Family history of obesity and the influence on physical activity and dietary adherence after bariatric surgery

2021 ◽  
pp. 175045892110156
Author(s):  
David C Fipps ◽  
Sharon M Holder ◽  
Dorothy L Schmalz ◽  
John Scott
Keyword(s):  
Bariatric Surgery ◽  
Family History ◽  
Dietary Adherence ◽  
Validated Questionnaires ◽  
Adherence To Diet ◽  
Diet And Exercise ◽  
Related Stigma ◽  
History Of ◽  
Concomitant Factors ◽  
History Of Obesity

Background The causes of obesity are multifactorial, with genetic, environmental, behavioural and societal contributions. These factors also affect adherence to diet and exercise after bariatric surgery. The objective of this study was to evaluate changes in perceived obesity-related stigma, exercise and dietary adherence perioperatively as well as what demographic factors most influence the magnitude of these changes. Methods Validated questionnaires regarding perception of stigma and adherence to diet and exercise regimens were administered to 104 bariatric surgery patients preoperatively and postoperatively at three, six and 12 months. Scoring was compared for improvement, and concomitant factors were analysed for effect on magnitude of improvement. Results Our study found overall improvement in perception of stigma as well as adherence to diet and exercise regimens. Those with a family history of obesity had less robust improvement compared to those without a family history of obesity. Those who were Caucasian also did not have as robust of an improvement in their scores. Conclusions Patient perception of obesity-related stigma and adherence to diet and exercise regimens improve after bariatric surgery. However, a patient with a family history of obesity and/or a Caucasian ethnicity may have a less robust improvement in these facets.

Multigenerational Timeline and Understanding of Diabetes and Self-Care

2009 ◽  
Vol 23 (1) ◽  
pp. 62-77
Author(s):  
Melissa Scollan-Koliopoulos ◽  
Elizabeth A. Walker
Keyword(s):  
Family History ◽  
Practice Theory ◽  
Self Care ◽  
Dietary Adherence ◽  
Cross Sectional ◽  
Family History Of Diabetes ◽  
Time Line ◽  
Unique Variance ◽  
Significant Variance ◽  
History Of

Testing the practice–theory multigenerational legacies of diabetes, effects of a family member’s perceptions of the time line and understanding of diabetes on participants’ perceptions of their own diabetes and effect of their own perceptions on self-care were examined. Using a cross-sectional descriptive design, 123 participants completed study instruments by mail. Memories of a family member’s perception of the time line (r = .25, p = .01 ) and understanding of diabetes (r = .32, p = .01) were related; participants’ own perceptions of time line (β = –.24) and understanding (β = .10) accounted for significant variance in dietary adherence, with time line contributing unique variance (R2 = .06, F = 3.3, p = .04). The perceptions were not associated with other self-care behaviors. Findings illuminate effects of time line and understanding of diabetes in patients with family history of diabetes.

Differences in Mechanisms Between Weight Reduction Sensitive and Insensitive Blood Pressure Reduction in Obese Subjects

Hypertension ◽  
2000 ◽  
Vol 36 (suppl_1) ◽  
pp. 725-725
Author(s):  
Kazuko Masuo ◽  
Hiroshi Mikami ◽  
Toshio Ogihara ◽  
Michael L Tuck
Keyword(s):  
Weight Loss ◽  
Family History ◽  
Weight Reduction ◽  
Blood Pressure Reduction ◽  
Study Groups ◽  
Plasma Norepinephrine ◽  
Ang Ii ◽  
Major Mechanism ◽  
History Of ◽  
History Of Obesity

P180 This study was conducted to clarify the differences in mechanisms between weight reduction (WR) sensitive and insensitive BP reduction, and to evaluate the contribution of family history of obesity (FH) to WR-induced BP reduction. In 61 obese hypertensive men (HT, 28.1±0.9 kg/m2, 35±3 years, 171±6/106±5 mmHg) and 52 obese normotensive men (NT, 27.9±0.6 kg/m2, 34±4 years, 131±5/83±4 mmHg), BMI, BP, fasting plasma norepinephrine (NE), angiotensin II (Ang II), PRA, leptin, insulin were measured every 2 week for 24 weeks with weight loss program (low caloric diet 1000kcal, 7gNaCl + excercise≥1 hr/day). WR and WR sensitive BP reduction were defined as >10% reduction in BMI or mean BP at week 12. 64% of HT and 63% of NT succeeded in WR, and 59% of HT with WR (sensitive vs insensitive P<.05) and 70% of NT with WR (P<.01) were sensitive in BP reduction. When FH+ was defined as at least one parent was obese (BMI>27.0 kg/m2), prevalence of FH+ was higher in 86% of HT and 95% of NT who failed in WR, and higher in 94% of HT and 80% of NT with WR insensitive BP reduction. Only the subjects who succeeded in WR were analyzed in this study. At entry, BP, NE, Ang II, PRA and insulin were higher in HT than in NT, although BMI and leptin were similar. However, the parameters at entry were similar between WR sensitive and insensitive BP reduction in each NT and HT. The decrements (Δ) in BP, NE, Ang II, leptin,insulin were significantly greater in subjects with WR sensitive BP reduction than subjects with WR insensitive BP reduction regardless of BP status during the study, although ΔBMI was similar. Significant decreases in the parameters were noted in earlier period in subjects with WR sensitive BP reduction than in subjects with insensitive BP reduction, and in NT than in HT. In the 4 study groups regardless of BP status or WR induced BP reduction, the decrease in NE preceded BP decline, and the decreases in Ang II, insulin, leptin & PRA followed BP decline with WR. These results suggest that a family history of obesity appears to contribute closely to resistance in weight loss and also to WR insensitive BP reduction. Suppression on sympathetic overactivity is a major mechanism in WR induced BP reduction.

scholarly journals The Effect of Ranitidine on Olanzapine-Induced Weight Gain

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Fatemeh Ranjbar ◽  
Alireza Ghanepour ◽  
Homayoun Sadeghi-Bazargani ◽  
Mahbob Asadlo ◽  
Amineh Alizadeh
Keyword(s):  
Weight Gain ◽  
Family History ◽  
Positive Family History ◽  
First Episode ◽  
Long Run ◽  
Combined Use ◽  
History Of ◽  
History Of Obesity ◽  
Baseline Bmi ◽  
First Time

Induced weight gain is a disturbing side effect of Olanzapine that affects the quality of life in psychotic patients. The aim of this study was to assess the efficacy of Ranitidine in attenuating or preventing Olanzapine-induced weight gain. A parallel 2-arm clinical trial was done on 52 patients with schizophrenia, schizoaffective and schizophreniform disorders who received Olanzapine for the first time. All these were first-episode admitted patients. They were randomly allocated to receive either Ranitidine or placebo. The trend of body mass index (BMI) was compared between groups over 16-week course of treatment. Mean weight was 62.3 (SD: 9.6) kg at baseline. Thirty-three subjects (63.5%) had positive family history of obesity. The average BMI increment was 1.1 for Ranitidine group and 2.4 for the placebo group. The multivariate analysis showed this effect to be independent of sex, family history of obesity, and baseline BMI value. The longitudinal modeling after controlling for baseline values failed to show the whole trend slope to be different. Although the slight change in trend’s slope puts forward a hypothesis that combined use of Ranitidine and Olanzapine may attenuate the weight gain long run, this needs to be retested in future larger scale long-term studies. This trial is registered with IRCT.ir201009112181N5.

scholarly journals Body Mass Index and its Relation with Socio-Demographic Factors among Healthcare Workers

BioMedica ◽  
2021 ◽  
Vol 37 (2) ◽  
pp. 93-99
Author(s):  
Mehnaz Munir ◽  
Hamza Nadeem Malik ◽  
Muhammad Jareer Alam ◽  
Ammara Arif ◽  
Fiza Khalid
Keyword(s):  
Body Mass Index ◽  
Family History ◽  
Marital Status ◽  
Body Mass ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
History Of ◽  
Socio Demographic Factors ◽  
History Of Obesity

<p><strong>Background and Objective:</strong> Obesity leads to multiple complications that in turn increase mortality worldwide. There is a rapid rise in obesity in the last decade, especially among physicians. The objective of this study was to find out the frequency and relationship of obesity with socio-economic factors among faculty of a local medical college in Lahore, Pakistan.<br /><strong>Methods: </strong>A descriptive cross-sectional study was conducted on 162 medical and paramedical staff of Fatima Memorial College of Medicine and Dentistry, Lahore for a duration of 7 months from February 2019 to August 2019. Data were collected by filling the questionnaires and standard tools were used for height and weight measurement. Overweight/obesity was defined as a body mass index of &ge;25 kg/m2.<br /><strong>Results:</strong> In this study, out of 86 males and 76 females, the majority of the respondents were between the ages of 21 and 35 years. Seventy three (45.1%) and thirty (18.5%) respondents were overweight and obese, respectively. Out of a total 162 subjects, 38 (24%) were hypertensive and 18 (11%) were suffering from diabetes. There was a statistically significant association of obesity with age (p &lt; 0.05), marital status (p &lt; 0.001), family history of obesity (p &lt; 0.001), and smoking (p &lt; 0.05).<br /><strong>Conclusion: </strong>Risk factors like age, marital status, family history of obesity, and smoking have a strong correlation with obesity in faculty members of a medical school.</p>

scholarly journals A Multivariate Multilevel Analysis of the Risk Factors Associated with Anthropometric Indices in Iranian mid-adolescents

2020 ◽  
Author(s):  
Marzieh Alamolhoda ◽  
Seyyed Taghi Heydari ◽  
Seyyed Mohammad Taghi Ayatollahi ◽  
Reza Tabrizi ◽  
Maryam Akbari ◽  
...  
Keyword(s):  
Family History ◽  
Multilevel Analysis ◽  
Body Fat ◽  
Screen Time ◽  
Overweight And Obesity ◽  
Age Group ◽  
Factors Associated ◽  
History Of ◽  
Three Body ◽  
History Of Obesity

Abstract Background: The present study was conducted to jointly assess some specific factors related to body fat measures using a multivariate multilevel analysis in a representative sample of Iranian mid-adolescents. Methods: This study was conducted among 2538 students (1286 boys) aged 14 - 20 years old, who were randomly selected among 16 public high schools by multi-stage random sampling procedure from all education districts of Shiraz, Iran. Data on demographic characteristics, family history of obesity, physical activity, socio-economic (SES) variables and screen time were collected. Height, weight, triceps (TST), abdominal (AST), and subscapular (SST) skinfold thickness were measured and their body mass index (BMI) was calculated. A multivariate multilevel approach was used to analyze the factors associated with obesity measures of the TST, AST, SST at the child and district levels. Results: In this study, the prevalence of overweight and obesity was estimated to be 10.2 and 5.1%, respectively. Overall, the major portion of the total variance in TST (97.1%), AST (97.7%), and SST (97.5%) was found at the child level. The results of multivariate multilevel method revealed that being girls, having a family history of obesity, and SES were significantly associated with increasing of three body fat measures (all the p-values were less than 0.05). There were significant positive associations between moderate to vigorous physical activities with AST and SST (for AST: β =2.54, SE=1.40, p=0.05; for SST: β =2.24, SE=1.20, p=0.05). Compared to children in 14-16 age group, children in age group 16-18 years had less TST (β =-0.67, SE=0.34, p=0.04). Furthermore, other age groups and screen time did not play an important role in three outcome variables. Conclusions: The results showed some factors that contribute to three body fat measures. Therefore, it is necessary to develop effective interventions to prevent the effects of individual and environmental undesirable factors on childhood obesity in both family and community levels.

scholarly journals Does Family History of Obesity, Cardiovascular, and Metabolic Diseases Influence Onset and Severity of Childhood Obesity?

2018 ◽  
Vol 9 ◽  
Author(s):  
Domenico Corica ◽  
Tommaso Aversa ◽  
Mariella Valenzise ◽  
Maria Francesca Messina ◽  
Angela Alibrandi ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Family History ◽  
Metabolic Diseases ◽  
History Of ◽  
History Of Obesity

scholarly journals Family history of Alzheimer’s disease limits improvement in cognitive function after bariatric surgery

2014 ◽  
Vol 2 ◽  
pp. 205031211453947 ◽  
Author(s):  
Michael L Alosco ◽  
Mary Beth Spitznagel ◽  
Gladys Strain ◽  
Michael Devlin ◽  
Ross D Crosby ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Bariatric Surgery ◽  
Alzheimer's Disease ◽  
Cognitive Function ◽  
Family History ◽  
History Of

scholarly journals Fasting Blood Glucose Profile among Secondary School Adolescents in Ado-Ekiti, Nigeria

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
I. O. Oluwayemi ◽  
S. J. Brink ◽  
E. E. Oyenusi ◽  
O. A. Oduwole ◽  
M. A. Oluwayemi
Keyword(s):  
Blood Glucose ◽  
Family History ◽  
Secondary School ◽  
Fasting Blood Glucose ◽  
Positive Family History ◽  
Cross Sectional ◽  
Female Ratio ◽  
History Of ◽  
History Of Obesity ◽  
The Impact

Background.Over the past two decades there has been an increase in type 2 diabetes mellitus (T2DM) in children. Baseline data is needed to assess the impact of changing lifestyles on Ado-Ekiti, a previously semiurban community in Southwest Nigeria. This study was therefore conducted to assess the fasting blood glucose (FBG) of adolescents in Ado-Ekiti, Nigeria.Methodology.This was a cross-sectional study involving 628 adolescents from three different secondary schools in Ado-Ekiti, Nigeria. With parental consent, volunteers completed a structured questionnaire, and an overnight FBG was measured.Results.There were 346 males and 282 females (male : female ratio = 1.2 : 1). Their ages ranged from 10 to 19 years (mean age:14.2±1.7years). Four hundred and forty-four (70.7%) had normal FBG, while 180 (28.7%) and 4 (0.6%) had FBG in the prediabetic and diabetic range, respectively. Female gender, age group 10–14 years, and family history of obesity were significantly associated with impaired FBG (Pvalue <0.001, <0.001, and 0.045, resp.).Conclusion.Impaired FBG is common among secondary school adolescents and it is more prevalent among younger female adolescents (10–14 years) with positive family history of obesity.

scholarly journals Dietary Assessment and Patient-Perspective Reasons for Poor Adherence to Diet and Exercise Post Bariatric Surgery

2020 ◽  
Author(s):  
Bandar Saad Assakran ◽  
Adel Mefleh Widyan ◽  
Najla Abdulaziz Alhumaidan ◽  
Fadiyah Abdullah Alharbi ◽  
Mohammed Abdullah Alhnaya ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Healthy Eating ◽  
Dietary Assessment ◽  
Poor Adherence ◽  
Eating Patterns ◽  
Obesity Prevalence ◽  
Adherence To Diet ◽  
Diet And Exercise ◽  
Patient Nonadherence ◽  
Post Bariatric Surgery

Abstract Objective: Obesity prevalence is increasing, and as an outcome, bariatric procedures are on the rise. Previous articles about bariatric surgery disclosed tremendous results. This study aims to assess eating patterns and identify the reasons behind poor adherence to diet and exercise in postbariatric patients.Results: According to the questionnaire used, the majority (85.5%) of our patients scored “good”, 12% scored “fair”, and only 2% scored “excellent”. None scored “needs improvement”. Fruits had a mean consumption of 1.51 ± 0.79 and vegetables 1.78 ± 0.76. The main reasons for patient nonadherence to healthy eating were low self-discipline (48%), lack of motivation (28%), and availability of healthy food and being too busy to prepare healthy meals, both at 25%. Additionally, 55.9% of the study subjects engaged in physical activity. Lack of time (47%), low self-discipline (38%), and weather (32%) were the primary reasons for not exercising regularly.

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