Relación del conocimiento del etiquetado “Semáforo Nutricional” en el estado nutricional de adolescentes ecuatorianos/List of labeling knowledge: "Nutritional traffic light" in the nutritional status of Ecuadorian adolescents

El semáforo nutricional (SN) es un tipo de etiquetado de alimentos creado para mejorar la comprensión del contenido de nutrientes (sodio, azúcar y grasa) en los alimentos procesados. En Ecuador, el SN es de uso obligatorio desde el año 2012. Objetivo: Evaluar la relación del conocimiento del etiquetado SN en el estado nutricional de adolescentes ecuatorianos. Métodos: Estudio transversal. Con 599 adolescentes (14- 18 años). Se recopilaron datos antropométricos, actividad física (IPAQ-A) e ingesta alimentaria utilizando 3 encuestas de recordatorio de 24 horas, el conocimiento del SN se evaluó con un cuestionario preparado para este fin: puntuaciones >5 significaron adecuado conocimiento (AC). Las relaciones entre las variables se determinaron mediante prueba t de student, utilizando el software STATA-14. Resultados: 55% de los adolescentes presentaron diagnóstico de sobrepeso, el 28% obesidad, según los indicadores IMC//Edad, el 48% un AC. Los adolescentes que mostraron inadecuado conocimiento evidenciaron medias más altas de IMC//edad, circunferencia de la cintura, circunferencia de la cadera y porcentaje de masa grasa (p<0.001), no se encontró diferencias en la ingesta alimentaria y conocimiento del SN. Conclusiones: El conocimiento del SN puede estar relacionado con el sobrepeso-obesidad en adolescentes, se necesita realizar más estudios para conocer cuál es el impacto de SN sobre el estado nutricional de la población en general. Nutritional traffic light (NT) is a type of food labeling created to improve the understanding of nutrient content (sodium, sugar and fat) in industrialized foods. In Ecuador, the TN is mandatory since 2012. Objective: To evaluate the relationship of NT labeling knowledge in the nutritional status of Ecuadorian adolescents. Methods: cross-sectional study. With 600 teenagers (14-18 years old). Anthropometric data, physical activity (IPAQ-A), and food intake were collected using 3 reminder surveys of 24 hours. Knowledge of NT was assessed with a questionnaire prepared for this purpose: scores> 5 meant adequate knowledge (AK). The relationships between the variables were determined by student’s T-test, using the STATA-14 software. Results: 55% of the adolescents presented a diagnosis of overweight and 28% of the adolescents presented a diagnosis of obesity according to the BMI indicators // age 48% presented a AK. Adolescents who presented inadequate knowledge presented higher means of BMI // age, waist circumference, hip circumference and percentage of fat mass (p <0.001), no differences were found in food intake and NT knowledge. Conclusions: Knowledge of NT may be related to overweight-obesity in adolescents, more studies are needed to establish these associations. Palabras clave: Semáforo nutricional, estado nutricional, adolescentes, Ecuador. Keywords: Nutritional traffic light, nutritional status, adolescents, Ecuador

Circadian Rhythm Alteration and Metabolic Syndrome

There is growing scientific evidence that connects circadian rhythm abnormalities with cardiovascular risk factors. Due to their work schedules, shift workers are exposed to changes in their circadian rhythm that are associated with metabolic syndrome (MS). Aim: To determine the relationship between shift work and metabolic syndrome. Methodology: This is a cross-sectional observational study. The sample included 300 adult volunteers, health workers of a public hospital in the city of Riobamba, Ecuador. The diagnosis of MS was made based on the criteria bythe Adult Treatment Panel III (ATP III). In addition, sleep quality was assessed through the Pittsburg sleep quality index. Cluster analysis of K-means was used to identify representative groups. In addition, chi-squared test and ANOVA were used to determine the association between variables. Results: Three conglomerates based on age and sex were established, which were numbered consecutively 1, 2 and 3. Conglomerate 1 had a statistically higher percentage of people who worked in shifts, suffered MS and had worse sleep quality than the other two conglomerates. In conclusión, shift work is related to the risk of suffering from MS and poor quality of sleep. Keywords: shift work, metabolic syndrome, sleep quality, k medias clusters. Resumen Introducción: La evidencia creciente conecta las alteraciones del ritmo circadiano con factores de riesgo cardiovascular. Los trabajadores por turnos debido a sus horarios de trabajo están expuestos a alteraciones de su ritmo circadiano que se asocian a síndrome metabólico (SM). Objetivo: Determinar la relación entre trabajo por turnos y síndrome metabólico. Metodología: Estudio observacional transversal. La muestra incluyó 300 voluntarios adultos, empleados sanitarios de un hospital público de la ciudad de Riobamba, Ecuador. El diagnóstico de SM se realizó con base en los criterios del Adult Treatment Panel III (ATP III). Además, se evaluó la calidad del sueño a través del índice de la calidad de sueño de Pittsburg. Se utilizó el análisis de clúster de K medias para identificar grupos representativos, además Chi2 y ANOVA para determinar asociación entre las variables. Resultados: Se establecieron tres clusters basados en edad y sexo, los que fueron numerados de forma consecutiva 1, 2 y 3. El cluster 1 tuvo un porcentaje estadísticamente más alto de personas que trabajaban por turnos, sufrían SM y que presentaron peor calidad de sueño que los otros dos clusters. Conclusiones: El trabajo por turnos se relaciona con el riesgo de sufrir SM y mala calidad de sueño. Palabras clave: trabajo por turnos, síndrome metabólico, calidad del sueño, análisis de k medias

Morningness and sleep quality improve adherence to Mediterranean Diet

Podeu consultar el III Workshop anual INSA-UB complet a: http://hdl.handle.net/2445/118993Sessió 2. Comunicació oral núm.

Emotional eating is associated to sleep quality in Spanish young adults

Podeu consultar el III Workshop anual INSA-UB complet a: http://hdl.handle.net/2445/118993Sessió 1. Pòster núm. 1

Evaluation of School Children Nutritional Status in Ecuador Using Nutrimetry: A Proposal of an Education Protocol to Address the Determinants of Malnutrition

The education sector is a cornerstone in the battle against malnutrition in children. However, there are still no consolidated protocols that outline strategies for how nutrition programs in low- and middle-income countries can be delivered through the education sector. Establishing the correct community diagnosis is essential prior to the elaboration of an intervention plan for a school population that takes into account more than just traditional variables related to the nutritional status. A total of 574 boys and girls aged 3-11 years from three educational institutions in different municipalities in Ecuador participated in the study. Sociodemographic, anthropometric (weight and height) and coproparasitological data were obtained. Nutrimetry, which is a combination of two classical anthropometrics indicators, was used for the analysis of the nutritional status, and the indicators' frequencies varied among the schools. In order to improve the nutritional status of children, we proposed a framework mainly focusing on establishing alliances with the education sector and taking into account gender equality; respect for the environment; and the customs, beliefs and traditions of each population. The results obtained from the analyses of other variables demonstrated the importance of an adequate diagnosis prior to any type of intervention at the nutritional level, since characteristics could vary by local area and have an impact on the successfulness of the intervention

Eating behaviour dimensions and anthropometric indicators of adiposity and diet in Ecuadorian adults

Podeu consultar el III Workshop anual INSA-UB complet a: http://hdl.handle.net/2445/118993Sessió 1. Pòster núm.

Anthropometric indicators of adiposity and diet related with sleep quality in Ecuadorian adults

Podeu consultar el III Workshop anual INSA-UB complet a: http://hdl.handle.net/2445/118993Sessió 1. Pòster núm.

Anticoagulant selection in relation to the SAMe-TT2R2 score in patients with atrial fibrillation. the GLORIA-AF registry

Aim: The SAMe-TT2R2 score helps identify patients with atrial fibrillation (AF) likely to have poor anticoagulation control during anticoagulation with vitamin K antagonists (VKA) and those with scores >2 might be better managed with a target-specific oral anticoagulant (NOAC). We hypothesized that in clinical practice, VKAs may be prescribed less frequently to patients with AF and SAMe-TT2R2 scores >2 than to patients with lower scores. Methods and results: We analyzed the Phase III dataset of the Global Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation (GLORIA-AF), a large, global, prospective global registry of patients with newly diagnosed AF and ≥1 stroke risk factor. We compared baseline clinical characteristics and antithrombotic prescriptions to determine the probability of the VKA prescription among anticoagulated patients with the baseline SAMe-TT2R2 score >2 and ≤ 2. Among 17,465 anticoagulated patients with AF, 4,828 (27.6%) patients were prescribed VKA and 12,637 (72.4%) patients an NOAC: 11,884 (68.0%) patients had SAMe-TT2R2 scores 0-2 and 5,581 (32.0%) patients had scores >2. The proportion of patients prescribed VKA was 28.0% among patients with SAMe-TT2R2 scores >2 and 27.5% in those with scores ≤2. Conclusions: The lack of a clear association between the SAMe-TT2R2 score and anticoagulant selection may be attributed to the relative efficacy and safety profiles between NOACs and VKAs as well as to the absence of trial evidence that an SAMe-TT2R2-guided strategy for the selection of the type of anticoagulation in NVAF patients has an impact on clinical outcomes of efficacy and safety. The latter hypothesis is currently being tested in a randomized controlled trial. Clinical trial registration: URL: https://www.clinicaltrials.gov//Unique identifier: NCT01937377, NCT01468701, and NCT01671007

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

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