RESUMO
BACKGROUND: We aimed to identify the association among nutritional status, Oral Health-Related Quality of Life (OHRQoL) and frailty, and to estimate the mediation effect of these conditions between age and frailty in a group of Mexico City nursing home residents. METHODS: We conducted a cross-sectional study. Fried's phenotype criteria, Full Mini Nutritional Assessment, and General Oral Health Assessment Index was applied. RESULTS: The participants (n = 286) mean age was 82.4 (± 9.2) years. The prevalence of frailty was 58%, and the prevalence of malnutrition and the risk of malnutrition were 22.7% and 59.5%, respectively. A higher risk of frailty was associated with older age (p = 0.015), sex (women) (p = 0.041), poor nutritional status (p <0.001) and compromised OHRQoL (p <0.001). Approximately 40% of the effect of age on frailty was mediated by nutritional status and OHRQoL (p <0.05). CONCLUSION: A strong association between nutritional status and frailty was observed. Additionally, OHRQoL was associated with frailty. The effect of age on frailty was mediated by OHRQoL and nutritional status. Interventions targeted to improve nutritional status and oral health may contribute to preventing or delaying the onset of frailty.
Assuntos
Fragilidade , Desnutrição , Humanos , Feminino , Idoso , Idoso de 80 Anos ou mais , Estado Nutricional , Fragilidade/epidemiologia , Fragilidade/complicações , Qualidade de Vida , Estudos Transversais , México/epidemiologia , Avaliação Geriátrica , Desnutrição/epidemiologia , Avaliação Nutricional , Casas de SaúdeRESUMO
Milk is a liquid food that possesses an important quantity of highly bioavailable macronutrients. In addition, it is readily accessible, as well as relatively inexpensive. Given that the knowledge of physicians about nutrition and food composition is deficient, in general, many of the dietary interventions recommended in diverse clinical settings lack a scientific basis. The aim of the present review was to produce a technical opinion that serves as a frame of reference to best sustain recommendations for consuming milk and dairy products as daily nutrition in the adult and older adult. The effects of milk and dairy products during the pediatric stage are not addressed in the present work. The Asociación Mexicana de Gastroenterología and the Asociación Mexicana de Gerontología y Geriatría jointly discussed and analyzed topics dealing with the legal designation of milk, the classification and nutritional profile of cow's milk, its nutritional characteristics, its consumption in the adult, intolerance to cow's milk, and associations of milk consumption with digestive tract alterations and other conditions. Finally, certain aspects of milk consumption in the older adult and its relation to overall health are briefly discussed.
Assuntos
Laticínios , Leite , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Animais , Bovinos , Consenso , Fenômenos Fisiológicos do Sistema Digestório , Saúde , Humanos , México , Hipersensibilidade a Leite , Estado NutricionalRESUMO
OBJECTIVE: To determine the association between anthropometric indicators of adiposity with type 2 diabetes mellitus (T2DM) and hypertension (HTN) in older adults. DESIGN: Cross-sectional study of participants of the Mexican Health Survey 2000 (MHS). SETTING: Mexico, subjects recruited from the general community. PARTICIPANTS: The analytic sample included 7,322 adults who were > or = 60 years of age at the time of the survey. T2DM data were available on 6,994 individuals, who represent 95.5% of the original sample; data on HTN was available on 6,268 subjects, which accounted for 86.5% of the original sample. MEASUREMENTS: Type 2 diabetes mellitus and hypertension, as well as anthropometric indicators including body mass index (BMI), waist circumference (WC), and conicity index (CI). RESULTS: The prevalence of T2DM and HTN in this age group was 34.3% and 73.9%, respectively. After adjusting for other variables, the association between high WC and T2DM (OR = 1.59 95%CI = 1.26-2.01, P < 0.001) was stronger than the association with overweight (OR = 1.26, 95%CI = 1.01-1.58, P = 0.04) and obesity (OR = 1.38, 95%CI = 1.08-1.79, P < 0.01) using BMI, and slightly higher than tertile 2 of the CI (OR = 1.49, 95%CI = 1.20-1.88, P < 0.01), while tertile 3 showed a stronger association with T2DM (OR = 1.60, 95%CI = 1.22-2.08, P < 0.001). However, the association between obesity and HTN measured by BMI (OR = 1.98, 95%CI = 1.48-2.65, P < 0.001) was stronger than what was observed with overweight (OR = 1.42, 95%CI 1.13-1.77, P < 0.01), with high WC (OR = 1.62, 95%CI = 1.25-2.10, P < 0.001) and tertiles 2 and 3 of the CI (OR = 1.23, 95%CI = 0.99-1.55, P = 0.09); (OR = 1.53, 95%CI = 1.16-2.03, P < 0.01) respectively. CONCLUSIONS: BMI and abdominal obesity are significantly and independently associated with an increase in the prevalence of T2DM and HTN among older Mexican adults.
Assuntos
Antropometria , Diabetes Mellitus Tipo 2/epidemiologia , Inquéritos Epidemiológicos , Hipertensão/epidemiologia , Obesidade/epidemiologia , Idoso , Idoso de 80 Anos ou mais , Índice de Massa Corporal , Comorbidade , Intervalos de Confiança , Estudos Transversais , Diabetes Mellitus Tipo 2/etiologia , Feminino , Humanos , Hipertensão/etiologia , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Obesidade/complicações , Razão de Chances , Prevalência , Fatores de Risco , Relação Cintura-QuadrilRESUMO
In the Third World Countries, little attention has been paid to health and nutrition aspects of the elderly population. In Mexico, there are no data that provides anthropometric parameters of this group. The purpose of this study was to obtain anthropometric measurements of 60-year-old-and older Mexican men and women in Mexico City. A cross sectional study was carried out. The sample was selected from men and women registered as retired or pensioned by the Mexican Social Security Institute (IMSS) and from those requesting identification cards from the Elderly National Institute (INSEN). Standardized protocols were used to register anthropometric measurements. The group examined included 1091 people, 484 males and 607 females. The mean age of the population was 66.1 (s.d. 6.1). The values in the male group were higher than in the female group in height, weight and waist circumference; women showed higher values in body mass index (BMI), arm circumference, triceps skinfold and hip circumference (p < 0.01). The data gathered up were divided in five age groups; each one in a five-year interval. Percentiles of the anthropometric measurements according to the age group and gender are presented. Regression analysis indicated that the measurements of weight, body mass index, arm circumference and arm muscle area, showed lower values in the older groups. An important segment of the population studied had a BMI higher to the normal values. Additional studies covering other communities in Mexico with a different socioeconomic and ethnic composition, would be necessary to obtain a better characterization of the Mexican elderly.
Assuntos
Antropometria/métodos , Avaliação Geriátrica/métodos , População Urbana/estatística & dados numéricos , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Estatura , Índice de Massa Corporal , Peso Corporal , Estudos Transversais , Feminino , Humanos , Masculino , México , Pessoa de Meia-Idade , Análise de Regressão , Dobras CutâneasRESUMO
Obesity is a main risk factor in the development of diseases, which are causes of death in elderly population. Socio-economic characteristics had an impact in the prevalence of obesity. The purpose of this study was to estimate the prevalence of obesity in elderly Mexican women living in a marginal community and compare their results with those of women of urban and rural areas in Mexico. The study has a cross sectional design. Standardised nutritionist carried out the measurements. The international techniques recommended were used to measure weight and height. To estimate the proportion of overweight and obesity, the body mass index (BMI) was used following the WHO categories. A total of 249 elderly women were examined. The mean age was 71.6 (sd 7.8). No difference in age was found in the three communities visited (p>0.05). The mean BMI in the urban women was 26.7 (sd 4.6), in the rural 24.5 (sd 3.9), and in the marginal group 28.6 (sd 5.5) (p<0.0001). The proportion of overweight and obese women was in the urban group 60.7%, in the rural 36.2%, and in the marginal women 76.5% (p<0.001). The results of this study indicated the presence of a high prevalence of overweight and obesity in elderly women of urban and particularly in the marginal areas. Marginality seams to be a risk marker of obesity in elderly women in Mexico. Intervention programs aimed to decrease the prevalence of obesity and improve nutritional condition in this group are urgent.
Assuntos
Envelhecimento/fisiologia , Obesidade/epidemiologia , Idoso , Estatura , Índice de Massa Corporal , Peso Corporal , Estudos Transversais , Feminino , Nível de Saúde , Humanos , México/epidemiologia , Prevalência , Saúde da População Rural , Saúde da População UrbanaRESUMO
OBJECTIVE: The aim of the present study was to estimate basic anthropometric measurements in a group of elderly men and women from Mexico City. MATERIAL AND METHODS: A cross-sectional study was carried out among senior citizens registered in the National Institute of the Elderly and National Institute of Social security in Mexico City. Standardized protocols were used to measure the anthropometric characteristics of the study group. The analysis included Student t tests to detect differences in average values between men and women in general and in each age subgroup formed. In addition, Pearson correlation analysis of the body mass index (BMI) with anthropometric variables was performed; p < 0.05 was taken as the level of significance. RESULTS: A total of 508 people aged 60 or older participated in the study; 230 were males and 278 were females. The average age was 66.9-years-old in the male group and 67.3-years-old in the female group. Among men the average weight was 70.7 kg, standard deviation (SD 9.9), height was 164 cm (SD 6.5) and BMI was 26.4 (SD 3.7). Among women the average weight was 60.8 kg (SD 9.9), height was 150 cm (SD 5.9) and BMI was 27.1 (SD 4.0). The distribution of the BMI showed that 50.9% of men and 54% of women were between 25.0 and 29.9. A correlation coefficient over r 0.70 (p < 0.001) was found between BMI and waist and hip circumferences. CONCLUSIONS: Based on the BMI about three-quarters of the population was overweight or obese. It is possible that the assessment of being overweight and of obesity in elderly people needs to be adjusted considering revised normality values.
Assuntos
Índice de Massa Corporal , Obesidade/epidemiologia , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Interpretação Estatística de Dados , Feminino , Humanos , Masculino , México/epidemiologia , Fatores SexuaisRESUMO
Case report of a 12 years old female child who developed in the last seven months focal neurological signs and progressive intracranial hypertension. CT scan showed a giant cystic tumor, and cerebral hydatidosis has been diagnosed. The hydatic cyst was surgically removed without complications. Cerebral hydatidosis is rare, its diagnosis is clinical and tomographic, and the treatment is always surgical.
Assuntos
Encefalopatias , Equinococose , Encefalopatias/diagnóstico por imagem , Encefalopatias/tratamento farmacológico , Encefalopatias/cirurgia , Criança , Equinococose/diagnóstico por imagem , Equinococose/tratamento farmacológico , Equinococose/cirurgia , Feminino , Humanos , Tomografia Computadorizada por Raios XRESUMO
The current prevalence of coronary atherosclerosis was investigated in 174 necropsic studies performed on males who died violently between 1984 and 1986 in Mexico City. In young adults, coronary atherosclerosis was found in 35% of the cases, 5% of whom had significant obstruction in one coronary vessel. In subjects aged 50-69 years, coronary atherosclerosis occurred in 69% of the cases and obstructive disease in 24%. Current figures suggest an increase in the severity of coronary atherosclerosis in this population which may be linked with nutritional changes. This makes further investigations, as well as the design of a program for ischemic heart disease prevention in Mexico City imperative.
Assuntos
Doença da Artéria Coronariana/epidemiologia , População Urbana , Adulto , Idoso , Doença da Artéria Coronariana/patologia , Doença da Artéria Coronariana/prevenção & controle , Vasos Coronários/patologia , Estudos Transversais , Gorduras na Dieta/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de RiscoRESUMO
In a 10-year retrospective study a close correlation was found between low temperatures and hospital admissions for severe painful crises of sickle-cell disease.(Summary)