Keywords : BMI

Obesity and Asthma Severity Among Adults Presenting to the Out Patient Clinic

Hashim M. Al-Kadhimi

Iraqi Postgraduate Medical Journal, 2012, Volume 11, Issue 2, Pages 205-210

Recent studies have suggested a relationship between asthma and obesity. The risk for developing asthma increases with increasing obesity among individuals. Yet little is known about how obesity influences asthma.
OBJECTIVE: To determine whether a relation of Obesity to asthma exists among adults presenting to the out patient respiratory clinic , and the correlation between Obesity and spirometric changes in patients with asthma. METHODS: A cross-sectional study was done for one hundred patients aged 17 to 70 years patients with asthma diagnosed by clinical and pulmonary function test , in the respiratory outpatient's clinic in AL Kadhmia Teaching Hospital.
Collected from May to December 2010 The following parameters were assessed:
Weight, height, body mass index, gender,spirometric parameters which includes of forced expiratory volume in 1 second (FEV1), forced vital capacity(FVC),FEV1FVC ratio, and forced expiratory flow50% (FEF50%)
There were 100 asthmatic patients,32 male and 68 female. There age between 17-70 year, classified into four groups according to BMI. There was significant relation between obesity and asthma (p=0.03),this relation was statistically significant in female(p=0.003) but not in male.
spirometry in male showed no statistically significant (p-value > 0.05) for FEV1, FVC FEV1FVC ratio, FEF50% in both non obese and obese, but in female statistically significant for FEV1FVC(p 0.05) ,FEF50% (p 0.036) , while no statistically significant for FEV1, FVC in both groups, for both male and female according to BMI there is statistically significant for FEF50% (p 0.015),while no statistically significant for FEV1FVC, FVC, FEV1 in both groups.
There was a significant relation between asthma and obesity , in female ,but not in male. There is statistically significant difference for FEF50% ,and FEV1FVC in obese female .Also there is statistically significant difference for FEF50% in both male and female according to BMI.

The Lipid Profile in Children with Type 1 Diabetes Mellitus in Erbil Governorate

Abbas A. Alrabaty; Abdulkader A. Alnakshabandi; Nazar B. Yahya

Iraqi Postgraduate Medical Journal, 2009, Volume 8, Issue 4, Pages 344-349

Diabetes Mellitus is the most common endocrine-metabolic disease in children. Diabetic patients with hyperlipidemia frequently develop atherosclerosis which is an important cause of morbidity and mortality.
The aim of this study was to evaluate serum lipids total serum cholesterol, total serum triglyceride (TGs), High density lipoprotein (HDL-C), Low density lipoprotein (LDL-C) and very low density lipoprotein (VLDL-C) in children with type-1 diabetes mellitus in comparison with controls, and to determine the relationship of lipid profile with gender, body mass index (BMI) and duration of diabetes among patients.
In this case-control study, the lipid profiles of 52 patients aged 6-18 years (27 males 25 females) with established type 1 diabetes were compared with those of 52 healthy controls of the same age and gender from the first of December 2007 to the 29th of February 2008.
The lipid profiles of patients with type 1 diabetes mellitus showed the following values, the mean total serum cholesterol 175 ± 55 mg/dl, total serum TGs 140 ± 135 mg/dl, HDL-C 59 ± 19 mg/dl, LDL-C 93 ± 51 mg/dl and that of VLDL-C 23 ± 13 mg/dl, whereas for the controls they were 136 ± 34 mg/dl, 74 ± 25 mg/dl, 53 ± 15 mg/dl, 68 ± 30 mg/dl and 15 ± 5 mg/dl respectively.
The abnormalities in lipid profile regarding total serum cholesterol, total serum TGs, LDL-C and VLDL-C showed that they were significantly higher in diabetic patients than in control group, while HDL-C although it was higher among diabetic patients, but it was not statistically significant. Total serum TGs was significantly increased with the duration of diabetes.