ABSTRACT
Objetivo: Determinar la frecuencia de Síndrome Metabólico (SM) en indígenas de la etnia Warao de Barrancas del Orinoco, Estado Monagas. Marzo, 2011. Materiales y Métodos: Tipo de estudio descriptivo, observacional y de corte transversal. Universo de 140 personas, muestra de 61 personas, con edades comprendidas entre 30-69 años. Se determinaron datos de identificación, parámetros antropométricos, determinación del perfil lipídico y glicemia en ayunas. El diagnóstico de SM se realizó de acuerdo a los criterios del Adult Panel Treatment III (ATP III), Federación Internacional de Diabetes (IDF) y la Asociación Latinoamericana de Diabetes (ALAD). Resultados: El promedio de circunferencia abdominal fue de 91,02±11,50 cm (femenino 91,44±9,95 cm; masculino 90,48±13,39 cm). La frecuencia de obesidad abdominal fue de 54,1% según ALAD; 75,4% según IDF y 44,3% por ATP III. La frecuencia de HDL-c bajo fue de 67,21% (85,3% femenino y 44,4% masculino). El 29,51% tuvieron triglicéridos altos. La frecuencia de glicemia ≥ 100 mg/dL fue de 9,84% (14,7% en mujeres y 3,7% en hombres). El 49,2% tenían cifras tensionales ≥130/85 mm Hg (41,2% femenino y 59,3% masculino). El 32,79% presentaron criterios para SM según la ALAD, el 40,98% según la IDF y el 27,87% según la ATP III. Conclusión: Los indígenas de la etnia Warao de Barrancas del Orinoco, Estado Monagas, presentaron una alta frecuencia de síndrome metabólico.
Objective: To determine the frequency of metabolic syndrome (MS) in Warao Indians from the Barrancas del Orinoco, Monagas State, Venezuela. Materials and Methods: Cross sectional study, descriptive and observational. The population was 140 subjects and the sample was 61 subjects of both sexes with ages between 30-69 years. Identification data, anthropometric parameters, lipid profile and fasting glucose were determined. The diagnosis was made according to the criteria of the Adult Treatment Panel III (ATP III), International Diabetes Federation (IDF) and the American Diabetes Association (ALAD). Data were analyzed using SPSS 19. Results: The average of the abdominal circumference was 91.02 ± 11.50 cm (91.44±9.95 cm in female, 90.48±13.39 cm in male). The frequency of abdominal obesity was 54.1% according ALAD; the 75.4% and 44.3% according to IDF and ATP III respectively. The frequency of low HDL-c was 67.21% (85.3% in female and 44.4% in male). The 29.51% had high triglycerides. The frequency of blood glucose ≥ 100 mg/dl was 9.84% (14.7% in female and 3.7% in men). The 49.2% had blood pressure ≥ 130/85 mm Hg (41.2% in female and 59.3% in male). The 32.79% showed criteria for MS according to ALAD, 40.98% according to the IDF and 27.87% according to ATP III. Conclusion: The Warao Indians of the Orinoco Barrancas, Monagas State, presented a high frequency of metabolic syndrome.
ABSTRACT
Leptospirosis is caused by numerous serovars of Leptospira interrogans. The infection is acquired through the contact of softened skin, mucous and conjunctive with the urine of animals and humans infected by animal carriers. The aim of this study was to determine the clinical and epidemiological features of leptospirosis in Bolívar state Venezuela and to compare the sensibility and specificity of the LEPTO-Dipstick, with the test of macroscopic agglutination in plate with the termorresistent antigen (TR). Thirty one sample of serums were processed of patients with leptospirosis clinic, admitted in the Hospital Universitario "Ruiz y Páez" of Ciudad Bolívar during 12 months. Detection IgM antibodies of anti-Leptospiras was carried out by means of LEPTO-Dipstick and antigen TR. The Microscopic Agglutination Test (MAT) was also, carried out. The general prevalence of leptospirosis in patients who attended the "Ruiz y Paez" Hospital was of 80.6% (n = 25) by means of the determination of the termorresistent antigen. The most frequent serovars identified in Bolívar State, were the serovars: icterohaemorrhagiae, copenhageni (21.3%), autummalis and australis (12.8%). TR antigen and LEPTO Dipstick had a sensibility of 80% and a specificity of 25%. The agreement between both methods was null (Kappa: -0.2). Bolívar state has a high leptospirosis prevalence and the infection should be discarded in those patients with long-term fever and risk factors for the illness.
