1.Adherence to Dietary Approaches to Stop Hypertension Eating Plan and Prevalence of Irritable Bowel Syndrome in Adults
Sanaz SOLTANI ; Ammar H KESHTELI ; Ahmad ESMAILLZADEH ; Peyman ADIBI
Journal of Neurogastroenterology and Motility 2021;27(1):78-86
Background/Aims:
Despite huge evidence on the link between adherence to dietary approaches to stop hypertension (DASH) eating pattern and several metabolic abnormalities, the association of this diet with irritable bowel syndrome (IBS) has not been investigated so far. We aim to examine the association between adherence to the DASH diet and prevalence of IBS symptoms and subtypes in adults.
Methods:
This cross-sectional study was done among 3362 adult people in Isfahan, Iran. Usual dietary intakes were assessed using a validated 106-item dish-based semi-quantitative food frequency questionnaire. To investigate participants’ adherence to DASH-style diet, we created DASH score based on 8 main foods and nutrients emphasized or minimized in the DASH diet. Participants were classified into 3 categories according to their DASH-style diet scores. A validated modified Persian version of the Rome III questionnaire was applied for assessment of IBS.
Results:
Totally, 22.2% of study participants were affected by IBS. After adjustment for potential confounding factors, we found that participants in the highest tertile of DASH score had lower odds of IBS (OR, 0.65; 95% CI, 0.50-0.83) compared with those in the lowest tertile. The same findings were also reached for IBS with constipation (OR for the highest vs the lowest tertile of DASH-style diet = 0.56; 95% CI, 0.38-0.85). No significant association was seen between adherence to DASH-style diet and IBS with diarrhea (OR, 1.31; 95% CI, 0.83-2.06).
Conclusions
We found a significant inverse association between adherence to DASH dietary pattern and odds of IBS and IBS with constipation.Further prospective studies are required to confirm these findings.
2.Analysis of survival data in thalassemia patients in Shiraz, Iran.
Abdolreza RAJAEEFARD ; Mahmoud HAJIPOUR ; Hamid Reza TABATABAEE ; Jafar HASSANZADEH ; Shahab REZAEIAN ; Zahra MORADI ; Mehdi SHARAFI ; Mohsen SHAFIEE ; Ali SEMATI ; Sanaz SAFAEI ; Maryam SOLTANI
Epidemiology and Health 2015;37(1):e2015031-
OBJECTIVES: The survival rate of thalassemia patients has not been conclusively established, and the factors associated with survival remain unclear. This study aimed to determine the survival rate of thalassemia among patients in southern Iran and to identify the factors associated with mortality from thalassemia. METHODS: This retrospective cohort study was conducted based on a retrospective review of the medical records of 911 beta-thalassemia patients in 2014. Data analysis was conducted using the Kaplan-Meier method and Cox regression analysis. RESULTS: Overall, 212 patients (23.3%) died, and 26.8% had thalassemia intermedia. The 20-year, 40-year, and 60-year survival rates were 85%, 63%, and 54%, respectively. Both crude and adjusted analyses found that education, marital status, ferritin levels, and comorbidities were related to mortality. CONCLUSIONS: Sociodemographic and hematological factors were found to be significantly associated with the survival rate of thalassemia. Addressing these factors may help healthcare providers and physicians to provide the best possible care and to improve the survival rate.
beta-Thalassemia
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Cohort Studies
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Comorbidity
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Education
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Ferritins
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Health Personnel
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Humans
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Iran*
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Kaplan-Meier Estimate
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Marital Status
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Medical Records
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Mortality
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Retrospective Studies
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Statistics as Topic
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Survival Rate
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Thalassemia*