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2.
Perspect. nutr. hum ; 22(1): 61-69, ene.-jun. 2020. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-1346665

RESUMO

Resumen Antecedentes: las carreras universitarias de la salud deben promover estilos de vida sanos. Objetivo: identificar la relación entre el perfil del estilo de vida, la percepción del estilo de vida saludable y la percepción sobre la carrera de Nutriología de los estudiantes de la Universidad Autónoma de Tlaxcala. Materiales y métodos: tipo de estudio transversal y correlacional. Se evaluaron 145 estudiantes de ambos sexos con tres instrumentos aplicados en un mismo momento. Los datos se reportaron en medianas y se compararon con la prueba U de Mann-Whitney. Se realizaron las pruebas de correlación entre las tres variables con r de Pearson. Resultados: el perfil del estilo de vida tuvo una puntuación diferenciada por sexo (p=0,002); la percepción de estilos de vida saludable (p=0,123) y la percepción de su disciplina (p=0,775) fueron similares entre sexos. Sobresale que el estilo de vida se correlacionó positivamente con la percepción de este (r=0,35; p=0,002). La percepción del estilo de vida se relaciona con la percepción de la carrera (r=0,202; p=0,015), pero no se encontró correlación entre el estilo de vida y la percepción de la disciplina (r=0,08; p=0,34). Conclusiones: a mayor perfil de estilo de vida satisfactorio más alta es la percepción de un estilo de vida saludable.


Abstract Background: University majors that focus on health should promote healthy lifestyles. Objective: Identify the relationship between actual lifestyles, perceptions of healthy lifestyles, and perceptions surrounding being a Nutrition major in the Autonomous University of Tlaxcala. Materials and Methods: Cross-sectional and cor relational study. 145 students, both male and female, were evaluated with the application of three tools simul taneously. Data were reported as medians and were compared using the Mann-Whitney U test. Correlation tests were performed between the three variables using Pearson's r. Results: Lifestyles of students varied by male vs. female (p=0.002). Healthy lifestyle perceptions (p = 0.123) and students' perception of their discipline (p = 0.775) were similar for both genders. It can be highlighted that lifestyle was positively correlated with the perception of it (r = 0.35; p = 0.002). Lifestyle perception was correlated with the perception of their major of study (nutrition) (r = 0.202; p = 0.015), but no correlation was found between lifestyle and discipline perception (r=0.08; p=0.34). Conclusions: The higher the profile of a satisfying lifestyle, the higher the perception of a healthy lifestyle.


Assuntos
Estatísticas não Paramétricas , Estilo de Vida Saudável
3.
J Food Biochem ; 44(5): e13191, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32160647

RESUMO

Oxidative stress is associated with several chronic diseases. It is acknowledged that molecules damaged by reactive oxygen species activate the inflammatory process and that this response increases the production of free radicals. Modifications in a diet can improve or decrease redox state markers. The aim of this revision was to provide an update of clinical controlled trials, to assess changes in diet and markers of oxidative stress in subjects with metabolic diseases. They were investigated randomized controlled intervention studies (RCTs) published in MEDLINE (U.S. National Library of Medicine, National Institutes of Health) that were conducted in subjects with obesity, hypertension, diabetes, or dyslipidemia; with dietary intervention; where markers of oxidative stress have been evaluated and published in the last 5 years. Food antioxidants, hypocaloric diets with loss of adipose tissue, substitution of animal protein by vegetable, and changes in the microbiota improve antioxidant status in people with chronic disease. PRACTICAL APPLICATIONS: Hyperglycemia in diabetes mellitus and adipose tissue in obesity are known to trigger oxidative stress. Oxidative stress, in turn, decreases insulin sensitivity and favors an inflammatory state producing adhesion molecules. Oxidative stress and adhesion molecules, can increase blood pressure and oxidation of lipoproteins, that ultimately could lead to a cerebrovascular event. Consumption of high-antioxidant and polyphenol foods increases plasma antioxidant capacity and decreases oxidative stress markers in people with diabetes, obesity, hypertension, and hypertriglyceridemia. In addition, weight loss caused by caloric restriction with or without exercise increases the endogenous antioxidant capacity. Therefore, it is likely that the combination of a hypocaloric diet with a high content of antioxidants and polyphenols will have a greater effect. Other dietary changes with antioxidant effect, such as the substitution of animal for vegetable protein or the addition of fiber, might be mediated by changes in the microbiota. However, this aspect requires further study.


Assuntos
Hiperglicemia , Obesidade , Animais , Antioxidantes , Dieta Redutora , Estresse Oxidativo , Ensaios Clínicos Controlados Aleatórios como Assunto , Estados Unidos
4.
Salud pública Méx ; 62(1): 87-95, ene.-feb. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1365995

RESUMO

Resumen: Objetivo: Evaluar la relación entre calidad de vida laboral (CVL) y el desempeño organizacional (DO) de trabajadores de siete hospitales públicos, a partir del análisis de la influencia de la gestión directiva (GD) como mediadora de esta relación. Material y métodos: Se realizó un estudio transversal en 866 profesionales y directivos de hospitales públicos de Tlaxcala y de la Ciudad de México. La CVL fue medida con un instrumento validado, el DO con 34 indicadores y la GD con un instrumento diseñado para este estudio. Resultados: Los puntajes de gestión directiva, CVL, DO y GD fueron significativamente menores en los trabajadores de Tlaxcala. Los participantes que percibieron adecuada GD incrementaron 2.7 veces más la probabilidad de percibir elevada CVL y los participantes categorizados en elevada CVL presentaron 69% mayor probabilidad de tener adecuado DO. Conclusiones: La adecuada GD se asoció con una mejor CVL, lo que mostró ser una variable mediadora de la relación positiva entre CVL y DO.


Abstract: Objective: To assess the relationship between labor quality of life (LQL) and organizational workers performance (OWP) from seven public hospitals, analyzing the influence of the personnel management (PM) as mediator of this relationship. Materials and methods: A cross-sectional study was conducted in 866 professionals and managers of public hospitals from Tlaxcala and Mexico City. The LQL was assessed with a validated questionnaire, OWP with 34 indicators, and PM with an instrument designed for this study. Results: Mean scores of LQL, were significantly lower among workers from Tlaxcala. Participants who perceived an adequate PM, they increased at 2.7 times their likelihood of having highest LQL, and participants categorized in the high LQL presented 69% higher likelihood of having an adequate OWP. Conclusions: The appropriate PM was associated with greater LQL, showing to be a mediator variable between the positive relationship of CVL and the OWP.


Assuntos
Adulto , Feminino , Humanos , Masculino , Administração de Recursos Humanos em Hospitais , Qualidade de Vida , Desempenho Profissional/normas , Hospitais Públicos , Satisfação no Emprego , Estudos Transversais , Saúde Ocupacional , Eficiência Organizacional , México
5.
Salud Publica Mex ; 62(1): 87-95, 2020.
Artigo em Espanhol | MEDLINE | ID: mdl-31869565

RESUMO

OBJECTIVE: To assess the relationship between labor quality of life (LQL) and organizational workers performance (OWP) from seven public hospitals, analyzing the influence of the personnel management (PM) as mediator of this relationship. MATERIALS AND METHODS: A cross-sectional study was conducted in 866 professionals and managers of public hospitals from Tlaxcala and Mexico City. The LQL was assessed with a validated questionnaire, OWP with 34 indicators, and PM with an instrument designed for this study. RESULTS: Mean scores of LQL, were significantly lower among workers from Tlaxcala. Participants who perceived an adequate PM, they increased at 2.7 times their likelihood of having highest LQL, and participants categorized in the high LQL presented 69% higher likelihood of having an adequate OWP. CONCLUSIONS: The appropriate PM was associated with greater LQL, showing to be a mediator variable between the positive relationship of CVL and the OWP.


OBJETIVO: Evaluar la relación entre calidad de vida laboral (CVL) y el desempeño organizacional (DO) de trabajadores de siete hospitales públicos, a partir del análisis de la influencia de la gestión directiva (GD) como mediadora de esta relación. MATERIAL Y MÉTODOS: Se realizó un estudio transversal en 866 profesionales y directivos de hospitales públicos de Tlaxcala y de la Ciudad de México. La CVL fue medida con un instrumento validado, el DO con 34 indicadores y la GD con un instrumento diseñado para este estudio. RESULTADOS: Los puntajes de gestión directiva, CVL, DO y GD fueron sig- nificativamente menores en los trabajadores de Tlaxcala. Los participantes que percibieron adecuada GD incrementaron 2.7 veces más la probabilidad de percibir elevada CVL y los participantes categorizados en elevada CVL presentaron 69% mayor probabilidad de tener adecuado DO. CONCLUSIONES: La adecuada GD se asoció con una mejor CVL, lo que mostró ser una variable mediadora de la relación positiva entre CVL y DO.


Assuntos
Hospitais Públicos , Satisfação no Emprego , Administração de Recursos Humanos em Hospitais , Qualidade de Vida , Desempenho Profissional/normas , Adulto , Estudos Transversais , Eficiência Organizacional , Feminino , Humanos , Masculino , México , Saúde Ocupacional
6.
Biomed Pharmacother ; 105: 1098-1105, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30021346

RESUMO

OBJECTIVE: Consumption of a cafeteria-like diet and chronic stress have a negative impact on kidney function and morphology in adult rats. However, the interaction between chronic restraint stress and high-sucrose diet on renal morphology in young rats is unknown. A high-sucrose diet does not modify serum glucose levels but reduces serum corticosterone levels in stressed young rats, in this way it is confusing a possible potentiate or protector effect of this diet on kidney damage induced by stress. METHODS: Wistar male rats at 4 weeks of age were randomly assigned into 4 groups: control (C), stressed (St), high-sucrose diet (S30), and chronic restraint stress plus a 30% sucrose diet (St + S30). Rats were fed with a standard chow and tap water (C group) or 30% sucrose diluted in water (S30 group). Chronic restraint stress consisted of 1-h daily placement into a plastic cylinder, 5 days per week, and for 4 weeks. RESULTS: Stressed rats exhibited a low number of corpuscles, glomeruli, high number of mesangial cells, major deposition of mesangial matrix and aquaporin-2 protein (AQP-2) expression, and low creatinine levels. Meanwhile, high-sucrose diet ameliorated AQP-2 expression and avoided the reduction of creatinine levels induced by chronic stress. The combination of stress and high-sucrose diet maintained similar effects on the kidney as stress alone, although it induced a greater reduction in the area of proximal tubules. CONCLUSIONS: Our results show that both chronic stress and a high-sucrose diet induce histological changes, but chronic stress may generate an accelerated glomerular hypertrophy associated with functional changes before puberty.


Assuntos
Aquaporina 2/biossíntese , Sacarose na Dieta/efeitos adversos , Rim/metabolismo , Rim/patologia , Estresse Psicológico/metabolismo , Animais , Aquaporina 2/genética , Doença Crônica , Sacarose na Dieta/administração & dosagem , Expressão Gênica , Masculino , Tamanho do Órgão , Ratos , Ratos Wistar , Estresse Psicológico/complicações , Estresse Psicológico/psicologia
7.
Salud Publica Mex ; 59(2): 183-192, 2017.
Artigo em Espanhol | MEDLINE | ID: mdl-28562719

RESUMO

OBJECTIVE:: To validate a scale for assessing the labour quality of life in public hospitals (LQL-PH) from Tlaxcala, Mexico. MATERIALS AND METHODS:: The instrument was validated among 669 health workers from six hospitals from the Ministry of Health of Tlaxcala, Mexico. Content validity was by inquiry to experts, construct validity by factor analysis, criterion validity by comparing with other scales, and reliability with Cronbach's Alpha. RESULTS:: The factor analysis uncovered four dimensions: "individual welfare", "conditions and labour environment", "organization", and "well-being accomplished by the work"; reliability was 0.921. Workers who perceibed better LQL-PH were: under 50 years old, with temporary contract, with less seniority in job, with work schedule at daytime of weekends, and those with academic degree. CONCLUSIONS:: LQL-PH showed to be an instrument phsycometrically valid and reliable. It's recommendable to prove this scale in other public and private health institutions, as well as its relationship with key health care indicators of labour performance and management.


Assuntos
Hospitais Públicos , Recursos Humanos em Hospital , Qualidade de Vida , Inquéritos e Questionários , Adulto , Análise Fatorial , Feminino , Humanos , Satisfação no Emprego , Masculino , México , Pessoa de Meia-Idade , Recursos Humanos em Hospital/psicologia , Psicometria , Reprodutibilidade dos Testes , Amostragem
8.
Salud pública Méx ; 59(2): 183-192, mar.-abr. 2017. tab
Artigo em Espanhol | LILACS | ID: biblio-846074

RESUMO

Resumen: Objetivo: Validar un instrumento para medir la calidad de vida laboral en hospitales públicos (CVL-HP) de Tlaxcala, México. Material y métodos: El instrumento fue validado en 669 trabajadores de seis hospitales de la Secretaría de Salud de Tlaxcala, México. Se evaluó validez de contenido por consulta a expertos, de constructo mediante análisis factorial, de criterio por comparación con otras escalas y la confiabilidad con Alpha de Cronbach. Resultados: El análisis factorial descubrió cuatro dimensiones: “bienestar individual”, “condiciones y medio ambiente de trabajo”, “organización” y “bienestar logrado a través del trabajo”. La confiabilidad fue de 0.921. Los trabajadores con mejor CVL-HP fueron menores de 50 años, de contrato, con menor antigüedad laboral, personal de jornada acumulada diurna y aquéllos con licenciatura. Conclusiones: La escala CVL-HP mostró ser psicométricamente válida y confiable. Se recomienda probar esta escala en otras instituciones públicas y privadas, y relacionarla con indicadores de desempeño y gestión de los servicios de salud.


Abstract: Objective: To validate a scale for assessing the labour quality of life in public hospitals (LQL-PH) from Tlaxcala, Mexico. Materials and methods: The instrument was validated among 669 health workers from six hospitals from the Ministry of Health of Tlaxcala, Mexico. Content validity was by inquiry to experts, construct validity by factor analysis, criterion validity by comparing with other scales, and reliability with Cronbach’s Alpha. Results: The factor analysis uncovered four dimensions: “individual welfare”, “conditions and labour environment”, “organization”, and “well-being accomplished by the work”; reliability was 0.921. Workers who perceibed better LQL-PH were: under 50 years old, with temporary contract, with less seniority in job, with work schedule at daytime of weekends, and those with academic degree. Conclusions: LQL-PH showed to be an instrument phsycometrically valid and reliable. It’s recommendable to prove this scale in other public and private health institutions, as well as its relationship with key health care indicators of labour performance and management.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Recursos Humanos em Hospital/psicologia , Qualidade de Vida , Inquéritos e Questionários , Hospitais Públicos , Psicometria , Reprodutibilidade dos Testes , Amostragem , Análise Fatorial , Satisfação no Emprego , México
9.
Springerplus ; 3: 266, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24936390

RESUMO

PURPOSE: To determine the association between the serum concentration of triiodothyronine (T3) with components of metabolic syndrome (MetS), cardiovascular risk (CVR), and diet in euthyroid post-menopausal women without and with MetS. METHODS: A cross-sectional study was performed in 120 voluntary women of an indigenous population from Tlaxcala-México. Euthyroid status was assessed measuring the serum concentration of thyrotropin (TSH) and thyroid hormones, while that of estradiol was measured to confirm the postmenopausal condition. MetS was diagnosed using the American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement (AHA/NHLBI) criterion. Estimation of CVR was calculated based on the Framingham scale. Diet components were evaluated based on survey applications. Correlations, logistic regression analyses, ANOVA or Kruskall-Wallis, and chi-square tests were used to determine significant differences (P ≤ 0.05) between women without MetS and women with MetS having different serum concentrations of T3. RESULTS: Triiodothyronine was positively correlated with insulin but negatively correlated with glucose, high-density lipoprotein cholesterol (HDL-C), and CVR. Compared to women without MetS, women with MetS and low-normal T3 concentration showed a high risk for hyperglycemia and moderate/high risk for CVR. In contrast, a high-normal T3 concentration increased the risk to have a big waist circumference, a high concentration of HDL-C, and insulin resistance. Diet analysis showed a high grade of malnutrition in women from all groups. The intake of calories was positively affected by the T3 concentration, albeit it did not affect the extent of malnutrition. CONCLUSIONS: In contrast to concentrations of TSH, total thyroxin (T4), and free T4, the concentration of serum T3 was strongly correlated with cardio-metabolic variables in euthyroid postmenopausal women. In comparison to women without MetS, a high-normal serum concentration of T3 in women with MetS is positively associated with reduced glycaemia and CVR but negatively related to body mass index (BMI), insulin, insulin resistance, and HDL-C. Although the analyzed population had a nutritional deficiency, both calories and iron intake were positively affected by the T3 concentration. Our results suggest the necessity of health programs monitoring T3 in old people in order to treat hyperglycemia, cardio-metabolic components, and the ageing anorexia.

10.
BMC Public Health ; 14: 445, 2014 May 12.
Artigo em Inglês | MEDLINE | ID: mdl-24884821

RESUMO

BACKGROUND: The prevalence of hyperuricemia has doubled worldwide during the last few decades. The substantial increase in sweetened beverage (SB) consumption has also coincided with the secular trend of hyperuricemia. Recent studies do show that the consumption of SB can induce hyperuricemia. However, the association between SB and hyperuricemia remains unclear. The aim of this study was to evaluate the association between SB consumption and levels of uric acid in Mexican adults. METHODS: We performed a cross-sectional analysis of data from selected adults participating in the baseline assessment of the Health Workers Cohort Study. A total of 6,705 participants of both sexes between ages 18 and 70 years were included. SB intake was estimated using a validated semi-quantitative food frequency questionnaire. Biochemical and anthropometric information was collected using standard procedures. Hyperuricemia was defined as uric acid levels ≥ 7.0 mg/dL in men and ≥ 5.8 mg/dL in women. The association of interest was assessed by multiple logistic regression models. RESULTS: The odds ratios (OR) for hyperuricemia in men who consume 0.5-1 SB/day was 1.59 (95% CI; 1.05-2.40) and 2.29 (95% CI; 1.55-3.38) for those who consume ≥3 SB/day when compared to men who consume less than half a SB/day. In women, the OR for hyperuricemia for those who consume >1.0- < 3.0 SB/day was 1.33 (95% CI; 1.04-1.70) and 1.35 (95% CI; 1.04-1.75) for those who consume ≥3 SB/day when compared to women who consume less than half a SB/day, independent of other covariables. Men and women with high SB consumption and a body mass index (BMI) ≥ 25 Kg/m2 had greater risk for hyperuricemia than men and women with low SB consumption and normal BMI < 25 Kg/m2. CONCLUSIONS: Our findings suggest that the consumption of SB is associated with an increased risk of hyperuricemia in Mexican adults. However, longitudinal research is needed to confirm the association between SB intake and hyperuricemia.


Assuntos
Bebidas/estatística & dados numéricos , Hiperuricemia/epidemiologia , Edulcorantes/administração & dosagem , Adolescente , Adulto , Idoso , Índice de Massa Corporal , Causalidade , Estudos de Coortes , Estudos Transversais , Comportamento Alimentar , Feminino , Humanos , Hiperuricemia/sangue , Modelos Logísticos , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Razão de Chances , Prevalência , Risco , Inquéritos e Questionários , Ácido Úrico/sangue , Adulto Jovem
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