Publications by authors named "Fereidoun Azizi"

Background: The role of endogenous estrogen exposure (EEE) in shaping body composition and its implications for cardiometabolic health remain understudied despite its potential significance. This cross-sectional study aimed to investigate the association between EEE and body composition indices among postmenopausal women.

Methods: Data were obtained from the Tehran Lipid and Glucose Study (TLGS), including 960 women aged over 40 years.

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Objectives: This cohort study investigated the possible association of dietary nitrate (NO)/nitrite (NO) intake and risk of progression to type 2 diabetes (T2D) across different phenotypes of prediabetes (Pre-DM).

Methods: A total of 1586 adults diagnosed with Pre-DM [i.e.

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Background: Although endogenous estrogen exposure, influenced by reproductive factors (RFs), is negatively associated with fracture risk, there is limited and conflicting information on the association between these factors and the incidence of fractures. This study aimed to evaluate the association between RFs and fracture incidence (FXI) separately.

Methods: This longitudinal study commenced in 1999 and concluded in 2021.

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  • The study aimed to examine the relationship between dietary fat quality indices (FQI) and the risk of pre-diabetes and type 2 diabetes (T2DM) in Iranian adults using a food frequency questionnaire.
  • The analysis included 2042 pre-diabetes-free participants and 2295 T2DM-free participants, assessing factors like age and gender, with initial findings indicating a positive association between the PUFA/SFA ratio and T2DM incidence.
  • Ultimately, after adjusting for various factors, the study concluded there were no significant links between dietary fat quality and the risk of pre-diabetes and T2DM, emphasizing the need for more research in this area.
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  • * Out of 860 participants, 16.4% were found to have low muscle mass, with higher rates in males (20.24%) compared to females (12.73%), influenced by factors like age, smoking, and physical activity.
  • * The findings emphasize promoting healthy lifestyle changes and addressing modifiable risk factors to manage sarcopenia, while also calling for further research on causal relationships and interventions for better muscle health.
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Purpose: The incidence of prediabetes has been on the rise, indicating a growing public health concern, as individuals with prediabetes are at higher risk of developing type 2 diabetes. This study aimed to determine the effects of simple interventions on the regression of pre-diabetes status into normoglycemia and also prevent progression to diabetes in a pragmatic community trial.

Methods: A total of 2073 (761 intervention; 1,312 controls) participants with pre-diabetes were included in the present secondary data analysis; cases with diabetes or normoglycemia were identified during nine years of follow-up.

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Objectives: In the context of musculoskeletal health, the emergence of pre-sarcopenia as a precursor to sarcopenia has garnered attention for its potential insights into early muscle loss. We explored the association between different metabolic phenotypes of obesity, and the incidence of pre-sarcopenia over a 3-year follow-up in a cohort from the Tehran Lipid and Glucose Study (TLGS).

Methods: In this 3-year longitudinal study, 2257 participants were categorized into four groups based on their BMI and metabolic status: metabolically healthy normal weight (MHNW), metabolically healthy overweight/obese (MHO), metabolically unhealthy normal weight (MUNW), and metabolically unhealthy overweight/obese (MUO).

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Background: Obesity is associated with the development of polycystic ovarian syndrome (PCOS), a complex endocrine disorder. However, the correlation between body composition and PCOS in women has not been thoroughly investigated. This study aimed to examine body composition using bioelectrical impedance analysis (BIA) in women with and without PCOS in a population-based study within the Tehran Lipid and Glucose Study (TLGS).

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Purpose: The current study aimed to investigate the associations between metabolic syndrome (MetS) with health-related quality of life (HRQoL) using multilevel analysis among the Iranian adult population.

Methods: This cross-sectional study was conducted in the framework of the Tehran Lipid and Glucose Study (TLGS). Participants were 6113 participants (3318 women and 2795 men) aged≥20 years of the TLGS seventh phase who had completed data on HRQoL and MetS.

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  • Metabolic syndrome (MetS) is a significant global cardiovascular risk, and this study examined how the age at menarche (AAM) impacts MetS and its components across different generations of women.
  • The research involved 5,500 women from the Tehran Lipid and Glucose Study, categorizing them by birth cohorts and AAM, and utilized logistic regression to analyze the relationship between AAM and MetS prevalence.
  • Results indicated that early menarche (≤ 11 years) increases the risk of MetS, particularly in older generations, while late menarche (≥ 16 years) appears protective against certain metabolic issues, highlighting generational differences in AAM's impact on metabolic health.
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Aim: We assessed the impact of a 3-year change-percent in adiposity measures on regression and pre-diabetes (Pre-DM) progression among Iranian adults.

Methods: Three-year change-percent in body weight (BW), body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and visceral adiposity index (VAI) were calculated for 1458 Pre-DM subjects (mean age of 53.0 ± 13.

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  • This study analyzed the relationship between the urinary sodium to potassium ratio (UNa-K ratio), high blood pressure (BP) types, and microalbuminuria (MAU) in 1,782 adults from the Tehran Lipid and Glucose Study.
  • It found that individuals with a higher UNa-K ratio (>3.14) had significantly greater chances of having isolated systolic hypertension (ISH), systolic-diastolic hypertension (SDH), and MAU compared to those with lower ratios.
  • The results suggest that an increased UNa-K ratio is linked to a higher risk of hypertension and potential kidney issues.
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  • Body mass index (BMI) trajectories were studied over 18 years to understand their link to type 2 diabetes mellitus (T2DM) in a sample of 6026 participants aged 20 to 65 from the Tehran Lipid and Glucose Study.
  • Three distinct BMI patterns were identified: low-increasing (38.6%), medium-increasing (47.1%), and high-increasing (14.3%), with medium and high trajectories significantly increasing the risk of developing T2DM.
  • The high-increasing BMI group exhibited the highest hazards ratios (HRs) for T2DM in both normoglycemic and prediabetic individuals, suggesting that tracking BMI patterns can aid in predicting and preventing T2DM.
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This study aimed to examine the association between blood pressure (BP) with health-related quality of life (HRQoL) and emotional states, considering the disease awareness and commitment to treatment among the Iranian adult population. This cross-sectional study uses the data of 7257 and 2449 individuals aged ≥ 20 who had completed data on HRQoL and emotional states, respectively. Linear and logistic regression were used to evaluate the mentioned association.

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The impact of thyroid dysfunction (TD) on the female reproductive system has been extensively documented. While there is evidence suggesting that alteration in female reproductive status may affect thyroid function, conflicting results have prevented definitive conclusions. This study aimed to investigate the associations of parity, spontaneous abortion (mentioned as abortion throughout this study), and menopause status with the prevalence and incidence of TD.

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  • The study aimed to estimate the risk of cardiovascular disease (CVD) based on different obesity phenotypes over 18 years using various statistical methods.
  • It included nearly 10,000 participants over 30 years old, categorizing them into six obesity groups based on body mass index (BMI) and metabolic health, with CVD occurrences tracked until 2018.
  • Findings revealed that metabolically unhealthy individuals face significantly higher CVD risks as BMI increases, suggesting the need for regular screenings to prevent cardiovascular issues in these groups.
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Background/aim: Familial resemblance in dietary patterns has been a subject of interest, with both genetic and environmental factors playing crucial roles. This study aims to investigate trends in macronutrient intake correlations over a 9-year period among different familial pairs, including parent-offspring, siblings, and spouses, using data from the Tehran Lipid and Glucose Study (TLGS).

Methods: This longitudinal study, conducted within the framework of the TLGS, analyzed data from 1,814 families over a 9-year period.

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Aims: Endometriosis (EM) and metabolic disorders are frequent health problems among reproductive-aged women worldwide. Cardio-metabolic risk profile of women with EM is not well understood. We aimed to investigate the cardio-metabolic risk profile of Iranian reproductive-aged women with EM.

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  • A study examined the link between ultra-processed food (UPF) consumption and the risk of developing pre-diabetes and type 2 diabetes (T2D) in a cohort of over 1,900 Iranian adults, filling a gap in research mainly focused on Europe and America.
  • Results indicated that a 10% increase in UPF intake correlated with a 12% heightened risk of pre-diabetes, with higher incidence in individuals consuming more UPF.
  • The relationship appeared to be non-linear, showing a J-shaped curve where risk only increased significantly when UPF consumption exceeded about 24% of total energy intake.
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  • * Researchers found that the average age girls start their periods is about 14 years, but it has been getting younger over the past 100 years.
  • * Different countries showed different trends, with some like China having ups and downs, while others like Japan and Singapore had a steady decline in the average age.
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Aims: To assess the risk of difference between 2 h post-load plasma glucose (2 h-PG) and fasting plasma glucose (FPG) on incident prediabetes/type 2 diabetes (T2DM) among normoglycemic individuals.

Methods: Among 4,971 individuals aged ≥20 years, the associations of the difference between 2 h-PG and FPG with outcomes were examined using multivariable-adjusted Cox regression analysis. Participants were categorized into three groups: a low post-load group (2 h-PG ≤ FPG, as the reference group); a high post-load group (2 h-PG > FPG and ≥75th percentile of the difference); and a medium post-load group (2 h-PG > FPG and <75th percentile of the difference), which was further categorized into three groups by equal ranges.

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  • Obesity, measured by Cumulative Excess Weight (CEW) and Cumulative Excess Waist Circumference (CEWC), is linked to a higher risk of developing chronic kidney disease (CKD) over a 15-year period.
  • The study followed 8,697 participants, revealing that 41.7% developed CKD, with a significant portion having high body mass index and waist circumference, especially among women.
  • Findings indicate that CEW significantly affects CKD risk in both men and women, while CEWC's impact is significant only in men.
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  • - The study tracked changes in blood sugar levels over nine years in individuals with pre-diabetes, focusing on their systemic nitric oxide (NO) production levels as measured by serum NO metabolites.
  • - 541 middle-aged Iranian participants were monitored from 2006 to 2017, using specific methods to gauge NO levels and analyze the relationship between NO production and changes in glycemic status.
  • - Results indicated that higher levels of body weight-adjusted NO production correlated with a greater likelihood of returning to normal blood sugar levels and significantly lower glucose measurements over time.
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