Objective To determine the association between the time spent watching television and the sociodemographic characteristics with the presence of overweight and obesity in Colombian adolescents. Materials and methods Secondary analysis of the information obtained in the National Survey of the Nutritional Situation 2010 of Colombia, in a probabilistic sample of 18177 adolescents with an age range between 13 and 17 years. The time spent watching television and / or videogames and sociodemographic factors was determined. Anthropometric markers and body composition were recorded. Associations were established through logistic regression models. Results The prevalence of overweight was 13.0% (95% CI 12.4–13.8) and obesity was 3.0% (95% CI 2.8–3.3). The prevalences of overweight and obesity were higher in adolescent women [16.6% (95% CI 15.8–17.5) and 3.4% (95% CI 3.1–3.7), respectively]. Overweight and obesity were associated with being female [OR 1.94 (95%CI 1.77–2.12) and OR 1.29 (95%CI 1.09–1.53), respectively], high socioeconomic level [OR 1.22 (95%CI 1.10–1.36) and OR 1.47 (95%CI 1.19–1.81), respectively], reside in urban area [OR 1.13 (95%CI 1.03–1.24) and OR 1.47 (95%CI 1.21–1.79), respectively]. Being indigenous was associated with being overweight [OR 1.25 (95%CI 1.10–1.42)], while being Afro-Colombian was associated with obesity [OR 1.33 (95%CI 1.05–1.69)]. Watching television and / or video games for two or more hours a day [OR1.17 (95%CI 1.06–1.30)] was associated with being overweight; whereas watching television every day of the week was associated with obesity [OR 1.66 (95%CI 1.13–2.43)]. Conclusions The population studied has a significant prevalence of overweight and obesity, being overweight is associated with being a woman, a high socioeconomic status, residing in an urban area, having an indigenous ethnicity, watching television for three days during the week and looking at more than two hours of television in a day; Obesity is associated with being a woman, a medium-high and high socioeconomic status, residing in an urban area, Afro-Colombian ethnicity, watching television at least once in the last week and watching television every day during the last week.
Weight resistance training (RT) has been shown to positively influence physical performance. Within the last two decades, a methodology based on monitoring RT through movement velocity (also called velocity-based resistance training, VBRT) has emerged. The aim of this PRISMA-based systematic review was to evaluate the effect of VBRT programs on variables related to muscle strength (one-repetition maximum, 1-RM), and high-speed actions (vertical jump, and sprint performance) in trained subjects. The search for published articles was performed in PubMed/MEDLINE, SPORT Discus/EBSCO, OVID, Web of Science, Scopus, and EMBASE databases using Boolean algorithms independently. A total of 22 studies met the inclusion criteria of this systematic review (a low-to-moderate overall risk of bias of the analyzed studies was detected). VBRT is an effective method to improve 1-RM, vertical jump and sprint. According to the results of the analyzed studies, it is not necessary to reach high muscle failure in order to achieve the best training results. These findings reinforce the fact that it is possible to optimize exercise adaptations with less fatigue. Future studies should corroborate these findings in female population.
Spontaneous coronary artery dissection (SCAD) is an infrequent cause of nonobstructive ischemic heart disease in previously healthy young women and therefore is not usually considered in differential diagnoses. The overall incidence of SCAD in angiographic series is between 0.28 and 1.1%, with a clear predominance in young, healthy women (70%) of whom approximately 30% are in the postpartum period. In the United Kingdom, between 2008 and 2012, SCAD was the cause of 27% of acute myocardial infarctions during pregnancy, with a prevalence of 1.81 per 100,000 pregnancies. Regarding the mechanism of arterial obstruction, this may be due to the appearance of an intramural hematoma or to a tear in the intima of the arteries, both spontaneously. Although multiple diagnostic methods are available, it is suggested to include an appropriate anamnesis, an electrocardiogram in the first 10 min after admission to the service or the onset of symptoms, and subsequently, a CT angiography of the coronary arteries or urgent coronary angiography if the hemodynamic status of the patient allows it. Treatment should be individualized for each case; however, the appropriate approach is generally based on two fundamental pillars: conservative medical treatment with antiplatelet agents, beta-blockers, and nitrates, and invasive treatment with percutaneous coronary intervention for stent implantation or balloon angioplasty, if necessary.
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