مونا نقشبندی

Considering the relationship between abdominal (central) obesity and chronic diseases and disorders of biochemical factors, as well as the role of ethnicity and geographical area on the relationship between obesity and chronic diseases, this study aims to determine the prevalence of abdominal obesity and its relationship with biochemical and blood pressure indices in candidates for angiography.
This cross-sectional study was performed on 610 subjects aged 25-75 years who were candidates for elective angiography and were referred to Heshmat Hospital in Guilan province in 2016. Data were collected by interview, medical records, blood pressure measurements and anthropometric indicators, including weight, height, body mass index and waist circumference. Fasting blood samples were used for biochemical indices. Abdominal obesity was determined based on waist circumference more than 102 cm in men and more than 88 cm in women.
FINDINGS: In this study, 348 (57%) patients had abdominal obesity. 29% of men (101 patients) and 71% of women (248 patients) had abdominal obesity and there was a significant relationship between gender and abdominal obesity (p=0.0001). There was a significant different between patients with abdominal obesity and non-obese subjects in terms of total cholesterol (161±40 vs. 153±41 mg/dl, p=0.04), HDL cholesterol (44±8.6 vs. 43±8.2 mg/dl, p=0.01) and hematocrit (39±4.1 vs. 41±4.4 mg/dl, p=0.001). The variables of age, gender, and BMI were independent predictors of abdominal obesity. The incidence of abdominal obesity was 37 times higher in women and increased significantly with age. The chance of obesity increased by 1.25 per unit body mass index increase.
The results of this study demonstrate the prevalence of abdominal obesity in candidates for elective angiography and its association with some blood factors.

Incorrect nutrition is one of the risk factors for heart disease, and any change in dietary habits can be useful in preventing and controlling heart disease. However, before any nutritional intervention, we need to have an outlook of the dietary habits of the people. This study aims to determine the adherence to correct nutrition plan and some of its effective factors in people living in northern Iran.
This cross-sectional study conducted among 550 individuals with cardiovascular risk factors referring to Heshmat Hospital in Rasht. Risk factors and indicators were collected using designed questionnaires, medical records review and assessment of dietary adherence with Mediterranean Diet Adherence Screener (MDAS) questionnaire, which was localized according to the Persian culture. The score of the nutrition questionnaire is zero–14. Zero – five is inappropriate adherence; 6–9 is moderate adherence and 10 and above is high dietary adherence (healthy food patterns).
FINDINGS: The mean age of subjects was 58±0.38 years. 71.4% of subjects suffered from overweight and obesity. Mean dietary adherence was 5.76±0.07. Forty three percent of subjects had inappropriate adherence, 55% had moderate adherence and only 2% had high dietary adherence. The dietary adherence in men was significantly higher than women (p=0.001). People living in rural areas and those with higher education had more inappropriate dietary adherence insignificantly.
Despite having access to appropriate and healthy food in northern Iran, people's food pattern was estimated to be inappropriate. Therefore, education about modified food program and a trend toward following the Mediterranean dietary pattern, which is similar to the dietary culture of the people in northern Iran, is suggested.