scholarly journals Prevalence of Dyslipidemia and Evaluation of the Influence of Body Composition, Physical Activity and Food Standard in the Serum Lipids of Low Risk Pregnant Women: A Cross-Study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A296-A297
Author(s):  
Olivia Carla Bomfim Boaventura ◽  
Alina Coutinho Rodrigues Feitosa

Abstract The impact of maternal dyslipidemia (DLP) on fetal injury development occurs even in situations of transient DLP during pregnancy. Some authors define gestational DLP when the CT, LDL and TG concentrations are above the 95th percentile (P95%) and HDL, below the 5th percentile (P5%) for gestational age, but there is no consensus. OBJECTIVE: To compare the prevalence of DLP in pregnant women using percentiles criteria with the V Brazilian Guidelines on Dyslipidemia and to evaluate the association of lipid profile with body composition, physical activity(PA) practice and dietary pattern. Methods: A unicentric cross-sectional study that evaluated low-risk pregnant women between 18 and 45 years old in two maternity hospitals in the city of Salvador-BA. Using a standardized questionnaire, sociodemographic data and clinical and health characteristics, nutritional status and PA practice were evaluated, as well as lipid profile measurement in any trimester of pregnancy, classifying pregnant women according to presence of DLP by two criteria. The food intake was quantified through the 24-hour food survey, obtaining the nutritional composition of the food with the aid of the NutWin® program and the intensity of the PA was assessed by means of the PA questionnaire for pregnant women (PAQP). Bioimpedance was used for body composition analysis. Statistical analysis was performed and a p value <0.05 was considered. Results: 165 pregnant women aged 28.6 ± 6.3 years were studied, with 57.6% in the 3rd trimester. Although only 13.9% of pregnant women were obese, with an average PGC of 36.2 ± 5.6%, there was distortion of self body image. Dairy and carbohydrate intake was out of the international recommendation range. The prevalence of any lipid alterations, according to the National Guideline criteria, was 84.7%:TC ≥ 200 mg / dL was found in 62.9%; LDL ≥ 160 mg / dL in 15.3%, HDL ≤ 50 mg / dL in 12.6% and TG ≥ 150 mg / dL in 59.6%. The prevalence of dyslipidemia by the percentile criterion was found in only 4%, with an increase higher than P95% for TC was found in 0.7%; for LDL, in 0.7%; for TG in 2.6% and below P5% for HDL in 2%. About 99.4% of the pregnant women had energy expenditure above 6.0 metabolic equivalents (METs). There was a positive correlation (p = 0.035, r=0.276) between body fat percentage and LDL values, between VLDL concentration and amount of carbohydrates ingested (p = 0.047, r 0.168) and an inversely proportional association between HDL analyzes and cervical circumference (p = 0.010, r= -0.227). There was no association of lipid profile with perception of body self-image, physical activity or eating pattern. Conclusion: The prevalence of dyslipidemia assessed by the criterion of the V Brazilian Dyslipidemia Guideline for adults was significantly higher than the prevalence identified by the criterion of specific pregnancy percentiles.

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Cristina Garagarza ◽  
Ana Valente ◽  
Cristina Caetano ◽  
Inês Ramos ◽  
Mariana Pinto ◽  
...  

Abstract Background and Aims Body composition influences outcomes in hemodialysis (HD) patients. These patients need to follow specific nutritional recommendations and physical activity has been highly encouraged. The aim of this study was to evaluate if there are differences in body composition and in dietary patterns between physically active and no physically active HD patients. Method This was a multicenter observational cross-sectional study where 582 HD patients from 38 dialysis centers were enrolled. Clinical parameters were recorded and body composition analysis was performed with the Body Composition Monitor®. Dietary intake and physical activity were obtained respectively from the Food Frequency Questionnaire and from the International Physical Activity Questionnaire, both validated for the Portuguese population. For the analysis, patients were divided in 2 groups: physically active (PA), if they follow the World Health Organization recommendations, and no physically active (NPA). T-student and non-parametric tests were performed to compare means and medians respectively. A p<0.05 was considered significant. Results Mean age was 67.8 ±17.7 years, 41.4% were female, 31.6 % had diabetes mellitus and median HD vintage was 65 (Interquartil range:43-104) months. PA patients were younger (p<0.001) and had a higher energy intake (p= 0.017), protein (p=0.016), total fat (p=0.023) and omega 3 fatty acids (p=0.006). Regarding body composition; higher total body water (p=0.027), intracellular water (p=0.002), lean tissue index (p=0.002), % lean tissue mass (p=0.001), body cell mass (p=0.001) and lower % fat (p=0.003) was found in PA patients. Urea pre-dialysis (p=0.013), albumin (p=0.026), creatinine (p< 0.001) and 6 months weight gain (p=0.047) were higher in PA patients whereas age-adjusted Charlson comorbidity index (p<0.001) was lower in these patients. No statistically significant differences were observed among other nutrients or parameters studied nor in body mass index, HD vintage or overhydration. Conclusion These data shows that, after comparing PA patients with NPA, differences were observed in body composition and clinical parameters related to a better nutritional status. Moreover, the PA patients` dietary intake was more approximated to the existing recommendations for this population, namely for energy and protein daily intake.


2021 ◽  
Vol 12 ◽  
pp. 215013272110477
Author(s):  
Oscar H. Del Brutto ◽  
Robertino M. Mera ◽  
Denisse A. Rumbea ◽  
Pedro Pérez ◽  
Bettsy Y. Recalde ◽  
...  

Background: Information on the body composition of inhabitants of remote communities during the SARS-CoV-2 pandemic is limited. Using a longitudinal population-based study design, we assessed the association between SARS-CoV-2 infection and changes in body composition. Methods: Community-dwelling older adults living in a rural Ecuadorian village received body composition determinations before and 1 year after the pandemic as well as serological tests for detection of SARS-CoV-2 antibodies. The independent association between SARS-CoV-2 infection and abnormalities in body composition at follow-up was assessed by fitting linear mixed models for longitudinal data. Results: Of 327 enrolled individuals, 277 (85%) received baseline and follow-up body composition determinations, and 175 (63%) of them became SARS-CoV-2 seropositive. Overall, diet and physical activity deteriorated during the follow-up. Multivariate random-effects generalized least squares regression models that included the impact of time and seropositivity on follow-up body composition, showed that neither variable contributed to a worsening in body composition. Multivariate logistic regression models disclosed that the serological status at follow-up cannot be predicted by differences in body composition and other baseline covariates. Conclusions: Study results suggest no increased susceptibility to SARS-CoV-2 infection among older adults with abnormal body composition and no significant changes as a result of worse physical activity and dietary habits or seropositivity during the length of the study. Together with a previous study in the same population that showed decrease in hand-grip strength after SARS-CoV-2, results confirm that dynapenia (and not sarcopenia) is associated with SARS-CoV-2 infection in older adults.


2021 ◽  
pp. 1-8
Author(s):  
Masanori Shibata ◽  
Hisae Tawada ◽  
Kojiro Nagai ◽  
Shinkichi Taniguchi

<b><i>Introduction:</i></b> Online hemodiafiltration (HDF) therapy has been recognized as one of the potential dialysis modalities. However, the long-term effects of online HDF therapy on very elderly dialysis patients older than 75 years have yet to be fully elucidated. <b><i>Methods:</i></b> Seventy-four very elderly patients older than 75 years undergoing maintenance dialysis therapy were studied retrospectively. Twenty-four (mean ± SE, 81.5 ± 1.0 years) were treated by predilution online HDF, and fifty (81.2 ± 0.6 years) were treated by conventional hemodialysis (HD) for 3 years. Laboratory data related to the nutritional state and lipid profile were collected. Body composition was measured by a bioelectrical impedance method. <b><i>Results:</i></b> Dry weight and body mass index decreased in HD patients (2.9%, <i>p</i> = 0.003 and 3.1%, <i>p</i> = 0.001, respectively), while no significant changes were found in online HDF patients. Serum albumin levels reduced in both HD and online HDF groups (3.5%, <i>p</i> = 0.003 and 2.9%, <i>p</i> = 0.026, respectively). The geriatric nutritional risk index decreased in HD patients (3.0%, <i>p</i> &#x3c; 0.001), while no significant change was shown in online HDF patients. Body composition analysis demonstrated a significant decrease in intracellular water and increases in extracellular water and edema ratio in both groups. Fat mass and %fat showed significant decreases in HD patients (8.1%, <i>p</i> = 0.003 and 7.3%, <i>p</i> = 0.003, respectively), but no significant changes in online HDF patients. Among laboratory data, serum high-density lipoprotein cholesterol levels did not change in HD patients. However, the levels elevated significantly (10.6%, <i>p</i> = 0.03) in online HDF patients. <b><i>Discussion/Conclusion:</i></b> These results indicated that the time-dependent deterioration of the nutritional state in very elderly dialysis patients was inevitable; however, such deterioration was not prominent in online HDF patients. Moreover, the lipid profile showed unique changes in online HDF patients. In order to treat very elderly dialysis patients, online HDF should preferentially be taken into consideration because the maintenance of general condition seems to be a practical goal against the natural time-dependent deterioration.


2016 ◽  
Vol 17 (4) ◽  
Author(s):  
Robert Nowak ◽  
Dorota Kostrzewa-Nowak ◽  
Zbigniew Jastrzębski ◽  
Aleksandra Zarębska ◽  
Krzysztof Ficek ◽  
...  

AbstractPurpose. Hypercholesterolaemia is a highly prevalent condition that has major health- and cost-related implications for the society. Aerobic-type exercise improves lipoprotein-lipid profiles, cardiorespiratory fitness and body composition in healthy young women. Thus, the aim of the study was to assess the impact of 9 weeks of low-high aerobic-type exercise on the lipid profile among young women. Methods. On the basis of the lipid profile, 64 women (median age, 21.8 years; range, 19.0-24.7 years) were divided into two groups: with low (LRH) and intermediate (IRH) risk of developing hypercholesterolaemia. The participants completed a 9-week-long low-high aerobic exercise programme. Before and after the training programme, we determined the lipid profile: triglycerides (TG), total cholesterol (TC), lipoprotein cholesterol: HDL-C and LDL-C, and glucose levels. Selected cardiorespiratory fitness variables and body composition were also determined. Results. It was found that aerobic-type fitness exercise in the IRH group caused statistically significant decreases in TC and TG levels in comparison with baseline values. Significant increase in maximum oxygen uptake and decrease in HDL-C in the LRH group were also observed. Conclusions. Aerobic fitness exercises, a combination of two alternating styles, could influence the blood lipid profile by decreasing plasma TC and TG levels. In non-athlete women, physical activity may be a good tool to prevent cardiovascular diseases.


Author(s):  
Gemma Biviá-Roig ◽  
Valentina Lucia La Rosa ◽  
María Gómez-Tébar ◽  
Lola Serrano-Raya ◽  
Juan José Amer-Cuenca ◽  
...  

(1) Background: This study aimed to analyze the impact of the confinement due to the COVID-19 pandemics on the eating, exercise, and quality-of-life habits of pregnant women. (2) Methods: This was an internet-based cross-sectional survey which collected information about adherence to the Mediterranean diet, physical exercise, health-related quality of life (HRQoL), and perceived obstacles (in terms of exercise, preparation for delivery, and medical appointments) of pregnant women before and after the confinement. The survey was conducted in 18–31 May 2020. (3) Results: A total of 90 pregnant women participated in this study. There was a significant decrease in the levels of physical activity (p < 0.01) as well as in HRQoL (p < 0.005). The number of hours spent sitting increased by 50% (p < 0.001), 52.2% were unable to attend delivery preparation sessions because these had been cancelled. However, there were no significant differences in the eating pattern of these women (p = 0.672). Conclusions: These results suggest the need to implement specific online programs to promote exercise and reduce stress, thus improving the HRQoL in this population, should similar confinements need to occur again for any reason in the future.


Author(s):  
Jacek Wilczyński ◽  
Piotr Sobolewski ◽  
Rafał Zieliński ◽  
Magdalena Kabała

The aim of the study was to analyse the body composition among women after radical mastectomy. The body compositions of 30 women after radical mastectomy (study group) were compared with those of 30 healthy females (control group). The method of electrical bioimpedance was used to analyse body composition. The significant differences between the groups, unfavourable for women, following mastectomy concerned body mass (p = 0.021), BMI (p = 0.049), fat mass (%) (p = 0.007), fat mass (kg) (p = 0.005), total body water (%) (p = 0.002), left upper limb fat mass (p = 0.013) as well as right upper limb fat mass (p = 0.022). The body composition of women after radical mastectomy was significantly worse compared to the control group. The majority of subjects were overweight and had high levels of body fat. Abnormal body composition is a modifiable risk factor of breast cancer; therefore, improving lifestyle is important in the prevention and treatment of this disease. There is a need for education, dietary supervision and physical activity in women following radical mastectomy. The innovation of our study was the use of the modern bioelectrical impedance analysis (BIA) method, which does not cause ionisation and is a gold standard in the field of body composition analysis. In future research, we plan to broaden the assessment of lifestyle and the significance of diet and physical activity in the prevention and treatment of breast cancer.


2017 ◽  
Vol 35 (4_suppl) ◽  
pp. 633-633 ◽  
Author(s):  
Grant Richard Williams ◽  
Allison Mary Deal ◽  
Shlomit S. Shachar ◽  
Christine Marie Walko ◽  
Jai Narendra Patel ◽  
...  

633 Background: Great heterogeneity exists in the ability of adults with cancer to tolerate treatment. Variability in body composition may affect rates of metabolism of cytotoxic agents and contribute to the variable chemotherapy toxicity observed. The goal of this study was to explore the impact of body composition, in particular sarcopenia, on the pharmacokinetics of 5-fluorouracil (5FU) in a cohort of patients receiving FOLFOX +/- bevacizumab for colorectal cancer. Methods: We performed a secondary analysis of a completed multicenter trial that investigated pharmacokinetic-guided 5FU in patients receiving mFOLFOX6 +/- bevacizumab [Patel et al. The Oncologist 2014]. Computed Tomography (CT) images that were performed as part of routine care were used to for body composition analysis. Skeletal muscle area (SMA) and density (SMD) were analyzed from CT scan L3 lumbar segments using radiological software. SMA and height (m2) were used to calculate skeletal muscle index (SMI = SMA/m2). Skeletal Muscle Gauge (SMG) was created by multiplying SMI x SMD. Differences were compared using two group t-tests and fisher’s exact tests. Results: Of the 70 patients from the original study, 25 had available CT imaging. The mean age was 59, 52% female, 80% Caucasian, and 92% with either stage III or IV disease. Eleven patients (44%) had grade 3/4 toxicity, and 12 patients were identified as sarcopenic (48%) [per Martin et al. JCO 2013]. Sarcopenic patients had numerically higher first cycle 5FU AUCs compared to non-sarcopenic patients (19.3 vs. 17.3 AUC, p= 0.43) and higher grade 3/4 toxicities (50 vs 38.5%, p= 0.70). Patients with low SMG ( < 1475 AU) had higher grade 3/4 toxicities (62 vs 25%, p= 0.11) and higher hematologic toxicities (46 v 8%, p= 0.07). Conclusions: CRC patients with sarcopenia had numerically higher first cycle AUCs of 5FU and a higher incidence of severe toxicities; however, this was not statistically significant, possibly due to limited sample size. SMG, an integrated muscle measure, was more highly correlated with toxicity outcomes than either SMI or SMD alone. Further research exploring the role of body composition in pharmacokinetics is needed with a focus on alternative dosing strategies in sarcopenic patients.


2015 ◽  
Vol 11 (7S_Part_12) ◽  
pp. P556-P557
Author(s):  
John R. Best ◽  
Caterina Rosano ◽  
Robert M. Boudreau ◽  
Hilsa N. Ayonayon ◽  
Suzanne Satterfield ◽  
...  

2021 ◽  
Vol 13 (2) ◽  
pp. 47-54
Author(s):  
FILIP MICHAL BORYS ◽  
BEATA ZYSK ◽  
ADRIANNA ZANKO ◽  
DOMINIKA CHIMKOWSKA ◽  
JOANNA SMARKUSZ-ZARZECKA ◽  
...  

Background: Knowledge about nutrition and supplementation during increased physical activity is still insufficient among people recreationally training sports. The aim of the study was to assess the diet, supplementation and nutritional status, as well as to characterize the body composition of students who recreationally train team sports. Material and methods: T he study group consisted of 49 students from team sports sections (19 basketball, 10 volleyball and 20 football). The research tools used in the study were: a 24-hour nutritional interview, a questionnaire (concerning dietary supplementation, the frequency and duration of training) and the results of body composition analysis. Results: The students’ diets had insufficient energy value and deficiencies of EPA and DHA, carbohydrates, fiber and vitamin D. Excessive supply was related to: sodium, iron and vitamin C. 53% of the respondents declared dietary supplementation. Noteworthy, students whose trainings were longer more often decided to change their eating behaviors. Conclusions: The diet of the studied group was not properly balanced in terms of energy and some nutrients. The results of the assessment of students’ diets indicate the necessity of nutritional education for people undertaking regular physical activity.


2021 ◽  
Vol 7 (3) ◽  
pp. 237-244
Author(s):  
Enny Susilawati ◽  
◽  
Yuli Suryanti ◽  
Lia Artika Sar ◽  
Ika Murtiyarini ◽  
...  

Background: Monitoring the adherence of pregnant women to taking iron supplements indicates controlling the appropriateness of taking a certain number of supplements. This increases the odds of effective iron absorption; a process that occurs by consuming at least 30 iron pills a month to prevent gestational anemia. This study aimed to determine the effects of monitoring pregnant women’s compliance in taking up iron supplements through an Android application in Jambi City, Indonesia. Methods: This was a quasi-experimental single group study with a pre-test-post-test design. The study subjects included 50 pregnant women in their third trimester referring to 3 maternity Hospitals in Jambi City, Indonesia, in 2020. Initial data were obtained through Hemoglobin (Hb) measurements before being given a monitoring application and subsequent Hb level checks after giving the application. The obtained data were analyzed by t-test and Mann-Whitney U test in SPSS v. 16. A significance level of 5% was considered. Results: The results obtained in the initial examination indicated that the minimum Hb level was equal to 7.3 g/dL and the maximum level was measured as 11.2 g/dL. After the intervention, the Hb level increased to a minimum of 7.6 g/dL and a maximum of 12.2 g/dL. The Mann-Whitney U test data suggested a significant difference in the degree of compliance of pregnant women with iron supplementation (P=0.010). Conclusion: Monitoring through the Android application increased pregnant women’s compliance with taking iron supplements and presented a linear impact on increasing their Hb level.


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