Influence of Body Mass Index (BMI), Age and Gender on Stages of Varicose Vein in Newly Diagnosed Cases Following Screening Doppler in Outpatient Clinic

Background Varicose vein is one of the most common venous diseases which affect superficial veins especially of lower limb. This disease is characterized by prominent dilated veins, feeling of heaviness, itchiness, pigmentation, ulceration depending upon the stage of the disease. Objective This study was conducted to know how Body Mass Index, Age and Gender influence staging of varicose veins in our context. Method This is a cross sectional hospital based study conducted at Dhulikhel Hospital, Kathmandu University Hospital from April 2018 to March 2019. Patients with signs and symptoms of varicose vein were included in the study. Informed consent was taken from each patient and data collection done by filling the proforma. Result This study comprised 135 lower limbs with varicose vein from 108 patients. Male:Female ratio was 1.4:1. Mean age of patients was 44.47±12.65 (17-81) years. Significant correlation was found between increasing age and progression in Clinical staging of Varicose vein according to Clinical classification (p<0.05). Mean Great Saphenous Vein diameter at knee was found significantly higher in patients with more than five years of symptoms Mean Body Mass Index was not very different in different Clinical stage of Varicose veins. Conclusion This study showed that the Clinical Staging of Clinical Etiological Anatomical and Pathophysiological classification of varicose vein is significantly related to age. The mean diameter of Great Saphenous Vein at the level of Knee is significantly related to the duration of symptoms. However, the influence of Body Mass Index and gender on stages of varicose vein could not be established.

Download Full-text

Three-year follow-up and quality of life of endovenous radiofrequency ablation of the great saphenous vein with the ClosureFast™ procedure: Influence of BMI and CEAP class

Vascular ◽

10.1177/1708538118762066 ◽

2018 ◽

Vol 26 (5) ◽

pp. 498-508 ◽

Cited By ~ 6

Author(s):

Renato Casana ◽

Valerio Stefano Tolva ◽

Andrea Odero ◽

Chiara Malloggi ◽

Gianfranco Parati

Keyword(s):

Body Mass Index ◽

Radiofrequency Ablation ◽

Body Mass ◽

Saphenous Vein ◽

Great Saphenous Vein ◽

Varicose Veins ◽

Duplex Ultrasound ◽

Vein Diameter ◽

Diameter Reduction

Purpose Endovascular ablation of the great saphenous vein has been proposed as a less invasive alternative to conventional ligation and stripping of varicose veins. Outcomes of patients treated with the radiofrequency ablation ClosureFast™ system over an eight-year period from a single-center were evaluated. Methods Three-year follow-up data included duplex ultrasound scan, complication rate, and questionnaires to assess patients’ QOL, level of pain, and days off work. Results A total of 1080 consecutive patients (49.5 ± 18.6 years, 72% female, mean body mass index: 25.44 ± 4.1 kg m−2) underwent radiofrequency ablation for incompetent saphenous veins in a single institution. Occlusion of the great saphenous vein was obtained in 98.6% and 93.8% cases at the end of the procedures and within 36 months, respectively. Only three deep venous thromboses and minor complications occurred in this series throughout the first week from the procedure. A decrease of the external vein diameter, equal to 72.7% and 31.1% of the pretreatment diameter, was observed at 1 week and 36 months, respectively. The average Aberdeen Varicose Vein Questionnaire score improved from 18.06 ± 9.47 before treatment to 11.56 ± 10.23 at 12 months, with no significant differences in the subsequent follow-up. SF-36 QOL scores significantly improved after the procedure in all domains, while there were no changes over time. Patients reported a prompt return to normal daily activities (1.5 ± 0.7 days) and work (3.1 ± 1.9 days). Body mass index influenced QOL scores, while it did not affect great saphenous vein diameter reduction during the follow-up. On the contrary, Clinical Etiologic Anatomic Pathophysiologic class significantly influenced both great saphenous vein diameter reduction after the treatment and QOL scores within 36 months. Conclusion Results of this retrospective monocentric, large patients study suggest that radiofrequency ablation of the great saphenous vein may be a safe and efficient alternative to conventional surgery.

Download Full-text

ClosureFast endovenous radiofrequency ablation for great saphenous vein and small saphenous vein incompetence: Efficacy and anatomical failure patterns

Phlebology The Journal of Venous Disease ◽

10.1177/0268355518799609 ◽

2018 ◽

Vol 34 (4) ◽

pp. 266-271

Author(s):

Omar Rodriguez-Acevedo ◽

Kristen E Elstner ◽

Kui Martinic ◽

RN Isabelle Ibrahim ◽

Rodrigo Tomazini Martins ◽

...

Keyword(s):

Body Mass Index ◽

Radiofrequency Ablation ◽

Body Mass ◽

Saphenous Vein ◽

Great Saphenous Vein ◽

Varicose Veins ◽

Duplex Ultrasound ◽

Post Treatment ◽

Recurrence Rates ◽

Failure Patterns

Background Recurrence rates and patterns after endovenous radiofrequency ablation (ERFA) are poorly documented. Objective To assess the incidence and anatomical recurrence patterns of saphenous vein reflux after ERFA. Method Two hundred patients previously treated with ERFA were recalled for clinical assessment and venous-duplex ultrasound at three years post-treatment. Results A total of 106 patients (68F, 38M) with a mean age of 49.4 years (SD +11.5y) were assessed. Mean follow-up was 42.1 months (SD + 20.1m). Further varicose veins were identified in 31 patients (29.2%). Recanalization/recurrence/failure was diagnosed in 16 patients (15.1%), including 18 trunks (8.7%), 13 great saphenous vein (6.3%) and 5 small saphenous vein (2.4%). Twenty-seven patients (25%) developed neo-incompetence in 31 trunks and 12 non-saphenous veins. All patients with truncal recanalization had a body mass index > 29 (range 29–42). Conclusion Disease progression was twice as high as the recanalization rate at three years post-treatment using ERFA in this study. Raised body mass index may be a contributing factor; however, further longitudinal studies are required. Patient self-selection bias may have also influenced our results.

Download Full-text

Body Mass Index and Helicobacter pylori among Obese and Non-Obese Patients in Najran, Saudi Arabia: A Case-Control Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15112586 ◽

2018 ◽

Vol 15 (11) ◽

pp. 2586 ◽

Cited By ~ 1

Author(s):

Ali Al-Zubaidi ◽

Abdo Alzobydi ◽

Saeed Alsareii ◽

AbdulazizTurky Al-Shahrani ◽

Naweed Alzaman ◽

...

Keyword(s):

Body Mass Index ◽

Helicobacter Pylori ◽

Saudi Arabia ◽

Body Mass ◽

Upper Endoscopy ◽

Obese Patients ◽

Age And Gender ◽

Total Prevalence ◽

And Gender ◽

Saudi Patients

Objective: We examine obese and non-obese patients with respect to Helicobacter pylori (H. pylori) positive-infection (HPPI) and associated factors, specifically body mass index (BMI). Methods: This study took place in the Department of Endoscopy of a central hospital in the Najran region of Saudi Arabia (SA). A total of 340 obese Saudi patients (BMI ≥ 30 kg/m2) who had undergone diagnostic upper endoscopy before sleeve gastrectomy, were compared with 340 age and gender-matched control patients (BMI < 30 kg/m2) who had undergone diagnostic upper endoscopy for other reasons. Data collected included diagnosis of HPPI. Descriptive and multivariable binary logistic regression was conducted. Results: Mean patient age was 31.22 ± 8.10 years, and 65% were males. The total prevalence of HPPI was 58% (95% CI = 54–61%) with obese patients presenting significantly more HPPI than non-obese patients (66% vs. 50%, OR = 1.98, 95% CI = 1.45–2.70, p < 0.0005). Age and gender did not associate significantly with HPPI (p = 0.659, 0.200, respectively) and increases in BMI associated significantly with increases in HPPI (p < 0.0005). BMI remained a significant factor in HPPI when modelled with both age and gender (OR = 1.022, 95% CI = 1.01–1.03, p < 0.0005). Conclusions: Within the limitations of this study, the significance of HPPI in obese Saudi patients residing in the Najran region in SA was demonstrated alongside the significance role of BMI in HPPI.

Download Full-text

Making the Objectives of Individuals Sports Body Mass Index, by Age and Gender Analysis

International journal of Science Culture and Sport ◽

10.14486/ijscs197 ◽

2014 ◽

Vol 2 (6) ◽

pp. 255-255

Author(s):

İbrahim Kubilay TÜRKAY

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Gender Analysis ◽

Age And Gender ◽

And Gender

Download Full-text

Percentile Charts for Body Mass Index of Indian Down Syndrome Children

Journal of Pediatric Genetics ◽

10.1055/s-0041-1724115 ◽

2021 ◽

Author(s):

Harvinder Kaur ◽

Anil Kumar Bhalla ◽

Inusha Panigrahi

Keyword(s):

Body Mass Index ◽

Down Syndrome ◽

Body Mass ◽

Overweight And Obesity ◽

World Health ◽

Growth Charts ◽

Indian Children ◽

Age And Gender ◽

And Gender ◽

Gender Specific

AbstractGrowth charts are used to detect growth impairment, overweight, and obesity among Down syndrome (DS) children belonging to different population groups. Due to nonavailability of similar information, age, and gender specific body mass index (BMI) charts for DS children of Indian origin, based on serial data, have been developed. A total of 752 boys and 373 girls diagnosed as cases of DS at <1 month to 10 years of age enrolled from the “genetic clinic” were followed up in the “growth clinic/growth laboratory” of the institute, following a mixed-longitudinal growth research design. BMI was calculated from body weight and length/height measured at 6-month-age intervals by using standardized techniques and instruments. Age and sex-specific percentile growth charts for BMI were generated for age range <1 month to 10 years by using the LMS method. DS children remained wasted (BMI <3rd percentile) up to 6 months of age; thereafter, BMI increased to exhibit close similarity with their normal Multicentre Growth Reference Study (World Health Organization 2006) and Indian Academy of Pediatrics (2015) counterparts up to 5 to 10 years, respectively. The percentage of obese DS girls (8.76%) outnumbered boys with DS (4.1%). The use of age and gender specific BMI growth charts may be made for comparative purpose, to assess nutritional status of Indian children with DS, to initiate suitable need-based intervention to improve their overall health and for timely institution of target interventions to prevent growth faltering in this vulnerable population.

Download Full-text

Changes regarding Age and Correlations between Serum Lipids and Body Mass Index in Humankind

Methods of Information in Medicine ◽

10.1055/s-0038-1634435 ◽

2002 ◽

Vol 41 (03) ◽

pp. 202-208 ◽

Cited By ~ 2

Author(s):

I. Yamasawa ◽

S. Kamohara ◽

M. Shiota ◽

T. Komori ◽

Y. Watanabe ◽

...

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Serum Lipids ◽

Density Lipoprotein ◽

Atherogenic Index ◽

Health Examination ◽

Age And Gender ◽

Gender And Age ◽

Specialized Care ◽

And Gender

Summary Objectives: To improve insight into age and gender related distributions of serum lipids and their correlation with body mass index (BMI). Methods: Serum lipids embracing atherogenic index (AI) and BMI were analyzed from the results obtained in 19,823 men and 14,788 women undergoing a health examination between 1986 and 1996. Results: The changes in total cholesterol (TC), triglyceride (TG), AI and BMI differed regarding gender. Although high-density lipoprotein-cholesterol (HDL-C) showed a flat pattern for all ages in both genders, its level in women was higher than in men. The ratio of the number in the unsuitable range to those in the suitable range increased with age as to TC in both sexes, then more than half of the population have an unsuitable level in the sixth decade. As for the correlation between serum lipids and BMI: TC, TG and AI correlated positively, but HDL-C correlated negatively. There were significant gaps between both age and gender. Conclusions: We suggest that the normal range of values of serum lipids needs to be revised according to gender and age to evaluate the risk status for a cardio-cerebrovascular disease more precisely in the field of preventive medicine. Simpler guidelines are preferable in specialized care as well as in general practice, particularly since computer technology is not yet universally adapted. In the near future, when computed information technology will be as common as the electricity and the telephone are current on the whole earth, all guidelines will have to be computed on the spot and personally.

Download Full-text

Child Nutritional Status—Alternative Metrics to Body Mass Index

Proceedings ◽

10.3390/proceedings2019008033 ◽

2019 ◽

Vol 8 (1) ◽

pp. 33

Author(s):

E. Rush ◽

L. Young ◽

C. Cairncross

Keyword(s):

Body Mass Index ◽

Nutritional Status ◽

Body Mass ◽

Age And Gender ◽

Relative Growth ◽

Under Nutrition ◽

And Gender ◽

Child Nutritional Status ◽

Alternative Metrics

Background: For children, body mass index, adjusted for age and gender is the globally acceptedmeasure of relative growth and risk of over and under-nutrition [...]

Download Full-text