Pub Date : 2021-01-01DOI: 10.5114/fmpcr.2021.105904
S. Askari, M. Beheshtinasab, S. Ghanbari, Hadis Bahmaei, H. Boostani, P. Afshari, P. Abedi
Background. Post-traumatic stress disorder (PTSD) is a disorder that can occur after exposure to a traumatic event. Objectives. This study is designed to evaluate PTSD in front-line and non-front-line medical staff who provide care for COVID-19 patients. Material and methods. This cross-sectional study was conducted on 200 medical staff in two hospitals of Ahvaz. The inclusion criterion was having more than six months of service. Health providers with psychological disorders, a history of crises in the past six months or divorced subjects were excluded from the study. A demographic questionnaire and the PTSD questionnaire were completed by participants. The Independent t-Test, chi-square test and linear regression were used to analyze the data. Results. The total score of PTSD was 50.08 +/- 12.24 and 44.06 +/- 11.32 in front-line and non-front-line medical staff, respectively (p < 0.001). 10% and 1% of front-line and non-front-line medical staff had severe PTSD, respectively. Females were 7.47 times more likely to have PTSD compared to males. Medical staff who had a child were 6 times more likely to have PTSD compared with those without a child. Medical staff involved in the care of COVID-19 patients were 5.67 times more likely to have PTSD (p < 0.001). Health providers whose relatives died from COVID-19 were 10.59 times more likely to have PTSD. Conclusions. The results of this study showed that front-line medical staff are more susceptible to PTSD in comparison to non-front-line medical staff. Health policymakers should pay attention to the psychological health of medical staff in times of crises such as the COVID-19 pandemic.
{"title":"Assessment of post-traumatic stress disorder in front-line and non-front-line medical staff with COVID-19 patients: a cross-sectional study in Iran","authors":"S. Askari, M. Beheshtinasab, S. Ghanbari, Hadis Bahmaei, H. Boostani, P. Afshari, P. Abedi","doi":"10.5114/fmpcr.2021.105904","DOIUrl":"https://doi.org/10.5114/fmpcr.2021.105904","url":null,"abstract":"Background. Post-traumatic stress disorder (PTSD) is a disorder that can occur after exposure to a traumatic event. Objectives. This study is designed to evaluate PTSD in front-line and non-front-line medical staff who provide care for COVID-19 patients. Material and methods. This cross-sectional study was conducted on 200 medical staff in two hospitals of Ahvaz. The inclusion criterion was having more than six months of service. Health providers with psychological disorders, a history of crises in the past six months or divorced subjects were excluded from the study. A demographic questionnaire and the PTSD questionnaire were completed by participants. The Independent t-Test, chi-square test and linear regression were used to analyze the data. Results. The total score of PTSD was 50.08 +/- 12.24 and 44.06 +/- 11.32 in front-line and non-front-line medical staff, respectively (p < 0.001). 10% and 1% of front-line and non-front-line medical staff had severe PTSD, respectively. Females were 7.47 times more likely to have PTSD compared to males. Medical staff who had a child were 6 times more likely to have PTSD compared with those without a child. Medical staff involved in the care of COVID-19 patients were 5.67 times more likely to have PTSD (p < 0.001). Health providers whose relatives died from COVID-19 were 10.59 times more likely to have PTSD. Conclusions. The results of this study showed that front-line medical staff are more susceptible to PTSD in comparison to non-front-line medical staff. Health policymakers should pay attention to the psychological health of medical staff in times of crises such as the COVID-19 pandemic.","PeriodicalId":44481,"journal":{"name":"Family Medicine and Primary Care Review","volume":"1 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71080170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.5114/FMPCR.2021.103159
A. Shpakou, Ludmila Klimatckaia, Aleh Kuzniatsou, S. Laskienė, O. Zaitseva
Background. Population aging is a challenge for social policy and medical care. The problem of ageism – discrimination of a person by age – is closely connected with the phenomenon of the aging of society. Objectives. The aim of this study was to investigate the views of 60+ respondents about medical care and the possible manifestations of ageism in healthcare institutions in four countries for developing recommendations for the formation of “good practices” for older people and a worthy attitude towards them. Material and methods. An anonymous survey was conducted on 478 people (who gave informed consent to participate in the study) aged 60+: in Belarus – 139, Poland – 110, Russia – 123, Lithuania – 106. Opinions about medical care and manifestations of ageism were assessed using a questionnaire by Kropińska entitled “Studying the phenomenon of age discrimination in older people”. Results. The opinion of the majority of respondents about medical care in their country of residence was found to be satisfactory. Manifestations of ageism in healthcare institutions, according to respondents, range from 20.9% to 43.0%. Conclusions. In the analysed groups of respondents in four countries, the provision of medical care is assessed positively. The high level of manifesta tion of ageism in healthcare institutions is a problem, which indicates the need to reduce the risks of its occurrence.
{"title":"Medical care and manifestations of ageism in healthcare institutions: opinion of elderly people. The example of four countries","authors":"A. Shpakou, Ludmila Klimatckaia, Aleh Kuzniatsou, S. Laskienė, O. Zaitseva","doi":"10.5114/FMPCR.2021.103159","DOIUrl":"https://doi.org/10.5114/FMPCR.2021.103159","url":null,"abstract":"Background. Population aging is a challenge for social policy and medical care. The problem of ageism – discrimination of a person by age – is closely connected with the phenomenon of the aging of society. Objectives. The aim of this study was to investigate the views of 60+ respondents about medical care and the possible manifestations of ageism in healthcare institutions in four countries for developing recommendations for the formation of “good practices” for older people and a worthy attitude towards them. Material and methods. An anonymous survey was conducted on 478 people (who gave informed consent to participate in the study) aged 60+: in Belarus – 139, Poland – 110, Russia – 123, Lithuania – 106. Opinions about medical care and manifestations of ageism were assessed using a questionnaire by Kropińska entitled “Studying the phenomenon of age discrimination in older people”. Results. The opinion of the majority of respondents about medical care in their country of residence was found to be satisfactory. Manifestations of ageism in healthcare institutions, according to respondents, range from 20.9% to 43.0%. Conclusions. In the analysed groups of respondents in four countries, the provision of medical care is assessed positively. The high level of manifesta tion of ageism in healthcare institutions is a problem, which indicates the need to reduce the risks of its occurrence.","PeriodicalId":44481,"journal":{"name":"Family Medicine and Primary Care Review","volume":"1 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71080193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.5114/fmpcr.2021.108189
M. Asadzandi, S. Farahany, Hassan Abolghasemy, M. Saberi, A. Ebadi
1 Medicine, Quran and hadith research Center, baqiyatallah University of Medical sciences, Tehran, iran 2 spiritual health research Center, Qom University of Medical sciences, Qom, iran 3 department of spiritual health, Academy of Medical sciences, Tehran, iran 4 faculty of nursing, baqiyatallah University of Medical sciences, Tehran, iran 5 Hereditary Diseases of Blood Research Center, Shaheed Beheshti University of Medical Sciences, Tehran, Iran 6 department of Pediatrics, faculty of Medicine, baqiyatallah University of Medical sciences, Tehran, iran 7 Behavioral Sciences Research Center, Life Style Institute, Nursing Faculty, Baqiyatallah University of Medical sciences, Tehran, iran
{"title":"Effect of spiritual care on the care burden of families of children with cancer: a randomized controlled trial","authors":"M. Asadzandi, S. Farahany, Hassan Abolghasemy, M. Saberi, A. Ebadi","doi":"10.5114/fmpcr.2021.108189","DOIUrl":"https://doi.org/10.5114/fmpcr.2021.108189","url":null,"abstract":"1 Medicine, Quran and hadith research Center, baqiyatallah University of Medical sciences, Tehran, iran 2 spiritual health research Center, Qom University of Medical sciences, Qom, iran 3 department of spiritual health, Academy of Medical sciences, Tehran, iran 4 faculty of nursing, baqiyatallah University of Medical sciences, Tehran, iran 5 Hereditary Diseases of Blood Research Center, Shaheed Beheshti University of Medical Sciences, Tehran, Iran 6 department of Pediatrics, faculty of Medicine, baqiyatallah University of Medical sciences, Tehran, iran 7 Behavioral Sciences Research Center, Life Style Institute, Nursing Faculty, Baqiyatallah University of Medical sciences, Tehran, iran","PeriodicalId":44481,"journal":{"name":"Family Medicine and Primary Care Review","volume":"1 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71081270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.5114/fmpcr.2021.108190
Shahpar Bagheri, Mina Mosallanezhad, Fateme Barzgar, Azadeh Amiri
1 Community Based psychiatric Care research Center, department of nursing, School of nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, iran 2 Student Research Committee, Department of Surgical Technologists, School of Nursing and Midwifery Shiraz University of Medical Science, Shiraz, iran 3 Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, iran
{"title":"The effect of spiritual education on anxiety, depression and glycemic control in type 2 diabetic patients: a randomized controlled study","authors":"Shahpar Bagheri, Mina Mosallanezhad, Fateme Barzgar, Azadeh Amiri","doi":"10.5114/fmpcr.2021.108190","DOIUrl":"https://doi.org/10.5114/fmpcr.2021.108190","url":null,"abstract":"1 Community Based psychiatric Care research Center, department of nursing, School of nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, iran 2 Student Research Committee, Department of Surgical Technologists, School of Nursing and Midwifery Shiraz University of Medical Science, Shiraz, iran 3 Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, iran","PeriodicalId":44481,"journal":{"name":"Family Medicine and Primary Care Review","volume":"15 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71081295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.5114/FMPCR.2021.105923
Saeideh Motahedi, Mahboobeh Khajeh, Ahmad Khosravi, Seyedmohammad Mirhosseini, H. Ebrahimi
{"title":"Validation of the Persian Version of the Elderly Vulnerability to Abuse Screening Scale (VASS)","authors":"Saeideh Motahedi, Mahboobeh Khajeh, Ahmad Khosravi, Seyedmohammad Mirhosseini, H. Ebrahimi","doi":"10.5114/FMPCR.2021.105923","DOIUrl":"https://doi.org/10.5114/FMPCR.2021.105923","url":null,"abstract":"","PeriodicalId":44481,"journal":{"name":"Family Medicine and Primary Care Review","volume":"1 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71081068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.5114/FMPCR.2021.103152
M. Jaworski, M. Panczyk, A. Śliwczyński, M. Brzozowska, J. Gotlib
A Study Data E F Background. Literature points out that the frequency of occurrence of type 2 diabetes mellitus (T2DM) in children, adoles cents and young adults has been increasing rapidly. However, there is still lack of epidemiological research in this area. Objectives. The national observation study was used to determine the trend of T2DM in the Polish paediatric and young adult popula tion. Material and methods. The Polish National Health Fund database from 2010 to 2017, which was representative of the Polish popula tion, was examined. Overall, 8,530 patients with T2DM were included in the study. The annual prevalence of T2DM was estimated according to the age groups, especially in three groups: group 1 – children (up to 10 years of age), group 2 – adolescents (between 11 and 20 years of age) and group 3 – young adults (21–30 years of age). The T2DM groups were defined according to the ICD-10 codes. The relative risk (RR) with a 95% confidence interval (95% CI) was also calculated. Results. The frequency of occurrence of T2DM in the population of children and adolescents is relatively stable and reached – depend ing on the year of observation – between 0.33% and 0.22% of all T2DM patients. Each year, physicians diagnose about 255 new cases of T2DM among children up to 10 years of age and about 812 among adolescents between 11 and 20 years of age. Conclusions. The tendency of occurrence of T2DM among children and teenagers is relatively stable. This problem requires taking ap propriate steps in order to prevent the development of T2DM and improve medical care aimed at these patients.
{"title":"Paediatric and young adult population with type 2 diabetes as a challenge for family medicine: an 8 year national observational study","authors":"M. Jaworski, M. Panczyk, A. Śliwczyński, M. Brzozowska, J. Gotlib","doi":"10.5114/FMPCR.2021.103152","DOIUrl":"https://doi.org/10.5114/FMPCR.2021.103152","url":null,"abstract":"A Study Data E F Background. Literature points out that the frequency of occurrence of type 2 diabetes mellitus (T2DM) in children, adoles cents and young adults has been increasing rapidly. However, there is still lack of epidemiological research in this area. Objectives. The national observation study was used to determine the trend of T2DM in the Polish paediatric and young adult popula tion. Material and methods. The Polish National Health Fund database from 2010 to 2017, which was representative of the Polish popula tion, was examined. Overall, 8,530 patients with T2DM were included in the study. The annual prevalence of T2DM was estimated according to the age groups, especially in three groups: group 1 – children (up to 10 years of age), group 2 – adolescents (between 11 and 20 years of age) and group 3 – young adults (21–30 years of age). The T2DM groups were defined according to the ICD-10 codes. The relative risk (RR) with a 95% confidence interval (95% CI) was also calculated. Results. The frequency of occurrence of T2DM in the population of children and adolescents is relatively stable and reached – depend ing on the year of observation – between 0.33% and 0.22% of all T2DM patients. Each year, physicians diagnose about 255 new cases of T2DM among children up to 10 years of age and about 812 among adolescents between 11 and 20 years of age. Conclusions. The tendency of occurrence of T2DM among children and teenagers is relatively stable. This problem requires taking ap propriate steps in order to prevent the development of T2DM and improve medical care aimed at these patients.","PeriodicalId":44481,"journal":{"name":"Family Medicine and Primary Care Review","volume":"1 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71079625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.5114/FMPCR.2021.103156
Anna Pantelewicz, Tomasz Krasuski, D. Olczak-Kowalczyk
Background. Children experiencing domestic violence may demonstrate behavioral impairments and emotional instability during a stressful visit to the dentist. Objectives. To identify the influence of domestic violence on a child’s behavior in the dental office. Material and methods. For the study, children under the protection of Family Support Centers (study group) and patients from norma tive families reporting for regular dental checkups (control group) were qualified. The consent of the WUM bioethics committee and the written consent of the parents/legal guardians of the patients, as well as participants above 16 years of age, were obtained. The examination consisted of a questionnaire, analysis of personal files, assessment of appearance and the child’s behavior and reaction during dental treatment in relation to parents and the doctor. Results. The study was carried out in 2017–2019 and involved 404 in the study group (average age 11.4 ± 3.7) and 378 in the control group (average age 8.53 ± 3.92). The presence of physical ( n = 123, 30.45%), sexual ( n = 19, 4.7%) and emotional abuse ( n = 266, 66.34%) in the study group was confirmed. Behaviors observed only in the study group were a sense of guilt, aggressive reaction to stress, self-mutilation, lack of basic hygiene and mismatched clothing. The study revealed a connection between physical and emotion al abuse and behaviors coming from auto-aggressive reactions and reduced self-esteem. Sexual abuse was connected with excessive anxiety and aggressive and irritable reactions in the relationship with parents/caregivers and the doctor. Conclusions. Children experiencing violence are characterized by typical behaviors, the knowledge of which can help to dispel doubts in case of suspicion of domestic violence.
{"title":"Assessment of psychological indicators of domestic violence against children and youth from the child’s behavior in the dental office","authors":"Anna Pantelewicz, Tomasz Krasuski, D. Olczak-Kowalczyk","doi":"10.5114/FMPCR.2021.103156","DOIUrl":"https://doi.org/10.5114/FMPCR.2021.103156","url":null,"abstract":"Background. Children experiencing domestic violence may demonstrate behavioral impairments and emotional instability during a stressful visit to the dentist. Objectives. To identify the influence of domestic violence on a child’s behavior in the dental office. Material and methods. For the study, children under the protection of Family Support Centers (study group) and patients from norma tive families reporting for regular dental checkups (control group) were qualified. The consent of the WUM bioethics committee and the written consent of the parents/legal guardians of the patients, as well as participants above 16 years of age, were obtained. The examination consisted of a questionnaire, analysis of personal files, assessment of appearance and the child’s behavior and reaction during dental treatment in relation to parents and the doctor. Results. The study was carried out in 2017–2019 and involved 404 in the study group (average age 11.4 ± 3.7) and 378 in the control group (average age 8.53 ± 3.92). The presence of physical ( n = 123, 30.45%), sexual ( n = 19, 4.7%) and emotional abuse ( n = 266, 66.34%) in the study group was confirmed. Behaviors observed only in the study group were a sense of guilt, aggressive reaction to stress, self-mutilation, lack of basic hygiene and mismatched clothing. The study revealed a connection between physical and emotion al abuse and behaviors coming from auto-aggressive reactions and reduced self-esteem. Sexual abuse was connected with excessive anxiety and aggressive and irritable reactions in the relationship with parents/caregivers and the doctor. Conclusions. Children experiencing violence are characterized by typical behaviors, the knowledge of which can help to dispel doubts in case of suspicion of domestic violence.","PeriodicalId":44481,"journal":{"name":"Family Medicine and Primary Care Review","volume":"1 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71080479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.5114/FMPCR.2021.105931
Alaa A. Salih, M. Sadiq
Background. The available information on risk factors for childhood obesity is scarce compared to that for adults, and the progression of impaired fasting glucose (IFG) to type 2 diabetes in obese children has not been systematically investigated. However, the transition from prediabetes to type 2 diabetes is more rapid in children and adolescents than in adults. Objectives. The objectives were to assess the prevalence of IFG in obese children using their fasting blood glucose (FBG) levels and to test the validity of the hbA 1c level as a measure of IFG. Material and methods. This cross-sectional study included 412 obese children 6 to 18 years of age from two primary healthcare cen ters in Baghdad, with a BMI ≥ the 95 th percentile according to their gender and age. Data (age, weight, height, BMI, FBG, HbA 1c and family history) was collected over two interviews three days apart. Results. IFG was found in 8.9% of boys and 6.3% of girls, and a significant association was found between gender and IFG ( p < 0.001). The hbA 1c level of the boys and girls in the cohort with IFG was inconclusive, as the results bordered on normal values. Conclusions. Obesity is a risk factor for IFG, and fasting blood sugar is the test of choice for the early detection of type 2 diabetes. The hbA 1c level was not a valid measure of IFG in this study. Larger samples may be needed to detect reliable results for HbA 1c as a valid measure of IFG. glucose, fasting, prediabetic state, pediatric obesity, type 2 diabetes mellitus, glycated hemoglobin A.
{"title":"Fasting blood sugar test versus HbA1C in assessment of impaired fasting glucose in obese children","authors":"Alaa A. Salih, M. Sadiq","doi":"10.5114/FMPCR.2021.105931","DOIUrl":"https://doi.org/10.5114/FMPCR.2021.105931","url":null,"abstract":"Background. The available information on risk factors for childhood obesity is scarce compared to that for adults, and the progression of impaired fasting glucose (IFG) to type 2 diabetes in obese children has not been systematically investigated. However, the transition from prediabetes to type 2 diabetes is more rapid in children and adolescents than in adults. Objectives. The objectives were to assess the prevalence of IFG in obese children using their fasting blood glucose (FBG) levels and to test the validity of the hbA 1c level as a measure of IFG. Material and methods. This cross-sectional study included 412 obese children 6 to 18 years of age from two primary healthcare cen ters in Baghdad, with a BMI ≥ the 95 th percentile according to their gender and age. Data (age, weight, height, BMI, FBG, HbA 1c and family history) was collected over two interviews three days apart. Results. IFG was found in 8.9% of boys and 6.3% of girls, and a significant association was found between gender and IFG ( p < 0.001). The hbA 1c level of the boys and girls in the cohort with IFG was inconclusive, as the results bordered on normal values. Conclusions. Obesity is a risk factor for IFG, and fasting blood sugar is the test of choice for the early detection of type 2 diabetes. The hbA 1c level was not a valid measure of IFG in this study. Larger samples may be needed to detect reliable results for HbA 1c as a valid measure of IFG. glucose, fasting, prediabetic state, pediatric obesity, type 2 diabetes mellitus, glycated hemoglobin A.","PeriodicalId":44481,"journal":{"name":"Family Medicine and Primary Care Review","volume":"1 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71081306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.5114/fmpcr.2021.108197
Mahsa Mehrdad, Parmis Hassanbeigi, Gohar Sedaghat, Maryam M, M. Eftekhari
Background. The prevalence of childhood obesity is increasing worldwide and can affect their linear growth through various mechanisms. Objectives. We aimed to investigate the association between obesity-related traits and height in adolescents. Material and methods. This was a categorized cross-sectional study carried out on 186 students (93 case and 93 control) 15 to 18 years of age who were randomly selected from three schools in Shiraz, Iran. Anthropometric indices including height, weight, body mass index (BMI), body fat percentage (BF) and body muscle percentage (BM) were measured. Statistical analysis was done by SPSS software (Version 16). A significance level was considered as being less than 0.05. Results. We found an inverse association for waist circumference (WC) and fat mass with height. In addition, there was a direct relationship between fat-free mass and trunk fat with height. The mean height of participants in the obesity group was significantly lower than the control group (p = 0.04). Participants in the obesity group had significant higher FM percentage (p < 0.001) and WC (p < 0.001) than the control group. There was a significant correlation between height and WC (p = 0.003), as well as between height and fat percentage (p < 0.001). We also found a direct relationship between fast-free mass and height (p < 0.001), as well as between trunk fat percentage and height (p = 0.026). We have suggested an equation to estimate adolescents’ height based on the anthropometric indices. Conclusions. Adiposity, especially central adiposity, is adversely associated with height. However, muscle percentage might reinforce linear growth. Further studies are warranted to confirm this finding.
{"title":"The association between obesity and height in adolescents","authors":"Mahsa Mehrdad, Parmis Hassanbeigi, Gohar Sedaghat, Maryam M, M. Eftekhari","doi":"10.5114/fmpcr.2021.108197","DOIUrl":"https://doi.org/10.5114/fmpcr.2021.108197","url":null,"abstract":"Background. The prevalence of childhood obesity is increasing worldwide and can affect their linear growth through various mechanisms. Objectives. We aimed to investigate the association between obesity-related traits and height in adolescents. Material and methods. This was a categorized cross-sectional study carried out on 186 students (93 case and 93 control) 15 to 18 years of age who were randomly selected from three schools in Shiraz, Iran. Anthropometric indices including height, weight, body mass index (BMI), body fat percentage (BF) and body muscle percentage (BM) were measured. Statistical analysis was done by SPSS software (Version 16). A significance level was considered as being less than 0.05. Results. We found an inverse association for waist circumference (WC) and fat mass with height. In addition, there was a direct relationship between fat-free mass and trunk fat with height. The mean height of participants in the obesity group was significantly lower than the control group (p = 0.04). Participants in the obesity group had significant higher FM percentage (p < 0.001) and WC (p < 0.001) than the control group. There was a significant correlation between height and WC (p = 0.003), as well as between height and fat percentage (p < 0.001). We also found a direct relationship between fast-free mass and height (p < 0.001), as well as between trunk fat percentage and height (p = 0.026). We have suggested an equation to estimate adolescents’ height based on the anthropometric indices. Conclusions. Adiposity, especially central adiposity, is adversely associated with height. However, muscle percentage might reinforce linear growth. Further studies are warranted to confirm this finding.","PeriodicalId":44481,"journal":{"name":"Family Medicine and Primary Care Review","volume":"1 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71081707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.5114/fmpcr.2021.110357
R. Kaomongkolgit, W. Sarideechaigul, P. Klanrit, Pensri Phothipakdee
Background. Pemphigus vulgaris (PV) is a rare, life-threatening autoimmune disease and varies in its clinical profile and epidemiology in different regions of the world. Objectives. This study aimed to evaluate the demographic and clinical characteristics of oral PV patients in the lower north and northeast of Thailand. Material and methods. A retrospective study of PV patients who visited the Oral Medicine Clinic, Dental Hospital, Naresuan University and Khon Kaen University during the 2010–2020 period. Results. 21 oral PV patients were included. Among these, 16 (76.2%) were female, and 5 (23.8%) were male, with a female to male ratio of 3.2:1. The mean age of the patients was 47.7 ± 14.2 (range 25 to 74) years. 8 patients (38.1%) had a history of systemic diseases, and hypertension was predominant. The mean duration of the disease was 6 ± 3.42 (range 1 to 12) months. The most common complaint at presentation was oral ulceration with a burning sensation. The most affected sites were the buccal mucosa and gingiva (80.9%). Extraoral involvement was found in 14 patients (66.7%). Patients who had oral lesions before skin lesions found the mean duration was 4.63 ± 5.13 (range 1 to 16) months. Most of the patients (61.9%) were prescribed a combination of topical and systemic steroids. Conclusions. The present study illustrates the demographics and clinical characteristics of oral PV in Thai patients. Early diagnosis and timely treatment are critical for the patients. Since oral mucosa is often the first site of PV involvement, healthcare professionals must recognize the disease’s clinical characteristics and manage PV patients appropriately.
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