به سایت 118 پزشکان خوش آمدید!

The  role  of  socioeconomic  welfare  in  the  prevalence  of  severe  vitamin  D
deficiency,   vitamin   B12   deficiency   and   glucose   metabolic   changes   in
population of Karaj, Iran
Mahsa
Houshdar
*
1
, Seyed Mehdi Samimi Ardestani
2
, Seyed Saeed Sadr
3
1
. MD. CEO of Houshdar Medical Technology Co, Iran. (Corresponding Author: mhooshdar@gmail.com)  
2
. M.D  , Associate  professor of psychiatry
,
Shahid  Beheshti University  of Medical Science,  behavioral science  research
center, Imam Hossein Medical Center, Te
hran, Iran
3
.  MD  ,  assistant
professor  of  psychiatry
,  Shahid  Beheshti  University  Of  Medical  Science,  behavioral  science  research
center, Imam Hossein Medical Center, Tehran, Iran
(Received: 20 Oct 2015; Revised: 8 Nov 2015; Accepted: 26 Nov 2015)
Abstract
Introduction:
Online  Medicare  is  a  method  in  which  parts  of  a  medical  process
,
whether  its
diagnostics,  monitoring  or  the  treatment  itself  will  be  completed  by  using  online  services.  At  the
first  step  the  students  were  registered  for  using  the  s
ystem.  They  participated  in  estimating
depression scale; anxiety scale and clinical interview by online medical care system.  Subsequently
,
the lab examination tests were performed on persons specified by the system. The lab examinations
include:  serum  lev
el  of  vitamin  D
3&4
,  serum  level  of  vitamin  B12
5&6
,  fasting  blood  sugar
7&8
,
HbA1c
7&8
, thyroid function test
9&10
and CBC. All of the students were solely treated by vitamins or
minerals therapy and/or treatment of medical problems (such as hypothyroidism).
Methods:
For  detecting  the  role  of  socioeconomic  welfare  in  the  prevalence  of  the  diseases,  we
implement the system in a low middle class boy’s state high school, and in an above average boy’s
state  high  school  and  in  an  above  average  boy’s  private  high  sc
hool.  The  prevalence  of  severe
vitamin  D  deficiency,  hypoglycemia,  impaired  fasting  glucose  level  and  vitamin  B12  deficiency
were compared in students who lay in different socioeconomic situation.
Results:
Severe  vitamin  D  deficiency  is  significantly  highe
r  in  above  average  neighborhoods  than
low middle class neighborhoods with
p
value = 0.024 < 0.05.  Significant difference in vitamin B12
deficiency, hypoglycemia and impaired fasting glucose were seen in deferent high schools, but it is
not related to soci
oeconomic situation.
Conclusion:
In
Karaj,  Iran,  in  societies  with  better  socioeconomic  situation,  we  can  find  higher
severe  vitamin  D  deficiency,  it  can  be
due  to
urbanization,  living  in  apartment,  over  protection,
preferring indoor games to outdoor games
.
Declaration of Interest:
None.
Key
words
:
Depression, Anxiety,
V
itamin D
D
eficiency,
Socioeconomic
.
Introduction
O
nline Medicare is a method in which parts
of  a  medical  process
,
whether  its  diagnostics,
monitoring or the treatment itself
will be completed
by using online services
(1)
. For detecting the role
of socioeconomic welfare in the prevalence of the
diseases,  we  implement  the  system  in  a  lower
middle class boy’s state high school, and in an
above average boy’s state high school
and  in  an
above average boy’s private high school.
Methods
At  the  first  step  the  students  were  registered
for  using  the  system.  It  was  not  mandatory  and
not free. They participated in estimating depression
scale; anxiety scale and clinical
interview by online
medical  care  system.  During  this  estimation,  we