Rashid Heydari Moghadam

Bio: Rashid Heydari Moghadam is an academic researcher from Hamedan University of Medical Sciences. The author has contributed to research in topics: Kyphosis & Poison control. The author has an hindex of 3, co-authored 3 publications receiving 21 citations. Previous affiliations of Rashid Heydari Moghadam include Oklahoma State University Center for Health Sciences.

Physical Activity and Its Related Factors Among Type 2 Diabetic Patients in Hamadan

Abstract: Objective: Lack of exercise is the fourth cause of death in the world. There is an inverse relationship between physical activity and the risk of diabetes. The aim of this study was to determine physical activity status and its related factors among type 2 diabetic patients in Hamadan, west of Iran. Materials and Methods: This analytical-observational study was performed on320 type 2 diabetic patients recruited with a convenient sampling method. The participants completed a selfadministered checklist including demographic characteristics, International Physical Activity Questionnaire (IPAQ) and psychological factor such as Knowledge, attitudes and self-efficacy. Data analysis was done with the SPSS software (version 16), using, one way ANOVA, chi-square tests and Fisher's exact test. Results: Physical activity of most patients (57.5%) was moderate. The associations between physical activity and age, education, occupation and marital status were significant (P<0.05). One way ANOVA indicated that attitude and self-efficacy were significantly associated with physical activity. Conclusion: The demographic and psychological variables relationship with physical activity is important. These findings can be used as an introduction to design effective intervention to promote physical activity.

Risk factors for falls in Iranian older adults: a case-control study.

Abstract: Falls are an important cause of morbidity and mortality in older adults. Identifying potential risk factors would provide a considerable public health benefit. The objective of this retrospective study was to determine the risk factors for falling among Iranian older adults. Two hundred eighty community-dwelling elders, with and without a history of falls, participated in the study. Elders aged 60 or over referred to retirement centres completed a multi-section questionnaire on demographic information, behavioural, environmental, and medical factors of fall from May to September 2018. Data analysis was performed with descriptive statistics and logistic regression using the Stata version 14 software. Sedentary activity level (OR: 2.14; 95% CI: 1.85, 3.23), hearing loss (OR: 2.17; 95% CI: 1.23, 3.83), vertigo or dizziness (OR: 2.24; 95% CI: 1.02, 4.91) and visual impairment (OR: 1.63; 95% CI: 1.01, 2.67) were important predictors of falls. No significant associations were observed between falls with demographic factors and medication. This study indicates several modifiable risk factors may be associated with falls that affect the health of older adults. Appropriate interventions are necessary to reduce modifiable risk factors of falls of high-risk elders.

Muscular Response of Females with Kyphosis in Balance Recovery from Postural Perturbation

Abstract: Methods: This is a quasi-experimental study. A total of 12 female students with thoracic kyphosis (>40 degrees) and 12 matched controls were selected to participate in the study. Each subject underwent unexpected perturbation from anterior, posterior, right, and left directions with eyes open and eyes closed conditions while standing on a movable plate, triggered by a weight equivalent to 10% of the subjects’ body weight. Then, the electromyography activity of some selected muscles was measured. SPSS version 19.0 and Analysis of variance (ANOVAs) with repeated measures were used for data analyses (P<0.05).

Preventing Chronic Diseases: A Vital Investment

Abstract: Let's read! We will often find out this sentence everywhere. When still being a kid, mom used to order us to always read, so did the teacher. Some books are fully read in a week and we need the obligation to support reading. What about now? Do you still love reading? Is reading only for you who have obligation? Absolutely not! We here offer you a new book enPDFd preventing chronic diseases a vital investment to read.

Barriers and facilitators to physical activity among urban residents with diabetes in Nepal

Abstract: Introduction Physical activity is an important component of type 2 diabetes management. Physical activity level among general population in Nepal is reported to vary considerably. However, knowledge on physical activity in Nepali diabetics is very limited. Engagement in physical activity could be influenced by perception of barriers against adopting the behavior and benefits of adopting it. This study explores the prevalence of physical activity and factors that promote and hinder the behavior among urban residing diabetic patients from Nepal. Methods A descriptive cross-sectional design was adopted using a simple random sampling of type 2 diabetic patients from two diabetes clinics at Lalitpur and Kaski districts of Nepal. Two hundred and seventy participants were surveyed to obtain information on physical activity using Global Physical Activity Questionnaire. Metabolic equivalent values were calculated and categorized into high, moderate and low levels of physical activity. The information on perceived facilitators and barriers was collected by Exercise Barriers and Benefits Survey scale. Odds ratios and 95% confidence intervals of the measures were estimated using multinomial logistic regression. Results The study showed relatively high prevalence of physical activity among the urban Nepali diabetic patients; 52% were moderately active and 28% highly active. Travel and work-related activities were the major contributors. Male participants, educated and those living in extended families were more motivated for physical activity than their counterparts. Physical fitness, strength and flexibility, better sleep at night, social interaction and longevity, were identified as the major facilitators. Family responsibilities, busy schedule and family discouragement were identified as barriers against being physically active. Conclusion The diabetic patients were mostly moderately physically active. Future research could explore different context-specific ways of remaining physically active, apart from walking and doing household chores. More focus should also be placed on leisure time physical activity as it was found to be low. Interventions could be designed by promoting the facilitators and addressing the barriers of physical activity, which is likely to reduce the healthcare costs of management of diabetic complications.

The Health Belief Model and Self-Care Behaviors among Type 2 Diabetic Patients

Abstract: Objective: Diabetes mellitus is a major health problem worldwide. The diabetes self-care behavior is an effective strategy to control diabetes. The study aimed to investigate the predictors of self-care behavior based on the Health Belief Model (HBM) among type 2 diabetic patients. Materials and Methods: This cross-sectional study was carried out on 390 diabetic patients referred to Hamadan Diabetes Research Center with a simple random sampling method. The participants completed a self-administered questionnaire including demographic characteristics, self-care behaviors and HBM constructs. Data were analyzed using parametric tests in SPSS-19 software. Results: According to the findings, the diabetic patients had a moderate level of self-care behaviors. Also results showed that, HBM explained 29.6% of the variance in frequency of self-care behaviors. Perceived self-efficacy, perceived severity, perceived barrier and perceived susceptibility were the best significant predictors (P<0.05). Conclusion : The researchers suggest to promote self-care behaviors, preparing training packages tailored to the needs of diabetic patients with emphasis on increasing self-efficacy and removal barriers of normal self-care behaviors are necessary.

The Prevalence of Fall and Related Factors in Iranian Elderly: A Systematic Review

Abstract: 1. Neuromuscular Rehabilitation Research Center, School of Rehabilitation, Semnan University of Medical Sciences, Semnan, Iran. 2. Student Research Committee, Department of Paramedical, School of Paramedical Sciences, Semnan University of Medical Sciences, Semnan, Iran. 3. Department of Occupational Therapy, School of Rehabilitation, Semnan University of Medical Sciences, Semnan, Iran. Ali Akbar Pahlevanian1 , Reyhaneh Najarian2, Sadegh Adabi3, *Mina Sadat Mirshoja1

Validation and psychometric evaluation of physical activity belief scale among patients with type 2 diabetes mellitus: an application of health action process approach

Abstract: Background: Moderate increase in physical activity (PA) may be helpful in preventing or postponing the complications of type 2 diabetes mellitus (T2DM). The aim of this study was to assess the psychometric properties of a health action process approach (HAPA)-based PA inventory among T2DM patients. Methods: In 2015, this cross-sectional study was carried out on 203 participants recruited by convenience sampling in Isfahan, Iran. Content and face validity was confirmed by a panel of experts. The comments noted by 9 outpatients on the inventory were also investigated. Then,the items were administered to 203 T2DM patients. Construct validity was conducted using exploratory and structural equation modeling confirmatory factor analyses. Reliability was also assessed with Cronbach alpha and inter-class correlation coefficient (ICC). Results: Content validity was acceptable (CVR = 0.62, CVI = 0.89). Exploratory factor analysis extracted seven factors (risk- perception, action self-efficacy, outcome expectancies, maintenance self-efficacy, action and coping planning, behavioral intention, and recovery self efficacy)explaining 82.23% of the variation. The HAPA had an acceptable fit to the observations(χ2 = 3.21, df = 3, P = 0.38; RMSEA = 0.06; AGFI = 0.90; PGFI = 0.12). The range of Cronbach alpha and ICC for the scales was about 0.63 to 0.97 and 0.862 to 0.988, respectively. Conclusion: The findings of the present study provided an initial support for the reliability and validity of the HAPA-based PA inventory among patients with T2DM.