scholarly journals Association of Obesity with the Lower Limbs Osteoarthritis in a Community of Women from El Jadida Province in Morocco

Author(s):  
Houda Elfane ◽  
Mohamed Mziwira ◽  
Khadija Sahel ◽  
Sanaa El Jamal ◽  
Nadia El Mahri ◽  
...  

Background: In the last years, obesity became of interest because of its association with osteoarthritis (OA) which is increasing with the increase of both life expectancy and the prevalence of obesity. Aims: The objective was to assess the association of obesity with the susceptibility of the lower limbs OA (LLOA) occurrence in women. Subjects and Methods: The symptomatic susceptibility of the onset of LLOA was evaluated on a sample of women from El Jadida (Morocco) using the Moroccan version of the Western Ontario and McMaster Universities osteoarthritis index (WOMAC) for the lower limbs. Sociodemographic and anthropometric data were collected too using a questionnaire. Results: The surveyed female population was 45±13 years old mostly obese (77%) with an average BMI: 29.18 ± 5.29 and a WHR: 0.93 ± 0.9. The susceptibility of the LLOA in both forms (knee and coccyx osteoarthritis) was highly prevalent in women older than 50 years (22%). The three dimensions of WOMAC (pain, stiffness and functional impairment) are felt much more among postmenopausal 44.37±26.67 (with a rate of 49%) than procreating women 29.58±22.44 (with a rate of 51%) among women with morbid obesity (69.40±8.27) than normal weight (31.67±4.40) and in women having android (86.13%) than those with a gynoid obesity morphotype (5.10%). Conclusions: The results report an association of obesity with the risk of osteoarthritis occurrence varying with age and OA location hence the importance of preventing osteoarthritis issues through the management of obesity. Keywords: Knee osteoarthritis, Coccyx osteoarthritis, WOMAC, Obesity, BMI, WHR.

2018 ◽  
Vol 46 (5) ◽  
pp. 565-579 ◽  
Author(s):  
Mirkka Maukonen ◽  
Satu Männistö ◽  
Hanna Tolonen

Aims: Up-to-date information on the accuracy between different anthropometric data collection methods is vital for the reliability of anthropometric data. A previous review on this matter was conducted a decade ago. Our aim was to conduct a literature review on the accuracy of self-reported height, weight, and body mass index (BMI) against measured values for assessing obesity in adults. To obtain an overview of the present situation, we included studies published after the previous review. Differences according to sex, BMI groups, and continents were also assessed. Methods: Studies published between January 2006 and April 2017 were identified from a literature search on PubMed. Results: Our search retrieved 62 publications on adult populations that showed a tendency for self-reported height to be overestimated and weight to be underestimated when compared with measured values. The findings were similar for both sexes. BMI derived from self-reported height and weight was underestimated; there was a clear tendency for underestimation of overweight (from 1.8%-points to 9.8%-points) and obesity (from 0.7%-points to 13.4%-points) prevalence by self-report. The bias was greater in overweight and obese participants than those of normal weight. Studies conducted in North America showed a greater bias, whereas the bias in Asian studies seemed to be lower than those from other continents. Conclusions: With globally rising obesity rates, accurate estimation of obesity is essential for effective public health policies to support obesity prevention. As self-report bias tends to be higher among overweight and obese individuals, measured anthropometrics provide a more reliable tool for assessing the prevalence of obesity.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 409.2-409
Author(s):  
E. Strebkova ◽  
E. Tchetina ◽  
L. Alekseeva

Background:Currently, a large number of molecular biological and genetic markers are known to be involved in the development of osteoarthritis (OA). The mammalian target of rapamycin (mTOR) signaling pathway is responsible for chondrocyte proliferation, cartilage matrix production, and cell growth. OA is characterized by increased mTOR synthesis, which is accompanied by an increase in proliferative activity and destruction of chondrocytes. Obesity is an important factor in the progression of knee OA. The study of mTOR expression in patients with OA and obesity is an urgent task in the development of personalized OA therapy.Objectives:To determine the expression of mTOR in patients with knee OA in combination with obesity and normal body weight. To evaluate the effect of mTOR on the clinical manifestations of OA in patients with different body mass index (BMI).Methods:The study included 73 female patients aged 45-65 y.o. with Kellgren-Lawrence stage II-III knee OA. The patients were divided into 2 groups: group 1 (n=50) with obesity (BMI > 30 kg / cm2) and group 2 (n=23) with normal or increased body weight (BMI < 30 kg/cm2). The average age of patients with obesity is 56.5 ± 5.87 years, without obesity - 58.7 ± 5.43 years. Clinical manifestations were evaluated by a WOMAС. RNA was isolated from the patients ‘ blood samples, which was used to determine the expression of mTOR.Results:Patients with knee OA with and without obesity did not differ in age. OA develops at an earlier age in obese patients, than in non-obese patients (p < 0.001). Patients from 1 group had a high BMI > 30 kg/m2 at the onset of OA. Obese patients had more severe knee OA is significantly more often detected: Kellgren-Lawrence stage III was determined in 10% of obese patients and in 4.35% - without obesity (p < 0.001). Significantly higher values of the WOMAC index pain, stiffness, joint functional failure, and total WOMAC were observed in obese patients (p = 0.006, p = 0.039, p = 0.037, and p = 0.014, respectively). Obese patients had higher VAS pain scores (p < 0.05) compared to patients with a lower BMI. Obese patients had a higher mTOR expression (p < 0.05) of 8.02±8.62, compared to non-obese patients. High mTOR expression was associated with VAS knee pain (r=0.78; p < 0.05) and WOMAC pain (r=0.89; p<0.05) in obese patients (Table 1).Table 1.Correlation of m-TORParametersmTOR (1 group, n=50)mTOR (2 group, n=23)Body weightр > 0,05р > 0,05Pain (VAS)r=0,78; р<0,05p = 0,07; r = 0,45Pain (WOMAC)r=0,89; р<0,05р > 0,05Total WOMACр > 0,05р > 0,05Conclusion:Our study showed that patients with obesity and knee OA have higher rates of mTOR expression, compared to patients with normal body weight. High mTOR expression correlates with the severity of knee pain in obese patients. Thus, the evaluation of mTOR expression in obese patients and knee OA plays an important role in predicting the severity of clinical manifestations of OA, and may influence the choice of personalized therapy tactics for such patients.Disclosure of Interests:None declared


Author(s):  
Dernival Bertoncello ◽  
Karina Pereira ◽  
Lelles Gabriel Damasceno Queiroz ◽  
Eduardo Porcatti Walsh ◽  
Angélica Emboaba Salomão ◽  
...  

Abstract The aim of this study was to evaluate the prevalence of postural changes and their relationship with BMI, pain, postures adopted in activities of the daily living (ADL), physical activity practice, gender and age (6 to 12 years). This study is characterized as cross-sectional, quantitative and descriptive. The convenience sample consisted of 840 schoolchildren. Regarding the sample characteristics, 477 (56.79%) were female aged 6-12 years (average=8.90±1.71years). Evaluations were carried out at the school premises and a questionnaire was used to collect data on gender, age, pain report, practice of out-of-school physical activities and postures adopted in ADLs. Body mass, height and posture were evaluated. Some schoolchildren (43.21%) reported not practicing physical activity outside of school, 544 (64.76%) correctly carried their backpack and 51.9% adopted correct postures to study and watch TV. Musculoskeletal pain was reported by 62.73%, and shoulders were the most affected. BMI indicated 55.6% of the sample with leanness/normal weight and 44.40% with overweight/obesity. Postural changes were present in 97.02% of students and the region with the highest number of alterations was the upper limbs. Girls presented greater number of trunk alterations (p=0.001), as well as those who did not practice physical activity (p=0.02) and alterations in the lower limbs for younger students (p=0.02) and female students (p=0.01). This study identified high prevalence of postural changes in schoolchildren.


Author(s):  
Bianca Astrogildo de FREITAS ◽  
Carlos Alberto Tomatis LOTH ◽  
Gustavo Lazaroto SWAROWSKY ◽  
Graziela Morais LOURENÇO ◽  
Lucio Sarubbi FILLMANN ◽  
...  

ABSTRACT Background: One of the most important concerns on health is the increased rates of obesity in population and the speed in which this number is increasing. This number translates a serious public health problem, since it also increases the risk of several other diseases associated with obesity resulting in significant morbidity and mortality. Among them, it seems to be connected to several neoplasms, such as colorectal carcinoma. Aim: To evaluate the impact of obesity as a risk factor for colorectal carcinoma through the detection of adenoma, and to discuss the mechanisms that could establish a link between obesity and neoplasm. Methods: Patients who underwent colonoscopy were included. Personal and anthropometric data, clinical history, and results of the tests were analyzed in order to verify the correlation of BMI and the presence of adenomatous polyps. Results: A total of 142 patients were studied, which a mean age of 62 years. Of the patients, 74 (52.1%) were men and 68 (47.9%) were. Obesity was identified in 16.2% of the patients. Polyps were found in 61 (42.9%), mostly smaller than 1 cm. Obese individuals were 1.56 times more likely to present colorectal adenoma than patients with normal weight. Conclusion: This study, although showing the greater presence of colorectal adenomas in obese individuals, did not show a significant difference in the occurrence of pre-malignant lesions.


Author(s):  
Seda Göger ◽  
Dilek Cingil

Introduction The prevalence of obesity has become a remarkable public health concern in a global extent. This study aimed to examine the difference between the healthy lifestyle behaviors of women with normal weight and those who are obese. Method This comparative descriptive study included a total of 302 women aged 18–49 years. Results According to regression analysis; duration of education (β = −0.154), (age (β = 0.376), presence of obese individuals in the family (β = 0.177) and HLSBS II scores (β = −0.115) were the factors that affected the BMI. The predictive value of these variables was 34.1%. Discussion A significant difference was found between women with normal weight and obese women in terms of several sub-dimensions and overall HLSBS II score. We recommend that healthcare staff should design training and counseling services to improve the health behaviors of overweight and obese women.


2020 ◽  
Vol 10 (14) ◽  
pp. 5020
Author(s):  
Youngdoo Son ◽  
Wonjoon Kim

Estimating stature is essential in the process of personal identification. Because it is difficult to find human remains intact at crime scenes and disaster sites, for instance, methods are needed for estimating stature based on different body parts. For instance, the upper and lower limbs may vary depending on ancestry and sex, and it is of great importance to design adequate methodology for incorporating these in estimating stature. In addition, it is necessary to use machine learning rather than simple linear regression to improve the accuracy of stature estimation. In this study, the accuracy of statures estimated based on anthropometric data was compared using three imputation methods. In addition, by comparing the accuracy among linear and nonlinear classification methods, the best method was derived for estimating stature based on anthropometric data. For both sexes, multiple imputation was superior when the missing data ratio was low, and mean imputation performed well when the ratio was high. The support vector machine recorded the highest accuracy in all ratios of missing data. The findings of this study showed appropriate imputation methods for estimating stature with missing anthropometric data. In particular, the machine learning algorithms can be effectively used for estimating stature in humans.


2001 ◽  
Vol 4 (5a) ◽  
pp. 1099-1106 ◽  
Author(s):  
SN McCarthy ◽  
KE Harrington ◽  
M Kiely ◽  
A Flynn ◽  
PJ Robson ◽  
...  

AbstractObjectiveTo obtain measured anthropometric data for weight, height and other parameters not previously measured in the Irish population such as waist and hip circumferences and body composition.DesignA cross-sectional survey. Weight, height, waist circumference, hip circumference and body composition were measured according to standard procedures.SettingNorthern Ireland and the Republic of Ireland, 1997–1999.SubjectsRandom representative sample of 1379 adults aged 18–64 years. Results: With the exception of body fat, all anthropometric values were significantly higher for men than women (P < 0.001). All measurements were significantly higher in the 36–50-year-old age group compared with 18–35 year olds. Height was the exception, which decreased significantly with age (P < 0.05). Weight, height and body mass index (BMI) have increased in Ireland since last measured in 1988 and in 1990. Over the last decade, obesity has increased in men 2.5 fold from 8% to 20% and in women by 1.25 fold from 13% to 16%. Significantly more women have a normal BMI than men (50.4% vs. 33.3%; P < 0.05). Cut-off points for a high waist circumference and high waist-to-hip ratio identified 47% and 33% of the population, respectively, to be at an increased risk for cardiovascular disease. Social class did not have any significant effect on mean BMI. Location of residence influenced BMI but not in any consistent manner. Ex-smokers had a significantly higher BMI than nonsmokers and smokers (P < 0.05).ConclusionsA revision of current recommendations for combating obesity is warranted to improve the health of the Irish population. Further research is needed to identify the factors that have contributed to the dramatic increase in the prevalence of obesity in men over the last decade and have resulted in a higher prevalence of obesity in men than in women.


2015 ◽  
Vol 67 (2) ◽  
pp. 76-80 ◽  
Author(s):  
Josep L. Coll ◽  
Maria del Mar Bibiloni ◽  
Rogelio Salas ◽  
Josep A. Tur

Background and Aims: This article aimed at assessing the 10-year trends (2000-2010) in the prevalence of overweight and obesity among the Balearic Islands' adult population. Methods: Body mass index (BMI, kg/m2) for young (18-35 year-olds) and middle-aged (36-55 year-olds) adults living in the Balearics was calculated. Data represented 1,089 people during 1999-2000 and 1,081 people during 2009-2010. The BMI categories were as follows: normal weight (18.5 < 25), overweight (25.0 < 30) and obese (≥30). Results: Weighted frequency estimates and logistic regression analysis were used to calculate overweight and obesity trends. While the prevalence of overweight and obesity mostly remained stable over the 2000-2010 period, the prevalence of obesity increased from 5.1 to 8.3% in young adults (aged 18-35), a 1.66-fold increase in prevalence (95% CI 1.02-2.70) over the study period. Conclusions: Total overweight and obesity prevalence remained stable in the Balearic adult population; however, a rising prevalence of obesity has been observed in young adults, which suggests a need to develop and change current strategies in order to reverse the current trends in obesity among this age group.


2017 ◽  
Vol 45 (5) ◽  
pp. 485-497 ◽  
Author(s):  
Borut Milfelner ◽  
Tanja Vidergar Kikel ◽  
Damijan Mumel ◽  
Aleksandra Pisnik

Purpose The purpose of this paper is to measure attitudes towards cosmetic surgery services among women and to determine the potential segments of women according to their attitudes towards cosmetic surgery services and discover the main differences among them. Design/methodology/approach The research was implemented on a sample of 258 women in Slovenia. A quota sample was chosen for this research following the age characteristics of the Slovenian female population. The data collection method used was personal interviews. Convergent validity for the attitudes towards cosmetic surgery services was assessed with exploratory factor analysis. The segmentation analysis procedure was implemented in two phases. First, hierarchical clustering with Ward’s method was deployed, and in the second step K-means cluster analysis was used. Findings The results show that four clusters were clearly distinctive according to three dimensions, namely, intrapersonal, social and consider component. In further analysis, four segments of women were analysed regarding the fear of ageing, the importance of appearance, body image and self-esteem. Results show that all four segments are unique and distinguish one from another. Practical implications Through segmentation analysis, authors of this study indicate two segments (target groups) that are possibly interesting for providers of cosmetic services. Marketing communication activities should mainly be focussed on the woman’s appearance. Originality/value Based on a theoretical hypothesis and use a quantitative method, the aim of this paper is to provide a deeper analysis and understanding of attitudes and views of different woman profile regarding cosmetic surgeries. It presents a more structured view on differences that exist among segments of female consumers while also adding new insights into the factors that influence attitudes towards cosmetic procedures.


PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242602
Author(s):  
Leticia Heras-Gonzalez ◽  
José Antonio Latorre ◽  
Manuel Martinez-Bebia ◽  
Nuria Gimenez-Blasi ◽  
Fátima Olea-Serrano ◽  
...  

Aim The main cause of childhood overweight/obesity is an imbalance between energy intake and energy expenditure. The objective was to determine whether the intake by Spanish schoolchildren of sugars from habitually consumed foods and drinks can be related to overweight/obesity. Methods Subjects The study included 657 schoolchildren between 7–10 years from educational centers in Southern Spain. These children live under the influence of the Mediterranean diet. Design Participants completed an encoded questionnaire with three sections: a) data on sex, age, educational center, school year, and life/family habits, among others; b) semi-quantitative food frequency questionnaire related to the previous 12 months; and c) information on anthropometrics and physical activities. Results Obesity was observed in 10.9% of the children. The daily activity questionnaire showed a mean energy expenditure of 8.73 (1.33) MJ/day. The study considered foods that supply carbohydrates in any form (total carbohydrates, starch, total sugars, added sugars, and free sugars). The likelihood of overweight/obesity was significantly greater with a higher intake/day of total sugars, starch, added sugars, and free sugars. The likelihood of normal weight was significantly greater with lower energy expenditure in sedentary activities (OR = 3.03), higher energy expenditure in sports activities (OR = 1.72), and higher total activity/day measured as METs (OR = 8.31). Conclusions In this population, overweight/obesity was influenced by the physical activity of the children and by their intake of energy, total sugars, starch, added sugars, and free sugars. Further studies are warranted to verify this observation and explore the implications for public health policies.


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