En este artículo se presentan las principales conclusiones de un proyecto de investigación acerca de los cuidados familiares a personas mayores y dependientes en Galicia. Esta comunidad cuenta con un elevado índice de envejecimiento y un fuerte contraste sociodemográfico entre las zonas rurales y urbanas. Dichas características nos proporcionan un interesante laboratorio de análisis para examinar cómo se conjugan los cuidados en el ámbito familiar. En concreto, este trabajo examina el tipo de negociaciones intrafamiliares que llevan a unas mujeres, habitualmente hijas y solteras (y no a otros miembros de la familia), a desarrollar el trabajo de cuidado. En segundo término, se presenta el tipo de condiciones de trabajo que rodean el cuidado familiar, y su impacto en las condiciones de vida y en la salud de estas cuidadoras.

Background. Acanthosis nigricans (AN) is a clinical sign that commonly occurs in obesity; however, its specificity and sensitivity have been controversial. It is unknown if AN severity degree can be a useful marker for cardiometabolic disorders screening. We suggest that the stratified analysis of AN severity degree in neck by Burke’s scale could be a useful tool in the screening of cardiometabolic alterations in obese children. Objective. The aim of this study was the association of AN severity degree in neck by Burke’s scale with anthropometric, biochemical, and inflammatory parameters in obese school-age children from Mexico City. Methods. A cross-sectional study was conducted, including 95 obese school-age children stratified by AN severity degree in neck by Burke’s scale. Anthropometric and fasting biochemical measurements were determined. Variables were compared by x2 test for frequencies and one-way ANOVA with Bonferroni posttest for continuous variables. Linear regression analysis adjusted by gender, BMI, and age was performed to evaluate the association between AN severity degree and cardiometabolic alterations. Statistical significance was set at p < 0.05 . Results. As AN severity degree in neck by Burke’s scale increased, diastolic blood pressure ( p = 0.001 ) and triglycerides ( p = 0.02 ) significantly increased and adiponectin significantly decreased ( p = 0.02 ). Positive associations between grade 3 AN and waist circumference, HOMA-IR, triglycerides, total cholesterol, and LDL cholesterol were observed. Conclusion. Our findings could be used to identify an easier clinical tool to prevent obesity progression and its complications in pediatrics. There are no similar studies.

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