scholarly journals Body Mass Index and HbA1c Are Associated with Renal and Hepatic Function

2021 ◽  
Vol 17 (1) ◽  
pp. 71-79
Author(s):  
Yoga Mulia Pratama ◽  
Falah Faniyah ◽  
Imam Nafiyana Saputra

Hypertension and diabetes may have implications for damage to other organs such as the kidneys and liver which are evaluated by serum creatinine and ALT, respectively. This study aims to delineate the association between body mass index and hbA1c with renal and hepatic function, respectively. This is a cross-sectional study involving 32 subjects. The research subjects consisted of diabetics and hypertension who were registered in the Muhammadiyah Primary Health Care, Kebanaran, Purwokerto. It was found that in diabetics, there were significant results between serum creatinine and HbA1c values (p <0.01, r = 0.855). Systolic blood pressure was correlated with body mass index (BMI) (p <0.01, r = 0.649). In patients with hypertension, serum creatinine was correlated with the length of time a person has hypertension (p <0.01, r = 0.475). Meanwhile, the ALT value was correlated with body mass index (p <0.05, r = 0.422) and waist circumference (p <0.001, r = 0.528). We found that a decreased HbA1c levels significantly reduces serum creatinine levels so it may also reduce kidney damage. A decrease in the value of BMI and waist circumference significantly reduces ALT enzyme levels which may have the potential for reducing liver damage.

Author(s):  
Matthew Hobbs ◽  
Stuart J.H. Biddle ◽  
Andrew P. Kingsnorth ◽  
Lukas Marek ◽  
Melanie Tomintz ◽  
...  

Background: This study investigates the association between television (TV) viewing and child adiposity and if parental education and child ethnicity moderate this association. Method: Cross-sectional, pooled (2013/2014–2016/2017) adult and child New Zealand Health Survey were matched resulting in 13,039 children (2–14 y) and parent dyads. Child TV viewing was estimated using self-reported time for each weekday and weekend. The height (in centimeters), weight (in kilograms), and waist circumference of parents and children were measured. Childhood body mass index and obesity were defined using the International Obesity Task Force cutoff values. Effect modification was assessed by interaction and then by stratifying regression analyses by parent education (low, moderate, and high) and child ethnicity (Asian, European/other, Māori, and Pacific). Results: Overall, watching ≥2 hours TV on average per day in the past week, relative to <2 hours TV viewing, was associated with a higher odds of obesity (adjusted odds ratio = 1.291 [1.108–1.538]), higher body mass index z score (b = 0.123 [0.061–0.187]), and higher waist circumference (b = 0.546 [0.001–1.092]). Interactions considering this association by child ethnicity and parent education revealed little evidence of effect modification. Conclusion: While TV viewing was associated with child adiposity, the authors found little support for a moderating role of parental education and child ethnicity.


2018 ◽  
Vol 37 (1) ◽  
pp. 179-184
Author(s):  
Hamed Kord-Varkaneh ◽  
Hadith Tangestani ◽  
Sara Mansouri ◽  
Abbas Rahimi-Foroushani ◽  
Sakineh Shab-Bidar

2019 ◽  
Vol 57 (218) ◽  
Author(s):  
Dibas Khadka ◽  
Binod Karki ◽  
Suresh Thapa ◽  
Ajit Khanal ◽  
Ramila Shrestha ◽  
...  

Introduction: Cirrhosis of liver is a progressively deteriorating disease. Medical management consist of treatment and prevention of complications. Nutritional intervention to improve nutritional status of the malnourished patient has favorable impact on prognosis. Traditional measures of nutritional assessment like Body Mass Index and waist circumference are inaccurate. This study was conducted to study the prevalence of malnutrition in cirrhotic patients. Methods: This was a descriptive cross-sectional study conducted at National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal. The study included 60 cirrhotic patients from outpatient department. Subjective Global Assessment was performed for all participants and level of malnutrition recorded. Height, weight, waist circumference, body mass index were measured and recorded. Results: Among the cirrhotic patients, malnutrition was detected in 46 (76.66%) [68.38 to 85.94 at Confidence Interval 95%]. Out of 46 patients who were malnourished, 20 (43.47%) had mild to moderate malnutrition whereas 26 (56.53%) had severe malnutrition. The most common cause of cirrhosis was alcohol. The mean body mass index and mean waist circumference were within normal limits. Conclusions: Malnutrition is very common among cirrhotic patients and its prevalence increased from Child A to Child C status.  


2017 ◽  
Vol 4 (1) ◽  
pp. 22-27
Author(s):  
Oscar Medina ◽  
Juan Manuel Sarmiento ◽  
Larry Quinn ◽  
Sonia Merlano ◽  
Fabian Antonio Dávila ◽  
...  

Introducción: La obesidad y la adiposidad están relacionadas con el aumento del riesgo cardiovascular. El índice de masa corporal (IMC) y el perímetro abdominal son las variables antropométricas más utilizadas para evaluar su magnitud. El presente estudio busca establecer la relación entre desenlaces cardiometabólicos y la adiposidad medida con Absorciometría Dual por rayos X (DXA), así como el rendimiento diagnóstico de la misma contra la medición de las variables antropométricas convencionales. Materiales y métodos: Se realizó un estudio observacional de corte transversal; se calcularon las variables antropométricas y de composición corporal para 60 pacientes en programa de rehabilitación cardiaca fase II. Resultados: Existió mayor prevalencia de obesidad por IMC y adiposidad en mujeres que en hombres (p=0,01 y 0,048). La curva ROC encontró que el rendimiento del perímetro abdominal es solo 65% y el del IMC del 65,6% para el diagnóstico de adiposidad. Se encontraron relaciones significativas entre porcentaje de masa grasa elevado y la enfermedad coronaria (OR: 1,9 p= 0,042); el IMC aumentado con la hipertensión arterial (OR: 3,0 p= 0,0334) y el LDL > 70 mg/dl (OR: 0,4 p= 0,0178); el perímetro abdominal aumentado con la falla cardiaca (OR: 0,58 p=0,0382); la TMB baja con la hipertensión arterial (OR: 1,70 p= 0,046) y finalmente el IIRME disminuido con el LDL > 70 mg/dl y la falla cardiaca (OR: 0,4 p= 0,0178 y OR 1,96 p=0,078, respectivamente).Conclusiones: La suma de la medición de las variables antropométricas y de composición corporal por DXA ofrece información valiosa para el estudio y estimación del riesgo cardiovascular y metabólico de los pacientes. Abstract Introduction: Obesity and adiposity are associated with increased cardiovascular risk. The body mass index (BMI) and waist circumference are the most anthropometric variables used to assess their magnitude. This study aims to establish the relationship between adiposity and cardiometabolic outcomes measured by Dual X-ray Absorptiometry (DXA) as well as the diagnostic performance of the latter against the measurement of the conventional anthropometric variables. Materials and methods: An observational cross-sectional study was conducted; anthropometric and body composition variables for 60 patients in cardiac rehabilitation program phase II were calculated. Results: There was a higher prevalence of obesity by BMI and adiposity in women than in men (p = 0.01 and 0.048). The ROC curve found that the performance is only 65% for waist circumference and 65.6% for BMI for the diagnosis of adiposity. Significant correlations between high percentage of fat mass and coronary heart disease (OR: 1.9 p = 0.042) were found; as well as for increased BMI with hypertension (OR: 3.0 p = 0.0334) and LDL> 70mg/dl (OR: 0.4 p = 0.0178); increased waist circumference with heart failure (OR: 0.58 p = 0.0382); low basal metabolic rate (BMR) with hypertension (OR: 1.70 p = 0.046) and finally the decreased fat free mass index (FFMI) with LDL>70mg/dl and heart failure (OR: 0.4 p = 0.0178 and OR: 1.96 p = 0.078 respectively). Conclusions: The addition of body composition variables by DXA and anthropometric variables, provides valuable information for the study and estimation of cardiovascular and metabolic risk. Key Words: Obesity; DEXA Scans; Coronary Disease; BodyComposition; Body Mass Index; Adiposity.


2019 ◽  
Vol 13 (2) ◽  
pp. 1293-1297 ◽  
Author(s):  
Mahnaz Zohal ◽  
Saeedeh Jam-Ashkezari ◽  
Nasim Namiranian ◽  
Amin Moosavi ◽  
Akram Ghadiri-Anari

1970 ◽  
Vol 4 (2) ◽  
pp. 59-62
Author(s):  
Md Anisur Rahman ◽  
Monira Akhter Moni ◽  
Kamal Ahmed ◽  
Md Shafiqul Islam ◽  
Md Abidul Haque

This cross-sectional study was carried out from January to June 2006 to find out the anthropometric profile of the urban seniors living in three selected areas (Nakhal Para, Badda and Mirpur) of Dhaka city. A total of 317 individuals of both sexes aged 60 years and above were recruited by convenient sampling. Data were collected by a pre-tested questionnaire and a check list. Mean body mass index, waist circumference and waist to hip ratio were 17.8 ± 4.0, 75.5 ± 12.5 cm and 0.87 ± 0.12, respectively. Although only 3% elderly were obese, substantial proportion of the sample were overweight. Females were more prone to health risks than male. Measures should be taken to create awareness amongst these populations for controlling their health risk. Key words: Anthropometry; elderly; Body Mass Index (BMI); Waist Circumference (WC); Waist to Hip Ratio (WHR) DOI: 10.3329/imcj.v4i2.6497Ibrahim Med. Coll. J. 2010; 4(2): 59-62


2008 ◽  
Vol 11 (1) ◽  
pp. 102-108 ◽  
Author(s):  
Jawad A Al-Lawati ◽  
Pekka Jousilahti

AbstractBackgroundThere are no data on optimal cut-off points to classify obesity among Omani Arabs. The existing cut-off points were obtained from studies of European populations.ObjectiveTo determine gender-specific optimal cut-off points for body mass index (BMI), waist circumference (WC) and waist-to-hip ratio (WHR) associated with elevated prevalent cardiovascular disease (CVD) risk among Omani Arabs.DesignA community-based cross-sectional study.SettingThe survey was conducted in the city of Nizwa in Oman in 2001.Subjects and methodsThe study contained a probabilistic random sample of 1421 adults aged ≥20 years. Prevalent CVD risk was defined as the presence of at least two of the following three risk factors: hyperglycaemia, hypertension and dyslipidaemia. Logistic regression and receiver-operating characteristic (ROC) curve analyses were used to determine optimal cut-off points for BMI, WC and WHR in relation to the area under the curve (AUC), sensitivity and specificity.ResultsOver 87% of Omanis had at least one CVD risk factor (38% had hyperglycaemia, 19% hypertension and 34.5% had high total cholesterol). All three indices including BMI (AUC = 0.766), WC (AUC = 0.772) and WHR (AUC = 0.767) predicted prevalent CVD risk factors equally well. The optimal cut-off points for men and women respectively were 23.2 and 26.8 kg m−2 for BMI, 80.0 and 84.5 cm for WC, and 0.91 and 0.91 for WHR.ConclusionsTo identify Omani subjects of Arab ethnicity at high risk of CVD, cut-off points lower than currently recommended for BMI, WC and WHR are needed for men while higher cut-off points are suggested for women.


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