Publications by authors named "Heshmat R"

Objective: Research and tools are necessary for understanding prostate cancer biology. 3D cell culture models have been created to overcome the limitations of animal models and 2D cell culture. The amniotic membrane (AM), a natural biomaterial, emerges as an ideal scaffold for 3D cultures due to its accessibility and incorporation of the extracellular matrix (ECM) in both solid and liquid forms.

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Objectives: This study evaluated the effectiveness of the IraPEN program, an adapted version of the WHO Package of Essential Non-communicable Disease (PEN) intervention, in managing diabetes from September 2020 to September 2021 using the Input-Process-Output-Outcome framework.

Methods: In this Cross-sectional/Ecological study, aggregated data was collected from IraPEN facilities by medical universities using the electronic health system. The data was presented as numbers and proportions, for urban and rural healthcare facilities separately.

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Objectives: To evaluate the association of the negative confirmatory and follow-up biopsy with prostate cancer reclassification in active surveillance protocol.

Materials And Methods: A systematic search was performed in databases, including Scopus, PubMed, Embase, and Web of Science, on June 25th, 2024, to identify relevant studies regarding negative biopsy and reclassification of prostate cancer among men on AS. The patient data including, sample sizes, follow-up duration, the status of performing the confirmatory biopsy, hazard ratio (HR), and 95% confidence intervals (CI) of each reported HR were evaluated in each study.

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Background: Diabetes mellitus, particularly Type 2 diabetes (T2D), represents a significant global health challenge, with its prevalence steadily rising over the past few decades. This study was conducted with the aim of estimating the economic burden of T2D in Iran.

Methods: This study employed a prevalence-based approach to estimate the economic burden of T2D and its attributable complications in adults above 20 years old in Iran for 2022.

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Background: Diabetes is a significant risk factor for sarcopenia, a muscle dystrophy affecting older individuals. Sarcopenia management typically involves resistance exercise and oral supplements. Given the limitations of resistance training for many elderly individuals, oral supplements play a crucial role in treatment.

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Objectives: Circulating tumor DNAs (ctDNAs) are fragments of malignant tissue DNA that can simply signify the real time genetic change and epigenetic modification of a solid tumor tissue. Pheochromocytomas (PCCs) and Paragangliomas (PGLs) are malinancy of adrenal gland tissue that have the possible diagnosis by ctDNAs. In this study the methylation quanifcation of three target genes , , and in the ctDNA of PCCs/PGLs patients were measured as a diagnostic biomarker.

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Purpose: While only a few postmenopausal women exhibit biochemical signs of hypovitaminosis D, it has been shown that vitamin D insufficiency has detrimental effects on the overall skeleton mineralization, bone turnover rate, and may be a significant risk factor for osteoporosis and fracture. We evaluated the concurrent effect of Vitamin D levels and biochemical markers of bone turnover on bone health of postmenopausal women.

Methods: The present study was conducted within the framework of the Bushehr Elderly Health (BEH) program, a population-based prospective cohort study being conducted in Bushehr, a southern province of Iran.

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Article Synopsis
  • The study investigates the connection between osteosarcopenia, a condition combining bone and muscle loss, and COVID-19 mortality in hospitalized patients in Bushehr, Iran, highlighting the increased risks associated with this syndrome in older adults.
  • Out of 4,173 participants, 297 were hospitalized for COVID-19, with 80 fatalities; those with osteosarcopenia showed significantly higher mortality rates and increased risk for severe outcomes like ICU admission.
  • The findings suggest that assessing musculoskeletal issues like osteosarcopenia in older COVID-19 patients could serve as an early warning for potential severe illness and help guide patient management.
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Skeletal muscle relies on resident muscle stem cells (MuSCs) for growth and repair. Aging and muscle diseases impair MuSC function, leading to stem cell exhaustion and regenerative decline that contribute to the progressive loss of skeletal muscle mass and strength. In the absence of clinically available nutritional solutions specifically targeting MuSCs, we used a human myogenic progenitor high-content imaging screen of natural molecules from food to identify nicotinamide (NAM) and pyridoxine (PN) as bioactive nutrients that stimulate MuSCs and have a history of safe human use.

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Objective: Sarcopenia is linked to escalating health costs, heightened risk of physical disability, diminished quality of life and an increased demand for care services. This study aimed to assess the economic impact of sarcopenia-related disability in Iran. A prevalence-based economic burden study was conducted utilizing the Population Attributable Risk (PAR) method, based on 2022 price index.

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Background: This study aims to evaluate the association of beverage consumption with cardiometabolic risk factors and alanine transaminase (ALT) levels in children and adolescents.

Materials And Methods: This nationwide study is a part of the fifth survey of a national surveillance program in Iran. Overall, 4200 students, aged 7-18 years, were selected from 30 provinces by multi-stage cluster sampling.

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Background: No study has investigated the relationship between dietary total antioxidant capacity and sarcopenia so far.

Objective: This study aimed to investigate the association between dietary Total Antioxidant Capacity (d-TAC) and sarcopenia in elderly adults.

Methods: In this cross-sectional study we enrolled 300 elderly people (150 men and 150 women) aged ≥ 55 years using cluster random sampling method.

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Article Synopsis
  • Persistent high blood sugar levels significantly increase the risk of cognitive disorders in older adults with diabetes, as both type 1 and type 2 diabetes are linked to cognitive impairment.
  • A study involving 1,533 older adults showed that 45.2% experienced cognitive impairment, with higher average hemoglobin A1C and blood glucose levels in those affected.
  • Analysis revealed that diabetes was associated with a 48% higher likelihood of cognitive impairment, particularly in older individuals, women, and those with other health issues like high blood pressure.
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Background: The aim of this study was to investigate the association of osteosarcopenia with frailty and poor health conditions among older Iranian adults.

Methods: This cross-sectional study analyzed data from the Bushehr Elderly Health Program. Osteosarcopenia was defined as the presence of osteopenia/osteoporosis and sarcopenia, while the Fried criteria were used to assess frailty.

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Article Synopsis
  • Type 2 diabetes mellitus (T2DM) is significantly influenced by socioeconomic factors, and this study focused on analyzing these inequalities in Iran using data from the "Diabetes Care" survey.
  • The research involved a large sample of 13,321 participants, examining health indicators like Hemoglobin A1C and Fasting Blood Glucose while assessing individual socioeconomic status via an asset index.
  • The findings revealed that controlled HbA1c and triple target metrics showed significant socioeconomic inequalities, with notable differences based on gender, age, and urban vs. rural living conditions.
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Objective: While there are some recommendations about early insulin therapy in newly diagnosed Type 2 Diabetes Mellitus (T2DM) patients, there is not sufficient evidence on this strategy's cost-effectiveness. This study compared early insulin therapy versus oral anti-diabetic drugs (OADs) for managing T2DMusing a cost-effectiveness analysis approach in Iran.

Methods: In this economic evaluation, a decision analytic model was designed.

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Article Synopsis
  • Mitochondrial dysfunction and low NAD levels are linked to aging and muscle loss (sarcopenia), but it's unclear if these issues come from local or systemic factors.
  • Research shows that trigonelline, a natural compound similar to nicotinic acid, positively affects NAD levels and muscle health across different species, including humans.
  • Trigonelline enhances mitochondrial function, reduces muscle wasting, and increases strength and lifespan, suggesting that dietary trigonelline could be a helpful strategy against age-related muscle decline.
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Background: Urinary tract cancers including bladder, kidney, ureter, and pelvis are a common malignancy worldwide with high mortality ratio. Aimed to investigate the prevalence of these cancers, we conducted this study.

Methods: In this study, all the information related to ICD10 codes, gender, age and province of residence of individuals were obtained from the data of Iran's cancer registry by the Ministry of Health, Medicine and Medical Education and demographic evidence for each sub-country from the reports of Statistics Center of Iran (SCI).

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Introduction: For cell-based therapies of lung injury, several cell sources have been extensively studied. However, the potential of human fetal respiratory cells has not been systematically explored for this purpose. Here, we hypothesize that these cells could be one of the top sources and hence, we extensively updated the definition of their phenotype.

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Measuring health inequalities is essential to inform policy making and for monitoring implementation to reduce avoidable and unfair differences in health status. We conducted a geospatial analysis of child mortality in Iran using death records from the Ministry of Health and Medical Education from 2016 to 2018 stratified by sex, age, province, and district, and household expenditure and income survey data from the Statistical Center of Iran collected in 2017. We applied multilevel mixed-effect models and detected significant inequality in child mortality and the impact of socioeconomic factors, especially household income.

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Article Synopsis
  • Convolutional neural networks (CNNs) are used in clinical settings to enhance the detection of colorectal lesions, specifically polyps and cancer.
  • A systematic review analyzed 24 studies to evaluate their performance, revealing that CNN models achieved high sensitivity and specificity for both conditions under varying accuracy scenarios.
  • Overall, the models demonstrated reliable diagnostic capabilities, with promising metrics indicating their effectiveness in detecting colorectal polyps and cancer.
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The term "geriatric giants" refers to the chronic disabilities of senescence leading to adverse health outcomes. This study aimed to investigate the prevalence and predictors of geriatric giants in Southern Iran. The participants were selected from Bushehr city using a multistage cluster random sampling method.

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Purpose: We aimed to assess the cost-effectiveness of the vitamin D supplementation program in Iranian adolescents reducing adolescent depressive Symptoms.

Methods: In the current cost-effectiveness analysis, the viewpoint of Iran's Ministry of Health was selected. The target population was 1,519,762 Iranian high school students (733,657 girls and 786,105 boys).

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