Tuesday, 26 August 2014

Obesity Complication of Sleep Disorder

By Kyle J. Norton
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including
world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, etc,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com
Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
All right reserved.


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, 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)


Sleep disorder (somnipathy) is a medical disorder of the sleep patterns. It’s important to understand why sleep disorder can deteriorate your health and interfere with normal physical, mental and emotional functioning as it effects your nervous system in the production of the natural hormone melatonin which is necessary for sleep and wakefulness. Polysomnography testing can help to evaluate and detect the patterns of sleep disorder.

How Obesity associates with Sleep Disorder
1. In the study of "Sleep apnea: a proinflammatory disorder that coaggregates with obesity" by Mehra R, Redline S., posted in PubMed, researchers found that this article elucidates mechanistic associations amongobesity, sleep apnea, and systemic inflammation; highlights interrelationships between these factors with cardiopulmonary disease; and identifies specific areas for future research directions.

2. According to the abstract of the study of "Postoperative considerations for patients with obesity and sleep apnea" by Bell RL, Rosenbaum SH., posted inPubMed, researchers stated that p apnea and obesity are prevalent and often coexisting conditions that challenge medical, anesthetic, and surgical treatment. It is essential to possess knowledge of the magnitude of the sleep disorder as well as concomitant medical comorbidities. Management of obese patients requires a thorough preoperative evaluation and appraisal of anesthetic and operative risks. Postoperatively, these patients can present an additional challenge.

3. In a study of "Obstructive sleep apnea in the adult obese patient: implications for airway management" by Benumof JL., posted in PubMed, researchers found that Obstructive sleep apnea in the adult obese patient may be due, in part, to an increased amount of pharyngeal tissue. Therefore, there is an increased risk of intubation and extubation difficulties and pain management can be expected to be complicated by opioid/sedative-induced pharyngeal collapse.

4. In the abstract of the study of "The relationship between obesity and craniofacial structure in obstructive sleep apnea" by Ferguson KA, Ono T, Lowe AA, Ryan CF, Fleetham JA., posted in PubMed, researchers that there is a spectrum of upper airway soft-tissue and craniofacial abnormalities among OSA patients: obese patients with increased upper airway soft-tissue structures, nonobese patients with abnormal craniofacial structure, and an intermediate group of patients with abnormalities in both craniofacial structure and upper airway soft-tissue structures.

5. According to the study of "Cephalometric abnormalities in non-obese and obese patients with obstructive sleep apnoea" by Sakakibara H, Tong M, Matsushita K, Hirata M, Konishi Y, Suetsugu S., posted in PubMed, researchers indicated that Japanese obstructive sleep apnoea patients have a series of cephalometric abnormalities similar to those described in Caucasian patients, and that the aetiology of obstructive sleep apnoea in obese patients may be different from that in non-obese patients. In obese patients, upper airway soft tissue enlargement may play a more important role in the development of obstructive sleep apnoea, whereas in non-obese patients, bony structure discrepancies may be the dominant contributing factors for obstructive sleepapnoea.

6. In a study of "Dentofacial characteristics as indicator of obstructive sleepapnoea-hypopnoea syndrome in patients with severe obesity" by Maciel Santos ME, Laureano Filho JR, Campos JM, Ferraz EM., posted in PubMed, researchers found that the most prevalent modified Mallampati index score was between 3 and 4, while grade 1 was the most prevalent tonsillar hypertrophy index score (46%). Cephalometry revealed angular and linear measurements with normally acceptable values for the hard tissues. Obese patients seem to have a normal craniofacial structure and the risk of developing OSAHS is especially related to obesity.

7. Etc.

Treatments of Obesity and Sleep Disorder
1. According to the study of "Quantification of sleep behavior and of its impact on the cross-talk between the brain and peripheral metabolism" by Hanlon EC, Van Cauter E., posted in PubMed, researchers indicated that... Simultaneously, average sleep times have progressively decreased. Recently, evidence from both laboratory and epidemiologic studies has suggested that insufficient sleep may stimulate overeating and thus play a role in the currentepidemic of obesity and diabetes,.... The findings provide evidence that sleeprestriction does indeed impair glucose metabolism and alters the cross-talk between the periphery and the brain, favoring excessive food intake. A better understanding of the adverse effects of sleep restriction on the CNS control of hunger and appetite may have important implications for public health.

2. In a study of "Sleep apnea and obesity" by Yu JC, Berger P 3rd., posted inPubMed, researchers wrote that Perhaps, the strongest observational evidence to support a link between sleep apnea and obesity is the similarity in age distribution of symptomatic sleep apnea and metabolic syndrome. The putative causal links between sleep apnea and each individual component of the metabolic syndrome have been extensively evaluated and have implicated bidirectional causality in certain metabolic conditions, such as obesity and sleep apnea, sleep apnea and diabetes mellitus, and obesity and diabetes mellitus. These studies collectively suggest that even modest weight loss improves OSA, and positively affects both metabolic and cardiovascular risk profiles.

3. in the abstract of the study of "Pharmacological treatment of obstructivesleep apnea", by Abad VC, Guilleminault C., posted in PubMed, researchers wrote that Obstructive sleep apnea (OSA) is a growing public health hazard fueled by the obesity epidemic and an aging population. Untreated sleep apnea can result in significant consequences both in the short-term and long-term. We need to educate the public to recognize the symptoms of sleep apnea and to publicize that effective treatments are available. Positive airway pressure therapy remains the gold standard currently in treating OSA. Alternative treatments include an oral appliance or surgical options. This paper discusses the pharmacologic treatment of sleep apnea: goals include medications to address the ventilatory control of breathing, treat co-morbid diseases, treat associated health problems/complaints, address special issues, such as anesthetic precautions, and propose future targets.

4. Etc.

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A simple sauce for grilled or roasted white fish

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.

Serve 4
For white fish - grilled or roasted. You would try adding some finely chopped mint leaves and a little very finely sliced garlic.
4 tbsp./ 80ml/3 fl or olive oil
juice of a lemon
salt and pepper
Whisk all the ingredients together.


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The Seaweed Lover recipe: Seaweed salad

Quoted from Raw food, volume 2, Healthy, delicious vegetarian cuisine made with living foods vt Lisa Montgonery, editor, hatherleigh

Recipe contributed by Cara Graver (The Cob studio, www.thecobstudio.com)Prep. 10 minutes plus 15 minutes of soaking time)
1/4 cup arame, or hiziki sea vegetables
1 apple with skin on, seeded, shopped
1 avocado, masked
Juice of lemon
Soak seaweed vegetable in water for at least 15 minutes. Pouroff the water from the seaweed vegetable after they are finished hydrating. Combine sea vegetable, apple and avocado in mixing bowl. Pour juice of one lemon over the salad and toss until the salad is thoroughly coasted.

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Monday, 25 August 2014

Obesity Complication of Asthma

By Kyle J. Norton
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including
world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, etc,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com
Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
All right reserved.

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, 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)

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 andobesity" 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 asthmaseverity 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 ofasthma-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 asthmadiagnosis, 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 inPubMed, researchers indicated that this cross-sectional study showed that men and women differ significantly in the association between BMI and asthmaprevalence 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.

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 andobesity, 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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The Best dish for Diabetics - Cucumber and onion Raita


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

Serve 2 generously
A useful and tasty sauce for spicy dishes
250g/2 small pots yogurt - I use fat free
1/4 cucumber - peeled, quartered length wise, deseeded and grated
1/4 red onion - grated
1/2 tsp. garam masala
1/2 tsp. chilli powder
salt to taste
Mint or parsley - finely chopped
1. Whisk the yogurt smooth
2. Add the cucumber, onion, garam masala, chilli, salt and chopped mint or parsley: mix thoroughly.
3. Chill if possible before using.

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The Quick and Easy recipe: Black eye Slaw



Recipe attributed to Raw food, volume 2, Healthy, delicious vegetarian cuisine made with living foods by Lisa Montgonery, editor, hatherleigh

Dr, Scottand Reachekke Walker
1-2 cups blackeye peas, (soaked, sprouted, or canned)
1 cob corn kernels (removed from cob)
1 tsp. garlic, chopped
1-2 tomatos diced
1-2 jalapeno peppers
1 avocado, chunks
1/4 cup red onion
1 cup shredded cabbage and carrots
Sea salt to taste
Cilantro to taste
Combine all ingredients in a jarge bowl, toos and serve.
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Sunday, 24 August 2014

Obesity Complication of Pulmonary Hypertension

By Kyle J. Norton
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including
world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, etc,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com
Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
All right reserved


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, 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)

Pulmonary Hypertension is defined as a condition of abnormally high blood pressure in the lungs' arteries as a result of the small arteries have become narrowed of which no longer carry enough blood to the heart.

How obesity associates with Pulmonary Hypertension
1. In a study of "Role of obesity in cardiomyopathy and pulmonary hypertension" by Dela Cruz CS, Matthay RA. (Source fromSection of Pulmonaryand Critical Care Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06520-8057, USA.), posted in PubMed, researchers imdicated in abstract that The authors also briefly explore whetherobesity plays a role in the development of pulmonary hypertension. Better recognition and understanding of both obesity cardiomyopathy and pulmonary hypertension are needed in the obese patient population.

2. According to the srudy of "Respiratory health in overweight and obese Chinese children" by He QQ, Wong TW, Du L, Jiang ZQ, Qiu H, Gao Y, Liu JW, Wu JG, Yu IT. (Source from Department of Community and Family Medicine, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, Hong Kong, PR China), posted in PubMed, researchers found that Our findings demonstrate that overweight and obesity are high risks for children's respiratory symptoms and diseases. Pulmonary function was not adversely affected byobesity in schoolchildren.


3. In an abstract of a study of "The effect of obesity on pulmonary lung function of school aged children in Greece" by Spathopoulos D, Paraskakis E, Trypsianis G, Tsalkidis A, Arvanitidou V, Emporiadou M, Bouros D, Chatzimichael A. (Source from Department of Paediatrics, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece), posted in PubMed, researchers found that High BMI remained a strong independent risk factor for asthma (OR = 2.17, 95% CI = 1.22-3.87, P = 0.009) and for atopy (OR = 2.06, 95% CI = 1.32-3.22, P = 0.002). The effect of increased BMI on asthma was significant in girls, but not in boys (OR = 2.73, 95% CI = 1.09-6.85, P = 0.032; OR = 1.74, 95% CI = 0.83-3.73, P = 0.137, respectively). In conclusion we have shown that high BMI remains an important determinant of reduced spirometric parameters, a risk factor for atopy in both genders and for asthma in girls.

4. According to the abstact of "Comparison of body habitus in patients withpulmonary arterial hypertension enrolled in the Registry to Evaluate Early and Long-term PAH Disease Management with normative values from the National Health and Nutrition Examination Survey" by Burger CD, Foreman AJ, Miller DP, Safford RE, McGoon MD, Badesch DB. (Source fromDivision of PulmonaryMedicine, Mayo Clinic, 4500 San Pablo Rd., Jacksonville, FL 32224, USA. burger.charles@mayo.edu), posted in PubMed, researchers indicated that Mean BMI of the REVEAL patients was the same as that of the NHANES normal comparison group; however, there were higher percentages of obese and underweight patients in REVEAL. This discrepancy can be explained by the balancing effect of more overweight and underweight patients in different PAH subgroups. The reason for the increased frequency of obesity in idiopathic PAH is unknown, and additional study is needed.

5. In a study of "Prospective study of BMI and the risk of pulmonaryembolism in women" by Kabrhel C, Varraso R, Goldhaber SZ, Rimm EB, Camargo CA. (Source from Department of Emergency Medicine, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA. ckabrhel@partners.org), posted in PubMed, researchers found that . There was a strong positive association between BMI, the risk of idiopathic PE (relative risk (RR) = 1.08 (95% confidence interval (CI), 1.06-1.10) per 1 kg/m(2) increase in BMI, P < 0.001) and nonidiopathic PE (RR = 1.08 (95% CI, 1.07-1.10), P < 0.001). The association was linear, and apparent even with modest increases in BMI (22.5-25 kg/m(2)). The risk increased nearly sixfold among subjects with BMI >or=35 kg/m(2), and was present in multiple subgroups. Increasing BMI has a strong, linear association with the development of PE in women. Clinicians should consider BMI when assessing the risk of PE in their patients.

6. Etc.


Treatments of Obesity and Pulmonary Hypertension
1. According to the abstract of the study of "Lorcaserin for the treatment ofobesity" by Redman LM, Ravussin E. (Source from Pennington Biomedical Research Center, Baton Rouge, Louisiana 70808, USA. leanne.redman@pbrc.edu), posted in PubMed, researchers found that Preclinical and clinical studies indicate lorcaserin is well tolerated and not associated with cardiac valvulopathy or pulmonary hypertension suggesting that lorcaserin is a selective 5-HT(2C) receptor agonist and has little or no activation of the 5-HT(2B) and 5-HT(2A) receptors, respectively. Lorcaserin acts to alter energy balance through a reduction in energy intake and without an increase in energy expenditure and achieved the U.S. Food and Drug Administration guidelines for weight loss efficacy. It remains to be determined whether or not lorcaserin will be approved for the long-term management of obesity.

2. In an abstract of the study of "Pulmonary considerations in obesity and the bariatric surgical patient" by Davis G, Patel JA, Gagne DJ. (Source from Houston Surgical Consultants, 6560 Fannin Street, Suite 738, Houston, TX 77030, USA. gpdtx@yahoo.com), posted in PubMed, researchers indicated that Bariatric surgery has been shown to be the most effective modality of reliable and durable treatment for severe obesity. Surgical weight loss improves and, in most cases, completely resolves the pulmonary health problems associated withobesity.

3. According to the study of "Obesity duration is associated to pulmonaryfunction impairment in obese subjects" by Santamaria F, Montella S, Greco L, Valerio G, Franzese A, Maniscalco M, Fiorentino G, Peroni D, Pietrobelli A, De Stefano S, Sperlì F, Boner AL. (Source from Department of Pediatrics, Federico II University, Naples, Italy. santamar@unina.it), posted in PubMed, researchers found that Duration of obesity was significantly related to all PFTs (P ≤ 0.001). In a multiple regression analysis where duration and severity of obesity, hypertension, atopy, asthma, and family history of atopic diseases were independent variables, duration of obesity was a predictor of lower PFTs (P < 0.01). Of the remaining variables, only hypertension contributed to lower lung volumes. In obese individuals, lung function was significantly lower in subjects with greater years ofobesity. Fat loss programs should be encouraged to prevent late pulmonaryfunction impairment.

4. Etc.

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