VENTILATORY AND METABOLIC RESPONSES DURING FIELD TESTS AND CPX IN OBESE ADULTS

The 6 minute walk test (6MWT) and the incremental shuttle walking test (ISWT) have been used as an alternative to the Cardiopulmonary Exercise Test (CPX) for functional evaluation as well after rehabilitation programs. The objective was to analysis the cardiorespiratory and metabolic demands among the ISWT, 6MWT and CPX in the obese and the contribution of adiposity markers on this response. An observational and cross-sectional study was conducted with fifteen obese (10 women; 39.4+10.1years), performing CPX, 6MWT and ISWT. The subjects were as initial part of a rehabilitation program and bariatric surgery at the University Hospital. Metabolic and ventilatory variables were recorded by a telemetry system during all tests. Peak oxygen uptake-VO2peak was similar between CPX (18.6±4.0ml/kg/min) and ISWT (15.4±2.9ml/kg/min) and different from 6MWT (13.2±2.5ml/kg/min). There was agreement (3.2ml/kg/min; 95%; IC-3.0-9.4) between VO2peak of CPX and ISWT. CPX duration (R2=0.61;p=0.001) was best-fit by waist circumference (WC) and the body adiposity index(BAI) that reduced 4.7% and 3.2% CPX duration respectively. Forced vital capacity-FVC and WC predicts increasing of carbon dioxide production (VCO2) on CPX (R2=0.95;p=0.001) and ISWT (R2=0.67;p=0.001). In conclusion the obese individuals perform the ISWT and CPX test with similar physiological responses. It is suggested that, ISWT could be an alternative to CPX and that metabolic monitoring of ISWT by telemetry can be useful for the clinical assessment of the functional capacity of the obese.

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Hormonal, metabolic and nutritional alterations in smokers: emergency for smoking abstinence

Jornal Brasileiro de Psiquiatria ◽

10.1590/s0047-20852013000400003 ◽

2013 ◽

Vol 62 (4) ◽

pp. 261-267 ◽

Cited By ~ 1

Author(s):

Gláucia Renata Souza Rodrigues ◽

Marcela Melquíades ◽

Maria Alvim Leite ◽

Maíra Barros Louro ◽

Carmen Perches ◽

...

Keyword(s):

Smoking Cessation ◽

Cross Sectional Study ◽

The Body ◽

University Hospital ◽

Anthropometric Parameters ◽

Cross Sectional ◽

Convenience Sample ◽

Fasting Glycemia ◽

Increased Risk ◽

The University

OBJECTIVE: To evaluate the biochemical and nutritional status of smokers in treatment for smoking cessation and its association with anthropometric parameters. METHODS: This is a cross-sectional study with convenience sample. Adult smokers were assessed at the start of treatment in the Interdisciplinary Center for Tobacco Research and Intervention of the University Hospital of the Federal University of Juiz de Fora (CIPIT/HU-UFJF). We evaluated the body mass index (BMI), conicity index (CI); waist circumference (WC), percentage of body fat (%BF), fasting glycemia, cortisol, insulin, total cholesterol (TC), LDL-c, HDL-c, triglycerides (TG) and metabolic syndrome (MS). RESULTS: Most participants (52.2%) had MS and high cardiovascular risk. The fasting glycemia was abnormal in 30.4%. There was a significant positive correlation between BMI and WC (r = 0.90; p = 0.0001), %BF (r = 0.79; p = 0.0001), CI (r = 0.65; p = 0.0001), glycemia (r = 0.42; p = 0.04) and TG (r = 0.47; p = 0.002). The CI presented positive correction with insulin (r = 0.60; p = 0.001), glycemia (r = 0.55; p = 0.007), TG (r = 0.54; p = 0.008) and %BF (r = 0.43; p = 0.004). Patients with longer duration of smoking had a higher risk of developing MS (OR = 9.6, p = 0.016). CONCLUSION: The smokers evaluated had increased risk for developing MS, especially those with longer duration of smoking, requiring urgent smoking cessation.

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Values of Obese Male Patıents Performed Wıth Acupuncture

Gastroenterology Pancreatology and Hepatobilary Disorders ◽

10.31579/2641-5194/047 ◽

2021 ◽

Vol 5 (6) ◽

pp. 01-03

Author(s):

Hayriye Alp

Keyword(s):

Cross Sectional Study ◽

Physical Structure ◽

The Body ◽

Acupuncture Points ◽

Functional Evaluation ◽

Cross Sectional ◽

Body Acupuncture ◽

Male Patients ◽

Treatment Of Obesity ◽

Effective Adjunct

Obesity is a disease defined by excessive fat storage in the body. It is an energy balance problem; the increase in body fat is caused by an imbalance between energy intake and energy expenditure. The practice of acupuncture views the body as a combination of the soul and the body, not merely as a physical structure. This interpretation can lead to a successful therapy for the treatment of chronic pain. One of the factors for its success is the concept of the functional evaluation of the organ. According to acupuncture, the organs are alive and vitality is provided by the energy of life called ‘’qi’’ Pathogens that interrupt and obstruct the flow of qi form diseases. Acupuncture needles are inserted at specific points on the Bonghan channels and the qi stream is regulated by electron transfer. The present study was a cross-sectional study conducted in 2019 in xxx University’s GETAT Center. Patients aged between 18–65 years with a BMI > 25 were included in the study. Acupuncture was shown to be effective not only in the obese groups but also in the control groups. Therefore, it could be beneficial in preventing weight gain. Both ear and body acupuncture points were used effectively in obesity patients. Therefore, acupuncture may be recommended as an effective adjunct in the treatment of obesity. Acupuncture can reduce the stress of patients on diets and increase patient compliance.

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Estimación del riesgo cardiovascular por composición corporal total

Revista Colombiana de Endocrinología, Diabetes & Metabolismo ◽

10.53853/encr.4.1.104 ◽

2017 ◽

Vol 4 (1) ◽

pp. 22-27

Author(s):

Oscar Medina ◽

Juan Manuel Sarmiento ◽

Larry Quinn ◽

Sonia Merlano ◽

Fabian Antonio Dávila ◽

...

Keyword(s):

Heart Failure ◽

Body Mass Index ◽

Body Composition ◽

Waist Circumference ◽

Body Mass ◽

Cross Sectional Study ◽

Rehabilitation Program ◽

The Body ◽

Fat Free Mass ◽

Cross Sectional

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.

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Values of Obese Male Patients Performed with Acupuncture

Clinical Medical Reviews and Reports ◽

10.31579/2690-8794/102 ◽

2021 ◽

Vol 3 (9) ◽

pp. 01-02

Author(s):

Hayriye Alp

Keyword(s):

Cross Sectional Study ◽

Physical Structure ◽

The Body ◽

Acupuncture Points ◽

Functional Evaluation ◽

Cross Sectional ◽

Body Acupuncture ◽

Male Patients ◽

Treatment Of Obesity ◽

Effective Adjunct

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Hubungan Kepatuhan Penggunaan Obat Anti Epilepsi terhadap Kejadian Kejang Pasien Epilepsi menggunakan kuesioner ARMS (Adherence Refill Medication Scale)

Journal of Pharmacy and Science ◽

10.53342/pharmasci.v4i1.128 ◽

2019 ◽

Vol 4 (1) ◽

pp. 29-34

Author(s):

Iin Ernawati ◽

Wardah Rahmatul Islamiyah

Keyword(s):

Antiepileptic Drugs ◽

Cross Sectional Study ◽

The Body ◽

University Hospital ◽

Whole Body ◽

Cross Sectional ◽

Drug Therapy Management ◽

A Value ◽

Relationship Of ◽

The Relationship

ABSTRAKEpilepsi termasuk penyakit kronis otak yang dikarakterisasi dengan kejang berulang (2 kali atau lebih), dimana terjadi gerakan involunter yang melibatkan sebagian tubuh (partial) atau seluruh tubuh (generale), dan seringkali disertai dengan hilangnya kesadaran dan kontrol fungsi saluran cerna atau saluran kemih. Pengobatan epeilepsi sering menggunakan OAE (Obat AntiEpilpsi). Diketahui 70% anak-anak dan dewasa dengan epilepsi berhasil diterapi dengan obat antiepilepsi. Salah satu ukuran manajemen terapi obat pada penyakit epilepsi adalah menurun atau hilangnya kejang, sehingga adanya kejadian kejang menjadi salah satu ukuran pencapaian end outcome. Kejadian kejang dipengaruhi oleh beberapa faktor diantaranya ada tidaknya faktor pemicu kejang dan kepatuhan konsumsi obat antiepilepsi. Penelitian ini merupakan penelitian observasional cross sectional yang dilakukan di poli neurologi Instalasi Rawat Jalan RSUD dr. Soetomo dan Instalasi rawat Jalan RS Universitas Airlangga. Selama penelitian diperoleh 52 pasien epilepsi yang menggunakan obat antiepilepsi. Padapenelitian ini diamati hubungan kepatuhan terhadap adanya kejang pasien epilepsi dalam penggunaan obat anti epilepsi. Pada penelitian ini diketahui nilai koefisien korelasi/ nilai rho (r) sebesar -0,348 dengan nilai p= 0,011 (p<0,05) atau signifikan secara statistik. Hasil tersebut menunjukkan adanya hubungan antara kategori kepatuhan (menggunakan kuesioner ARMS) dengan kejadian kejang, dimana semakin tinggi skor ARMS (dianggap semakin tidak patuh) berbanding lurus dengan peningkatan kejang.Kata kunci: Epilepsi, Kepatuhan, OAE, Kejang, ARMS ABSTRACTEpilepsy is a chronic brain disease characterized by recurrent seizures (2 times or more), in which involuntary movements involve part of the body (partial) or whole body (general). Treatment of epilepsy uses antiepileptic drugs. It is known that 70% of children and adults with epilepsy are successfully treated with antiepileptic drugs. One of measurements of drug therapy management in epilepsy is decreasing or losing seizures, so that the event of seizures is one measure of end outcomes. Seizure events are influenced by severalfactors including the presence or absence of seizure trigger factors and adherence with the consumption of antiepileptic drugs. This study was an observational cross sectional study conducted at the neurology department dr. Soetomo and Airlangga University hospital. This study aims to observe the relationship of adherence of antiepileptic drug consumption with seizures of epilepsy patients. This study observed 52outpatients with epilepsy taking antiepileptic drugs. This study showed that the correlation coefficient / rho value (r) is -0,348 with a value of p = 0.011 (p <0.05). These results indicate that an association between adherence categories (using the arms questionnaire) with the events of seizures, whereas the higher of the arms score (considered to be increasingly disobedient) is directly proportional to the increase in seizures.Keywords: Epilepsy, Adherence, AED, Seizure, ARMS

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Psychosocial aspects of work and musculoskeletal disorders in nursing workers

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692010000300019 ◽

2010 ◽

Vol 18 (3) ◽

pp. 429-435 ◽

Cited By ~ 36

Author(s):

Tânia Solange Bosi de Souza Magnago ◽

Marcia Tereza Luz Lisboa ◽

Rosane Harter Griep ◽

Ana Lúcia Cardoso Kirchhof ◽

Laura de Azevedo Guido

Keyword(s):

Musculoskeletal Disorders ◽

Cross Sectional Study ◽

The Body ◽

University Hospital ◽

Daily Routine ◽

Cross Sectional ◽

Work Demand ◽

Intervention Measures ◽

Job Content ◽

And Control

This study aimed to evaluate the association between psychological demands and control on work and the occurrence of musculoskeletal disorders among nursing workers. This cross-sectional study involved 491 nursing workers from a University hospital in Rio Grande do Sul. Brazilian versions of the Nordic Musculoskeletal Questionnaire and the Job Content Questionnaire were used. Among the participants, 96.3% reported some pain in any given part of the body last year, 73.1% in the last seven days and 65.8% reported difficulty in their daily routine. The chances of shoulder pain (OR=1.97; CI95%=1.07-3.64), in the thoracic spine (OR=1.83; CI95%=1.02-3.35) and in the ankles (OR=2.05; CI95%=1.05-4.02) were higher in the high work demand quadrant when compared to the low demand quadrant, after adjustments for potentially confusing factors Intervention measures in the organizational structure are needed, redefining demand levels and control at work.

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ICF categories compromised in Migraine

Headache Medicine ◽

10.48208/headachemed.2018.19 ◽

2018 ◽

pp. 177-182

Author(s):

Suellen Freitas da Silva ◽

Hugo Feitosa ◽

Alyne Karine de Lima Santos ◽

Manuella Moraes Monteiro Barbosa Barros ◽

Karinne Josepha Oliveira Ferro ◽

...

Keyword(s):

Health Professionals ◽

Cross Sectional Study ◽

The Body ◽

University Hospital ◽

International Classification Of Functioning ◽

Online Questionnaire ◽

Cross Sectional ◽

Motor Learning And Control ◽

And Control ◽

Perception Of Health

Objective: To identify which categories of the International Classification of Functioning, Disability, and Health (ICF) are compromised in patients with migraine from the perspective of health professionals. Methods: This is a cross-sectional study conducted at the headache outpatient clinic of the Clinical Hospital of Pernambuco, Oswaldo Cruz University Hospital and at the Motor Learning and Control Laboratory of the Federal University of Pernambuco. A five-section printed and online questionnaire based on ICF checkList 2.1 was used. Health professionals from different specialities who had experience in treating patients with migraine were invited. Professionals were instructed to complete the questionnaire and to choose, based on their clinical experience, which categories had the highest degree of impairment or the highest relationship with the clinical condition of migraine patients. A cut-off point of 70% for approval of categories was considered. Results: Sixteen professionals were enrolled in the survey. The questionnaire was compost by 106 categories, of which 32 reached the cutoff point of 70% to be considered approved. Among these categories, seven (21.8%) are part of the body functions component, five (15.6%) body structures, thirteen (40.6%) activities, and participation and seven (21.8%). of environmental factors. Conclusion: In the perception of health professionals, individuals with migraine present impairment in all domains of the ICF and the activity and participation domains presented the highest number of compromised categories.

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Demographic and Clinical Features of 1,641 Patients with Alopecia Areata, Alopecia Totalis, and Alopecia Universalis: A Single-Center Retrospective Study

Skin Appendage Disorders ◽

10.1159/000510880 ◽

2020 ◽

pp. 1-5

Author(s):

Tugba Kevser Uzuncakmak ◽

Burhan Engin ◽

Server Serdaroglu ◽

Yalcin Tuzun

Keyword(s):

Alopecia Areata ◽

Age Distribution ◽

Cross Sectional Study ◽

The Body ◽

University Hospital ◽

Age Group ◽

Cross Sectional ◽

Alopecia Universalis ◽

Dermatology Clinic ◽

Significant Difference

Background/Aim: Alopecia areata (AA) is a common autoimmune hair disorder which is characterized by noncicatricial hair loss. AA commonly presents with localized patches on the scalp and face but may affect any hair-bearing region of the body leading to even more generalized involvement. AA may affect any age group, gender, and race. The current study investigates the demographic characteristics of the patients with AA and subgroups of AA including alopecia totalis (AT) and alopecia universalis (AU) and the prevalence of disease, sex, and age distribution and seasonal variation retrospectively in a tertiary dermatology clinic in Turkey. Materials and Methods: In this retrospective, cross-sectional study, 1,641 patients diagnosed with AA, AT, and AU in the dermatology clinic of a public university hospital were included. The dermatology outpatient database was reviewed retrospectively. The diagnosis of AA was based on patient history, clinical examinations, and histopathologic findings. Results: Fifty-four thousand one hundred sixty-eight patients were admitted to our outpatient clinic in 4 years time, and 1,641 were diagnosed as having AA, AT, and AU. One thousand three hundred ninety-two patients (84.8%) had AA, 81 (4.9%) had AT, and 168 (10.2%) had AU. Among the 1,641 patients included in the study, 877 were females (53.4%) and 764 were males (46.6%). The mean age was 29.86 ± 14.48 years in AA, 29.50 ± 16.18 in AT, and 32.81 ± 14.48 in AU; 77.4, 72.8, and 68.5% of patients were aged under 40 years in AA, AT, and AU. There was no statistically significant difference in seasonal presentation times. Conclusion: AA is affecting approximately 2% of the general population without any sex, race, or age group predilection. In this study, we found a lower prevalence of AA in the pediatric age group in comparison with adults. This finding may support the hypothesis of the increasing prevalence of AA over time. The higher ratio of AA regarding this study may support that the frequency of AA and subtypes varies between regions.

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Skin temperature as a clinical parameter for nursing care: a descriptive correlational study

Journal of Wound Care ◽

10.12968/jowc.2019.28.12.835 ◽

2019 ◽

Vol 28 (12) ◽

pp. 835-841 ◽

Cited By ~ 1

Author(s):

Rhea SA Soares ◽

Suzinara BS Lima ◽

Thaís D Eberhardt ◽

Liane R Rodrigues ◽

Robson S Martins ◽

...

Keyword(s):

Skin Temperature ◽

Clinical Parameter ◽

Cross Sectional Study ◽

The Body ◽

University Hospital ◽

Cross Sectional ◽

Mean Values ◽

Sacral Region ◽

Body Regions ◽

Surgical Unit

Objective: To identify the skin temperature in different body areas of hospitalised individuals in the surgical unit, without risk of developing a pressure ulcer (PU). Methods: A descriptive, correlational and cross-sectional study, carried out May–October 2017, in a surgical unit of a university hospital in southern Brazil. Temperature was measured at the bony prominences including scapula, elbow, trochanters and heels, on both sides of the body, as well as occipital and sacral regions. Results: A total of 230 patients took part in the study. All regions of the body measured presented differences in temperatures. The sacral region presented the highest mean temperature (34.2±0.1°C). Patients (aged 18–59 years) had higher skin temperatures in the sacral region than older patients (aged 60–88 years). There was a symmetry in temperatures on both sides of the body. There was a low degree of correlation between age, room temperature, room humidity and skin temperature in some body regions. Conclusion: The study established mean values for skin temperature in specific body regions in patients without risk of developing a PU, hospitalised in a surgical unit. It also demonstrates how skin temperature can be used as a clinical parameter in practice to support the prevention of PUs.

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STRIA GRAVIDARUM;

The Professional Medical Journal ◽

10.29309/tpmj/2019.26.01.2586 ◽

2019 ◽

Vol 26 (01) ◽

Author(s):

Uzma Nusrat ◽

Sadaf Ahmed Asim ◽

Sahar Soomro ◽

Mehnaz Nuruddin Gitay ◽

Sadia Iqbal ◽

...

Keyword(s):

Quality Of Life ◽

Pregnant Women ◽

Cross Sectional Study ◽

The Body ◽

University Hospital ◽

Sectional Study ◽

Cross Sectional ◽

The Impact ◽

Striae Gravidarum

Striae gravidarum (SG) is a physiological skin change that many pregnant women experience during pregnancy. Striae gravidarum seems to be undesirable to many pregnant women but its impact on women’s life is unclear. It is a disfiguring change on the skin of pregnant women presenting atrophic linear scars. They may occur anywhere on the body, though the abdomen, breasts, hips and legs are common. This change has a deep impact on the psychology and quality of life (QoL) of women. The quality of life of pregnant women deteriorates with distressing body image, causing psychological problems.The aim of this study is to evaluate the impact of striae gravidarum on the dermatology-specific quality of life (QOL) of pregnant women. Objectives:To evaluate the impact of Stria gravidarum on the dermatology - specific qualoty of life (QOL) among pregnant women.Method:A multi-disciplinary cross-sectional study was conducted among the pregnant women attending the outpatient department at Dow university hospital for antenatal visits in third trimester. Striae gravidarum was assessed by using Dave’s score. After taking informed consent, Skindex 16 dermatology specific QOL questionnaire was used to evaluate the QOL. Data was analyzed by using SPSS version -16. Using Mann Whitney level of significance <0.05.Study Design:A cross sectional study. Duration of Study: January 2016 till January 2017. Place of Study: Department of Dermatology and department of Gynecology, Dow University Hospital, Dow International Medical College (Ojha Campus), DUHS, Karachi.Result:Among 112 pregnant women striae gravidarum was present in 32(28.6%) in primigravida, and 80(71.4%) in multigravida.Severity of striae gravidarum was assessed by using Davey’s score. Pregnant women with severe striae gravidarum showed significantly higher scores on emotion of Skindex-16 compared with those with absent or mild striae gravidarum. Conclusion:It is concluded that due to Striae gravidarum, pregnant females worry more with greater concern regarding their appearance. Their interaction with others was found to be highly affected due to this disfiguring physical change. The symptoms, emotional well-being and functionality differed significantly when the women with mild SG were compared with those with severe SG, though no difference was observed when primiparae subjects were compared with multipara subjects.The occurrence and severity of striae gravidarum influenced their dermatology-specific QOL and it is important to prevent or reduce the severity of striae gravidarum.

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