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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Knowledge,Practice,Educational intervention,Neonatal Jaundice
- چکیده:
- چکیده انگلیسی: Background: Raising awareness of mothers has an important role to preventing neonatal severe hyperbilirubinemia. We aimed to investigate the role of educational intervention on the knowledge and practice of the mothers with icteric newborns. Materials and Methods: This study was interventional study with interventional and control group. Study population consisted of 384 consecutive parents of newborns with jaundice, who were admitted to Mahdieh and Mofid hospitals in Tehran- Iran, during 2013 to 2014. The participants were randomly assigned to the trained group (n = 192), who receiving educational programs in three sessions that each sessions was about 45 minutes and the control group (n = 192), without any educational intervention Two months after completing the educational program, the level of knowledge and practice of women in both groups was assessed by using the same questionnaire. The data were analyzed by using SPSS software. Results: The mean score for the level of knowledge toward neonatal jaundice was higher in educational group compared to the control group (7.5 ± 2.5, ranged 2 to 15 versus 4.7 ± 1.3 ranged 1 to 7, P < 0.001). The level of knowledge toward neonatal jaundice reached 72% in educational group that remained 39% in control mothers. The mean score for practice of mothers to neonatal jaundice was significantly higher in trained mothers than in untrained ones (13.7 ± 3.8 ranged 7 to 19 versus 5.9 ± 2.1 ranged 3 to 7, P < 0.001). Also, high score for practice in trained and untrained women was 84% and 67%, respectively that was significantly higher in former group (P<0.05).
Conclusion: Despite low level of knowledge and practice of mothers with jaundiced neonates, training programs in our experience led to significantly improving the level of knowledge and practice in this population.- انتشار مقاله: 04-05-1395
- نویسندگان: Mandana Kashaki,Mohammad Kazemian,Abolfazl Afjeh,Mostafa Qorbani,Omid Safari,Babak Rastegari Mehr,Tahereh Pashaei,Hossein Ansari,Hamid Asayesh,Zahra Shafieyan,Morteza Mansourian
- 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: Students,perception,fast foods,Intention
- چکیده:
- چکیده انگلیسی: Background: Studies report inappropriate snack and junk food consumption patterns in children and young adults in Iran. The current survey was aimed to explore fast food consumption behaviors in high-school students based on the Theory of Planned Behavior.
Materials and Methods: A cross-sectional study was done among 500 high-school students. Samples were selected based on cluster sampling method at first and simple random at second. Data were collected using a researcher-made questionnaire. To analyze, SPSS-16 and tests, including t-test, Chi-square, correlation coefficient and multiple regressions were used.
Results: The monthly frequency of fast food consumption was 4.01. The TPB explained fast food use behaviors with R2 of 0.6, effectively. Results also represented that frequency of fast food consumption was meaningfully in line with behavioral intention (β = 0.60, P < 0.05) and subjective norms (β = 0.17, P < 0.05).
Conclusion: It seems likely beneficial to consider important subjective norms (especially friends) that may strongly effect on high-school student intention to use fast food. Also students perceived behavioral control must be increased.- انتشار مقاله: 18-03-1395
- نویسندگان: Kamal Mirkarimi,Morteza Mansourian,Mohammad Javad Kabir,Rahman Berdi Ozouni- Davaji,Maryam Eri,Seyed Ghadir Hosseini,Mostafa Qorbani,Omid Safari,Babak Rastgari Mehr,Mehdi Noroozi,Abdurrahman Charkazi,Hossein Shahnazi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Students,self-efficacy,Health behavior,health promotion,Dental Carries
- چکیده:
- چکیده انگلیسی: teeth and T=permanent teeth) has been increasing from 1957 to 2015 years in Iran. The current survey aimed to test the power of health promotion model for predicting the oral health behavior among high-school students.
Materials and Methods: A cross-sectional study was conducted on 482 high school students in Gorgan city, Iran. Multi-cluster sampling was used to recruit the samples. A researcher-made questionnaire based on HPM was implemented to collect data. To analyze, SPSS-18 and statistical tests, including t-test, Pearson correlation coefficient and univariate and multivariate regression models were used.
Results: A total of 482 high-school students including 255 (52.9%) male and 227 (47.1%) with mean age of 16.02 ± 0.5 were investigated. The highest and lowest prevalent positive oral health behavior were tooth brushing (73%) and using fluidized oral irrigator (3.6%), respectively. Except for perceived barriers (with negative correlation), all constructs of HBM were positively related to oral health behaviors. Self-efficacy was the strongest predictor of oral health behavior (β=0.653) (r=0.541, P<0.05).
Conclusion: HPM seems likely beneficial to design and develop oral health behaviors among students. Self-efficacy and perceived benefits should also be noticed to promote students oral health behaviors.- انتشار مقاله: 03-03-1395
- نویسندگان: Abdurrahman Charkazi,Rahman Berdi Ozouni- Davaji,Danial Bagheri,Morteza Mansourian,Mostafa Qorbani,Omid Safari,Babak Rastgari Mehr,Kamal Mirkarimi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Adolescent,Overweight,Obesity,Child,Food habits
- چکیده:
- چکیده انگلیسی: Background: Obesity has a growing global epidemic with several risk factors including lifestyle habits, physical activity, and prolonged screen time. This study aimed to compare the dietary habits and self-reported health behaviors in a nationally representative sample of Iranian children and adolescents.
Materials and Methods: This cross sectional nationwide study was conducted in the framework of the fourth survey of a national school-based surveillance program, entitled Childhood and Adolescence Surveillance and Prevention of Adult Non‑communicable disease (CASPIAN-IV) Study. Participants were 14,880 students aged 6-18 years from 30 provinces in Iran. The World Health Organization- Global Student Health Survey questionnaire was utilized to assess their relationship with peers, body image, dietary, life-style and smoking habits, physical activity, and violence behaviors. Apart from the questionnaire, additional information on dietary habits was obtained as well. The Chi-square test and the student t-test were used to compare the groups.
Results: Boys had higher proportions of obesity (P<0.05). The prevalence of overweight and obesity decreased with age. Intake of refined bread (NS), non-hydrogenated oils (P<0.001), and low fat dairies (P<0.05) predominated in all three BMI categories. Meal skipping was less prevalent compared to planned meals, but there was an increasing trend according to BMI. All three BMI categories, were watching TV more than 2 hours per day (P<0.05). Depression and fighting were more prevalent in overweight and obese individuals, respectively.
Conclusion: Unhealthy food intake and dietary habits were prevalent in all BMI categories, while poor health related behaviors were more seen in children with higher weight.- انتشار مقاله: 09-03-1395
- نویسندگان: Fatemeh Azizi-Soleiman,Mohammad Esmaeel LMotlagh,Mostafa Qorbani,Ramin Heshmat,Gelayol Ardalan,Morteza Mansourian,Roya Kelishadi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: risk factors,Iran,Epidemiology,Case-control study,Low birth weight
- چکیده:
- چکیده انگلیسی: Background: Ninety-five percent of low birth weight infants are born in developing countries. This study was aimed to assess the predictors of low birth in East Azerbaijan, North-west province of Iran.
Materials and Methods: The study was conducted through a hospital based case–control design involving 49 women delivering low birth weight infants and 98 delivering normal weight infants. The data analysis was using SPSS-13 software with bivariate and multivariate methods.
Results: There was a significant positive association between maternal chronological and marriage ages with low birth weight infants (P <0.05). Additionally, there was negative association between maternal weight prior to pregnancy and low birth weight (P <0.05). Interestingly, larger families of more than four members had higher probability for low birth weight infants in comparison to the families with less than four members (OR = 2.86, 95% CI: 1.09-7.47; P-value: 0.032). According to the multivariate logistic regression independent factors associated with low birth weight include higher maternal chronological age (OR = 1.88, 95% CI: 1.29 - 2.75; P-value: 0.001) and marriage age (OR = 4.97, 95% CI: 1.97 - 12.50; P-value: 0.001) and increase in maternal weight prior to pregnancy (OR = 0.60, 95% CI: 0.42 - 0.86; P-value: 0.006).
Conclusion: Major risk predictors of low birth weight in the Iranian female population were maternal age other than 25-30 at delivery, young maternal marriage age and lower maternal weight before pregnancy.- انتشار مقاله: 02-03-1395
- نویسندگان: Nahid Karamzad,Saeid Safiri,Samira Amiri,Naeema Syedi,Mehrangiz Ebrahimi-Mameghani,Mahmood Moosazadeh,Mostafa Qorbani,Abbas Abbasi-Ghahramanloo
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Deferoxamine,Deferiprone,Beta thalassemia,Iron overload
- چکیده:
- چکیده انگلیسی: Background: Patients with transfusional iron overload have depended on iron chelation therapy and improving chelation regimens have been of the highest priority. The aim of this study was to compare effect of combined versus monotherapy with Deferoxamine (DFO) and Deferiprone (DFP) in iron overloaded beta thalassemia (BT) major patients
Materials and Methods
We studied 36 BT major patients (mean age 7.6±4.6; range 3–16 years) attending the Ormieh Motahari hospital for regular transfusional support. Patients were randomly allocated to receive one of the following two treatments: DFO in combination with DFP (n=12), DFO alone (n=12) and DFP alone (n=12). Serum ferritin level, liver enzymes, blood urea nitrogen, and creatinine and side effects were monitored over a 12 months period.
Results: After one year, serum ferritin decreased more significantly in patients on DFO+DFP therapy compared to patients who only received DFO or DFP alone (P<0.01). Side effects of DFP, including gastrointestinal upset (nausea, vomiting and abdominal pain) and mild agranulocytosis occurred in five (41.7%) and two (8.3%) patients, respectively but none led to discontinuation of the treatment.
Conclusion: In comparison to the standard chelation monotherapy of DFO, combination treatment with additional DFP reduced serum ferritin and is effective procedure in clinical management of iron overload in patients with BT major.- انتشار مقاله: 17-02-1395
- نویسندگان: Sasan Hejazi,Omid Safari,Reza Arjmand,Mostafa Qorbani,Kumars Pourrostami,Abdolmohammad Safari,Arezo Hemmati
- 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,Body Mass Index,Lambda-Mu-Sigma method Percentile curves
- چکیده:
- چکیده انگلیسی: Background: The children’s body composition status is an important indicator of health condition evaluated through their body mass index (BMI). We aimed to provide standardized percentile curves of BMI in a population of Iranian children and adolescents. We assessed the nationally representative of sample populations from Tehran.
Materials and Methods: A total sample of 14,865 children aged 7-18 years was gathered. The Lambda-Mu-Sigma method was used to derive sex-specific smoothed centiles for age via the Lambda-Mu-Sigma Chart Maker Program. Finally, the prevalence of overweight and obesity with 95% confidence interval (CI) was calculated.
Results: BMI percentiles obtained from Tehran’s population, except for the 10th percentile, seem to be very slightly greater than the urban boys from all over Iran. BMI percentiles have an increasing trend by age that is S-shaped with a slight slope. Only in the 90th and 97th percentiles of BMI for girls, this rising trend seems to stop. Boys generally have higher BMIs than girls. The exceptions are younger ages of 90th and 97th percentiles and older ages of 3rd and 10th percentiles. A total number of 1,008 (13.20%; 95% CI: 12.46-13.98) boys and 603 (8.34%; 95% CI: 7.72-9.00) girls were categorized as overweight and obese. Obesity were observed in 402 (5.27%; 95% CI: 4.79-5.79) boys and 274 (3.76%; 95% CI: 3.35-4.22) girls.
Conclusion: We construct BMI percentile curves by age and gender for 7 to 18 years Iranian children and adolescents. It can be concluded that sample populations from Tehran are nationally representative.- انتشار مقاله: 14-02-1395
- نویسندگان: Mostafa Hosseini,Masoud Baikpour,Mahmoud Yousefifard,Mohammad Ali Mansournia,Mehdi Yaseri,Hadi Asady,Mostafa Qorbani,Roya Kelishadi,Fatemeh Ataei,Neamatollah Ataei
- مشاهده