The burden of physical activity on type 2 diabetes public healthcare expenditures among adults: a retrospective study

<p>Abstract</p> <p>Background</p> <p>Determinants of public healthcare expenditures in type 2 diabetics are not well investigated in developing nations and, therefore, it is not clear if higher physical activity decreases healthcare costs. The purpose of this study was to analyze the relationship between physical activity and the expenditures in public healthcare on type 2 diabetes mellitus treatment.</p> <p>Methods</p> <p>Cross-sectional study carried out in Brazil. A total of 121 type 2 diabetics attended to in two Basic Healthcare Units were evaluated. Public healthcare expenditures in the last year were estimated using a specific standard table. Also evaluated were: socio-demographic variables; chronological age; exogenous insulin use; smoking habits; fasting glucose test; diabetic neuropathy and anthropometric measures. Habitual physical activity was assessed by questionnaire.</p> <p>Results</p> <p>Age (r = 0.20; p = 0.023), body mass index (r = 0.33; p = 0.001) and waist-to-hip ratio (r = 0.20; p = 0.025) were positively related to expenditures on medication for the treatment of diseases other than diabetes. Insulin use was associated with increased expenditures. Higher physical activity was associated with lower expenditure, provided medication for treatment of diseases other than diabetes (OR = 0.19; p = 0.007) and medical consultations (OR = 0.26; p = 0.029).</p> <p>Conclusions</p> <p>Type 2 diabetics with higher enrollment in physical activity presented consistently lower healthcare expenditures for the public healthcare system.</p

Resting heart rate as a predictor of metabolic dysfunctions in obese children and adolescents

<p>Abstract</p> <p>Background</p> <p>Recent studies have identified that a higher resting heart rate (RHR) is associated with elevated blood pressure, independent of body fatness, age and ethnicity. However, it is still unclear whether RHR can also be applied as a screening for other risk factors, such as hyperglycemia and dyslipidemia. Thus, the purpose of the presented study was to analyze the association between RHR, lipid profile and fasting glucose in obese children and adolescents.</p> <p>Methods</p> <p>The sample was composed of 180 obese children and adolescents, aged between 7-16 years. Whole-body and segmental body composition were estimated by Dual-energy X-ray absorptiometry. Resting heart rate (RHR) was measured by heart rate monitors. The fasting blood samples were analyzed for serum triglycerides, total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), and glucose, using the colorimetric method.</p> <p>Results</p> <p>Fasting glucose, TC, triglycerides, HDL-C, LDL-C and RHR were similar in both genders. The group of obese subjects with a higher RHR presented, at a lower age, higher triglycerides and TC. There was a significant relationship between RHR, triglycerides and TC. In the multivariate model, triglycerides and TC maintained a significant relationship with RHR independent of age, gender, general and trunk adiposity. The ROC curve indicated that RHR has a high potential for screening elevated total cholesterol and triglycerides as well as dyslipidemia.</p> <p>Conclusion</p> <p>Elevated RHR has the potential to identify subjects at an increased risk of atherosclerosis development.</p

Which Factors Determine Spatial Segregation in the South American Opossums (Didelphis aurita and D. albiventris)? An Ecological Niche Modelling and Geometric Morphometrics Approach

Didelphis albiventris and D. aurita are Neotropical marsupials that share a unique evolutionary history and both are largely distributed throughout South America, being primarily allopatric throughout their ranges. In the Araucaria moist forest of Southern Brazil these species are sympatric and they might potentially compete having similar ecology. For this reason, they are ideal biological models to address questions about ecological character displacement and how closely related species might share their geographic space. Little is known about how two morphologically similar species of marsupials may affect each other through competition, if by competitive exclusion and competitive release. We combined ecological niche modeling and geometric morphometrics to explore the possible effects of competition on their distributional ranges and skull morphology. Ecological niche modeling was used to predict their potential distribution and this method enabled us to identify a case of biotic exclusion where the habit generalist D. albiventris is excluded by the presence of the specialist D. aurita. The morphometric analyses show that a degree of shape discrimination occurs between the species, strengthened by allometric differences, which possibly allowed them to occupy marginally different feeding niches supplemented by behavioral shift in contact areas. Overlap in skull morphology is shown between sympatric and allopatric specimens and a significant, but weak, shift in shape occurs only in D. aurita in sympatric areas. This could be a residual evidence of a higher past competition between both species, when contact zones were possibly larger than today. Therefore, the specialist D. aurita acts a biotic barrier to D. albiventris when niche diversity is not available for coexistence. On the other hand, when there is niche diversification (e.g. habitat mosaic), both species are capable to coexist with a minimal competitive effect on the morphology of D. aurita

Micronutrient concentration in potato clones with distinct physiological sensitivity to Al stress Concentração de micronutrientes em clones de batata com distinta sensibilidade fisiológica ao estresse de alumínio

The objective of this study was to evaluate the effects of aluminum (Al) on the zinc (Zn), manganese (Mn), iron (Fe) and copper (Cu) concentrations in four potato clones (Macaca and Dakota Rose: both Al-sensitive clones; and SMIC148-A and Solanum microdontum: both Al-tolerant-clones), grown in a nutrient solution (pH 4.00) with 0, 50, 100, 150 and 200mg Al L-1. Root Zn and Fe concentrations decreased linearly with the increase of Al levels in Macaca, SMIC148-A and Dakota Rose and increased linearly in S. microdontum. Shoot Zn concentration showed a quadratic relationship with Al in S. microdontum and SMIC148-A, but a curvilinear response in Dakota Rose. Shoot Fe concentration showed a quadratic relationship with Al in S. microdontum, SMIC148-A and Dakota Rose. Root Mn concentration decreased linearly in Macaca and SMIC148-A, and increased linearly in S. microdontum with Al levels. Mn concentration showed a quadratic relationship with Al in roots of Dakota Rose and in shoot of SMIC148-A, and increased curvilinearly with Al levels in shoot of Dakota Rose. In shoot, there was no alteration in Zn, Fe and Mn in Macaca and Mn concentration in S. microdontum. Roots and shoot Cu concentration increased linearly in Dakota Rose, and showed quadratic relationship with Al in Macaca. Roots Cu concentration showed a quadratic relationship with Al levels in S. microdontum and SMIC148-A. Shoot Cu concentration increased linearly in S. microdontum, and decreased linearly in SMIC148-A. Therefore, the excessive Al accumulation affected the uptake and distribution of Zn, Fe, Mn and Cu in roots and shoot of potato clones.The response of shoot Cu concentration to Al was less altered in the Al-tolerant clones than was in Al-sensitive clones. Aluminum tolerance in S. microdontum may be connected with greater levels of Zn, Fe and Mn in the roots.<br>O objetivo deste estudo foi caracterizar o efeito do alumínio (Al) na concentração de zinco (Zn), manganês (Mn), ferro (Fe) e cobre (Cu) em quatro clones de batata (Macaca e Dakota Rose: sensíveis ao Al; e SMIC148-A e Solanum microdontum: tolerantes ao Al) crescendo em solução nutritiva (pH 4,0) com 0, 50, 100, 150 e 200mg Al L-1. A concentração de Zn e Fe em raízes diminuiu linearmente com o aumento dos níveis de Al nos clones Macaca, SMIC148-A e Dakota Rose e aumentou linearmente em S. microdontum. Na parte aérea, a concentração de Zn mostrou resposta quadrática ao Al em S. microdontum e SMIC148-A, enquanto no clone Dakota Rose houve uma resposta cúbica. Nos clones S. microdontum, SMIC148-A e Dakota Rose, a concentração de Fe mostrou resposta quadrática ao Al. A concentração de Mn em raízes diminuiu linearmente em relação ao Al nos clones Macaca e SMIC148-A e aumentou linearmente em S. microdontum. Para Dakota Rose e SMIC148-A, a concentração de Mn mostrou uma resposta quadrática em relação ao Al em raízes e parte aérea. A concentração de Mn na parte aérea aumentou de forma cúbica com os níveis de Al no clone Dakota Rose. Na parte aérea, não houve alteração na concentração de Zn e Fe na Macaca e de Mn nos clones Macaca e S. microdontum. Em raízes e na parte aérea, a concentração de Cu aumentou linearmente no clone Dakota Rose e mostrou resposta quadrática no clone Macaca. A concentração de Cu mostrou resposta quadrática com os níveis de Al em raízes dos clones S. microdontum e SMIC148-A. Na parte aérea, a concentração de Cu aumentou linearmente no clone S. microdontum e diminuiu linearmente no clone SMIC148-A com o aumento nos níveis de Al. Portanto, a acumulação excessiva de Al afetou negativamente a absorção e a distribuição de Zn, Fe, Mn e Cu nas raízes e na parte aérea dos clones de batata. A resposta da concentração de Cu na parte aérea ao Al foi menos alterada nos clones Al-tolerantes que naqueles Al-sensíveis. A tolerância ao Al em S. microdontum pode estar conectada com os maiores níveis de Zn, Fe e Mn nas raízes

Physiological and oxidative stress responses of four potato clones to aluminum in nutrient solution

San Diego House (ca. 1841, totally reconstructed 1985); A state protected historical park located in the Old Town neighborhood. It commemorates the early days of the town of San Diego and includes many historic buildings from the period 1820 to 1870. Five original adobes are part of the complex, which includes shops, restaurants and museums. Other historic buildings include a schoolhouse, a blacksmith shop, San Diego's first newspaper office, a cigar and pipe store, houses and gardens, and a stable with a carriage collection. There are also stores, with local artisans demonstrating their craft. Living history demonstrations and free tours are regularly scheduled. The entire district and various buildings within it have state and national historic registration. Source: Wikipedia; http://en.wikipedia.org/wiki/Main_Page (accessed 9/3/2015