7th to 9th grade obese adolescents perceptions about obesity in tamaulipas, Mexico

The objective was to explore obese adolescents perceptions about obesity among students in the seventh to ninth grade of a public school in Tamaulipas, Mexico. This is a qualitative study. Participants were 24 adolescents with a body mass index equal to or greater than the 95th percentile. Semistructured interviews were conducted until data saturation was reached and the meaning was understood. The adolescents defined obesity according to standards of measurement. They identified the hereditary factor as the main obesity cause, tended to underestimate obesity and had low self-esteem. They reported problems to do physical exercise and get clothes in order to improve their image, and feel rejected by their peers in school. It was identified that these adolescents have psychological defense mechanisms against obesity and that some of them are making efforts to lose weight. Obesity entails social and psychological health implications for persons suffering from this problem. Interventions should be put in practice.El objetivo de esta investigación fue explorar las percepciones de la obesidad de adolescentes obesos estudiantes del 7º al 9º grado de una institución pública en Tamaulipas, México. Se trata de un estudio cualitativo en el cual participaron 24 adolescentes que tenían un índice de masa corporal superior al percentil 95. Se realizaron entrevistas semiestructuradas hasta obtener la saturación de los datos y la comprensión del significado. Los adolescentes definieron la obesidad de acuerdo a los estándares de medición, identificaron como causa principal el factor hereditario, tendieron a subestimar la obesidad y presentaron baja autoestima, relataron problemas cuando realizan actividad física y para conseguir ropa que pudiese mejorar su imagen, y se sienten rechazados por sus pares o iguales en la escuela. Se identificó que cuentan con mecanismos psicológicos de defensa ante la obesidad y algunos de ellos están realizando acciones para disminuir el peso. La obesidad tiene implicaciones en la salud, también en los aspectos psicológico y social de quienes la padecen. Se recomienda implementar intervenciones.O objetivo foi explorar as percepções da obesidade de adolescentes obesos, estudantes do 7º ao 9º grau de uma instituição pública de Tamaulipas, México. É estudo qualitativo, do qual participaram 24 adolescentes que tinham índice de massa corporal superior ao percentil 95. Realizou-se entrevista semiestruturada até a saturação dos dados e comprensão do significado. Os adolescentes definiram obesidade de acordo com um padrão de medição, identificaram como causa principal o fator hereditário, com tendência para subestimar a obesidade e a ter baixa autoestima, apresentan problemas quando realizam atividade física e para conseguirem roupas para melhorar a própria imagen, são rejeitados pelos seus pares ou iguais, na escola. Identificou-se, também, que possuem mecanismos psicológicos de defesa ante a obesidade e alguns deles estão realizando ações para diminuir o peso. A obesidade tem implicações na saúde, no aspecto psicológico e social de quem a padece, recomenda-se, aqui, implementar intervenções

Miedo ante la muerte y calidad de vida en adultos mayores

Objective: Know the relationship between the fear of death and the quality of life ofolder adults.Materials and Method: Correlational study in older adults. The sample was 99 older adults. The original Collet-Lester Scale of Death Fear and the Dying Process and the WHOQOL-BREF Questionnaire were used.Results: No relationship found on the global scale of Death Fear and the Dying Process with the quality of life. A negative relationship was observed between the fear of own death and the physical dimension of the quality of life (p<.05), and the fear of the process of dying with the environmental dimension of quality of life (p<.05). Positive relationship was found between the fear of the death of others and the social dimension of quality of life (p <.05).Conclusions: A lesser fear of one's own death higher quality of life in the physical dimension, a lesser fear of the process of dying, greater quality of life in the environmental dimension and the greater the fear of the death of other people, the greater the quality of life in the social dimension.Objetivo: Conocer la relación entre el miedo a la muerte y calidad de vida de los adultos mayores. Material y Método: Estudio correlacional en adultos mayores. La muestra fue de 99 adultos mayores, se utilizó la Escala original de Collet-Lester de Miedo a la Muerte y al Proceso de Morir y el Cuestionario WHOQOL-BREF. Resultados: No se encontró relación en la escala global del miedo ante la muerte y el proceso de morir con la calidad de vida. Se observó relación negativa entre el miedo a la propia muerte y la dimensión física de la calidad de vida (p<.05) y en el miedo al propio proceso de morir con la dimensión ambiental de la calidad de vida (p<.05). Se encontró relación positiva entre el miedo a la muerte de los otros y la dimensión social de la calidad de vida (p<.05). Conclusiones: A menor miedo a la propia muerte mayor calidad de vida en la dimensión física, a menor miedo al propio proceso de morir mayor calidad de vida en la dimensión ambiental y a mayor miedo a la muerte de otras personas mayor calidad de vida en la dimensión social

Depresión, ansiedad, función cognitiva y dependencia funcional en adultos mayores hospitalizados

Objective: Determine the relationship between depression, anxiety, and cognitive function with dependency in older adults.Materials and Method: Descriptive and correlational cross-sectional study conducted on 98 hospitalized older adults. The Hospital Anxiety and Depression Scale, the Montreal Cognitive Evaluation Test, and the Barthel Index were applied. Results: Age, gender, depression, anxiety, and cognitive function explain 33% of functional dependency. The variables that influence dependence to carry out basic activities in daily life were gender (p = .000), depression (p = .002), and cognitive function (p =.002).Conclusions: In assessing the functionality of hospitalized older adults, gender, depression, and cognitive function are important to consider.Objetivo: Determinar la relación entre la depresión, ansiedad y función cognitiva con la dependencia en adultos mayores.Material y Método: Estudio descriptivo y correlacional de corte transversal en 98 adultos mayores hospitalizados. Se aplicó la Escala Hospitalaria de Ansiedad y Depresión, el test de evaluación cognitiva de Montreal e Índice de Barthel.Resultados: La edad, el género, la depresión, la ansiedad y la función cognitiva explican el 33% de la dependencia funcional. Las variables que influyen sobre la dependencia en las actividades básicas de la vida diaria fueron el género (p=.000), la depresión (p=.002) y la función cognitiva (p=.002).Conclusiones: En la valoración de la funcionalidad del adulto mayor hospitalizado es importante considerar el género, la depresión y la función cognitiva.Resumo:Objetivo: determinar a relação entre depressão, ansiedade e função cognitiva com dependência em idosos.Material e Método: Estudo transversal descritivo e correlato em 98 idosos hospitalizados. Foi aplicada a Escala de Ansiedade e Depressão Hospitalar, o Teste de Avaliação Cognitiva de Montreal e o Índice de Barthel.Resultados: Idade, sexo, depressão, ansiedade e função cognitiva explicam 33% da dependência funcional. As variáveis que influenciam a dependência das atividades básicas da vida cotidiana foram sexo (p.000), depressão (p.002) e função cognitiva (p.002).Conclusões: Ao avaliar a funcionalidade do idoso hospitalizado é importante considerar gênero, depressão e função cognitiva

Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)

Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters. Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs). Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001). Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio

Contributions of mean and shape of blood pressure distribution to worldwide trends and variations in raised blood pressure: A pooled analysis of 1018 population-based measurement studies with 88.6 million participants

© The Author(s) 2018. Background: Change in the prevalence of raised blood pressure could be due to both shifts in the entire distribution of blood pressure (representing the combined effects of public health interventions and secular trends) and changes in its high-blood-pressure tail (representing successful clinical interventions to control blood pressure in the hypertensive population). Our aim was to quantify the contributions of these two phenomena to the worldwide trends in the prevalence of raised blood pressure. Methods: We pooled 1018 population-based studies with blood pressure measurements on 88.6 million participants from 1985 to 2016. We first calculated mean systolic blood pressure (SBP), mean diastolic blood pressure (DBP) and prevalence of raised blood pressure by sex and 10-year age group from 20-29 years to 70-79 years in each study, taking into account complex survey design and survey sample weights, where relevant. We used a linear mixed effect model to quantify the association between (probittransformed) prevalence of raised blood pressure and age-group- and sex-specific mean blood pressure. We calculated the contributions of change in mean SBP and DBP, and of change in the prevalence-mean association, to the change in prevalence of raised blood pressure. Results: In 2005-16, at the same level of population mean SBP and DBP, men and women in South Asia and in Central Asia, the Middle East and North Africa would have the highest prevalence of raised blood pressure, and men and women in the highincome Asia Pacific and high-income Western regions would have the lowest. In most region-sex-age groups where the prevalence of raised blood pressure declined, one half or more of the decline was due to the decline in mean blood pressure. Where prevalence of raised blood pressure has increased, the change was entirely driven by increasing mean blood pressure, offset partly by the change in the prevalence-mean association. Conclusions: Change in mean blood pressure is the main driver of the worldwide change in the prevalence of raised blood pressure, but change in the high-blood-pressure tail of the distribution has also contributed to the change in prevalence, especially in older age groups

7th to 9th grade obese adolescents’ perceptions about obesity in tamaulipas, Mexico Percepciones de la obesidad de adolescentes obesos estudiantes del 7º al 9º grado residentes en Tamaulipas, México Percepções da obesidade de adolescentes obesos, estudantes do 7º ao 9º grau residentes em Tamaulipas, México

The objective was to explore obese adolescents’ perceptions about obesity among students in the seventh to ninth grade of a public school in Tamaulipas, Mexico. This is a qualitative study. Participants were 24 adolescents with a body mass index equal to or greater than the 95th percentile. Semistructured interviews were conducted until data saturation was reached and the meaning was understood. The adolescents defined obesity according to standards of measurement. They identified the hereditary factor as the main obesity cause, tended to underestimate obesity and had low self-esteem. They reported problems to do physical exercise and get clothes in order to improve their image, and feel rejected by their peers in school. It was identified that these adolescents have psychological defense mechanisms against obesity and that some of them are making efforts to lose weight. Obesity entails social and psychological health implications for persons suffering from this problem. Interventions should be put in practice.El objetivo de esta investigación fue explorar las percepciones de la obesidad de adolescentes obesos estudiantes del 7º al 9º grado de una institución pública en Tamaulipas, México. Se trata de un estudio cualitativo en el cual participaron 24 adolescentes que tenían un índice de masa corporal superior al percentil 95. Se realizaron entrevistas semiestructuradas hasta obtener la saturación de los datos y la comprensión del significado. Los adolescentes definieron la obesidad de acuerdo a los estándares de medición, identificaron como causa principal el factor hereditario, tendieron a subestimar la obesidad y presentaron baja autoestima, relataron problemas cuando realizan actividad física y para conseguir ropa que pudiese mejorar su imagen, y se sienten rechazados por sus pares o iguales en la escuela. Se identificó que cuentan con mecanismos psicológicos de defensa ante la obesidad y algunos de ellos están realizando acciones para disminuir el peso. La obesidad tiene implicaciones en la salud, también en los aspectos psicológico y social de quienes la padecen. Se recomienda implementar intervenciones.O objetivo foi explorar as percepções da obesidade de adolescentes obesos, estudantes do 7º ao 9º grau de uma instituição pública de Tamaulipas, México. É estudo qualitativo, do qual participaram 24 adolescentes que tinham índice de massa corporal superior ao percentil 95. Realizou-se entrevista semiestruturada até a saturação dos dados e comprensão do significado. Os adolescentes definiram obesidade de acordo com um padrão de medição, identificaram como causa principal o fator hereditário, com tendência para subestimar a obesidade e a ter baixa autoestima, apresentan problemas quando realizam atividade física e para conseguirem roupas para melhorar a própria imagen, são rejeitados pelos seus pares ou iguais, na escola. Identificou-se, também, que possuem mecanismos psicológicos de defesa ante a obesidade e alguns deles estão realizando ações para diminuir o peso. A obesidade tem implicações na saúde, no aspecto psicológico e social de quem a padece, recomenda-se, aqui, implementar intervenções