Correlación del estado nutricional y la actividad física con la calidad de vida de la mujer durante el climaterio en la empresa UNACEN S.A 2013
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AdvisorsIgnacio Cconchoy, Felipe León
Gestión y Docencia en Alimentación y Nutrición
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AbstractDuring menopause women experience various clinical manifestations expressed by somatic, psychological and urogenital changes. These pathophysiological changes are due to hormonal metabolic factors and the aging process itself. Currently, nutrition and physical activity are the two main factors in prevention of many diseases. How can the nutritional status and physical activity influence women’s quality of life during menopause? To answer this question a population of 35 women between ages 40 thru 65 years of private enterprise UNACEM S.A. was evaluated. The aim of this study was to determine the correlation between nutritional status and physical activity with the quality of life during menopause, in women working at this company during 2013. Methods: a correlational descriptive study, with non-probabilistic purpose sampling was used, regarding women between 40 and 65 years old who met the inclusion criteria; with one dependent variable: quality of life and two independent variables: nutritional status and physical activity. Results: The most numerous group was between 50 to 59 years old, 40% of the sample; the predominant education status is college with 54%. Regarding nutritional status 17% women were obese and 54% overweight; 51% women had low physical activity and 66% were sedentary. According to the Menopause Rating Scale (MRS) 82.9% had a good quality of life with a score less than 16 and 17.1% had a severe score >16. Regarding the domains of quality of life, both the somatic (85.7%) and the psychological (91.4%), had no severe score (under 8 and 6 respectively), and the urogenital domain 54.3% had a severe engagement. Statistical analysis showed that the chi square significance value was greater than 0.05 indicating that the null hypothesis is accepted. No dependency exists between the independent variables (nutrition and physical activity) and the dependent variable (quality of life). The Spearman correlation for ordinal variables such as nutritional status, physical activity and quality of life, only showed a weak positive correlation (0.251) when the cardiovascular risk measurement (waist perimeter) was correlated with quality of life. Conclusions: No significant correlation between nutritional status and physical activity with the quality of life in menopausal women at UNACEM enterprise; being the value of significance more than 0.05 and the correlation coefficient close to zero. According the Menopause Rating Scale (MRS) 82.9% of the evaluated women had no severe score and 17.1% had a severe impairment in their quality of life. According to Global Physical Activity Questionnaire (GPAQ), 51% had low physical activity level and 66% were sedentary. Regarding the nutritional status, 54% were overweight and 17% were obese.
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Malnutrición por exceso en niños y adolescentes y su relación con el estilo de vida de sus padres en el Hospital Uldarico Rocca año 2015Flores Gonzales, Amy Roxana; Sanchez Alarcón, Sandra Simone (Universidad Peruana de Ciencias Aplicadas (UPC), 2016-06-03)Background: Childhood overweight/obesity is a global epidemic which represents an important public health issue in Peru. Numerous studies have characterized the risk factors associated with childhood overweight/obesity, however there is little known regarding the characteristic of parents with children affected by the mentioned epidemic. Knowing the mentioned parental factors will enable us to better understand this multifactor phenomenon. Methods: We conducted a case-control study at Hospital EsSalud Uldarico Rocca Fernández in Villa El Salvador district in Lima. We enrolled parents from children between 2 and 15 years old at the outpatient ward from the healthy child control and pediatrics services. A case was defined as the parent of a child with overweight/obesity according with WHO standard deviation tables (>3SD in children between 2 and 5 years old, and BMI tables in children between 5 and 15 years old). A control was defined as the parent of a eutrophic child according to the mentioned tables. We assigned controls to cases by a 2 to 1 ratio. After obtaining consent/assent from participants, we collected anthropometric measures from children and parents, and we conducted a survey in parents collecting sociodemographic data, food intake habits, and physical activity. We performed a bivariate analysis by using student t-test, chi2 and logistic regression, and finally we conducted a multivariate analysis including all the variables considered important according to the conceptual framework by using a logistic regression for OR calculation. Results: Between June and December 2015, we enrolled 307 participants into the study (105 cases and 202 controls). Regarding age, controls were significantly younger than cases (36.3 years vs 32.5 years, p<0.001), and controls were less frequently overweight/obese p<0.001). There were no significant differences regarding gender (p=0.139), height (p=0.143), or degree of education (p=0.329). The logistic regression bivariate analysis found coming from a rural area conferred protection towards childhood overweight/obesity (OR=0.49). In addition, a family monthly income over 2000 PEN showed a significant risk towards childhood overweight/obesity (OR=5.27, p <0.001). The multivariate model found that after adjusting for the variables previously associated regarding the conceptual framework, the resulting factor associated with childhood overweight/obesity is having a family income over 2000 PEN (OR=4.86, p<0.001), and the protecting factors are having breakfast from 6 to 7 times per week (OR=0.39, p=0.046), and sleeping over 6 hours a day (OR=0.38, p=0.007). Conclusions: In or study we have found an association between the parents characteristics and the development of overweight/obesity in their children. A high family income in a low/middle income area is strongly associated with childhood overweight/obesity. In contrast, regarding parental habits, having breakfast frequently and an adequate number of sleeping hours reduces the risk of childhood overweight/obesity in our sample.Acceso abierto
Asociación entre la percepción de la imagen corporal y el riesgo de desarrollar trastornos de la conducta alimentaria en bailarines de ballet, deportistas de nado sincronizado y gimnastas de la selección nacional del PerúHernandez, Adrian V.; Denisse Verand Escudero; Sánchez Díaz , Andrea (Universidad Peruana de Ciencias Aplicadas (UPC), 2017-01-25)ABSTRACT Introduction: Eating disorders (ED) are diseases that can endanger a person’s life significantly. We evaluated the relation between body image perception and eating disorders in gymnasts, ballet dancers and synchronized swimmers. Methods: Synchronized swimmers and gymnasts from the Peruvian Sports Institute (IPD) and ballet dancers from the Lima Municipal Theatre were evaluated. The risk of developing an ED was measured with the Eating Attitudes Test (EAT- 26) questionnaire and the body dissatisfaction with the Body Shape Questionnaire (BSQ). Potential confounders were gender, age, weight, height and body mass index (BMI). The relationship between BSQ and EAT- 26 scores was measured with linear regression models adjusted for potential confounders. Results: A sample of 53 individuals was obtained: synchronized swimmers, gymnasts and ballet dancers. A 77,4% chance of developing an ED and a 32,1% chance for body dissatisfaction was found, with no differences between disciplines. All individuals who had body dissatisfaction had an ED. After adjusting for potential confounders, we found a significant positive correlation between BSQ and EAT-26 scores (r=0,372, p=0,006). Conclusions: A greater degree of body dissatisfaction is highly correlated with increased risk of developing an ED in elite athletes. The strong tendency to develop ED is important for health and nutrition of Peruvian athletes.Acceso restringido temporalmente
Score Malnutrición Inflamación (MIS) como predictor de mortalidad en pacientes con enfermedad renal crónica terminal en cuatro centros de diálisis de lima en el 2016Soto Cochón, Carlina Roxana; Velarde Román, María Violeta; Ybarra García, Marcela Zoraida (Universidad Peruana de Ciencias Aplicadas (UPC), 2016-06-15)Introduction and objective. It has been confirmed that there is a relationship between malnutrition - inflammation and increased mortality among patients who were dialyzed. The score of malnutrition and inflammation (MIS) is a 10 components score, with an interval between 0 and 30 points, the highest score indicates worse prognosis. Our objective was to determine the Score of malnutrition inflammation (MIS) as predictor of mortality in patients with Terminal Chronic Renal Disease in four centers of dialysis in the city of Lima in the period January - February 2016. Material and methods. Transversal descriptive study. Evaluated 265 patients with Terminal chronic renal failure (IRCT) on hemodialysis who applied this instrument "Score malnutrition inflammation MIS". Version 14 program STATA was applied to the analysis of data. A descriptive statistics like frequency, central tendency measures and dispersion was conducted. Results Included 265 patients, mean age was 61±14.5 years. The highest percentage of patients with chronic kidney disease on dialysis over 70 years of age. 56% were male. The causes of chronic kidney disease was hypertension (55.8%) and Diabetes Mellitus (30.9%). For the PCR 1.5% presents a high risk of mortality and 54% average risk of mortality. The average MIS in total population is 8.1 (50%), mild malnutrition and a minimum of 2 and a maximum of 24 as score MIS. The values of TIBC were 150-199 mg/dl values considered to be below the recommended values. The Pearson correlation between MIS and PCR was low positive Conclusion. According to MIS 1% of the population has serious risk of mortality and 31% are at moderate risk. The average of MIS in four clinics were similar to being 8.1 average MIS. was obtained a slight positive correlation between the PCR and values of MIS There was no relationship between the causes or Comorbidities of the ERC with the classification MIS.Acceso abierto