Monday, 18 August 2014

Obesity Complication of Depression

By Kyle J.Norton

Obesity is defined as a medical condition of excess body fat has accumulated overtime, while overweight is a condition of excess body weight relatively to the height. According to the Body Mass Index(BMI), a BMI between 25 to 29.9 is considered over weight, while a BMI of over 30 is an indication of obesity. According to the statistic, 68% of American population are either overweight or obese.

How to calculate your BMI index
BMI= weight (kg)/ height (m2)

Depression is a normal response as part of our daily lives such as the loss of s job, the death of a love one, and illness. Over 30 million Americans suffer from depression and the amount is increasing in an alarming rate. Depression may be a mental health disorder that can affect the way you eat, sleep, and the way you feel about yourself. The mild case of depression can be defeated by a variety of self-care techniques. Others require the treatment of medication, such as antidepressant medications and psychotherapy that help to reduce and sometimes eliminate the symptoms of depression.

How Obesity associates with depression
1. According to the study of "Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies" by Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BW, Zitman FG. (Source from Department of Psychiatry, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, the Netherlands. f.s.lent-luppino@lumc.nl.), posted in PubMed, researchers concluded that This meta-analysis confirms a reciprocal link between depression and obesity. Obesity was found to increase the risk of depression, most pronounced among Americans and for clinically diagnosed depression. In addition, depression was found to be predictive of developing obesity.

2. In a study of "
Parental depression, family functioning, and obesity among African American children" by Davis M, Young L, Davis SP, Moll G. (Source from Department of Psychology, Jackson State University in Jackson, MS 39217-0350, USA. melvin.davis@jsums.edu), posted in PubMed, Researchers found that several models emerged for predicting childhood and parental body mass index, parental depression, and child behavioral problems. Findings indicated a role for parental depression in childhood obesity. These findings are discussed in light of Bandura 's Social Cognitive Theory, and the family's role in childhood obesity

3. In n abstract of the study of "
Association between obesity and depression: Evidence from a longitudinal sample of the elderly in Taiwan" from Chang HH, Yen ST. (Source from a Department of Agricultural Economics , National Taiwan University , Taipei , Taiwan), posted in PubMed, researchers indicated that : In contrast to most findings for the Western countries, a negative association between obesity and depression of the elderly is evident in Taiwan. The different findings between Western and Asian countries may be due to the cultural differences. Unlike the Western countries that stigmata are attached to excessive overweight, being overweight is not a symbol of unhealthiness because only the wealthy can afford to eat more and put on more weight in the Chinese society

4. According tithe study of "Association between Body Mass Index and depression: the "fat and jolly" hypothesis for adolescents girls" by Revah-Levy A, Speranza M, Barry C, Hassler C, Gasquet I, Moro MR, Falissard B, posted in PubMed, researchers found that there is evidence for a gender difference in the association between BMI and depression in adolescents, supporting the need to study boys and girls separately. Overweight adolescent girls are more likely to be depressed than obese adolescent girls, giving support for "fat and jolly" hypothesis not only among older women but also among adolescent girls.

5. In a study of "Obesity and onset of significant depressive symptoms: results from a prospective community-based cohort study of older men and women" byVogelzangs N, Kritchevsky SB, Beekman AT, Brenes GA, Newman AB, Satterfield S, Yaffe K, Harris TB, Penninx BW; Health ABC Study., (Source from Department of Psychiatry and EMGO Institute for Health and Care Research, VU University Medical Center, AJ Ernststraat 887, 1081 HL Amsterdam, Netherlands. n.vogelzangs@ggzingeest.nl) posted in PubMed, researchers concluded that This study shows that obesity, in particular visceral fat, increases the risk of onset of significant depressive symptoms in men. These results suggest that specific mechanisms might relate visceral fat to the onset of depression.

6. etc.

E. Treatments of Obesity and Depression
1. According to the abstract of the study of "Treatment of Comorbid Obesity and Major Depressive Disorder: A Prospective Pilot Study for their Combined Treatment" by Faulconbridge LF, Wadden TA, Berkowitz RI, Pulcini ME, Treadwell T. (Source from Center for Weight and Eating Disorders, Department of Psychiatry, University of Pennsylvania, School of Medicine, Philadelphia, PA 19104, USA), posted in PubMed, researchers found that Obese individuals suffering from major depressive disorder can lose weight and achieve improvements in symptoms of depression and CVD risk factors with 16 weeks of combined treatment. A larger randomized controlled trial is needed to establish the efficacy of this treatment.

2. In a study of "Depression and suicidality in obese patients" by Lester D, Iliceto P, Pompili M, Girardi P. (Source from The Richard Stockton College of New Jersey, USA), posted in PubMed, researchers indicated that A study of 70 obese patients indicated the presence of severe depression in 32% of the sample and some suicidal risk in 23%. Given this high prevalence, health professionals should always explore the presence of depression and suicidality in obese patients.

3.. In a study of " The Role of Adipokines in Understanding the Associations between Obesity and Depression" by Taylor VH, Macqueen GM. (Source from Mood Disorders Program, Centre for Mountain Health Services, McMaster University, D150-A, 100 West 5th Street, St. Joseph's Healthcare, Hamilton, ON, Canada L8N 3K7), posted in PubMed, researchers found that This paper is one of the first to examine the association between adipokines and depression. It provides an overview of the physiological role of adipokines and summarizes the data suggesting that they may be dysregulated in major depression. This area of research may become increasingly important as new treatment strategies are developed.

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A Mayonnaise-like dressing for Diabetics

Diabetic recipe
Attributed to Delicious Dish for diabetics by Robin Ellis, Published by Skyhorse Publishing Inc. New York. You can view its website at www.skyhorsepublishing.com.

Not as soft and unctuous  of course, but good with salmon, for instance and asparagus, and does not involve the irksome though rewarding business of making mayonnaise! Heresy, I know.....
1 tbsp. cider vinegar
1 tsp. Dijon mustard
juice of 1/4 of a lemon
4 - 5 tbsp. extra-virgin canola/colza oil.

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The Best 4 tomato salsa - Spicy Mexi-Bean Dip

Contributed by diabetic cooking "Great tasting recipe for the entire Family" by Jean Pare, published by Company coming.

Make this recipe in accompany fresh tomato salsa. Serve both with Crispy barbecue Chips

Cooked (or 1 can 19oz., 540ml) black bean, drained and rinse  1/12 cups  375ml
Dice jalapeno pepper and seed removed  1tbsp.  15 ml
Salsa   1/4 cup  60ml
Light sour cream   1/4 cup  60ml
Grated light Monterery jack cheese 1/12 cups   375ml
Mash beans with fork or masher in medium bowl until broken up. Add next 3 ingredients and 1/2 of cheese. Spoon into shallow1 quart (1L) casserole. Sprinkle remaining 1/2 cheese on top. Bake, uncovered in 350 degree F (175 degree C) oven for 20 minutes or until bubbly. Make 2 cups (500ml)
2 tbsp. (30ml); 67 calories; 3.6 g total fat (2.4g sat., 10.3 mg cholesterol); 118 mg sodium; 4g protein; 5g carbohydrate; 1g dietary fiber.
Choice; None

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Sunday, 17 August 2014

Obesity Complication of Asthma

By Kyle J. Norton

Obesity is defined as a medical condition of excess body fat has accumulated overtime, while overweight is a condition of excess body weight relatively to the height. According to the Body Mass Index(BMI), a BMI between 25 to 29.9 is considered over weight, while a BMI of over 30 is an indication of obesity. According to the statistic, 68% of American population are either overweight or obese.

B. How to calculate your BMI index
BMI= weight (kg)/ height (m2)

C. How Obesity associates with Asthma
1. In an abstract of study of "Overweight is not a comorbidity factor during childhood asthma (GrowthOb study)?" by Mahut B, Beydon N, Delclaux C. (Source from Hôpital européen Georges-Pompidou, Service de Physiologie - Clinique de la Dyspnée, F-75015 Paris, France), posted in PubMed, researchers indicated that Compared to normal weight children, overweight plus obese children had reduced lung volume ratios (FRC/TLC and RV/TLC), no evidence of airflow limitation and similar symptoms.In conclusion, the observed functional relationships with BMI are not specific of asthma, and, being overweight is not associated with significant clinical impacts on asthma during childhood.

2. According to a study of "Urban-rural differences in asthma prevalence among young people in Canada: the roles of health behaviors and obesity" by Lawson JA, Janssen I, Bruner MW, Madani K, Pickett W. (Source from Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, SK, Canada, and the Department of Medicine, University of Saskatchewan, Saskatoon, SK, Canada), posted in PubMed, researchers found that Although asthma prevalence among youth was lower in rural areas, this association was not mediated by health behaviors or obesity. Other exposures, likely environmental, are the logical mechanisms through which rural geographic status is related to lower asthma prevalence.

3. In a study of "The association of obesity and asthma severity and control in children" by
Quinto KB, Zuraw BL, Poon KY, Chen W, Schatz M, Christiansen SC. (Source from Department of Allergy and Immunology, University of California, San Diego, La Jolla, Calif), posted in PubMed, researchers found that Even after adjusting for demographics, parental education level, asthma controller use, and gastroesophageal reflux disease and diabetes mellitus diagnoses, overweight (BMI percentile for age, 85% to 94%) and obese (BMI percentile for age, ≥95%) children were more likely to have increased β-agonists dispensed (odds ratio of 1.15 [95% CI, 1.02-1.27] and odds ratio of 1.17 [95% CI, 1.06-1.29], respectively) and increased risk for oral corticosteroids dispensed (odds ratio of 1.21 [95% CI, 1.13-1.29] and odds ratio of 1.28 [95% CI, 1.21-1.36], respectively) compared with normal-weight (BMI percentile for age, 16% to 84%) children.

4. According to the study of "The relationship between obesity and asthma severity and control in adults" by Mosen DM, Schatz M, Magid DJ, Camargo CA Jr. (Source from Center for Health Research, Kaiser Permanente, Portland, OR 92111, USA. david.m.mosen@kpchr.org), posted in PubMed, researchers found that Even after adjusting for demographics, smoking status, oral corticosteroid use, evidence of gastroesophageal reflux disease, and inhaled corticosteroid use, obese adults were more likely than those with normal BMIs (<25 kg/m(2)) to report poor asthma-specific quality of life (odds ratio [OR], 2.8; 95% CI, 1.6-4.9), poor asthma control (OR, 2.7; 95% CI, 1.7-4.3), and a history of asthma-related hospitalizations (OR, 4.6; 95% CI, 1.4-14.4).

5. In a study of "Measures of obesity associated with asthma diagnosis in ethnic minority children" by Vangeepuram N, Teitelbaum SL, Galvez MP, Brenner B, Doucette J, Wolff MS. (Source from
Department of Preventive Medicine, Mount Sinai School of Medicine, 1 Gustave L. Levy Place, Box 1512, New York, NY 10029, USA),posted in PubMed, researchers found that When comparing the highest quintile of each body fat measure to the combined lowest two quintiles, higher body mass index percentile, percent body fat, and waist circumference all were associated with a higher likelihood of physician-diagnosed asthma (PR = 1.63 (95% CI 1.12-2.39), 1.50 (95% CI 1.02-2.21), and 1.56 (95% CI 1.04-2.34), resp.). Conclusions. This study found a significant association between increased body size and asthma diagnosis, regardless of the measurement examined.

6. In an abstract of the study of "Body mass index and the risk of asthma in adults" by Luder E, Ehrlich RI, Lou WY, Melnik TA, Kattan M. (Source from Department of Pediatrics, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1202B, New York, NY 10029, USA. elisabeth.luder@mssm.edu), posted in PubMed, researchers indicated that this cross-sectional study showed that men and women differ significantly in the association between BMI and asthma prevalence only with respect to the lowest weight category. While women had a monotonic association, men showed a U-shaped relationship, indicating that both extremes of weight are associated with a higher prevalence of asthma.

7. Etc

D. Treatments of Obesity and Asthma

1. According to the study of "Influence of obesity on control in asthmatic Japanese patients defined by the Japanese definition of obesity" by Youkou A, Hasegawa T, Suzuki K, Koya T, Sakagami T, Toyabe S, Arakawa M, Gejyo F, Narita I, Suzuki E. (Source from Division of Respiratory Medicine, Niigata University Graduate School of Medical and Dental Sciences, Japan.), posted in PubMed, researchers found that This study investigated influences of JASSO-defined obesity on asthma severity and management in a clinical setting in Japan. It is possible that there are strong interactions between asthma and obesity, such as obesity causing decreased ICS therapy efficacy and leukotriene (LT)-related inflammation, although further investigation is necessary.

2. According to a study of "Impact of bariatric surgery on pulmonary function and nitric oxide in asthmatic and non-asthmatic obese patients" by Lombardi C, Gargioni S, Gardinazzi A, Canonica GW, Passalacqua G. (Source from Allergy Unit, Department of Internal Medicine, Sant'Orsola-Poliambulanza Hospital, Brescia, Italy), posted in PubMed, researchers stated that Bariatric surgery significantly reduces the intake of inhaled corticosteroids and the levels of exhaled nitric oxide, thus bronchial inflammation, in asthmatics.

3. According to the study of "Weight loss and asthma control in severely obese asthmatic females" by Maniscalco M, Zedda A, Faraone S, Cerbone MR, Cristiano S, Giardiello C, Sofia M. (Source from Section of Respiratory Medicine, Hospital S. Maria della Pietà Casoria, Naples, Italy. mauromaniscalco@hotmail.com), posted in PubMed, researchers found that Consistent weight loss in severely obese patients with asthma is associated to improvement in respiratory symptoms and lung function. However, the mechanisms underlying the effect of large body mass changes on asthma would require further studies.
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For those who love herbs - Herb Dip

Contributed by diabetic cooking "Great tasting recipe for the entire Family" by Jean Pare, published by Company coming.

Good with any cut-up vegetables. the flavour is much better when made a gay ahead
Non fat plain yogurt  1 cup  250ml
Non fat salad dressing (or non fat mayonnaise) 1/4 cup  60ml
Parsley flakes  2tsp.  10ml
Chopped fresh chives (or 2 tsp. 10ml dried)   1tbsp.  15ml
Dried whole oregano   1/2 tsp.  2ml
Dried sweet basil  1/2 tsp.  2ml
Dried tarragon leaves, crushed  1/8 - 1/4 tsp.  .5 - 1 ml
Dry mustard  1 tsp.   5ml
Salt  1/2 tsp.  2ml
Granulated sugar  1/2 tsp.  2 ml
Combine all 10 ingredients in small bowl. Cover. Chill for at least 2 hours to blend favours. Make 11/8 cups (250ml)
1 tbsp. (15ml); 12 calories; .1 total fat (trace sat. .3 mg cholesterol); 110 mg sodium; 1 g protein; 2 g carbohydrate; trace dietary fiber.
Choice: none
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The Best nutrient's drink - Coconut durian shake (Thailand)

Recipe attributed to Ani's Raw Food Asia by Ani Phyo, Published by Life Long Book. Asian Cuisine the Raw Food Way. You can visit her website at aniphyo.com

Make  4 servings
I know durian is hardly a common, everyday ingredient here in the State. But, since durian is one of my favorite fruits, I had to include this recipe here. If you  can't find durian, you can just use 3 cups of your favorite fruit to this recipe instead.
Durian is Mother nature's custard, and is a fatty fruit like avocado that's packed with sulfur and MSM (methylsufinylmethane). Great for our joints and soften scar tissues, MSM is a powerful antioxidant that increases blood flow. Coconut also has the twice the potassium od a banana. The electrolytes and potassium in coconut plus the MSM in durian make this smoothie great post workout fuel.
If you don't know what a durian is and want to see what it looks like, check out the video I shot about durian in Bali: http://www.youtube.com/watch?v=teV_F2GdwXI.
3 cups deseeded durian, fresh or frozen
2 coconuts, water and meat
1/4tsp. cinnamon
Additional filtered water as needed
Place durian, coconut water, coconut meat and cinnamon into your blender. Blend smooth. Add additional water as desired to create the consistency you prefer. Enjoy immediately.

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Saturday, 16 August 2014

Obesity Complication of Hypoventilation Syndrome

By Kyle J. Norton

Obesity is defined as a medical condition of excess body fat accumulated overtime, while overweight is a condition of excess body weight relatively to the height. According to the Body Mass Index(BMI), a BMI between 25 to 29.9 is considered over weight, and a BMI of over 30 is an indication of obesity. According to the statistic, 68% of American population are either overweight or obese.

How to calculate your BMI index
BMI= weight (kg)/ height (m2)

Obesity hypoventilation syndrome is defined as a condition of low blood oxygen levels and high blood carbon dioxide (CO2) levels in the body of severe obese people who can not breath rapidly and deeply.

How Obesity associates with Obesity Hypoventilation Syndrome
1. In a study of "[Obesity and Sleep-related Breathing Disorders]" Luo JM, Xiao Y., posted in PubMed, researchers wrote that Obesity, with an increasing prevalence,has become one of the most common metabolic diseases. Obesity is associated with many respiratory diseases, especially sleep-related breathing disorders including obstructive sleep apnea-hypopnea syndrome, obesity hypoventilation syndrome, and overlap syndrome. This article reviews the association between obesity and these sleep-related breathing disorders.

2. According to a study of "The pickwickian syndrome-obesity hypoventilation syndrome" by Littleton SW, Mokhlesi B., posted in PubMed, researchers wrote that Obesity-hypoventilation syndrome (OHS), also historically described as the Pickwickian syndrome, consists of the triad of obesity, sleep disordered breathing, and chronic hypercapnia during wakefulness in the absence of other known causes of hypercapnia. Its exact prevalence is unknown, but it has been estimated that 10% to 20% of obese patients with obstructive sleep apnea have hypercapnia

3. In the abstract of the study of "Respiratory complications of obesity" [Article in English, Spanish] by Rabec C, de Lucas Ramos P, Veale D., posted in PubMed, researchers indicated that Obesity, well known as a cardiovascular risk factor, can also lead to significant respiratory complications. The respiratory changes associated with obesity extend from a simple change in respiratory function, with no effect on gas exchange, to the more serious condition of hypercapnic respiratory failure, characteristic of obesity hypoventilation syndrome. More recently, it has been reported that there is an increased prevalence of asthma which is probably multifactorial in origin, but in which inflammation may play an important role.

4. In a study of "Influence of body mass index on treatment of breathing-related sleep disorders" by Dzieciolowska-Baran E, Gawlikowska-Sroka A, Poziomkotska-Gesicka I, Teul-Swiniarska I, Sroczynski T., posted in PubMed, researchers found that the analysis demonstrated a significant influence of body mass on snoring, particularly in complicated and severe types of breathing disorders, such obstructive sleep apnea or hypopnea, and the obesity hypoventilation syndrome. Corrective interventions carried out to eliminate anatomical abnormalities causing obstruction of upper airways provided the best therapeutic effects in patients with normal body mass.

5. According to the study of "Sleep-related breathing disorders, loud snoring and excessive daytime sleepiness in obese subjects" by Resta O, Foschino-Barbaro MP, Legari G, Talamo S, Bonfitto P, Palumbo A, Minenna A, Giorgino R, De Pergola G., posted in PubMed, researchers concluded that OSA is present in more than 50% of a population of obese patients with a mean BMI higher than 40.0, this percentage being much higher than that commonly reported in previous studies, particularly in women. Neck circumference in men and BMI in women seem to be the strongest predictors of the severity of OSA in obese patients. Nocturnal hypoventilation seems to be present in more than 29% of a severe obese population. Moreover, this study indicates that morbid obesity can be associated with excessive daytime sleepiness even in the absence of sleep apnea.

6. Etc.

Treatments of Obesity and Obesity Hypoventilation Syndrome
1. According to the study of "Noninvasive Ventilation in Mild obesity hypoventilation syndrome: A randomized controlled trial" by Borel JC, Tamisier R, Gonzalez-Bermejo J, Baguet JP, Monneret D, Arnol N, Roux-Lombard P, Wuyam B, Levy P, Pepin JL, posted in PubMed, researchers found that NIV group patients (n=18) were older (58±11 versus 54±6 years) with a higher baseline PaCO(2) (47.9±4.2 versus 45.2±3 mmHg). In intention to treat analysis, compared to control group, NIV significantly reduced daytime PaCO(2) (difference between treatments: -3.5 mmHg; 95%CI:-6.2 to -0.8) and apnea-hypopnea-index (-40.3/h 95%CI:-62.4 to -18.2). Sleep architecture was restored although non-respiratory micro-arousals increased (+9.4/hour of sleep; 95%CI: 1.9 to 16.9) and daytime sleepiness was not completely normalized. Despite a dramatic improvement in sleep hypoxemia, glucidic and lipidic metabolism parameters as well as cytokines profiles did not vary significantly. Accordingly, neither RH-PAT (+0.02; 95%CI: -0.24 to 0.29) nor arterial stiffness (+0.22m.s(-1); 95%CI: -1.47 to 1.92) improved.

2. According to the study of "Obesity hypoventilation syndrome" by Al Dabal L, Bahammam AS., posted in PubMed, researchers indicated that Despite its major impact on health, this disorder is under-recognized and under-diagnosed. Available management options include aggressive weight reduction, oxygen therapy and using positive airway pressure techniques. In this review, we will go over the epidemiology, pathophysiology, presentation and diagnosis and management of OHS.

3. In the abstract of the study of "Diagnosis and management of obesity hypoventilation syndrome in the ICU" by Lee WY, Mokhlesi B., posted in PubMed, researchers concluded that Because of the global obesity epidemic and the high prevalence of obstructive sleep apnea in the general population, critical care physicians are likely to encounter patients who have acute-on-chronic respiratory failure attributable to OHS in their clinical practice. In this article we define the clinical characteristics of OHS, review its pathophysiology, and discuss the morbidity and mortality associated with OHS. Finally, we offer treatment strategies during ICU management using noninvasive positive pressure ventilation that may guide the physician in the care of these challenging patients.


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