Obesity and worsening of chronic venous disease and joint mobility

2013 ◽  
Vol 29 (8) ◽  
pp. 500-504 ◽  
Author(s):  
Cleusa Ema Quilici Belczak ◽  
José Maria Pereira de Godoy ◽  
Sergio Quilici Belzack ◽  
Rubiana Neves Ramos ◽  
Roberto Augusto Caffaro

Objective The aim of this study was to investigate a possible relationship between obesity and decreased mobility of the talocrural joint and in turn chronic venous disease. Subjects and methods One hundred obese patients recruited at Hospital Santa Casa de Maringa, Parana were enrolled by order of arrival at the hospital in a randomized quantitative cross-sectional study. Inclusion criteria were patients with a body mass index above 30 kg/m2 and the exclusion criteria were infectious conditions that would interfere with the assessment. Patients were graded according to the clinical, etiological, anatomical and pathophysiological classification. Talocrural goniometry was performed to assess the degree of mobility of the legs. The Kolmogorov–Smirnov normality test, Kruskal–Wallis test, Dunn's Multiple comparison test and analysis of variance were used for statistical analysis tests with an alpha error of 5% being considered acceptable. Results The increase in body mass index is correlated to the reduction in joint mobility (Kruskal–Wallis test: p-value <0.0001) and increase in clinical, etiological, anatomical and pathophysiological classification is correlated to a decrease in joint mobility and the increase in age is associated with an increase in clinical, etiological, anatomical and pathophysiological classification (Kruskal–Wallis test: p-value <0.0001). Conclusion Obesity is associated with deterioration in joint mobility and worsening of chronic venous disease.

2018 ◽  
Vol 16 (1) ◽  
pp. 53-56
Author(s):  
Saraswoti Neupane ◽  
Binamra Basnet ◽  
Tara Devi Sharma

Introduction: Acne vulgaris is a common and chronic inflammatory skin disease of pilosebaceous unit. Obesity is one of the biggest problems in western life style but nowadays, the problem is increasing even in low and middle-income countries. Body Mass Index (BMI) is used to accurately measure obesity.Objective: To find out the association between different categories of BMI and severity of acne.Materials and methods: This was a cross sectional prospective study conducted in the outpatient department of Gandaki Medical College from January to July, 2017. All the newly diagnosed patients with acne were included in the study. Height and weight of the patients was recorded and BMI was calculated. BMI was categorized as underweight, normal weight, overweight and obese. Type of lesions were noted and severity of acne was graded from 1 to 4.Statistical analysis was performed using SPSS version 17.0 for windows. One-way Analysis of Variance between groups (ANOVA) test was applied. P value of less than 0.05 was considered significant.Results: There were altogether 249 patients with acne. Age of the patients ranged from 10 to 44 years with mean age of 20.82 ±5.9 years. Most of the patients were in the age group of 11-20 years. Female: male ratio was 1:1.4. Majority of patients (65.5%) had normal BMI. Most of the patients had Grade 2 acne (52.6%). There was no significant association between the BMI and severity of acne (p=0.129).Conclusion: There was no significant association between BMI and severity of acne.


2021 ◽  
Vol 15 (5) ◽  
pp. 1507-1510
Author(s):  
K. H. Samejo ◽  
S. K. Kumar ◽  
G. Lail ◽  
A. B. Langove ◽  
S. Ahsam ◽  
...  

Objective: Gastroesophageal reflux disease (GERD) prevalence ranges from 24% to 35% in Pakistani population. Studies have demonstrated GERD frequency is directly proportional to increasing weight. Thus, the frequency of obesity among gastro esophageal reflux disease patients was determined. Methodology: This cross-sectional study was conducted on outpatients with GERD visiting Department of Hepatogastroenterology, Sindh Institute of Urology and Transplantation, Karachi; from December 2017 to June 2018. Clinical and demographic parameters of study population were recorded. Body mass index (BMI) more than 27 was labeled as obese. Patients with history of ischemic heart disease, pregnancy, ascites and/or Patients on NSAIDS, bisphosphonates or steroids were excluded. Results: One hundred and fifty patients with mean age of 43.3±11.5 years were included in study. Eighty-seven patients (63.3%) had age more than 40 years. Majority of study population were males 95 (63.3%). Mean height and weight of study population were 163.09±9.56 cm and 72.92±15.13 kg, respectively. Mean BMI were 27.55±6.02 in which 71 (47.3%) were obese i.e., BMI >27. Majority were Urdu speaking i.e., 57 (38%) followed by Sindhi 31 (20%) Diabetes mellitus was documented in 22 (14.7%) and hypertension in 16 (10.7%) patients. Statistically significant association of GERD was seen in obese females (p-value: 0.018) Conclusion: Increase frequency of obesity is significantly associated with GERD. More proportion of obese females has GERD. Keywords: Gastro esophageal reflux disease; Body mass index; Weight; height


2019 ◽  
Vol 1 (2) ◽  
pp. 1
Author(s):  
Okno Riris ◽  
Yunus Elon

Abstrak   Body Mass Index (BMI) merupakan gambaran dari tingkat keidealan tubuh seseorang. Sehingga peningkatan BMI menjadi salah satu indikator dalam menentukan status kesehatan seseorang. Mereka yang memiliki BMI yang tinggi menunjukkan bahwa mereka memiliki kelebihan berat badan atau obesitas dan beresiko menderita hypertensi, diabetes meletus type 2, jantung, stroke, kolesterol dan kanker. .obesitas dapat mengakibatkan meningkatnya kadar gula darah. Tujuan penelitian ini adalah menentukan hubungan BMI dengan kadar gula darah puasa pada wanita dewasa. Jenis penelitian ini menggunakan Cross sectional study, yang merupakan penelitian observasional yang bersifat analitik terhadap 45 responden wanita dewasa dengan batasan umur 26-45 tahun. Hasil analisis bivariate menunjukkan usia 36-45 tahun sebesar 53,3%, 26-35 tahun 46,7%; rata-rata pendidikan SD=44,4%. SMP 44,4% dan SMA 11,1%. BMI diatas normal sebanyak 73.3% dan normal 26,7%. Sedangkan gula darah 91,1% normal, dan 4,4% tinggi serta 4,4% rendah. Hasil analisis univariate  Pearson Product-Moment Correlation .023 dengan p-value = >.05. Hasil analisa penelitian ini menunjukan bahwa tidak ada hubungan yang bermakna antara BMI terhadap kadar gula darah puasa pada wanita dewasa. Untuk mendapatkan gambaran yang menyeluruh maka, penelitian selanjutnya tentang hubungan BMI dengan kadar gula darah puasa perlu dilakukan pada berbagai kelompok usia, serta melibatkan kedua jenis kelamin.     Kata Kunci: Indeks Massa Tubuh, Obesitas, Kadar Gula Darah Puasa


2019 ◽  
Vol 3 (2) ◽  
pp. 11
Author(s):  
Angelia Friska Tendean

Hypertension has become a serious problem in worldwide. The most factor causes hypertension is obesity or overweight. The main purpose of this study was to determine correlation Body Mass Index (BMI) and blood pressure at Kinamang Village. The design in this study was cross sectional study. The sample was used non probability sampling with accidental sampling technique. Sample of this study were 89 respondents. The results were showed most category BMI were normal category 48,3%, systolic and diastolic category were prehypertension 53,9% and 34,8%. The analysis was using spearman correlation and the result showed BMI and systolic p value 0,001<0,05 with r=0,360 and diastolic p 0,000<0,05 with r=0,389. The conclusion is there was statistically significant positive correlation between BMI and blood pressure both systolic and diastolic. The higher BMI then blood pressure will increase both systolic and diastolic.   Keywords: Body Mass Index; Blood Pressure   Abstrak Hipertensi sudah menjadi masalah yang serius di dunia. Obesitas atau kelebihan berat badan merupakan salah satu faktor yang paling sering menyebabkan hipertensi. Tujuan dari penelitian ini untuk mengetahui hubungan Indeks Masa Tubuh (IMT) dan tekanan darah di desa Kinamang. Desain penilitian yang digunakan menggunakan cross sectional. Pengambilan sampel menggunakan non probability samping dengan teknik pengambilan accidental sampling dengan jumlah sampel yang didapat 89 responden. Hasil penelitian yang didapat kategori Indeks masa tubuh terbanyak dalam kategori normal 48,3%, kategori tekanan darah sistolik terbanyak kategori prehipertensi 53,9% dan kategori tekanan darah diastolik terbanyak kategori prehipertensi 34,8%. Hasil analisa korelasi menggunakan spearman correlation didapati korelasi IMT dengan tekanan darah sistolik p 0,001<0,05 dengan r=0,360 dan korelasi IMT dengan tekanan darah diastolik p 0,000<0,05 dengan r=0,389. Kesimpulan ada hubungan yang signifikan antara IMT dengan tekanan darah sistolik maupun diastolik. Semakin meningkat IMT maka tekanan darah sistolik maupun diastolik akan meningkat.   Kata Kunci: Indeks Masa Tubuh; Tekanan Darah


2018 ◽  
Vol 9 (1) ◽  
pp. 112-121
Author(s):  
Sri Eka Putri ◽  
Tjipto - Suwandi ◽  
Makomulamin -

Musculosceletal complaints are a complaint on the skeletal muscle sections felt by a person starting from a very mild to very painful complaint. If the muscles receive static loads repeatedly and over a long period of time, they can cause complaints of joints, ligaments and tendons. The purpose of this study was to determine the correlation between job factors (work postur of patient lifting and load weight) and individual factors (age, body mass index (BMI), exercise habits and working period) with musculosceletal disorders (MSD’s) complaint on inpatient room nurses at Teluk Kuantan General Hospital. The type of research is a quantitative using method observasional analytic with cross sectional study design. Research was conducted on June-July 2018. In this study a sample of 56 nurses inpatient rooms at Teluk Kuantan General Hospital, all nurses were used as research samples. Data was analyzed by univariate, bivariate, and multivariate. The result of this research was 66,1% proportion of musculosceletal disorders complaining. Variables related to musculoskeletal complaints are work posture and working period. Confounding variables are weight and age. Unrelated variables are body mass index and exercise habits. The conclusion of this study is that the work period is the most dominant variable influencing musculoskeletal disorders with (p-value=0,007; OR: 17,949; 95% CI: 2,212-145,619). It is recommended for nurses to pay attention to the correct way of lifting patients so that they can adjust to body posture, and for K3RS should more active in providing training related to ergonomic patient handling.


Author(s):  
Zandile June-Rose Mchiza ◽  
Whadi-Ah Parker ◽  
Muhammad Zakir Hossin ◽  
Amy Heshmati ◽  
Demetre Labadarios ◽  
...  

This study investigated how psychological distress and the proxies for social position combine to influence the risk of both underweight and overweight in South Africans aged 15 years and older. This was a cross-sectional study that included 2254 men and 4170 women participating in the first South African National Health and Nutrition Examination Survey (SANHANES-1). An analysis exploring the associations of social and mental health characteristics with body mass index (BMI) was conducted using binary and multinomial logistic regressions. Results suggested that, overall, women had a higher risk of overweight/obesity compared to men (age-adjusted odds ratio [AOR] 4.65; 95% confidence intervals [CI] 3.94–5.50). The gender effect on BMI was smaller in non-African participants (AOR 3.02; 95% CI 2.41–3.79; p-value for interaction = 0.004). Being employed and having a higher level of education were associated with higher risks of overweight and obesity and a lower risk of underweight. Being single or without a spouse and poor mental health were found to increase the odds of being underweight, especially in men. To conclude, there are strong social gradients and important gender and ethnic differences in how BMI is distributed in the South African population.


Author(s):  
Ajeesh Koshy ◽  
Roshan M.

Background: Diabetes is a growing public health burden across the world, particularly in the developing countries. Homeostasis of the trace elements such as magnesium has been found to play an important role in the pathogenesis of diabetes and diabetic complications. Studies had found out an association between serum magnesium and incident diabetes; where diabetes may induce urinary magnesium loss. But in pre-diabetes, serum glucose levels are below the threshold for urinary magnesium wasting and hence unlikely to influence serum magnesium levels. This study was done to assess their serum magnesium levels and find its correlation.Methods: This cross sectional study was done among 120 pre-diabetic subjects. Pre-diabetes was diagnosed as per ADA guidelines and body mass index was calculated according to Asian guidelines of BMI. Serum magnesium levels were done for all of them and statistically analysed to correlate the serum magnesium with body mass.Results: The present study observed that 69 out of 120 pre-diabetics, 57.5% have low magnesium levels. This study showed that 57.5% of pre-diabetics is having normal body mass index, out of which more than half of them are having normal serum magnesium. But out of 12 obese pre-diabetics, 11 were having low serum magnesium 91.6%. (P value 0.026 which is statistically significant).Conclusions: This study observed that serum magnesium levels are low in Pre-diabetics. Significant hyomagnesemia has been seen in pre-diabetics with high BMI compared to those with normal BMI. 


2014 ◽  
Vol 30 (7) ◽  
pp. 475-480 ◽  
Author(s):  
AC Seidel ◽  
CEQ Belczak ◽  
MB Campos ◽  
RB Campos ◽  
DS Harada

Association between chronic venous disease and obesity has recently been studied, with indications that it may worsen in obese patients. The aim of study was to correlate clinical classes of chronic venous disease according to Clinical Etiology Anatomy Pathophysiology (CEAP) classification and body mass index, as well as to compare the severity of chronic venous disease in obese and nonobese patients. This retrospective cross-sectional prevalence study was conducted at the Maringá State University and Belczak Vascular Center along a period of 2 years, consisting of a random sample of 482 patients with complaints compatible with chronic venous disease. Data obtained from patient’s files included gender, age, weight and height (for calculating body mass index), and clinical class (C) of chronic venous disease according to CEAP classification. Statistical analysis included Spearman’s correlation coefficient, Chi-square test (for comparing frequencies), and Student’s t-test (for comparing means). Significant positive correlation between body mass index and clinical classes was established for women (0.43), but not for men (0.07). Obesity (body mass index ≥ 30.0) was significantly more frequent in patients with chronic venous disease in clinical classes 3 (p < 0.001) and 4 (p = 0.002) and less frequent in patients with chronic venous disease in clinical class 1 (p < 0.001). This study evidenced significant correlation between body mass index and clinical classes of chronic venous disease in women, but not in men. It also corroborated the negative impact of obesity on the clinical severity of chronic venous disease.


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