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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Iranian Journal of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Quality of Life,Adolescent,Child
- چکیده:
- چکیده انگلیسی: Background: Health-related quality of life (HRQoL) has become a major concern in the field of children’s health research. We assessed HRQoL among Iranian children and adolescents according to the socioeconomic status (SES) of their living region.Methods: Via multistage cluster sampling from rural and urban school students aged 6 to 18 years, this nationwide study was conducted from 2011 to 2012. HRQoL was assessed using the adolescent core version of the Pediatric Quality of Life questionnaire. Through survey data analysis methods, the data were compared according to the SES of the living region, sex, and the living area.Results: Overall, 23043 students participated in the survey (participation rate=92.2%). The mean age of the participants was 12.55±3.31 years. Boys accounted for 50.8% of the study population, and 73.4% were from urban areas. At national level, the mean of the HRQoL total score was 81.7 (95% CI: 81.3 to 82.1) with a mean of 83.5 (95% CI: 83.0 to 84.1) for the boys and 79.8 (95% CI: 79.1 to 80.5) for the girls. The highest and the lowest scores, respectively, belonged to social functioning (90.0 [95% CI: 89.7 to 90.3]) and emotional functioning (78.2 [95% CI: 77.7 to 78.7]). The highest total HRQoL score belonged to the second highest SES region of the country (mean=83.1; 95% CI: 82.5 to 83.7). The association between total HRQoL and the score of all the subscales and SES in the living area was statistically significant (P<0.001).Conclusion: The results of the present study showed that in the children and adolescents, SES was associated with HRQoL. Accordingly, HRQoL and the related SES differences should be considered one of the priorities in health research and health policy.
- انتشار مقاله: 13-04-1396
- نویسندگان: Roya Kelishadi,Saeid Safiri,Shirin Djalalinia,Sareh Miranzadeh,Mohammad Esmaeil Motlagh,Hamid Asayesh,Shaghayegh Beshtar,Morteza Mansourian,Armita Mahdavi Gorabi,Omid Safari,Mostafa Qorbani
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,adolescents,Inequality,Healthy foods,Junk foods
- چکیده:
- چکیده انگلیسی: Background: Nutritional habits and its determinants, especially in children and adolescents have recently turned into the one of the major concerns of health researches. We examine the diet contribution inequality in according to socio-demographic factors, age, gender, physical activity and body image to alleviate this gap in Iranian children and adolescents.
Materials and Methods: Study sample was comprised of 14,880 students aged 6-18 years who selected from urban and rural districts of 30 provinces of Iran via stratified multi-stage sampling method. A short food frequency questionnaire was used for estimating the food group consumption. The Blinder-Oaxaca method was applied to investigate the inequality in the prevalence of healthy and junk foods consumption between the first and fifth socio-economic status (SES) quintiles.
Results: The frequency of healthy and junk foods consumption showed considerable differences between the SES quintiles. The highest differences were found in the frequency of fresh fruit (25.38%), vegetable (12.92%), and milk (10.74%) consumption, respectively. The daily consumption of vegetables, and fresh and dried fruits increased linearly by increasing the SES quintiles. The highest absolute difference was seen in the frequency of fresh fruit consumption between the bottom and top of the socioeconomic groups (SII value=-32%). The estimated SII was statistically significant for the consumption of all healthy and junk foods except for fast foods and milk consumption. The estimated C index for consumption of healthy and junk foods was positive and negative, respectively.
Conclusion: This study provides the considerable information on the consumption of healthy and junk foods and its determinants among Iranian children and adolescents for better programming, developing health policies, and future complementary analyses.- انتشار مقاله: 28-09-1397
- نویسندگان: Kumars Pourrostami,Mostafa Qorbani,Ramin Heshmat,Fatemeh Mohammadi-Nasrabadi,Shirin Djalalinia,Ali Sheidaei,Mohammad Esmaeil Motlagh,Gelayol Ardalan,Armita Mahdavi-Gorabi,Morteza Mansourian,Roya Kelishadi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Iran,Health related quality of life,weight
- چکیده:
- چکیده انگلیسی: Background: This study investigates the association of perceived weight status and health-related quality of life (HRQOL) in a representative sample of Iranian children and adolescents. Materials and Methods: In this study, 6-18-year-old students were selected from 30 provinces of Iran. Weight status and perceived weight status of students were determined by physical examination and using the validated questionnaire of the World Health Organization-Global school-based student health survey, respectively. The students’ HRQL was evaluated by the Persian version of the Pediatric Quality of Life inventory (PedsQL™ 4.0TM 4.0) Generic Core Scales. Results: The participants consisted of 23,043 students with mean (standard deviation [SD]) age of 12.55(3.31) years. Underweight was significantly less prevalent than perceived underweight (30.8%vs 10.0%, respectively, P<0.001), whereas normal weight was significantly more prevalent than perceived normal weight (70.8% vs. 52.5%, respectively P<0.001). The mean total PedsQL™ score and its subscales in different categories of perceived weight did not have significant difference (P>0.05). After adjustment for age, gender, region, socio-economic status, physical activity, screen time, and body mass index (BMI), significant negative association was documented between perceived overweight and total score of HRQOL. School functioning was negatively associated with perceived overweight. Positive significant association existed between perceived overweight and psychosocial functioning. Conclusion: Our findings indicated that weight underestimation is the most common form of weight misperception in Iranian children and adolescents, which could be a cause of concern especially for obesity treatment and prevention programs. Furthermore, considering the negative association between weight overestimation and total HRQOL and school functioning, it is suggested that social standards and norms impacts on weight perception and consequently HRQOL in children and adolescents.
- انتشار مقاله: 07-08-1396
- نویسندگان: Silva Hovsepian,Mostafa Qorbani,Mohammad Esmaeil Motlagh,Mojgan Asadi,Armita Mahdavi Gorabi,Sahar Alirezayi,Hamid Asayesh,Neda Hani Tabaei Zavareh,Roya Kelishadi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Adolescent,Helicobacter pylori,Metabolic Syndrome
- چکیده:
- چکیده انگلیسی: Background: At least half the world’s population is colonized the stomach by Helicobacter pylori (H. pylori) which are a key constituent of the human microbiome. The aim of this study was to investigate the association of cardiometabolic risk factors with H. pylori infection in Iranian adolescents. Materials and Methods: The current study was conducted along with the third survey of a national school-based surveillance system in Iran, entitled "Childhood and Adolescence Surveillance and Prevention of Adult Non-communicable Disease" (CASPIAN) study. Detailed questionnaires on demographic, socioeconomic, dietary, and health-related information of the participants were filled by one of the parents under supervision of trained health-care workers. Trained healthcare professionals measured anthropometric indices, blood pressures according to standard protocols. Fasting venous blood was examined for fasting blood sugar and lipid profile.
Results: Overall 882 serum samples were suitable for testing. H. pylori antibody was found in 643 serum samples (72.9%). Among cardiometabolic risk factors, only the mean weight of participants was different between two groups (44.6±11.8 in H. pylori positive and 42.8±11.3 in H. pylori negative group; p=0.04). Overall, 5.1% of adolescents with positive H. pylori tests were overweight or obese, while 1.7% of negative ones were so (p=0.02). In the multivariate regression model, H. pyloriseropositivity increased the risk of overweight (OR, 3.3; 95%CI, 1.2-9.3; p= 0.03). In the multivariate model, association of other cardiometabolic risk factors with H. pylori infection was not statistically significant (p>0.05).
Conclusion: Results of present study showed that H. pylori infection was associated with excess weight in adolescents. H. pylori eradication may be decrease the risk of obesity.- انتشار مقاله: 29-03-1396
- نویسندگان: Enayat Kalantar,Mohammand Javad Gharavi,Shervin Ghaffari Hoseini,Ramin Heshmat,Mojgan Oshaghi,Behnaz Gharegozlou,Hamid Asayesh,Armita Mahdavi Gorabi,Mohammad Esmaeil Motlagh,Mehdi Noroozi,Mostafa Qorbani,Roya Kelishadi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Helicobacter pylori,Seroprevalence,adolescents
- چکیده:
- چکیده انگلیسی: Background: Helicobacter pylori (H.pylori) is a common bacterial infection, with considerably high morbidity and mortality worldwide. This bacterium represents a key factor in the etiology of various chronic infections ranging from gastritis, peptic ulcer disease to gastric cancer; but the prevalence has large variations in different communities. The aim of this study was to estimate the prevalence H. pylori infection in a nationally representative sample of Iranian adolescents.
Materials and Methods: In this cross-sectional study, serum samples of 882 Iranian adolescents, aged 10-18 years, were examined for seroprevalence of H.pylori. They were randomly selected from the samples obtained in the third survey of a national surveillance program (the CASPIAN III study). Seroprevalence of H. pylori was examined by detection of H. pylori immunoglobulinA (IgA), immunoglobulinG (IgG) and immunoglobulinM (IgM) in sera by using Enzyme Linked Immunosorbant Assay (ELISA).
Results: The study participants had a mean age of 14.82 + 2.77 years. Overall, 51.7% of students were boys and 61.52% were urban residents. The H. pylori IGM and IGA seropositivity had no significant association with demographic characteristics (p>0.05). The H. pylori IgG seropositivity were significantly different in boys and girls (69.7%, 95% confidence interval [CI] = 66.7-72.7 vs. 76.3%, 95%CI= 73.5-79. 1, respectively, P=0.03).
Conclusion: The seroprevalence of H. pylori IgG in Iranian adolescents is high, and girls had greater risk of H. pylori IgG seropositivity compared to boys. Preventive strategies and health education are recommended to reduce the prevalence of this infection in Iranian adolescent.- انتشار مقاله: 13-09-1395
- نویسندگان: Enayatollah Kalantar,Mohammad Javad Gharavi,Mojgan Oshaghi,Behnaz Gharegozlou,Sara Mohammadi,Ramin Heshmat,Shervin Ghaffari Hoseini,Mohammad Esmaeil Motlagh,Mostafa Qorbani,Roya Kelishadi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: life satisfaction,self-rated health,Children and adolescents,aggressive behaviors
- چکیده:
- چکیده انگلیسی: Objectives: This study aims to assess the relationship between the frequency of aggressive behaviors, life satisfaction (LS) and self- rated health (SRH) and counseling with family members in a representative sample of Iranian children and adolescents.
Methods: In this nationwide study, 14880 school students, aged 6-18 years, wereselected by cluster and stratified multi-stage sampling method from 30 provinces inIran. The World Health Organization Global School-based Health Survey questionnaire(WHO-GSHS) was used.Mental disorders were assessed through the WHO-GSHSquestionnaire that consisted of worthless, angriness, anxiety, insomnia, confusion, depression, and worried.
Results:.The results showed that 45.7% of boys and 44.8% of girls share their problem with their brother or sister. The prevalence of physical fight, victim, and bully was not different in children and adolescents who consulted with their brother or sister compared with those who did not consult (p> 0.05). In addition, 60.4% of boys and 66.0% of girls share their problems with friends. Physical fight and bully were less prevalent in children and adolescents who consulted with their friends compared with those who did not consult (p< 0.001). According to this study, the prevalence of LS and SRH “good” was also lower in children and adolescents who share their problem with their father or mother compared with those who did not consult (p< 0.001).
Conclusion:Children and adolescents should be encouraged to consult with their parents about their problems. Parents should offer their children an opportunity to express their views and wishes about their problems.- انتشار مقاله: 04-05-1395
- نویسندگان: Hossein Ansari,Ramin Heshmat,Mohsen Jari,Mostafa Qorbani,Mehrdad Kazemzadeh Atoofi,Shirin Djalalinia,Mohammad Esmaeil Motlagh,Elham Samami,Mojtaba Keikha,Asal Ataie-Jafari,Omid Safari,Morteza Mnaourian,Roya Kelishadi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Iran,Adolescent,Socioeconomic status,Injuries
- چکیده:
- چکیده انگلیسی: Background: The association of duration of breastfeeding (BF) with weight disorders remains controversial. This study aimed to evaluate the association of BF with anthropometric measures and weight disorders in Iranian children and adolescents. Materials and Methods: Using multistage random cluster sampling method, a representative sample of 25,000 school students were selected from urban and rural areas of 30 provinces of Iran (2011-2012). Through a validated questionnaire, data was recorded for every participant. Anthropometricand measures and duration of BF were measured under international standard protocols by using calibrated instruments. Results: Overall, 23,043 students completed the survey (participation rate: 92.17%). They consisted of 50.8% boys, 73.4% urban residents, with a mean age of 12.55 ± 3.31 years. Significant association was found between BF duration and overweight (P<0.05). In multivariate model, longer duration of BF (BF ≥ 6 months versus < 6 months), was associated with lower risk of becoming overweight [odds ratio(OR):0.86(0.74,0.99)]. There was no significant association between duration of BF with body mass index(BMI), waist circumference, hip circumference, neck circumference, wrist circumference, generalized obesity and abdominal obesity. Conclusion: Although the longer duration of BF is associated with lower risk of becoming overweight, does not seem to be associated with anthropometric measures in childhood and adolescence. To confirm the results of the present study, more longitudinal studies in Iranian children and adolescents are warranted.
- انتشار مقاله: 09-04-1395
- نویسندگان: Roya Kelishadi,Fatemeh Rezaei,Shirin Djalalinia,Mojgan Asadi,Sareh Miranzadeh,Mohammad Esmaeil Motlagh,Shirin Hasani Ranjbar,Saeid Safiri,Morteza Mansourian,Hossein Ansari,Mostafa Qorbani,Omid Safari
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,mental disorders,Behavior problems,Meal frequency,Meal skipping
- چکیده:
- چکیده انگلیسی: Background: This study aimed to assess the relationship between meal frequency with mental distress and violent behavior among a nationally representative sample of Iranian children and adolescents.
Materials and Methods: The participants of this national study were 14,880 Iranian students with 6 to 18 years of age. They were selected from urban and rural regions of Iran by multi-stage cluster sampling method. The data were obtained about demographic information, mental distress, violent behaviors and meal frequency by the questionnaire of the World Health Organization-Global School-based Student Health Survey (WHO-GSHS).
Results: The response rate was 90.6%. The participants who were categorized as the group eating 3 meals per week significantly experienced less mental distress than those who were categorized as consuming 2 meals and one/no meal per week (P-value < 0.05). The min rate of violent behaviors was observed among participants who were classified as consuming 3 meals group and the max rate in one/no meal group. Participants who were categorized as consuming one/ no meal and 2 meals per week had higher risk of mental distress and violent behaviors compared with those whom consumed 3 meals per week.
Conclusions: Meal skipping was significantly associated with mental problems and violent behaviors among Iranian children and adolescents and this association was independent of known confounders.- انتشار مقاله: 17-04-1395
- نویسندگان: Hossein Ansari,Roya Kelishadi,Mostafa Qorbani,Morteza Mansourian,Zeinab Ahadi,Mohammad Esmaeil Motlagh,Gelayol Ardalan,Saeid Safiri,Hamid Asayesh,Rasool Mohammadi,Ramin Heshmat
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Vitamin D deficiency,Climate,Children and adolescents
- چکیده:
- چکیده انگلیسی: Background: Sunlight is the main source of vitamin D; therefore, environmental factors might have an important role in the high prevalence of hypovitaminosis D in children. This study aimed to assess the vitamin D status according to the climate of the living area in a nationally representative sample of Iranian adolescents.
Material and Methods: This nationwide cross-sectional survey was performed among a representative sample of 1,095adolescents aged 10-18 years, selected by multistage cluster sampling method from 27 provinces of Iran. Serum 25-hydroxyvitamin D [25(OH) D] concentrations was compared in inhabitants of humid-rainy, cold-mountainous, and sunny regions.
Results: Vitamin D deficiency was documented in 40% of participants including 40.70% of boys and 39.30% of girls. We found significant difference in 25(OH) D concentrations among participants living in the three different climates of the living area (P<0.05). The median inter-quartile range (IQR) level for 25(OH)D was lower in humid-rainy climate: 11.40 (18.64). Hypovitaminosis D was more frequent in humid-rainy climate (42.30%), compared to other climates; this difference was more prominent in urban areas (P<0.05). Boys living in various climates had significantly different levels of 25(OH) D(P<0.05), however this figure was not significantly different for girls (P>0.05). The highest frequency of hypovitaminosis D (45.2%) was documented among boys living in humid-rainy regions.
Conclusion: The high prevalence of hypovitaminosis D, notably among inhabitants of humid-rainy region underscores the necessity of implementing national preventive strategies. This is of great importance especially in regions with lower exposure to sunlight.- انتشار مقاله: 18-01-1395
- نویسندگان: Roya Kelishadi,Mostafa Qorbani,Mohammad Esmaeil Motlagh,Ramin Heshmat,Parinaz Poursafa,Maryam Bahreynian
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Iran,Adolescent,Socioeconomic status,Injuries
- چکیده:
- چکیده انگلیسی: Background:Childhood and adolescence injuries are still frequently occuring in developing countries. This study aims to assess the association of socio-economic status (SES) with injuriesin Iranian children and adolescents.
Materials and Methods: This multicentricsurvey was part of a national surveillance program, which was conducted in 2011-2012 amongst 14,880 students aged6-18 years. Participants were randomly selected from urban and rural areas of 30 provinces in Iran. Socio- economic status (SES) of participants was categorized to “low”, “middle” ,and “high” by using principle component analysis method by considering parental job and education as well as family assets. Prevalence, types and places of injuries were based on the questionnaire of the World Health Organization- Global School-based student Health Survey (WHO-GSHS).Multivariate modelwas used for comparison of variables between SES groups.
Results: Overall, 13486 out of 14880 invited students (response rate: 90.6%) participated in this study.Their mean (SD) age was12.47 (3.36) years.Boys and urban residents constituted the majority of participants (50.8% and 75.6%, respectively). Compared with low SES group, odds of sport injury was higher in students with middle (OR=1.44; 95%CI: 0.92-2.26) and highSES (OR=1.96; 95%CI: 1.27-3.01). Compared to participants withlow SES,odds of home injuries was significantly lower in high SES group (OR=0.78; 95%CI: 0.64-0.95).
Conclusion: This study revealedconsiderable differences in injuries of children and adolescents according to their SES, with higher prevalence of home injuries in low SES families and higher prevalence of sport injuries in middle and high SES levels. When implementing injury prevention programs, such differences should be taken into account.- انتشار مقاله: 22-01-1395
- نویسندگان: Roya Kelishadi,Mohsen Jari,Mostafa Qorbani,Mohammad Esmaeil Motlagh,Shirin Djalalinia,Saeid Safiri,Mohammad Moafi,Gelayol Ardalan,Morteza Mansourian,Hamid Asayesh,Ramin Heshmat
- مشاهده