The Prevalence and the Affecting Factors of Obesity in Women of Kermanshah

Background & Objective: Obesity is a public health problem in modern societies which is more prevalent among women compared to men. This study was conducted to aim the prevalence of obesity and the related factors in women of Kermanshah. Materials and Methods: In the present cross-sectional study, 687 women aging 25-65 years were enrolled using multi staged cluster sampling method from 6 regions of Kermanshah city. Data collection tools were a demographic questionnaire, Food Frequency (FFQ) and physical activity questionnaires. General Obesity was defined as BMI≥30 kg/m2 and abdominal obesity was defined as waste hip ratio (WHR) over 0.85cm. All data were analyzed using correlation coefficient, Logistic regression-test and x2 by SPSS software. Results: Overweight and obesity was observed in 39.4% and 21.9 % of women respectively. 57.5% of studied subjects suffered from abdominal obesity. The odds ratios for obesity among illiterate (OR=1.882, P=0.05), low socioeconomic status (OR=1.867, P=0.002), and having more than four pregnancies (OR=1.875, P=0.01) were higher than other women. Odds ratio of fatty liver (OR: 3.818) and diabetes (OR: 3.077) was higher among obese subjects than normal individuals. (P=0.02).There was a positive correlation between obesity and marital status, number of pregnancies, family population size and unhealthy dietary habits (P<0.001). Moreover, there was a negative relationship between obesity and education level, employment and high socioeconomic status (P<0.001). Conclusions: Regarding the side effects of obesity and overweight, lifestyle modification and increasing nutritional knowledge among women using appropriate methods is highly recommended

Financial incentive strategy for weight loss and maintenance of weight loss: Financial incentive y for weight loss

Introduction: The aim of this study was to investigate the effect of financial incentives on weight loss, maintain in obese women and biochemical factors. Methods: This quasi-experimental study was conducted on 103 women with body mass index (BMI)≥30 kg/m2. The participants were assessed over a 12-month follow-up in eight phases. Money payment for losing weight was incentive intervention in this study. The participants were given diet and physical activity. Results: Mean of BMI was 34.78±4.29 kg/m2 in baseline, that reduced to 32.41±3.51 kg/m2 in the sixth phase, and 31.64±3.71 kg/m2 in the final phase (P&lt;0.001). At baseline, mean of percentage of body fat (PBF) was 40.77±2.81 that reduced to 37.34±4.02 at the end of the study (P&lt;0.001). Waist to hip ratio (WHR) and lean body mass (LBM) decreased significantly over the 12-month (P&lt;0.001). At the end of each phase, the mean of BMI reduction of 0.39 units was observed in the subjects, and 9 units of change were achieved by the end of the study compared to the baseline. The mean of triglyceride in the first, fourth and seventh phases were 128.57±13.33, 101.43±57.99 and 87.40±57.59 mg/dl, respectively (P=0.003). The mean of serum glutamic oxaloacetic transaminase (SGOT) and serum glutamate-pyruvate transaminase (SGPT) decreased significantly over the 12-month, P= 0.052 and P=005, respectively. Conclusions: Financial incentives can effectively help on weight loss and maintenance of weight, and improve lipid profiles; blood sugar and liver enzymes. The use of motivational factors with proper training (diet and physical activity) will have a better result

Fasting consequences during Ramadan on lipid profile and dietary patterns

Introduction: The aim was to assess the effects on lifestyle and lipid profile while fasting during holy month of Ramadan. Material and Methods: An interventional cohort study designed with 160 subjects who were fasting during Ramadan recruited from different mosques in Kermanshah. Data were collected in three stages at the beginning and at the end of Ramadan as well as one month following Ramadan using demographic and FFQ questionnaires. Blood pressure was measured and a 5 ml blood sample was collected in order to measure BUN, Creatinine, and lipid profile analysis. Results: Significant increases was observed in total cholesterol (P=0.02), LDL-C (P=0.001), HDL-C (P=0.001), and BUN (P=0.002) following Ramadan compared with earlier measurements. Triglyceride (TG) level decreased following Ramadan (P=0.04) but returned to the same level one month later. Systolic blood pressure increased and diastolic blood pressure decreased during fasting period. There was a significant decrease in cereals, dairy products, and meat consumption while consumption of fruits and vegetables have been increased during Ramadan (P=0.003). Conclusion: Our results revealed increased levels of T-Chol and LDL-C in fasting as well as HDL-C. Increased HDL-C may prevent the side effects of T-Chol and LDL-C in healthy subjects. Given the metabolic changes that occurred during Ramadan, healthy eating and intake of low fat and low sugar diet during Ramadan are highly recommended

Fasting Consequences during Ramadan on Lipid Profile and Dietary Patterns

Introduction: The aim was to assess the effects on lifestyle and lipid profile while fasting during holy month of Ramadan. Material and Methods: An interventional cohort study designed with 160 subjects who were fasting during Ramadan recruited from different mosques in Kermanshah. Data were collected in three stages at the beginning and at the end of Ramadan as well as one month following Ramadan using demographic and FFQ questionnaires. Blood pressure was measured and a 5 ml blood sample was collected in order to measure BUN, Creatinine, and lipid profile analysis. Results: Significant increases was observed in total cholesterol (P=0.02), LDL-C (P=0.001), HDL-C (P=0.001), and BUN (P=0.002) following Ramadan compared with earlier measurements. Triglyceride (TG) level decreased following Ramadan (P=0.04) but returned to the same level one month later. Systolic blood pressure increased and diastolic blood pressure decreased during fasting period. There was a significant decrease in cereals, dairy products, and meat consumption while consumption of fruits and vegetables have been increased during Ramadan (P=0.003). Conclusion: Our results revealed increased levels of T-Chol and LDL-C in fasting as well as HDL-C. Increased HDL-C may prevent the side effects of T-Chol and LDL-C in healthy subjects. Given the metabolic changes that occurred during Ramadan, healthy eating and intake of low fat and low sugar diet during Ramadan are highly recommended

Effects of Ramadan on food intake, glucose homeostasis, lipid profiles and body composition composition

The current study was sponsored by the Vice Chancellery of Research & Technology Affairs at Kermanshah University of Medical Sciences, Kermanshah – Iran (Grant no. 91058). The authors are deeply grateful to all participants for their time and blood sample donation. The authors declare no conflicts of interest. Author contributions. Project design: SMN, JRS. Data collection: SMN, YP, SP, MD, PN, RM. Data analysis: SMN, RM, JRS. Writing paper. SMN, JRS.Peer reviewedPostprin

Stoma-free survival after anastomotic leak following rectal cancer resection: worldwide cohort of 2470 patients

Background: The optimal treatment of anastomotic leak after rectal cancer resection is unclear. This worldwide cohort study aimed to provide an overview of four treatment strategies applied. Methods: Patients from 216 centres and 45 countries with anastomotic leak after rectal cancer resection between 2014 and 2018 were included. Treatment was categorized as salvage surgery, faecal diversion with passive or active (vacuum) drainage, and no primary/secondary faecal diversion. The primary outcome was 1-year stoma-free survival. In addition, passive and active drainage were compared using propensity score matching (2: 1). Results: Of 2470 evaluable patients, 388 (16.0 per cent) underwent salvage surgery, 1524 (62.0 per cent) passive drainage, 278 (11.0 per cent) active drainage, and 280 (11.0 per cent) had no faecal diversion. One-year stoma-free survival rates were 13.7, 48.3, 48.2, and 65.4 per cent respectively. Propensity score matching resulted in 556 patients with passive and 278 with active drainage. There was no statistically significant difference between these groups in 1-year stoma-free survival (OR 0.95, 95 per cent c.i. 0.66 to 1.33), with a risk difference of -1.1 (95 per cent c.i. -9.0 to 7.0) per cent. After active drainage, more patients required secondary salvage surgery (OR 2.32, 1.49 to 3.59), prolonged hospital admission (an additional 6 (95 per cent c.i. 2 to 10) days), and ICU admission (OR 1.41, 1.02 to 1.94). Mean duration of leak healing did not differ significantly (an additional 12 (-28 to 52) days). Conclusion: Primary salvage surgery or omission of faecal diversion likely correspond to the most severe and least severe leaks respectively. In patients with diverted leaks, stoma-free survival did not differ statistically between passive and active drainage, although the increased risk of secondary salvage surgery and ICU admission suggests residual confounding