The association of fasting blood glucose (FBG) and waist circumference in northern adults in Iran: A population based study

Objectives: The aim of this study was to evaluate the association between Fasting Blood Glucose (FBG) level and Waist Circumference (WC) in men and women among 25-65 years old people in the north of Iran.Material and methods: This was a cross-sectional and analytical research gender that carried out on the 1797 subjects (941 males and 856 females) between 25-65 years old using multistage cluster sampling technique. FBG was measured in the morning after a 12-hour fast and was determined by using laboratory kits (enzymatic methods) and spectrophotometry technique. Central obesity was defined based on World Health Organization criteria: waist circumference ≥102 cm and ≥88 cm in men and women, respectively. The SPSS.16 software was used for statistical analysis.Results: As whole, the mean of FBG in women (98.3 ± 40.1 mg/dl) was higher than in men (94.6 ± 32.2 mg/dl). Also, the mean of WC in men 4.5 cm was lower than in women. In men, the mean of FBG statistically differs between normal and central obese subjects both in 35-45 year-age group (P = 0.001) and in 45-55 year-age group (P = 0.042). As whole, in men, the FBG level increased up 2.82 mg/dl in each 10 cm of WC with the highest rate in 35-45 year-age group. In totally, in women, the FBG level increased up 3.48 mg/dl in each 10 cm of WC and in 25-35 year-age group and it was higher than in other age groups. In men, the regression coefficients were constant with age increasing while in women it was decreased. Constant trend in men and decreasing trend in women with age was shown between FBG and WC. The cut-off point of WC for detecting of diabetes obtained 89 cm and 107 cm in men and women, respectively.Conclusion: The positive correlation was seen between WC and FBG level and it was declined with age in women. Cut-off point for detecting of diabetes in men was less than in women. WC is useable as a predictor of type 2 diabetes mellitus risk among adults in the north of Iran. © 2014 Veghari et al.; licensee BioMed Central Ltd

The role of motivation in MOOCs’ retention rates : a systematic literature review

Although MOOCs platforms offer a unique way to provide information for a large cohort of participants, only a small percentage of participants complete MOOCs. The high number of dropouts in MOOCs is a key challenge, and the literature suggests that it can be affected by participants' motivation. However, it is not known how and to what extent motivation influences participants’ dropout in MOOCs. There is a need to provide an overview of the role of motivation in MOOCs’ retention. In this study, we aimed to identify motivational factors and theories that affect participants’ retention in MOOCs and explain how does motivation supports participants to complete MOOCs. To do so, a systematic review was conducted using specific inclusion and exclusion criteria and a set of relevant keywords and databases which resulted in 50 relevant publications. Our analysis led us to identify six main motivational factors that influence participants’ MOOCs completion including academic, social, course, personal, professional, and technological motives. These factors were divided into two main categories including need-based motivation and interest-based motivation. The results showed that academic motives play the most important role in participants’ MOOCs retention compared to the other factors. It was also found that self-determination theory was used as the most dominant theory to support participants’ motivation for MOOCs completion. In addition, the results revealed that the motivational factors not only impacts participants’ MOOCs retention directly, but also this impact is mediated by participant satisfaction, self-regulation, attitude toward using MOOCs, performance, engagement, and level of participation. Based on the results, further implications for practice and future research are provided