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Overweight Relation to Liver Fluke Infection among Rural Participants from 4 Districts of Nakhon Ratchasima Province, Thailand

  • Kaewpitoon, Soraya J (School of Family Medicine and Community Medicine, Institute of Medicine, Suranaree University of Technology) ;
  • Rujirakul, Ratana (Parasitic Disease Research Unit, Suranaree University of Technology) ;
  • Wakkuwattapong, Parichart (Parasitic Disease Research Unit, Suranaree University of Technology) ;
  • Matrakool, Likit (Suranaree University of Technology Hospital) ;
  • Tongtawee, Taweesak (Suranaree University of Technology Hospital) ;
  • Panpimanmas, Sukij (Suranaree University of Technology Hospital) ;
  • Kujapun, Jirawoot (Faculty of Public Health, Vongchavalitkul University) ;
  • Norkaew, Jun (Faculty of Public Health, Vongchavalitkul University) ;
  • Photipim, Mali (Faculty of Public Health, Vongchavalitkul University) ;
  • Ponphimai, Sukanya (Faculty of Public Health, Vongchavalitkul University) ;
  • Chavengkun, Wassugree (Faculty of Public Health, Vongchavalitkul University) ;
  • Kompor, Pontip (Faculty of Public Health, Vongchavalitkul University) ;
  • Padchasuwan, Natnapa (Faculty of Public Health, Khon Kaen University) ;
  • Sawaspol, Sudaporn (Geoinformatics Program, Faculty of Science and Technology, Nakhon Ratchasima Rajabhat University) ;
  • Phandee, Mattika Chaimeerang (Geoinformatics Program, Faculty of Science and Technology, Nakhon Ratchasima Rajabhat University) ;
  • Phandee, Wichan (Geoinformatics Program, Faculty of Science and Technology, Nakhon Ratchasima Rajabhat University) ;
  • Phanurak, Wassana (Geoinformatics Program, Faculty of Science and Technology, Nakhon Ratchasima Rajabhat University) ;
  • Kaewpitoon, Natthawut (Parasitic Disease Research Unit, Suranaree University of Technology)
  • Published : 2016.05.01

Abstract

A cross-sectional survey was conducted among 730 participants from 4 rural districts of Nakhon Ratchasima province, Thailand, with a reported high incidence of liver fluke infection. This study was aimed to examine and evaluate the nutritional status in relation to Opisthorchis viverrini infection. Participants were purposive selected from Chum Phuang, Mueang Yang, Bua Yai, and Kaeng Sanam Nang districts. Stool samples were prepared by Kato Katz technique and then assessed by microscopy. Anthropometry was evaluated according to the body mass index from weight and height. Descriptive statistics and Spearman rank correlation coefficients were used to evaluate the association between the nutritional status and O. viverrini infection. Of 1.64% infected with O. viverrini the highest proportions were found in age groups ${\geq}61$ and 41-50 years old, Mueang Yang district. The majorities of participants had normal weight (32.2%), followed by class II obesity (28.1 %), class I obesity (21.8%), underweight (10.3%), and class III obesity (8.63%). Nutritional status with class II obesity (rS=0.639, p<0.01) and class I obesity (rS=0.582, p<0.05), had moderately statistical significant correlations with O. viverrini infection. Meanwhile, normal weight (rS=0.437, p<0.05) and class III obesity (rS=0.384, p<0.05) demonstrated lower statistical significance. These findings raise the possibility that infection with O. viverrini may contribute to fat deposition and thereby have long-term consequences on human health. Further studies are needed to better understand whether O. viverrini contributes directly to fat deposition and possible mechanisms.

Keywords

Nutritional status;overweight;obesity;liver fluke infection;Thailand

Acknowledgement

Supported by : National Health Security Office

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