Background and Objective:Obstructive sleep apnoea is characterized by repetitive interruption of ventilation during sleep due to collapse of the pharyngeal airway leading to intermittent hypoxia, sleep fragmentation and is also associated with atherosclerosis, initiation and progression of cardiovascular disease. Obesity has shown to be a major predisposing factor for OSA. Anthropometric measurements have shown to be a risk factor for OSA. Though, sagittal abdominal diameter (SAD) has been proposed as the valid measurement of the visceral fat mass and cardio-metabolic risk. There is dearth in literature suggesting SAD as a risk factor for OSA. Hence, this study was taken up to investigate the same. Materials and Methods:This pilot study was conducted on 50 subjects including both males and females. Demographic data along with the anthropometric measurements like waist circumference, hip circumference, waist hip ratio, waist-height ratio, thigh circumference and sagittal abdominal diameter were measured after which the subjects were administered with STOP-BANG questionnaire and Modified Berlin questionnaire. Results:The results have shown to have a positive correlation between sagittal abdominal diameter and STOP-BANG questionnaire(r=0.13) and modified berlin questionnaire(r=0.038). There is weak positive correlation between neck length and STOP-BANG questionnaire(r=0.038) and modified berlin questionnaire(r=0.002). Conclusion:This pilot study suggests that sagittal abdominal diameter and neck length may also be considered as a novel risk factor for diagnosis of obstructive sleep apnea (OSA) in larger population.
Cancer-related fatigue is one of the most common problems experienced by 70% of cancer patients during and after chemotherapy and radiotherapy. Psychological problems like depression, anxiety and mood variations follow the diagnosis of cancer and subsequent treatment with chemotherapy. The incidence of psychologic problems is found to be greater when cancer is associated with activity limitations. Psychological problems such as fatigue, anxiety and depression are assessed using unidimensional and multi-item unidimensional tools. Clinical trials have shown that physical activity in the form of brisk walking is beneficial in minimizing the effect of psychological effects by reducing the fatigue levels, depression, anxiety and enhancing the quality of life in cancer survivors.
Background and Objectives: Energy expenditure (EE) is the total energy cost of maintaining homeostasis. Therefore, it is important to adjust the individual's nutritional supply and physical activities. Numerous studies suggest evaluation of energy expenditure in various Caucasian and few studies in Asian population. However there is dearth of literature relating to evaluation of components of energy expenditure in Indian physiotherapy student population. Hence, the present study was taken up to evaluate EE in terms of basal metabolic rate, resting metabolic rate, thermic effect of exercise, total daily calorie expenditure in Indian physiotherapy students and to find the correlation between anthropometric measurements and components of EE. Materials and methodology: A total of 100 Physiotherapy students who participated were subjected to anthropometric measurements (BMI, waist-hip ratio). Energy expenditure was calculated using Harris-Benedict's and Mifflin's equation. RMR and TEE were also calculated as per FAO guidelines. Results: Miffin's equation demonstrated statistically significant differences (p<0.001) between normal, overweight and obese students. However, using Harris Benedict equation showed no statistically difference (p=0.164) between overweight and obese group. Also when compared Miffin to gold standard equation (i.e Harris Benedict),it was found that Miffin was more accurate among nonobese students. RMR, TEE and TDCE (r=0.677, r=0.512, r=0.609) respectively were highly significant (pd"0.05) when compared between normal BMI, overweight and obese students. There was a positive correlation between the components of EE and the anthropometric measurements Conclusion: This pilot study concludes that Miffin's equation demonstrated a strong positive correlation among all the three groups as compared to Harris Benedict equation and may be considered as an accurate equation among all the three groups in Indian physiotherapy student population.
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