Longitudinal study of the impact of the COVID-19 pandemic on diet and physical activity among Latinos of Mexican ancestry.

BACKGROUND: The COVID-19 pandemic caused societal disruption in the United States and most of the world, affecting many aspects of life, including healthcare and health-related behaviors such as diet, food security, and physical activity. Communities with economic and health disparities may have been particularly affected. This study was undertaken to determine how conditions in the early pandemic (January, 2021-February, 2022) affected Latino patients of Mexican Ancestry at high risk of type 2 diabetes mellitus who participated in El Banco por Salud biobank project in Tucson, Arizona. METHODS: Baseline, prepandemic measurements were available in 17, 21, and 60 patients with normal hemoglobin A1c (HbA1c), prediabetes, and type 2 diabetes, respectively. RESULTS: People with healthy HbA1c were significantly younger, less obese, and had higher HDL cholesterol. HbA1c was unaffected by the pandemic in any group. Triglycerides, total and HDL cholesterol levels fell in all groups during the pandemic. Physical activity levels in all groups were remarkably low, with most reporting no engagement in any voluntary physical activity. Engagement in physical activity or its enjoyment was lower in patients with diabetes and prediabetes than in younger, less obese patients. Major diet differences were between men and women and were present before the pandemic. Women consumed significantly more vegetables, fruit, and salad than men. The only pandemic-related change in diet was a drop in egg consumption, possibly explaining the fall in total cholesterol. CONCLUSION: Societal disruption during the COVID-19 pandemic had minimal effects on adverse health-related behaviors, cardiometabolic risk, or changes in glycemic control in a Latino community with diabetes and healthcare disparities in the Southwest US.

Effects of reversible SERCA inhibition on catecholamine exocytosis and intracellular [Ca2+] signaling in chromaffin cells from normotensive Wistar Kyoto rats and spontaneously hypertensive rats.

Intracellular Ca2+ ([Ca2+]i) signaling and catecholamine (CA) exocytosis from adrenal chromaffin cells (CCs) differ between mammalian species. These differences partly result from the different contributions of Ca2+-induced Ca2+-release (CICR) from internal stores, which boosts intracellular Ca2+ signals. Transient inhibition of the sarcoendoplasmic reticulum (SERCA) Ca2+ pump with cyclopiazonic acid (CPA) reduces CICR. Recently, Martínez-Ramírez et al. found that CPA had contrasting effects on catecholamine secretion and intracellular Ca2+ signals in mouse and bovine CCs, where it enhanced and inhibited exocytosis, respectively. After CPA withdrawal, exocytosis diminished in mouse CCs and increased in bovine CCs. These differences can be explained if mouse CCs have weak CICR and strong Ca2+ uptake, and the reverse is true for bovine CCs. Surprisingly, CPA slightly reduced the amplitude of Ca2+ signals in both mouse and bovine CCs. Here we examined the effects of CPA on stimulated CA exocytosis and Ca2+ signaling in rat CCs and investigated if it alters differently the responses of CCs from normotensive (WKY) or hypertensive (SHR) rats, which differ in the gain of CICR. Our results demonstrate that CPA application strongly inhibits voltage-gated exocytosis and Ca2+ transients in rat CCs, regardless of strain (SHR or WKY). Thus, despite the greater phylogenetic distance from the most recent common ancestors, suppression of endoplasmic reticulum (ER) Ca2+ uptake through CPA inhibits the CA secretion in rat CCs more similarly to bovine than mouse CCs, unveiling divergent evolutionary relationships in the mechanism of CA exocytosis of CCs between rodents. Agents that inhibit the SERCA pump, such as CPA, suppress catecholamine secretion equally well in WKY and SHR CCs and are not potential therapeutic agents for hypertension. Rat CCs display Ca2+ signals of varying widths. Some even show early and late Ca2+ components. Narrowing the Ca2+ transients by CPA and ryanodine suggests that the late component is mainly due to CICR. Simultaneous recordings of Ca2+ signaling and amperometry in CCs revealed the existence of a robust and predictable correlation between the kinetics of the whole-cell intracellular Ca2+ signal and the rate of exocytosis at the single-cell level.

Calcium Imaging and Amperometric Recording in Cultured Chromaffin Cells and Adrenal Slices from Normotensive, Wistar Kyoto Rats and Spontaneously Hypertensive Rats.

The spontaneously hypertensive rat (SHR) is a model widely used to investigate the causal mechanisms of essential hypertension. The enhanced catecholamine (CA) release reported in adrenal glands from adult SHRs raised considerable interest for its possible implication in the genesis of hypertension. The use of powerful techniques such as calcium imaging, electrophysiology, and single-cell amperometry to monitor in real time the key steps in CA secretion has allowed a better understanding of the role of chromaffin cells (CC) in the pathophysiology of hypertension, although several questions remain. Additionally, the implementation of these techniques in preparations in situ, such as the acute adrenal gland slice, which maintains the microenvironment, cell-to-cell communication, and anatomical structure similar to that of the intact adrenal gland, yields data that may have even greater physiological relevance. Here, we describe the procedures to measure the blood pressure of rats in a noninvasive manner, how to obtain primary cultures of adrenal chromaffin cells and acute adrenal slices, and how to perform amperometric recordings and intracellular calcium imaging in these preparations.

Tools to Measure Health Literacy among Adult Hispanic Populations with Type 2 Diabetes Mellitus: A Review of the Literature.

Health literacy (HL) is associated with short- and long-term health outcomes, and this is particularly relevant in Hispanics, who are disproportionally affected by lower HL. Hispanics have become the largest minority population in the United States. Also, Hispanics experience higher burdens of chronic diseases such as type 2 diabetes mellitus (T2DM) than non-Hispanic whites. Thus, effectively choosing culturally appropriate validated instruments that measure a marker found in health assessments should be a serious consideration. Using a systemized approach, we identified and reviewed 33 publications and found eight different HL and numeracy (separate or combined) instruments. We assessed the study designs and instrument structures to determine how HL was measured across these studies. We categorized the results into direct and indirect measurements of HL. The Test of Functional Health Literacy in Adults (TOFHLA) family of HL instruments was favored for direct measures of HL, while the Brief Health Literacy Screen (BHLS) instrument was favored for indirect measures. Despite identified trends in instruments used, more comprehensive measurement tools have been developed but not validated in Hispanic populations. In conclusion, further validation of more comprehensive HL instruments in adult Hispanic populations with T2DM could better assess HL levels and improve health promotion efforts.

Biobanking in Latinos: current status, principles for conduct, and contribution of a new biobank, El Banco por Salud, designed to improve the health of Latino patients of Mexican ancestry with type 2 diabetes.

Underserved Latino communities experience a greater burden of type 2 diabetes mellitus (T2DM) than the general population. Predictors of glycemic control are likely to include both biological/genetic and social determinants of health (SDOH). A variety of approaches have been used with cohorts of Latino patients to study aspects of this health disparity, and those are reviewed briefly here. Such projects range from cohorts that are studies for a primary purpose, for example, to discover genetic variation associated with T2DM or to examine a particular aspect of SDOH that might be involved. Other studies have been conducted more as infrastructure that is broadly based in order to provide a resource that can be used by many investigators to address a variety of questions. From our experience and those of others, we propose a set of principles to ensure that needs of the community are identified and taken into account during the conduct of these studies. As an example of the implementation of these principles, we also describe a new biobank El Banco por Salud (El Banco), which was designed to improve access to studies designed to improve glycemic control and health in Latinos in partnership with Federally Qualified Health Centers in Arizona.

Fruit, Vegetable, and Physical Activity Guideline Adherence and Metabolic Syndrome in El Banco por Salud.

Adherence to dietary and physical activity recommendations has been associated with reductions in morbidity and mortality. The association between baseline adherence to fruit, vegetable, and physical activity guidelines and metabolic syndrome (MetS) in El Banco por Salud (El Banco) was examined. El Banco is a wellness biobank for Latino individuals affiliated with partnered Federally Qualified Health Centers in southern Arizona. Study participants (n = 972) were 65% female, 62.3% foreign-born, 56.3% obese, 29.2% food insecure, and with an average age of 51.3 years. Adherence scores were developed using baseline questionnaires for fruits and vegetable consumption and self-reported physical activity. Adherence was low in those fully meeting guidelines for fruit, vegetable, and physical activity at 14.6%, 37.5%, and 23.5%, respectively. Roughly 65% (n = 630) had ≥3 cardiometabolic risk factors. Large waist circumference was the most prevalent risk factor at 77.9%. Adherence to physical activity recommendations differed by MetS status with 32.8% without MetS reporting ≥150 min of physical activity per week compared to 18.5% in those with MetS (p < 0.001). There were no significant associations with adherence to any guidelines and MetS in the fully adjusted model. Overall, in this sample guideline adherence was low and the cardiometabolic risk factors prevalence was high.

Seropositividad a Toxocara spp. en estudiantes atópicos de la Universidad de los Llanos / Seropositivity to Toxocara spp. in atopic students from Universidad de los Llanos / Soro positividade à Toxocara spp. em alunos atópicos da Universidade dos Llanos

Introducción: Las exposiciones frecuentes o estacionales a helmintos que no provocan infecciones crónicas se asocian a un aumento de la inflamación alérgica, situación que podría extrapolarse a la toxocariasis humana. El objetivo de esta investigación fue determinar la frecuencia de seropositivos a Toxocara spp. entre estudiantes atópicos y la relación entre atopia y seropositividad a Toxocara spp. Materiales y métodos: Estudio observacional transversal donde por conveniencia se seleccionaron 90 estudiantes de los programas de Enfermería, Regencia en Farmacia y MVZ de la Universidad de los Llanos que según diligenciamiento del cuestionario ISAAC fase III se presume sufren de enfermedad atópica; para desarrollar en ellos la prueba de hipersensibilización alérgica cutánea (PHAC), utilizando extractos de Blomia tropicalis y Dermatophagoides pteronyssius. En los estudiantes positivos a esta prueba, se tomaron muestras sanguíneas para el recuento de eosinófilos e inmunoensayo in-house para IgG anti-Toxocara spp. Resultados: De los 90 estudiantes con antecedentes de enfermedad atópica, solo el 33,3% fueron positivos para uno o ambos ácaros del polvo en la PHAC y su recuento de eosinófilos en sangre fue normal 66,6%, medio 26,7% y moderado 6,7%. La frecuencia de seropositividad a Toxocara spp. fue del 73,3% (DO 1,009 cut-off). La OR entre atopia y seropositividad a Toxocara spp. fue 1,18 (IC95% 0,24-5,7). Discusión: Colombia es uno de los países con alta endemicidad de toxocariasis con prevalencias entre 40.4­54.4%, dato confirmado según la frecuencia de seropositivos a Toxocara spp. encontrada en personas atópicas en estudio. Conclusiones: No se encontró relación entre atopia y seropositividad a Toxocara spp.

Introduction: The frequent or seasonal expositions to parasitic worms that do not provoke chronic infections are associated to an increase of allergic inflammation, situation that could be extrapolated to human toxocariasis. The objective of this research was to determine the frequency of Toxocara spp seropositivity among atopic students and the relationship be-tween atopy and seropositivity to Toxocara spp. Materials and methods: Observational and cross-sectional study using 90 students by convenience from the Nursing, Farmacy, Veter-inary, and Animal Science programs at the Universidad de los Llanos that according to the completion of the ISSAC phase III questionnaire are presumed to suffer from an atopic dis-ease. In order to perform an allergy skin test in them, extracts from Blomia tropicalis and Dermatophagoides pteronyssius were used. The students that tested positive got a blood test to count the eosinophils and the in-house enzyme immunoassay for IgG anti-Toxocara spp. Results: From the 90 students with records of atopic diseases, only 33,3% were positive to one or the two dust mites in the allergy skin test. Their eosinophils count in the blood test were normal 66.6%, medium 26.7% and moderate 6.7%. The frequency of seropositivity to Toxocara spp. was 73.3% (DO 1,009 cut-off). The OR between atopy and seropositivity to Toxocara spp. corresponded to 1.18 (CI 95% 0,24-5,7). Discussion: Colombia is one of the countries with high endemicity of toxocariasis with prevalences between 40.4­54.4%, a fact that is confirmed according to the frequency of seropositives to Toxocara spp. found in atopic people in the study. Conclusions: No relationship between atopy and seropositivity to Toxocara spp. was found

Introdução: as exposições frequentes ou estacionais a helmintos que não desenvolvem in-feções crônicas associam-se com o incremento de inflamação alérgica, situação que poderia evoluir a toxocaríase humana. O objetivo dessa pesquisa foi determinar a frequência de soro positividade à Toxocara spp. entre alunos atópicos e a relação entre atopia e soro positividade à Toxocara spp. Materiais e métodos: Estudo observacional transversal onde por conveniên-cia estudaram-se 90 alunos dos programas de enfermagem, regência em farmácia e medicina veterinária da Universidade dos Llanos que segundo o preenchimento do questionário ISAAC fase III presumiam padecer doença atópica. Para desenvolver a prova de hiper sensibilidade alérgica cutânea (PHAC), usaram-se extratos de Blomia tropicalis e Dermatophagoides pter-onyssius. Os alunos com teste positivo, foram analisados por meio de amostra sanguínea para contagem de eosinófilos e imunoensaio in-house para IgG anti-Toxocara spp. Resultados: dos 90 alunos analisados, só 33,3% foram positivos para um ou ambos ácaros no PHAC. A contagem de eosinófilos em sangue foi normal (66,6%), média (26,7%) e moderada (6,7%). A frequência de soro positividade para à Toxocara spp. foi de 73,3% (DO 1,009 cut-off). O OR relacionando atopia e soro positividade à Toxocara spp. foi de 1,18 (IC95% 0,24-5,7). Discussão: Colômbia é um dos países endêmicos para toxocaríase com prevalências entre 40.4 e 54,4%, informação confirmada com os achados desse estudo. Conclusões: Não foi encontrada relação estadística entre atopia e soro positividade à Toxocara spp

Seasonal drought effects on the water quality of the Biobío River, Central Chile.

Quantifying the effect of droughts on ecosystem functions is essential to the development of coastal zone and river management under a changing climate. It is widely acknowledged that climate change is increasing the frequency and intensity of droughts, which can affect important ecosystem services, such as the regional supply of clean water. Very little is understood about how droughts affect the water quality of Chilean high flow rivers. This paper intends to investigate the effect of an, recently identified, unprecedented drought in Chile (2010-2015), on the Biobío River water quality, (36°45'-38°49' S and 71°00'-73°20' W), Central Chile. This river is one of the largest Chilean rivers and it provides abundant freshwater. Water quality (water temperature, pH, dissolved oxygen, electrical conductivity, biological oxygen demand, total suspended solids, chloride, sodium, nutrients, and trace metals), during the drought (2010-2015), was compared with a pre-drought period (2000-2009) over two reaches (upstream and downstream) of the river. Multivariate analysis and seasonal Mann-Kendall trend analyses and a Theil-Sen estimator were employed to analyze trends and slopes of the reaches. Results indicated a significant decreased trend in total suspended solids and a slightly increasing trend in water temperature and EC, major ions, and trace metals (chrome, lead, iron, and cobalt), mainly in summer and autumn during the drought. The reduced variability upstream suggested that nutrient and metal concentrations were more constant than downstream. The results evidenced, due to the close relationship between river discharge and water quality, a slightly decline of the water quality downstream of the Biobío River during drought period, which could be attenuated in a post-drought period. These results displayed that water quality is vulnerable to reductions in flow, through historical and emerging solutes/contaminants and induced pH mobilization. Consequently, seasonal changes and a progressive reduction of river flow affect the ecosystem functionality in this key Chilean river. The outcomes from this research can be used to improve how low flow conditions and the effects of a reduction in the river volume and discharge are assessed, which is the case under the scenario of more frequent drought periods.

Levels of Persistent Organic Pollutants (POPs) in sediments from Lenga estuary, central Chile.

Superficial sediments from Lenga estuary in the VIII region of central Chile were analysed for Polychlorinated Biphenyls (PCBs) and Hexachlorobenzene (HCB). Organic carbon (OC) analysis was also performed and the statistical correlations (Pearson correlations) between compounds were also tested. Results showed the total PCB concentrations (ng g(-)(1)d.w.) fluctuated from ∼ 20 to 10,000. These levels are higher than those reported in other coastal sediments of the world. The PCB profile was dominated by middle to highly chlorinated congeners (6-Cl=40% and 7-Cl=30%). HCB concentrations (ng g(-)(1)d.w.), were lower than the PCBs and, fluctuated between 1 (at L1) and 870 (at L4). OC values ranged from 1% (L1) to 7% (L4) showing a significant positive correlations between OC% and PCBs (r=0.86; p<0.05) and for HCB (r=0.71). These results are an important contribution to knowledge of levels of POPs levels in coastal Chilean environments.

Baseline element composition of foliose and fruticose lichens along the steep climatic gradient of SW Patagonia (Aisén Region, Chile).

Samples of foliose (Nephroma antarcticum) and fruticose (Usnea sp.) lichens were collected across a steep climatic and vegetation gradient in a remote, almost pristine region of SW Chilean Patagonia. Concentrations of major and trace elements in lichens from the rainforest were among the lowest ever reported worldwide for foliose and fruticose lichens and can be considered background levels for the region. The two lichen growth forms showed different elemental compositions mainly due to the greater capacity of foliose thalli to intercept elements from windborne and canopy-leached particles. The patterns of spatial variation in the chemical composition of lichens were effectively explained by statistical methods and reflected the different availability of wet and dry deposition along the steep climatic gradient. Baseline values established for N. antarcticum samples growing in temperate Nothofagus forests were therefore distinct from those of samples growing in more open, drier habitats. The fruticose Usnea sp. showed a higher affinity for atmophile Hg, low concentrations of lithophilic elements, and the same baseline composition whether from temperate forests or from dry, barren environments. The provided background and baseline values against which variations can be measured will be useful in the early detection of local or regional climatic and environmental change, especially in view of the planned construction of hydropower dams under the recently approved HidroAysén Project.

Levels and spatial distribution of polycyclic aromatic hydrocarbons (PAHs) in sediments from Lenga Estuary, central Chile.

The Lenga Estuary is a small brackish wetland located southwest of San Vicente Bay, Region VIII, Chile. Surface sediment from nine sites in the estuary were analysed for PAHs and compared to Sediment Quality Guidelines (SQG). Sediment samples were freeze dried and soxhlet extracted for 16 h using DCM. Identification and quantification was carried out by HPLC. Organic carbon was also determined. Results showed total PAH concentrations ranged from 290 to 6118 (2025 ± 1975)ng g(-1) d.w. (2025 ± 1975). Results for organic carbon percentages ranged from 1% to 7%. Statistical analysis showed a significant positive correlation (Pearson test) between organic carbon percentage PAHs. Comparison of contaminant levels and international Sediment Quality Guidelines (SQG) (ERL and ER) suggested that sediment of the Lenga estuary did not show any ecotoxicological risk for benthic organisms where high levels of PAHs were detected. Monitoring of this and other contaminants is recommended in Chile.

Passive-sampler derived air concentrations of persistent organic pollutants on a north-south transect in Chile.

Passive air samplers consisting of polyurethane foam (PUF) disks, were deployed in six locations in Chile along a north-south transect to investigate gas-phase concentrations of polychlorinated biphenyls (PCBs), organochlorine pesticides (OCPs), and polybrominated diphenyl ethers (PBDEs). The study provides new information on air concentrations of these persistent organic pollutants (POPs) which is lacking in this region. It also provides insight into potential sources and long-range transport (LRT). The samplers were deployed for a 2-month period in five remote sites and one site in the city of Concepción. Mean concentrations (pg m(-3)) for sigmaPCB were 4.7 +/- 2.7 at remote sites and 53 +/- 13 in Concepción. PCB levels at remote sites were related to proximity to urban source regions and/or air back trajectories. With the exception of endosulfan I, mean concentrations (pg m(-3)) of OCPs at background sites were consistently low: 5.4 +/- 1.4 for alpha-HCH, 7.0 +/- 1.1 for gamma-HCH, 2.5 +/- 0.5 for TC, 2.5 +/- 0.6 for CC, 1.9 +/- 1.2 for dieldrin, and less than 3.5 for toxaphene. Endosulfan I showed a decreasing concentration gradient from 99 to 3.5 pg m(-3) from the north to south of Chile. Concentrations of OCPs in the Concepción City were generally 10-20 times higher than at the background sites suggesting continued usage and/or re-emission from past use. For instance, at remote sites, the alpha/gamma ratio (0.76) was typical of background air, while the ratio in Concepción (0.12) was consistent with fresh use of gamma-HCH. Levels of sigmaPBDEs were below the detection limit of 6 pg m(-3) at all sites.