domingo, 2 de febrero de 2020

Vitamin D Predicament in Obese Children and Adolescents

Vitamin D Predicament in Obese Children and Adolescents

May Fouad Nassar (1) and Mohamed Farouk Allam (2)*
1. Department of Pediatric, Faculty of Medicine, Ain Shams University, Egypt.
2. Department of Family Medicine, Faculty of Medicine, Ain Shams University, Egypt.

Biomedical Journal of Scientific & Technical Research 2020;25(1):18732-4.
DOI: 10.26717/BJSTR.2020.25.004130

Mini Review

ABSTRACT
Vitamin D levels are significantly lower in obese children and adolescents compared to non-obese matching peers. While evaluating the number of obese and non-obese cases who improved upon vitamin D supplement, obesity was found to pose a risk for not receiving benefit from the vitamin D supplementation. Vitamin D given to these vulnerable groups results in a significantly attenuated increase in 25(OH)D levels with supplementation. However, the proper dose and duration cannot be deduced because several of the studies reported a portion of vitamin D deficient obese children and adolescents at the end of their supplementation period. Screening for vitamin D levels is thus recommended since obese children and adolescents are more prone to be deficient. Additionally, the dose and duration of vitamin D supplementation or treatment should follow the guidelines. Finally, it is prudent to hypothesize that if the published studies had performed simultaneous weight adjustment strategies more of the enrolled obese participants would have reached vitamin D sufficiency by the end of the supplementation trial coupled with the favorable changes in their BMI.

Keywords: Adolescents; Supplementation; Vitamin D; Obesity; Dose

jueves, 26 de diciembre de 2019

Knowledge and Attitudes among Primary Healthcare Physicians Regarding Immediate Postpartum Contraception in Cairo, Egypt

Knowledge and Attitudes among Primary Healthcare Physicians Regarding Immediate Postpartum Contraception in Cairo, Egypt

Elhazek AA (a), Talib YMA (b), Amin GE (c), Eltaieb EM (d) and Allam MF (a)*
a. Family Medicine Department, Faculty of Medicine, Ain Shams University, Egypt
b. Professor of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Egypt
c. Assistant Professor of Public Health, Faculty of Medicine, Ain Shams University, Egypt
d. Lecturer of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Egypt

Abstract
Background: Family planning has a great impact on maternal and child health. Postpartum contraception is defined as the prevention of unintended pregnancy and closely spaced pregnancies in the first 12 months following childbirth.
Purpose: To assess the level of knowledge and attitudes regarding immediate postpartum contraception among primary health care [PHC] physicians in Egypt.
Material and Methods: A pilot cross-sectional study conducted among 100 PHC physicians from 3 health districts in Cairo governorate, Egypt. The study was conducted between August and October 2017. Data were collected through a pre-designed validated self-administered questionnaire on sociodemographic characteristics and knowledge and attitude questions regarding postpartum contraception.
Results: The mean knowledge score was 31.75 ± 9.24; 72% of physicians had a poor knowledge score, and 9% had good knowledge scores. The mean attitude score was 76.92 ± 8.81, and 56% had a favorable attitude. There was no significant difference in knowledge and attitude scores in terms of gender, residence, marital status and PHC center. However, there was a significant difference in knowledge scores in terms of age and experience. There was a significant difference in total knowledge score and attitude when comparing scientific degrees, with higher scores among those with master’s degrees.
Conclusion: There was an unsatisfactory level of knowledge regarding immediate postpartum contraception; there were also a high percentage of favorable and neutral attitudes among the participating physicians. Thus, training courses should be designed for PHC physicians to maintain and improve their knowledge and skills regarding immediate postpartum contraception.

Keywords: Attitude; Knowledge; Physicians; Postpartum contraception.

Elhazek AA, Talib YMA, Amin GE, Eltaieb EM, Allam MF (2019). Knowledge and Attitudes among Primary Healthcare Physicians Regarding Immediate Postpartum Contraception in Cairo, Egypt . J Community Med Health Res 1(2): 108.

https://www.pubtexto.com/pdf/?knowledge-and-attitudes-among-primary-healthcare-physicians-regarding-immediate-postpartum-contraception-in-cairo-egypt

sábado, 13 de julio de 2019

Normal Vitamin D Levels

Normal Vitamin D Levels

Maivel Emile Soby Gerges, Ghada Essam Aldin, Diaa Marzouk Abdel Hamid and Mohamed Farouk Allam*

Department of Family Medicine, Faculty of Medicine, Ain Shams University, Egypt

*Corresponding author: Mohamed Farouk Allam, Environmental and Occupational Med icine, Faculty of Medicine, Ain Shams University, Cairo, Egypt, Email: farouk.allam@med.asu.edu.eg

Public H Open Acc 2019, 3(2): 000138.
DOI: 10.23880/phoa-16000138

Mini Review

ABSTRACT
Vitamin D deficiency is a common public-health problem. Deficiency is more common in women than men, and the childbearing period is known to represent a particularly high-risk situation. High rates of poor vitamin D status are found among women during the childbearing period throughout the world. Women at reproductive age are a group that can be susceptible at earlier age for vitamin D deficiency and its complications as increase the risk of osteopenia, osteoporosis, muscle weakness, osteomalacia and pathological fractures and can worsen other chronic conditions, such as the polycystic ovary syndrome; it is also a risk factor for cardiovascular diseases, metabolic syndrome, some types of cancers and some autoimmune diseases. Several studies have identified a surprisingly high prevalence of vitamin D deficiency in all age groups such as in Europe after 14 population study, United States, Canada and Australia. Despite reported prevalence of vitamin D deficiency and insufficiency depend on the cut-off values used that vary between studies, an estimated 1 billion people worldwide have vitamin D deficiency or insufficiency or hypovitaminosis D. National surveys should be conducted in every country to determine normal levels of vitamin D in that country and the need for national screening programs for vitamin D deficiency.

Keywords: Vitamin D; Screening; Survey.

https://medwinpublishers.com/PHOA/PHOA16000138.pdf

lunes, 3 de junio de 2019

The association between coffee consumption and bladder cancer in the bladder cancer epidemiology and nutritional determinants (BLEND) international pooled study


The association between coffee consumption and bladder cancer in the bladder cancer epidemiology and nutritional determinants (BLEND) international pooled study

Yu EY(1)(2), Wesselius A(3), van Osch F(3)(4), Stern MC(5), Jiang X(5), Kellen E(6), Lu CM(7), Pohlabeln H(8), Steineck G(9), Marshall J(10), Allam MF(11), La Vecchia C(12), Johnson KC(13), Benhamou S(14), Zhang ZF(15), Bosetti C(16), Taylor JA(17), Zeegers MP(3)(18).

Author information:
(1)NUTRIM School for Nutrition and Translational Research in Metabolism, University of Maastricht, Universiteitssingel 40 (Room C5.564), 6229 ER, Maastricht, The Netherlands. evan.yu@maastrichtuniversity.nl.
(2)CAPHRI School for Public Health and Primary Care, University of Maastricht, Maastricht, The Netherlands. evan.yu@maastrichtuniversity.nl.
(3)NUTRIM School for Nutrition and Translational Research in Metabolism, University of Maastricht, Universiteitssingel 40 (Room C5.564), 6229 ER, Maastricht, The Netherlands.
(4)Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
(5)Department of Preventive Medicine, University of Southern California, Los Angeles, CA, USA.
(6)Leuven University Centre for Cancer Prevention (LUCK), Louvain, Belgium.
(7)Department of Urology, Buddhist Dalin Tzu Chi General Hospital, Dalin Township, Chiayi County, Taiwan.
(8)Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany.
(9)Clinical Cancer Epidemiology, Department of Oncology, Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
(10)Department of Cancer Prevention and Control, Roswell Park Cancer Institute, Buffalo, NY, USA.
(11)Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, Section of Public Health and Human Sciences, University of Brescia, Brescia, Italy.
(12)Department of Clinical Medicine and Community Health, University of Milan, Milan, Italy.
(13)Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada.
(14)INSERM U946, Variabilite Genetique et Maladies Humaines, Fondation Jean Dausset/CEPH, Paris, France.
(15)Departments of Epidemiology, UCLA Center for Environmental Genomics, Fielding School of Public Health, University of California, Los Angeles (UCLA), Los Angeles, CA, USA.
(16)Laboratory of Oncology, Istituto di Ricerche Farmacologiche "Mario Negri" IRCCS, Milan, Italy.
(17)Epidemiology Branch and Epigenetic and Stem Cell Biology Laboratory, National Institute of Environmental Health Sciences, NIH, Research Triangle Park, NC, USA.
(18)CAPHRI School for Public Health and Primary Care, University of Maastricht, Maastricht, The Netherlands.

Cancer Causes Control. 2019 May 30. [Epub ahead of print] PubMed PMID: 31147895.
doi: 10.1007/s10552-019-01191-1.

BACKGROUND: Inconsistent results for coffee consumption and bladder cancer (BC) risk have been shown in epidemiological studies. This research aims to increase the understanding of the association between coffee consumption and BC risk by bringing together worldwide case-control studies on this topic.
METHODS: Data were collected from 13 case-control comprising of 5,911 cases and 16,172 controls. Pooled multivariate odds ratios (ORs), with corresponding 95% confidence intervals (CIs), were obtained using multilevel logistic regression models. Furthermore, linear dose-response relationships were examined using fractional polynomial models.
RESULTS: No association of BC risk was observed with coffee consumption among smokers. However, after adjustment for age, gender, and smoking, the risk was significantly increased for never smokers (ever vs. never coffee consumers: ORmodel2 1.30, 95% CI 1.06-1.59; heavy (> 4 cups/day) coffee consumers vs. never coffee consumers: ORmodel2 1.52, 95% CI 1.18-1.97, p trend = 0.23). In addition, dose-response analyses, in both the overall population and among never smokers, also showed a significant increased BC risk for coffee consumption of more than four cups per day. Among smokers, a significant increased BC risk was shown only after consumption of more than six cups per day.
CONCLUSION: This research suggests that positive associations between coffee consumption and BC among never smokers but not smokers.

Cancer Causes Control. 2019 May 30. [Epub ahead of print] PubMed PMID: 31147895.
https://link.springer.com/article/10.1007%2Fs10552-019-01191-1

viernes, 31 de mayo de 2019

EFFECT OF VITAMIN D SUPPLEMENTATION ON MUSCLE FUNCTION IN ELDERLY INDIVIDUALS: A META-ANALYSIS

EFFECT OF VITAMIN D SUPPLEMENTATION ON MUSCLE FUNCTION IN ELDERLY INDIVIDUALS: A META-ANALYSIS

Tomader Taha Abdel Rahman (1), Mohamed Shawky Khater (1), Mohamad Farouk Allam (2)

1 Geriatric Medicine & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
2 Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University.

Egyptian Journal of Geriatrics and Gerontology 2018; 5(2): 32-40.
ABSTRACT 

Background: Sarcopenia (the loss of muscle mass and strength) has estimated prevalence rates of 5-13% and 11-50% in the young-old and old-old, respectively. Recent studies have shown that vitamin D plays important roles in various systems, including the musculoskeletal system. Objective:
The aim of this meta-analysis was to determine the effects of vitamin D supplementation on muscle function in community‐dwelling elderly individuals.

Methods: We conducted systematic searches of PubMed, Medline, Egyptian Knowledge Bank, and the reference sections of previous reviews, and we discussed the topic with several experts in the field. Only randomized controlled trials that evaluated the effect of vitamin D supplementation on muscle function [muscle strength was evaluated by the hand grip strength (HGS) test, and physical performance was evaluated by the timed up-and-go (TUG) test] were included. Only studies published in English between January 2000 and June 2018 were considered.

Results: In total, 14 randomized controlled clinical trials (RCTs) met our inclusion criteria. The participants in these studies were all community-dwelling elderly individuals, who were generally in good health for their age. The pooled mean difference in HGS was higher in the vitamin D supplementation group than in the control group. The pooled mean difference in the TUG test was slightly lower in the vitamin D supplementation group than in the control group.

Conclusions: Our meta-analysis shows that vitamin D supplementation could improve muscle function in elderly individuals. Future studies should use standardized durations and doses of vitamin D supplementation.

Keywords: Vitamin D supplementation, Sarcopenia, Muscle function, Meta-analysis, Randomized controlled clinical trials, Systematic review.

Egyptian Journal of Geriatrics and Gerontology Volume 5, Issue 2, October 2018, Page 32-40.
https://ejgg.journals.ekb.eg/article_30912.html