Mohammadtaghi Sarebanhassanabadi; Seyed Jalil Mirhosseini; Masoud Mirzaei; Seyedeh Mahdieh Namayandeh; Mohammad Hossein Soltani; Ali Pedarzadeh; Zahra Baramesipour; Reza Faraji; Amin Salehi-Abargouei
Volume 19, Issue 7 , July 2017, , Pages 1-10
Abstract
Background: Metabolic Syndrome (MetS) is rapidly growing in today’s world as an important predictor for type 2 diabetes and cardiovascular disease.Objectives: The present study aimed at assessing the incidence of MetS and the most powerful components as predictors of MetS in a cohort study in central ...
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Background: Metabolic Syndrome (MetS) is rapidly growing in today’s world as an important predictor for type 2 diabetes and cardiovascular disease.Objectives: The present study aimed at assessing the incidence of MetS and the most powerful components as predictors of MetS in a cohort study in central Iran.Methods: This cohort study was a follow-up of participants (n = 2000 and aged 20 to 74 years), who were selected using multistage random cluster sampling method from urban areas of Yazd, Iran, during year 2005 and repeated in 2015. Metabolic Syndrome was defined using a modified version of National cholesterol education program adult treatment panel III (NCEP III) definition. To assess hazard ratio of components of MetS for crude and adjusted values in two models, Cox proportional hazard regression was used.Results: Prevalence of MetS was 44.8% (n = 887) at baseline. Therefore, we followed subjects without MetS (n = 809) in 2015. After about 10 years, MetS was developed in 56.1% (n = 454) of subjects. Incidence of MetS in males and females was 56.1/1000 person-years and 58.7/1000 person-years, respectively. The analysis revealed that incidence of MetS significantly increased with age and higher level of socio-economic status and decreased with high level of education. In females and males the most powerful component for incidence of MetS was high fasting blood glucose (HR = 16.6, 95% CI: 1.91 - 22.82) and hypertriglyceridemia (HR = 1.64, 95% CI: 1.02 - 2.6), respectively.Conclusions: The current study showed a high incidence of MetS in males and females residing in central Iran. Furthermore, community-based interventions that reduce MetS in the population are needed.
Mohammad Ali Morowatisharifabad; Mehdi Khankolabi; Hassan Mozaffari-Khosravi; Hossein Fallahzade; Mohammad Hassan Gerami; Amin Salehi-Abargouei
Volume 19, Issue 3 , March 2017, , Pages 1-7
Abstract
Background: The increasing prevalence of overweight and obesity in children has posed some challenges in many countries. There is a relationship between parenting styles, parental feeding practices, and children’s nutritional status.Objectives: This study aimed to apply Authoritative Parenting ...
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Background: The increasing prevalence of overweight and obesity in children has posed some challenges in many countries. There is a relationship between parenting styles, parental feeding practices, and children’s nutritional status.Objectives: This study aimed to apply Authoritative Parenting style Model in children’s nutritional status.Methods: This research was a cross-sectional study conducted on 1000 parents selected by random cluster sampling. Parents who had primary school children aged 7 - 8 years in Bojnord, Iran, completed questionnaires related to the constructs of the model in 2016. Structural Equation Model Model (SEM) analysis was used to test the fit of the model. CMIN/DF, GFI, IFI, CFI, PGFI, PNFI, and RMSEA indices were employed to check the goodness-of-fit.Results: Correctly completed questionnaires were collected from 294 dyads of parents. The mean age was 36.26 years (SD = ±5.38) in fathers and 32.96 years (SD =±4.88) in mothers. 232 mothers (80.5 %) were housewives and only 99 of them (34.4%) had university education. Most fathers were employee (115, 40%) or self-employed (111, 38.5%) and 120 of them (41.7%) had university education. The values of goodness-of-fit were obtained for CMIN/DF = 4.6, GFI = 0.91, CFI = 0.93, IFI = 0.92, PGFI = 0.68, PNFI = 0.77, and RMSEA = 0.07. Nutritional knowledge and attitude directly affected authoritative parenting style (β = 0.21, P < 0.001) and parental feeding practices (β = 0.33, P < 0.001) and indirectly affected children’s nutritional status (β = - 0.01). The authoritative parenting style construct had a direct effect on feeding practices of parents (β = 0.54, P < 0.001) and an indirect effect on children’s nutritional status (β = - 0.01). The feeding practices of parents construct also affected the children’s nutritional status directly (β = - 0.02, P < 0.05).Conclusions: This study indicated that the use of this model in the children’s nutritional status can result in positive outcomes, and this model can make interventions more effective in this regard.