RESUMO
Background: Diabetes mellitus type 2 is fast becoming a cause of concern for governments world over and people at large as it has immense socio-economic impact. A diabetic patient usually goes through phases of being overweight, obese, and insulin-resistant before being classified as a patient of type 2 diabetes. Fasting, though practiced for centuries, is a novel approach for delaying progression and possibly reversing diabetes mellitus. Aim and Objectives: The aim of the study is to look for the effect of intermittent fasting on various health parameters in obese type 2 diabetics. Materials and Methods: The study was conducted at a tertiary care facility in Amritsar. Twelve obese volunteers in the age group of 20–60 years with type 2 diabetes mellitus not controlled with metformin alone were included in the study. All the participants were told to follow intermittent fasting protocol of 16:8 for a period of 4 weeks. At the beginning of the study, weight, height, body mass index, waist circumference, waist-hip ratio, fasting blood sugar, and serum insulin, were recorded in each participant. At the end of the 4 weeks period, all the measurements were repeated and compared with baseline values using the student t-test. Results: There was a highly significant decrease in the anthropometric indices and fasting blood sugar as compared to baseline values at the end of the 4-week period without any change in fasting serum insulin levels. Conclusion: There is a favorable effect of intermittent fasting on anthropometric indices and fasting blood sugar levels without any improvement in fasting serum insulin.
RESUMO
Background: The prevalence of obesity has substantially increased over the past few decades. Central obesity, in particular, has a major role in the development of various metabolic disturbances including deranged lipid profile which leads to increased risk of cardiovascular diseases. Timely assessment of any changes in lipid profile can help the prevention of cardiovascular diseases in obese men. Objectives: The objective of this study was to evaluate the association of abnormal waist-hip ratio (WHR) with the lipid profile in healthy men. Materials and Methods: The study was conducted in the tertiary care center of Amritsar. Two groups of 50 men each of the age group of 20–40 years were enrolled in the study. Group I included men with normal WHR while Group II included men with increased WHR. Lipid profile including cholesterol, triglycerides (TGs), high-density lipoprotein (HDL), low-density lipoprotein (LDL), and very low-density lipoprotein (VLDL) was measured by standard methods. Statistical analysis was done by Student’s t-test and correlation was established using correlation coefficient. Results: Evaluation of lipid profile showed that serum cholesterol, TGs, LDL, and VLDL were higher in Group II than in Group I while HDL was lower in Group II than in Group I. Central obesity (WHR) has direct association with deranged lipid profile. Conclusion: It can be concluded that visceral or central obesity has direct correlation with the fasting lipid profile in men of the Northwest region of Punjab and WHR is a more reliable predictor of risk.