The Benefits of Good Nutrition in Preventing Post-Surgical Ileostomy Complications

Abstract Background and Aims: Ileostomy induces important local and general complications. The present study evaluates if nutrition therapy can influence the development of these complications. Methods: We evaluated a group of 43 patients with ileostomy, without general complications after the surgical intervention, starting from the second day following surgery, for a period of 8 weeks. The mean age was 58.2 ±8.7 years and body mass index (BMI) of 28.2 ±6.5 kg/m2. The patients were divided into 2 groups: one following a diet prescribed by a nutrition specialist (group 1), and another with scarce notions of nutrition given by the attending surgeon (group 2). Results: When comparing group 1 with group 2, we observed: obstruction of the ileostomy in 1% vs. 49% (p<0.01); skin abrasions around the ileostomy in 21% vs. 97% (p<0.01); unpleasant odors at the site of the stoma in 16% vs. 99% (p<0.01); mean BMI 26.2 ± 4.3 kg/m2 vs. 19.4 ± 3.3 kg/m2 (p<0.01); natremia 138.1 ± 2.1 mEq/l vs. 129.2 ± 3.3 mEq/l (p<0.01); kalemia 4.2 ± 0.2 mEq/l vs. 3.1 ± 0.3 mEq/l (p<0.01). Conclusion: A correct nutrition of patients with ileostomy reduces the rate of local and general complications related to surgical procedures.

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Can Body Mass Index Affect Height Growth at Menarche among Girls Receiving Treatment for Early Puberty? A Retrospective Study in Korean Girls

Children ◽

10.3390/children9010110 ◽

2022 ◽

Vol 9 (1) ◽

pp. 110

Author(s):

Sun-Jin Lee ◽

Sun-Young Kim ◽

Minsun Kim

Keyword(s):

Body Mass Index ◽

Body Weight ◽

Body Mass ◽

Central Precocious Puberty ◽

Early Puberty ◽

Time Points ◽

Height Gain ◽

The Mean ◽

Group 2 ◽

Group 1

Gonadotropin-releasing hormone agonist (GnRHa) therapy is used to control puberty progression and it preserves height potential in patients with idiopathic central precocious puberty (ICPP). This study evaluated the correlation between weight and height gain at menarche following GnRHa treatment among girls with ICPP and relatively central early puberty (EP). We investigated height/weight trends and changes in height from diagnosis to menarche in girls with ICPP and EP treated with GnRHa. The mean difference in height (Δheight) from treatment cessation to menarche was 9.79 ± 3.53 cm. Girls were divided into girls with Δheight ≥ 9.79 cm (Group 1) and girls with Δheight < 9.79 cm (Group 2). Although near adult height was significantly higher in Group 1, the mean body mass index (BMI) and weight were significantly lower at diagnosis, treatment discontinuation, and menarche. The BMI and weight at the three time points were negatively correlated with height. Girls with higher BMI at all three time points had slower growth rates during the study period. Considering that BMI and body weight were closely related to Δheight, proper management of BMI and body weight of girls receiving early puberty treatment might contribute to growth during and after GnRHa treatment.

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Inverse Correlation of Venous Brain Natriuretic Peptide Levels with Body Mass Index Is due to Decreased Production

Cardiology ◽

10.1159/000464111 ◽

2017 ◽

Vol 137 (3) ◽

pp. 159-166 ◽

Cited By ~ 3

Author(s):

Zubair Shah ◽

Mark Wiley ◽

Arun Mahankali Sridhar ◽

Reza Masoomi ◽

Mazda Biria ◽

...

Keyword(s):

Body Mass Index ◽

Brain Natriuretic Peptide ◽

Natriuretic Peptide ◽

Body Mass ◽

Inverse Relationship ◽

Univariate Analysis ◽

Cardiac Resynchronization ◽

The Mean ◽

Group 2 ◽

Group 1

Objective: The aim of this paper was to study the association between body mass index (BMI) and coronary sinus (CS) brain natriuretic peptide (BNP) levels in patients with heart failure and reduced systolic function (HFrEF). Background: There is an inverse relationship between systemic venous BNP (V-BNP) levels and BMI in patients with HFrEF. It is unclear whether this finding is due to decreased production or due to an increased metabolism of BNP. Since CS-BNP levels reflect BNP production, we hypothesized that assessing the correlation of CS-BNP levels with BMI would provide insight into the mechanism of this inverse relationship of V-BNP and BMI. Methods: We prospectively enrolled 54 subjects with HFrEF who were to undergo cardiac resynchronization device implantation. CS-BNP, V-BNP, and arterial BNP (A-BNP) levels were measured during the implant procedure. Subjects were divided into 2 groups based on their BMI (group 1: BMI <30 and group 2: BMI ≥30). Results: The mean age of the overall study group was 64 ± 10 years. Average BMI for group 1 was 25.8 ± 2.8 and 36.8 ± 4.6 for group 2 (p < 0.03). A history of hypertension was present in 55% (n = 26) of the subjects, while diabetes was reported in 31% (n = 15). Serum creatinine was 1.0 ± 0.2 mg/dL and TSH 2.1 ± 1.4 mIU/L. 79% of the subjects were receiving β-blockers, while 94% were receiving angiotensin-converting enzyme inhibitors or angiotensin receptor blockers. The mean CS-BNP, V-BNP, and A-BNP levels in group 2 were significantly lower than in group 1 (286.2 ± 170.5 vs. 417.5 ± 247.5 pg/mL, p = 0.04; 126.6 ± 32.5 vs. 228 ± 96.4 pg/mL, p = 0.01; and 151.9 ± 28.6 vs. 242 ± 88.8 pg/mL, p = 0.04, respectively). Univariate analysis and multivariate regression adjusted for age, diabetes mellitus, sex, glomerular filtration rate, and left atrial size confirmed BMI as an independent predictor of CS-BNP levels (β = -0.372, p = 0. 03) in our study. Conclusions: In this study, we demonstrate an inverse relationship between CS-BNP levels and BMI in patients with HFrEF. These findings suggest that the previously established inverse relationship between V-BNP and BMI is due to a decreased cardiac production of BNP in obese patients rather than from increased peripheral metabolism.

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Differential diagnosis of various forms of functional hypothalamic amenorrhea

GYNECOLOGY ◽

10.26442/20795696.2019.3.190525 ◽

2019 ◽

Vol 21 (4) ◽

pp. 14-18

Author(s):

Dmitry V Gusev ◽

Sergey Yu Kuznetsov ◽

Tatyana Yu Ivanets ◽

Galina E Chernukha

Keyword(s):

Body Mass Index ◽

Differential Diagnosis ◽

Adipose Tissue ◽

Body Mass ◽

Stressful Events ◽

Hypothalamic Amenorrhea ◽

Differential Index ◽

Functional Hypothalamic Amenorrhea ◽

Group 2 ◽

Group 1

Aim. To investigate the usefulness of differential diagnostic criteria of functional hypothalamic amenorrhea (FHA) related to energy deficiency and stress. Materials and methods. There were provided clinical and laboratory examination of 56 patients with FHA associated with stressful events (group 1) and 64 patients with FHA on the background of eating disorders (group 2), including assessment of adipose tissue, determination of leptin level, adipose tissue index and differential index. Results. Patients of group 2 were distinguished by a more significant deficiency of body mass index, total body fat, and leptin levels in comparison with patients of group 1. The differential index [AUC=0.907 (0.84-0.97)] turned out to be the most informative indicator in the differential diagnosis of various forms of FHA, its threshold value was 21.4, the least informative - body mass index [AUC=0.78 (0.71-0.87)]. Conclusion. The differential index can be considered as an informative differential diagnostic criterion for various forms of FHA.

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Investigation of the effect of body mass index (BMI) on semen parameters and male reproductive system hormones

Archivio Italiano di Urologia e Andrologia ◽

10.4081/aiua.2017.3.219 ◽

2017 ◽

Vol 89 (3) ◽

pp. 219 ◽

Cited By ~ 4

Author(s):

Mehmet Zeynel Keskin ◽

Salih Budak ◽

Evrim Emre Aksoy ◽

Cem Yücel ◽

Serkan Karamazak ◽

...

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Sperm Count ◽

Reproductive Hormones ◽

Semen Parameters ◽

Total Testosterone ◽

Significant Difference ◽

Group 3 ◽

Group 2 ◽

Group 1

Aim: To evaluate the effects of body mass index (BMI) ratio on semen parameters and serum reproductive hormones. Materials and methods: The data of 454 patients who prsented to male infertility clinics in our hospital between 2014 and 2015 were analyzed retrospectively. Weight, height, serum hormone levels and semen analysis results of the patients were obtained. BMI values were calculated by using the weight and height values of the patients and they were classified as group 1 for BMI values ≤ 25 kg/m2, as group 2 for BMI values 25-30 kg/m2 and as group 3 for BMI values ≥ 30 kg/m2. Results: The mean values of BMI, semen volume, concentration, total motility, progressive motility, total progressive motile sperm count (TPMSC), normal morphology according to Kruger, head abnormality, neck abnormality, tail abnormality, FSH, LH, prolactin, T/E2, total testosterone and estradiol parameters of the patients were considered. Patients were divided according to BMI values in Group 1 (n = 165), Group 2 (n = 222) and Group 3 (n = 56). There was no statistically significant difference in terms of all variables between the groups. Conclusions: We analyzed the relationship between BMI level and semen parameters and reproductive hormones, demonstrating no relationship between BMI and semen parameters. In our study, BMI does not affect semen parameters although it shows negative correlation with prolactin and testosterone levels.

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The importance of laboratory tests and Body Mass Index in the diagnosis of acute appendicitis

Polish Journal of Surgery ◽

10.5604/01.3001.0014.3579 ◽

2020 ◽

Vol 92 (5) ◽

pp. 1-5

Author(s):

Atakan Ozkan ◽

Aylin Hande Gokce ◽

Feridun Suat Gokce

Keyword(s):

Body Mass Index ◽

Acute Appendicitis ◽

Body Mass ◽

The Body ◽

Distribution Width ◽

Lymphocyte Ratio ◽

Group 4 ◽

Group 3 ◽

Group 2 ◽

Group 1

Background: Acute appendicitis is the most common cause of acute abdomen. Delay in diagnosis increases the mortality and morbidity. Aim: In this study, we aimed to investigate whether the body mass index is useful in diagnosis and whether the neutrophil /lymphocyte and platelet/lymphocyte ratios can help in determining the inflammation level of acute appendicitis. Meterial and Methods: Cases of appendectomy performed between June 2012 and December 2018 in our clinic were analyzed retrospectively. Based on the pathology results of the cases included in the study, 4 groups were formed, i.e.: Group 1 (initial stage), Group 2 (catarrhal stage), Group 3 (phlegmonous-gangrenous stage) and Group 4 (perforation). The study compared age, body mass index, leukocyte values, red cell distribution width (RDW), neutrophil/lymphocyte ratio (NLR), platelet /lymphocyte ratio (PLR), and mean platelet volume (MPV) between groups. Results: 828 cases were included in the study. When compared between groups, the values of Group 3 and Group 4 were higher than those of Group 1 and Group 2 for PLR and NLR. There was no difference in RDW and MPV values in the blood. When Body Mass Index (BMI) was compared between groups, it was found to be significantly higher with increasing histopathological stage. Conclusion: In acute appendicitis, the blood leukocyte value, elevated PLR and NLR are helpful in diagnosis. We aimed to emphasize that the diagnosis of acute appendicitis is delayed in patients with a BMI above 30 and/or at age of over 40 years, with the perforation rate being determined more frequently.

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Diabetes during Pregnancy: Influence of Body Mass Index on Composite Morbidity

American Journal of Perinatology Reports ◽

10.1055/s-0037-1603913 ◽

2017 ◽

Vol 07 (02) ◽

pp. e128-e133

Author(s):

Amy O'Neil Dudley ◽

Zachary Jenner ◽

Hector Mendez-Figueroa ◽

Viviana Ellis ◽

Suneet Chauhan

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Fourth Degree ◽

Arterial Ph ◽

Maternal And Neonatal Outcomes ◽

Group 3 ◽

Group 2 ◽

Umbilical Arterial Ph ◽

Diabetes And Obesity ◽

Group 1

Objective This study aims to compare composite maternal and neonatal morbidities (MM, NM) among pregnant women with diabetes mellitus whose body mass index (BMI) at delivery was < 30 (group 1), 30.0 to 39.9 (group 2), and ≥ 40 kg/m2 (group 3). We hypothesized that increased BMI class at delivery would be associated with worsening maternal and neonatal outcomes. Methods This is a retrospective cohort study. MM was defined as: chorioamnionitis, wound infection, eclampsia, diabetic ketoacidosis, hypoglycemia admission, third/fourth degree laceration, and/or death. NM was defined as umbilical arterial pH < 7.0, 5 minute Apgar < 4, respiratory distress syndrome, mechanical ventilation, neonatal sepsis, stillbirth, and/or death. Odds ratios were adjusted for possible confounders. Results MM was noted in 8, 13, and 24% of groups 1, 2, and 3, respectively, and significantly more common in group 2 versus 1 (adjusted odds ratio [aOR]: 1.66) and group 3 versus 1 (aOR: 3.06). NM was noted in 7, 8, and 15% of each BMI group, respectively, and differed significantly between group 3 vs. 2 (aOR: 1.77). Conclusions The increased rate of morbidities between the BMI groups is useful to inform diabetic women and highlights the need for further investigation of diabetes and obesity as comorbidities in pregnancy.

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Bilateral cochlear implantation in children: simultaneously or in consecutive sessions?

The Journal of Laryngology & Otology ◽

10.1017/s0022215121000931 ◽

2021 ◽

pp. 1-5

Author(s):

A Dalgic ◽

G Atsal ◽

O Yildirim ◽

D T Edizer ◽

MB Özay ◽

...

Keyword(s):

Surgical Procedures ◽

Cochlear Implantation ◽

Operation Time ◽

Radiological Findings ◽

Total Operation Time ◽

Duration Of Surgery ◽

Second Surgery ◽

The Mean ◽

Group 2 ◽

Group 1

Abstract Objective This study aimed to evaluate and compare cases of simultaneous and consecutive bilateral cochlear implantation from the perspective of the duration of anaesthesia, surgical complications and hospitalisation. Method Fifty patients with simultaneous bilateral cochlear implantation (group 1) and 47 patients with consecutive bilateral cochlear implantation (group 2) were included in this study. The two groups were compared in terms of the duration of anaesthesia, the duration of surgery, radiological findings, the complications and the post-operative hospitalisation time. Results Group 1 had a significantly shorter operation time than group 2 (p < 0.01). The mean total operation time was 189 minutes in group 1. In group 2, the mean operation times for the first and second surgery were 134 minutes and 136 minutes, respectively, and the total operation time for both surgical procedures in group 2 was 270 minutes. The duration of post-operative hospitalisation of the patients in group 1 was significantly shorter than the total post-operative hospitalisation after both operations for the patients in group 2 (p < 0.01). Conclusion In conclusion, if there is no anatomical problem that may lead to a prolonged operation time or any risk regarding anaesthesia, simultaneous bilateral cochlear implantation can be performed safely.

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The effect of gluteus maximus tenotomy in primary total hip arthroplasty with posterior approach: Kinematic analysis of hip extensor strength

Journal of Orthopaedic Surgery ◽

10.1177/23094990211003349 ◽

2021 ◽

Vol 29 (1) ◽

pp. 230949902110033

Author(s):

Yunus Imren ◽

Bulent Karslioglu ◽

Suleyman Semih Dedeoglu ◽

Haluk Cabuk ◽

Sevgi Atar ◽

...

Keyword(s):

Body Mass Index ◽

Sciatic Nerve ◽

Total Hip Arthroplasty ◽

Body Mass ◽

Hip Arthroplasty ◽

Posterior Approach ◽

Gluteus Maximus ◽

Harris Hip Score ◽

Group 2 ◽

Group 1

Background: The posterior approach (PA) is the most commonly used surgical approach for total hip arthroplasty (THA), but the proximity of the sciatic nerve may increase the likelihood of sciatic nerve injury (SNI). Gluteus maximus tenotomy can be performed to prevent SNI because tenotomy increases the distance between the femoral neck and sciatic nerve and prevents compression of the sciatic nerve by the gluteus maximus tendon (GMT) during hip movements. We aimed to kinematically compare the postoperative hip extensor forces of patients who have and have not undergone gluteus maximus tenotomy to determine whether there is a difference in hip extensor strength. Methods: Seventy-two patients who underwent gluteus maximus tenotomy during THA were included in the group 1, and 86 patients who did not undergo tenotomy were included in group 2. The Harris hip score, body mass index and hip extensor forces were measured both preoperatively, and 6 months after surgery with an isokinetic dynamometer and compared. Results: The mean age was 64.6 ± 2.3 years in group 1 and 63.8 ± 2.1 in group 2. Mean body mass index was 25.7 ± 1.1 in group 1, and 25.5 ± 1.3 in group 2. Baseline Harris hip score (HHS) was 42.36 ± 12 in group 1 and 44.07 ± 9.4 in group 2 (p = 0.31), whereas it was 89.1 ± 7.8 and 88.4 ± 8.1 at 6 months after surgery, respectively. Baseline hip extensor force (HEF) was 2 ± 0.4 Nm/kg in group 1, and 2.1 ± 0.7 Nm/kg in group 2 (p = 0.28), while it was 2.4 ± 0.6 Nm/kg, and 2.5 ± 0.5 Nm/kg, respectively at 6 month follow-up (p = 0.87). Both groups had significantly improved HHS and HEF when comparing baseline and postoperative measurements (p < 0.0001). No cases of sciatic nerve palsy were noted in group 1, whereas there were two (2.32%) cases in group 2, postoperatively. Conclusion: The release of the GMT during primary hip arthroplasty performed with the PA did not lead to significant decrease in hip extension forces. Hip extensor strength improves after THA regardless of tenotomy. Gluteus maximus tenotomy with repair does not reduce muscle strength and may offer better visualization.

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Study of body mass index (BMI) and serum lipid profile of patients at a tertiary hospital: a cross sectional study

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20182288 ◽

2018 ◽

Vol 6 (6) ◽

pp. 2060

Author(s):

Archana . ◽

Vibhuti Agarwal ◽

Naved Ahmad ◽

Akash Gupta

Keyword(s):

Body Mass Index ◽

Lipid Profile ◽

Body Mass ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Study Data ◽

Cross Sectional ◽

Group 2 ◽

Group 1

Background: Sedentary lifestyle have an impact on the prevalence and incidence of obesity related disorders and leads to the development of type 2 diabetes mellitus, dyslipidemias and metabolic disorders that aggravate the risk in the development of cardiovascular diseases (CVD).Methods: In our study, data of 220 subjects belonging to age group of 25 to 55 years were collected. Body mass index (BMI) was calculated as weight in kilograms divided by the square of height in meters. Subjects were categorized into two groups (BMI <25 and BMI ≥25). Serum was separated by centrifuging blood at 3000 rpm for 10 min and analyzed for lipid profile on Erba Chem 7 semi-auto analyzer.Results: In our present hospital based study we estimated the Lipid Profile in individuals categorized into two groups. (Group 1 BMI <25) and (Group 2 BMI ≥25), We found the values of Triglycerides, LDL and VLDL in Group 1 are lower as compared to Group 2.Conclusions: Our study showed positive correlation between lipid profile and obesity. Obesity is said to predispose individuals to metabolic syndrome associated diseases.

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THE ROLE OF ORTHOSTATIC TEST IN PROGNOSIS OF ARTERIAL HYPERTENSION DEVELOPMENT IN YOUNG ADULTS

The Clinician ◽

10.17650/1818-8338-2018-12-2-16-21 ◽

2018 ◽

Vol 12 (2) ◽

pp. 16-21

Author(s):

E. V. Sklyannaya

Keyword(s):

Risk Factors ◽

Body Mass Index ◽

Young Adults ◽

Arterial Hypertension ◽

Body Mass ◽

Orthostatic Test ◽

Group 2 ◽

Observation Period ◽

Group 1

The aimof this study was to assess the role of orthostatic test in prognosis of arterial hypertension (AH) in young adults.Materials and methods.842 young adults 20–29 years old with the level of blood pressure (BP) <140/90 mm Hg were enrolled in a prospective study. Active orthostatic test was performed. Observation period was 5 years. After that 2 groups were assigned according to BP level: group 1 – with AH (BP level >140/90 mm Hg), group 2 – with normal BP level (<140/90 mm Hg).Results.Physiological type of orthostatic reaction was found in 542 persons (64.4 %), primary hypersympathicotonic type – in 79 (9.4 %), secondary hypersympathicotonic – in 93 (11.1 %), hyposympathicotonic – in 94 (11.2 %), sympathicoasthenic – in 34 (4.0 %). 78 persons were withdrawn from the study for different reasons during observation period. AH was diagnosed in 144 (18.8 %) persons (group 1), normal BP – in 620 (81.2 %) participants (group 2). In group 1 hypersympathicotonic response to orthostatic test was observed in 102 (70.8 %) persons, in group 2 – in 47 (7.6 %) participants (р <0,001). By the results of univariate logistic regression analysis male sex (OR 10.8; 95 % CI 7.6–15.3), body mass index >25 kg/m2 (OR 7.2; 95 % CI 5.7–9.1), smoking (OR 5.6; 95 % CI 4.5–7.0), high normal BP (OR 10.7; 95 % CI 6.9–14.5) and hypersympathicotonic orthostatic response (OR 13.6; 95 % CI 10.0–18.7) were significant risk factors of AH. By the results of multivariate analysis body mass index >25 kg/m2, high normal BP and hypersympathicotonic orthostatic response were independent risk factors.Conclusion.Hypersympathicotonic orthostatic response with increased body mass index and high normal BP are the risk factors of AH development during next 5 years in young adults. It is reasonable to use orthostatic test in assessing the risk of AH development in young people.

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