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2015| July-December | Volume 3 | Issue 2
Online since
December 16, 2015
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ORIGINAL ARTICLES
Association between obesity and mental disorders among male students of King Khalid University, Abha, Saudi Arabia
Ali Abdullah AlMousa AlQahtani, Shamssun Nahar, Saeed Mohammed AlAhmari, Khaled Saad AlMousa AlQahtani
July-December 2015, 3(2):48-54
DOI
:10.4103/2347-2618.171953
Background:
Previous research suggested that obesity is associated with an increased risk of mental illness. Depression, stress, and anxiety are among the psychological problems that are commonly associated with obesity among students. However, evidence linking obesity to mental illness is inconsistent.
Objectives:
The objective of this study was to investigate the associations between mental disorders (in particular the depression, anxiety, and stress) and obesity in the male students of King Khalid University (KKU).
Subjects and Methods:
A cross-sectional study was conducted including male Saudi students enrolled in KKU at Abha City during the academic year 2013-2014. A multi-stage random sampling technique was adopted. Data were collected using the Arabic version of the depression anxiety stress scale.
Results:
The study included 389 university students. Their age ranged between 18 and 26 years with a mean age of 21.2 1.5 years. They were almost equally distributed between four colleges (Medicine, Pharmacy, Sciences, and Languages and translation). Overweight was reported among 22.1% of the students whereas obesity was reported among 18.3% of them. The overall prevalence of depression, anxiety, and stress were 48.1, 58.9, and 40.4%, respectively. The association of obesity with depression, anxiety, and stress was found statistically significant (
P
< 0.001, <0.001 and <0.003, respectively).
Conclusion:
The prevalence of overweight and obesity are considerably high among male University Students in Abha. These findings suggest that obesity is associated with depression, anxiety, and stress. Prospective studies will ultimately be required in order to clarify the temporal relation between obesity and common mental disorders.
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Prevalence of overweight/obesity among primary school pupils in Urban Centre, Nigeria
Elizabeth Onazahi Ajayi, Hassan Abdullahi Elechi, Mohammad Arab Alhaji
July-December 2015, 3(2):59-65
DOI
:10.4103/2347-2618.171959
Background:
Overweight and obesity, initially thought to be the problem of the developed countries, are rapidly rising in the developing countries constituting a high proportion of nutritional problems in these countries. Several factors, including changing lifestyle and improved economic power, are believed to contribute to this trend. This pattern if unchecked is known to lead to several medical complications. We thus aim to assess and compare the prevalence of overweight/obesity among primary school pupils from the public and private schools as well as determine factors contributing to the rising trend.
Materials and Methods:
Four hundred and twenty primary school children from public and private schools were selected using multistage stratified random sampling. Relevant information was obtained using a questionnaire, and anthropometric indices were recorded. Data obtained were analyzed using EPI INFO version 3.5.1. and frequencies were compared using Chi-square.
Results:
Seventy-three (17.4%) of the 420 pupils studied were found to be overweight/obese. Pupils from private school accounted for the majority of these cases with 28 (13.3%) and 29 (13.8%) of them being overweight and obese, respectively. High socioeconomic class and consumption of energy-dense diet were significantly associated with high prevalence of overweight/obesity (
P
< 0.001). In contrast, regular physical activity was significantly associated with low prevalence (
P
< 0.001).
Conclusion and Recommendations:
Prevalence of overweight/obesity among primary school pupils is quite high in Lagos, Nigeria. High socioeconomic class, consumption of energy dense food, and lack of adequate physical activities appear to be major factors contributing to this high prevalence. Introduction of daily school meal and mandatory physical activity in all the schools would go a long way in imbibing healthy eating and lifestyle pattern into these children. Public nutritional education and campaign on the importance of healthy lifestyle and complications associated with overweight and obesity would probably reverse the trend.
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EDITORIAL
Diabesity in Gulf Countries: What is the next step?
Yahia Mater Al-Khaldi
July-December 2015, 3(2):47-47
DOI
:10.4103/2347-2618.171952
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ORIGINAL ARTICLES
Weight status among pregnant women in Aseer region, Saudi Arabia
Bandar Abdullah Al-Asmari, Safar A Alsaleem, Abdullah M Al Shahrani, Yahia M Al Khaldi, Muneera M Alqahtani, Tahani M Alhamdan
July-December 2015, 3(2):55-58
DOI
:10.4103/2347-2618.171957
Background:
Obesity is one of the most common chronic diseases in Saudi community that affecting all ages and both genders. Objectives: The aim of this study is to estimate the weight status of pregnant women and its associated factors in Aseer Region, Saudi Arabia. Methodology: This cross-sectional study was conducted on pregnant women who were follow at antenatal clinics in primary health care center (PHCC) in Aseer Region during the period (3
rd
to 7
th
of November 2013). Data collection sheet was designed by the investigators to achieve the aim of this study. Working nurses in the antenatal care clinics were given written instructions regarding the objective, the importance of this study and how to measure the weight and how to fill data collection sheet properly. Data were coded and then entered into a personal computer provided with SPSS.
Results:
A total of 800 pregnant women attended PHCCs during the period of study. The mean age was 29.4 6.3 years and about 50% of them were between 26 and 35 years old. Saudi represents the vast majority, and 85% of them were housewives. Mean of gravidity and parity were 4 and 2.5 respectively. Mean gestational age was 20 weeks, and rate of obesity and overweight were 32% and 38%, respectively. Conclusion: This study revealed that most of the pregnant women attending PHCC in Aseer Region were overweight or obese. Obesity rate increased significantly with advanced age and parity.
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Assessment of insulin resistant and the related cardio-metabolic factors in overweight-obese women presented with missed abortion, Baghdad, Iraq
Abdulzahra N. M. Al-Shareefi, Marwan S. M. Al-Nimer, Henan D. S. Aljebory, Bushra T Hasan
July-December 2015, 3(2):66-71
DOI
:10.4103/2347-2618.171961
Aims:
This study aimed to assess the status of insulin resistance (IR) in overweight-obese women presented with missed abortion and to look for the presence of other cardio-metabolic risk factors. Setting and Design: This observational study was carried at Al-Yarmouk Teaching Hospital in Baghdad, Iraq during the period from March 1, 2014, to January 31, 2015.
Materials and Methods:
A total number of 60 patients presented with missed miscarriage and managed with misoprostol and, dilatation and curettage (D and C) were enrolled in the study. The data of anthropometric and blood pressure were collected. Fasting serum lipid profile, serum glucose, and fasting insulin were determined. IR is assessed by using the homeostatic model assessment-IR (HOMA-IR). The patients were grouped according to the body mass index (BMI) into Group I (BMI <25 kg/m
2
) and Group II (BMI ≥25 kg/m
2
).
Results:
There is the nonsignificant difference between Group I and Group II in the characteristics and the clinical presentations of the patients. Significant high percent of the history of missed miscarriage observed in Group II compared with Group I (35.6% vs. 6.7%, respectively). Group II women significantly needed D and C intervention in addition to misoprostol therapy compared with Group I (75.6% vs. 13.3%) respectively. Although the blood pressure and lipid profile determinants are within normal levels, they significantly higher in Group II compared with Group I. Fasting serum insulin levels and HOMA-IR index are significantly higher in Group II (13.0 ± 0.5 μU/ml and 2.75 ± 0.5 μU/ml) than Group I (12.2 ± 0.3 μU/ml and 2.43 ± 0.11 μU/ml), respectively.
Conclusion:
Miscarriage overweight-obese women have significant IR as well as alteration in metabolic determinants. Misoprostol
per se
is not enough to produce spontaneous expulsion of the uterine content and surgical intervention is needed in these women.
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Online since 11 April, 2013