scholarly journals Shifting to a Sustainable Dietary Pattern in Iranian Population: Current Evidence and Future Directions

2021 ◽  
Vol 8 ◽  
Author(s):  
Seyyed Reza Sobhani ◽  
Nasrin Omidvar ◽  
Zahra Abdollahi ◽  
Ayoub Al Jawaldeh

The need for a shift in diet toward a more sustainable one has reached an urgency in certain regions, including Iran, due to more rapid climate change and a higher level of vulnerability. This study was undertaken to identify and summarize available data on changes required in the current Iranian diet to make it more sustainable and the extent to which current policies in the country have addressed such a shift. In this study, PubMed, Scopus, and Web of science, as well as Iranian scientific search engines, including Scientific Information Database and Magiran, were systematically searched from January 1990 to July 2021. A total of 11 studies and policy analyses were included in this study. Based on the findings, moving Iranian diet toward sustainability will require increase in consumption of dairy, fruits, vegetables, cereals, poultry, and legumes and decrease in consumption of bread, rice, pasta, red meat, eggs, fats, sugars, and sweets. There has been a great deal of effort and investment on policies and strategies to decrease the amount of sugar, salt, and fat (specifically trans-fatty acids) in the Iranian diet, which makes it more sustainable healthwise. Several policies and programs have been implemented to tackle non-communicable diseases (NCDs) by reducing access to unhealthy foods, which is in line with health dimension of a sustainable diet. However, there is almost no direct address to ecological aspect of sustainable diet in the food and nutrition policy documents in the ccountry. Development of an enabling environment to a sustainable diet will require policy and actions to improve public awareness, support study to provide evidence and identify possible alternatives, and plan and implement interventions/programs to promote and facilitate healthy and sustainable diets.

2017 ◽  
Vol 9 (2) ◽  
pp. 105-111 ◽  
Author(s):  
Kefayat Chaman-Ara ◽  
Mohammad Amin Bahrami ◽  
Elham Bahrami

Introduction Current evidence suggests that endometriosis imposes a considerable psychological burden on the affected women. This study was aimed to review this evidence. Methods A comprehensive electronic search was performed in Science direct, Medline/ PubMed, PsychINFO, Embase, CINAHL, Cochrane Clinical Trials, Scopus, Google scholar, Magiran and SID (Scientific Information Database) up to December, 15, 2016. Methodological quality of retrieved studies was assessed using a valid checklist. The main findings with regard to the objective of this review are extracted and summarized in tables. Results A total of 24 studies were included in the review from which, 23 used quantitative method and 1 used qualitative. Key findings of all studies showed that endometriosis reduces various aspects of psychological well-being. Conclusions Psychological interventions ranging from screening, providing consultation to psychiatric treatment prescriptions as same as the social supports such as work incentives should be integrated to endometriosis management protocols.


2020 ◽  
Vol 86 (6) ◽  
Author(s):  
Fabio Sangalli ◽  
Giacomo Bellani ◽  
Alessandro Affronti ◽  
Francesca Volpi ◽  
Marco Feri ◽  
...  

Eye ◽  
2021 ◽  
Author(s):  
Sana Hamid ◽  
Parul Desai ◽  
Pirro Hysi ◽  
Jennifer M. Burr ◽  
Anthony P. Khawaja

AbstractEffective population screening for glaucoma would enable earlier diagnosis and prevention of irreversible vision loss. The UK National Screening Committee (NSC) recently published a review that examined the viability, effectiveness and appropriateness of a population-based screening programme for primary open-angle glaucoma (POAG). In our article, we summarise the results of the review and discuss some future directions that may enable effective population screening for glaucoma in the future. Two key questions were addressed by the UK NSC review; is there a valid, accurate screening test for POAG, and does evidence exist that screening reduces morbidity from POAG compared with standard care. Six new studies were identified since the previous 2015 review. The review concluded that screening for glaucoma in adults is not recommended because there is no clear evidence for a sufficiently accurate screening test or for better outcomes with screening compared to current care. The next UK NSC review is due to be conducted in 2023. One challenge for POAG screening is that the relatively low disease prevalence results in too many false-positive referrals, even with an accurate test. In the future, targeted screening of a population subset with a higher prevalence of glaucoma may be effective. Recent developments in POAG polygenic risk prediction and deep learning image analysis offer potential avenues to identifying glaucoma-enriched sub-populations. Until such time, opportunistic case finding through General Ophthalmic Services remains the primary route for identification of glaucoma in the UK and greater public awareness of the service would be of benefit.


2021 ◽  
Vol 11 (3) ◽  
pp. 236
Author(s):  
Pieter H. Nienhuis ◽  
Gijs D. van Praagh ◽  
Andor W. J. M. Glaudemans ◽  
Elisabeth Brouwer ◽  
Riemer H. J. A. Slart

Imaging is becoming increasingly important for the diagnosis of large vessel vasculitis (LVV). Atherosclerosis may be difficult to distinguish from LVV on imaging as both are inflammatory conditions of the arterial wall. Differentiating atherosclerosis from LVV is important to enable optimal diagnosis, risk assessment, and tailored treatment at a patient level. This paper reviews the current evidence of ultrasound (US), 2-deoxy-2-[18F]fluoro-D-glucose positron emission tomography (FDG-PET), computed tomography (CT), and magnetic resonance imaging (MRI) to distinguish LVV from atherosclerosis. In this review, we identified a total of eight studies comparing LVV patients to atherosclerosis patients using imaging—four US studies, two FDG-PET studies, and two CT studies. The included studies mostly applied different methodologies and outcome parameters to investigate vessel wall inflammation. This review reports the currently available evidence and provides recommendations on further methodological standardization methods and future directions for research.


2021 ◽  
pp. 135910452199417
Author(s):  
Rosie Oldham-Cooper ◽  
Claire Semple

There is building evidence that early intervention is key to improving outcomes in eating disorders, whereas a ‘watch and wait’ approach that has been commonplace among GPs and other healthcare professionals is now strongly discouraged. Eating disorders occur at approximately twice the rate in individuals with type 1 diabetes compared to the general population. In this group, standard eating disorder treatments have poorer outcomes, and eating disorders result in a particularly high burden of morbidity. Therefore, our first priority must be prevention, with early intervention where disordered eating has already developed. Clinicians working in both eating disorders and diabetes specialist services have highlighted the need for multidisciplinary team collaboration and specific training, as well as improved treatments. We review the current evidence and future directions for prevention, identification and early intervention for eating disorders in children and young people with type 1 diabetes.


2015 ◽  
Vol 19 (4) ◽  
pp. 616-636 ◽  
Author(s):  
Porismita Borah

It is beneficial to reflect on the research literature of emerging communication technology and what has been studied so far, given the rapid growth of this area of research. This study conducted a content analysis of the published literature related to emerging communication technology over a period of 16 years from 1998 to 2013. An exhaustive sample was gathered using two methods of sampling: all Institute for Scientific Information (ISI)-listed communication journals and key word searches. The study examined the common patterns in theoretical, methodological, and technological variables. The primary findings reveal a lack of theory, fuzziness in the conceptualization of the research, growth in empirical research methods, frequent use of nonprobability sampling methods, and growth in studies on blogs, social networking sites (SNS), and mobile technology. Implications and future directions are discussed.


JAMA ◽  
2000 ◽  
Vol 284 (2) ◽  
pp. 215 ◽  
Author(s):  
M. Patricia D'Souza ◽  
J. Scott Cairns ◽  
Susan F. Plaeger

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