Objectives:Determine prevalence of obesity / overweight, physical activity (PA) and prediabetes in adult children of parents with type 2 diabetes; identify differences according to sociodemographic variables, and describe the relationship of obesity/overweight with fasting glucose (FG) and glycosylated hemoglobin (A1C). Methods:Cross-sectional study in 30 Mexican families with 53 participating adult children. Obesity / overweight was determined with Body Mass Index (BMI), Waist Circumference (WC) and body fat percentage (BFP); PA with the short International Physical Activity Questionnaire (IPAQ), and prediabetes with FG. Results:64% of participants presented obesity / overweight, 32% low PA, and 19% prediabetes. Men had higher WC than women (U= 219, p= 0.03). Women showed more BFP than men (U= 142, p <0.01). Blood glucose was related to BFP (rs= 0.336, p < 0.05), the A1C with the BMI (rs= 0.417, p <0.01), WC (rs= 0.394, p<0.01), BFP (rs= 0.494, p<0.01) and intense PA (rs= - 0.285, p<0.05). Conclusions:High prevalence of obesity / overweight and low PA were found. The FG was related only to BFP and A1C, in addition to BMI, WC and inversely with intense BP. It is recommended to modify the educational strategies of nursing at a family level.
Antecedentes: Aunque el suicidio es un problema secular de la salud pública, la reciente preocupación es la edad y magnitud de ocurrencia, particularmente al asociarse a depresión. Objetivo: Revisar el estado del arte sobre el fenómeno del suicidio, sus vínculos con depresión en población adolescente y de adultos jóvenes e identificar los principales aspectos asociados, con el propósito de plantear estrategias de prevención. Método: Se realizó una revisión de la literatura usando las bases de datos científicas Scielo, Redalyc y Pubmed y los descriptores adolescencia, jóvenes, depresión, intento suicida, conducta suicida, suicidio, tanto en castellano como en inglés. Se incluyó un total de 53 artículos publicados entre 2013 y 2017 y se atendió fundamentalmente a la epidemiología y los factores asociados. Resultados: Se reporta un amplio rango de prevalencia en el mundo, que va de 2.4 (Egipto) hasta 46.5 (Lituania) suicidas de entre 15 y 29 años por cada 100 mil habitantes, con un predominio de hombres. Además, se registra ideación suicida en hasta un tercio de la población menor de 20 años. Se reportan asociaciones con atributos de personalidad, adicciones, ambientes familiares y sociales hostiles, y carencia de credo religioso. Discusión: El suicidio en jóvenes se percibe vinculado a violencia de tipo estructural, lo cual obliga a reflexionar sobre las opciones viables de desarrollo humano.
Objective: To explain the e ect of the context, routines and family functioning on the health of Mexican families where a member su ers from Type 2 Diabetes mellitus. Materials and Methods: Cross-correlational design; after prior informed consent, recruitment and data collection were carried out between January and April 2015. e sample included 60 family dyads (n = 120), consisting of a person with 2DM and a family caregiver, between 18 and 66 years old, without gender distinction, who had lived in the same home for at least one year and attended a consultation in a health institution in Mexico during 2015.e family context was measured with a card, two scales measured routines, family functioning and health. Results: ere were more women (64.2%), aged 47.5 (± 11.5), with 7.2 years (± 4.4) of schooling; patients diagnosed 11.5 years ago (± 8.4), under treatment for 9.2 years (± 8.6). Signi cant interrelations were found between the context variables (age, years of study, diagnosis and treatment time), routines, and functioning regarding family health (all between p≤ .0001 and p ≤ .005). Functioning explained 39.1% and routines 18.8% of the family health variance (adjusted R 2 = .391; F (1.118) = 77.4 p≤ .0001; adjusted R 2 = .188; F (1.118) = 28.6 p≤ .0001). Functioning also explained the variance of routines in 19.3% (R 2 = .193; F (1.118) = 28.1 p≤ .0001). Conclusions: Family health is signi cantly related to the context, routines and functioning of family dyads living with type 2 diabetes. In addition, family health is signi cantly in uenced by routines and family functioning.
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