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Int. J. Environ. Res. Public Health 2018, 15(11), 2586; https://doi.org/10.3390/ijerph15112586

Body Mass Index and Helicobacter pylori among Obese and Non-Obese Patients in Najran, Saudi Arabia: A Case-Control Study

1
Department of Medicine, Endoscopy Unit, King Khalid Hospital, Najran 1120, Saudi Arabia
2
Department of Surgery, Bariatric Surgery, King Khalid Hospital-Najran 1120, Saudi Arabia
3
Department of Surgery, Najran University Medical College and Hospital, Najran 1988, Saudi Arabia
4
Department of Internal Medicine; Najran University Medical College and Hospital, Nagran 1988, Saudi Arabia
5
Department of Internal Medicine, Taibah University Medical College, Al-Madinah Al-Munawwarah 42353, Saudi Arabia
6
Department of Preventive Dental Sciences, Taibah University Dental College and Hospital, Al-Madinah Al-Munawwarah 42353, Saudi Arabia
*
Author to whom correspondence should be addressed.
Received: 12 October 2018 / Revised: 13 November 2018 / Accepted: 16 November 2018 / Published: 19 November 2018
(This article belongs to the Special Issue IJERPH: 15th Anniversary)
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Abstract

Objective: We examine obese and non-obese patients with respect to Helicobacter pylori (H. pylori) positive-infection (HPPI) and associated factors, specifically body mass index (BMI). Methods: This study took place in the Department of Endoscopy of a central hospital in the Najran region of Saudi Arabia (SA). A total of 340 obese Saudi patients (BMI ≥ 30 kg/m2) who had undergone diagnostic upper endoscopy before sleeve gastrectomy, were compared with 340 age and gender-matched control patients (BMI < 30 kg/m2) who had undergone diagnostic upper endoscopy for other reasons. Data collected included diagnosis of HPPI. Descriptive and multivariable binary logistic regression was conducted. Results: Mean patient age was 31.22 ± 8.10 years, and 65% were males. The total prevalence of HPPI was 58% (95% CI = 54–61%) with obese patients presenting significantly more HPPI than non-obese patients (66% vs. 50%, OR = 1.98, 95% CI = 1.45–2.70, p < 0.0005). Age and gender did not associate significantly with HPPI (p = 0.659, 0.200, respectively) and increases in BMI associated significantly with increases in HPPI (p < 0.0005). BMI remained a significant factor in HPPI when modelled with both age and gender (OR = 1.022, 95% CI = 1.01–1.03, p < 0.0005). Conclusions: Within the limitations of this study, the significance of HPPI in obese Saudi patients residing in the Najran region in SA was demonstrated alongside the significance role of BMI in HPPI. View Full-Text
Keywords: obesity; endoscopy; Helicobacter pylori; BMI; Saudi patients obesity; endoscopy; Helicobacter pylori; BMI; Saudi patients
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Al-Zubaidi, A.M.; Alzobydi, A.H.; Alsareii, S.A.; Al-Shahrani, A.; Alzaman, N.; Kassim, S. Body Mass Index and Helicobacter pylori among Obese and Non-Obese Patients in Najran, Saudi Arabia: A Case-Control Study. Int. J. Environ. Res. Public Health 2018, 15, 2586.

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