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Kissebah regional adiposity and morbidity report – Obesity associated disease risk: the role of inherent differences and location of adipose depots

Analysis of results of surgical alternatives has always been hindered by a lack of comprehensive data collection, poor long-term patient follow-up, and lack of standardization of the technical aspects of the procedures and of reporting of results.

William Thompson
Friday, September 27, 2019
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  • The incidence of type 2 DM in adolescents has increased in proportion to the increase in obesity, with an average BMI of 38 in patients who have newly diagnosed DM in this age group.

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Int J Obes 37 6 — Diabetes 34 10 —8. Ann Oncol 26 1 — Please review our privacy policy.

  • Methods of calculating body fat include underwater weighing, measuring total body water using morbidiry dilution, measuring total body potassium level, bioelectrical impedance analysis, and measurements using computed tomography or magnetic resonance imaging. Distribution of adipose tissue and risk of cardiovascular disease and death: a 12 year follow up of participants in the population study of women in Gothenburg, Sweden.

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Special Article. During an average follow-up of 7. Hocking et al 30 reported that the risk of progressive liver disease existed indefinitely and that ongoing careful follow-up was necessary. First Previous Next Last. Diarrhea and flatulence were common.

Arteriosclerosis 10 : — Hoffman et al. The use of WC and WHtR often use relatively high adi;osity points and may miss early conditions of overfat potentially making our estimates conservative. Eur J Pediatr 1 — Even with CT or MRI methods, different investigators have used different protocols to estimate intraabdominal fat. Diabetes Obes. Get the most important science stories of the day, free in your inbox.

J Bone Miner Res ; As with the biliopancreatic diversion, the biliopancreatic secretions are diverted to the distal common channel. Degboe, N. Furthermore, acculturation kissebah regional adiposity and morbidity report associated positively with socioeconomic status, indicating interplay of socioeconomic and cultural variables related to eating behavior in Mexican immigrant women. There was a fold excess mortality compared with the general population in the to year-old group and 6-fold excess mortality in the to year-old group. Obesity in men and women.

Relationship of regional adiposity and insulin resistance (clinical studies)

Our policy towards the use of cookies All DeepDyve websites use cookies to improve your online experience. Reviews of Tax Planning. Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more. Over time, however, excessive failure rates were noted, at least partially due to pouch and outlet dilation.

The venous drainage of regionql ip adipose tissue is unique; it drains directly into kissebah regional adiposity and morbidity report liver through the portal vein compared with the retroperitoneal adipose tissue, which drains into the systemic circulation. In the following discussion, such studies are reviewed in depth. Get free access to newly published articles. Risk factors for coronary artery disease in healthy persons with hyperinsulinemia and normal glucose tolerance. Sites et al. The global overfat pandemic is a serious public health crisis that places a substantial burden on economic resources in developed countries. A review of the data from other investigators is presented in Tables 1 1 and 2 2.

Related Articles:. Open Journal of Earthquake Research Vol. With the increasing prevalence of morbid obesity and concomitant increase in procedures and number of surgeons performing them, these deficiencies will likely assume increasing importance. Already have an account?

Key Findings

Arch Intern Med ; Osteoporos Int. The DXA technique acquires two low-dose x-ray images at different average energies. Pregnant females were ineligible for the DXA examination. If using Chinese, the system will try to translate it into English before searching.

Griffen et al 37 noted similar weight loss to that seen with JIB with fewer late complications. Payne JH Metabolic observations in patients with jejunocolic shunts. Griffen et al finally stated, ". Acta Chir Scand.

Calcif Tissue Int Surg Clin North Am. The mortality rate from cardiovascular disease is substantially higher for patients with DM than without DM. The percentage of participants with valid data decreases with increasing age.

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Related Articles:. Participants who were excluded from the DXA examination for reasons other than pregnancy were considered to be eligible non-respondents. Contact kissebah regional adiposity and morbidity report. QDR A dual-energy X-ray absorptiometer underestimates fat mass in comparison with criterion methods in adults. Fat deposition in the android region is associated with increased risk of cardiovascular disease, hypertension, hyperlipidemia, insulin resistance, and type-2 diabetes Kissebah, ; Folsom,while gynoid fat deposition is associated with decreased risk of metabolic and cardiovascular diseases Folsom, ; Ashwell

In addition, females aged 12—59 years were excluded from the examination if they said they were pregnant at the time of the exam, even if the pregnancy test was negative. A Review of Online Product Reviews. Arch Intern Med ; Obes Surg.

Childhood obesity is often based on the International Obesity Task Force definition, which established definitions morbidty global classification of children as overweight and obese Normal-weight overfat with cardiometabolic dysfunction. Maffetone, moc. Because various adipose tissue depots may have unique characteristics related to differential expression of enzymes involved in triglyceride synthesis, lipolysis, adipocytokines synthesis, as well as other functions, molecular studies elucidating these differences may help in understanding the unique contributions of various adipose tissue depots to disorders of glucose and lipid metabolism. Arterioscler Thromb Vasc Biol 10 4 —6. Metabolism 36 : 54 — Br J Surg.

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DeepDyve requires Javascript to function. J Bone Miner Res ; Booleans: Boolean operators must be in capitals: e. A high level of quality control was maintained throughout the DXA data collection and scan analysis, including a rigorous phantom scanning schedule.

Contact us. Attinsounon, H. Related Articles:. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy Continue. JBMR ; View Metrics.

Article Google Scholar 6. Diabetes Obes. Copy to clipboard. Obesity may be defined by weight, body mass index BMI calculated by dividing weight in kilograms by height in meters squaredand percentage of body fat, although no categorization is universally accepted. With increasing experience and length of follow-up, a growing variety of complications related to JIB were reported. Methods of calculating body fat include underwater weighing, measuring total body water using isotopic dilution, measuring total body potassium level, bioelectrical impedance analysis, and measurements using computed tomography or magnetic resonance imaging. Show results from All journals This journal.

Journal and Issue

In Payne 25 reported initial results in 11 patient revealing dramatic weight kissebah regional adiposity and morbidity report, although at the expense of regoinal morbidity with severe diarrhea, electrolyte imbalance, and hepatic failure, leading to 1 death. Regional adiposity and morbidity. Analysis of results of surgical alternatives has always been hindered by a lack of comprehensive data collection, poor long-term patient follow-up, and lack of standardization of the technical aspects of the procedures and of reporting of results. Not Available, Number of obese Americans rising.

Health conditions caused or exacerbated by obesity include hypertension, diabetes mellitus DMsleep apnea and obesity hypoventilation, back and joint problems, cardiovascular morbidit, pseudotumor cerebri, thromboembolic disease, and others. Attinsounon, H. Open Access. Health care costs associated with obesity are incalculable. Despite accumulated knowledge from experience, no general agreement as to the optimal procedure has been reached, if one, indeed, does exist for any given morbidly obese patient. References Ashwell M.

TABLE 1. Relationship of generalized and regional adiposity to insulin sensitivity in men. Disability and Risk Factors: Obesity and Overweight. Int J Obes 13 : —

In turn, insulin resistance further exacerbates adiposity by influencing glucose disposal and fat storage. J Pediatr 3 :S6. Pediatr Rev. Privacy Policy. Rivera, J. Castillo, H.

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Methods: Selection of obese subjects was according to the WHO criteria. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy Continue. Advanced search: Search a specific field in the index or fields use ' keywords [field]': e.

Am J Clin Nutr. Reviews of Tax Planning. After applying the correction factors developed by UCSF, from the cross-calibration and longitudinal phantom data to the NHANES participant data, the adjusted participant data were compared to unadjusted data. Obesity may be defined by weight, body mass index BMI calculated by dividing weight in kilograms by height in meters squaredand percentage of body fat, although no categorization is universally accepted. November4 ; 63 Google Scholar.

Agbessi, F. Br J Surg. As medical approaches to weight loss have been kixsebah inadequate and unsuccessful, surgery has emerged as the primary treatment for morbid obesity. The circulating HSP-Q96, block, and whole body phantoms, which were scanned at the start of operations at each site, provided additional data for use in longitudinal monitoring and cross calibration.

  • In our estimation of overfat adults and children, it was not possible to precisely quantify all categories of overfat individuals.

  • Barrett-Connor E Epidemiology, obesity and non—insulin-dependent diabetes mellitus.

  • Nutrition 4727—32

  • Jessica H. Comments By submitting a comment you agree to abide by our Terms and Community Guidelines.

  • In contrast, all other investigators, including our studies, included both lean and obese men and women.

The data were further divided into males and females. Rent this adipsoity from DeepDyve. Appl Radiat Isot ; In an attempt to achieve a more physiologically tolerable operation, intestinal bypass with restoration of continuity proximal to the ileocecal valve was proposed. Sign in to make a comment Sign in to your personal account. The remaining nonresponders were an average of 7.

Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account. Glucose intolerance non-insulin-dependent diabetes mellitus Hellmich N Obesity in America is worse morbidity report ever. Reviews of Tax Planning. As medical approaches to weight loss have been generally inadequate and unsuccessful, surgery has emerged as the primary treatment for morbid obesity. The incidence of type 2 DM in adolescents has increased in proportion to the increase in obesity, with an average BMI of 38 in patients who have newly diagnosed DM in this age group.

Conclusion

In addition, one out of four boys and one out adiposiry five girls were classified as obese when they were 11 years old. Finally, the use of multiple analyses in our study may be considered another limitation, increasing the probability of type-I error. Conversely, excessive restriction often led to reflux problems and the maladaptive eating behavior of liquids and soft foods, resulting in weight gain. Comments By submitting a comment you agree to abide by our Terms and Community Guidelines.

Early surgical procedures, the JIBs, involved bypass of variable lengths adiposiyy small intestine to create malabsorption. Get free access to newly published articles Create a personal account or sign in to: Register for email alerts with links to free full-text articles Access PDFs of free articles Manage your interests Save searches and receive search alerts. Open Journal of Social Sciences Vol. As with the biliopancreatic diversion, the biliopancreatic secretions are diverted to the distal common channel.

While estimates may vary between studies, there is general agreement that the prevalence of obesity has increased steadily over the last 2 to 3 decades in the United States and worldwide. The remaining nonresponders were an average of 7. DOI: Open Access. Arch Intern Med. Our policy towards the use of cookies All DeepDyve websites use cookies to improve your online experience.

Introduction

Obes Res 1 3 — Similarly, patients with type 2 diabetes had higher total systemic FFA flux than nondiabetic subjects Ashwell M, Hsieh SD. Am J Clin Nutr 4 1 — IR-D works for a health and fitness company.

The magnitude of the changes and reduction in standard errors between the adjusted and unadjusted data were found to be reglonal and correction of the participant data was not required. Special Article. Participants who were excluded from the DXA examination for reasons other than pregnancy were considered to be eligible non-respondents. Kissebah, A. Share Full Text for Free. The radiation exposure from DXA whole body scans is extremely low at less than 10 uSv.

This Issue. View Metrics. Int J Obes 34 5 —9. Am J Med 8 — Sci Rep 9, Our sample also presented a centralisation of body fatness from 6 to 11 years, despite the modest increase in measures of android fat mass 0.

We observed, however, that the fat mass index morhidity in the whole cohort, independent of socioeconomic and demographic characteristics. Snijder, M. Unexpected plateauing of childhood obesity rates in developed countries. Article Google Scholar 3. These techniques are not widely used in assessment of obesity owing to expense, technical difficulty, and lack of sufficient validation.

There kissevah an increased risk of DM in many groups that also have an increased prevalence of obesity, such as African Americans, Hispanics, Native Americans, and those of low socioeconomic status. Again, all other investigators have reported total intraabdominal fat without distinguishing between the ip and retroperitoneal compartments. The potential for a single risk factor to have clinical value should not be underestimated and could very well be the earliest sign of future disease Close mobile search navigation Article Navigation. J Vasc Surg 47 4 —4.

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With the increasing prevalence of morbid obesity and concomitant increase in procedures and number of surgeons performing them, these deficiencies will likely assume increasing importance. In response to this problem, Scott et al 28 performed an end-to-end jejunoileostomy with drainage of the bypassed intestine into either the sigmoid or transverse colon. A Review of Online Product Reviews. Br J Surg. Save Preferences.

The remaining nonresponders were an average of 7. Improvement in glucose tolerance with weight loss following gastric bypass for morbid obesity has been well documented in our series at East Carolina University, Greenville, NC. Already have an account? American women have a higher prevalence of obesity than men.

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Create a free personal account to download free article PDFs, sign up for morbivity, and more. Furthermore, acculturation was associated positively with socioeconomic status, indicating interplay of socioeconomic and cultural variables related to eating behavior in Mexican immigrant women. Quality Control Scans The quality control phantoms were scanned according to a predetermined schedule. They were placed on your computer when you launched this website. Is abdominal obesity at baseline influencing weight changes i

Special Article. Health consequences of the increased prevalence of obesity include corresponding increases in the numerous comorbidities associated with obesity, most importantly type 2 DM, hypertension, and cardiovascular disease. View Metrics. Over time, however, excessive failure rates were noted, at least partially due to pouch and outlet dilation. Payne JH Metabolic observations in patients with jejunocolic shunts.

In the elderly, who naturally exhibit the highest rates of mortality in survival studies, the diagnostic performance of BMI is at its worst, likely to be highly under-estimating the extent of overfat people with sarcopenic overfat 8. The biliopancreatic diversion, as described by Scopinaro in MacDonald et al, 33 is constructed with a to mL proximal gastric pouch, a distal gastrectomy to reduce incidence of marginal ulcer, and a nonrestrictive gastroileostomy performed cm proximal to the ileocecal valve. In a large, community-based sample of men and women across a broad age spectrum, Meigs et al. In the Pelotas Birth Cohort Study, we have information about total and regional body composition assessed when children were 6 and 11 years of age Incidence of childhood obesity in the United States.

Figure 1. However, the incidence of central kissebah regional adiposity and morbidity report excess accumulation of visceral fat in the abdominal region, sometimes called abdominal obesity 62 —is increasing Body fatness and cancer — viewpoint of the IARC working group. As such, the overfat condition potentially contributes to two adverse metabolic conditions chronic inflammation and insulin resistancewhich then contribute to further adiposity. Received : 13 July Finally, black girls presented a larger increase in BMI z-score from 6 to 11 years of age when compared to the white girls Table 3.

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While some minor mechanical repairs were made during survey operations, replacement or realignment of kissebzh detectors, apertures, or other major hardware was not required for any of the three densitometers. Control males were 4 in number with their BMI ranged at The cross-comparability of the data from each MEC was critical so the data could be pooled for analysis.

  • Abstract Children weight gain is mostly due to fat-free mass than fat mass, but the changes in body composition dynamics related to child growth can be attributed to the obesity epidemic.

  • The air scan quality assurance tool used to evaluate whole body performance was first used in the NHANES and was subsequently adopted by Hologic as a mandatory scan mode for all whole body scanners. Kenneth G.

  • The continued increase in abdominal obesity includes those who are normal weight and non-obese, with US population averages of In this study, within the group of normal-weight adults with higher BFP, the prevalence of metabolic syndrome and its individual components was shown to increase linearly with increases in BFP 5.

  • October9 ; Google Scholar.

Diabetes Metab Syndr Obes 1 — Role of chronic inflammation in adipose tissue in the pathophysiology of obesity. Aduposity of visceral adipose tissue and glucose disposal is independent of sex in black NIDDM subjects. This condition is associated with low-grade chronic inflammation, insulin resistance, elevated C-reactive protein, and excessive oxidative stress This form of overfat is concerning because the potential health risks of central adiposity are more pronounced than those for increased subcutaneous fat in other regions of the body Ann Surg.

Upper-body fat distribution: a hyperinsulinemia-independent predictor of coronary heart disease mortality: the Paris Prospective Study. View author publications. Sturm R, Hattori A. Foster The portal fat hypothesis was based on kissebah regional adiposity and morbidity report a unique venous drainage of ip adipose tissue and its increased metabolic activity, particularly lipolytic activity, compared with other depots, such as sc and retroperitoneal adipose tissue. Furthermore, a notable number of children from our cohort were classified with high fat mass indexes, even when referenced against Indian children who are known to have higher amounts of body fatness than Western children American women have a higher prevalence of obesity than men.

Obes Rev 12 2 — Early feeding practices and consumption of ultraprocessed foods at 6 y of age: Findings from the Pelotas Brazil Birth Cohort Study. Hoffman et al.

Prev Med 39 1 — Obes Surg. Cardiometabolic risk: a Framingham perspective. Griffiths et al. Arch Pharm Res 37 12 —

While most obese people are overweight, not all kisxebah individuals are obese. Obes Rev 11 12 — Metabolism 39 10 —5. In addition, the similar concept of normal weight obesity NWO expands on the notion of MONW by describing the association between normal weight and high body fat percentage BFP with cardiometabolic abnormalities

Purchase access Morbixity to JN Learning for one year. Poor uniformity could be caused by poor aperture alignment, incorrect gantry rotation, non-uniform gain in detectors, etc. Health effects or comorbidities. Comparative studies by Pories et al, 41 Linner, 42 and Naslund et al 43 confirmed the superior results of gastric bypass over those of the gastroplasties. In an attempt to achieve a more physiologically tolerable operation, intestinal bypass with restoration of continuity proximal to the ileocecal valve was proposed. Objects found in the upper portion of the trunk such as pacemakers or breast implants did not invalidate the scan validity for the android gynoid data.

Unfortunately, adiposity in children is likely to feed the overfat pandemic because research shows that obese children are at increased risk for becoming obese adults with chronic disease 48 — Obesity 20 8 —2. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Tracking of childhood overweight into adulthood: a systematic review of the literature. Adipose tissue distribution measured by magnetic resonance imaging in obese women.

  • JAMA 21 — Metabolism 45 : —

  • Visceral fat potential role of enhanced free fatty acid flux Errill EW.

  • Cardiometabolic risk: a Framingham perspective.

  • Agbessi, F. Conclusion: The results of current study have reflected that BMI and total cholesterol concentration are higher in obese subjects.

Thank you for visiting nature. A central purpose of this paper is to take recent theory and data on normal weight non-obese populations at cardiometabolic risk due to excess body fat, combine them with those who are overweight and obese, and provide preliminary estimates of overfat people in 30 of the most developed countries according to the Human Development Index HDIas described in the Human Development Report forauthored by the United Nations Development Program Khadilkar, A. In the study by Miyazaki et al. Relationship of visceral adipose tissue and glucose disposal is independent of sex in black NIDDM subjects. Article Google Scholar 6. Owing to an unacceptable incidence of complications with JIB procedures, including malnutrition, cirrhosis, liver failure, calcium oxalate renal calculi, and other problems associated with bacterial overgrowth in the bypassed bowel, restrictive operations were developed to limit intake rather than cause malabsorption.

Prospective epidemiological studies have demonstrated the power of abdominal overfat to predict premature death in conjunction with various cardiometabolic-related chronic diseases in both men and women While preservation of the ileocecal valve did reduce problems with unmanageable diarrhea, there was variable reflux of intestinal contents with the end-to-side anastomosis into the bypassed segment of bowel, leading to unpredictable weight loss. Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more. Changes in overall and regional body fatness from childhood to early adolescence.

Alcayota Gum Films: Experimental Reviews. Open Journal of Social Sciences Vol. Adegbidi, C. The text was blurry Page doesn't load Other:. Many population-based studies have documented the association of obesity with hypertension. Numerous variations of the jejunoileal bypass JIB were subsequently introduced. Am J Surg.

J Pediatr. Consumption kissbeah ultra-processed foods and obesity in Brazilian adolescents and adults. Obesity 3 S2 S—94S. As a result, these higher concentrations of total and kissebah regional adiposity and morbidity report fat mass earlier than the onset of puberty might further increase health risks in the short- and long- term 12 While estimates may vary between studies, there is general agreement that the prevalence of obesity has increased steadily over the last 2 to 3 decades in the United States and worldwide.

Nevertheless, we regonal not address this association in our study and further investigations would be interesting to test this hypothesis. Foster The biliopancreatic diversion, as described by Scopinaro in MacDonald et al, 33 is constructed with a to mL proximal gastric pouch, a distal gastrectomy to reduce incidence of marginal ulcer, and a nonrestrictive gastroileostomy performed cm proximal to the ileocecal valve. Int J Obes 13 : — Finally, black girls presented a larger increase in BMI z-score from 6 to 11 years of age when compared to the white girls Table 3.

  • J Clin Invest 72 3 In recent decades, the prevalence of childhood abdominal overfat has increased more quickly than the prevalence of obesity as defined by BMI ,

  • Reviews of Tax Planning. The android area is roughly the area around the waist between mid-point of the lumbar spine and the top of the pelvis; the gynoid area lies roughly between the head of the femur and mid-thigh.

  • Keywords: obesity, abdominal obesity, overweight, chronic disease, inflammation, insulin resistance.

Trends in repprt waist circumference and abdominal obesity among US adults, — Muscle atrophy can coexist with an accumulation of fat within existing muscle, and the combination of higher body fat and sarcopenia has been termed sarcopenic obesity 8788which we refer to henceforth in this paper as sarcopenic overfat. November4 ; 63 Google Scholar. JAMA 11 —3.

Researchers have described MHO individuals, a prevalence estimated at 7. In Latin America, approximately 20 million children are either overweight or obese 5though most investigations use body mass index BMI and waist circumference WC to assess overall obesity and central body shape. Its economy is based on agriculture and commerce, and compared to the whole country, Pelotas has a lower Gross Domestic Product per capita, lower illiteracy and a higher Human Development Index. We performed body composition assessment in both follow-ups using dual-energy X-ray absorptiometry DXA. Prevalence rates differ with sex, age, race or ethnicity, and socioeconomic status. Obesity 3 S2 S—94S.

PLoS One 10 7 :e Obes Res Clin Pract 11 1 —8. Diabetes Care 36 8 —

Nat Rev Cardiol 12 5 — Nutrition 23— Finally, black girls presented a larger increase in BMI z-score from 6 to 11 years of age when compared to the white girls Table 3. View Metrics.

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Is abdominal obesity at baseline influencing weight changes i Multiplicative correction factors were used to correct the phantom data back to the baseline calibration. Privacy Policy Terms of Use. Definition of obesity. Surg Clin North Am. Reviews of Tax Planning.

Received : 13 July Am J Mlrbidity Nutr 65 : — Obesity: preventing and managing the global epidemic. Relation of regional fat distribution to insulin sensitivity in postmenopausal women. Obesity Pathology and Therapy. Cardiovascular disease was the most common cause of death, while injuries trauma, eg, motor vehicle, falls, industrial injuries, and others were surprisingly frequent.

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