- Assessment of perioperative minute ventilation in obese versus non-obese patients with a non-invasive respiratory volume monitor. [Journal Article]
- BABMC Anesthesiol 2017 Apr 26; 17(1):61
- CONCLUSIONS: Our study demonstrated that obese patients have greater variability in ventilation post-operatively when treated with standard opioid doses, and despite overall higher ventilation, many of them are still at risk for hypoventilation. BSA-based MVPRED formulas may be more appropriate than IBW-based ones when estimating the respiratory demand of obese patients. The RVM allows for the continuous and non-invasive assessment of respiratory function in both obese and non-obese patients.
- Approaches for Optimising Intravenous Iron Dosing in Pregnancy: A Retrospective Cohort Study. [Journal Article]
- IMIntern Med J 2017 Apr 26
- CONCLUSIONS: Optimal treatment outcomes in pregnant women requiring intravenous iron may be reached by dosing according to adjusted pre-pregnancy body weight, rather than ideal body weight.
- Phase 1 dose-escalation study of mirvetuximab soravtansine (IMGN853), a folate receptor α-targeting antibody-drug conjugate, in patients with solid tumors. [Journal Article]
- CCancer 2017 Apr 25
- CONCLUSIONS: IMGN853 demonstrated a manageable safety profile and encouraging preliminary clinical activity, particularly in patients with ovarian cancer. The results establish a recommended phase 2 dosing of 6.0 mg/kg (based on adjusted ideal body weight) once every 3 weeks. Cancer 2017. © 2017 American Cancer Society.
- [Nutrition management in obese patients with type 2 diabetes mellitus after laparoscopic sleeve gastrectomy]. [Journal Article]
- ZWZhonghua Wei Chang Wai Ke Za Zhi 2017 Apr 25; 20(4):411-416
- CONCLUSIONS: As for obese patients with T2DM undergoing LSG, reasonable nutrition management is helpful to decrease body weight, and to obtain an ideal improvement of blood glucose and blood lipid levels.
- Geriatric nutritional risk index as a nutritional and survival risk assessment tool in stable outpatients with systolic heart failure. [Journal Article]
- NMNutr Metab Cardiovasc Dis 2017 Feb 22
- CONCLUSIONS: The risk of malnutrition, as assessed by the GNRI, in stable geriatric outpatients with HFrEF is a strong independent predictor of survival. The GNRI adds significant prognostic information to the clinical/laboratory model.
- Relationship between desired weight and eating disorder pathology in youth. [Journal Article]
- IJInt J Eat Disord 2017 Apr 21
- CONCLUSIONS: Desired weight is associated with elevated ED psychopathology. Weight goals may shift as individuals progress through treatment; if they do not, then desired weight may be an important indicator of a lack of psychological progress.
- Perceived Ideal Body Size of Ghanaian Women-"Not Too Skinny, but Not Too Fat". [Journal Article]
- WHWomen Health 2017 Apr 20
- Body size issues are gaining public health attention because of the fast rising epidemic of overweight and obesity across the globe. This study explored Ghanaian women's subjective perceptions regard...
Body size issues are gaining public health attention because of the fast rising epidemic of overweight and obesity across the globe. This study explored Ghanaian women's subjective perceptions regarding ideal body size for women. A purposive sampling strategy was employed in recruiting 36 women across the body weight spectrum from Tamale (n = 17) and Accra (n = 19) in Ghana. Qualitative data were obtained from in-depth interviews using a semi-structured interview guide. Data from the interviews were analysed deductively. The average body mass index of participants was 33.5 ± 10 kg/m(2): 16 of the participants were obese, 8 overweight, 11 normal weight, and one underweight. The participants almost unanimously had a preference for an ideal body size slightly above the normal, but not necessarily obese. Typically described as "not too skinny, but not too fat", this preferred ideal reflected a fuller, curvier and shapelier, as opposed to the western ideal of thinner body type. Women often felt pressured by peers and family members to have a slightly heavier body size. Health education efforts are needed to focus on messages that seek to challenge existing body size perceptions that may inhibit women's willingness to maintain a healthy body weight.
- Early Post-Operative Management After Lung Transplantation: Results of an International Survey. [Journal Article]
- CTClin Transplant 2017 Apr 20
- CONCLUSIONS: Practice patterns in the early post-operative care of lung transplant recipients differ considerably among centers. Many of the reported practices do not conform to consensus guidelines on management of critically ill patients. This article is protected by copyright. All rights reserved.
- Analysis of Mortality in Traumatically Injured Patients Based on Body Mass Index and Mechanism Reveals Highest Mortality among the Underweight in Comparison with the Ideal Weight Patients. [Journal Article]
- ASAm Surg 2017 Apr 01; 83(4):341-347
- The purpose of this study was to evaluate the effect of body mass index (BMI) on mortality after traumatic injury. The records of patients from 2012 to 2015 were retrospectively reviewed. The patient...
The purpose of this study was to evaluate the effect of body mass index (BMI) on mortality after traumatic injury. The records of patients from 2012 to 2015 were retrospectively reviewed. The patients were stratified into the following groups based on admission BMI (kg/m2): underweight (UW) (BMI <19), ideal weight (IW) (BMI = 19-24.9), overweight (OW) (BMI = 25-29.9), obese (OB) (BMI = 30-39.9), and morbid obese (MO) (BMI >40). The groups were well matched with no significant differences in demographics and Injury Severity Score. Morality for the IW group was compared with the remaining BMI groups. A total of 6049 patients were identified. In comparison with IW group, the UW mortality was significantly higher (IW vs UW, 4.1% vs 8.8%, P = 0.001); however, the there was no significant difference with remaining groups. There was also no significant difference in mortality between IW and the remaining groups for patients that went directly to the operating room or for patients that had penetrating trauma (stab wounds and gunshot wounds). However, for blunt trauma, the mortality was significantly higher for UW (IW vs UW, 4.3% vs 9.4%, P = 0.001), no different for IW vs OW (4.3% vs 3.7%, P = 0.3), and significantly lower for IW vs OB (4.3% vs 2.8%, P = 0.04) and for IW vs MO (4.3% vs 1.0%, P = 0.03). After traumatic injuries, it is the underweight patients (BMI <19) and not the obese, that are at a significantly higher risk for overall mortality; this difference is especially evident after blunt trauma where obesity may actually confer a protective role.
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- Factors associated with maintenance of body mass index in the Jackson Heart Study: A prospective cohort study secondary analysis. [Journal Article]
- PMPrev Med 2017 Apr 14; 100:95-100
- The purpose of this study was to compare the relationship of diet quality, physical activity, and environmental factors with body mass index (BMI) maintenance in African American adults. We analyzed ...
The purpose of this study was to compare the relationship of diet quality, physical activity, and environmental factors with body mass index (BMI) maintenance in African American adults. We analyzed data from 4041 participants in the Jackson Heart Study, a prospective cohort study based in Jackson, Mississippi. Exposures were baseline American Heart Association diet quality score, American Heart Association physical activity categories, the built environment, the food environment, and neighborhood safety. The outcome was weight maintenance or loss (no BMI increase ≥1.0kg/m(2)) versus weight gain (BMI increased ≥1.0kg/m(2)) over a mean of 5.0years. We found that 63% of participants maintained or lost weight and 37% gained weight. In multivariable analyses, ideal diet quality was associated with a 6% greater likelihood of BMI maintenance (incidence rate ratio [IRR] 1.06, 95% confidence interval [CI]: 1.03, 1.10). Living in an unsafe neighborhood was associated with a 2% lower likelihood of BMI maintenance (IRR 0.98, 95% CI: 0.96, 0.99), as was poor built environment (IRR 0.98, 95% CI: 0.97, 0.998). Physical activity and poor food environment were not associated with BMI maintenance. In conclusion, among African American adults in Jackson, Mississippi, high quality diet was the strongest factor associated with BMI maintenance.