scholarly journals The prevalence of ulnar neuropathy at the elbow and ulnar nerve dislocation in recreational wheelchair marathon athletes

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243324
Author(s):  
Mari Kakita ◽  
Yukio Mikami ◽  
Tatsuru Ibusuki ◽  
Takashi Shimoe ◽  
Yoshi-ichiro Kamijo ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Ulnar Nerve ◽  
Lower Limb ◽  
Ulnar Neuropathy ◽  
Upper Limbs ◽  
Wheelchair Sports ◽  
Increased Risk ◽  
History Of ◽  
Physical Examinations ◽  
Or History

Background Ulnar neuropathy at the elbow is an entrapment neuropathy, while ulnar nerve dislocation might also be involved in its incidence and severity. Wheelchair marathon athletes may be at an increased risk for Ulnar Neuropathy. However, there is a paucity of research into the prevalence of Ulnar Neuropathy and ulnar nerve dislocation in this population. Objective To investigate the prevalence of ulnar neuropathy at the elbow and ulnar nerve dislocation in wheelchair marathon athletes. Participants Wheelchair marathon athletes (N = 38) who participated in the 2017, 2018, and 2019 Oita International Wheelchair Marathon. 2 athletes participated only one time, 36 athletes repeatedly. Data from athletes`latest assessment were used. Methods The day before the race, questionnaires, physical examinations, and ultrasonography were conducted to screen for Ulnar Neuropathy in both upper limbs. Ulnar nerve dislocation was confirmed by physical examination and ultrasonography. Results 11 (29%) athletes were diagnosed with Ulnar Neuropathy. There were no significant differences in age, height, weight, Body Mass Index, or history of primary illness between athletes with and without Ulnar Neuropathy. In the group without Ulnar Neuropathy, 44% of athletes reported to have been engaging in other wheelchair sports, compared to 9% in the group with Ulnar Neuropathy (p = 0.037). Ulnar nerve dislocation was diagnosed in 15 (39%) athletes by ultrasonography. Out of the 14 elbows of 11 athletes diagnosed with Ulnar Neuropathy, 9 (64%) elbows had ulnar nerve dislocation. Conclusion The prevalence of Ulnar Neuropathy in wheelchair marathon athletes was higher than previously reported in able-bodied, non-athlete individuals and lower than in non-athletes with lower limb dysfunction. Therefore, while wheelchair sports may provide some protection against Ulnar Neuropathy, this study further supports the importance of screening for Ulnar Neuropathy, as well as for ulnar nerve dislocation as a potential risk factor for the development of Ulnar Neuropathy.

scholarly journals Interpregnancy Body Mass Index Changes: Distribution and Impact on Adverse Pregnancy Outcomes in the Subsequent Pregnancy

2018 ◽  
Vol 36 (05) ◽  
pp. 517-521 ◽  
Author(s):  
Whitney Bender ◽  
Adi Hirshberg ◽  
Lisa Levine
Keyword(s):  
Body Mass Index ◽  
Preterm Birth ◽  
Body Mass ◽  
Pregnancy Outcomes ◽  
Subsequent Pregnancy ◽  
Adverse Pregnancy Outcomes ◽  
Increased Risk ◽  
History Of ◽  
Index Changes ◽  
Adverse Pregnancy

Objective To examine the change in body mass index (BMI) categories between pregnancies and its effect on adverse pregnancy outcomes. Study Design We performed a retrospective cohort study of women with two consecutive deliveries from 2005 to 2010. Analysis was limited to women with BMI recorded at <24 weeks for both pregnancies. Standard BMI categories were used. Adverse pregnancy outcomes included preterm birth at <37 weeks, intrauterine growth restriction (IUGR), pregnancy-related hypertension, and gestational diabetes mellitus (GDM). Women with increased BMI category between pregnancies were compared with those who remained in the same BMI category. Results In total, 537 women were included, of whom 125 (23%) increased BMI category. There was no association between increase in BMI category and risk of preterm birth, IUGR, or pregnancy-related hypertension. Women who increased BMI category had an increased odds of GDM compared with women who remained in the same BMI category (6.4 vs. 2.2%; p = 0.018). The increased risk remained after controlling for age, history of GDM, and starting BMI (adjusted odds ratio: 8.2; 95% confidence interval: 2.1–32.7; p = 0.003). Conclusion Almost one-quarter of women increased BMI categories between pregnancies. This modifiable risk factor has a significant impact on the risk of GDM.

Increasing Body Mass Index is Inversely Related to Groin Hernias

2015 ◽  
Vol 81 (10) ◽  
pp. 1043-1046 ◽  
Author(s):  
Samine Ravanbakhsh ◽  
Michael Batech ◽  
Talar Tejirian
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Groin Hernia ◽  
Large Population ◽  
Kaiser Permanente ◽  
Increased Risk ◽  
History Of ◽  
Comorbidity Index ◽  
Alcohol Users ◽  
Groin Hernias

Few studies describe the relationship between obesity and groin hernias. Our objective was to investigate the correlation between body mass index (BMI) and groin hernias in a large population. Patients with the diagnosis of inguinal or femoral hernia with and without incarceration or strangulation were identified using the Kaiser Permanente Southern California regional database including 14 hospitals over a 7-year period. Patients were stratified by BMI. There were 47,950 patients with a diagnosis of a groin hernia—a prevalence of 2.28 per cent. Relative to normal BMI (20–24.9 kg/m2), lower BMI was associated with an increased risk for hernia diagnosis. With increasing BMI, the risk of incarceration or strangulation increased. Additionally, increasing age, male gender, white race, history of hernia, tobacco use history, alcohol use, and higher comorbidity index increased the chance of a groin hernia diagnosis. Complications were higher for women, patients with comorbidities, black race, and alcohol users. Our study is the largest to date correlating obesity and groin hernias in a diverse United States population. Obesity (BMI ≥ 30 kg/m2) is associated with a lower risk of groin hernia diagnosis, but an increased risk of complications. This inverse relationship may be due to limitations of physical exam in obese patients.

scholarly journals 1674. Orthopedic Complications of Congenital Zika Syndrome in Brazil

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S613-S613
Author(s):  
Nilson Nogueira Mendes Neto ◽  
Igor T Queiroz ◽  
Jessika T da S. Maia ◽  
Marcelo Zacarkim ◽  
A Desiree Labeaud ◽  
...  
Keyword(s):  
Lower Limb ◽  
Upper Limbs ◽  
Rehabilitation Center ◽  
Congenital Vertical Talus ◽  
Clinical Presentations ◽  
Congenital Zika Syndrome ◽  
History Of ◽  
Vertical Talus ◽  
Social Profiles

Abstract Background Congenital Zika Syndrome (CZS) has a broad spectrum of clinical presentations that are still being described. This cohort study aimed to describe the orthopedic complications in children with microcephaly (MCP) related to Zika virus (ZIKV). Methods We evaluated 36 children with CZS up to 17 months of age followed at a pediatric rehabilitation center in the northeast of Brazil. Cohort enrollment occurred with children born between January 2015 and May 2016. We assessed their social profiles and orthopedic findings. Results Of the 36 cases, 25 were male. All of them lived in rural area. 25 had at least one congenital orthopedic alteration. Hip subluxation was the most common problem detected (n = 15); other lower limb abnormalities included knee subluxation (n = 7), clubfoot (n = 7); congenital vertical talus (n = 4); plano-valgus foot (n = 5). In relation to the upper limbs, 11 children presented with some shoulder and/or elbow abnormality and 16 had some alteration in the hand and/or on the wrist. Conclusion Orthopedic problems appear to be common in children with CZS and should be a focus of larger clinical studies. An initial orthopedic assessment may provide a better quality of life by helping children avoid further complications/deformities. Our results emphasize the orthopedic problems associated with CZS and the need to better describe many complications in the natural history of this infection. Disclosures All authors: No reported disclosures.

scholarly journals Use of the Robson classification to understand the increased risk of cesarean section in case of maternal obesity.

2020 ◽  
Author(s):  
Simon Crequit ◽  
Diane Korb ◽  
Cécile Morin ◽  
Thomas Schmitz ◽  
Olivier Sibony
Keyword(s):  
Body Mass Index ◽  
Risk Factor ◽  
Cesarean Section ◽  
Retrospective Cohort ◽  
Independent Risk Factor ◽  
Maternal Obesity ◽  
Normal Body Mass Index ◽  
Robson Classification ◽  
Increased Risk ◽  
History Of

Abstract Background: The aim of this study was to identify characteristics of pregnant women with obesity that contribute to increased cesarean rate.Methods: Retrospective cohort in a single academic institution between 2012 and 2019. Women who delivered during this period were classified according to the Robson classification. Women with normal body mass index (N=11797) and with obesity (N=2991) were compared. The contribution of each Robson group to the overall caesarean rate were compared.Results: The overall cesarean rate was higher for women with (28.1%) than without (14.2%, p < 0.001) obesity. This result came mainly from Robson group 5a (history of one cesarean). After adjustment for medical factors within this group, the association between maternal obesity and cesarean during labor was significant.Conclusions: The higher cesarean rate in women with obesity is explained by Robson group 5a in which obesity is an independent risk factor of in labor cesarean delivery.

scholarly journals Use of the Robson classification to understand the increased risk of cesarean section in case of maternal obesity

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Simon Crequit ◽  
Diane Korb ◽  
Cécile Morin ◽  
Thomas Schmitz ◽  
Olivier Sibony
Keyword(s):  
Body Mass Index ◽  
Risk Factor ◽  
Cesarean Section ◽  
Retrospective Cohort ◽  
Independent Risk Factor ◽  
Maternal Obesity ◽  
Normal Body Mass Index ◽  
Robson Classification ◽  
Increased Risk ◽  
History Of

Abstract Background The aim of this study was to identify characteristics of pregnant women with obesity that contribute to increased cesarean rate. Methods Retrospective cohort in a single academic institution between 2012 and 2019. Women who delivered during this period were classified according to the Robson classification. Women with normal body mass index (N = 11,797) and with obesity (N = 2991) were compared. The contribution of each Robson group to the overall caesarean rate were compared. Results The overall cesarean rate was higher for women with (28.1%) than without (14.2%, p < 0.001) obesity. This result came mainly from Robson group 5a (history of one cesarean). After adjustment for medical factors within this group, the association between maternal obesity and cesarean during labor was significant. Conclusions The higher cesarean rate in women with obesity is explained by Robson group 5a in which obesity is an independent risk factor of in labor cesarean delivery.

scholarly journals Elephantiasis and Directed Occupational Rehabilitation

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Jose Maria Pereira de Godoy ◽  
Henrique Jose Pereira de Godoy ◽  
Ana Carolina Pereira de Godoy ◽  
Maria de Fátima Guerreiro Godoy
Keyword(s):  
Body Mass Index ◽  
Body Weight ◽  
Lower Limb ◽  
Occupational Rehabilitation ◽  
The Body ◽  
Compression Stockings ◽  
Left Lower Limb ◽  
History Of ◽  
Bilateral Lower Limb

The aim of the present study was to demonstrate the cure of elephantiasis over a ten-year follow-up period and novel discoveries with directed occupational rehabilitation. A 66-year-old female patient with a history of bilateral lower limb lymphedema reported the aggravation of the condition over the years, reaching stage III (elephantiasis). The physical examination confirmed elephantiasis. The circumference of the left lower limb was 106 cm. Her body weight was 106 kilograms, height was 160 cm, and the body mass index (BMI) was 41.6 kg/m2. The patient was submitted to intensive treatment for three weeks, which led to a 21-kg reduction in weight and 66 cm reduction in leg circumference. Ten years after treatment, the patient has maintained the results with the compression stockings. Elephantiasis can be cured, although lymphedema cannot. The cure of elephantiasis depends on maintaining the treatment of lymphedema after normalization or near normalization. Directed occupational therapy stimulates the search for new activities and a life closer to normality.

scholarly journals Decision-Making Does not Moderate the Association between Cannabis Use and Body Mass Index among Adolescent Cannabis Users

2016 ◽  
Vol 22 (9) ◽  
pp. 944-949 ◽  
Author(s):  
J. Megan Ross ◽  
Paulo Graziano ◽  
Ileana Pacheco-Colón ◽  
Stefany Coxe ◽  
Raul Gonzalez
Keyword(s):  
Body Mass Index ◽  
Decision Making ◽  
Body Mass ◽  
Developmental Disorders ◽  
Cannabis Use ◽  
Birth Complications ◽  
Hyperactivity Disorder ◽  
History Of ◽  
Potential Factors ◽  
Or History

AbstractObjectives: Results from research conducted on the association between cannabis use and body mass index (BMI) reveal mixed findings. It is possible that individual differences in decision-making (DM) abilities may influence these associations. Methods: This study analyzed how amount of cannabis use, DM performance, and the interaction of these variables influenced BMI and clinical classifications of weight among adolescents (ages 14 to 18 years; 56% male; 77% Hispanic). The sample consisted primarily of cannabis users (n=238) without a history of significant developmental disorders, birth complications, neurological conditions, or history of mood, thought, or attention deficit/hyperactivity disorder at screening. Furthermore, few participants engaged frequently in other drug use (except for alcohol and nicotine). Results: Analyses revealed that more lifetime cannabis use was associated with a higher BMI and greater likelihood of being overweight/obese. Interactions between DM and cannabis use on BMI were not significant, and DM was not directly associated with BMI. Discussion: Our findings suggest that among adolescents, cannabis use is associated with a greater BMI regardless of DM abilities and this association is not accounted for by other potential factors, including depression, alcohol use, nicotine use, race, ethnicity, or IQ. (JINS, 2016, 22, 944–949)

scholarly journals Body Mass Index, Migraine, Migraine Frequency and Migraine Features in Women

Cephalalgia ◽  
2009 ◽  
Vol 29 (2) ◽  
pp. 269-278 ◽  
Author(s):  
AC Winter ◽  
K Berger ◽  
JE Buring ◽  
T Kurth
Keyword(s):  
Body Mass Index ◽  
Confidence Intervals ◽  
Body Mass ◽  
Cross Sectional Study ◽  
Migraine Aura ◽  
Sectional Study ◽  
Cross Sectional ◽  
Migraine Frequency ◽  
Increased Risk ◽  
History Of

We evaluated the association of body mass index (BMI) with migraine and migraine specifics in a cross-sectional study of 63 467 women aged ≥ 45 years, of whom 12 613 (19.9%) reported any history of migraine and 9195 had active migraine. Compared with women without migraine and a BMI < 23 kg/m2, women with a BMI ≥ 35 kg/m2 had adjusted odds ratios (ORs) (95% confidence intervals) of 1.03 (0.95, 1.12) for any history of migraine. Findings were similar for active migraineurs. Women with a BMI of ≥ 35 kg/m2 had increased risk for low and high migraine frequency, with the highest estimate for women who reported daily migraine. Compared with women with the lowest associated risk (migraine frequency < 6 times/year; BMI between 27.0 and 29.9 kg/m2), women with a BMI ≥ 35 kg/m2 had an OR of daily migraine of 3.11 (1.12, 8.67). Among the women with active migraine, a BMI ≥ 35 kg/m2 was associated with increased risk of phonophobia and photophobia and decreased risk of a unilateral pain characteristic and migraine aura. Our data confirm previous findings that the association between BMI with migraine is limited to migraine frequency and specific migraine features.

scholarly journals Risk factors for developing cardiac toxicities in cancer patients treated with panitumumab combination therapy

2019 ◽  
Author(s):  
Wei-xiang Qi ◽  
shengguang zhao ◽  
Jiayi Chen
Keyword(s):  
Cardiac Arrhythmias ◽  
Cardiac Event ◽  
Cardiac Toxicity ◽  
Controlled Trials ◽  
Cardiac Diseases ◽  
Ischemic Event ◽  
Randomized Controlled ◽  
Increased Risk ◽  
History Of ◽  
Or History

Abstract Background Panitumumab, a novel anti-epidermal growth factor receptor (EGFR) monoclonal antibody (mAb), has been approved for the treatment of advanced colorectal cancer (CRC), and it is also being studied in other types of cancer. However, an increased risk of cardiac toxicities has been observed in some trials. The current study aims to evaluate the patterns and risk of cardiac toxicities by performing post hoc analyses of randomized controlled trials that evaluated treatment with or without panitumumab in advanced cancer patients. Methods Data were obtained from four randomized controlled trials (NCT00115765, NCT00339183, NCT00364013, and NCT00460265) which included a total of 3,243 patients with metastatic colorectal or head and neck carcinoma. The incidence of cardiac toxicity was assessed by simple incidence rates and rates per 100 person-years. Univariate and multivariate cox proportional hazards regression was conducted to investigate factors predicting the development of any cardiac event, cardiac arrhythmias and ischemic event. Results In comparison with controls, the use of panitumumab-containing therapy in cancer was associated with a significantly increased risk of developing cardiac arrhythmias (HR1.42, 95%CI: 1.02-1.96, p=0.036), but not for any cardiac event (HR1.16, 95%CI: 0.90-1.50, p=0.24) or ischemic event (HR 0.61, 95%CI: 0.35-1.07, p=0.087). The absolute rate of developing cardiac arrhythmia was 10.0 events per 100 person-years for those receiving combination therapy and 7.5 events per 100 person-years for those receiving chemotherapy alone. Within multivariate cox regression analysis for factors predicting any cardiac toxicity, pre-existing hypertension(p=0.0013) or history of cardiac diseases (p=0.01) were predictive for occurrence of any cardiac toxicity. Additionally, development of cardiac arrhythmias was associated with a pre-existing hypertension (p=0.033), history of cardiac disease (p=0.055) or panitumumab usage (p=0.046) in multivariate regression analysis. Conclusion The addition of panitumumab to chemotherapy increases the risk of developing cardiac arrhythmia, but not for any cardiac toxicity or ischemic events. Patients with pre-existing hypertension or history of cardiac diseases are at high risk for developing cardiac toxicities when receiving panitumumab treatment.

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