body mass index (bmi)

身体质量指数 (BMI)
  • 文章类型: Journal Article
    背景:评估高血压和卵巢癌之间关系的证据有限。本研究旨在探讨卵巢癌与高血压的关系,脂质分布的差异,以及体重指数(BMI)与卵巢癌之间的关系。方法我们在阿卜杜拉齐兹国王医疗城(KAMC)进行了病例对照研究,肿瘤科。选择了2016年至2019年在KAMC肿瘤科接受诊断为原发性卵巢癌的所有沙特女性患者。数据是使用国民警卫队卫生事务部BESTCare数据库通过图表审查从KAMC患者的医疗记录中收集的。结果2016年至2019年,共有137名沙特女性卵巢癌患者在KAMC妇科和肿瘤中心就诊。参与者的平均年龄为57例,对照组为56例,平均BMI为29.64例,对照组为31例。有63例肥胖病例,因此,肥胖比例为46%。大约三分之一的病例超重(28%),而四分之一(26%)的病例体重不足或体重正常。大约三分之二的病例为高血压,总体比例为66%(95%置信区间(CI)58-74),而三分之一的对照组为高血压,总体比例为32%。病例的甘油三酯(p=0.03)和高密度脂蛋白(HDL)(p=0.001)明显高于对照组。使用逻辑回归分析显著变量。发现与对照组相比,高血压受试者与病例相关的可能性是10.06倍(95%CI:4.88-20.71)(p<0.001)。此外,BMI的增加与OR=1.07的病例显著相关(95%CI:1.02-1.12;p=0.004).结论总之,高血压,BMI升高,更高的甘油三酯,和较低的HDL与卵巢癌显著相关。
    Background There is limited evidence that evaluates the association between hypertension and ovarian cancer. The study aims to investigate the association between ovarian cancer and hypertension, the difference in lipid profile, and the association between body mass index (BMI) and ovarian cancer. Methods We conducted a case-control study at King Abdelaziz Medical City (KAMC), oncology department. All Saudi female patients who were diagnosed with primary ovarian cancer admitted to the oncology department at KAMC from 2016 to 2019 were selected. The data were collected from medical records of patients of the KAMC by chart review using The Ministry of National Guard Health Affairs BESTCare database. Results A total of 137 Saudi female patients diagnosed with ovarian cancer attending to gynecology and oncology center in KAMC from 2016 to 2019 were included in this study. The mean age of participants was 57 in cases and 56 in controls with a mean BMI of 29.64 in cases and 31 in controls. There were 63 obese cases, therefore, the proportion of obesity was 46%. Approximately one-third of cases were overweight (28%) while one-fourth (26%) of them were underweight or normal weight. Roughly two-thirds of cases were hypertensive with an overall proportion of 66 % (95% confidence interval (CI) 58-74) while one-third of controls were hypertensive with an overall proportion of 32%. Cases were having significantly higher triglycerides (p=0.03) and lower high-density lipoprotein (HDL) (p=0.001) than controls. The significant variables were analyzed using logistic regression. It was found that hypertensive subjects were 10.06 times more likely (95% CI: 4.88-20.71) to be associated with the cases as compared to controls (p<0.001). Also, an increase in BMI was significantly associated with being a case with OR = 1.07 (95% CI: 1.02-1.12; p=0.004). Conclusion In conclusion, hypertension, elevated BMI, higher triglycerides, and lower HDL were significantly associated with ovarian cancer.
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  • 文章类型: Journal Article
    简介慢性质子泵抑制剂(PPI)处方在过去十年中呈上升趋势,老年人口患病率增加。对于大多数患者来说,这类药物是各种疾病的主要治疗方法。尽管PPI通常是安全的,长期使用与多种不良反应如骨折有关.年龄在50至65岁之间的女性中,PPI与骨折之间的关联程度仍不清楚。此外,在分析这种关系时,必须考虑许多其他变量和风险因素。方法:这是一项回顾性病例对照研究,研究年龄在50-65岁之间的女性,她们接受GenesysHealth的低影响跌倒。从电子病历和骨折结果中提取数据;确定PPI治疗暴露量和持续时间。进行卡方分析以确定慢性PPI治疗与骨折结局之间的关系,并独立分析骨质疏松症的主要危险因素。包括吸烟,低体重指数,和癌症。结果发现慢性PPI治疗组的患者在每个危险因素亚类中总体骨折结局下降。当调整所有风险因素时,慢性PPI治疗与骨折结局增加之间存在显著但弱的关联.结论与以往的研究结果不同,这项研究为这场辩论提供了新的思路。需要进行更多的研究来确定慢性PPI治疗与绝经后妇女骨折结局之间的关系。
    Introduction Chronic proton-pump inhibitor (PPI) prescription is on the rise in the last decade with an increased prevalence in the elderly population. For most patients, this class of drugs is the primary treatment for various diseases. Even though PPIs are generally safe, long-term use has been associated with multiple adverse effects like bone fractures. The extent of the association between PPI and fracture is still unclear in women aged between 50 and 65 years. Besides, many other variables and risk factors must be accounted for in the analysis of this relation. Methods This is a retrospective case-control study looking at women 50-65 years of age who presented to Genesys Health for a low-impact fall. Data were extracted from electronic medical records and fracture outcomes; PPI therapy exposure and duration were determined. Chi-square analysis was performed to determine the association between chronic PPI therapy and fracture outcome and independently analyzed for major risk factors of osteoporosis, including smoking, low body mass index, and cancer. Results Patients in the chronic PPI therapy group were found to have a decreased fracture outcome overall in each subcategory of risk factors. When adjusting for all risk factors, there was a significant but weak association between chronic PPI therapy and increased fracture outcome. Conclusion With different results from previous studies, this study sheds new light on this debate. More studies need to be carried out to determine the association between chronic PPI therapy and fracture outcomes in postmenopausal women.
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  • 文章类型: Journal Article
    评估和比较饮食实践,体重指数(BMI),和口腔健康相关的生活质量(OHRQoL)在成人有和没有牙周炎。
    人口统计,与健康相关的行为,BMI,牙齿和牙周参数,饮食习惯,从62例牙周炎患者和100例无牙周炎的对照中收集口腔健康影响概况-14(OHIP-14)。
    牙周炎与男性呈正相关(p=0.004),年龄较大(p<0.001),吸烟包年(p=0.006),重量(p=0.008),BMI(p=0.003),每天的进餐次数(p<0.001),并且与腐烂的牙齿呈负相关(p=0.013),酒精(p=0.006),和糖果(p=0.007)的消费。牙周炎患者更有可能避免碳酸饮料(p=0.028),热(p=0.003),和冷饮(p=0.013),冷(p=0.028),硬纹理(p=0.002),和纤维食物(p=0.02)比对照组,并表现出更高的全局OHIP-14(p<0.001)和大多数领域得分。年龄(p<0.001),BMI(p=0.045),每天进餐次数(p=0.024),在多变量分析中,总体OHIP-14评分(p<0.001)与牙周炎呈正相关。
    与对照组相比,牙周炎患者的BMI更高,饮食习惯和OHRQoL改变。饮食实践评估,BMI,和OHRQoL应该是牙周检查的一部分。牙医和营养师应该合作设计应对这些挑战的策略。
    To assess and compare dietpractices, body mass index (BMI), and oral health-related quality of life (OHRQoL) in adults with and without periodontitis.
    Demographics, health-related behaviors, BMI, dental and periodontal parameters, diet practices, and Oral Health Impact Profile-14 (OHIP-14) were collected from 62periodontitis patients and 100 controls without periodontitis.
    Havingperiodontitis was positively associated with male sex (p=0.004), older age (p<0.001), smoking pack-years (p = 0.006), weight (p = 0.008), BMI (p = 0.003), number of meals per day (p<0.001) and had a negative associationwithdecayed teeth (p = 0.013), alcohol (p = 0.006), and sweets (p = 0.007) consumption.Periodontitis patients were more likely to avoid carbonated beverages (p = 0.028), hot (p = 0.003), and cold drinks (p = 0.013), cold (p = 0.028), hardtextured (p = 0.002), and fibrous foods (p = 0.02) thanthe controls, and exhibited higher global OHIP-14 (p<0.001) andmost domain scores. Age (p<0.001), BMI (p =0.045), number of meals per day (p = 0.024), and global OHIP-14 score (p<0.001) remained positivelyassociated with periodontitis in the multivariate analysis.
    Periodontitis patients exhibitedhigher BMI and altered dietpracticesand OHRQoL as compared to controls. Assessment of diet practices, BMI,and OHRQoLshould bepart of periodontal work-up. Dentists and dietitians shouldcollaborate to design strategies to addressthese challenges.
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    文章类型: Case Reports
    BACKGROUND: liver cancer is currently the second deadliest cancer in the world with hepatocelullar carcinoma (HCC) being the commonest form-accounting 90% of all its cases. With the current global alarming increase of obesity, there is hence an increase of fatty liver disease cases, which is one of the major non-viral etiology of cirrhosis in the world. The objective of this study is to evaluate whether obese HCC patients have worse survival outcome.
    METHODS: PubMed, Cochrane, Scopus, ProQuest, and EBSCOhost were comprehensively searched for systematic review and cohort prognostic researches studying overall survival of HCC patients who are underweight and obesity according to their BMI. Three studies were selected and critically appraised. Data were then summarized descriptively.
    RESULTS: the three studies included consist of one meta-analysis and two cohort studies. Meta-analysis study stated no association between overweight and obesity status with higher mortality rate in Asian race HCC patients (aHR, 1.10; 95% CI, 0.63-1.92). A cohort study from Japan reported while there was a significant difference of mortality rate in obese HCC patients in bivariate analysis, adjustment with other important prognostic factors with multivariate analysis found no significant correlation between obesity and HCC-related mortality rate (aHR, 1.00; 95% CI, 0.83-1.22). Another cohort study from China reported that HCC-related mortality rate in patients with higher BMI was lower than in patients with lower BMI (aHR, 0.347; 95% CI, 0.239-0.302).
    CONCLUSIONS: there is no association between higher BMI with HCC-related mortality in Asian race patients.
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  • 文章类型: Journal Article
    Data on the association between body mass index (BMI) and dental caries in children with orofacial clefts are sparse. Therefore, studies on the impact of BMI on caries frequency in children with cleft lip and/or palate (CL/P) are of importance. The aim of the current study was to investigate the association between BMI and frequency of dental caries in children with and without CL/P. Height, weight, and BMI in children with CL/P were also compared to controls.
    This study used a cross-sectional case-control design.
    One hundred and thirty-nine 5- and 10-year-old children with CL/P and 299 age-matched controls.
    Caries was recorded according to the International Caries Detection and Assessment System. Height and weight were recorded, and BMI was calculated as weight/height2.
    There was no correlation between BMI and caries frequency. Weight, height, and BMI were significantly lower in all children with CL/P compared to controls. After adjustment for international adoption, only BMI was significantly lower in CL/P children compared to controls. Non-adopted children with CL/P were significantly heavier and longer than adopted children with CL/P.
    Five- and 10-year-old children with corrected CL/P seemed to have a lower BMI than controls, but there was no association between BMI and caries frequency. Internationally adopted children with CL/P were lighter and shorter than non-adopted CL/P children and controls.
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  • 文章类型: Journal Article
    背景:肥胖具有多方面的病因,涉及遗传,生物和行为因素,身体生长,饮食习惯,能量消耗和脂肪组织的功能。本研究旨在扩大有关肥胖之间关系的知识,使用病例对照方法对严重肥胖个体的情绪和饮食习惯。
    方法:受试者组由112名个体(81名女性和31名男性)组成,主要因肥胖而领取永久残疾养恤金。对照受试者是从同一地区随机选择的,并因不同的原发性疾病而领取残疾抚恤金。对照与受试者的居住地相匹配,性别,年龄,养老金发放以来的时间和职业。对所有参与者进行了精神病学访谈。使用卡方检验(χ2检验)和百分比分布分析结果。使用配对变量的t检验比较受试者和对照组。还进行了条件logistic回归分析。
    结果:进食的情绪状态与争吵和孤独感显着相关。受试者患有夜食综合症,这与提前退休的风险增加有关。在研究组中更频繁地观察到暴食综合征。与对照组相比,受试者报告感到饥饿增加。相当比例的受试者的体重指数≥40。两组之间的饮食习惯没有差异。
    结论:这项研究提供了肥胖患者情绪与饮食习惯之间关系的信息,这是一个很少研究的话题。我们相信,我们的研究提供了一个新的和必要的概述严重肥胖之间的关联,情绪和饮食习惯。
    BACKGROUND: Obesity has a multifaceted etiology that involves genetic, biological and behavioral factors, body growth, eating habits, energy expenditure and the function of adipose tissue. The present study aimed to expand upon knowledge about the relationships among obesity, emotions and eating habits in severely obese individuals using a case-control method.
    METHODS: The subject group consisted of 112 individuals (81 females and 31 males) receiving a permanent disability pension primarily for obesity. The control subjects were randomly selected from the same area and were receiving a disability pension for a different primary illness. The controls were matched with the subjects by the place of residence, sex, age, the time since the pension was granted and occupation. Psychiatric interviews were conducted on all participants. The results were analyzed using the chi-squared test (χ2-test) and the percent distribution. The subject and control groups were compared using the t-test for paired variables. Conditional logistic regression analysis was also conducted.
    RESULTS: The emotional state of eating was significantly associated with quarrels and feelings of loneliness. The subjects suffered from night eating syndrome, which was associated with an increased risk of early retirement. Binge eating syndrome was observed more frequently in the study group. The subjects reported feeling increased hunger compared with the controls. A significant percentage of the subjects had a body mass index of ≥ 40. No differences in eating habits were observed between the groups.
    CONCLUSIONS: This study provides information on the relationship between emotions and eating habits in obesity, which is a rarely studied topic. We believe that our study provides a novel and necessary overview of the associations among severe obesity, emotions and eating habits.
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