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1.
IJPM-International Journal of Preventive Medicine. 2014; 5 (12): 1529-1536
in English | IMEMR | ID: emr-167678

ABSTRACT

Diabetes mellitus is one of the most common chronic diseases in the world and has become a major threat for global health. Recent studies reported that the soy has beneficial effects in diabetic mellitus patients. The aim of this study was to assess the effects of soybean flour fortified bread consumption on metabolic profile in type 2 diabetic women. This randomized, cross-over, controlled clinical trial was carried out in 30 type 2 diabetic women. At first, a 2-week run-in period was applied. Then, participants were randomly assigned to either intervention or control groups. Participants in the intervention group were asked to replace 120 g of soybean flour fortified bread with the same amount of their usual bread intake or other cereal products for 6 weeks. After a 4 weeks washout period, participants were crossed over for another 6 weeks. Mean [+/- standard deviation] age and body mass index of subjects was 45.7 +/- 3.8 years and 29.5 +/- 3.9 kg/m[2], respectively. The results of our study showed no significant effects of soybean flour fortified bread on metabolic profile. We found a reduction in serum triglycerides [change difference: -3.7, P = 0.82], serum low-density lipoprotein-cholesterol [change difference:-11.2, P = 0.50], insulin [change difference:-3.6, P = 0.7], and homeostatic model assessment of insulin resistance [change differences: -0.57, P = 0.45] after 6 weeks but these changes were not statistically significant. No significant effects of soybean flour fortified bread on serum concentrations of fasting blood sugar, glycated hemoglobin, high-density lipoproteins and total cholesterol levels were found. Six weeks consumption of soybean flour fortified bread among diabetic patients had no significant effects on metabolic profile


Subject(s)
Humans , Female , Glycine max , Bread , Cross-Over Studies , Food, Fortified , Women
2.
IJPM-International Journal of Preventive Medicine. 2014; 5 (12): 1608-1615
in English | IMEMR | ID: emr-167688

ABSTRACT

The impact of honey or vinegar on several metabolic abnormalities has been studied separately, a mixture of these two ingredients known as honey vinegar syrup [HVS] has not been investigated previously so far. The aim of this study was to assess the impact of HVS consumption [Iranian's traditional syrup] on glycemic parameters and lipid profiles in healthy individuals. We conducted a 4-week, randomized, controlled, parallel study consisting of two groups of nonobese healthy volunteers. All subjects were asked to stay on their normal diet. Intervention group [n = 36] received a cup of HVS daily in the evening snack for 4-week [250 cc syrup contains 21.66 g honey vinegar]. Assessments of fasting blood sugar [FBS], insulin, homeostasis model assessment of insulin resistance [HOMA-IR], total cholesterol [TC], triglyceride [TG], high-density lipoprotein cholesterol [HDL-C] and low-density lipoprotein cholesterol [LDL-C] were conducted at the baseline and after 4-week of study. We observed no significant effect of HVS on FBS, HOMA-IR, LDL-C and TG. A significant effect of HVS was found on increasing fasting insulin and HOMA-IR and reduction in TC level only in intervention group [DELTA =3.39 P = 0.01, DELTA =1.65 P = 0.03, DELTA = -9.43 P = 0.005, respectively]. Changes of FBS, TG and LDL-C were 1.83 mg/dl, -1.53 mg/dl and - 3.99 mg/dl respectively in the intervention group. These changes were not significant. An unfavorable and significant reduction in HDL-C level was also observed between two groups [DELTA = -4.82 P < 0.001 in the intervention group]. Honey vinegar syrup increased fasting insulin level and decreased TC level in the intervention group. HVS had an unfavorable effect on HDL-C level. Further prospective investigations are warranted to confirm these findings


Subject(s)
Humans , Male , Female , Acetic Acid , Blood Glucose , Lipids
3.
IJPM-International Journal of Preventive Medicine. 2014; 5 (1): 21-28
in English | IMEMR | ID: emr-141279

ABSTRACT

Nutrition in childhood has a significant role in current and adulthood health. Recent studies have shown that the mother's life-style has an important role in the methods used by mother to feed child, child's diet and body mass index [BMI]. This study paper aimed to investigate the association between mother's weight efficacy life-style [WEL] with feeding practices and diet in children aged 3-6 years. In this cross-sectional study, which was carried out in 18 Primary Schools of Rasht [Iran] in 2012, 165 mothers with children aged 3-6 years were participated. Mothers reported their own and their child's demographics. Aspects of mother's WEL and mother's control practices were assessed using WEL questionnaire and Comprehensive Feeding Practices Questionnaire respectively. Height and weight of mothers participated in the study were measured. Child's dietary intake was measured using Food Frequency Questionnaire [FFQ]. The role of mother's weight efficacy in predicting child's feeding practices and child's diet was assessed using the linear regression. Statistical significance for all P values was set at 0.003. The results were showed that mother's weight efficacy was related to child feeding practices and child's dietary intake. The mothers with similar WEL applied similar methods in child nutrition. Mothers with better weight efficacy used more encourage balance and variety [beta = 1.860], environmental control [beta = 0.437], child involvement [beta = 0.203] and less emotion regulation using foods [beta = -0.213] and their children eat fewer snacks [beta = -0.318] [P[v] = 0.003]. The result of this study showed that maternal life-style was associated with feeding practices and child's intake. There was no significant relation between the maternal self-efficacy and child BMI

4.
IJPM-International Journal of Preventive Medicine. 2012; 3 (5): 326-331
in English | IMEMR | ID: emr-144508

ABSTRACT

Visfatin is a new adipocytokine which is largely secreted by visceral adipose tissue and its effects in the development of diabetes and inflammatory reactions are similar to insulin. It acts synergistically with insulin in increasing glucose cellular uptake, stimulating glucose transfer to the muscle and adipose tissue, as well as in preventing hepatic glucose production. Its insulin-like effects are mediated through direct connection and activation of insulin receptors without any change or competition with the insulin. This case-control study was conducted among 64 women consisting of 32 diabetic patients, and 32 age-matched healthy controls. The case group consisted of 32 post-menopausal diabetic women, aged 45-65 years. Those patients were eligible who had a history of at least five years of type II diabetes, without any complications of diabetes, and who were treated only by oral glucose-lowering medications. Those individuals with C-reactive protein [CRP] test of 3+ and above were excluded from the study. Results were compared with age- and sex- matched controls. Average visfatin level was significantly higher in diabetic patients than in controls [4.3 +/- 1.06ng/dl vs. 3.15 +/- 0.74ng/dl, respectively< 0.001]. The mean values of anthropometric indexes and lipid profile were not significantly different between diabetic patients and controls. This study documented an inverse relationship between circulating level of visfatin and fasting blood glucose. This finding may suggest the role of increased visfatin level and increase in synthesis and secretion of the cytokines from adipocytes. These findings may be useful for primary and secondary preventive issues in diabetic and pre-diabetic individuals


Subject(s)
Humans , Female , Middle Aged , Aged , Nicotinamide Phosphoribosyltransferase/blood , Blood Glucose/metabolism , Diabetes Mellitus, Type 2/metabolism , Case-Control Studies
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