scholarly journals Associação entre obesidade, risco de quedas e medo de cair em mulheres idosas

2017 ◽  
Vol 19 (4) ◽  
pp. 450 ◽  
Author(s):  
Silvia Gonçalves Ricci Neri ◽  
André Bonadias Gadelha ◽  
Ana Luiza Matias Correia ◽  
Juscélia Cristina Pereira ◽  
Marisete Peralta Safons ◽  
...  
Keyword(s):  
Fear Of Falling ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
The Body ◽  
Obese Women ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Risk Of Falls ◽  
Overweight Subjects

DOI: http://dx.doi.org/10.5007/1980-0037.2017v19n4p450 The aim of this cross-sectional study was to investigate the association between obesity, risk of falls and fear of falling in older women. Two hundred and twenty-six volunteers (68.05 ± 6.22 years, 68.06 ± 11.79 kg, 1.56 ± 0.06 m) were classified as normal weight, overweight or obese, according to the body mass index. Risk of falls and fear of falling were evaluated using QuickScreen Clinical Falls Risk Assessment and Falls Efficiency Scale – International (FES-I), respectively. Comparisons between groups were conducted using Chi-square and ANOVA One-way tests. The significance level was set at p< 0.05. Obesity was associated with greater probability of falls (p< 0.001), which may be partly explained by decreased muscle strength (p< 0.001) and reaction time (p< 0.001). In addition, significant differences between groups was observed in FES-I score (p< 0.01), with obese women showing more pronounced fear of falling (30.10 ± 8.4) than normal weigh (25. 33 ± 7.11, p< 0.01) and overweight subjects (26.97 ± 7.05, p< 0.05). These findings corroborate previous evidence pointing obesity as a major risk factor for falls. Therefore, health professionals dealing with fall prevention should consider the effects of overweight.

scholarly journals Pattern of Adiponectin, Osteocalcin, Irisin, FGF-21, and MCP-1 According to the Body Size Phenotype: Could They Be Markers of Metabolic Health in Mexican-Mestizo Middle-Aged Women?

Metabolites ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 771
Author(s):  
Lourdes Balcázar-Hernandez ◽  
Lourdes Basurto ◽  
Leticia Manuel-Apolinar ◽  
Sara Vega-García ◽  
Norma Basurto-Acevedo ◽  
...  
Keyword(s):  
Body Size ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
The Body ◽  
Metabolic Phenotype ◽  
Obese Women ◽  
Middle Aged ◽  
Cross Sectional ◽  
Metabolically Healthy Obese ◽  
Metabolically Healthy

Variations in levels of some adipokines, myokines, osteokines, hepatokines and inflammatory cytokines contribute to abnormal glucose and lipid metabolism. The aim of this study was to determine the pattern of adiponectin, osteocalcin (OCN), irisin, FGF-21, and MCP-1 according to the body size phenotype of middle-aged women, and their associations with BMI, visceral adipose tissue (VAT), and HOMA-IR. A cross-sectional study in 265 women aged from 40 to 65 years was performed. The biochemical characteristics were evaluated in metabolically healthy normal weight, metabolically unhealthy normal weight, metabolically healthy obese, and metabolically unhealthy obese women. There was an association of OCN with BMI (r = −0.107; p = 0.047); adiponectin with BMI (r = −0.217; p = 0.001), insulin (r = −0.415; p = 0.0001), HOMA-IR (r = −0.429; p = 0.0001), and VAT (r = −0.134; p = 0.025); irisin with BMI (r = 0.604; p = 0.001), insulin (r = 0.446; p = 0.0001), HOMA-IR (r = 0.452; p = 0.0001), and VAT (r = 0.645; p = 0.0001); FGF−21 with insulin (r = −0.337; p= 0.030) and HOMA-IR (r = −0.341; p = 0.03); and MCP-1 with BMI (r = 0.481; p = 0.0001), VAT (r = 0.497; p = 0.001), insulin (r = 0.298; p= 0.001), and HOMA-IR (r = 0.255; p = 0.004). A multivariate analysis showed that an elevation of OCN (OR 1.4 (95%CI 1.06–1.81)) and a reduction of adiponectin (OR 0.9 (0.84–0.96)) were associated factors for a metabolic unhealthy phenotype in normal weight participants. Likewise, higher irisin (OR 1.007 (1.003–1.011)) and MCP-1 (1.044 (1.008–1.083)) were risk factors for a metabolic unhealthy phenotype in woman with obesity. OCN, adiponectin, irisin, FGF-21, and MCP-1 are associated with some metabolic parameters such as BMI, HOMA-IR, and VAT, and could be possible biomarkers of an unhealthy metabolic phenotype in middle-aged women.

scholarly journals Determinants of IGF1 and GH across the weight spectrum: from anorexia nervosa to obesity

2010 ◽  
Vol 163 (2) ◽  
pp. 185-191 ◽  
Author(s):  
D J Brick ◽  
A V Gerweck ◽  
E Meenaghan ◽  
E A Lawson ◽  
M Misra ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Free Testosterone ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
The Body ◽  
Obese Women ◽  
Significant Determinant ◽  
Serum Samples ◽  
Cross Sectional ◽  
Gh Secretion

ContextChronic starvation is characterized by GH resistance, and obesity is characterized by decreased GH secretion. In both extremes, IGF1 levels may be low and androgen levels may be abnormal.ObjectiveTo investigate the determinants of IGF1 and GH across the weight spectrum in women.DesignCross-sectional study.SettingClinical research center.Study participantsIn total, 32 women had participated in the study: 11 women with anorexia nervosa (AN), 11 normal-weight women, and 10 obese women of comparable mean age.InterventionNone.Main outcome measuresPooled hourly overnight serum samples assayed for IGF1, GH, estradiol (E2), testosterone, SHBG, insulin, free fatty acids, and trunk fat.ResultsFree testosterone was higher in obese women and lower in women with AN than in normal-weight women, and was the only independent (and positive) predictor of IGF1 levels, accounting for 14% of the variability (P=0.032) in the group as a whole. This relationship was stronger when obese women were excluded, with free testosterone accounting for 36% of the variability (P=0.003). Trunk fat accounted for 49% of the variability (P<0.0001) of GH, with an additional 7% of the variability attributable to E2 (P=0.042) in the group as a whole, but was not a significant determinant of GH secretion when obese women were excluded.ConclusionsFree testosterone is a significant determinant of IGF1 levels in women across the body weight spectrum. In contrast, GH secretion is differentially regulated at the extremes of the weight spectrum.

scholarly journals Kejadian Obesitas dengan Tingkat Dismenhore Primer pada Remaja Putri

2020 ◽  
pp. 44-50
Author(s):  
Yusrah Taqiyah ◽  
Rizqy Iftitah Alam ◽  
Jusmawati Jusmawati
Keyword(s):  
Young Women ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Stratified Sampling ◽  
The Body ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
The Relationship

Remaja adalah suatu tahap transisi antara masa kanak-kanak kemasa dewasa. Remaja akan mengalami masa pubertas, salah satu tanda pubertas remaja yaitu menstruasi. Obesitas adalah penimbunan jaringan lemak tubuh secara berlebihan, sehingga meningkatkan kadar prostaglandin dalam tubuh dan memicu terjadinya dismenore. Tujuan penelitian ini, mengetahui hubungan kejadian obesitas dengan tingkat dismenore pada remaja putri di SMAN 20 Bone. Desain penelitian yang di gunakan adalah obeservasional analitik dengan pendekatan Cross sectional study. Dilaksanakan di SMAN 20 Bone pada bulan Agustus 2019. Populasi penelitian ini, semua siswi kelas X dan XI jurusan IPA dan IPS yaitu sebanyak 115 siswi. Adapun penentuan perkiraan jumlah sampel yang akan diambil digunakan rumus slovin dengan teknik Stratified Sampling yaitu sebanyak 90 sisiwi. Hasil penelitian menunjukkan bahwa siswi yang obesitas dan mengalami tingkat dismenore (tidak nyeri, ringan, sedang, berat dan sangat berat) sebanyak 40 sisiwi. Uji hubungan dilakukan dengan menggunakan uji statistik Chi-Square, dengan tingkat kemaknaan, nilai ρ=value 0,003 (<0,05). Kesimpulan dari penelitian ini, menunjukkan bahwa ada hubungan kejadian obesitas dengan tingkat dismenore pada remaja putri di SMAN 20 Bone. Teenagers are a transitional stage between childhood and adulthood. Teenagers will experience puberty, one sign of adolescent puberty is menstruation. Obesity is excessive accumulation of body fat tissue, thereby increasing prostaglandin levels in the body and triggering dysmenorrhea. The purpose of this study was to determine the relationship of the incidence of obesity with the level of dysmenorrhea in young women at SMAN 20 Bone. The research design used was observational analytic with cross sectional study approach. Conducted at 20 Bone High School in August 2019. The population of this study, all students of class X and XI majoring in Natural Sciences and Social Sciences as many as 115 students. The determination of the estimated number of samples to be taken used the Slovin formula with the Stratified Sampling technique of 90 students. The results showed that students who were obese and experienced levels of dysmenorrhea (painless, mild, moderate, severe and very severe) were 40 students. The relationship test was performed using the Chi-Square statistical test, with significance level, the value of ρ = value 0.003 (<0.05). The conclusions of this study, show that there is a relationship between the incidence of obesity with the level of dysmenorrhea in young women at SMAN 20 Bone.

scholarly journals Apetite e sintomas de impacto nutricional de mulheres com câncer ginecológico

2020 ◽  
Vol 35 (1) ◽  
pp. 26-33
Author(s):  
Maria Claudia Bernardes Spexoto ◽  
Gesieli Aparecida da Silva ◽  
Lígia Zampieri de Brito ◽  
Mariana dos Santos Murra ◽  
Ricardo Reis
Keyword(s):  
Nutritional Status ◽  
Nutritional Assessment ◽  
Gynecological Cancer ◽  
Cross Sectional Study ◽  
The Body ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Clinical Variables ◽  
Treatment Naïve

Introduction: Changes in appetite are common and worrying in cancer patients and significantly impact nutritional status. This study aimed to verify the relationship among appetite/symptoms and the sociodemographic, clinical and nutritional status of women diagnosed with gynecological cancer without antineoplastic treatment treated at Barretos Cancer Hospital. Methods: This is a cross-sectional study with a non-probabilistic sample design, conducted between January and September 2017. This study comprised sociodemographic, clinical, nutritional status and appetite/ symptoms. Nutritional assessment was performed using the body mass index (BMI) and the PatientGenerated Subjective Global Assessment (PG-SGA). To assess appetite and symptoms, the Cancer Appetite and Symptom Questionnaire (CASQ) instrument was used. For associations of interest, the chi-square test was used. A significance level of 5% was adopted. Results: 171 women with a mean age of 52.32 ± 14.95 years participated, most of them diagnosed with cervical cancer (56.6%). Although the predominance in this study is women with moderate appetite/symptom impairment, it was not related to sociodemographic and clinical variables, nor was it associated with nutritional status assessed by BMI. However, a significant association was found between appetite/symptoms and nutritional status assessed by PG-SGA (p = 0.033). Conclusion: Appetite impairment and presence of symptoms were not related to the sociodemographic and clinical variables studied in women diagnosed with treatment-naive gynecological cancer. Significant association was found between CASQ and nutritional status assessed by PG-SGA.

scholarly journals Percepção da imagem corporal e indicadores antropométricos e de composição corporal associados em idosos

2019 ◽  
Vol 20 (6) ◽  
pp. 525-534
Author(s):  
Iasmim Batista Correia ◽  
Nathalie De Almeida Silva ◽  
Paulo Granges e Silva ◽  
Tarciana Nobre de Menezes
Keyword(s):  
Older Adults ◽  
Body Image ◽  
The Elderly ◽  
Body Image Dissatisfaction ◽  
Normal Weight ◽  
The Body ◽  
Image Perception ◽  
Cross Sectional ◽  
Significance Level ◽  
Body Image Perception

Aging leads to psychological losses and various physical changes that, associated with body-stereotyped patterns imposed by society, can cause disturbances in the body image perception (BIP) in the elderly. The aim of this study was to evaluate BIP in older adults living in the city of Campina Grande / PB and its relationship with different anthropometric and body composition indicators. This cross-sectional study was carried out with older adults of both sexes enrolled in the Family Health Strategy of Campina Grande, PB. BIP was considered as a dependent variable and body mass index (BMI), waist circumference (WC), triceps skinfold (TSF), and arm fat area (AFA) as independent variables. The association between BIP and anthropometric indicators was verified using the Pearson chi-square test (X²), simple and multiple logistic regression, with significance level of p <0.05. Overall, 420 older adults were interviewed (68.1% women), of whom 409 reported their actual body image perception. Regarding the perception of idealized body image, 11 individuals did not respond and 230 were satisfied, since 179 desired another silhouette. Individuals with BMI indicative of overweight / obesity were more likely of showing body image dissatisfaction compared to those with normal weight. Subjects with excessive TSF showed greater body image dissatisfaction in relation to those with normal weight. Women were more likely of showing body image dissatisfaction. Thus, it was observed that variables BMI, TSF and sex were independently associated with body image satisfaction.

scholarly journals Is there an association between skeletal asymmetry and tooth absence?

2016 ◽  
Vol 21 (4) ◽  
pp. 73-79 ◽  
Author(s):  
Guilherme Thiesen ◽  
Bruno Frazão Gribel ◽  
Keila Cristina Rausch Pereira ◽  
Maria Perpetua Mota Freitas
Keyword(s):  
Cross Sectional Study ◽  
Midsagittal Plane ◽  
Chi Square ◽  
Cross Sectional ◽  
Posterior Teeth ◽  
Significance Level ◽  
Posterior Tooth ◽  
Mandibular Asymmetry ◽  
Significant Difference ◽  
Skeletal Asymmetry

ABSTRACT Introduction: Facial skeletal asymmetry is commonly found in humans and its main characteristic is menton deviation. The literature suggests that occlusal and masticatory problems arising from tooth absence could be related to the development of such asymmetries. Objective: The aim of this cross-sectional study was to estimate the prevalence of mandibular skeletal asymmetries and to investigate its association with posterior tooth absences. Methods: Tomographic images of 952 individuals aged from 18 to 75 years old were used. Asymmetry was the analyzed outcome, and it was categorized into three groups according to gnathion displacement in relation to the midsagittal plane (relative symmetry, moderate asymmetry, and severe asymmetry). Patients were sorted by the presence of all posterior teeth, unilateral posterior tooth absence, or bilateral posterior tooth absence. Chi-square test with a significance level of 5% was used to verify the association between posterior tooth absence and asymmetry. Results: Results show relative symmetry present in 55.3% of the sample, as well as the prevalence of 27.3% for moderate mandibular asymmetry and 17.4% for severe asymmetry. Moderate and severe mandibular asymmetries occurred in a higher proportion in patients with unilateral posterior tooth absence. However, there was no statistically significant difference between the analyzed groups (p = 0.691). Conclusions: In this study, mandibular asymmetries did not present any association with the absence of teeth on the posterior area of the arch.

scholarly journals Prevalence of and factors associated with polypharmacy among elderly persons resident in the community

2017 ◽  
Vol 20 (1) ◽  
pp. 138-148 ◽  
Author(s):  
Natália Araujo de Almeida ◽  
Annelita Almeida Oliveira Reiners ◽  
Rosemeiry Capriata de Souza Azevedo ◽  
Ageo Mário Cândido da Silva ◽  
Joana Darc Chaves Cardoso ◽  
...  
Keyword(s):  
The Elderly ◽  
Cross Sectional Study ◽  
Health Condition ◽  
Bivariate Analysis ◽  
Elderly Persons ◽  
Chi Square ◽  
Cross Sectional ◽  
Mato Grosso ◽  
Significance Level ◽  
Factors Associated

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.

scholarly journals The Project Appropriate Birth and Reduction of Cesarean Section Rates: an analysis using the Robson classification system

2021 ◽  
Author(s):  
Daniela Ferreira D’Agostini Marin ◽  
Amanda Wernke ◽  
Daniela Dannehl ◽  
Dyulie Araujo ◽  
Gustavo Koch ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Classification System ◽  
Phase 1 ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Robson Classification ◽  
Before And After

OBJECTIVE: The objective of this study was to evaluate C-section rates, before and after the implementation of the Project Appropriate Birth based on the Robson 10-group classification system. DESIGN: An observational, cross-sectional study. SETTING: Maternity hospital in South Brazil. POPULATION: All pregnant women attending, April 2016 through April 2017 (phase 1, pre-implementation of the Project Appropriate Birth) and June 2017 through June 2018 (phase 2, post-implementation of the Project Appropriate Birth). METHODS: Maternal and obstetric characteristics were evaluated, including Robson’s classification, based on the characteristics of pregnancy and childbirth. Chi-square test and crude and adjusted prevalence ratios were used to analyze study variables. The significance level was set at 5%. MAIN OUTCOME MEASURES: C-section rate for each group, their contribution to the overall c-section rate and the differences in these contributions before and after PPA implementation. RESULTS: C-section rates decreased from 62.4% to 55.6%, which represented a 10.9% reduction after the implementation of the Project Appropriate Birth. Pregnant women in Robson classification groups 1 through 4 had the greatest decrease in C-section rates, ranging from 49.1% to 38.6%, which represents a 21.5% reduction. The greatest contributors to the overall C-section rates were group 5 and group 2, accounting for more than 60% of the C-section deliveries. CONCLUSION: The Project Appropriate Birth had an important impact on the reduction of C-section rates, especially in Robson classification groups 1 through 4, which indicates that providing mothers with evidence-based interventions for labor and childbirth assistance will contribute to reduce C-section rates.

scholarly journals Position of lips and tongue in rest in newborns with and without ankyloglossia

CoDAS ◽  
2021 ◽  
Vol 33 (6) ◽  
Author(s):  
Silvia Márcia Andrade Campanha ◽  
Roberta Lopes de Castro Martinelli ◽  
Durval Batista Palhares
Keyword(s):  
Visual Inspection ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Hospital Data ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Significant Difference ◽  
Chi Square Test

ABSTRACT Purpose Verify the position of lips and tongue at rest in newborns with and without ankyloglossia. Methods Cross-sectional study, carried out with 130 newborns in University Hospital. Data collection was performed by the researcher and speech-language pathologists from the Hospital. Information on gestational age, sex, weight, height and days of life was collected. The position of the lips and tongue at rest was evaluated through visual inspection with the newborns asleep. After the newborns were awakened, Neonatal Screening of the validated Protocol for the evaluation of the lingual frenulum for infants was performed to detect the alteration of the lingual frenulum. The data obtained were described and submitted to statistical analysis using the Chi-Square test to verify the association between the position of the lips with the tongue and to compare the position of the lips and tongue with and without ankyloglossia. The Mann-Whitney test was used to verify the behavior of the variables the differed between newborns with and without ankyloglossia. The significance level of 5% was adopted. Results When comparing the data, a significant difference was found between: weight and height with and without ankyloglossia; position of lips and tongue. An association between the position of the tongue and lips with and without ankyloglossia was also found. Conclusion Newborns without alteration of the lingual frenulum have a tendency to remain with their lips closed and their tongue elevated during rest and newborns with ankyloglossia have a tendency to keep their lips parted and their tongue low during rest.

scholarly journals Association between speech and dental occlusion changes in children with cleft lip and palate and time of primary plastic surgeries

Revista CEFAC ◽  
2021 ◽  
Vol 23 (4) ◽  
Author(s):  
Gabriela Ribeiro Schilling ◽  
Maria Cristina de Almeida Freitas Cardoso ◽  
Paulo Sérgio Gonçalves da Silva ◽  
Marcia Angélica Peter Maahs
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Cross Sectional Study ◽  
Dental Occlusion ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Exact Test ◽  
Chi Square Test ◽  
Incisive Foramen

ABSTRACT Purpose: to describe the changes in speech and dental occlusion in children with cleft lip and palate and verify their association with each other and with the time of primary plastic surgeries. Methods: a cross-sectional study with collected data on the subjects’ identification, age at the time of primary surgeries, and clinical assessment of speech and dental occlusion. The chi-square test, Fisher's exact test, and t-test were used to verify the associations between the variables at the 5% significance level (p < 0.05). Results: the sample comprised 11 children aged 6 to 10 years, most of whom were males, self-reported white, with trans-incisive foramen cleft, predominantly on the left side. The mean age at lip repair surgery was 6 months, and 13 months at palatoplasty. Among the main dental occlusion changes, posterior and anterior crossbite stood out. All the subjects presented changed speech, with a prevalence of cases with dentoalveolar and palatine deformities, followed by passive and active changes. Subjects with anterior crossbite tended to have undergone primary lip repair surgery at a mean of four months earlier than the subjects without anterior crossbite. Conclusions: the associations between speech and dental occlusion changes, and between these and the time of primary plastic surgeries were not statistically significant. Even though it is known that early lip repair surgery is ideal to favor oral functions and aesthetics, the results revealed a tendency towards anterior crossbite, in these subjects.

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