Predictive factors for nutritional behavior among pregnant women attending antenatal care clinic in 6th of October City

 

Doaa A Nasrallah (1), Hanan S Ez-Elarab (2), Eman A Sultan (3), Mohamed Farouk Allam (1)

1. Department of Family Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

2. Department of Community Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt and at Fakeeh College for Medical Sciences, Jeddah, KSA.

3. National Nutrition Institute, Cairo, Egypt.

Journal of Preventive Medicine and Hygiene 2020; 61: E186-E193

https://doi.org/10.15167/2421-4248/jpmh2020.61.2.1302

Background: Good maternal nutrition during pregnancy is important to ensure health for both the mother and the foetus. This study aimed to assess nutritional knowledge and behavior among a  group  of  Egyptian  pregnant  women  in  addition  to  identify  the factors influencing both their nutritional knowledge and behavior.

Methods: This  comparative  cross  sectional  study  included  300 pregnant  women  attending  the  antenatal  care  clinics  in  6th  of October  University  private  hospital  and  El-Hussary  primary health care (PHC) unit. The data was collected through a modified nutritional survey that was translated from Spanish to Arabic and revised by language experts for clarity.

Results: Almost  all  of  the  women  attending  the  private  hospital were  university  educated  while  about  half  of  the  women  attending  the  PHC  unit  were  graduated  from  technical  education.  In general, the level of knowledge about food requirements of both groups was satisfactory good; however,  neither  of  them  fulfilled the  WHO  recommendations  of  food  intake  during  pregnancy  or the optimum number of meals per day. The mean of random blood glucose was higher among the women attending the PHC unit; the BMI, mid  arm  circumference  and  subcutaneous  fat  were  higher among  the  same  group  as  well.  In  regard  to  fulfilling  the WHO recommended  servings  per  day,  only  starch  and  fat  items  were fulfilled by both groups, whereas the other three items (vegetables, fruits  and  dairy  products)  were  merely  included  in  the  diets  of both groups.

Conclusions: Healthy  behavior  among  pregnant  women  in  both group  were  influenced  by  their  educational  level,  occupation  as well as their pre-gestational BMI. Those were the only three significant predictive factors, where women with higher education showed an active lifestyle. In addition, women starting with normal BMI before pregnancy had better healthy behaviours including the choice of healthy diets

Keywords: Pregnancy, Nutrition, Life-style behavior, Eating habits, Antenatal care.

Journal of Preventive Medicine and Hygiene 2020; 61: E186-E193

https://www.jpmh.org/index.php/jpmh/article/view/1302/765

Brain Cancer Risk Factors: Sun Exposure and/or Smoking?

Brain Cancer Risk Factors: Sun Exposure and/or Smoking?

Amin GED (a), Abou Seif HA (a) , Abd Elaziz KM (a) and Allam MF (a,b)

a. Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt

b. Department of Family Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Journal of Community Medicine and Health Research 2020;2(1):120.

Abstract

Background: An ecological study was conducted to evaluate the associations among brain cancer, cutaneous malignant melanoma and lung cancer in 40 European countries. Methods: Incidence rates were obtained from the database of the International Agency for Research on Cancer (IARC) 2012. We analyzed age-adjusted and gender-stratified incidence rates for cutaneous malignant melanoma, lung cancer and brain cancer in 40 European countries that had registration systems that fulfilled the IARC quality criteria. Before calculating the correlations among cutaneous malignant melanoma, lung cancer and brain cancer, the normal distribution of the variables was examined using the Kolmogorov-Smirnov test. Results: There was no significant correlation between the overall rates (males and females combined) of cutaneous malignant melanoma and lung cancer (r=0.128; P=0.4), cutaneous malignant melanoma and brain cancer (r=-0.045; P=0.7), or brain cancer and lung cancer (r= 0.229; P=0.1). Conclusion: Brain cancer had no positive correlation with cutaneous malignant melanoma or lung cancer, rejecting the hypothesis that sun exposure and smoking could be risk factors for brain cancer. New analytical and genetic studies are needed to identify the risk factors for brain cancer.

Keywords: Epidemiology; Ecological; Brain Cancer; Melanoma; Lung Cancer

Citation: Amin GED, Abou Seif HA, Abd Elaziz KM, Allam MF (2020). Brain Cancer Risk Factors: Sun Exposure and/or Smoking?. J Community Med Health Res 2(1): 120

https://www.pubtexto.com/pdf/?brain-cancer-risk-factors-sun-exposure-andor-smoking

Persecutory Subtype Of Delusional Disorder. Descriptive Study Of 129 Cases.

Subtipo Persecutorio Del Trastorno Delirante: Estudio De Series De 129 Casos.

Persecutory Subtype Of Delusional Disorder. Descriptive Study Of 129 Cases.

Francisco Mármol Bernal (1), Rogelio Luque Luqueb (2), Mohamed Farouk Allam (3), Rafael Fernández-Crehuet Navajas (4)

(1) Delegación Territorial de Salud, Córdoba, España.

(2) Hospital Universitario Reina Sofía. Universidad de Córdoba, España.

(3) Área de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad de Córdoba, España.

Rev Chil Neuro-Psiquiat 2020; 58 (2): 116-126

Summary

Objective. The objective of this study is to investigate the demographic, environmental, psychosocial and clinical characteristics of the persecutory subtype in a group of patients with delusional disorder (DD). Methodology. Retrospective descriptive study of DD cases registered at Psychiatry and Mental Hygiene Clinic of Cordoba according to DSM-IV-TR criteria was conducted. We obtained a sample of 261 DD patients who met the inclusion criteria; of them 129 cases has persecutory subtype. Data and variables collected were divided into 4 groups: I. Socio-demographic and general data. II. DD risk factors (personal and family). III. DD clinical picture and diagnosis (presentation, symptoms, disability, use of health care resources, treatment, and evolution). Results. The proportion of males versus females of the persecutory subtype was of 1.04. Only 5.4% of patients had primary level of education. At the first visit of the psychiatry clinic, 65.9% of the patients were married and about half of them shared home. About 14.7% of patients had a past history of alcohol consumption, and only 0.8% consumed other drugs. Ideas of reference and of persecution were found in 98.4% and 99.2% respectively. Conclusions. It is necessary to conduct future prospective studies to investigate the risk factors associated with the persecutory subtype of DD.

Key words: delusional disorder, paranoia, persecutory subtype, retrospective study, case series.

Resumen

Objetivo. El objetivo de este estudio es conocer las características demográficas, factores ambientales, factores de riego psicosociales, y clínicas del subtipo persecutorio en un grupo de pacientes con trastorno delirante (TD). Metodología. Estudio epidemiológico retrospectivo sobre un Registro de Casos en el Dispensario de Psiquiatría e Higiene Mental de Córdoba sobre pacientes con TD según criterios DSM-IV-TR. Aquellos pacientes que cumplieron con los criterios de inclusión definidos constituyeron nuestra muestra final de 261 casos, de ellos 129 casos presentaban el subtipo persecutorio. Las variables sobre las que se recogió información en base a protocolos, fueron agrupadas con el orden siguiente: I. Variables de los datos sociodemográficos y generales. II. Variables de los Factores de riesgo del TD (familiares y personales). III. Variables del Cuadro Clínico y el Diagnostico del TD (Presentación, sintomatología delirante, funcionalidad y discapacidad, utilización de los recursos sanitarios, tratamiento, problemas psicosociales, evolución y curso). Resultados. La proporción hombres versus mujeres en el subtipo persecutorio fue de 1,04. Solo el 5,4% de estos pacientes tenía estudios primarios. Un 65,9%, al realizar la primera consulta psiquiátrica, se encontraba casado y el 50,4% convivían en el hogar. Un 14,7% consumió previamente alcohol y un 0,8% otras sustancias. Las ideas de referencia y de persecución se presentaron el 98,4% y en el 99,2% de los casos respectivamente. Conclusiones. Son necesarios futuros estudios prospectivos para investigar los factores de riesgo del subtipo persecutorio del TD.

Palabras clave: Trastorno delirante, paranoia, subtipo persecutorio, estudio retrospectivo, series de casos.

Rev Chil Neuro-Psiquiat 2020; 58 (2): 116-126

https://scielo.conicyt.cl/pdf/rchnp/v58n2/0717-9227-rchnp-58-02-0116.pdf

Is there a benefit of vitamin D supplementation in deficient children and adolescents suffering from obesity? A meta-analysis

Is there a benefit of vitamin D supplementation in deficient children and adolescents suffering from obesity? A meta-analysis

M F Nassar, E K Emam, M F Allam

QJM: An International Journal of Medicine, Volume 113, Issue Supplement_1, March 2020, hcaa063.001, https://doi.org/10.1093/qjmed/hcaa063.001

Published: 05 May 2020

Background and objectives. Both childhood obesity and vitamin D deficiency are common in the Middle East. This systematic review/meta-analysis aims to highlight the effect of vitamin D supplementation in deficient children suffering from obesity.

Methods. Published clinical studies on vitamin D supplementation in obese children and adolescents with vitamin D deficiency were identified through a comprehensive MEDLINE/PubMed search (from July 1966 to November 2017). Outcomes intended after vitamin D supplementation were improvements in vitamin D status, BMI alterations and appetite changes. The inclusion criteria were children aged 2 to 18 years of both sexes in clinical trials that specified the oral and/or intramuscular dose of vitamin D supplementation.

Results. Ten studies were retrieved, but only six were relevant. First, supplemented obese children and adolescents were compared to non-obese controls; thereafter, supplemented obese children and adolescents were compared to matching obese peers given placebo. Pooled risks from the two studies that evaluated the number of obese and non-obese children and adolescents who improved upon vitamin D supplementation revealed that obesity poses a risk for not benefiting from the vitamin D supplementation regardless of the dose and the duration of supplementation. Pooled results from the six retrieved studies that compared supplemented obese children and adolescents to matching non-obese or obese peers given placebo revealed significantly lower vitamin D levels in obese participants than in non-obese peers.

Conclusion. Vitamin D levels are significantly lower in obese children and adolescents with obesity, posing a risk for not benefiting from vitamin D supplementation regardless of the dose and duration of supplementation. Our results suggest that only with simultaneous weight adjustment strategies, vitamin D sufficiency would be achieved more effectively.

Vitamin D supplementation in deficient children suffering from obesity.

Keywords: Adolescents, children, clinical trials, obesity, supplementation, vitamin D

Topic: obesity, adolescent, child, vitamin d, childhood obesity

Issue Section: Pediatrics

https://academic.oup.com/qjmed/article-abstract/113/Supplement_1/hcaa063.001/5829038

Predictive Factors For Nutritional Behavior Among Pregnant Women Attending Ante Natal Care Clinic In 6th Of October City

Predictive Factors For Nutritional Behavior Among Pregnant Women Attending Ante Natal Care Clinic In 6^th Of October City

D A Nasrallah, H S Ez-elarab, M F Allam, E A Sultan

QJM: An International Journal of Medicine, Volume 113, Issue Supplement_1, March 2020, hcaa048, https://doi.org/10.1093/qjmed/hcaa048

Published: 05 May 2020

Background. Good maternal nutrition during pregnancy is important to ensure health for the mother and the fetus. This study aimed to establish optimal health of Egyptian mothers and their babies through proper nutrition, by assessing nutritional knowledge and behavior among a group of Egyptian pregnant women in addition to identifying the factors influencing their nutritional knowledge and behavior.

Methods. This descriptive cross sectional study included 300 pregnant women attending the antenatal care clinics in 6^th of October University private hospital and EL-Hussary primary health care unit. The data was collected through a modified nutritional survey that was translated from Spanish to Arabic and revised by language experts for clarity.

Results. Almost all of the women attending the private hospital were university educated while about half of the women attending the PHC unit were graduated from technical education (skills diploma). In general, the level of knowledge about food requirements of both groups was satisfactory good; however, neither of them fulfilled the WHO recommendations of food intake during pregnancy or the optimum number of meals per day. The mean of random blood glucose was higher among the women attending the PHC unit; the BMI, mid arm circumference and subcutaneous fat were higher among the same group as well. In regard to fulfilling the WHO recommended servings per day, only starch and fat items were fulfilled by both groups, whereas the other three items (vegetables, fruits and dairy products) were merely included in the diets of both groups.

Conclusion. Women with higher education showed an active lifestyle with a lower BMI but showed no relation to the choice of a good and healthy diet. These findings could give an insight to the policy makers in order to update nutritional care programs for pregnant women addressing all aspects of sociodemographic differences among women.

Keywords: Pregnancy, Nutrition, Life-style behaviour, Eating habits, Antenatal care.

Issue Section: Family Medicine

https://epidemiologyandpreventivemedicine.blogspot.com/2020/05/vitamin-d-level-in-sample-of-egyptian.html