banafshe mohamadi; Nourossadat Kariman; Zahra Kashi; Isa Mohammadi zeidi; Hamid Alavi Majd
Volume 22, Issue 11 , 2020
Abstract
Background: Women with a history of gestational diabetes mellitus are the main high-risk group for type 2 diabetes; however, a healthy nutrition style can reduce the risk of developing diabetes in this group.
Objectives: The present study aimed to determine the psycho-social factors that affect the ...
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Background: Women with a history of gestational diabetes mellitus are the main high-risk group for type 2 diabetes; however, a healthy nutrition style can reduce the risk of developing diabetes in this group.
Objectives: The present study aimed to determine the psycho-social factors that affect the adoption of a healthy nutrition style in women with a history of gestational diabetes.
Methods: This cross-sectional study was conducted based on the Health Action Process Approach (HAPA) in the west of Mazandaran province, Iran in 2019. A total of 165 women with a history of gestational diabetes in a recent pregnancy were selected using the convenience sampling method. The required data were collected using a demographic characteristic form, a healthy nutrition style questionnaire, and a researcher-made questionnaire based on HAPA model constructs. Moreover, structural equation modeling was used for data analysis.
Results: Based on the results, the data were fit to the model (Tucker-Lewis index=0.924, comparative fit index=0.928, root mean square error of approximation=0.045, ?2/degrees of freedom=1.332). The model constructs predicted 23% and 51% of intention variance and nutrition style variance, respectively. Action self-efficacy and risk perception were the most important predictors of intention. In addition, planning and recovery self-efficacy significantly predicted a healthy nutrition style.
Conclusion: As the first step, using the HAPA for the prediction of the nutrition style of women with a history of gestational diabetes was confirmed. Therefore, this model can be used to design educational interventions to prevent diabetes.
Azam Amirian; Nourossadat Kariman; Mehdi Hedayati; Nasrin Borumandnia; Zohre Sheikhan
Volume 21, Issue 11 , 2019, Pages 1-7
Abstract
Background: Gestational diabetes is the most common antenatal medical complication that is associated with adverse short- and long-term maternal, fetal, and neonatal outcomes. Reducing maternal and fetal complications requires the early diagnosis of ges- tational diabetes. Unconjugated Estriol (UE) has ...
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Background: Gestational diabetes is the most common antenatal medical complication that is associated with adverse short- and long-term maternal, fetal, and neonatal outcomes. Reducing maternal and fetal complications requires the early diagnosis of ges- tational diabetes. Unconjugated Estriol (UE) has led to insulin resistance under in vitro conditions.Objectives: This study aimed to determine the predictive power of unconjugated estriol in the diagnosis of gestational diabetes in Tehran, Iran.Methods: The present historical cohort study was conducted on 523 pregnant women presenting to two university-affiliated hospi- tals in Tehran, Iran, 2017 - 2018. The level of unconjugated estriol was determined at the 14th - 17th week of pregnancy, and gestational diabetes was diagnosed at the 24th - 28th week of pregnancy using the oral glucose tolerance test with 75 grams of glucose. Data were collected through interviews and sampling was carried out using a convenience sampling method.Results: Out of 523 pregnant women examined, 63 (12%) were placed in the gestational diabetes group and 460 (88%) in the non- gestational diabetes group. The best cutoff point for unconjugated estriol was determined using the ROC curve as 0.965 MOM. We obtained 66.66% sensitivity, 54.78% specificity, 16.8% positive predictive value, and 92.30 negative predictive value for the UE test.Conclusions: Given the acceptable sensitivity (66.66%) and specificity (54.78%) obtained for the UE test and the area under the ROC curve of 0.60, it appears that the UE test can be considered a new, accessible, and reliable screening test for gestational diabetes.
Somayyeh Khazaeian; Nourossadat Kariman; Abbas Ebadi; Malihe Nasiri
Volume 20, Issue 11 , 2018, Pages 1-8
Abstract
Background: Minority groups such as female heads of households are more vulnerable in terms of mental health than other groups due to accepting multiple responsibilities. Objectives: This study aimed to determine the relationship between predictive factors of mental health and its relation to the health-promoting ...
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Background: Minority groups such as female heads of households are more vulnerable in terms of mental health than other groups due to accepting multiple responsibilities. Objectives: This study aimed to determine the relationship between predictive factors of mental health and its relation to the health-promoting lifestyle in female heads of households in Zahedan, Iran. Methods: This was a cross-sectional study conducted on 420 female heads of households from four regions of the north, south, east, and west of Zahedan selected using purposive sampling. The research tool included a demographic information form, a standard health-promoting lifestyle profile (HPLP-II), and a standard general health questionnaire (GHQ-28). Data analysis was performed using Spearman’s correlation coefficient, Chi-Square, and logistic regression tests. Results: Based on the results of the present study, a high percentage of the sample (72.4%) had mental health disorders. The most and the least impact on the prediction of health status were related to spiritual growth (OR = 0.196, CI = 0.106 - 0.360) and physical activity (OR = 0.757, CI = 0.384 - 1.491). Except for physical activity, all subscales of the health-promoting lifestyle were able to predict the mental health status (P < 0.01), but in the presence of economic and social factors, they could not predict the mental health status (P < 0.05). Conclusions: Since mental health in female heads of households is influenced by a complex system other than health-promotingbehaviors, empowering both women and community to cope with these problems and move toward health promotion seems es- sential. Moreover, the results of the current study might be used by authorities in evidence-based decision making to reduce health inequalities.
