فهرست مطالب نازنین رضایی

Peripheral neuropathy is a common complication of diabetes which can lead to impaired postural control. The aim of the present study was to investigate the effect of 12-week resistance training on balance, risk of falling and distribution of foot pressure in diabetic women with peripheral neuropathy.

In a randomized clinical trial, 30 women with type 2 diabetes and diagnosed with peripheral neuropathy were randomly assigned into experimental (n=15) and control (n=15) groups. The experimental group underwent a circuit resistance training program with 50 of one-maximum repetition, 3 -sessions per week over 12 weeks. Before and following the experimental period static and dynamic balance, posture control and risk of falling were assessed.

Static and dynamic balance indices improved following the exercise intervention (P=0.0001). Moreover, risk of falling index decreased in the experimental group compared to control condition (P=0.0001). However, foot pressure distribution was unchanged following exercise intervention (P>0.05).

Circuit training improved balance and risk of falling in diabetic patients with peripheral neuropathy. Therefore, they are suggested to include circuit training as a safe non-pharmacological intervention to improve balance and walking and to prevent falling.

Diabetes is a metabolic disease with an increasing prevalence. Therefore, it is important to identify the factors associated with this disease. This study aimed to determine the association of food insecurity, psychological factors, and social support with gestational diabetes in pregnant women in Ilam Province, Iran.

In this cross-sectional study, a total of 734 pregnant women at the gestational age of 24-28 weeks were selected. Sampling was performed in March-November 2016 in health centers of Ilam Province by cluster sampling method. The data collection tools included the demographic and midwifery, economic and social status, stress, anxiety, depression, domestic violence, social support, and food insecurity questionnaires. Data analysis was performed in SPSS version 16, using descriptive and analytical methods (single and multiple logistic regression analyses).

Overall, 9.8% of the subjects had gestational diabetes, and 35.1% reported food insecurity. The study of stress, anxiety, and depression showed mild stress (61.1%), mild anxiety (63.4%), and mild depression (62.8%) in the majority of subjects. Also, 251 (34.2%) subjects had high social support. After controlling for the effects of midwifery factors, demographic characteristics, and other independent variables, the results of multivariate regression analysis did not indicate any significant difference in terms of food insecurity, psychological factors, and social support between the two groups (P<0.05).

Although gestational diabetes is very common, there was no significant association between gestational diabetes and food insecurity, psychological factors, and social support. Considering the small number of studies in this field, further research is needed to confirm this relationship.

Peripheral neuropathy is a common complication of diabetes leading to clinical symptoms and diminished quality of life. The aim of the present study was to investigate the effect of resistance training on clinical symptoms and quality of life in type-2 diabetic men with peripheral neuropathy.

In this clinical trial 30 diabetic patients with peripheral neuropathy randomized to the experimental or placebo groups. The experimental group underwent a resistance training program over with the frequency of 3 sessions per week, at the intensity of 50-80% one repetition maximum, 1-3 sets for each exercise over 12 weeks. Before and after the experimental period clinical symptoms of neuropathy (Michigan Diabetic Neuropathy Score), quality of life (SF-36), quality of sleep (Pittsburgh Sleep Quality Index) and fatigue (Multidimensional Fatigue Inventory) were assessed and blood samples were collected. Data were analyzed using paired and independent t-test at significance level of 0.05.

MDNS improved significantly in the experimental group compared to the control group (p < 0.05). Moreover, fasting glucose and HbA1c significantly decreased following exercise intervention (p < 0.05). In addition, quality of life, quality of sleep and fatigue index improved in the experimental group (p < 0.05).

Based on the results of the present study, resistance training seems to be a proper intervention to improve clinical symptoms of diabetic peripheral neuropathy and quality of life in this population.