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Biomedical subjects

Zbigniew Mucha

Publications and source records attributed to Zbigniew Mucha.

2 recordsLinked to original sources

[The effect of xantham gum on satiety status of obese patients after test meal].

Investigation of soluble fiber-xantham gum on hunger, satiety and epigastric fullness in obese subjects. 21 obese women: age 40.7 +/- 17, BMI 35.4 +/- 5.7 otherwise healthy, actually non dieting. Eating behavior was assessed by Three Factor Eating Behavior Questionnaire (TFEBQ) by evaluating eating restrain, dysinhibition and hunger. Satiety, hunger and epigastric fullness were assessed by visual analogue scale (VAS) and 7-point ratings scale before ingestion of test meal (ham sandwich--90 kcal) and in 20 min intervals during 2-hour observation. The study was done twice: with fiber and with placebo. Ingestion of test meal with drug and placebo causes statistical significant reduction in hunger and increase in satiety feelings in both groups. Afterwards during 2-hour observation the significant increase in hunger was observed. There were no differences in hunger, satiety and epigastric feelings between both groups. The significant positive correlation between third factor of TFEBQ (hunger) and BMI index was found. (r = 48, p < 0.05). 0.5 g of xanthan fiber with test meal didn't cause significant change of satiety. It is probably the effect of too low dose of xantham gum.

Adult↗

Tilt table testing in obesity.

INTRODUCTION: An imbalance between the sympathetic and parasympathetic nervous systems has been indicated in obesity. The aim of the present study was to evaluate the results of tilt table testing (TT) in obese patients. METHODS: 59 patients with simple obesity (F/M: 50/9; BMI: 36.9+/-3.9 kg/m(2)), and 19 healthy subjects of the control group (F/M: 16/3; BMI: 24.7+/-4.3 kg/m(2)) were examined. Additionally, TT was carried out in 11 patients from the obese group after a 3-month weight reduction treatment. We evaluated HR (heart rate), SBP (systolic blood pressure), DBP (diastolic blood pressure): values at rest, post-inclination values (HRt-1, SBPt-1, DBPt-1), differences between the maximum and minimum values as obtained on TT (HRt-range, SBPt-range, DBPt-range), and % differences of HR (%HRt-increase, %HRt-decrease, %HRt-range). RESULTS: A positive TT response was observed in 10 obese patients, and in none of the controls. Higher differences of HR values were observed in the obese (P<0.05) in comparison to control group. Patients with a positive TT response presented a significant increase in HRt-1, HRt-range, and %HRt-range when compared to negative TT and controls (P<0.02). A 3-month weight reduction treatment resulted in a decrease in HR at rest, and decrease in SBP and DBP-both rest values and values after table-inclination. CONCLUSIONS: A positive TT response is observed more often in patients with simple obesity. HR reaction to tilting varies between the patients and controls. A 3-month weight reduction treatment influences the cardiovascular response to tilting. Our results seem to support the hypothesis of autonomic imbalance in obesity.

Adult↗