Nutrición y síndrome metabólico

Martı́n, Pilar; Pascual, Edurne Lecumberri; Pascual, Alfonso Luis Calle

doi:10.1590/s1135-57272007000500006

Cited by 23 publications

(10 citation statements)

References 102 publications

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“…Although SCAT has been associated with blood pressure and, in fact, the above mentioned pathways are strongly related to endothelial dysfunction [4], the significance was lost after the adjustments. Various studies have shown that, the increase of free fat acid in circulation corroborates with formation of low density lipoproteins (LDL) e very low density lipoproteins (VLDL) associated to reduction on high density lipoproteins (HDL) and very high density lipoproteins (VHDL), which results in atherosclerosis and elevation of arterial pressure [28,29]. …”

Section: Discussionmentioning

confidence: 99%

Intra-abdominal fat is related to metabolic syndrome and non-alcoholic fat liver disease in obese youth

et al. 2013

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BackgroundPrevious studies have shown an association between adiposity, especially intra-abdominal adipose tissue, and hemodynamic/metabolic comorbidities in adults, however it is not clear in pediatric population. The aim of the study was to analyze the relationship between non-alcoholic fatty liver disease (NAFLD) and components of metabolic syndrome (MS) with values of intra-abdominal (IAAT) and subcutaneous (SCAT) adipose tissue in obese children and adolescents.MethodsCross-sectional study. Subjects: 182 obese sedentary children and adolescents (aged 6 to 16 y), identified by the body mass index (BMI). Measurements: Body composition and trunk fat by dual-energy X-ray absorptiometry- DXA; lipid profile, blood pressure and pubertal stage were also assessed. NAFLD was classified as absent (0), mild (1), moderate (2) and severe (3), and intra-abdominal and subcutaneous abdominal fat thickness were identified by ultrasound. The MS was identified according to the cut offs proposed by World Health Organization adapted for children and adolescents. The chi-square test was used to compare categorical variables, and the binary logistic regression indicated the magnitude of the associations adjusted by potential cofounders (sex, age, maturation, NAFLD and HOMA-IR).ResultsHigher quartile of SCAT was associated with elevated blood pressure (p = 0.015), but not associated with NAFLD (p = 0.665). Higher IAAT was positively associated with increased dyslipidemia (p = 0.001), MS (p = 0.013) and NAFLD (p = 0.005). Intermediate (p = 0.007) and highest (p = 0.001) quartile of IAAT were also associated with dyslipidemia, independently of age, sex, maturation, NAFLD and HOMA-IR (homeostatic model assessment-insulin resistance).ConclusionObese children and adolescents, with higher IAAT are more prone to develop MS and NAFLD than those with higher values of SCAT, independent of possible confounding variables.

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Section: Discussionmentioning

confidence: 99%

Intra-abdominal fat is related to metabolic syndrome and non-alcoholic fat liver disease in obese youth

et al. 2013

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“…Estudios realizados a grupos de pacientes diabéticos y con síndrome metabólico presentan que la dieta más óptima para disminuir niveles de glucosa y riesgo cardiovascular es la dieta rica en verduras, frutas, fibra no refinada, aumento de ingesta en grasas mono y poliinsaturadas, así como en pescado, micronutrientes y aceite de olivo; además de disminuir ingesta de grasas saturadas y de alimentos de alto índice glucémico, así como de sodio y azúcares refinados. Todo esto apegado estrechamente a una buena actividad física ya que disminuye la resistencia a la insulina (12,13).…”

Section: Discussionunclassified

Efecto de la educación para la salud en pacientes con diabetes mellitus tipo 2 del centro de salud de Atotonilco de Tula, Hidalgo, México

Hernández

Muñíz²,

García³

et al. 2015

Rev. Fac. Cienc. Salud UDES

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Introduction: patients with type 2 diabetes mellitus faces the task of adapting to discomfort and loss of physical control, as well as changes in appearance. The treatment aims to relieve symptoms, maintain metabolic control, prevent complications and improve quality of life. Goal: to evaluate the effect of a program of health education in patients with type 2 diabetes mellitus as part of non-pharmacological treatment. Methodology: a before-after quasi-experimental design was conducted. 13 patients with type 2 diabetes mellitus were included. Socio-demographic aspects and their level of knowledge about the disease were assessed. They received an educational program regarding nutrition, exercise and stress management. This program consisted of 16 sessions of two hours. Measurements of glycosylated hemoglobin levels (HbA1c) were performed before and after the intervention. Results: the educational program had positive effects because the results before the workshop showed that 61.5% of participants had poor-regular knowledge about the disease and its care, plus 84.6% of participants obtained percentages of HbA1c ≥ 6.5%. After the educational program, 100% of patients achieved a good level of knowledge and only 53.8% of the population reached an HbA1c level ≥ 6.5%. Conclusion: the educational program helps the patient cope in a better way their condition.

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“…23 The prolonged intake of food with a high GL is related to insulin resistance, whether due to the loss of pancreatic function, or the excessive production of insulin, or to the glucotoxicity of beta cells. 8 Therefore, it is important to assess the consumption of carbohydrates in the diet of children and adolescents, considering their quantity and quality, with the aim of preventing future problems, such as MS, and a potential chronic disease.…”

Section: Glycemic Load and Metabolic Syndromementioning

confidence: 99%

Association between dietary glycemic load and metabolic syndrome in obese children and adolescents

et al. 2017

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Objective. To study the association between the metabolic syndrome (MS) and the glycemic load (GL) of food intake among obese children and adolescents seen in consultation by the endocrinology team in a pediatric referral hospital in Lima, Peru. Population and Method. Cross-sectional study among obese children and adolescents (body mass index ≥ 95 percentile), 10-15 years old. The MS was classified according to criteria of the International Diabetes Federation. A 24 hour reminder was used, and the overall and per meal GL was calculated. The association between the GL tertiles (comparison with the lower tertile) and the MS was assessed using prevalence ratios adjusted by demographic outcome measures, family history, physical activity and total carbohydrate consumption in Poisson regression models with a robust variance. Results. Out of 273 obese children and adolescents, 52.4% were male and 94.9% did not engage in any physical activity. Glycemic load median value was 213 (164.8-287.4) and the daily calorie intake value was 2275 (1851-3024) kcal, consisting mainly of carbohydrates (62%). MS prevalence was 22.3%; the most prevalent components were abdominal obesity (81.7%) and low values of high density lipoprotein (HDL) (63.7%). Lastly, an association was observed between a high consumption of GL and the risk of developing MS (aRP 4.5; 95% CI: 1.3-15.3). Conclusions. There is an association between a high consumption of GL and the presence of MS among obese children and adolescents.

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Nutrición y síndrome metabólico

Cited by 23 publications

References 102 publications

Intra-abdominal fat is related to metabolic syndrome and non-alcoholic fat liver disease in obese youth

Intra-abdominal fat is related to metabolic syndrome and non-alcoholic fat liver disease in obese youth

Efecto de la educación para la salud en pacientes con diabetes mellitus tipo 2 del centro de salud de Atotonilco de Tula, Hidalgo, México

Association between dietary glycemic load and metabolic syndrome in obese children and adolescents

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