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Weight-loss intervention adherence levels and factors promoting adherence 减肥干预依从性水平和促进依从性的因素
Pub Date : 2016-10-28 DOI: 10.4172/2165-7904.C1.029
M. Lemstra
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引用次数: 1
Overweight and Obesity among High Level Secondary School Adolescents inMwanza Tanzania 坦桑尼亚姆万扎高中青少年超重和肥胖问题
Pub Date : 2016-10-27 DOI: 10.4172/2165-7904.1000322
Marko Hingi, John Ngonyani, Hyasinta Jaka
Background: Overweight and obesity is public health issue which is growing among young generation worldwide. 15-50% of the people living in urban areas in Africa have obesity or overweight, and it is projected that by year 2012, about 75% of people will be in developing countries. Objective: To determine the prevalence and related factors of overweight and obesity among high level secondary school adolescent in Mwanza Tanzania. Methodology: A cross-sectional study conducted among 381 high school adolescents in Nyamagana, Mwanza in October 2014. Obesity and overweight were measured using height and weight of each student. The demographic, social and nutritional history; life style information and pattern of dietary intake were interviewed verbally. Result: The overall prevalence of obesity and overweight were 2.6% and 14.2% respectively. The prevalence of (0.8% overweight, 0% obese) in adolescents those residing out of school campus was lower than overweight (13.4%) and obesity (2.6%) residing in boarding school. The meal frequency, fruits, meat, and vegetables consumption were statistically significant with the p value of P<0.05. Conclusion: adolescent’s obesity and overweight are emerging health problem we need to plan and implement effective preventive strategies to stop this epidemic.
背景:超重和肥胖是全球年轻一代日益严重的公共卫生问题。非洲城市地区15-50%的人口肥胖或超重,预计到2012年,约75%的人口将在发展中国家。目的:了解坦桑尼亚姆万扎地区高中青少年超重和肥胖的患病率及其相关因素。方法:2014年10月对姆万扎尼亚马加纳381名高中青少年进行了横断面研究。肥胖和超重是用每个学生的身高和体重来测量的。人口、社会和营养史;口头询问生活方式信息和饮食摄入模式。结果:肥胖和超重的总体患病率分别为2.6%和14.2%。住在校外的青少年(超重0.8%,肥胖0%)的患病率低于住在寄宿学校的超重(13.4%)和肥胖(2.6%)。膳食频次、水果、肉类、蔬菜消费量差异均有统计学意义,p值均<0.05。结论:青少年肥胖和超重是新出现的健康问题,我们需要规划和实施有效的预防战略,以阻止这一流行病。
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引用次数: 3
Obesity: Anesthetic and Caesarean Procedure Complications in the TeachingCenters of Cotonou 肥胖:科托努教学中心的麻醉和剖腹产手术并发症
Pub Date : 2016-10-26 DOI: 10.4172/2165-7904.1000321
A. Kh, Z. Eugène, B. Hounkpatin, T. Véronique, Mewanou Serge, T. Blaise, Chobli Martin
Introduction: The morbidity townships of the obesity at the women are the complications of pregnancy, the dystocia, and the childbirths by caesarian procedure. This survey had for objective to determine the frequency of the obesity at the parturient, to value the impact of the obesity on the childbirth by caesarean and the complications postoperative immediate in the teaching hospitals of Cotonou. Patients and method: We did a prospective, comparative and analytic survey of January 13 to April 13, 2012. Eight hundred ninety-one consecutive parturient having had a Caesarean was include. We studied the anesthetic techniques, the techniques of control of the aerial ways, the number of necessary tests for the tracheal intubation, the complications and aftercare of the first 48 hours. A comparison has been made according to the BMI. The obesity has been defined by a BMI ≥ 30 kg/m2. The parturient has been classified in two groups: Non obese: BMI ≤ 30 kg/m2, obese: BMI ≥ 30. Results: The obesity has been recovered at 286 parturient is 32.10%. There were 703 (78.90%) Caesareans in emergency and 188 (21.09%) programmed Caesareans. The obese parturient also required more frequently several lumbar punctures (p<0.001) at the time of the spinal anesthesia and more of conversion of the spinal anesthesia into an anesthesia general (p=0.008). The postoperative complications: laryngeal pain, back pain and suppuration of the wound were more frequent at the obese parturient. Conclusion: The obesity is frequent at the parturient in Benin. The post-operative complications are more frequent after the Caesarean at the obese parturient.
前言:妇女肥胖的发病主要是妊娠并发症、难产和剖宫产。本调查旨在了解科托努市教学医院产妇肥胖发生率,评价肥胖对剖宫产及术后即刻并发症的影响。患者和方法:我们于2012年1月13日至4月13日进行前瞻性、对比性和分析性调查。包括891例连续剖腹产的产妇。我们对麻醉技术、气道控制技术、气管插管必要检查次数、术后48小时并发症及术后护理进行了研究。根据身体质量指数进行了比较。BMI≥30 kg/m2为肥胖。将产妇分为两组:非肥胖:BMI≤30kg /m2;肥胖:BMI≥30。结果:286例产妇肥胖恢复率为32.10%。急诊剖腹产703例(78.90%),计划剖腹产188例(21.09%)。肥胖产妇在脊髓麻醉时需要更频繁的多次腰椎穿刺(p<0.001),并且更多地将脊髓麻醉转换为全身麻醉(p=0.008)。术后并发症:喉痛、腰痛、创面化脓多见于肥胖产妇。结论:贝宁产妇肥胖发生率较高。肥胖产妇剖宫产术后并发症较多。
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引用次数: 1
Pulmonary Function in Morbid Obesity: Influence of Sex and Body Distribution 病态肥胖的肺功能:性别和身体分布的影响
Pub Date : 2016-09-29 DOI: 10.4172/2165-7904.1000318
A. Herrejón, I. Inchaurraga, J. Palop
Objective: To describe the respiratory functional alterations that occur in patients with morbid obesity (MO) and the possible influence of gender and distribution of body fat, measured as an index waist/hip ratio (wai/hip). Method: Prospective study in 2 years of anthropometric and functional parameters breathing in MO, determining age, body mass index (BMI), waist, hip, wai/hip index, blood gas values, flow-volume curve, plethysmography, diffusion of CO and maximum inspiratory (MIP) and expiratory (PEM) pressures. The results between men and women and the relationship between respiratory parameters and wai/hip index are compared. Results: We studied 171 patients, 80 men and 91 women, with 44 ± 12 years, weighing 130 ± 22 kg, with BMI of 48 ± 6 Kg/m2 and wai/hip index of 0.989-0.097 ± 48. There is a decrease in lung function parameters in the MO, showing men MIP worse, but better MEP, than women. Hypoxemia is common (55%), related to an older and worse flows and static volumes. Hypercapnia is 15% more common in men, and is related to the decrease in expiratory flows and increased residual volume. Wai/hip index does not correlate with respiratory parameters in the MO. Conclusions: Morbid obesity affects respiratory blood gas and has functional alterations. There are differences between men and women in the presence of hypercapnia and maximal respiratory pressures, without influencing the type of obesity messured with the wai/hip index.
目的:描述病态肥胖(MO)患者发生的呼吸功能改变,以及性别和体脂分布(以腰臀比指数(wai/hip)衡量)可能的影响。方法:前瞻性研究MO 2年的人体测量和功能参数,测定年龄、体重指数(BMI)、腰围、臀围/臀围指数、血气值、流量-体积曲线、体积脉搏图、CO弥散和最大吸气(MIP)和呼气(PEM)压力。比较了男性和女性的结果以及呼吸参数与wai/hip指数的关系。结果:171例患者,男80例,女91例,年龄44±12岁,体重130±22 kg, BMI 48±6 kg /m2, wai/hip指数0.989 ~ 0.097±48。MO的肺功能参数下降,显示男性MIP比女性更差,但MEP更好。低氧血症是常见的(55%),与较旧和较差的血流和静态容量有关。高碳酸血症在男性中更常见15%,与呼气流量减少和残余容量增加有关。Wai/hip指数与MO的呼吸参数无关。结论:病态肥胖影响呼吸血气并具有功能改变。男性和女性在高碳酸血症和最大呼吸压力方面存在差异,但不影响wai/hip指数测量的肥胖类型。
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引用次数: 3
Therapeutic Effect of Vitamin E on Testicular Tissue Damage Caused by Obesity 维生素E对肥胖致睾丸组织损伤的治疗作用
Pub Date : 2016-09-26 DOI: 10.4172/2165-7904.1000320
A. G. Alkushi, Naser A. ElSawy, M. HijaziM, Eslam A. Header, Hataba Aa
Obesity can adversely affect overall health, leading to reduced life expectancy and/or an increase in the number of health problems. Meanwhile, alterations in testicular metabolism induced by high-energy diets (HED) may induce mitochondrial dysfunction, which is closely associated to reactive oxygen species (ROS) and oxidative stress. Reactive oxygen species (ROS)-mediated damage to sperm is a significant contributing pathology in 30–80% of infertility cases. Vitamin E is considered to be the most effective liposolouble antioxidant found in biological systems. Here we evaluated the protective role of vitamin E against obesity-induced morphological changes in testes from albino rats fed different diets. Animals were divided into four groups: Group 1: standard controlled diet (SCD); Group 2: positive control group fed a high-fat diet (HFD); Group 3: αTF+HFD fed HFD supplemented with 100 mg/kg vitamin E (αTF); Group 4: αTF+SCD, fed 100 mg/kg αTF and SCD. Rats were weighed before and after the 10 week feeding period to determine changes in body weight (BWG %). After collecting blood from an intracardiac puncture under deep anesthesia, all animals were sacrificed and samples were analyzed by light microscopy. A HFD appeared to cause spermatocyte and Leydig cell damage, as well as decreases in testicular weight and function and testosterone production. Vitamin E supplementation promoted Leydig cell repair and reduced damage induced by a HFD, suggesting that vitamin E is an important dietary component to mitigate the negative effects of a high fat diet.
肥胖会对整体健康产生不利影响,导致预期寿命缩短和/或健康问题增加。同时,高能饮食(HED)引起的睾丸代谢改变可能导致线粒体功能障碍,而线粒体功能障碍与活性氧(ROS)和氧化应激密切相关。活性氧(ROS)介导的精子损伤是30-80%不孕症病例的重要病理原因。维生素E被认为是生物系统中最有效的脂溶性抗氧化剂。在这里,我们评估了维生素E对喂食不同饮食的白化大鼠肥胖引起的睾丸形态变化的保护作用。试验动物分为4组:1组:标准控制饲粮;第2组:阳性对照组饲喂高脂饲料;3组:αTF+HFD饲喂在HFD基础上添加100 mg/kg维生素E (αTF)的HFD;第4组:αTF+SCD,饲喂100 mg/kg αTF+SCD。在饲养10周前后称量大鼠体重,测定体重变化(BWG %)。深麻醉下心内穿刺采血后,处死所有动物,光镜下分析标本。HFD似乎引起精母细胞和间质细胞损伤,以及睾丸重量和功能以及睾丸激素产生的减少。维生素E的补充促进了间质细胞的修复,减少了HFD引起的损伤,这表明维生素E是减轻高脂肪饮食负面影响的重要膳食成分。
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引用次数: 7
lncRNA expression signatures in response to tiaozhi jiangtang formula in type 2 diabetes mellitus (T2DM) with obesity and hyperlipidemia 调脂降糖方在2型糖尿病合并肥胖和高脂血症患者中的lncRNA表达特征
Pub Date : 2016-09-16 DOI: 10.4172/2165-7904.C1.034
Lisha He Linhua Zhao Han Wang, Xiaolin Tong
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引用次数: 6
Is obesity a brain disease 肥胖是一种脑部疾病吗
Pub Date : 2016-09-16 DOI: 10.4172/2165-7904.C1.032
G. Leisman
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引用次数: 1
Dietary obesity-resistance and muscle oxidative enzyme activities of the fast-twitch fiber dominant rat 快肌纤维优势大鼠饮食肥胖-抵抗和肌肉氧化酶活性
Pub Date : 2016-08-30 DOI: 10.4172/2165-7904.C1.026
S. Kumagai
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引用次数: 0
Laparoscopic Adjustable Gastric Banding is more Effective in Body Mass Index<40 Kg/m2 for Short Term Weight Loss 腹腔镜下可调节胃束带对体重指数<40 Kg/m2的短期减肥效果更好
Pub Date : 2016-08-25 DOI: 10.4172/2165-7904.1000317
Ooi Tong Li, H. Oo, Lucy Kong Rn, A. Cheng, K. Ngiam
Background: Obesity is a global health problem. Laparoscopic Adjustable Gastric Banding (LAGB) is a type of bariatric surgery that is effective for weight loss and control of co-morbidities. Long-term results of LAGB in different obesity groups have been widely studied in Western populations but not in a multi-racial Asian population such as in Singapore. This paper aims to compare the outcomes of LAGB and describe its complications in obese Singaporean patients with Body Mass Index (BMI) 0.05). At the end of five years follow-up, Group A achieved 18.8%WL and 52.6% EWL while Group B achieved 18.7% WL and 34.9% EWL. In both groups, peak %WL was attained at 3 to 4 year follow-up before it tapered. A total of 90 patients (25%) developed complications during the study, with seven mortalities on follow-up, out of which two were band-related. Conclusion: LAGB is an effective bariatric surgical option for weight loss in obese Singaporean patients over a short-term but it is more beneficial for patients with BMI <40 kg/m2.
背景:肥胖是一个全球性的健康问题。腹腔镜可调节胃束带(LAGB)是一种减肥手术,是有效的减肥和控制合并症。LAGB在不同肥胖人群中的长期结果已经在西方人群中得到了广泛的研究,但在新加坡等多种族的亚洲人群中还没有得到研究。本文旨在比较新加坡体重指数(BMI)为0.05的肥胖患者的LAGB治疗结果,并描述其并发症。5年随访结束时,A组患者WL率为18.8%,EWL率为52.6%;B组患者WL率为18.7%,EWL率为34.9%。两组患者的WL在随访3 - 4年后达到峰值,随后逐渐减少。在研究期间,共有90例患者(25%)出现并发症,随访中有7例死亡,其中2例与腕带相关。结论:LAGB是新加坡肥胖患者短期内有效的减肥手术选择,但对BMI <40 kg/m2的患者更有利。
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引用次数: 0
Trans Fatty Acids, does Exist Safety Dosage? 反式脂肪酸存在安全剂量吗?
Pub Date : 2016-07-30 DOI: 10.4172/2165-7904.1000312
I. Longhi
Recent data regarding Trans Fatty Acids (TFAs) have implicated this lipid as being particularly deleterious to human health. TFAs are unsaturated fatty acids that contain at least one non conjugated double bond in the trans configuration, resulting in a more linear shape. The presence of a trans double bond in a fatty acid chain results in a smaller bond angle, or kink, than in a cis double bond, resulting in a fatty acid chain conformation that is more similar to a saturated fatty acid than to an unsaturated fatty acid. Several studies have identified an association between trans-fat intake and a risk of neurodiseases, cardiometabolic disease and pro-inflammatory effects. It focuses on a series of recent studies that have supporting the pathogenic role through human or animal experiments in vitro or in vivo. Overall, the findings of this short communication suggest that fat composition is more important than the quantity of fat consumed in terms of dietary cis and trans fatty acids.
最近关于反式脂肪酸(tfa)的数据表明,这种脂质对人体健康特别有害。tfa是不饱和脂肪酸,在反式构型中含有至少一个非共轭双键,从而形成更线性的形状。脂肪酸链中反式双键的存在导致比顺式双键的键角或扭结更小,导致脂肪酸链的构象更类似于饱和脂肪酸而不是不饱和脂肪酸。几项研究已经确定了反式脂肪摄入与神经疾病、心脏代谢疾病和促炎作用之间的联系。它重点介绍了最近通过体外或体内人体或动物实验支持其致病作用的一系列研究。总的来说,这个简短交流的结果表明,就饮食中顺式和反式脂肪酸而言,脂肪成分比摄入的脂肪量更重要。
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引用次数: 6
期刊
Journal of obesity and weight loss therapy
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