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It can be concluded that ghrelin, obestatin, and leptin are affected by presence of H. pylori seropositivity in obese subjects. The higher ghrelin levels and ghrelin/obestatin ratio with lowered obestatin could be considered as a gastro-protective effect against inflammation induced by H. pylori.

Purpose: This study aimed at demonstrating the reliability of surface area under the maximum expiratory flow volume curve (Aex) and rectangular area ratio (RAR) to define the type of ventilatory impairment and assessing potential clinical value of Aex ratio (measured / predicted Aex) to indicate the severity of ventilatory obstruction. Methods: Spirometric data of 75 subjects were analyzed by qualified pulmonologists to distinguish between different spirometric patterns representing expert decision. Computerized graphic analysis methodology was used, Aex was used to calculate other parameters (area of concavity and RAR) and an algorithm for diagnosis was proposed. For validation of the proposed grading and cutoff values, we compared them with expert decision using classification and regression trees (CART). Results: According to calculated parameters, obstructive pattern is realized if area of concavity (Au) has positive value and RAR is less than 0.5. While convexity/linearity is indicated if RAR ≥ 0.5 and Au has negative value or equal zero, indicating normal or restrictive pattern. Aex ratio was selected as second-best predictor of restriction at a cut-off value of 49%. Furthermore, the diagnostic performance of Aex ratio in predicting moderate-to-severe obstructive lung disease was excellent. Conclusion: The proposed computerized technique succeeded using RAR and Aex in differentiating between restriction, obstruction and normal patterns. Additionally, Aex ratio may be a valid parameter to grade the severity of obstruction.

The aim of this work was to investigate the effect of an acute bout of different exercise intensities on modifying the inflammatory markers in overweight and obese subjects.Sixty adult males divided into: a control group (n=30) included normal weight subjects (BMI < 25 kg/m 2 ) and an overweight (OW) and obese group (n=30) included subjects with BMI ≥ 25 kg/m 2 . Each group was randomly subdivided into three groups (n=10 each): low, moderate and high intensity exercise groups. Anthropometric measurements obtained and plasma C-reactive protein (CRP), interleukin-6 (IL-6) and tumor necrosis factor alpha (TNF-α) levels were measured before and thirty minutes after twenty minutes incremental exercise, at 45%, 60% or 80% of predicted maximum heart rate, on a motor driven treadmill. Following an acute bout of moderate or high intensity exercise, OW and obese subjects showed significant increase in CRP and IL-6 levels; however, TNF-α levels significantly decreased. Nevertheless, an acute low intensity exercise induced no significant changes in any of the measured markers in the OW and obese subjects. In conclusion, an acute bout of moderate or high intensity exercise, but not low intensity exercise, induces an inflammatory response, characterized by a rise in levels of CRP and IL-6, and a decrease in TNF-α level in overweight and obese subjects.

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