Lege Artis Medicinae

[THE PATHOPHYSIOLOGICAL IMPORTANCE OF FAT TISSUE - INTRAABDOMINAL OBESITY]

PARAGH György, KÖBLING Tamás

NOVEMBER 19, 2006

Lege Artis Medicinae - 2006;16(11)

[Obesity affects a significant proportion of the population in Western countries. Metabolic changes that are associated with obesity lead to metabolic syndrome, a significant risk factor of cardiovascular mortality. Body mass index, which is used to describe the extent of obesity, is not suitable on its own to predict cardiovascular risk or assess metabolic changes, because it doesn't provide information on the distribution of accumulated fat within the body. Several studies have shown that it is the central/abdominal/visceral type of obesity that significantly increases cardiovascular morbidity and mortality. Visceral and subcutaneous fat tissue differ both in their function and the biological effects of adipocytokines secreted by them. Apart from the known effects of free fatty acids on insulin resistance and consequently to other metabolic parameters, adipocyte-derived adipokines have been shown to have a beneficial, antiatherosclerotic effect. In order to precisely estimate the obesity-related cardiovascular risk in everyday practice, not only body mass index, but waist circumference, a marker of visceral obesity, should also be measured.]

COMMENTS

0 comments

Further articles in this publication

Lege Artis Medicinae

[In Memoriam Sándor Gerő (1904-1992)]

dr. EMED Alexander

Lege Artis Medicinae

[DREAM]

HALMOS Tamás

Lege Artis Medicinae

[Management of Antibiotic Side Effects]

dr. HAMVAS József

Lege Artis Medicinae

[Hepatitis C - Facts and dilemmas]

LOMBAY Béla

Lege Artis Medicinae

[I Still Have So Much to Do... A Discussion with Éva Csatár MD]

VARGA Brigitta

All articles in the issue

Related contents

Hypertension and nephrology

[Health Protective Screening Program of Hungary 2010-2020. Metabolic syndrome - Results in 2010-2012]

KÉKES Ede, BARNA István, DAIKI Tenno, DANKOVICS Gergely, KISS István

[1 597 163 health assessments were performed on 65267 persons as a part of screening program. 132 964 participants were participated in our lifestyle advice program. The number of questionnaire responses for health statue were 3 717 480 during three years. This publication presents the results of metabolic disorders explored by screening. The metabolic syndrome was characterized by visceral obesity, abnormal glucose level and elevated blood pressure. Reasonable suspicion of metabolic syndrome was occured in 33-38% of subjects. Where the positive criteria was present, there were higher values of investigated parameters (waist, glucose, cholesterol, systolic blood pressure, uric acide level) compared with those of negative criteria.]

Hypertension and nephrology

[Prevalence of overweight and obesity in hypertensive patients]

KISS István, PAKSY András, KÉKES Ede

[Authors had performed an anthropometric analysis using a database of 2011-2013 of Hungarian Hypertension Register. They analyzed overweight and obesity in relation of age. The results were compared with similar analysis conducted in the total population 2015. They analyzed the prevalence of visceral obesity as well using the waist circumference measurement categories and these were also compared with screening data of total population. The prevalence of overweight and obesity was very high in both genders, co-occurrences exceeded 70% between 45-70 years. The prevalence was significantly higher in hypertensives, than in the total population. The prevalence of visceral obesity measured by waist circumference was also high, especially in women whose reached 50% of cases. They observed a significant difference between hypertensive and total populations In category „danger” of visceral obesity]

Journal of Nursing Theory and Practice

[Assessing the knowledge of patients after cataract surgery]

MELEG Tiborné, BÍRÓ Gyöngyi, NÉMETH Anikó

[Aim of study: Examining the knowledge of patients about ophthalmic screenings, their disorder, the necessary lifestyle changes and on how to use eye drops properly. Sample and methods: This cross-sectional study was conducted at the ophthalmology department of the hospital in Kecskemét using a self-developed questionnaire. Inpatients were involved during the period from June to September in 2013. Results: The studied patient population knew the importance of ophthalmic screenings, but they had inappropriate information about the right way to use eye drops and about the nature of cataract and the operation. Although the majority of the responders were informed by an expert, they had much false information about the necessary lifestyle changes. Conclusions: One of the most important task of nurses working at ophthalmology departments is to correct the false beliefs of patients and to replace them with correct and clear information, especially about their disorder and lifestyle changes.]