Waist circumference: a better index of fat location than WHR for predicting lipid profile in overweight/obese Iranian women

We carried out a clinical cross-sectional study on 728 overweight and obese women aged 20-60 years during July 2005-May 2006 in Sistan and Baluchestan, Islamic Republic of Iran. Body mass index (BMI) and waist circumference (WC) showed significant correlation with total cholesterol (TC), triglycerides (TG) and low-density lipoprotein cholesterol. After adjustment for age and BMI, this was also true for WC with TC and TG. There was no such correlation between waist-to-hip ratio (WHR) and lipid profile. Hence, WC was a better anthropometric index of fat location than WHR to estimate lipid profile in overweight and obese adult women.

Factors associated with breastfeeding patterns in women who recourse to health centres in Zahedan, Iran

INTRODUCTION

The practice of breastfeeding, an important need for infants, can be affected by several factors that need to be investigated. This study was designed to survey the patterns and period of breastfeeding and its associated factors in women.

METHODS

The study was performed in Zahedan, southeast Iran, in 2004-2005, with a sample of 450 mothers via a questionnaire to collect information about the period of breastfeeding and some important factors concerning both mothers and children.

RESULTS

The exclusive breastfeeding ratio obtained from this study was 98 percent. The proportion of breastfeeding in months 1, 3, 6, 12 and 24 after birth were 92 percent, 85 percent, 69 percent, 56 percent and 8 percent, respectively. The median breastfeeding period was 15 months, with a standard error of 1.17. The period of breastfeeding showed a significant relationship with the age of the children and mothers, the mothers' education level, night breastfeeding, breastfeeding to an ill child, breastfeeding during a mother's illness and the frequency of breastfeeding per 24 hours. The Cox regression also confirmed a significant relationship between the period of breastfeeding and the above-mentioned variables, except for mother's education level and breastfeeding to an ill child.

CONCLUSION

Young pregnant women need to be aware of the importance of breastfeeding and of avoiding the reduction or interruption of the breastfeeding period. It is recommended that the health authorities incorporate training and education programmes as well as healthcare measures to their family health programmes in order to overcome the problems of insufficient breastfeeding.

Prevalence and risk factors of low-birth-weight infants in Zahedan, Islamic Republic of Iran

The study investigated the prevalence and risk factors of low birth weight (LBW) in 1109 hospital births in Zahedan city, Islamic Republic of Iran. The overall prevalence of LBW was 11.8% (95% Cl: 9.9%-13.7%), similar for boys and girls (11.1% and 12.6% respectively). LBW was significantly associated with mother's ethnic origin (Balouch), birth interval < 3 years, twin birth, no use of supplements during pregnancy, < 4 prenatal care visits, no education, younger age and presence of maternal disease. There was no effect of mother's parity, occupation and smoking status. After logistic regression analysis, the only significant risk factors were: birth interval < 3 years, twin birth, no use of ferrous sulfate and maternal disease.