:: Volume 14, Issue 9 (November 2020) ::
Qom Univ Med Sci J 2020, 14(9): 50-58 Back to browse issues page
Evaluation of the Prevalence of Abdominal Obesity and its Related Factors in Patients with Stroke
Fazel Dehvan1 , Mohsen Soleimani 2, Monireh Mahmodi3
1- Clinical Care Research Center, Department of Nursing and Midwifery, Kurdistan University of Medical Sciences
2- Nursing Care Research Center, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences , soli257@yahoo.com
3- Shafa Social Security Hospital
Abstract:   (76 Views)
Background and Objectives: Stroke is one of the most common neurological diseases worldwide  causing different types of disabilities and high rate of mortality each year. Abdominal obesity is one of the most important risk factors for stroke. This study aimed to determine the prevalence of abdominal obesity and its related factors in patients with stroke.
Methods: This descriptive-analytical study investigated 36 patients with stroke in the internal medicine ward of Kowsar Hospital, Semnan, Iran. The sampling was performed using the convenience and purposive method. Data were collected using a demographic characteristic form, patient records, and a questionnaire on the status of the patient with stroke. Moreover, the abdominal obesity was measured by calculating the ratio of the abdomen diameter to the pelvic diameter. The data were analyzed in SPSS software (version 16) using descriptive and inferential statistics, as well as ANOVA. A p-value less than 0.05 was statistically significant.
Results: The mean±SD age of the patients was 75.43±10.8 years. In total, 50% (n=60) of the cases were male. Moreover, 83.3% and 93.3% of the males and females had abdominal obesity, respectively. According to the results, 50% and 24.2% of the total population were overweight and obese, respectively. Furthermore, there was a negative and significant relationship between abdominal obesity and level of education (P<0.001). However, abdominal obesity showed a positive association with oil consumption (P=0.026) and stroke severity (P=0.028).
Conclusion: Regarding the high prevalence of abdominal obesity in stroke patients, it is necessary to undertake measures, such as the improvement of nutritional quality of the food and promotion of the health literacy in order to prevent obesity and weight loss, thereby accelerating the rehabilitation and enhancing the prognosis in these patients.
Keywords: Stroke, Cerebrovascular accident, obesity, abdominal obesity
Full-Text [PDF 627 kb]   (17 Downloads)    
Type of Study: Original Article | Subject: پرستاری-جراحی-ویژه-کودکان
Received: 2020/07/8 | Accepted: 2020/11/11 | Published: 2020/11/30
1. Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, et al. Heart disease and stroke statistics-2020 update: a report from the American Heart Association. Circulation 2020;141(9):E139-596. PMID: 31992061
2. Gooch Clifton L, Pracht E, Borenstein AR. The burden of neurological disease in the United States: a summary report and call to action. Ann Neurol 2017;81(4):479-84. PMID: 28198092 [DOI:10.1002/ana.24897]
3. Bereczki D Jr, Balla J, Bereczki D. Heme oxygenase-1: clinical relevance in ischemic stroke. Curr Pharm Des 2018;24(20):2229-35. PMID: 30014798 [DOI:10.2174/1381612824666180717101104]
4. Oesch L, Tatlisumak T, Arnold M, Sarikaya H. Obesity paradox in stroke-Myth or reality? A systematic review. PloS One 2017;12(3):e0171334. PMID: 28291782 [DOI:10.1371/journal.pone.0171334]
5. Asgari MR, Dehvan F, Ghorbani R, Samaei A, Binesh M, Rahaei F, et al. Upper extremity motor function and hand muscular power in patients with stroke: a pilot study. Koomesh 2017;19(2):438-47. Link
6. Boehme AK, Esenwa C, Elkind MS. Stroke risk factors, genetics, and prevention. Circ Res 2017;120(3):472-95. PMID: 28154098 [DOI:10.1161/CIRCRESAHA.116.308398]
7. Tu JV. Reducing the global burden of stroke: INTERSTROKE. Lancet 2010;376(9735):74-5. PMID: 20561674 [DOI:10.1016/S0140-6736(10)60975-0]
8. Lee MK, Han K, Kim MK, Koh ES, Kim ES, Nam GE, et al. Changes in metabolic syndrome and its components and the risk of type 2 diabetes: a nationwide cohort study. Sci Rep 2020;10(1):2313. PMID: 32047219 [DOI:10.1038/s41598-020-59203-z]
9. Jafari-Adli S, Jouyandeh Z, Qorbani M, Soroush A, Larijani B, Hasani-Ranjbar S. Prevalence of obesity and overweight in adults and children in Iran; a systematic review. J Diabetes Metab Disord 2014;13(1):121. PMID: 25610814 [DOI:10.1186/s40200-014-0121-2]
10. Alidousti M, Davoodi GR. Correlation of body mass index (bmi) and waist-to-hip ratio with risk of acute myocardial infarction. Iran J Diabetes Lipid Disord 2004;4(1):91-8. Link
11. Mirzaei M, Sharifnia G, Khazaei Z, Sadeghi E, Fallahzadeh H, Namayandeh SM. Prevalence of general obesity and central adiposity and its related factors in adult population of Yazd. J Shahid Sadoughi Univ Med Sci 2017;25(9):736-47. Link
12. Lai HH, Helmuth ME, Smith AR, Wiseman JB, Gillespie BW, Kirkali Z. Relationship between central obesity, general obesity, overactive bladder syndrome and urinary incontinence among male and female patients seeking care for their lower urinary tract symptoms. Urology 2019;123:34-43. PMID: 30393054 [DOI:10.1016/j.urology.2018.09.012]
13. Zhu Y, Hedderson MM, Quesenberry CP, Feng J, Ferrara A. Central obesity increases the risk of gestational diabetes partially through increasing insulin resistance. Obesity 2019;27(1):152-60. PMID: 30461219 [DOI:10.1002/oby.22339]
14. Gharakhanlou R, Agha-Alinejad H, Farzad B, Bayati M. Waist circumference and waist to hip ratio as predictors of cardiovascular disease risk factors in Iran. Payesh 2014;13(2):145-53. Link
15. Mazaheri S, Beheshti F, Hosseinzadeh A, Mazdeh M, Ghiasian M. Epidemiologic study of cardinal risk factors of stroke in patients who referred to Farshchian hospital of Hamadan during 2014-2015. Avicenna J Clin Med 2016;22(4):331-7. Link
16. Mir Mohammad Sadeghi SM, Hadipour M, Molavi Vardanjani H. Incidence of postoperative stroke after coronary artery bypass surgery and its risk factors. J Babol Univ Med Sci 2011;13(3):74-9. Link
17. Haghdoost AA. Do you want to gain a profound insight into sample size and statistical power. Iran J Epidemiol 2009;5(1):57-63. Link
18. Chirinos DA, Llabre MM, Goldberg R, Gellman M, Mendez A, Cai J, et al. Defining Abdominal obesity as a risk factor for coronary heart disease in the U.S.: results from the hispanic community health study/study of latinos (HCHS/SOL). Diabetes Care 2020;43(8):1774-80. PMID: 32669410 [DOI:10.2337/dc19-1855]
19. Derakhshan R, Khoshnood A, Balaee P. Evaluation of abdominal obesity prevalence in diabetic patients and relation with other factors of metabolic syndrome. Iran J Endocrinol Metab 2010;12(3):208-12. Link
20. 20 Mirzaeian S, Rashidkhani B. Dietary determinants of abdominal obesity: a review of epidemiological evidence. J Qazvin Univ Med Sci 2013;17(1):76-86. Link
21. Vincent-Onabajo GO, Daniel H, Ali MU, Masta MA. Abdominal obesity in stroke: an exploratory survey of stroke survivors attending physiotherapy facilities in Nigeria. Prog Med Sci 2017;1(1):24-8. Link [DOI:10.5455/pms.286424]
22. Winter Y, Pieper L, Klotsche J, Riedel O, Wittchen HU. Obesity and abdominal fat markers in patients with a history of stroke and transient ischemic attacks. J Stroke Cerebrovasc Dis 2016;25(5):1141-7. PMID: 26915603 [DOI:10.1016/j.jstrokecerebrovasdis.2015.12.026]
23. Sahakyan KR, Somers VK, Rodriguez-Escudero JP, Hodge DO, Carter RE, Sochor O, et al. Normal-weight central obesity: implications for total and cardiovascular mortality. Ann Intern Med 2015;163(11):827-35. PMID: 26551006 [DOI:10.7326/M14-2525]
24. Zahn K, Linseisen J, Heier M, Peters A, Thorand B, Nairz F, et al. Body fat distribution and risk of incident ischemic stroke in men and women aged 50 to 74 years from the general population. The KORA Augsburg cohort study. PloS One 2018;13(2):e0191630. PMID: 29401461 [DOI:10.1371/journal.pone.0191630]
25. Hajian K, Hiedari B. Prevalence of abdominal obesity in a population aged 20 to 70 years in urban Mazandaran (northeran Iran, 2004). Iran J Endocrinol Metab 2006;8(2):147-56. Link
26. Okoro EO, Oyejola BA, Etebu EN, Sholagberu H, Kolo PM, Chijioke A, et al. Body size preference among Yoruba in three Nigerian communities. Eat Weight Disord 2014;19(1):77-88. PMID: 24174319 [DOI:10.1007/s40519-013-0060-9]
27. Vicente VS, Cabral NL, Nagel V, Guesser VV, Safanelli J. Prevalence of obesity among stroke patients in five Brazilian cities: a cross-sectional study. Arq Neuropsiquiatr 2018;76(6):367-72. PMID: 29972418 [DOI:10.1590/0004-282x20180053]
28. Strazzullo P, D'Elia L, Cairella G, Garbagnati F, Cappuccio FP, Scalfi L. Excess body weight and incidence of stroke: meta-analysis of prospective studies with 2 million participants. Stroke 2010;41(5):e418-26. PMID: 20299666 [DOI:10.1161/STROKEAHA.109.576967]
29. Kalichman L, Rodrigues B, Gurvich D, Israelov Z, Spivak E. Impact of patient's weight on stroke rehabilitation results. Am J Phys Med Rehabil 2007;86(8):650-5. PMID: 17667195 [DOI:10.1097/PHM.0b013e318115f41b]
30. Padwal RS, Wang X, Sharma AM, Dyer D. The impact of severe obesity on post-acute rehabilitation efficiency, length of stay, and hospital costs. J Obes 2012;2012:972365. PMID: 22523669 [DOI:10.1155/2012/972365]
31. Soriguer F, Almaraz MC, Ruiz-de-Adana MS, Esteva I, Linares F, Garcia-Almeida JM, et al. Incidence of obesity is lower in persons who consume olive oil. Eur J Clin Nutr 2009;63(11):1371-4. PMID: 19623198 [DOI:10.1038/ejcn.2009.65]
32. Veghari G, Sedaghat M, Maghsodlo S, Banihashem S, Moharloei P, Angizeh A, et al. The correlation between educational levels and central obesity in the north of Iran: an epidemiologic study. ARYA Atheroscler 2013;9(4):217-22. PMID: 23970916
33. Skolarus LE, Sanchez BN, Levine DA, Baek J, Kerber KA, Morgenstern LB, et al. Association of body mass index and mortality after acute ischemic stroke. Circ Cardiovasc Qual Outcomes 2014;7(1):64-9. PMID: 24326935 [DOI:10.1161/CIRCOUTCOMES.113.000129]

XML   Persian Abstract   Print

Volume 14, Issue 9 (November 2020) Back to browse issues page