Physical activity and risk of Metabolic Syndrome in an urban Mexican cohort

Abstract Background In the Mexican population metabolic syndrome (MS) is highly prevalent. It is well documented that regular physical activity (PA) prevents coronary diseases, type 2 diabetes and MS. Most studies of PA have focused on moderate-vigorous leisure-time activity, because it involves higher energy expenditures, increase physical fitness, and decrease the risk of MS. However, for most people it is difficult to get a significant amount of PA from only moderately-vigorous leisure activity, so workplace activity may be an option for working populations, because, although may not be as vigorous in terms of cardio-respiratory efforts, it comprises a considerable proportion of the total daily activity with important energy expenditure. Since studies have also documented that different types and intensity of daily PA, including low-intensity, seem to confer important health benefits such as prevent MS, we sought to assess the impact of different amounts of leisure-time and workplace activities, including low-intensity level on MS prevention, in a sample of urban Mexican adults. Methods The study population consisted of 5118 employees and their relatives, aged 20 to 70 years, who were enrolled in the baseline evaluation of a cohort study. MS was assessed according to the criteria of the National Cholesterol Education Program, ATP III and physical activity with a validated self-administered questionnaire. Associations between physical activity and MS risk were assessed with multivariate logistic regression models. Results The prevalence of the components of MS in the study population were: high glucose levels 14.2%, high triglycerides 40.9%, high blood pressure 20.4%, greater than healthful waist circumference 43.2% and low-high density lipoprotein 76.9%. The prevalence of MS was 24.4%; 25.3% in men and 21.8% in women. MS risk was reduced among men (OR 0.72; 95%CI 0.57–0.95) and women (OR 0.78; 95%CI 0.64–0.94) who reported an amount of ≥30 minutes/day of leisure-time activity, and among women who reported an amount of ≥3 hours/day of workplace activity (OR 0.75; 95%CI 0.59–0.96). Conclusion Our results indicate that both leisure-time and workplace activity at different intensity levels, including low-intensity significantly reduce the risk of MS. This finding highlights the need for more recommendations regarding the specific amount and intensity of leisure-time and workplace activity needed to prevent MS

Ambulatory health service users' experience of waiting time and expenditure and factors associated with the perception of low quality of care in Mexico

<p>Abstract</p> <p>Background</p> <p>A principal reason for low use of public health care services is the perception of inferior quality of care. Studying health service user (HSU) experiences with their care and their perception of health service quality is critical to understanding health service utilization. The aim of this study was to define reference points for some aspects of health care quality and to analyze which HSU experiences resulted in perceptions of overall low quality of care.</p> <p>Methods</p> <p>Data from the National Health Survey 2006 were used to compare the experiences of HSUs with their ambulatory care at Ministry of Health and affiliated institutions (MOH), social security institutions (SSI) and private institutions (PrivI). Reference points of quality of care related to waiting time and expenditure were defined for each of the three types of institutions by analyzing HSU experiences rated as 'acceptable'. A multivariable logistic regression model was used to identify the principal factors associated with the general perception of low quality of care.</p> <p>Results</p> <p>A total of 11,959 HSUs were included in the analysis, of whom 37.6% (n = 4,500) HSUs received care at MOH facilities; 31.2% (n = 3,730) used SSI and 31.2% (n = 3,729) PrivI. An estimated travel and waiting time of 10 minutes respectively was rated as acceptable by HSUs from all institutions. The differences between the waiting time rated as acceptable and the actual waiting time were the largest for SSI (30 min) in comparison to MoH (20 min) and PrivI (5 min) users. The principal factors associated with an overall perception of low quality of care are type of institution (OR 4.36; 95% CI 2.95-6.44), waiting time (OR 3.20; 95% CI 2.35-4.35), improvement of health after consultation (OR 2.93; CI 2.29-3.76) and consultation length of less than 20 minutes (2.03; 95% CI 1.60-2.57).</p> <p>Conclusions</p> <p>The reference points derived by the HSUs' own ratings are useful in identifying where quality improvements are required. Prioritizing the reduction of waiting times and improving health status improvement after consultation would increase overall quality of care ratings.</p

Insulin resistance and its association with the components of the metabolic syndrome among obese children and adolescents

<p>Abstract</p> <p>Background</p> <p>Insulin resistance is the primary metabolic disorder associated with obesity; yet little is known about its role as a determinant of the metabolic syndrome in obese children. The aim of this study is to assess the association between the degree of insulin resistance and the different components of the metabolic syndrome among obese children and adolescents.</p> <p>Methods</p> <p>An analytical, cross-sectional and population-based study was performed in forty-four public primary schools in Campeche City, Mexico. A total of 466 obese children and adolescents between 11-13 years of age were recruited. Fasting glucose and insulin concentrations, high density lipoprotein cholesterol, triglycerides, waist circumference, systolic and diastolic blood pressures were measured; insulin resistance and metabolic syndrome were also evaluated.</p> <p>Results</p> <p>Out of the total population studied, 69% presented low values of high density lipoprotein cholesterol, 49% suffered from abdominal obesity, 29% had hypertriglyceridemia, 8% presented high systolic and 13% high diastolic blood pressure, 4% showed impaired fasting glucose, 51% presented insulin resistance and 20% metabolic syndrome. In spite of being obese, 13% of the investigated population did not present any metabolic disorder. For each one of the components of the metabolic syndrome, when insulin resistance increased so did odds ratios as cardiometabolic risk factors.</p> <p>Conclusions</p> <p>Regardless of age and gender an increased degree of insulin resistance is associated with a higher prevalence of disorders in each of the components of the metabolic syndrome and with a heightened risk of suffering metabolic syndrome among obese children and adolescents.</p

Deformación direccional lateral izquierda durante el Cenozoico tardío en Menorca, Islas Baleares, España

Trabajo presentado en el X Congreso Geológico de España, 5-7 julio 2021, Vitoria-Gasteiz[EN] Minorca is located at the easternmost sector of the Betic orogen between N-S to NE-SW extensional basins. The elongate WNW-ESE shape of the island follows the strike of late high-angle faults, which parallel the North Balearic Fracture Zone (NBFZ). The structure of Minorca differs from that of other nearby Mediterranean islands and has been the subject of recent studies. In this work we report the results of a fault population analysis (including its cartographical projection) applied to three late WNW-ESE faults that cross the island longitudinally. The stress inversion results show a left-lateral movement with normal component for the Tramuntana Fault, with R = 0,7 and horizontal σ1 and a normal movement with left-lateral component for the Mercadal and Binixems faults, with R = 0,8, vertical σ1 and horizontal σ2; in both cases there are structural and/or cartographical evidence of right-lateral deformation. These results explain several Alpine structures of the island, poorly interpreted up to now, but are unfitting for a solely right-lateral movementof NBFZ.[ES] Menorca se encuentra en el extremo noroeste del orógeno Bético entre regiones sometidas a extensión y condirección N-S a NE-S. La estructura de la isla, caracterizada a grandes rasgos por una elongación ONO-ESE a favor de fallas modernas de alto ángulo paralelas a la Zona de Fractura del Norte de Baleares (NBFZ), difiere de la de otras islas de su entorno y ha sido objeto de estudios recientes. En este trabajo analizamos tres fallas tardías que cruzan la isla longitudinalmente mediante el set de inversión de esfuerzos y su proyección cartográfica. Los resultados de la inversión de esfuerzos implican un movimiento lateral-izquierdo con componente normal para la falla de Tramuntana, con R = 0,7 y σ1 horizontal, y un movimiento normal con componente direccional para las fallas de Mercadal y Binixems, con R= 0,8, σ1 vertical y σ2 horizontal; en ambos casos encontramos evidencias estructurales y/o cartográficas de deformación lateral-derecha. Estos resultados permiten explicar varias estructuras Alpinas de la isla, hasta ahora vagamente interpretadas, aunque son incompatibles con un funcionamiento exclusivamente lateral-derecho de la NBFZ.Peer reviewe

Alpine kink bands on foliated rocks of the Central System variscan basement

Comunicaciones presentadas en la LXIX Sesión Científica / Repsol virtual (Madrid) 27 de noviembre de 2020[EN] The spatial and kinematic association between kink bands in rocks with variscan foliation and alpine thrusts in the Central System basement, allow us to deduce that the former have a Cenozoic age, and not variscan or late-variscan. Systematically, the fold axes trend of the kinks is sub-parallel to the strike of the thrusts. Three key outcrops are studied: the Villares de Jadraque thrust, the Valdesotos thrust and the El Atazar back-thrust.[ES] La asociación espacial y cinemática entre kink bands en rocas con foliación varisca y cabalgamientos alpinos en el basamento del Sistema Central, permiten deducir que los primeros tienen una edad cenozoica, y no varisca o tardivarisca. Sistemáticamente, la dirección de los ejes de los kinks es subparalela a los cabalgamientos. Se estudian tres afloramientos clave: El Cabalgamiento de Villares de Jadraque, el Cabalgamiento de Valdesotos y el Retrocabalgamiento de El Atazar.Peer reviewe