Overweight is an increasing health problem characterised as a higher than normal body weight due to an abnormal increase in body fat. Body weight adequacy is categorized by using body mass index (BMI), however other parameters such as fat mass (FM), waist circumference (Wci) or waist to hip ratio, are relevant. Ideally, body composition should be calculated initially to evaluate changes during a dietary intervention of weight loss. Hunger experience is another parameter to take into account. The aim of this study was to assess the improvement of weight and body composition through the use of food supplements to control hunger, with and without a hypocaloric diet prescription. 252 women who wanted to lose weight were recruited in the program and splitted into two groups and were monitored for 8 weeks. Anthropometric measures (weight, height, body mass index, fat mass, waist and hip circumference) were taken. The mean age was of 36.84±7.29 and most of them were within overweight or obesity values for BMI, FM, Wci and hip circumference. After 8 weeks, both groups got significant results, achieving not only weight loss but also reduction in body mass index, fat mass, and waist and hip circumferences. However, as expected, improvements were better in FS+diet than in FS group. There is a need to tackle overweight and obesity individually, taking into account the personal characteristics of the patient. Food supplements may be useful to manage hunger and professional individualised assessment is critical to succeed.
Chronic compartment syndrome (CCS) is a pathological situation in which there is an increase in the interstitial muscular pressure which produces a conflict of microcirculation and enervation. The main characteristic is pain and stiffness during activity with intense neurovascular symptoms.The initial presentation is clinical with diagnosis confirmed by an intracompartmental pressure measurement (ICP) to confirm the diagnosis. Other non-invasive diagnostic techniques like magnetic resonance imaging and near infrared spectroscopy produce less clear results.Conventional treatment reduces the symptoms but its application presents difficulties for sportspeople. Fasciotomy is still the treatment of choice followed by postsurgical rehabilitation, although the possibility of relapse cannot be discounted.Materials and methods10 sportspersons have been studied with CCS, diagnosed by ICP, and looked at in the medical department of CAR Sant Cugat during the period 2003–2009. Personal characteristics were: age: 31.5 years +12.07; weight: 72.4 kg + 6.55: height 171.4 cm+4.95; IMC 24.67+2.42; one woman and nine men. The Whitesides technique was used for administering the PIC and the Pedowitz criteria for confirming the diagnosis. The treatment was evaluated using a test based on Slimonet al(2002). The patients evaluated the results as bad, medium, good or excellent. The pain was evaluated on a subjective scale of 1–10 together with the presence or absence of weakness, muscular contractions or paresthesia.Results10 subjects diagnosed with CCS (8 flexors and 8 extensors). The latent diagnostic period was from 18,6 months±19,8.Over the total 16, 10 were treated with fasciotomy and 6 with conventional treatment.Total recovery: using fasciotomy 9 versus conservative 0. Using fasciotomy, the total recuperation period took more than a year in eight cases. Compartments with an unsatisfactory therapeutic result: fasciotomy 1, conservative 6. Two cases diagnosed as CCS without fulfilling the Pedowitz criteria due to an extended recovery time. These two cases were given conservative treatment but were not complete a good recovery.ConclusionThe latency diagnostic period are longFasciotomy comes out as the better treatment but with recovery times longer than a year in all cases except one.The recovery time of basal pressure during the test seems a variable worth taking into account independently of the Pedowitz criteria, so for that reason we think it deserve an analysis in greater depth.
Overweight is a health problem characterised as a higher than normal body weight due to an abnormal increase in body fat. Body weight adequacy is categorised using body mass index (BMI), however other parameters as fat mass (FM), waist circumference or waist to hip ratio, are relevant. Ideally, body composition should be calculated initially to evaluate changes during a dietary intervention for weight loss. Hunger experience is another parameter to take into account in order to succeed. The aim was to investigate and describe the characteristics of women seeking weight loss solutions. We organised an open program for people with body excess who wanted to lose weight. 252 women participated and answered to a dietary interview. Anthropometric measures of weight, height, body mass index, body fat, waist and hip circumference were taken. The mean age was of 36.84±7.29 years, and most of them, about 90%, have followed dietary programs for weight loss throughout their lives. They all wanted to lose weight in a range of 3 to 20 kilograms with a mean value of 11.49±6.01 kilograms. 123 women had a hunger profile of satiating behaviour and 129 a snacking one. The mean BMI was within overweight values, and mean fat mass was within obesity values. Waist and hip circumference were higher than normal in most of the participants and excess body weight perception and attitude were different. There is a need to tackle overweight and obesity individually, taking into account personal consciousness and expectancy, anthropometric measures and hunger experience.
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