scholarly journals Overweight and obesity and associated factors among medical representatives in Kathmandu valley

2019 ◽  
Vol 7 (1) ◽  
pp. 25-35
Author(s):  
K. Upadhyay-Dhungel ◽  
Bigyan Adhikari

Background and Objectives: Overweight/obesity is rising problem both in developed and developing countries. This condition is important because it can lead to many chronic health conditions and is responsible for both morbidity and mortality. Medical Representatives (MRs) is one of those jobs which require minimum physical activity with good salary. MRs spends most of the day time meeting doctors of different locations. These factors make them vulnerable to overweight/obesity. Material and Methods: This study is cross sectional study in Kathmandu Valley. MRs of different company were the part of this study. Anthropometric measurements weight and height were used to calculate BMI and BMI was used to classify whether individual was normal or overweight/obesity. Semi-structured questionnaire was used to assess dietary and other lifestyle factors. Data were analyzed in SPSS to find out relationships between different factors and overweight/obesity. Results: The prevalence of overweight/obesity was found to be 64.93%. Men were significantly more overweight/obese than women. Age, Income and most of the dietary/lifestyles factors were found to be significant with overweight/obesity. Conclusion: Prevalence of overweight/obesity among MR was found to be high. MR job can be considered vulnerable to overweight/obesity because of alteration in many dietary and lifestyle factors.

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Gebreamlak Gebremedhn Gebremeskel ◽  
Kalayou Kidanu Berhe ◽  
Desta Siyoum Belay ◽  
Berihu Hailu Kidanu ◽  
Assefa Iyasu Negash ◽  
...  

Abstract Objective The objective of this study was to assess magnitude of metabolic syndrome and its associated factors among type 2 diabetes mellitus patients in Ayder Comprehensive Specialized Hospital. A hospital based cross sectional study design was used. Binary logistic regression model was used. Result A total of 419 respondents (208 males and 211 females) were enrolled; the mean age was 56.39 (SD 10.18), 51.1% of the respondents had metabolic syndrome according to international diabetes federation. Sex and age were statistically associated with metabolic syndrome with [AOR (95% CI) 1.93 (1.057, 3.533) and 1.04 (1.012, 1.072)] respectively. Regular physical exercise, overweight and obesity were statistically associated with metabolic syndrome with [AOR (95% CI) 1.84 (1.002, 3.362), 2.68 (1.518, 4.747) and 3.55 (1.254, 10.074)] respectively. To conclude, Magnitude of metabolic syndrome was high. The associated factors for metabolic syndrome are physical inactivity, inadequate intake of fruits, family history, overweight, and obesity.


2019 ◽  
Vol 32 (1) ◽  
pp. 38
Author(s):  
Paula Broeiro-Gonçalves ◽  
Paulo Nogueira ◽  
Pedro Aguiar

Introduction: The association between multimorbidity and disease severity is not well established. The objectives were to characterise multimorbidity and determine disease severity (trough Charlson), as well as to verify if there is an association between the number and type of disease and the Charlson index.Material and Methods: A cross-sectional study based on exported data from the Portuguese National Health Service hospitalisations database, during the year 2015. The study included 22 chronic health conditions: 15 predicted in the Charlson index and seven frequent conditions (hypertension, obesity, dyslipidaemia, osteoarthritis, osteoporosis, anxiety and depression). The analysis was performed through the generalised linear model, considering binary logistic regression. In the analysis, the IBM SPSS version 24.0 tool was used.Results: The study analysed 800 376 hospitalisations, from which 42% correspond to males. The average age of the sample was 59.8 years, being higher in men (62.3 years). The mean number of problems per person was 1.6, greater in men (1.8). Disease severity was also higher in males. The worst prognosis was associated with six or more conditions per person. The largest predictor of disease severity was the number of problems, followed by dementia and diabetes. Discussion: The results seem to confirm the gender difference regarding morbidity pattern. The number of conditions per person was the greatest predictor of disease severity, particularly the presence of six or more conditions per person.Conclusion: The major limitation was the use of the same medical conditions to measure multimorbidity and disease severity. Other studies and analysis models should explore the complexity of the multimorbidity phenomenon.


2019 ◽  
Author(s):  
Mona Faisal Al-Qahtani ◽  
Azhar Ibrahim Alghareeb ◽  
Zainab Sami Alramadan ◽  
Mohamed Saleh Ismail

Abstract Background: several lifestyle factors related to adolescent overweight and obesity have been well documented. The main objectives of this study were to explore the common lifestyle behaviors among female adolescents based on body BMI category and to examine the association between overweight/obesity and lifestyle factors among them. Methods: cross-sectional study was carried out on 598 participants, and Arab Teens Lifestyle Study (ATLS) questionnaire was used. Data related to lifestyle factors, e.g., physical activity, metabolic equivalent rate, sedentary behavior; dietary consumption; and anthropometrics including height, weight, and BMI were collected. To test the correlations between BMI and lifestyle factors, ANOVA and logistic regression were performed. Results: based on BMI, 20.6% and 19.4% of females suffer from overweight and obesity, respectively. Results indicated significant differences (P<0.05) in several female anthropometric factors and lifestyle behaviors based on BMI category. These factors comprised BMI, weight, consumption of French fries/potato chips, vegetables, fruits, and cake/donuts; and MET-min of swimming, and total physical activity (MET-min/week). Overweight/obesity was significantly associated with the consumption of cake/donuts (odds ratio [OR] for >5 days/weeks =2.261; 95% confidence interval [CI]=1.361-3.757), French fries (OR for 3-4 days/weeks=1.936; 95% CI=.206-3.110) and fruit (OR for 3-4 days/weeks=1.669; 95% CI=1.032-2.697). Conclusion: a significant positive association between BMI category and factors such as eating French fries/potato chips and cakes/donuts were observed among adolescent Saudi females.


Author(s):  
Mahesh B. Jajulwar ◽  
Pawan V. Meshram ◽  
Daniel A. Saji

Background: Prevention and management of obesity is largely depends on motivation and education of people about obesity, in turn this can be greatly facilitated by adequate baseline data on the knowledge, attitude and practise (KAP) of people. The aim of this study was to assess the KAP on obesity among obese people of an urban slum of Mumbai. Methods: A cross-sectional study was conducted in randomly selected sample from Shivaji Nagar urban slum area of Mumbai. Structured questionnaire were used to test their knowledge, attitude and practises regarding obesity. Results: 350 adults of age more than 18 years were analysed. 56% were male and 81.1% were of Muslim community. Prevalence of obesity and overweight was found to be 8.6% and 32.3% respectively as per body mass index (BMI). 42.0% subject’s thought that they are slim, 43.4% thought that they are fit and only 14.6% subjects considered hat they have weight more than normal. Only 46.9% said that they are frequently teased about their weight or physical appearance and only 28.6% said that teasing affected them mentally. 70.9% subjects know that there are health consequences of being obese and only 7.7% have made any effort to reduce weight. 88.3% subjects think diet control and 79.3% think exercise and 11.7% consider medication as a treatment modality for obesity. Conclusions: There appears to be lack of knowledge about obesity and its effects on health, as well as the methods for reducing weight. An IEC program can be developed in this context. 


2019 ◽  
Author(s):  
Gebreamlak Gebremedhn Gebremeskel ◽  
Kalayou Kidanu Berhe ◽  
Desta Siyoum Belay ◽  
Berihu Hailu Kidanu ◽  
Assefa Iyasu Negash ◽  
...  

Abstract Abstract Objective : The objective of this study was to assess magnitude of metabolic syndrome and its associated factors among type 2 diabetes mellitus patients in Ayder comprehensive specialized hospital. A hospital based cross sectional study design was used. Binary logistic regression model was used. Result : A total of 419 respondents (208 males and 211 females) were enrolled; the mean age was 56.39 (SD 10.18), 51.1% of the respondents had metabolic syndrome according to international diabetes federation. Sex and age were statistically associated with metabolic syndrome with [AOR (95% CI) = 1.93(1.057, 3.533) and 1.04 (1.012, 1.072)] respectively. Regular physical exercise, overweight and obesity were statistically associated with metabolic syndrome with [AOR (95% CI) =1.84 (1.002, 3.362), 2.68 (1.518, 4.747) and 3.55 (1.254, 10.074)] respectively. To conclude, Magnitude of metabolic syndrome was high. The associated factors for metabolic syndrome are physical inactivity, inadequate intake of fruits, family history, overweight, and obesity. Key words : Ethiopia, Associated Factors, Magnitude, Metabolic syndrome


PLoS ONE ◽  
2017 ◽  
Vol 12 (9) ◽  
pp. e0185773
Author(s):  
Meghnath Dhimal ◽  
Khem Bahadur Karki ◽  
Krishna Kumar Aryal ◽  
Bimala Dhimal ◽  
Hari Datt Joshi ◽  
...  

2019 ◽  
Author(s):  
Gebreamlak Gebremedhn Gebremeskel ◽  
Kalayou Kidanu Berhe ◽  
Desta Siyoum Belay ◽  
Berihu Hailu Kidanu ◽  
Assefa Iyasu Negash ◽  
...  

Abstract Abstract Objective : The objective of this study was to assess magnitude of metabolic syndrome and its associated factors among type 2 diabetes mellitus patients in Ayder comprehensive specialized hospital. A hospital based cross sectional study design was used. Binary logistic regression model was used. Result : A total of 419 respondents (208 males and 211 females) were enrolled; the mean age was 56.39 (SD 10.18), 51.1% of the respondents had metabolic syndrome according to international diabetes federation. Sex and age were statistically associated with metabolic syndrome with [AOR (95% CI) = 1.93(1.057, 3.533) and 1.04 (1.012, 1.072)] respectively. Regular physical exercise, overweight and obesity were statistically associated with metabolic syndrome with [AOR (95% CI) =1.84 (1.002, 3.362), 2.68 (1.518, 4.747) and 3.55 (1.254, 10.074)] respectively. To conclude, Magnitude of metabolic syndrome was high. The associated factors for metabolic syndrome are physical inactivity, inadequate intake of fruits, family history, overweight, and obesity. Key words : Ethiopia, Associated Factors, Magnitude, Metabolic syndrome


Pain Medicine ◽  
2019 ◽  
Vol 20 (11) ◽  
pp. 2263-2271 ◽  
Author(s):  
Mia T Minen ◽  
Judith Weissman ◽  
Gretchen E Tietjen

Abstract Objective To estimate the prevalence of having at least one or two or more chronic health conditions among US adults with self-reported migraine or severe headaches. Design Cross-sectional study. Methods Using data collected from the 2013–2015 National Health Interview Survey, we examined adults with and without migraine or severe headache and associations with chronic obstructive pulmonary disease, cancer, heart disease, stroke, diabetes, and hypertension. We calculated point estimates, variances, and 95% confidence intervals and conducted bivariate and multivariable logistic regression modeling to examine the relationships between migraine or severe headache and each of the chronic health conditions, as well as multinomial modeling, to examine the relationship between migraine or severe headache and having one or more chronic health conditions. Results A total of 104,926 people were in the study. Adults aged 18 to 44 years (18.2%), women (20.1%), and those with some college education (17.6%) had the greatest proportion with migraine or severe headache (P < 0.0001). Using multinomial modeling with the number of chronic health conditions as the dependent variable, adults reporting migraine had an increased odds of reporting a single chronic health condition (adjusted odds ratio [aOR] = 1.7, 95% confidence interval [CI] = 1.6–1.8) and more than double the odds of reporting two or more chronic health conditions (aOR = 2.5, 95% CI = 2.3–2.8) compared with adults who did not have migraine or severe headache. Conclusions Our study confirms observed relationships between migraine or severe headache and chronic health conditions and supports the need for further research to uncover the shared biological pathways.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Tsedeke Wolde Hailemariam ◽  
Samrawit Solomon Ethiopia ◽  
Andamlak Gizaw Alamdo ◽  
Haimanot Ewnetu Hailu

Background. Obesity is an emerging public health problem in developing countries. There is limited study conducted in Ethiopia to determine the prevalence of obesity and its associated factors among adult population. Therefore, this study aimed at determining the prevalence of overweight/obesity and the associated factors among adults aged 25–64 years in Addis Ababa city community residents, Ethiopia. Methods. A community-based cross-sectional study was conducted from April 10, 2017, to May 20, 2017, in Addis Ababa. A total of 512 adults were recruited. A two-stage cluster followed by a systematic random sampling technique was used for sample selection. Data were collected using questionnaires and anthropometric measurements. The adjusted odds ratio (AOR) with a 95% CI was reported to show the strength of association. A P value < 0.05 was considered statistically significant. Results. A total of 484 adults participated in the study with a response rate of 94.5%. The prevalence of overweight and obesity among study participants was found to be 99 (21.5%) and 14 (2.9%), respectively. Males were 90% less likely to be obese when compared to females (AOR = 0.10 (95% CI: 0.01–0.84)). Illiterate people were 94% less likely to be obese compared to those who were literate people (AOR = 0.06 (95% CI: 0.01–0.44)). Nonhypertensive individuals were 86% less likely to be obese when compared to hypertensive (AOR = 0.14 (95% CI: 0.03–0.69)). Conclusion. The combined prevalence of overweight and obesity was found to be considerably high in Addis Ababa city residents compared to the national figure. Being female, literate, and presence of hypertension are independent predictors of overweight/obesity in the study population. Thus, the concerned bodies should initiate efforts to tackle the newly emerging public health problem of the country and promote healthy lifestyle behaviors in the inhabitants of city settings.


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