Microsoft word - letter to editor- obesity iran 22

Bangladesh Med Res Counc Bull 2010; 36: 100-103
obesity was significantly more in women than men (P=0.001), but the prevalence of overweight has inversely related to the gender (P=0.013). The LETTERS TO THE EDITOR
prevalence of obesity and overweight were markedly more in urban area than in rural area Obesity in the north of Iran (South-East of the
Caspian Sea)
Table I: The mean and standard deviation of BMI (Kg/m2) in
Obesity increases the likelihood of various diseases, particularly heart disease, breathing difficulties during sleep, type 2 diabetes, several cancers, and osteoarthritis and it was increasing rapidly all over the world1. The Third National Surveillance of Risk Factors of Non-communicable Disease in Iran reported the prevalence of obesity up to 22.3% and it was more in female and urban residents2. Golestan province is located in the north of Iran (south east of Caspian sea) and of 1,600,000 populations in this area, 66.39% are 15-64 years The prevalence of obesity and overweight reported old, whereas 43.9% and 56.1% are living in urban in Iran3 18.1% and 32.0%, respectively. In another and rural area, respectively. Most of people in study4, overweight, obesity and pathologic obesity villages are farmer. Different ethnic groups such as have been shown 28.6%, 10.8% and 3.4% of in Fars (native), Turkman and Sistani are living in this adult people. The prevalence and pattern of obesity vary substantially from a nation to a nation, and its current prevalence (BMI ≥30 kg/m2) ranges from as With regards has not been done a comprehensive low as ≤ 5% in China, Japan, and African nations study about obesity in this area, this study to as high as ≥75% in urban Samoa. However, even established for determine of obesity status among in relatively low-prevalence countries, such as 15-65 aged in the Iranian northern people. China, rates are almost 20% in some cities5. Obesity reported 23.5% in the USA6 and 32.8% in This study conducted in 2495 subjects (male=1247 Brazilian7. In the present study, the prevalence of and female=1248) that chosen by cluster and obesity and overweight was not markedly different stratify sampling based on age and sex proportion with the other part of Iran, and in some other among the Iranian northern adult people in 2006. More prevalence of obesity in women than men4,8 anthropometrics indexes. BMI was classified as and in urban area than rural area2,3 has been shown overweight, a BMI 30.0 to 39.9 kg/m2 was
in some studies. In the developing countries, classified as obesity and BMI of 40 kg/m2 or more
migration started from rural to urban areas, and it led to lifestyle changes in recent decades. This The values of BMI (Mean±SD) were 25.31±5.0 and situation subsequently increased the obesity rate9,10. 27.54±6.4 kg/m2 in men and women and 27.22±5.7 On the other hand, changes of lifestyles may cause and 25.72±5.9 in urban and rural area, respectively low physical and occupational activities in urban (Table I). The prevalence of overweight, obesity compared with rural population. Iran is governed and pathologic obesity were 30.34%, 22.48% and by Islam and outdoor physical activity of women is 1.76%, in that order. Although, the prevalence of
Table II: The distribution of BMI criteria in Iranian northern adult people
Finally, Obesity and overweight were the most and central body fat in the city of Rio de Janeiro: serious health problem in the north of Iran and results of a two stage random sampling survey. Public Health 2001; 115(3): 236–242. suffered more than half of adult people with it. Urbanization and gender are risk factors for obesity 8. Sibai AM, Hwalla N, Adra N, Rahal B. Prevalence of morbidity. The difference of overweight between and covariates of obesity in Labanon: finding from the gender is remarkable in this area and should be first epidemiological study. Obes Res 2003; 11: 1353–1361. This paper created from provincial incommunicable accelerated nutrition transition in Iran. Public Health study and based on 258888 official documents was justified for publication. The authors would like to 10. Veghari GR, Mansourian AR. Obesity Among Mothers thank the medical and administrative staff in the In Rural Golestan-Iran (south east of Caspian sea). Iranian J Publ Health 2007; 36(3): 71-76. University of Medical Sciences for their valuable Surgical management of ventricular septal
Gholamreza Veghari1, Hamidreza Joshaghani2,
defect with pulmonary stenosis with idiopathic
Farhad Niknezhad3, Mehdi Sedaghat4, Ahmad
thrombocytopenic purpura
Hoseini5,
Abdolhamid
Angizeh6,
Tazik7, Pooneh Moharloei8.
Abstract
1 Golestan Cardiovascular Research Center and Department Patients with idiopathic thrombocytopenic pupura of Biochemistry and Nutrition, 2,3Department of laboratory (ITP), when under goes any cardiac surgery face an Sciences,4-8Deputy of Health, Golestan University of increased risk of postoperative haemorrhagic complications. A 28 years old female patient with idiopathic thrombocytopenic purpura(ITP) and Ventricular septal defect (VSD) with pulmonary References
stenosis (PS) was operated. We treated her with oral steroid for three weeks immediately before 1. Haslam DW, James WP. Obesity. Lancet. 2005 Oct 1; surgery. During surgery under extracorporeal circulation bleeding was controlled meticulously Esteghamati A, Meysamie A, Khalilzadeh O, Rashidi and she was administered methyl prednisolone, A, Haghazali M, Asgari F, Kamgar M, Gouya MM, injection hydrocortisone, fresh frozen plasma, Abbasi M. Third national Surveillance of Risk Factors platelets and whole blood. Steroid was continued of Non-Communicable Diseases (SuRFNCD-2007) in Iran: methods and results on prevalence of diabetes, postoperatively for two weeks. She did not suffer from any haemorrhagic complication and her dyslipidemia. BMC Public Health 2009 May 29; 9: recovery was uneventful. Congenital heart disease with idiopathic thrombocytopenic purpura can be 3. Janghorbani M, Amini M, Willett WC, Mehdi Gouya operated for heart surgery if appropriate pre, intra M, Delavari A, Alikhani S, et al. First nationwide survey of prevalence of overweight, underweight, and centralobesity in Iranian adults.Obesity (Silver Spring) Introduction
Though bleeding episode is inevitable that surgical 4. Kelishadi R, Alikhani S, Delavari A, Alaedini F, Safaie procedure under cardiopulmonary bypass is the A, Hojatzadeh E. Obesity and associated lifestyle only treatment option this patient had. Post- behaviours in Iran: findings from the First National Non-communicable Disease Risk Factor Surveillance operative bleeding remains a major problem after Survey. Public Health Nutr 2008; 11(3): 246-51. cardiopulmonary bypass. The increased bleeding tendency after cardiopulmonary bypass is a 5. World Health Organization. Global strategies on diet, physical activity and health. WHO Web Site; 2006 complex reflection of multiple haemostatic defects [Updated 2006 August 26, cited]; Available from: including coagulation factor deficiency, inadequate http://www.who.int/dietphysicalactivity/publications/ reversal of heparinization, increased fibrinolytic activity and platelet deficiency in quantity and 6. Patrick W. Sullivan, Elaine H. Morrato, Vahram quality1. If this condition associated with ITP Ghushchyan, Hollyr. Wyatt, James O. Hill. Obesity, chance of major bleeding increases, as immune Inactivity, and the Prevalence of Diabetes and thrombocytopenic purpura (ITP) is primarily a Diabetes-Related Cardiovascular Comorbidities in the disorder of increased platelet destruction mediated U.S., 2000–2002. Diabetes Care 2005; 28(7):1599-603. by auto antibodies to platelet membrane antigen. 7. Ramos de Marins VM, Varnier Almedia RM, Pereira We report here the strategy we used to manage a RA,Barros MB. Factors associated with overweight

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