Angulation and Distance of Superior Mesenteric Artery According to Body Mass Index on Patients Based on Computed Tomography Scan Study at Chitwan Medical College

2019 ◽  
Vol 9 (3) ◽  
pp. 74-78
Author(s):  
Deepak Adhikari ◽  
Sudil Paudyal ◽  
Bigyan Paudel ◽  
Dipesh Paudel ◽  
Ishwor Acharya

 Background: Superior mesenteric artery syndrome is a rare but vital cause of upper gastrointestinal obstruction which occurs when the third portion of the duodenum is trapped between aorta and superior mesenteric artery. The sig­nificant decrease of the angle and distance between the superior mesenteric artery and aorta is the etiology of Superior mesenteric artery syndrome.The study aimed to identify the angulations and distance of superior mesenteric artery from aorta and their correlation with body mass index in patients re­ferred for contrast enhanced computed tomography of abdomen examination in Chitwan Medical College. Methods: The angle between the aorta and superior mesenteric artery was measured in arterial phase of the abdominal scan in the multiplanar recon­structed image in sagittal plane. The distance between the superior mesen­teric artery and aorta was measured in axial plane at the level of 3rd part of duodenum. Results: The aortomesenteric distance was obtained to be 13.30 ± 4.75 mm and the aortomesenteric angle was obtained to be 54.7±16.91 degree for a to­tal of 210 patients. There was a positive correlation between body mass index and aortomesenteric distance (p=0.086) and significant positive correlation between body mass index and aortomesenteric angle (p=0.122). Additionally, it showed there was significant positive correlation between aortomesenteric angle and aortomesenteric distance. Conclusions: The distance and angle between the superior mesenteric artery and the aorta correlates significantly with the body mass index which indicates that the decrease in body mass index can be used as a risk factor of superior mesenteric artery syndrome.

2020 ◽  
Vol 28 (1) ◽  
pp. 60-66
Author(s):  
Tabassum Ghani ◽  
Subinoy Krishna Paul ◽  
Afrina Begum ◽  
Noorjahan ◽  
Mandira Sarkar ◽  
...  

Menopause is commonly associated with rapid bone loss and this bone loss manifests as a significant decrease in bone mineral density (BMD). Body weight or body mass index is the most important factor which influences BMD. Aim of this study was to evaluate the association between BMI and BMD in post menopausal women. Also to measure the correlation between age, duration of menopause, weight with BMD. This cross-sectional study was undertaken in the Department of Obstetrics and Gynaecology in Dhaka Medical College Hospital, Dhaka from January, 2012 to December, 2012. The study included women of 50 to 70 years who had menopause with three or more parity. Total 100 women were evaluated by history taking, physical examination and laboratory investigation (BMD).The results showed that there was significant positive correlation between BMI and BMD value of L1-4 and total femur (Pearson‘s coefficient was +0.285, P<0.01 and +.350, P<.001). There was also significant positive correlation between weight and T- score of L1-4 (r =+ .482, P<.01) and Total femur (r = +.513, P< .01). In addition, significant negative correlation was found between BMD with age and duration of menopause. It can be concluded that in postmenopausal women as the BMI decreases bone mineral density also decreases. So, adequate weight and BMI necessary for the prevention of osteoporosis. J Dhaka Medical College, Vol. 28, No.1, April, 2019, Page 60-66


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Emanuele Sinagra ◽  
Dario Raimondo ◽  
Domenico Albano ◽  
Valentina Guarnotta ◽  
Melania Blasco ◽  
...  

Background. The superior mesenteric artery (SMA) syndrome is a rare entity presenting with upper gastrointestinal tract obstruction and weight loss. Studies to determine the optimal methods of diagnosis and treatment are required. Aims and Methods. This study aims at analyzing the clinical presentation, diagnosis, and management of SMA syndrome. Ten cases of SMA syndrome out of 2074 esophagogastroduodenoscopies were suspected. A contrast-enhanced computed tomography (CECT) scan was performed to confirm the diagnosis. After, a gastroenterologist and a nutritionist personalized the therapy. Furthermore, we compared the demographical, clinical, endoscopic, and radiological parameters of these cases with a control group consisting of 10 cases out of 2380 EGDS of initially suspected (but not radiologically confirmed) SMA over a follow-up 2-year period (2015-2016). Results. The prevalence of SMA syndrome was 0.005%. Median age and body mass index were 23.5 years and 21.5 kg/m2, respectively. Symptoms developed between 6 and 24 months. Median aortomesenteric angle and aorta-SMA distance were 22 and 6 mm, respectively. All patients improved on conservative treatment. In our series, a marked (>5 kg) weight loss (p=0.006) and a long-standing presentation (more than six months in 80% of patients) (p=0.002) are significantly related to a diagnosis of confirmed SMA syndrome at CECT after an endoscopic suspicion. A “resembling postprandial distress syndrome dyspepsia” presentation may be helpful to the endoscopist in suspecting a latent SMA syndrome (p=0.02). The narrowing of both the aortomesenteric angle (p=0.001) and the aortomesenteric distance (p<0.001) was significantly associated with the diagnosis of SMA after an endoscopic suspicion; however, the narrowing of the aortomesenteric distance seemed to be more accurate, rather than the narrowing of the aortomesenteric angle. Conclusion. SMA syndrome represents a diagnostic and therapeutic challenge. Our results show the following findings: the importance of the endoscopic suspicion of SMA syndrome; the preponderance of a long-standing and chronic onset; a female preponderance; the importance of the nutritional counseling for the treatment; no need of surgical intervention; and better diagnostic accuracy of the narrowing of the aorta-SMA distance. Larger prospective studies are needed to clarify the best diagnosis and management of the SMA syndrome.


Author(s):  
Tazeen Khan ◽  
Zahid A. Khan ◽  
Sonia Kochhar ◽  
Baljinder Singh ◽  
Gurdev L. Goyal ◽  
...  

Background: Low hemoglobin concentration and unfeasible body mass index adversely affect the health of people, consequently increasing morbidity and mortality among them. Hemoglobin concentration among individuals is associated with their body mass index. The prevalence of iron deficiency anemia is higher among underweight and overweight/obese people compared to those with normal BMI. Thus, the present study aimed to determine the correlation between hemoglobin concentration and BMI of undergraduate medical students.Methods: A cross-sectional study was carried out among 210 undergraduate medical students. Body mass index was calculated and hemoglobin estimation was done by Sahli's hemoglobinometer. Correlation between hemoglobin concentration and body mass index of subjects was assessed by Pearson’s correlation coefficient.Results: Underweight students had lowest mean hemoglobin concentration and the mean hemoglobin concentrations increased significantly (p<0.001) with increase in the BMI of subjects. A highly significant positive correlation (r=0.307, p<0.001) between BMI and hemoglobin concentration was observed. Further, significant positive correlation was observed among males (r=0.268, p=0.013), students with normal BMI (r=0.283, p=0.003) and overweight students (r=0.415, p=0.035) only.Conclusions: Hemoglobin concentration and BMI show a positive correlation, however this correlation tends to become negative in obese individuals. As both low hemoglobin concentration and unfeasible body mass index have detrimental effects on the health, diligent screening and management of both is essential for better outcome.


Biomedicine ◽  
2021 ◽  
Vol 41 (1) ◽  
pp. 153-156
Author(s):  
S Shifaya Fathima ◽  
Yuvaraj Maria Francis ◽  
Yuvaraj Maria Francis ◽  
S. Senthil Kumar ◽  
Balaji K ◽  
...  

Introduction and Aim: Human intelligence is a cognitive process and was correlated with several anthropometric parameters. Height is one of the well-known factor that is suspected for a positive correlation with intelligence and their association is studied since many years. Similarly, obesity which has become a major health outcome of today is said to have a negative effect on intelligence. Prevalence of obesity and its co-morbidities are in a great rise in both developed and developing countries. Recent findings show that obesity could impair cognitive performance. This study focuses on the correlation of the parameters such as height and BMI(Body Mass Index) with intelligence for selected samples and underscores the significance of correlation. The objective of our study was to test whether a linear relationship exists between the IQ and the two parameters and their strength of correlation.   Materials and Methods: The present study was conducted at Saveetha Medical College and Hospital, Chennai. Sample consists of 50 students of age group 18-20 of phase I MBBS students and the present study was directed in the Department of Anatomy. Intelligence was measured by Standard Progressive Matrices (SPM), a non-verbal reasoning test. Height was measured in metres using stadiometer. Using height and weight values obtained from the sample, Body Mass Index (weight in kg/height in metre squares) was calculated. Mean and Standard Deviation of parameters were assessed and correlation value were calculated.   Results: The data were statistically analysed using correlation and regression. It showed positive correlation between height and intelligence (r=0.268) (p=0.05) and a negative correlation between obesity and intelligence (r= -0.324) (p=0.05).   Conclusion: Therefore, it concludes that height and intelligence were positively correlated, concomitantly obesity and intelligence were negatively correlated mainly due to increase in BMI has a deteriorating effect on intelligence.


Author(s):  
Saleh Jafarpisheh ◽  
Maryam Nasri ◽  
Hosein Ahrar

AbstractThe primary purpose of present study is to “prove” that the angle and distance between the superior mesenteric artery (SMA) and aorta are significantly correlated with the body mass index (BMI). This in turn indicates the strong etiological role of this factor for the causation of SMA syndrome. The superior mesenteric artery syndrome is characterized by the compression of the third segment of the duodenum by the mesentery at superior mesenteric artery level and a resulting duodenal (±gastric) dilatation. The disease is closely related with the depletion of the fat pad between the vessels narrowing the angle and reducing the distance between the vessels. A prospective study of 300 patients (163 males and 137 females) in the age range of 40-70  years (mean age 51 years) who had undergone multislice detector CT scan in Alzahra Hospital for various other complaints in the year 1395. CT scans had been performed with routine protocol comprising of plain phase followed by arterial and venous phases to measure the angle between the aorta and superior mesenteric artery,BMI was also calculated. Mean values for distance and angle were obtained with P value of 5%  and 95 % confidence intervals. Pearson coefficients and T test were also calculated and results were tabulated. A strong positive correlation was observed between BMI and the angle between the aorta and SMA. With increment in BMI, the angle also increases leading to a smaller chance of developing superior mesenteric artery syndrome.


2021 ◽  
Vol 9 (2) ◽  
pp. 104
Author(s):  
Raza Sayani ◽  
Mustafa Belal Hafeez Chaudhry ◽  
Mohammad Hasan ◽  
Ali Janjua ◽  
Irfan Nazir ◽  
...  

2017 ◽  
Vol 7 (4) ◽  
Author(s):  
Awad-Elkareem Abass ◽  
Imad R. Musa ◽  
Duria A. Rayis ◽  
Ishag Adam ◽  
Gasim I. Gasim

Hemoglobin A1c (HbA1c) is affected by the red blood cell (RBC) lifespan. The association of HbA1c with RBC indices in pregnant women is not widely investigated. In this study, we investigated the association between HbA1c and Hb/RBCs count and RBCs indices; specifically, Hb/RBCs count and indices in non- diabetic pregnant women. Across-sectional study was carried- out at the antenatal care of Saad Abu Elela Hospital, Khartoum, Sudan. Obstetrics history was gathered using questionnaire and body mass index was calculated. Fasting blood sugar, at one hour, at two hours post prandial and HbA1c were investigated. Complete blood count parameters of RBCs count was performed, including, hematocrit, Hb, RBCs indices of MCV, MCH, and MCHC. One hundred twenty three women were enrolled. The mean age of the participants was 28±5.6 years and a mean body mass index was 27.65±6.8 k/m<sup>2</sup>. There was significant positive correlation between HbA1c and Hb (r=0.174, P=0.037), Hct (r=0.174, P=0.037), and MCHC (r=0.180, P=0.031). A negative correlation between HbA1c and the platelet index PDW (r= –0.198, P=0.017) was documented. The rest of the other factors showed no correlation with HbA1c. In linear regression analysis, HbA1c correlated positively with Hb (P=0.044) and Hct (P=0.047). The present study shows a significant positive correlation between HbA1c value with Hb, Hct, and MCHC. No significant correlation between HbA1c and other RBCs parameters was observed.


2015 ◽  
Vol 122 (03) ◽  
Author(s):  
P Prinz ◽  
T Hofmann ◽  
A Ahnis ◽  
U Elbelt ◽  
M Goebel-Stengel ◽  
...  

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