ABSTRACT
OBJECTIVES@#Self-reporting can be used to determine the incidence and prevalence of hypertension (HTN). The present study was conducted to determine the validity of self-reported HTN and to identify factors affecting discordance between self-reported and objectively measured HTN in participants in the Ravansar Non-Communicable Diseases (RaNCD) cohort.@*METHODS@#The RaNCD cohort included permanent residents of Ravansar, Iran aged 35-65 years. Self-reported data were collected before clinical examinations were conducted by well-trained staff members. The gold standard for HTN was anti-hypertensive medication use and blood pressure measurements. The sensitivity, specificity, positive and negative predictive values, and overall accuracy of self-reporting were calculated. Univariate and multivariate logistic regression were used to examine the discordance between self-reported HTN and the gold standard.@*RESULTS@#Of the 10 065 participants in the RaNCD, 4755 (47.4%) were male. The prevalence of HTN was 16.8% based on self-reporting and 15.7% based on medical history and HTN measurements. Of the participants with HTN, 297 (18.8%) had no knowledge of their disease, and 313 (19.9%) had not properly controlled their HTN despite receiving treatment. The sensitivity, specificity, and kappa for self-reported HTN were 75.5%, 96.4%, and 73.4%, respectively. False positives became more likely with age, body mass index (BMI), low socioeconomic status, and female sex, whereas false negatives became more likely with age, BMI, high socioeconomic status, smoking, and urban residency.@*CONCLUSIONS@#The sensitivity and specificity of self-reported HTN were acceptable, suggesting that this method can be used for public health initiatives in the absence of countrywide HTN control and detection programs.
ABSTRACT
OBJECTIVES: Self-reporting can be used to determine the incidence and prevalence of hypertension (HTN). The present study was conducted to determine the validity of self-reported HTN and to identify factors affecting discordance between self-reported and objectively measured HTN in participants in the Ravansar Non-Communicable Diseases (RaNCD) cohort. METHODS: The RaNCD cohort included permanent residents of Ravansar, Iran aged 35-65 years. Self-reported data were collected before clinical examinations were conducted by well-trained staff members. The gold standard for HTN was anti-hypertensive medication use and blood pressure measurements. The sensitivity, specificity, positive and negative predictive values, and overall accuracy of self-reporting were calculated. Univariate and multivariate logistic regression were used to examine the discordance between self-reported HTN and the gold standard. RESULTS: Of the 10 065 participants in the RaNCD, 4755 (47.4%) were male. The prevalence of HTN was 16.8% based on self-reporting and 15.7% based on medical history and HTN measurements. Of the participants with HTN, 297 (18.8%) had no knowledge of their disease, and 313 (19.9%) had not properly controlled their HTN despite receiving treatment. The sensitivity, specificity, and kappa for self-reported HTN were 75.5%, 96.4%, and 73.4%, respectively. False positives became more likely with age, body mass index (BMI), low socioeconomic status, and female sex, whereas false negatives became more likely with age, BMI, high socioeconomic status, smoking, and urban residency. CONCLUSIONS: The sensitivity and specificity of self-reported HTN were acceptable, suggesting that this method can be used for public health initiatives in the absence of countrywide HTN control and detection programs.
Subject(s)
Female , Humans , Male , Blood Pressure , Body Mass Index , Cohort Studies , Hypertension , Incidence , Internship and Residency , Iran , Logistic Models , Methods , Prevalence , Public Health , Self Report , Sensitivity and Specificity , Smoke , Smoking , Social ClassABSTRACT
We aimed to examine associations between muscle strength and obesity and serum lipid profile in Ravansar Non-Communicable Disease (RaNCD) cohort study. This study was conducted on 6,455 subjects aged 35–65 years old from baseline data of RaNCD in Iran. The associations between grip strength and adiposity measurements were explored using linear regression with adjustment for age, height, smoking status, alcohol intake, social class, and prevalent disease. The mean of body mass index (BMI) and muscle strength was 27.2 ± 4.6 kg/m² and 33.3 ± 11.5, respectively. Muscular strength increased with increasing BMI and waist circumference (WC) in both sexes. Multivariate regression analysis revealed a 3.24 (95% confidence interval [CI], 2.29, 4.19) kg difference between BMI in top and bottom in men, and 1.71 (95% CI, 0.98, 2.34) kg/m² in women. After multivariable adjustment, a difference of 2.04 (95% CI, 1.12, 2.97) kg was observed between the top and bottom WC quartiles in men and 1.25 (95% CI, 0.51, 1.98) kg in women. In men, with increase of low-density lipoprotein and cholesterol, the mean muscle strength was significantly increased. Muscle strength may be associated with body composition and lipid profiles. Muscle strength can be an appropriate indicator for predicting some of the problems caused by body composition disorders, which requires further longitudinal studies.
Subject(s)
Female , Humans , Male , Adiposity , Body Composition , Body Mass Index , Cholesterol , Cohort Studies , Hand Strength , Intra-Abdominal Fat , Iran , Linear Models , Lipoproteins , Longitudinal Studies , Muscle Strength , Obesity , Obesity, Abdominal , Smoke , Smoking , Social Class , Waist CircumferenceABSTRACT
Background: Starting to work from early age can have negative impact on the growth and nutritional status, especially if the children are employed in dangerous jobs. This study aimed to assess nutritional status and growth in working children who were working in Kermanshah.
Materials and Methods: This survey was a case-control study that wasdoneon90 working childrenand90not- working children in Kermanshah. Information related to anthropometric indices with measurements of height and weight, demographic data using demographic questionnaire and food intake using food frequency questionnaire were collected. To compare growth of children with standards we use body mass index percentiles for sex and age provided by Centres for Disease Control and Prevention [CDC].Data analysis was performed using SPSS software version 16.
Results: Mean of age working children was 16.4 +/- 1.8 years and 15.7% of them were illiterate. Consumption of all food groups except the miscellaneous group in working children was significantly lower than not- working children[p<0.001].The prevalence of stunting in working children was 10% more than the not- working children. The prevalence of malnutrition based on body mass index in working children[36.1%], was approximately 50% more than the not- working children[16.5%], [P <0.01].
Conclusion: The finding so this study showed that indicators of nutritional status in working children have not favourable condition. This could bea risk factor for health of this group of children and a warning for affecting of them by kind of disease.
ABSTRACT
The aim was to assess the effects on lifestyle and lipid profile while fasting during holy month of Ramadan. An interventional cohort study designed with 160 subjects who were fasting during Ramadan recruited from different mosques in Kermanshah. Data were collected in three stages at the beginning and at the end of Ramadan as well as one month following Ramadan using demographic and FFQ questionnaires. Blood pressure was measured and a 5 ml blood sample was collected in order to measure BUN, Creatinine, and lipid profile analysis. Significant increases was observed in total cholesterol [P=0.02], LDL-C [P=0.001], HDL-C [P=0.001], and BUN [P=0.002] following Ramadan compared with earlier measurements. Triglyceride [TG] level decreased following Ramadan [P=0.04] but returned to the same level one month later. Systolic blood pressure increased and diastolic blood pressure decreased during fasting period. There was a significant decrease in cereals, dairy products, and meat consumption while consumption of fruits and vegetables have been increased during Ramadan [P=0.003]. Our results revealed increased levels of T-Chol and LDL-C in fasting as well as HDL-C. Increased HDL-C may prevent the side effects of T-Chol and LDL-C in healthy subjects. Given the metabolic changes that occurred during Ramadan, healthy eating and intake of low fat and low sugar diet during Ramadan are highly recommended
ABSTRACT
The aim of this study was to determine epidemiologic features of acute flaccid paralysis [AFP] during 2004-2009 in Kermanshah province. This cross-sectional descriptive study was done based on data records from Kermanshah health care center. In total 89 patients, 0- 14 years old were enrolled study, which 36 of them were male and 53 were female. 50.6% of subjects were diagnosed as Guillain-barre, 6.7% transverse synovitis and 5.6% as arthritis. No any cases of poliomyelitis were diagnosed. The prevalence of reported of AFP during 2004-2009 in Kermanshah province was more than expected rate of 1 per 100000 according to WHO