Sh Jazayeri, M Nouri, R Pourebrahim, H Fakhrzadeh, B Larijani,
Volume 3, Issue 0 (Vol 5,Sup. 1, MONICA project 2004)
Abstract
Introduction: Nutrition plays an important role in the protection and promotion of health. To plan and implement programs aiming at improving community nutritional status, a knowledge of the existing situation is essential. The aim of this cross-sectional study was to determine food and nutrient intakes of the inhabitants in Tehran University of Medical Sciences population laboratory.
Methods: In a sample of 310 women and 185 men, selected by clustered random sampling, food intake was determined using the 24-hour dietary recall (on two non-consecutive days). Weights and heights were also measured on the first visit. For analysis of data, Dorosti Food Processor, Diet Analysis plus and SPSS software were used.
Results: The average (mean ± SD) intakes of energy, protein, carbohydrate, total fat, saturated fat, cholesterol, vitamin A, B2 ,B6 ,B12, folic acid, zinc, iron, and calcium were 2902±336cal, 88±15gr, 461±69gr, 80±19gr, 27±7gr, 272±112mg, 943±319µgr RE, 1.2±.35mgr, 1.2± .37mg, 2.9±2.67µgr, 294±73.7µgr, 10.48± 2.25mg, 28.90±5.81mg, and 537±123mg in men, and 2226±234cal , 66±11gr, 344±41gr, 70±14gr, 22±6gr , 205±85mgr ,882±291µgr RE, .88±.22mg, 1.14± .24mg, 2.2±2.07µgr, 270±60.7µgr, 8.65±1.62mg, 22.66±4.27mg, and 433±113mg in women, respectively. The average (mean +SD) daily numbers of servings of the food guide pyramid main groups, namely, grains, fruits, vegetables, dairy, and meat were 12.74±3.80 ,1.52±1.44, 4.30±2.74, .97±.72 , and .9±.98 in men, and 9.8±3.3, 2.87±2.06, 2.88±2.40, .82±.60, and .86±.84 in women, respectively. Most of these intakes are under current recommendations. Thirty eight percent of the men and 23% of the women had a daily cholesterol intake of at least 300 mg. In addition, the proportions of the men and women with a daily total fat intake of at least 75 gram was 43% and 35%, respectively.
Conclusion: The findings show that while the intake of most micronutrients is lower than respective RDAs, the intake of fat and cholesterol are higher than the current recommendations. This indicates that the community is undergoing nutrition transition. It is recommended that further studies be conducted to identify more comprehensively nutritional problems of the community in question, so that appropriate programs can be prepared and implemented.
Ladan Giahi, Abolghasem Jazayeri, Abbas Rahimi, Mazaher Rahmani, Bagher Larijani,
Volume 6, Issue 2 (18 2006)
Abstract
Background: Plasma concentration of adiponectin was found to play an important role in regulation of glucose metabolism, insulin resistance and conditions commonly associated with obesity. The aim of this study was to assess adiponectin level and its relation with percent of body fat mass and insulin sensitivity in over-weight men.
Method: This study was conducted on two groups of type 2 diabetic (n=20) and non-diabetic (n=20) overweight adult men. Serum level of adiponectin (ELIZA), FBS (GOD-PAP), fasting insulin (immunoreactive assay) and body fat mass (Bio-electric impedance) were measured. Insulin sensitivity was calculated using QUICKI.
Results: Diabetics had significantly higher mean of fat mass% than non-diabetics (26.55± 2.87% vs. 22.93±2.64 p< 0.05), despite fairly similar BMIs (27.7 kg/m2). Adiponectin concentration was lower in diabetics (7.77 ±3.53µg/ml) than non-diabetics (8.13 ± 0.03µg/ml) however, this difference was not statistically significant. The negative correlation between adiponcetin and fat mass didn't reach statistical significance. Adiponectin positively related with insulin sensitivity in non-diabetics (r= +0.5 p= 0.04).
Conclusion: Lower level of adiponcetin in diabetics than their non-diabetic counterparts. As well as the positive association of adiponectin with insulin sensitivity confirm the suggested role of decreased level of adiponectin in conditions such as insulin resistance and diabetes.
Tahereh Dehdari, Laleh Dehdari, Shima Jazayeri,
Volume 17, Issue 5 (7-2018)
Abstract
Background: Given the recognizing the determinants of medication adherence in diabetic patients is necessary to design appropriate interventions, the aim of this study was to clarification experiences of parsons with type II diabetes in terms of insulin use.
Methods: This qualitative study was conducted on 22 patients with type II diabetes who were referred to Glands Clinic of Firozgar Hospital, Iran University of Medical Sciences, Tehran, Iran in 2017 which were purposefully selected and interviewed. All interviews were recorded, transcribed and then analyzed.
Results: The mean age of participants was 56.72 (SD=9.16) yr old. After analyzing and coding of data, individual factors with 6 categories (included negative attitude regarding Insulin, emotional factors, knowledge, fear, belief about the more effectiveness of complementary therapies than insulin injection and inadequate skill for storage and inject insulin) and environmental factors with 3 categories (included cost, situational influences and social support) was identified as experiences participants, in terms of insulin use.
Conclusion: Establishment of counseling and training centers for patients with diabetes and their families in endocrinology clinics, increase the support of insurance from diabetic patients, and the need for more time to training patients by doctors is essential.
