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COAR Access Rights: metadata only accessSubject: Obesity

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    Article
    Citation - WoS: 33
    Social Jetlag Is Associated With the Frequency of Consumption of Sugar-Sweetened Beverages and a High Bmi Percentile in Adolescents: Results of the Cross-Sectional Family Life, Activity, Sun, Health, and Eating (flashe) Study
    (Elsevier Science inc, 2021) Cetiner, Ozlem; Yildirim, Gonca; Kalyoncu, Zeynep Begum
    Background Social jetlag (SJL) occurs in adolescents due to misalignment of the bio-logical and social clocks, so that most teens wake up earlier than their biological clocks on weekdays and delay bedtime and wake up time on weekends. This shift in sleep timing among adolescents is associated with an adverse endocrine and behavioral risk profile, in addition to increased food consumption and increased body mass index (BMI). Objective The aim of this study was to determine the association between SJL, and the frequency of consumption of multiple food and beverage groups and BMI percentile in adolescents. Design Publicly available data from the cross-sectional Family Life, Activity, Sun, Health, and Eating (FLASHE) study were analyzed. Participants Participants from the FLASHE study were recruited from all regions of the United States between April and October 2014. Among the 1,581 adolescents aged 12 through 17 years in the original study, 1,556 with complete sleep data were analyzed. Main outcome measures The difference between the frequency of dietary consump-tion according to the Dietary Screener Questionnaire and BMI percentile was assessed in adolescents grouped according to SJL, as follows: no SJL: less than 1-hour difference; mild SJL: 1-to 2-hour difference; and severe SJL: more than 2-hour difference. Statistical analyses performed Differences in the frequency of food consumption were analyzed using the Kruskal-Wallis test. Secondary outcomes were analyzed using logistic regression models. Results Daily consumption frequency of sugar-sweetened beverages and fruits and vegetables differed among the 3 groups. Likewise, the BMI percentile differed among the 3 groups and was highest in the severe SJL group. Those in the severe SJL group had a 1.84-fold higher probability of having overweight or obesity (95% CI 1.83 to 1.84) than those in the no SJL group. Conclusions Severe SJL is associated with a higher frequency of sugar-sweetened beverage consumption and higher odds of having overweight or obesity compared with no SJL in adolescents. J Acad Nutr Diet. 2021;121(9):1721-1731.
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    Article
    Citation - WoS: 14
    Citation - Scopus: 14
    Impact of Obesity on Quality of Life, Psychological Status, and Disease Activity in Psoriatic Arthritis: a Multi-Center Study
    (Springer Heidelberg, 2022) Gok, Kevser; Nas, Kemal; Tekeoglu, Ibrahim; Sunar, Ismihan; Keskin, Yasar; Kilic, Erkan; Tuncer, Tiraje
    This article aims to evaluate the possible effect of obesity on quality of life, psychological status, and other clinical variables in Psoriatic arthritis (PsA). PsA patients have been recruited by the Turkish League Against Rheumatism-Network from various centers in Turkey in this cross-sectional study. Patients with a body mass index (BMI) >= of 30 kg/m(2) were considered obese. Differences among patients with regard to obesity status were assessed with health-related quality of life measures (PsA Quality of Life Questionnaire [PsAQoL]), psychological status (Hospital Anxiety and Depression Scale [HADS]), and disease activity parameters (the Disease Activity index for PSoriatic Arthritis [DAPSA], Disease Activity Score 28-C-reactive protein [DAS28-CRP], Bath Ankylosing Spondylitis Disease Activity Index [BASDAI], Psoriasis Area and Severity Index [PASI]), physical functions (Ankylosing Spondylitis Functional Index [BASFI], Health Assessment Questionnaire [HAQ], and Health Assessment Questionnaire for the spondyloarthropathies [HAQ-S]). Pain was assessed using visual analog scale of pain (VAS-P), and fatigue was evaluated using visual analog scale of fatigue (VAS-F) and Functional Assessment of Chronic Illness Therapy (FACIT). A total of 1033 patients with PsA, 650 (62.9%) non-obese and 383 (37.1%) obese were included in the study. The PsAQoL, HADS-Anxiety, HADS-Depression, DAPSA, DAS28-CRP, BASDAI, BASFI, HAQ and HAQ-S scores of the obese group were higher than the non-obese group (p < 0.05). VAS-P and PASI scores were similar between group of patients with and without obesity. Obese patients had higher median scores of VAS-F and FACIT than non-obese patients (p < 0.05). Linear regression analysis showed that BMI affects the quality of life, depression, and disease activity. Consequently, obesity has significant associations with higher disease activity, lower QoL, risk of anxiety, depression, and fatigue. Therefore, obesity should also be taken into account in the management of PsA patients.