Physical activity of the civilian chemical victims of Sardasht 20 years after sulfur mustard exposure

Ghazanfari, Zeinab; Ghazanfari, Tooba; Araghizadeh, H; Soroush, Mohammad Reza; Yaraee, Roya; Mahdavi, Mohammad Reza Vaez; Pirasteh, Ashraf; Hassan, Zuhair Mohammad; Foroutan, Abbas; Ebtejar, Massoumeh; Naghizadeh, Mohammad Mehdi; Ghaderi, Sulayman; Moaiedmohseni, Sakine; Faghihzadeh, Soghrat

doi:10.1080/15569540802691960

Cited by 10 publications

(11 citation statements)

References 13 publications

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“…Figure 2 was shown to consistently decrease following exposure to armed conflict. Outcomes assessing mortality from chronic ischaemic heart disease (ICD-10 code I25; 3 studies), 9-11 mortality from unspecified heart disease (I51; 5 studies), 9 12-15 systolic blood pressure (8 studies) 9-11 16-20 and tobacco use (11 studies) [21][22][23][24][25][26][27][28][29][30][31] had consistent evidence of an increase following exposure to armed conflict. Nine outcomes assessed showed consistent evidence of no change following exposure to armed conflict.…”

Section: Results Description Of Included Studiesmentioning

confidence: 99%

Impact of armed conflict on cardiovascular disease risk: a systematic review

Jawad

Vámos

Najim

et al. 2019

Heart

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ObjectivesProlonged armed conflict may constrain efforts to address non-communicable disease in some settings. We assessed the impact of armed conflict on cardiovascular disease (CVD) risk among civilians in low/middle-income countries (LMICs).MethodsIn February 2019, we performed a systematic review searching Medline, Embase, PsychINFO, Global Health and Web of Science without language or date restrictions. We included adult, civilian populations in LMICs. Outcomes included CVDs and diabetes, and eight clinical and behavioural factors (blood pressure, blood glucose, lipids, tobacco, alcohol, body mass index, nutrition, physical activity). We systematically reanalysed data from original papers and presented them descriptively.ResultsSixty-five studies analysed 23 conflicts, and 66% were of low quality. We found some evidence that armed conflict is associated with an increased coronary heart disease, cerebrovascular and endocrine diseases, in addition to increased blood pressure, lipids, alcohol and tobacco use. These associations were more consistent for mortality from chronic ischaemic heart disease or unspecified heart disease, systolic blood pressure and tobacco use. Associations between armed conflict and other outcomes showed no change, or had mixed or uncertain evidence. We found no clear patterning by conflict type, length of follow-up and study quality, nor strong evidence for publication bias.ConclusionsArmed conflict may exacerbate CVDs and their risk factors, but the current literature is somewhat inconsistent. Postconflict reconstruction efforts should deliver low-resource preventative interventions through primary care to prevent excess CVD-related morbidity and mortality.PROSPERO registration numberCRD42017065722

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Section: Results Description Of Included Studiesmentioning

confidence: 99%

Impact of armed conflict on cardiovascular disease risk: a systematic review

Jawad

Vámos

Najim

et al. 2019

Heart

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“…Recently we reported a significant reduction of total PA and high prevalence of sedentary lifestyle in SM exposed population in SardashtIran Cohort Study (SICS) [9,10]. It has been shown that regular PA can improve immune function and modulate inflammatory responses [11,12].…”

Section: Introductionmentioning

confidence: 98%

Association of physical activity and IL-10 levels 20years after sulfur mustard exposure: Sardasht-Iran cohort study

Ghazanfari

Kermani-Jalilvand

et al. 2009

International Immunopharmacology

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“…In this study diverse clinical complications, basic parameters and the life style of the exposed people were evaluated [8,9]. The results of clinical evaluations in previous studies proposed the possible involvement of immune and inflammatory reactions in long term SM complications [10,11].…”

Section: Introductionmentioning

confidence: 99%