scholarly works
Permanent URI for this collectionhttps://repository.ui.edu.ng/handle/123456789/526
Browse
6 results
Search Results
Item Predictors of weight reduction in a Nigerian family practice setting(Ghana Medical Association, 2021) Ogunbode, A. M.; Owolabi, M. O.; Ogunbode, O. O.; Adebusoye, L. A.; Ogunniyi, A.Objectives: This study identified the predictors of weight reduction among adult obese patients in a Family Practice Setting and developed a statistical model to predict weight reduction. Design: A prospective cohort design. Setting: The Family Practice Clinic, University College Hospital, Ibadan, Nigeria Participants and study tools: Obese adults were recruited into a three-month weight reduction program. Patient Information Leaflets were used for counselling, while questionnaires were administered to obtain socio-demographic and lifestyle factors. Potential predictors were assessed using the Multidimensional Scale of Perceived Social Support, Zung Depression Scale, Rosenberg Self-Esteem scale, Garner’s Eating Attitude Test-26 (EAT-26), 24-hour dietary recall and International Physical Activity Questionnaire-short form. Anthropometric indices, blood pressure and Fast-ing Lipid Profile were assessed. Descriptive and inferential statistics were used for analysis with a significance set at α0.05. Results: Most 99(76.2%) of the 130 participants achieved weight reduction and had a median weight change of -2.3kg (IQR-4, -0.5), with 66 (66.7%) out of 99 attaining the weight reduction target of 10%. The regression model showed predictors of weight reduction to be Total Cholesterol [TC] (p=0.01) and Low-Density Lipoprotein Cholesterol [LDL-C] (p=0.03). The statistical model derived for Weight reduction = 0.0028 (LDL-C) -0.029 (TC)-0.053 (EAT-26) +0.041(High-Density Lipoprotein Cholesterol). The proportion of variance of the model tested was R2 = 0.3928 (ad-justed R2 = 0.2106). Conclusion: Predictors of weight reduction among patients were eating attitude score, Total Cholesterol, Low-Density Lipid and High-Density Lipoprotein Cholesterol levels. A statistical model was developed for managing obesity among patients.Item Factors associated with obesity and weight reduction among people with obesity: A systematic review(ScopeMed, 2020) Ogunbode, A. M.; Owolabi, M. O.; Ogunbode, O. O.; Ogunniyi, A.Introduction: Obesity is a non-communicable disease of huge public health importance with several multi-systemic complications. Weight reduction techniques are useful in the management of obesity. The aim of this review was to determine the risk factors, health risks of obesity as well as factors influencing weight reduction among individuals with obesity. Methods: Google, Google Scholar, and Pub Med databases were used to identify studies on obesity that assessed risk factors and complications of obesity plus factors influencing weight reduction among people with obesity. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were used and 914 literature records were retrieved. These were limited to papers published in English up to 2019. We excluded 702 articles that did not match our theme and also excluded an additional 156 full articles due to incompleteness. The evidence available was critically appraised in line with our objectives. Results: Fifty-six articles were reviewed, and it was found that obesity increased with age and was more in women. Inadequate diet, physical inactivity, and metabolic disor¬ders were contributory factors, whereas the main factors associated with greater weight reduction were lower pre-treatment weight, lower waist circumference, doctors as role models, and absence of psychiatric co-morbidities. Conclusions: Proven weight reduction methods are vital for the cost-effective manage¬ment of patients as part of lifestyle modification.Item What’s in your hands? A systematic review of dietary assessment methods and estimation of food sizes in a Primary Care Clinic(Wolters Kluwer - Medknow, 2018) Ogunbode, A. M.; Owolabi, M. O.; Ogunbode, O. O.; Ogunniyi, A.Introduction: Many patients with noncommunicable diseases such as obesity are attended to in Family Practice Clinics where quick dietary assessment along with estimation of food sizes as part of lifestyle modification and appropriate intervention could be offered. We performed a systematic review to determine the dietary assessment methods with the best evidence that can be employed in a Family Practice Clinic. Methods: Preferred Reporting Items for Systematic Reviews and Meta Analysis (PRISMA) guidelines were used to conduct a systematic review of PubMed, Google, and Google Scholar databases from 1992 to 2017. Results: We found 730 original research articles, case–control studies, review articles, proceedings, transactions, and textbooks. Thirty-seven articles were selected out of which two were secondary data, 12 were review articles, 10 were descriptive surveys, and one was a prospective cohort study. There were two randomized controlled trials, two mixed study designs, one working paper, and seven guides. Food portion size estimation using household objects and the hand guide, then the food pyramid guide along with the food-sized plate intervention was documented. Conclusion: In view of the busy nature of Family Practice Clinics in several countries, in performing dietary assessment, food portions can be estimated using household measures and the hand portion guide. The pyramid guide and the portion-sized plate can then be used for intervention.Item What’s in your hands? A systematic review of dietary assessment methods and estimation of food sizes in a Primary Care Clinic(Wolters Kluwer - Medknow, 2018) Ogunbode, A. M.; Owolabi, M. O.; Ogunbode, O. O.; Ogunniyi, A.Introduction: Many patients with non-communicable diseases such as obesity are attended to in Family Practice Clinics where quick dietary assessment along with estimation of food sizes as part of lifestyle modification and appropriate intervention could be offered. We performed a systematic review to determine the dietary assessment methods with the best evidence that can be employed in a Family Practice Clinic. Methods: Preferred Reporting Items for Systematic Reviews and Meta Analysis (PRISMA) guidelines were used to conduct a systematic review of PubMed, Google, and Google Scholar databases from 1992 to 2017. Results: We found 730 original research articles, case–control studies, review articles, proceedings, transactions, and textbooks. Thirty-seven articles were selected out of which two were secondary data, 12 were review articles, 10 were descriptive surveys, and one was a prospective cohort study. There were two randomized controlled trials, two mixed study designs, one working paper, and seven guides. Food portion size estimation using household objects and the hand guide, then the food pyramid guide along with the food-sized plate intervention was documented. Conclusion: In view of the busy nature of Family Practice Clinics in several countries, in performing dietary assessment, food portions can be estimated using household measures and the hand portion guide. The pyramid guide and the portion-sized plate can then be used for intervention.Item Weight control, alcohol reduction, smoking cessation, health promotion, exercise and diet (WASHED)’: a mnemonic for lifestyle modification in obesity(Department of Family Medicine, University College Hospital, Ibadan, 2015) Ogunbode, A. M.; Owolabi, M. O.; Ogunniyi, A.; Ogunbode, O. O.Item Bell's palsy in pregnancy and the puerperium: a report of five cases(College of Medicine, University of Ibadan, 2010) Fawale, M. B.; Owolabi, M. O.; Ogunbode, O.The incidence of idiopathic facial nerve palsy is higher during pregnancy and the puerperium than in non-pregnant women of childbearing age. An important association also exists between Bell’s palsy and hypertensive disorders of pregnancy. We describe three patients with idiopathic facial nerve palsy in pregnancy and two in the puerperium. Two of these were associated with hypertensive disorder of pregnancy. This case report illustrates the fact that Bell’s palsy is common in pregnancy and in the puerperium and often associated with hypertensive disorders of pregnancy. Association also exists between Bell’s palsy and hypertensive disorders of pregnancy [1].The clinical manifestation is the same in pregnancy as in the general population, although, it tends to run a more severe course in the former [5]. Rarely, patients have recurrent Bell’s palsy in successive pregnancies [5]. Short course of steroids early in the course of the disease has been used with some evidence of benefit [7]. We present a crop of five cases of Bell’s palsy who we saw in quick succession within a few months at the Neurology Unit of the Department of Medicine, University College Hospital, Ibadan.