Covid-19 Pneumonia with Acute Pulmonary Embolism in a Morbidly Obese Patient; At Home Dramatic Reversal Management

Rationale: A novel COVID-19 with the severe acute respiratory syndrome had arisen in Wuhan, China in December 2019 Thromboembolism is a critical clinical entity commonly recognized sequel in COVID-19 patients. Interestingly, the presentation of COVID-19 infection with thromboembolism has a risk impact on both morbidity and mortality in COVID-19 patients. Morbid obesity may add over significant risk value in the presence of COVID-19 pneumonia with thromboembolism. Patient concerns: Middle-aged housewife female COVID-19 morbid obese patient presented to physician outpatient clinic with unilateral pneumonia suspected acute pulmonary embolism. Diagnosis: COVID-19 pneumonia with acute pulmonary embolism in morbid obesity. Interventions: CT pulmonary angiography, non- contrasted chest CT scan, electrocardiography, and oxygenation. Outcomes: Dramatic of both clinical and radiological improvement had happened. Lessons: The combination of morbid obesity, QTc prolongation with COVID-19 infection is an indicator of the over-risk of thromboembolism. It signifies the role of anticoagulants, antiplatelet, anti-infective drugs, and steroids in COVID-19 patients with unilateral pneumonia and acute pulmonary embolism in morbid obesity are effective therapies. An increasing the dose of both low-molecular heparin and oral anticoagulant with a morbidly obese patient was reasonable.

'Effectiveness Of A Peer Support Intervention Program On Obesity Control Among Women In A Rural Area Of Turkey' (Preprint)

BACKGROUND Obesity in women is one of the leading public health problems globally. Peer support interventions have been effective in many areas of health promotion, and they have also been successful in obesity prevention and treatment. OBJECTIVE The purpose of this research was to reduce the Body Mass Index, fat ratio, and fat amount of the targeted women through the support of their peers (leading women) by regulating nutrition and improving physical activity in a rural community. METHODS This is a quasi-experimental obesity peer-led intervention study called the Leading Woman Model. At baseline, the obesity prevalence was found to be 60.5% among women aged 18–64 (n = 655) living in a rural district of Turkey. Of the participants (n = 137), 86.9% completed the 3rd month and 78.1% the 6th month of the intervention. Leading women (n = 11) were recruited from the community to supervise and monitor their own target groups of women during the intervention, which included supervised balanced nutrition and regular physical activity. RESULTS The mean age of the target intervention group was 42.8 ± 12.2. Significant improvements were observed in the body weight of the participating in the 3rd (-1.15 ± 2.51 kg) and 6th month (-1.13 ± 4.15 kg) of the intervention (p <0.05). Of the women, 10.9% lost at least 5% of their weight by the 3rd month and 13.1% by the 6th month of intervention, and 8.4% and 11.2% of the women achieved a better BMI category in the 3rd and 6th month of intervention, respectively. CONCLUSIONS Community-based obesity interventions are challenging but much more promising than those based at a facility. We suggest the Leading Women Model for community-based obesity interventions in women.

Effectiveness of a Peer Support Intervention Program on Obesity Control Among Women in a Rural Area of Turkey

BackgroundObesity in women is one of the leading public health problems globally. Peer support interventions have been effective in many areas of health promotion, and they have also been successful in obesity prevention and treatment.MethodsThis is a quasi-experimental obesity peer-led intervention study called the Leading Woman Model. At baseline, the obesity prevalence was found to be 60.5% among women aged 18–64 (n = 655) living in a rural district of Turkey. Of the participants (n = 137), 86.9% completed the 3rd month and 78.1% the 6th month of the intervention. Leading women (n = 11) were recruited from the community to supervise and monitor their own target groups of women during the intervention, which included supervised balanced nutrition and regular physical activity. ResultsThe mean age of the target intervention group was 42.8 ± 12.2. Significant improvements were observed in the body weight of the participating in the 3rd (-1.15 ± 2.51 kg) and 6th month (-1.13 ± 4.15 kg) of the intervention (p <0.05). Of the women, 10.9% lost at least 5% of their weight by the 3rd month and 13.1% by the 6th month of intervention, and 8.4% and 11.2% of the women achieved a better BMI category in the 3rd and 6th month of intervention, respectively.ConclusionCommunity-based obesity interventions are challenging but much more promising than those based at a facility. We suggest the Leading Women Model for community-based obesity interventions in women.

Enrolling Caregivers in Obesity Interventions to Improve Obesity-Related Outcomes in Children

In this study, we assessed the influences of change in moderate-to-vigorous physical activity (MVPA)/sedentary time (ST) of caregivers participating in a commercial weight-loss program on their children’s change in MVPA/ST. Data from 29 caregivers and their children were collected over 8 weeks. We used multivariable linear regression to assess associations of changes in caregiver’s percent of time spent in MVPA/ST and changes in their child’s percent of time spent in MVPA/ST. For caregivers that decreased body mass index (BMI) over 8 weeks, changes in caregivers’ MVPA was strongly associated with the change in children’s MVPA (β = 2.61 [95% CI: 0.45, 4.77]) compared to caregivers who maintained/increased BMI (β = 0.24 [–2.16, 2.64]). Changes in caregivers’ ST was strongly associated with changes in children’s ST (β = 2.42 [1.02, 3.81]) compared to caregivers who maintained/increased BMI (β = 0.35 [–0.45, 1.14]). Findings reinforce encouraging caregivers to enroll in weight-loss programs for the benefit of their children as well as for themselves.

Coaction of Obesity Treatment–Associated Changes in Physical Activity and Emotional Eating: Mediation by Body Satisfaction

Background Research on coaction suggests improvements in physical activity and emotional eating will occur in a reciprocal manner. Aims To determine if changes in body satisfaction mediate relations between physical activity and emotional eating changes and if age affects degree of change in those variables. Method Groups of early adult ( n = 43) and middle-age ( n = 52) women participants of a community-based obesity treatment were assessed on behavioral and psychological variables over 3 and 6 months. Results Improvements in physical activity, anxiety-related emotional eating, body satisfaction, anxiety, and exercise self-efficacy were significant overall. Early adults demonstrated greater reductions in emotional eating. Physical activity increase over 3 months significantly predicted 6-month reduction in emotional eating but not vice versa. Body satisfaction change significantly mediated the physical activity–emotional eating relationships. Changes in anxiety and exercise self-efficacy moderated activity → emotional eating and body satisfaction → physical activity relationships, respectively. Conclusion Findings can inform both theory and behavioral obesity interventions.