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Hosain Hosseini, Bahram Abedi, Hoseyn Fatolahi,
Volume 21, Issue 1 (5-2019)
Abstract

Background: A reduction in physical activity levels in the elderly causes diseases. Weight bearing is one of the problems of exercising in the elderly. The purpose of this study was to investigate the effect of water-based training period on adropin levels, insulin resistance, and lipid profiles in elderly men.
Materials and Methods: Twenty elderly men (69.5±3.62) were divided randomly into two groups of aerobic aquatic training and control (n=10). The training group participated in 8 weeks of training in water. Before and after intervention, blood sampling was performed to measure the serum levels of adropin, glucose, insulin, triglyceride, total cholesterol, LDL, HDL, and insulin resistance. To analyze the data, a mixed analysis of variance was used.
Results: Weight (P=0.002), BMI (P=0.002), insulin (P=0.001), glucose (P=0.008), insulin resistance (P=0.001), triglyceride (P=0.001), total cholesterol (P=0.001), LDL (P=0.015), adropin (P=0.001) and HDL (P=0.001) in the training group showed a significant improvement compared to the control group.
Conclusion: It is possible that aerobic water-based exercise decreases insulin resistance and improves lipid profiles in older men, leading to improved diabetes markers. It seems that adropin plays a role in this regard. Therefore, one of the most effective methods for preventing, controlling or improving diseases, especially metabolic syndrome in older people, is probably the use of water-based exercises. Especially given that these exercises reduce the problem of weight bearing in the elderly.

Soheila Hasanvand, Mohammad-Hasan Imani-Nasab, Mehdi Birjandi, Roudbeh Omidifar, Jamil Sadegifar,
Volume 21, Issue 3 (11-2019)
Abstract

Background: The age pyramid of our country is being reversed. Planning for the provision of healthcare services for the elderly requires the investigation of the factors affecting their utilization of health services. The aim of this study was to determine the availability of hearth services for the elderly at Lorestan province and the relationship between their utilization of these services with socioeconomic variables.
Materials and Methods:  This cross-sectional study was conducted in 2017. The study population included the elderly discharged from the hospitals affiliated to Lorestan University of Medical Sciences in 2017. The data of 428 patients were collected during phone interviews. The collected data were analysed by SPSS-18 software and chi-square test, Mann-Whitney test, Spearman test, and independent t-test.
Results: The rates of the utilization of medical and paramedical services in at least one occasion during the last three months among the studied elderly were 25.5% and 27.7%, respectivly. Utilization of health services was significantly affected by family structure, literacy status, residence of the patient (town or village), social origin (the residence until the age of 18), unemployment status, number of children, type of insurance, complementary insurance, having a chronic desease, self-evaluation of health status, satisfaction of the status quo, income, employment status, house ownership, and having a private room. However, there were not significant relationships between the elderly’s utilization of different health services and their gender, marital status, children’s location, and car ownership.
Conclusion: Elderly people utilize different health services more than the general population. Considering the significant relationship between certain socioeconomic variables and the utilization of health services among the elderly, it is recommended that planning for the provision of health services to them should be based on the investigation of their utilization of health services and their determinants.
Amin Jaydari, Eiman Azizyari Ghobadi,
Volume 24, Issue 1 (4-2022)
Abstract

Background: Coxiella burnetii is an obligate intracellular microorganism that causes Q fever in humans and animals. A high risk for obstetric complications has been reported among women infected with Coxiella burnetii. The present study aimed to assess the seroprevalence of C.burnetii infection among rural pregnant women in Khorramabad.
Materials and Methods: In this cross-sectional study, a total of 184 serum samples were collected randomly from pregnant women who were referred to clinical laboratories and health centers in Khorramabad, Iran, from December 2016 to June 2017. A commercial IFA kit was used to detect the specific antibodies against phase II human C. burnetii in serum samples.
Results: In this study, 89 (48.4%) serum samples had Coxiella antibodies. No significant relationship was observed between the variables of this study. Serological results based on the sampling month demonstrated that the most positive cases were observed in December (83.3%) which was statistically significant (P<0.001).
Conclusion: The present study demonstrated a high seroprevalence of C. burnetii infection among pregnant women in Khorramabad. Since Q fever is a dangerous factor in pregnant women, the Ministry of Health and Medical Education should take appropriate policy to raise the awareness of people at risk, especially those who have frequent contact with livestock.
 


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