در هنگام جستجو کلمه در قسمت عنوان میتوانید کلمات مورد جستجو را با کاراکتر (-) جدا کنید.
کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Diarrhea,Length of hospitalization,Gastro-Fix Gastroenteritis
- چکیده:
- چکیده انگلیسی: Background: According to evidence, the main treatment plans for children with gastroenteritis include the use of an oral solution or intravenous infusion for hydration, continued nutrition; zinc supplementation. The aim of this study was to investigate the effectiveness of Gastro-Fix (registered nutritional supplement) versus placebo on length of hospitalization and duration of diarrhea in children with acute gastroenteritis.
Materials and Methods: We conducted a double blind randomized placebo-controlled trial in children with acute gastroenteritis (age between 6 and 120 months). Three hundred eligible patients randomly allocated to one of two parallel groups, Intervention received Gastro-Fix, whereas the placebo group received baby food (cereal based on skimmed milk and wheat without mineral) for a total of 6 days. Gastro-Fix and baby food was administered as a same sachet that could be opened and mixed in water. The primary outcome was length of hospitalization and duration of diarrhea.
Results: The Mean length of hospitalization in Gastro-Fix and placebo was 3.43+ 0.57 and 4.70+0.59 day respectively (P<0.001). Median duration of diarrhea was 3 days (range: 3-5, IQR: 3–4 days) in the Gastro-Fix group and 5 days (range 3-6, interquartile range [IQR]: 4–5 days) in the placebo group which was statistically significant (P<0.001). The highest efficacy (diarrhea-free percentage of children) of the Gastro-Fix was observed at day 4 (relative risk [RR]: 0.28; 95% confidence interval [CI]: 0.23-0.35), and at day 5 (RR 0.08; 95% CI: 0.03-0.17) after the intervention.
Conclusion: Finding of this study showed that Gastro-Fix can be effective in reducing duration of diarrhea and length of hospitalization in children with diarrhea. This product is suggested to be used in children with acute gastroenteritis.- انتشار مقاله: 27-10-1396
- نویسندگان: Kumars Porrostami,Reza Arjmand,Hamid Asayesh,Mehdi Noroozi,Omid Safari,Mostafa Qorbani
- 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: children,Comorbidity,Gastroesophageal reflux disease,ADHD
- چکیده:
- چکیده انگلیسی: Background: Gastroesophageal reflux disease (GERD) is associated with a number of comorbidities in pediatrics. However, its association with attention deficit hyperactivity disorder (ADHD) has not been reported. The aim of the present study was to investigate the prevalence of ADHD in pediatric patients newly diagnosed with GERD.
Materials and Methods: Sixty newly-diagnosed treatment naive GERD patients and sixty healthy controls aging between 5 to 12 years referring to the Children and Adolescent’s medical center, Tehran, Iran were recruited in a case-control study during the year 2015. Then patients were evaluated for ADHD by a psychiatrist according to the DSM-IV criteria. The revised Conners' Parent Rating Scale (CPRS-R) was used for assessment of the symptoms of ADHD. To screen for psychiatry disorders other than ADHD, the Kiddie-Sads-Present and Lifetime Version (K-SADS-PL) questionnaire was used. Logistic regression analysis was used for modeling the association between GERD and ADHD in the study sample.
Results: The mean age of GERD patients was 5.77±2.27 and for non-GERD controls was 6.03±2.52 (P= 0.543). Thirty-three out of 60 (55%) GERD patients and 37 out of 60(61.66%) non-GERD controls were male (P: 0.579). Prevalence of ADHD was 33.60 (55%) in GERD patients and 10.60 (16.66%) in non-GERD (P<0.001). Data analysis revealed that being diagnosed with GERD was associated with higher odds of ADHD diagnosis (P<0.001; odds ratio [OR]: 6.88, 95% confidence interval [CI]: 2.8-16.9).
Conclusion: According to the results, diagnosis of GERD was associated with higher odds of being diagnosed with ADHD.- انتشار مقاله: 31-02-1396
- نویسندگان: Mohammad Effatpanah,Farzaneh Motamed,Mehri Najafi,Fatemeh Farahmand,Gholamhosein Fallahi,Davood Motaharizad,Mir Saeed Yekaninejad,Mostafa Qorbani,Jayran Zebardast
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Iran,adolescents,Self-Perceived Health,Wellness
- چکیده:
- چکیده انگلیسی:
Background: Health status is an individual’s relative level of wellness and illness. Self-Perceived Health (SPH) is a single item considered as a health indicator for national and international survey. The aim of this study was to evaluate the SPH measure and its determinants in a National sample of Iranian children and adolescents.
Materials and Methods: This National study was performed as the fourth National survey of a school‑based surveillance program entitled the Childhood and Adolescence Surveillance and Prevention of Adult Non-communicable Disease (CASPIAN‑IV) study. 14,880 students aged 6-18 years old selected from 30 provinces of Iran by a multistage Cluster and stratified sampling method. Two sets of valid and reliable questionnaires were completed for students and their parents.
Results : Overall 13,846 participated in the present studywith 90.6 % participation. In this study, 80.5 % of boys and 79.4% of girls reported good SPH (95% confidence interval (CI), 79.3-81.6 versus 78.1-80.6, respectively). According to the living area, 79.5% from urban and 81.1% from rural area declared good SPH (95% CI, 78.6-80.5 versus 79.2-82.8, respectively). In the multivariate model, the subjects who had healthy weight compared with excess weight had significantly higher SPH (OR: 1.36; 95% CI, 1.17-1.59). Also, the subjects with high Socio-economic status (SES) had higher odds of SPH (odds ratio [OR], 1.23; 95% CI, 1.06-1.41).
Conclusion: Our results showed that SPH can be influenced by both demographic and life style related characteristics among study population. This association was stronger for SPH and academic success, talking with both parents and having normal body image respectively.
- انتشار مقاله: 08-01-1396
- نویسندگان: Hoda Zahedi,Ramin Heshmat,Moloud Payab,Gelayol Ardalan,Mohammad Esmaeil Motlagh,Gita Shafiee,Hamid Asayesh,Ali Asghar Ahmadishokouh,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: Iran,Students,Healthy food,Psychiatric distress,Violent behaviors
- چکیده:
- چکیده انگلیسی: Background: Healthy dietary habits are known as a key factor for improving brain functions and cognitive ability in children and adolescents. The goal of this study was to evaluate the association of healthy food consumption with mental health in Iranian children and adolescents.
Materials and Methods: Data were obtained from the fourth national school-based surveillance survey entitled CASPIAN-IV study. In this study, 14880 children and adolescents aged 6-18 years were selected by multistage, cluster sampling method from rural and urban areas. The students and their parents completed two sets of questionnaires. The psychiatric distress included depression, worry, insomnia, anxiety, aggression, confusion, and worthless and the violent behaviors comprised of physical fight, victim and bully. The healthy foods included fresh fruits, dried fruits, vegetables and dairy products.
Results: The participants include 13,486 students from elementary, intermediate and high school degree. The prevalence of psychiatric distress was significantly higher among high school students, while violent behaviors were more prevalent in the middle school students. According to the multivariate model (model IV), the risk of psychiatric distress was significantly lower in students with daily consumption of fresh fruits, vegetables and milk. In addition, those with daily consumption of vegetables and milk had significantly lower risk for violent behaviors.
Conclusion: Consumption of healthy foods may reduce the risk of psychiatric distress and violent behaviors. Therefore, in addition to its benefits, increasing healthy food consumption among children and adolescents can be useful in preventing mental health disorders.- انتشار مقاله: 08-08-1395
- نویسندگان: Hoda Zahedi,Mostafa Qorbani,Shirin Hasani Ranjbar,Mohammad Esmaeil Motlagh,Gelayol Ardalan,Moloud Payab,Omid Safari,Gita Shafiee,Morteza Mansourian,Ramin Heshmat,Roya Kelishadi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: risk factors,Pregnancy,Infant,fetus,Prenatal care,Premature
- چکیده:
- چکیده انگلیسی: Background: Preterm birth is one of the most remarkable reasons for neonatal and infant mortality and morbidity across the world. This study aimed to determine risk factors of premature infants in the rural area of Azadshahr city, Iran. Materials and Methods: Acase-control study was conducted on all premature and low birth neonates (less than 37 weeks and weight less than 2500 grams). Data were collected by records in 30 health houses located in the rural areas of Azadshahr city durring 2013 to 2016. Two groups (case and control) were matched by gender and health houses. A trained midwife was collected data by using of a researcher-made checklist. To describe mean and standard deviation of the demographic characteristics, descriptive methods were used.To analyze, inferential statistic tests such as Chi- square, and independent t-test were implemented through SPSS (version,16). Significant level was also taken <0.05. Results: In total, 112 girl infant and 101 boy infant were explored. The mean age of mother in the case and control groups was 26.14+ 8.4 and 25.67+ 9.1 years old respectively.There was a significant difference between the two groups in terms of prenatal care and pregnancy complications. In addition, a remarkable relations was found between polytocous and delivery time (P<0.05). Conclusion: Providing mothers with necessary information in terms of interval between births, and the importance of prenatal cares in the pregnancy period to prevent complication seems to be likely useful.
- انتشار مقاله: 30-03-1395
- نویسندگان: Marzieh Gorzin,Morteza Mansourian,Abdurrahman Charkazi,Hassan Rahimzadeh,Aref Rezaee Node,Mostafa Qorbani,Omid Safari,Babak Rastgari Mehr,Hamid Asayesh,Mohammadreza Mansouri Arani,Hossein Ansari,Tahereh Pashaei,Hesamedin Hesamedin Askari Majdabadi,Kamal Mirkarimi
- 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: Iran,burden,Breastfeeding,Disability-adjusted life year,Years lost due disability
- چکیده:
- چکیده انگلیسی: Background: This study uses data of the global burden of diseases (GBD) study 2010 to report death, disability-adjusted life year (DALYs), years of life lived with disability (YLDs) and years of life lost due to premature mortality (YLLs), attributed to suboptimal breastfeeding by age and gender during 1990 to 2010 in Iran. Materials and Methods:The GBD assessments were used, together with estimates of death and DALYs due to specific risk factors to calculate the attributed burden of each risk factor exposure compared with the theoretical-minimum-risk exposure. Uncertainties in the distribution of exposure, relative risks, and relevant outcomes were incorporated into estimates of mortality attributable and burden and were presented as 95 % uncertainty interval (UI). Results:In both genders, the age standardized DALYs rates and the age standardized death rate [(from 5 (95% UI: 2-8) to 1 (95% UI: 0-2) per 100,000 populations], attributed to breastfeeding, had a decreasing trends. The age standardized YLD rate increased from 7 (95% UI: 2-15) to 10 (95% UI: 3-23) per 100,000 populations in boys and, from 7(95% UI: 2-16) to 11(95% UI: 3-26) per 100,000 populations in girls. The YLD changes showed some variation according to age categories. For both genders, the age standardizes YLL rate decreased from 395 (95% UI: 185-681) per 100,000 populations to 111(95% UI: 42-213) per 100,000 populations. Conclusion: The burden attributed to suboptimal breastfeeding had a considerable reduction rate from 1990 to 2010. Additional studies on burden of exclusive breastfeeding with more accurate data are recommended for policies make decision.
- انتشار مقاله: 19-04-1395
- نویسندگان: Roya Kelishadi,Hossein Ansari,Mostafa Qorbani,Mohsen Jari,Shirin Djalalinia,Asal Ataie-Jafari,Mina Poorrezaeian,Morteza Mansourian,Saeid Safiri,Omid Safari,Mehdi Noorozi,Hamid Asayesh,Rasool Mohammadi
- مشاهده