Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 13 de 13
Filtrar
1.
An Acad Bras Cienc ; 96(3): e20231121, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38922258

RESUMEN

The study evaluated the use of nano copper in semi-purified diets for laying quails and its effect on performance, metabolic state, and bioavailability. A total of 160 (180-days-old) quails were distributed in a completely randomized design, in a 3x3+1 factorial. The copper sources used were copper sulfate, copper oxide, and nano copper oxide, at levels of 200, 400, and 800 ppm each, totaling nine treatments plus a negative control (with no copper inclusion). The following variables were determined: weight gain, feed intake, egg production, egg weight, hemoglobin, hematocrit, Cu in the tissues and Cu bioavailability. Data were subjected to analysis of variance at 5% probability. The effect of sources and levels, as well as the interaction between the factors were evaluated. When interaction was observed, the effect of sources was evaluated separately by the Tukey's test and the effect of levels by regression, both at 5% probability. Copper nano oxide can be used at up to 800 ppm in the diet of laying quails without altering the productive performance, and with higher bioavailability than conventional copper oxide. Hemoglobin increases with the inclusion of 200 and 400 ppm of nano copper oxide and the hematocrit with 400 ppm.


Asunto(s)
Alimentación Animal , Cobre , Animales , Cobre/análisis , Cobre/administración & dosificación , Femenino , Alimentación Animal/análisis , Disponibilidad Biológica , Codorniz/fisiología , Nanopartículas del Metal/administración & dosificación , Dieta/veterinaria
2.
Trop Anim Health Prod ; 56(2): 53, 2024 Jan 23.
Artículo en Inglés | MEDLINE | ID: mdl-38261014

RESUMEN

The study aimed to evaluate the inclusion effects of Stryphnodendron rotundifolium (barbatimão) extracts in substitution of the lasalocid sodium on the ingestive behaviour, intake, ruminal parameters, and digestibility of feedlot lambs. Twenty-four pantaneiro lambs were used, with an average age of 150 ± 4.59 days and an initial body weight of 21.2 ± 3.63 kg. The lambs were distributed in three treatments in an experimental design with randomized blocks. The treatments correspond to the additive supplements: LAS (0.019 g of lasalocid sodium/lamb/d); DGB (1.50 g of barbatimão dried ground bark/lamb/d); DHE (0.30 g of barbatimão dry hydroalcoholic extract/lamb/d). The DHE increased 59.74 min in the time spent for ingestion per day, resulting in an efficiency reduction of dry matter (DM) ingestion (127 g of DM/h of feed). There was a reduction of 1.8 mg/dL in the ammoniacal nitrogen concentration with extract supplementation compared to LAS. The DGB reduced total volatile fatty acids by 48.9% compared to the control treatment. The inclusion of barbatimão extracts (DGB and DHE) reduced 12.05% of ruminal butyrate content. The supplementation of barbatimão extracts replacing lasalocid sodium in the diet of feedlot lambs did not affect intake and caused small changes on ingestive behaviour.


Asunto(s)
Fabaceae , Lasalocido , Ovinos , Animales , Corteza de la Planta , Oveja Doméstica , Extractos Vegetales/farmacología , Sodio
4.
Int J Gynaecol Obstet ; 148(2): 243-252, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31736077

RESUMEN

OBJECTIVE: To test the efficacy of Morus nigra L. (MN) leaf powder for treating climacteric symptoms by comparison with hormone therapy (HT) and placebo. METHODS: A randomized controlled trial among 62 climacteric women attending Hospital of the Federal University of Maranhão, Brazil. Women were divided into MN, HT, and placebo groups, and received 250 mg of MN leaf powder, 1 mg of estradiol, or placebo for 60 days. Primary outcomes were the Blatt-Kupperman index (BKI) for climacteric symptoms and SF-36 health questionnaire scores. RESULTS: Baseline sociodemographic variables, BKI scores, symptoms, and SF-36 domains did not differ among the groups. There was a reduction in mean BKI in the MN (17.5 vs 9.7, P<0.001), HT (15.4 vs 8.6, P=0.001), and placebo (16.1 vs 12.4, P=0.040) groups. Analysis of quality of life (QoL) showed that functional capacity (P=0.006), vitality (P=0.031), mental health (P=0.017), and social aspect (P<0.01) improved after treatment in the MN group. The HT group showed improvement in emotional limitation (P=0.040), and the placebo group showed better functional capacity (P=0.030) after treatment. CONCLUSIONS: Climacteric symptoms and QoL improved after administration of 250 mg of MN leaf powder for 60 days, similar to the effects of HT. The trial is registered in the Brazilian Registry of Clinical Trials (REBEC) under registration number RBR-9t4xxk.


Asunto(s)
Sofocos/tratamiento farmacológico , Morus , Extractos Vegetales/uso terapéutico , Calidad de Vida , Adulto , Brasil , Método Doble Ciego , Estradiol/uso terapéutico , Femenino , Humanos , Menopausia/fisiología , Persona de Mediana Edad , Encuestas y Cuestionarios
5.
Rev. colomb. cienc. pecu ; 32(2): 126-138, abr.-jun. 2019. tab, graf
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1013923

RESUMEN

Abstract Background: There is a comprehensive understanding of the role of dietary fiber as a nutrient and its function during digestion in cattle. On the other hand, the role of fiber digestion in goats has not received similar attention. Objective: To evaluate the effects of different ratios of forage neutral detergent fiber (fNDF) and non-fibrous carbohydrates (NFC) on ruminal fermentation products, and in vitro neutral detergent fiber (NDF) digestibility in goats. Methods: A 3 × 5 factorial arrangement in a completely randomized design with three fNDF levels (100, 190, and 290 g/kg) and five NFC levels (350, 400, 450, 500, and 550 g/kg) was used. The experiment was performed in vitro. Two ruminally fistulated goats were used as rumen liquid donors. Results: The ratios between fNDF and NFC affected all ruminal parameters (p<0.05). Increasing NFC levels in diets containing 100 and 290 g/kg fNDF resulted in linear increase (p<0.05) in ammonia concentration after 48 h fermentation. There was no adjustment of linear models (p>0.05) for pH values. Total volatile fatty acids (VFA) and their individual molar proportions were affected (p<0.05) at all fNDF and NFC levels. The NDF digestibility was not affected (p>0.05) by fNDF or NFC levels, except for diets containing 290 g/kg fNDF, which were fit to a quadratic model (p<0.05). Conclusion: The relationship between fNDF and NFC concentrations affect the fermentation end products and in vitro NDF digestibility. NFC plays a more consistent role than fNDF in the ruminal microbial ecosystem of goats during in vitro fermentation.


Resumen Antecedentes: Aunque hay una amplia comprensión del papel que juega la fibra dietética como nutriente y su función durante la digestión en el ganado vacuno, el papel de la digestión de la fibra en las cabras no ha recibido una atención similar. Objetivo: Evaluar los efectos de diferentes proporciones de fibra detergente neutra proveniente del forraje (fNDF) y carbohidratos no fibrosos (NFC) sobre los productos de la fermentación ruminal y la digestibilidad in vitro de la fibra detergente neutra (NDF) en cabras. Métodos: Se utilizó un arreglo factorial de 3 × 5, distribuidos en un diseño completamente aleatorizado con tres niveles de fNDF (100, 190 y 290 g/kg) y cinco niveles de NFC (350, 400, 450, 500 y 550 g/kg). El experimento se realizó in vitro. Se utilizaron dos cabras fistuladas en rumen como donantes de líquido ruminal. Resultados: La relacion entre fNDF y NFC afectó todos los parámetros ruminales estudiados (p<0,05). El aumento de los niveles de NFC en dietas con 100 y 290 g/kg de fNDF resultó en aumento lineal (p<0,05) de la concentración de amoníaco después de 48 h de fermentación. No hubo ajuste de modelos lineales (p>0,05) para valores de pH. Los ácidos grasos volátiles totales y sus proporciones molares individuales se afectaron (p<0,05) en todos los niveles de fNDF y NFC. La digestibilidad de NDF no fue afectada (p>0,05) por los niveles de fNDF ni NFC, con excepción de las dietas con 290 g/kg fNDF, que se ajustaron a un modelo cuadrático (p<0,05). Conclusión: La relación entre las concentraciones de fNDF y NFC afecta los productos finales de fermentación y la digestibilidad in vitro de NDF. Los niveles de NFC juegan un papel más consistente que fNDF en el ecosistema microbiano ruminal de la cabra durante la fermentación in vitro.


Resumo Antecedentes: Embora exista um compreensível entendimento do papel que a fibra dietética desempenha como nutriente e sua função durante a digestão em bovinos, o papel da digestão das fibras em caprinos não recebeu atenção semelhante. Objetivo: Avaliar os efeitos de diferentes relações da fibra em detergente neutro advindo de forragem (fNDF) e carboidratos não-fibrosos (NFC) sobre produtos da fermentação ruminal e digestibilidade in vitro da fibra em detergente neutro (NDF) em caprinos. Métodos: Utilizou-se um esquema fatorial de 3 × 5 distribuídos em um delineamento inteiramente casualizado com três níveis de fNDF (100, 190 e 290 g/kg) e cinco níveis de NFC (350, 400, 450, 500 e 550 g/kg). O experimento foi realizado in vitro. Duas cabras fistuladas no rúmen foram utilizadas como doadoras de líquido ruminal. Resultados: As relações entre fNDF e NFC impactaram todos os parâmetros ruminais estudados (p<0,05). O aumento dos níveis de NFC em dietas contendo 100 e 290 g/kg de fNDF resultou em um aumento linear (p<0,05) na concentração de amônia após 48 h de fermentação. Não houve ajuste de modelos lineares (p>0,05) para valores de pH. Os ácidos graxos voláteis totais e suas proporções molares individuais foram afetados (p<0,05) em todos os níveis de fNDF e NFC. A digestibilidade NDF não foi afetada (p>0,05) pelos níveis de fNDF e NFC, com exceção de dietas experimentais contendo 290 g/kg fNDF, que foram ajustadas a um modelo quadrático (p<0,05). Conclusão: A relação entre as concentrações de fNDF e NFC afeta os produtos finais de fermentação e a digestibilidade in vitro de NDF de dietas experimentais. Os níveis de NFC desempenham um papel mais consistente do que o fNDF no ecossistema microbiano ruminal de cabras durante a fermentação in vitro.

6.
J Pediatr ; 164(6): 1376-83.e1, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24582483

RESUMEN

OBJECTIVE: To examine the longitudinal associations between sex, diabetes self-care, and the health-related quality of life (HRQL) of children and adolescents with type 1 or type 2 diabetes. STUDY DESIGN: The sample included 910 participants with type 1 and 241 participants with type 2, ages 10-22 years at baseline, from the SEARCH for Diabetes in Youth Study, a longitudinal observational study. The primary outcome measure was the Pediatric Quality of Life Inventory. Repeated measures, mixed-model regression analysis was conducted with the use of data from baseline and at least one follow-up assessment, spanning approximately 4 years. RESULTS: HRQL was greater among those with type 1 versus type 2 diabetes. Among participants with type 1, greater (better) Pediatric Quality of Life Inventory total scores over time were related to greater parent education (P = .0007), lower glycated hemoglobin values (P < .0001), and greater physical activity during the past 7 days (P = .0001). There was a significant interaction between sex and age (P < .0001); girls' HRQL remained stable or decreased over time, whereas males' HRQL increased. For participants with type 2 diabetes, there was no significant interaction by age and sex, but lower total HRQL was related to being female (P = .011) and greater body mass index z-scores (P = .014). CONCLUSIONS: HRQL in this cohort varied by diabetes type. The interaction between sex and age for type 1 participants, coupled with poorer HRQL among female than male participants with type 2 diabetes, suggests the impacts of diabetes on HRQL differ by sex and should be considered in clinical management. Encouraging physical activity and weight control continue to be important in improving HRQL.


Asunto(s)
Diabetes Mellitus Tipo 1/terapia , Diabetes Mellitus Tipo 2/terapia , Estilo de Vida , Cooperación del Paciente/estadística & datos numéricos , Calidad de Vida , Autocuidado/normas , Adolescente , Factores de Edad , Actitud Frente a la Salud , Índice de Masa Corporal , Niño , Diabetes Mellitus Tipo 1/diagnóstico , Diabetes Mellitus Tipo 1/psicología , Diabetes Mellitus Tipo 2/diagnóstico , Diabetes Mellitus Tipo 2/psicología , Ejercicio Físico , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Hipoglucemiantes/administración & dosificación , Estudios Longitudinales , Masculino , Autocuidado/tendencias , Índice de Severidad de la Enfermedad , Factores Sexuales , Adulto Joven
7.
J Clin Periodontol ; 41(1): 11-8, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24206042

RESUMEN

AIM: The aim of this study was to evaluate the levels of a wide panel of cyto/chemokines in the gingival crevicular fluid (GCF) of uncontrolled type 2 diabetic subjects as compared with non-diabetic subjects with periodontitis. METHODS: Twenty-six uncontrolled type 2 diabetic subjects (glycated haemoglobin levels >7.5%) and 20 non-diabetic subjects with chronic periodontitis were enrolled in this study. The levels of 14 cyto/chemokines were measured in the GCF of healthy and diseased sites of the diabetic and non-diabetic subjects using multiplex bead immunoassays. RESULTS: The concentrations of eotaxin, macrophage inflammatory protein-1α, granulocyte-macrophage colony-stimulating factor, interleukin (IL)-6, tumour necrosis factor-α and IL-12 were higher in healthy and diseased sites of diabetic than non-diabetic subjects, after adjustment for multiple comparisons (p < 0.0035). CONCLUSION: Uncontrolled type 2 diabetes mellitus modulated the local levels of several cyto/chemokines at both healthy and diseased periodontal sites in favour of a proinflammatory profile, which may partially explain the greater susceptibility of diabetic subjects to periodontal breakdown.


Asunto(s)
Periodontitis Crónica/inmunología , Diabetes Mellitus Tipo 2/inmunología , Líquido del Surco Gingival/inmunología , Mediadores de Inflamación/análisis , Adulto , Glucemia/análisis , Quimiocina CCL3/análisis , Quimiocinas/análisis , Quimiocinas CC/análisis , Periodontitis Crónica/complicaciones , Citocinas/análisis , Diabetes Mellitus Tipo 2/sangre , Diabetes Mellitus Tipo 2/complicaciones , Femenino , Líquido del Surco Gingival/química , Hemoglobina Glucada/análisis , Factor Estimulante de Colonias de Granulocitos y Macrófagos/análisis , Humanos , Interleucina-12/análisis , Interleucina-6/análisis , Masculino , Persona de Mediana Edad , Factor de Necrosis Tumoral alfa/análisis
8.
J Pediatr ; 161(2): 201-7.e2, 2012 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-22361221

RESUMEN

OBJECTIVES: To evaluate the reliability and cluster structure of the Pediatric Quality of Life Inventory Type 1 Diabetes Module 3.0 (PedsQL-T1DM) and associated subscales and to explore the associations between PedsQL-T1DM total score and demographic and clinical characteristics and clinical indicators among a large racially/ethnically diverse cohort of youth with type 1 diabetes. STUDY DESIGN: Principal components analysis was conducted on responses from the PedsQL-T1DM child self-report forms completed by SEARCH for Diabetes in Youth study participants aged ≥ 5 years. Multivariate linear regression models were fit to examine the associations among PedsQL-T1DM total score, demographic and clinical characteristics, and clinical indicators. RESULTS: The sample comprised 2602 youth with a mean age of 13.6 ± 4.1 years and a mean T1DM duration of 62.1 ± 47.0 months. Principal components analysis did not support the 5 existing PedsQL-T1DM subscales. In multivariate analyses, the PedsQL-T1DM total score was negatively and significantly associated with younger age (5-7 years), female sex, receiving insulin by injection (vs pump), having parents without a college degree, Medicaid/Medicare insurance, and having a comorbid medical condition. Youth with poor glycemic control based on their age-specific hemoglobin A1c target values and those with depressive symptoms had significantly lower PedsQL-T1DM scores than their counterparts with good control and no or limited depressive symptoms. CONCLUSION: This study has identified sociodemographic and clinical characteristics of youth with T1DM more likely to experience poor diabetes-specific quality of life. The association of lower PedsQL-T1DM scores with depressive symptoms and poor glycemic control is especially concerning and may be the focus of future interventions and studies.


Asunto(s)
Diabetes Mellitus Tipo 1 , Calidad de Vida , Adolescente , Adulto , Glucemia/análisis , Índice de Masa Corporal , Niño , Preescolar , Depresión/complicaciones , Diabetes Mellitus Tipo 1/sangre , Diabetes Mellitus Tipo 1/complicaciones , Diabetes Mellitus Tipo 1/psicología , Diabetes Mellitus Tipo 1/terapia , Femenino , Hemoglobina Glucada/análisis , Estado de Salud , Humanos , Masculino , Factores Socioeconómicos , Encuestas y Cuestionarios , Adulto Joven
9.
J Oral Sci ; 50(2): 225-8, 2008 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-18587216

RESUMEN

This case report describes a rare and unusual lesion found in a 12-year-old boy, which was diagnosed as pleomorphic adenoma of the minor salivary glands in the upper lip. The tumor was a circumscribed, submucosal nodule, about 2.0 cm in diameter and characterized by slow growth and a rubbery consistency. Complete excision was performed and the histopathological analysis showed an epithelial salivary gland tumor with islands of plasmacytoid cells, duct-like structures, in a variable stroma with chondroid, fibrous and myxoid appearance. The tumor did not recur. A brief review of the relevant literature is also presented.


Asunto(s)
Adenoma Pleomórfico/patología , Neoplasias de los Labios/patología , Neoplasias de las Glándulas Salivales/patología , Glándulas Salivales Menores/patología , Niño , Estudios de Seguimiento , Humanos , Masculino
10.
Mol Ecol ; 15(14): 4477-85, 2006 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-17107477

RESUMEN

The fossil record indicates that the brown bear (Ursus arctos) colonized North America from Asia over 50 000 years ago. The species historically occupied the western United States and northern Mexico but has been extirpated from over 99% of this range in the last two centuries. To evaluate colonization hypotheses, subspecific classifications, and historical patterns and levels of genetic diversity in this region, we sequenced 229 nucleotides of the mitochondrial DNA control region in 108 museum specimens. The work was set in a global context by synthesizing all previous brown bear control region sequences from around the world. In mid-latitude North America a single moderately diverse clade is observed, represented by 23 haplotypes with up to 3.5% divergence. Only eight of 23 haplotypes (35%) are observed in the extensively sampled extant populations suggesting a substantial loss of genetic variability. The restriction of all haplotypes from mid-latitude North America to a single clade suggests that this region was founded by bears with a similar maternal ancestry. However, the levels and distributions of diversity also suggest that the colonizing population was not a small founder event, and that expansion occurred long enough ago for local mutations to accrue. Our data are consistent with recent genetic evidence that brown bears were south of the ice prior to the last glacial maximum. There is no support for previous subspecies designations, although bears of the southwestern United States may have had a distinctive, but recent, pattern of ancestry.


Asunto(s)
ADN Mitocondrial/genética , Variación Genética , Geografía , Filogenia , Población , Ursidae/genética , Animales , Teorema de Bayes , Haplotipos/genética , México , Estados Unidos
11.
Psychol Med ; 29(1): 9-17, 1999 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-10077289

RESUMEN

BACKGROUND: There are few cross-national comparisons of the rates of suicide ideation and attempts across diverse countries. Nine independently conducted epidemiological surveys using similar diagnostic assessment and criteria provided an opportunity to obtain that data. METHODS: Suicide ideation and attempts were assessed on the Diagnostic Interview Schedule in over 40000 subjects drawn from the United States, Canada, Puerto Rico, France, West Germany, Lebanon, Taiwan, Korea and New Zealand. RESULTS: The lifetime prevalence rates/100 for suicide ideation ranged from 2.09 (Beirut) to 18.51 (Christchurch, New Zealand). Lifetime prevalence rates/100 for suicide attempts ranged from 0.72 (Beirut) to 5.93 (Puerto Rico). Females as compared to males had only marginally higher rates of suicidal ideation in most countries, reaching a two-fold increase in Taiwan. Females as compared to males had more consistently higher rates for suicide attempts, reaching a two- to three-fold increase in most countries. Suicide ideation and attempts in most countries were associated with being currently divorced/separated as compared to currently married. CONCLUSIONS: While the rates of suicide ideation varied widely by country, the rates of suicide attempts were more consistent across most countries. The variations were only partly explained by variation in rates of psychiatric disorders, divorce or separation among countries and are probably due to cultural features that we do not, as yet, understand.


Asunto(s)
Intento de Suicidio/psicología , Intento de Suicidio/estadística & datos numéricos , Adolescente , Adulto , Distribución por Edad , Canadá/epidemiología , Comparación Transcultural , Femenino , Estudios de Seguimiento , Francia/epidemiología , Alemania/epidemiología , Humanos , Corea (Geográfico)/epidemiología , Líbano/epidemiología , Masculino , Estado Civil , Trastornos Mentales/psicología , Persona de Mediana Edad , Nueva Zelanda/epidemiología , Prevalencia , Puerto Rico/epidemiología , Distribución por Sexo , Taiwán/epidemiología , Estados Unidos/epidemiología
12.
Arch Gen Psychiatry ; 54(4): 305-9, 1997 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-9107146

RESUMEN

BACKGROUND: Epidemiological data on panic disorder from community studies from 10 countries around the world are presented to determine the consistency of findings across diverse cultures. METHOD: Data from independently conducted community surveys from 10 countries (the United States, Canada, Puerto Rico, France, West Germany, Italy, Lebanon, Taiwan, Korea, and New Zealand), using the Diagnostic Interview Schedule and DSM-III criteria and including over 40,000 subjects, were analyzed with appropriate standardization for age and sex differences among subjects from different countries. RESULTS: The lifetime prevalence rates for panic disorder ranged from 1.4 per 100 in Edmonton, Alberta, to 2.9 per 100 in Florence, Italy, with the exception of that in Taiwan, 0.4 per 100, where rates for most psychiatric disorders are low. Mean age at first onset was usually in early to middle adulthood. The rates were higher in female than male subjects in all countries. Panic disorder was associated with an increased risk of agoraphobia and major depression in all countries. CONCLUSIONS: Panic disorder is relatively consistent, with a few exceptions, in rates and patterns across different countries. It is unclear why the rates of panic and other psychiatric disorders are lower in Taiwan.


Asunto(s)
Comparación Transcultural , Trastorno de Pánico/epidemiología , Adolescente , Adulto , Edad de Inicio , Anciano , Agorafobia/epidemiología , Canadá/epidemiología , Comorbilidad , Trastorno Depresivo/epidemiología , Femenino , Alemania/epidemiología , Humanos , Italia/epidemiología , Corea (Geográfico)/epidemiología , Líbano/epidemiología , Masculino , Persona de Mediana Edad , Nueva Zelanda/epidemiología , Prevalencia , Escalas de Valoración Psiquiátrica , Puerto Rico/epidemiología , Factores Sexuales , Taiwán/epidemiología , Estados Unidos/epidemiología
13.
JAMA ; 276(4): 293-9, 1996.
Artículo en Inglés | MEDLINE | ID: mdl-8656541

RESUMEN

OBJECTIVE: To estimate the rates and patterns of major depression and bipolar disorder based on cross-national epidemiologic surveys. DESIGN AND SETTING: Population-based epidemiologic studies using similar methods from 10 countries: the United States, Canada, Puerto Rico, France, West Germany, Italy, Lebanon, Taiwan, Korea, and New Zealand. PARTICIPANTS: Approximately 38000 community subjects. OUTCOME MEASURES: Rates, demographics, and age at onset of major depression and bipolar disorder. Symptom profiles, comorbidity, and marital status with major depression. RESULTS: The lifetime rates for major depression vary widely across countries, ranging from 1.5 cases per 100 adults in the sample in Taiwan to 19.0 cases per 100 adults in Beirut. The annual rates ranged from 0.8 cases per 100 adults in Taiwan to 5.8 cases per 100 adults in New Zealand. The mean age at onset shows less variation (range, 24.8-34.8 years). In every country, the rates of major depression were higher for women than men. By contrast, the lifetime rates of bipolar disorder are more consistent across countries (0.3/100 in Taiwan to 1.5/100 in New Zealand); the sex ratios are nearly equal; and the age at first onset is earlier (average, 6 years) than the onset of major depression. Insomnia and loss of energy occurred in most persons with major depression at each site. Persons with major depression were also at increased risk for comorbidity with substance abuse and anxiety disorders at all sites. Persons who were separated or divorced had significantly higher rates of major depression than married persons in most of the countries, and the risk was somewhat greater for divorced or separated men than women in most countries. CONCLUSIONS: There are striking similarities across countries in patterns of major depression and of bipolar disorder. The differences in rates for major depression across countries suggest that cultural differences or different risk factors affect the expression of the disorder.


Asunto(s)
Trastorno Bipolar/epidemiología , Trastorno Depresivo/epidemiología , Adolescente , Adulto , Edad de Inicio , Anciano , Canadá/epidemiología , Comorbilidad , Comparación Transcultural , Femenino , Francia/epidemiología , Alemania Occidental/epidemiología , Humanos , Italia/epidemiología , Corea (Geográfico)/epidemiología , Líbano/epidemiología , Modelos Logísticos , Masculino , Estado Civil , Persona de Mediana Edad , Nueva Zelanda/epidemiología , Vigilancia de la Población , Puerto Rico/epidemiología , Factores de Riesgo , Distribución por Sexo , Taiwán/epidemiología , Estados Unidos/epidemiología
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA