Keywords: Type II Diabetes, Cigarettes, FBS, BMI, Northern Iraq -
ObjectivesThis study aimed to investigate the impact of two different aerobic exercise programs on the Body Mass Index (BMI) and progranulin (PGRN) levels of overweight or obese female students.MethodsIn this quasi-experimental study, 36 overweight or obese female students from Kashan University of Medical Sciences and Islamic Azad University volunteered to participate. They were randomly divided into three groups: two groups underwent progressively increasing interval or continuous aerobic exercise programs, while the third group served as a control. The exercise programs lasted for 8 consecutive weeks, with blood samples collected before and after the intervention. Progranulin levels were measured using the ELISA technique with Human PGRN, and BMI was assessed at the beginning and end of the program.ResultsThe results of a one-way ANOVA test showed a significant decrease in progranulin levels (P=0.00) and BMI in both exercise groups compared to the control group (P=0.029).ConclusionBoth interval and continuous aerobic exercise programs were effective in reducing circulating progranulin levels and BMI in overweight or obese female college students. The exercise interventions led to a significant decrease in both variables. Further research is warranted to explore the effects of different aerobic exercise protocols on BMI and progranulin levels in normal adults.Keywords: BMI, Progranulin, Aerobic exercise, college students, Obesity
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زمینه و هدف
کوله سیستکتومی لاپاراسکوپیک یکی از روش های جراحی کوله سیستکتومی می باشد که ممکن است در افراد با BMI (شاخص توده بدن) بالا همراه با دشواری و عوارضی نیز باشد. ما در این مطالعه عفونت محل پورت به دنبال کوله سیستکتومی لاپاراسکوپی و ارتباط آن با BMI در بیمارستان های تابعه دانشگاه علوم پزشکی بابل در سال های 1394-1391 را مورد بررسی قرار دادیم.
روش تحقیق:
در این مطالعه مقطعی-تحلیلی، کلیه بیمارانی که تحت لاپاراسکوپی کوله سیستکتومی قرار گرفته بودند، به تعداد 801 بیمار پس از اخذ رضایت آگاهانه وارد مطالعه شدند. اطلاعات دموگرافیک (جنس، سن، BMI) و بالینی (نوع بیماری، تعداد سنگ های صفراوی، نوع عفونت محل پورت و مدت جراحی) بیماران مورد ارزیابی قرار گرفت.یافته هابیشتر بیماران زن (87 درصد) با میانگین سنی 23/14±38/43 سال بودند. میانگین شاخص توده بدنی بیماران برابر با 86/6±72/31 کیلوگرم بر متر مربع گزارش شد؛ اکثرا در محدوده 30 تا 9/39 بوده (8/44 درصد) و حداقل بیماران نمایه توده بدنی بزرگتر یا مساوی 40 داشتند (5/12 درصد). اکثریت بیماران دچار کوله سیستیت مزمن با میزان 2/70 درصد و در رتبه بعد بیلیاری کولیک (6/18 درصد) بودند. طول مدت جراحی نیز به طور میانگین 59/10±18/35 دقیقه بود. 2 درصد بیماران دچار عفونت محل پورت بودند که موارد آمبلیکال، اپیگاستریک و یا هر دو محل به ترتیب 2/1 درصد، 5/0 درصد و 2 درصد بود. BMI بیماران با عفونت محل پورت آمبلیکال به ترتیب 45/3±48/41 و اپیگاستریک 87/5±38/30 بوده و بیماران با عفونت محل آمبلیکال به طور معناداری BMI بالاتری نسبت به بیماران با عفونت محل اپیگاستریک داشتند (P<0.001). افراد با BMI بالای 30 به طور معناداری فراوانی بیشتری از عفونت ناحیه آمبلیکال پورت داشتند (P<0.001).
نتیجه گیریبراساس یافته های این مطالعه بیمارانی که دچار عفونت محل پورت آمبلیکال شده بودند، توده بدنی بالاتری داشتند.
کلید واژگان: شاخص توده بدنی، طول مدت جراحی، عفونت محل پورت، کوله سیستکتومی، لاپاراسکوپیBackground and AimsLaparoscopic cholecystectomy is one of the surgical procedures for cholecystectomy, which may be associated with difficulty and complications in people with high body mass index (BMI). In this study, we investigated the location of the portal infection following laparoscopic cholecystectomy and its association with BMI in hospitals affiliated with Babol University of Medical Sciences in 2012-2015.
Materials and MethodsIn this cross-sectional analytical study, all patients who underwent laparoscopic cholecystectomy surgery (n=801) were included after obtaining informed consent. Demographic (e.g., gender, age, and BMI) and clinical (e.g., type of disease, number of gallstones, port site infection, and duration of surgery) information were evaluated.
ResultsMost patients were female (87%), with a mean age of 43.38 ± 14.23 years. The average BMI of the patients was reported as 31.72 ± 6.86 kg/m2; most of them were in the range of 30-39.9 (44.8%), and at least a few patients had a BMI greater than or equal to 40 (12.5%). The mean BMI of patients was 31.72 ± 6.86 kg/m2. The majority of patients had chronic cholecystitis (70.2%) and colic bilirubin (18.6%). The duration of surgery was 35.18 ± 10.59 minutes. Around 2% of the patients had an infection site of the port (1.2%), the cases of umbilical epigastric (0.5%), or both sites (0.2%). The BMI of patients with port umbilical infection was 41.48±3.45 and epigastric 30.38±5.87, and patients with port umbilical infection had significantly higher BMI than patients with epigastric infection (P<0.001). Individuals with a BMI higher than 30 were significantly more likely to have an umbilical portal infection (P<0.001).
ConclusionAccording to the findings of this study, patients with an umbilical port site infection had a higher BMI.
Keywords: BMI, Cholecystectomy, Laparoscopy, Portal site infection, Surgical duration -
زمینه و هدف
اختلال در روند ترشح برخی هورمون ها و افزایش وزن از عوامل اثرگذار بر دیسمنوره است. با توجه به اهمیت فعالیت بدنی بر پیشگیری و کنترل دیسمنوره، در این پژوهش به ارزیابی ارتباط بین شاخص های IGF1،IGFBP3 ، BMI و دیسمنوره متعاقب 8 هفته تمرین ترکیبی (مقاومتی و هوازی) در زنان چاق پرداخته شد.
روش هادر این مطالعه نیمه تجربی، 24 زن غیرفعال چاق 25 تا 37 سال، با BMI 30 تا 35 کیلوگرم بر مترمربع، به طور تصادفی به دو گروه (12 نفر) تمرین ترکیبی (مقاومتی و هوازی) و کنترل تقسیم شدند. تمرین ترکیبی شامل تمرین مقاومتی با شدت 67 تا 80 درصد قدرت بیشینه و تمرین هوازی با شدت 60 تا 85 درصد ضربان قلب بیشینه، به مدت 8 هفته و 3 روز در هفته انجام گرفت. نمونه خون 24 ساعت قبل و 48 ساعت بعد از آخرین جلسه تمرین بعد از 12 ساعت ناشتایی اخذ و شاخص های IGF1 و IGFBP3 سنجش شد. شدت علائم جسمانی و روانی دیسمنوره با پرسشنامه استاندارد ارزیابی اختلالات قاعدگی موس (MDQ) ارزیابی شد.
یافته هانتایج آزمون همبستگی پیرسون ارتباط معناداری بین سطوح IGF1 و IGFBP3 در زنان چاق نشان نداد (0/73P≥ و 0/05=r) و بین سطوح 1-IGF و دیسمنوره ارتباط معناداری ثبت نشد (0/61 P≥ و 0/07=r). بین سطوح 1-IGF وBMI ارتباط معناداری وجود داشت (0/04 P≤ و 0/11=r). نتایج آزمون همبستگی پیرسون ارتباط معناداری بین سطوح IGFBP3 و دیسمنوره زنان چاق ارایه نکرد (0/52 P≥ و 0/09=r)، اما بین سطوح BP3-IGF و BMIارتباط معناداری مشاهده شد (0/04 P≥ و 0/29=r). بین دو شاخص دیسمنوره و BMI زنان چاق نیز ارتباط معناداری گزارش نشد (0/52 P≥ و 0/09=r).
نتیجه گیریبا توجه به عدم تفاوت معنادار بین دیسمنوره با شاخص هایIGF1 ،IGFBP3 و BMI بعد از یک تمرین ترکیبی، می توان نتیجه گرفت علائم دیسمنوره تحت تاثیر عوامل مختلفی قرار دارد، لذا انجام مطالعات بیشتر پیشنهاد می شود.
کلید واژگان: IGFBP3، IGF1، BMI، ورزش، دیسمنورهFeyz, Volume:28 Issue: 1, 2024, PP 68 -75Background and AimDysmenorrhea is influenced by hormonal imbalances and weight fluctuations. Physical activity plays a crucial role in managing dysmenorrhea. This study aimed to investigate the relationship between IGF1, IGFBP3, BMI, and dysmenorrhea following eight weeks of combined exercise (resistance and aerobic) in obese women.
MethodsA quasi-experimental study was conducted on 24 inactive obese women aged 25 to 37 years, having a BMI of 30 to 35 kg/m2. Participants were randomly assigned to either a combined exercise group (resistance and aerobic) or a control group. The combined training regimen included resistance exercises at 67-80% of maximum strength and aerobic exercises at 60-85% of maximum heart rate, conducted three days a week for eight weeks. Blood samples were collected before and after the training period, and IGF1 and IGFBP3 levels were measured. Dysmenorrhea symptoms were assessed using the Menstrual Disorders Questionnaire (MDQ).
ResultsPearson correlation analysis revealed no significant relationship between IGF1 and IGFBP3 levels in obese women (P≥0.73, r=0.05). There was no significant relationship between IGF-1 levels and dysmenorrhea (P≥0.61, r=0.07). A significant relationship was found between IGF-1 levels and BMI (P<0.04, r=0.11). IGFBP3 levels did not show a significant relationship with dysmenorrhea (P≥0.52, r=0.09), but a significant relationship was observed between IGFBP3 levels and BMI (P≥0.04, r=0.29). No significant relationship was found between dysmenorrhea and BMI in obese women (P≥0.52, r=0.09).
ConclusionThe findings of the present study show no significant difference between dysmenorrhea symptoms and IGF1, IGFBP3, and BMI indices following the combined exercise. Thus, dysmenorrhea appears to be influenced by various factors beyond these parameters. Further research is recommended to explore additional contributing factors.
Keywords: IGFBP3, IGF1, BMI, Exercise, Dysmenorrhea -
BackgroundWomen aged 15-49 years are vulnerable to malnutrition, including undernutrition and overnutrition. This age group is crucial for maternal health and child development. The study aimed to assess the nutritional status of women aged 15-49 years in semi-urban Bangladesh and to identify its determinants.MethodsIna cross-sectional survey of 391 women, data on demographics, socioeconomic status, anthropometry, water, sanitation, and hygiene practices were collected. Nutritional status was categorized using body mass index (BMI) classification.ResultsThe mean BMI of the participants was 24.5±3.8. Only 5.9% were underweight and 49.4% were normal weight. However, 35.3% were overweight and 9.5% were obese. Regression analysis showed that formal education up to the secondary level and handwashing with only water or water with ash or soil were determinants of maternal nutritional status. Women with secondary education were 4.2 times more likely to be adequately nourished than women with no education. Women who practiced handwashing with only water or water with ash or soil were 78% and 63% more likely to be malnourished, respectively, than women who used soap along with water.ConclusionThis study highlighted the shifting nutritional landscape among women in semi-urban Bangladesh, with increasing rates of overweight and obesity. Formal education and handwashing practices are important determinants of maternal nutritional status. Multifaceted interventions are needed to address these challenges and improve maternal health in this population.Keywords: Malnutrition, Nutrition, Obesity, BMI, Bangladesh
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سابقه و هدف
کوید-19 به عنوان یک پاندمی تاثیرات گسترده ای بر سلامت جسمانی و روانی افراد جامعه و ورزشکاران داشته است. این مطالعه با هدف مقایسه نیمرخ سلامت جسمانی و روانی دوران قبل و پس از قرنطینه کووید-19 در شناگران زن نخبه شهر مشهد انجام شد.
روش بررسیبیست و هفت شناگر زن از 2 سال قبل تا بعد از قرنطینه کووید-19 مورد بررسی قرار گرفتند. آمادگی بدنی ادراک شده (وضعیت بدنی، انعطاف پذیری، وضعیت عضلانی و ترکیب بدن) ، سطح فعالیت بدنی و نیمرخ روانی شرکت کنندگان اندازه گیری شد. از آزمون تی زوجی برای تعیین تفاوت متغیرهای پژوهش قبل و بعد از قرنطینه کوید-19 استفاده شد.
یافته هاشرکت کنندگان افزایش قابل توجهی در متغیرهای افسردگی (001/0 = p)، اضطراب (024/0= p)، استرس (001/0 = p)، تنهایی (001/0 = p) وBMI (001/0 = p) و کاهش معنی داری در سطح فعالیت بدنی (023/0 = p)، خرده مقیاس ها و نمره کل آمادگی بدنی ادراک شده (001/0= p) را پس از پایان دو سال دوران قرنطینه نشان دادند.
نتیجه گیرینتایج پژوهش حاضر نشان داد کاهش سطح فعالیت بدنی طی اپیدمی کوید-19 می تواند اثرات منفی بر پروفایل روانی و BMI در ورزشکاران حرفه ای داشته باشد. بنابراین، باید برنامه ریزی لازم جهت حفظ سطح فعالیت بدنی به صورت ایمن توسط مربیان و برنامه ریزان ورزشی تیم های حرفه ای و ملی صورت پذیرد.
کلید واژگان: ویروس کرونا، تنهایی، ورزشکاران نخبه، BMI، آمادگی بدنی ادراک شدهMedical Science Journal of Islamic Azad Univesity Tehran Medical Branch, Volume:34 Issue: 1, 2024, PP 56 -63BackgroundAs a pandemic, Covid-19 has had extensive effects on the physical and mental health of society and athletes. This study aimed to compare the physical and mental health profiles of elite female swimmers from the pre to post-COVID-19 Confinement period in elite female swimmers in Mashhad.
Materials and methodsTwenty-seven swimmers were assessed pre to post-COVID (between 2 years). Perceived physical fitness (body condition, flexibility, muscle condition and body composition), physical fitness level, and psychological profile of swimmers were measured. The paired t-test was utilized to determine if differences existed before and after the COVID-19 lockdown.
ResultsParticipants showed increased depression (p= 0.001), anxiety (p= 0.024), stress (p= 0.001), Loneliness (p= 0.001), and BMI (p= 0.001) and significant decreases in IPAQ-SF (p= 0.023), and Subscales and total score of perceived physical fitness (p= 0.001) after 2 years at the end of the quarantine period.
ConclusionThe results of the present study showed that the decrease in physical activity level during the Covid-19 epidemic could have negative effects on the psychological profile and BMI in professional athletes. Therefore, the specific planning should be considered by the coaches and sports planners of the professional and national teams to safely maintain the level of physical activity.
Keywords: Corona virus, Loneliness, Elite athletes, BMI, Perceived physical fitness -
Background
Breast cancer (BC) is one of the most common cancers in women, significantly contributing to cancer-related death in the modern world. Obesity, as a worldwide epidemic besides the menopausal status, has a paradoxical association with BC.
ObjectivesTo determine the molecular mechanisms underlying the paradoxical effects of obesity on BC, a comprehensive systems biology analysis was performed.
MethodsData retrieval, data preprocessing, and differential expression analysis were conducted. Weighted correlation network analysis (WGCNA) identified the gene modules associated with clinical traits. Network analysis and hub gene identification techniques revealed key regulatory genes, and functional enrichment analysis uncovered biological pathways related to hub genes. A logistic regression model was developed to predict menopausal status based on hub genes. Additionally, gene expression analysis of two important genes was performed by qPCR.
ResultsThe study identified the hub genes and molecular pathways (the PI3K-Akt signaling pathway, proteoglycans in cancer, and lipid metabolic and atherosclerosis pathways) associated with the obesity paradox in BC based on menopausal statutes.
ConclusionsThese results may improve our understanding of the underlying mechanisms of the effects of body mass on BC and assist in identifying biomarkers and potential therapeutic targets for treating obese postmenopausal women with BC.
Keywords: Breast Cancer, Menopausal, BMI, Hub Genes -
مقدمه
اختلالات ناشی از کمبود ید، یکی از مهم ترین اختلالات اپیدمیک در دنیا می باشد. در دو دهه ی گذشته، حذف اختلالات ناشی از کمبود ید، به عنوان بخشی از استراتژی های ملی تغذیه ای شناخته شده است. هدف از مطالعه ی حاضر، ارزیابی ید ادراری و عوامل مرتبط با آن در دانش آموزان ابتدایی استان البرز می باشد.
شیوه مطالعه:
در یک مطالعه ی مقطعی، تعداد 240 دانش آموز از هر دو جنس، در گروه سنی 8 تا 10 ساله از مناطق شهری و روستایی شهرستان استان البرز به صورت تصادفی و به روش نمونه گیری خوشه ای انتخاب و مورد بررسی قرار گرفتند. ادرار شرکت کنندگان، جمع آوری و ید ادراری اندازه گیری شد. اطلاعات درباره ی مواد مغذی دریافتی توسط روش 24 ساعت یادآمد خوراک جمع آوری شد. پرسشنامه های مربوط به داده های عمومی و اندازه گیریهای تن سنجی (قد، وزن، نمایه توده بدنی) توسط کارشناس تغذیه انجام شد. سطح معنی داری (P-value<0.05) در نظر گرفته شد.
یافته هااز بین 240 شرکت کننده در این پژوهش، با توزیع جنسیتی 118 دختر و 110 مرد، تنها 37% در وضعیت نرمال قرار داشتند. 20% از دانش آموزان کمبود ید و 43% ید ادرار بیش از حد نرمال داشتند. میانگین ید ادراری در دو گروه دختر و پسر تفاوت معناداری را نشان نداد. رابطه ضعیف اما معناداری میان متغیر زمان پخت غذا و میانگین ید ادراری وجود داشت. ارتباط بین نمایه توده بدنی و میانگین ید ادراری، همبستگی از نوع منفی ضعیف را نشان داد که از نظر آماری معنادار بود(p< 0.02).
نتیجه گیریشیوع اختلالات مربوط به ید(زیادی و کمبود ید) در سال های اخیر در استان البرز افزایش یافته است. اصلاح الگوی مصرف نمک های ید دار و وضعیت نمایه توده بدنی به نظر می رسد می تواند در کاهش اختلالات موثر باشد
کلید واژگان: ید ادراری، دانش آموزان دبستانی، مواد مغذی دریافتی، الگوی مصرف نمک، نمایه توده بدنیدنیBackgroundIodine deficiency disorders (IDD) are the most important epidemic disorders in the world. In the last two decades, the elimination of IDD has been considered as an integral part of many national nutrition strategies. The aim of current research was to determine the urinary iodine and its related factors in elementary students of Alborz province.
MethodsIn a cross sectional study 240 students of both genders, aged from 8-10 years were selected from urban and rural area of Alborz province were selected by cluster sampling method. Participants' urine was collected, and urinary iodine was measured. Information on nutrients intake was collected by a 24-hour feed recall method. Questionnaires on general data and anthropometric measurements (height, weight, BMI) were performed by a nutritionist. Significance level (p value <0.05) was considered.
ResultsOf 240 participants, including 118 girls and 110 men, only 37% were in normal condition. 20% of students had iodine deficiency and 43% had excessive urinary iodine. The mean urinary iodine was not significantly different between the two groups. There was a weak but significant relationship between time of cooking and mean urinary iodine. Correlation between BMI and mean urinary iodine showed a weak negative correlation, which was statistically significant (p <0.02).
ConclusionThe prevalence of iodine-related disorders (high and iodine deficiency) has increased in recent years in Alborz province. Modification of iodine salt consumption pattern and BMI seems to be effective in reducing disorders.
Keywords: Urine iodine, Elementary students, Nutrients intake, BMI, salt consumption pattern -
BackgroundChildhood obesity is widely recognized as a prominent challenge in the 21st century. The family holds considerable potential in effectively managing this concern, by incorporating behavioral modifications into the child's dietary patterns and physical activity engagement. The aim of this study was to determine the effectiveness of a family-centered, behavioral modifications package in improving the eating behavior, BMI percentile, and abdominal circumference of obese school-age girls.MethodsA randomized clinical trial was conducted on a cohort of 80 obese female students aged 7-12 in Mashhad between 2020 and 2021. Data was collected using a demographic information Questionnaire and the Children's Eating Behavior Questionnaire (CEBQ). Following a 3D body scanning procedure, a seven-session intervention program was implemented. Six months later, a reassessment was carried out, encompassing the evaluation of BMI percentile, 3D body scanning, and re-administration of the questionnaires. Data was analyzed through SPSS version 24, utilizing paired t-tests, independent t-tests, and multivariate analysis of variance.ResultsFollowing the intervention, significant increases were observed in scores for enjoyment of food, satiety responsiveness, and slowness in eating. Conversely, scores for food responsiveness, emotional overeating, emotional undereating, and food fussiness displayed a decrease. However, the differences did not reach statistical significance following the intervention (p>0.05). Notably, changes in BMI percentile and abdominal circumference displayed a statistically significant difference between the two groups after the intervention (p<0.05).ConclusionThe family-centered behavioral modification program represents an appropriate approach for modifying child's eating behavior, resulting in a success rate exceeding 10% in weight reduction.Keywords: Family-centered behavioral modifications, child' s eating behavior, BMI, obese school-age girls
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Comparison of lower extremity long-bone fracture surgery result between obese and non-obese patientsObesity is a growing epidemic in developed countries. Which lead to increase the percentage of obese people in the orthopedic trauma population and concern patients postoperative period. Lower extremity long-bone fractures are among the most common fractures and are associated with significant complications, prolonged hospitalization, and a heavy financial burden on the community health network.MethodsIn this cohort study, all patients with lower extremity long-bone fractures treated in Bahonar Hospital in Kerman were included using the simple sampling method and divided into two groups based on BMI (BMI greater than or equal to 30 were considered obese, and people with a BMI less than 30 as non-obese) and followed for one year after treatment.ResultsOur study was conducted on two groups, each including 65 people, of obese and non-obese people with lower extremity fractures. In statistical studies, no significant difference was found between the obese and non-obese groups in terms of underlying disease (P = 0.1), fracture site (P = 0.13), open or closed fracture (P = 0.283), type of surgery (P = 0.217), and fracture complications (P = 0.699).ConclusionThere is no significant relationship between the complications of lower extremity long bone fractures of obese and non-obese people; it seems that mostly systemic complications should be considered in obese people after fractures. Finally, considering the differences between the results of this and similar studies and genetic and ethnic differences in other parts of Iran, further studies in this field with larger sample sizes in different geographical locations are recommended.Keywords: Fractures of long bones, lower limb bones, BMI
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