scholarly journals The impact of the March 2020 lockdown on the cardiometabolic risk factors of male forensic and rehabilitation patients

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S246-S247
Author(s):  
Nicholas Dodough ◽  
Jaspreet Phull ◽  
Jaswant Singh ◽  
Jackie Sendell
Keyword(s):  
Risk Factors ◽  
Cardiometabolic Risk ◽  
Dietary Habits ◽  
Antihypertensive Agents ◽  
Cardiometabolic Risk Factors ◽  
List Type ◽  
Serum Triglycerides ◽  
Number Of Patients ◽  
Before And After ◽  
The Impact

AimsTo explore the impact of the March 2020 lockdown restrictions on the cardiometabolic risk factors of male forensic and rehabilitation inpatients in one NHS trust in the United Kingdom.MethodRetrospective data from September 2019 to September 2020 (six months before and after the 23 March 2020 lockdown) was collected by evaluating the health records of male patients in a low secure forensic ward and two rehabilitation units.ResultThe number of patients with BMI values within the study period was 34 while the number of patients with blood results was 26. This study showed that the average BMI six months before the start of the March lockdown was 29.8 kg/m2 while the average BMI at the end of six months after the lockdown was 31.8 kg/m2.The results from the 6-month interval before the March 2020 lockdown (M = 0, SD = 0) and the 6- month interval after the March 2020 lockdown (M = 0.9, SD = 4.16) indicate that the March 2020 lockdown resulted in an increase of BMI, t (5) = 2.42, P = 0.036. The result is significant at p < 0.058.8% of patients had an increase in their doses of antihypertensive agents after the lockdown whereas no patients had an increase of dose before the lockdown. 7.7% of patients had an HBA1c of more than 48 mmol/L after the lockdown compared to 3.8% before the lockdown. The serum triglycerides and total cholesterol levels also increased after the lockdown with an average increase of 0.17 mmol/L and 0.25 mmol/L respectively. The average serum HDL levels decreased after the lockdown with an average decrease of 0.06 mmol/L.ConclusionThere appears to be a positive correlation between the onset of the March 2020 lockdown and an increase of BMI, worsening of blood pressure, glycemic control and lipid metabolism.Limitations (1)Waist circumference was not measured during the study period preventing us from examining all of the features of metabolic syndrome.(2)This study did not look at the levels of physical activity (such as access to section 17 leave) and dietary habits before and after the March 2020 lockdown which may explain the results found.RecommendationsTo raise metabolic awareness of the impact of the lockdown restrictions on cardiometabolic risk in people with SMI and the general public.

scholarly journals Randomized Control Trial for Reduction of Body Weight, Body Fat Patterning, and Cardiometabolic Risk Factors in Overweight Worksite Employees in Delhi, India

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Usha Shrivastava ◽  
Mahrukh Fatma ◽  
Smriti Mohan ◽  
Padam Singh ◽  
Anoop Misra
Keyword(s):  
Risk Factors ◽  
Body Weight ◽  
Cardiometabolic Risk ◽  
Subcutaneous Fat ◽  
Intervention Group ◽  
Cardiometabolic Risk Factors ◽  
Control Group ◽  
Serum Triglycerides ◽  
Active Intervention ◽  
The Impact

Background. We studied the impact of the multicomponent interventions on body weight and cardiometabolic risk factors in overweight individuals working in corporate worksites.Methods. Overweight (BMI ≥ 23 kg/m2) subjects were recruited from four randomised worksites [two active intervention (n, recruited, 180, completed 156) and two control (n, recruited 130, completed 111)]. Intensive intervention was given at intervention worksite.Results. High prevalence (%) of obesity (90.9, 80.2), abdominal obesity (93.5, 84.3), excess skinfold thickness (70.3, 75.9), and low high-density lipoprotein cholesterol (HDL-c) levels (56.8, 63.7) were seen in the intervention and the control group, respectively. At the end of intervention, the following significant changes were observed in the intervention group: decrease in weight, BMI, waist circumference, serum triglycerides, and increase in HDL-c. Weight loss of more than 5% was seen in 12% and 4% individuals in the intervention and control groups, respectively. Most importantly, the sum of all the skinfold measurements (mm) in the intervention group decreased significantly more than the control group (12.51 ± 10.38 versus 3.50 ± 8.18, resp.).Conclusion. This multicomponent worksite trial showed a reduction in weight, excess subcutaneous fat, and cardiometabolic risk factors after 6 months of active intervention in overweight Asian Indians.Trial Registration. This trial is registered withNCT03249610.

Abstract P221: The Impact of Prevalent and New-onset Cardiometabolic Risk on the Incidence of Hepatic Steatosis

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Ehimen C Aneni ◽  
Marcio S Bittencourt ◽  
Miguel Caínzos Achirica ◽  
Michael J Blaha ◽  
Ahmed M Soliman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Waist Circumference ◽  
Hepatic Steatosis ◽  
Cardiometabolic Risk ◽  
Demographic History ◽  
Cardiometabolic Risk Factors ◽  
Forest Plot ◽  
Anthropometric Measures ◽  
The Impact ◽  
New Onset

Background: Little is known about hepatic steatosis (HS) incidence and its relationship to underlying or new-onset cardiometabolic risk. This study aims to assess the incidence of hepatic steatosis in an asymptomatic population and to determine its relationship to both prevalent and new-onset cardiometabolic risk factors. Methods: We analyzed retrospective data from a voluntary employer-sponsored routine health promotion evaluation at the Preventive Medicine Center of the Hospital Israelita Albert Einstein (São Paulo, Brazil) collected from October 2004 to December 2016.Medical and demographic history, anthropometric measures including blood pressure, body mass index (BMI) and waist circumference, and fasting blood samples were obtained. Participants also had ultrasonography to assess for HS. We included data from 8,448 individuals who had complete cardiometabolic and ultrasound data at baseline and repeated all tests at least 6 months later. Results: The mean age (standard deviation, SD) of participants was 40 (9) years. Over a mean (SD) follow-up of 3.4 (2.3) years, the incidence of HS was 14.7%. As shown in the table, diabetes, poor physical activity, elevated waist circumference and cigarette smoking at baseline were independently associated with hepatic steatosis. There was an additive effect of the increasing cardiometabolic risk factors (see graph) on the risk of developing HS. Participants with new-onset cardiometabolic risk factors also had a higher risk of incident HS after accounting for baseline demographics and cardiometabolic risk factors (see forest plot). This was most pronounced for incident obesity (BMI ≥ 30 Kg/m 2 ). Conclusion: In this relatively young population, the incidence of HS was high and was both independently and collectively associated with baseline cardiometabolic risk. New-onset cardiometabolic risk tracks with incident HS. This study emphasizes the need for assessing and mitigating cardiometabolic risk in the prevention of HS.

scholarly journals Systematic Review of the Impact of Behavioral Health Homes on Cardiometabolic Risk Factors for Adults With Serious Mental Illness

2020 ◽  
Vol 71 (1) ◽  
pp. 57-74 ◽  
Author(s):  
Karen L. Fortuna ◽  
Peter R. DiMilia ◽  
Matthew C. Lohman ◽  
Brandi P. Cotton ◽  
Janet R. Cummings ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Mental Illness ◽  
Behavioral Health ◽  
Serious Mental Illness ◽  
Cardiometabolic Risk ◽  
Cardiometabolic Risk Factors ◽  
Health Homes ◽  
The Impact

scholarly journals The impact of type of dietary protein, animal versus vegetable, in modifying cardiometabolic risk factors: A position paper from the International Lipid Expert Panel (ILEP)

2021 ◽  
Vol 40 (1) ◽  
pp. 255-276 ◽  
Author(s):  
Fjolla Zhubi-Bakija ◽  
Gani Bajraktari ◽  
Ibadete Bytyçi ◽  
Dimitri P. Mikhailidis ◽  
Michael Y. Henein ◽  
...  
Keyword(s):  
Risk Factors ◽  
Dietary Protein ◽  
Cardiometabolic Risk ◽  
Expert Panel ◽  
Position Paper ◽  
Cardiometabolic Risk Factors ◽  
The Impact

scholarly journals Barriers to Consuming Dietary Protein and Cardiometabolic Risk Factors Among Low-Income and Homeless Adults (P04-089-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Sam Walker ◽  
Kevin Fitzpatrick ◽  
Jamie Baum
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Low Income ◽  
Dietary Protein ◽  
Cardiometabolic Risk ◽  
Dietary Habits ◽  
Cardiometabolic Risk Factors ◽  
Future Research ◽  
Homeless Adults ◽  
Adequate Food

Abstract Objectives Over 40 million Americans identify as food insecure and lack access to adequate food. The objective of this study was to identify the barriers to consuming dietary protein and to determine how lack of access to dietary protein is associated with cardiometabolic risk factors in food insecure (FI) and homeless adults Methods Participants were recruited during intake at a medical outreach event for homeless and low-income adults living in Northwest Arkansas. A total of 96 adults (62 male and 33 female; 50.3 ±13.3 y) completed the survey. Subjects were asked to verbally respond to questions regarding their current housing and food security status, dietary habits, and general access to medical care. Cardiometabolic risk factors (BMI, glucose, and blood pressure) were also measured. Data was analyzed using Statistical Package for the Social Science v25. Results A total of 74.8% of participants reported some degree of FI. The majority of FI participants reported high- (32.6%) followed by moderate- (31.5%) and low-severity (16.3%); almost half of the participants (44.8%) reported being homeless. Barriers to protein consumption were positively correlated with FI (r = .36; P < .001). Over 70% of participants reported at least one barrier that prevented them from consuming protein. The majority reported that cost was the most important barrier to accessing protein (58%), followed by convenience (25%) and time available to prepare it (22%). In part, due to these and other barriers, more than one-third of respondents reported consuming protein fewer than 5 times per week. There were no associations between FI and cardiometabolic risk factors. Nevertheless, the majority of participants screened (88%) had blood pressure above 120/80 mm and had elevated blood glucose (39.7%) and 76% were either overweight or obese. Conclusions Barriers to consuming dietary protein exist among homeless and low-income adults. Cost and convenience are the two most important barriers among this population subgroup; persons reporting barriers to protein access also reported higher levels of FI. Additionally, food insecurity and homelessness may increase risk for irregular cardiometabolic biomarkers. Future research will focus on how to overcome these barriers and improve markers of cardio metabolic health in adults experiencing FI. Funding Sources American Egg Board/Egg Nutrition Center.

scholarly journals Comparison of the impact of SFAs from cheese and butter on cardiometabolic risk factors: a randomized controlled trial

2017 ◽  
Vol 105 (4) ◽  
pp. 800-809 ◽  
Author(s):  
Didier Brassard ◽  
Maude Tessier-Grenier ◽  
Janie Allaire ◽  
Ethendhar Rajendiran ◽  
Yongbo She ◽  
...  
Keyword(s):  
Risk Factors ◽  
Randomized Controlled Trial ◽  
Cardiometabolic Risk ◽  
Controlled Trial ◽  
Cardiometabolic Risk Factors ◽  
Randomized Controlled ◽  
The Impact

scholarly journals Changes in Cardiometabolic Risk Factors Before and After Gestational Diabetes: A Prospective Life‐Course Analysis in CARDIA Women

Obesity ◽  
2020 ◽  
Vol 28 (8) ◽  
pp. 1397-1404
Author(s):  
Janet M. Catov ◽  
Baiyang Sun ◽  
Marnie Bertolet ◽  
Gabrielle G. Snyder ◽  
Cora E. Lewis ◽  
...  
Keyword(s):  
Risk Factors ◽  
Gestational Diabetes ◽  
Life Course ◽  
Cardiometabolic Risk ◽  
Cardiometabolic Risk Factors ◽  
Before And After ◽  
Life Course Analysis
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