ABSTRACT
Introduction: Coronary artery disease [CAD] is the most common etiology of mortality in women. Some risk factors other than obesity involved in it
Objective: Evaluation the relation between obesity, metabolic syndrome and 10 -year's cardiac event according to BMI in women above 19 years old in central part of IRAN
Materials and Methods: In this cross sectional study, 6054 women over 19 years old in Isfahan, Najaf - Abad and Arak were studied by stratified sampling [in 2001]. Demographic details, such as: weight, height, blood pressure and smoking status were considered. Then blood chemistry was done in same manner in three regions and all biochemistry data were collected in a central laboratory. Data was entered in SPSS-11 and analyzed by T-Student and the prevalence was studied
Results: The mean age of women was 38.75 +/- 14.55 years. By increasing the Body Mass Index [BMI], disorder in blood sugar, lipids, waist circumference and blood pressure were increased [p<0.05]. There was no significant in cigarette smoking in different group of BMI [p>0.05] besides, by increasing the Body Mass Index [BMI] metabolic syndrome, 10 years cardiac event were more prevalent in obese women [P<0.05]
Conclusion: By regarding to attention to correlation between obesity with other cardiovascular risk factors and metabolic syndrome, body weight control is necessary in studied women to decrease cardiovascular risk factors
ABSTRACT
Effective prenatal education may play an important role in decreasing diseases and morbidity and therefore promoting mother's health. The aim of this study was to examine the effect of group education [by a standard teaching model] on knowledge, attitude and practice of pregnant mothers. This study was a field trial which was performed on 60 pregnant women in their 6[th] to 8[th] gesta-tional age. Samples were divided into two groups randomly. The experiment group was instructed using the standard protocol developed by maternal health unit of Isfahan Provincial Health Center and the control group received the routine prenatal instructions. In the standard protocol, the educational needs during the first, second and third trimesters of pregnancy were determined and 14 training sessions with prepared lesson plans were designed. The data were gathered by a questionnaire. Mother's knowledge in second and third trimester was significantly higher in intervention group compared to the control group. Also, it was almost significant in the first trimester. But, the educational program had no effect on mothers' attitude and no difference between the attitude of the two groups of intervention and control was observed. In contrast, the education had a positive effect on mothers' practice and a significant difference was revealed between the practices of the two groups. Considering the special features of this educational model, implementing this program as a continuous intervention in all health care centers could improve the quality of prenatal care
Subject(s)
Humans , Female , Pregnancy , Education , Mothers , Health Knowledge, Attitudes, PracticeABSTRACT
Metabolic syndrome is considered as one of the risk factor for Cardio Vascular Disease [CVD]. Correlation between this syndrom and white and red blood cell counts is unknown whereas the relationship between insulin resistance and hamatologic factors is indicated in some published articles. The purpose of this study was to assess the correlation between hematologic parameters and metabolic syndrome. In a descriptive study 11974 over 19 years old participants in Isfahan, Najaf-Abad and Arak in rural and urban areas was evaluated as part of Isfahan Healthy Heart Program [IHHP] study . At first these participants' demographic data [age, sex, past history and drug consumption] were collected then trained physicians measured their blood pressure and waist circumference. Blood pressure in two separate occasions was recorded and mean of these measures was used in this study. In all participants, laboratory examinations [RBC, WBC, HDL-C, FBS, TG] were done after a 12 hour fasting. Participants were evaluated for metabolic syndrome according to ATP-III criteria. Data were entered in to SPSS-11 and analyzed by t-test and Spearmen correlation. Overall 6132[51%] females and 5842[49%] males with mean age of 35.6 +/- 3.8 and 35.9 +/- 32 year were studied respectively. The prevalence of metabolic syndrome in male and female participants were 10.6% and 35% respectively and 23/1% in overall. WBC and RBC counts were higher in patients with metabolic syndrome compared to those of normal subjects. Correlation between metabolic syndrome and RBC and WBC counts was significant excluding the case of hypertension. The most powerful correlation was obsereved between count RBC and HDL-C [r: -0.245, p<0.001], WBC and TG [r: 0.195, p<0.001]. We observed increased RBC and WBC counts in patients with metabolic syndrome. In this regard a widespread study may help us use these hematologic parameters even in normal values as indicators for evaluation of high risk patients
ABSTRACT
Among the leading causes of mortality in women is the cardiovascular disease [CVD] and the control of CVD risk factors prevents CVD and the associated mortality. To determine the prevalence of CVD risk factors in women of central part of Iran. This descriptive cross sectional study was performed on 6391 women in three cities located in central parts of Iran [Isfahan, Najaf-Abad and Arak]. The subjects were 20 years old or above. Demographic data and blood samples for glucose and lipid measurements were collected. Determination of blood pressure for three consecutive periods and also weight and height were performed for each subject. Hypertriglyceridemia, smoking and overweight were more prevalent in urban areas while hypertension, high LDL-C and hypercholesterolemia more prevalent in rural parts. Hypercholesterolemia, high LDL-C and diabetes increased with aging. Based on our results, the prevalence of risk factors was high among the study group. More education and also recommendations on changing of women lifestyle are suggested