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Showing 7 results for Hazar

Mohammad Mehdi Hakimian, Farid Abolhassani Shahreza, Narjes Hazar,
Volume 7, Issue 4 (volume 7, number4 2015)

Objective: Resilience is the personal ability to adapt successfully with unpleasant situations and maintain or regain bio-psychological well-being. Resilience could be promoted through Self-management educational programs. In this study, we tried to investigate if self-management education could improve resilience in diabetic patients.

Materials and Methods: The current study was a semi experimental trial. All patients were diagnosed with diabetes type 2. Intervention was the self-management education program. Fasting Blood Sugar (FBS), post prandial (2hpp) and resilience score were evaluated at the beginning and at the end of the study. T-test and Analysis of covariance (ANCOVA) were used for comparison between two groups.

Results: Although two groups had no significant difference in FBS, 2hpp and resilience score mean values initially, significant decreases occurred in all variables in intervention group in comparison the control group at the end of the study (P-value:0.005; <0.001 and 0.006 respectively). The results of ANCOVA analysis showed that post-test resilience score in intervention group was significantly higher than control group (P-value:<0.001).

Conclusion: self-management education can effectively improve resilience in diabetic patients.

Narjes Hazar, Majid Jafarizadeh Malamiri, Mohsen Mirzaei, Foroozandeh Kalantari, Mohammad Reza Sadeghiantafti, Mohammad Hassan Lotfi, Ali Zare, Masoud Rahmanian,
Volume 9, Issue 4 (volume 9, number 4 2017)

Objective: Gestational Diabetes Mellitus (GDM) is an important condition in diabetes categories causing significant complications including pre-eclampsia and eclampsia among pregnant women. The aim of this study was to estimate the trend of annual GDM incidence and its risk factors in Yazd province, Iran, from 2008 to 2013.
Materials and Methods: The present study was conducted as a prospective cohort study in which all pregnant women who had attended primary health care centers were screened for GDM. Annual GDM incidence was calculated for all and also according to 5-year age groups and residential area (urban/rural). Secular trends for GDM incidence and its risk factors were also evaluated.
Results: In this study, 67320 pregnant women were screened for GDM and 5425 pregnant women were diagnosed as GDM with 6-year incidence of 8,6%. Annual incidence of GDM increased from 3.1% in 2008 to 18.9% in 2013. Assessment of crude and age-adjusted incidence across the years of follow up revealed incremental secular trend (P-value<0.001). Changes in GDM risk factors including maternal age and family history of diabetes were also significantly positive. GDM incidence increased in both rural and urban areas but the observed trend slopes were opposite in these different contexts.
Conclusion: Clinicians should have specific regard to pregnant women with some risk factors for timely diagnosis and treatment. Meanwhile returning to previous life style of rural area can help to decrease GDM incidence. 

Farid Abolhassani Shahreza, Narjes Hazar,
Volume 10, Issue 4 (volume 10, number 4 2018)

Objective: Traditional health care systems were not capable to face successfully with chronic diseases including diabetes mellitus. In this regard, the Chronic Care Model or CCM was created to promote quality of care. The aim of this study was to examine whether establishment of chronic care model, with focus on diabetic patients, has led to clinically significant outcomes in Iran.
Materials and Methods: The samples were confirmed type 2 diabetes patients who had been attending to 20 CCM-based clinics in Tehran for at least one year. Repeated measurements of the same variable (including demographic, anthropometric and biochemical variables) on the same individual in 5 serial time points were used.
Results: Totally, 7190 patients (4793 females and 2397 males) with the mean age of 56 years old fulfilled inclusion criteria and entered the study. HbA1c (P-value: 0.001), fasting blood sugar (P-value: 0.001), systolic and diastolic blood pressures (P-value: 0.001), low density lipoprotein (P-value: 0.001), total cholesterol (P-value: 0.001), triglyceride (P-value: 0.001), and body mass index (P-value: 0.001) have significantly decreased during 4 measurement intervals.
Conclusion: Implementation of CCM frame in primary health care clinics as the first model-based participatory care has been relatively successful in the field of diabetes management in Iran. Our findings support the idea that multifaceted interventions provided through a collaborative team work could relieve various health risk factors in diabetics.

Masoud Reza Manaviat, Mansour Rafiee, Fariba Sepehri, Narjes Hazar, Ahmad Shojaaldini, Saeedeh Jam Ashkezari, Masoud Rahmanian,
Volume 10, Issue 4 (volume 10, number 4 2018)

Objective: Remote Ischemic Preconditioning (RIPC) as the transient ischemia and reperfusion of the arm is a promising method for protecting different tissue from future ischemia. These effects might be mediated through vascular and endothelial growth factor (VEGF) pathway. We investigated the influence of RIPC on diabetic macular edema (DME) as a chronic ischemic condition in patients who were candidate to receive anti-VEGF therapy.
Materials and Methods: In this Single blinded, randomized controlled trial, 40 eligible type 2 diabetes mellitus (T2DM) patients with macular edema who were candidate to receive anti-VEGF therapy randomized into intervention (CP) and sham controlling (SP). The CP received RIPC in three consecutive days before anti-VEGF injection. Data of optical cochrane tomography (OPC) before and 10 days after procedure were compared as outcomes.
Results: Central foveal volume and visual acuity mean difference before and after intra-vitral anti-VEGF injection in both groups was significant. There were no significant mean differences in central macular thickness in case groups. Comparing the mean between two groups did not show a significant difference in visual acuity, central foveal volume (P-value: 0.69) and central macular thickness (P-value: 0.62). There were no significant differences in the desired changes pattern of DME between two groups (P-value: 1.00).
Conclusion: This pilot study did not show any additive positive effect of RIPC on retinal outcomes especially visual acuity in T2DM patients with DME who were received anti-VEGF treatment.

Narjes Hazar, Somaye Gholami, Shima Shafiei, Mozhgan Hemmati, Masoud Rahmanian,
Volume 11, Issue 4 (volume 11, number4 2019)

Objective: We conducted this study to compare the psychological effects between diabetic patients taking fast and non-fasting counterparts to better investigate the effects of fasting on mental health of diabetes sufferers.
Materials and Methods: This study was a prospective cohort conducted among diabetic patients. In this study, two types of fasting and non-fasting patients were invited to take part. During One week before and after the Ramadan, all patients were asked to complete 28-scale General Health Questionnaire (GHQ).
Results: In this study, 116 patients who were suffering from diabetes completed the study. They were compared with each other in format of three groups (two fasting and one non-fasting). Mean changes of total and subscales' score were negative in nearly all groups but there were no significant difference between groups. In addition, total and subscale A, B and C scores significantly increased (positive change) but subscale D score didn’t change in fasting patients during this month.
Conclusion: The results of present study revealed that fasting during the whole month of Ramadan can exacerbate patients' general health in comparison with non-fasting patients. However, because we can't determine whether this finding is attributed to fasting regardless of diabetes or has been resulted from the co-existence of fasting and the disease, it is recommended to design a study to compare diabetic and healthy fasting individuals.  
Akram Ghadiri-Anari, Khatereh Kheirollahi, Narjes Hazar, Nasim Namiranian, Maryam Jalili Sadrabad, Mohsen Akhondi-Meybody, Mina Askari Mayani,
Volume 12, Issue 2 (volume 12, number 2 2020)

Objective: Diabetes Mellitus (DM) is one of the most common endocrine diseases with many systemic complications such as oral manifestations. The present study aimed to compare the oral manifestations frequency in diabetic patients and healthy subjects.
Materials and Methods: This cross sectional study was conducted during 2016-17 on subjects came to Yazd Diabetic Research Center. In this study, 181 type 2 diabetic patients (T2DM) and 181 healthy individuals, based on convenient sample method, were included. Two groups were compared for basic information and oral manifestations including candidiasis, oral lichen planus (OLP), periodontitis, xerostomia, delayed oral wound healing, geographic tongue, gingival hyperplasia, fissured tongue, burning mouth and finally at least one of these lesions.
Results: The frequency of candidiasis, OLP, periodontitis, delay oral wound healing, geographic tongue, xerostomia and at least one of lesions in diabetics were significantly higher than control group (P-value< 0.001). After regression analysis and adjusting for confounding factors, candidiasis, periodontitis and xerostomia in diabetics were significantly more prevalent than non-DM patients with odds ratio of 15.16 (1.80-127.57), 9.58 (4.68-19.63) and 78.639 (10.05-615.231) respectively.
Conclusion: Xerostomia, candidiasis and periodontitis were significantly more prevalent in T2DM than Non-T2DM persons. Therefore, increasing awareness on oral manifestations in this group is recommended for timely diagnosis and referring to an oral medicine.
Fatemeh Bidmeshki, Narjes Hazar, Masoud Mirzaei, Masoud Rahmanian,
Volume 14, Issue 2 (volume 14, number 2 2022)

Objective: Obesity is a major public health concern and there are different ways to detect it in population. The aim of the present study is to evaluate the neck circumference (NC) in a simple and practical way.
Materials and Methods: This cross-sectional survey utilized data from the Yazd Health Study (YaHS) which is a population-based cohort study. In brief, 9962 individuals aged 20-70 years with measurement of body weight, height, waist circumference (WC) and NC were available for analysis. To determine the relationship between NC and other anthropometric measurement, we utilized of Pearson's correlation coefficient. Receiver operator characteristic (ROC) curve analysis was used to find out an optimal cut off value for detecting general and central obesity as well as to determine the sensitivity and specificity of NC in predicting general and central obesity. The whole analysis was performed using SPSS version 22.
Results: NC correlated positively with body mass index (BMI) (r= 0.608, P< 0.001 in men and r= 0.541, P< 0.001 in women) and WC (r= 0.662, P< 0.001 in men and r= 0.542, P< 0.001 in women). The best cut-off point for NC to determine people with general obesity was 40.25 cm for men and 35.75 cm for women.
Conclusion: The NC has an acceptable correlation with BMI and WC. In addition, NC is a simple free measurement which may be utilized in various health-care settings. These properties make the NC as the best anthropometrics to determine overweight and obesity and it can be used as an appropriate predictor for overweight and obesity in population-based screening programs.

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