scholarly journals Protein-energetic malnutrition as a predictor of mortality in patients on haemodialysis

2009 ◽  
Vol 62 (11-12) ◽  
pp. 573-577 ◽  
Author(s):  
Radojica Stolic ◽  
Goran Trajkovic
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
The Body ◽  
Lower Survival Rate ◽  
Reactive Protein ◽  
Results Of Treatment ◽  
Outpatient Program ◽  
Significant Difference ◽  
Clinical Centre ◽  
The Difference

Introduction. Malnutrition in patients on haemodialysis represents an important factor of mortality. The aim of the study was to estimate the influence and predictive significance of malnutrition on mortality of patients on haemodialysis. Material and methods. There were analyzed the outcomes of treatment of patients on outpatient program of haemodialysis who were hospitalized in Clinical Centre 'Kragujevac' for different reasons. The study included the analysis of demographic characteristics, duration of dialysis, body mass index, indications for hospitalization, result of the treatment and biochemical parameters. Results. 39.2% of the examined patients had the elements of protein-energetic malnutrition; 36.8% of patients with malnutrition died; the difference between the groups was statistically significant (p=0.0006) regarding the results of treatment. Statistically significant difference(p<0.0001) was also obtained concerning the body mass index with its value of 17.1?1.55 kg/m2 in patients with malnutrition. Cardiovascular diseases were statistically more common in patients with malnutrition (p=0.037). In correlation of the group of patients with and the group without malnutrition a statistically significant difference in number of erythrocytes was found (2.87?0.71 vs. 3.26?0,5 x 1012; p=0.04), concentration of hemoglobin (85?15.7 vs. 104?15.7; p<0.0001), level of creatinin (874?229.3 vs. 998?237.8 ?mol/L; p=0.04), total proteins (66.5?5.4 vs. 70?4.47 g/L; p=0.001), albumin (30?3.7 vs. 38?4.38; p<0.0001), total cholesterol (3.05?1.14 vs. 4.31?1.2 mmol/L; p<0.0001), C-reactive protein (9.5?6.8 vs. 2.9?5.09 mg/L; p<0.0001) and concentration of fibrinogen (4.96?0.91 vs. 4.22?0.91 ?mol/L p=0.001). Survival time in patients with malnutrition was statistically shorter - 18 months (p<0.0001). Conclusions. A third of the examined patients in our study were malnourished with lower survival rate. More than two thirds of patients with malnutrition died.

scholarly journals Elevated body mass index and fatty liver

2008 ◽  
Vol 136 (3-4) ◽  
pp. 122-125 ◽  
Author(s):  
Dragana Marovic
Keyword(s):  
Body Mass Index ◽  
Fatty Liver ◽  
Body Mass ◽  
Overweight And Obesity ◽  
The Body ◽  
Average Level ◽  
Nonalcoholic Fatty Liver ◽  
Elevated Body Mass Index ◽  
Significant Difference ◽  
The Difference

Introduction Obesity and overweight, expressed by elevated Body Mass Index (BMI), result from excessive consumption of fatty food and carbohydrates above the body needs. The fat from the blood, through free fatty acids, is taken directly into the liver. Objective The aim of this study was to examine correlation among the accepted ultrasonography findings of the fatty liver and the normal ultrasonography findings and the elevated average level of BMI and those with normal BMI in examinees in one investigation. All was done aimed at proving that the BMI is one of the direct factors of the increased occurence of fatty liver. METHOD The method of the investigation consisted of anthropometric measuring of height and weight on the basis of which there were established BMI values. Consequently, the examinees were divided in two groups: one with normal BMI (under 24.9 kg/m2) and the other with increased BMI (over 25 kg/m2). Fatty liver was diagnosed when the liver of the examinees was observed by ultrasonography. Thus there were given subgroups of the examinees, one with the findings of fatty liver and the second with a normal finding, without changes. After that, the obtained results were statistically analysed. Results It was found that the average level of BMI in the examinees was by two units higher in the subgroup with ultrasonography findings of fatty liver than the average value of BMI in the subgroup with the normal ultrasonography findings of the liver. The difference was tested by the Student's t-test and a significant difference was found. The difference in frequencies of the appearance of the finding of fatty liver in the subgroups was tested by ?2-test. A statistically significant difference was found in frequencies of the appearance of fatty liver in the subgroup with the increased value of BMI. Conclusion The increased BMI, which is represented by overweight and obesity, is one of the direct risk factors which cause fatty liver, checked by the US findings. Fatty liver can later progress to nonalcoholic fatty liver disease (NAFLD). .

Exposure to priority organochlorine contaminants in the Italian general population. Part 2

2013 ◽  
Vol 33 (2) ◽  
pp. 170-184 ◽  
Author(s):  
EJ Mrema ◽  
FM Rubino ◽  
S Mandic-Rajcevic ◽  
E Sturchio ◽  
R Turci ◽  
...  
Keyword(s):  
Body Mass Index ◽  
General Population ◽  
Polychlorinated Biphenyl ◽  
The Body ◽  
Population Total ◽  
Pcb Congeners ◽  
Organochlorine Contaminants ◽  
Significant Difference ◽  
The Difference ◽  
Age Range

Concentrations of 36 polychlorinated biphenyl (PCB) congeners were measured in serum of 372 Italian residents of general population living in Novafeltria, Pavia, and Milan. Total PCB level differed significantly between these sites ( p < 0.0001) with median concentrations of 836.50, 1354.57, and 2062.08 pmol/g lipid, respectively. However, there is no evidence for the difference in distribution of total PCB levels by genders. Total dioxin-like PCBs differed significantly ( p < 0.0001) between the sites (median 109.78, 50.88, and 166.99 pmol/g lipid, respectively) and genders of Novafeltria and Pavia ( p = 0.011 and 0.009, respectively). PCB 138, 153, 170, and 180 differed significantly between the places of residence ( p < 0.0001) with higher values in Milan population. In the overall population, total PCB and PCB 138, 153, 156, 170, and 180 correlated positively with age (correlations range between 0.320 and 0.569, p < 0.0001). In Novafeltria, the correlations ranged between 0.545 and 0.670, and in Pavia, the correlations ranged between 0.516 and 0.666. In Milan, correlations with age range between 0.327 and 0.417 for total PCB and congeners 138, 153, and 180. With an exception of PCB 170, there was no evidence of significant difference in the distribution of most abundant PCB congeners and total PCB across the body mass index categories.

scholarly journals TRAUMATIC DISEASE PECULIARITIES COURSE, ITS DIAGNOSTICS AND TREATMENT AT POLYTRAUMA IN SUFFER OBESE PATIENTS

2019 ◽  
Vol 43 (4) ◽  
pp. 47-53
Author(s):  
S.D. Khimich ◽  
O. M. Chemerys
Keyword(s):  
Body Mass Index ◽  
Body Weight ◽  
Body Mass ◽  
Overweight And Obesity ◽  
The Body ◽  
Obese Patients ◽  
Prognostic Features ◽  
Normal Body ◽  
Significant Difference ◽  
Normal Body Weight

Abstract Introduction. It’s known that the issue of polytrauma is one of the most urgent problems of surgery, and among injured patients a special approach is required for patients with overweight and obesity of varying degrees. Purpose of the study. To study prognostic features of traumatic disease course and to improve the results of diagnostics and surgical treatment of patients with polytrauma suffer obesity. Materials and methods. Clinical material was made up of 106 patients with combined body trauma, which were divided into three groups according to body mass index. Results. The results of the research showed a significant difference in the course of traumatic disease in patients with normal body weight and obesity. In particular, in the process of diagnostics of blunt chest and abdominal trauma the frequency of application of interventional methods of diagnostics was directly proportional to the increase of body mass index. The course of traumatic disease in the obese patients had a number of characteristic features that formed the basis for the development of diagnostics and differential program of treatment. Conclusions. The results of the research showed that the course of traumatic disease in combined injury obese patients is directly proportional to the body mass index and has certain features that differentiate them from patients with normal body weight. Keywords: polytrauma, obesity, traumatic disease, diagnostics, treatment.

scholarly journals How Relevant Is the Place Where First-Year College Students Live in Relation to the Increase in Body Mass Index?

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1638
Author(s):  
Antonio Viñuela ◽  
Juan José Criado-Álvarez ◽  
Javier Aceituno-Gómez ◽  
Carlos Durantez-Fernández ◽  
José Luis Martín-Conty ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Nursing Students ◽  
Body Mass ◽  
Repeated Measures ◽  
Eating Habits ◽  
The Body ◽  
P Value ◽  
First Year ◽  
Significant Difference ◽  
The Mean

(1) Objective: This study analyzes the evolution of the body mass index (BMI) throughout the academic year associated with changes in the lifestyle associated with the place where students live during the course, lifestyle design, and health strategies for the university community. (2) Methods: A total of 93 first-year nursing students participated in this study. Data were collected throughout the course by administering self-reported questionnaires about eating habits and lifestyles, weight, and height to calculate their BMI and place of residence throughout the course. Data were analyzed using statistical analysis (Mann–Whitney, chi-square, Student’s t-test, repeated-measures analysis of variance, and least significant difference tests). (3) Results: We found that the mean BMI increases significantly throughout the course among all students regardless of sex, age, eating habits, or where they live during the course. At the beginning of the course, the mean BMI was 22.10 ± 3.64. The mean difference between the beginning of the course and the middle has a value of p-value < 0.015 and between the middle of the course and the end a p-value < 0.009. The group that increased the most is found among students who continue to live in the family nucleus rather than those who live alone or in residence. Students significantly changed their eating and health habits, especially those who live alone or in residence. (4) Conclusions: There is an increase in BMI among students. It is necessary to carry out seminars or talks that can help students understand the importance of good eating practices and healthy habits to maintain their weight and, therefore, their health, in the short, medium, and long term and acquire a good quality of life.

scholarly journals Nutrition, physical activity and lifestyle as important indicators for the body mass index in high school students

2021 ◽  
Vol 11 (9) ◽  
pp. 137-147
Author(s):  
Lorik Ramaj ◽  
Sadete Hasani
Keyword(s):  
Physical Activity ◽  
High School ◽  
Body Mass Index ◽  
High School Students ◽  
Body Mass ◽  
Overweight And Obesity ◽  
The Body ◽  
Normal Male ◽  
School Students ◽  
Significant Difference

The purpose of this study was to investigate and analyze the problems of underweight, overweight and obesity in young people of high school in Drenas, respectively a sample of 150 adolescents (73 males and 77 females aged 17 years). The research was conducted in the physical education class, initially was performed measurement of weight and height then the questionnaire with 26 questions. Data were collected with the statistical program SPSS version 21.0, descriptive analysis was performed with (Mean and standard deviation), all variables were tested for normality, significant level (significant level p <0.05). Results of anthropometric characteristics, the average age was 17.2 years. Weight / kg for men was 59.4 kg for women 57.3kg the average for both genders was 58.3 (± 6.2) kg. Height / cm  males 1.68cm,  females 1.61cm the average of both genders was 1.64 (± 6.6) cm. BMI body mass index kg / m² in men 21.0, women 22.1, the average of both sexes 21.55 kg / m5. The results show that men have lower BMI (p> 0.05) 21.55 kg / m² than girls with 22.1 kg / m². Data showed underweight males are 12%, and females 10%. BMI Normal male 74%, and female 69%. Overweight males 11%, females 13% while a significant difference was observed between obese boys and girls (obese) males 3% and females 8%. The analysis of the questionnaire showed that small percentages are involved in collective or individual sports, the most pronounced participation in sports was identified: football, volleyball and basketball, and relatively satisfactory were physical activity in household activities. It is recommended to build outdoor fitness and sports gyms, as well as the opening of various sports clubs in this area, and to have more research in this area, to prove the institucions how important are places for sport and physical activities.

scholarly journals Grip Strength Generalization of the Body Mass Index

2020 ◽  
Author(s):  
Alexandru Godescu
Keyword(s):  
Body Mass Index ◽  
Body Weight ◽  
Grip Strength ◽  
19Th Century ◽  
Body Mass ◽  
Fat Body ◽  
The Body ◽  
Fat Percentage ◽  
The Difference ◽  
The 19Th Century

The Body Mass Index (BMI) formula has been developed by Belgian mathematician Adolphe Quetelet and published in 1840 [1] as a law of nature and society, based on statistics about the weight and height of the population of that time, the first part of the 19th century. He called it &ldquo;social physics&rdquo;. From then, for nearly two centuries, the BMI had been the most important formula describing the normal relations and ratio of weight to the square of the height for humans. The problem arises if the BMI formula, developed in the first part of the 19th century is still good today when the type of work people perform is very different? In modern times, most people are less muscular than at the time when the BMI was developed because they do not work physically as heavy as at that time. In many cases, the Body Mass index can predict mortality, morbidity and illness but not always, for example cases such as (a) the obesity paradox for some cardiovascular problems and (b) the U shape mortality paradox as well as (c) false positive obesity diagnostic in regard to people who are strong and muscular, have low body fat percentage but are classified as obese by the BMI and (d) cases where BMI is normal but people have an &ldquo;obese metabolism&rdquo; (e) BMI normal but high fat percentage. The objective is to develop a formula good for all body types, a formula that makes the difference between fat and non-fat body weight such as muscle and body frame and quantifies the effect of strength and fitness, which BMI does not. Another objective is to develop a formula to predict the health risks and fitness status of people, better than BMI. The first generalizations of BMI using anthropometric metrics could be found in [2], where I discuss and analyze many formulae, developed, tested, and simulated by me, using similar new methods, accounting for body shape, physical shape and body function, making the difference between muscle mass and fat, fat and non fat body weight. Nearly all formulae and methods developed and proposed in this new model are new, never published before. Many experiments published before, in highly cited papers show that grip strength and muscle strength is a predictor of health, mortality, morbidity, endocrine and metabolic disease outside the BMI and anthropometric measures. The purpose of my formula is to explain the outcome of those experiments and create a formula which predicts these experiments [21-41].

scholarly journals Implications of Weight and Body Mass Index for Plasma Donation and Health

2012 ◽  
Vol 2012 ◽  
pp. 1-5
Author(s):  
Genna A. Jerrard ◽  
Jing Liu ◽  
Rosemary C. Case ◽  
Mahnaz Motevalli ◽  
Stephen G. Bolton ◽  
...  
Keyword(s):  
Body Mass Index ◽  
African American ◽  
African Americans ◽  
Body Mass ◽  
African American Males ◽  
The Body ◽  
Oral Temperature ◽  
White Males ◽  
Volume Limit ◽  
Significant Difference

This study determined the percentage of potential plasma donors who could donate plasma in the 3 allowable plasma volume limit categories as specified by the Food and Drug Administration (FDA), as well as the association of the body mass index (BMI) of these individuals with age, blood pressure, oral temperature, and pulse. Of 315 plasma donors analyzed, 107 (34.0%) weighed between 110 and 149 lbs (50.0–67.7 kg), 89 (28.2%) weighed between 150 and174 lbs (68.2–79.1 kg), and 119 (37.8%) weighed >175 lbs (79.5 kg), theoretically allowing collection of an additional 101.4 liters (16% more plasma) from both heavier categories based on FDA standards for plasma donor quantities. BMI was positively associated with age, mean arterial pressure (MAP), and pulse (Pearson’s r=0.36, 0.24, and 0.18, resp., P values <0.05), but not with oral temperature. Average BMI for females was higher than for males (+1.8, P=0.01), and BMI for African Americans was higher than for White and Asian participants (+2.2 and +5.1, resp., Ps <0.05). A significant association was also found in the sex by race interaction with BMI (P=0.0004). Follow-up analyses suggested a significant difference in BMI by sex among African Americans, higher BMI among African American females than Asian and White males, and higher BMI among White females than African American males (Ps <0.05).

scholarly journals Increasing postural deformity trends and body mass index analysis in school-age children

2018 ◽  
Vol 57 (1) ◽  
pp. 25-32 ◽  
Author(s):  
Safet Kapo ◽  
Izet Rađo ◽  
Nusret Smajlović ◽  
Siniša Kovač ◽  
Munir Talović ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Age Groups ◽  
The Body ◽  
Body Posture ◽  
Negative Trend ◽  
School Age Children ◽  
Study Results ◽  
Significant Difference ◽  
Spine Deformities

Abstract Introduction The aim of the study was to analyse the deviations of the body posture and to assess the occurrence of spine deformities. Additionally, Body Mass Index in school children was related to the trend in postural deformities for different age groups (5-8 years old, n=112; 9-11 years old, n=205; 12-14 years old, n=212) as part of the project “Spine Lab”, granted from the European Commission IPA founds, investigating the importance of public health issues. Methods Body posture was measured using Contemplas 3D software analyser, based on video image trajectory and BIA weight scale (Tanita BC 420). Overall, 17 variables were assessed, and differences were confirmed using MANOVA analysis. Results The results showed that there is a significant difference between age groups for the measured variables (F=9.27; p<0.01; η2=0.26), suggesting a moderate difference across the age span. Conclusion The study results showed that there is a negative trend of increasing Body Mass Index within the first and youngest age group. The fact is that the trend of increasing deformity of the shoulder belt has been noted, often inclining towards the formation of milder forms of kyphotic posture. Other forms of deformity that are accentuated in the survey results are the negative trend of increasing pelvic rotation and pelvis rotation which inclines towards the formation of lordotic posture for all three age groups.

The suboccipital ligament

2018 ◽  
Vol 128 (1) ◽  
pp. 165-173 ◽  
Author(s):  
Kelsey Alabaster ◽  
M. Fred Bugg ◽  
Bruno Splavski ◽  
Frederick A. Boop ◽  
Kenan I. Arnautovic
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
The Body ◽  
Occipital Bone ◽  
Smoking History ◽  
Histological Evaluation ◽  
Occipital Condyle ◽  
Type I ◽  
Significant Difference ◽  
Patient Subgroups

OBJECTIVEA fibrous structure located dorsal to the dura at the posterior craniocervical junction stretches horizontally between the bilateral occipital condyles and the upper borders of the C-1 laminae. Partially covered by the occipital bone, this structure is always encountered when the bone is removed from the foramen magnum rim during approaches to the posterior cranial fossa. Although known to surgeons, this structure has not been defined, studied, or named. The most appropriate name for this structure is “the suboccipital ligament,” and a detailed rationale for this name is provided.METHODSThis 3-year-long study included 10 cadaveric specimens and 39 clinical patients: 31 consecutive surgically treated patients with Chiari Type I malformations (CM-I subgroup) and 8 other patients with posterior fossa pathologies (non–CM-I subgroup). The dimensions were defined, the function of this ligament was hypothesized, size and histological composition were compared between patient subgroups, and its origin and relationship to the surrounding structures were analyzed. Possible statistical differences in the parameters between the 2 groups were also evaluated.RESULTSThe suboccipital ligament consists of horizontally oriented hyaline fibers and has a median length of 35 mm, height of 10 mm, and thickness of 0.5 mm. These dimensions are not significantly different between the CM-I and non–CM-I patients. The median age of the patients was 43 years, with CM-I patients being significantly younger (median 35 years) than non–CM-I patients (median 57 years). There was no statistically significant difference in weight, height, and body mass index between patient subgroups. There was no significant correlation between the body mass index or height of the patients and the dimensions of the ligament. No statistically significant differences existed between the subgroups in terms of smoking history, alcohol consumption, and the presence of diabetes mellitus, hypertension, hydrocephalus, or headaches. The ligament tissue in the CM-I patients was disorganized with poorly arranged collagen bands and interspersed adipose tissue. These patients also had more hyalinized fibrosis and showed changes in the direction of fibers, with hyaline nodules ranging from 0 to 2+. The result of the histological evaluation of the suboccipital ligament for hyaline nodules, calcification, and ossification was graded as 2+ if present in 3 or more medium-power magnification fields (MPFs); 1+ if present in 1–2 MPFs; and 0, if present in less than 1 MPF. Histological examination of the ligaments showed structural differences between CM-I and non–CM-I patients, most notably the presence of hyaline nodules and an altered fiber orientation in CM-I patients.CONCLUSIONSThe suboccipital ligament extends between the occipital condyle and the superior edge of the C-1 lamina, connecting the contralateral sides, and appears to function as a real ligament. It is ventral to the occipital bone, which covers approximately two-thirds of the height of the ligament and is loosely attached to the dura medially and more firmly laterally. Because of its distinctive anatomy, characteristics, and function, the suboccipital ligament deserves its own uniform designation and name.

scholarly journals DO DAILY STEP COUNTS DURING THE PANDEMIC AFFECT THE BODY COMPOSITION AND MENTAL WELL-BEING OF UNIVERSITY STUDENTS?

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Nazlı Yanar ◽  
Melek Güler
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Well Being ◽  
The Body ◽  
Control Group ◽  
Waist Hip Ratio ◽  
Significant Difference ◽  
Post Test ◽  
Mental Well Being ◽  
Experimental Group

This study aims to determine whether the number of daily steps is effective in the body composition and mental well-being of university students during the COVID-19 pandemic. The research group of the study consisted of 40 volunteer students studying at the Faculty of Sport Sciences by being randomly assigned to the experimental (n:20) and control (n:20) groups. The research is in the experimental model with a pre-test/post-test control group. As a data collection tool in the study, the 'Warwick-Edinburgh Mental Well-Being Scale' was used to determine the personal information form and mental well-being. The obtained data were analysed in the Jamovi 1.8.2 statistical software program with a 95% reliability interval and 5% margin of error. In the analysis of the data, percentage (%), frequency (f), and mean (x̄) values were used in the descriptive data, Paired Samples t-test was used in the pre-test/post-test comparison, and Multinomial Regression analysis was used in the relational analysis. According to the findings of the study, 75% of the students in the experimental group and 70% of the students in the control group were in the normal weight class according to the body mass index classification. According to waist-hip ratio classification, 85% of the experimental group and 70% of the control group were in the group that did not have cardiovascular disease risk. After two months of application, the daily average number of steps of the experimental group (12.5751898.1) and the daily average number of steps of the control group were determined as (5381.272026.2). While there was a statistically significant difference in the pre-test/post-test body mass index averages of the experimental group who were asked to take at least 10,000 steps per day (p0.05), although there was an increase in the mean waist-hip ratio and mental well-being, there was no statistically significant difference (p0.05). It was determined that the step average had a statistically significant effect on the experimental group according to the body mass index classification (p0.05). As a result, while taking at least 10,000 steps per day was effective in the body mass index of the students, it was not so in the waist-hip ratio and mental well-being. In this context, physical activity, and especially walking, can be recommended at the point of protecting health. <p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0881/a.php" alt="Hit counter" /></p>

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