RESUMEN
The aim of the present study was to analyze whether or not parity influenced the prevalence of obesity in both pre- and postmenopausal women. A cross-sectional study was conducted on characteristics of urban women regarding parity. A total of 1,620 women aged 45-63 years were selected using cluster sampling. A face-to-face household interview was conducted by trained, skillful personnel. A risk factor questionnaire was used to obtain information on reproductive history and sociodemographic factors. Statistical associations between parity and obesity using logistic regression were then investigated. The mean BMI was 29.1 +/- 5.1, and 96.8% of the sample population were parous, with a median of 4 births. Of the total women enrolled, 216 [13.3%] had <3 parities, while 1,404 [86.7%] had >/=3 parities. The prevalence of obesity [BMI >/=30] was 38.3%, diagnosed at a mean age of 51.4 +/- 5.2 years. After adjustment for a range of potential confounders [age, marital status, employment, education, smoking status, abortion history, savings situation and menopausal status], women with >/=3 parities were at higher risk of being obese [OR 1.74, 95% CI 1.24-2.45; p = 0.001]. A positive association was observed between the number of parities and obesity. The findings of this study suggest that the BMI is associated with high parity in Babolian women. Health policymakers should work with health providers to develop appropriate postpartum weight loss interventions
RESUMEN
Adrenocarcinoma is a rare disease with a poor prognosis. As a practical classification, adrenal carcinomas divide to two categories: functional and nonfunctional. Adjurent radiotherapy and chemotherapy is useful for palliation. The aim of this report is to introduce one case of large nonfunctional adrenocarcinoma. A 46 years old-male with ambiguous abdomen pain and orchidoepididymitis reffered to clinic in 2006. Physical examination revealed grade III fixed varicocele with left orchidoepididymitis. Sonography and computed tomography scan showed a massive lesion on left adrenal. Adrenal function test was normal, therefore nonfunctional adrenocarcinoma is diagnosed. This patient underwent open adrenalectomy. Then the patient introduced to chemoradiotherapy in oncology center. After six months, the patient suffered from multiple liver metastases and one year later was expired