RESUMO
AIMS: Obesity is a leading contributor to global morbidity and mortality. Short sleep duration is significantly associated with the incidence of obesity, however, it remains unclear whether this relationship is influenced by sex. The purpose of this meta-analysis was to systematically evaluate the evidence of whether the association between short sleep duration and obesity differs between males and females. DATA SYNTHESIS: The protocol was registered with PROSPERO (CRD42023374205). From inception through June 2023, Medline, Embase and Web of Science databases were searched for longitudinal cohort studies with minimum 12 months of observation. The quality of studies was assessed using the Newcastle-Ottawa Quality Assessment for Cohort Studies. Results were pooled using a random effects model. Results are expressed as ratio of odds ratios (ROR) with 95% confidence interval (CI). ROR directly estimates the relative strength of the association of interest (measured as odds ratio [OR] between females and males). Sensitivity analysis was performed and inconsistency between studies was assessed using I2 statistics. A total of 4582 articles were retrieved with the search strategy, of which 6 were included. The meta-analysis indicated that the association between short sleep duration and obesity incidence was statistically significant in both men [OR 1.26 (95% CI 1.13-1.40)] and women [OR 1.36 (95% CI 1.16-1.59)]. However, it did not differ significantly between sexes ROR (women/men) 1.04 (95%CI 0.79-1.36; I2 20.1%). CONCLUSIONS: This meta-analysis indicates that women and men who subjectively report short sleep duration have similarly increased risks of incident obesity.
RESUMO
Se presenta el caso de un hombre de 60 años de edad, que consulta por presentar flatulencia, sensación de saciedad, dispepsia, y dolor abdominal, en el que se encontró, en una tomografía abdominal, el signo de Chilaiditi, el cual puede presentar síntomas y convertirse en un Síndrome o mantenerse asintomático y que debe ser tomado en cuenta en el diagnóstico diferencial, ya que puede confundirse con un neumoperitonio u otras entidades nosológicas.
We present the case of a 60-year old man with symptoms of flatulence, fullness, satiety sensation, dyspepsia and abdominal pain, in whom we found, in a abdominal tomography, chilaiditi sign, which can present symptoms and turn into a syndrome or remain asymptomatic and should be taken into account in the differential diagnosis as it can be confused with a pneumoperitoneum or other nosological entities.