The Body Mass Index (BMI) and body weight do not give enough information about a person’s body composition. Measuring the fat free mass gives us the extra information we need. The body composition can be measured in several ways. Unfortunately none of these techniques is a gold standard. That is why different techniques are combined in a full body composition assessment. This study aims to assess the prevalence of overweight, obesity and the fat distribution in medical students. Two hundred (200) preclinical, 100 male and 100 female age matched students (mean 18.93 ± 0.75 years) were included in the study. BMI, waist hip ratio, body fat, skeletal muscle mass and their bodily distribution were recorded by using an electronic body composition analyzer. The subjects were divided into undernourished (UN=BMI<18.5 kg/m2), normal (N=BMI>18.5–22.9 kg/m2), overweight (OW=BMI>23-27.99 kg/m2) and obese (OB=BMI >28 Kgm2) groups based on BMI cut off values for Asians. The data analyzed showed that 32% of the Male (mean BMI = 25.41 ±1.46 kg/m2) 33% of the Female (mean BMI =25.03 ± 1.44 kg/m2) were over weight and 16% of Males (mean BMI =31.08 ±1.91) 8% Females(mean BMI= 30.73 ± 1.66) were obese. The average total body fat in males was 20.75 ± 6.69% and 28.55 ± 5.86% in females. The total body fat was high in obese males and females 26.67±4.37, 36.73 ±0.46% respectively as compared to other groups. The visceral fat was high in obese males (14.40 ± 2, 27%) and whereas obese females had normal levels at (9.5 ± 1.0%). The subcutaneous fat was more in the lower limbs than in the trunk area in both males and females. The skeletal muscle mass was about 34.5 ± 3.44% in males and 26.98 ± 2.55% in females which was slightly less than the recommended values. The leg area had more muscle mass than other areas. The findings clearly indicate increase in total body fat increases with BMI and WHR.

Background: The visceral adiposity index (VAI) is proposed as a substitute marker of dysfunction and distribution of adipose tissue and is found to be independently correlated with cardiometabolic risk associated with visceral obesity. However, VAI is not well studied in Bangladeshi population. Objectives: This study was aimed to determine the visceral adipose dysfunction (VAD) based on VAI in a group of patients with Acute Coronary Syndrome (ACS) admitted in a tertiary care hospital of Bangladesh and also to determine the correlation of VAI with other anthropometric indicators of obesity. Methods: This descriptive cross-sectional study was conducted on 96 admitted patients of ACS at the Department of Cardiology, Abdul Malek Ukil Medical College & Hospital, Noakhali, Bangladesh from January 2019 to June 2019. Fasting serum lipid profile was obtained within 24 hours of hospitalization and demographic and anthropometric parameters [Body Mass Index (BMI), Waist Circumference (WC) and Waist to Height Ratio (WHtR)] were documented. VAI was calculated and VAD was determined for each patients. Results: The mean age of the subjects were 57.7±14.4 years with majority (71.9%) being male. Based on BMI 50% patients were obese. 69.8% and 81.3% had central obesity based on WC and WHtR criteria respectively. Overall, mean VAI was high (7.48±2.85) and significantly higher in female than male (8.83±2.89 versus 6.95±2.67; p=0.003). All patients had VAD. WHtR had significant positive correlation with VAI (r=0.338; p=0.001). Conclusion: VAD was highly prevalent in this group of ACS patients and WHtR was better than WC and BMI to measure the visceral fat.

Introduction: Solitary Thyroid nodule (STN) has been the subject of vigorous disagreement with divergent opinions. They can be of both non-neoplastic and neoplastic in nature and it is difficult to assess their nature by clinical examination alone. Imaging technique may help in differentiating them preoperatively but histological is the gold standard. The aim of the study was to differentiate various thyroid disorders manifesting as Solitary thyroid nodule on the basis of histomorphological features. Material and methods: A total of 68 cases of STNs received over the period of 24 months were studied and histopathological features were analysed. Results: In this study, non-neoplastic STNs were 38 (55.9%) and neoplastic were 30 (44.1%), the former being more common. There was a female preponderance in non- neoplastic and neoplastic STNs. Mean age of presentation of STNs was 42.09 years. Non-neoplastic lesions of thyroid were; 28 cases of colloid nodules, 7 cases of adenomatous nodule, 1 case of hyperplastic nodule and 2 cases of colloid cyst and the neoplastic lesions were; 17 cases of follicular adenoma, 11 cases of papillary carcinoma of thyroid (PTC), and 2 cases of follicular carcinoma. Conclusion: STNs are not so uncommon and comprise of a range of both non-neoplastic and neoplastic lesions. Colloid nodule and PTC are the most common of non-neoplastic and neoplastic STNs respectively.