ABSTRACT
Contexto: Estima-se que no mundo existam, aproximadamente, 5 milhões de trabalhadores expostos ocupacionalmente à fumaça de soldagem. Níquel e Cromo são metais que podem ocasionar danos ao material genético, e soldadores, por força do ofício, são rotineiramente expostos a eles. Objetivo: O objetivo do presente estudo foi investigar a frequência de danos citotóxicos e genotóxicos em células da mucosa bucal de um grupo de soldadores. Métodos: Um total de 44 indivíduos, distribuídos em 2 grupos soldadores e não soldadores , foi comparado utilizando a técnica do ensaio do micronúcleo e morte celular (picnose, cariorrexe e cariólise) em células da mucosa oral de trabalhadores de soldagem. As células examinadas foram coradas com Feulgen/Fast-green. Resultado: Os soldadores apresentaram maior frequência (p<0,05) de alterações indicativas de citotoxicidade quando comparados ao grupo de indivíduos não expostos a fumos metálicos. Conclusão: Os resultados deste estudo preliminar sugerem que soldadores apresentam maior frequência de danos citotóxicos e morte celular em células da mucosa bucal que trabalhadores não expostos.
Context: It is estimated that approximately 5 million workers are occupationally exposed to welding fumes worldwide. Nickel and Chromium are genotoxic metals found in welding fumes and thus welders are exposed to these metals at the working place. Objective: The objective of this study was to investigate the frequency of cytotoxic and genetic damage in cells harvested from the oral mucosa of welders and also from a group of workers not exposed to metallic fumes. Methods: A total of 44 individuals, divided into 2 groups welders and not-welders were compared using the micronucleus assay technique and cell death (pycnosis, karyorrexis and karyolysis) in buccal mucosa cells of welding workers. The cells examined were staining with Feulgen/Fast-green. Results: Welders presented higher frequency (p<0.05) of cytotoxicity than the group of volunteers who were not exposed to metallic fumes. Conclusion: The results from this preliminary study suggest that welders may have a higher frequency of cytotoxic damage in buccal mucosa cells than non-welding workers.
Subject(s)
Humans , DNA Damage , Cell Death , Oxidative Stress , Micronuclei, Chromosome-Defective , Genotoxicity/analysis , Occupational DiseasesABSTRACT
ABSTRACT BACKGROUND: Insulin resistance (IR) and progressive pancreatic β-cell dysfunction have been identified as the two fundamental features in the pathogenesis of obesity and non-insulin-dependent diabetes mellitus. We aimed to investigate correlations between anthropometric indices of obesity and IR in non-diabetic obese individuals, and the cutoff value from receiver operating characteristic (ROC) curve analysis. DESIGN AND SETTING: Cross-sectional study conducted in a private clinic. METHODS: We included obese individuals (body mass index, BMI ≥ 30 kg/m2) with no diabetes mellitus (fasting glucose levels ≤ 126 mg/dl). The participants were evaluated for the presence of cardiovascular risk factors and through anthropometric measurements and biochemical tests. Furthermore, IR was assessed indirectly using the homeostatic model assessment (HOMA)-IR and HOMA-β indexes. The area underthe curve (AUC) of the variables was compared.The sensitivity, specificity and cutoff of each variable for diagnosing IR were calculated. RESULTS: The most promising anthropometric parameters for indicating IR in non-diabetic obese individuals were waist-to-height ratio (WHtR), waist circumference (WC) and BMI. WHtR proved to be an independent predictor of IR, with risk increased by 0.53% in HOMA-IR, 5.3% in HOMA-β and 1.14% in insulin. For HOMA-IR, WHtR had the highest AUC value (0.98), followed by WC (0.93) and BMI (0.81). For HOMA-β, WHtR also had the highest AUC value (0.83), followed by WC (0.75) and BMI (0.73).The optimal WHtR cutoff was 0.65 for HOMA-IR and 0.67 for HOMA-β. CONCLUSION: Among anthropometric obesity indicators, WHtR was most closely associated with occurrences of IR and predicted the onset of diabetes in obese individuals.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Insulin Resistance/physiology , Cardiovascular Diseases/etiology , Obesity/complications , Body Height , Cardiovascular Diseases/physiopathology , Body Mass Index , Cross-Sectional Studies , Predictive Value of Tests , Risk Factors , ROC Curve , Waist-Hip Ratio , Waist Circumference , Obesity/physiopathologyABSTRACT
Abstract Aim Evaluate and compare the proportion of PI and associated factors by IPAQ questionnaire, triaxial accelerometry and the combination of both. Adults aged ( 18 years were enrolled (n = 250). Methods We considered PI as < 600 MET-min/wk in the IPAQ total score, < 150 min/wk of moderate-to-vigorous physical activity in 7 days accelerometry, and the combination of both criteria. Clinical assessment, spirometry, cardiopulmonary exercise test, bioelectrical impedance, isokinetic dynamometry, postural balance, and six-minute walk test were also performed. For participants practicing aquatic, martial arts or cycling, only the IPAQ criterion was considered. Results Proportions of PI were significantly different among methods (IPAQ, 10%; accelerometry, 20%; combination, 25%). After multivariate logistic regressions, PI was determined by age, sex, educational level, risk factors for cardiovascular disease, lean body mass, cardiorespiratory fitness, and postural balance. Conclusion Thus, the combined method for determining PI and associated factors in adults showed great validity, indicating that questionnaires and accelerometers are complementary and should be utilized in combination in epidemiological studies.(AU)