Waist-hip Ratio Circumference Research Articles

Hubungan Kebiasaan Olahraga, Rasio Lingkar Pinggang Pinggul, dan Kebiasaan Merokok dengan Kadar Kolesterol Total Pasien Poliklinik Jantung

High cholesterol levels constitute 56% of the factors that contribute greatly to the cause of CHD. Coronary heart disease (CHD) is a disease of the heart and blood vessels caused by narrowing of the coronary arteries. The purpose of this study to analyze the relationship of sports habits, circumference waist hip ratio, consumption pattern, level of fiber adequacy, and smoking habits with total cholesterol levels heart policlinic patients RSUD Banten. This type of research uses a cross sectional design, with a sample of 96 respondents namely heart policlinic patients. Analysis of the data used in this study is the Chi-square test. The Results show Respondents with normal nutritional status were 66.70%, respondents who consumed cholesterol-lowering drugs were 55.2%. Respondents with normal cholesterol levels were 53.10%, respondents with exercise habits were 56.25%, respondents with RLPP were at a risk of 71.87%. Respondents did not smoke as much as 66.70%. There was a relationship between exercise habits, hip waist circumference ratio, to total cholesterol levels (p <0.05). There is no relationship between smoking habits on total cholesterol levels (p> 0.05). This study concluded that the sports habits, RLPP, affect total cholesterol levels, while smoking does not affect total cholesterol levels.
 

Biochemical assessment of iron profile in type 2 diabetes patients.

Objectives: Iron profile is considered to be an important guide for improved health around the globe. An altered iron profile is a risk factor for numerous diseases. Extreme iron accretion in body results in damaging many cellular structures as well as in oxidative damage with many complications. Thus, iron profile must be considered in many ailments including DM. Study Design: Descriptive study. Setting: Department of Biochemistry, BMC Bannu and Department of Medicine, KGN Teaching Hospital Bannu-KPK. Period: January 2019 to June 2019. Material & Methods: 140 subjects were taken in this study, out of which 70 were suffering from type 2 diabetes and 70 were normal healthy controls. BMI was calculated by dividing body weight (Kg) to square of height (meters). The waist / hip circumference ratio was calculated by dividing the waist circumference (cm) to hip circumference (cm). Sphygmomanometer was used for blood pressure measurement. The serum iron, TIBC, UIBC, plasma glucose and HbA1c were measured by semi-auto analyzer. The serum ferritin was estimated by chemiluminescence method. The % transferrin saturation was calculated by formula serum iron (μg/dl) x 100/ TIBC (μg/dl). Result: The anthropometric parameters like weight, BMI, waist circumference, hip circumference, waist hip circumference ratio, systolic and diastolic blood pressure was statistically extremely significantly (p<0.001) increased in type 2 diabetes mellitus subjects as compared to healthy control subjects. The plasma fasting glucose, HbA1C, serum iron, % saturation and serum ferritin were statistically extremely significantly (p<0.001) increased and UIBC was statistically extremely significantly (p<0.001) decreased while TIBC and hemoglobin were statistically significantly (p<0.05) decreased in type 2 diabetes mellitus subjects as compared to healthy control subjects. Conclusion: Elevated iron and ferritin is a risk factor for diabetes and produce many complications. Proper management must be taken to remove the excess iron that can be very harmful to the body.”

A Study of Lipid Profile in Adults in Clinical Correlation with Anthropometric Indices

Fast industrialisation and Globalisation, with rapid progress on all fronts, has lead to the economic prosperity and modern lifestyle in India. It, in turn, is reflected as an increased prevalence of lifestyle-related diseases in the country. A cross-sectional study was done with 285 subjects. Majority of the subjects (61.1%) were in between 21-25 years. There was a female preponderance (68.4%). 145 (50.9%) and 61 (21.4%) were in the normal range and overweight respectively. It was observed that there were 95 (33.3%) cases of dyslipidemia. Significant association with dyslipidemia. The incidence of dyslipidemia altogether expanded with expanding BMI. There was a significant association of BMI with Dyslipidemia. Waist Circumference (WC), Hip Circumference (HC) and Waist Hip (WH) Ratio increased significantly with increasing BMI. There was a significant association of Anthropometric measurements with Underweight, Normal, Overweight and Obese BMI. There was a significant positive correlation between BMI and TG, while substantial negative relationship existed between BMI and TC and HDL. Dyslipidemia is very common in youthful grown-ups than anticipated. Blend of the way of life treatments, i.e., upgraded physical movement, dietary change, and remedial mediation would help us in treatment and the executives of dyslipidemia. Henceforth, mindfulness programs on attractive eating routine and regular screening of populace on occasional premise ought to be fused at the essential human services level.

Ordinal regression model for analyzing factors affecting obesity levels in middle-aged adults in Indonesia

Obesity is one of the major issues in many countries, including in Indonesia. In this study, the obesity category based on body mass index (BMI) is categorized into four levels, namely non-obese with BMI below 30 kg/m2, obesity I with BMI 30 – 34.9 kg/m2, obesity II with BMI 35 – 39.9 kg/m2, and obesity III with BMI above 40 kg/m2. The objective of this study was to assess factors affecting Indonesian obesity levels using ordinal logistic proportional odds models for each gender aged 40-65 years based on the fifth Indonesian Family Life Survey (IFLS 5) data. In totals of 4,658 male participants and 4,772 female participants were included in the analyses. The prevalence of severe obesity was associated with age, education, working status, and waist-hip circumference ratio for both men and women. With addition that the frequency of eating affects the prevalence of severe obesity for women. Men and women who had smaller waist-hip circumference ratio occurred to have higher probability of non-obese.

HUBUNGAN KONSUMSI GARAM DAN TEKANAN DARAH PADA WANITA DI DESA BATUR JAWA TENGAH

Background: Excessive salt consumption is a factor that can contribute to the incidence of hypertension and trigger coronary heart disease and stroke
 Objective: to determine the level of salt consumption, nutritional status, clinical examination, and the relationship between salt consumption and blood pressure in women in Batur Village
 Method: Quantitative descriptive with design cross-sectional for 106 women aged 35-55 years. The research instrument is Recall 1x24 hours, Body Mass Index (BMI), Mid-Upper Arm Circumference (MUAC), waist-hip circumference ratio, blood pressure, uric acid test, Blood Sugar Level (BSL) and Fasting Glucose (FG).
 Results: The average salt consumption of respondents is 4.5 grams’/day shows that it does not exceed the recommended limit of Regulation of Minister of Health No. 30 of 2013 (5 grams/day). The majority of BMI is level 1 obesity (39.6%), MUAC (93%) has a normal category. BMI and Waist-Hip Circumference Ratio (WHCR) (65.1%) has a risk category. Blood pressure with the highest criteria (47% systolic; 35% diastolic) has a pre-hypertensive category. Uric acid level, BSL and FG are normal. There is no significant relationship between salt consumption and systolic blood pressure (p =0.373), and there is a significant relationship between salt consumption and diastolic blood pressure (p = 0.002; r = 0.471)
 Conclusion: the salt consumption of respondents is normal below the recommended limit, the nutritional status of most respondents has a level 1 obesity category and there is a significant relationship between salt consumption and diastolic blood pressure in women in Batur Village

Body Mass Index and Waist Circumferences Related to Uric Acid Level among Adults

Background: the changes in metabolism in the body can trigger the increase of uric acid levels which can lead to a precursor of hyperuricemia and gout disease that can result extreme pain in the joint. Based on the study, it has known that uric acid levels can be caused by obesity, protein intake, lifestyle, and others. The anthropometric method which usually used to measured obesity are body mass index (BMI) and waist circumference (WC). Currently, the most commonly used ratio in this way is the Body Mass Index (BMI). Result: in a Canadian study among 151 adults, it was reported that there was a higher correlation between the area of abdominal visceral fat and WC compared with the correlation with the waist-hip circumference ratio. WC is also more strongly associated with total body fat, measured by densitometry, than by waist-to-hip circumference ratio. High levels of leptin in obese people can cause uric acid disruption through urine, so that uric acid levels in the blood of obese people become high. BMI also shows a positive relationship with leptin concentration, which is a trigger factor to increased uric acid levels. American adults also shown that uricemia related to their BMI value. Conclusion: BMI is one of the indicators of obesity, while obesity often thought to influence the incidence of gout by increasing uric acid levels in the blood. WC also closely related potentially to atherogenic metabolic disorders associated with abdominal obesity that to waist-to-hip circumference ratios.

Effects of High-Fiber Biscuits on Lipid and Anthropometric Profile of Patients with Type 2 Diabetes.

This study aimed to evaluate the efficacy of two types of high-fiber biscuits on the lipid and anthropometric profile of patients with type 2 diabetes mellitus (DM). This study involved a pre- and posttest randomized controlled trial design conducted on 33 subjects of the first first group given caromma biscuit (made from modified cassava flour mixed with koro sword flour and date jam) and 31 subjects of the second first group given temma biscuit (made from a mixture of tempeh flour with date jam). Each group consumed 100 g of biscuit each day for 4 wk. The anthropometric data collected included body mass index (BMI), waist-hip circumference ratio (WHCR), body fat percentage (BFP), blood pressure, and fasting blood glucose (FBG). The lipid profile included total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), and triglyceride collected before and after the study. The two types of biscuits had similar nutritional contents in terms of energy, carbohydrate, and fat contents, and their glycemic indices were low. However, the fiber content of caromma was higher than that of temma. After 4 wk, the anthropometric profiles, such as BMI (24.47+5.62 to 24.56+5.55; p=0.008), BFP (32.18+6.83 to 32.68+7.22; p=0.4), and WHCR (0.85+0.67 to 0.86+0.65; p=0.015), were unchanged in the caromma and temma groups (BMI 26.68+3.82 to 26.75+3.92; p=0.072; BFP 35.96+5.34 to 35.90+5.15; p=0.907; WHCR 0.86+0.66 to 0.88+0.4; p=0.006), except reducing FBG (167.06+82.8 to 154.85+95.0; p=0.150 in the caromma group and 173.19+92.72 to 150.06+73.64; p=0.095 in the temma group). A significant improvement was observed in the lipid profile of the caromma group (cholesterol, 239.73+35.3 to 195.70+34.13, p=0.000; LDL, 145.18+29.89 to 122.24+29.00, p=0.000; HDL, 61.00+17.76 to 51.12+15.40, p=0.000; triglyceride 175.09+112.64 to 123.67+73.89, p=0.000) and temma group (cholesterol, 264.42+75.10 to 204.68+37.11, p=0.000; LDL, 154.97+53.59 to 125.45+30.56, p=0.001; HDL, 59.68+1,328 to 49.48+11.52, p=0.000; triglyceride, 226.00+172.56 to 152.48+99.88, p=0.007). Lipid and animal protein intake should be limited among patients with type 2 DM. A high lipid profile, which is dangerous for patients with type 2 DM, can be prevented. Originality: Caromma and temma biscuits can be consumed by patients with diabetes. Although these biscuits cannot improve the anthropometric profiles of the subjects, their consumption has positive effects on the blood lipid profile.

Association of high-sensitivity C-reactive protein (hs-CRP) with non-alcoholic fatty liver disease (NAFLD) in Asian Indians: A cross-sectional study.

Background:Non-alcoholic fatty liver disease (NAFLD) is an important etiology for the development of chronic liver disease worldwide. Its pathophysiology includes chronic low-grade inflammation. There are limited studies on the association of inflammatory markers with NAFLD. Hence, in the present research, we aimed to study the association of one such inflammatory marker hs-CRP with NAFLD in north Indian population.Materials and Methods:For this cross-sectional study, 100 subjects of either sex above 18 years of age, being diagnosed as a case of NAFLD on the basis of ultrasonography and age, sex and BMI matched subjects fulfilling the inclusion and exclusion criteria were included. Anthropometric profile, high-sensitivity C-reactive protein (hs-CRP), HbA1c, and hepatic function tests were recorded.Results:The baseline variables were matched for age, weight, BMI, waist-hip circumference ratio, and blood pressure. The HbA1c (P < 0.001), alanine aminotransferase (P = 0.002), alkaline phosphatase (0.002), and hs-CRP (P < 0.001) were elevated in subjects with NAFLD. The mean level of hs-CRP was significantly higher in subjects with NAFLD as compared to the control group (3.12 ± 1.42 mg/L vs 1.05 ± 0.44 mg/L, P < 0.001). The mean hs-CRP level was 1.42 ± 0.55 mg/L in grade 1, 0.98 ± 0.72 mg/L in grade 2 with P < 0.001, and 4.5 ± 1.11 mg/L in grade 3 with P < 0.001 when compared to grade 1.The comparative value of hs-CRP in the control group was found to be 1.05 ± 0.44 mg/L. On univariate analysis waist-hip circumference ratio (P = 0.035), HbA1c (P < 0.001), and hs-CRP (P < 0.001), showed a significant association with NAFLD. On logistic regression hs-CRP was found to have significant association with NAFLD even after adjusting waist-hip circumference ratio and HbA1C (odds ratio 1.311, 95% confidence interval 1.146–1.488, P < 0.001).Conclusion:In this cohort of north Indian population, hs-CRP showed independent relationships with NAFLD. Thus, hs-CRP may be used as a surrogate marker for the disease severity in NAFLD.

Effect of almonds consumption on anthropometric measurements and blood parameters in overweight and obese females in a weight reduction program

AbstractNuts are good sources of dietary fiber, magnesium, polyunsaturated fats, vitamin E, and antioxidants, all of which may have health benefits and associated with increased sensations of satiety and could have beneficial effects on weight control. This study aims to determine the effects of a balanced hypocaloric almond (30 g/day) enriched diet (AED) compared to a balanced hypocaloric almond free diet (AFD) on anthropometric measurements and blood parameters. Study was a 3-months, randomized, controlled trial with four serial measurements on 32 overweight and obese (BMI: ≥ 25 kg/m2) women, aged 25–50 years. The subjects were randomly divided into two groups (16 AED and 16 AFD). Individualized hypocaloric diets of AED considering the energy recommendation, 30 g/day of almonds was added as a snack. Demographic characteristics, nutritional habits, physical activity levels of subjects were determined by a questionnaire. 24-hour dietary intakes for 3 consecutive days (one day week-end) were recorded at the beginning, 1rd, 2nd, and 3rd months of the study. Anthropometric measurements (height, body weight, waist, hip and neck circumferences) were taken and body composition was determined by Bioelectrical Impedance Analysis (BIA), BMI, waist/hip circumference ratio (WHR) and waist circumference/height ratio (WHtR) were calculated. Fasting blood glucose, insulin level, HbA1c, HOMA-IR, total cholesterol, triglycerides, serum iron, haemoglobin, TSH, CRP were determined prior to and at the end (3rd month) of the study. At the beginning of the study no statistically significant difference was found between anthropometric measurements of the groups (p &gt; 0.05). Body weight, BMI, waist, hip circumferences, WHR, WHtR, percentage of body fat, body fat mass were decreased significantly in almond and control groups compared with the beginning and 1rd, 2nd., 3rd months of the study (p = 0.001). Significant reductions in HbA1c and LDL-cholesterol levels were determined in almond group (p &lt; 0.05). Statistically significant differences were found in insulin, HDL-cholesterol, triglycerides and HOMA-IR levels compared to the prior and end of study in both groups (p &lt; 0.05). Balanced hypocaloric diet caused weight loss and improvements in anthropometric and blood parameters in both groups, but better improvement was determined with almond enriched diet. Almonds as a snack could be recommended as a healthy choice in weight reduction diets. Almonds fiber and protein content may have beneficial effects on weight reduction.

Determinants of basal metabolic rate in Indian obese patients

AimTo study and investigate the association of basal metabolic rate with body composition parameters such as fat percentage, fat-free mass, total body water and body mass index in obese subjects. MethodsThis was a cross-sectional study of 60 obese subjects. Body composition variables were recorded using TANITA TBF 300 to analyse fat percentage (FAT%), fat-free mass (FFM), total body water (TBW) and basal metabolic rate (BMR). Anthropometric measurements of each obese subjects included age, height, weight, body mass index (BMI), waist and hip circumference and waist-hip ratio. ResultsThe mean age was 38.41 years, height 163.9 cm, weight 86.02 kg with a BMI 32.35 ± 3.86 kg/m2 for 60 obese subjects participating in the current study. Fat% was 48.33 ± 10.56, TBW was 32.96 ± 9.40 kg, FFM was 44.73 ± 13.61 kg, and BMR was 1465 ± 252.7 Kcal. Waist circumference, hip circumference and waist-hip ratio were 96.27 ± 12.33 cm, 116.8 ± 15.04 cm, 0.83 ± 0.10, respectively. BMR has a significant correlation with age, FAT%, FFM, TBW and BMI and anthropometric characteristics like height, weight, waist circumference and waist hip ratio. ConclusionAge, FAT%, FFM, TBW, BMI and anthropometric characteristics like weight, waist circumference and waist hip ratio are significant contributors to BMR. Hence, these factors are important determinants of basal metabolic rate.

Waist circumference and waist-hip ratio as screening tools for hypertension in children aged 6–11 years

Background Hypertension in children is associated with obesity. 7 The renin-angiotensin-aldosterone system has been associated with intra-abdominal fat tissue. Anthropometric parameters for determining nutritional status include waist circumference and waist-hip ratio. Many studies have shown that waist circumference and waist-hip ratio are more precise to determine overweight or obese.&#x0D; Objective To determine the usefulness of waist circumference and waist-hip ratio as hypertensive screening tools for children aged 6-11 years.&#x0D; Methods This analytical study with cross-sectional design and multistage cluster sampling method was conducted in August-September 2017 at a primary school in Bandung, West Java, Indonesia. Subjects underwent height, weight, waist circumference, hip circumference, and blood pressure measurements. Receiver operating characteristic (ROC) curve analysis was done to obtain the area under curve (AUC), cut-off point, sensitivity, specificity, and prevalence ratio.&#x0D; Results Subjects were 325 children consisting of 187 males and 138 females. Hypertension was diagnosed in 47 children (37 males and 10 females). Mean waist circumference and waist-hip circumference ratio were significantly higher in the hypertensive group than in the normotensive group. The hypertensive group had a mean waist circumference of 72.6 (SD 12.8) cm, AUC 0.779 (95%CI 0.730 to 0.823; P&lt;0.001), cut-off point &gt;65 cm, sensitivity 66.0%, specificity 76.3%, and prevalence ratio 4.55. This group had mean waist-hip ratio of 0.94 (SD 0.10), AUC 0.724 (95%CI 0.672 to 0.772; P&lt;0.001), waist-hip ratio cut-off &gt;0.91, sensitivity 59.6%, specificity 77.0%, and prevalence ratio 3.73.&#x0D; Conclusion Waist circumference &gt;65 cm or waist-hip ratio &gt;0.91 can be used to screen for hypertension in children aged 6-11 years with negative predictive values of 92.0% and 91.8%, respectively.&#x0D;

Prevalence and associated factors of anemia in a Russian population: the Ural eye and medical study

BackgroundAlthough anemia is one of the leading causes of the global burden of disease, information about its prevalence in Russia is mostly missing. We therefore assessed its prevalence and associated factors in a Russian population.MethodsThe population-based Ural Eye and Medical Study included 5899 (80.5%) out of 7328 eligible individuals (mean age:59.0 ± 10.7 years;range:40–94 years) who underwent a standardized interview and detailed general examination. The definition of anemia was based on the hemoglobin concentration (definition #1:hemoglobin concentration < 140 g/L in men,< 130 g/L in women; definition #2:hemoglobin concentration < 130 g/L in men,< 120 g/L in women [World Health Organization definition]).ResultsHigher hemoglobin concentration (mean:142.6 ± 14.8 g/L; range:80-171 g/L) was associated (multivariable analysis) with male gender (P < 0.001; standardized regression coefficient beta:-0.20), higher waist-hip circumference ratio (P < 0.001;beta:0.05), higher prevalence of car ownership (P < 0.001;beta:0.05), higher blood concentrations of bilirubin (P < 0.001;beta:0.05) and triglycerides (P < 0.001;beta:0.06), lower erythrocyte sedimentation rate (P < 0.001;beta:-0.32), and shorter blood clotting time (P < 0.001;beta:-0.39). Using definition #1 and #2, anemia was detected in 1385 individuals (23.6%;95% confidence interval CI)CI:22.5,24.7) and in 453 individuals (7.7%;95%CI:7.0,8.4), respectively. Prevalence of moderate anemia (hemoglobin concenttration:110 g/L-80 g/L), detected in 165 individuals (2.8%;95%CI:2.4,3.2), increased with younger age (P = 0.008;odds ratio (OR):0.98;95%CI:0.96,0.99), female gender (P < 0.001;OR:2.52;95%CI:1.47,4.33), higher erythrocyte sedimentation rate (P < 0.001;OR:1.08;95%CI:1.06,1.09), longer blood clotting time (P < 0.001;OR:8.56;95%CI:5.68,12.9), and marginally significantly, with a lower waist-hip circumference ratio (P = 0.058;OR:0.13;95%CI:0.02,1.07). In women, it was significantly (P < 0.001) higher before menopause (8.8%;95%CI:6.4,11.1) than after menopause (3.5%;95%CI:2.8,4.3).ConclusionsIn this Russian population as compared to populations from countries with a similar socio-demographic index, anemia prevalence was relatively low. As in other populations, higher anemia prevalence was strongly and inversely associated with menopause, and to a minor degree, with lower waist-hip circumference ratio and lower socio-economic background.

Evaluation of iron profile in type 2 diabetes mellitus patients of tertiary care center of central India

Evaluation of iron profile in type 2 diabetes mellitus patients of tertiary care center of central India - IJCBR- Print ISSN No: - 2394-6369 Online ISSN No:- 2394-6377 Article DOI No:- 10.18231/2394-6377.2019.0005, International Journal of Clinical Biochemistry and Research-Int J Clin Biochem Res

Association of CTRP13 With Liver Enzymes and Cognitive Symptoms in Nonalcoholic Fatty Liver Disease.

Nonalcoholic fatty liver disease (NAFLD) is a chronic liver disease in which patients present with metabolic dysregulation and obesity as well as fat accumulation in the liver. Those with NAFLD frequently have symptoms of fatigue, sleep disturbance, depression, and cognitive dysfunction. C1q/TNF-related protein 13 (CTRP13) regulates glucose metabolism and obesity in mice, yet the role of CTRP13 in human NAFLD has not been elucidated. Our aims were to examine whether the plasma levels of CTRP13 are (a) increased in patients with NAFLD; (b) associated with metabolic dysregulation, obesity, liver enzymes, and dyslipidemia; and (c) associated with putative symptoms of NAFLD. An observational study was conducted with 23 adults with confirmed NAFLD. Plasma levels of CTRP13, insulin resistance, insulin sensitivity, HbA1C, lipid profile, and liver enzymes were collected. Anthropometric analysis (body mass index, waist-hip circumference ratio) and bioelectrical impedance analysis of body composition were used to assess obesity. Symptom questionnaires were used to assess putative symptoms of NAFLD. Plasma levels of CTRP13 were measured in 21 age- and sex-matched control samples from a biobank. Paired t test was used for comparison of the CTRP13 between NAFLD and controls. Pearson's correlation coefficients were used to examine associations among variables. Plasma levels of CTRP13 were significantly higher in patients with NAFLD than in normal controls (p < .001), were associated with higher levels of aspartate aminotransferase, alanine aminotransferase (both p < .05), triglycerides (p < .001), and poorer cognitive function, particularly visuospatial memory (p < .001). CTRP13 may be a surrogate biomarker of NAFLD symptoms and associated with hepatocellular damage, dyslipidemia, and cognitive dysfunction.

Waist-Hip Circumference Ratio as Strongest Factor Correlation with Blood Glucose Level

Background: Prevalence of obesity in Indonesia, was increase especially for pre- elderly to elderly which age group 55-64 years of the highest obesity. Insulin resistance that occurs in the obese group can lead to a decrease in insulin work that causes increased glucose levels.Purpose: Aim of the research was to know the correlation between waist-hip circumference ratio and body mass index with blood glucose level. Methods: The study design was cross sectional. Respondents of this study were 36 elderly with aged beetwen 46-70 years who were registered in elderly posyandu. Sampling used simple random sampling techniques. The variabels of this study were the body mass index, waist-hip circumference ratio and fasting blood glucose level. Data were analyzed using pearson correlation test with a signifi cance level (α) = 0,05. Results: This research showed that, based on body mass index, most of respondents fall into overweight 2 category by 36,10%, abdominal obesity based on waist hip circumference ratio by 63,90% and blood glucose level more than 125 mg/dl by 25%. The result of pearson correlation test showed that there was relationship between waist-hip circumference ratio with blood glucose levels which statistically proved p &lt; 0.05 (p = 0.01; r = 0.486). There was no relationship between mass index with blood glucose levels which statistically proved p &gt; 0.05 (p = 0.316; r = 0.172). Conclusion: Waist-hip circumference ratio as strongest factor correlation with blood glucose level when compared with body mass index.

Obesity and dyslipidemia: risk factors for development of senile cataract

Background: Cataract is a major cause of blindness and visual impairment worldwide.Obesity and dyslipidemia may act as risk factors for development and progression of senile cataract.Objective: To determine obesity and dyslipidemia as the risk factors for development of senile cataract.Methods: This case control study was conducted in the Department of Physiology, Dhaka Medical College, Dhaka from July 2014 to June 2015. For this study, 100 diagnosed senile cataract patients (DSC) of both sexes, aged 41-70 years, were selected by purposive sampling as study group from Department of Ophthalmology, Dhaka Medical College and one hundred noncataract healthy adult subjects (NCG) were recruited as control among the relatives and hospital staff through personal contact.The criteria for inclusions are BMI e” 25.0 kg/m² ,waist circumstances &gt; 88 cm in female and &gt;102 cm in male and waist hip circumference ratio W: H &gt; 0.85 infemale and &gt; in male 0.9.Person with cataract due to trauma, acute or chronic diarrhoea, kidney disease, history of taking calcium channel blockers, lipid lowering agents and steroid were excluded from this study. For assessing lipid profile TC, TAG, HDLC, LDL-C of all subjects were estimated by enzymatic method. For statistical analyses, unpaired Student’s ‘t’ test, and logistic regression were done to evaluate the risk factors. Odds ratios (OR) with 95% Confidence Intervals (CI) were provided.Results: In this study BMI, WC, W: H, TC, TAG, LDLC levels were significantly higher (P&lt;0.001)and HDL-C level was significantly lower (P&lt;0.001) in diagnosed senile cataract patients(DSC) as compared to non-cataract group(NCG).Conclusion: From the study results, it is concluded that obesity (higher BMI, WC,W: H) and dyslipidemia may act as risk factors for development of senile cataract.J Bangladesh Soc Physiol. 2018, June; 13(1): 29-34

Impact of Bariatric surgery on antimularian hormone in reproductive age women

Abstract Background Obesity affects fertility negatively, antimullerian hormone represents a good index of fertility, and it is considered a marker of ovarian reserve and could be affected by Bariatric surgery. Objective To assess the levels of antimullarian hormone in obese women before and after Bariatric surgery performed during their reproductive age period. Methods This study was designed as a cohort study. We evaluated antimullarian hormone serum level in obese women (n = 60), who attended the Al Hilla Teaching Hospital in Babylon and Al Hussein Medical Teaching City in Karbala/ Iraq, through the period from October 2016–May 2017. The female’s age range from 18 to 40 years, Body mass index, waist circumference, hip circumference, waist hip ratio were calculated and serum samples for antimullarian hormone were estimated before and after Bariatric surgery. Result There is a significant decline in serum level of antimullarian hormone after Bariatric surgery when compared with levels of hormone before surgery (p value .05 ∗ ), also body mass index, the waist circumference, the hip circumference, and the waist hip circumference ratio were significantly lower. Conclusion The results of study suggest that antimullarian hormone decreases after Bariatric surgery in reproductive age women, and there is improvement in cycle regularity.

Progression of waist–hip circumference ratio in full-term symmetric and asymmetric small for gestational age infants

Background: Children born as small for gestational age (SGA) tend to develop central adiposity and may have chances of developing metabolic syndrome. Waist–hip circumference ratio (WHR) is considered as a good indicator of central/truncal obesity. The complete absence of information on growth dynamics of WHR among Indian symmetric and asymmetric SGA infants has prompted us to undertake this study. Aim: The aim was to study the pattern of growth of waist circumference, hip circumference, and WHR of symmetric and asymmetric SGA infants. Materials and Methods: Waist and hip circumference of full-term 100 symmetric SGA, 100 asymmetric SGA, and 100 appropriate for gestational age (AGA) infants was measured at 1, 3, 6, 9, and 12 months in Growth Laboratory/Clinic of the Department. Student's unpaired t-test was used to assess intragroup (symmetric vs. asymmetric), intergroup (SGA vs. AGA), and gender differences. Results: A consistent increase in the mean waist and hip circumference was noticed among symmetric and asymmetric SGA and AGA infants of two sexes. Male infants of both SGA groups possessed similar waist and hip circumference at 1 month. Whereafter, asymmetric SGA males had a larger waist and lesser hip circumference than symmetric infants. Asymmetric SGA females possessed larger waist circumference throughout infancy, while hip circumference measured larger only till 3 months as compared to symmetric females. Conclusion: SGA infants of two types and gender exhibited compromised auxological attainments for waist and hip circumference compared to normal babies. Higher WHR recorded in asymmetric SGA than symmetric SGA and AGA babies appear to suggest that asymmetric infants may have greater tendency to develop central obesity, subsequently.

Anthropometric changes with aging and their association with different health complications.

All morphological physical features of human body change throughout one’s life span and the rates of change are not constant. The maturity of the anthropometric characteristics varies among populations due to genetic make-up, environment and other concomitants. Generally, physical dimensions are at peak from age 20 to 35 years. In this stage a maximum level is attained by the physiological capacity of various systems. Physiological functions start to decline after 35 years at different rates in different people. There is continuous quantitative and qualitative reduction of skeletal muscle mass and fat redistribution in the body. As people aged abdominal fat also increased with age and it affect the women waist circumference, Waist-Hip circumference ratio these compositional changes increase the risk of cardiovascular disease, hypertension and different other health problems.

CORRELATION BETWEEN ANTHROPOMETRIC MEASUREMENTS AND RISK OF ANEMIA AMONG RURAL COMMUNITY IN CANGKRINGAN, SLEMAN

Anemia has been detected on various age groups. Measurement of hemoglobin (Hb) levels is a standard for deciding anemia conditions. The measurement requires certain costs, medical professional, and is invasive. People in rural areas need an economical, easy and simple examination to identify the risk of anemia. Anthropometric measurement is expected to be an appropriate measurement model for rural communities. The objective of the study is to obtain the best anthropometric measurement predictors for detecting anemia in rural communities. This was an observational study using a cross-sectional design. The inclusion criteria of the subjects of the study were residents of Cangkringan, who were between 40 and 60 years old. The subjects were chosen using random sampling cluster technique. The sample size was 100 respondents and was taken based on cluster. Descriptive analysis was used to determine the prevalence of anemia. Analysis the difference in proportion was conducted using Mann-Whitney. Correlation analysis was performed to determine the relationship between Hb levels and anthropometric measurements by using Spearman. The results showed that only 5% of the subjects are in the status of anemia based on their Hb levels. There is a significant difference between Hb levels in the normal and obese groups based on the waist hip circumference ratios (WHR) (p = 0.002). The waist circumference has a weak correlation (r = 0.238, p = 0.017) and WR has a moderate correlation (r = 0.483, p = 0.000) with Hb levels. The results of this study are not appropriate in which central obese patients should be more at risk of anemia. This study concludes that there is a significant positive moderate correlation between anthropometry, which is the waist circumference parameters and WHR, to the Hb levels in rural communities.