Coronary artery disease risk factors in an urban and peri-urban setting, Kerman, Southeastern Iran [KERCADR study]: methodology and preliminary report

This article was to present the sampling and measurements methods and the main preliminary findings of the KERCADR cohort study [first round] in an urban and peri-urban setting, Kerman, southeastern Iran2009-11. 5900 [3238 female] people aged between 15 to 75 years were recruited in the household survey by non-proportional to size one-stage cluster sampling. Trained internal specialists, general practitioners, clinical psychologists and dentists have assessed the study subjects by person-assisted questionnaires regarding different NCD risk factors including cigarette and opium smoking, physical activity, nutrition habits, anxiety, depression, obesity, hypertension and oral health. Blood samples were also collected for determining FBS, HbA1c, cholesterol and triglyceride. Weighted standardized prevalence estimates were calculated by STATA 10 survey analysis package. The participation rate was more than 95% in all subgroups. Cigarette smoking [18.4% vs. 1.2%], opium use [17.8% vs. 3.0%] and triglyceridemia [16.1% vs. 12.0%] were significantly higher among men than women. In contrast, women were presented with higher level of sever anxiety [29.1% vs. 16.7%], obesity [16.8% vs. 9.2%], low-physical activity [45.1% vs. 39.2%] and uncontrolled diabetes [60.2% vs. 31.0%]. More than 68% of all subjects have presented with moderate to severe gingival index scores. The first round of the KERCADR cohort with sufficient sample size and response rate provided precise estimates for the main clinical and para-clinical NCD risk factors. These evidences need to be translated into public health interventions and monitored in the next rounds of the cohort

[ effect of cardiac rehabilitation on the serum levels of adiponectin and lipoproteins in male atherosclerotic patients]

Adiponectin is the most important and promising adipocytokine to understand the relationship of obesity, metabolic syndrome and cardiovascular diseases showing anti-diabetic, anti-inflammatory and anti atherosclerotic effects too. The aim of this research was to survey the effect of cardiac rehabilitation, via special aerobic exercise training, on the serum levels of adiponectin hormone and lipoprotein lipid profile in men with atherosclerosis. Twenty patients with atherosclerosis [40-65-year-old men], selected by convenience sampling method and normalized by exercise training and primary tests, were enrolled. During 8 weeks [three session per week], subjects had 30 to 45 minutes training sessions by using treadmill, ergo meter, and arm ergo meter with the intensity of 30-50 percent of heart rate reserve. The t-test was conducted to check the difference between pretest and posttest at the significant level of P