scholarly journals Predicted 10-year risk of cardiovascular disease in the Islamic Republic of Iran and the body mass index paradox

2020 ◽  
Vol 26 (12) ◽  
pp. 1465-1472 ◽  
Author(s):  
Mohammad Hassan Emamian ◽  
Hassan Hashemi ◽  
Akbar Fotouhi
2004 ◽  
Vol 10 (3) ◽  
pp. 437-441
Author(s):  
S. Esmaelzadeh ◽  
N. Rezaei ◽  
M. Hajiahmadi

Todetermine the efficacy of ultrasonographic assessment of uterus size in women of reproductive age, we conducted a cross-sectional analytic study of 231 women aged 15-45 years in Babol, northern Islamic Republic of Iran. Mean uterus size was 86.6 mm x 49.6 mm x 40.6 mm overall, 72.8 mm x 42.8 mm x 32.4 mm for nulliparous women and 90.8 mm x 51.7 mm x 43.0 mm for multiparous women. Mean age was 31.7 +/- 9.6 years and mean body mass index [BMI] was 24.7 +/- 4.0 kg/m2. Uterus size was significantly associated with parity and age; but not with BMI. Our findings show a greater mean uterus size than reported by others. Ultrasonographic measurement of uterus size is valuable for predicting pathologies associated with abnormal uterine size


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1110.2-1111
Author(s):  
S. Hannawi ◽  
K. Naeem ◽  
H. Hannawi

Background:Overweight/obesity is associated with a high incidence of chronic autoimmune diseases such as rheumatoid arthritis (RA). In RA, obesity represents an increasingly prevalent comorbidity even at its first presentation, with more than 60% of patients with RA classified as overweight or obese by the body mass index (BMI ≥25 kg/m2). On the other hand, RA is related with excess cardiovascular disease (CVD) mortality, which accounts for over 50% of premature deaths in RA. Obesity contributes to the development of inflammation via changes in metabolism and function of adipose tissue and it appears to coexist with other CVD risk factors such as hypertension, insulin resistance and dyslipidemia.Objectives:For the first time, this study looks at the effect of the BMI on echocardiography parameters in established RA cases.Methods:A cross section study was carried out to recruit patients meeting the 2010 ACR/EULAR criteria during 2019. Standard trans-thoracic echocardiography examination was performed by a specialist cardio-sonographer who was blinded to the status of the participants. The echocardiography parameters studied included left ventricular dimensions, wall geometry, systolic and diastolic parameters, ejection fraction, right ventricular size and function, valve structure and function, aortic root dimensions, pulmonary pressures and pericardium. Anthropometric measurements of BMI were carried out as weight in kilograms divided by the square of height in meters (kg/m2). Data was analysed using the BMI as the explanatory variable and repeating the simple linear regression analysis using the echocardiography parameters as outcome variables. P value of <0.05 was considered significant.Results:During the one-year period, 44 RA patients were recruited, of which 91% (40) were female and 4 (9 %) male. The mean (SD) of age was 50±13 years (Min 28, Max 72). The mean (SD) of BMI was 30.887 ± 6.348 Kg/m2 (Min 21, Max 44.38). As per BMI classification of obesity, only 11% patients were found to have normal BMI. Echocardiography revealed that 14% patients had aortic regurgitation, 2% had aortic stenosis, 2% had mitral stenosis, and 7% had tricuspid regurgitation.Using BMI as an explanatory variable, with echocardiography parameters as outcome variables, it was found that BMI contributed positively in a linear manner to the Interventricular Septal thickness in diastole (mm) (p=0.004, CI: 0.048-0.227), LV End Diastolic Diameter (mm) (p=0.033, CI: 0.033-0.722), LV mass (g) (0.04, CI: 0.022-6.339), Early Diastolic Velocity, E, by PW mitral inflow measurement (cm/s) (p=0.02, CI: 0.150-1.933), E/E’ ratio by Tissue Doppler study (p=0.01, CI: 0.025-0.225), and to Right Ventricle function measured by Tricuspid Annular Plane Systolic Excursion (TAPSE) (mm) (p=0.02, CI: 0.035-0.346).Conclusion:Obesity and Inflammation overlap syndrome may interplay to produce various cardiovascular abnormalities. Body Mass Index is shown to be associated with significant echocardiographic abnormalities including left ventricular dimension, diastolic parameters and right ventricular function. In view of the complex interrelation between obesity, rheumatoid arthritis and cardiovascular disease, measuring Body Mass Index might help predict adverse cardiovascular events in rheumatoid arthritis patients.References:[1]Body mass index and the risk of rheumatoid arthritis: a systematic review and dose-response meta-analysis. Qin B, Yang M, Fu H, Ma N, Wei T, Tang Q, Hu Z, Liang Y, Yang Z, Zhong R. Arthritis Res Ther. 2015; 17(1): 86. doi: 10.1186/s13075-015-0601-x.[2]Cardiac eccentric remodeling in patients with rheumatoid arthritis. Pascale V, Finelli R, Giannotti R, Coscioni E, Izzo R, Rozza F, Caputo D, Moscato P, Iaccarino G, Ciccarelli M. Sci Rep. 2018; 8: 5867. doi: 10.1038/s41598-018-24323-0.Disclosure of Interests:None declared


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1422.1-1422
Author(s):  
S. Hannawi ◽  
H. Hannawi ◽  
M. Alamadi ◽  
R. Sultan ◽  
I. Al Salmi

Background:Risk of rheumatoid arthritis (RA) had been reported in overweight obese compared with normal weight people. More, obesity is associated with high prevalence of cardiovascular disease (CVD) risk factors in RA. No previous publications have examined the detailed body composition parameters among RA, or its relation to CVD in RA.Objectives:This study looked at the body composition and the body mass index and correlated it with the subclinical cardiovascular disease as manifested by carotid intima media thickness (cIMT).Methods:During 2019, a cross-sectional study was carried out to recruit cases that met the 2010 American College of Rheumatology/EULAR criteria for diagnosis of RA. All the patients were free of cardiovascular and or cerebrovascular disease. Patients with clinical diagnosis of hypertension, diabetes, renal disease, dyslipidemia, thyroid disorder and pregnant female were excluded. None of the participants is smoker or had history of smoking.cMIT ultrasound (US) measures were obtained using a real-time US scanner equipped with a 7.5 MHz linear probe by a single sonographer. Patients underwent a detailed body composition analysis within the same week of the cIMT measurement. The body composition analysis involved assessing the level of total body water, protein, minerals, body fat mass, intra- and extracellular water, basal metabolic rate, waist hip ratio, visceral fat level, obesity degree, bone mineral content, body cell mass, arm and arm muscle circumference, detailed muscle fat analysis, obesity analysis, segmental lean analysis, weight control parameters, and segmental fat analysis.Results:During 2019, 35 female RA patients were recruited that met the inclusion criteria. The mean (SD) of the age was 52 (10) with a minimum of 20 and maximum of 72 years old. The mean (SD) of cIMT was 0.59 (0.098) mm with a minimum of 0 .38 and maximum of 0.87. The mean (SD) of the BMI was 30.7 (7.0) with a minimum of 20 and maximum of 56.9 Kg/m2. Mean systolic blood pressure was 126 (19) with a minimum of 91 and maximum of 140 mmHg. Also, the mean diastolic blood pressure was mmHg 74 (11) with a minimum of 49 and maximum of 96.The correlation of cIMT with the parameters of the body composition in a linear regression analysis showed a positive linear relationship between cIMT and each of the Body fat mass (kg): P=0.045, CI 0.000-0.004), BMI (p=0.029, CI: 0.001, 0 .009), the target weight (p=0.040, CI: 0.000- 0.001), extracellular water (P=0.033, CI: 0.002, 0.034) and bone mineral content (p=0.031, CI: 0.009, 0.192).The Multiple linear regression analysis showed persistence of the relationship between the cIMT and the age of the participants (p=0.049, CI:0.001-0.007) and the BMI (p=0.031, CI: 0.002- 0.032), with R2of the model was 0.38.Conclusion:To the best of our knowledge, this is the first paper to examine the detailed body composition parameters among RA and found a good correlation with subclinical cardiovascular disease as manifested by cIMT. More research with larger study population is needed to look at the association between body mass index and CVD risk factor in RA.References:[1]Body mass index and the risk of rheumatoid arthritis: a systematic review and dose-response meta-analysis. Qin B, Yang M, Fu H, Ma N, Wei T, Tang Q, Hu Z, Liang Y, Yang Z, Zhong R. Arthritis Res Ther. 2015; 17(1): 86. doi: 10.1186/s13075-015-0601-x[2]Body Mass Index and the Risk of Rheumatoid Arthritis: An Updated Dose-Response Meta-Analysis. Feng X, Xu X, Shi Y, Liu X, Liu H, Hou H, Ji L, Li Y, Wang W, Wang Y, Li D. Biomed Res Int. 2019; 2019: 3579081. doi: 10.1155/2019/3579081Disclosure of Interests:None declared


2018 ◽  
Vol 8 (8) ◽  
pp. 1
Author(s):  
Dora R.M. Ledo ◽  
Paulo A.C. Ferreira ◽  
Armando M.M. Silva

Objective: Educational nursing intervention is a strategy that can be useful for changing behaviours in a person’s health. Hospitalisation for coronary surgery is a valuable opportunity for the nurse to implement the knowledge which aims to promote healthy behaviours and secondarily, prevent coronary and cardiovascular disease, as these continue to be the main causes of death worldwide. The purpose of this study is to evaluate the influence of educational nursing intervention in the promotion of a healthy diet and in the anthropometric values (body mass index and waist perimeter) of people who have undergone coronary surgery.Methods: A quantitative and quasi-experimental study was conducted on a control group (20 participants in each group). The experimental group was submitted to a personalised structured educational intervention during hospitalisation, in the nursing follow-up visit (two to three weeks after surgery) and over the phone (two months after surgery). Each group went through two evaluations: the first before the surgery, and the second three months after the surgery. The instruments used to collect data included: the sociodemographic and clinical characterisation questionnaire and the Eating Habits Scale. Non-parametric tests were used.Results: The findings showed that 77.5% of the participants were male and 22.5% female. The participants’ average age was 67.35 ± 8.151. Results showed a significant improvement in the eating habits of both groups, with higher relevance in the experimental group and a reduction of the body mass index and waist perimeter exclusively in the experimental group.Conclusions: Regarding people who have undergone coronary surgery, personalised structured educational nursing intervention is a useful tool in obtaining health benefits and in secondary prevention of cardiovascular disease. More extensive and comprehensive studies are recommended to verify the results and enhance their success.


2007 ◽  
Vol 177 (4S) ◽  
pp. 64-64
Author(s):  
Murugesan Manoharan ◽  
Martha A. Reyes ◽  
Alan M. Nieder ◽  
Bruce R. Kava ◽  
MarkS Soloway

Author(s):  
K. Subramanyam ◽  
Dr. P. Subhash Babu

Obesity has become one of the major health issues in India. WHO defines obesity as “A condition with excessive fat accumulation in the body to the extent that the health and wellbeing are adversely affected”. Obesity results from a complex interaction of genetic, behavioral, environmental and socioeconomic factors causing an imbalance in energy production and expenditure. Peak expiratory flow rate is the maximum rate of airflow that can be generated during forced expiratory manoeuvre starting from total lung capacity. The simplicity of the method is its main advantage. It is measured by using a standard Wright Peak Flow Meter or mini Wright Meter. The aim of the study is to see the effect of body mass index on Peak Expiratory Flow Rate values in young adults. The place of a study was done tertiary health care centre, in India for the period of 6 months. Study was performed on 80 subjects age group 20 -30 years, categorised as normal weight BMI =18.5 -24.99 kg/m2 and overweight BMI =25-29.99 kg/m2. There were 40 normal weight BMI (Group A) and 40 over weight BMI (Group B). BMI affects PEFR. Increase in BMI decreases PEFR. Early identification of risk individuals prior to the onset of disease is imperative in our developing country. Keywords: BMI, PEFR.


2020 ◽  
Author(s):  
Valentina Cazzato ◽  
Elizabeth Walters ◽  
Cosimo Urgesi

We examined whether visual processing mechanisms of the body of conspecifics are different in women and men and whether these rely on westernised socio-cultural ideals and body image concerns. Twenty-four women and 24 men performed a visual discrimination task of upright or inverted images of female or male bodies and faces (Experiment 1) and objects (Experiment 2). In Experiment 1, both groups of women and men showed comparable abilities in the discrimination of upright and inverted bodies and faces. However, the genders of the human stimuli yielded different effects on participants’ performance, so that male bodies and female faces appeared to be processed less configurally than female bodies and male faces, respectively. Interestingly, altered configural processing for male bodies was significantly predicted by participants’ Body Mass Index (BMI) and their level of internalization of muscularity. Our findings suggest that configural visual processing of bodies and faces in women and men may be linked to a selective attention to detail needed for discriminating salient physical (perhaps sexual) cues of conspecifics. Importantly, BMI and muscularity internalization of beauty ideals may also play a crucial role in this mechanism.


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