[ effect of diet and exercise on improvement of quality of life in patients with nonalcoholic steatohepatitis]

Nonalcoholic steatohepatitis [NASH] is part of nonalcoholic fatty liver disease [NAFLD]. No special medical treatment is known for this disease, and lifestyle modification is the best known method of treatment. We aimed to compare the effect of diet and aerobic exercise with that of diet alone on the quality of life of patients with NASH. In the present study, 25 patients within the age of range of 18-55 years were randomly divided into two groups of diet along with aerobic exercise [n = 12] and diet alone [n = 13]. The low-calorie diet in both groups included 500 kilocalories of energy less than the estimated daily energy requirement. In addition to diet, the first group participated in aerobic exercise for a period of 12 weeks, 3 days a week with 55-60% heart rate reserve. Quality of life score was measured by the short form-36 [SF-36] and ultrasonography at the beginning and the end of the study. In assessment of quality of life in diet along with aerobic exercise group, physical function, performance limitations due to illness, physical component score, general health, and vitality showed significant changes. In the diet alone group, general health and vitality improved after the intervention. Moreover, a significant reduction was observed in ultrasonographic features of fatty liver of those who also had aerobic exercise. Results of this study showed that addition of aerobic exercise to low-calorie diet was more effective in the improvement of quality of life and ultrasonographic features of patients with NASH

Effect of jogging program on midwives' physical fitness: a randomized, controlled trial

Physical fitness is essential for maintaining optimal health and can be achieved and improved by doing physical activities. Maximal oxygen consumption [VO2 max] has been used as a measure of physical fitness. This study aimed to determine the effect of jogging program on midwives' physical fitness. In this randomized controlled trial two large healthcare centers in Mashhad were randomly selected and each center assigned to either intervention or control group. 60 employed midwives, working at these centers, were selected via convenience sampling. The intervention group performed aerobic exercises at 30-60% VO2 max during 24 sessions. At the beginning and end of the study, participants' physical fitness was measured by calculating VO2 max, using Bruce test. Independent t-test, paired t-test, Mann-Whitney U, Wilcoxon, and Chi-square tests were carried out using SPSS version 19 to analyse data. The two groups showed no significant difference in terms of age, marital status, level of education, economic status and body mass index [P>0.05]. Mean VO2 max in the intervention group [30.6 +/- 9.1] was significantly higher than that of the control group [24.3 +/- 7.3] [P=0.023]. Participants' physical fitness was increased up to 30% by jogging. As the results indicated, jogging could improve midwives' physical fitness. Therefore, it is essential that health system directors pay more attention to providing facilities at every workplace in order to improve employees' physical fitness