Papers by fatemeh ghannadiasl
Iranian Red Crescent Medical Journal, Mar 6, 2016
Background: The use of weight-loss dieting has always been overemphasized as the first modality t... more Background: The use of weight-loss dieting has always been overemphasized as the first modality to treat obesity. Success in weight loss is considered a major problem in obese individuals. The processes of behavior change have been used to facilitate intervention promoting change. Only a minority of studies have employed this construct for weight loss. Objectives: The purpose of this study was to assess the effect of a balanced low-calorie diet with or without nutrition education on the weight loss and processes of change among obese women. Methods: In a randomized clinical trial, 90 apparently healthy obese women age 18-50 with body mass index (BMI) of 30-40 kg/m 2 were recruited from the nutrition clinic in Ardabil, located in the northwest of Iran. Participants were assigned randomly to receive a balanced low-calorie diet with or without nutrition education. Participants completed a processes of change questionnaire at baseline and at three and six months after intervention. A generalized linear model repeated measures analysis of variances was used to assess the time effect as well as the interaction between the time and the group effect. Results: Significant differences were found in the time effect for weight (F = 12.64, df = 2, P < 0.001), BMI (F = 10.90, df = 2, P = 0.001), andcounterconditioning (F = 22.82, df = 2, P < 0.001), and helping relationships (F = 5.47, df = 2, P = 0.006), reinforcement management (F = 3.65, df = 2, P = 0.03), self-liberation (F = 5.05, df = 2, P = 0.008), stimulus control (F = 12.12, df = 2, P < 0.001), and substance abuse subscales (F = 6.72, df = 2, P = 0.002). Significant differences were shown in interaction time and group effect for weight (F = 5.69, df = 2, P = 0.011), BMI (F = 4.91, df = 2, P = 0.018) and counterconditioning (F = 5.11, df = 2, P = 0.008) and stimulus control (F = 5.50, df = 2, P = 0.006) subscales. Conclusions: The findings support the use of nutrition education for more weight loss and improvement in the counter conditioning and stimulus control subscales among obese women attending the nutrition clinic. It seems that nutrition education should be considered important in effective weight-loss interventions.
Journal of community health research, Sep 29, 2021
Introduction: Recent studies have shown a high prevalence of body image dissatisfaction in women.... more Introduction: Recent studies have shown a high prevalence of body image dissatisfaction in women. This study purposed to examine the relationship between body image dissatisfaction and new anthropometric indices in women. Methods: A cross-sectional study was done among 384 women referred to the nutrition clinic in Ardabil city in 2019, using convenience sampling method. Data were collected through multidimensional body self-relations questionnaires and anthropometric measurements. This questionnaire is an attitudinal assessment of body image, using a 5-point disagrees–agree Likert scale to collect responses. Data was analyzed using SPSS software (version 21). The Pearson correlation coefficient was used to investigate the relation between body image dissatisfaction and anthropometric indices. The significance level was less than 0.05. Results: The mean age and body mass index (BMI) of the women under study were 30.01±7.20 years and 30.21±5.17kg/m2, respectively. Correlation analysis presented that a significant positive relationship was between all anthropometric indices and the subjective weight and overweight preoccupation subscales. The highest relationship of subjective weight subscale was found with BMI, waist circumference, and waist-to-height ratio (WHtR) (r=0.85, p&amp;amp;amp;amp;lt;0.001) followed by abdominal volume index (AVI) (r=0.82, p&amp;amp;amp;amp;lt;0.001). The highest relationship of the overweight preoccupation subscale was obtained with waist circumference (r=0.44, p&amp;amp;amp;amp;lt;0.001) followed by AVI and weight (r=0.42, p&amp;amp;amp;amp;lt;0.001) and WHtR (r=0.41, p&amp;amp;amp;amp;lt;0.001). Conclusion: Body image dissatisfaction was associated with anthropometric indices. The findings indicated the need for interventions designed to improve anthropometric indices and, consequently, body image dissatisfaction.
Journal of community health research, Dec 23, 2019
Blood pressure among youth is associated with increased risk of future cardiovascular disease occ... more Blood pressure among youth is associated with increased risk of future cardiovascular disease occurrence. The studies done on hypertension prevalence among young population are still insufficient. The purpose of this study was to determine undiagnosed hypertension, based on the Seventh Report of the Joint National Committee (JNC7) on Prevention, Detection, Evaluation and Treatment of High Blood Pressure updated guidelines among the apparently healthy young group of Iranian population. Methods: In this cross-sectional study, 901 volunteers, without previous hypertension history, in the age group of 18-24 years old (body mass index< 40 kg/m 2) were assessed in Ardabil city from September 2016 to March 2008.They were apparently healthy youth and reported that their body weight had been stable for at least the last 3 months. Blood pressure was measured by standardized protocols based on American Heart Association guidelines, and the final value was obtained using the mean of the two careful readings of office blood pressure monitoring. Data were analyzed using Statistical Package for Social Sciences version 21.0. One-way analysis of variance was applied to determine the differences among hypertension groups, and p values <0.05 were considered statistically significant. Results: The mean of age, weight and body mass index was 19.48±1.64 (years), 60.54±11.45 (kg) and 21.39±3.17 (kg/m 2), respectively. According to the JNC7 updated guidelines (2017), 17.4% subjects fell into elevated blood pressure whereas 2.1% and 1.7% into stage I and II hypertension category, respectively. Males were significantly more likely to have elevated blood pressure and stage I and stage II hypertension than females (p<0.001). Conclusion: According to the JNC7 updated guidelines, there is a significant prevalence of undiagnosed elevated blood pressure and hypertension (21.1%) among Iranian youth population. These results emphasize the need for careful monitoring of the blood pressure even among apparently healthy young adults.
مجله علوم بهداشتی جندیشاپور, Dec 31, 2017
Background: Self-efficacy plays an important role in successful weight loss behaviors and weight ... more Background: Self-efficacy plays an important role in successful weight loss behaviors and weight loss. Objectives: The aim of the study was to compare the effects of a balanced low-calorie diet with or without nutrition education on eating self-efficacy and weight loss among obese women. Methods: In a randomized clinical trial, a sample of 90 apparently healthy obese women was recruited from the nutrition clinic and randomly assigned to receive a balanced low-calorie diet with or without nutrition education. The anthropometric measures and weight efficacy lifestyle questionnaire were completed at baseline, 3, and 6 months after the intervention. Results: The participants demonstrated a significant weight loss and improvement in total self-efficacy score in both the intervention groups (the time effect: F = 12.64, df = 2, P < 0.001, F = 22.57, df = 2, P < 0.001, respectively). No significant difference was observed in the social pressure subscale between the two groups after the intervention (the time × intervention effect: F = 2.80, P > 0.05). The results showed that nutrition education could be more effective in the increase of self-efficacy, especially in the first 3 months in comparison with the second 3 months (1.01 ± 0.38 vs. 0.29 ± 0.17, P = 0.005). Conclusions: The findings support the use of nutrition education for improvement of self-efficacy subscales among obese women attending nutrition clinics for weight loss.
Nutrition & Food Science, Jan 4, 2020
Purpose-The elevated white blood cells (WBCs) count has been reported to be a predictor of cardio... more Purpose-The elevated white blood cells (WBCs) count has been reported to be a predictor of cardiovascular diseases, diabetes, hypertension and metabolic syndrome. This study aims to determine the associations between WBCs count and obesity in apparently healthy young adults. Design/methodology/approach-In this cross-sectional study, the authors evaluated the body mass index (BMI) in 392 apparently healthy young adults of both sexes. The WBCs count was measured using standard counter techniques. The inclusion criteria were the agreement to participate in the study, between 18 and 25 years of age, lack of self-reported diseases such as cardiovascular diseases, hypertension, kidney and infectious diseases. Findings-According to the BMI classification, underweight and overweight or obesity were observed in 14.58 and 11.48 per cent of young adults, respectively. The mean WBC was 6.5 6 1.5 (Â10 3 cells/mL). Higher values of WBCs were found in women than in men (p = 0.02). The young adults with higher BMI had a higher WBCs count. There was a positive correlation between WBCs count and weight and BMI (r = 0.19 and r = 0.22, p < 0.001, respectively). Research limitations/implications-This research was a cross-sectional study. Future studies are suggested using longitudinal studies to examine more relationships between obesity and WBCs count in apparently healthy young adults. Practical implications-The results of this study provide evidence for weight management in this age group to reduce diseases associated with increased WBCs count. Originality/value-The WBCs count was related to increasing levels of BMI per cent 2 C even in the normal range.
Nutrition & Food Science, Mar 11, 2019
Purpose The purpose of this paper is to assess eight weeks individualized balanced low-calorie di... more Purpose The purpose of this paper is to assess eight weeks individualized balanced low-calorie diet on anthropometric measurements and body composition in apparently healthy obese women. Design/methodology/approach Forty apparently healthy obese women (body mass index: 27.5-40 kg/m2 and age: 18-40 years) were recruited from the nutrition clinic in the north-west of Iran, Ardabil city. Anthropometric measurements and body composition analysis were done at baseline and after the intervention. Findings During eight weeks, individualized balanced low-calorie diet resulted in a significant decrease in body weight (−4.0 ± 0.3 kg, p &lt; 0.001), body mass index (−1.6 ± 0.1 kg/m2, p &lt; 0.001), waist circumference (−2.9 ± 0.3 cm, p &lt; 0.001), waist-to-hip ratio (−0.01 ± 0.004, p = 0.001), waist-to-height ratio (−0.02 ± 0.002, p &lt; 0.001), per cent body fat (−1.1 ± 0.2 per cent, p &lt; 0.001), fat mass (−2.5 ± 0.3 kg, p &lt; 0.001), visceral fat level (−0.8 ± 0.1, p &lt; 0.001), visceral fat area (−11.3 ± 2.3 cm2, p &lt; 0.001), trunk mass fat (−1.2 ± 0.1 kg, p &lt; 0.001), left arm mass fat (−0.2 ± 0.03 kg, p &lt; 0.001), right arm mass fat (−0.2 ± 0.03 kg, p &lt; 0.001), left leg mass fat (−0.4 ± 0.1 kg, p &lt; 0.001), right leg mass fat (−0.4 ± 0.05 kg, p &lt; 0.001), abdominal volume index (−1.1 ± 0.1 m2, p &lt; 0.001), conicity index (−0.007 ± 0.002 m2/3/kg1/2, p = 0.001) and body adiposity index (1.0 ± 0.1 per cent, p &lt; 0.001). Research limitations implications The limitation concerns the generalizability to the general population of obese women. Future studies should take sex differences into consideration. These studies may focus on the long-term benefits. Originality/value Balanced low-calorie diet-induced moderate weight loss alone may represent an effective strategy for reducing metabolic risk factors among obese women.
مجله علوم بهداشتی جندیشاپور, Nov 7, 2021
Background: Body image dissatisfaction has been rising in recent years. Despite the large body of... more Background: Body image dissatisfaction has been rising in recent years. Despite the large body of evidence on body image, few studies have directed gender comparisons of body image in Iran. Objectives: This study aimed to investigate body image dissatisfaction and its correlation with anthropometric indicators and body composition in men and women. Methods: Following a cross-sectional design, 95 females and 95 males (age range: 18-50 years and body mass index: 18.5-40.0 kg/m 2) who attended a nutrition clinic in Ardabil city were recruited using a convenience sampling method. Anthropometric measurements were achieved while participants were lightly clothed with no shoes. The body fat percentage, visceral fat level, and visceral fat area were measured using a bioelectrical impedance analysis. The body image was evaluated using the Multidimensional Body Self-relation Questionnaire (MBSRQ). Data analysis was administered using SPSS, and a two-tailed P-value less than 0.05 was considered statistically significant. Results: The appearance orientation (females: 4.04 ± 0.57 vs. males: 3.72 ± 0.49, P-value < 0.001) and illness orientation (females: 3.70 ± 0.74 vs. males: 3.41 ± 0.83, P-value = 0. 01) subscales scores were higher in women than men. A negative association was observed between appearance orientation subscale score with anthropometric indicators and body composition. In contrast, the subjective weight, overweight preoccupation, and health evaluation subscales scores were positively correlated with anthropometric measurement and body composition. Conclusions: This study investigated body image dissatisfaction in a small sample of Iranians. Gender was an important factor in determining body image subscales. Thus, health interventions should be specially designed.
Food Science and Technology International, Apr 10, 2021
DOAJ (DOAJ: Directory of Open Access Journals), 2014
Assessing individual's readiness to change and targeting the intervention to the level of readine... more Assessing individual's readiness to change and targeting the intervention to the level of readiness may improve successful weight loss rates. This study aimed to assess readiness for weight loss in obese women using the trans theoretical model. Methods: A cross-sectional study was conducted on 90 volunteer apparently healthy obese women, in Ardabil, Iran. Participants completed the translated and validated University of Rhode Island Change Assessment questionnaire in their first visit. Subjects were categorized into one of the stages of change based on the highest of four z-transformed scale scores. The readiness to change score was calculated. Results: More than half of the participants were in early stages of weight loss and 24.5% were in the action stage. The readiness score in the precontemplation stage was significantly lower than the other stages, but no significant difference was observed among the contemplation, action and maintenance stages. The significant correlation was observed between the stages of change and waist-tohip ratio (r=0.33, P<0.05). Conclusion: Obese women attending the nutrition clinic are in different stages to change for weight loss. Understanding person specific stages of change orientates the dietitian to use the most appropriate counseling strategies. Hence the stages and readiness to change should be considered before implementing any intervention in clinical settings for optimal outcomes.
Journal of Ardabil University of Medical Sciences, 2018
Background & objectives: The aim of the present study was to evaluate 8 weeks individualized bala... more Background & objectives: The aim of the present study was to evaluate 8 weeks individualized balanced low calorie diet on anthropometric measurements in apparently healthy obese women. Methods: Forty apparently healthy obese women (age: 18-40 years and 27.5≤BMI≤40 kg/m) were recruited from the nutrition clinic in Ardabil city. The participants received a balanced low calorie diet after anthropometric measurements. Paired T-test was used to compare the changes during 8 week intervention. Results: Individualized balanced low calorie diet resulted in a significant decrease in body weight (-3.99±0.34 kg, p<0.001), body mass index (-1.61±0.14 kg/m, p<0.001), waist circumference (-2.91±0.32 cm, p<0.001), hip circumference (-1.89±0.37 cm, p<0.001), waist to hip ratio (-0.01±0.004, p=0.001), waist to stature ratio (-0.02±0.002, p<0.001), body adiposity index (-0.97±0.15%, p<0.001), abdominal volume index (-1.07±0.11, p<0.001) and conicity index (-0.007±0.002, p=0.001) d...
Jundishapur Journal of Health Sciences, 2017
Background: Self-efficacy plays an important role in successful weight loss behaviors and weight ... more Background: Self-efficacy plays an important role in successful weight loss behaviors and weight loss. Objectives: The aim of the study was to compare the effects of a balanced low-calorie diet with or without nutrition education on eating self-efficacy and weight loss among obese women. Methods: In a randomized clinical trial, a sample of 90 apparently healthy obese women was recruited from the nutrition clinic and randomly assigned to receive a balanced low-calorie diet with or without nutrition education. The anthropometric measures and weight efficacy lifestyle questionnaire were completed at baseline, 3, and 6 months after the intervention. Results: The participants demonstrated a significant weight loss and improvement in total self-efficacy score in both the intervention groups (the time effect: F = 12.64, df = 2, P < 0.001, F = 22.57, df = 2, P < 0.001, respectively). No significant difference was observed in the social pressure subscale between the two groups after the intervention (the time × intervention effect: F = 2.80, P > 0.05). The results showed that nutrition education could be more effective in the increase of self-efficacy, especially in the first 3 months in comparison with the second 3 months (1.01 ± 0.38 vs. 0.29 ± 0.17, P = 0.005). Conclusions: The findings support the use of nutrition education for improvement of self-efficacy subscales among obese women attending nutrition clinics for weight loss.
The micronutrient deficiencies are an important public health problem. The primary underlying cau... more The micronutrient deficiencies are an important public health problem. The primary underlying cause of micronutrient deficiencies is insufficient intake. Aim of this paper was to describe the micronutrient intake status in women. In this cross-sectional study, 3-day food records 125 volunteer women were assessed using the Nutritionist III software in Ardabil city. Finally, the Dietary Reference Intake standards were used to evaluate the intake of nutrients. Based on the results, the proportion of the population with intakes below the dietary reference intake was 63.3% for iron, 60.5% for zinc, 82.9% for vitamin A and 97.5% for folate. On the other hand, the proportion of women with insufficient intakes of four micronutrients was 60.97%. The studied women were at increased risk for insufficient micronutrient intakes due to poor diet quality. Based on results, it seems that we need to long-term intervention strategies for multimicronutrient deficiencies in Iran. Keywords: Micronutrien...
Journal of Ardabil University of Medical Sciences
Background & objectives: Considering the high prevalence of body image dissatisfaction and its co... more Background & objectives: Considering the high prevalence of body image dissatisfaction and its consequences, it is necessary to consider effective interventions to reduce it. The aim of this study was to investigate the effect of a balanced low calorie diet (BLCD) and slight weight loss on the body image score and its subscales. Methods: In this clinical trial, 74 apparently healthy, non-pregnant, non-lactating and nonmenopausal women (age range: 18-49 years with body mass index range: 27.5-40 kg/m 2 ) were selected using random sampling method from a nutrition clinic in their first visit in Ardabil city between November 2019 and February 2020. Data collection was done by Anthropometric measurements and multidimensional body self-relations questionnaire. The paired T-test was used to compare the changes during 4 -week balanced low calorie diet intervention. BLCD was an individualized diet with an energy deficit of 500 calories of daily energy intake that was calculated from 3-day food records for every person. Results: After 4 weeks, BLCD resulted in a significant decrease in body weight (p=0.001), body mass index (p=0.001), waist circumference (p=0.002), waist to height ratio (p=0.012), abdominal volume index (p=0.009) and conicity index (p=0.045) and a significant increase in the subscale scores of fitness evaluation (p=0.01), health orientation (p=0.03), body area satisfaction (p=0.01) and overweight preoccupation (p=0.001). Conclusion: According to the results, it seems that even slight weight loss with a balanced low-calorie diet can be effective in improving anthropometric indices and some subscales of body image in 4 weeks. These results support the effectiveness of short-term interventions.
Introduction: The prevalence of body image dissatisfaction has significantly increased in the las... more Introduction: The prevalence of body image dissatisfaction has significantly increased in the last years, and most previous studies have focused on the body mass index. The present study aimed to examine the association between body image and body composition among women. Methods: This cross-sectional study was conducted on 384 women attending a nutrition clinic in Ardabil during 2019. Data were collected using the multidimensional body self-relations questionnaire, anthropometric measurement, and body composition analysis. The data were analyzed in SPSS software (version 21.0) through a two-tailed test. A p-value of less than 0.05 was considered statistically significant. Results: Correlation analysis indicated a significant positive association of body composition with the subjective weight and overweight preoccupation subscales. The highest association of subjective weight subscale was found with body fat percentage followed by visceral fat level and trunk fat mass. Moreover, the...
Food Science and Technology International, 2021
Dujovne inició una transformación institucional a la luz de los debates sobre el rol de los museo... more Dujovne inició una transformación institucional a la luz de los debates sobre el rol de los museos de antropología. Su Proyecto difundido hace veinticuatro años en la Revista Runa influye, aún hoy, en el desarrollo de diversas líneas de trabajo. La exhibición "Desafiando al silencio: pueblos indígenas y dictadura", inaugurada a cuarenta años del último golpe de estado, es resultado de este proceso de cambios. Como parte del equipo que la llevó adelante, nos proponemos reflexionar sobre esta exhibición a la luz de las transformaciones conceptuales y museográficas propuestas en aquel Proyecto. Y nos preguntamos ¿cómo reflexionar sobre la violencia del estado, las resistencias, las ausencias, los silencios y las demandas de justicia en un museo universitario de antropología?
Background & Objectives: Obesity is associated with metabolic abnormalities such as insulin resis... more Background & Objectives: Obesity is associated with metabolic abnormalities such as insulin resistance. Weight loss is always recommended for m eaningful reduction in these abnormalities. Therefore, we examined the effects of balanced low calorie diet on weight loss, fasting insulin and insulin resistance in obese women attending the nutrition clinic. Methods: In this clinical trial, forty five v olunteer apparently healthy obese women (body mass index: 33.28 ± 2.90 kg/m 2 and age: 28.40 ± 7.98 years) were recruited from the nutrition clinic in their first visit. The participants were received a balanced low calorie diet over 6 months after anthropometry measurement and blood sampling for determination of fasting insulin and insulin resistance level. Balanced low calorie diet was an individualized diet with an energy deficit of 500 calories of daily energy intake that was calculated from 3 -day food records for every person. At 6 months after intervention, continuous and dichotomous...
Jundishapur Journal of Health Sciences
Background: Body image dissatisfaction has been rising in recent years. Despite the large body of... more Background: Body image dissatisfaction has been rising in recent years. Despite the large body of evidence on body image, few studies have directed gender comparisons of body image in Iran. Objectives: This study aimed to investigate body image dissatisfaction and its correlation with anthropometric indicators and body composition in men and women. Methods: Following a cross-sectional design, 95 females and 95 males (age range: 18 - 50 years and body mass index: 18.5 - 40.0 kg/m2) who attended a nutrition clinic in Ardabil city were recruited using a convenience sampling method. Anthropometric measurements were achieved while participants were lightly clothed with no shoes. The body fat percentage, visceral fat level, and visceral fat area were measured using a bioelectrical impedance analysis. The body image was evaluated using the Multidimensional Body Self-Relation Questionnaire (MBSRQ). Data analysis was administered using SPSS, and a two-tailed P-value less than 0.05 was consid...
Women & Health
The main aim of the current study was to examine novel anthropometric predictors of subjective we... more The main aim of the current study was to examine novel anthropometric predictors of subjective weight among women. In this cross-sectional study, 229 women were selected through simple random sampling method. The participants completed the Multidimensional Body Self-Relation Questionnaire. Pearson correlation coefficient and linear regression were used to analyze the data. The mean subjective weight score was 4.05 ± 1.01. There was a significant relationship between anthropometric indices and subjective weight (Pearson r correlation range: 0.62-0.81, p < .01). Beta coefficients for predictor variables indicated that weight (ß = -2.774, t (229) = -2.868, p = .005), hip circumference (ß = 3.454, t (229) = 5.999, p < .001), waist to hip ratio (ß = 4.218, t (229) = 4.953, p < .001), waist to height ratio (ß = -3.284, t (229) = -2.067, p = .04), and conicity index (ß = -0.708, t (229) = -2.518, p = .013) significantly predicted the subjective weight. The waist to hip ratio was the most important predictor of the subjective weight. This study suggests using the waist to hip ratio as an anthropometric index in subjective weight studies in women. Considering the negative impact of subjective weight on women's health, these results indicate the need for interventions designed to control body weight and unsuitable anthropometric indices in women.
Journal of Community Health Research
Introduction: Recent studies have shown a high prevalence of body image dissatisfaction in women.... more Introduction: Recent studies have shown a high prevalence of body image dissatisfaction in women. This study purposed to examine the relationship between body image dissatisfaction and new anthropometric indices in women. Methods: A cross-sectional study was done among 384 women referred to the nutrition clinic in Ardabil city in 2019, using convenience sampling method. Data were collected through multidimensional body self-relations questionnaires and anthropometric measurements. This questionnaire is an attitudinal assessment of body image, using a 5-point disagrees–agree Likert scale to collect responses. Data was analyzed using SPSS software (version 21). The Pearson correlation coefficient was used to investigate the relation between body image dissatisfaction and anthropometric indices. The significance level was less than 0.05. Results: The mean age and body mass index (BMI) of the women under study were 30.01±7.20 years and 30.21±5.17kg/m2, respectively. Correlation analysis...
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Papers by fatemeh ghannadiasl