scholarly journals Documentation of body mass index and control of associated risk factors in a large primary care network

2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Stephanie A Rose ◽  
Alexander Turchin ◽  
Richard W Grant ◽  
James B Meigs
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Body Mass Index ◽  
Body Mass ◽  
Care Network ◽  
Associated Risk Factors ◽  
And Control ◽  
Large Primary

scholarly journals Diabetes and Associated Risk Factors in Patients Referred for Physical Therapy in a National Primary Care Electronic Medical Record Database

2008 ◽  
Vol 88 (11) ◽  
pp. 1408-1416 ◽  
Author(s):  
Carmen S Kirkness ◽  
Robin L Marcus ◽  
Paul C LaStayo ◽  
Carl V Asche ◽  
Julie M Fritz
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Body Mass Index ◽  
Physical Therapy ◽  
Body Mass ◽  
Physical Therapists ◽  
Related Condition ◽  
Total Study Population ◽  
Study Population ◽  
Associated Risk Factors

Objective The prevalence of diabetes (type 2) in the general population has increased dramatically over the last decade, yet patients with diabetes are rarely referred for physical therapy management of their condition. The majority of patients referred for outpatient physical therapy have musculoskeletal-related conditions. Secondary conditions, such as diabetes, may be prevalent in this population, and physical therapists need to be aware of this to adjust interventions and treatment. The purpose of this article is to describe the prevalence of diabetes and the associated risk factors in adults referred for physical therapy in a primary care outpatient setting. Subjects and Methods Patients aged 18 years or older referred for physical therapy were identified from the Centricity Electronic Medical Records database during the period of December 13, 1995, to June 30, 2007. Patients were evaluated on the basis of clinical (height, weight, blood pressure, laboratory values), treatment (prescriptions), and diagnostic (ICD-9 codes) criteria to identify the presence of diabetes or associated risk factors (eg, hypertension, elevated triglycerides, low high-density lipoprotein, body mass index, and prediabetes). Results There were 52,667 patients referred for physical therapy, the majority of whom were referred for a musculoskeletal-related condition. Approximately 80% of the total study population had diabetes, prediabetes, or risk factors associated with diabetes. The prevalence of diabetes in the study population was 13.2%. Of the diabetes-associated risk factors evaluated, hypertension was the most prevalent (70.4%), and less than half (39.1%) of the study population had an elevated body mass index. Only 20% of the study population had values within normal limits for all clinical, treatment, and diagnostic criteria. Clinical and treatment measurements available to physical therapists identified the majority of associated risk factors. Conclusions Although not the primary indications for referral, diabetes and associated risk factors were identified in a high proportion of the study population. The evaluation of associated conditions in the outpatient orthopedic setting needs to be considered for treatment planning adjustments and to optimize care.

scholarly journals Analysis of risk factors for osteopenia and osteoporosis among adults and elderly in primary health care

2020 ◽  
Vol 8 (1) ◽  
pp. 263-274
Author(s):  
Aniandra Karol Gonçalves Sgarbi ◽  
Kátia Gianlupi Lopes ◽  
Márcia Regina Martins Alvarenga
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Health Care ◽  
Body Mass Index ◽  
Primary Health Care ◽  
Body Mass ◽  
Family Health ◽  
Normal Body Mass Index ◽  
Primary Care Center ◽  
Primary Health

Objective: To analyze the distribution of risk factors for osteopenia and osteoporosis among adults and elderly in primary care. Method: sectional study of quantitative approach. Random sample extracted from registered adults and elderly from the five Family Health Strategy units belonging to an Expanded Family Health and Primary Care Center in Dourados, MS. Data collected between March and December 2015. The sample consisted of 44 adults and 103 elderly, of which only 109 performed all examinations. Body mass index, bone densitometry, serum calcium, 25 serum hydroxyvitamin D and a structured questionnaire were used. Results: The factors that were significantly associated with the risk of osteopenia and osteoporosis (p <0,05) were female gender, alcohol consumption and normal body mass index. Conclusion: the identification of these risk factors made it possible to trace their distribution profile, which will be of great value for carrying out health promotion actions and prevention of these diseases in Primary Health Care.

scholarly journals Timed Up and Go (TUG) Test

2016 ◽  
Vol 8 (1) ◽  
pp. 9-13 ◽  
Author(s):  
Breelan M. Kear ◽  
Thomas P. Guck ◽  
Amy L. McGaha
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Primary Care ◽  
Body Mass Index ◽  
Socioeconomic Status ◽  
Health Risk ◽  
Body Mass ◽  
Physical And Mental Health ◽  
Health Risk Factors ◽  
Timed Up And Go

Purpose: The Timed Up and Go (TUG) test is a reliable, cost-effective, safe, and time-efficient way to evaluate overall functional mobility. However, the TUG does not have normative reference values (NRV) for individuals younger than 60 years. The purpose of this study was to establish NRV for the TUG for individuals aged between 20 and 59 years and to examine the relationship between the TUG and demographic, physical, and mental health risk factors. Methods: Two hundred participants, 50 per decade (ages 20-29, 30-39, 40-49, 50-59 years) were selected at their primary care visit, and timed as they performed the TUG by standing up out of a chair, walking 3 m, turning around, walking back to the chair, and sitting down. Information regarding the risk factors socioeconomic status, body mass index, an index of multimorbidities, perceptions of overall physical and mental health was obtained and used as predictors of TUG time independent of age. Results: TUG times were significantly different among the decades ( F = 6.579, P = .001) with slower times occurring with the 50-year-old decade compared with the 20s ( P = .001), 30s ( P = .001), and 40s ( P = .020). Slower TUG times were associated with lower SES, higher body mass index, more medical comorbidities, and worse perceived physical and mental health. Regression results indicated that perceived physical and mental health accounted for unique variance in the prediction of TUG time beyond age, gender, and socioeconomic status. Conclusions: This study provided TUG NRV for adults in their 20s, 30s, 40s, and 50s. The TUG may have utility for primary care providers as they assess and monitor physical activity in younger adults, especially those with physical and mental health risk factors.

scholarly journals Vaginal Flatus and the Associated Risk Factors in Iranian Women: A Main Research Article

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Firoozeh Veisi ◽  
Negin Rezavand ◽  
Maryam Zangeneh ◽  
Shohreh Malekkhosravi ◽  
Mansour Rezaei
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Vaginal Delivery ◽  
Body Mass ◽  
Pelvic Organ ◽  
Iranian Women ◽  
Chi Square ◽  
Main Research ◽  
Chi Square Test ◽  
Associated Risk Factors

Objective. The aim of the study was to determine the prevalence of vaginal flatus and some related risk factors in Iranian women. Methods. After conducting a pilot study, a sample size of 1000 subjects of 18 to 80 years was determined; of those 58 were unable to cooperate for various reasons. Age, parity, marital status, birth history, body mass index, and the weight of the largest newborn were collected. After a full gynecologic examination looking for pelvic organ prolapse, patients were asked about vaginal flatus and the frequency and time of occurrence. The results were studied using the chi-square test and independent t-test considering an alpha error of less than 0.05. Results. The prevalence of vaginal flatus was mainly 20% in this study, but embarrassment was observed in 5.7% of these women. 4% in the group were with no history of sexual contact (virgin). Vaginal flatus mostly started after vaginal delivery (45%) or spontaneously (34%); however, it was also reported after cesarean section and other pelvic operations. The most common activity leading to vaginal flatus was intercourse (54%); however, the time which had resulted in more inconvenience for the patients was during physical activities (92%). BMI and age were significantly lower in the patients (). The grade of prolapse was lower in the patients (). Conclusion. Low age, low body mass index, and vaginal delivery can affect the incidence of a noisy vagina.

scholarly journals A study of micro vascular complications and associated risk factors in newly diagnosed patients of type 2 diabetes mellitus

2018 ◽  
Vol 5 (6) ◽  
pp. 2338
Author(s):  
Bharti Prakash ◽  
Laxmi K. Yadav
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Body Mass Index ◽  
Body Mass ◽  
Vascular Complications ◽  
Microvascular Complication ◽  
Diabetic Patients ◽  
Associated Risk Factors ◽  
Type 2 Diabetic

Background: Diabetes and its complications are one of the leading causes of death and disability worldwide. The aim of the study is to elucidate the prevalence and associated risk factors of microvascular complication among diabetes mellitus type 2 population of Ajmer, Rajasthan India.Methods: This is the study of 464 newly detected type 2 diabetic people screened for their biochemical parameters, attending outpatient department comprising of 256 male and 208 female. The presence of complications was evaluated by relevant investigations.Results: Microvascular complication namely retinopathy was diagnosed in 344 (74%) of type 2 diabetic patients, neuropathy in 200 (43%), nephropathy in 138 (30%). Linear regression analysis concluded that age, body mass index, duration, family history, stress, glycated haemoglobin (HbA1C), triglyceride and total cholesterol were significantly associated with these vascular complications. Prevalence of microvascular complications increases with age, duration, body mass index (BMI), hereditary and poor glycemic control.Conclusions: Retinopathy and neuropathy were the most prevalent microvascular complication in type 2 diabetic population.

scholarly journals Does body mass index have an effect on the prevalence of various symptoms of polycystic ovary syndrome and their associated risk factors?

2021 ◽  
Vol 84 (2) ◽  
pp. 101-116
Author(s):  
Raminder Kaur ◽  
Maninder Kaur ◽  
Vanita Suri
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Polycystic Ovary Syndrome ◽  
Body Mass ◽  
Polycystic Ovary ◽  
Activity Level ◽  
Polycystic Ovaries ◽  
Ovary Syndrome ◽  
Cross Sectional ◽  
Associated Risk Factors

Abstract The present cross-sectional study is an attempt to understand the effect of body mass index (BMI) on the prevalence of various symptoms of polycystic ovary syndrome (PCOS) and to evaluate its associated risk factors. A total of 250 PCOS women diagnosed by Rotterdam Criteria (2003), age ranging from 18–45 years, attending OPD of Gynaecology and Obstetrics of PGIMER, Chandigarh, India were enrolled in the study. All the participants were divided in three groups according to their body mass index (BMI). The polycystic ovaries (83.2%) were the most frequently occurring symptoms of PCOS followed by hirsutism (74.4%), oligomenorrhea (60%), seborrhea (45.2%) and acne (40%). Category wise frequency distribution showed higher prevalence of symptoms among women in overweight/obese category, which were further supported by correspondence analysis. Results of multivariate analysis revealed that marital status, type of diet, socio-economic status and physical activity level were potential risk factors contributing to severe manifestations of PCOS symptoms. Obesity denoted as an important risk factor can exaggerate many symptoms of PCOS and also be a causative factor for menstrual disturbance.

scholarly journals Anal and urinary incontinence in nulliparous women – Prevalence and associated risk factors

2021 ◽  
pp. 205336912110053
Author(s):  
Nicola A Okeahialam ◽  
Ranee Thakar ◽  
Andrei Ilczyszyn ◽  
Abdul H Sultan
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Urinary Incontinence ◽  
Body Mass ◽  
Anal Incontinence ◽  
Statistical Significance ◽  
Validated Questionnaire ◽  
Nulliparous Women ◽  
History Of Childbirth ◽  
Associated Risk Factors

Objective To establish the prevalence and risk factors of urinary and anal incontinence in nulliparous women. Study design Thirty-one catholic convents were sent a validated questionnaire to determine the prevalence and severity of urinary incontinence, and a similarly structured questionnaire to assess anal incontinence. Multivariable regression models were used to determine independent risk factors associated with the likelihood of urinary incontinence or anal incontinence. Main outcome measures Urine/faecal/flatal incontinence and symptom severity. Results Of 202 nuns, 167 (83%) returned the questionnaire. Twenty-two women were excluded due to history of childbirth. Of 145 nulliparous women, 56.2% reported urinary incontinence and 53.8% reported anal incontinence. Women aged 66–76 years had significantly increased odds of experiencing urinary incontinence in comparison to women aged 40–65 years: OR: 2.35 (95% CI: 1.02–5.45) ( p = 0.04). The risk of urinary incontinence was increased in women with a body mass index ≥ 30 in comparison to those with a body mass index < 19: OR: 6.25 (95% CI: 1.03–38.08) ( p = 0.04). With regards to anal incontinence, although none of the differences with age and body mass index groups reached statistical significance, there was a trend towards women in higher body mass index groups having an increased prevalence of anal incontinence. Current/previous hormonal replacement therapy was also associated with significantly increased odds of experiencing urinary incontinence: OR: 2.53 (95% CI: 1.01–6.36), ( p = 0.04). However, when adjusting for age and body mass index, there was no significant association with urinary incontinence. Conclusions This study highlights that while childbirth is an important risk factor, urinary incontinence and anal incontinence also occur in over 50% of nulliparous women. Additional studies are required to identify other risk factors that may be associated with incontinence in this population.

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