Diagnostic Performance of Weight Loss to Predict Body Fatness Improvement in Cardiac Rehabilitation Patients.
Diagnostic Performance of Weight Loss to Predict Body Fatness Improvement in Cardiac Rehabilitation Patients.
J Cardiopulm Rehabil Prev. 2013 Feb 18;
Pack QR, Rodriguez-Escudero JP, Thomas RJ, Squires RW, Johnson L, Somers VK, Lopez-Jimenez F
PURPOSE:: To determine the diagnostic performance of weight loss to identify fat mass loss in cardiac rehabilitation (CR) patients. METHODS:: We included consecutive patients enrolled in early outpatient CR who underwent air displacement plethysmography with measurements of height, weight, and waist circumference at initiation and completion of CR. We calculated the accuracy of >1 kg of weight loss to predict a >1 kg loss of fat mass. RESULTS:: We analyzed data from 142 patients (mean age ± SD = 60 ± 12 years), 74% male, 94% non-Hispanic whites, and body mass index (BMI) 29.9 ± 5.1 kg/m. Following 87 ± 49 days and 22 ± 9 CR sessions, there was a small but significant change in weight (-1.3 ± 3.8 kg), BMI (-0.4 ± 1.2 kg/m), fat mass (-2.6 ± 3.9 kg), lean mass (+1.3 ± 1.9 kg), and waist circumference (-4.3 ± 5.1 cm), P < .001 for all. Overall, patients who lost weight consistently lost fat mass, positive predictive value 0.91 (95% CI: 0.83-0.96). However, the negative predictive value of lack of weight loss to exclude fat mass loss was poor, 0.59 (95% CI: 0.52-0.64). Among patients who did not lose weight, waist circumference reduction was modestly predictive of fat mass loss (r = 0.33, P = .004.) CONCLUSIONS:: Although weight loss in CR is indicative of fat mass loss in most patients, absence of weight loss, or even weight gain, would not necessarily rule out fat loss in a significant number of patients attending CR. These findings speak to the importance of body fatness measurements beyond BMI in the CR setting. HubMed – rehab
Implant platform switching concept: a literature review.
Eur Rev Med Pharmacol Sci. 2013 Feb; 17(3): 392-7
Cumbo C, Marigo L, Somma F, La Torre G, Minciacchi I, D’addona A
The platform switching concept involves the reduction of the restoration abutment diameter with respect to the diameter of dental implant. Long-term follow up around these wide-platforms showed higher levels of bone preservation.The aim of this article is to carry out a literature review of studies which deal with the influence of platform-switched implants in hard and soft oral tissues.All papers involving “platform switching” that are indexed in MedLine and published between 2005 and 2011 were used. Clinical cases, experimental and non-experimental studies were included, as well as literature reviews.In our search, we analized 18 clinical cases and 3 reviews. The results indicate that peri-implant bone resorption is reduced with platform switching system.All papers written by different researchers show an improvement in peri-implant bone preservation and satisfactory aesthetic results. Further long-term studies are necessary to confirm these results. HubMed – rehab
The relationship between shoulder impingement syndrome and sleep quality.
Eur Rev Med Pharmacol Sci. 2013 Feb; 17(3): 370-4
Tekeoglu I, Ediz L, Hiz O, Toprak M, Yazmalar L, Karaaslan G
The aim of this study was to examine potential relationship between subjective sleep quality and degree of pain in patients with shoulder impingement syndrome (SIS).Fourty patients with shoulder impingement syndrome were evaluated using the Pittsburgh Sleep Quality Index (PSQI) and the Shoulder Disability Questionnaire (SDQ). Forty three of age and sex matched healthy subjects were included in the control group.There was a significant difference between the patient and control groups in terms of all PSQI global scores and subdivisions (p < 0.01). The pain scores assessed by SDQ were positively correlated with the scores for subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, and sleep disturbance (r = 0.49/p < 0.01, r = 0.44/p < 0.01, r = 0.36/p < 0.05, r = 0.40/p < 0.05, and r = 0.37/p < 0.05 respectively). The comparison of total SDQ pain and global PSQI scores also revealed a significant correlation (r = 0.54/p < 0.01).Subjective sleep disturbance connected to shoulder pain was found obviously in patients with SIS. For this reason, patients with shoulder pain due to SIS may benefit from the pain killers and cognitive-behavioral interventions that specifically target sleep disturbances. Further studies which contain polysomnographic assessments, as well as determine psychologic status are still needed to put forth sleep quality in patients with SIS. HubMed – rehab
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