Dr. Ramona  Raj  Md image

Dr. Ramona Raj Md

4325 N Josey Ln Plaza Three, Suite 203
Carrollton TX 75010
972 992-2271
Medical School: Other - Unknown
Accepts Medicare: No
Participates In eRX: No
Participates In PQRS: No
Participates In EHR: No
License #: N2746
NPI: 1952504524
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Exercise for prevention of obesity and diabetes in children and adolescents. - Clinics in sports medicine
As rates of obesity and type 2 diabetes continue to escalate, effective means of prevention become paramount in curbing the largest epidemic of our times. With adult obesity rates in the United States already at 34%, according to the most recent National Health and Nutrition Examination Survey (NHANES) data, preventing obesity in childhood is of increasing urgency. Exercise and lifestyle modification have been shown to be effective in adult trials for diabetes prevention, such as the Diabetes Prevention Program (DPP), Finnish Diabetes Study, and Da Qing Study. This article reviews randomized, controlled trials in children, using exercise and lifestyle modification in the prevention of insulin resistance and obesity. This review encompasses studies within the past decade from Planet Health in 1999 to the Beijing Obesity Intervention trial published in 2007 and covers both school-based and family-based approaches. A challenging task by any means, these trials have contributed valuable insight into the efficacy of various approaches toward preventing childhood obesity and insulin resistance, a pressing public health concern.
Quantitative heel ultrasonography, 25-hydroxyvitamin D, and urine amino-terminal cross-linking telopeptide of type I collagen in patients with a recent hip fracture. - Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
This study examined quantitative heel ultrasonography (QUS), 25-hydroxyvitamin D (25-OHD) levels, and urine amino-terminal cross-linking telopeptide of type I collagen (NTX-I) levels in patients with a recent osteoporotic hip fracture to see whether they were clinically useful.Stiffness index (SI) T scores from QUS, 25-OHD levels, and urine NTX-I levels were obtained in 53 female and 32 male patients with hip fractures. Sixty-five female patients and 5 male patients attending our geriatric clinic were used for comparison.The SI T scores of the hip fracture patients were less than those of the geriatric clinic patients. The difference was significant in female patients (P= .0001) but not in male patients (P= .1). Serum levels of 25-OHD were less than 28 ng/mL in 50 of 59 patients and less than 5 ng/mL in 2 patients. Levels of urine NTX-I were variable and were not correlated with other parameters.Patients who have had a hip fracture have a low SI determined by QUS; this is easy to perform, and it provides a baseline T score from which to assess treatment effects. Most of these patients are vitamin D deficient, and measurement of the 25-OHD level would enable physicians to prescribe an appropriate dose of vitamin D. Urine NTX-I measured shortly after a hip fracture is not clinically helpful.

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4325 N Josey Ln Plaza Three, Suite 203 Carrollton, TX 75010
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