Body mass in adolescents with chronic pain: observational study

2019 ◽  
Vol 105 (5) ◽  
pp. 476-480
Author(s):  
Jeremy Gauntlett-Gilbert ◽  
Chandrika Bhat ◽  
Jacqui Clinch

ObjectiveIn a paediatric chronic pain population, to determine whether higher body mass was associated with poorer functioning, mood or treatment outcome.DesignCross-sectional study with examination of treatment outcomes.SettingTertiary specialist adolescent pain rehabilitation unit.Patients355 adolescents with relatively severe non-malignant chronic pain.InterventionsIntensive 3-week pain rehabilitation programme.Main outcome measuresObjective physical measures (walk, sit-to-stand); self-reported functioning and moodResultsAverage body mass index (BMI) in the sample was relatively high (24.2 (SD 5.6)) with 20.5% being classified as obese. However, there were no relationships between body mass and objective physical measures, physical or social functioning, depression or anxiety (all p>0.05). There was a small relationship between higher body mass and greater pain-related fear (r=0.17, p<0.01). Treatment improved all variables (p<0.001) apart from pain intensity. There were no relationships between higher body mass and poorer treatment outcome; in fact, patients with higher BMI showed slightly greater decreases in depression (r=0.12, p<0.05) and pain-specific anxiety (r=0.18, p<0.01) during treatment.ConclusionsHigher body mass does not worsen functioning, mood or treatment response in adolescents with disabling chronic pain. Childhood obesity and chronic pain are both stigmatised conditions; clinicians should avoid implying that high body mass alone is a causal factor in the struggles of a young person with chronic pain.

2016 ◽  
Vol 44 (4) ◽  
Author(s):  
Laura Arrais Sydrião de Alencar Costa ◽  
Edward Araujo Júnior ◽  
Francisco Edson de Lucena Feitosa ◽  
Andréa Cavalcante Dos Santos ◽  
Luiz Gonzaga Moura Júnior ◽  
...  

AbstractTo compare the results of maternal and perinatal pregnancies of obese women after bariatric surgery.A retrospective cross-sectional study was carried out on 63 women who had undergone bariatric surgery and 73 obese women (control). Demographic data, the characteristics of the bariatric surgery, and the maternal and perinatal results were evaluated. The Student’sThe average body mass index (BMI) at the 1Those women who had been submitted to bariatric surgery presented better maternal and perinatal results when compared to obese women.


2021 ◽  
pp. 24-26
Author(s):  
Chetna Chetna ◽  
Kumari Kanak Lata ◽  
[Prof.] Abha Rani Sinha ◽  
Debarshi Jana

Objectives: To examine the prevalence of risk factors in patients suffering from uterine broid at Obstetrics and Gynaecology Department of SKMCH, Muzaffarpur, Bihar Methods:Across-sectional study carried out between January 2020 to December 2020 includes patients who were diagnosed with uterine broids. The position and number of the broids were counted and noted by the reports of Ultrasound examinations. Especially we assessed the prevalence of risk factors for uterine broids based on the questionnaire lled by the patients. The data were processed with the statistical program SPSS 25 and Pvalue less than 0.05 were considered to be statically signicant. Results: A total of 137 patients was studied, the majority of subjects were below the age group of 36-50 years (63.5%) followed by 21-35 years 2 (24.08%) and 51-65 years (12.4%). The average age of the participants was 42.08 ± 8.89 years. BMI showed that women with 25 kg/m to 29.9 2 2 2 kg/m (54.74%) and ≥30 kg/m (8.75%) experienced a higher prevalence of broids (χ2 =11.55, P =0.003) than women with 18.5 kg/m to 24.9 2 kg/m (36.49%). The average body mass index (BMI) of women with broids that were detected in our study was 27.5kg/m2. Other risk factors were not signicantly linked with uterine broids. Conclusion: Fibroid prevalence had a signicant correlation with age and BMI. Early detection and reduced body weight may bring down the occurrence of uterine broids.


2020 ◽  
Vol 50 (4) ◽  
Author(s):  
Mariana Martín Quirán ◽  
Leandro Manzotti ◽  
José Tawil ◽  
Carolina Bolino ◽  
Sandra Canseco ◽  
...  

Introduction. Barrett Esophagus is an acquired condition secondary to gastroesophageal reflux disease, and it´s the main risk factor for Esophageal Adenocarcinoma. Although there is controversy about tissue sampling at endoscopy when segments are lesser than 10 mm, the prevalence of ultrashort Barrett´s esophagus is up to 20%. Objective. To estimate ultrashort Barrett Esophagus prevalence in a poblational cohort of Argentina and to assess the presence of dysplasia. Methods. A cross-sectional study of the endoscopic and pathological reports of ultrashort Barrett suspicion in an outpatient endoscopy center was performed during 2016-2017. 894 patients were enrolled. Results. 52% of the cohort were male, whose mean age was 56 years (± 12 years). Average Body Mass Index was 26 ± 4 kg/m2. Endoscopically, 50% had hiatal hernia and mean length was 2.32 ± 0.59 cm. Virtual chromoendoscopy was applied in 60% of patients. Ultrashort Barrett´s Esophagus prevalence was 25% (IC 95%), 224/894 patients. Median length was 0.74 ± 0.24 cm. Male sex and presence of hiatal hernia showed a statistically significant association with ultrashort BE presence in multivariate analysis. Conclusion. Ultrashort BE was identified in 25% of the patients, being more frequent in male sex and in patients with hiatal hernia; two variables that are independently related to intestinal metaplasia. Dysplasia was not observed.


Author(s):  
Purreza Abolghasem ◽  
Leila Dehghankar ◽  
Moslem Jafarisani ◽  
Ali Pouryosef ◽  
Hamidreza Tadayyon ◽  
...  

Background: Evaluation of anthropometric and body mass index is not only widely used to assess children's development, but also is simplicity, affordability and reliability and most powerful tool to study the growth and development of children in different societies. BMI is one of the most important indicators of the growth, especially in childhood, which can be influenced by some socio - economic variables. The present study aimed to investigate the relationship between body mass index with some of the socio - economic conditions in children with a primary and secondary education to physical development factors and social - economic conditions affecting the BMI.Methods: This was a cross-sectional study and 200 children between 7 to 17 years of primary and secondary schools were selected and divided into two groups. Tools used in this study were questionnaires, Balance and Tape measure. Data were analyzed by SPSS 20 software. P<0.05 considered statiscally significant.Results: Majority of the samples was in normal and thin range. High school student girls had a lower average body mass index, and percentage of weight loss was greater among them.Conclusion: Socio-economic variables affect the lifestyle of families and they can be associated with BMI. Keywords: Body mass index, female students, parents socio-economic variables.


Author(s):  
Ana Carolina Godoy-Miranda ◽  
Jessica Fernandes Cirelli ◽  
Maira Pinho-Pompeu ◽  
Daiane Sofia Morais Paulino ◽  
Sirlei Siani Morais ◽  
...  

Objective The aim of this study was to investigate the knowledge concerning gestational weight gain (GWG), nutrition, and physical exercise (PE) in pregnant women, and how to put them into practice. Methods A cross-sectional study with 61 pregnant women above 26 weeks of gestation, at the Woman's Hospital, CAISM, University of Campinas. Questionnaires regarding the knowledge of healthy habits (HH) during pregnancy, sociodemographic data, and previous obstetric outcomes were applied. An educational guide with advice on HH during pregnancy and in the postpartum period was offered. Results The average age of women was 28.7 ± 6.23 years, with 85% of them being married; 32% nulliparous; the average body mass index (BMI) before pregnancy was 25.4 ± 9.8 kg/m2, and the mean number of years of schooling was 11.2 ± 3.8. Only 61% of the subjects had received any previous information about GWG during their antenatal care and were aware as to how many pounds they should gain during pregnancy. Among the 61 women, 85% understood that they did not need to “eat for 2” and 99% knew that PE had benefits for their body and was safe for their baby. Half of the women practiced PE prior to pregnancy; however, only 31% continued the practice of PE during the pregnancy. Conclusion Despite understanding the need for HH during pregnancy, women still need encouragement to practice PE during pregnancy, as well as more information about GWG.


2018 ◽  
Vol 32 (3) ◽  
pp. 360-367 ◽  
Author(s):  
Keiko Yamada ◽  
Yasuhiko Kubota ◽  
Hiroyasu Iso ◽  
Hiroyuki Oka ◽  
Junji Katsuhira ◽  
...  

Physiotherapy ◽  
2019 ◽  
Vol 105 (3) ◽  
pp. 346-353
Author(s):  
Laura M. Mackey ◽  
Catherine Blake ◽  
Maire-Brid Casey ◽  
Camillus K. Power ◽  
Ray Victory ◽  
...  

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e040238
Author(s):  
Belayneh Kefale ◽  
Amien Ewunetei ◽  
Mulugeta Molla ◽  
Gobezie Temesgen Tegegne ◽  
Amsalu Degu

ObjectivesThis study aimed to assess the clinical pattern and predictors of stroke treatment outcomes among hospitalised patients in Felege Hiwot comprehensive specialised hospital (FHCSH) in northwest Ethiopia.DesignA retrospective cross-sectional study.SettingThe study was conducted medical ward of FHCSH.ParticipantsThe medical records of 597 adult patients who had a stroke were included in the study. All adult (≥18 years) patients who had a stroke had been admitted to the medical ward of FHSCH during 2015–2019 were included in the study. However, patients with incomplete medical records (ie, incomplete treatment regimen and the status of the patients after treatment) were excluded in the study.ResultsIn the present study, 317 (53.1%) were males, and the mean age of the study participants was 61.08±13.76 years. About two-thirds of patients (392, 65.7%) were diagnosed with ischaemic stroke. Regarding clinical pattern, about 203 (34.0%) of patients complained of right-side body weakness and the major comorbid condition identified was hypertension (216, 64.9%). Overall, 276 (46.2%) of them had poor treatment outcomes, and 101 (16.9%) of them died. Patients who cannot read and write (AOR=42.89, 95% CI 13.23 to 111.28, p<0.001), attend primary school (AOR=22.11, 95% CI 6.98 to 55.99, p<0.001) and secondary school (AOR=4.20, 95% CI 1.42 to 12.51, p<0.001), diagnosed with haemorrhagic stroke (AOR=2.68, 95% CI 1.62 to 4.43, p<0.001) and delayed hospital arrival more than 24 hours (AOR=2.92, 95% CI 1.83 to 4.66, p=0.001) were the independent predictors of poor treatment outcome.ConclusionsApproximately half of the patients who had a stroke had poor treatment outcomes. Ischaemic stroke was the most predominantly diagnosed stroke type. Education status, types of stroke and the median time from onset of symptoms to hospitalisation were the predictors of treatment outcome. Health education should be given to patients regarding clinical symptoms of stroke. In addition, local healthcare providers need to consider the above risk factors while managing stroke.


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