Obese Respondents Research Articles

Association Between Central Obesity And Chronic Kidney Disease

Background: Chronic kidney disease (CKD) is increasingly recognized as a global public health concern which is one of the leading cause of death and disability. Central obesity increases the risk of developing major risk factors for chronic kidney disease like diabetes and hypertension. Methods: This case-control study was conducted between January and December, 2019. Fifty-five cases and fiftyfive age and sex matched controls were interviewed by a pretested semi-structured questionnaire. Medical records of the respondents were reviewed and a checklist was used to document after measuring height, weight, waist circumference and blood pressure. Results: The study showed that hypertension and diabetes mellitus were present in significantly higher proportions among the CKD respondents compared to the non-CKD respondents (P < 0.001). Cases were 11.5 times (OR 11.425; 95% CI 4.575-28.528) more likely to be hypertensive than controls. Cases were also 8.5 times (OR 8.469; 95% CI 3.119-23.000) more likely to be diabetic than controls. Among the all respondents, the proportion of central obesity was 40.9% while comparatively higher proportions were found in cases (45.5%) than in controls (36.4%). No significant association was found statistically between central obesity and chronic kidney disease. But diabetes mellitus and BMI were significantly associated with central obesity (P < 0.05). Centrally obese respondents were 2.5 times (OR 2.436; 95% CI 1.066-5.566) more likely to be diabetic than non-obese respondents. Lifestyle related risk factors such as consumption of tobacco both cigarette smoking and smokeless tobacco, alcohol consumption and body mass index (BMI) were also not associated with chronic kidney disease. Conclusion: As central obesity was associated with major risk factors of chronic kidney disease, so weight loss should be encouraged in obese subjects to decrease the risk of CKD. JOPSOM 2023; 42(1):7-13

Matched Comparison Examining the Effect of Obesity on Clinical, Economic, and Humanistic Outcomes in Patients with BipolarI Disorder.

BipolarI disorder (BD-I) is associated with an increased risk of obesity, but few studies have evaluated the real-world clinical, humanistic, and economic effects associated with obesity in people with BD-I. This was a retrospective, cross-sectional analysis of responses to the 2016 and 2020 National Health and Wellness surveys. Respondents (18-64years) with a self-reported physician diagnosis of BD-I were matched to controls without BD-I based on demographic and health characteristics. Respondents were categorized by body mass index as underweight/normal weight (< 25kg/m2), overweight (25 to < 30kg/m2), or obese (≥ 30kg/m2). Multivariable regression models were used to compare obesity-related comorbidities, healthcare resource utilization (HCRU), health-related quality of life (HRQoL), work productivity, and indirect and direct costs. Before matching, the BD-I cohort was younger than the non-BD-I cohort and included more female and white respondents and a greater proportion covered by Medicaid or Medicare. After matching, the BD-I and non-BD-I cohorts had similar characteristics. A total of 5418 respondents (BD-I, n = 1806; matched controls, n = 3612) were analyzed. Obese respondents with BD-I reported the highest adjusted prevalences of high blood pressure (50%), high cholesterol (35%), sleep apnea (27%), osteoarthritis (17%), type2 diabetes (12%), and liver disease (4%). Obesity in respondents with BD-I was associated with the lowest HRQoL scores. Measures of work impairment were highest in respondents with BD-I and obesity, as was HCRU. Respondents with BD-I and obesity had the highest associated total indirect and direct medical costs ($25,849 and $44,482, respectively). Obese respondents with BD-I had greater frequencies of obesity-related comorbidities, higher HCRU, lower HRQoL, greater work impairments, and higher indirect and direct medical costs. These findings highlight the real-world burden of obesity in people with BD-I and the importance of considering treatments that may reduce this burden.

Menstrual Cycle Variations Observed in Obese and Normal-Weight Women

Obesity plays a significant role in estrogen production, which can lead to menstrual cycle disorders. This study aimed to determine differences in estrogen levels and menstrual cycles between obese and normal-weight female students at the Faculty of Medicine, Universitas Andalas. This study used the comparative cross-sectional design involving 32 obese respondents and 32 respondents with normal-weight status, selected through a systematic random sampling method. The study was conducted from November 2021 to July 2022. Estrogen levels were measured using the enzyme-linked immune assay (ELISA) method, and the menstrual cycle data were collected via interview. Statistical analysis was performed using an unpaired t-test and a Chi-square test. The results showed no significant difference in estrogen levels between the obese group (188.31±47.56 pg/mL) and the normal-weight group (181.76±51.06 pg/mL) (p &gt; 0.05). However, abnormal menstrual cycles were more common in the obese group (29.7%) compared to the normal group (9.4%), with a p-value of 0.002. In conclusion, there are no differences in estrogen levels between the normal nutrition and obese groups; however, the menstrual cycles of these groups are different.

The ratio of Obesity and Associated Factors amongRamna Park Visitors of Dhaka City

Background: Obesity has become one of the major problems of developing countries. Weight is now increasing during this life stage of transition at a higher rate. The purpose of the study was to know the ratio of obesity and associated factors among visitors of Ramna Park, Dhaka city. Methodology: This descriptive type of cross-sectional study was carried out from January 2022 to December 2022 for a period of 1 year in Ramna Park, Dhaka City among 260 visitors. Pretested semi-structured questionnaires were used and BMI measurements were calculated as data collection instruments. Results: Out of all respondents, most of the study population were in the age group of 20 to 40 years which was 197(75.8%) respondents. Regarding BMI majority of the respondents were obese which was 104(40.0%) respondents. Among 104 obese respondents, most of them had said that they had taken three times meals per day which was 52(50.0%) respondents. Statistically significant (P&lt;0.05) association was found among dietary habits, physical inactivity, and obesity. Conclusion: In conclusion, the study revealed that obesity is increasing significantly, So, such a high prevalence of obesity is a health concern for Bangladeshi adults. Therefore, to address these diseases, appropriate health intervention measures and public awareness are required.

The Relationship between Age, Gender, and Physical Inactivity on the Incidence of Obesity at Puskesmas Johar Baru, Central Jakarta

Background: Obesity is an increasing global health challenge, including in Indonesia. Objectives: This study was intended to explore the correlation between age, gender, and physical activity level with the incidence of obesity. Research Methods: This study used secondary data from Puskesmas Johar Baru, Central Jakarta, in 2021, with a sample size of 72,680 patients; the number of patients who were obese was 22,297 people. Data processing was performed using SPSS 25 software, involving bivariate analysis using the Chi-Square test and multivariate analysis using multiple logistic regression with the enter method at a significance level 0.05. Results: The results showed that the majority of obese respondents were of productive age, as many as 17,521 people (p-value 0.000), female gender as many as 9,441 people (p-value 0.000), and stated that they lacked physical activity as many as 17,207 people (p-value 0.000). Statistically, through the Chi-Square test, it was found that there was a significant association between the incidence of obesity and the three variables, with a p-value ≤ 0.05. Multivariate analysis using logistic regression reinforced that gender emerged as the dominant factor, with females having a 12.925 times higher risk of being obese compared to males. Conclusion: These findings underscore the importance of gender variables in the context of obesity in Puskesmas Johar Baru. This study highlights the differences in obesity prevalence by age and gender. Middle-aged adults, particularly women, are more prone to obesity. Physical inactivity was also identified as a significant factor in the increased prevalence of obesity. These results have implications for developing more specific obesity prevention interventions, especially for women.

THE EFFECT OF NUTRITIONAL STATUS AND TNF ALPHA TO LUNG FUNCTION ON MARBLE CRAFTSMAN

Marble craftsmen are potentially exposed to marble dust which contains about 60% silica resulting in marble craftsmen facing this hazard and possibly physiological lung disorders. In addition, this hazard will increase Tumor Necrosis Factor-a (TNF- α) levels. This study aims to analyze the effect of working period, nutritional status, and TNF-α on physiological lung disorders. study is a quantitative study with observational research type and cross sectional research design In this study, the data collection techniques used were: (1) measurement of personal river stone dust levels using a personal dust sampler of CCZG2A type; (2) measurement of serum TNF-α levels using the ELISA technique, (3) examination of lung function with MIR spirolab III; (4) collection of data on respiratory complaints using the ATS standard questionnaire as well as to obtain data on age, tenure, length of work and smoking habits; (5) measurement of nutritional status by weighing body weight and measuring height. The data obtained were then presented in the form of tables, narratives, analyzed using statistical programs. The subjects of this study were all marble craftsmen who worked in the marble household industry in Tulungagung Regency as many as 30 people with the number of samples taken as many as 26 craftsmen. The average value of %FVC in obese respondents was lower than that of respondents with normal nutritional status. This indicates a decrease in lung function conditions in obese workers.

Abstract 825: Adverse childhood experiences and history of depression among cancer survivors

Abstract Introduction: Adverse Childhood Experiences (ACEs) are stressful life events that are associated with an increased risk of depression. Depression is experienced by 25% of cancer survivors in the US. While previous studies have examined the associations between ACEs and depression in the general population, studies on cancer survivors are lacking. We aimed to examine the predictors of depression with a primary focus on ACEs among cancer survivors. Methods: Using a cross-sectional data from the 2020 Behavioral Risk Factor Surveillance System for 19,241 cancer survivors aged 18 and above, we categorized ACEs based on severity. The ACE categories (zero, one, two-three, ≥four) included questions assessing exposure to eight types of ACEs before age 18 years. The outcome is self-reported history of depression diagnosis (yes/no). Weighted multivariable logistic regression models estimated odds of depression by ACEs as the primary variable and covariates were age, gender, smoking status, income, education, marital status, body mass index, health status and race. Results: In this sample of cancer survivors, 41%, 22%, 21% and 16% reported having experienced zero, one, two-three, and &amp;gt;4 ACEs respectively. Personal history of depression was reported by 21% of survey respondents. In the adjusted model, survivors with 1 ACE (aOR: 1.6, 95% CI. 1.2- 2.0), 2-3 ACEs (aOR: 1.7, 95% CI. 1.3- 2.1), or &amp;gt;=4 ACES (aOR: 4.4, 95% CI. 3.4- 5.7) had higher odds of depression compared with those with zero ACEs. Additional notable predictors of higher odds of depression are younger age, 18-39 (aOR: 2.7, 95% CI. 1.8- 4.0), middle age, 40-64 (aOR: 1.6, 95% CI. 1.3- 1.9) compared with those aged 65 and older; females (aOR: 2.1, 95% CI. 1.7- 2.5) compared with males; obese respondents (aOR: 1.5, 95% CI. 1.2- 1.9) compared with respondents with normal body mass index; current smokers (aOR: 1.5, 95% CI. 1.2- 2.0) compared with respondents who never smoked; and poor or fair health status (aOR: 3.2, 95% CI. 2.6- 3.9) compared with respondents with excellent/good health status. Conclusion: Adult cancer survivors who experience ACEs as children represent an important targeted prevention group to reduce risk of depression. Variation by age, obesity, female gender, current smoking status, and poor health associated factors that may reduce the risk of depression warrants additional studies regarding potential for identification of resilient factors; and this may inform future selective prevention strategies, as well as identify a pathway between ACE and depression among cancer survivors. Citation Format: Oluwole Adeyemi Babatunde, Vince Collucielli, Melanie S. Jefferson, Swann Arp Adams, Chanita Hughes Halbert, Jessica Obeysekare, Frank Clark, Anusuiya Nagar, Nosayaba Osazuwa-Peters, Eric Adjei Boakye. Adverse childhood experiences and history of depression among cancer survivors [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 825.

Effect of Breadfruit (Artocarpus Altilis) Leaf Extract on Blood Pressure in Obese Adults in Makassar, Indonesia

Background: Obesity has become a global public health and nutrition problem. Obese people will have a variety of diseases, one of which is high blood pressure. Therefore, this study aims to determine the effect of breadfruit leaf extract on blood pressure in obese adults in Makassar City. Methods: An experimental study was conducted involving a double-blind, randomized controlled trial with pretest and posttest assessments, which included 36 obese respondents. The intervention group received breadfruit leaf extract in the methodology, while the control group received a placebo capsule. Blood pressure was monitored using a digital tension device. Data analysis was performed using SPSS 13, including paired tests, independent tests, Wilcoxon and Mann-Whitney tests. Results: Systolic and diastolic blood pressure were lower in the intervention control group before and after the intervention (p=0.015 and 0.018) with a difference (p=0.105) (p&gt;0.05) of -3 systole and -3.5 diastole. Mean analysis for the intervention and control groups in systolic blood pressure revealed a p-value of 0.628, signifying no significant difference between the groups (p&gt;0.05). While the control group's systolic and diastolic blood pressure before and after the intervention (p=0.007 and 0.003) (0.05) showed a difference (p=0.271) (p&gt;0.05) with a decrease in the control group's systole -8.39 and diastole -3.22, there was no statistically significant difference between the two intervention and control groups—only a decrease. Conclusion: Giving breadfruit leaf extract capsules to the intervention group with obese respondents and high blood pressure showed a decrease in blood pressure after giving breadfruit leaf extract capsules. People with high blood pressure can consume breadfruit leaf decoction or extract.

Assessing pain severity and treatment outcomes in patients with low back pain: A Structural equation modeling approach at the center for the rehabilitation of the Paralysed, Bangladesh.

This study aims to observe the associated risk factors of lower back pain and the factors that increase the pain severity. So, the main objective of this research is to identify the factors which may cause the lower back pain and the causal effect on the pain severity and respective treatment. This study also tries to determine the demographical characteristics of the low back pain patients and determine the inter relationship of psychological health, work stress and treatment effect with the pain disability index. In this cross-sectional study, 200 patients with lower back pain were interviewed who were taking treatments from the physiotherapy department at the Center for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh. A quantitative research model has been performed to observe the relationship between different causes of low back pain effects on the patients. Different statistical analysis including structural equation modeling have been performed to observe their pain severity and treatment effect. The study found 64% (128) of the total participants as male and 36% (72) as female among 200 patients of low back pain. The study also observed the highest portion of the patients belong to the age group 39 to 45 years (21.5%). On the basis of BMI, obese weight respondents were 26.5% (53), overweight respondents were 37% (74), normal weight respondents were 33% (66), and underweight respondents were only 3.5% (7). Here, sex, body mass index (BMI), living place and educational status have significant association with pain disability index (PDI). On the other hand, smoking tendency of patients has insignificant relationship (p>0.05) with pain disability index (PDI). The path coefficients of the structural equation model identified that all the null hypotheses of no significant relationship have been rejected for 5% level of significance. The hypothesis of psychological health is positively related to pain severity of a patient has an acceptable strength (β = 0.745, p<0.001) and a positive direction. Another hypothesis (Psychological health is positively related to the treatment of a patient) shows an acceptable strength (β = 0.401, p <0.001) and a positive direction. Work stress is also found to be positively related to pain severity of a patient with an acceptable strength (β = 0.544, p < 0.001) and a positive direction. The hypothesis (Work stress is positively related to the treatment of a patient) has an acceptable strength (β = 0.322, p< 0.05) and a positive direction. The hypothesis (pain severity is positively related to the treatment of patients) shows an acceptable strength (β = 0.801, p < 0.001) and a positive direction. The research found out the psychological health situation and work stress of patients are significantly related with pain severity with acceptable strength. Also, Pain severity is significantly associated with treatment scheme intensity.

Nutrition Counseling, Lipid Profile Improvement and Weight Loss in Obese Patients with Dyslipidemia

Obesity with dyslipidemia is a serious problem because it risks various degenerative and metabolic diseases. The prevalence of obesity in Indonesia continues to increase every year, currently in the adult population reaching 21.8%. To prevent the onset of degenerative diseases and metabolic disorders, it is important to control obesity with dyslipidemia through weight loss and lipid profile improvement. This study aims to determine the effect of nutritional counseling in losing weight and improving lipid profiles in obese patients with dyslipidemia. This is a pseudo-experimental study with One group Pre and Post Test Design. The initial stage was the identification of obesity and lipid profile. In 100 respondents identified as obese, total cholesterol, LDL and triglycerides were examined. 40 obese respondents with dyslipidemia were determined as samples. The second stage was nutrition counseling intervention. The third stage of evaluation is the re-measurement of body weight and lipid profile. The research result is only 30 respondents participated in the evaluation. Average initial body weight was 75.11 kg and final body weight was 73.14 kg. Average weight loss was 1.97 kg. Average initial cholesterol 233.20 mg/dL and final cholesterol 224.70 mg/dL. Average cholesterol reduction of 8.5 mg/dL. Average initial LDL 152.37 mg/dL and final LDL 139.47 mg/dL. Average decrease in LDL 12.9 mg/dL Average initial triglycerides 161.23 mg/dL and final triglycerides 143.97 mg/dL. The average decrease in triglycerides is 17.26 mg/dL. The statistical test results showed a p-value = 0.000. There is an effect of nutritional counseling on weight loss and improvement of lipid profiles of obese patients with dyslipidemia.

Awareness, behavior, and determinants of dietary salt intake in adults: results from the National NCD Monitoring Survey, India

A diet high in sodium contributes to a significant proportion of Disability Adjusted Life Years (DALYs) due to cardiovascular diseases. This paper describes the awareness, behaviour and determinants related to dietary salt intake in an adult population of 18–69 years that were assessed as part of the National NCD Monitoring Survey (NNMS) in India. A sub-sample of 3000 adults selected through simple random sampling from 150 nationally representative Primary Sampling Units (PSUs) was included. Data regarding awareness and behaviour related to dietary salt intake were collected. Urinary sodium excretion in spot urine samples was estimated and used to calculate dietary salt intake. The dietary salt intake’s sociodemographic, behavioural and metabolic determinants were also analysed. Less than one-third of the adults of both genders in all age groups in rural and urban areas were aware that daily high salt intake could affect health. The estimated mean daily salt intake was 8.0 g (8.9 g/day for men and 7.1 g/day for women). The salt intake was significantly higher in men [Adjusted OR = 17.66 (5.24–59.46)], rural areas [Adjusted OR = 6.14 (1.83–20.60)], overweight and obese respondents [Adjusted OR = 17.62 (3.17–98.07)]. The perception of the harmful effects of high salt intake and practices to limit salt intake was low in the study population. The mean daily salt intake was higher than the WHO recommendation of up to 5 g daily. The mean dietary salt intake is high in the Indian population, which calls for planning and implementing control of dietary salt consumption measures.

Evaluation of Junk Food Consumption and the Risk Related to Consumer Health among the Romanian Population.

Premature aging and degradative processes are mainly generated by unhealthy habits and an unbalanced diet. Quality of food and lifestyle are important factors in sano-genesis. Many imbalances and ailments have their origin in the adoption of an unbalanced diet and a disordered lifestyle. With the help of a transversal study carried out on the basis of a questionnaire, the consumption of junk food products among the population of Romania was evaluated; at the same time, an evaluation of the characteristics of the associated diet, as well as a series of lifestyle components (quality of rest, physical activity, evaluation of the state of health) was carried out. The data collected and processed indicate an increased tendency to consume junk food products in the 18-23 age group, and especially among obese respondents. Female respondents show a lower tendency toward an increased consumption of junk food products (OR = 0.703, 95% CI)-0.19-0.95, p = 0.011) compared to male respondents. The most consumed junk food products are fried potatoes (46.2%) and pastries (41.4%). Junk food products that show an increased tendency toward consumption addiction are fried potatoes (13.8%), sweets (12.4%), pastry products (11.1%), and sweetened drinks (11.2%). The poor quality of food from a nutritional point of view, and reduced physical activity, are reflected in the varied range of problems faced by the respondents: states of fatigue (62.4%), nervousness (37.5%), depression, anxiety, emotional eating, etc.

Weight self-perception and weight loss attempts in Chinese cardiovascular patients and non-cardiovascular patients: evidence from a population-based study

BackgroundWeight loss is a significant improvement for individuals with overweight or obesity, especially for cardiovascular patients. The driving effects of weight self-perception and attempts to lose weight are vital in weight management, yet weight misperception is a direct culprit for the undesirability of weight control and obesity prevention. This study aimed to investigate weight self-perception and misperception and weight loss attempts in Chinese adults, especially among cardiovascular and non-cardiovascular patients.MethodsWe collected data from China HeartRescue Global Evaluation Baseline Household Survey 2015. Questionnaires were used to assess self-reported weight and cardiovascular patients. We used kappa statistics to check the consistency between weight self-perception and BMI. Logistic regression models were fitted to identify risk factors associated with weight misperception.ResultsA total of 2690 participants were enrolled in the household survey, while 157 respondents were cardiovascular patients. According to questionnaire results, 43.3% of cardiovascular patients thought they were overweight and obese, while the percentage is 35.3% among non-cardiovascular patients. Kappa statistics indicated higher consistency of self-reported weight and actual weight among cardiovascular patients. Multivariate analysis showed weight misperception was significantly associated with gender, education level, and actual BMI. Lastly, 34.5% of non-cardiovascular patients and 35.0% of cardiovascular patients were trying to lose weight or keep weight. The majority of these people adopted combined strategies of controlling diet and exercise to lose or maintain weight.ConclusionsWeight misperception was highly prevalent among cardiovascular or non-cardiovascular patients. Obese respondents, women, and individuals with lower education levels were more vulnerable to make weight misperception. However, no difference in the purpose of weight loss attempts was indicated among cardiovascular and non-cardiovascular patients.

IDENTIFYING NEWLY DIAGNOSED DIABETES MELLITUS RISK FACTORS USING GRAPHICAL NETWORKS WITH EXPERT KNOWLEDGE

An increasing trend of newly diagnosed diabetes mellitus (DM) among adolescents is occurring worldwide, including Malaysia. This study aims to determine the overall relationships between risk factors on the prevalence of newly diagnosed diabetes mellitus among Malaysian adolescents. Current study uses a cross-sectional study, data from the Fifth National Health and Morbidity Survey 2015 which consists of individuals who ages 18 and above, extraction of 18 and 19 years old from the data set was done.. Bayesian networks modelling was performed by using graphical networks with expert knowledge to identify the risk factors of newly diagnosed diabetes mellitus among adolescents in Malaysia. Education levels, Body Mass Index (BMI), and physical inactivity were identified as the significant predictors of newly diagnosed DM. The highest conditional probability of developing newly diagnosed DM belongs to both obese and underweight respondents given they have no formal education (probability, pr = 0.5000), followed by obese respondents who had unclassified level of education (pr = 0.4709), and obese respondents with primary level of education (pr = 0.4692). The findings of current study provide insights and allows policymakers to plan for future interventions in order to monitor and reduce the high prevalence of newly diagnosed diabetes mellitus among adolescents in Malaysia.

Association of Obesity and Overweight with Different Risk Factors Among Female Public Health Students: A Cross Sectional Study

Overweight and obesity are defined as abnormal or excessive fat accumulation that presents a risk factor to health. A crude population measure of obesity is the body mass index (BMI), which is used to classify weight status, overweight is the person with a BMI of 25 or more, while a person with a BMI equal to or more than 30 is considered obese.The aim of the study is to assess students' perception on obesity &amp;overweight association with different risk factors, clarify students' knowledge, behaviors and practices that increase risks of obesity, overweight and related diseases correlating all these with the BMI status of the respondents.A cross-sectional study was conducted to achieve the study objectives among female students of public health at Umm Al-Qura University, in which 50% of students (179) were randomly selected using stratified sampling technique.The study clarified that 84% of students understood BMI-obesity relationship, while 16% didn’t know. The study found that the perceptions, knowledge of overweight and obese respondents towards associated risk factors was very low in comparing to normal and underweight respondents, in term of practicing physical activities, study clarified that 79.4%of students were practicing physical activities, their majority were from normal and underweight BMI participants.The study concluded toweakness in the perception, knowledge and practices of students on BMI relation with different risk factors among overweight and obese students although they understood the BMI-Obesity relationship. The study clarified that the knowledge of students on major risk factors of obesity, such as relations with diabetes mellitus type 2, Hypertension, Hyperlipidemia, among students with normal BMI were acceptable. Study recommended for more concentration in academic activities to change these perceptions.

Association of High Calorie Food and Coffee Consumption Pattern, Sleep Duration and Stress Level with Nutritional Status in Final Year Students

Background:The habit of consuming high-calorie foods and drinking coffee with high sugar level is a habit that many final year students have, which is related with the duration of sleep and the burden of high academic demands that they have, so they are at risk of experiencing nutritional problems that end up affecting their nutritional status such as increasing the risk obesity.Objectives: The purpose of this study was to analyze the association between the habit of drinking coffee and high-calorie foods consumption, sleep duration and stress levels with nutritional status in final year studentsMethods:This research was using a case-control research design. The sample size used in this study was 50 final year students at Faculty of Public Health Universitas Airlangga which were categorized into 2 group with 25 respondent in each group. Sample selected by simple random sampling method. The data obtained were analyzed using the independent t-test, and logistic regression test followed by the received dataResults: The results of this study showed there is relation between the habit of drinking espresso-based coffee (p = 0.000), the frequency of drinking coffee (p = 0.018), the volume of drinking coffee (p = 0.046), the habit of drinking coffee at night (p = 0.008), consumption of high-calorie foods (p=0.000), intake from high-calorie foods [energy (p=0.000), carbohydrates (p=0.000), protein (p=0.000), fat (p=0.002)], nutrient adequacy level from high-calorie foods [energy (p=0.000), carbohydrates (p=0.000), protein (p=0.000), fat (p=0.000)], sleep duration (p=0.048) with nutritional status. However, there was no relation was found between stress level with nutritional status (p=0.646).Conclusions:Obese respondents tend to have a habit of drinking coffee frequently with high sugar content, and often consuming high-calorie foods and having a short sleep duration compared to the non-obese group. But both groups of respondents have moderate levels of stress. Dietary regulation and sleep duration are recommended for respondents in an effort to reduce the risk of obesity

Type D Personality and Health Behaviors in People Living with Obesity.

Considering that health behaviors and personality traits play an important role in the formation of health attitudes, the main objective of this study was to evaluate the relations that occur between type D personality and health behaviors in a group of obese patients. 443 adult patients with BMI ≥ 30 kg/m2, who had been hospitalized in selected hospital facilities in the Silesian Voivodeship (Poland), participated in the study. Respondents completed three standardized questionnaires-the Multidimensional Health Locus of Control Scale, version A (MHLC-A), the Inventory of Health Behaviors (IZZ), and the Type D Scale (DS-14). Patients with type D personality were characterized by the least effective mental attitudes and preventive behaviors, and differed significantly from the other personality types (intermediate and non-type D). Type D personality increased the risk of initiating improper health behaviors by more than five times. Regarding the sense of health control, patients with type D personality had significantly lower scores for the Internal Dimension subscale (21.3 ± 3.1) and higher for the Powerful Others Dimension subscale (24.0 ± 2.6), compared to patients with intermediate and non-type D personality. Proper health behaviors correlated with an internal sense of health control; the strongest correlation, defined as a medium, was with Preventive Behaviors (R = 0.42; p < 0.0001). Type D personality was associated with poorer attitudes towards health. Among obese respondents with a type D personality, there was a significantly higher prevalence of those who believed that their health status was a consequence of chance events.

Arabic Coffee Consumption and Its Correlation to Obesity Among the General Population in the Eastern Province, Kingdom of Saudi Arabia.

Aim This study aims to assess the relationship between Arabic coffee consumption and obesity among the Saudi adult population. Subjects and methods This is a cross-sectional study conducted among the population living in the Eastern Province of Saudi Arabia. A self-administered questionnaire was distributed among the general population using an online survey. The questionnaire included socio-demographic characteristics, anthropometric measurements, and different parameters to assess the factors associated with Arabic coffee consumption. Results Three hundred eighty-nine participants were involved (57.1% females vs 42.9% males). Obese respondents constitute 33.7%.More than half of the total (53.5%) drink coffee daily. Our results revealed that there were statistically significant associations between the overall level of BMI according to the frequency of drinking coffee per day (p<0.001), number of cups drank per day (p=0.006), favorite additives for coffee such as milk (p=0.017), cardamom (p=0.017), other calorie additives (p=0.050) and eating chocolate while drinking coffee (p=0.034). Increased odds of consumption of Arabic coffee were predicted among female, married, overweight, and those who were eating dates while drinking Arabic coffee. Conclusion This study concluded that excessive consumption of Arabic coffee was predicted to have a direct association with obesity specifically in female and when mixed with additives including milk, cardamom, and other calorie additives. Furthermore, the odds of obesity tend to increase more when eating chocolate and dates along with coffee. Awareness campaigns are necessary to educate the community about the detrimental effect of unwarranted consumption of Arabic coffee mixed with food or additives.

S1471 The Perceived Risk of Lifestyle Choices on Cancer Development Among Obese Adults in the United States

Introduction: Obesity is known to be associated with several comorbidities, including cancer. Reduced fat mass, healthy eating and regular exercise are known ways to minimize obesity-associated inflammation, which is an underlying pathophysiologic mechanism of disease development. It is unknown if obese adults in the United States understand the significance of these lifestyle choices on cancer development. We aimed to evaluate the perception of obese US adults on the influence of obesity, healthy eating and regular exercise on the development of cancer. Methods: We analyzed the 2018 Health Information National Trends Survey (HINTS 5 Cycle 2). Our analytical cohort identified 2,986 respondents in the US (weighted population size = 219,552,371). Respondents rated how much they thought the following factors had an influence on whether a person will develop cancer: (1) Being overweight or obese, (2) Eating healthy food, and (3) Exercising regularly. We used logistic regression analyses to examine the association between respondent BMI categories and whether respondents believed each factor substantially influenced the development of cancer. We used survey weights in all analyses. We calculated odds ratios (OR) and 95% confidence interval (CI). Results: The mean age of the cohort was 48.4 years, 50.1% female, 66.1% White, 10.3% Black, 15.9% Hispanic, 15.8% current smokers, 27.9% with a yearly household income less than $35,000 and 30.4% had a high school education or less. The perception of obese respondents was generally lower in agreeing that these putative risk factors (obesity, healthy eating, and regular exercises) affect cancer development and was statistically significantly lower with identifying obesity as influencing cancer development (Table 1). Conclusion: There is a general suboptimal knowledge about factors that influence cancer development among adults in the United States. This is particularly worse among obese subjects. There is a need for healthcare providers and public health officials to educate the population at large about risk factors for cancer development, particularly among obese subjects. Table 1. - Perceived risk of lifestyle choices on cancer development among US adults by BMI categories Adjusted for age, sex, education, marital status, health insurance, smoking, income, and race Perceived risk on cancer Normal BMI (< 25 kg/m2) Overweight (25-29.9 kg/m2) Obese (≥30 kg/m2) N (%) OR (95% CI) N (%) OR (95% CI) N (%) OR (95% CI) Obesity has a lot of Influence (Yes) 369 (39.2) Reference 349 (29.5) 0.68 (0.45-1.02) 294 (24.6) 0.51 (0.33-0.80) Healthy Eating has a lot of Influence (Yes) 492 (48.0) Reference 470 (42.3) 0.89 (0.58-1.36) 435 (40.5) 0.87 (0.59-1.28) Regular Exercise has a lot of Influence (Yes) 420 (41.3) Reference 411 (36.2) 0.82 (0.56-1.19) 377 (32.7) 0.74 (0.53-1.03)

Hubungan Indeks Massa Tubuh (IMT) dengan Tingkat Keparahan Disminore

Introduction: Several studies have shown that women who have overweight and obese tend to have more severe dysmenorrhea than women with a normal BMI. The results of the preliminary study that have been carried out, obtained information that students who lived in the Yogyakarta Ministry of Health Poltekkes dormitory for more than six months have a prevalence of underweight of 20.13% and overweight of 25.62%. Purpose: The purpose of this study was to determine the relationship between BMI and the severity of dysmenorrhea. Methods: This research is quantitative using primary data sources with a cross-sectional design. The sample in this study were students of the Department of Midwifery. Sampling using non-probability sampling method by purposive sampling as many as 311 people. Result: The analysis of this study was carried out using multivariate. The results of this study indicate that there is a significant relationship between BMI and dysmenorrhea (p=0.006). In respondents with dysmenorrhea, the OR for having severe dysmenorrhea in obese respondents was 6.3 times, compared to respondents with normal weight. Conclusion: BMI in adolescents with obesity affects the severity of dysmenorrhea so physical activity and nutritional intake need to be considered to reduce body weight.