Challenging patient groups
This article focuses on those patients that do not necessarily fit a systems-based approach of classification. Many of these patients present challenges to the clinicians involved with perioperative care and so it is important to have a good understanding of how they should be managed. This article will focus on elderly patients, pregnant patients presenting for non-obstetric surgery, obese patients and immunocompromised patients.
Conditions: Gestational Diabetes Mellitus; Medical Nutrition Therapy; Overweight/Obese; Gut Microbiota; Adverse Pregnancy Outcomes Interventions: Dietary Supplement: Prebiotic-containing dairy; Dietary Supplement: Dietary intervention Sponsor: Capital Medical University Recruiting
Gestational diabetes mellitus (GDM) has serious effects on both mother and child. Like Type 2 Diabetes Mellitus, it is increasing in prevalence world-wide. In addition to obesity, sleep duration has been named...
Authors: Güler B, Özler S, Kadıoğlu N, Özkan E, Güngören MS, Çelen Ş Abstract Our aim was to investigate whether Antimullerian Hormone (AMH), complete blood count (CBC), Homeostasis model assessment (HOMA-IR), systolic blood pressure (SBP), diastolic blood pressure (DBP), and weight gain have any diagnostic value for the prediction of cardiovascular disease (CVD) in obese and non-obese pregnant patients. A prospective, case-control study was carried out, including 187 patients (93 obese, and 94 non-obese). CVD risk for each patient was evaluated according to the American College o...
In conclusion, offspring of mothers who smoked during pregnancy have higher odds of overweight and mean difference of BMI, and these associations persisted into adulthood. PMID: 31800784 [PubMed - in process]
(Reuters Health) - Obese women who have weight-loss surgery between pregnancies may be less likely to experience complications like high blood pressure and preterm births in their second pregnancy, a recent study suggests.
Mode of delivery unrelated to whether a baby is overweight as a young adult, study suggestsDelivery by caesarean section does not increase the chance of a baby ending up overweight or obese as a young adult, researchers have found, contrary toprevious research.The authors of the study say their work drew on a huge number of people and more fully takes into account a wide range of possible factors that could explain why babies born by caesarean tend to end up heavier.Continue reading...
ConclusionThis study is the largest population-based study conducted regarding fetal macrosomia. The rate of fetal macrosomia declined over the previous 5 decades with the most substantial drop observed in the phenotype with the worst prognosis.
Conditions: Apnea, Obstructive Sleep; Obesity Intervention: Device: Bioelectrical Impedance Analysis (BIA) Sponsor: Samuel Lunenfeld Research Institute, Mount Sinai Hospital Recruiting
CONCLUSION: Prenatal smoking is associated with higher odds of GDM, after adjusting for known risk factors, and stratifying by prepregnancy BMI and gestational weight gain. Reducing smoking during pregnancy might reduce the risk of GDM and could be an additional reason for promoting smoking cessation among pregnant women. PMID: 31809434 [PubMed - as supplied by publisher]
International Journal of Obesity, Published online: 05 December 2019; doi:10.1038/s41366-019-0501-2Maternal infection and antibiotic use in pregnancy and the risk of childhood obesity in offspring: a birth cohort study