Clinical, environmental, and molecular factors associated to the occurrence and persistence of posttraumatic stress disorder after an earthquake.

Post-traumatic stress disorder (PTSD) is a common and disabling condition with high incidence after an earthquake. The objective of the present study was to identify risk factors associated with the occurrence and persistence of PTSD. Individuals (18-65 years old) who experienced the earthquake of September 19th, 2017, attended the National Institute of Psychiatry (INPRFM) between October and November 2017 (baseline n = 68). Participants were followed 4-6 (first follow-up, n = 40) and 7-9 (second follow-up n = 41) months after the earthquake. Delay returning to normal activities, a negative emotional valence to a previous earthquake, comorbidity with depression, history of childhood maltreatment, and low expression of Glucocorticoid Receptor (GR) were associated with PTSD in the basal assessment. The earthquake-related variable associated with the persistence of PTSD at the second follow-up was that the earthquake had directly affected the participants, either because they were evicted, had damage to their homes, or suffered some injury. Comorbidity with dysthymia, history of childhood maltreatment, and higher severity of PTSD in the basal assessment were associated with persistent PTSD in the second follow-up. The lower expression of the FK506 binding protein 5 (FKBP5) in participants with persistent PTSD in the second follow-up was better explained by childhood physical abuse than with PTSD severity. These findings suggest that acute exposure to earthquake-related stressful situations is relevant for the initial risk of PTSD, while potential long-term stressful conditions are associated with its persistence. Likewise, molecular markers associated with hypothalamus-pituitary-adrenal-axis dysregulation were differentially associated with PTSD diagnosis at the different assessment times.

Acute physiological response to indoor cycling with and without hydration; case and self-control study.

INTRODUCTION: Oral rehydration drinks help maintain physical capacity and hydration during exercise. OBJECTIVE: Evaluate, in a case and self-control study, the effectiveness of three hydration and exercise protocols on work capacity and physical and psychosomatic stress during indoor cycling (InC). METHODS: 14 middle-aged eutrophic men participated in three controlled randomly and not sequentially hydration (~278 mL 6/c 15 min) and exercise (InC/90 min) protocols: No liquids, plain water, or sports drinks (SD). The response variables were: Body temperature (BT), heart rate (HR), and mean blood pressure (MBP). The covariables: Distance traveled (DT), ergometer resistance (R), body fat (BF), difference in body weight between tests (rBW), and age of the participants. The differences between protocols were evaluated using GLM Repeated Measures, the independence of associations by multiple linear regression. RESULTS: In non-liquids, the subjects showed higher BT, HR, and MBP than when they drank plain water or SD (p < 0.01). Work capacity was the same in the three hydration protocols. BT was the most sensitive variable detected by the hydration status of the subjects. 34%, 99%, and 21% of the associated variance to HR, MBP, and BT was explained by DT + BT, BT + BF, and ΔBW + age + R + DT + BF, respectively. CONCLUSIONS: Liquid intake with or without electrolytes does not affect work capacity, and they are equally effective as hydration sources during =?90 min of InC at strong and very strong intensities. Body temperature is the most sensitive variable detected by the subject's hydration status during exercise.

Introducción: Las bebidas de re-hidratación oral ayudan a mantener la capacidad física y el nivel de hidratación durante el ejercicio. Objetivo: Evaluar en un estudio de casos y autocontroles la efectividad de tres protocolos de hidratación y ejercicio sobre la capacidad de trabajo, estrés físico y psicosomático durante el ciclismo de sala (CiS). Métodos: 14 varones eutróficos de mediana edad participaron de manera aleatoria y no consecutiva en tres protocolos de hidratación controlada (~278 mL 6/c 15 min) y ejercicio (CiS/90 min): No líquidos, agua corriente o bebida deportiva (BD). Las variables respuesta fueron: Temperatura corporal (TC), frecuencia cardiaca (FC) y presión sanguínea media (PSM). Las covariables: distancia recorrida (DR), resistencia del ergómetro (R) grasa corporal (GC), pérdida de peso al final del ejercicio ( PC) y edad de los participantes. Las diferencias entre los protocolos fueron evaluadas por GLM de Medidas Repetidas, la independencia de las asociaciones por regresión lineal múltiple. Resultados: En no líquidos, los sujetos presentaron mayor TC, FC y PSM que cuando ingirieron agua corriente o BD (p < 0,01). La capacidad de trabajo fue igual en los tres protocolos de hidratación. La TC fue la variable más sensible que detectó el estado de hidratación de los sujetos. El 34%, 99% y 21% de la varianza asociada a FC, PSM y TC lo explicaron DR + TC, TC + GC, y ?PC + edad + R + DR + GC respectivamente. Conclusiones: La ingesta de líquidos con o sin electrolitos no afecta la capacidad de trabajo y son igualmente efectivos como medios de hidratación durante =?90 min de Cis a intensidades pesadas y muy pesadas. La TC es la variable más sensible que detecta el estado de hidratación de los sujetos durante el ejercicio.

Metabolic power and cardiovascular response of a low cadence-high height bench stepping exercise in healthy young people.

AIM: The aim of this paper was to study the feasibility of bench stepping at a low cadence as a safe exercise that can provide enough cardiovascular fitness that be performed by any person. METHODS: Thirty-three men and twenty-one young women (age =23±3 yrs; weight =70±13 kg; height 170±9 cm) participated in this study. Each one held a continuous 20 minute (4 stages /5 min each) bench stepping workout session with two different step heights (31 and 41 cm) and two different intensities (60 and 90 steps∙min-1). Body weight (bw), total & trochanteric height, heart rate (HR, beats∙min-1), rated perceived exertion (RPE) and O2 consumption (VO2) were recorded. RESULTS: From the 1st through the 4th stage, the vertical distance (VD, m), RPE, HR and VO2 values were 4.6-9.23 m, 2.5-6.7, 118-168 beats∙min-1 and 20.8-34.0 ml∙kg-1∙min-1, respectively. The best regression model to calculate the O2 consumption (VO2) was: VO2 (L∙min-1) =-1.264+0.026∙bw (kg)+0.195∙VD (m). VD, bw, and gender determined, independently, the changes of caloric expenditure (R2=0.92). CONCLUSION: The energy expenditure of a low cadence stepping exercise (15-22 cycles∙min-1) at 31-41 cm bench height, is enough to improve aerobic fitness which in turn may benefit cardiovascular health.

[Physiological and social factors associated with increments of body mass of Mexican young people with intellectual disabilities]. / Factores fisiológicos y sociales asociados a la masa corporal de jóvenes Mexicanos con discapacidad intelectual.

INTRODUCTION: Studies on the state of health and nutrition of Mexicans with intellectual disability (ID) including those with Down syndrome (DS), are scarce. OBJECTIVE: To analyze some physiological and social factors associated with the body mass of young people with ID from northern México. METHODS: Body weight, height and other anthropometric values were measured in fifty seven young (17 ± 5 years) participants with ID (DS,16%) and at least one guardian. BMI (kg/m²), somatotype and nutritional status were established by three international standards and total blood glucose, cholesterol & triacylglycerides, were also analyzed. Guardian's socio-economic, household food insecurity and nutrition literacy status were estimated with validated questionnaires by direct interview. RESULTS: Participants with SD were 12 cm smaller but subscapular skinfold (SECPS) was 6 mm thicker than that from other ID participants (p < 0.05). Prevalence of overweight/obesity was 70 and 44%, respectively. Blood biochemicals were similar between groups, but 25% had dyslipidemias. Participant's BMI correlated (p < 0,01) with several anthropometric & adiposity indicators (r = 0,40 a 0,88 ), blood triglycerides (r = 0,48 ) and cholesterol (r = 0,44) and guardians & participants' age (r = 0,35). The spending in food correlated (p < 0.05) with participant's SECPS (r = -0.33). The circumference of the waist, hip, calf and PSECP, 89% of the variance of the BMI explained. CONCLUSION: The body mass of young people with DI from northern Mexico, is strongly related to the degree of body adiposity, dyslipidemias, and some socio-economic factors of their family environment.

Effects of single sessions of low-intensity continuous and moderate-intensity intermittent exercise on blood lipids in the same endurance runners.

The factors responsible for the acute effects of exercise on blood lipids are not well known, and there have been few studies comparing different kinds of exercise in the same population. The concentration of blood lipids was evaluated in this study at the end and at post-24h of two 14km/90min single exercise sessions: continuous exercise (CE) at 44.5+/-5.6% VO(2max) and intermittent exercise (IE) at 39-72% VO(2max), in subjects with high levels of aerobic training. Fourteen male athletes (endurance runners) took part in this study and each completed a 24h dietary record. The O(2) uptake and CO(2) production were recorded, and blood lactate and blood lipids were measured. The results showed that triacylglycerols were not modified by any kind of exercise. Total cholesterol was increased at the end of both exercises: 7.04% for CE (p<0.001) and 4.23% for IE (p=0.001). High-density lipoprotein cholesterol was increased at the end of IE: 11.38% (p=0.03) and low-density lipoprotein cholesterol was increased only at the end of CE: 7.45% (p=0.006). The increase of lipids for CE was negatively correlated with aerobic fitness indicators (heart rate and %HRmax at lactate threshold), and was positively associated with energy expenditure. For IE, %HRmax and lactate were negatively correlated, and the respiratory exchange ratio was positively correlated, with the lipid increase. We conclude that in trained male athletes, a 14km run in 90min induced different changes of lipid profile if the exercise was done continuously or intermittently, and that in CE the extent of these increases was influenced by aerobic fitness.

Effect of the administration of fish oil by gavage on activities of antioxidant enzymes of rat lymphoid organs.

1. The effect of administration of fish oil by gavage on catalase (CAT), glutathione peroxidase (GSH-Px) and superoxide dismutase (SOD) activities of the lymphoid organs and liver was compared with those of soybean oil and cocoa butter. 2. Fish oil did not affect the activities of SOD and CAT but reduced that of GSH-Px in the spleen. In contrast, cocoa butter reduced the CAT activity in the thymus and liver, and soybean oil decreased CAT activity in the thymus. 3. The content of thiobarbituric acid reactive substances of the lymphoid organs was not modified but was increased in plasma.

Antioxidant activity of cinnamon (Cinnamomum Zeylanicum, Breyne) extracts.

JUSTIFICATION: Lipid oxidation is one of the major changes that can occur during processing, distribution, storage and final preparation of foods. The oxidation could be prevented by adding synthetic or natural antioxidants in spite of safety of synthetic ones has been questioned. This situation promotes increasing demand for food additives of natural origin. OBJECTIVE: The objective of this study was to evaluate the antioxidant activity of cinnamon extracts. METHODS: Cinnamon samples were obtained at local market, milled (32 mesh sieve) and submitted to sequential extraction using as solvents: ether, methanol and water. The antioxidant activity in the extracts was measured by the b-carotene/linoleic acid system, at 50 degrees C and absorbances reading at 470 nm every 15 min intervals for 120 min. Two controls were used in this determination: one with synthetic antioxidant (BHT, 100 ppm) and other without antioxidant. The water extract was fraccionated using silica Gel 60 and 60G and through chromatographic processes: thin layer, (T.L.C.) and column, using BAW as mobile phase and ethylacetate, petroleum ether, methanol and water as eluent, respectively. RESULTS: The etheric (0.69 mg), methanolic (0.88 mg) and aqueous (0.44 mg) cinnamon extracts, inhibited the oxidative process in 68%; 95.5% and 87.5% respectively. The BHT control inhibited 80% oxidation. The spray reagents (1) beta-carotene/linoleic acid and (2) Fe Cl3/K3 Fe (CN)4 1% sol, showed spots in T.L.C. with antioxidant activity (1) and blue color (2), indicating the presence of phenolic compounds with Rf values of 0.50. Five fractions were obtained by column partition with antioxidant activity and the presence of phenolic compounds. SIGNIFICANCE: These results suggest that the cinnamon extracts can be used as food antioxidant together with the improvement of food palatability. Further studies are in processing of analysing the sinergic association of extracts with synthetic antioxidant and to identify compounds with antioxidant activity in cinnamon extracts.

Changes in the activities of antioxidant enzymes of the lymphoid organs of 21-day pregnant rats due to administration of fish oil by gavage.

1. The effect of fish oil administration by gavage (0.4% body weight) on activities of superoxide dismutase (SOD), catalase and glutathione peroxidase (GSH-Px) and on content of thiobarbituric acid reactive substances (TBARs) of the lymphoid organs [thymus, spleen and mesenteric lymph nodes (MLN)] and liver was investigated in 21-day pregnant rats. The results were compared with those obtained by administration of soybean oil, cocoa butter and coconut oil. 2. Oil administration did not have any significant effect on antioxidant enzyme activities of the liver, whereas marked changes were found in the lymphoid organs. The MLN presented the most pronounced changes: SOD and catalase activities were increased by the four oils; GSH-Px activity was raised by soybean and fish oils; coconut oil reduced the activity of the three antioxidant enzymes in this organ. 3. Fish oil given by gavage does affect the antioxidant capacity of the lymphoid organs; however, similar effect was also observed for cocoa butter and soybean oil. These changes in the antioxidant enzyme activities were able to prevent the lipid peroxidation process in the lymphoid organs.

Composition of fatty acids in the liver and lymphoid organs of rats fed fatty acid-rich diets.

The composition of the fatty acids in the thymus, spleen and mesenteric lymph nodes was determined in rats fed polyunsaturated (UFC) or saturated (SFC) fatty acid-rich chow during 6 weeks or 14 months. The results indicated that the lipid composition of fatty acids in these tissues was modified by the type of fat given in the diets. Interestingly, the liver did not show any dietary induced change in the composition of fatty acids. The unsaturation index was raised in the lymphoid organs by UFC either after 6 weeks or 14 months. The ageing process itself increased the degree of unsaturation of fatty acids only in the spleen of the 3 groups. A high degree of unsaturation of fatty acids in the tissues may favour the occurrence of lipid peroxidation. It was noteworthy that a linoleic acid-rich diet (UFC) did not change the content of arachidonic acid in the tissues and so would therefore be unlikely to affect eicosanoid synthesis. As shown by previous studies, these fat-rich diets caused marked changes in the key enzyme activities of glucose and glutamine metabolism in the lymphoid organs, by as yet unknown mechanisms. The results reported here suggest that the effect of fat-rich diets on intermediary metabolism does not occur through eicosanoid synthesis and may be a consequence of the lipid peroxidative process or even alterations in the transcription of the enzymes of glycolysis and glutaminolysis.