Pub Date : 2016-07-29DOI: 10.4172/2165-7904.1000314
F. Micanti, G. Loiarro, C. Cucciniello, G. Pecoraro, D. Galletta
Introduction:Weight regain may occur with bariatric surgery and it depends on nutritional, psychological and surgery-related factors. The persistence of body shape concern and uneasiness after weight loss is considered a risk factor for weight regain. Weight loss after Bariatric surgery determines change of the cognitive-behavioral component of Body Image, but not the emotional one. The aim of this study is to show that Group psychotherapy can repair the body image emotional component achieving weight maintenance. Method:30 patients: mean age 38 SD ± 10, 71; 18 women, 12 men; mean Body Mass Index (BMI) 48 SD± 8,31 suffering from onset obesity, were enrolled in this study. All participants were evaluated before and after bariatric surgery. They underwent body group psychotherapy to reinforce body image and self Results:Results of body group therapy were: a significant increase of the ability to use body in the relation with the others and a better tendency to accomplish new experiences. No differences were found among groups in self reinforcement process related to sleeve and gastric by-pass. Conclusion:Psychotherapy is an effective tool in changing body Image and reinforcing self. This process can be more effective in achieving and structuring weight stability and realize obesity healing.
{"title":"Can Body Group Therapy after Bariatric Surgery be Effective to Avoid WeightRegain? A Clinical Experience","authors":"F. Micanti, G. Loiarro, C. Cucciniello, G. Pecoraro, D. Galletta","doi":"10.4172/2165-7904.1000314","DOIUrl":"https://doi.org/10.4172/2165-7904.1000314","url":null,"abstract":"Introduction:Weight regain may occur with bariatric surgery and it depends on nutritional, psychological and surgery-related factors. The persistence of body shape concern and uneasiness after weight loss is considered a risk factor for weight regain. Weight loss after Bariatric surgery determines change of the cognitive-behavioral component of Body Image, but not the emotional one. The aim of this study is to show that Group psychotherapy can repair the body image emotional component achieving weight maintenance. Method:30 patients: mean age 38 SD ± 10, 71; 18 women, 12 men; mean Body Mass Index (BMI) 48 SD± 8,31 suffering from onset obesity, were enrolled in this study. All participants were evaluated before and after bariatric surgery. They underwent body group psychotherapy to reinforce body image and self Results:Results of body group therapy were: a significant increase of the ability to use body in the relation with the others and a better tendency to accomplish new experiences. No differences were found among groups in self reinforcement process related to sleeve and gastric by-pass. Conclusion:Psychotherapy is an effective tool in changing body Image and reinforcing self. This process can be more effective in achieving and structuring weight stability and realize obesity healing.","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"152 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121989212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-07-14DOI: 10.4172/2165-7904.1000313
M. Amini, L. Vafa, S. L. Poorbaghi, M. Sepehrimanesh
Masood Amini1, 2, Leila Vafa2, Seyedeh Leila Poorbaghi3 and Masood Sepehrimanesh4* 1Laparoscopy Research Center, Shiraz University of Medical Science, Shiraz, Iran 2Obesity Specialized Clinic, Ghadir Mother and Child Hospital, Shiraz University of Medical Sciences, Shiraz, Iran 3Health Policy Research Center, Shiraz University of Medical Science, Shiraz, Iran 4Gastroenterohepatology Research Center, Shiraz University of Medical Science, Shiraz, Iran *Corresponding author: Masood Sepehrimanesh, Gastroenterohepatology Research Center, Shiraz University of Medical Science, Po.Box: 71935-1311; Shiraz, Iran; Tel: +98(71)36281442; E-mail: sepehrimaneshmasood@gmail.com
{"title":"Letter to Editor Concerning the Article: Early Postoperative Progression to Solid Foods is Safe After Roux-en-Y Gastric Bypass Published as Obesity Surgery (2016) 26: 296-302","authors":"M. Amini, L. Vafa, S. L. Poorbaghi, M. Sepehrimanesh","doi":"10.4172/2165-7904.1000313","DOIUrl":"https://doi.org/10.4172/2165-7904.1000313","url":null,"abstract":"Masood Amini1, 2, Leila Vafa2, Seyedeh Leila Poorbaghi3 and Masood Sepehrimanesh4* 1Laparoscopy Research Center, Shiraz University of Medical Science, Shiraz, Iran 2Obesity Specialized Clinic, Ghadir Mother and Child Hospital, Shiraz University of Medical Sciences, Shiraz, Iran 3Health Policy Research Center, Shiraz University of Medical Science, Shiraz, Iran 4Gastroenterohepatology Research Center, Shiraz University of Medical Science, Shiraz, Iran *Corresponding author: Masood Sepehrimanesh, Gastroenterohepatology Research Center, Shiraz University of Medical Science, Po.Box: 71935-1311; Shiraz, Iran; Tel: +98(71)36281442; E-mail: sepehrimaneshmasood@gmail.com","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125810495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-05-13DOI: 10.4172/2165-7904.1000311
Humood Fahm Albugami
Framework: Students’ mainstream doesn’t be involved in enough amounts of day by day, health-maximizing bodily exercise. One particular system to raise exercise is only about to endorse this inside the immediately after hours of school. A meta-analysis was carried out briefing the conducted study at this point concerning success of right subsequent school hour’s activity for raising bodily exercise. Procurement of Evidence: Article reviews, journals and database content have been searched for this review paper. The objective of this review paper is to conduct a systematic analysis. Integrated researches possessed subsequent traits: results certain towards immediately afterward school hour’s involvement within the school setting; an intervention part created to boost bodily exercise; final result analysed bodily exercise, associated paradigms or else health of body. Examine results were extracted into various areas: “bodily exercise, fitness of body, composition of body, thickness of blood as well as about mental health and also inactive things to do. Within the studies for each pooled domain sizes of effect domain were being computed independently. Combined Evidence: Inside numerous articles content found, out of 13, 11 distinctive researches describing results for programs right afterward school time intervention being studied. Though bodily exercise remained major element of whole examined involvements, only 8 researches calculated bodily activity. Within the six domains, positive effect sizes have been demonstrated, the effect size of physical exercise was 0.04 for fitness of body was 0.16, for composition of body 0.07 as well as for the thickness of blood it was 0.02. Conclusions: Minimal 1evidence indicates that right subsequent hours of school activities programs could boost bodily activity concentrations as well as various body fitness associated factors. Other researches are essential which give higher thoughtfulness to hypothetical reasoning, level of implementation and measures about bodily activity indoors as well as outdoors the involvement.
{"title":"Conducting Physical Activity Intervention Afterward School Times: AMeta-analysis","authors":"Humood Fahm Albugami","doi":"10.4172/2165-7904.1000311","DOIUrl":"https://doi.org/10.4172/2165-7904.1000311","url":null,"abstract":"Framework: Students’ mainstream doesn’t be involved in enough amounts of day by day, health-maximizing bodily exercise. One particular system to raise exercise is only about to endorse this inside the immediately after hours of school. A meta-analysis was carried out briefing the conducted study at this point concerning success of right subsequent school hour’s activity for raising bodily exercise. Procurement of Evidence: Article reviews, journals and database content have been searched for this review paper. The objective of this review paper is to conduct a systematic analysis. Integrated researches possessed subsequent traits: results certain towards immediately afterward school hour’s involvement within the school setting; an intervention part created to boost bodily exercise; final result analysed bodily exercise, associated paradigms or else health of body. Examine results were extracted into various areas: “bodily exercise, fitness of body, composition of body, thickness of blood as well as about mental health and also inactive things to do. Within the studies for each pooled domain sizes of effect domain were being computed independently. Combined Evidence: Inside numerous articles content found, out of 13, 11 distinctive researches describing results for programs right afterward school time intervention being studied. Though bodily exercise remained major element of whole examined involvements, only 8 researches calculated bodily activity. Within the six domains, positive effect sizes have been demonstrated, the effect size of physical exercise was 0.04 for fitness of body was 0.16, for composition of body 0.07 as well as for the thickness of blood it was 0.02. Conclusions: Minimal 1evidence indicates that right subsequent hours of school activities programs could boost bodily activity concentrations as well as various body fitness associated factors. Other researches are essential which give higher thoughtfulness to hypothetical reasoning, level of implementation and measures about bodily activity indoors as well as outdoors the involvement.","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117193259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-05-12DOI: 10.4172/2165-7904.1000310
D. Musil
Venous thromboembolism (VTE) is a multifactorial disease. Reported risk factors vary widely with uncertainty as to the magnitude and independence of each factor. The major risks for VTE are prior history of VTE, older age, obesity, family history of VTE, oral estrogen/ progestin therapy and varicose veins. The epidemiologic case-control study Sirius defined chronic venous insufficiency and obesity in medical outpatients as among the five most important intrinsic risk factors for deep vein thrombosis (DVT). We investigated the prevalence of VTE (symptomatic deep vein thrombosis and/or pulmonary embolism) and superficial vein thrombosis (SVT) in patients suffering from chronic venous disease (CVD) and the impact of BMI as an intrinsic factor for risk of VTE and SVT in a Czech population [1,2].
{"title":"Chronic Venous Disease, Obesity and the Risk of Venous Thromboembolism in a Czech Population","authors":"D. Musil","doi":"10.4172/2165-7904.1000310","DOIUrl":"https://doi.org/10.4172/2165-7904.1000310","url":null,"abstract":"Venous thromboembolism (VTE) is a multifactorial disease. Reported risk factors vary widely with uncertainty as to the magnitude and independence of each factor. The major risks for VTE are prior history of VTE, older age, obesity, family history of VTE, oral estrogen/ progestin therapy and varicose veins. The epidemiologic case-control study Sirius defined chronic venous insufficiency and obesity in medical outpatients as among the five most important intrinsic risk factors for deep vein thrombosis (DVT). We investigated the prevalence of VTE (symptomatic deep vein thrombosis and/or pulmonary embolism) and superficial vein thrombosis (SVT) in patients suffering from chronic venous disease (CVD) and the impact of BMI as an intrinsic factor for risk of VTE and SVT in a Czech population [1,2].","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128646159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-04-24DOI: 10.4172/2165-7904.1000309
R. Attar, O. Safdar
Childhood obesity is one of the most troubling health conditions worldwide, and it is associated with many diseases that eventually lead to serious morbidities and mortality in adulthood, such as insulin resistance, type 2 diabetes mellitus, high blood pressure, dyslipidemia, obstructive sleep apnea and subsequent renal, and liver and cardiovascular diseases. Cardiovascular disease carries the most risk of all of the long-term outcomes of obesity because it is associated with serious complications in adult life, such as heart failure, acute coronary syndrome, and premature sudden death. This review aims to address childhood obesity as a worldwide health concern and focuses on the cardiovascular risk and adverse outcomes associated with this condition. This review presents details of obesity-related cardiac structural and functional changes, such as left ventricular hypertrophy (LVH) and dysfunction, respectively. A search of multiple medical databases was performed, and the results yielded many studies related to pediatric left ventricular hypertrophy; seventeen studies were found on left ventricular hypertrophy in obese children from 1980 to 2015. Most of these studies demonstrated that obesity and its comorbidities are important predictors for left ventricular hypertrophy in the pediatric age group. Furthermore, weight reduction is an important measure to reverse these structural changes and reduce the associated risks.
{"title":"Left Ventricular Hypertrophy in Obese Children","authors":"R. Attar, O. Safdar","doi":"10.4172/2165-7904.1000309","DOIUrl":"https://doi.org/10.4172/2165-7904.1000309","url":null,"abstract":"Childhood obesity is one of the most troubling health conditions worldwide, and it is associated with many diseases that eventually lead to serious morbidities and mortality in adulthood, such as insulin resistance, type 2 diabetes mellitus, high blood pressure, dyslipidemia, obstructive sleep apnea and subsequent renal, and liver and cardiovascular diseases. Cardiovascular disease carries the most risk of all of the long-term outcomes of obesity because it is associated with serious complications in adult life, such as heart failure, acute coronary syndrome, and premature sudden death. This review aims to address childhood obesity as a worldwide health concern and focuses on the cardiovascular risk and adverse outcomes associated with this condition. This review presents details of obesity-related cardiac structural and functional changes, such as left ventricular hypertrophy (LVH) and dysfunction, respectively. A search of multiple medical databases was performed, and the results yielded many studies related to pediatric left ventricular hypertrophy; seventeen studies were found on left ventricular hypertrophy in obese children from 1980 to 2015. Most of these studies demonstrated that obesity and its comorbidities are important predictors for left ventricular hypertrophy in the pediatric age group. Furthermore, weight reduction is an important measure to reverse these structural changes and reduce the associated risks.","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122159130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-04-23DOI: 10.4172/2165-7904.1000308
S. Alkahtani, Noha M Awad
Objective: This study examined the differences in physical activity patterns between male and female university students in their Preparatory Year at the University of Dammam in Saudi Arabia. Methodology: The study was a cross-sectional design that recruited 23 males and 23 females from the Art Route of the Preparatory Year at the university (mean BMI was 24.7 ± 6.4 kg/m2 for males and 29.3 ± 8.1 kg/m2 for females). All participants wore accelerometers for 7 consecutive days and completed a diet questionnaire. Results: Male and female students respectively spent 66.4% and 65.8% of their daily waking time sedentary and 30.1% and 32.1% in light physical activity. Males spent significantly more time (3.5%) in moderate to vigorous physical activity (MVPA) than females did (2.1%) (P ≤ 0.01). The average levels of MVPA for at least 10 minutes were 14.1 and 12.3 minutes for males and females, respectively. Male and female students spent 65% of their daily sedentary time in prolonged sedentary sessions of more than 20 minutes, with no differences between males and females or between weekdays and weekends. Females showed healthier food habits than males did , through greater vegetable intake (p ≤ 0.05) and lower consumption of fast food, soft drinks, and energy drinks (p ≤ 0.05). Conclusion: Female university students showed lower levels of MVPA compared with males, but they chose healthier food options. Increasing MVPA among female university students should be the priority for university health educators
{"title":"Comparing the Physical Activity Patterns of Male and Female Students in the Preparatory Year in Saudi Arabia","authors":"S. Alkahtani, Noha M Awad","doi":"10.4172/2165-7904.1000308","DOIUrl":"https://doi.org/10.4172/2165-7904.1000308","url":null,"abstract":"Objective: This study examined the differences in physical activity patterns between male and female university students in their Preparatory Year at the University of Dammam in Saudi Arabia. Methodology: The study was a cross-sectional design that recruited 23 males and 23 females from the Art Route of the Preparatory Year at the university (mean BMI was 24.7 ± 6.4 kg/m2 for males and 29.3 ± 8.1 kg/m2 for females). All participants wore accelerometers for 7 consecutive days and completed a diet questionnaire. Results: Male and female students respectively spent 66.4% and 65.8% of their daily waking time sedentary and 30.1% and 32.1% in light physical activity. Males spent significantly more time (3.5%) in moderate to vigorous physical activity (MVPA) than females did (2.1%) (P ≤ 0.01). The average levels of MVPA for at least 10 minutes were 14.1 and 12.3 minutes for males and females, respectively. Male and female students spent 65% of their daily sedentary time in prolonged sedentary sessions of more than 20 minutes, with no differences between males and females or between weekdays and weekends. Females showed healthier food habits than males did , through greater vegetable intake (p ≤ 0.05) and lower consumption of fast food, soft drinks, and energy drinks (p ≤ 0.05). Conclusion: Female university students showed lower levels of MVPA compared with males, but they chose healthier food options. Increasing MVPA among female university students should be the priority for university health educators","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125531857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-04-22DOI: 10.4172/2165-7904.1000306
María Angélica González-Stäger and Alejandra Rodríguez-Fernándezz
Introduction: Children born preterm are at higher risk of overnutrition in adolescence, which is manifested by increased body mass index-for-age (BMI-for-age) and increased abdominal fat mass leading to the risk of noncommunicable chronic diseases. Objectives: The aim of this research was to study how prematurity influences overnutrition in a cohort of adolescents born preterm. Methods: The study included 91 adolescents born preterm (ABP) from a cohort and a control group of 91 adolescents born at term (ABT). Body mass index and fat mass were determined for all the subjects. Results: The follow-up of BMI-for-age of the children born preterm showed that the highest proportion of overnutrition was found in the first year (65%) and in adolescence (33%). At this age, no differences were found between the ABP and ABT. Body fat of the ABP was higher than for the ABT (p ≤ 0.01). Both groups’ waist circumference was higher than the normal value at this age. The ratio between BMI and the percentage of fat between ABT and ABP boys was significant at p=0.003. Conclusions: Both ABP and ABT groups had excess weight, which could be due to the fact they grew up in the same environment that promotes unhealthy lifestyles. The ABP boys had excess fat mass leading to the risk of noncommunicable chronic diseases in adulthood.
{"title":"Overnutrition in Adolescents Born Preterm","authors":"María Angélica González-Stäger and Alejandra Rodríguez-Fernándezz","doi":"10.4172/2165-7904.1000306","DOIUrl":"https://doi.org/10.4172/2165-7904.1000306","url":null,"abstract":"Introduction: Children born preterm are at higher risk of overnutrition in adolescence, which is manifested by increased body mass index-for-age (BMI-for-age) and increased abdominal fat mass leading to the risk of noncommunicable chronic diseases. Objectives: The aim of this research was to study how prematurity influences overnutrition in a cohort of adolescents born preterm. Methods: The study included 91 adolescents born preterm (ABP) from a cohort and a control group of 91 adolescents born at term (ABT). Body mass index and fat mass were determined for all the subjects. Results: The follow-up of BMI-for-age of the children born preterm showed that the highest proportion of overnutrition was found in the first year (65%) and in adolescence (33%). At this age, no differences were found between the ABP and ABT. Body fat of the ABP was higher than for the ABT (p ≤ 0.01). Both groups’ waist circumference was higher than the normal value at this age. The ratio between BMI and the percentage of fat between ABT and ABP boys was significant at p=0.003. Conclusions: Both ABP and ABT groups had excess weight, which could be due to the fact they grew up in the same environment that promotes unhealthy lifestyles. The ABP boys had excess fat mass leading to the risk of noncommunicable chronic diseases in adulthood.","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121235504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-04-22DOI: 10.4172/2165-7904.1000307
S. Neuwersch, M. Zink, V. Stadlbauer-Köllner, K. Mrak
Introduction: There is no clear consensus about the optimal postoperative pain management in morbidly obese patients undergoing bariatric surgery. The aim of this study was to evaluate the effects of Patient-Controlled- Epidural-Analgesia (PCEA) compared to Intravenous-Patient-Controlled-Analgesia (IV-PCA) in patients undergoing laparoscopic gastric bypass surgery. Methods: Between January 2013 and December 2014, 154 obese patients underwent laparoscopic gastric bypass surgery. Included in our analyses were all patients receiving either IV-PCA or PCEA in their postoperative course. Group comparison with respect to patient demographics, co-morbidities, details of surgical procedure, details of postoperative course, NRS-scores at rest, and medical follow-ups were performed. Results: Overall 63 (44.4%) patients were treated by PCEA, 79 (55.6%) patients by IV-PCA. We observed no differences across the groups with respect to sex, age, ASA-score, co-morbidities, postoperative BMI, body height, pre- and postoperative weight, ideal weight, weight loss, duration of surgery and postoperative ward. Patient´s BMI (p=0.025) and excess weight before surgery (p=0.029) were significantly higher in the IV-PCA-group. Surgical complications occurred significantly more often in the IV-PCA group (p=0.045). Concerning the postoperative pain management there was no statistically significant difference between different NRS-scores throughout the study period. However, individuals in the IV-PCA-group received significantly more paracetamol (p<0.0001) and diclofenac combined with orphenadrine (p=0.003). Duration of PCA was longer in the PCEA-group compared to patients treated with IV-PCA (p<0.01). Conclusions: Particularly for obese patients, PCEA is more beneficial than IV-PCA, which is borne out by a significantly lower incidence of surgical complications observed in patients receiving PCEA.
{"title":"Epidural versus Intravenous Patient Controlled Analgesia after Laparoscopic Gastric Bypass Surgery","authors":"S. Neuwersch, M. Zink, V. Stadlbauer-Köllner, K. Mrak","doi":"10.4172/2165-7904.1000307","DOIUrl":"https://doi.org/10.4172/2165-7904.1000307","url":null,"abstract":"Introduction: There is no clear consensus about the optimal postoperative pain management in morbidly obese patients undergoing bariatric surgery. The aim of this study was to evaluate the effects of Patient-Controlled- Epidural-Analgesia (PCEA) compared to Intravenous-Patient-Controlled-Analgesia (IV-PCA) in patients undergoing laparoscopic gastric bypass surgery. Methods: Between January 2013 and December 2014, 154 obese patients underwent laparoscopic gastric bypass surgery. Included in our analyses were all patients receiving either IV-PCA or PCEA in their postoperative course. Group comparison with respect to patient demographics, co-morbidities, details of surgical procedure, details of postoperative course, NRS-scores at rest, and medical follow-ups were performed. Results: Overall 63 (44.4%) patients were treated by PCEA, 79 (55.6%) patients by IV-PCA. We observed no differences across the groups with respect to sex, age, ASA-score, co-morbidities, postoperative BMI, body height, pre- and postoperative weight, ideal weight, weight loss, duration of surgery and postoperative ward. Patient´s BMI (p=0.025) and excess weight before surgery (p=0.029) were significantly higher in the IV-PCA-group. Surgical complications occurred significantly more often in the IV-PCA group (p=0.045). Concerning the postoperative pain management there was no statistically significant difference between different NRS-scores throughout the study period. However, individuals in the IV-PCA-group received significantly more paracetamol (p<0.0001) and diclofenac combined with orphenadrine (p=0.003). Duration of PCA was longer in the PCEA-group compared to patients treated with IV-PCA (p<0.01). Conclusions: Particularly for obese patients, PCEA is more beneficial than IV-PCA, which is borne out by a significantly lower incidence of surgical complications observed in patients receiving PCEA.","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130606423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-04-21DOI: 10.4172/2165-7904.1000305
T. Durá-Travé, F. Gallinas-Victoriano, L. LloredaMartín, Chueca Guindulain Mj, S. Berrade-Zubiri
Background/Objectives: Childhood obesity represents the most relevant nutritional disorder in our environment. This study examines the prevalence of metabolic syndrome in an obese pediatric population and its relation to serum Leptin concentrations. Subjects/Methods: A cross-sectional clinical and metabolic study was accomplished in a group of 106 obese children (47 males and 59 females). Patients were classified in prepubertal group (Tanner stage I) and pubertal group (Tanner stages II–V). Results: Prevalence of insulin resistance (HOMA), hypertriglyceridemia, low high-density lipoprotein (HDL) and arterial hypertension (HTA) was 38.7, 45.3, 28.3 and 33.8% respectively. Metabolic syndrome prevalence (38%) was significantly higher in the pubertal group (38%) in relation to the prepubertal group (23.2%). There was a positive correlation between leptin and BMI (r=0.529), leptin and HOMA indexes (r=562) and Leptin and triglycerides (r=0,314). In addition, there was a positive correlation between HOMA indexes and triglycerides (r=596). Conclusions: Clinical and metabolic disorders associated to obesity and related to the so-called metabolic syndrome are already present in pediatric population. Leptin could play an important role in the etiopathogenesis of the metabolic syndrome.
{"title":"Leptin and Metabolic Syndrome in Obese Pediatric Population: A CrosssectionalStudy","authors":"T. Durá-Travé, F. Gallinas-Victoriano, L. LloredaMartín, Chueca Guindulain Mj, S. Berrade-Zubiri","doi":"10.4172/2165-7904.1000305","DOIUrl":"https://doi.org/10.4172/2165-7904.1000305","url":null,"abstract":"Background/Objectives: Childhood obesity represents the most relevant nutritional disorder in our environment. This study examines the prevalence of metabolic syndrome in an obese pediatric population and its relation to serum Leptin concentrations. Subjects/Methods: A cross-sectional clinical and metabolic study was accomplished in a group of 106 obese children (47 males and 59 females). Patients were classified in prepubertal group (Tanner stage I) and pubertal group (Tanner stages II–V). Results: Prevalence of insulin resistance (HOMA), hypertriglyceridemia, low high-density lipoprotein (HDL) and arterial hypertension (HTA) was 38.7, 45.3, 28.3 and 33.8% respectively. Metabolic syndrome prevalence (38%) was significantly higher in the pubertal group (38%) in relation to the prepubertal group (23.2%). There was a positive correlation between leptin and BMI (r=0.529), leptin and HOMA indexes (r=562) and Leptin and triglycerides (r=0,314). In addition, there was a positive correlation between HOMA indexes and triglycerides (r=596). Conclusions: Clinical and metabolic disorders associated to obesity and related to the so-called metabolic syndrome are already present in pediatric population. Leptin could play an important role in the etiopathogenesis of the metabolic syndrome.","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123871228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-03-25DOI: 10.4172/2165-7904.1000304
N. A. M. Kutty, Anith Arina Binti Abdul Aziz
Introduction: Recent epidemiologic evidence suggests that long-term health consequences are related to habitual sedentary behaviour. Sedentary lifestyles are greatly influenced by increasing technological interaction and involvement among the young adults. Because of the prognostic importance of cardio metabolic risk biomarkers on health and mortality this knowledge could provide an insight into the mechanisms through which sedentary behavior influences cardiovascular disease risk among Chinese females. However, there has been no thorough exploration of the independent contributions of sedentary behaviour to metabolic risk factors among Chinese females and the relative importance of these factors. Objective: The purpose of this study was to determine the association between sedentary behaviour and anthropometric measures among Chinese females. Method: 210 Chinese females participated in this cross sectional study. Sedentary Behaviour Questionnaire was used to assess their sedentary behaviour and height, weight, waist and hip measurements were made. Multivariate linear regression analyses examined associations of self-reported sedentary behaviour with biomarkers. Results: The highest sedentary behaviour engaged by the participants was doing paperwork or computer work, sitting ranked second and listening to music and the third being sitting reading book or magazine. The least sedentary behaviour that participants engaged was doing artworks or crafts. There was no significant association between sedentary behaviour and anthropometric measurements among Chinese females. Conclusion: The study concluded that sedentary behaviour is not detrimentally associated with waist circumference, BMI and waist-hip ratio among young Chinese females. It is possible that factors not directly accounted for in our analysis could have contributed to the healthy range of cardiometabolic risk biomarkers.
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