scholarly journals COGNITIVE IMPROVEMENTS FOLLOWING BODY MASS REDUCTION INDUCED BY INTRAGASTRIC BALLOON PLACEMENT IN MORBIDLY OBESE PATIENTS. A PRELIMINARY STUDY

Author(s):  
Michał Janewicz ◽  
◽  
Marek Binder ◽  
Agata Gaździńska ◽  
Olaf E. Truszczyński ◽  
...  
2020 ◽  
Author(s):  
Małgorzata Moszak ◽  
Agnieszka Zawada ◽  
Aldona Juchacz ◽  
Marian Grzymisławski ◽  
Paweł Bogdański

Abstract Background: Amaranth seed oil (ASO) and rapeseed oil (RSO) are functional foods that display antioxidant and hepatoprotective properties. These oils are also known to lower glucose and cholesterol levels. The current study compared the effects exerted by RSO and ASO on weight loss and metabolic parameters during a 3-week body mass reduction program. Methods: Eighty-one obese subjects (BMI > 30 kg/m2), aged 25-70 years, were enrolled in a 3-week body mass reduction program based on a calorie-restricted diet and physical activity. Participants were randomly categorized into an AO group (administered 20 mL/d of ASO), a RO group (administered 20 mL/d of RSO), and a C group (control; untreated). Anthropometric and metabolic parameters were measured at baseline and endpoint. Results: Significant decreases in weight, body mass index (BMI), waist circumference (WC), hip circumference (HC), fat mass (FM), lean body mass (LBM), visceral fat mass (VFM), and total body water (TBW%) were observed in all groups (P < 0.05). No significant improvements were observed in the clinical parameters of group C. Fasting insulin (Δ -5.9, and Δ -5.7) and homeostatic model assessment of insulin resistance (HOMA-IR) (Δ -1.1 and Δ -0.5) were decreased in both RO and AO groups, respectively. Fasting glucose (Δ -8.5; P = 0.034), total cholesterol (Δ -14.6; P = 0.032), non-HDL cholesterol (Δ 15.9; P = 0.010), TG/HDL ratio (Δ -0.6; P = 0.032), LDL cholesterol (Δ -12.3; P = 0.042), and triglycerides (Δ -6.5; P = 0.000) were significantly improved in the AO group, compared to the RO group. Conclusions: The 3-week body mass reduction intervention caused a significant reduction in the weight, BMI, WC, HC, FM, and VFM of all groups. Except for HOMA-IR, there were no statistical differences between the clinical parameters of all groups. However, a trend toward improved insulin levels and HDL% was noticeable in AO and RO. Therapies involving edible oils with high nutritional value, such as RSO and ASO, show potential for improving metabolic measurements during body mass reduction programs. Thus, obese patients undertaking weight reduction programs may benefit from RSO and ASO supplementation.


2020 ◽  
Author(s):  
Małgorzata Moszak ◽  
Agnieszka Zawada ◽  
Aldona Juchacz ◽  
Marian Grzymisławski ◽  
Paweł Bogdański

Abstract Background: Amaranth seed oil (ASO) and rapeseed oil (RSO) are functional foods that display antioxidant and hepatoprotective properties. These oils are also known to lower glucose and cholesterol levels. The current study compared the effects exerted by RSO and ASO on weight loss and metabolic parameters during a 3-week body mass reduction program.Methods: Eighty-one obese subjects (BMI > 30 kg/m2), aged 25-70 years, were enrolled in a 3-week body mass reduction program based on a calorie-restricted diet and physical activity. Participants were randomly categorized into an AO group (administered 20 mL/d of ASO), a RO group (administered 20 mL/d of RSO), and a C group (control; untreated). Anthropometric and metabolic parameters were measured at baseline and endpoint. Results: Significant decreases in weight, body mass index (BMI), waist circumference (WC), hip circumference (HC), fat mass (FM), lean body mass (LBM), visceral fat mass (VFM), and total body water (TBW%) were observed in all groups (P < 0.05). No significant improvements were observed in the clinical parameters of group C. Fasting insulin (Δ -5.9, and Δ -5.7) and homeostatic model assessment of insulin resistance (HOMA-IR) (Δ -1.1 and Δ -0.5) were decreased in both RO and AO groups, respectively. Fasting glucose (Δ -8.5; P = 0.034), total cholesterol (Δ -14.6; P = 0.03), non-HDL cholesterol (Δ 15.9; P = 0.01), TG/HDL ratio (Δ -0.6; P = 0.032), LDL cholesterol (Δ -12.3; P = 0.042), and triglycerides (Δ -6.5; P = 0.000) were significantly improved in the AO group, compared to the RO group. Conclusions: The 3-week body mass reduction intervention caused a significant reduction in the weight, BMI, WC, HC, FM, and VFM of all groups. Except for HOMA-IR, there were no statistical differences between the clinical parameters of all groups. However, a trend toward improved insulin levels and HDL% was noticeable in AO and RO. Therapies involving edible oils with high nutritional value, such as RSO and ASO, show potential for improving metabolic measurements during body mass reduction programs. Thus, obese patients undertaking weight reduction programs may benefit from RSO and ASO supplementation.Trial registration: retrospectively registered, DRKS00017708


2020 ◽  
Author(s):  
Małgorzata Moszak ◽  
Agnieszka Zawada ◽  
Aldona Juchacz ◽  
Marian Grzymisławski ◽  
Paweł Bogdański

Abstract Background: Amaranth seed oil (ASO) and rapeseed oil (RSO) are representative functional food with glucose and cholesterol-lowering, antioxidant, and hepatoprotective properties. We aimed to compare the effect of RSO and ASO on weight loss and metabolic parameters during the 3-week body mass reduction program.Methods: Eighty-one obese subjects (BMI > 30 kg/m2) aged 25-70 years enrolled in a 3-week body mass reduction program based on calorie-restricted diet and physical activity. The participants were randomly administered 20 mL/d of ASO (AO group) or 20 mL/d of RSO (RO group) or were assigned to the control (C) group (without oil supplementation). Anthropometric and metabolic parameters were measured at baseline and at an endpoint. Results: At the end of the study, significant (P < 0.05) decrease in weight, BMI, WC (waist circumference), HC (hip circumference), FM (fat mass), LBM (lean body mass), VFM (visceral fat mass), and TBW% (total body water) were observed in all groups. There were no significant improvements in clinical parameters in the C group, while reduction in fasting insulin (Δ -5.9, P = 0.001 and Δ -5.7, P = 0.005) and HOMA-IR (Δ -1.1, P = 0.02 and Δ -0.5, P = 0.03) were observed in the RO and AO groups. Compared to the RO group, significant improvement in fasting glucose Δ -8.5, (P = 0.03), total cholesterol (Δ -14.6, P = 0.03), non-HDL cholesterol (Δ 15.9, P = 0.01), TG/HDL ratio (Δ -0.6, P = 0.03), LDL cholesterol (Δ -12.3, P = 0.04), and triglycerides (Δ -6.5, P = 0.000) in the AO group were observed. Conclusions: The 3-week body mass reduction intervention resulted in a significant reduction in weight, BMI, WC, HC, FM, and VFM in all the studied groups. Except for HOMA-IR, in clinical parameters were no statistical differences between all groups. However, the trend to improvement in insulin level and HDL% was noticed only in AO and RO. Therapies targeting edible oils with high nutritional value as RSO and ASO may in the future be a promising tool in support metabolic measurement improvement during the body mass reduction programs.Take home message: Supplementation with RSO or ASO may bring additional benefits to obese patients undertaking a weight reduction program.Trial registration: DRKS00017708


2013 ◽  
Vol 1 (1) ◽  
pp. 10 ◽  
Author(s):  
Monika Bąk-Sosnowska ◽  
Adam Pawlak ◽  
Violetta Skrzypulec-Plinta

The aim of this study was to assess the strength and direction of the correlation between cognitive appraisal, emotional state, social functioning and the effectiveness of a weight-loss program undertaken by obese subjects. The out-patient weight-loss program encompassed 150 obese women. Assessments were carried out at four time points: at the start of the weight-loss program and then after a 5%, 10% and a 15% reduction of the initial body mass. The research tools used were: a survey, the Situation Appraisal Questionnaire (SAQ), the Emotional State Questionnaire (ESQ), and the Q-Sort Social Functioning Questionnaire. The cognitive appraisal, emotional state and social functioning of the study group changed significantly (P&lt;0.001). Significantly more individuals with a 15% body mass reduction, as compared with individuals with no body mass reduction, had an early obesity onset, <em>i.e</em>. at the age of &lt;10 years old (P&lt;0.001). Significantly more individuals with no body mass reduction, compared with individuals with a 15% reduction, had a later obesity onset, <em>i.e.</em> between the ages of 20 and 30 (P&lt;0.001) and between 50 and 60 (P&lt;0.001). Significantly more individuals with a 15% body mass reduction, compared with individuals with no mass reduction, had previously experienced the jojo effect (P&lt;0.001) and had successfully lost weight (P&lt;0.001). Significantly more individuals with no body mass reduction, compared with individuals with a15% reduction, had a history of unsuccessful attempts at reducing body mass (P&lt;0.001). We conclude that the attitude of obese patients towards a weight-loss program is not a deciding factor for its effectiveness. As body mass reduces, the attitude improves.


Spine ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Xiao T. Chen ◽  
Shane Shahrestani ◽  
Alexander M. Ballatori ◽  
Andy Ton ◽  
Zorica Buser ◽  
...  

Nutrients ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 542 ◽  
Author(s):  
Maciej Ręgwelski ◽  
Ewa Lange ◽  
Dominika Głąbska ◽  
Dominika Guzek

The emotional consequences of excessive body mass, associated with body image and acceptance, have become a global public health challenge as they may decrease the general well-being and hinder weight loss in overweight and obese individuals. Therefore, this study aimed to analyze the influence of age, body mass index (BMI), and waist-to-height ratio (WHtR) on body mass acceptance, attitudes, and motivation toward body mass reduction in overweight and obese Caucasian women with excessive abdominal fat. The previously validated BodyMass–DRama (Body Mass–Dietary Restrictions: Acceptance, Motivation, Attitudes) questionnaire was applied in this study. The declared acceptance, attitudes and motivation towards body mass reduction were compared between subgroups based on age (20–40, 40–50, and 50–60 years), BMI (25.0–30.0, 30.0–35.0, and ≥35.0 kg/m2), and quartiles of WHtR. The age, BMI and WHtR were stated to be associated with declared acceptance, attitudes, and motivation towards body mass reduction. The different age groups indicated the following as the reasons for excessive body mass: young respondents—low physical activity and consumption of sweets; middle-aged ones—large/irregular meals; aging ones—large/irregular meals and low physical activity (p = 0.0161). While describing motivation toward body mass reduction, young respondents indicated the role of a physician or dietitian (p = 0.0012) or someone who can control them (p = 0.0044), as well as their expectation to be more successful at work after body mass reduction (p = 0.0045), while the aging ones indicated appreciation and plaudits from others (p = 0.0264) as a motivating factor. Respondents with the highest BMI declared having spending free time actively constricted (p = 0.0007); they declared more often than others of feeling exhausted (p = 0.0395) or tired all the time (p = 0.0445), but less often of feeling full of joy (p = 0.0457) or full of energy (p <0.0001). Respondents with moderate WHtR declared less often than others that they expect to enjoy socializing (p = 0.0376), but more often to be able to have a better vacation after body mass reduction (p = 0.0128), while those with the lowest WHtR expected to be more physically active (p = 0.0487). Women with the highest WHtR most commonly indicated external pressure from relatives or co-workers as a motivating factor for body mass reduction (p = 0.0435). Due to these differences between Caucasian women with excessive body mass, the approach of physicians and dietitians, as well as methods applied to motivate patients, need to be customized.


Sports ◽  
2019 ◽  
Vol 7 (9) ◽  
pp. 206 ◽  
Author(s):  
John Connor ◽  
Brendan Egan

Rapid weight loss (RWL) is frequently practiced in weight category sports, including Mixed Martial Arts (MMA). The aim of the present study was to describe self-reported methods of RWL in a sample of competitive MMA athletes comprising of both amateur and professional fighters. The previously-validated Rapid Weight Loss Questionnaire, with the addition of questions on water loading and hot salt baths, was completed anonymously online by athletes (n = 30; all male, n = 15/15 professional/amateur) from MMA clubs around Dublin, Ireland. All but one (97%) of the athletes surveyed lost weight in order to compete, with the average weight loss being 7.9% ± 3.1% of habitual body mass. The RWL score (mean ± SD) for this sample was 37.9 ± 9.6, and a tendency for higher [6.0 (95%CI; −1.1, 13.1) (p = 0.093; d = 0.64)] RWL scores for professional (40.8 ± 8.9) compared to amateur (34.8 ± 9.6) athletes was observed. Frequencies of “always” or “sometimes” were reported as 90% for water loading, 76% for hot salt baths and 55% for 24 h of fasting. Fellow fighters (41%) and coaches/mentors (38%) were “very influential” on RWL practices of these athletes, with doctors (67%), dietitians (41%), and physical trainers (37%) said to be “not influential”. RWL is highly prevalent in MMA across both amateur and professional athletes, and RWL scores are higher than other combat sports. Water loading and hot salt baths are amongst the most commonly used methods of RWL despite little research on these methods for body mass reduction or effects on performance in weight category sports.


2001 ◽  
Vol 23 (1) ◽  
pp. 31 ◽  
Author(s):  
K Green

Autumnal body mass reduction in a seasonally snow-covered environment is reported for Antechinus swainsonii (Marsupialia: Dasyuridae), thus extending the phylogenetic spectrum in which this phenomenon is known. Above 1600 m altitude the average mass of individual A. swainsonii falls from 48.6 g to 42.6 g (a 12.3% loss) from April to May. The difference in mass results from a reduction in lean mass rather than a metabolisation of fat reserves. In A. swainsonii, the need to increase body mass in late summer only to lose it in autumn prior to a winter beneath the snow seems superfluous. However, the higher mass may be necessary to survive the harsher microclimate in autumn before conditions ameliorate beneath the snow cover. Survival from April to May is higher in heavier animals (that do lose mass in autumn) than lighter animals (with mass in April equal to that of animals after loss of body mass). These lighter animals disappear from the population in autumn. With snow cover in place, A. swainsonii is able to increase mass in winter.


Author(s):  
Frédérique S. Servin ◽  
Valérie Billard

Obesity is becoming an epidemic health problem, and the number of surgical patients with a body mass index of more than 50 kg m−2 requiring anaesthesia is increasing. Obesity is associated with physiopathological changes such as metabolic syndrome, cardiovascular disorders, or sleep apnoea syndrome, most of which improve with weight loss. Regarding pharmacokinetics, volumes of distribution are increased for both lipophilic and hydrophilic drugs. Consequently, doses should be adjusted to total body weight (propofol for maintenance, succinylcholine, vancomycin), or lean body mass (remifentanil, non-depolarizing neuromuscular blocking agent). For all drugs, titration based on monitoring of effects is recommended. To minimize recovery delays, drugs with a rapid offset of action such as remifentanil and desflurane are preferable. Poor tolerance to apnoea with early hypoxaemia and atelectasis warrant rapid sequence induction and protective ventilation. Careful positioning will prevent pressure injuries and minimize rhabdomyolysis which are frequent. Because of an increased risk of pulmonary embolism, multimodal prevention is mandatory. Regional anaesthesia, albeit technically difficult, is beneficial in obese patients to treat postoperative pain and improve rehabilitation. Maximizing the safety of anaesthesia for morbidly obese patients requires a good knowledge of the physiopathology of obesity and great attention to detail in planning and executing anaesthetic management. Even in elective surgery, many cases can be technical challenges and only a step-by-step approach to the avoidance of potential adverse events will result in the optimal outcome.


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