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عضویت

جستجوی مقالات مرتبط با کلیدواژه « Hunger » در نشریات گروه « پزشکی »

  • Joshua Wang *
    Increasing obesity rates are an enduring concern for the health sector globally.   By the beginning of the 21st century, neuroscientists began to assert that obesity is primarily a brain disorder. The resulting field of obesity neuroscience has become an influential lens through which to research the pathogenesis of diet-induced obesity, with important implications for both public health and bioethics. This historical analysis aims to trace the intellectual origins of the obesity neuroscience discipline by examining two historical events: the United States’ war on drugs, and the nutrition transition.  Major historical milestones associated with each of these events are analyzed. Then, the convergence of these events is characterized, by an analysis of how this transformed neuroscience research on hunger.  This analysis demonstrates how the US war on drugs discovered new neurobehavioral epistemologies, predominately around addiction, that were then grafted onto the existing neuroscience of hunger.  The resulting analysis provides an illustrative explanation of the close epistemological relationship between obesity neuroscience and addiction.
    Keywords: Diet-induced Neuroplasticity, Addiction Neuroscience, Nutrition transition, Obesity, Hunger, Bioethics}
  • سحر قربان شمسی، ابراهیم نصیری فرمی*، سید عزت الله حسینی هاشمی، پیمان اصغری، ابوالفضل حسین نتاج
    سابقه و هدف

    کوله سیستکتومی لاپاراسکوپیک درمان استاندارد بیماری های التهابی کیسه صفرا شناخته می شود. این روش جراحی باعث بروز عوارضی در بیمار خواهد شد. برای جلوگیری از آسپیراسیون معده حین بیهوشی، دوره های ناشتایی طولانی قبل از جراحی برای بیمار درنظرگرفته می شود که خود منجر به عوارض جدی قبل و طی جراحی می گردد، لذا این مطالعه با هدف تاثیر مصرف خوراکی شربت ماءالعسل برحس گرسنگی و تشنگی قبل از عمل و علایم همودینامیک در جراحی کوله سیستکتومی لاپاراسکوپیک انجام شد.

    مواد و روش ها

    این مطالعه به صورت کارآزمایی بالینی تصادفی دوسوکور برروی 68 بیمار کاندید عمل جراحی کوله سیستکتومی لاپاراسکوپیک انجام شد. تجویز شربت ماء العسل در گروه مداخله و پلاسبو در گروه کنترل دو بار در روز بود (8 ساعت و سپس 2 ساعت قبل از عمل و با مشورت متخصص بیهوشی، به میزان 15 میلی لیتر از راه دهان مصرف شد). در این مطالعه متغیرهای حس گرسنگی و تشنگی، فشارخون و ضربان قلب ارزیابی و ثبت شد. آنالیز داده ها در نرم افزار SPSS22 انجام گرفت.

    یافته ها

    مصرف خوراکی ماءالعسل بر احساس تشنگی و گرسنگی قبل از عمل جراحی در افراد مداخله موثر بود (به ترتیب 0/004=P و 0/008=P). در زمان های مختلف، میانگین فشارخون سیستولیک و دیاستولیک و ضربان قلب در دو گروه اختلاف معنی داری نداشتند(0/05<P). جنسیت دارای ارتباط معنی داری با میانگین فشارخون سیستولیک و دیاستولیک و ضربان قلب بود(0/05>P).

    استنتاج

    براساس یافته های مطالعه حاضر، مصرف خوراکی شربت ماءالعسل قبل از عمل جراحی کوله سیستکتومی لاپاراسکوپیک، موجب کاهش حس گرسنگی وتشنگی بیمار می شود.

    کلید واژگان: ماءالعسل, کربوهیدرات, مراقبت های قبل از عمل, گرسنگی, تشنگی, لاپاراسکوپیک}
    Sahar Qorban-Shamsi, Ebrahim Nasiri-Formi*, Seyed Ezzatollah Hosseini Hashemi, Peyman Asghari, Abolfazl Hossein Nataj

    Background and

    purpose

    Laparoscopic cholecystectomy is known as the standard treatment for inflammatory diseases of the gallbladder. This surgical method causes complications in the patients. To prevent gastric aspiration during anesthesia, long fasting periods are considered for the patients before surgery, which itself leads to serious complications before and during surgery. Therefore, this study was conducted to investigate the effect of oral consumption of honey syrup on the patients' feelings of hunger and thirst before surgery, as well as the hemodynamic symptoms of laparoscopic cholecystectomy operations.

    Materials and methods

    This study was conducted as a double-blind, randomized clinical trial on 68 patients who were candidates for laparoscopic cholecystectomy surgery. The prescription of honey water in the intervention group and placebo in the control group was twice a day (eight and two hours before the operation, each time 15 ml). In this study, the variables of hunger and thirst, blood pressure, and heart rate were evaluated and recorded. The data were analyzed using SPSS V22.

    Results

    Oral consumption of honey beer syrup was effective on the feeling of thirst and hunger before surgery in the intervention subjects (P=0.004 and P=0.008, respectively). At different times, the average systolic and diastolic blood pressure and heart rate were not significantly different in the two groups (P>0.05). Gender had a significant relationship with the average systolic and diastolic blood pressure and heart rate (P>0.05).

    Conclusion

    Oral consumption of honey syrup before surgery reduced the feeling of hunger and thirst in the patients.

    Keywords: honey water (ma-ol-asal), preoperative care, hunger, thirst, laparoscopy}
  • Elnaz Faramarzi, Mohammadhossein Somi, Alireza Ostadrahimi, Saaed Dastgiri, Mousa Ghayour, Mohammad Asgari, Sarvin Sanaie*
    Introduction

    Nowadays, prevalence of metabolic syndrome (MetS) is increasing in the world. There are inconsistence findings about the relationship between food insecurity and MetS. Therefore, the aim of this cross-sectional study was to determine the association between food insecurity and MetS in North West of Iran.

    Methods

    The anthropometric measurements, food insecurity, dietary intake, blood pressure, fasting blood glucose (FBS), serum triglyceride and HDL levels of 151 subjects who had participated in Azar cohort study were evaluated. Food security was assessed by Household Food Security Scale (HFIAS) (six-item short questionnaire) and dietary intake (using 24- hour recall questionnaire) of participants. MetS was defined according to National Cholesterol Education Program’s Adult Treatment Panel III report (ATPIII) criteria.

    Results

    On the basis of HFIAS and energy, 7.3% and 11.9% of participants were food insecure and hunger, respectively. We observed no significant differences in mean body weight, BMI, waist circumference and FBS between food insecure and secure groups. Moreover, obesity (41.7% vs 30.2%) and MetS (45.5% vs 30%) were more prevalent in the food insecure group but the differences were not significant.

    Conclusion

    The most percent of participants in food insecure were obese and had MetS. However, we could not find significant differences between food insecure and food secure groups. Therefore, for achieving more clear results, further studies with large sample size are needed.

    Keywords: Food Security, Hunger, Metabolic Syndrome, Food Insecurity}
  • Zeinab Gholami, Seyyed Morteza Safavi *, Parvane Saneei, Awat Feizi, Peyman Adibi
    Measuring the satiety index of food components has not been done in Iran yet. The aim of this study was to determine the satiety index (SI) of low-fat yogurt among healthy normal-weight adults in Isfahan. This semi-experimental study was conducted on 30 healthy normal-weight adults for two consecutive days. In the first day, each participant consumed 90 grams white bread and in the second day 526 grams low-fat yogurt (1.5% fat) within 15 minutes. We evaluated the satiety of low-fat yogurt and white bread based on VAS and LIKERT scales. Anthropometric indices were measured. Food intakes, physical activity in the night before each test, hunger and palatability of each food were evaluated by food record, physical activity record, Three-Factor Eating Questionnaire (TFEQ), respectively. The satiety index of low-fat yogurt was 136.66±1.46 compared to white bread (with SI of 100). The changes of satiety 120 minutes after consumption of white bread and low-fat yogurt were not significant based on the VAS scale, but according to the LIKERT scale low-fat yogurt changes showed a significant increase (mean changes=1.60±0.43 (SD)) (P=0.03). The hunger of people was equal to 1.66 units. The satiety index of low-fat yogurt in normal-weight Isfahanian adults was higher compared to white bread; suggesting higher satiety for low-fat yogurt than white bread. According to the LIKERT scale, 120 minutes after consumption of low-fat yogurt, satiety showed a significant increase. The applied method in this study is suggested to be used for determination of SI of other foods in the Iranian population.
    Keywords: Satiety index, Hunger, Palatability, Overweight, Obesity, Low-fat yogurt}
  • Karl Peltzer *, Supa Pengpid
    Background
    The prevalence of undernourishment or hunger is 9.6% in the association of southeast asian nations (ASEAN).
    Objectives
    The purpose of this study was to examine the prevalence of hunger and its psychobehavioural correlates among adolescents in ASEAN member countries, including Cambodia, Indonesia, Malaysia, Myanmar, Thailand, Philippines, and Vietnam.
    Methods
    The analysis was based on a cross sectional survey of 30 197 school-aged children (13 - 15 years) from 7 ASEAN countries participating in the global school-based student health survey (GSHS) during 2007 - 2013.
    Results
    Regarding the overall prevalence of hunger, 56.9% of the subjects experienced hunger over the past month (rarely to always), while 4.2% were hungry most of the time or always (high hunger status). The prevalence of high hunger status ranged from 0.9% in Vietnam to 7.9% in Cambodia. In the adjusted multivariate logistic regression analysis, increased frequency of hunger in the past month was associated with psychological distress (loneliness, OR: 2.96, CI: 2.16 - 4.04; suicidal ideation, OR: 1.51, CI: 1.13 - 2.03; anxiety, OR: 3.42, CI: 2.54 - 4.62), substance use (tobacco use, OR: 1.90, CI: 1.34 - 2.41; alcohol use, OR: 1.76, CI: 1.32 - 2.35), behavioural problems (truancy, OR: 2.54, CI: 1.94 - 3.32; bully victimization, OR: 2.31, CI: 1.77 - 3.01; involvement in physical fights, OR: 2.57, CI: 1.97 - 3.35), and serious injury in the past year (OR: 2.61, CI: 2.00 - 3.41).
    Conclusions
    In order to improve psychobehavioural health among adolescents in ASEAN member countries, the possible contribution of hunger or food insecurity should be taken into account.
    Keywords: Adolescents, Asia, Health Surveys, Hunger, Injuries, Mental Health, Violence}
  • علیرضا استاد رحیمی، سلطانعلی محبوب، هلدا توتونچی، سعید دستگیری، لیلا دادگر
    مقدمه
    ناامنی غذایی و گرسنگی می تواند علاوه بر تاثیر بر سلامت جسمی، تبعات اجتماعی و روانی نیز به همراه داشته باشد. از اینرو تامین امنیت غذایی برای جامعه به عنوان یکی از اهداف کلان برنامه ریزی های توسعه اقتصادی و اجتماعی است. مطالعه حاضر با هدف تعیین میزان شیوع و گستردگی ناامنی غذایی از دو بعد گرسنگی عیان و پنهان در شمال غرب تبریز به عنوان نمونه ای از وضعیت ناامنی غذایی در استان آذربایجان شرقی به اجرا درآمد.
    مواد و روش ها
    این مطالعه مقطعی – توصیفی بر روی 300 نفر (دامنه سنی 18-78 سال) که از این تعداد 168 نفر زن و 132 نفر مرد بودند انجام گرفت. برای انتخاب افراد مورد مطالعه نمونه گیری به روش نمونه گیری آسان انجام شد. ابتدا پرسشنامه ای که شامل مشخصات فردی (سن، جنس، وزن و قد) افراد مورد مطالعه بود، کامل شد و سپس اطلاعات مربوط به مواد غذایی توسط پرسشنامه یادآمد خوراک 24 ساعت گذشته که شامل ثبت غذای سه روز هفته (یک روز تعطیل و دو روز وسط هفته) بود تهیه گردید. شاخص گرسنگی عیان مصرف ناکافی انرژی و شاخص گرسنگی پنهان مصرف ناکافی مواد مغذی کلیدی تعیین گردید و سپس با برنامه کامپیوتری Nutrition III آنالیز داده ها انجام گرفت.
    یافته ها
    میزان شیوع ناامنی غذایی از بعد گرسنگی عیان 26 درصد و از بعد گرسنگی پنهان 41.6 درصد بود. در افراد با گرسنگی عیان، 100 درصد افزاد کمبود کلسیم، 94.8 درصد کمبود ریبوفلاوین، 74.3 درصد کمبود پروتئین و 56.4 درصد کمبود ویتامین A داشتند. در افراد با گرسنگی پنهان، 89.6 درصد کمبود کلسیم، 77.6 درصد کمبود ریبوفلاوین، 19.2 درصد کمبود پروتئین و 9.6 درصد کمبود ویتامین A داشتند. به طور کلی فقط 32.3 درصد افراد مورد مطالعه از لحاظ تامین هر پنج ماده مغذی کلیدی یعنی انرژی، پروتئین، ویتامین A، ریبوفلاوین و کلسیم امن بودند.
    نتیجه گیری
    بر اساس نتایج حاصل، ناامنی غذایی در جامعه شیوع بالایی دارد که با توجه به تاثیر آن در سلامت افراد، برنامه ریزی برای حل مشکل و همچنین دادن اطلاعات صحیح در مورد دریافت مواد غذایی متعادل، متنوع و کافی لازم و ضروری به نظر می رسد.
    کلید واژگان: ناامنی غذایی, گرسنگی عیان, گرسنگی پنهان, تبریز}
    Alireza Ostadrahimi, Soltan Ali Mahboob, Totonchi, Saeed Dastgiri, Leila Dadgar
    Background
    Food insecurity and hunger not only affect physical health, but also have social and psychological effects. Therefore, providing food security for society is one of the major goals of social and economical development programs. The objective of this study was to determine the prevalence and intensity of food insecurity at North West of Tabriz as a population sample of East Azerbaijan province.
    Materials And Methods
    This cross-sectional study was conducted on 300 subjects, 18-78 years old (168 females and 132 males) that were selected by simple sampling method. Demographic questionnaire was completed and information related to food consumption was collected by using 24- hour's food recall questionnaire for three days a week (one holiday and two days at the middle of the week). Hunger index was determined as inadequate intake of energy and hidden hunger index as inadequate intake of the key nutrients (energy, vitamin A, protein, riboflavin, calcium). Data were analyzed by Nutrition III software.
    Findings
    The prevalence of hunger and hidden hunger were 26% and 41.6% respectively. All of the subjects with hunger consumed calcium less than recommended levels. They also consumed riboflavin, protein and vitamin A 94.8%, 74.3 and 56.4% lower than recommended levels respectively. Subjects with hidden hunger consumed calcium, riboflavin, protein, and vitamin A 89.6%, 77.6%, 19.2%, and 9.6% lower than recommended levels respectively. Only 32.3% of subjects were secure in terms of getting all those five key nutrients, i. e. energy, protein, vitamin A, riboflavin and calcium.
    Conclusion
    Food insecurity in this area is prevalent, therefore programming for taking the edge off it and giving correct information on sufficient, varied and balanced diet is recommended.
    Keywords: food insecurity, hunger, hidden hunger}
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