scholarly journals Prevalence of Atypical Disorders and Associated Factors in Undergraduate Students of Prince of Songkla University, Songkhla, Thailand

Author(s):  
Orapan Fumaneeshoat

Objective: To quantify the prevalence of eating disorders and factors associated with eating disorders among undergraduate students in Prince of Songkla University, Hat Yai Campus.Material and Methods: This study was a cross sectional descriptive study using random sampling by proportionate accidental sampling. We used the Thai Eating Attitudes Test-26 (EAT-26) for collecting information about eating attitudes. Participants who had scores equal or higher than 12 (≥12) were assumed to have atypical eating attitudes and behaviors. We used the R and R studio program to analyze information. Multivariate logistic regression was used for correlation analysis.Results: In this study, we had completed questionnaires from 500 students (response rate 65.6%). The overall prevalence of atypical eating attitudes and behaviors in undergraduate students in Prince of Songkla University, Hat Yai Campus was 37.2%. We found that overweight body mass index (BMI) (BMI 23.00-24.99 kg/m2) and obesity BMI (≥25.00 kg/m2) were significantly more prevalent in students with atypical eating attitudes and behaviors than normal BMI (18.50-22.99 kg/m2), with odds ratios of 3.3 [95% confidence interval (CI)=1.8-6.2] and 3.7 (95% CI=1.9-6.9), respectively. However, multivariate logistic regression revealed no associations between atypical eating attitudes and behaviors, sex, target weight, biological disease, psychological disease, current medication(s) or faculty. Atypical eating attitudes and behaviors were significantly associated only with body mass index BMI. The overweight and obese BMI groups had significantly increased risks of 3.3 and 3.7 times of atypical eating attitudes and behaviors compared to the normal group, with 95% CIs of 1.8-6.2 and 1.9-6.9, respectively.Conclusion: From this study, overweight BMI and obesity BMI were significantly more prevalent in students with atypical eating attitudes and behaviors than normal BMI. BMI was the only factor significantly associated with atypical eating attitudes and behaviors.

2021 ◽  
pp. 000313482110241
Author(s):  
Christine Tung ◽  
Junko Ozao-Choy ◽  
Dennis Y. Kim ◽  
Christian de Virgilio ◽  
Ashkan Moazzez

There are limited studies regarding outcomes of replacing an infected mesh with another mesh. We reviewed short-term outcomes following infected mesh removal and whether placement of new mesh is associated with worse outcomes. Patients who underwent hernia repair with infected mesh removal were identified from 2005 to 2018 American College of Surgeons-National Surgical Quality Improvement Program database. They were divided into new mesh (Mesh+) or no mesh (Mesh-) groups. Bivariate and multivariate logistic regression analyses were used to compare morbidity between the two groups and to identify associated risk factors. Of 1660 patients, 49.3% received new mesh, with higher morbidity in the Mesh+ (35.9% vs. 30.3%; P = .016), but without higher rates of surgical site infection (SSI) (21.3% vs. 19.7%; P = .465). Mesh+ had higher rates of acute kidney injury (1.3% vs. .4%; P = .028), UTI (3.1% vs. 1.3%, P = .014), ventilator dependence (4.9% vs. 2.4%; P = .006), and longer LOS (8.6 vs. 7 days, P < .001). Multivariate logistic regression showed new mesh placement (OR: 1.41; 95% CI: 1.07-1.85; P = .014), body mass index (OR: 1.02; 95% CI: 1.00-1.03; P = .022), and smoking (OR: 1.43; 95% CI: 1.05-1.95; P = .025) as risk factors independently associated with increased morbidity. New mesh placement at time of infected mesh removal is associated with increased morbidity but not with SSI. Body mass index and smoking history continue to contribute to postoperative morbidity during subsequent operations for complications.


Author(s):  
Akeline Santos de Almeida ◽  
Patrícia Almeida Fontes ◽  
Jamille Mendonça Reinaldo ◽  
Maria de Lourdes Feitosa Neta ◽  
Ricardo Aurélio Carvalho Sampaio ◽  
...  

Abstract Aging comprises a dynamic and progressive process, characterized by physiological and functional changes. Among these changes, increase in body fat is considered relevant, since it can leads to impaired physical fitness and augmented cardiometabolic risks. Considering this, the objective of this study was to evaluate the influence of overweight on functional capacity of physically active older women. A field survey was performed with 24 older women who practiced physical exercise. Participants were submitted to anamnesis, anthropometric measures (i.e., body mass and height); the Senior Fitness test; sit and reach flexibility test; and handgrip strength test. Pearson’s correlation test and multivariate logistic regression were used to verify the association between overweight and functional capacity. It was observed that hip flexibility (R=-0.494, p=0.014) and flexibility of the lower limbs (i.e., sit and reach test) showed negative correlation with the body mass index (R=-0.446, p=0.02); and after the multivariate logistic regression, negative correlation of lower limbs flexibility (B=-0,035, p=0,014) and the body mass index was observed. Thus, higher the body mass index among participants, lower hip flexibility they presented.


2016 ◽  
Vol 4 ◽  
pp. 693-699
Author(s):  
Radka Massaldjieva ◽  
Desislava Bakova ◽  
Maria Semerdjieva ◽  
Boris Tilov ◽  
Ekaterina Raikova ◽  
...  

INTRODUCTION: Eating disorders have been intensively researched over recent decades. However, there has been insufficient research into the early assessments for detecting the risk of developing disordered eating. We report preliminary results from a project aiming to assess the prevalence of eating attitudes and behaviors that heighten the risk of eating disorders. The study examines a non-clinical sample of adolescents and adults from two cities of South Bulgaria.METHODS: In this cross-sectional epidemiological study, a total of 1285 volunteers of 828 females and 453 males, aged 14 to 59 years, were surveyed to assess disordered eating attitudes and behaviors. For this purpose, the study used the ‘SCOFF’ questionnaire, the Eating Disorder Diagnostic Scale (EDDS), and the Eating Attitudes and Behaviors Questionnaire (EABQ), which was developed for this study.RESULTS: The proportion of these volunteers underweight (body mass index below 17.5) was 9.8%. Of the total subject, 34.7% provided two or more positive answers for the SCOFF questionnaire (two being the upper threshold for indicating 100% sensitivity to anorexia and bulimia). The results differed between males and females: 21.6% and 42.1%, respectively, in this regard. A factor analysis (oblimin rotation) of EABQ items revealed four main factors: body shape and weight concerns, personal control over eating and calorie intake, dieting, and preoccupation with food and binge eating. A Spearman’s correlation analysis showed moderately significant correlations (p < 0.001) between the total scores of the SCOFF questionnaire, EABQ, and the scores for three groups of items in the EDDS for assessing eating attitudes and behaviors.CONCLUSION: We found a greater ED risk in adolescents compared with the older groups and in females compared with males. One fifth of males studied were at high risk of ED and ages between 19 and 39 years also appeared at risk. The EABQ was validated as a sensitive and reliable self-report instrument that can be used for early detection for the risk of ED. Our results could form a basis for developing programs in disordered eating prevention.


2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
R Marinheiro ◽  
L Parreira ◽  
P Amador ◽  
D Mesquita ◽  
J Farinha ◽  
...  

Abstract Background It is recommended to consider obstructive sleep apnoea (OSA) screening in atrial fibrillation (AF) patients with risk factors, due to the strong evidence of an association between these two entities. Excessive supraventricular ectopic activity (ESVEA) has been proposed to be a risk factor for AF. However, strong evidence between ESVEA and OSA has not been established. Objective We aimed to determine if ESVEA is associated with moderate to severe OSA since its treatment may prevent AF. Methods We studied patients who performed polysomnography and 24-hour Holter monitoring. Patients with atrial fibrillation were excluded. ESVEA was defined as more than 30 PACs per hour (frequent PACs) or runs of >4 consecutive PACs. The circadian pattern of PACs was also evaluated. Sleeping hours were used to define “nocturnal”. Moderate to severe OSA was defined when polyssonography demonstrated a apnoea/hypopnoea index (AHI) >15. We examined the association between ESVEA and moderate to severe OSA during wakefulness and sleep. Results We studied 290 patients [median age 65 (55–72) years, 62% males, body mass index (BMI) 30 (27–34)]. 112 (38%) had moderate to severe OSA. Median AHI was 11 (5–24) and mean oxygen saturation was 94% (92–95). Median PACs was 35 (9–117) and 29 patients (10%) had frequent PACs. Runs of >4PACs occurred in 114 patients (39%). Forty-three patients (15%) had predominant nocturnal PACs and 42 (14%) had nocturnal runs of PACs. Multivariate logistic regression analysis demonstrated only nocturnal PACs were associated with moderate to severe OSA (p=0.027) (table 1). Multivariate logistic regression Odds Ratio 95% Confidence Interval p-value Male gender 4.49 2.48–8.17 <0.001 Body mass index (kg/m2) 1.09 1.03–1.15 0.002 Nocturnal PACs 4.12 1.17–14.46 0.027 Variables not included in the model: age, number of PACs/h, frequent PACs (>30 PAcs/hour), runs of PACs (>4 consecutive PACs), nocturnal frequent PACs and nocturnal runs of PACs. Conclusion OSA screening in patients presenting with nocturnal PACs should be routinely considered, especially in male and obese. Treating moderate to severe OSA patients with CPAP has a potential benefit in preventing ESVEA and consequently AF.


2010 ◽  
Vol 46 (2) ◽  
pp. S50
Author(s):  
Christina Tortolani ◽  
Robyn Mehlenbeck ◽  
Jack Nassau ◽  
Diane DerMarderosian ◽  
Emily Houlihan

2003 ◽  
Vol 121 (3) ◽  
pp. 107-110 ◽  
Author(s):  
Ivete Alonso Bredda Saad ◽  
Eduardo Mello De Capitani ◽  
Ivan Felizardo Contrera Toro ◽  
Lair Zambon

CONTEXT: Pulmonary complications are the most common forms of postoperative morbidity in thoracic surgery, especially atelectasis and pneumonia. The first step in avoiding these complications during the postoperative period is to detect the patients that may develop them. OBJECTIVE: To identify risk variables leading to early postoperative pulmonary complications in thoracic surgery. DESIGN: Prospective study. SETTING: Hospital das Clínicas, Faculdade de Ciências Médicas, Universidade Estadual de Campinas. PATIENTS: 145 patients submitted to elective surgery were classified as low, moderate and high risk for postoperative pulmonary complications using a risk assessment scale. PROCEDURES: The patients were followed up for 72 hours after the operation. Postoperative pulmonary complications were defined as atelectasis, pneumonia, tracheobronchitis, wheezing, prolonged intubation and/or prolonged mechanical ventilation. MAIN MEASUREMENTS: Univariate analysis was applied in order to study these independent variables: age, nutritional status, body mass index, respiratory disease, smoking habit, spirometry and surgery duration. Multivariate logistic regression analysis was performed in order to evaluate the relationship between independent and dependent variables. RESULTS: The incidence of postoperative complications was 18.6%. Multivariate logistic regression analysis showed that the variables increasing the chances of postoperative pulmonary complications were wheezing (odds ratio, OR = 6.2), body mass index (OR = 1.15), smoking (OR = 1.04) and surgery duration (OR = 1.007). CONCLUSION: Wheezing, body mass index, smoking and surgery duration increase the chances of postoperative pulmonary complications in thoracic surgery


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