Prevalencia de factores de riesgo de enfermedad coronaria en trabajadores del Hospital General de México

Fanghänel-Salmón, Guillermo; Sánchez‐Reyes, Leticia; Arellano-Montaño, Sara; Valdés-Liaz, Eulalia; Chavira-López, Javier; Rascón-Pacheco, Ramón Alberto

doi:10.1590/s0036-36341997000500005

Cited by 14 publications

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“…18,19 The included population may be consider as representative of middle class urban population in Mexico City; so the obtained results may not be readily applied to the rest of the Mexican population, for instance countryside populations, or populations from other regions of the country.…”

Section: Discussionmentioning

confidence: 99%

Anthropometric indexes in the prediction of type 2 diabetes mellitus, hypertension and dyslipidaemia in a Mexican population

et al. 2001

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OBJECTIVE:To determine values of simple anthropometric measurements which are associated with the presence of type 2 diabetes mellitus, hypertension and dyslipidaemia and to assess anthropometric cut-off values for predicting the likelihood of these chronic conditions in a Mexican population. DESIGN AND SETTING: The data were obtained from PRIT (Prevalence of Cardiovascular Risk Factors in General Hospital Workers) surveys from 1994 to 2000 adjusted to the structure of the overall Mexican population. SUBJECTS: A total of 2426 men and 5939 women aged 38.99 AE 7.11 and 39.11 AE 14.25 y, respectively. MEASUREMENTS: The optimal sensitivity and specificity of using various cut-off values of BMI (body mass index), WHR (waistto-hip ratio), WC (waist circumference) and WTH (waist-to-height ratio) to predict type 2 diabetes mellitus (DM), hypertension (HT), or dyslipidaemia were examined by receiver operating characteristic curve (ROC) analysis. The likelihood ratios for having diabetes, hypertension and dyslipidaemia in subjects with various cut-off values of BMI, WHR, WC and WTH were calculated. Multiple step-wise logistic regression analysis was used to examine the independent relationship between the anthropometric indexes, age and smoking, and the odds ratio of having chronic conditions. RESULTS: The BMI cut-off to predict DM, HT, or dyslipidaemia varied from 25.2 to 26.6 kg=m 2 in both men and women. The optimal WC cut-offs were 90 cm in men and 85 cm in women. The WHR cut-off was about 0.90 in men and 0.85 in women, and the optimal WTH cut-off was 52.5 in men and varied from 53 to 53.5 in women. The cut-off levels for WC, WHR and WTH corresponded to the inflexion points in the likelihood ratio graphs. In the case of BMI likelihood ratio graphs, we found a significant increase in the risk for chronic conditions from 22 to 23 BMI levels in both genders. Logistic regression analyses disclosed that only BMI and age were included in all the models as well as the influence of smoking in DM and dyslipidaemia in men. CONCLUSION: Although these results may not be readily applied to the rest of the Mexican population or to other Hispanic populations, they point to the necessity of similar studies with large randomized samples to find the cut-off levels for chronic conditions in different populations.

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Section: Discussionmentioning

confidence: 99%

Anthropometric indexes in the prediction of type 2 diabetes mellitus, hypertension and dyslipidaemia in a Mexican population

et al. 2001

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“…Batis et al found that Mexicans’ dietary habits had become less healthy by 2006, when they compared the changes in the Mexican diet between 1999 (low U.S. influence) and 2006 (high U.S. influence) [26]. Likewise, Fanghälen-Salmón et al report that the prevalence of a sedentary lifestyle is of almost 65 − 80% in the Mexican population [27]. And the Mexican population does not easily accept the lifestyle modifications that have to be made to treat prediabetes [28].…”

Section: Discussionmentioning

confidence: 99%

Ethical issues relating to renal transplantation from prediabetic living donor

2014

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BackgroundIn Mexico, diabetes mellitus is the main cause of end − stage kidney disease, and some patients may be transplant candidates. Organ supply is limited because of cultural issues. And, there is a lack of standardized clinical guidelines regarding organ donation. These issues highlight the tension surrounding the fact that living donors are being selected despite being prediabetic. This article presents, examines and discusses using the principles of non-maleficience, autonomy, justice and the constitutionally guaranteed right to health, the ethical considerations that arise from considering a prediabetic person as a potential kidney donor.DiscussionDiabetes is an absolute contraindication for donating a kidney. However, the transplant protocols most frequently used in Mexico do not consider prediabetes as exclusion criteria. In prediabetic persons there are well known metabolic alterations that may compromise the long − term outcomes of the transplant if such donors are accepted. Even so, many of them are finally included because there are not enough donor candidates. Both, families and hospitals face the need to rapidly accept prediabetic donors before the clinical conditions of the recipient and the evolution of the disease exclude him/her as a transplant candidate; however, when using a kidney potentially damaged by prediabetes, neither the donor’s nor the recipient’s long term health is usually considered.Considering the ethical implication as well as the clinical and epidemiological evidence, we conclude that prediabetic persons are not suitable candidates for kidney donation. This recommendation should be taken into consideration by Mexican health institutions who should rewrite their transplant protocols.SummaryWe argue that the decision to use a kidney from a living donor known to be pre-diabetic or from those persons with family history of T2DM, obesity, hypertension, or renal failure, should be considered unethical in Mexico if the donor bases the decision to donate on socially acceptable norms rather than informed consent as understood in modern medicine.

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“…La investigación demostró que el trabajo durante la noche es un riesgo adicional de SM para los enfermeros (odds ratio 12,55 p 0,01) 22 . De acuerdo con informes previos, los programas de detección y tratamiento oportuno de los factores de riesgo -rrolle SM 23 . Una vez diagnosticado el SM, la alimentación acompañada de un estilo de vida sano que incluya actividad riesgo cardiovascular que el síndrome implica para la salud 9 .…”

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Síndrome metabólico en personal de enfermería

Escasany

Tumminello

González

2012

Rev Esp Nutr Hum Diet

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Objetivos: Estimar la prevalencia de síndrome metabólico (SM) entre las enfermeras del Hospital Juan A. Fernández (HJAF) y determinar si trabajo, descanso, dieta y estado de salud son sus predictores.Material y métodos: Para el primer objetivo, el diseño del estudio es descriptivo, observacional y transversal. Para el segundo, comparación de muestras independientes, multivariable, observacional y transversal. Se estudió a 192 enfermeras entre octubre de 2008 y marzo de 2009. Se les realizó una encuesta autoaplicable con indicadores que podrían ser predictores de SM. Se tomaron mediciones antropométricas, presión arterial y extracción sanguínea para analizar glucemia en ayunas, colesterol unido a lipoproteínas de alta densidad y triglicéridos plasmáticos.Resultados: El 35 y el 41% del personal de enfermería tenían sobrepeso y obesidad respectivamente. Un 92% del total tenía obesidad centroabdominal. La prevalencia de SM hallada es del 33,3% (intervalo de confianza del 95%, 26,7%-40,5%). Las afectas de SM tenían una media de edad de 53 ± 9 años. En el análisis bivariable se encontraron diferencias estadísticamente significativas entre el SM y las variables edad, tiempo de ejercicio profesional, tiempo trabajado en turno de noche y estudios realizados.Conclusiones: La prevalencia de SM de enfermeras del HJAF fue de 64/192 (33,3%; intervalo de confianza del 95%, 26,7%-40,5%). Frente a la edad, los indicadores tiempo trabajado durante turno noche y estudios realizados no muestran diferencias estadísticamente significativas. Estos resultados indicarían que la edad es la variable más relevante para predecir la aparición de SM en la población de enfermeras.

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Prevalencia de factores de riesgo de enfermedad coronaria en trabajadores del Hospital General de México

Cited by 14 publications

References 0 publications

Anthropometric indexes in the prediction of type 2 diabetes mellitus, hypertension and dyslipidaemia in a Mexican population

Anthropometric indexes in the prediction of type 2 diabetes mellitus, hypertension and dyslipidaemia in a Mexican population

Ethical issues relating to renal transplantation from prediabetic living donor

Síndrome metabólico en personal de enfermería

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