Does eating attitude change with body mass index in normal body weight, overweight and obese women?

2018 ◽  
Vol 37 ◽  
pp. S265
Author(s):  
N. Öztayıncı ◽  
H.Gökmen Özel
2019 ◽  
Vol 43 (4) ◽  
pp. 47-53
Author(s):  
S.D. Khimich ◽  
O. M. Chemerys

Abstract Introduction. It’s known that the issue of polytrauma is one of the most urgent problems of surgery, and among injured patients a special approach is required for patients with overweight and obesity of varying degrees. Purpose of the study. To study prognostic features of traumatic disease course and to improve the results of diagnostics and surgical treatment of patients with polytrauma suffer obesity. Materials and methods. Clinical material was made up of 106 patients with combined body trauma, which were divided into three groups according to body mass index. Results. The results of the research showed a significant difference in the course of traumatic disease in patients with normal body weight and obesity. In particular, in the process of diagnostics of blunt chest and abdominal trauma the frequency of application of interventional methods of diagnostics was directly proportional to the increase of body mass index. The course of traumatic disease in the obese patients had a number of characteristic features that formed the basis for the development of diagnostics and differential program of treatment. Conclusions. The results of the research showed that the course of traumatic disease in combined injury obese patients is directly proportional to the body mass index and has certain features that differentiate them from patients with normal body weight. Keywords: polytrauma, obesity, traumatic disease, diagnostics, treatment.


Author(s):  
I. V. Savelyeva ◽  
E. A. Bukharova ◽  
O. V. Shirokova ◽  
N. V. Nosova

Purpose. To determine the risk of macrosomia in pregnant women as a function of body weight.Material and Methods. The study included 754 patients. All patients were divided into three groups. Group 1 included 262 obese patients with an average body mass index (BMI) of 33.1 (31.4; 35.9) kg/m2, aged 30 (27; 34) years. Group 2 comprised 260 overweight patients with an average body mass index of 27.5 (26.4; 28.7) kg/m2, aged 29 (25; 33) years. Group 3 (control) included 232 patients with normal body weight, BMI of 22.6 (21.0; 23.8) kg/m2, aged 28 (25; 31.5) years. Anthropometric data were assessed in all patients with the performance of general clinical and laboratory examinations.Results. Based on the results of logistic regression analysis for continuous variables, a prognostic model for the birth of a large fetus with a probability of up to 70.3% was constructed.


Author(s):  
Neufeld I.V. ◽  
Zhirnyakov A.I. ◽  
Kuznetsova M.V. ◽  
Bobyleva I.V. ◽  
Rogozhina I.E.

The mechanisms of the emergence of "hot flashes" are actively considered, but still insufficiently studied. A woman's body weight is a modifiable risk factor, that is, amenable to both non-drug and drug correction. Therefore, the relevance of studying this risk factor for hot flashes is high. The purpose of this study is to study the relationship between vasomotor symptoms and body mass index in women. The study included 228 women with vasomotor complaints in the early postmenopausal period. The average age at the onset of menopause was 51.6 years (47.2; 53.4), while the median duration of menopause was 4.1 years (2.2; 5.0). Our results indicate the possibility of hot flashes in women with different body mass index. In obese women, severe menopausal syndrome (MS) is less common (5.7%) than in women with overweight (8.3%) or normal body weight (6.1%); while the average degree of MS is most often observed in patients with normal body weight (21.5%), less often with obesity (14.9%) and overweight (10.1%); mild MS is most often observed in patients with normal body weight (18%), less often with obesity (10.1%) and overweight (5.3%). It was found that in women with obesity, the severity of the initial signs of MS is not high (on average, up to 5-6 hot flashes per day), severe MS is less common than in women with overweight or normal body weight. Thus, hot flashes occur in women regardless of the woman's body weight and "obesity" is not able, as previously thought, to "protect" a woman from the appearance of hot flashes.


2018 ◽  
Vol 129 (3) ◽  
pp. 448-458 ◽  
Author(s):  
Alexander J. Butwick ◽  
Cynthia A. Wong ◽  
Nan Guo

Abstract What We Already Know about This Topic What This Article Tells Us That Is New Background Neuraxial labor analgesia may benefit obese women by optimizing cardiorespiratory function and mitigating complications related to emergency general anesthesia. We hypothesized that obese women have a higher rate of neuraxial analgesia compared with nonobese parturients. Methods Using U.S. natality data, our cohort comprised 17,220,680 deliveries, which accounts for 61.5% of 28 million births in the United States between 2009 and 2015. We examined the relationships between body mass index class and neuraxial labor analgesia, adjusting for sociodemographic, antenatal, pregnancy, and peripartum factors. Results The study cohort comprised 17,220,680 women; 0.1% were underweight, 12.7% were normal body mass index, 37% were overweight, and 28.3%, 13.5%, and 8.4% were obesity class I, II, and III, respectively. Rates of neuraxial analgesia by body mass index class were as follows: underweight, 59.7% (9,030/15,128); normal body mass index, 68.1% (1,487,117/2,182,797); overweight, 70.3% (4,476,685/6,368,656); obesity class I, 71.8% (3,503,321/4,881,938); obesity class II, 73.4% (1,710,099/2,330,028); and obesity class III, 75.6% (1,089,668/1,442,133). Compared to women with normal body mass index, the likelihood of receiving neuraxial analgesia was slightly increased for overweight women (adjusted relative risk, 1.02; 95% CI, 1.02 to 1.02), obese class I (adjusted relative risk, 1.04; 95% CI, 1.04 to 1.04), obese class II (adjusted relative risk, 1.05; 95% CI, 1.05 to 1.05), and obese class III (adjusted relative risk, 1.06; 95% CI, 1.06 to 1.06). Conclusions Our findings suggest that the likelihood of receiving neuraxial analgesia is only marginally increased for morbidly obese women compared to women with normal body mass index.


Author(s):  
Qixia Jia ◽  
Zengyin Yan ◽  
Yongyong Wang

AbstractAt present, there are many acceleration sensors for measuring human martial arts in the market. However, due to the inaccurate measurement of some acceleration sensors, people who love martial arts are deeply troubled and unable to find an excellent acceleration sensor specifically for energy consumption detection of human martial arts. The development of this sensor is imminent, which is of great significance for the comparative study of energy consumption measurement of human martial arts in our country. In this study, 160 students aged 11–14 years were selected, and the subjects were divided into normal body mass group and abnormal body mass group. Of the 96 male adolescents, 32 were obese body mass, which was determined as male abnormal body mass Group; 64 male adolescents were normal body weight and male normal body weight group; female 64 adolescents were normal body weight and set as female normal body mass group. Using a built-in accelerometer and a mobile phone three-dimensional accelerometer, the subjects were subjected to a 3–8 km/h human martial arts exercise load test (each speed is continuously performed for 5 min). The two acceleration sensors collectively assess the accuracy of the prediction of the use of force in human martial arts experiments. The average power consumption of human art exercises uses a frequency of 60 times/min, 90 times/min and 120 times/min compared to two acceleration sensors. Test results show that the data points for the mobile accelerator eraser are scattered, and the distance between the data varies. The data points of the three-dimensional acceleration sensor are more concentrated and present a certain trend. The use of three-dimensional acceleration sensors to measure martial arts can fully reflect the energy consumption of human activities, and achieve an energy consumption measurement accuracy of more than 94%.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
E Pehlivan ◽  
E Yalcin ◽  
B Firinci

Abstract Background Students need quality sleep and regular feeding during an intensive training proces. The aim of this study was to determine the sleep quality of Faculty of Medicine students and whether there is a relationship between sleep quality and eating attitudes and habits. Methods In this cross-sectional study; a face-to-face questionnaire was administered to 352 students who attending Inonu University Medical Faculty between January and March of 2019. The sample group is stratified according to class sizes (total 1665 students. The sleep quality and eating behaviors of students were questioned. For purpose, Pittsburgh Sleep Quality Index (PUKI, developed by Buysse et al,1989), and Eating Attitude Test (EAT,developed by Garner et al 1982) was used to assess quality and disorders. Kolmogorov Smirnov normal distribution test, Mann Whitney U and Kruskal Wallis test were used in analysis of the data. Results The mean age of the students was 21.5 ± 2.5 and 54.3% were female and 45.7% were male and 25.0% smoked cigarette. 64.4% of the study group had normal body mass index. The median value of the PUKI (cut of point is 5.0 and under 5 is good) score by gender is similar with 6.0 (1.0-15.0). The median value of the PUKI score was 6.0 (1.0-16.0) in social media / internet users and 5.0 (1.0-13.0) in non-users. According to Internet / social media users before going to sleep, the difference is significant (p: 0.016). The difference between cigarette smoking and median value of PUKI was significant (p: 0.029). there was a difference between classes in favor of upper classes in terms of EAT values (p = 0,046). 12.2% of the students are at risk of Blumia and 10.8% are at risk of Anorexia. There was no significant but positive correlation between the PUKI and EAT (p = 0.074, r = 0.096). Conclusions In general, the students’ sleep quality and eating attitudes and habits were found close to the cut-off points accepted by the tests. But blumia and anorexia is significant. This study was supported by the Research Fund of the Inonu University (No. 1792) Key messages Social media / internet usage of students before going to sleep affects sleep quality significantly. Although 64.4% of the students have normal body mass index, eating disorders (bulumia and anorexia) risk are noteable.


2018 ◽  
Vol 128 (4) ◽  
pp. 774-783 ◽  
Author(s):  
Alexander J. Butwick ◽  
Anisha Abreo ◽  
Brian T. Bateman ◽  
Henry C. Lee ◽  
Yasser Y. El-Sayed ◽  
...  

Abstract Background It is unclear whether obesity is a risk factor for postpartum hemorrhage. The authors hypothesized that obese women are at greater risk of hemorrhage than women with a normal body mass index. Methods The authors conducted a cohort study of women who underwent delivery hospitalization in California between 2008 and 2012. Using multilevel regression, the authors examined the relationships between body mass index with hemorrhage (primary outcome), atonic hemorrhage, and severe hemorrhage (secondary outcomes). Stratified analyses were performed according to delivery mode. Results The absolute event rate for hemorrhage was 60,604/2,176,673 (2.8%). In this cohort, 4% of women were underweight, 49.1% of women were normal body mass index, 25.9% of women were overweight, and 12.7%, 5.2%, and 3.1% of women were in obesity class I, II, and III, respectively. Compared to normal body mass index women, the odds of hemorrhage and atonic hemorrhage were modestly increased for overweight women (hemorrhage: adjusted odds ratio [aOR], 1.06; 99% CI, 1.04 to 1.08; atonic hemorrhage: aOR, 1.07; 99% CI, 1.05 to 1.09) and obesity class I (hemorrhage: aOR, 1.08; 99% CI, 1.05 to 1.11; atonic hemorrhage; aOR, 1.11; 99% CI, 1.08 to 1.15). After vaginal delivery, overweight and obese women had up to 19% increased odds of hemorrhage or atonic hemorrhage; whereas, after cesarean delivery, women in any obesity class had up to 14% decreased odds of severe hemorrhage. Conclusions The authors’ findings suggest that, at most, maternal obesity has a modest effect on hemorrhage risk. The direction of the association between hemorrhage and body mass index may differ by delivery mode.


2005 ◽  
Vol 90 (3) ◽  
pp. 1360-1365 ◽  
Author(s):  
C. Ortega-González ◽  
S. Luna ◽  
L. Hernández ◽  
G. Crespo ◽  
P. Aguayo ◽  
...  

Severe insulin resistance is a key abnormality in obese women with polycystic ovary syndrome (PCOS). The purpose of this study was to evaluate whether pioglitazone decreases insulin resistance (IR) and hyperandrogenism to the same extent as metformin in obese women with PCOS who have not received any previous treatment. Fifty-two women with PCOS were randomly allocated to receive either pioglitazone (30 mg/d, n = 25) or metformin (850 mg three times daily, n = 27) and were assessed before and after 6 months. Body weight, body mass index, and waist to hip ratio increased significantly (P ≤ 0.05) after pioglitazone treatment but not after metformin treatment. Fasting serum insulin concentration (P < 0.001 for both drugs) and the area under the insulin curve during a 2-h oral glucose tolerance test decreased after pioglitazone (P < 0.002) or metformin (P < 0.05) treatment. IR (homeostasis model of assessment-IR index) decreased and insulin sensitivity (elevation of the quantitative insulin sensitivity check index and the fasting glucose to insulin ratio) increased (P ≤ 0.008) after treatment with either drug. Hirsutism (P < 0.05) and serum concentrations of free testosterone (P < 0.02) and androstenedione (P < 0.01) declined to a similar extent after treatment with the drugs. Treatment with pioglitazone or metformin was associated with the occurrence of pregnancy (n = 5 and n = 3, respectively). These results suggest that pioglitazone is as effective as metformin in improving insulin sensitivity and hyperandrogenism, despite an increase in body weight, body mass index, and the waist to hip ratio associated with pioglitazone.


2019 ◽  
Vol 4 (4) ◽  
pp. 58-63
Author(s):  
O. B. Karelina ◽  
N. V. Artymuk ◽  
O. A. Tachkova ◽  
T. Yu. Marochko ◽  
M. N. Surina

Aim: To study the level of thyroid-stimulating and thyroid hormones in pregnant women with obesity and their newborns.Materials and Methods. We consecutively recruited 40 pregnant women and their newborns. Blood sampling in pregnant women was carried out at the end of the third trimester 12 hours after the last meal while in newborns it was conducted immediately after birth. Measurement of serum thyroid-stimulating hormone, thyroxine, triiodothyronine, and free thyroxine was performed using chemiluminescent immunoassay.Results. Thyroid disease was significantly more common in pregnant women with obesity. Clinical and latent hypothyroidism in obese pregnant women was observed 1.5-fold more frequently as compared with those having normal body weight. In keeping with these findings, goiter and elevated thyroxine were also more common in obese pregnant women. Newborns from obese women were more often characterized by a transient hypothyroidism in combination with an augmented thyroid-stimulating hormone.Conclusion. Levels of thyroid-stimulating and thyroid hormones in obese pregnant women and their newborns significantly differ from the patients with normal body weight.


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