An investigation of the effects of curcumin on anxiety and depression in obese individuals: A randomized controlled trial / 中国结合医学杂志

<p><b>OBJECTIVE</b>To investigate the effectiveness of curcumin, a natural polyphenolic compound with antioxidant and anti-inflammatory activities, on the frequency of symptoms of anxiety and depression in obese individuals.</p><p><b>METHODS</b>In this double blind, cross-over trial, 30 obese subjects were randomized to receive either curcumin (1 g/day) or placebo for a period of 30 days. Following a wash-out interval of 2 weeks, each subject was crossed over to the alternative regimen for a further 30 days. Severity of anxiety and depression was assessed at baseline and at weeks 4, 6 and 10 of the trial using the Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI) scales, respectively.</p><p><b>RESULTS</b>Mean BAI score was found to be significantly reduced following curcumin therapy (P=0.03). However, curcumin supplementation did not exert any significant impact on BDI scores (P=0.7).</p><p><b>CONCLUSION</b>Curcumin has a potential anti-anxiety effect in individuals with obesity.</p>

Comparison of Dietary Macro and Micro Nutrient Intake between Iranian Patients with Long-term Complications of Sulphur Mustard Poisoning and Healthy Subjects

Background: Patients with long-term complications of sulfur mustard (SM) poisoning are often less able to undertake optimum levels of physical activity and adequately control their dietary intake. The aim of present study was to investigate the dietary intake of patients with SM poisoning in comparison to a control group. Methods: The study was undertaken on 55 Iranian male veterans, who had > 25% disabilities due to long-term complications of SM poisoning and 55 men age-matched healthy subjects. A previously validated food frequency questionnaire (FFQ) was used for measuring dietary macro/micro nutrient intake for both groups; and the results were analysed using Dietplan6 software. Results: Analysis of macro/micro nutrients in dietary intakes of the patients versus the controls showed a significantly lower intake of several nutrients including selenium and carbohydrate. On the other hand, the dietary intake of trans-fatty acids and iodine were significantly higher in these patients. Conclusion: Long-term complications of SM poisoning in the Iranian veterans induce both chemical and physical disabilities. Macro/micro nutrient intake in these patients was significantly different in comparison with matched, healthy subjects. Dietary advice for these patients should be strongly recommended to these patients in order to prevent other chronic diseases.

Determinants of Nutritional Status in Children living in Mashhad, Iran

Children are one of the most vulnerable groups to sub-optimal nutritional intake in most societies. We have investigated some of the potential determinants of malnutrition in children of 2-5 years of age. A cross sectional study was conducted to determine the relationship between nutritional status [weight for age, height for age and weight for height] and dietary and socioeconomic factors in 671 children [24-59 months of age] from selected health centers in Mashhad city, Iran. Children were assessed for weight and height and the care givers were interviewed and a questionnaire was completed by the interviewers. The data were analyzed using SPSS13 software and the Z-scores were calculated using the WHO anthropometric software package. The study showed that 24.4% of children were mildly underweight, 4.3% were underweight, 13% were mildly stunted, 23.6% of children were mildly wasted and 3.1% were stunted. Educational attainment, whether the children had been breast feed, average daily consumption of milk, feeding practices and type of first food were found to be the main factors determining nutritional status in our study. A higher daily consumption of milk, lower age at which first solid food was started; lower age for consumption of meat and good feeding practices may resolve malnutrition in this population. These findings support the need for a family-based prevention program that focus on guiding parents to foster appropriate feeding practices as well as to promote healthy food intake in the children. Future research should determine the cost-effectiveness of both short- and long-term interventions for child malnutrition

Effect of a probiotic and metformin on liver aminotransferases in non-alcoholic steatohepatitis: a double blind randomized clinical trial

Non-alcoholic steatohepatitis [NASH] is a clinicopathological entity that is being recognized more frequently in recent years. This study aimed to evaluate the effects of Metformin, with and without a probiotic supplement on liver aminotransferases in patients with NASH. Sixty four patients 18-75 years with NASH confirmed by biopsy and histological assessment were enrolled to study. Patients were randomized to one of the following treatments for 6 months: Group I, probiotic [Protexin two tablets per day] plus Metformin 500 mg two tablets per day [Met/Pro], or group II, Metformin 500 mg two tablets per day plus two placebo tablet [Met/P]. After 6 month alanine aminotransferase [ALT], aspartate aminotransferase, and ultrasound grading of NASH were assessed. In group I, serum alanine aminotransferase [ALT: 133.7 +/- 70 vs. 45.2 +/- 32.5; P < 0.00], and aspartate aminotransferase activity [AST: 123.1 +/- 72 vs. 44.2 +/- 33.9; P < 0.001], and ultrasound grading of NASH [P < 0.001] all decreased significantly by the end of the treatment period. In group II, while serum alanine aminotransferase [ALT] was not significantly reduced [118.4 +/- 67.9 vs. 112.5 +/- 68.7; P < 0.064], aspartate aminotransferase activity [AST: 125.3 +/- 71 vs. 113.4 +/- 71; P < 0.001], and ultrasound grading of NASH did fall significantly [P < 0.01]. Body mass index [BMI], fasting blood sugar [FBS], cholesterol, and triglyceride fell significantly in both groups. Probiotic combination with Metformin improves liver aminotransferases better than metformin alone in patients with NASH

effects of panax ginseng on lipid profile, pro-oxidant: antioxidant status and high-sensitivity C reactive protein levels in hyperlipidemic patients in Iran

Because of the conflicting results from previous studies regarding the efficacy of ginseng on lipid profile and anti-inflammatory and anti-proliferative activities of its components, we aimed to evaluate the effects of Panax ginseng on lipid profile, pro-oxidant - anti-oxidant status and high-sensitivity C reactive protein [hs-CRP] levels. Forty Iranian hyperlipidemic patients were randomly assigned to placebo [n = 20] or control [n = 20] groups in this double-blind randomized controlled trial. The ginseng or placebo was taken two capsules twice a day for 8 weeks. Total cholesterol [TC], triglyceride [TG], low density lipoprotein cholesterol [LDL-C], high density lipoprotein cholesterol [HDL-C], fasting blood glucose, serum creatinine and hs-CRP levels and pro-oxidant - anti-oxidant balance [PAB] were estimated before and after intervention. There were no significant differences between the two groups with respect to changes in serum TG, LDL-C, HDL-C, and TC/HDL-C levels. Nor were there significant differences between the two groups with respect to changes in hs-CRP level and PAB from baseline to week 8. Our study demonstrates that ginseng does not have significant effects on lipid profile, Hs-CRP level and PAB. Further clinical studies, with a larger sample size, more prolonged period of therapy are needed to investigate the therapeutic effects of ginseng

Newly detected hypertension in an Iranian population: an epidemiological study

Background: Early detection of undiagnosed hypertension may prevent or reduce the onset and progression of many diseases.Objective: To investigate the prevalence of undiagnosed hypertension in an Iranian population and its relation with socio-demographic, anthropometric, and biochemical factors.Methods: Four thousand five hundred nineteen subjects, aged 15-65 years, were eligible for the study. They were entered into the study through the cluster sampling method.Results: The overall prevalence of previously unknown hypertension was 24.2%. It was higher among urban dwellers who were poorly educated, married, and were manual laborers by occupation compared to other groups.Conclusion: Poor literacy status as well socioeconomic conditions may be positively associated with hypertension. Undiagnosed hypertension can be lowered by increasing access to routine blood pressure measurement, pre-employment medical examination, and improvement of the health seeking behavior in these groups.

Effect of a high dairy diet on serum antibody titers to heat shock protein 27 in overweight and obese children

An immune response to heat shock proteins appears to be involved in atherogenesis. To date, there has been no report on the impact of dairy or calcium consumption on serum antibody titers to heat shock protein 27 [anti-HSP27]. We have investigated whether an increase in dairy food consumption is capable of affecting serum antibody titers to heat shock protein 27 [anti-HSP27] level in children. Overweight and obese children [n=99, age: 12-18 y, body mass index: 27-40 kg/m2] were randomized to receive a calorie restricted diet providing a 500 kcal/d deficit from total energy expenditure and two [n=38], three [n=26] or four [n=35] servings of dairy products/day. Serum anti-HSP27 level in addition to the serum hs-CRP and lipid profile were measured at baseline and after 12 weeks. Serum anti-HSP27 concentrations did not change significantly in any of the mentioned groups. Serum hs-CRP and lipid profile did not change significantly either, apart from a significant increase in HDL-cholesterol in the low-dairy group. An increased intake of dairy products does not lead to a significant change in serum anti-HSP27 level in overweight and obese children

investigation of the relationship between serum vitamin e status and coronary risk factors in dyslipidaemic patients

Vitamin E is a major lipid-soluble antioxidant. It has been demonstrated that vitamin E supplementation has a beneficial effect against coronary heart disease [CHD]. This study to investigate the effects of coronary risk factors on serum vitamin E status in patients with dyslipidaemia. This tertiary care hospital; case - control study was comprised 237 dyslipidaemic patients and 135 healthy individuals recruited from university and hospital employees. Serum vitamin E concentration was measured using high performance liquid chromatography [HPLC]. Compared to the healthy individuals, the dyslipidaemic patients had higher serum vitamin E [p<0.001], but serum vitamin E / total cholesterol ratio did not differ between patients and healthy controls [p>0.05]. Serum vitamin E did not differ between subcategories of dyslipidaemic patients with and without coronary risk factors [p>0.05], but Serum vitamin E / total cholesterol ratio was higher in patients with established coronary heart disease [p<0.01], hypertriglyceridaemia [p<0.05] and metabolic syndrome [p<0.05]. In the patients there was not a strong association between serum vitamin E or serum vitamin E / total cholesterol ratio and coronary risk factors except for the serum cholesterol. Serum vitamin E or vitamin E / total cholesterol ratio is not associated with the risk of coronary heartdisease. Therefore, higher serum vitamin E or vitamin E / total cholesterol ratio doesn't seern to have a preventive role against coronary heart disease