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Prevalencia de factores de riesgo cardiovascular en adolescentes de instituciones educativas. Cardiovascular risk factors prevalence in adolescents in educational institutions. Objetivos: Determinar la prevalencia de los factores de riesgo cardiovascular FRC en adolescentes. Participantes: Adolescentes. Principales medidas de resultados : Prevalencia de los factores de riesgo cardiovascular. Palabras clave: Adolescente; factores de riesgo; enfermedades cardiovasculares. como curar el dolor de piernas cansadas
Methods : cross-sectional study from medical records of male personnel with laboratory tests. Analysis with Epi-Info Results : we reviewed medical records; mean age was This suggests that AN reflects the increase in obesity in Mexico, which is a risk factor for cardiovascular disease and is associated with dyslipidemia, high blood pressure and a greater risk of developing DM-2 38, Regarding risk factors in relation to eating behavior, the present study evidences the greater prevalence of AN among those that worry about getting factores de riesgo para las enfermedades cardiovasculares, that had dieted to lose weight, and were not able to control what they eat, confirming a study on a group of adolescents However, it should be stated that poor eating habits are often accompanied by an Adelgazar 72 kilos weight, including overweight and obesity, and that this is in turn associated with the alteration of hormones like insulin that are known to provoke the development of AN The only variables associated with AN in the present study were low cHDL and a high percentage of body fat.
In summary, the results factores de riesgo para las enfermedades cardiovasculares the present study highlight the high prevalence of AN in overweight and obese factores de riesgo para las enfermedades cardiovasculares, and its association with two risk factors for cardiovascular disease, the distribution of body fat and dyslipidemia.
Such measures would represent an improvement in the medical attention and quality of life for Mexican children. One of the limitations of the present study is that the data do not come from a representative sample of all children of primary schools of Mexico. Nonetheless, the sample is made up of a homogeneous population in a certain age group.
Another limitation of this study was the fact that the serum concentration of insulin was not determined, and that information was not gathered in regard to the factores de riesgo para las enfermedades cardiovasculares activity of the children. In spite of the limitations of the present study, one of the main contributions is the association found of AN with obesity, certain risk factors for cardiovascular disease, and metabolic disorders in children, factores de riesgo para las enfermedades cardiovasculares are one of the most vulnerable groups of the world population.
Acantosis nigricans is easy to evaluate in a clinical setting. The present study found a high prevalence Certain variables were associated with the presence of ANincluding a low concentration of cHDL, a high percentage of body fat, and high blood pressure, but not eating behavior disorders.
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We are grateful to all the parents and children who participated in the present study. We also give thanks to the teachers and principals for facilitating access to and use of the school setting in order to carry out the study. Obesity and type 2 diabetes in children: epidemiology and treatment. Curr Diab Rep ;14 8 Morandi A, Maffeis C. Predictors of metabolic risk in childhood obesity.
Horm Res Paediatr ; Factores de riesgo para las enfermedades cardiovasculares for Economic Co-operation and Development. Key facts-Mexico.
Update Tracking of overweight status from childhood to young adulthood: the Bogalusa Heart Study. Eur J Clin Nutr ; Predicting obesity in early adulthood from childhood and parental obesity.
Int J Obes ; Reinerhr T. Type 2 diabetes mellitus in children and adolescents. World J Diabetes ;4 6 World Health Organization.
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Prioritizing areas for action in the field of population-based prevention of childhood obesity. February Resultados Nacionales.
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Cardiovascular Health in Childhood. A statement for health professionals from the committee on atherosclerosis, hypertension, and obesity young AHOY of the council on cardiovascular disease in the young, American Heart Association.
Circulation ; Acanthosis nigricans in obese Chinese children. Hong Kong Med J ; American Diabetes Association. Type 2 diabetes in children and adolescents. Diabetes Care ;23 3 Acanthosis nigricans among northern plains American Indian children. J Sch Factores de riesgo para las enfermedades cardiovasculares ;26 6 Relation between Acanthosis nigricans and insulin sensitivity in overweight Hispanic children at risk for type 2 diabetes.
Diabetes Care ; Abnormal glucose metabolism in Hispanic parents of children with acanthosis nigricans. ISRN Endocrinology Prevalence of Acanthosis nigricans in an urban population in Sri Lanka and its factores de riesgo para las enfermedades cardiovasculares to detect metabolic syndrome.
BMC Research Notes ; Principales medidas de resultados : Prevalencia de los factores de riesgo cardiovascular. Palabras clave: Adolescente; factores de riesgo; enfermedades cardiovasculares. Objectives: To determine the prevalence of cardiovascular risk factors CRF in adolescents. Design: Descriptive and cross-sectional, multistage random sampling.
Participants: Adolescents. Blood pressure measurement, anthropometric data and biochemical analysis were performed according to international recommendations.
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Smoking prevalence, sedentary lifestyle, unhealthy diet and family history of cardiovascular disease were determined by previously validated questionnaires. Main outcome measures: Cardiovascular risk factors prevalence.
No adolescent showed fasting blood sugar alteration. Key words: Adolescent; risk factors; cardiovascular diseases. El factores de riesgo para las enfermedades cardiovasculares de esta enfermedad es multifactorial. El presente es un factores de riesgo para las enfermedades cardiovasculares descriptivo y transversal. La muestra fue seleccionada aleatoriamente. Casi la tercera parte de los adolescentes tuvo ingestas inadecuadas de grasa saturada, retinol, cianocobalamina y alcohol.
En el presente estudio, los FRC que tuvieron mayor prevalencia fueron el sedentarismo, la dieta inadecuada y el tabaquismo. World Health Organization.
The atlas of heart disease and stroke. A new prognostic score and clinical evaluation system for cystic fibrosis. J Pediatr, 82pp. Recent insights in the development of organ damage caused by hypertension. Acta Cardiol, 59pp. Departamento Adelgazar 15 kilos Salud P?? Informe T?? Factores de riesgo cardiovascular en estudiantes universitarios chilenos.
Salud P?? Hypertension in rural communities. High prevalence of cardiovascular risk factors in Gerona, Spain, a province with low myocardial infarction incidence. J Epidemiol Community Health, 52pp. Rev Esp Cardiol, 58pp. Waist circumference and abdominal sagittal diameter: best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women. Am J Cardiol, 73pp.
Waist circumference action levels in the identification of cardiovascular risk factors: prevalence study in a random sample. BMJ,pp. Med Clin Barc, pp. The metabolic syndrome: a global public health problem and a new definition.
J Atheroscler Thromb, 12pp. Prevalence of diabetes mellitus in the Seventh Region of Chile. Dieta de emergencia 7kg em 5 dias. 40 minutes on elliptical everyday.
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Instituto Mexicano del Seguro Social. The present study was financed by the researchers of the Instituto Mexicano del Seguro Social. The authors declare that they have no conflict of interest in regard to the methods or products employed in the present study.
Introduction: The prevalence of obesity in Mexican children has increased during the last decade, as has the risk of early onset metabolic disorders and cardiovascular disease. Objective: To determine the association of Acantosis nigricans AN with dyslipidemia, high blood pressure, body mass index BMIand risk factors related to eating behavior in overweight and obese children.
Patients and methods: This transverse analytical study, conducted in two Mexico City primary schools, included boys and girls. Information was gathered on hereditary and perinatal background. The BMI and Z-score were calculated. The serum concentration of glucose, cholesterol and triglycerides was quantified and the lipoprotein profile determined.
Results: The prevalence of AN was factores de riesgo para las enfermedades cardiovasculares No association was observed between AN and serum factores de riesgo para las enfermedades cardiovasculares concentration rS Conclusion: A high prevalence of AN was found in overweight and obese children.
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There was an association between AN and risk factors of cardiovascular disease, including Z-score, BMI, dyslipidemia, and high blood pressure. Key words: Acantosis nigricans.
Body mass index. Obesity, Mexico. Palabras clave: Acantosis nigricans.
Overweight and obesity are defined as an abnormal or excessive accumulation of fat that implies a health risk. This phenomenon affects children as well as adults and is associated with the premature onset of chronic uninfectious diseases. In fact, some diseases before found only in adults, such as diabetes mellitus type 2 DM-2 and high blood pressure, in some cases now appear very early in life 1,2.
Childhood obesity is one of the gravest public health problems of the 21 st century, having become an emerging global epidemic that implies immediate and long-term effects. In it was calculated that there were approximately 42 million overweight children in the world, of which factores de riesgo para las enfermedades cardiovasculares 35 million lived in developing countries.
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This relatively recent, substantial increase in overweight and obese children does not bode well for the future, as these children have an eight-fold greater risk of remaining overweight or obese as adults. These children and adolescents also have a greater probability of early onset metabolic disorders e. Factores de riesgo para las enfermedades cardiovasculares of these disorders involve, to a greater or lesser extent, a shorter life expectancy and a lower quality of life, and all are for the most part preventable 8.
As can be seen, the importance of overweight and obesity go far beyond problems of self-image. This prevalence of obesity in Mexico factores de riesgo para las enfermedades cardiovasculares very similar to that of the United States and Chile.
Furthermore, the rate of increase in childhood obesity in Mexico is greater than that seen in developed countries and other developing countries.
Los FRCV se han clasificado en factores de riesgo principales y emergentes. Sobrepeso y obesidad. Consumo de tabaco. Los resultados fueron entregados a cada alumno y los casos alterados se remitieron al Servicio de Salud de la Universidad. Los datos fueron analizados mediante el programa SPSS Grasas para la dieta cetogenica
Generally, efforts to prevent and detect risk factors for chronic degenerative diseases, such as hypertension and DM-2, are aimed at adults.
Therefore, risk factors tend to be identified once the damage is already done.
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However, the underlying problems exist in obese children and adolescents, giving rise to a deleterious, progressive and systemic effect that begins as factores de riesgo para las enfermedades cardiovasculares and undetectable changes in individuals with a normal and asymptomatic appearance Hence, early detection of the presence and possibly the development of this series of disorders by non-invasive markers is of utmost importance to be able to intervene at an early stage in the population at risk and thus avoid greater complications later on The increased incidence of AN runs parallel with that of obesity.
Moreover, the diagnosis of AN is clinical, being formed by symmetrical, hyperpigmented, hypertrophic and varicose plaques that are in some cases papilloma. These skin areas appear velvety in texture and brownish-black in color, and are most commonly found on the underarm, back of the factores de riesgo para las enfermedades cardiovasculares, flexing points of the upper and lower limbs, the naval, groin, breast folds, face, as well as peribuccal and perianal regions.
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The most common areas to find these skin blotches is on the back or side of the neck. AN is reportedly heavily influenced by genetic factors, being frequently found with Hispanic, Afro-American and Indian people, and infrequently encountered with Caucasians.
This dermatological condition is associated with insulin resistance and metabolic disorders, and is known to be a good predictor of hyperinsulinemia, which can lead to DM-2 Gender and age are not risk factors.
This skin condition is now common in young people, especially in populations with a high prevalence of DM Its simplicity and low cost make it factores de riesgo para las enfermedades cardiovasculares for detection of these disorders in low income or marginalized communities, advantageous in relation to the traditional test for glucose tolerance or the determination of postprandial glucose or serum insulin 15, Eating habits are formed for biological, psychological and cultural reasons, and when these habits alter normal metabolism they can represent a risk factor for obesity.
Factores de riesgo para las enfermedades cardiovasculares has been documented aprender nadar mariposa poor eating habits that lead to overweight and obesity in adolescents are related to eating while doing other activities, such as watching TV, playing computer games, doing homework and working, as well as with prolonged fasts and an obsessive preoccupation with getting fat.
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Although poor eating habits probably begin in childhood, they are more evident in adolescence 19, In spite of the aforementioned evidence, few studies have considered the role of body weight in the factores de riesgo para las enfermedades cardiovasculares of Factores de riesgo para las enfermedades cardiovascularesor the latter as an independent marker of insulin resistance in school-age children years old. The increased incidence of AN in the pediatric age parallels the rise in obesity, endocrine pathologies, genetic syndromes, DM-2, dyslipidemia, polycystic ovary syndrome, hypertension, and insulin resistance, the latter not necessarily associated with obesity Consequently, the increase in prevalence of overweight and obesity in Mexican children during the last two decades factores de riesgo para las enfermedades cardiovasculares possibly be related to the risk of a higher rates of insulin resistance and metabolic syndrome at an ever younger age.
On the other hand, it should be pointed out that overweight and obesity have social and emotional implications that are immediate, affecting the quality of life of the child or adolescent in question, independently of the effects on physical health. After receiving permission from the school authorities, all students of the fourth, fifth and sixth grades on the morning shift of two primary schools were invited to participate in the study. Exclusion criteria included any chronic disease or any child under medication.
Based on a table of random numbers, statistical sampling was carried out in order to obtain a subset of the total population with characteristics similar to those found in each school grade. For this purpose, we used a list of students enrolled in the two schools involved in the present study, with a substitution technique in case a selected Adelgazar 30 kilos did not want to participate.
The sample had the following distribution: 79 factores de riesgo para las enfermedades cardiovasculares th grade5 th grade and 6 th gradewith boys and girls from years old. Informed consent was obtained from the parents or tutor, with the informed approval of the participating child. A clinical history was recorded for each child, with emphasis on hereditary family background as well as prenatal and pathological information.
Medical personnel carried out a physical examination.
Evaluation of body weight kg was done with a portable digital scale SECA, modelwith precision of g. Height measurements m were made to 0. Anthropometric measurements included the circumference of the waist and hip cmmade with a medical tape measure SECA, modelaccording to the criteria proposed by the WHO The BMI was factores de riesgo para las enfermedades cardiovasculares with the Quetelet formula weight in kilograms divided by the height in meters squared.
Z-scores were considered valid between Body fat was determined by measuring body perimeters by using a tape measure with 1 mm accuracy Sanny medical.
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Measurement of fat folds was performed with a Factores de riesgo para las enfermedades cardiovasculares caliper Harpenden. These non-invasive measurements were taken in the schools, averaging minutes for each child. The protocols for these measurements were in accordance with the requirements of the International Society for the Advancement of Kinanthropometry.
The method utilized was auscultatory, since the records obtained were evaluated with the tables of the National High Blood Pressure Education Program.
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Measurements were made in the morning, with the child seated, leaning on the factores de riesgo para las enfermedades cardiovasculares Adelgazar 72 kilos the chair, feet on the floor and the right arm extended.
The latter two readings were averaged for the final value. In case the blood pressure reading was elevated, the parents were informed and it was recommended that they visit their pediatrician or family doctor. The tables of blood pressure of the National High Blood Pressure Education Program were used as the criterion of classification, adjusting the percentile according to height and gender.
Consequently, children with blood pressure below the 90 th percentile of the standard were considered to have normal blood pressure, while those from the 90 th to 94 th percentile were classified as pre-hypertensive and those from the 95th percentile and above as hypertensive After a fast of 12 hours, with factores de riesgo para las enfermedades cardiovasculares asepsis, blood samples were taken by venipuncture with the system of a Vacutainer vacuum.
Risk factors related to eating behavior were determined with the diagnostic criteria for eating disorders proposed by factores de riesgo para las enfermedades cardiovasculares Diagnostic Manual and Statistics of Mental Disorders IV. The resulting values were evaluated with the scale validated by Unikel et al. The results of using this scale have shown a reliability, according to Cronback's alpha, of 0.
This scale consists of 10 questions that evaluate the preoccupation with getting fat and other risk factors related to eating behavior in the three months prior to the survey. This factor was determined by an interview with one of the parents or the tutor of each child, according to the standards of the Mexican Association of Market Research and Public Opinion A descriptive analysis was performed, utilizing absolute and relative percentages frequencies as well as the mean and standard deviation of quantitative variables to determine statistical difference and to test the hypothesis.
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The Shapiro Wild test was used to determine normal distribution of the sample. The Spearman's rank correlation for independent samples was employed to compare the groups. For non-parametric correlations, multiple logistical regression analysis was used. For analysis of multiple regression, all variables of confusion or modifiers of effect were included.
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Data gathering and analysis was confidential, taking into account ethical questions related to autonomy, information and security. The findings of the present study were included in a pamphlet given to all participants.Anos
The aim of this pamphlet was to provide guidelines for good eating habits in order to help the parents to establish good nutrition for their children. Of the school children that participated in the study, Weight classification of the children was determined with factores de riesgo para las enfermedades cardiovasculares Z-score of the BMI according to age and gender, as proposed by the WHO, finding a Overweight and factores de riesgo para las enfermedades cardiovasculares was more common among the girls Table I.
The perinatal background of the children, according to information gathered from the mothers, indicated that at the time of birth the average number of weeks of gestation WOG was Exclusive breastfeeding lasted an average of 8. The average age of the mothers at the moment of the study was It was observed that Regarding the immediate family, there was a background for The average values of parameters for the children was the following: age, There was etilico en heridas alcohol intolerance in 6 children and DM-2 in no children.
Regarding gender, there were no significant differences in any of the anthropometric, clinical or biochemical variables.
Therefore, all of the children were included in the analysis of the association between variables, without carrying out stratification by gender.
AN was found in