Coronal Knee Malalignment in Young Adults and Its Link to Body Measures

J Knee Surg DOI: 10.1055/s-0038-1646928Our aim was to report the prevalence of knee varus-valgus malalignment (KVVM) and its association with body mass index (BMI) and body height in a healthy and fit young adult population. Information on the disability codes associated with KVVM according to the Regulations of Medical Fitness Determination was retrieved from a medical database containing records of 17-year-old males and females before their recruitment into mandatory military service. Logistic regression models assessed the association between the BMI and body height to KVVM. The study cohort included 821,381 subjects (460,674 males and 360,707 females). The prevalence of KVVM was 0.9% in males and 0.6% for females. Under/overweight subjects were associated with higher prevalence of KVVM. The odds ratios (ORs) had a “J” curve pattern, increasing for underweight males and females, and even more so for above-normal BMIs (for obese males and for both overweight and obese females). The strongest association was between obese females and KVVM: an obese female had an OR of 22.864 (confidence interval [CI] = 20.683–25.725, p 
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Original Article Source Type: research

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Beyond medical complications, people with obesity experience dramatic impairment of quality of life, including adverse workplace effects. Obesity results in weight-based discrimination and a high rate of unemployment because of work disability, absenteeism, loss of productivity, and cost. A few studies have been performed to assess the relationship between obesity surgery and the workplace, concluding in an improvement in weekly working hours and productivity, and a decrease in absenteeism, days of sick leave, and state benefit claims.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Integrated Health Article Source Type: research
Aging is associated with changes in body composition, insulin resistance, excessive weight, dynapenia, sarcopenia, and frailty [1 –3]. Age-related abdominal fat mass accumulation and muscle weakness are major medical concerns due to negative influence on health outcomes such as cardiometabolic factors, disability and mortality risk [4–7]. At the same time, muscle disuse is a major cause of loss of muscle mass and strength [1]. Regarding the diagnostic criteria of sarcopenia, several working groups have proposed the presence of decreased skeletal muscle mass, either alone or with low muscle strength and/or dimin...
Source: Maturitas - Category: Primary Care Authors: Source Type: research
The prevalence of overweight and obesity has reached epidemic proportions worldwide due to increasingly pervasive obesogenic lifestyle changes. Obesity poses unprecedented individual, social, and multidisciplinary medical challenges by increasing the risk for metabolic diseases, chronic organ failures, and cancer as well as complication rates in the presence of acute disease conditions. Whereas reducing excess adiposity remains the fundamental pathogenic treatment for obese individuals, complex metabolic and lifestyle abnormalities as well as weight reduction therapies per se may also compromise the ability to preserve mus...
Source: Obesity Facts - Category: Eating Disorders & Weight Management Source Type: research
CONCLUSION: A child's right to health was a strong discourse for acting when a child was at risk for harm, but parental rights are strong when relocation to a foster home is judged to be necessary. PMID: 30025301 [PubMed - as supplied by publisher]
Source: Child Abuse and Neglect - Category: Child Development Authors: Tags: Child Abuse Negl Source Type: research
CONCLUSION: Parents and carers would benefit from targeted interventions based on improving techniques around food parenting practices, with a focus on equipping parents with the skills to overcome barriers encountered not only in early childhood, but as children progress to school age and through to adolescence. PMID: 29989497 [PubMed - in process]
Source: International Journal of Qualitative Studies on Health and Well-being - Category: International Medicine & Public Health Tags: Int J Qual Stud Health Well-being Source Type: research
ConclusionsOur findings suggest that MNA-SF2 is a more sensitive tool for identifying malnourishment than MNA-SF1. Obesity can obscure the identification of malnourished patients if clinicians rely solely on the MNA-SF1, which uses the body mass index.
Source: Journal of Taibah University Medical Sciences - Category: Universities & Medical Training Source Type: research
Conclusions: Integrated HIV–NCD screening has the potential to efficiently use resources compared with stand-alone services. Although all-inclusive NCD screening could increase the incremental cost per person screened for integrated HIV–NCD services over 40%, a less costly lipid assay or targeted screening would result in a modest increase in costs with the potential to avert NCD death and disability. Our analysis highlights the need for implementation science studies to estimate the cost-effectiveness of integrated HIV–NCD screening and linkage per disability-adjusted life year and death averted.
Source: JAIDS Journal of Acquired Immune Deficiency Syndromes - Category: Infectious Diseases Tags: Implementation Science Source Type: research
Publication date: June 2018Source: The Journal of Steroid Biochemistry and Molecular Biology, Volume 180Author(s): Sunil J. Wimalawansa, Mohammed S. Razzaque, Nasser M. Al-DaghriAbstractThe incidence and prevalence of vitamin D deficiency are increasing worldwide. It is estimated that over 50% of the world’s population have low vitamin D (i.e., hypovitaminosis D; serum levels below 30 ng/mL). In vitamin D inadequacy, human physiological systems work inefficiently. In humans, 80% of the vitamin D is synthesized in the presence of ultraviolet rays from sunlight; for the rest, we rely on diet and nowadays, supplements...
Source: The Journal of Steroid Biochemistry and Molecular Biology - Category: Biochemistry Source Type: research
ConclusionThe model we developed for predicting readmissions for hospitalised patients with type 2 diabetes helps identify a subgroup of frail patients with a high risk of readmission.ResumenObjetivosHemos desarrollado un modelo predictivo de reingreso hospitalario en pacientes con diabetes. El objetivo es identificar aquella población frágil que requiera estrategias adicionales para evitar reingresos a 90 días.MétodosUtilizando datos recogidos en 3 estudios de prevalencia nacionales (2015-2017) que incluyeron un total de 1.977 pacientes hemos desarrollado y validado un modelo predictivo de rein...
Source: Revista Clinica Espanola - Category: Internal Medicine Source Type: research
Publication date: June 2018Source: Journal of Visceral Surgery, Volume 155, Issue 3Author(s): D. Quilliot, M.-A. Sirveaux, C. Nomine-Criqui, T. Fouquet, N. Reibel, L. BrunaudSummaryThe decision to perform a bariatric surgical procedure, the conclusion of a clinical pathway in which management is individually adapted to each patient, is taken after multidisciplinary consultation. Paradoxically, the patients who would most benefit from surgery are also those who have the highest operative risk. In practice, predictive factors of mortality and severe postoperative complications (Clavien-Dindo > III) must be used ...
Source: Journal of Visceral Surgery - Category: Surgery Source Type: research
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