International Journal of Chronic Diseases最新文献_第8页

Prevalence and Predictors of Metabolic Syndrome in Young Asymptomatic Gujarati Population. 古吉拉特无症状年轻人代谢综合征的患病率和预测因素

International Journal of Chronic Diseases Pub Date : 2015-01-01 Epub Date: 2015-07-30 DOI: 10.1155/2015/365217

Sharad R Jain, Komal H Shah, Himanshu N Acharya, Kaushik Barot, Kamal H Sharma

{"title":"Prevalence and Predictors of Metabolic Syndrome in Young Asymptomatic Gujarati Population.","authors":"Sharad R Jain, Komal H Shah, Himanshu N Acharya, Kaushik Barot, Kamal H Sharma","doi":"10.1155/2015/365217","DOIUrl":"10.1155/2015/365217","url":null,"abstract":"Background. Metabolic syndrome is a cluster of risk factors leading to the development of atherosclerotic cardiovascular diseases. We aimed to evaluate the prevalence of metabolic syndrome (MS) and its predictors in young and apparently healthy Gujarati individuals. Methods. This population based cross-sectional study involved a total of 1500 healthy adults of 20-40 years of age. Demographic details and clinical data such as body mass index (BMI), waist circumference (WC), and blood pressure were measured along with the estimations of lipoprotein (a), total cholesterol (TC), triglyceride (TG), total lipid, LDL/HDL ratio, TC/HDL ratio, and fasting blood glucose (FBS). Results. Overall in young Gujarati population (20-40 years) prevalence rates of MS were 16.0% (male: 21.5%; female: 10.8%) where the metabolic abnormalities increased with advanced age as 9.56% of the young population (20-30 years) had MS, in contrast to the 24.57% in the old (31-40 years). Odds ratio analysis had indicated BMI (1.120; 95% CI: 1.077-1.163; P < 0.0001) as the strongest risk factor for MS closely followed by advancing age (1.100; 95% CI: 1.061-1.139; P < 0.0001) levels. Conclusion. Prevalence of metabolic syndrome in young Gujarati population reinforces the need for early life style intervention and awareness programs in this ethnic group. ","PeriodicalId":13831,"journal":{"name":"International Journal of Chronic Diseases","volume":"2015 ","pages":"365217"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4590919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34255029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does Intensive Glucose Control Prevent Cognitive Decline in Diabetes? A Meta-Analysis. 强化血糖控制能预防糖尿病患者认知能力下降吗?一个荟萃分析。

International Journal of Chronic Diseases Pub Date : 2015-01-01 Epub Date: 2015-08-04 DOI: 10.1155/2015/680104

Carlos Peñaherrera-Oviedo, Daniel Moreno-Zambrano, Michael Palacios, María Carolina Duarte-Martinez, Carlos Cevallos, Ximena Gamboa, María Beatriz Jurado, Leonardo Tamariz, Ana Palacio, Rocío Santibañez

{"title":"Does Intensive Glucose Control Prevent Cognitive Decline in Diabetes? A Meta-Analysis.","authors":"Carlos Peñaherrera-Oviedo, Daniel Moreno-Zambrano, Michael Palacios, María Carolina Duarte-Martinez, Carlos Cevallos, Ximena Gamboa, María Beatriz Jurado, Leonardo Tamariz, Ana Palacio, Rocío Santibañez","doi":"10.1155/2015/680104","DOIUrl":"https://doi.org/10.1155/2015/680104","url":null,"abstract":"Diabetes mellitus is associated with cognitive decline and impaired performance in cognitive function tests among type 1 and type 2 diabetics. Even though the use of tight glucose control has been limited by a reported higher mortality, few reports have assessed the impact of treatment intensity on cognitive function. We conducted a meta-analysis to evaluate if an intensive glucose control in diabetes improves cognitive function, in comparison to standard therapy. We included 7 studies that included type 1 or type 2 diabetics and used standardized tests to evaluate various cognitive function domains. Standardized mean differences (SMDs) were calculated for each domain. We found that type 1 diabetics get no cognitive benefit from a tight glucose control, whereas type 2 diabetics get some benefit on processing speed and executive domains but had worse performances in the memory and attention domains, along with a higher incidence of mortality when using intensive glucose control regimes. ","PeriodicalId":13831,"journal":{"name":"International Journal of Chronic Diseases","volume":"2015 ","pages":"680104"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/680104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34255031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Uric Acid Levels in Normotensive Children of Hypertensive Parents. 高血压父母的正常儿童的尿酸水平

International Journal of Chronic Diseases Pub Date : 2015-01-01 Epub Date: 2015-08-24 DOI: 10.1155/2015/747082

Ali Yildirim, Fatma Keles, Pelin Kosger, Gokmen Ozdemir, Birsen Ucar, Zubeyir Kilic

{"title":"Uric Acid Levels in Normotensive Children of Hypertensive Parents.","authors":"Ali Yildirim, Fatma Keles, Pelin Kosger, Gokmen Ozdemir, Birsen Ucar, Zubeyir Kilic","doi":"10.1155/2015/747082","DOIUrl":"https://doi.org/10.1155/2015/747082","url":null,"abstract":"This study evaluated uric acid concentrations in normotensive children of parents with hypertension. Eighty normotensive children from families with and without a history of essential hypertension were included. Concentrations of lipid parameters and uric acid were compared. Demographic and anthropometric characteristics were similar in the groups. Systolic and diastolic blood pressure were higher in the normotensive children of parents with hypertension without statistically significant difference (P > 0.05). Uric acid concentrations were higher in the normotensive children of parents with hypertension (4.61 versus 3.57 mg/dL, P < 0.01). Total cholesterol and triglyceride concentrations were similar in the two groups. Systolic and diastolic blood pressure were significantly higher in control children aged >10 years (P < 0.01). Uric acid levels were significantly higher in all children with more pronounced difference after age 10 of years (P < 0.001). Positive correlations were found between the level of serum uric acid and age, body weight, body mass index, and systolic and diastolic blood pressure in the normotensive children of parents. The higher uric acid levels in the normotensive children of hypertensive parents suggest that uric acid may be a predeterminant of hypertension. Monitoring of uric acid levels in these children may allow for prevention or earlier treatment of future hypertension. ","PeriodicalId":13831,"journal":{"name":"International Journal of Chronic Diseases","volume":"2015 ","pages":"747082"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/747082","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34255033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Prevalence of Diabetes Mellitus and Its Risk Factors among Permanently Settled Tribal Individuals in Tribal and Urban Areas in Northern State of Sub-Himalayan Region of India. 印度北部亚喜马拉雅邦部落和城市地区常住部落人群糖尿病患病率及其危险因素

International Journal of Chronic Diseases Pub Date : 2014-01-01 Epub Date: 2014-05-06 DOI: 10.1155/2014/380597

Dhiraj Kapoor, Ashok Kumar Bhardwaj, Dinesh Kumar, Sunil Kumar Raina

{"title":"Prevalence of Diabetes Mellitus and Its Risk Factors among Permanently Settled Tribal Individuals in Tribal and Urban Areas in Northern State of Sub-Himalayan Region of India.","authors":"Dhiraj Kapoor, Ashok Kumar Bhardwaj, Dinesh Kumar, Sunil Kumar Raina","doi":"10.1155/2014/380597","DOIUrl":"https://doi.org/10.1155/2014/380597","url":null,"abstract":"Background. Effect of urban environment on the development of DM and its risk factors is studied with an ecological fallacy due to their study designs that formulate the background for the present study. Objective. To study the prevalence of DM and associated lifestyle related risk factors in traditional tribal individuals residing in tribal area and migrating persons of the same tribe to urban area of sub-Himalayan northern state of India. Methodology. Population based cross-sectional study. Results. A total of 8000 individuals (tribal: 4000; urban: 4000) were recruited. Overall, among urban tribes the prevalence of central obesity (59.0%), overweight (29.3%), stage 1 (22.8%) and stage 2 (5.3%) hypertension, and DM (fasting: 7.8%; OGTT: 8.5%) (P = 0.00) was significantly higher than the tribes of tribal area. Based on OGTT, the prevalence of DM was found to be 9.2% among central obese tribes of urban area and 6.7% of tribal area (P = 0.00). DM showed a significant high prevalence among urban tribes with prehypertension (urban: 8.3%; tribal: 2.9%; P = 0.00), and stage 1 (urban: 14.1%; tribal: 8.7%; P = 0.00) and stage 2 (urban: 17.5%; tribal: 13.9%; P = 0.59) hypertension. Conclusion. Urban environment showed a changing lifestyle and high prevalence of DM among tribal migrating urban tribes as compared to traditional tribes. ","PeriodicalId":13831,"journal":{"name":"International Journal of Chronic Diseases","volume":"2014 ","pages":"380597"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/380597","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34084308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 37

Beneficial Effect of Low-Fat Elemental Diet Therapy on Pain in Chronic Pancreatitis. 低脂元素饮食治疗慢性胰腺炎疼痛的有益效果。

International Journal of Chronic Diseases Pub Date : 2014-01-01 Epub Date: 2014-04-14 DOI: 10.1155/2014/862091

Tsukasa Ikeura, Makoto Takaoka, Kazushige Uchida, Hideaki Miyoshi, Kazuichi Okazaki

{"title":"Beneficial Effect of Low-Fat Elemental Diet Therapy on Pain in Chronic Pancreatitis.","authors":"Tsukasa Ikeura, Makoto Takaoka, Kazushige Uchida, Hideaki Miyoshi, Kazuichi Okazaki","doi":"10.1155/2014/862091","DOIUrl":"https://doi.org/10.1155/2014/862091","url":null,"abstract":"Background & Aims. Chronic pancreatitis (CP) is often associated with abdominal pain, which impairs quality of life. The aim of this prospective study was to clarify whether the use of a low-fat elemental diet (ED) is beneficial for managing pain in patients with CP. Methods. Seventeen CP patients with pain despite fat-restricted dietary and conventional medical treatments were enrolled in this prospective study. These patients received low-fat ED therapy in addition to restricting fat intake for 8 weeks. The change of pain severity was examined by interviewing the patient and status of analgesic use. Results. Mean serum levels of amylase and lipase at 8 weeks after the beginning of low-fat ED therapy decreased compared to those before the therapy. At 8 weeks, pain alleviation after low-fat ED therapy was reported in 15 out of 17 patients (88%). Of these 15 patients, 10 patients reported complete pain disappearance. One of 3 patients with severe or moderate pain requiring analgesic was relieved of analgesic use after low-fat ED therapy. Conclusion. Low-fat ED therapy is useful as means of pain control in CP. The therapy is recommended in outpatients with CP who present with pain despite conventional dietary and medical treatments. ","PeriodicalId":13831,"journal":{"name":"International Journal of Chronic Diseases","volume":"2014 ","pages":"862091"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/862091","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34085879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Social Determinants of Health, the Chronic Care Model, and Systemic Lupus Erythematosus. 健康的社会决定因素，慢性护理模式，和系统性红斑狼疮。

International Journal of Chronic Diseases Pub Date : 2014-01-01 Epub Date: 2014-01-05 DOI: 10.1155/2014/361792

Edith M Williams, Kasim Ortiz, Teri Browne

{"title":"Social Determinants of Health, the Chronic Care Model, and Systemic Lupus Erythematosus.","authors":"Edith M Williams, Kasim Ortiz, Teri Browne","doi":"10.1155/2014/361792","DOIUrl":"10.1155/2014/361792","url":null,"abstract":"Systemic lupus erythematosus (SLE) is a chronic inflammatory rheumatic disease that disproportionately affects African Americans and other minorities in the USA. Public health attention to SLE has been predominantly epidemiological. To better understand the effects of this cumulative disadvantage and ultimately improve the delivery of care, specifically in the context of SLE, we propose that more research attention to the social determinants of SLE is warranted and more transdisciplinary approaches are necessary to appropriately address identified social determinants of SLE. Further, we suggest drawing from the chronic care model (CCM) for an understanding of how community-level factors may exacerbate disparities explored within social determinant frameworks or facilitate better delivery of care for SLE patients. Grounded in social determinants of health (SDH) frameworks and the CCM, this paper presents issues relative to accessibility to suggest that more transdisciplinary research focused on the role of place could improve care for SLE patients, particularly the most vulnerable patients. It is our hope that this paper will serve as a springboard for future studies to more effectively connect social determinants of health with the chronic care model and thus more comprehensively address adverse health trajectories in SLE and other chronic conditions. ","PeriodicalId":13831,"journal":{"name":"International Journal of Chronic Diseases","volume":"2014 ","pages":"361792"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/361792","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34084306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Association between Dietary Patterns and Chronic Diseases among Chinese Adults in Baoji. 宝鸡市中国成年人饮食方式与慢性疾病的关系

International Journal of Chronic Diseases Pub Date : 2014-01-01 Epub Date: 2014-09-21 DOI: 10.1155/2014/548269

Honglin Wang, Feng Deng, Meng Qu, Peirong Yang, Biao Yang

引用次数: 8

Evaluation of the Mean Platelet Volume and Red Cell Distribution Width in FMF: Are They Related to Subclinical Inflammation or Not? FMF患者平均血小板体积和红细胞分布宽度的评价:它们是否与亚临床炎症有关?

International Journal of Chronic Diseases Pub Date : 2014-01-01 Epub Date: 2014-03-12 DOI: 10.1155/2014/127426

Gozde Yildirim Cetin, Ozlem Gul, Fatma Kesici-Metin, İrem Gokalp, Mehmet Sayarlıoglu

{"title":"Evaluation of the Mean Platelet Volume and Red Cell Distribution Width in FMF: Are They Related to Subclinical Inflammation or Not?","authors":"Gozde Yildirim Cetin, Ozlem Gul, Fatma Kesici-Metin, İrem Gokalp, Mehmet Sayarlıoglu","doi":"10.1155/2014/127426","DOIUrl":"https://doi.org/10.1155/2014/127426","url":null,"abstract":"In this paper we want to demonstrate whether higher than normal levels of RDW, and lower than normal levels of MPV can be used as indicators of subclinical inflammation and tools for treatment decision in FMF or not. The participants in this study included 89 patients with FMF during attack-free periods and 30 healthy controls. The RDW and platelet counts were significantly higher, while the MPV was significantly lower in the patients with FMF group than healthy control group (P < 0.001; P = 0.005; P < 0.001, resp.). In the attack-free FMF group, a negative correlation was found between the MPV and RDW values (P < 0.001, r = -0.40). The positive correlation was found between the RDW and ESR (r = 0.23, P = 0.028). And the negative correlation was found between the MPV and CRP (r = -0.216, P = 0.042). Consequently, our results suggest that low MPV and high RDW levels may provide additional information about subclinical inflammation in FMF patients. But other strong predisposing factors affecting subclinical inflammation in FMF should be considered. Further studies with large numbers of patients are needed. Treatment of FMF should include not only prevention of acute attacks but also decreasing of the subclinical inflammation. ","PeriodicalId":13831,"journal":{"name":"International Journal of Chronic Diseases","volume":"2014 ","pages":"127426"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/127426","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34152663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Evaluation of Rhubarb Supplementation in Stages 3 and 4 of Chronic Kidney Disease: A Randomized Clinical Trial. 补充大黄对慢性肾脏疾病3期和4期的评价:一项随机临床试验。

International Journal of Chronic Diseases Pub Date : 2014-01-01 Epub Date: 2014-09-11 DOI: 10.1155/2014/789340

Irfan A Khan, Mohammad Nasiruddin, Shahzad F Haque, Rahat A Khan

{"title":"Evaluation of Rhubarb Supplementation in Stages 3 and 4 of Chronic Kidney Disease: A Randomized Clinical Trial.","authors":"Irfan A Khan, Mohammad Nasiruddin, Shahzad F Haque, Rahat A Khan","doi":"10.1155/2014/789340","DOIUrl":"https://doi.org/10.1155/2014/789340","url":null,"abstract":"Objective. To evaluate the efficacy and safety of Rhubarb supplementation in patients of chronic kidney disease. Material and Methods. This study was a prospective comparative study conducted in patients of chronic kidney disease (stages 3 & 4) attending Renal Clinic of Department of Medicine, JN Medical College & Hospital, AMU, Aligarh. Patients were randomly divided into two interventional groups. Group I (Control) was given conservative management while Group II (Rhubarb) received conservative management along with Rhubarb capsule (350 mg, thrice daily) for 12 weeks. Haemogram and renal function tests were measured at 0, 4, 8, and 12 weeks of treatment. Results. There was progressive improvement in clinical features in both the groups after 12 weeks of treatment but Rhubarb group showed more marked improvement as compared to control group. Both groups showed gradual improvement in the biochemical parameters as compared to their pretreated values which was more marked in Rhubarb supplemented group. There was reduction in blood glucose, blood urea, serum creatinine, and 24 hour total urine protein (TUP). There was increase in haemoglobin, 24 hour total urine volume (TUV), and glomerular filtration rate (GFR). There was no statistical difference in two groups with respect to side effects (P > 0.05). Conclusion. Rhubarb supplementation improved the therapeutic effect of conservative management in stage 3 and stage 4 patients of chronic kidney disease. ","PeriodicalId":13831,"journal":{"name":"International Journal of Chronic Diseases","volume":"2014 ","pages":"789340"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/789340","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34085876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 22

Obesity Disease and Surgery. 肥胖疾病和外科。

International Journal of Chronic Diseases Pub Date : 2014-01-01 Epub Date: 2014-04-28 DOI: 10.1155/2014/652341

Abdulrahman Saleh Al-Mulhim, Hessah Abdulaziz Al-Hussaini, Bashaeer Abdullah Al-Jalal, Rehab Omar Al-Moagal, Sara Abdullah Al-Najjar

引用次数: 22