Nutritional assessment
Anthropometrical, bioelectrical and clinical findings at
physical examination are showed in Table 2 with biochemical
analyses. The patient’s BMI was greater than
34.99 Kg/m2, class II obesity according to WHO classification
[13]. Fat mass was estimated by bioelectrical impedance
analysis (BIA) using a BIA 101 Akern s.r.l.
(Italy). The exam, performed under standardized conditions
[14] revealed an important increase in fat mass although
a normal state of hydration. The waist-to-hip
ratio indicates an android fat distribution. Evidence of
increased visceral fat depot is shown by waist circumference
measurement.