Introducción: La prolongación y consecuencias que dejó la pandemia del covid-19 genera un panorama incierto y devastador en muchas poblaciones, la evidencia muestra una alta prevalencia de problemas de salud mental en estudiantes de medicina. Objetivo: El objetivo del estudio fue evaluar la asociación entre los trastornos del estado de ánimo y la calidad del sueño (SQ) en estudiantes de medicina peruanos durante la pandemia de COVID-19. Métodos: Se realizó un estudio transversal en 310 estudiantes de medicina de una universidad privada del Perú. El SQ se midió a través del Índice de Calidad del Sueño de Pittsburgh (PSQI), mientras que los trastornos del estado de ánimo se evaluaron mediante la Escala de Depresión, Ansiedad y Estrés - 21 (DASS-21). Toda la información se recopiló mediante encuestas en línea y luego se analizó en el lenguaje de programación R. Resultados: Los resultados de SQ medido por PSQI fue malo en un 83,9% de los estudiantes de medicina. En el análisis de regresión de Poison, los resultados del análisis bivariado en varones muestran que todos los trastornos del estado de ánimo aumentan la prevalencia de mal SQ, sin embargo, en el análisis multivariado solo el estrés (PRa: 1,30; IC95% 1,08 - 1,57; p <0,01) y la ansiedad (PRa: 1,34; IC95% 1,09 - 1,56; p <0,01) aumentaron la prevalencia de mala SQ. Las mujeres tuvieron un patrón similar en análisis bivariado, en cambio en el análisis multivariado solo el estrés severo (PRa: 1,15; IC95% 1,01 - 1,29; p <0,05) aumentó la prevalencia de mala SQ. Conclusiones: Este estudio nos permite observar las consecuencias que está dejando la pandemia COVID-19 en los estudiantes de medicina del Perú. Se da a conocer que son una población vulnerable a la mala calidad del sueño y al mal humor, lo que en el futuro repercutirá en su salud mental, física y como profesional de la salud. Se sugiere educar a los estudiantes de medicina sobre la importancia de una higiene adecuada del sueño y las consecuencias de las malas prácticas de higiene del sueño.
Background: The COVID 19 pandemic caused that some governments have implemented house confinement measures with probable consequences on lifestyle, particularly affecting eating habits, physical activity, sleep quality, and mental health. Objectives: The aim of this study was to assess the frequency of lifestyles, physical activity and sleep characteristics, as well as changes in eating habits in the Peruvian population during COVID-19 pandemic. Methods: A Cross-sectional descriptive study was performed. We analyzed adults from Peru between July to August 2020 based on an online self-administered questionnaire divided into sociodemographic, anthropometrics and COVID 19 diagnostic reported, lifestyle habits and frequency of consumption of foods. Findings: During confinement by COVID-19, 1176 participants were studied, 39% were student, 37.5% were workers and 46% were assert not to work. The population asserted gain weight (1 to 3 Kg) and 35.7% were overweight. The lifestyles habits showed that 54.8% affirmed to doing physical activity and a large proportion (37.2%) asserted sleep less. The Peruvian population presented a main feeding patter of breakfast (95.7%), lunch (97.5%), dinner (89.1%) and brunch (44.9%). Likewise, feeding habits before and during COVID-19 pandemic showed that vegetables (OR:1.56, CI95% 1.21 200), fruit (OR: 1.42, CI95% 1.10 1.81), legumes (OR:1.67, CI95% 1.23 2.28) and eggs (OR: 2.00, CI95% 1.52 2.65) presented significantly consumption increase during social isolation, while bakery products (OR: 0.74, CI95% 0.56 0.97), meat, snack, refreshment and fast-food decrease consumption. Other food no significant differences were presented. Conclusion: This study in a Peruvian population showed an important frequency of overweight and sleep disorders. There was a slight increase in physical activity despite the social isolation measures and an increase in health eating habits, nevertheless a majority reported gaining weight.
Background. Peru has one of the highest infection and death rates in the world for the COVID-19 pandemic. The government implemented house confinement measures with probable consequences on lifestyle, particularly affecting eating habits, physical activity, sleep quality, and mental health. Objectives. The aim of this study was to assess the lifestyles, physical activity, and sleep characteristics, as well as changes in eating habits in a Peruvian population during the first wave of the COVID-19 pandemic. Methods. A cross-sectional descriptive study was performed. We analyzed Peruvian adults based on an online self-administered questionnaire divided into sociodemographic, anthropometrics, COVID-19 diagnosis reported, lifestyle habits, and frequency of consumption of foods. Results. During confinement for COVID-19, 1176 participants were studied. Of these, most reported weight gain (1 to 3 kg) and 35.7% were overweight. The lifestyles habits showed that 54.8% reported doing physical activity and 37.2% sleep less. The Peruvian sample presented a main meal pattern of breakfast (95.7%), lunch (97.5%), and dinner (89.1%). Likewise, eating habits before and during COVID-19 pandemic showed that vegetables (OR:1.56, CI95% 1.21–200), fruit (OR: 1.42, CI95% 1.10–1.81), legumes (OR:1.67, CI95% 1.23–2.28), and eggs (OR: 2.00, CI95% 1.52–2.65) presented significant consumption increase during social isolation, while bakery products (OR: 0.74, CI95% 0.56–0.97), meat, snack, refreshment, and fast food decreased in consumption. Other foods showed no significant differences. Conclusion. This study showed an important frequency of overweight and sleep changes. There was a slight increase in physical activity despite the social isolation measures and an increase in healthy eating habits; nevertheless, the majority reported gaining weight.
We explored the association between serum uric acid (SUA) and metabolic syndrome (MetS) and insulin resistance (IR) among health personnel from a public hospital in Peru in a cross-sectional study with data from the Plan for the Prevention and Surveillance of Communicable and Noncommunicable Diseases of Huaycán Hospital. MetS was defined according to Latin American Diabetes Association (ALAD) criteria and IR with surrogate IR markers, triglyceride-to-HDL-C ratio (TG/HDL-C), and triglyceride-to-glucose index (TyG). The association between SUA and MetS and IR was determined using Poisson regression models in a sample of 292 participants with an average age of 46.2 ± 10.6 years. The total prevalence of MetS was 38%, and the individuals with MetS presented mainly alterations in anthropometric parameters (obesity and body fat). Finally, the adjusted regression models showed that women with SUA in the highest tertile increased the prevalence of MetS (PR: 1.71, 95% CI: 1.07–2.74) compared to the lowest tertile of SUA in women, while SUA increased hypertriglyceridemia and IR (TG/HDL-C and TyG) in both sexes. We concluded that SUA is strongly associated with MetS in women, and SUA increases hypertriglyceridemia and IR in both sexes. On the contrary, more research is required regarding the female population.
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