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New international classification of functioning, disability and health
Stucki Gerold,Maksimovi? Milo?,Davidovi? Dragana,Jorga Jagoda
Srpski Arhiv za Celokupno Lekarstvo , 2007, DOI: 10.2298/sarh0706371s
Abstract: The WHO International Classification of Functioning, Disability and Health (ICF) provides a coherent view of health from a biological, individual and social perspective. This view may be defined both as multi- and interdisciplinary management of one’s functioning and health. This new classification is currently being assessed in multiple centers in 32 countries, on 12 health conditions. The Institute of Hygiene and Medical Ecology, School of Medicine, University of Belgrade, is one of them, serving as the centre where the classification is being tested in obese population. The objective of this paper is to provide information needed for further development and practical application of this classification in various health conditions. The new language of ICF is an exciting landmark event for preventive medicine and rehabilitation. It may lead to a stronger position of rehabilitation within the medical community, change multiprofessional communication and improve communication between patients and health professionals. .
Dietary habits as a risk factor of gallstone disease in Serbia
Davidovi? Dragana B.,Tomi? Dragan V.,Jorga Jagoda B.
Acta Chirurgica Iugoslavica , 2011, DOI: 10.2298/aci1104041d
Abstract: Gallstone formation is a multifactorial disease, caused by the interaction of genetic and environmental factors. In order to prevent gallbladder stone disease, it is useful to detect modifable risk factors, which contribute to its development. The aim of this study is to analyze the potential relationship between nutrition and the development of gallstone disease, and to establish the possibility for its prevention. The study examined 114 patients; 55 of them suffered from gallstone disease, while 59 were healthy controls who were age- and sex- matched. Diagnosis of gallbladder stone disease was made by ultrasonography. Diet was established using a 24-hour dietary recall method. In the multivariate model, high energy intake (OR=9.720, p<0.001) and overnight fasting period (12 hours and longer) (OR=4.285, p=0.005) were the most important predictors of gallstone disease, after adjustment for Body Mass Index. These factors can be altered in order to prevent gallstone disease.
Eating disorders
Konti? Olga,Vasiljevi? Nadja,Tri?ovi? Marija,Jorga Jagoda
Srpski Arhiv za Celokupno Lekarstvo , 2012, DOI: 10.2298/sarh1210673k
Abstract: Eating disorders are considered chronic diseases of civilization. The most studied and well known are anorexia and bulimia nervosa. Anorexia is considered one of the most common psychiatric problems of girls in puberty and adolescence. Due to high mortality and morbidity as well as the increasing expansion of these diseases, it is clear why the amount of research on these diseases is growing worldwide. Eating disorders lead to numerous medical complications, mostly due to late diagnosis. The main characteristic of these diseases is changed behavior in the nutrition, either as an intentional restriction of food, i.e. extreme dieting, or overeating, i.e. binge eating. Extreme dieting, skipping meals, self-induced vomiting, excessive exercise, and misuse of laxatives and diuretics for the purpose of maintaining or reducing body weight are characteristic forms of compensatory behavior of patients with eating disorder. The most appropriate course of treatment is determined by evaluating the patient’s health condition, associated with behavior and eating habits, the experience of one’s own body, character traits of personality, and consequently the development and functioning of the individual. The final treatment plan is individual. Eating disorders are a growing medical problem even in this part of the world. Prevention should be planned in cooperation with different sectors so as to stop the epidemic of these diseases.
Parent-child parallel nutritional status assessment using silhouette rating scales
Jorga Jagoda B.,Marinkovi? Jelena M.,Maksimovi? Milo? ?.,Kentri? Brana
Medicinski Pregled , 2004, DOI: 10.2298/mpns0406231j
Abstract: Introduction The aim of this study was to determine the validity of silhouettes in assessing genetic factors of obesity in school children aged 12-14. Material and methods 290 primary school students aged 12-14 from Belgrade had undergone body height and weight measurements as well as answering questionnaires. Silhouette rating scales were used to assess the nutritional status of students (6-silhouette scale) and their parents (9-silhouette scale). Results Significant differences in body mass index (BMI) were found among children whose parents had been rated "normal" and those rated “problematic”. BMI status and gender significantly affected assessment of the nutritional status. An interaction between factors was found (F (1.230) =7.017, p<0.01). The majority of children from the normal BMI category (64.5%) selected silhouettes 3 and 4 to describe their current appearance. On the other hand, 70% of children with problematic BMI selected silhouettes 5 and 6. Girls generally selected significantly smaller silhouettes than boys. Girls within the problematic BMI category selected significantly bigger silhouettes for their mother's than the other children. Boys within the normal BMI category, selected significantly bigger silhouettes representing their father’s body size. Discussion According to the results, silhouette rating scales appear to be reliable in parallel assessment of the nutritional status of children and their parents. This subject can be further developed by acquiring data on parents` height and body mass.
Self-reported values of body weight and height in assessment of nutritional status of adolescents
Backovi? Du?an,Jorga Jagoda B.,Marinkovi? Jelena M.,?or?evi? Ivana
Medicinski Pregled , 2003, DOI: 10.2298/mpns0304168b
Abstract: Introduction The aim of our study was to assess validity of self-reported body weight and height compared to measured values in a group of adolescents. We also investigated differences in reported and measured values and factors responsible for them in this particular population. Material and methods 295 adolescents aged 11-14 (114 boys and 131 girls) attending primary schools in central Belgrade, recorded their BMI and completed a series of questionnaires measuring body satisfaction and eating patterns. All participants were measured afterwards. Results Differences between reported and measured weights were highly significant in girls (48.84±8.42 kg vs 49.69±9.28 kg). Significant differences between reported and measured weights were established in the group of adolescents with weight problems (-3.18±4.03 kg). Adolescents on diets presented a difference of -1.36±3.36 kg. Weight problems (OR 3.72, 95%CI: 2.10-4.75) and female gender (errors occurred more often for 22%, 95%CI: 0.23-1.80) were significant predictors in multivariate regression model for discrepancy of reported and measured weights. In a multivariate regression model, where differences in BMI were dependent variable, weight category was a significant predictor, with differences being 1.65 times more common (95%CI: 1.13-2.11). Discussion Our results suggest that self-reported body weight and height have limited reliability and can be used only in normal weight male adolescents. This method should not be recommended in surveys that involve overweight and/or obese adolescents and those who are on diet.
Assessment of diet therapy effect on blood pressure of obese persons with and without antihypertensive therapy
Vasiljevi? Na?a,Paunovi? Katarina,Backovi? Du?an,Jorga Jagoda B.
Vojnosanitetski Pregled , 2004, DOI: 10.2298/vsp0404379v
Abstract: Background. Arterial hypertension is a multicausal chronic disease often accompanied by obesity. The aim of this investigation was to examine the effect of diet therapy in the treatment of obese hypertensives with and without antihypertensive therapy. Methods. The investigation was conducted at the Department of Nutrition on a sample of 110 obese hypertensive patients on diet therapy. Subjects were divided into two groups: the group on diet therapy with antihypertensive drugs E1 (n=78), and the group on diet therapy without pharmacotherapy E2 (n=32). Nourishment state i.e., obesity level was assessed by body mass index (BMI). All the patients belonged to the obese group - BMI > 30 kg/m2. Besides blood pressure values, the following parameters were monitored: serum cholesterol, trygliceride levels and BMI. Results. The obtained results in the group with diet therapy combined with antihypertensive therapy showed highly significant decrease of anthropometrical parameters: body weight (99.14 kg vs. 90.16 kg) (p<0.001) and BMI (37.32 vs. 34.09) (p<0.001); percent body fat (41.97 vs. 38.78) (p<0.001); systolic (154.81 vs. 141.91) (p<0,001), and diastolic pressures (95.42 vs. 87.36) (p<0,001); cholesterol (6.39 vs. 5.99) (p<0,002), and triglycerides concentration (2.69 vs. 2.21) (p<0.019). In the group on single diet therapy, highly significant decrease of body mass (99.33 vs. 90.18) (p<0.001), BMI (34,79 vs. 31.58) (p<0.001), percent body fat (39.27 vs. 36.70) (p<0.001), systolic (148.44 vs. 132.74) (p<0.001), and diastolic pressures (93.97 vs. 82.90) (p<0.001), was achieved, while the differences between initial and final cholesterol and triglyceride concentrations although observed, were not statistically significant. Conclusion. The obtained results implicated that diet therapy significantly helped the normoregulation of both systolic and diastolic blood pressure. Considering this, during physicians’ routine practice in the treatment of hypertension attention should be paid on the reduction of the corresponding level of obesity.
Prevalence of the metabolic syndrome in patients with carotid disease according to NHLBI/AHA and IDF criteria: a cross-sectional study
Milos Z Maksimovic, Hristina D Vlajinac, Djordje J Radak, Jelena M Marinkovic, Jagoda B Jorga
BMC Cardiovascular Disorders , 2012, DOI: 10.1186/1471-2261-12-2
Abstract: The study was a cross-sectional one involving 644 consecutive patients with verified carotid disease who referred to the Vascular Surgery Clinic Dedinje in Belgrade during the period April 2006 - November 2007. Anthropometric parameters blood pressure, fasting plasma glucose and lipoproteins were measured using standard procedures.MetS was present in 67.9% of participants, according to IDF criteria, and in 64.9% of participants, according to the NHLBI/AHA criteria. A total of 119 patients were categorized differently by the two definitions. Out of all participants 10.7% had MetS by IDF criteria only and 7.8% of patients had MetS by NHLBI/AHA criteria only. The overall agreement of IDF and NHLBI/AHA criteria was 81.5% (Kappa 0.59, p < 0.001). In comparison with patients who met only IDF criteria, patients who met only NHLBI/AHA criteria had significantly more frequently cardiovascular risk factors with the exception of obesity which was significantly more frequent in patients with MetS diagnosed by IDF criteria.The MetS prevalence in patients with symptomatic carotid disease was high regardless of criteria used for its diagnosis. Since some patients with known cardiovascular risk factors were lost by the use of IDF criteria it seems that NHLBI/AHA definition is more suitable for diagnosis of MetS. Large follow-up studies are needed to test prognostic value of these definitions.During the last two decades metabolic syndrome (MetS) has become one of the major public-health challenges worldwide [1]. In 1988 Reaven was first to describe Syndrome X, and defined it as a cluster of hypertension, glucose intolerance, elevated tryglycerides and low level of high density lipoprotein (HDL) cholesterol [2]. Ferrannini et al. suggested that this clustering was caused by insulin resistance and called it insulin resistance syndrome [3]. World Health Organization (WHO) defined the syndrome and changed its name to metabolic syndrome [4]. In 2001 the National Cholesterol Education Pro
Frequency and characteristics of metabolic syndrome in patients with symptomatic carotid atherosclerosis
Maksimovic,Milos; Vlajinac,Hristina; Radak,Djordje; Maksimovic,Jadranka; Otasevic,Petar; Marinkovic,Jelena; Jorga,Jagoda;
Revista médica de Chile , 2009, DOI: 10.4067/S0034-98872009000300002
Abstract: background: metabolic syndrome (mets) is associated with increased risk of carotid atherosclerosis. aim: to estimate the frequency of mets in patients with symptomatic carotid atherosclerotic disease, and to compare clinical, biochemical and ultrasonographic characteristics of patients with and without mets. material and methods: cross-sectional study of 657 consecutive patients (412 males) with symptomatic carotid atherosclerotic disease. carotid atherosclerosis was estimated by high resolution b-mode ultrasonography. national cholesterol education program (ncep) m criteria were used for estimation of mets. results: metabolic syndrome was present in 55.6% of studied patients. among patients with metabolic syndrome there was a significantly higher proportion of women, and mean values ofbody weight, body mass index, waist circumference, percentage of body fat, systolic and diastolic blood pressure, serum triglycerides, total cholesterol and glucose were significantly higher. mean values of high density lipoprotein cholesterol and alcohol consumption were significantly lower in patients with mets. no differences between patients with or without mets, were observed for age, smoking, mean values of low density lipoprotein cholesterol, high sensitive c-reactive protein and fibrinogen, and for degree of carotidstenosis or severity of clinical manifestations. conclusion: half of these patients with carotid stenosis have features of the metabolic syndrome.
Presence of different forms of compensatory behaviours among eating disordered patients
Konti? Olga,Vasiljevi? Na?a,Jorga Jagoda,Ja?ovi?-Ga?i? Miroslava
Srpski Arhiv za Celokupno Lekarstvo , 2010, DOI: 10.2298/sarh1006328k
Abstract: Introduction Eating disorders indicate unhealthy habits in nutrition and/or behaviour in the feeding and maintaining of body weight. The main characteristic of these diseases is changed behaviour in nutrition, either as an intentional restriction of food, namely extreme dieting or overeating, i.e. binge eating. Extreme dieting, skipping meals, self-induced vomiting, excessive exercise, and misuse of laxatives and diuretics for the purpose of maintaining or reducing body weight are the forms of compensatory behaviour. Objective The purpose of the present research was to determine the presence of different inappropriate compensatory behaviours among eating disordered patients. Methods The experimental group included 35 female eating disordered patients of 23.02 }3.46 years on average, with anorexia or bulimia nervosa. The control group consisted of 70 girls aged 23.1 }3.0 years on average. Each participant completed a '24-hour Recall Questionnaire' and the 'Eating Disorder Diagnostic Scale'. Results A high statistically significant difference existed in the presence of all compensatory behaviours in the experimental and control group, regarding vomiting (χ2=40.6; p<0.001), misuse of laxatives and diuretics (χ2=33.7; p<0.001), extreme dieting (χ2=23.4; p<0.001) and excessive exercising (χ2=27.1; p<0.001). Conclusion Eating disordered patients showed a significantly higher incidence of all evaluated forms of compensatory behaviour in comparison with the control group. This report confirms the presence of specific symptomatology of anorexia and bulimia patients. .
Comparative Evaluation of Production Efficiency: A DEA Approach
Pamini Thangarajah,Kalinga Jagoda
Lecture Notes in Engineering and Computer Science , 2009,
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