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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Journal of Kerman University of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Diabetes mellitus Ankle,brachial index Carotid intima media thickness Diabetes complications
- چکیده:
- چکیده انگلیسی: Background:The prevalence of diabetes mellitus is increasing worldwide and the relationship between peripheral vascular involvement and the complications of diabetes disease, such as retinopathy, has been reported in some studies but has not yet been fully proven. The aim of this study was to investigate the relationship between diabetes complications and peripheral and central vascular involvement. Method:A number of 150 patients with diabetes type II aged 30 to 70 years old were entered into this cross- sectional study. Ankle-brachial index (ABI), carotid intima media thickness and diabetes complications were investigated in them. Results:Abnormal ABI was more prevalent (79%) in Female patients. Furthermore, diabetes disease duration (P=0.005), systolic blood pressure (P=0.005) and retinopathy (P=0.003) were higher in females. Based on regression model, the highest relation of abnormal ABI incidence was observed with female gender (OR=2.4). Moreover, only blood pressure was among the abnormal ABI effective risk factors. Conclusion:Female gender, duration of diabetes disease, systolic blood pressure and retinopathy incidence were among the effective factors in the incidence of abnormal ABI and abnormal ABI had a direct and reverse relationship with causing vascular diseases in diabetic type II patients.
- انتشار مقاله: 12-05-1398
- نویسندگان: Mohammad Hossein Gozashti,Mohammad Mehdi Kafi Kang,Mahdieh Mashrooteh,Ahmad Enhesari
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Sleep,Diabetes mellitus type 2,Hemoglobin A glycosylated,Split sleep pattern,Nap
- چکیده:
- چکیده انگلیسی: AbstractSleep disturbances have been shown to be associated with diabetes control, but the relation between planned wakings or napping with glycemic indices has not been evaluated yet. This study evaluated the relation between sleep quality, duration, and pattern, including daytime napping of people with diabetes and their glycemic control. A cross-sectional correlation research design was used for this study. We enrolled 118 people with type 2 diabetes receiving oral agents without major complications at the Shahid Bahonar Center, Kerman. The age, weight, height, serum HbA1c, as well as other glycemic indices and lipid profile were measured. BMI was also calculated. All participants were requested to fill in the Pittsburgh Sleep Quality Index (PSQI) questionnaire to evaluate their sleep quality. In addition, they were inquired about their sleep schedule during day and night. Pearson correlation and multiple regression analyses were conducted to examine the correlation between HbA1c and sleep pattern variables. The variables were also compared between participants with or without napping using t-test. All analyses were performed with the SPSS version 19 (SPSS, Chicago, IL, USA). The mean age was 58±11 years and mean HbA1c (%) was 7.8±11 (62±13 mmol/mol). Sleep duration and the number of sleep segments significantly predicted HbA1c (F (2,114)=5.232, P=0.007, R2=0.084). A one-hour increment in sleep duration was associated with a 0.174% (1.4 mmol/mol) decrement in HbA1c. PSQI score did not contribute to the regression model. Moreover, participants who napped (66%) had a lower HbA1c (7.6±1) compared to others (8.1±1.3) (P=0.04). We concluded that napping and segmented sleep are associated with a better glycemic control in type 2 diabetes and there is a linear correlation between sleep duration and better glycemic control.
- انتشار مقاله: 08-03-1394
- نویسندگان: Mohammad Hossein Gozashti,Nazanin Eslami,Mohammad Hadi Radfar,Hamid Pakmanesh
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Opium,Osteoporosis,osteopenia
- چکیده:
- چکیده انگلیسی: Background: Osteoporosis and osteopenia are the most common metabolic bone diseases making the patients vulnerable to bone fragility and fracture. In this study, the association of opium consumption and osteoporosis adjusted for other risk factors was studied.Methods: In this cross-sectional study, 619 cases including 73 men and 546 women referred to densitometry center in Kerman, Iran, were studied. Demographic information, history of opium consumption, medications, and other risk factors were collected using a structured questionnaire.Findings: In a univariate analysis, opium consumption, aging, and having a body mass index (BMI) lower than 24 accompanied an increased chance of osteoporosis, while taking physical exercises on a daily basis reduces the chance of osteoporosis. Through multivariable analysis, the two variables of age group and BMI group turned out to be of significance; that is, the chance of osteoporosis or osteopenia in the age group of higher than 60 years and 45-60 years being placed in one of the levels of osteoporosis or osteopenia was 4.9 and 3.1 times higher than the age groups lower than 45 years, respectively, after being adjusted to the other variables.Conclusion: Considering the results of this study, though the risk of bone density reduction in the individuals consuming opium was higher, due to the disparity between opium consumption in the two sexes, the difference was not significant between the two groups, and it is proposed that studies on larger samples and in the both sexes be conducted to determine the impacts of opium on the bone density.
- انتشار مقاله: 10-08-1396
- نویسندگان: Zeinab Heidari,Armita Shahesmaeili,Mohammad Reza Khajeh-Bahrami,Mandana Rezazadeh-Mehrizi,Mohammad Hossein Gozashti,Vahid Moazed
- مشاهده