جستجوی مقالات مرتبط با کلیدواژه "health status" در نشریات گروه "پزشکی"

Patients with kidney stones have a lower quality of life (QOL) than healthy patients; however, treatment guidelines neglect their QOL. Wisconsin stone QOL test (WIS-QOL) is the first specific questionnaire for urolithiasis patients. This study evaluated the reliability and validity of the translated Persian version of the WIS-QOL questionnaire in patients with kidney stones.

All patients (> 18 years old) with a history of urolithiasis were included in this cross-sectional. The WIS-QOL questionnaire was translated depending on Hutchinson's guideline. Effects of urolithiasis on the patient's social activity, emotions, disease, and vitality were evaluated. Pearson Correlation and Cronbach's alpha test were used to assess the validity and reliability of the questionnaire. All data were analyzed by SPSS software version 26.0.

Among 154 urolithiasis patients, 94 (61%) were males, and 60 (39%) were females. The mean age was 50.4 years (SD: ± 13.6), and the mean QOL score was 84.7 (SD: ± 21.8). For each question, the numerical value of the Pearson Correlation Coefficient has been compared with the numerical value, and the validity of the questionnaire was confirmed. The overall Cronbach's alpha was 0.94 for all four areas of the questionnaire, so the reliability of the questionnaire in Persian was confirmed.

The present study showed the reliability and validity of the Persian version of the WIS-QOL questionnaire in symptomatic urolithiasis patients. The present study showed the status and impact of urolithiasis on QOL however, longitudinal and prospective studies should be done to specify changes over time.

Subjective Successful Aging (SSA) refers to individuals’ self‑rating of their aging process. Demographics, socioeconomic status, and health conditions of older adults can shape their aging process and their self‑evaluation of it. This study aimed to explore the status of SSA and its related factors among a sample of Iranian older adults in 2022.

This cross‑sectional study was conducted with 410 older adults in Bojnurd, Iran, who were selected by a multi‑stage sampling method. Data were collected through a four‑part questionnaire consisting of objective socioeconomic status, subjective socioeconomic status (Subjective Social Status (SSS) and Perceived Income Adequacy (PIA)), health status (Self‑Related Health (SRH) and number of chronic diseases), and the SSA six‑question scale. The data were analyzed using SPSS (version 22). Bivariable and multiple linear regression analyses were run to identify the factors associated with SSA.

The mean (standard deviation) age of the participants was 68 (7.33). The mean (standard deviation) of the SSA score was 60.69 (17.85). Only 132 individuals (32.20%) considered themselves successful. According to regression analysis, among the investigated variables, the predictors of SSA were SRH (β = 0.40, p < 0.001), PIA (β = 0.23, p < 0.001), SSS (β = 0.18, p < 0.001), and age (β = −0.11, p = 0.009), respectively.

Regarding the low percentage of participants who considered themselves successful seniors, it is necessary to pay more attention to promoting the aspect of successful aging and its related determinants. According to the results, promoting perceived health and reducing financial concerns, especially in older people, could finally increase SSA among Iranian older adults.

This study explored the concept of ‘life balance’ during physical isolation due to COVID-19 in Iran in 2020.
In a cross-sectional design, 403 participants completed the internet-based "Life Balance Inventory (LBI)”, which includes five subscales: health, relationship, identity, challenging/interesting activity, and daily activities. The data were analyzed using SPSS 21, and a significant level of less than 0.05 was considered. Descriptive statistics, t-tests, and one-way ANOVA were utilized in the analysis.
The total mean score of LBI was 1.51+_0.38(unbalanced). The scores were distributed among the participants as follows: 52.6%  of participants scored between 0.6 and 1.5 (very unbalanced);  37.7% of participants scored between 1 and 1.5 (unbalanced); 8% of participants scored between 2 and 2.5 (moderately balanced); and finally, 1.7% of participants scored between 2.5 and 3 ( very balanced). Significant relationships were found between LBI and gender (P=0.001), chronic comorbidity (P-value =0.029), and Job (P-value=0.044). The health subscale showed no statistical difference according to the demographic factors. Males demonstrated more life balance in their daily activities, including driving and social transportation (p=0/001). Married participants and those older than 40 exhibited more balance in the relationship subscale (p-value=0/001). Teachers and faculty members showed more balance in identity (p=0.014) and relationship (p=0.001). Higher-income participants revealed more life balance in the challenge/interesting subscale (p=0.033).
The results suggested that participants experienced an unbalanced lifestyle during the early phase of COVID-19 isolation.

 Traffic injuries are one of the top ten leading causes of mortality worldwide that impose a substantial burden on the health and economy of nations. Among all traffic users, pedestrians are the most vulnerable, accounting for a significant share of injuries and fatalities resulting from traffic accidents. Numerous factors contribute to pedestrian traffic accidents, with unsafe pedestrian behavior being one of the most critical factors.

 Various factors can influence the traffic behavior of pedestrians. Therefore, this study aimed to examine the relationship between demographic characteristics, the general health status of pedestrians, and their traffic behavior.

 In this cross-sectional study, after obtaining ethical approval and participants’ consent, data were collected from eligible individuals. The data included participants’ demographic information and their responses to the 28-question General Health Questionnaire (GHQ-28) and the Pedestrian Behavior Questionnaire (PBQ). Linear regression analysis was performed to assess the relationships between demographic variables, general health domains, and the total score obtained from the PBQ.

 Among the 1 421 participants in the study, 720 (50.7%) were female and 1 310 (92.2%) were under the age of 60. In terms of marital status, 979 individuals were married (69.5%), and 368 (26.2%) were single. The overall score of the general health of the participants was high in 623 individuals (43.8%), moderate in 666 individuals (46.9%), low in 122 individuals (8.6%), and very low in 10 individuals (0.7%). The mean (standard deviation) score of pedestrian behavior was also 57.89 (±11.9). There was a significant relationship between female gender, age of 15-29 years, being single, and domains of general health (somatic symptoms, anxiety assessment, social dysfunction assessment, and depression assessment) with the overall score of pedestrian behavior. Additionally, a significant relationship was found between the overall score of the participants’ general health and the overall score of their pedestrian behavior.

 There is a significant relationship between demographic characteristics and various domains of the general health of pedestrians and their behavior. Paying attention to this issue in policymaking and conducting further studies to identify other factors affecting pedestrian traffic behavior to prevent traffic injuries seems necessary.

The emergence of some medium—and long-term outcomes following the acute phase of the disease, known as "long COVID-19," poses a challenge to medical science. This study aimed to determine the health status of COVID-19 patients after discharge.

This is a descriptive-analytical cross-sectional study. The research population included all COVID-19 patients hospitalized at Hajar Educational and Medical Center in Shahrekord over three months. The data collection tool was a questionnaire assessing the health status of patients six weeks after discharge. Data analysis was performed using SPSS23 software and descriptive and analytical statistical tests, including Fisher’s exact test and independent t-test.

The total number of hospitalized patients was 160. Among them, 21 patients had died, and 72 patients either did not respond to the phone call or provided unreliable information. Ultimately, data were collected from 67 patients. In examining the complications of COVID-19, 34.4% of the study samples reported weakness and fatigue, 13.4% cough, 8.9% dyspnea, and 1.4% skin complications. A significant correlation was observed between the gender variable with dyspnea and cough variable (P=0.001) and between the gender variable with weakness and lethargy variable (P=0.05). In the correlation analysis between the variables of hypertension, diabetes, lung diseases, overweight, brain diseases, and remdesivir drug injection, a significant relationship was observed with COVID complications.

The COVID-19 pandemic is not over, and many sufferers suffer from prolonged covid. Gender and underlying diseases are some of the most important underlying factors in the long-term COVID-19. Creating post-COVID care systems for these patients is highly needed and recommended.

 Genetic modifications in the adiponectin receptor 2 (AdipoR2) gene can affect phenotypes associated with insulin resistance and diabetes. The purpose of this study was to evaluate the possible role of genetic modifications in the AdipoR2 gene, to determine the frequency of genotypes and polymorphism alleles of this gene at rs11061971 (+219 A>T), and to investigate its correlation with type 2 diabetes (T2D) and its related metabolic profile.

 In this case-control study, the single-nucleotide polymorphism (SNP) of AdipoR2 in 116 T2D patients and 102 controls was evaluated using RFLP PCR and FOK 1 enzyme. Fasting blood sugar, cholesterol, triglyceride, insulin, HDL-C, LDL-C and HbA1c were also measured and their correlation with the studied genetic modifications was assessed. The collected data were analyzed using Chi-square test and Hardy-Weinberg equation.

 There was a significant association in AT and TT genotypes in rs11061971 (+219 A>T) with T2D. However, no significant difference was observed in the frequency of alleles between the case and control groups. In addition, in LDL-C and total cholesterol in the control group, there was a significant difference between AA and TT genotypes as well as with AA and AT genotypes. However, no correlation was found between the other studied serum parameters and the genotype of individuals in the rs1106197171 polymorphism.

 It can be concluded that rs11061971 (+219 A>T) polymorphism is associated with T2D incidence. The findings suggest that AT and TT genotypes in this gene compared to AA genotype increase the risk of diabetes.

The COVID-19 pandemic restrictions may have significant implications for patients with multiple sclerosis (MS). The objective of this study is to explore the impact of the pandemic on physical activity levels and health outcomes among MS patients, as well as to examine potential associations between these factors. In this cross-sectional study, 197 patients with confirmed MS diagnosis were included. Physical activity and health status were assessed using international physical activity questionnaire-long form (IPAQ-LF) and short form 36 health survey questionnaire (SF-36) during the period of restrictions. The relationship between clinical characteristics, physical activity levels and health status parameters were examined. A total of 45 participants (22.8%) scored low, 73 (37.1%) scored moderate, and 79 (49.1%) achieved a high level of physical activity during the COVID-19 pandemic. We observed no significant association between total physical activity and any domains of SF-36 health status, except for pain. However, correlations were found between IPAQ and SF-36 domains. Specifically, walking showed positive correlations with physical functioning, physical limitation, general health, and physical component summary score. Vigorous activity demonstrated a negative correlation with social functioning, while moderate activity displayed a positive correlation with energy levels. Despite the challenges of home isolation and quarantine, most of our participants managed to achieve a moderate to high level of physical activity, while their overall health status was found to be moderate. Additionally, significant correlations were identified between the domains of health status and different types of physical activity, particularly walking. Further studies are warranted to optimize the care and support provided to patients with MS.

Despite the increase in the age of marriage, early marriage and subsequent adolescent pregnancy remain a serious problem in many regions and societies. Due to low evidence in this regard, this study was conducted to determine the health consequences of adolescent pregnancy. Study Design: This was a case-control study.

The present study was performed on pregnant women who were referred to Ayatollah Mousavi hospital of Zanjan for delivery in 2021. Pregnant women with gestational age less than 19 years were considered as the case group and those with gestational age between 19-35 years as the control group. The pregnancy outcomes on the mother and the neonate were obtained through the researcher-made checklist. Chi-square test and student’s t-test were used to compare variables between the two groups.

In this study, 169 adolescent and 258 adult mothers were compared as the case and control groups, respectively. The mean age of cases and controls was 17.41 ± 1.22 and 30.66 ± 6.46 years, respectively. Cesarean delivery (34.5% vs. 23.67%, P = 0.017) and anemia during pregnancy (16.28% vs. 10.7%, P = 0.005) were significantly higher in the control group, while mood disorder after delivery was significantly higher in the case group (11.24% vs. 5.84%, P = 0.04). The Apgar score 5 minutes after birth and birth weight were significantly higher in mothers of the control group (P < 0.05).

The results demonstrated that adolescent mothers are more prone to postpartum depression, and babies born to these mothers are more prone to low birth weight and a low Apgar score. Therefore, adolescent pregnancy should be managed as a high-risk pregnancy.

Life satisfaction is a comprehensive concept reflecting the general feeling of people about the society in which they live. Previous research has found that health status is associated with life satisfaction. Sexual intercourse is of physiological and psychological needs, which is closely associated with the wellbeing of any individual. In this study, we examined life satisfaction in Marvdasht, Fars province. This population-based survey was conducted in 2016 among Marvdasht urban and rural population aged 18-50 years. The participants were selected via cluster random sampling. A telephone survey was conducted to complete an interviewadministered questionnaire. Significance level in this study was considered 0.05. All stages of data analysis was done in SPSS22 software. A total of 3879 participants from urban and rural areas of Marvdasht were interviewed. There was a difference between urban and rural men in terms of sexual satisfaction (P=0.01) (7.90±2.01 vs. 8.15±1.89) and life satisfaction (P=0.011) (5.64±3.54 vs. 5.14±3.71). Satisfaction in both cases in men in urban areas was better than men in rural areas. Also, the average score of sexual satisfaction was higher in rural men compared with that in urban male residents (P=0.01). Regarding women, at error level of 0.05, there was a difference between urban and rural women in terms of sexual satisfaction (P<0.0001) (8.62±1.502 vs. 9.12±0.789) and life satisfaction (P<0.0001) (8.37±1.641vs. 9.13±0.669), so that satisfaction in both cases in women in rural areas was higher than men in urban areas. Life satisfaction had a close relationship to geographical areas of residence. However, this was for women living in rural areas than women living in urban areas in both cases.

Health literacy is considered a fundamental ability needed when making difficult health-related decisions. Also, people with nutrition literacy can convert nutrition messages into knowledge and tend to make healthier eating choices. This systematic review aimed to summarize the literature on nutrition and health literacy to enhance the medical students’ knowledge about the importance of health and nutrition literacy.
Information &

In this study systematic review, research articles published in English were reviewed using relevant terms in PubMed, CINAHL, Web of Science, EMBASE, Scopus, and CINAHL databases. The articles were selected based on the inclusion and exclusion criteria, repetition, purpose, and relevance to the topic. Furthermore, the “Consensus-based Standards for the selection of health Measurement Instruments” checklist was used to select and evaluate the reviewed articles.

A total of 2978 articles were reviewed. Ultimately, 15 articles were approved and included in the study. Six studies were conducted on nursing students, six were on students of pharmacy and other clinical fields, and three studies examined medical students. The average nutrition and food literacy scores were sufficient, whereas the nutrition knowledge score was moderate.

In the reviewed studies, nutrition literacy is evaluated to be at a low to medium level. Most students have insufficient nutrition knowledge.

Improving public health is the main goal of healthcare systems across the world. Healthcare policymakers often use comparisons between different healthcare systems to better position their country and use the outcome to develop novel strategies to improve their own public health. The present study aimed to compare the health status indicators in Iran with those of the Eastern Mediterranean (EM) countries using the multiple attribute decision-making (MADM) methods. A descriptive-analytical study was conducted in 2021 at Shiraz University of Medical Sciences, Shiraz, Iran. Data on the ranking of health status indicators in EM countries were obtained from the annual publications of the World Health Organization, World Health Statistics (2016-2020). As part of the MADM mathematical models, the “criteria importance through intercriteria correlation” (CRITIC) model was used to assign weights to health status indicators. In addition, the “multi-criteria optimization and compromise solution” (VIKOR) model was used to rank the EM countries. The results showed that Bahrain and Somalia ranked first and last on health status indicators, respectively. Iran was ranked fifth among the EM countries. However, while Iran has a better status on all indicators than the mean value of all EM countries, there is a significant gap between the health status in Iran compared to the top-ranked countries.  Health care strategies adopted by top-ranked countries, such as Bahrain and Qatar, can be used by Iran and other EM countries as a model to improve their healthcare system.

The aim of this study was to reveal the longitudinal associations of health status (HS) and Self-rated Health (SRH) on mortality.

Data from the Korea Longitudinal Study of Ageing were used in this study. The baseline data (2006) included 10,239 participants. The Cox proportional hazard model was used to verify the hypothesis.

The mortality was high when the health status was Bad and higher when the SRH was Bad. The HS‑Bad–SRH‑Bad group had the highest mortality. Middle-aged people with diseases had higher mortality than older people who perceived themselves as in Bad health. For older people, mortality was high for SRH‑Bad people of all health statuses.

The results predict a high rate of mortality for middle-aged and older people with a combination of HS‑Bad and SRH‑Bad, with SRH being relatively more influential in mortality.