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Mamyrbaev A, Turmukhambetova A, Bermagambetova S, Satybaldieva U, Erimbetova G, Shayakhmetova K, Karashova G, Iztleuov M, Abdelazim I. Assessing psychometric challenges and fatigue during the COVID-19 pandemic. J Med Life 2023; 16:1527-1533. [PMID: 38313168 PMCID: PMC10835555 DOI: 10.25122/jml-2023-0244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Accepted: 08/09/2023] [Indexed: 02/06/2024] Open
Abstract
Environmental hazards and/or pandemics may push humans to use different protective methods to maintain their well-being. This study aimed to identify populations vulnerable to psychometric challenges and fatigue during the Coronavirus Disease (COVID-19) pandemic in Kazakhstan. A total of 1,592 participants were recruited and asked to complete the Multidimensional Fatigue Inventory-20 (MFI-20). Participants were classified according to gender and age. Data were analyzed using the Chi-square test (x2) and MedCalc to detect the odds of MFI-scales with a score ≥12 in women compared to men. Young women had significantly higher odds (OR) of reduced activity (OR 2.4, p<0.0001), physical (OR 2.5, p<0.0001), and mental fatigue (OR 3.4, p<0.0001) than young men. Middle-aged women had significantly higher odds of general fatigue (OR 2.1; p<0.0001), reduced motivation (OR 2.1, p<0.0001), physical (OR 2.1, p<0.0001), and mental fatigue (OR 1.9, p<0.0001) than did middle-aged men. Elderly women had significantly higher odds of general fatigue (OR 3.6, p<0.0001), reduced motivation (OR 3.5, p<0.0001), and physical fatigue (OR 3.5, p<0.0001) than men in the same age category. The study highlights that women were more susceptible, with significantly increased odds of experiencing various aspects of fatigue syndrome compared to men during the COVID-19 pandemic in Kazakhstan. Therefore, it is necessary to investigate individual behavioral changes to help identify vulnerable populations and provide relevant evidence for developing protocols and guidelines during pandemics and/or outbreaks.
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Affiliation(s)
- Arstan Mamyrbaev
- Department of Hygienic Disciplines and Occupational Diseases, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
| | | | - Saule Bermagambetova
- Department of Hygienic Disciplines and Occupational Diseases, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
| | - Umit Satybaldieva
- Department of Hygienic Disciplines and Occupational Diseases, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
| | - Gulmira Erimbetova
- Department of Hygienic Disciplines and Occupational Diseases, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
| | - Kulyan Shayakhmetova
- Department of Hygienic Disciplines and Occupational Diseases, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
| | - Gulsim Karashova
- Department of Hygienic Disciplines and Occupational Diseases, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
| | - Marat Iztleuov
- Department of Natural Sciences, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
| | - Ibrahim Abdelazim
- Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
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Nowak JK, Dybska E, Dworacka M, Tsikhan N, Kononets V, Bermagambetova S, Walkowiak J. Ileal Lactase Expression Associates with Lactase Persistence Genotypes. Nutrients 2021; 13:nu13041340. [PMID: 33920682 PMCID: PMC8073975 DOI: 10.3390/nu13041340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Revised: 04/09/2021] [Accepted: 04/12/2021] [Indexed: 11/16/2022] Open
Abstract
(1) Background: Lactose digestion depends on persistence genotypes (including rs4988235), the frequency of which exhibits broad geographical variability. However, little is known about the relationship between lactase (LCT) genotypes and intestinal expression of LCT. We aimed to investigate ileal expression of LCT depending on main genetic polymorphisms (rs4988235, rs3754689, rs3739022), age, sex, smoking status, body mass index (BMI), and the expression of other genes; (2) Methods: phenotype, array-based genotype, and ileal mucosal biopsy expression data were obtained from the CEDAR study; (3) Results: analyses included 196 healthy Europeans (53.6% women) aged 53.0 ± 13.6 years with a mean BMI of 25.6 ± 4.2 kg/m2, of whom 17.4% were smoking. Ileal LCT expression was mostly independent of age, sex, BMI, or smoking. Rs4988235 homozygous minor allele (GG) associated with lower LCT expression (vs. AG p = 2.2 × 10−6, vs. AA p = 1.1 × 10−7). Homozygous major allele of rs3754689 (GG) was related to higher LCT expression (vs. AG p = 1.7 × 10−5, vs. AA p = 0.0074). Rs3754689 genotype did not modify LCT expression (GG vs. AG p = 0.051) in rs4988235-heterozygous subgroup. Interestingly, CD14, which is a marker of monocytes and macrophages, was the strongest negative transcriptomic correlate of LCT expression (r = −0.57, pFDR = 1.1 × 10−14); (4) Conclusions: both rs4988235 and rs3754689 associated with ileal LCT expression, which did not seem related to age, sex, smoking, or BMI. The inverse correlation between LCT and CD14 expression in the ileum is striking and requires further investigation.
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Affiliation(s)
- Jan Krzysztof Nowak
- Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Szpitalna 27/33, 60-572 Poznan, Poland; (E.D.); (J.W.)
- Correspondence:
| | - Emilia Dybska
- Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Szpitalna 27/33, 60-572 Poznan, Poland; (E.D.); (J.W.)
| | - Marzena Dworacka
- Department of Pharmacology, Poznan University of Medical Sciences, 60-572 Poznan, Poland;
| | - Natallia Tsikhan
- Department of Pediatrics, Grodno State Medical University, 230009 Grodno, Belarus;
| | - Victoria Kononets
- West Kazakhstan Marat Ospanov Medical University, Aktobe 030012, Kazakhstan; (V.K.); (S.B.)
| | - Saule Bermagambetova
- West Kazakhstan Marat Ospanov Medical University, Aktobe 030012, Kazakhstan; (V.K.); (S.B.)
| | - Jarosław Walkowiak
- Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Szpitalna 27/33, 60-572 Poznan, Poland; (E.D.); (J.W.)
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Abstract
Objective: To assess homocysteine (Hcy) concentration in women with preeclampsia (PE).Methods: Hcy concentrations were detected by ELISA in 305 pregnancies.Results: Hcy concentration in patients with PE was 16.07 umol/L at 10-14 weeks as compared to 7.19 umol/L in normotensive pregnancies (p < 0.0001). Optimal cutoff level for Hcy in the first trimester of pregnancy was >9.55 umol/L with area under curve of 0.859, sensitivity of 91.67%, specificity of 72.24%.Conclusion: Assessment of serum Hcy concentration may be used as a predictor of PE, with the highest diagnostic utility in the first trimester of pregnancy.
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Affiliation(s)
- Andrey Gaiday
- Department of Obstetrics and Gynecology #2, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
| | - Akylbek Tussupkaliyev
- Department of Obstetrics and Gynecology #2, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
| | - Saule Bermagambetova
- Department of Obstetrics and Gynecology #2, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
| | - Svetlana Sakhanova
- Department of Obstetrics and Gynecology #2, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
| | - Andrii Dinets
- Department of Surgery, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine
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Jamka M, Kokot M, Kaczmarek N, Bermagambetova S, Nowak JK, Walkowiak J. The Effect of Sodium Butyrate Enemas Compared with Placebo on Disease Activity, Endoscopic Scores, and Histological and Inflammatory Parameters in Inflammatory Bowel Diseases: A Systematic Review of Randomised Controlled Trials. Complement Med Res 2020; 28:344-356. [PMID: 33352566 DOI: 10.1159/000512952] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Accepted: 11/10/2020] [Indexed: 01/06/2023]
Abstract
INTRODUCTION Administration of butyrate enemas might improve the health status of patients with inflammatory bowel disease (IBD). However, the results seem equivocal. Therefore, this systematic review aimed to assess the effect of sodium butyrate enemas on disease activity index (DAI), endoscopic scores, as well as histological and inflammatory parameters in IBD patients. METHODS The PubMed, Scopus, Web of Science, and Cochrane databases were searched. Randomised controlled trials published in English that assessed the effect of butyrate enemas on DAI, clinical symptoms, inflammatory markers, as well as histological and endoscopic scores in patients with Crohn's disease (CD) and ulcerative colitis (UC) were included in the analysis. RESULTS Eight studies involving 227 UC patients were included in this analysis. Only one study reported significant differences in DAI between groups. Besides, butyrate treatment groups did not differ significantly from controls concerning the effect on endoscopic and histological scores. Moreover, butyrate enemas exerted a significant effect on few inflammatory parameters measured in colonic mucosal biopsies. CONCLUSION The current evidence is limited and does not support the application of butyrate enemas in UC. There are no reliable data regarding the efficacy of butyrate enemas in CD. The systematic review protocol was registered in the PROSPERO database (CRD42020163654).
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Affiliation(s)
- Małgorzata Jamka
- Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Poznan, Poland
| | - Marta Kokot
- Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Poznan, Poland
| | - Nina Kaczmarek
- Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Poznan, Poland
| | | | - Jan Krzysztof Nowak
- Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Poznan, Poland
| | - Jarosław Walkowiak
- Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Poznan, Poland,
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Szczepanik M, Malesza IJ, Bajerska J, Chmurzyńska A, Muzsik A, Bermagambetova S, Mądry E, Walkowiak J, Lisowska A. Energy-restricted Central-European diet stimulates liver microsomal function in obese postmenopausal women - a randomized nutritional trial with a comparison to energy-restricted Mediterranean diet. Eur Rev Med Pharmacol Sci 2020; 24:11165-11171. [PMID: 33215434 DOI: 10.26355/eurrev_202011_23604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Obesity and metabolic syndrome are risk factors for liver diseases like non-alcoholic fatty liver disease and non-alcoholic steatohepatitis. A healthy food pattern is vital for managing these health problems, therefore, this study investigated how two calorie-restricted diets, the Central European diet (CED) and Mediterranean diet (MED), altered microsomal liver function in obese postmenopausal women with a risk of metabolic syndrome. PATIENTS AND METHODS One-hundred-forty-four subjects were randomly assigned to the CED (n=72) or the MED (n=72) groups. A 13C-methacetin breath test was performed, before and after the intervention to assess CPDR (Cumulative Percentage Dose Recovery at 120 minutes of the test), TTP (Time to Peak - maximal momentary recovery of 13C) and Vmax (the maximum momentary 13C recovery). RESULTS There was a statistically significant increase in TTP and Vmax in the CED group only (p=0.0159 and p=0.0498, respectively). Changes in CPDR and TTP due to intervention were significantly higher in the CED group than in the MED group (p=0.0440 and p=0.0115, respectively). CONCLUSIONS This is the first study to document a stimulatory effect of the energy-restricted CED on liver microsomal function as compared to MED. The relatively short dietary intervention led to a significant difference in the CYP1A2 activity between groups. The trial was registered in the German Clinical Trials Register (DRKS-ID: DRKS00012958; URL: https://www.germanctr.de/).
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Affiliation(s)
- M Szczepanik
- Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, Poland.
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Tussupkaliyev A, Gaiday A, Bermagambetova S, Arenova S, Kaldigulova L, Dinets A. Urinary placental growth factor determined in the first trimester of pregnancy as a predictor of preeclampsia. Pregnancy Hypertens 2020; 21:63-67. [DOI: 10.1016/j.preghy.2020.05.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Revised: 04/07/2020] [Accepted: 05/05/2020] [Indexed: 02/07/2023]
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Tussupkaliyev A, Gaiday A, Bermagambetova S, Aniuliene R. [HYPERTENSION OF PREGNANCY ASSOCIATED WITH HYPERGOMOCYSTEINEMIA OF THE FIRST TRIMESTER OF PREGNANCY]. Georgian Med News 2018:40-46. [PMID: 29697379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
In this study, the association of high homocysteine concentrations (>10 μmol/L) of pregnant women with hypertensive disorders during pregnancy was studied, as well as other complications of pregnancy, such as loss of pregnancy in the first half, premature birth, intrauterine growth retardation, congenital malformations development of the fetus. A single-center prospective cohort study was conducted. Depending on the concentration of homocysteine detected by the immunoenzyme assay with monoclonal antibodies Homocysteine EIA ELISA (Axis-Shield Diagnostics Ltd, Scotland), for a period of up to 14 weeks, the subjects were divided into 2 groups: with high concentrations (>10 μmol/L) and normal levels (<10 μmol/L). We controlled complications of pregnancy: loss of pregnancy in the first half, premature birth, delayed fetal growth, congenital malformations of the fetus, gestational hypertension, mild and severe preeclampsia, eclampsia and HELLP syndrome. The results of the study showed that at a level of homocysteine I trimester >10 μmol/l spontaneous abortion, premature birth, gestational hypertension, mild preeclampsia develop more often. There were no differences in the groups for delaying intrauterine growth of the fetus, congenital malformations, severe preeclampsia.
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Affiliation(s)
- Ak Tussupkaliyev
- West Kazakhstan State Medical University named after Marat Ospanov, Department of Obstetrics and Gynecology №2, Aktobe, Kazakhstan; Lithuanian University of Health Sciences, Department of Obstetrics and Gynecology, Kaunas, Lithuania
| | - A Gaiday
- West Kazakhstan State Medical University named after Marat Ospanov, Department of Obstetrics and Gynecology №2, Aktobe, Kazakhstan; Lithuanian University of Health Sciences, Department of Obstetrics and Gynecology, Kaunas, Lithuania
| | - S Bermagambetova
- West Kazakhstan State Medical University named after Marat Ospanov, Department of Obstetrics and Gynecology №2, Aktobe, Kazakhstan; Lithuanian University of Health Sciences, Department of Obstetrics and Gynecology, Kaunas, Lithuania
| | - R Aniuliene
- West Kazakhstan State Medical University named after Marat Ospanov, Department of Obstetrics and Gynecology №2, Aktobe, Kazakhstan; Lithuanian University of Health Sciences, Department of Obstetrics and Gynecology, Kaunas, Lithuania
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Umarova G, Mamyrbayev А, Bermagambetova S, Baspakova A, Satybaldieva U, Sabyrakhmetova V, Abilov T, Sultanova G, Uraz R. Morbidity, Disability and Death Rates of The Population Due to Malignant Neoplasms in Uralsk City in The Republic of Kazakhstan. Asian Pac J Cancer Prev 2016; 17:5159-5164. [PMID: 28124881 PMCID: PMC5454652 DOI: 10.22034/apjcp.2016.17.12.5159] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Objective: The dynamics of morbidity, disability and death rates due to malignant neoplasms in the population in Uralsk city of the Republic of Kazakhstan were studied for 2011-2015, with a focus on age and sex, as well as tumor location. Methods: Statistics for total morbidity, primary disability and mortality from cancer in the adult population of the city of Uralsk for 2011-2015 were calculated per 100 thousand. Estimation of morbidity was based on data from form - №12 «Report on the number of diseases registered in patients living in the area of health care organizations and patient population under medical observation”. Evaluation of primary disability was based on form №7 «The distribution of newly recognized disabled by disease class, age, sex and disability groups” for 2011-2015 in Ural city and analysis of cancer was carried out using annual form 7 “Report on the sick, and diseases of malignant neoplasms”. Result: The most common localizations of cancer were the trachea, bronchi, lungs, stomach and mammary glands. High death rates were noted for patients with cancer of the trachea, bronchi, lung, as compared to stomach and esophagus. Conclusion: The results of our investigation and data in the literature indicate that regional characteristics influence the impact of risk factors associated with cancer. An unfavorable environmental background contributes: to ill health of urban populations, contributing to development of cancer. Moreover behavioral risk factors are very important, such as smoking, alcohol drinking, and an unhealthy diet. All these factors require urgent adoption of a package of measures for prevention, early detection and timely treatment. Detailed study of cancer is necessary to develop national programs and activities for prevention and control.
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Affiliation(s)
- Gulmira Umarova
- West Kazakhstan Marat Ospanov State Medical University, Aktobe, Kazakhstan.
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Bermagambetova S, Karimov T, Zinalieva A, Niazalina L, Nagmetova A. [STATE OF ACTUAL FOOD ADULT WORKING POPULATION]. Georgian Med News 2016:88-94. [PMID: 28132049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The aim of our study was to investigate the actual nutritional status of industrial workers; chemical composition, nutritional and energetic value of the daily food intake of 299 workers in western Kazakhstan. We used a food frequency questionnaire with 24-hour recall to get comprehensive information on the daily diet. Computer calculation was conducted for assessing dietary intake. We carried out calculation of daily food intake, nutrient chemical composition and calorific value by means of a computer program "Diet" (Astana, 2011). It was found that the consumptions of healthier foods is insufficient, food intake is not balanced, with a significant prevalence of protein and fat component. The specific recommendations were made in order to improve the dietary habits of workers.
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Affiliation(s)
- S Bermagambetova
- West Kazakhstan Marat Ospanov State Medical University, Aktobe, Kazakhstan
| | - T Karimov
- West Kazakhstan Marat Ospanov State Medical University, Aktobe, Kazakhstan
| | - A Zinalieva
- West Kazakhstan Marat Ospanov State Medical University, Aktobe, Kazakhstan
| | - L Niazalina
- West Kazakhstan Marat Ospanov State Medical University, Aktobe, Kazakhstan
| | - A Nagmetova
- West Kazakhstan Marat Ospanov State Medical University, Aktobe, Kazakhstan
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