Valores del perímetro abdominal e índice cintura-cadera en pacientes con hipertensión arterial / Values of abdominal perimeter and waist-hip ratio in patients with hypertension i: en

Introducción: La hipertensión arterial constituye un problema de salud pública en casi todo el mundo. Entre los factores de riesgo vinculados a ella se destaca la acumulación de grasa, que puede, a su vez, establecer los riesgos, las comorbilidades y la mortalidad asociados a esta entidad nosológica. Objetivo: Determinar las variaciones de los valores del perímetro abdominal y el índice cintura-cadera en pacientes con hipertensión arterial, según variables epidemiológicas y clínicas seleccionadas. Métodos: Se realizó un estudio descriptivo, prospectivo y transversal de 221 pacientes con hipertensión arterial, pertenecientes al Consultorio 19 del Policlínico Docente Josué País García del municipio de Santiago de Cuba, desde junio del 2019 hasta diciembre del 2020. Resultados: Predominó el sexo femenino y el grupo etario de 65-74 años (28,5 %). Los indicadores antropométricos perímetro abdominal e índice cintura-cadera tuvieron valores que superaron los parámetros normales establecidos para ambos sexos. El cálculo del perímetro abdominal reveló un predominio de la obesidad en el sexo femenino, en tanto se clasificó como aumentado en el sexo masculino. Conclusiones: Los valores del índice cintura-cadera y del perímetro abdominal en ambos sexos estuvieron por encima de los clasificados por la Organización Mundial de la Salud como de alto riesgo de presentar la enfermedad.

Introduction: Hypertension constitutes a problem of public health in almost all over the world. Among the risk factors associated with it, the accumulation of fat is notable, which can, in turn, establish risks and determine comorbidities and mortality associated with this nosological entity. Objective: To determine the variations in the values of the abdominal perimeter and waist-hip ratio in patients with hypertension, according to selected epidemiological and clinical variables. Methods: A descriptive, prospective and cross-sectional study was carried out on 221 patients with hypertension, belonging to doctor's office 19 of Josué País García Teaching Polyclinic in Santiago de Cuba municipality, from June, 2019 to December, 2020. Results: There was a prevalence of the female sex and the 65-74 age group (28.5%). The anthropometric indicators, abdominal perimeter and waist-hip ratio, had values that exceeded the established normal parameters for both sexes. The calculation of the abdominal perimeter revealed a predominance of obesity in the female sex, while it was classified as increased in the male sex. Conclusions: The values of the waist-hip ratio and abdominal perimeter exceeded those classified by the World Health Organization as high risk of presenting the disease in both sexes.

Effects of nutritional support on chemotherapeutic efficacy and safety in patients with acute myeloid leukemia / 中国基层医药

Objective:To investigate the effects of nutritional support on chemotherapeutic efficacy and safety in patients with acute myeloid leukemia.Methods:A total of 130 patients with acute myeloid leukemia who received treatment in Lishui Municipal Central Hospital from January 2021 to December 2021 were included in this study. They were divided into a control group and an observation group ( n = 65/group) according to different nutritional support methods. Patients in the control group were given routine intervention, while patients in the observation group were given nutritional support based on routine intervention. These two interventions were administered till 1 month after chemotherapy. Chemotherapeutic efficacy and safety were compared between the two groups. Results:Total response rate in the observation group was significantly higher than that in the control group [92.3% (60/65) vs. 78.5% (51/65), Z = 4.91, P < 0.05]. After chemotherapy, waist-to-hip ratio, arm girth, and body mass index in the observation group were (0.9 ± 0.1), (25.7 ± 1.2) cm, (21.9 ± 2.1) kg/m 2, respectively, which were significantly greater than (0.8 ± 0.1), (24.4 ± 1.1) cm, (20.6 ± 2.1) kg/m 2 in the control group, respectively ( t = 4.13, 6.63, 3.64, all P < 0.05). Transferrin, albumin, prealbumin, and total serum protein in the observation group were (1.4 ± 0.3) g/L, (27.5 ± 3.1) g/L, (171.3 ± 11.3) mg/L, and (61.2 ± 4.3) g/L, respectively, which were significantly higher than (1.3 ± 0.3) g/L, (25.2 ± 2.9) g/L, (154.3 ± 10.3) mg/L, (56.6 ± 4.0) g/L respectively in the control group ( t = 2.24, 4.48, 8.93, 6.31, all P < 0.05). The scores of emotional state, social status, role cognition, and somatic perception in the observation group were (57.5 ± 4.6) points, (64.5 ± 3.8) points, (56.5 ± 4.1) points, (62.0 ± 4.2) points, which were significantly higher than (47.9 ± 4.2) points, (56.4 ± 3.2) points, (47.7 ± 4.5) points, (55.5 ± 5.4) points in the control group ( t = 12.34, 13.04, 11.55, 7.65, all P < 0.05). The total incidence of adverse reactions in the observation group was 9.2% (6/65), which was significantly lower than 24.6% (16/65) in the control group ( χ2 = 4.43, P < 0.05). Conclusion:Nutritional support can substantially improve chemotherapeutic efficacy in the treatment of acute myeloid leukemia, decrease the incidence of adverse reactions, and is safe. Therefore, nutritional support for patients with acute myeloid leukemia deserves clinical promotion.

Association Between Abo Blood Group And Obesity In Medical Students

Background — Over the past years, there seems to have been good attention paid to the connection between some diseases and the ABO blood group type. To our knowledge, nostudy has been done todetermine the association between obesity and ABO blood group. To find the prevalence of obesity in medical students and to determine theAims — association between obesity and ABO blood group. A cross sectional study was carried outMaterials and methods — among 745 medical students. Height, weight, waist circumference, hip circumference was measured. BMI and waist —hip ratio was determined. Blood group was determined by slide agglutination method The findings of theResults — present study reported that the most prevalent blood group was B+ whereas the blood group AB was least prevalent. 25.5% of the total study subjects were overweight and 7.2%were obese. Overweight and obesity were more common among students with blood group B. It was also observed that WHR statistically associated with ABO Blood group system. Conclusion — Participants with blood group B+ had higher prevalence of overweight and obesity. ABO Blood group system showed statistically significant association with WHR.

Effect of age and menopause on anthropometric parameters in non-obese and obese South Indian women

Background: Men and women show differences in the distribution of body fat. Women tend to store more fat subcutaneously compared to men. Fat distribution changes in postmenopausal women. Understanding the changes in anthropometry with age and menopausal status is important in the context of deriving population, age, and gender-specific cutoff levels for obesity indices. Aims and Objectives: This study was conducted with the objectives of measuring Waist Circumference (WC), Waist-Hip Ratio (WHR), and Waist-Height Ratio (WHtR) in South-Indian women and determining the effect of age and menopause on the anthropometric parameters in non-obese and obese women. Materials and Methods: 290 women between the age group of 30 to 70 years participated in this analytical cross-sectional study. Age and menopausal status were recorded. Anthropometric parameters such as weight, height, WC, and hip circumference were measured. Body-mass index, WHR, and WHtR were derived. The data were analyzed to compare mean values of anthropometric parameters between premenopausal and postmenopausal women using unpaired t-test. The difference in anthropometric status was also compared between those with Body mass index (BMI) in the non-obese range and those with BMI in the obese range in relation to menopausal status. Results: A higher proportion of women were classified as having abdominal obesity based on WHtR cutoff compared to classifying using WC cutoff. Postmenopausal women showed higher mean values of all measured anthropometric parameters, but the difference was significant only for WHR. When the study subjects were analyzed based on BMI categories, a significant difference between pre and post-menopausal women was recorded in WHtR values in the non-obese BMI group, but not in the obese BMI group when analyzed by unpaired t-test. Conclusion: Anthropometric parameters show an increasing trend as age advances. There is a difference in mean values of all parameters between pre and post-menopausal women, though statistical significance was seen only for WHR and WHtR in different sub-groups based on BMI. Further studies are needed to decide on the need for separate cutoff values for postmenopausal women.

Waist circumference and waist-hip ratio as a predictor of respiratory risk factor

Background: The prevalence of Abdominal Obesity as well as of Generalized Obesity are high in India. Obesity can directly alter respiratory physiology through a variety of processes and can lead to reduction in lung function. The quantity and location of body fat alter the impact of obesity on pulmonary function. Waist circumference (WC) links to intra-abdominal and subcutaneous fat and it is a better scale of intra-abdominal fat. Aim and Objectives: (1) To determine the effect of anthropometric parameters like WC, waist-hip ratio (WHR) on timed vital capacity in adult. (2) To determine the difference in timed vital capacity between males and females. Materials and Methods: 150 apparently healthy adults aged 20� years were selected for the study. WC, Waist-hip ratio were measured. Pulmonary functions such as Forced Vital Capacity, Forced Expiratory Volume in one second, (FEV1/FVC%) were recorded using Computerized Spirometer (RMS HELIOS 401). Data were statistically analyzed by unpaired t-test, Karl Pearson抯 coefficient of correlation test, statistical significance was considered for P < 0.05. Results: FVC, FEV1 were significantly declined in both male and female subjects in the group II compared to group I in terms of both WC and WHR. FVC, FEV1were significantly higher in males when compared with females. Significant negative correlation observed between FVC and FEV1 values with Group II of WC and WHR. Conclusion: To conclude obesity even in the absence of specific pulmonary disease, alters the pulmonary function, that can lead to long-term consequences. Regular exercise, yoga, pranayama help to reduce weight and improve breathing by strengthening respiratory muscles.

Metabolic risk factors in first acute coronary syndrome (MERIFACS) Study

Objectives: In acute coronary syndrome (ACS) patients the focus is on major conventional risk factors - CRF [diabetes, hypertension, elevated low-density cholesterol (LDL-C) and smoking] whereas others - specific metabolic risk factors - MRF [high-density lipoprotein cholesterol (HDL-C), body-mass index (BMI), waist-hip ratio (WHR), and triglycerides, and HbA1c get less attention. Methods: This is a prospective caseecontrol observational study from 15 tertiary care hospitals in India. CRF and MRF in patients presenting with first incidence of ACS (n ¼ 2153) were compared with matched controls (n ¼ 1210). Results: Propensity score matching (PSM) yielded 1193 cases and matched 1210 controls. Risk factor prevalence in cases vs. controls were CRF: hypertension - 39.4% vs 16.4% (p < 0.0001), diabetes - 42.6% vs 12.7% (p < 0.0001), smoking - 28.3% vs 9.3% (p < 0.0001) and elevated LDL-C - 70.2% vs 57.9% (p < 0.0001). MRF: High BMI - 54.7% vs 55.1% (p ¼ 0.84), increased waist: hip ratio 79.5% vs 63.6% (p < 0.0001), high HbA1c - 37.8% vs 14.9% (p < 0.0001), low HDL-C - 56.2% vs 42.8% (p < 0.0001) and elevated triglycerides - 49.7% vs 44.2% (p ¼ 0.007). Adjusted Odds ratios by multivariate analysis were CRF: hypertension - 2.3 (p < 0.001), diabetes - 4.7 (p < 0.001), high LDL-C - 3.3 (p < 0.001) and smoking6.3 (p < 0.001). MRF: High waist: hip ratio - 2.4 (p < 0.001) high HbA1c - 3.2 (p < 0.001), low HDL-C 2.2 (p < 0.001) and elevated triglycerides - 0.878 p ¼ 0.17. Conclusion: In India, the risk of ACS conferred by specific metabolic risk factors (High waist: hip ratio, Low HDL-C and High HbA1c) is comparable to that caused by CRF

Association of serum uric acid with waist-hip ratio: A promising index for assessing cardiovascular disease risk profile

Background: Abdominal obesity is associated with insulin resistance, in turn, hyperinsulinemia and visceral adiposity lead to an increased uric acid (UA) absorption in renal tubules. Aim and Objectives: Accumulation of visceral fat is an underlying component of metabolic syndrome. Furthermore, the waist-hip ratio is an indirect tool for assessing visceral fat. The present study evaluates the association of UA levels with the waist-hip ratio. Materials and Methods: 160 subjects aged 18–60 years were enrolled in the study (those having any anatomical deformity, diabetes, and/or hypertension for more than 5 years were excluded from the study). Their anthropometric parameters, blood pressure, lipid profile, fasting plasma glucose, and serum UA levels were measured. Results: The study population was divided into three groups based on UA levels. The waist-hip ratio in a group of the hyperuricemic population was more as compared to groups of normal and below normal UA levels population and the association of UA level with waist-hip ratio was found to be significant (P = 0.045). Conclusion: The over-inflow of free fatty acid to the liver from accumulated visceral fat may be linked to the de novo purine synthesis through the pentose phosphate pathway, which may accelerate the production of UA.

Association between abdominal obesity and incident chronic kidney disease: a systematic review / 中华临床营养杂志

The aim of the present study is to explore the association between abdominal obesity and chronic kidney disease (CKD) through a systematic review of published studies. Databases including Wanfang data, CNKI, VIP, CBM, Cochrane Library, PubMed, Web of science and Embase were searched up to July 2021 to collect longitudinal studies published in Chinese and English on the association between abdominal obesity and CKD. In order to avoid omission, reference lists of related articles were also checked manually. After literature selection, data were extracted and study quality was evaluated by the Newcastle-Ottawa scale. Statistical analysis of this study was conducted using Stata 11.0 software. Finally, five studies were included in this study. The results showed that abdominal obesity defined by waist circumference was not associated with CKD (OR=1.17,95% CI:0.93-1.48). According to the results of subgroup analyses, whether adjusted body mass index might be part of the reason of heterogeneity. Based on results of this study, the association between abdominal obesity defined by waist hip ratio and CKD, as well as the association between abdominal obesity and CKD in different genders, remains unknown. In conclusion, abdominal obesity might not be associated with incident CKD. However, more studies are needed in the future to explore this association.

Correlation analysis of gout with body mass index and waist-hip ratio / 中国热带医学

@#Abstract: Objective　To explore the relationship between body mass index (BMI), waist-hip ratio (WHR) and the risk of gout in Urumqi. Methods　A total of 516 male patients with gout in a third-class hospital in Urumqi from 2015 to 2019 were randomly selected as the gout group and 516 male healthy subjects in the same hospital as the control group. The relevant blood biochemical indexes were examined and analyzed. Blood pressure, waist circumference and hip circumference were measured. Body mass index and waist-to-hip ratio were calculated. Logistic regression model was used to analyze the relationship between overweight / obesity, waist-to-hip ratio and the risk of gout. The test level is α = 0.05. Results　Uric acid, glucose, urea nitrogen, creatinine, triglyceride, low-density lipoprotein, systolic blood pressure, weight and waist circumference in gout group were higher than those in control group, and the differences were statistically significant (P<0.05); There were no significant differences in age, height and diastolic blood pressure between the two groups (P<0.05). There was a positive correlation between BMI and WHR and the occurrence of gout (r=0.272, 0.345, P<0.05). There were significant differences in BMI, WHR and waist circumference between the gout group and the control group（χ2= 55.338, 54.928, 54.153, P<0.05）. After adjusting for age, aerobic exercise and other confounding factors, the results of multi-factor unconditional Logistic regression analysis showed that the odds ratio (OR) of gout in patients with BMI of 24.00-27.99 kg/m2 and ≥28.00 kg/m2 was 2.005 (1.337-3.006) and 2.677 (1.668-4.296) times higher than that of patients with normal BMI, respectively. The OR value of gout in patients with WHR≥0.90 was 1.668 times higher than that in patients with normal WHR, and the difference was statistically significant. The results of subgroup analysis according to age are generally similar. Conclusions　The BMI and WHR of man with gout in Urumqi are higher than those of normal people, and BMI, waist circumference and WHR are all associated with the incidence of gout. The risk of gout increases with the increase of BMI and WHR.

Variabilidad del ritmo cardiaco e índices antropométricos en hombres universitarios de Santiago de Chile / Heart rate variability in cardiac rhythm and anthropometric indices in university males of Santiago de Chile

Resumen Introducción: La baja variabilidad del ritmo cardíaco (VRC) se ha asociado con desbalances autonómicos y riesgo cardiovascular en diversas poblaciones. Objetivo: Relacionar la variabilidad del ritmo cardíaco e índices antropométricos en hombres universitarios jóvenes, físicamente activos con bajo riesgo cardiometabólico. Materiales y métodos: Estudio descriptivo transversal. Participaron 10 hombres de 23,15 ± 2,91 años con un índice de masa corporal (IMC) de 25,48 ± 2,19 kg/m2 y un índice Cintura-Cadera (IC-C) de 0,81±0,02. La VRC en reposo se midió en un período de 5 minutos. Se realizó un análisis correlacional entre el IMC e IC-C con la proporción baja/alta frecuencia (LF/HF), desviación estándar de la variación instantánea de intervalos RR (SD1) y complejidad de los intervalos RR (α-1). Además, se determinó el poder estadístico (1- β) y tamaño del efecto ("d" de Cohen). Resultados: El LF/HF sólo se relaciona significativamente con el IC-C (r=0,638; p=0,047; d=0,80), mientras que SD1 y α-1 no reportaron ninguna asociación con el IMC e IC-C. Conclusiones: Existe un predominio parasimpático que sugiere un mecanismo protector sobre el tejido adiposo intraabdominal relacionado al IC-C. Se requieren otros estudios que expliquen todas las variables moduladoras de la VRC.

Abstract Introduction: Low heart rate variability (HRV) has been associated with autonomic imbalances and cardiovascular risk in various populations. Objective: To relate HRV and anthropometric indices in young, physically active university male students with low cardiometabolic risk. Materials and methods: A descriptive cross-sectional study, which included 10 men aged 23.15 ± 2.91 years, with a Body Mass Index (BMI) of 25.48 ± 2.19 kg/m2, and a Waist-Hip Ratio (WHR) of 0.81 ± 0.02. Resting heart rate variability was measured over a 5 minute period. A correlational analysis was performed between BMI and WHR with the low frequency/high frequency ratio (LF/HF), standard deviation of the instantaneous variation of RR intervals (SD1), and complexity of the RR intervals (α-1). In addition, statistical power (1-β) and effect size (Cohen's "d") were determined. Results: LF/HF is only significantly related to WHR (r=0.638; p=0.047; d=0.80), while SD1 and α-1 did not show any association with BMI and WHR. Conclusions: There is a parasympathetic predominance that suggests a protective mechanism on intra-abdominal adipose tissue related to WHR. Further studies are required to explain all the modulating variables of the heart rate variability.

Relationship of the Pelvic-Trochanteric Index with greater trochanteric pain syndrome

OBJECTIVES: This study aimed to correlate a higher Pelvic-Trochanteric Index (PTI) with an increased varus of the femoral neck with greater trochanteric pain syndrome (GTPS). The secondary objective was to check whether the pelvic width changes with age. METHODS: A prospective study was conducted to compare female patients diagnosed with GTPS (case group) with asymptomatic female participants (control group) from March 2011 to June 2017. On an anteroposterior pelvic radiograph, lines were drawn by two radiologists, and the PTI (ratio of the distance between the greater trochanters and distance between the iliac crests) was defined and the femoral neck-shaft angle was measured. RESULTS: Data collected based on radiographs of 182 female patients (cases) and 150 female participants (controls) showed that the mean PTI was 1.09 (SD=0.01) in the case group and 1.07 (SD=0.01) in the control group (p<0.05), regardless of age. The distance between iliac crests increased with age (p<0.05) in symptomatic and asymptomatic individuals. It was also found that the mean femoral neck-shaft angle was 130.6° (SD=0.59) and progression of the varus angulation occurred with age in both groups, with a significance level of 5%. CONCLUSIONS: The PTI was higher in patients with GTPS. The femoral neck-shaft angle does not differ between individuals with and without GTPS; however, it does decrease with age. The pelvic width tends to increase with aging in symptomatic or asymptomatic individuals; therefore, the increase in the pelvic width and decrease in the femoral neck-shaft angle can be interpreted as normal in aging women, which could alter the biomechanics of the hips and pelvis.

Predicting Metabolic Syndrome Using Anthropometric Indices among Chinese Adolescents with Different Nutritional Status: A Multicenter Cross-sectional Study / 生物医学与环境科学（英文）

Objective@#To evaluate the predictive performance of anthropometric indices for metabolic syndrome (MetS) among Chinese adolescents with different nutritional status.@*Methods@#We recruited 9,513 adolescents aged 10-18 years from seven provinces in China during September 2014. Anthropometric indices and blood pressure were measured at recruitment, and blood samples were collected for determining fasting plasma glucose and lipid profile. Receiver operating characteristic (ROC) analyses were used to assess the predictive performance of anthropometric indices, including body mass index (BMI) percentile, waist circumference percentile, waist-height ratio, and waist-hip ratio.@*Results@#Overall, the four anthropometric indices showed good accuracy for predicting MetS with areas under ROC curves (AUCs) ranging from 0.86 to 0.94; similar AUCs ranging from 0.73 to 0.99 were observed for participants with normal weight. The performance of all four indices was poor in overweight and obese participants, with AUCs ranging from 0.66 to 0.77 and from 0.60 to 0.67, respectively. Waist circumference showed relatively better performance in all the subgroup analyses.@*Conclusions@#We suggest using anthropometric indices with the cutoff values presented here for predicting MetS in the overall and normal-weight adolescent population, but not in the overweight and obese adolescent population where more specific screening tests are required.

The Evaluation of Waist Circumference and Waist-Hip Ratio as Predictors of Hypertension in Children

Background: Childhood hypertension is a public health concern because of associated cardio-metabolic morbidities in adulthood. Overweight and obesity are main drivers and predictors of childhood hypertension. There is paucity of studies on waist circumference (WC) and waist-hip ratio (WHR) –measures of central obesity -as predictors of hypertension in children. The study was done to determine if WC and WHR predicts hypertension in children.Study Design:The study was a descriptive cross-sectional study.Place and Duration of Study:Primary schools in Owerri Municipal Local Government Area (LGA), Imo State, Nigeria between September 2017 to April 2018. Methodology:809 school children aged 6-12 years were recruited from three public and six private primary schools using multi-staged sampling method. Their blood pressure (BP), weight, height, hip circumference and WC were measured using standard techniques. The BMI and WHR were then calculated. Central obesity was defined as WC ≥90thpercentile. The data were analyzed with IBM-SPSS 21.Results:The male female ratio was 1:1. The prevalence of pre-hypertension and hypertension were 8.50% and 2.70% respectively. While those of overweight, obesity and centralobesity were 5.10%, 5.90% and 10.10% respectively. WC significantly and positively correlated with systolic blood pressure (SBP) [r = 0.57, p = 0.0001] and diastolic blood pressure (DBP) [r = 0.57, p = 0.0001]. WHR had a negative correlation with SBP and DBP [r = -0.33, p = 0.0001 in both cases]. Central obesity increased the odds of developing systolic and diastolic prehypertension/hypertensionby 9 and 8 folds respectively.Conclusion:Central obesity predicted prehypertension/hypertension in primary school children in this study and therefore can be used as screening tool in programs to prevent childhood obesity and hypertension

Efeitos do treinamento físico sobre parâmetros de saúde de corredores de rua recreacionais / Effects of physical training on health parameters in recreational runners

a população vem se tornando mais inativa, improdutiva e ociosa. Esses maus hábitos acumulados durante muito tempo se tornam prejudiciais à saúde, podendo ocasionar várias doen ças cardiovasculares e dislipidemias. Para prevenir e tratar essas disfunções recomenda-se a prática regular de exercícios físicos aeróbios (EFA) aliado a um fortalecimento muscular. Objetivou-se avaliar os efeitos de quatro semanas do treinamento combinado de corrida de rua e treinamento em circuito funcio nal ( TCF) sobre variáveis relacionadas à saúde e desempenho físico de corredores de rua recreacionais. 32 indivíduos foram divididos, de acordo com a relação cintura/quadril (RCQ), em grupo de risco baixo (GRB; 22,0 ± 1,33 anos; 168,3 ± 3,18 cm; 65,4 ± 3,39 kg), grupo de risco moderado (GRM; 27,7 ± 2 ,04 anos; 167,7 ± 2,03 cm; 71,4 ± 4,66 kg), grupo de risco alto (GRA; 26,8 ± 3,16 anos; 1 63 ,0 ± 3 ,02 cm; 71,80 ± 5,9 kg). Realizaram avaliações físicas de composição corporal, testes das cap acidades físicas (cooper, RAST, flexibilidade, impulsão horizontal e vertical), foram submet idos a quat ro sem anas de treinamento aeróbio e TCF. Foram feitos os testes ANOVA two-way para verificar as diferenças entre o s grupos, e um pós-teste tukey, adotou-se o valor de p < 0,05. Resultados apontaram melho ra n a a ptidão cardiorrespiratória (p=0,0006), aumento na massa magra (p=0,039 1), redução da RCQ (p =0 ,011 6), aumentou a força dos membros inferiores (p=0,0315) e melhora na flexibilidade (p=0,0326). Portanto tais alterações são clinicamente importantes, mostrando assim um progresso na qualidade de v ida de fo rm a ampla e aperfeiçoando também o desempenho físico desse público...(AU)

the population has become more inactive, unproductive and idle. These bad habits accumulated for a long time can become harmful to health, causing various cardiovascular diseases an d dyslipidemias. To prevent and treat these dysfunctions it is recommended to p ractice regular aerobic physical exercises together with a muscular strengthening. The aim of this st udy was t o ev aluate t he effects of four weeks of the combined training of running and training in functional circuit o n v ariabl es related to health and physical performance of recreational street runners. 32 in dividuals were div ided according to waist/hip ratio, in low risk group (22,0 ± 1,33 years old; 168,3 ± 3,18 cm; 6 5,4 ± 3 ,3 9 k g) moderate risk group (27,7 ± 2,04 years old; 167,7 ± 2,03 cm; 71,4 ± 4,66 kg) high risk group (26,8 ± 3,1 6 years old; 163,0 ± 3,02 cm; 71,80 ± 5,9 kg). Physical evaluations of body composition were p erformed and also physical ability tests, they were submitted to four weeks of aerobic training and functional circuit training. The ANOVA two-way test was performed to verify the differences between t he gro up s and a tukey post-test. The p value adopted was p < 0,05. The results indicated an improvement in cardiorespiratory fitness (p=0,0006). Therefore, such improvements are clinically significant, sh o win g a broad progress in the quality of life and also improving the physical performance of this public...(AU)

Health status of adolescent school going children with special reference to waist hip ratio

Background: A school is a key location for educating adolescents about health, hygiene and nutrition. Adolescence is period of critical development and transition. These changes have important implications for health. Aims and objectives of the stud was to study the role of WHR in nutritional assessment in adolescent school children and compare it with BMI as an assessment tool and to study nutritional status of municipal and private school.Methods: It was a cross sectional study conducted in 10-17-year-old school children in Ahmedabad, Gujarat. There were 2 private and 2 municipal schools selected randomly by purposive sampling. Child absent or not well on the day of study were excluded.Results: Incidence of obesity is 42.9% and 57.1% in municipal and private school respectively. Incidence of overweight is 47.2% and 52.8% in municipal and private schools respectively. (2.9%) adolescents had BMI range of 25-29.9 which is considered to be overweight. However, the percentage of overweight and obese was raised at 28% and 23.5% respectively when classified as per WHR.Conclusions: The difference between incidence of overweight and obesity in private and municipal schools were not statistically significant. A combination of increase BMI with increase WHR is a stronger indicator of increase health risk.

The influence of family history of cardiovascular disease on blood pressure, waist hip ratio and body mass index in adolescents

Background: Cardiovascular Diseases (CVDs) are the major cause of mortality in the world. Reducing the incidence of CVDs has been a challenge due to the multifactorial risk profile of their origin. Among the non-modifiable risk factor for CVDs family history holds a lot of importance. Objective of the study was to study blood pressure, waist hip ratio and body mass index among adolescents and verify the possible the relation with a family history of cardiovascular disease.Methods: This is a cross-sectional study, which was conducted in 286 school children aged 10 to 19 years, of either sex, from Barabanki. After getting consent from school authorities, children and their parents, a detailed history was taken with a pre-designed proforma. Anthropometric and blood pressure measurements were taken.Results: In the presence of any risk factor of CVDs, 33.9% of the adolescents were overweight/obese, 45.8% had abdominal obesity, 26.3% had elevated systolic BP and 35.6% had elevated diastolic BP. The group with family history of CVDs had significantly higher number of adolescents with obesity and/or hypertension.Conclusions: The present studied showed an important association between family history of CVDs and blood pressure, waist hip ratio and body mass index in adolescents.

Adiponectin and Body Mass Index in Type 2 Diabetes Mellitus

Introduction: Foot Ulcer is the most frequent complicationof Diabetes Mellitus related to lower extremities with highmorbidity. Infection is an important component of foot ulcer.The present study was undertaken to study the clinical andmicrobiological profile of diabetic foot ulcer in a tertiary carecenter.Material and Methods: It is a prospective observational studywhich has been conducted at VIMSAR, Burla from November2017 to November 2019. Consecutive patients of Diabeticfoot ulcers were included in this study. After admissiondetailed history and biochemical investigations were donein all cases. Nerve Conduction study, doppler of lower limbwere performed to assess peripheral neuropathy and vasculardisease. The ulcers were graded according to Wagner’sstaging. Swabs were taken for culture and sensitivity.Results: Out of 1234 patients of DM admitted to the hospital,116 (9.4%) patients had foot ulcer. There were 87 (75.0%)males and 29 (25.0%) females with M:F ratio of 3:1. 95(81.9%) patients were from rural and 21 (18.1%) from urbanarea. Majority (n=44, 38.0%) of patients belonged to 51-60years of age and only 3 (2.0%) were within 21 to 30 years.Type-1 and -2 DM was found in 4 (3.0%) and 112 (97.0%)patients and the duration of DM was given. Grade-2 ulcerwas found in 62 (53.5%) cases. Risk factors like peripheralneuropathy, retinopathy and nephropathy were present in(n=65, 56.1%), 24 (20.7%) and 35 (30.1%) cases respectively.Early signs of ulcerative lesion like abundant callus, crackfoot, blistering was present in 28 (24.1%), 54 (46.6%),10(8.6%) cases respectively.Conclusion: This study showed that foot ulcer is a commonchronic complication of DM mostly found in elderly patientswith poor glycemic control from rural areas. S.aureus andP.aeruginosa are the common organisms detected from theulcer.

Correlation of Anthropometric Indices with Blood Pressure - A Study in North Indian Females

Several studies have shown a significant relationship between weight and high blood pressure. High blood pressure is correlated with overweight and obesity which can be assessed by anthropometric indices. Therefore, this study was undertaken to determine the predictors, and correlation of anthropometric indices with blood pressure among females.METHODSA cross sectional study was conducted among 300 females (25-40 years of age) of known endogamous groups baniyas and jats of Punjab. Measurements taken include systolic and diastolic blood pressure and anthropometric parameters such as height, weight, waist and hip circumference. Information was obtained about lifestyle and dietary habits. Data was statistically analysed.RESULTSMean and standard deviation of BMI, WHR, SBP, DBP of Baniya was higher as compared to jats. p value was statistically significant for height, SBP, DBP, HC, BMI and WHR. Overweight (53.2%) and obesity (36%) were seen in both groups. Derived anthropometric indices for example WC, WHtR and WHR were raised and prevalence of prehypertension was more in both endogamous groups. A positive correlation was observed between blood pressure and anthropometric indices with significant p value.CONCLUSIONSBMI, WC and WHtR have a significant association with the risk of hypertension among females aged 25-40 years. Hence, approaches to reduce the risk of hypertension may include prevention of overweight and obesity in the form of diet education, weight monitoring and regular exercise.

A cross sectional study to determine the prevalence and risk factors of non alcoholic fatty liver diseases among diabetics I and II

Background: Non Alcoholic Fatty Liver Disease (NAFLD) is an important health problem globally as well as in India. The present was taken to determine the prevalence of NAFLD among diabetics attending a tertiary care hospital in Telangana.Methods: A total of 75 subjects who were all diabetics were taken. The diagnosis of NAFLD was done using Ultra sonogram. Preliminary information along with duration of diabetes, Waist Hip Ratio, Body Mass Index, Triglycerides and Cholesterol was collected and analyzed.Results: The prevalence of NAFLD among diabetics was 41.3%. Majority of the subjects belonged to age group of 41-60 years. The prevalence of NAFLD among females was 35.99%. Among patients who had Non-alcoholic fatty liver disease 74.19% had Waist Hip ratio >1. Almost 90.3% had higher levels of triglycerides (>180 mg/dl).Conclusions: The prevalence of NAFLD among diabetics was comparatively high. Early diagnosis, treatment, awareness and education is needed to reduce the burden of NAFLD.

A comparative cross sectional study on relationship between thyroid profile and anthropometric measurements

Background: The prevalence of obesity is increasing globally and one of the important factors associated with obesity is thought to be thyroid dysfunction. The objective of the present study was to find the incidence of subclinical hypothyroidism in overweight and obese individuals and to assess the relationship between the TSH levels and anthropometric parameters.Methods: A cross sectional study was conducted among 100 adults attending the hospital selected by a systematic random sampling method. Standard protocols were used to assess the laboratory and anthropometric parameters. Written informed consent was taken from the subjects and institutional ethical clearance was obtained before starting the study. Results: Of the 42% males and 58% females who were studied, 24% of the subjects had a BMI more than 24.99. 6% and 2% of the study subjects were having subclinical hypothyroidism and hypothyroidism respectively. There was a significant association between hypothyroidism and increased BMI values, waist circumference and waist hip ratio. Conclusions: A highly significant association was found between the serum TSH levels and the Body Mass Index, Waist circumference and Waist Hip ratio. The mean TSH levels were higher in the obese when compared to normal subjects.