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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,Clinical manifestations,Brucellosis
- چکیده:
- چکیده انگلیسی: Background
Brucellosis is a zoonotic disease that is widely distributed throughout the developing countries. Children are considered as at risk groups for infection. The aim of this study was to assess the frequency and clinical manifestations of Brucellosis in Iranian children and adolescents.
Materials and Methods: We systematically searched international databases; ISI, Medline (via PubMed), Scopus, and national databases Irandoc, Barakat knowledge network system, Magiran, and Scientific Information Database (SID). The search strategy was developed based on main terms of "Brucellosis," "Brucella fever", "Gibraltar", "Rock Fever", "Undulant Fever", "Cyprus Fever", "Malta Fever", and "Bang Disease".
Results: A total of 885 studies were identified, from them a total of 12 studies that were conducted between 2001 and 2016 were included. Following the relevancy assessments and quality control, data from the 1,429 participants were presented in our review. The age of the patients ranged from 2 to 18 years. Only one out of twelve studies provided the prevalence of 4.30% and 3.4 incidence. Studies varied greatly in reporting high risk behavior of animal contact (8.4 to76.0%) and unpasteurized dairy (22.4 to 91.6%).
Conclusion
Our finding reveals the disparity of reported prevalence and clinical manifestations of Brucellosis in Iranian children. Fever and joint pain were the most frequent reported signs. Differences in study design, measurement tools and methods, and sub population sampling, does not provide the possibility of aggregation of data for more comprehensive inference.- انتشار مقاله: 13-04-1397
- نویسندگان: Shirin Djalalinia,Reza Arjmand,Mehri Gholami,Yasaman Shaker,Sahar Saeedi Moghaddam,Kumars Pourrostami,Omid Safari,Nasrin Elahimehr,Saeed Nik Khah,Ehsan Zahmatkesh,Esfandiar Najafi Tavana,Mostafa Qorbani
- 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
- 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,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
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Physical Activity,adolescents,snacks,Nutrition status
- چکیده:
- چکیده انگلیسی: Background: Nutritional health and adequate physical activity (PA), especially in childhood and grow periods, have a substantial role in health. This study assessed the association of dietary behaviors (main courses and snacks intake) with PA in children and adolescents.
Materials and Methods: Using multistage random cluster sampling method, a representative sample of 14,880 school students were selected from urban and rural areas of 30 provinces of Iran. Through a validated questionnaire, daily consumption of main course ( breakfast, lunch, and dinner) as well as daily consumption of different snacks and health foods ( fast foods, milk, vegetables, dry fruits, fresh fruits, sweetened beverages, salty snacks and sweets) were recorded for every participants. Information of past week weekly frequency of leisure time PA was collected.
Results: Overall, 13,486 out of 14,880 students (response rate: 90.6%) participated in this survey. Participants consisted of 6,640 (49.2%) girls and 75.6% urban residents; their mean and standard deviation (SD) age was 12.47 (3.36) years. Daily consumption of fresh fruits (odds ratio [OR]: 1.35, 95%confidence interval [CI]: 1.20-1.52), dried fruits (OR: 1.21; 95%CI: 1.06-1.40), vegetable (OR: 1.39; 95% CI: 1.24-1.56), and milk (OR: 1.35; 95% CI: 1.21-1.52) increased the odds of high PA compare to low PA in adjusted model. Skipping the breakfast, lunch and dinner decreased the odds of moderate and high PA compare to low PA (P<0.05).
Conclusion: Present study showed that dietary behaviors are associated with PA level in Iranian adolescents. Findings should be used for better evidence based planning of health promotional programs in these age groups.- انتشار مقاله: 25-11-1394
- نویسندگان: Saeid Safiri,Roya Kelishadi,Mostafa Qorbani,Razieh Lotfi,Shirin Djalalinia,Delara Salehifar,Mohammad Esmaeil Motlagh,Gelayol Ardalan,Morteza Mansourian,Hamid Asayesh,Ramin Heshmat
- مشاهده