Print ISSN: 2790-0207

Online ISSN: 2790-0215

Keywords : Obesity

The Relationship of Waist-Hip Ratio and Body Mass Index to Blood Pressure of Employee in Sulaimani Teaching Hospital

Muthanna Mustafa Hussein

Kirkuk Journal of Medical Sciences, 2020, Volume 8, Issue 1, Pages 18-31

Background: Several studies have shown that the reisa significant relationship between increase in weight and blood pressure. The anatomical distribution of weight has also been shown to be a factor in determining which people are moresusceptible to hypertension and thus, at risk of developing cardiovascular diseases. Objectives: To examine the Body Mass Index profile and Waist Hip Ratio ratio measurements of Sulaimani Teaching Hospital employee and its relationship withblood pressure. Methodology: Two hundred individuals of Sulaimani Teaching Hospital employeeaged20- 65 years (according to inclusion criteria) were selected including males and females. Information was obtained about lifestyle, smoking, and occupation as well as family history of hypertension, diabetes, cardiac and renal diseases, that employee were asked to undergo physical examination, height, weight, waist circumference, hip circumference, mid arm circumference systolic and diastolic blood pressure and pulse rate were recorded. The partial correlation was used to quantify the association between Body Mass Index and Waist Hip Ratio and other anthropometrics with systolic and diastolic blood pressure. Results: Mean Body Mass Index was 27.28 (SD±4.55). Descriptive analysis revealed that 1(0.5%) of the study populationis classified as underweight, 66(33 %) as normal weight, 91(45.5%) as overweight, and 42(21.0 %) as obese. Abdominal adiposity, as measured by increased Waist Hip Ratio, was present in 126 subjects (63%) among them 23(18%) subjects hadnormal Body Mass Index. Inspection of the data obtained for the hypertension, indicated. That (16) subjects of the study population (8.0%) were hypertensive, (6females and10 males) among those (5) males had normal Body Mass Index. Partial correlation controlled for age, revealed that both Body Mass Index and Waist Hip Ratio were independently correlated with both systolic and diastolic blood pressures, this association was more with Waist Hip Ratio than that of Body Mass Index. Conclusions: The present results indicate that there is a high prevalence of overweight and obesity specially among the young and adult sage groups more than that of the old age group in Sulaimani Teaching Hospital employee, additionally there is high prevalence of abdominal obesity specially young females in spite of having normal Body Mass Index. Thereishighincidenceofhypertensionandthisincidencerelatedmorewiththeincreasingweighta ndabdominalfatthan with ageing table (13) and figure (1 -A).

Study the Relation between Obesity and Diabetes Mellitus among Hospital Attendants in Erbil City

Layla A. Bakir; Karwan H. Sulaiman

Kirkuk Journal of Medical Sciences, 2018, Volume 6, Issue 1, Pages 136-143

Background and Objectives: Being overweight or obese increases the chances of developing the common type of diabetes, type 2 diabetes. In this disease, the body makes enough insulin but the cells in the body have become resistant to the salutary action of insulin. Information on such public health issues would provide evidence based data to develop guidelines and policies on this subject. The aim of this study was to study the relation between obesity and diabetes mellitus among patient‘s attendants in Erbil city during a period of one year starting from the first of April 2017 to the first of April 2018. Methods: A cross-sectional study included 198 people selected from Erbils outpatient clinics (included two teaching hospitals and two primary health care centers). During a period of one year starting from the first of April 2017 to the first of April 2018. Patient's body mass index ≥ 30 kg/m2 were included in the study. A questionnaire was used to collect the data by face to face interview with the patients. Results: The total number of the sample was 198 people. Their mean age + SD were 43.49 + 11.61 years. The median was 43 years and the age range was 19 to 65 years, (54.5%) of the samples were females, the male: female ratio was0.83:1. The occurrence of diabetes in the studied sample was (18.7%). It increased from (14.3%), to (20.4%), and to (23.3%) among those with BMI of 30-34, 35-39, and ≥ 40 Kg/m2 respectively. Conclusions: There was relation between diabetes and increased body mass index the more the body mass index the more the occurrence of diabetes. The occurrence increased significantly with the age of the studied sample and it is significantly higher among the unemployed and among those who have other medical diseases, it was higher among female. We found non- significant association between diabetes with both exercise and smoking.

Length of Laparotomy for Suspected Acute Appendicitis in Relation to Body Mass Index

Kirkuk Journal of Medical Sciences, 2017, Volume 5, Issue 1, Pages 53-63

Background: Acute appendicitis is one the most common clinical presentations that requires urgent surgery, with a lifetime incidence of about (8%), the right lower quadrant incision of open appendecectomy has persisted essentially unchanged since it was pioneered by McBurny in the 9th century. Aim: To evaluate the effect of trunkal obesity and BMI on the length of the incision of appendecectomy. Patients and Methods: A prospective analysis including 199 patients who suspected to have acute appendicitis (A.A), during time period of 9 months (from first of July 2012 to first of April 2013) who were arrived at casualty department of Azadi Teaching Hospital in Kirkuk city, Iraq. After dicision of surgical intervention; each patient was interviewed by senior house officer to complete a questionnaire which was including demographic data: age, gender and clinical data including weight in (kg) height in (meter), (BMI) (classification of WHO) as shown in table (2), history of previous operation or previous attack of the pain, abdominal girth in supine and standing positionwhich is normal for female and male is between 88 and 94 cm respectively and abdominal torso or abdominal height (distance between xiphoid and symphysis pubis) were measured (normal range 30- 45cm for obese and 14-27cm for thin patient). Results: Majority (63%) of the patient were in 2nd and 3rd decade of age with mean age was 29 year, ranging from 10-70 years, on gender aspect, majority were females (58.8%), with female to male ration of 1.4:1. About half of the patient were underweight or normal weight while one third of the patient were overweight, and remaining were obese with one patient (0.5%) was morbidly obese, the length of the incisions length were from (3-11cm) with mean length of incision was 5.9cm. Conclusions: BMI is significantly related to the length of appendectomy incision, the overweight or obese one needs alonger incision in comparison to normal range or underweight patients.