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  • 1
    Online Resource
    Online Resource
    Metabolic obesity phenotypes and chronic kidney disease: a cross-sectional study from the RaNCD cohort study
    Springer Science and Business Media LLC ; 2022
    In:  BMC Nephrology Vol. 23, No. 1 ( 2022-12)
    Details
    In: BMC Nephrology, Springer Science and Business Media LLC, Vol. 23, No. 1 ( 2022-12)
    Abstract: Investigating the effect of metabolic disorders on chronic kidney disease (CKD) in the presence or the absence of obesity is of great importance. This study aimed to examine the independent and joint relationships of obesity and metabolic syndrome (MetS) with CKD.  Methods  The present study was performed on 9,762 participants from the baseline phase of the Ravansar non- communicable diseases (RaNCD) study. Thereafter, the CKD was estimated by glomerular filtration rate (eGFR) using the Modification of Diet in Renal Disease (MDRD) equation. All the included participants were categorized into the following four phenotypes: metabolically healthy non-overweight/obesity (MHNO), metabolically unhealthy non-overweight/obesity (MUNO), metabolically healthy overweight/obesity (MHO), and metabolically unhealthy overweight/obesity (MUO). Finally, Logistic regression analysis was used to estimate the odds ratio (ORs). Results The mean age of the included participants was 47.33 ± 8.27 years old, %48.16 (4,701) of whom were men. As well, 1,058(10.84%) participants had CKD (eGFR less than 60 ml/min/1.73m 2 ). The overweight/obesity was not significantly associated with odds of CKD. The odds of CKD in male subjects with MetS was 1.48 times higher than non-MetS ones (95% CI: 1.10, 2.01). After adjusting the confounders, the odds of CKD were 1.54 times (95% CI: 1.12, 2.11) higher in the MUNO and 2.22 times (95% CI: 1.44, 3.41) higher in the MUO compared to MHNO phenotype in male subjects. The odds of CKD in the MUNO and MUO was 1.31 times (95% CI: 1.10, 1.60) and 1.23 times (95% CI: 1.01, 1.54) higher than MHNO phenotype in female subjects, respectively. Conclusion The odds of CKD were higher in MUNO and MUO phenotypes. Therefore, lifestyle modification is recommended to control normal weight and healthy metabolism.
    Type of Medium: Online Resource
    ISSN: 1471-2369
    URL: Article
    DOI: 10.1186/s12882-022-02858-9
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2041348-8
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  • 2
    Online Resource
    Online Resource
    Triglyceride glucose-body mass index and hypertension risk in iranian adults: a population-based study
    Springer Science and Business Media LLC ; 2023
    In:  BMC Endocrine Disorders Vol. 23, No. 1 ( 2023-07-21)
    Details
    In: BMC Endocrine Disorders, Springer Science and Business Media LLC, Vol. 23, No. 1 ( 2023-07-21)
    Abstract: Insulin resistance (IR) and obesity are risk factors for hypertension; triglyceride-glucose (TyG) is known as a surrogate for IR. The present study investigated the association between the triglyceride-glucose body mass index (TyG-BMI) index and the risk of hypertension in Iranian adults. Methods This study was conducted on a sample of 8,610 participants from the baseline phase of the Ravansar non- communicable diseases (RaNCD) in Iran. A logistic regression model was used to evaluate the relationship between TyG-BMI and hypertension. Receiver operating characteristic (ROC) curve analysis was conducted to estimate the predictive power of TyG-BMI for hypertension. Results A total of 4176 men and 4434 women with an average age of 46.74 years were examined. The anthropometric indices were significantly higher in hypertensive than normotensive subjects (P  〈  0.001). The level of physical activity was significantly higher in the bottom quartiles (P  〈  0.001). The odds of hypertension in the highest quartile and 3.10 (95% CI: 2.28, 4.16) times significantly higher than the bottom quartile of the TyG-BMI index. The discriminating ability of TyG-BMI to predict blood pressure was 61% (AUC: 0.61; 95% CI: 0.57, 0.63), and higher than BMI and TyG. Conclusion The TyG-BMI index is associated with an increase in the odds of hypertension. Therefore, the TyG-BMI index can be a new clinical index for early diagnosis of hypertension. Lifestyle modifications such as weight control through physical activity and a healthy diet can help improve IR and prevent hypertension.
    Type of Medium: Online Resource
    ISSN: 1472-6823
    URL: Article
    DOI: 10.1186/s12902-023-01411-5
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2091323-0
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  • 3
    Online Resource
    Online Resource
    Association between dietary total antioxidant capacity and hypertension in Iranian Kurdish women
    Springer Science and Business Media LLC ; 2022
    In:  BMC Women's Health Vol. 22, No. 1 ( 2022-12)
    Details
    In: BMC Women's Health, Springer Science and Business Media LLC, Vol. 22, No. 1 ( 2022-12)
    Abstract: Antioxidants intake from diet has been identified as one of the effective factors in the development of hypertension (HTN). The present study aimed to investigate the association between total antioxidant capacity (TAC) and HTN in women. Methods This cross-sectional study was performed using the baseline phase data of the ravansar non-communicable disease cohort study. The TAC was calculated using food items of the food frequency questionnaire. TAC scores were classified into four groups (quartile). The first and fourth quartiles had the lowest and highest TAC scores, respectively. Logistic regression analysis was utilized to estimate the odds ratio. Results A total of 5067 women were included in the study. Women with the highest socioeconomic status (SES) had a significantly higher TAC intake compared to those with the lowest SES ( P   〈  0.001). The participants in the third and fourth quartiles of the TAC had significantly lower odds of HTN, respectively by 21% (OR = 0.79; 95% CI: 0.64, 0.972) and 26% (OR = 0.74; 95% CI: 0.60, 0.91), compared to the first quartile. After adjusting for confounding variables was found to significantly reduce the odds of developing HTN in the fourth quartile of TAC by 22% compared to the first quartile (OR = 0.78; 95% CI: 0.62, 0.97). Conclusion A high dietary TAC was associated to a decreased odd of HTN in women. We could suggest a diet rich in natural antioxidants as it may help prevent development of HTN.
    Type of Medium: Online Resource
    ISSN: 1472-6874
    URL: Article
    DOI: 10.1186/s12905-022-01837-4
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2050444-5
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  • 4
    Online Resource
    Online Resource
    Disability-adjusted life years and mortality rate attributed to unsafe sex and drug use for AIDS in the Middle East and North Africa countries
    Springer Science and Business Media LLC ; 2020
    In:  Archives of Public Health Vol. 78, No. 1 ( 2020-12)
    Details
    In: Archives of Public Health, Springer Science and Business Media LLC, Vol. 78, No. 1 ( 2020-12)
    Abstract: The Middle East and North Africa, is one of few regions where the number of new human immunodeficiency virus infections is increasing. The present study aimed to estimate the attributable burden of unsafe sex and drug use in Acquired immunodeficiency syndrome in the Middle East and North Africa countries. Methods We used the Global Burden of Disease data 2017 to estimate the attributable mortality and disability-adjusted life-years to unsafe sex and drug use in Acquired immunodeficiency syndrome in the Middle East and North Africa countries (21 countries) from 1990 to 2017 by region, sex and age. The percent change was calculated at three time points by country and sex. Results The rate of Disability-adjusted life years/100,000 attributed to drug use for Acquired immunodeficiency syndrome increased 1.10 (95% CI: 0.75–1.71) to 13.39 (95% CI: 9.98–18.17) in women of Middle East and North Africa countries from 1990 to 2017, and there is an increasing trend in Disability-adjusted life years attributable to drug use for Acquired immunodeficiency syndrome in men. The rate of Disability-adjusted life years /100,000 attributed to unsafe sex for Acquired immunodeficiency syndrome increased in women of Middle East and North Africa countries, 5.15 (95% CI: 3.34–8.07) to 53.44 (95% CI: 38.79–75.89); and 10.06 (95% CI: 6.61–16.18) to 46.16 (95% CI: 31.30–72.66) in men. Age-standardized mortality rate attributed to drug use and unsafe sex for Acquired immunodeficiency syndrome increased from 1990 to 2017 in both sex in Middle East and North Africa countries. Conclusion The rate of Disability-adjusted life years /100,000 and age-standardized mortality rate attributed to unsafe sex and drug use increased in Middle East and North Africa from 1990 to 2017. While most of such countries have traditional cultures with religious believes, such increase need to be addressed in more depth by all policy makers.
    Type of Medium: Online Resource
    ISSN: 2049-3258
    URL: Article
    DOI: 10.1186/s13690-020-00511-1
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 2133388-9
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  • 5
    Online Resource
    Online Resource
    Fatty liver index relationship with biomarkers and lifestyle: result from RaNCD cohort study
    Springer Science and Business Media LLC ; 2023
    In:  BMC Gastroenterology Vol. 23, No. 1 ( 2023-05-22)
    Details
    In: BMC Gastroenterology, Springer Science and Business Media LLC, Vol. 23, No. 1 ( 2023-05-22)
    Abstract: Lifestyle intervention can effectively treat patients with non-alcoholic fatty liver disease (NAFLD). The present study aimed to investigate the association between lifestyle factors with fatty liver index (FLI) in Iranian adults. Methods This study enrolled 7114 subjects from the Ravansar Non-Communicable Diseases (RaNCD) cohort study in western Iran. To compute the FLI score, anthropometric measures, and a few non-invasive liver status indicators were used. Binary logistic regression models examined the association between FLI score and lifestyle. Results Participants with FLI  〈  60 had a lower daily energy intake compared to those with FLI ≥ 60 (2740.29 vs. 2840.33 kcal/day, P =  〈  0.001). The risk of NAFLD in males with high socioeconomic status (SES) was 72% higher than in those with low SES (OR: 1.72; 95% CIs 1.42–2.08). An adjusted logistic regression model showed a significantly negative association between high physical activity and fatty liver index in both men and women. (OR: 0.44, p-value  〈  0.001 and OR: 0.54, p-value  〈  0.001, respectively). The odds of NAFLD in female participants with depression were 71% higher than in non-depressed participants (OR: 1.71, 95% CI: 1.06–2.64). Dyslipidemia and high visceral fat area (VFA) were also associated with a significant increase in the risk of NAFLD (P  〈  0.05). Conclusion In our study, we found that good SES, high VFA, and dyslipidemia were associated with an increased risk of NAFLD. Conversely, high physical activity reduces the risk of NAFLD. Therefore, lifestyle modification may help improve liver function.
    Type of Medium: Online Resource
    ISSN: 1471-230X
    URL: Article
    DOI: 10.1186/s12876-023-02785-5
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2041351-8
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  • 6
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    Dietary insulin index and load in relation to cardiometabolic risk factors in patients with type 2 diabetes mellitus: A cross-sectional study on the RaNCD cohort study
    Elsevier BV ; 2023
    In:  Nutrition Vol. 105 ( 2023-01), p. 111830-
    Details
    In: Nutrition, Elsevier BV, Vol. 105 ( 2023-01), p. 111830-
    Type of Medium: Online Resource
    ISSN: 0899-9007
    URL: Article
    DOI: 10.1016/j.nut.2022.111830
    RVK:
    XA 10000
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2023
    detail.hit.zdb_id: 2010168-5
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  • 7
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    Association of Relative Handgrip Strength With Anthropometric Measures and Lipid Profiles in Individuals With Cardiovascular Disease : Results From RaNCD Cohort Study
    Ovid Technologies (Wolters Kluwer Health) ; 2021
    In:  Topics in Clinical Nutrition Vol. 36, No. 4 ( 2021-10), p. 263-271
    Details
    In: Topics in Clinical Nutrition, Ovid Technologies (Wolters Kluwer Health), Vol. 36, No. 4 ( 2021-10), p. 263-271
    Abstract: The present study was conducted to assess the relationship between relative handgrip strength (RHGS) and cardiovascular risk factors in individuals with cardiovascular disease (CVD) and healthy subjects. This study was based on a cross-sectional analysis of 883 participants aged 35 to 65 years among those with CVD and healthy subjects from Ravansar Non-Communicable Disease (RaNCD) cohort study. There was a significant inverse association between body fat percentage, body fat mass, waist circumference, hip circumference, and waist-to-hip ratio with RHGS in both groups ( P 〈 .001). There was no significant association between RHGS and total cholesterol, triglycerides, low-density lipoprotein, and high-density lipoprotein of the 2 groups ( P 〉 .05). Increased RHGS may be associated with improved body composition in individuals with CVD and individuals with no CVD, which requires further longitudinal studies.
    Type of Medium: Online Resource
    ISSN: 0883-5691
    URL: Article
    DOI: 10.1097/TIN.0000000000000259
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2021
    detail.hit.zdb_id: 2093172-4
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  • 8
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    Online Resource
    Prevalence and Associated Risk Factors of Strongyloides sp. Infection in Diabetic Patients in the Central Part of Mazandaran, Northern Iran
    Briefland ; 2019
    In:  Archives of Clinical Infectious Diseases Vol. 14, No. 4 ( 2019-08-14)
    Details
    In: Archives of Clinical Infectious Diseases, Briefland, Vol. 14, No. 4 ( 2019-08-14)
    Type of Medium: Online Resource
    ISSN: 2345-2641
    URL: Journal
    URL: Article
    DOI: 10.5812/archcid
    DOI: 10.5812/archcid.86569
    Language: Unknown
    Publisher: Briefland
    Publication Date: 2019
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  • 9
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    Comparison of the Effect of Virtual Education and Group-Based Education on Anthropometric Indices in Overweight and Obese Healthcare Women - An Educational Intervention Study
    Akshantala Enterprises Private Limited ; 2021
    In:  Journal of Evolution of Medical and Dental Sciences Vol. 10, No. 33 ( 2021-8-16), p. 2778-2783
    Details
    In: Journal of Evolution of Medical and Dental Sciences, Akshantala Enterprises Private Limited, Vol. 10, No. 33 ( 2021-8-16), p. 2778-2783
    Abstract: BACKGROUND Obesity is the main cause or the facilitator of many physical and psychological diseases worldwide, specifically in developing countries including Iran.(1,2) It is estimated that worldwide about 3% of total health expenditure is spent annually on the treatment of obesity related disorders.(3) We wanted to compare the efficacy of two methods of education including virtual education through Telegram messages and group discussion, on anthropometric indices in health care service providers suffering from overweight or obesity in Kermanshah. METHODS This three-arm randomized control trail (RCT) was conducted on 102 overweight/obese female healthcare providers in Kermanshah. Using Excel RAND function, the eligible participants were randomly allocated into three groups; two intervention groups- Telegram message, and group discussion - and one control group. Anthropometric indices including height, weight, waist circumference (WC), and hip circumference (HC) were measured using standard instruments. Data was analysed with SPSS16 using Independent and Paired t-test, Chi-square, and ANOVA. The significance level was considered as p≤0.05. RESULTS Participants’ mean age was 41.9 ± 6.3 years. Mean of BMI was 29.8±3.8 Kg/m2. The mean of weight, BMI and HC of the three groups were not significantly different before intervention; however, the mean of the changes for all three variables in the intervention groups were significantly different (p 〈 .001). CONCLUSIONS Telegram and group discussion were effective on anthropometric indices of healthcare providers; however, comparing the mean change of variables in two intervention groups showed that Telegram method was more effective than group discussion in Weight, BMI, WC, and HC reduction (p 〈 0.05). KEY WORDS Anthropometric Indices, Health Education, Health Personnel, Obesity
    Type of Medium: Online Resource
    ISSN: 2278-4748 , 2278-4802
    Uniform Title: English
    URL: Journal
    URL: Article
    DOI: 10.14260/jemds
    DOI: 10.14260/jemds/2021/567
    Language: Unknown
    Publisher: Akshantala Enterprises Private Limited
    Publication Date: 2021
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  • 10
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    〈p〉Predicting Metabolic Syndrome by Visceral Adiposity Index, Body Roundness Index and a Body Shape Index in Adults: A Cross-Sectional Study from the Iranian RaNCD Cohort Data〈/p〉
    Informa UK Limited ; 2020
    In:  Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Vol. Volume 13 ( 2020-03), p. 879-887
    Details
    In: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Informa UK Limited, Vol. Volume 13 ( 2020-03), p. 879-887
    Type of Medium: Online Resource
    ISSN: 1178-7007
    URL: Article
    DOI: 10.2147/DMSO.S238153
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2020
    detail.hit.zdb_id: 2494854-8
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