Rationale, methods and first results of the Iranian national programme for prevention of chronic diseases from childhood: caspian study

The CASPIAN Study aims to implement a school-based surveillance system for prevention of noncommunicable diseases from childhood in the Islamic Republic of Iran. The baseline survey was conducted from November 2003 to May 2004 in 23 provinces among 21 111 school students aged 6-18 years and their parents. The data collected included: birth weight and current anthropometric measurements; dietary and exercise habits; family history of chronic diseases; and knowledge about prevention. Fasting blood sugar and lipid profile were assessed in a subsample of 4811 students

Physical activity in iranian students CASPIAN study

Sedentary behavior in childhood is one of the strongest risk factors for many chronic diseases and somatic conditions in adulthood, including cardiovascular disease, hypertension, obesity, and osteoporosis. This study was an investigation to design a surveillance system for non-communicable diseases. The present national survey was performed as a multi-centric cross-sectional study for the baseline survey of a project entitled: "Childhood and Adolescence Surveillance and PreventIon of Adult Non- communicable Diseases-CASPIAN Study. The study was supported by the World Health Organization and performed by the Ministry of Health, the Ministry of Education, with collaboration of 23 universities of Medical Sciences. One of the items studied was the physical activity. Physical activity data is evaluated by metabolic equivalent [METs] accelerometers. 21111 school pupils aged 6 to 18 years consisting of 10858 girls [51.4%] and 10253 boys [48.6%] have been studied. 5.2% of them were obese and 9.4% overweight. The mean times of moderate and vigorous physical activity were 4.7 and 0.8 hours everyday. Boys were more active than girls [p<0.05] and primary school students were more active than high school students [p<0.05]. Watching television, using the computer, or playing video games were the most common sedentary activity in students. Physical activity in our subjects was in acceptable level. Boys tend to be more active than girls, and there is a decrease in activity over the adolescent years

[Do the dietary habits of our community warrant health of children and adolescents now and in future? CASPIAN study?]

We performed this study considering the fact that many chronic diseases have their origin in early life, their risk factors in childhood and adulthood are identical, and an early primary prevention is of great importance. The present national survey was performed as a multi-centric cross-sectional study for the baseline survey of a project entitled: 'Childhood and Adolescence Surveillance and PreventIon of Adult Noncommunicable Diseases': CASPIAN Study. The study was supported by the World Health Organization and performed by the Ministry of Health, the Ministry of Education, with collaboration of 23 universities of Medical Sciences. One of the items studied was the dietary habits in relating to non-communicable diseases [NCDs]. 21111 school pupils aged 6 to 18 years consisting of 10858 girls [51.4%] and 10253 boys[48.6%], as well as one of their parents have been studied. 84.6% of them lived in urban and 15.4% in rural areas, 90% visited public and 10% private schools. The most frequent type of fat used for food preparation in home was hydrogenated solid fat [73.8%], and most families consumed bread prepared with white flour [58.4%], only 19.7% of pupils never added salt to their table foods. The mean consumption frequency of fruits and vegetables, sweets, salty/fat snacks and deep fried foods was 16.5, 10,4.9 and 3.98 times/week respectively, without significant difference between different school levels. The unhealthy dietary habits of the children and adolescents of our community are a major threat for the health of this age group and make our community prone to an epidemic of NCDs in the next two decades, and emphasizes the role of the pediatricians and other related health professionals in the primary prevention of chronic diseases