Gender differences in myopia prevalence among Han students aged 7 to 18 years in China during 2005-2019 / 中国学校卫生

Objective@#To investigate gender differences regarding changes of myopia rates among Han Chinese students aged 7-18 years in China, and to provide a scientific basis for precise myopia prevention and control.@*Methods@#The visual acuity data of 871 112 students aged 7-18 years from four national student physical fitness and health surveys in 2005, 2010, 2014 and 2019 were selected to analyze gender differences in myopia rates and myopia rates among male and female students in each age group.@*Results@#The overall myopia rate of students aged 7-18 years in China increased from 2005 to 2019( χ 2=7 265.06, P <0.01), and the myopia rate increased from 47.9%(2005) to 60.1% (2019). Gender differences in myopia rates among students trended to decrease( χ 2=72.24, P <0.01), and showed an inverted "U shaped" distribution from south to north, decreasing first and then increasing.@*Conclusion@#The problem of myopia in children and adolescents cannot be ignored, and the difference in myopia rates between male and female students should be taken into account, precise prevention and control of myopia accurately according to gender.

Influence of age and gender on knee and hip isometric strength of recreational physically active young and middle-aged subjects / Influencia de la edad y el sexo en la fuerza isométrica de la rodilla y la cadera de personas jóvenes y de mediana edad que practican actividades físicas recreativas / Influência da idade e do sexo na força isométrica do joelho e do quadril de indivíduos jovens e de meia idade praticantes recreacionais de atividades físicas

ABSTRACT Muscle strength is an essential part of the functional assessment of health professionals to select and analyze the effects of clinical interventions. This study aimed to determine the influence of gender and age on isometric strength of hip and knee muscle groups. A total of 127 subjects (50.4% men), aged from 20 to 49 years (stratified into three groups: 20-29 years; 30-39 years; and 40-49 years) participated in this study. A hand-held dynamometer was used to measure isometric normalized torque of the hip abductors, hip external rotators, knee extensors, and knee flexors muscles. Regressions and a two-way analysis of variance were used to identify the influence of age and gender on torque of each muscle group. Age and gender were included in the regression model for all groups. Generally, men aged 20-29 and 30-39 were stronger than age-paired women. For participants aged 40-49, torque was similar for men and women for all muscle groups. There was no difference among age groups for women. Generally, young men were stronger than older men. The association between age and gender in hip and knee strength was proved and liable of subgroup stratification after measurements with a hand-held isometric dynamometer.

RESUMEN La fuerza muscular es un componente básico de la evaluación funcional de los profesionales de la salud para seleccionar y analizar los efectos de las intervenciones clínicas. El objetivo de este estudio fue determinar la influencia del sexo y de la edad en las mediciones de fuerza isométrica de los grupos musculares de la cadera y la rodilla. En el estudio participaron 127 sujetos (50,4% hombres), de entre 20 y 49 años de edad (estratificados en grupos: 20 a 29 años; 30 a 39 años; y 40 a 49 años). El torque isométrico normalizado de los abductores y rotadores externos de la cadera y de los extensores y flexores de la rodilla se midió con un dinamómetro manual. Se utilizaron regresiones y el análisis de varianza (Anova) para identificar la influencia de la edad y el sexo en el torque. Tanto la edad como el sexo se incluyeron en el modelo para todos los grupos musculares. En general, los hombres de entre 20 y 29 años y los de 30 a 39 mostraron tener más fuerza que las mujeres del mismo grupo de edad. Para los participantes de 40 a 49 años, el torque fue similar entre hombres y mujeres para todos los grupos musculares. No hubo diferencias entre los grupos de edad en el grupo de mujeres. En general, los hombres más jóvenes demostraron ser más fuertes que los hombres de mediana edad. La relación entre la edad y el sexo en la fuerza muscular de la cadera y la rodilla se probó y demostró ser susceptible a la estratificación después de las mediciones realizadas con el dinamómetro manual.

RESUMO A força muscular é um componente essencial da avaliação funcional de profissionais da saúde para selecionar e analisar efeitos de intervenções clínicas. O objetivo do estudo foi determinar a influência do sexo e da idade sobre medidas de força isométrica de grupos musculares do quadril e do joelho. Participaram da pesquisa 127 sujeitos (50,4% homens), com idade de 20 a 49 anos (estratificados em grupos: 20 a 29 anos; 30 a 39 anos; e 40 a 49 anos). O torque isométrico normalizado de abdutores e rotadores externos de quadril e extensores e flexores de joelho foi medido com dinamômetro manual. Regressões e uma análise de variância (Anova) foram usados para identificar a influência da idade e do sexo sobre o torque. Tanto idade quanto sexo foram incluídos no modelo para todos os grupos musculares. Em geral, homens de 20 a 29 anos e de 30 a 39 anos demonstraram mais força do que mulheres da mesma faixa etária. Para participantes de 40 a 49 anos, o torque foi similar entre homens e mulheres para todos os grupos musculares. Não houve diferença entre as faixas etárias no grupo de mulheres. Em geral, homens mais jovens se mostraram mais fortes do que homens mais velhos. A relação entre idade e sexo na força muscular do quadril e do joelho foi provada e se mostrou passível de estratificação após as medições feitas com o dinamômetro manual.

Afastamento do trabalho por distúrbios musculoesqueléticos entre os professores da educação básica no Brasil / Work absence due to musculoskeletal disorders among basic education teachers in Brazil

Resumo Objetivo: investigar fatores associados ao afastamento do trabalho por distúrbios musculoesqueléticos entre professores e professoras da educação básica brasileira. Métodos: estudo transversal com amostra probabilística e representativa das grandes regiões do Brasil. Por meio de entrevistas realizadas por telefone, foi aplicado questionário para coleta de informações sociodemográficas, sobre estado de saúde, afastamentos do trabalho e características do trabalho docente. Empregou-se regressão de Poisson com variância robusta, para estimar razões de prevalência (RP) e intervalos de confiança de 95% (IC95%). Resultados: entre os 6.510 professores participantes (63,2% do sexo feminino), a prevalência de afastamento por distúrbios musculoesqueléticos foi de 14,7%, sendo 16,5% para o sexo feminino e 11,7% para o masculino. Os resultados indicaram associação entre afastamento e indisciplina em sala de aula (feminino = RP: 1,36; IC95%: 1,11;1,67; masculino = RP: 1,35; IC95%: 1,02;1,78), violência verbal praticada por estudantes (feminino = RP: 1,16; IC95%: 1,01;1,35; masculino = RP: 1,54; IC95%: 1,22;1,95) e alta exigência das tarefas profissionais (feminino = RP: 1,17; IC95%: 1,01;1,36; masculino = RP: 1,27; IC95%: 1,01;1,60). Conclusão: os fatores associados aos afastamentos do trabalho por distúrbios musculoesqueléticos estão relacionados à exposição dos professores, de ambos os sexos, à sobrecarga de trabalho e a ambientes escolares estressantes.

Abstract Objective: to investigate factors associated with work absence due to musculoskeletal disorders among teachers of Brazilian basic education. Methods: a cross-sectional study, which used a probabilistic and representative sample of the major regions of Brazil. Through telephone interviews, a questionnaire was applied to collect socio-demographic information on health status, work absences, and characteristics of teaching work. Poisson regression with robust variance was used to estimate prevalence ratios (PR) and 95% confidence intervals (95%CI). Results: among the 6,510 participating teachers (63.2% female), the prevalence of leave due to musculoskeletal disorders was 14.7% (16.5% among women and 11.7% among men). The results indicated an association between absence and indiscipline in the classroom (female = PR: 1.36; 95%CI: 1.11;1.67; male = PR: 1.35; 95%CI: 1.02;1.78 ), verbal violence committed by students (female = PR: 1.16; 95%CI: 1.01;1.35; male = PR: 1.54; 95%CI: 1.22;1.95) and high professional tasks demands (female = PR: 1.17; 95%CI: 1.01;1.36; male = PR: 1.27; 95%CI: 1.01;1.60). Conclusion: the factors associated with work absences due to musculoskeletal disorders are related to teachers' exposure to work overload and stressful school environments.

Epidemiología y características de las patologías neuroquirúrgicas en un hospital peruano nivel III-1 de alta complejidad. Periodo 2008-2020 / Epidemiology and characteristics of neurosurgical pathologies in a high complexity Peruvian hospital. Period 2008-2020

Introducción: existe una alta carga de enfermedad neuroquirúrgica en el mundo. La información sobre patología neuroquirúrgica en Perú es limitada. Objetivo. El objetivo del estudio es describir las características epidemiológicas y la distribución temporal de la patología neuroquirúrgica en un centro de alta complejidad. Material y Métodos: se realizó un estudio transversal analítico usando el registro de cirugías del servicio de neurocirugía del Hospital Nacional María Auxiliadora, en Lima-Perú entre 2008 y 2020. Se categorizó a los diagnósticos según la patología primaria en 10 categorías; y los diagnósticos específicos correspondientes a cada patología primaria. Se describieron frecuencias absolutas y relativas según patología. La distribución temporal se describió mediante un mapa de calor. Se usó la prueba de chi cuadrado para evaluar asociación entre los diagnósticos y el sexo. Resultados: se realizaron 2948 procedimientos quirúrgicos. La mediana de la edad fue de 38 años; y el 66,7% fue del sexo masculino. Los diagnósticos de traumatismo encefalocraneano, hidrocefalia y patología vascular representan el 60,0% de la carga de enfermedad neuroquirúrgica en el centro de estudio. El 20,2% de los TECs fueron hematomas subdurales crónicos y el 19,4% fueron hematomas epidurales. El 7,4% de todos los procedimientos fueron reintervenciones. Se encontró asociación entre el sexo y el diagnóstico primario (p < 0.001). Conclusiones: Los diagnósticos primarios más frecuentes fueron el traumatismo encefalocraneano, la hidrocefalia y los eventos vasculares. Es necesario comprender mejor el perfil de carga de enfermedad neuroquirúrgica en Perú.

Background: the neurosurgical burden of disease is high worldwide. Information regarding this in Peru is limited. We aim to describe epidemiological characteristics and temporal distribution of the neurosurgical burden of disease in a high complexity center in Peru. Material and Methods: we carried a cross-sectional analytical study using the surgery registry from the neurosurgical department of Hospital Nacional María Auxiliadora in Lima-Peru, which contains registers from 2008 to 2020. Diagnoses were classified into main diagnosis, a variable with 10 levels, each a broad category; and specific diagnosis, defining the etiology. Absolute and relative frequencies were described on a diagnosis basis. Temporal distribution was described using a heatmap. Chi-squared test was used to evaluate association between variables and sex. Results: there were 2948 surgeries in the studied period. The median age was 38, and 66,7% were male. Head trauma, hydrocephalus and vascular pathology represent 60,0% of neurosurgical burden of disease in our center. The most frequent specific diagnoses of head trauma were chronic subdural hematoma (20,2%) and epidural hematoma (19,4%). Reinterventions were 7,4% of all procedures. Sex and principal diagnosis were associated (p < 0.001). Conclusions: The most frequent diagnoses were head trauma, hydrocephalus and vascular pathology. We describe an association between principal diagnosis and sex. There is need for further understanding of the neurosurgical burden of disease in Peru.

Differences between Chinese men and women with adult-onset non-radiographic axial spondyloarthritis / 中华风湿病学杂志

Objective:To explore the clinical characteristics of adult-onset non-radiographic axial spondyloarthritis (nr-axSpA) in different genders.Methods:A total of 662 patients with adult-onset nr-axSpA (age at disease onset ≥16 years) who visited the Rheumatology Department of the First Affiliated Hospital of Shantou University Medical College from 1999 to 2020 were included in the study. Comparisons of baseline demographic and clinical characteristics between different genders were performed.Results:Overall, the male-to-female ratio was 1.17∶1, and the prevalence of human leukocyte antigen-B27 (HLA-B27) positivity was 71.8%(475/662). The median baseline disease duration and age at diagnosis was 1.6 (0.5, 4.0) years and 25.0 (21.0, 33.0) years respectively. The males had a significantly earlier age at disease onset and diagnosis [21.0 (18.0, 28.0) vs 25.0 (21.0, 30.0), Z=5.63, P<0.001; 24.0 (19.0, 32.0) vs 27.0 (23.0, 34.5), Z=4.90, P<0.001, respectively] than females. HLA-B27 positivity was more frequent in males than in females [78.4% (280/357) vs 63.9%(195/305), χ2=17.06, P<0.001]. The prevalence of inflammatory back pain (IBP), morning stiffness, nocturnal pain, enthesitis, hip and groin pain were higher in males, whereas females showed a higher prevalence of small joint involvement of the hands. At baseline, males had higher median ankylosing spondylitis disease activity score (ASDAS)-C-reaction protein (CRP) [3.0(2.3, 3.8) vs 2.4(2.0, 3.0), Z=5.59, P<0.001] and a greater prevalence of high disease activity ASDAS-CRP>2.1 [81.9%(185/227) vs 67.9%(133/195), χ2=11.08, P=0.001] than females. The proportions of male patients with elevated CRP levels and erythrocyte sedimentation rate (ESR) were also higher than those of female patients [49.0%(175/357) vs 27.9%(85/305), χ2=30.85, P<0.001; 49.3%(176/357) vs 33.4%(102/305), χ2=16.98, P<0.001, respectively]. Conclusion:The adult-onset nr-axSpA in China is characterized by a comparable sex ratio. Males have an earlier age at disease onset and are higher HLA-B27 positivity with higher prevalence of IBP, enthesitis, hip and groin pain, as well as high disease activity.

Associação do autorrelato de problemas no sono com morbidades e multimorbidades segundo sexo: Pesquisa Nacional de Saúde 2019 / Asociación de los problemas de sueño autoinformados con morbilidades y multimorbilidades según el sexo: Encuesta Nacional 2019 / Association of self-reported sleep problems with morbidities and multimorbidities according to sex: National Health Survey 2019

Objetivo: Avaliar a associação do autorrelato de problemas no sono com a presença de doenças crônicas não transmissíveis (DCNTs) e multimorbidades, e se essas associações diferem por sexo. Métodos: Estudo transversal realizado com dados da Pesquisa Nacional de Saúde 2019. Razões de prevalências entre morbidades, número de DCNTs e autorrelato de problemas no sono foram estimadas por regressão de Poisson com variância robusta, por sexo. Resultados: Foram analisados 85.531 brasileiros com idade ≥18 anos. Os problemas no sono autorrelados associaram-se a todas as morbidades e multimorbidades. A prevalência dos problemas no sono foi maior nos que declararam uma ou duas (RP = 2,37; IC95% 2,22;2,54) e três ou mais DCNTs (RP = 4,73; IC95% 4,37;5,11). As razões de prevalências da associação com diabetes, doenças pulmonares, mentais, renais e multimorbidades foram mais elevadas entre o sexo masculino. Conclusão: As DCNTs impactaram significativamente a qualidade do sono em ambos os sexos, com associação mais forte para o sexo masculino.

Objetivo: Evaluar la asociación de problemas de sueño con la presencia de enfermedades crónicas no transmisibles (ECNTs) y multimorbilidades, y si estas asociaciones difieren por sexo. Métodos: Estudio transversal con datos de la encuesta epidemiológica Pesquisa Nacional de Saúde 2019. Se estimaron las razones de prevalencia entre morbilidades, número de ECNTs y problemas de sueño por regresión de Poisson con variación robusta, por sexo. Resultados: Se analizaron 85.531 brasileños ≥ 18 años. El autoinforme de problemas de sueño se asoció con todas las morbilidades estudiadas y con multimorbilidades. La prevalencia de problemas de sueño fue mayor en aquellos que informaron uno o dos (PR = 2,37; IC95% 2,22;2,54) y tres o más ECNTs (RP = 4,73; IC95%4,37;5,11). Las razones de prevalencia de la asociación de diabetes con enfermedades pulmonares, mentales, renales y multimorbilidades han sido más fuertes en el sexo masculino. Conclusión: Las ECNTs tienen un impacto significativo en la calidad del sueño con fuerte asociación en ambos sexos, masculino y feminino.

Objective: To evaluate the association between self-reported sleep problems and the presence of non-communicable diseases (NCDs) and multimorbidity, and whether these associations differ by sex. Methods: This is a cross sectional study performed with data from the Brazilian National Health Survey, 2019. Prevalence ratios between morbidities, the number of NCDs, and the self-report of sleep problems were estimated by Poisson regression with robust variance, according to sex. Results: This study analysed data from 85,531 Brazilians age ≥ 18 years. The self-reported sleep problems were associated with all the herein studied morbidities and multimorbidities. The prevalence of sleep problems was higher in those who stated one or two (PR = 2.37; 95%CI 2.22;2.54) and three or more NCDs (PR = 4.73; 95%CI 4.37;5.11). Prevalence ratios of the association with diabetes, lung disease, mental disease, renal disease and multimorbidities were higher among males. Conclusion: NCDs significantly impacted sleep quality, with a particularly stronger association in both, males and females.

Birth weight is related with bone mineral content in adulthood: results of ELSA-Brasil

ABSTRACT OBJECTIVE To investigate the association between birth weight and bone mineral content (BMC), and whether this relationship differs between men and women. METHODS A total of 10,159 participants from the ELSA-Brasil cohort were eligible for this analysis. The outcome was the z-score of the ratio BMC (kg)/height (m). The exposure was the low birth weight (< 2.5kg). The magnitude of the associations was estimated by mean differences and their respective 95% confidence intervals (95%CI) using linear regression. All analyses were presented for the total population and stratified by sex. RESULTS Most were women (54.98%), and the mean age was 52.72 years (SD ± 6.6). In the crude model, we observed that low birth weight was associated with a lower mean BMC/height z-score, compared to adequate birth weight (mean difference: −0.30; 95%CI: −0.39 to −0.21), and this effect was stronger in men (mean difference: −0.43; 95%CI: −0.56 to −0.30) than in women (mean difference: −0.31; 95%CI: −0.44 to −0.19). After adjusting for age, sex per total population, race/skin color, maternal education, individual education, and current weight, there was a considerable reduction in the magnitude of the association (total population: −0.10; 95%CI: −0.14 to −0.06; men: −0.13; 95%CI: −0.21 to −0.06; women: −0.13; 95%CI: −0.21 to −0.05). CONCLUSION Low birth weight is related to BMC/height z-score in both sexes with no indication of differences by sex. The magnitude of the associations was attenuated after adjustment for the current weight.

Letalidade e características dos óbitos por COVID-19 em Rondônia: estudo observacional / Letalidad y características de los óbitos debidos a COVID-19 en Rondônia: un estudio observacional / Lethality and characteristics of deaths due to COVID-19 in Rondônia: an observational study

Objetivo: Descrever as características dos óbitos por COVID-19 no estado de Rondônia. Métodos: Estudo descritivo, com dados do Sistema Estratégia de Informatização do Sistema Único de Saúde Vigilância Epidemiológica (E-SUS-VE), notificados entre 1º de janeiro e 20 de agosto de 2020. Foram aplicados testes estatísticos (qui-quadrado e procedimento de Marascuilo), considerando-se como diferenças significantes quando os testes apresentaram p-valor <0,05. Resultados: Foram notificados 184.146 casos suspeitos, dos quais 49.804 foram confirmados como COVID-19, e 1.020 evoluíram para óbito (letalidade 2,1%). Observaram-se diferenças significantes estatisticamente entre as faixas etárias e a letalidade (p-valor <0,001); maior letalidade quanto maior a idade (procedimento de Marascuilo, significativo na comparação entre maiores de 60 anos com as demais faixas etárias); maior óbito no sexo masculino (letalidade de 2,7%); e maior letalidade entre as pessoas de cor preta (3,0%). Conclusão: Em Rondônia, observou-se maior letalidade entre idosos, homens e pessoas pardas e pretas.

Objetivo: Describir las características de los óbitos debidos a COVID-19 en Rondônia. Métodos: Estudio descriptivo, con datos del Sistema de Estrategia de Computación del Sistema Unificado de Salud de Vigilancia Epidemiológica (E-SUS-VE), notificados entre el 1 de enero y el 20 de agosto de 2020. Se aplicaron pruebas estadísticas (procedimiento Chi-cuadrado y Marascuilo), considerando significativas cuando las pruebas presentaron valor p<0,05. Resultados: se notificaron 184.146 casos sospechosos, con 49.804 confirmados como COVID-19 y 1.020 muertes (letalidad 2,1%). Se observaron diferencias estadísticamente significativas entre grupos de edad y letalidad (valor p <0,001); a mayor edad mayor letalidad (procedimiento de Marascuilo, significativo en la comparación entre mayores de 60 años con los otros grupos de edad); mayor óbito en el sexo masculino (letalidad del 2,7%); y mayor letalidad entre la raza negra (3,0%). Conclusión: En Rondônia, hubo una mayor letalidad entre los adultos mayores, hombres y pardos y negros.

Objective: To describe the characteristics of deaths due to COVID-19 in the state of Rondônia. Methods: This was a descriptive study, with data from the Brazilian National Health System Epidemiological Surveillance System Computerization Strategy (E-SUS-VE, notified between January 1 and August 20, 2020. Statistical tests (Chi-square and Marascuilo procedure) were applied, where differences were considered to be significant when p< 0.05. Results 184,146 suspected cases were reported, of which 49,804 were confirmed as COVID-19, and 1,020 died (lethality 2.1%). Statistically significant differences were observed between age groups and lethality (p-value <0.001); lethality was greater as age increased (Marascuilo procedure, significant in the comparison between the over 60s and the other age groups); death was higher among males (2.7% lethality); and lethality was higher among Black people (3.0%). Conclusion: Lethality was greater among the elderly, males and people of brown and black skin color in Rondônia.

Suicide rates between men and women in Brazil, 2000-2017 / Taxas de suicídio em homens e mulheres no Brasil, 2000-2017 / Tasas de suicidio entre hombres y mujeres en Brasil, 2000-2017

Abstract: This study aimed to analyze the trend in the standardized suicide rates by gender, according to Brazil's geographic regions from 2000 to 2017. Mortality data were retrieved from the Brazilian Mortality Information System database. Linear regression models were used, and Durbin-Watson tests were applied to detect the independence of the residues, as well as Prais-Winsten to control serial autocorrelation. We classified the trends as increasing, decreasing, and stable at 5% significance level. The standardized rate of deaths by suicide for men increased by 75%, from 6.5 to 11.3 deaths per 100,000 inhabitants. For women, the increase was 85%, from 1.6 to 3.0 deaths per 100,000 inhabitants. We found a gradual increase in the standardized suicide rates in all regions for both genders. The growth magnitude of suicide rates in the South is twice for women, whereas for the Northeast it is greater for men. The South and the Central-West regions presented the highest rates, whereas the North the lowest. The trend of standardized rates of suicide is linear and significantly increasing for Brazil and its total geographic regions for both genders. Male and female suicide rates indicate different risk rates according to gender.

Resumo: O estudo buscou analisar a tendência nas taxas de suicídio padronizadas por gênero de acordo com as macrorregiões brasileiras entre 2000 e 2017. Os dados de mortalidade foram obtidos do Sistema de Informações sobre Mortalidade. Foram utilizados modelos de regressão linear, e testes de Durbin-Watson foram aplicados para verificar a independência dos resíduos, assim como testes de Prais-Winsten para controlar a autocorrelação seriada. As tendências foram classificadas como crescentes, decrescentes e estáveis, com nível de significância de 5%. A taxa de suicídio padronizada para o sexo masculino aumentou em 75%, de 6,5 para 11,3 óbitos por 100.000 habitantes. Para o sexo feminino, o aumento foi de 85%, de 1,6 para 3,0 óbitos por 100.000 habitantes. Foi observado um aumento gradual nas taxas de suicídio padronizadas em todas as macrorregiões e em ambos os sexos. O crescimento nas taxas de suicídio no Sul é o dobro para as mulheres, enquanto no Nordeste é maior para os homens. As regiões Sul e Centro-oeste apresentaram as maiores taxas, e a Região Norte apresentou a menor. A tendência das taxas de suicídio padronizadas é linear e cresce significativamente no Brasil e em todas as macrorregiões e em ambos os sexos. As taxas de suicídio em homens e mulheres evidenciam diferenças de risco de acordo com gênero.

Resumen: El objetivo del estudio fue analizar la tendencia en las tasas estandarizadas de suicidio por género, según las regiones geográficas brasileñas de 2000 a 2017. Los datos de mortalidad fueron recuperados de la base de datos del Sistema de Información sobre Mortalidad brasileño. Se usaron modelos de regresión lineal, y se aplicaron pruebas Durbin-Watson para detectar la independencia de los residuos, al igual que el de Prais-Winsten para controlar la autocorrelación en series. Las tendencias fueron clasificadas como crecientes, decrecientes y estables a un nivel de un 5% significancia. La tasa estandarizada de muertes por suicidio para hombres se incrementó en un 75%, de 6,5 a 11,3 muertes por 100.000 habitantes. Para las mujeres, el incremento fue de un 85%, de 1,6 a 3,0 muertes por 100.000 habitantes. El incremento gradual en las tasas de suicidio estandarizado se encontró en todas las regiones para ambos géneros. La magnitud del crecimiento de las tasas de suicidio en el Sur es el doble para mujeres, mientras que para el Noreste es más grande para hombres. Las regiones Sur y Centro-oeste presentaron las tasas más altas, mientras que el Norte la más baja. La tendencia de las tasas estandarizadas de suicidio es lineal y significativamente está aumentando en Brasil y en el total de regiones geográficas para ambos géneros. Las tasas de suicidios de hombres y mujeres mantienen la evidencia de diferencias de riesgo según el género.

Childhood T-cell acute lymphoblastic leukemia in a single Latin American center: impact of improved treatment scheme and support therapy on survival

ABSTRACT Background and objective T-cell acute lymphoblastic leukemia (T-ALL) in children represents a high-risk disease. There is a lack of studies assessing the outcome of T-ALL in Hispanic populations, in which it is a rare malignancy. We report the characteristics and results of treatment for childhood T-cell ALL in children over 14 years at a Latin American reference center. Material and methods From January 2005 to December 2018, there occurred the analysis of twenty patients ≤ 16 years of age from a low-income open population diagnosed at a university hospital in Northeast Mexico. Clinical and laboratory characteristics, treatment regimens and outcomes were assessed by scrutinizing clinical records and electronic databases. Diagnosis was confirmed by flow cytometry, including positivity for CD-2, 5, 7 and surface/cytoplasmic CD3. Survival rates were assessed by the Kaplan-Meier method. Results There was a male preponderance (70 %), with a 2.3 male-to-female ratio (p= .074), the median age being 9.5 years. Leucocytes at diagnosis were ≥ 50 × 109/L in 13 (65 %) children, with CNS infiltration in 6 (30 %) and organomegaly in 10 (50 %). The five-year overall survival (OS) was 44.3 % (95 % CI 41.96-46.62), significantly lower in girls, at 20.8 % (95 % CI 17.32-24.51) vs. 53.1 % (95 % CI 50.30-55.82), (p= .035) in boys; there was no sex difference in the event-free survival (EFS) (p= .215). The survival was significantly higher after 2010 (p= .034). Conclusion The T-cell ALL was more frequent in boys, had a higher mortality in girls and the survival has increased over the last decade with improved chemotherapy and supportive care.

Perfil lipídico e consumo de bebida alcoólica: estudo longitudinal de saúde do adulto (ELSA-BRASIL) / Lipid profile and alcohol consumption: longitudinal study on adults' health (ELSA-BRASIL) / Perfil lipídico y consumo de bebida alcohólica: Estudio Longitudinal de Salude do Adulto

OBJETIVO: investigar o efeito do consumo de álcool em geral e do tipo de bebida alcoólica consumida, em diferentes medidas lipídicas. MÉTODO: o efeito do consumo de álcool foi investigado, bem como do tipo de bebida alcoólica, em diferentes medidas lipídicas, em ambos os sexos de população do Estudo Longitudinal de Saúde do Adulto. RESULTADOS: foram realizadas análises em relação ao tipo e quantidade de consumo de bebida alcoólica por sexo. O consumo baixo-a-moderado de álcool, independentemente do tipo de bebida alcoólica consumida, resultou em níveis mais elevados de HDL-colesterol, HDL2-colesterol e HDL3-colesterol em homens e mulheres. Não houve participantes da pesquisa que consumiam quantidade baixa a moderada de bebidas alcoólicas destiladas. Os triglicerídeos tiveram efeitos inversos para homens e mulheres no perfil lipídico. Para homens, bebidas destiladas contribuíram para melhor perfil dos triglicerídeos, enquanto para mulheres foi o contrário. Homens que consumiam bebidas alcoólicas destiladas tiveram níveis menores de triglicerídeos e mulheres que consumiam bebidas alcóolicas destiladas tiveram níveis maiores. Nossos resultados estão de acordo com os de estudos anteriores. CONCLUSÃO: o consumo de álcool resultou em níveis diferentes de medidas lipídicas séricas em homens e mulheres. Dessa forma, conclui-se que a resposta ao álcool tem diferenças biológicas.

OBJECTIVE: to investigate the effect of general alcohol consumption and of the type of alcoholic beverage consumed, in different lipid measurements. METHOD: the effect of alcohol consumption as well as that of the type of alcoholic beverage consumed were investigated, in different lipid measurements, for the participants in the Longitudinal Study on Adults' Health for both sexes. RESULTS: analyses were conducted on the type and amount of alcoholic beverage consumed by sex. Low-to-moderate alcohol consumption, regardless of the type of alcoholic beverage, resulted in higher levels of HDL-cholesterol, HDL2- cholesterol and HDL3-cholesterol in males and females. No participants in the study consumed low-to-moderate amounts of spirits. Triglycerides showed inverse effects for men and women according to the lipid profile. For men, spirits contributed to a better triglyceride profile while for women it was the opposite. Men who consumed spirits showed lower triglyceride levels, and women who consumed that beverage type had higher levels. Our results are in agreement with those of previous studies. CONCLUSION: alcohol consumption resulted in different levels of serum lipid measurements in men and women. Thus, it is concluded that response to alcohol has biological differences.

OBJETIVO: investigar el efecto del consumo de alcohol general, así como el tipo de bebida alcohólica consumida, en diferentes medidas lipídicas. MÉTODO: el efecto del consumo de alcohol fue investigado, así como el tipo de bebida alcohólica, en diferentes medidas lipídicas en ambos sexos de población del Estudio Longitudinal de Salud del Adulto. RESULTADOS: se realizaron análisis en relación al tipo y cantidad de consumo de bebida alcohólica por sexo. El consumo bajo a moderado de alcohol, independientemente del tipo de bebida alcohólica consumida, resultó en niveles más altos de HDL-colesterol, HDL2-colesterol y HDL3-coleseterol en hombres y mujeres. No hubo participantes de investigación que consumían en cantidad baja a moderada de bebidas alcohólicas destiladas. Los triglicéridos tuvieron efectos inversos para hombres y mujeres en el perfil lipídico. Para los hombres, las bebidas destiladas contribuyeron a un mejor perfil de los triglicéridos, mientras que para las mujeres fue lo contrario. Los hombres que consumían bebidas alcohólicas destiladas tenían niveles más pequeños de triglicéridos y las mujeres que consumían bebidas alcohólicas destiladas tuvieron niveles más altos. Nuestros resultados están de acuerdo con estudios anteriores. CONCLUSIÓN: el consumo de alcohol resultó en niveles significativamente mayores de HDL-colesterol, HDL2-colesterol y HDL3-colesterol, tanto en mujeres como en hombres. De esta forma, se concluye que la respuesta al alcohol tiene diferencias biológicas.

Analysis of factors associated with skin lesion distribution in 1 125 patients with non-segmental vitiligo / 中华皮肤科杂志

Objective To analyze correlations of the distribution of non-segmental vitiligo lesions with gender,age of onset,duration of disease,personal and family history of autoimmune diseases,family history of vitiligo,and so on.Methods Clinical data were collected from 1 125 patients with confirmed nonsegmental vitiligo in Department of Dermatology,Beijing Hospital from January 2009 to January 2019,and analyzed retrospectively.Statistical analysis was carried out with SPSS 20.0 software by using independentsample t test and chi-square test.Results Of the 1 125 patients with non-segmental vitiligo,599 were males and 526 were females,with a male-to-female ratio of 1.14:1.Their age of onset was 27.9 ± 17.1 years,and duration of disease was 5.2 ± 8.0 years.Skin lesions mostly occurred on the trunk (544 cases,48.4％) and face (535 cases,47.6％),followed by acral regions (430 cases,38.2％),extremities (297 cases,26.4％) and neck (231 cases,20.5％).The perioral region (17.2％),hands (47.9％) and genital region (14.5％) in the 599 male patients were more frequently affected than those in the 526 females (9.7％,22.6％,6.3％,x2 =13.33,77.66,20.01,respectively,all P ＜ 0.001),while the neck (27.0％) was more frequently affected in the female patients than in the male patients (14.9％,x2 =25.29,P ＜ 0.001).The age of onset was significantly lower in the patients with vitiligo lesions involving the legs,knees,feet,trunk,genital and periocular regions than in those without skin lesions on the above corresponding body sites (all P ＜ 0.05),but significantly higher in the patients with vitiligo lesions involving the arms and hands than in those without lesions on the above 2 sites (both P ＜ 0.05).Vitiligo lesions more likely occurred on the hands of patients with a personal or family history of autoimmune thyroid diseases compared with those without the personal or family history (50.0％ vs.27.9％,x2 =6.62,P =0.010).The trunk was more frequently affected in the patients with a family history of vitiligo than in those without (59.6％ vs.45.7％,x2 =13.36,P ＜ 0.001).Conclusion The distribution of non-segmental vitiligo lesions are correlated to some extent with gender,age of onset,personal and family history of autoimmune diseases and family history of vitiligo.

Fragilidade em idosos residentes em município de pequeno porte / Fragility in elderly people living in a small municipality

Objetivo: Delinear o perfil sociodemográfico da população idosa de um município de pequeno porte do estado do Rio Grande do Sul e identificar a prevalência de fragilidade em idosos residentes na comunidade. Método: Trata-se de um estudo transversal, analítico e de base populacional. Foram incluídas pessoas com 60 anos ou mais, de ambos os sexos, que residiam na zona urbana e estavam adstritos às Estratégias de Saúde Família. Foram avaliados dados sociodemográficos e de saúde e o Fenótipo da Fragilidade, o qual inclui perda de peso, velocidade da marcha, força de preensão palmar, nível de atividade física e fadiga. Para análise dos dados utilizou-se medidas de tendência central, de dispersão e variabilidade, teste do qui-quadrado de Pearson e o teste Mann-Whitney, considerando valores de p menores ou igual a 0,05 significativos. Resultados: A prevalência de fragilidade foi de 14,3% e de pré- -fragilidade foi de 46,9%. As mulheres apresentaram maior fadiga, menor força de preensão palmar, menor velocidade de marcha e maior taxa de gasto metabólico, e houve diferença entre homens e mulheres quanto ao estado civil e número de condições crônicas. Conclusão: Enfatiza-se a importância de políticas públicas voltadas a população idosa, com ênfase nas diferenças entre os sexos e salienta-se a importância do rastreio da condição de fragilidade em idosos residentes na comunidade.

Objective: To outline the sociodemographic profile of older adults population of a small municipality in the state of Rio Grande do Sul and to identify the prevalence of frailty in elderly residents of the community. Method: This is a cross-sectional, analytical and population-based study. We included people aged 60 and over, both sexes, who lived in the urban area and were attached to the Family Health Strategies. Sociodemographic and health data and the Frailty Phenotype were evaluated, which included weight loss, walking speed, grip strength, physical activity level and fatigue. For the analysis of the data we used measures of central tendency, dispersion and variability, Pearson's chi-square test and the Mann-Whitney test, considering values of p less than or equal to 0.05 significant. Results: The prevalence of frailty was 14.3% and pre-frailty was 46.9%. The women presented greater fatigue, lower grip strength, lower gait velocity and higher rate of metabolic expenditure, and there were differences between males and females regarding marital status and number of chronic conditions. Conclusion: Emphasis is given to the importance of public policies aimed at older adults population, with emphasis on the differences between the sexes and the importance of the screening of the condition of frailty in elderly residents in the community.

Sex and exercise-mode differences in post-exercise blood pressure and heart rate variability responses during a workday

To assess the influences of sex and exercise mode on post-exercise Blood pressure (BP) immediately after exercise and during daily work. METHODS 20 healthy adults (9F/11M), randomly underwent three experimental sessions prior to their work routine: RE- Circuit resistance exercise at 40% of 1RM, AE- Aerobic exercise at 60-70% of heart rate (HR) reserve and CON- Control session. BP was assessed before and along the 1st hour of the post-intervention period (i.e. laboratory phase), and intermittently for 9h in the workplace. Results: RE promoted great BP reductions, but only in men, and this reduction persisted along the daily work (Men-RE: SBP= -1069±695 mmHg.540min; DBP= -612±325 mmHg.540min). On the other hand, AE produced slight DBP reduction in men during daily work (Men-AE: DBP= -241±730 mmHg.540min), and in women only in the laboratory phase (Women-AE: SBP= -108±65mmHg.60min). CONCLUSION Resistance exercise promotes a significant positive impact on BP in men but does not seem to be effective for women. On the other hand, AE produces moderate BP reductions in men and women.(AU)

Clinical features of 397 patients with takayasu arteritis: Gender and age distribution / 第二军医大学学报

[Abstract] Objective To investigate the clinical features of Takayasu arteritis patients with different genders and ages. Methods The medical charts of 397 patients diagnosed with Takayasu arteritis in Changhai Hospital, Naval Medical University (Second Military Medical University) between Jan. 2001 and Dec. 2017 were retrospectively reviewed. The clinical manifestations, complications, laboratory parameters and imaging findings were compared between male and female patients, and between the groups subdivided by the ages of onset (≤40 years vs 40 years). Results There were 64 males and 333 females, with a male to female ratio of 1∶5.2. The age of disease onset was 2-67 years. Seventeen (26.6%) male patients and 53 (15.9%) female patients had disease onset after 40 (χ2＝4.190, P＝0.041). Compared with female patients, male patients had their onset more frequently with hypertension (31.2% [20/64] vs 16.5% [55/333], χ2＝7.605, P0.01) and less frequently with dizziness, headache and syncope (28.1% [18/64] vs 46.5% [155/333], χ2＝7.409, P0.01). During the course of disease, hypertension was more prevalent (70.3% [45/64] vs 56.8% [189/333], χ2＝4.076, P0.05) and diminished or absent pulse was less common (51.6% [33/64] vs 76.0% [253/333], χ2＝15.885, P0.01) in male patients. Male patients with onset age ≤40 years (versus 40 years) had a higher incidence of hypertension (78.7% [37/47] vs 47.1% [8/17], χ2＝ 5.997, P0.05) and a lower incidence of diminished or absent pulse (40.4% [19/47] vs 82.4% [14/17], χ2＝8.787, P0.01). The complication rates of aneurysm and aortic regurgitation were significantly higher in male patients versus female patients (39.1% [25/64] vs 17.4% [58/333], 23.4% [15/64] vs 10.8% [36/333]; χ2＝15.210, 7.644; both P0.01). The prevalence rates of elevated erythrocyte sedimentation rate or C-reactive protein were similar between different gender and onset age groups (all P0.05). Angiographically, male patients had more renal artery involvement and type (54.7% [35/64] vs 32.7% [109/333], 32.8% [21/64] vs 18.9% [63/333]; χ2＝11.194, 6.212; both P0.05) and less carotid artery and subclavian artery lesions and type (37.5% [24/64] vs 64.3% [214/333], 37.5% [24/64] vs 56.5% [188/333], 21.9% [14/64] vs 42.3% [141/333]; χ2＝16.016, 8.416, 9.449; all P0.01) compared with female patients. Male patients with onset age ≤40 years (versus 40 years) had a higher proportion of type (44.7% [21/47] vs 0 [0/17], χ2＝11.305, P0.01) and lower proportions of carotid artery and subclavian artery lesions and type (29.8% [14/47] vs 58.8% [10/17], 25.5% [12/47] vs 70.6% [12/17], 14.9% [7/47] vs 41.2% [7/17]; χ2＝4.491, 10.814, 5.046; all P0.05). Conclusion Male Takayasu arteritis patients have a later onset age compared with female patients. Hypertension and renal artery involvement (type ) are commonly seen in male patients with onset age ≤40 years; female patients and male patients with onset age 40 years often have diminished or absent pulse and carotid artery and subclavian artery lesions (type ). The complications such as hypertension, aneurysm and aortic regurgitation are more common in male patients compared with female patients.

Age and Sex Distribution of Chinese Chronic Cough Patients and Their Relationship With Capsaicin Cough Sensitivity

PURPOSE: An older female predominance has been reported among chronic cough patients in Western countries, which is considered to be associated with a higher cough sensitivity in females. However, the characteristics of Chinese chronic cough patients remain unclear. This study aimed to explore the age and sex distribution as well as their relationship with cough reflex sensitivity to capsaicin in Chinese chronic cough patients. METHODS: We analyzed the demographic features of 1,882 consecutive chronic cough patients who attended our cough clinic in Guangzhou, China. Cough sensitivity to capsaicin, which was defined as the lowest concentration of capsaicin causing 5 coughs or more (C5), was measured in 539 of the 1,882 patients and 68 healthy volunteers. RESULTS: The mean age of the patients was 43.0 ± 13.7 years and patients aged <50 years accounted for more than two-thirds of the study population. Around 87% of the patients were never-smokers. The proportion of females (51.5%) was almost equal to that of males (48.5%). The pattern of the age and sex distribution was consistently reflected within most common causes of chronic cough, while a female predominance was shown in patients with cough-variant asthma and patients aged ≥50 years. Female patients had higher cough sensitivity to capsaicin than male patients (log C5: 1.58 ± 0.84 vs. 2.04 ± 0.84 μmol/L, P = 0.001), and patients aged ≥50 years had higher cough sensitivity to capsaicin than patients aged <50 years. CONCLUSIONS: In China, patients with chronic cough have a roughly equal sex distribution and a middle-aged predominance, irrespective of a higher cough sensitivity to capsaicin in females and older patients. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02591550

Epidemiological survey of glenoid fractures between the east and west areas in China from 2010 through 2011 / 中华创伤骨科杂志

Objective To compare the epidemiological characteristics of glenoid fractures between the east and west areas in China from 2010 through 2011.Methods The data of glenoid fractures treated between January 2010 and December 2011 at 35 east hospitals and 28 west ones in China were analyzed retrospectively.The patients' gender,age and type of Ideberg classification were documented.The data from the 35 east hospitals were classified as group A while those from the 28 west ones as group B.Comparisons were made to find out the general epidemiological characteristics.Results A total of 347 glenoid fractures were collected.The total male/female ratio was 2.69∶ 1.The glenoid fractures predominated in 2 age ranges from 41 to 50 years and from 51 to 60 years (19.60％).According to the Ideberg classification,there were 75 cases (21.61％) of type Ⅰ,152 ones (43.80％) of type Ⅱ,27 ones (7.78％) of type Ⅲ,20 ones (5.76％) of type Ⅳ,46 ones (13.26％) of type Ⅴ and 27 ones (7.78％) of type Ⅵ.The male/female ratio was 2.80∶1 in group A of 228 patients and 2.50∶1 in group B of 119 patients.The median age of group A was 47 years old and that of group B 44 years old.The differences were not statistically significant in male/female ratio,median age or distribution of age between the 2 groups (P ＞ 0.05).The fractures predominated in the age range from 51 to 60 years old (23.68％) in group A and in the age range from 31 to 40 years old (21.85％) in group B.The most frequent fracture type was type Ⅱin both groups,accounting for 41.23％ and 48.74％ respectively.There was a significant difference between the 2 groups in distribution of Ideberg classification (P ＜ 0.05).Conclusions The peak age of glenoid fractures was from 41 to 60 years,the high-risk type was Ideberg type Ⅱ and there were more male patients than female ones.The proportion of Ideberg type Ⅴ in the east area was higher than that in the west area.

Epidemiological survey of scapular neck fractures between the east and west areas in China from 2010 through 2011 / 中华创伤骨科杂志

Objective To compare the epidemiological characteristics of scapular neck fracture between the east and west areas in China from 2010 through 2011.Methods Tbe data of scapular neck fractures treated between January 2010 and December 2011 at 35 east hospitals and 28 west ones were analyzed retrospectively.The patients' gender,age and Miller classification were documented.The data from the 35 east hospitals were classified as group A while the data from the 28 west ones as group B.Comparisons were made to find out the general epidemiological characteristics.Results A total of 584 scapular neck fractures were collected.The total male/female ratio was 3.46∶ 1.The scapular neck fractures predominated in an age range from 41 to 50 years (25.17％).According to the Miller classification,there were 150 cases (25.68％) of type Ⅰ,306 ones (52.40％) of type Ⅱ and 128 ones (21.92％) of type Ⅲ.426 cases (72.95％) were stable fractures and 158 ones (27.05％) unstable fractures.The male/female ratio was 3.64∶1 in group A of 427 patients and 3.03∶1 in group B of 157 patients.There were no significant differences between the 2 groups in male/female ratio (P ＞ 0.05).The median age of group A (44 years) was significantly older than that of group B (39 years).The fractures predominated in an age range from 41 to 50 years (24.36％) in group A and in the age range from 31 to 40 years (36.31％) in group B.The most frequent fracture type was type Ⅱ in both groups,accounting for 51.52％ and 54.78％ respectively.There were no significant differences between the 2 groups in distribution of Miller classification (P ＞ 0.05).Conclusions The peak age of scapular neck fractures was from 41 to 50 years,the high-risk type was Miller type Ⅱ and stable fractures were more common.There were more male patients than female ones.The median age in the east area was older than that in the west area.

Study progress on the relationship between obstructive sleep apnea hypopnea syndrome and glaucoma / 国际眼科杂志(Guoji Yanke Zazhi)

·Glaucoma is a progressive optic neurodegenerative disease with specific characteristics of structural optic nerve head ( ONH) and with changes in the inner retinal layer (ganglion cell complex) along with the presence of corresponding functional visual field ( VF) changes that are irreversible. Obstructive sleep apnea hypopnea syndrome ( OSAHS ) is characterized by recurrent complete or partial interruption of normal breathing due to functional occlusion or collapse of upper airway during sleep that leads to apnea or hypopnea and hypoxia. This causes decrease in the arterial oxygen ( O2) saturation and a rise in the carbon dioxide saturation during sleep and results in transient hypoxia and increased vascular resistance in body tissues. OSAHS is an independent risk factor for cardiovascular and cerebrovascular, and many reports showed that OSAHS is one of the systemic risk factors for glaucoma which causes irreversible visual field damage, but lacks a systematic analysis of the relationship between the two. Comprehensive glaucoma evaluation should be recommended in patients with OSAHS.

Composición corporal y condición física de escolares colombianos de educación secundaria y media de Ibagué / Body composition and physical fitness in Colombian high school students from Ibagué

Resumen Introducción. La composición corporal y otros componentes de la condición física han demostrado ser importantes indicadores de la condición de salud. Objetivo. Analizar la composición corporal y la condición física de escolares colombianos de educación secundaria y media de las instituciones oficiales de Ibagué, estudiar las diferencias por sexo y edad, y establecer la correlación entre algunas variables. Materiales y métodos. Participaron 1.253 estudiantes (601 hombres y 652 mujeres), con un rango de edad entre los 10 y los 20 años. Se aplicaron las pruebas físicas de la batería ALPHA-Fitness en su versión extendida. Se evaluó el índice de masa corporal (IMC), el perímetro de la cintura y el porcentaje de grasa. Resultados. Se encontraron diferencias por sexo en lasvariables estudiadas, con mayor IMC y porcentaje de grasa en las mujeres queen los hombres (20,6 Vs. 19,4 kg/m2 y 26,1 Vs. 16,8 %, respectivamente); sin embargo, el perímetrode cintura fue mayor en los hombres (69,6 cmVs. 67,9 cm), aunque ellos registraron mejor rendimiento enel resto de pruebas físicas (p<0,05). En ambos sexos la edad se asoció con aumentos delIMC (p<0,05) y, en las mujeres, con el porcentaje de grasa (p<0,05), lo que no ocurrió en los hombres, en quienes la edad se asoció inversamente con la grasa corporal (p<0,05). En el resto de las pruebas físicas, la edad se asoció positivamente con el rendimiento en ambos sexos, excepto en el consumo máximo de oxígeno(VO2 máx). Se hallaron correlaciones entre algunas de las variables estudiadas. Conclusiones. La adiposidad fue significativamente mayor en las mujeres que en los hombres(p<0,05). Los hombres tuvieron mejores niveles de capacidad aeróbica, musculoesqueléticay motora.

Introduction: Body composition and other components of physical fitness have proved to be important markers of health condition. Objective: To analyze body composition and physical fitness in Colombian students from public high schools of Ibagué, as well as to study differences between sexes and age groups, and establish correlations between some of the variables. Materials and methods: The sample consisted of 1,253 students (601 males; 652 females), with an age range of 10-20 years. The ALPHA-Fitness test (extended version) was applied. Body Mass Index (BMI), waist circumference and fat percentage were assessed. Results: Differences between sexes were found in the variables studied, with greater BMI and fat percentage among females (20.6 kg/m2 vs. 19.4 kg/m2 and 26.1% vs. 16.8%, respectively); however, waist circumference was greater in males (69.6 cm vs. 67.9 cm), who also showed better fitness in the rest of the physical tests (p<0.05). In both sexes, age was associated to increases in BMI (p<0.05), and among females to fat percentage as well (p<0.05); among males it was the opposite, as in them, age was inversely associated to fat percentage (p<0.05). For the rest of the physical tests, age was positively associated to fitness both in men and women, except for maximal oxygen uptake (VO2 max). Correlations were found between some of the variables studied. Conclusions: Adiposity was significantly greater in females than in males (p<0.05). Males showed better levels of aerobic, musculoskeletal and motor capacities.