Life-long Weight Change can Predict Metabolic Diseases

Kovács, Eszter; Jancsó, Zoltán; Móczár, C.; Szigethy, Endre; Frese, Thomas; Rurik, Imre

doi:10.1055/s-0032-1314874

Cited by 3 publications

(6 citation statements)

References 8 publications

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“…While family physicians care for the consequences of obesity, they do not generally feel confident about managing obesity itself [ 4 ]. The majority of medical consultations take place in primary care settings and general practitioners (GP) have an opportunity to observe their obese patients’ weight gain for decades [ 5 , 6 ]. The physician’s knowledge is a basic tool which should be permanently improved.…”

Section: Introductionmentioning

confidence: 99%

Primary care obesity management in Hungary: evaluation of the knowledge, practice and attitudes of family physicians

et al. 2013

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BackgroundObesity, a threatening pandemic, has an important public health implication. Before proper medication is available, primary care providers will have a distinguished role in prevention and management. Their performance may be influenced by many factors but their personal motivation is still an under-researched area.MethodsThe knowledge, attitudes and practice were reviewed in this questionnaire study involving a representative sample of 10% of all Hungarian family physicians. In different settings, 521 practitioners (448 GPs and 73 residents/vocational trainees) were questioned using a validated questionnaire.ResultsThe knowledge about multimorbidity, a main consequence of obesity was balanced.Only 51% of the GPs were aware of the diagnostic threshold for obesity; awareness being higher in cities (60%) and the highest among residents (90%). They also considered obesity an illness rather than an aesthetic issue.There were wider differences regarding attitudes and practice, influenced by the the doctors’ age, gender, known BMI, previous qualification, less by working location.GPs with qualification in family medicine alone considered obesity management as higher professional satisfaction, compared to physicians who had previously other board qualification (77% vs 68%). They measured their patients’ waist circumference and waist/hip ratio (72% vs 62%) more frequently, provided the obese with dietary advice more often, while this service was less frequent among capital-based doctors who accepted the self-reported body weight dates by patients more commonly. Similar reduced activity and weight-measurement in outdoor clothing were more typical among older doctors.Diagnosis based on BMI alone was the highest in cities (85%). Consultations were significantly shorter in practices with a higher number of enrolled patients and were longer by female providers who consulted longer with patients about the suspected causes of developing obesity (65% vs 44%) and offered dietary records for patients significantly more frequently (65% vs 52%). Most of the younger doctors agreed that obesity management was a primary care issue.Doctors in the normal BMI range were unanimous that they should be a model for their patients (94% vs 81%).ConclusionMore education of primary care physicians, available practical guidelines and higher community involvement are needed to improve the obesity management in Hungary.

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Section: Introductionmentioning

confidence: 99%

Primary care obesity management in Hungary: evaluation of the knowledge, practice and attitudes of family physicians

et al. 2013

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“…The analyses were performed using SPSS and later on STATA 10.1.softwares. years and 54.4 (± 13.1) (median: 50) years in males and females, respectively [10]. Higher age at the recognition of diabetes 58.2 ± 8.7 years was recorded only in one study and only by men [11].…”

Section: Statisticsmentioning

confidence: 84%

“…Primarily, if were available or recorded previously, data in the medical les were used, otherwise the self-reported data were considered. The recent corresponding measures were performed by the staff and they added the time of diagnoses as needed [8,9,10]. In the international study, the questionnaire in English was translated to their respective national language by the family physicians, who participated in the national arms of the study in Germany, Hungary, Italy, Slovakia and Ukraine [11].…”

Section: Data Collectionmentioning

confidence: 99%

“…None of the primary care studies focused to this phenomenon and it was the reason why our research started, initiated in the primary care setting, the rst line of the health care system. Our rst Hungarian lifelong study, in which the two main components of Metabolic Syndrome were evaluated [8] and the following others found differences between the dynamics of weight gain among patients with obesity, diabetes and hypertension [9,10].…”

Section: Introductionmentioning

confidence: 99%

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Early Obesity Counselling in Primary Care Setting Could Decrease Metabolic Diseases Are Diabetes and Hypertension Avoidable, if Stopping Early Weight Gain?

RURIK

2024

Preprint

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Obesity management is a big challenge for health care providers. Primary care is the appropriate level, not only for the management but for the prevention and early recognition as well. Obesity develops gradually and needs attention in the early phase of weight gain. The main results of four Hungarian and international studies in primary care settings were summarized, seeking relationship between weight gain in younger life and development of metabolic diseases. Data of primary care patients were collected about the changes of their weight gain from 20y to the present. Source: medical files and self-reports. Early weight-gain between 20y and 30y means a serious risk for developing diabetes, between 30y and 40y for hypertension and even faster weight-gain could be a risk factor for both metabolic diseases. In females, significant weight gain around pregnancies and the menopause could increase the risk of these morbidities as well. Primary care service providers/family physicians/general practitioners ought to be not only an inactive observers, they have to give more focus on those of their patients who show conspicuous weigh gain in their younger decades, to explore the individual reasons and to initiate the appropriate intervention as early as possible.

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“…Body size and shape, characterized by anthropometric parameters like weight, height, BMI, and waist circumference, may have an effect on some domains of sexuality. Weight gain is usually a lifelong process, and people who are overweight in their childhood or youth are usually candidates for obesity in middle age [16–19]. As the factor mainly responsible for obesity, the metabolic syndrome is to be considered the most important threat to male sexual health of the 21st century [20].…”

Section: Discussionmentioning

confidence: 99%

Sexual Activity of Young Men is Not Related to Their Anthropometric Parameters

Rurik

Varga

Fekete³

et al. 2014

The Journal of Sexual Medicine

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Introduction Many articles have been written about the deterioration of male sexual function, mainly in relation to metabolic diseases and aging. With younger men, unless they have a complaint, sexual issues are rarely discussed during medical consultations. No articles could be found about anthropometric parameters as factors potentially influencing sexual performance. Aim The aim of this study was to find the anthropometric parameters with the closest correlation with sexual activity. Main Outcome Measures Main outcome measures included self-reported weekly intercourses, age, body weight and height, body mass index (BMI), and waist circumference. Methods Data for 531 heterosexual men aged 20–54 years were collected in three andrological centers. Past and recent morbidity, medications, and some lifestyle elements were recorded; anthropometric parameters were measured; and andrological examination was performed. The average weekly number of intercourses was asked confidentially. Results The mean weekly coital frequency (±SD) was 2.55 ± 1.08. The highest self-reported weekly coital frequency was recorded for men between the ages of 25 and 29 (3.02 ± 1.27). Coital frequency was higher among men with a height of less than 175 cm (2.69 ± 1.24), weight of less than 78 kg (2.74 ± 1.18), normal BMI (2.74 ± 1.16), normal waist circumference (2.69 ± 1.19), and no metabolic disease (2.57 ± 1.11). Logistic regression described an inverse, statistically significant association between age and coital frequency, with the following odds ratios for coital frequency (ORcf): ORcf≥2 = 0.932, P < 0.001; ORcf≥2.5 = 0.935, P < 0.001; ORcf≥3 = 0.940, P < 0.001; ORcf≥3.5 = 0.965, P = 0.041. Among men who reported a coital frequency of more than 3.5 times a week, waist circumference (ORcf≥3.5 = 0.986, P = 0.066) showed borderline association with lower sexual activity, while lesser height (ORcf≥3.5 = 0.951, P = 0.005) was associated with higher activity. Conclusion In this study's age range, none of the examined anthropometric parameters was perfectly correlated with sexual activity. Obesity and metabolic diseases can cause all types of sexual function to deteriorate in older age, whereas their effects may not yet be prominent at younger ages (below 45 years). Health promotion for all ages should focus on prevention of obesity so as to improve quality of life and sexual health.

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Life-long Weight Change can Predict Metabolic Diseases

Cited by 3 publications

References 8 publications

Primary care obesity management in Hungary: evaluation of the knowledge, practice and attitudes of family physicians

Primary care obesity management in Hungary: evaluation of the knowledge, practice and attitudes of family physicians

Early Obesity Counselling in Primary Care Setting Could Decrease Metabolic Diseases Are Diabetes and Hypertension Avoidable, if Stopping Early Weight Gain?

Sexual Activity of Young Men is Not Related to Their Anthropometric Parameters

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