La carga mundial de diabetes, una de las principales causas de muerte, morbilidad y gastos en atención médica, ahora representa una de las mayores amenazas para la salud y el desarrollo mundiales. Los principales determinantes biológicos y de comportamiento de la diabetes son las dietas de azúcares y grasas procesadas, los bajos niveles de actividad física, el sobrepeso y la obesidad (Birn, Pillay, y Holtz, 2017). Como una de las cuatro principales enfermedades no transmisibles (ENT), Diabetes Mellitus (DM) ha atraído una gran atención por parte de las autoridades sanitarias mundiales. De hecho, la Organización Mundial de la Salud ha desarrollado una estrategia para abordar las crecientes tasas de DM, incluida la prevención, la gestión, el acceso a medicamentos esenciales y la vigilancia. Un enfoque integral que integre la política de atención médica, la promoción de la salud y la educación para la salud es necesario para la prevención y posterior tratamiento de la diabetes en todo el mundo.
Objective: To determine the effectiveness of the roll-over test as a predictor of pre-eclampsia.Methodology: The studied population had a size of 272, with a sample of 262 pregnant women, between 28 and 32 weeks of gestational age, who obtained pre-natal care at the Guillermo Almenara Irigoyen National Hospital, between January and September of 2017. The ROC curve, and the sensitivity and specificity of the roll-over test to predict pre-eclamp-sia, were calculated.Results: The prevalence of the roll-over test in this study was 9%, with a 95% confidence interval (5.43 - 12.22). In this study, the ROC curve was determined (0.725 and 0.734, for the first and second measurements, respectively) and found to be statistically significant at the p <0.05 level. The sensitivity of the roll-over test for a cutoff point of 20 mmHg was 60%, and the specificity of 95% also had a PPV of 37% and a NPV of 98%. Differences be-tween the first and second measurements suggest that the second measurement is more sensitive than the first one.Conclusions: The roll-over test is a simple, cost-effective test with potential application in initial evaluation of pre-eclampsia in pregnant women with a history of pre-eclampsia and/or other risk factors.
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