Burden of musculoskeletal disorders in Iran during 1990-2017: estimates from the Global Burden of Disease Study 2017.

Musculoskeletal diseases (MSDs) are the leading cause of disability and facing them demands updated reports on their burden for efficient policymaking. We showed Iran had the highest female-to-male ratio and highest increase in the burden of musculoskeletal diseases, in the past three decades, worldwide. We further confirmed the role of population aging as the main cause. PURPOSE: MSDs comprise most of the top causes of years lived with disability (YLDs) worldwide and are rapidly increasing in lower- and middle-income countries. Here, we present disability and mortality due to MSDs in Iran at the national level from 1990 to 2017. METHODS: We used Global Burden of Disease (GBD) 2017 Study data and standard methodology and presented the burden of MSDs in rates of years of life lost (YLLs), YLDs, and disability-adjusted life years (DALYs) during 1990-2017, for population aged ≥ 5 years old. We further explored attributable risk factors and decomposed the changing trend in DALYs to assess underlying causes. RESULTS: In Iran, MSDs were responsible for 1.82 million (95%uncertainty interval [UI] 1.3-2.4) DALYs, in 2017. During the past 28 years, with 1.75% annualized percentage change (APC), Iran had the highest percentage increase in the all-ages MSD DALYs rate worldwide, while the age-standardized DALYs APC was negligible. Low back pain was the greatest contributor to DALYs and caused 4.5% of total DALYs. The female population is experiencing considerably higher burden of MSDs, with 115% and 48% higher all-ages YLLs and YLDs rates per 100,000, respectively (YLLs 28.7; YLDs 2629.1), than males (YLLs 13.2; YLDs 1766.1). However, due to wide UIs, difference was not significant. Only 17.6% of MSD YLDs are attributable to assessed risk factors. CONCLUSION: Despite that MSDs are rising as an important cause of disability in Iran, these conditions are not sufficiently addressed in health policies. There is urgent need for cross-sectoral engagement, especially addressing the MSDs in females.

Iron and magnesium concentrations of mint accessions (Mentha spp.).

Plant foods can contribute significantly to human nutrition and health, because they contain almost all essential human nutrients. However, nutrient composition varies among different plant foods. Improvement of nutritional quality of our food supply, especially with respect to essential nutrient minerals, such as magnesium, iron and zinc, could be an important goal of vegetable crops. There is little information available on essential mineral concentration of mint (Mentha spp.). This study was conducted to evaluate some micronutrient minerals of twelve Iranian mint accessions, three of which belonging to Mentha longifolia (Mzin5, Mzin6 and Mzin11) and the remaining were Mentha spicata L species (Mzin1, Mzin2, Mzin3, Mzin4, Mzin7, Mzin8, Mzin9, Mzin10, and Mzin12). This report is assigned to two essential human nutrients, iron (Fe) and magnesium (Mg) concentrations of two mint herbage harvests in 12 mint clones within each of two studied years. Results of analysis of variance indicated a significant difference among accessions and a non-significant difference between species for Mg and Fe concentrations. Mean comparisons showed that Mzin2, Mzin12 (both belong to M. spicata) and Mzin6 (belongs to M. longifolia) possess the highest Fe concentration. Furthermore, Mzins 5, 6 and 11 belong to M. longifolia as well as Mzins 2 and 10 belong to M. spicata did not significantly differ and all included the first ranking group for Mg concentration. Fe concentration averaged on the first harvest ranged from 134mg/kg for Mzin4 genotype (belongs to M. spicata) to 210mg/kg to for Mzin5 genotype (belongs to M. longifolia), while Fe concentration at the second harvest varied from 315mg/kg for Mzin1 to 582mg/kg for Mzin12. At the first harvest, Mg concentration ranged from 748mg/kg for Mzin1 to 1174 for Mzin5. At the second harvest, Mg concentration varied from 1171mg/kg for Mzin9 to 1618mg/kg for Mzin11. It is hence concluded that the magnesium and iron concentrations of Mentha species are comparable to those reported for other leafy vegetable crops. Therefore, this is evidence that this herb is rich in some essential nutrient minerals, especially Fe and Mg which are essential for human health.