Nutritional Status of Infants and Some Related Risk Factors in Shahroud, Iran

Background: This study aimed to assess the nutritional status of children under two years old in two time periods in 1995 and 2016 in rural areas of Shahroud.Methods: This cross-sectional descriptive analytical study enrolled 1443 participants selected by cluster sampling in 1995 and 2016. We calculated the mean standard deviation of weight for age, height for age, and weight for height and compared them with international reference values (WHO/NCHS). The obtained values which were two standard deviations below the mean reference values were defined as wasting, underweight, and stunting. The collected data was analyzed in SPSS software at a significance level of 0.05 using descriptive statistics, chi-square test, and regression analysis.Results: In this study, 1443 children under two years old were studied over two time periods in 1995 and 2016. The results showed 14.9%, 29.5%, and 7.3%, in 1995 and 9.2%, 10.1%, and 4% in 2016 suffered from underweight, wasting, and stunting, respectively. Among the factors involved in malnutrition in 1995 were parents’ education, family size, child gender, birth order, type of the first complementary food, diarrhea, acute respiratory infection in the two weeks prior to the study, and exclusive breastfeeding. In 2016, we observed significant relationships between the body mass index (BMI), underweight, wasting, exclusive breastfeeding, and all three types of malnutrition.Conclusions: Despite a reduction in the prevalence of different types of malnutrition, it is still a common problem. When designing such programs, special attention must be paid to promote breastfeeding

Nutritional Status of Infants and Some Related Risk Factors in Shahroud, Iran

Background: This study aimed to assess the nutritional status of children under two years old in two time periods in 1995 and 2016 in rural areas of Shahroud.Methods: This cross-sectional descriptive analytical study enrolled 1443 participants selected by cluster sampling in 1995 and 2016. We calculated the mean standard deviation of weight for age, height for age, and weight for height and compared them with international reference values (WHO/NCHS). The obtained values which were two standard deviations below the mean reference values were defined as wasting, underweight, and stunting. The collected data was analyzed in SPSS software at a significance level of 0.05 using descriptive statistics, chi-square test, and regression analysis.Results: In this study, 1443 children under two years old were studied over two time periods in 1995 and 2016. The results showed 14.9%, 29.5%, and 7.3%, in 1995 and 9.2%, 10.1%, and 4% in 2016 suffered from underweight, wasting, and stunting, respectively. Among the factors involved in malnutrition in 1995 were parents’ education, family size, child gender, birth order, type of the first complementary food, diarrhea, acute respiratory infection in the two weeks prior to the study, and exclusive breastfeeding. In 2016, we observed significant relationships between the body mass index (BMI), underweight, wasting, exclusive breastfeeding, and all three types of malnutrition.Conclusions: Despite a reduction in the prevalence of different types of malnutrition, it is still a common problem. When designing such programs, special attention must be paid to promote breastfeeding

Prevalence and Covariates of Metabolic Syndrome among Elderly People Living in Nursing Homes, Semnan, Iran

Backgrounds: The study aimed to determine the prevalence and covariates of metabolic syndrome among the elderly residents in nursing homes in Semnan Province, Iran. Methods: This cross-sectional study was conducted among aged participants institutionalized in nursing home in 2018. The study participants’ characteristics were assessed using a demographic assessment form. Moreover, the Mini Nutritional Assessment (MNA) questionnaire, Mentally Assessing Nutritional Assessment (MANA), Katz's Index of Independence in Activity of Daily Living, Mini-Mental State Examination (MMSE) and well-being were applied to assess the participants’ physical and mental status. In addition, Para-clinical and biochemical tests for diagnosis of metabolic syndrome used based on the Adult Treatment Panel (ATPIII). Results: In this study, of 129 eligible participants, 27.7% were suffering from metabolic syndrome. The prevalence of MS in male and female subjects were 26.6% and 28%, respectively.  The results of the study indicated a significant relationship between metabolic syndrome and nutritional statues (Pvalue=0.004), mental status (Pvalue=0.001) and ADL (Pvalue=0.003). Moreover, the results showed no significant relationship between well-being and metabolic syndrome. Of all variables of the study, significant relationship between smoking habit, lack of daily activity, abdominal obesity, high systolic and blood pressure, high density lipoprotein cholesterol (HDL-C) HDL-cholesterol, Waist Circumference (WC), systole blood pressure (SBP) were found to be statistically significant. Conclusions: The findings of the study indicated the prevalence of metabolic syndrome among institutionalized elderlies is high. It is recommended to implement preventive and therapeutic measures in this vulnerable group of elderly people. Key words: Metabolic Syndrome, Elderly People, Nursing Homes, Prevalenc

Is the Staple Food Consumed Changes in Diabetics can Affect the Quality of Life? A Parallel Randomized Controlled Trial.

Backgrounds: Diabetes is one of the chronic diseases that need continual medical care and self-care education, as well as nutritional therapy as an integral part of dietary management. This study was carried out to investigate the effect of bulk bread formulated with portulaca oleracea on quality of life (QOL) in patients with type 2 diabetes. Methods: This parallel randomized controlled trial was conducted on 104 patients with type 2 diabetes. Participants received bulk bread containing 10% portulaca powder for 8 weeks (intervention group); the control group used their normal daily bread.  The quality of life score was estimated in both groups by the use of the Short-form 36-Item (SF-36) questionnaire before the intervention, and 8 weeks after dietary intervention, the quality of life score between both groups was compared. The significant level was set at 0.05. Results: The difference in the mean score of quality of life of the studied units in different dimensions of physical function, role limitation due to physical problems, role limitation due to emotional problems, physical pain, social function, energy and vitality, mental health, general health, and overall quality of life showed that  there was a significant difference in the mean in all dimensions and quality of life, except mental health, was observed in the case group after the intervention. The mean difference in quality of life in different dimensions before and after the intervention in the intervention group is significant. Conclusions: According to the results, it was revealed that consumption bulk bread formulated with portulaca oleracea can promote the quality of life in patients with type 2 diabetes. So, it can be concluded that portulaca oleracea as a functional plant can be found in bread as a new treatment and prevention method in patients with diabetes. Keywords: Bread, Portulaca oleracea, Quality of life, Type 2 diabetes.&nbsp

Is the Staple Food Consumed Changes in Diabetics can Affect the Quality of Life? A Parallel Randomized Controlled Trial.

Backgrounds: Diabetes is one of the chronic diseases that need continual medical care and self-care education, as well as nutritional therapy as an integral part of dietary management. This study was carried out to investigate the effect of bulk bread formulated with portulaca oleracea on quality of life (QOL) in patients with type 2 diabetes. Methods: This parallel randomized controlled trial was conducted on 104 patients with type 2 diabetes. Participants received bulk bread containing 10% portulaca powder for 8 weeks (intervention group); the control group used their normal daily bread.  The quality of life score was estimated in both groups by the use of the Short-form 36-Item (SF-36) questionnaire before the intervention, and 8 weeks after dietary intervention, the quality of life score between both groups was compared. The significant level was set at 0.05. Results: The difference in the mean score of quality of life of the studied units in different dimensions of physical function, role limitation due to physical problems, role limitation due to emotional problems, physical pain, social function, energy and vitality, mental health, general health, and overall quality of life showed that  there was a significant difference in the mean in all dimensions and quality of life, except mental health, was observed in the case group after the intervention. The mean difference in quality of life in different dimensions before and after the intervention in the intervention group is significant. Conclusions: According to the results, it was revealed that consumption bulk bread formulated with portulaca oleracea can promote the quality of life in patients with type 2 diabetes. So, it can be concluded that portulaca oleracea as a functional plant can be found in bread as a new treatment and prevention method in patients with diabetes. Keywords: Bread, Portulaca oleracea, Quality of life, Type 2 diabetes.&nbsp

Prevalence and Covariates of Metabolic Syndrome among Elderly People Living in Nursing Homes, Semnan, Iran: Metabolic syndrome among elderly subjects

Backgrounds: The study aimed to determine the prevalence and covariates of metabolic syndrome among the elderly residents in nursing homes in Semnan Province, Iran. Methods: This cross-sectional study was conducted among aged participants institutionalized in nursing home in 2018. The study participants’ characteristics were assessed using a demographic assessment form. Moreover, the Mini Nutritional Assessment (MNA) questionnaire, Mentally Assessing Nutritional Assessment (MANA), Katz's Index of Independence in Activity of Daily Living, Mini-Mental State Examination (MMSE) and well-being were applied to assess the participants’ physical and mental status. In addition, Para-clinical and biochemical tests for diagnosis of metabolic syndrome used based on the Adult Treatment Panel (ATPIII). Results: In this study, of 129 eligible participants, 27.7% were suffering from metabolic syndrome. The prevalence of MS in male and female subjects were 26.6% and 28%, respectively.  The results of the study indicated a significant relationship between metabolic syndrome and nutritional statues (Pvalue=0.004), mental status (Pvalue=0.001) and ADL (Pvalue=0.003). Moreover, the results showed no significant relationship between well-being and metabolic syndrome. Of all variables of the study, significant relationship between smoking habit, lack of daily activity, abdominal obesity, high systolic and blood pressure, high density lipoprotein cholesterol (HDL-C) HDL-cholesterol, Waist Circumference (WC), systole blood pressure (SBP) were found to be statistically significant. Conclusions: The findings of the study indicated the prevalence of metabolic syndrome among institutionalized elderlies is high. It is recommended to implement preventive and therapeutic measures in this vulnerable group of elderly people. Key words: Metabolic Syndrome, Elderly People, Nursing Homes, Prevalenc