Clinical medicine insights. Women's health最新文献_第2页

Prevalence and Predictors of Hypovitaminosis D Among Female University Students in Tabuk, Saudi Arabia. 沙特阿拉伯塔布克女大学生维生素 D 不足的患病率和预测因素。

Clinical medicine insights. Women's health Pub Date : 2017-04-06 eCollection Date: 2017-01-01 DOI: 10.1177/1179562X17702391

Riyadh A Alzaheb, Osama Al-Amer

{"title":"Prevalence and Predictors of Hypovitaminosis D Among Female University Students in Tabuk, Saudi Arabia.","authors":"Riyadh A Alzaheb, Osama Al-Amer","doi":"10.1177/1179562X17702391","DOIUrl":"10.1177/1179562X17702391","url":null,"abstract":"Background: A high hypovitaminosis D prevalence has repeatedly been reported in Middle Eastern countries. Previous data regarding the vitamin D status of young women in Saudi Arabia and the related hypovitaminosis D risk factors are scarce, so this research assessed hypovitaminosis D prevalence and its risk factors among apparently healthy female university students in Tabuk, Saudi Arabia.Methods: This cross-sectional research used a convenience sample of healthy female students (n = 180) aged between 19 and 25 years in May 2016. Information was gathered on the participants' sociodemographics, health, lifestyle, dietary intakes, anthropometry, and serum 25-hydroxyvitamin D (25(OH)D), and a logistic regression analysis was performed to assess hypovitaminosis D risk factors.Results: The sample's hypovitaminosis D prevalence (25(OH)D <30 ng/mL) was 80.6%. The main determinants of hypovitaminosis D were as follows: urban residence (odds ratio [OR] = 6.54; 95% confidence interval [CI], 2.74-5.63), rare sun exposure (OR = 6.14; 95% CI, 2.15-17.55), and insufficient vitamin D intake (OR = 2.50; 95% CI, 1.07-5.81).Conclusions: The findings emphasize that despite plentiful sunshine, Saudi Arabia and the Middle East face a vitamin D deficiency epidemic. Vitamin D status must therefore be assessed at the national level so that strategies aimed at boosting vitamin D levels can be instigated.","PeriodicalId":90142,"journal":{"name":"Clinical medicine insights. Women's health","volume":"10 ","pages":"1179562X17702391"},"PeriodicalIF":0.0,"publicationDate":"2017-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b5/25/10.1177_1179562x17702391.PMC5428152.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35058615","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

Adaptation of Maternal-Fetal Physiology to Exercise in Pregnancy: The Basis of Guidelines for Physical Activity in Pregnancy. 妊娠期母胎生理对运动的适应:妊娠期体力活动指南的基础。

Clinical medicine insights. Women's health Pub Date : 2017-02-23 eCollection Date: 2017-01-01 DOI: 10.1177/1179562X17693224

Edward R Newton, Linda May

{"title":"Adaptation of Maternal-Fetal Physiology to Exercise in Pregnancy: The Basis of Guidelines for Physical Activity in Pregnancy.","authors":"Edward R Newton, Linda May","doi":"10.1177/1179562X17693224","DOIUrl":"https://doi.org/10.1177/1179562X17693224","url":null,"abstract":"Only 50 years ago obstetric care providers and women had many concerns regarding whether exercise during pregnancy created a harmful competition for substrate resources between the fetus and the mother. Animal and human research in the past 50 years, which includes acute and chronic aerobic exercise during pregnancy, has a reassuring margin of safety throughout gestation in women. Maternal physiology adapts to pregnancy changes involving the cardiorespiratory and glucometabolic alterations. Due to these changes, pregnant women have slight differences in response to acute exercise sessions. Chronic exposure to aerobic exercise before and during pregnancy is associated with numerous maternal and neonatal adaptations which may have short- and long-term benefits to maternal and child health. On the basis of the consistent evidence of safety of exercise during pregnancy, multiple nations and health care organizations, including the American College of Obstetrics and Gynecology, recommend moderate exercise for 20 to 30 minutes most days of the week. Despite the 15 to 20 years since the first recommendations were made, only 10% to 15% of pregnant women meet this recommendation. It seems there may be 2 foci for failure to achieve these exercise recommendations: patient specific and culturally driven and/or obstetric provider not recommending regular exercise due to lack of knowledge or motivation. This article addresses the provider knowledge by a review of the normal (at rest) physiologic adaptation to pregnancy. Then, we provide a detailed description of the type and intensity of controlled experiments that document the safety of exercise during pregnancy. The short- and long-term benefits are reviewed, including the safety in moderate-risk women.","PeriodicalId":90142,"journal":{"name":"Clinical medicine insights. Women's health","volume":"10 ","pages":"1179562X17693224"},"PeriodicalIF":0.0,"publicationDate":"2017-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179562X17693224","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35058614","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: 38

Progesterone for Luteal Phase Support in In Vitro Fertilization: Comparison of Vaginal and Rectal Pessaries to Vaginal Capsules: A Randomized Controlled Study 黄体酮在体外受精中的黄体期支持:阴道和直肠子宫托与阴道胶囊的比较:一项随机对照研究

Clinical medicine insights. Women's health Pub Date : 2017-01-05 DOI: 10.4137/CMWH.S32156

M. Khrouf, Soufiene Slimani, M. Khrouf, Marouen Braham, M. Bouyahia, K. Berjeb, Hanène Chaabane, G. Merdassi, A. Kaffel, A. Zhioua, F. Zhioua

{"title":"Progesterone for Luteal Phase Support in In Vitro Fertilization: Comparison of Vaginal and Rectal Pessaries to Vaginal Capsules: A Randomized Controlled Study","authors":"M. Khrouf, Soufiene Slimani, M. Khrouf, Marouen Braham, M. Bouyahia, K. Berjeb, Hanène Chaabane, G. Merdassi, A. Kaffel, A. Zhioua, F. Zhioua","doi":"10.4137/CMWH.S32156","DOIUrl":"https://doi.org/10.4137/CMWH.S32156","url":null,"abstract":"BACKGROUND In IVF, Luteal phase support is usually performed using vaginal progesterone. A part of patients using this route reports being uncomfortable with this route. We tried to study whether the rectal route could be an effective alternative and associated with less discomfort. PATIENTS AND METHODS A prospective randomized controlled study. All patient were eligible for IVF treatment for infertility. After oocyte pickup, 186 patients were allocated to one the following protocols for luteal phase support: (i) rectal pessaries group: natural progesterone pessaries administered rectally 200 mg three times a day, (ii) vaginal pessaries group: natural progesterone pessaries administered vaginally 200 mg three times a day), and (iii) vaginal capsules group: natural micronized progesterone capsules administered vaginally 200 mg three times a day. On the day of pregnancy test, patients were asked to fill in a questionnaire conducted by an investigator in order to assess the tolerability and side effects of the LPS treatment taken. The primary endpoint was the occurrence of perineal irritation. RESULTS Fifty eight patients were assigned to the rectal pessaries group, 68 patients to the vaginal pessaries group, and 60 patients to the vaginal capsules group. All patients adhered to their allocated treatment. Implantation and clinical pregnancy rates per transfer did not differ between the three groups. Perineal irritation, which was our primary endpoint, was the same for all the three groups (respectively 1.7 % versus 5.9 % versus 11.7%). Regarding the other side effects, more patients experienced constipation and flatulence with the rectal route, whereas more patients reported vaginal discharge in the vaginal capsules group. CONCLUSION Rectal administration for luteal phase support is effective and well accepted alternative to vaginal route.","PeriodicalId":90142,"journal":{"name":"Clinical medicine insights. Women's health","volume":"9 1","pages":"43 - 47"},"PeriodicalIF":0.0,"publicationDate":"2017-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79715116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Ethnic Identity Attachment and Motivation for Weight Loss and Exercise Among Rural, Overweight, African-American Women 农村、超重、非裔美国妇女的种族认同、依恋和减肥和锻炼动机

Clinical medicine insights. Women's health Pub Date : 2016-11-17 DOI: 10.4137/CMWH.S34691

K. Smalley, J. Warren, Sydney McClendon, W. Peacock, M. Caro

{"title":"Ethnic Identity Attachment and Motivation for Weight Loss and Exercise Among Rural, Overweight, African-American Women","authors":"K. Smalley, J. Warren, Sydney McClendon, W. Peacock, M. Caro","doi":"10.4137/CMWH.S34691","DOIUrl":"https://doi.org/10.4137/CMWH.S34691","url":null,"abstract":"Rural and minority women are disproportionately impacted by the obesity epidemic; however, little research has studied the intersection of these disparity groups. The purpose of this study was to examine the influence of racial identity on motivation for weight loss and exercise among rural, African-American women with an obesity-linked chronic disease. A total of 154 African-American women were recruited from the patient population of a Federally Qualified Health Center in the rural South to complete a questionnaire battery including the Multigroup Ethnic Identity Measure and separate assessments of motivation for weight loss and exercise. Multivariate analyses, controlling for age, education status, insurance status, and body mass index revealed that attachment to ethnic identity was predictive of motivation for exercise but not for weight loss. Our findings suggest that attachment to ethnic identity may be an important factor in motivation for change among African-American women, particularly with respect to exercise, with direct implications for the development of culturally and geographically tailored weight loss interventions.","PeriodicalId":90142,"journal":{"name":"Clinical medicine insights. Women's health","volume":"1 1","pages":"95 - 101"},"PeriodicalIF":0.0,"publicationDate":"2016-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88121474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Identifying Contextual and Emotional Factors to Explore Weight Disparities between Obese Black and White Women 识别环境和情感因素探讨肥胖黑人和白人妇女之间的体重差异

Clinical medicine insights. Women's health Pub Date : 2016-10-31 DOI: 10.4137/CMWH.S34687

N. Keith, Huiping Xu, M. de Groot, Kimberly Hemmerlein, D. Clark

{"title":"Identifying Contextual and Emotional Factors to Explore Weight Disparities between Obese Black and White Women","authors":"N. Keith, Huiping Xu, M. de Groot, Kimberly Hemmerlein, D. Clark","doi":"10.4137/CMWH.S34687","DOIUrl":"https://doi.org/10.4137/CMWH.S34687","url":null,"abstract":"BACKGROUND Obese black women enrolled in weight loss interventions experience 50% less weight reduction than obese white women. This suggests that current weight loss strategies may increase health disparities. OBJECTIVE We evaluated the feasibility of identifying daily contextual factors that may influence obesity. METHODS In-home interviews with 16 obese (body mass index ≥ 30) black and white urban poor women were performed. For 14 days, ecological momentary assessment (EMA) was used to capture emotion and social interactions every other day, and day reconstruction method surveys were used the following day to reconstruct the context of the prior day’s EMA. RESULTS Factors included percentage of participants without weight scales (43.8%) or fitness equipment (68.8%) in the home and exposed to food at work (55.6%). The most frequently reported location, activity, and emotion were home (19.4 ± 8.53), working (7.1 ± 8.80), and happy (6.9 ± 10.03), respectively. CONCLUSION Identifying individual contexts may lead to valuable insights about obesogenic behaviors and new interventions to improve weight management.","PeriodicalId":90142,"journal":{"name":"Clinical medicine insights. Women's health","volume":"15 1","pages":"85 - 93"},"PeriodicalIF":0.0,"publicationDate":"2016-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80103877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The Influence of Prenatal Exercise on Offspring Health: A Review 产前运动对子代健康的影响

Clinical medicine insights. Women's health Pub Date : 2016-10-17 DOI: 10.4137/CMWH.S34670

C. Moyer, O. R. Reoyo, L. May

引用次数: 48

Effects of a 12-Month Pedometer-Based Walking Intervention in Women of Low Socioeconomic Status 基于计步器的12个月步行干预对低社会经济地位妇女的影响

Clinical medicine insights. Women's health Pub Date : 2016-10-06 DOI: 10.4137/CMWH.S39636

Lyndsey M. Hornbuckle, J. Kingsley, M. Kushnick, R. Moffatt, E. Haymes, R. Miles, T. Toole, L. Panton

{"title":"Effects of a 12-Month Pedometer-Based Walking Intervention in Women of Low Socioeconomic Status","authors":"Lyndsey M. Hornbuckle, J. Kingsley, M. Kushnick, R. Moffatt, E. Haymes, R. Miles, T. Toole, L. Panton","doi":"10.4137/CMWH.S39636","DOIUrl":"https://doi.org/10.4137/CMWH.S39636","url":null,"abstract":"This study examined the effects of a 12-month walking intervention in overweight/obese, low socioeconomic women. Forty-six women (48.2 ± 8.0 years) entered the study. Outcomes included weight, waist and hip circumferences, body mass index (BMI), blood pressure, glycosylated hemoglobin, blood lipids, fibrinogen, and high-sensitivity C-reactive protein (hsCRP). Both intention-to-treat analyses in all participants and group analyses in study completers only (3K group = increased steps/day by ≥3,000; No Δ group = did not increase steps/day by ≥3,000) were conducted. Group × time ANOVA was used. In study completers, 3K significantly increased steps/day (6,903 ± 3,328 to 12,323 ± 5,736) compared to No Δ (4,926 ± 3,374 to 5,174 ± 3,095) from baseline to 12 months. There was a significant time effect for weight (P = 0.030), BMI (P = 0.029), and hsCRP (P = 0.044). Low socioeconomic women who adhere to a long-term, pedometer-based walking intervention significantly increased steps/day and may improve body weight, BMI, and hsCRP. This could help reduce health disparities in this population over time.","PeriodicalId":90142,"journal":{"name":"Clinical medicine insights. Women's health","volume":"70 1","pages":"75 - 84"},"PeriodicalIF":0.0,"publicationDate":"2016-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79701006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Correction to “Barriers to Obtaining Sera and Tissue Specimens of African-American Women for the Advancement of Cancer Research” 对“获取非裔美国妇女血清和组织标本以促进癌症研究的障碍”的更正

Clinical medicine insights. Women's health Pub Date : 2016-09-13 DOI: 10.4137/CMWH.S40655

K. Strissel, Dequina A Nicholas, M. Castagne-Charlotin, N. Ko, G. Denis

引用次数: 0

Patient Navigators: Agents of Creating Community-Nested Patient-Centered Medical Homes for Cancer Care. 患者导航员:为癌症护理创建社区嵌套的以患者为中心的医疗之家的代理人。

Clinical medicine insights. Women's health Pub Date : 2016-08-25 eCollection Date: 2016-01-01 DOI: 10.4137/CMWH.S39136

Melissa A Simon, Athena T Samaras, Narissa J Nonzee, Nadia Hajjar, Carmi Frankovich, Charito Bularzik, Kara Murphy, Richard Endress, Laura S Tom, XinQi Dong

{"title":"Patient Navigators: Agents of Creating Community-Nested Patient-Centered Medical Homes for Cancer Care.","authors":"Melissa A Simon, Athena T Samaras, Narissa J Nonzee, Nadia Hajjar, Carmi Frankovich, Charito Bularzik, Kara Murphy, Richard Endress, Laura S Tom, XinQi Dong","doi":"10.4137/CMWH.S39136","DOIUrl":"https://doi.org/10.4137/CMWH.S39136","url":null,"abstract":"Patient navigation is an internationally utilized, culturally grounded, and multifaceted strategy to optimize patients’ interface with the health-care team and system. The DuPage County Patient Navigation Collaborative (DPNC) is a campus–community partnership designed to improve access to care among uninsured breast and cervical cancer patients in DuPage County, IL. Importantly, the DPNC connects community-based social service delivery with the patient-centered medical home to achieve a community-nested patient-centered medical home model for cancer care. While the patient navigator experience has been qualitatively documented, the literature pertaining to patient navigation has largely focused on efficacy outcomes and program cost effectiveness. Here, we uniquely highlight stories of women enrolled in the DPNC, told from the perspective of patient navigators, to shed light on the myriad barriers that DPNC patients faced and document the strategies DPNC patient navigators implemented.","PeriodicalId":90142,"journal":{"name":"Clinical medicine insights. Women's health","volume":"9 ","pages":"27-33"},"PeriodicalIF":0.0,"publicationDate":"2016-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/CMWH.S39136","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34362888","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

A Public Health Priority: Disparities in Gynecologic Cancer Research for African-Born Women in the United States. 公共卫生优先事项:美国非洲裔妇女妇科癌症研究的差异

Clinical medicine insights. Women's health Pub Date : 2016-07-27 eCollection Date: 2016-01-01 DOI: 10.4137/CMWH.S39867

Leeya F Pinder, Brett D Nelson, Melody Eckardt, Annekathryn Goodman

{"title":"A Public Health Priority: Disparities in Gynecologic Cancer Research for African-Born Women in the United States.","authors":"Leeya F Pinder, Brett D Nelson, Melody Eckardt, Annekathryn Goodman","doi":"10.4137/CMWH.S39867","DOIUrl":"https://doi.org/10.4137/CMWH.S39867","url":null,"abstract":"African-born immigrants comprise one of the fastest growing populations in the U.S., nearly doubling its population size in recent years. However, it is also one of the most underrepresented groups in health-care research, especially research focused on gynecologic and breast malignancies. While the opportunity exists for access to an advanced health-care system, as immigrants migrate to the U.S., they encounter the same health-care inequalities that are faced by the native-born population based on ethnicity and social class, potentiated by limitations of health literacy and lack of familiarity with U.S. health systems. Given the continued influx of African-born immigrants in the U.S., we sought to understand the representation of this population in cervical and breast cancer research, recognizing the population's high risk for these diseases at baseline while residing in their native countries. We determined that there is limited research in these diseases that disproportionately affect them; yet, there are identifiable and potentially modifiable factors that contribute to this paucity of evidence. This clinical commentary seeks to underscore the clear lack of research available involving African-born immigrants with respect to gynecologic and breast malignancies in the existing literature, demonstrate the need for more robust research in this population, and provide fundamental insights into barriers and solutions critical to the continued health of this growing population. ","PeriodicalId":90142,"journal":{"name":"Clinical medicine insights. Women's health","volume":"9 ","pages":"21-6"},"PeriodicalIF":0.0,"publicationDate":"2016-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/CMWH.S39867","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34737095","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