Comparison of body compositions between Medical School students and physical education and Sports School students by using the bioelectrical impedance analysis (bia) method

Amaç: Bioelektrik impedans analizi (BIA) yöntemini kullanarak düzenli egzersiz yapan ve yapmayan ögrencilerde vücut kompozisyonlarını karsılastırmaktır. Yöntem: Tıp Fakültesi ve Spor Yüksek Okulundan yasları 19-29 arasında olan toplam 73 ögrenci, el ayak BIA yöntemi ile vücut kompozisyonları açısından karsılastırıldı. Örneklemde, düzenli egzersiz yapanlar, herhangi bir sporu, haftada üç gün ve minimum 6 saat olmak kaydıyla en az iki yıl süreyle yapan ögrencilerden; düzenli egzersiz yapmayanlar ise son iki yıldır hiçbir sporu düzenli olarak yapmayanlar arasından seçildi. Normalde cinsler arasında toplam vücut suyu (TVS), vücut yag oranı (VYO) ve yag dısı kitle (YDK) yönünden farklılık oldugu için her iki cins kendi grupları içinde egzersiz yapıp yapmama yönünden karsılastırıldı. Gruplar arası karsılastırma için SPSS 10.0 programında Mann-WhitneyUtesti kullanıldı. Bulgular: Düzenli egzersiz yapan ve yapmayan bireyler karsılastırıldıgında her iki cinste deVYO,TVS,YDKve onun bilesenleri olan hücre dısı sıvı (HDS) ve hücre içi sıvı (HIS) hacimleri arasında istatistiksel olarak anlamlı farklılıklar oldugu görüldü. Sonuç: Yag kitlesini azaltma ve yag dısı kitleyi arttırmada diyet ve egzersiz birlikte yapılması gerekirken vücut sıvılarının korunmasında ise egzersiz tek basına yeterli olabilir.Objective: The aim of this study was to compare body compositions in students who exercised regularly and students who did not exercise by bioelectrical impedance analysis (BIA). Material and Methods: 73 medical students and students of a physical education and sports school aged between 19-29 years were compared in terms of body composition by using hand to foot bioelectric impedance analyzer (BIA). The regularly exercising group was confirmed from students who were engaged in any type of sport at least three days (minimum of six hours) a week for last two years. The non-exercising group consisted of the students who did not do any sports regularly in the last two years. Since there were no significant differences normally between the sexes in terms of the total body water (TBW), body fat (BF), fat free mass (FFM), both sexes were compared in terms of exercising and non-exercising in their own group. For the statistical analysis, Mann Whitney U test was used to compare the groups in SPSS 10.0 program. P <0.05 was considered as statistically signicant. Results: When regularly exercising and nonexercising groups were compared, significant differences were observed in BF, TBW, FFM and extracellular water (ECW) and intracellular water (ICW) which are components of FFM in both sexes. Conclusion: While it is necessary that diet and exercise should be done simultaneously to increase FFM and decrease BF, exercise alone could be enough in the maintenance of body fluids

May primary empty sella turcica be a cause of isolated ACTH deficiency? A case report and the review of related literature

WOS: 000252066300006PubMed: 18063931Isolated ACTH deficiency is an uncommon cause of secondary adrenocortical insufficiency and accompaniment with primary empty sella has been reported in several cases. We present a case of isolated ACTH deficiency associated with empty sella. A sixty-two year old woman was admitted to our endocrine clinic with complaints of weakness, fatigue, weight loss, nausea, vomiting, and lack of appetite for about one month. Physical examination indicated orthostatic hypotension and epigastric tenderness. Laboratory investigations revealed hypoglycemia, hyponatremia and anemia, in addition low plasma cortisole and ACTH levels. Serum cortisole responses to short and prolonged ACTH stimulation were tested and partial and accurate responses were obtained, respectively. Plasma ACTH and serum cortisole levels failed to respond after intravenous injection of human corticotropin releasing hormone. Other hypophysial hormone levels were within the normal reference ranges. Although cranial and abdominal computerized tomography images were evaluated as normal, cranial magnetic resonance imaging of the pituitary gland revealed 'primary empty sella turcica' Replacement therapy with methylprednisolon resulted in the improvement of hypoglycemia, hyponatremia and clinical symptoms. Based on these results, the patient was diagnosed as isolated ACTH deficiency and was scheduled for follow up by our outpatient clinic. Our report is consistent with other reports pointing out that primary empty sella may be responsible for pathogenesis of isolated ACTH deficiency

May primary empty sella turcica be a cause of isolated ACTH deficiency? A case report and the review of related literature

WOS: 000252066300006PubMed: 18063931Isolated ACTH deficiency is an uncommon cause of secondary adrenocortical insufficiency and accompaniment with primary empty sella has been reported in several cases. We present a case of isolated ACTH deficiency associated with empty sella. A sixty-two year old woman was admitted to our endocrine clinic with complaints of weakness, fatigue, weight loss, nausea, vomiting, and lack of appetite for about one month. Physical examination indicated orthostatic hypotension and epigastric tenderness. Laboratory investigations revealed hypoglycemia, hyponatremia and anemia, in addition low plasma cortisole and ACTH levels. Serum cortisole responses to short and prolonged ACTH stimulation were tested and partial and accurate responses were obtained, respectively. Plasma ACTH and serum cortisole levels failed to respond after intravenous injection of human corticotropin releasing hormone. Other hypophysial hormone levels were within the normal reference ranges. Although cranial and abdominal computerized tomography images were evaluated as normal, cranial magnetic resonance imaging of the pituitary gland revealed 'primary empty sella turcica' Replacement therapy with methylprednisolon resulted in the improvement of hypoglycemia, hyponatremia and clinical symptoms. Based on these results, the patient was diagnosed as isolated ACTH deficiency and was scheduled for follow up by our outpatient clinic. Our report is consistent with other reports pointing out that primary empty sella may be responsible for pathogenesis of isolated ACTH deficiency

Acute coronary stenosis in a young man with Behcet's syndrome

WOS: 000253399700012PubMed: 18287802Objective: To present a case of myocardial infarction due to Behcet's syndrome. Clinical Presentation and Intervention: A 27-year-old man who was known to have Behcet's syndrome for 1 year presented with retrosternal fluctuating chest pain, which radiated to the epigastrium 5 h prior to admission. Coronary angiography showed total occlusion of the left anterior descending coronary artery, which was successfully treated with coronary stent implantation. Conclusion: This case shows that patients with Behcet's syndrome who had acute chest pain should be thoroughly examined for any signs of acute myocardial infarction. Copyright (C) 2008 S. Karger AG, Basel

The predictive value of CRP levels on future severe renal disease in overweight and obese subjects without diabetes mellitus and hypertension

Ozbek, Orhan/0000-0002-7388-0542WOS: 000251826200006PubMed: 18091366Background: Obesity and related disorders have a high prevalence all over the world. Increased C-reactive protein (CRP) value in obese individuals and its potential adverse effects have been reported. Here we have investigated the relationship between CRP levels and renal functions in nondiabetic, nonhypertensive, overweight, and obese individuals. The aim of this study was to evaluate the predictive value of CRP levels on future severe renal disease. Methods: One hundred sixty individuals were included in the study. They were grouped as normal weight, overweight, and obese. Anthropometric measurements, renal function tests, and serum hsCRP values were obtained. Mean values were compared and correlation analysis was performed. Results: Significant differences were detected between the groups according to body mass index, waist circumference (WC), and body fat percentage. There was a significant difference with respect to creatinine clearance (CC). Difference in the mean urinary albumin excretion (UAE) was significant between normal-weight and overweight subjects. There was a linear increase in serum CRP values in parallel to the increase in body weight; mean values were significant between groups. A positive correlation was detected between CC and body mass index and WC, and there were significant correlations between CRP and anthropometric measurements, CC and UAE. Conclusions: This study showed that increased CRP levels in nondiabetic, nonhypertensive, overweight, and obese individuals could possibly associated with impaired renal functions that might be originating from endothelial dysfunction. Determination of cutoff levels of CRP, as in cardiovascular diseases, may be useful for early estimation and prevention of renal diseases