International Journal of Environmental Research and Public Health,
Journal Year:
2020,
Volume and Issue:
17(19), P. 7017 - 7017
Published: Sept. 25, 2020
Factors
associated
with
bone
mineral
density
(BMD)
are
poorly
known
in
severely
obese
individuals
i.e.,
a
body
mass
index
(BMI)
>
35
kg/m2.
The
objectives
of
this
study
were
to
describe
the
health
profile
Brazilian
women,
identify
risk
and
protective
factors
for
BMD
group
assess
whether
these
vary
according
three
different
sites.
was
assessed
using
dual-energy
X-ray
absorptiometry
(DXA).
This
analyzed
baseline
data
from
104
women
who
had
an
average
BMI
43.7
±
4.5
kg/m2
presented
following
status:
1.283
0.094
g/cm2
total
body,
1.062
0.159
vertebral
column
1.195
0.134
hip.
They
took
part
"Effect
nutritional
intervention
olive
oil
severe
obesity"
randomized
clinical
trial
(DieTBra
Trial).
negatively
lower
age
≥50
years
sites
Smoking
(p
=
0.045);
≥
50kg/m2
hip;
menopause
high
C-reactive
protein
(CRP)
levels
0.049),
insufficient
zinc
0.010)
previous
fracture
0.007).
positively
physical
activity
(≥150
min/week
0.001))
type
2
diabetes
mellitus
(DM2)
<
0.0001)
adequate
vitamin
D
food
consumption
0.039)
column.
A
50
factor
BMD.
findings
showed
that
varied
by
site.
original
is
registered
ClinicalTrials.gov.
(protocol
number:
NCT02463435).
Journal of Obesity,
Journal Year:
2020,
Volume and Issue:
2020, P. 1 - 8
Published: April 1, 2020
Obesity
leads
to
an
imbalance
in
the
autonomic
nervous
system,
especially
increased
sympathetic
modulation
and
decreased
vagal
tone,
some
anthropometric,
metabolic,
lifestyle
variables
may
increase
risk
of
developing
cardiovascular
disease.
Objective.
To
analyze
association
between
biochemical
anthropometric
markers,
food
intake,
physical
activity
level
severely
obese
individuals.
Methodology.
The
present
study
is
a
cutout
randomized
clinical
trial
"Effect
nutritional
intervention
olive
oil
severe
obesity"
(DieTBra
Trial),
where
baseline
data
were
analyzed.
Anthropometric
data,
exams,
heart
rate
variability
(HRV),
accelerometry,
24
h
recall
(R24H)
patients
(body
mass
index
BMI
≥35
kg/m2)
collected.
Results.
64
analyzed,
with
mean
age
39.10
±
7.74
years
(27
58
years).
By
HRV
analysis,
frequency
domain,
had
higher
predominance
(low
(LF)
56.44
20.31
nu)
lower
parasympathetic
(high
(HF)
42.52
19.18
nu).
A
negative
was
observed
Homeostasis
Evaluation
Model
(HOMA-IR)
HF
(p
=
0.049).
In
there
moderate
vigorous
component
0.043),
for
sedentary
time
(ST),
0.049)
LF/HF
0.036)
positive
LF
0.014).
For
multiple
linear
regression,
waist
circumference
(WC)
HOMA-IR
values
negatively
associated
(β
-0.685,
p
0.010;
β
-14.989,
respectively).
0.141,
0.003)
percentage
lipids
ingested
-0.030,
0.043)
LF/HF.
Conclusion.
Among
studied,
insulin
resistance
central
adiposity
showed
greatest
influence
on
cardiac
obese,
increasing
The Korean journal of pain,
Journal Year:
2020,
Volume and Issue:
33(3), P. 245 - 257
Published: July 1, 2020
Background:
Musculoskeletal
pain
is
associated
with
obesity;
however,
information
on
factors
in
adults
obesity
and
severe
limited.The
purpose
of
this
study
was
to
assess
the
prevalence
musculoskeletal
by
site
intensity
individuals
(body
mass
index
≥
35.0
kg/m
2
).Methods:
Baseline
data
from
DieTBra
Trial
evaluating
symptoms
nine
body
regions
over
last
seven
days
using
Nordic
Questionnaire
Symptoms
Numerical
Pain
Scale.The
variables
analyzed
multiple
Poisson
regression
hierarchical
analysis
were:
sociodemographic,
lifestyle,
food
consumption,
clinical,
anthropometric,
outcome
moderate
intense
pain.Results:
In
150
participants,
there
a
high
ankle
foot
(68.7%),
lower
back
(62.7%),
knees
(53.3%)
upper
(52.0%),
predominance
pain.Factors
according
specific
sites
type
diabetes
hand/wrist
pain;
sedentary
time
hip
insomnia
knee;
edema
limbs
ankles/feet;
degree
ankle/foot
percentage
total
fat
pain.Conclusions:
There
an
association
clinical
variables,
obesity,
lifestyle.
International Journal of Environmental Research and Public Health,
Journal Year:
2020,
Volume and Issue:
17(11), P. 3930 - 3930
Published: June 2, 2020
Despite
the
worldwide
growth
of
class
II
and
III
obesity,
factors
associated
with
type
2
diabetes
mellitus
(T2DM)
in
these
obese
individuals
are
not
widely
understood.
Moreover,
no
study
has
investigated
associations
South
America.
Our
aimed
to
investigate
prevalence
T2DM
its
factors,
an
emphasis
on
biochemical
parameters
eating
habits,
individuals.
We
also
analyze
correlation
between
glycemic
body
mass
index
(BMI).
Baseline
data
from
a
randomized
clinical
trial
(DieTBra
Trial)
150
(BMI
>
35
kg/m
Nutrients,
Journal Year:
2020,
Volume and Issue:
12(5), P. 1498 - 1498
Published: May 21, 2020
Nutritional
interventions
may
have
positive
effects
on
sarcopenia
and
body
composition.to
evaluate
the
effectiveness
of
extra
virgin
olive
oil
(EVOO)
consumption
a
healthy
traditional
Brazilian
diet
(DieTBra)
improving
indicators
reducing
total
fat
in
severe
obesity.A
randomized
controlled
trial
registered
at
ClinicalTrials.gov
(NCT02463435)
conducted
with
111
severely
obese
participants
into
three
treatment
groups-(1)
EVOO
(52
mL/day),
(2)
DieTBra,
(3)
DieTBra
+
mL/day)-for
12
weeks.
Body
composition
was
assessed
by
dual-energy
X-ray
absorptiometry
walking
speed
handgrip
strength.Significant
reductions
(p
=
0.041)
weight
0.003)
were
observed
group.
In
DietBra
group
there
also
significant
reduction
(0.001)
compared
to
oil-only
ANCOVA
analyses
showed
0.016)
0.004)
groups.
Individuals
had
improvements
their
0.042)
strength
0.044).DieTBra
contributes
strength,
speed,
adults.
The
major
study
(NCT02463435).
Nutrients,
Journal Year:
2020,
Volume and Issue:
12(2), P. 403 - 403
Published: Feb. 4, 2020
Dietary
interventions
can
stabilize
and/or
reverse
bone
mass
loss.
However,
there
are
no
reports
on
its
effects
mineral
density
(BMD)
in
severely
obese
people,
despite
the
vulnerability
of
this
group
to
We
examine
effect
extra
virgin
olive
oil
supplementation
and
traditional
Brazilian
diet
(DieTBra)
BMD
levels
calcium,
vitamin
D,
parathyroid
hormone
(PTH)
adults.
A
randomized
controlled
trial
followed-up
with
adults
(n
=
111,
mean
body
index
43.6
kg/m2
±
4.5
kg/m2)
for
12
weeks.
Study
participants
received
either
(52
mL/day),
DieTBra,
or
+
DieTBra
mL/day
DieTBra).
was
assessed
by
total
spine
hip
dual-energy
X-ray
absorptiometry.
After
interventions,
means
(p
0.016)
0.029)
were
higher
than
group.
Final
calcium
compared
0.026).
Findings
suggest
that
have
positive
health
The
major
study
registered
at
ClinicalTrials.gov
(NCT02463435).
World Journal of Diabetes,
Journal Year:
2020,
Volume and Issue:
11(8), P. 322 - 350
Published: Aug. 13, 2020
Obesity
and
obesity-related
co-morbidities,
diabetes
mellitus,
hypertension
are
among
the
fastest-growing
risk
factors
of
heart
failure
kidney
disease
worldwide.
Obesity,
which
is
not
a
unitary
concept,
or
static
process,
ranges
from
alterations
in
distribution
to
amount
adiposity.
Visceral
adiposity,
includes
intraabdominal
visceral
fat
mass
ectopic
deposition
such
as
hepatic,
cardiac,
renal,
was
robustly
associated
with
greater
for
cardiorenal
morbidity
than
subcutaneous
In
addition,
morbid
obesity
has
also
demonstrated
negative
effect
on
cardiac
renal
functioning.
The
mechanisms
by
adipose
tissue
linked
syndrome
(CRS)
hemodynamic
mechanical
changes,
well
neurohumoral
pathways
insulin
resistance,
endothelial
dysfunction,
nitric
oxide
bioavailability,
renin-angiotensin-aldosterone,
oxidative
stress,
sympathetic
nervous
systems,
natriuretic
peptides,
adipokines
inflammation.
Adiposity
other
co-morbidities
induce
adverse
remodeling
interstitial
fibrosis.
Heart
preserved
ejection
fraction
been
functional
structural
abnormalities.
might
impair
function
through
hyperfiltration,
increased
glomerular
capillary
wall
tension,
podocyte
leads
tubulointerstitial
fibrosis
loss
nephrons
and,
finally,
chronic
disease.
development
new
treatments
effects
context
type
2
diabetes,
improves
mortality
outcome,
highlighted
importance
CRS
its
prevalence.
Increased
body
triggers
cellular,
neuro-humoral
metabolic
pathways,
create
phenotype
specific
cellular
biochemical
biomarkers.
become
single
umbrella
syndrome.
This
review
article
provides
clinical
overview
available
data
relationship
between
range
adiposity
CRS,
support
umbrella,
most
relevant
studies
recent
therapeutic
approaches.
The Egyptian Heart Journal,
Journal Year:
2020,
Volume and Issue:
72(1)
Published: Oct. 2, 2020
Abstract
Background
Obesity
is
recognized
as
a
classic
risk
factor
for
atherosclerosis
and
subsequent
cardiovascular
disease
(CVD).
Weight
loss
after
bariatric
surgery
has
been
associated
with
reduced
CV
mortality
total
in
obese
patients.
Our
aim
was
to
study
the
impact
of
on
profile,
cardiac
structure,
function
postoperatively.
Results
This
prospective
longitudinal
included
100
morbidly
patients
at
final
analysis.
All
were
subjected
full
clinical,
laboratory,
echocardiographic
examination
baseline
6
months
surgery.
The
mean
age
population
37.2
±
10.49
BMI
47
6.82.
Females
represented
84%.
Sleeve
gastrectomy
Roux-en-Y
gastric
bypass
performed
79%
21%,
respectively.
Surgery-related
morbidity
0.94%
4.7%,
After
months,
there
significant
decreases
BMI,
heart
rate,
SBP,
DBP,
Framingham
score
(
P
<
0.0001).
prevalence
factors
decreased
follows:
hypertension
24%
vs.
12%,
=
0.0005;
DM
21%
11%,
0.002;
dyslipidemia
32%
7%,
0.0001;
metabolic
syndrome
54%
26%,
0.0001.
Highly
0.0001)
decrease
fasting
PG
2
h
PP-PG,
HbA1c,
ASL,
ALT,
cholesterol,
LDL,
TG,
increase
HDL
observed
There
shortening
QTc
interval
0.009),
LV
dimensions
mass
index
0.0001),
EF%
0.0003).
follow-up
showed
positive
correlation
age,
score,
preoperative
r
0.289,
0.0036;
0.37,
0.0054;
0.31,
0.0081,
respectively).
Conclusion
In
addition
enabling
achieve
substantial
weight
loss,
provides
myriad
health
benefits.
reduction
favorable
improvement
function.
Nutrients,
Journal Year:
2021,
Volume and Issue:
13(7), P. 2138 - 2138
Published: June 22, 2021
The
association
between
vitamin
D
deficiency
and
metabolic
syndrome
(MS)
in
severe
obesity
is
unclear
controversial.
We
analyzed
serum
dietary
their
with
MS
150
adults
class
II
III
(BMI
≥
35
kg/m2)
from
the
DieTBra
Trial
(NCT02463435).
parameters
were
high
fasting
blood
glucose,
low
HDL
cholesterol,
triglycerides,
elevated
waist
circumference,
hypertension.
Vitamin
was
considered
as
a
level
<
20
ng/mL.
performed
multivariate
Poisson
regression
adjusted
for
sociodemographic
lifestyle
variables.
prevalence
of
13.3%
(mean
29.9
±
9.4
ng/mL)
median
51.3
IU/day.
There
no
significant
associations
D,
serum,
diet
variables,
lifestyle,
obesity.
Serum
associated
age
50
years
(p
=
0.034).
After
fully
regression,
its
not
or
except
lower
HDL,
which
(PR
0.71,
95%
CI
0.52-0.97;
p
0.029).
Severe
obese
individuals
had
deficiency,
MS.