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1.
Arch. latinoam. nutr ; 71(4): 261-269, dic. 2021. tab
Article in English | LILACS, LIVECS | ID: biblio-1355151

ABSTRACT

Insulin resistance is a pathological entity that can lead to alterations in lipid metabolism and can increase cardiovascular risk. Objective. The aim of this study was to assess the influence of different sociodemographic variables such as age, sex and social class and healthy habits such as smoking, physical activity and adherence to the Mediterranean diet on the cardiometabolic profile of Spanish workers. Material and methods. A descriptive, cross-sectional study was carried out in 1457 Spanish workers in an attempt to evaluate the effect of healthy habits (physical exercise determined with the IPAQ questionnaire, Mediterranean diet and tobacco consumption) and sociodemographic variables (age, sex and social class) on the values of different insulin resistance scales. Results. The progressive increase in the level of physical activity and high adherence to the Mediterranean diet achieved an improvement in the mean values and in the prevalence of elevated values in all the insulin resistance scales analyzed in this study. Age over 50 years and belonging to the least favored social classes (social classes II-III) were the variables that increased the risk of presenting insulin resistance. Male sex also increased the risk of presenting insulin resistance. Conclusions. The different healthy habits such as vigorous physical exercise and high adherence to the Mediterranean diet improve the values of the different scales that assess insulin resistance(AU)


La resistencia a la insulina es una entidad patológica que puede provocar alteraciones en el metabolismo de los lípidos y puede aumentar el riesgo cardiovascular. Objetivo. En este trabajo se pretende valorar la influencia de diferentes variables sociodemográficas como la edad, el sexo y la clase social y hábitos saludables como el consumo de tabaco, la actividad física y la adherencia a la dieta mediterránea en el perfil cardiometabólico de trabajadores españoles. Material y métodos. Se realizó un estudio descriptivo y transversal en 1457 trabajadores españoles intentando evaluar el efecto de los hábitos saludables (ejercicio físico determinado con el cuestionario IPAQ, dieta mediterránea y consumo de tabaco) y las variables sociodemográficas (edad, sexo y clase social) sobre los valores de diferentes escalas de resistencia a la insulina. Resultados. El aumento progresivo del nivel de actividad física y la alta adherencia a la dieta mediterránea consiguieron una mejoría en los valores medios y en la prevalencia de los valores elevados en todas las escalas de resistencia a la insulina analizadas en este estudio. La edad por encima de los 50 años y la pertenencia a las clases sociales menos favorecidas (clases sociales II-III) fueron las variables que aumentaron el riesgo de presentar resistencia a la insulina. El sexo masculino también incrementó el riesgo de presentar resistencia a la insulina. Conclusiones. Los diferentes hábitos saludables como el ejercicio físico vigoroso y la alta adherencia a la dieta mediterránea mejoran los valores de las diferentes escalas que valoran resistencia a la insulina(AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Insulin Resistance , Metabolic Syndrome/complications , Diet, Mediterranean , Lipid Metabolism , Healthy Lifestyle , Cardiometabolic Risk Factors , Social Class , Weights and Measures , Exercise , Nutrition Assessment , Abdominal Circumference , Feeding Behavior
2.
Rev. cuba. med. mil ; 50(3): e1539, 2021. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1357310

ABSTRACT

Introducción: El personal militar sanitario posee características laborales y factores propios de la vida militar, que los predisponen a alterar sus estilos de vida, más aún con las medidas restrictivas que se establecen por la emergencia sanitaria de la COVID-19. Objetivo: Determinar la asociación entre los estilos de vida y el estado nutricional del personal militar sanitario. Métodos: El estudio fue transversal, la muestra estuvo conformada por 104 profesionales sanitarios militares que laboran en el Hospital Militar Central. Se aplicó el Cuestionario de Estilos de Vida de Arrivillaga, Salazar y Gómez; se pesó y talló a los sujetos, para obtener el índice de masa corporal, también se obtuvo la medida del perímetro abdominal, que indicó el riesgo cardiometabólico, se realizó el análisis descriptivo, bivariado (prueba de ji cuadrado) y multivariado para obtener razones de prevalencia. Resultados: Se evidenció asociación entre estilo de vida poco saludable con el índice de masa corporal (razón de prevalencia = 15,467; IC 95 por ciento: 2,228 - 107,357: p < 0,001) de igual manera cuando fue ajustado para las variables edad, sexo, profesión y grado militar (razón de prevalencia ajustado =18,515; IC 95 por ciento: 2,98 - 114,913: p < 0,001). Conclusiones: Se concluye que existe asociación entre el estilo de vida y el estado nutricional, determinado por el IMC y el PA en el personal militar sanitario estudiado(AU)


Introduction: Military health personnel have work characteristics and factors inherent to military life that predispose them to alter their lifestyles, even more so with the restrictive measures that were established by the health emergency of COVID-19. Objective: To determine the association between lifestyles and nutritional status of military health personnel. Methods: The study was cross-sectional, the sample consisted of 104 military health professionals who work in the Central Military Hospital. The Lifestyle Questionnaire of Arrivillaga, Salazar and Gómez was applied; subjects were weighed and carved to obtain the body mass index, the measurement of the abdominal perimeter was also obtained, which indicated the cardiometabolic risk, the descriptive, bivariate analysis (chi-square test) and multivariate analysis was performed to obtain prevalence ratio values. Results: The association between "unhealthy" lifestyle with the Body Mass Index (prevalence ratio = 15,467; 95 percent CI: 2,228-107,357: p < 0,001) was evidenced in the same way when it was adjusted for the variables age, sex, profession and military rank (adjusted prevalence ratio = 18,515; 95 percentCI: 2,98-114,913: p < 0,001). Conclusions: There is an association between lifestyle and nutritional status determined by body mass index and abdominal circumference in military health personnel(AU)


Subject(s)
Humans , Body Mass Index , Nutritional Status , Multivariate Analysis , Abdominal Circumference , Military Health , Hospitals, Military , Life Style , Peru , Cross-Sectional Studies
3.
Article in English | LILACS | ID: biblio-1359849

ABSTRACT

Introduction: The successful treatment of human immunodeficiency virus (HIV) infection depends on adherence to antiretroviral therapy. Since the development of ART, there has been a significant increase in the survival of people living with HIV/AIDS. However, in the same way that it works in a positive way, the antiretroviral therapy has side effects that ultimately influence the rate of adherence to drug treatment. Objective: Evaluate adherence to antiretroviral therapy (ART) and changes in the body composition of adults diagnosed with HIV/AIDSon ART for at least 12 months. Methods: A cross-sectional study was conducted at an outpatient clinic for infectious-parasitic diseases at a teaching hospital that is a reference in the treatment of people living with HIV/ AIDS. Socio-demographic and clinical data were collected from medical records. Weight, height, body mass index (BMI) and abdominal circumference (AC) were recorded. Bioelectrical impedance analysis was performed using the tetrapolar protocol to assess body composition. The "Cuestionario para la Evaluación de la Adhesión al Tratamiento Antiretroviral" was used to investigate adherence to ART. Results: Sixty-one patients (27 women and 33 men) participated in the study. Most were more than 40 years of age and were classified as overweight based on BMI. Most patients (86.8%) had been using ART for more than five years and 78.6% were classified as sedentary. Among the patients with an adequate AC, 82.3% were men. Among the 11 patients with low adherence to ART, 90.9% were men. Among the 33 with strict adherence, 69.6% were women. Mean percentage of fat mass was 28.63% among the men, and 40.82% among the women. Conclusion: Strict adherence to ART was seen in more than half of the study population. Women had more side effects from ART, as this group hadgreater adherence to treatment. The findings underscore the relationship between high rates of adherence to ART and changes in body composition, such as increased fat deposition and risk of associated diseases.


Introdução: O sucesso do tratamento da infecção pelo vírus da imunodeficiência humana (HIV) depende da adesão à terapia antirretroviral (TARV). Desde o desenvolvimento da TARV, houve aumento significativo da sobrevida das pessoas que vivem com HIV/Síndrome da Imunodeficiência Adquirida (AIDS). Porém, da mesma forma que atua de modo positivo, a terapia antirretroviral possui efeitos colaterais que acabam influenciando a taxa de adesão terapêutica ao tratamento medicamentoso. Esses efeitos incluem significativas alterações na composição corporal, resistência à insulina e dislipidemias. Objetivo: Avaliar a adesão à terapia antirretroviral e descrever alterações na composição corporal de adultos com diagnóstico de HIV/AIDS que usaram terapia antirretroviral por no mínimo 12 meses. Métodos: Estudo transversal realizado em um ambulatório de doenças infectoparasitárias em Hospital Universitário, referência no tratamento de pessoas que vivem com HIV/AIDS. Verificou-se dados sociodemográficos e clínicos nos prontuários. Foram registrados peso, altura, índice de massa corporal (IMC) e circunferência abdominal (CA). Realizou-se a bioimpedância segundo o protocolo da técnica tetrapolar para avaliação da composição corporal. Para avaliar a adesão terapêutica foi usado o Cuestionario para la Evaluación de la Adhesión al Tratamiento Antiretroviral. Resultados: Foram estudados 61 pacientes, 27 mulheres e 34 homens; a maior parte tinha acima de 40 anos e IMC classificado como sobrepeso. A maioria dos pacientes (86,8%) usavam TARV há mais de cinco anos e 78,6% se autodeclararam sedentários. Do total de pacientes que apresentaram circunferência abdominal adequada, 82,3% eram homens. Dos 11 pacientes que se classificaram como baixa adesão à TARV, 90,9% eram homens, e dos 33 que se classificaram como estritamente aderentes, 69,6% eram mulheres. Os homens apresentaram 28,63% de média de porcentual de massa gorda (%MG), enquanto as mulheres apresentaram 40,82%. Conclusão: A adesão estrita à TARV foi vista em mais da metade da população estudada. As mulheres apresentaram mais efeitos colaterais oriundos da TARV, visto que este grupo mostrou uma adesão maior ao tratamento. Isso reforça a relação entre altas taxas de adesão à terapia medicamentosa e alterações na composição corporal, como o aumento da deposição de gordura e riscos de doenças associadas.


Subject(s)
Humans , HIV , Antiretroviral Therapy, Highly Active , Overweight , Body Composition , Anti-Retroviral Agents , Abdominal Circumference
4.
Rev. Investig. Salud. Univ. Boyacá ; 8(1): 63-74, 20210000. tab
Article in Spanish | LILACS, COLNAL | ID: biblio-1358959

ABSTRACT

Introducción: El síndrome metabólico es un conjunto de anormalidades fisiológicas que manifiestan resistencia a la insulina, de la que se derivan complicaciones micro y macrovasculares de alto costo en salud. Objetivo: Estimar la prevalencia de la acantosis nigricans y los factores sociodemográficos asociados en una pobla-ción con síndrome metabólico del municipio de Nobsa (Boyacá, Colombia) en el periodo agosto de 2017-agosto de 2018. Método: Estudio transversal analítico en una muestra de 82 pacientes del programa de crónicos del municipio de Nobsa. Se recolectó información sobre la presencia o ausencia de acantosis nigricans en la exploración física, junto con medidas antropométricas, fototipo de piel y presión arterial; así como concentración sérica de glucosa en ayuno, creatinina y perfil lipídico. Los datos se analizaron mediante la prueba de chi cuadrado. Resultados: En una muestra de 82 pacientes con edad media de 62 años, de los cuales el 91 % fueron mujeres, se encontró una prevalencia de acantosis nigricans del 41,5 % con asociación estadísticamente significativa para niveles elevados de glucosa (p = 0,008) y un odds ratio de 3,75 (IC95 %: 1,3-10,2). Para las demás variables en estudio no se evidenció asociación con significancia estadística. Conclusiones: la acantosis nigricans es un signo clínico indicador de resistencia a la insulina y de niveles alterados de glucemia


Introduction: The metabolic syndrome is a set of physiological abnormalities that manifest insulin resistance, from which high cost micro- and macrovascular complications in health derive. Objective: To estimate the prevalence of acanthosis nigricans and the sociodemographic factors asso-ciated with the population with metabolic syndrome in the municipality of Nobsa (Boyacá, Colombia), from August 2017 to August 2018. Method: Analytical cross-sectional study in a sample of 82 patients from the Nobsa municipality chronic program. Information was collected on the presence or absence of acanthosis nigricans in the physical examination together with anthropometric measurements, skin phototype and blood pres-sure, as well as serum concentration of fasting glucose, creatinine, and lipid profile. The data were analyzed using the Chi square test. Results: In a sample of 82 patients with a mean age of 62 years, of which 91% were women, a pre-valence of acanthosis nigricans of 41.5% was found with a statistically significant association for high glucose levels (p = 0.008) and an Odds Ratio of 3.75 (95% CI: 1.3-10.2). For the other variables under study, no association with statistical significance was evidenced. Conclusions: Acanthosis nigricans is a clinical sign of insulin resistance and altered blood glucose levels


Introdução: A síndrome metabólica é um conjunto de anomalias fisiológicas que manifestam resis-tência à insulina, da qual derivam complicações micro e macro vasculares de alto custo em saúde. Objetivo: Estimar a prevalecia de acantose nigricans e os fatores sociodemográficos associados, a uma população com síndrome metabólica no município de Nobsa (Boyacá, Colômbia) no período de Agosto de 2017 ­ Agosto de 2018. Método: Estudo analítico transversal com uma amostra de 82 pacientes do Programa de crónicos no município de Nobsa. Foram recolhidas informações sobre a presença ou ausência de acantose nigri-cans no exame físico, juntamente com medições antropométricas, fotótipo de pele e pressão sanguí-nea; bem como a concentração sérica da glicose em jejum, creatinina e perfil lipídico. Os dados foram analisados utilizando o teste do qui-quadrado. Resultados: Uma amostra de 82 pacientes com idade meia de 62 anos, 91 % dos quais eram mulhe-res, foi identificada uma prevalência de acantose nigricans de 41,5 % com associação estatisticamente significativa para níveis elevadas de glicose (p = 0,008) e um odds ratio de 3,75 (IC95 %: 1,3-10,2). Para as outras variáveis em estudo, não foi evidenciada associação estatisticamente significativa. Conclusões: A acantose nigricans é um sinal clinico indicador de resistência à insulina e níveis eleva-dos de glicose no sangue


Subject(s)
Acanthosis Nigricans , Metabolic Syndrome , Diabetes Mellitus , Abdominal Circumference , Hypertension
5.
São Paulo; s.n; 2021. 99 p.
Thesis in Portuguese | LILACS | ID: biblio-1342174

ABSTRACT

Introdução - As elevadas taxas de mortalidade neonatal e a prevalência de bebês nascidos pequenos para idade gestacional (PIG) ainda apresentadas por regiões de baixa e média renda indicam a necessidade de investigação sobre fatores que influenciam o crescimento fetal. Medidas biométricas fetais

Introduction Elevated rates of neonatal mortality and small-for-gestational-age (SGA) babies in low- and middle-income regions indicate the need to investigate factors associated with fetal growth. Fetal biometric measurements below the 10th percentile for gestational age (GA) reflect failure in achieving growth potential and provide opportunities for prenatal interventions. Objective To investigate factors associated with fetal biometric measurements below the 10th percentile assessed at early third trimester among pregnant women in the MINA-Brazil study. Methods This was a prospective analysis of pregnant women living in the urban area of Cruzeiro do Sul (AC), followed up since the antenatal period. Screening of participants took place from February 2015 to January 2016. A sociodemographic and health history interview was carried out along with two clinical assessments, scheduled between the second and third trimesters of pregnancy, to collect data on lifestyle factors and complications during pregnancy, anthropometric evaluation, blood collection, and ultrasound scan assessing fetal biometric measurements of head circumference (HC), abdominal circumference (AC) and femoral length (FL). Poisson regression models with hierarchical selection of variables were fitted for factors associated with occurrence of fetal measurements below the 10th percentile at early third trimester. Prevalence ratios (PR) and 95% confidence intervals (95%CI) were estimated. Results Among 426 participants (mean age 25 years (SD 6.4) and gestational age 27.8 weeks (SD 1.7)), 11.3%, 8.9% e 9.4% had fetuses with HC, AC, FL below the 10th percentile at early third trimester. Fetal biometric measurements below the 10th percentile were negatively associated with higher maternal education level, which denoted over 50% of protection (HC: PR 0.47, 95%CI 0.28; 0.81; AC: PR 0.48, 95%CI 0.26; 0.87; and FL: PR 0.48, 95%CI 0.27; 0.86). Adjusted for maternal education level, nulliparity (PR 1.94, 95%CI 1.10; 3.43), higher pre-gestational body mass index (BMI) (PR 1.06, 95%CI 1.01; 1.11), and pre-gestational alcohol consumption (PR 1.80, 95%CI 0.98; 3.30) were associated with HC measurements below the 10th percentile. Maternal height (p for trend 0.039) and pre-gestational alcohol consumption (PR 2.55, 95%CI 1.31; 4.96) were also associated with AC measurements below the 10th percentile. Association between higher average screen time per day during antenatal follow-up and FL measurements below the 10th percentile were observed as well (p for trend 0.031). Higher maternal education level, which may provide better material and non-material conditions, seems to protect fetal growth from failure to reach potential fetal size for GA. Positive associations observed with obstetric and antenatal conditions may be mediated by biological factors or gestational dysfunctions to incur in fetal measurements below the 10th percentile. Conclusion The occurrence of fetal biometric measurements below the 10th percentile for GA and their associated factors corroborate pre-pregnancy and antenatal care improvements anchored in equity policies, and for new strategies prior to birth that optimize the window of opportunity in the first thousand days of life.


Subject(s)
Infant, Small for Gestational Age , Cephalometry , Biometry , Abdominal Circumference , Femur/growth & development , Fetal Growth Retardation , Fetus
6.
Rev. Ciênc. Méd. Biol. (Impr.) ; 19(4): 543-546, dez 30, 2020. tab
Article in Portuguese | LILACS | ID: biblio-1355110

ABSTRACT

Introdução: este artigo trata-se da prevalência de sobrepeso e obesidade em idosas frequentadoras da Universidade Aberta da Terceira Idade. Objetivo: avaliar as prevalências de sobrepeso e de obesidade associadas a fatores socioeconômicos e presença de comorbidades, em uma amostra de idosas não institucionalizadas de Salvador-BA, Brasil. Metodologia: um estudo transversal com uma amostra de 72 idosas com mais de 60 anos frequentadoras da Universidade Aberta da Terceira Idade (UATI) vinculada a Universidade Estadual da Bahia (UNEB). Foram aplicados questionários as participantes sobre aspectos pessoais, sócio-demográficos e presença de comorbidades. Resultados: os dados antropométricos avaliados foram o Índice de Massa Corporal (IMC) e da Circunferência da Cintura (CC). Associações entre as variáveis categóricas foram testadas utilizando o teste qui-quadrado com um nível de significância 5%. Observou-se que prevalência de sobrepeso e obesidade de acordo com o IMC foi de 34,48% e 24,14%, respectivamente e 86,54% dos idosos apresentaram um substancial aumento da circunferência abdominal. Verificou-se que 13,46% dos indivíduos eram diabéticos, 63,46% hipertensos. Conclusão: neste estudo não houve associação com significância estatística entre excesso de peso e renda ou presença de comorbidades (Diabete Melito e Hipertensão).


Introduction: the aim of this study was to evaluate the prevalence of overweight and obesity associated with socioeconomic factors and the presence of comorbidities, in a sample of non-institutionalized elderly women from Salvador-BA, Brazil. Metodology: crosssectional study was carried out with a sample of 72 elderly women over 60 years of age attending the Open University of the Third Age (UATI) linked to the State University of Bahia (UNEB). Questionnaires were applied to participants on personal, socio-demographic and presence of comorbidities. Results: the anthropometric data evaluated were the body mass index (BMI) and waist circumference (WC). Associations between categorical variables were tested using the chi-square test with a 5% significance level. It was observed that the prevalence of overweight and obesity according to the BMI was high (34.48% and 24.14%, respectively) and 86.54% of the elderly showed a substantial increase in waist circumference. It was found that 13.46% of the individuals were diabetic, 63.46% were hypertensive. Conclusion: It was observed that BMI was not significantly associated (p <0.05) with income or the presence of comorbidities (Diabetes Mellitus and Hypertension).


Subject(s)
Humans , Female , Aged , Aged , Overweight , Obesity , Body Mass Index , Comorbidity , Analytical Methods , Cross-Sectional Studies , Diabetes Mellitus , Abdominal Circumference , Waist Circumference , Observational Study , Hypertension
7.
Rev. enferm. UERJ ; 28: e44773, jan.-dez. 2020.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1119608

ABSTRACT

Objetivo:descrever a frequência dos fatores de risco cardiovascular em idosos de uma comunidade quilombola. Método: estudo transversal desenvolvido com idosos quilombolas cadastrados na Estratégia Saúde da Família. A coleta foi realizada com uma amostra de 62 idosos, utilizando-se o teste do qui-quadrado para análise dos dados. Resultados: as frequências dos fatores de risco foram: 67,7% de hipertensão arterial, 54,8% de adiposidade abdominal, 22,6% de glicemia capilar elevada, 19,4% de excesso de peso, 3,2% de sedentarismo e 3,2% de tabagismo, com diferença estatística apenas para adiposidade abdominal em idosas de cor branca (p<0,05). Conclusão: o estudo identificou elevada frequência de fatores de risco cardiovasculares nos idosos quilombolas atendidos na atenção primária à saúde, com destaque para hipertensão arterial, adiposidade abdominal e glicemia capilar elevada. Os resultados apontam a necessidade de melhoria de acesso da comunidade quilombola aos serviços de saúde.


Objective: to describe the frequency of cardiovascular risk factors in the older adults of a quilombola community. Method: in this cross-sectional study of 62 older adults of a quilombo registered with Brazil's Family Health Strategy, the data collected were analyzed using the Chi-square test. Results: risk factor frequencies were: 67.7% for arterial hypertension; 54.8%, abdominal adiposity; 22.6%, high capillary blood glucose; 19.4%, overweight; 3.2%, sedentary lifestyle; and 3.2%, smoking. Statistical difference was observed only for abdominal adiposity in older, white women (p<0.05). Conclusion: this study identified a high frequency of cardiovascular risk factors in quilombola older adults treated in primary health care, particularly arterial hypertension, abdominal adiposity, and high capillary blood glucose. These results indicate the need to improve quilombola communities' access to health services.


Objetivo: describir la frecuencia de factores de riesgo cardiovascular en los adultos mayores de una comunidad quilombola. Método: en este estudio transversal de 62 adultos mayores de un quilombo inscrito en la Estrategia de Salud de la Familia de Brasil, los datos recolectados se analizaron mediante la prueba de Chi-cuadrado. Resultados: las frecuencias de los factores de riesgo fueron: 67,7% para la hipertensión arterial; 54,8%, adiposidad abdominal; 22,6%, glucemia capilar elevada; 19,4%, sobrepeso; 3,2%, sedentarismo; y 3,2%, tabaquismo. Se observó diferencia estadística solo para la adiposidad abdominal en mujeres blancas mayores (p<0,05). Conclusión: este estudio identificó una alta frecuencia de factores de riesgo cardiovascular en adultos mayores quilombolas tratados en atención primaria de salud, particularmente hipertensión arterial, adiposidad abdominal y glucemia capilar alta. Estos resultados indican la necesidad de mejorar el acceso de las comunidades quilombolas a los servicios de salud.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Cardiovascular Diseases , Ethnic Groups , Risk Factors , Health Services Accessibility , Tobacco Use Disorder , Blood Glucose , Brazil , Epidemiology, Descriptive , Family Health Strategy , Abdominal Circumference , Sedentary Behavior , Hypertension , Obesity
8.
Revista Digital de Postgrado ; 9(2): 208, ago. 2020. tab, graf
Article in Spanish | LILACS, LIVECS | ID: biblio-1103357

ABSTRACT

La diabetes mellitus tipo 2 (DM2) representa un problema de salud pública, debido a su alta incidencia y prevalencia en el mundo. Un método para evaluar el riesgo de desarrollar DM2 es la escala Latin American Finnish Diabetes Risk Score (LA FINDRISC). La DM2 es un factor de riesgo de enfermedad arterial periférica (EAP) la cual puede ser diagnosticada mediante el índice tobillo-brazo (ITB). Objetivo: evaluar la presencia y severidad de enfermedad arterial periférica mediante ITB y relacionarlo con el riesgo de desarrollar DM2 según LA FINDRISC. Métodos: estudio descriptivo, correlacional, de corte transversal. Se evaluaron 134 personas y se les midió glicemia capilar para descartar diabetes. Posteriormente, se realizó el LA FINDRISC y el ITB. Resultados: El puntaje LA FINDRISC y la glicemia alteradas en ayunas aumentaron proporcionalmente (R2=0,5). Esta relación no se observó entre LA FINDRISC y el ITB arrojado por la población general. Sin embargo, al seleccionar los pacientes con vasos no comprimibles aparece una correlación positiva (R2=0,36) entre los dos instrumentos diagnósticos. Conclusión: LA FINDRISC y el ITB son instrumentos de diagnósticos no invasivo, sencillos y válidos para detectar riesgo de desarrollar DM2, y detectar presencia y severidad de enfermedad arterial periférica, respectivamente(AU)


Type 2 diabetes mellitus (DM2) represents a public health problem, due to its high incidence and prevalence in the world. One method to assess the risk of developing DM2 is the Latin American Finnish Diabetes Risk Score (LA FINDRISC) scale. DM2 is a risk factor for peripheral arterial disease (PAD) which can be diagnosed using the ankle-brachial index (ABI). Objective: to evaluate the presence and severity of peripheral arterial disease using ABI and to relate it to the risk of developing DM2 according to LA FINDRISC. Methods: descriptive, correlational, cross-sectional study. 134 people were evaluated, and capillary glycemia was measured to rule out diabetes. Subsequently, the LA FINDRISC and the ITB were held. Results: The LA FINDRISC score and impaired fasting blood glucose increased proportionally (R2 = 0.5). This relationship was not observed between LA FINDRISC and the ITB showed by the general population. However, when selecting patients with non-compressible vessels, a positive correlation (R2 = 0.36) appears between the two diagnostic instruments. Conclusion: FINDRISC and ITB are simple and valid non-invasive diagnostic instruments to detect the risk of developing DM2, and detect the presence and severity of peripheral arterial disease, respectively(AU)


Subject(s)
Humans , Male , Female , Body Mass Index , Diabetes Mellitus, Type 2/physiopathology , Diagnostic Techniques, Cardiovascular , Peripheral Arterial Disease/complications , Body Weights and Measures , Anthropometry , Abdominal Circumference
9.
Med. interna (Caracas) ; 36(1): 35-45, 2020. ilus, tab, graf
Article in Spanish | LILACS, LIVECS | ID: biblio-1103077

ABSTRACT

La obesidad constituye un esta- do subclínico de inflamación, que promueve complicaciones cardiovasculares. Objetivo: Establecer la relación entre la concentración de proteína C reactiva ultrasensible (PCRus) y el engrosamiento de la íntima media carotídea en obesos. Método: estudio transversal, descriptivo y comparativo. Se determinaron variables antropométricas, parámetros bioquímicos, concentración de PCRus, y gro- sor de íntima media carotídea (GIMC) en obesos normolipémicos y dislipidémicos. Resultados: se evaluaron 45 pacientes obesos normolipémicos y dislipidémicos, con una edad media de 36±9,23 años y 38,33±8,30 años respectivamente, sin diferencias significativas en peso, talla, circunferencia abdominal y presión arterial. La PCRus se encontró en 0,967±0,73mg/dl en el grupo normolipémi- co, y 1,328±0,75mg/dl, en el grupo dislipidémico, con significancia estadística (p=0,022) y una media de grosor de íntima media de 0,87±0,23mm y 0,95±0,20mm. Los pacientes con valores de PCRus ≥1mg/dl, presentaron un mayor peso, índice de masa corporal (IMC) y circunferencia abdo- minal. Se encontró una correlación de 0,361 entre el GIMC y PCRus, y en el grupo normolipémico, una correlación de 0,423 (p=0,004). Igualmente, se encontró una correlación de 0,336 entre el GIMC y la circunferencia abdominal en los normolipémicos. Conclusión: La PCRus ≥1mg/dl en pacientes obesos, se correlacionó con un mayor peso, el IMC y la circunferencia abdominal, así como aumento del GIMC y presencia de placas de ateroma. En pacientes obesos normolipémicos, se encontró correlación moderada entre el grosor de íntima media carotídea, con la PCRus y circunfe- rencia abdominal(AU)


Obesity is a condition of subclini- cal inflammation, which promotes cardiovascular complications. Objective: To establish the rela- tionship between the concentration of high sensitive C reactive protein (CPRhs) and carotid media- intima thickness in obese normolipidemic patients. Methods: crosssectional, descriptive and comparative study. Anthropometric variables, biochemi- cal parameters, CPRhs concentration, and carotid media-intima thickness (IMT) were determined in normolypemic and dyslipidemic obese patients. Results: 45 normolipidemic and dyslipidemic patients were evaluated, with an average age of 36±9,23 years and 38,33±8,30 years respectively, without significant differences in weight, height, abdominal circumference and blood pressure. The CPRhs was found in 0,967±0,73mg/dl in the normolipidemic group, and 1,328±0,75mg/dl in the dyslipidemic group, with statistical significance (p=0.022) and an average IMT of 0,87±0,23mm and 0,95±0,20mm respectively. Patients with CPRhs ≥1mg/dl values had higher weight, body mass index (BMI) and abdominal circumference. A correlation of 0,361 was found between the IMT and CPRhs, and in the normolipidemic group, a correlation of 0,423 (p=0.004). The correlation of 0,336 was found between IMT and abdominal circumference in normolipidemic patients. Conclusion: CPRhs ≥1mg/dl in obese patients, was correlated with increased weight, BMI and abdominal circumference, as well as increased IMT and presence of atherosclerosis plaques. In obese normolipidemic patients, a moderate correlation was found between carotid media-intima thickness with IMT and abdo- minal circumference, may suggest the use of these markers in primary atherosclerotic disease preven- tion in obese patients(AU)


Subject(s)
Humans , C-Reactive Protein , Cardiovascular Diseases , Carotid Intima-Media Thickness , Obesity/epidemiology , Abdominal Circumference , Dyslipidemias , Arterial Pressure
10.
Av. enferm ; 37(3): 284-292, sep.-dic. 2019. tab, graf
Article in English | LILACS, BDENF, COLNAL | ID: biblio-1055212

ABSTRACT

Abstract Objective: to investigate the association between hypertension and anthropometric indicators of central obesity, obtained from two anatomical sites in old adults. Methodology: a cross-sectional study including 145 elderly people, from whom socioeconomic and demographic data and anthropometric indicators of central obesity (Waist Circumference [CC] and Abdominal Circumferency [CA]) were obtained, which were considered independent variables. A logistic regression model was used to analyze the associations, and for the discriminatory power of the cutoff points of the anthropometric indicators for hypertension, a Receiver Operating Characteristic (ROC) curve was performed. Comparisons between ROC curves were performed, aiming to identify a significant difference in the discriminatory power of the anthropometric indicators studied. Results: among the 145 individuals, 79 were female (54%) and 66 were male (46%). The results showed a high prevalence of hypertension among men (69.7%) and women (73.4%). Both WC and AC were significantly associated to hypertension in both sexes. The ROC curve parameters indicated that both anthropometric indicators of central obesity exhibit a good discriminatory power for hypertension in this studie. For the studied population, the WC cutoff point for hypertension was > 83.2 cm for men and > 82.6 cm in women, while for CA it was > 85.1 cm and > 85.4 cm in men and women, respectively. Conclusion: AC and WC are significantly associated with hypertension in both sexes, and there is no superiority among them to predict hypertension in the elderly population.


Resumen Objetivo: investigar la asociación entre hipertensión e indicadores antropométricos de obesidad central, obtenidos de dos sitios anatómicos en adultos mayores. Metodología: estudio transversal que incluyó a 145 adultos mayores, de los cuales se obtuvieron datos socioeconómicos y demográficos e indicadores antropométricos de obesidad central (circunferencia de cintura [CC] y circunferencia abdominal [CA]), que fueron considerados variables independientes. Se utilizó un modelo de regresión logística para analizar las asociaciones, además del poder discriminatorio y los puntos de corte para la hipertensión de los indicadores antropométricos, que se obtuvieron a partir de los parámetros de la curva Receiver Operating Characteristic (ROC). Se hicieron comparaciones entre las curvas ROC, con el objetivo de identificar diferencias significativas en el poder discriminatorio de los indicadores antropométricos estudiados. Resultados: de los 145 individuos 79 eran del sexo femenino (54 %) y 66 del masculino (46 %). Los resultados mostraron una alta prevalencia de hipertensión arterial en hombres (69,7 %) y mujeres (734 %). Tanto CC como CA se asociaron significativamente a la hipertensión en ambos sexos. Los parámetros de la curva ROC revelaron que ambos indicadores antropométricos de obesidad central exhiben un buen poder discriminatorio para la hipertensión en la población estudiada. El punto de corte para la CC fue > 83,2 cm para hombres y de > 82,6 cm para mujeres; mientras que para CA fue > 85,1 cm y > 85,4 cm para hombres y mujeres, respectivamente. Conclusión: CA y CC están significativamente asociadas a la hipertensión en ambos sexos, y no hay superioridad entre ellas para predecir la hipertensión en la población anciana.


Resumo Objetivo: investigar a associação entre hipertensão e indicadores antropométricos de obesidade central obtidos de dois sítios anatômicos em idosos. Metodologia: estudo transversal incluindo 145 idosos, dos quais foram obtidos dados socioeconô-micos e demográficos e indicadores antropométricos de obesidade central (circunferência de cintura [CC] e cirfunferência abdominal [CA]), que foram considerados como variáveis independentes. Um modelo de regressão logística foi utilizado para analisar as associações, além do poder discriminatório e os pontos de corte para a hipertensão dos indicadores antropométricos, que foram obtidos a partir dos parâmetros da curva Receiver Operating Characteristic (ROC). Comparações entre as curvas ROC foram realizadas, objetivando identificar diferença significativa no poder discriminatório dos indicadores antropométricos estudados. Resultados: entre os 145 indivíduos, 79 eram do sexo feminino (54 %) e 66 do masculino (46 %). Os resultados mostraram uma alta prevalência de hipertensão arterial entre homens (69,7 %) e mulheres (73,4 %). Tanto a CA quanto a CC foram associadas à hipertensão em ambos os sexos de maneira significativa. Os parâmetros da curva ROC indicaram que ambos os indicadores antropométricos da obesidade central exibiram um bom poder discriminatório para a hipertensão na população estudada. O ponto de corte para a CC foi > 83,2 cm para homens e > 82,6 cm para mulheres, enquanto para CA foi > 85,1 cm e > 85,4 cm para homens e mulheres, respectivamente. Conclusão: as CA e CC estão significativamente associadas à hipertensão em ambos os sexos e não há superioridade entre elas para prever a hipertensão na população idosa.


Subject(s)
Humans , Aged , Aged, 80 and over , Aged , Abdominal Circumference , Waist Circumference , Obesity, Abdominal , Hypertension , ROC Curve , Demographic Data
11.
Bol. méd. postgrado ; 35(2): 30-34, Jul.-Dec. 2019. tab, graf
Article in Spanish | LILACS, LIVECS | ID: biblio-1120204

ABSTRACT

Se realizó una investigación cuantitativa de tipo correlacional con el objeto de evaluar la asociación entre microalbuminuria (MA), proteína C reactiva ultrasensible (PCR-us) y riesgo cardiovascular (RCV) de acuerdo a la escala de Framingham en pacientes con síndrome metabólico (SM) que asistieron a la consulta del Servicio de Medicina Interna del Hospital Universitario Dr. Luis Gómez López durante el período junio 2017-junio 2018. La muestra la conformaron 30 pacientes con una edad promedio de 49,53 ± 13,35 años y predominio del sexo femenino. El 53,3% de los pacientes no tenía tratamiento. El 73,3% de los pacientes presentaron RCV muy alto y alto de acuerdo a la escala de Framingham. La mayor parte de los pacientes con RCV muy alto presentaron valores elevados de PCR-us. Se observó una correlación positiva entre los valores de PCR-us y el RCV (R=0,533, p < 0.05). Es importante la identificación temprana del SM como factor de riesgo para el desarrollo de enfermedades cardiovasculares(AU)


A correlation-type quantitative investigation was carried out with the aim to evaluate the association between microalbuminuria (MA), high-sensitive C-reactive protein (hs-CRP) and cardiovascular risk (CVR) determined by the Framingham scale in patients with Metabolic Syndrome (MS) who attended the Internal Medicine Service of the Hospital Universitario Dr. Luis Gómez López during the period June 2017-June 2018. Thirty patients were included with an average age of 49.53 ± 13.35 years and female sex predominance. According to the Framingham scale, 73.3% of patients had very high and high CVR. Most patients with very high CVR had elevated levels of hs-CRP. There was a positive and significant correlation between hs-CRP levels and CVR (R=0.533, p <0.05). An early diagnosis of MS is important as a risk factor for the development of cardiovascular disease(AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , C-Reactive Protein , Cardiovascular Diseases/physiopathology , Technetium Tc 99m Aggregated Albumin , Metabolic Syndrome/pathology , Body Mass Index , Public Health , Diabetes Mellitus, Type 2 , Abdominal Circumference , Internal Medicine
12.
Int. j. cardiovasc. sci. (Impr.) ; 32(5): 517-526, Sept-Oct. 2019. tab
Article in English | LILACS | ID: biblio-1040109

ABSTRACT

Patients with mental disorders are more susceptible to cardiovascular diseases and metabolic disorders compared to the general population. Objective: To evaluate cardiovascular risk and metabolic syndrome in individuals with mental disorders. Materials and methods: A cross-sectional study, conducted at the Psychosocial Care Centers. Socioeconomic, clinical, biochemical and anthropometric data were collected using a standard form. Cardiovascular risk was assessed by the Framingham risk score. Metabolic syndrome (MS) was determined by the World Health- Organization (WHO), the National Cholesterol Education Program (NCEP) and the International Diabetes Federation (IDF) criteria. Data were analyzed by descriptive statistics, and associations were evaluated by the chi-square test and Fisher's exact test, as well as Odds Ratio. The significance level adopted for all statistical tests was 5%. Results: The chance of individuals diagnosed with MS be at intermediate-to-high cardiovascular risk was greater (12.22, 8.01 and 6.23 times higher according to WHO, NCEP and IDF criteria, respectively) than those without MS. Conclusion: A high percentage of patients with mental disorders were at intermediate / high cardiovascular risk, and this was significantly associated with MS


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Cardiovascular Diseases/physiopathology , Metabolic Syndrome , Mental Disorders , World Health Organization , Body Mass Index , Mental Health , Prevalence , Cross-Sectional Studies/methods , Statistical Analysis , Risk Factors , Diabetes Mellitus , Abdominal Circumference , Psychosocial Support Systems , Cholesterol, HDL
13.
Int. j. cardiovasc. sci. (Impr.) ; 32(5): 527-535, Sept-Oct. 2019. graf
Article in English | LILACS | ID: biblio-1040101

ABSTRACT

Currently, the association between obesity and heart failure (HF) is increasingly known. Patients with advanced obesity who suffer from HF without an identifiable cause can be diagnosed as having obesity-associated cardiomyopathy. Although data suggest that obesity may reduce mortality in HF, weight loss, especially in the presence of morbid obesity, reduces symptoms and improves the quality of life of those patients. Bariatric surgery is the major treatment available for sustained weight loss in morbid obesity. Observational studies have demonstrated an improvement in ventricular structure and function of morbidly obese patients with HF who underwent that procedure. Thus, despite the risks, bariatric surgery should be considered for patients with HF, because of its potential for reducing associated comorbidities and improving quality of life and functional capacity, in addition to making eligible for heart transplantation those excluded due to high body mass index


Subject(s)
Humans , Male , Female , Treatment Outcome , Bariatric Surgery , Heart Failure , Obesity , Quality of Life , Stroke Volume , Coronary Artery Disease , Body Mass Index , Comorbidity , Cross-Sectional Studies , Hypertrophy, Left Ventricular , Abdominal Circumference , Heart Ventricles
14.
Rev. medica electron ; 41(4): 862-878, jul.-ago. 2019. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1094094

ABSTRACT

RESUMEN Introducción: las enfermedades cardiovasculares constituyen la principal causa de muerte en la mayoría de los países. Se describen los factores de riesgo para enfermedad coronaria como no modificables: edad, sexo y antecedentes familiares; y modificables relacionados al estilo de vida: tabaquismo, dislipidemia, obesidad, sedentarismo, diabetes, uso abusivo de alcohol y la enfermedad hipertensiva. Objetivo: caracterizar los factores de riesgo asociados a la cardiopatía isquémica en Atención Secundaria de Salud. Materiales y métodos: estudio observacional, descriptivo transversal en pacientes ingresados en el Hospital "Mártires del 9 de Abril" de Sagua la Grande, en el periodo comprendido entre los años 2016 y 2017. Integraron la muestra 96 pacientes que ingresaron con diagnóstico de cardiopatía isquémica. Se describieron las características demográficas de los mismos; fueron identificados los factores de riesgo y se determinó la frecuencia de asociación de otras formas clínicas de ateromatosis. Resultados: los pacientes fueron mayores de 60 años de edad; la mayoría tenían color de la piel blanca; presentaban antecedentes patológicos familiares de cardiopatía isquémica; las principales formas de cardiopatía isquémica fueron: angina e insuficiencia cardiaca; todos los pacientes presentaron uno o más factores de riesgo cardiovascular, los más significativos fueron, hipertensión arterial, tabaquismo aumento de la circunferencia abdominal y personalidad tipo "A". Conclusiones: la mayoría de los pacientes exhibieron alteraciones en el electrocardiograma: descenso del segmento ST, bloqueo de rama izquierda del haz de His y fibrilación auricular; se observó hipertrigliceridemia y se apreció asociación entre enfermedad renal crónica y angina.


ABSTRACT Introduction: cardiovascular diseases are the main cause of death in most of the countries. The risk factors for coronary disease are described as unmodifiable: age, sex and family history; and modifiable related to lifestyle: smoking, dyslipidemia, obesity, sedentary lifestyle, diabetes, abusive use of alcohol and hypertensive disease. Objective: to characterize the risk factors associated to ischemic heart disease in secondary health care. Material and methods: observational, cross-sectional, descriptive study in patients admitted in "Mártires del 9 de Abril" Hospital, Sagua la Grande, between 2016 and 2017. The sample consisted of 96 patients admitted with a diagnosis of ischemic heart disease. Their demographic characteristics were described; the risk factors were identified and the frequency of association of other clinical forms of atheromatosis was determined. Results: the patients were aged more than 60 years; most of them were white people and had family pathological antecedents of ischemic heart disease; the main forms of ischemic heart disease were angina and heart failure; all patients showed one or more cardiovascular risk factors being arterial hypertension, smoking, increase of abdominal circumference and type A personality the most significant ones. Conclusions: the majority of patients showed alterations in the electrocardiogram: ST segment decrease, His bundle left branch blockage and atrial fibrillation; hypertriglyceridemia was observed and there was an association between chronic kidney disease and angina.


Subject(s)
Humans , Aged , Tobacco Use Disorder/etiology , Risk Factors , Myocardial Ischemia/diagnosis , Myocardial Ischemia/genetics , Myocardial Ischemia/epidemiology , Hypertension/etiology , Inpatients , Cardiovascular System/physiopathology , Epidemiology, Descriptive , Cross-Sectional Studies , Abdominal Circumference , Observational Study , Heart Failure/etiology , Angina Pectoris/etiology , Life Style
15.
Int. j. cardiovasc. sci. (Impr.) ; 32(3): 269-273, May-June 2019. tab
Article in English | LILACS | ID: biblio-1002229

ABSTRACT

Ischemic heart failure is a chronic and degenerative disease with high morbidity and mortality in the world. Coronary artery bypass grafting is indicated as elective treatment and may cause a catabolic state that depletes energy reserves. Data on body composition evaluation in the postoperative period of major cardiac surgery are limited. Objective: To evaluate the influence of elective coronary artery bypass grafting on body composition on the seventh postoperative day of patients with ischemic heart failure. Methods: A cross-sectional study was carried out in which eighteen volunteers with New York Heart Association Class II and III heart failure underwent coronary artery bypass grafting. The energy and protein reserves of the participants were evaluated by anthropometry in the preoperative and on the seventh postoperative day. Paired t-Test or Mann-Whitney test was used if applicable. A significance level was considered at p value < 0.05. Results: A significant loss of muscle mass was observed through the reduction of arm muscle circumference after surgery (4.2%, p 0.007). Major surgery causes hypermetabolic state and systemic inflammatory stimulus, due to the release of hormones and cytokines that may justify the observed loss of muscle mass. Conclusion: Coronary artery bypass grafting had an impact on muscle mass reduction seven days after surgery in patients with ischemic heart failure


Subject(s)
Humans , Male , Aged , Postoperative Period , Body Composition , Coronary Artery Bypass , Myocardial Revascularization/methods , Body Mass Index , Anthropometry/methods , Chronic Disease , Cross-Sectional Studies , Statistical Analysis , Risk Factors , Abdominal Circumference , Heart Failure/physiopathology , Heart Failure/mortality , Obesity
17.
J. vasc. bras ; 18: e20180109, 2019. tab
Article in English | LILACS | ID: biblio-1002485

ABSTRACT

Dyslipidemias are associated with atherosclerosis and cardiovascular diseases. Recently, non-high-density lipoprotein cholesterol (non-HDL-c) has emerged as a new target for assessment and prediction of risk of cardiovascular disease (CVD) and is closely associated with atheroma plaque progression. Objectives To evaluate associations between HDL-c and non-HDL-c levels and anthropometric and biochemical parameters and with the Castelli risk indexes I and II. Methods 300 randomly selected people were subdivided into two groups: patients with normal values for non-HDL-c and patients with altered values for non-HDL-c. These parameters were analyzed for associations with glycemia, total cholesterol (TC), triglycerides (TG), low-density lipoprotein (LDL-c), Castelli Index I (CI-I), Castelli Index II (CI-II), waist circumference (WC), body mass index (BMI) and presence of metabolic syndrome (MS). Results Glycemia,TC, TG, LDL-c, CI-I, CI-II, WC and BMI were all significantly different between subjects with normal and altered values of HDL-c and non-HDL-c. TC and WC both exhibited significantly higher values among patients with abnormal non-HDL-c when compared to patients with abnormal HDL-c. A significant difference was observed in occurrence of MS among patients with altered values of HDL-c and non-HDL-c. Conclusions Our results show that both HDL-c and non-HDL-c are associated with insulin resistance, dyslipidemia, atherogenic indices, and obesity. There is therefore a need for randomized clinical intervention trials examining the potential role of non-HDL-c as a possible primary therapeutic target


A dislipidemia está associada à aterosclerose e às doenças cardiovasculares. Recentemente, a lipoproteína de não alta-densidade de colesterol (não HDL-c) emergiu como um novo alvo para avaliação da predição de risco de doença cardiovascular, intimamente associada à progressão da placa de ateroma. Objetivos Avaliar as associações de níveis de HDL-c e não HDL-c com parâmetros antropométricos e bioquímicos, bem como com índices de Castelli I e II (CI-I e CI-II). Métodos Trezentas pessoas selecionadas aleatoriamente foram divididas em dois grupos: pacientes com valores normais de não HDL-c e pacientes com valores alterados de não HDL-c. Esses parâmetros foram associados a glicemia, colesterol total (CT), triglicerídeos (TG), lipoproteína de baixa densidade (LDL-c), CI-I, CI-II, circunferência de cintura (CC), índice de massa corporal (IMC) e presença de síndrome metabólica (SM). Resultados Glicemia, CT, TG, LDL-c, CI-I, CI-II, CC e IMC exibiram valores significativamente maiores para o não HDL-c quando comparado ao HDL-c. Uma diferença significativa na ocorrência de SM foi encontrada em pacientes com valores alterados de HDL-c e não HDL-c. Conclusões Nossos resultados mostram que tanto o HDL-c quanto o não HDL-c estão associados a resistência à insulina, dislipidemia, índices de aterogênese e obesidade. Assim, há uma necessidade de futuros ensaios randomizados de intervenção clínica examinando o papel potencial do não HDL-c como possível alvo terapêutico primário


Subject(s)
Humans , Male , Female , Biomarkers , Anthropometry/methods , Cholesterol, HDL , Triglycerides/blood , Blood Glucose , Cardiovascular Diseases , Body Mass Index , Risk Factors , Metabolic Syndrome , Abdominal Circumference , Atherosclerosis , Dyslipidemias , Cholesterol, LDL , Obesity
18.
HU rev ; 45(1): 104-108, 2019.
Article in Portuguese | LILACS | ID: biblio-1048673

ABSTRACT

Introdução: O Acidente Vascular Cerebral (AVC) é uma das maiores causas de morte e incapacidade adquirida em todo o mundo. Além da alta mortalidade, o AVC é um importante causador de déficits neurológicos irreversíveis que necessitam de reabilitação, sendo que aproximadamente 70% dos pacientes não retomarão ao seu trabalho e 30% necessitarão de auxílio para caminhar. Entender o perfil epidemiológico e a contribuição de cada fator de risco é essencial para estabelecer políticas locais específicas para diminuir a incidência da doença e prevalência de complicações que ocorrem devido ao AVC, tanto para o bem-estar a curto e a longo prazo da população. A prevenção pode ser feita em até 90% dos casos de AVC, visto que estes podem ser atribuídos a fatores de risco modificáveis. Objetivo: Conscientizar e orientar a população da cidade de Juiz de Fora, Minas Gerais acerca dos fatores de risco modificáveis do AVC e, consequentemente, sobre sua prevenção. Relato de experiência: No mês de outubro de 2018 foram realizadas palestras educativas e orientações a respeito do AVC e seus fatores de risco. Além disso, os pacientes do serviço de Neurologia, seus acompanhantes e transeuntes locais tiveram dois dos fatores de risco modificáveis associados ao AVC avaliados: a pressão arterial sistêmica e a circunferência abdominal. Aqueles com alterações foram orientados e encaminhados a procurar um serviço específico. Conclusão: A educação da população sobre as formas de prevenção de doenças cardiovasculares, em especial o acidente vascular cerebral, que é uma doença conhecida por apresentar tantos fatores causais modificáveis, é essencial para evitar o aumento da incidência dessas patologias tão prevalentes no país.


Introduction: Stroke is one of the most prevalent causes of death and acquired inability all over the world. Besides the high rates of mortality, stroke is an important cause of neurologic deficits that will need rehabilitee, since 70% of the patients will not come back for their work and 30% will need help to walk. Understand the epidemiology profile and the contribution of any risk factor is essential to establish specific local politics in order to lower the incidence and complication rates, not only in short term but also in long term. Prevention can be made at 90% cases of stroke, since these cases are attributed to modifiable risk factors. Objective: Guide and alert Juiz de Fora's population about changeable risk factors and prevention of stroke. Experience report: During the final week of October we made educative speeches and offer some guidance about stroke and his modifiable risk factors. Furthermore, the neurology patients, their companions and local people, had their blood pressure assessed, as so as their abdominal circumference. Those with some alteration were guided to look for specific medical support. Conclusion: Education about cardiovascular diseases prevention, in special stroke, which is known for having so many modifiable risk factors, is essential to avoid the incidence of these pathology to increase.


Subject(s)
Humans , Awareness , Cardiovascular Diseases , Public Health , Risk Factors , Stroke , Metabolic Syndrome , Population Education , Disease Prevention , Abdominal Circumference , Hypertension , Neurology
19.
Rev. bras. anal. clin ; 50(2): 139-143, nov. 23, 2018. tab, graf
Article in Portuguese | LILACS | ID: biblio-948787

ABSTRACT

A síndrome metabólica (SM) representa a anormalidade metabólica mais comum da atualidade e também a maior responsável por eventos cardiovasculares na população. Apesar da importância, há carência de dados epidemiológicos na população brasileira. Este estudo teve como objetivo avaliar a incidência da SM em pacientes que utilizam o Laboratório de Análises Clínica da PUC ­ Goiás (LAC) que tinham em seus exames perfil lipídico, glicemia de jejum e que apresentavam uma circunferência abdominal elevada. Os critérios utilizados foram os propostos pelo National Cholesterol Education Program ­ Adult Treatment Panel III (NCEP-ATP III). No estudo foi encontrada a prevalência de 34% diagnosticados com SM, sendo 13% no sexo masculino e 21% no sexo feminino. Conclui-se que foi encontrado um percentual alto para SM nos pacientes que estão fazendo seus exames de rotina no LAC, pois no estudo não teve associação com estilo de vida e doenças existentes.


Subject(s)
Blood Glucose , Metabolic Syndrome , Abdominal Circumference , Health Profile , Lipids
20.
Acta bioquím. clín. latinoam ; 52(3): 293-301, set. 2018. tab
Article in Spanish | LILACS | ID: biblio-973453

ABSTRACT

El objetivo del estudio fue evaluar el desempeño de detección del índice de disfunción metabólica (IDM) construido a partir de los valores de circunferencia abdominal, triglicéridos e índice de masa corporal. Se estudiaron 829 sujetos (327 de sexo masculino, 60,4±19,8 años). Se establecieron los diagnósticos de resistencia a la insulina (RI), y síndrome metabólico según los criterios del HOMA-IR, NCEP-ATP III (SM) y NCEP-ATP III revisado (SM-R). Se usó el área bajo las curvas ROC (ABC), los puntos de corte óptimo (PCO), sensibilidad (SEN), especificidad (ESP), valor predictivo positivo y valor predictivo negativo (VPN) para la evaluación del desempeño del IDM. Se pudo constatar que el IDM tiene una capacidad de detección aceptable puesto que se observó un ABC>0,75 en todos los casos. Además, se encontraron valores mayores (p<0,01) de IDM en los grupos con SM, SM-R y RI en comparación con los grupos que no padecían las patologías. Adicionalmente, los PCO para la RI (IDM>21,01), SM (IDM>16,01) y el SM-R (IDM>19,51) reportaron valores de ESP, SEN, VPN mayores que 0,70. Por tanto, a partir de un índice compuesto por tres variables tomadas de un estudio médico de rutina, se pueden diagnosticar dos patologías que conllevan al desarrollo de la diabetes y enfermedades cardiovasculares.


The objective of the study was to evaluate the performance of metabolic dysfunction index (MDI) detection constructed from the values of abdominal circumference, triglycerides and body mass index. A total of 829 subjects (327 males, 60.4±19.8 years), diagnosed with insulin resistance (IR) and metabolic syndrome according to the HOMA-IR, NCEP-ATP III (SM) and NCEP -ATP III revised (SM-R) criteria were studied. The area under the ROC curves (AUC), the optimal cut-off points (OCP), sensitivity (SEN), specificity (SPE), positive predictive value and negative predictive value (NPV) were used to evaluate the performance of the MDI. It was found that the MDI has an acceptable detection capacity since an AUC>0.75 was observed in all cases, and higher values (p<0.01) of MDI were found in the groups with SM, SM-R and IR compared to groups that do not suffer from the pathologies. Additionally, the OCPs for IR (MDI>21.01), SM (MDI>16.01) and SM-R (MDI>19.51) reported values of SPE, SEN, NPV greater than 0.70. Therefore, from an index composed of three variables taken from a routine medical study, two pathologies can be diagnosed that lead to the development of diabetes and cardiovascular diseases.


O objetivo do estudo foi avaliar o desempenho de detecção do índice de disfunção metabólica (IDM) construído a partir dos valores de circunferência abdominal, triglicerídeos e índice de massa corporal. Foram estudados 829 indivíduos (327 homens, 60,4±19,8 anos), estableceram-se os diagnósticos de resistência à insulina (RI) e síndrome metabólica de acordo com os critérios de HOMA-RI, NCEP-ATP III (SM) e NCEP-ATP III revisado (SM-R). A área sob as curvas ROC (ABC), os pontos de corte ótimo (PCO), sensibilidade (SEN), especificidade (ESP), valor preditivo positivo e valor preditivo negativo (VPN) foram utilizados para avaliar o desempenho do IDM. Verificou-se que o IDM possui uma capacidade de detecção aceitável, visto que uma ABC>0,75 foi observada em todos os casos. Valores maiores (p<0,01) de IDM foram encontrados nos grupos com SM, SM- R e RI em comparação com grupos que não sofrem com as patologias. Além disso, os PCOs para a RI (IDM>21.01), SM (IDM>16.01) e SM-R (IDM>19.51), relataram valores de ESP, SEN, VPN maiores que 0,70. Portanto, a partir de um índice composto por três variáveis de um estudo médico de rotina, duas patologias podem ser diagnosticadas que levam ao desenvolvimento de diabetes e doenças cardiovasculares.


Subject(s)
Humans , Male , Adolescent , Adult , Middle Aged , Aged , Insulin Resistance , Body Mass Index , Metabolic Syndrome , Pathology , Triglycerides , Insulin Resistance , Cardiovascular Diseases , Adenosine Triphosphate , Predictive Value of Tests , ROC Curve , Determination , Courtship , Growth and Development , Diabetes Mellitus , Diagnosis , Efficiency , Abdominal Circumference , Men
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