• Características de la lonchera del preescolar y conocimiento nutricional del cuidador: un estudio piloto en Lima, Perú, 2016

      Arévalo-Rivasplata, Lupe; Castro-Reto, Susan; García-Alva, Geraldine; Segura, Eddy R.; gerig1296@gmail.com (Sociedad Chilena de Pediatría, 2017-04)
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    • Characterization of the gut microbiota in diabetes mellitus II patients with adequate and inadequate metabolic control

      Hamasaki-Matos, Angie Joyce; Cóndor-Marín, Katherine Marlene; Aquino-Ortega, Ronald; Carrillo-Ng, Hugo; Ugarte-Gil, Cesar; Silva-Caso, Wilmer; Aguilar-Luis, Miguel Angel; del Valle-Mendoza, Juana (BioMed Central Ltd, 2021-12-01)
      Objective: The objective of this study was to characterize the composition of the gut microbiota in type 2 Diabetes Mellitus (T2DM) patients with adequate and inadequate metabolic control, and its relationship with fiber consumption. Results: A total of 26 patients with type 2 diabetes mellitus (T2DM) were enrolled, of which 7 (26.9%) cases had adequate metabolic control (HbA1c < 7%) and 19 (73.1%) inadequate metabolic control (HbA1c ≥ 7%). It was observed that among patients with controlled T2DM, 2 (28.6%) cases presented good intake of fiber and 5 (71.4%) cases a regular intake. In contrast, in patients with uncontrolled T2DM, 13 (68.4%) patients reported a regular intake and 6 (31.6%) a poor intake. In relation to the identification of the gut microbiota, both groups presented a similar characterization. There were differences in the population of bacteria identified in both groups, however, the results were not statistically significant. The most frequently identified bacteria in controlled and uncontrolled T2DM patients were Prevotella (71.4% vs 52.6%), followed by Firmicutes (71.4% vs 42.1%), Proteobacteria (71.4% vs 36.8%) and Bacteroidetes (57.1% vs 37.8%). On the other hand, Fusobacterium, Actinobacteria were not identified in either of the two groups of study.
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    • Comentario de Terrones Arias AE en: Incidencia del periodo vacacional de Navidad en el estado ponderal de escolares de Primaria

      Terrones Arias, Angel Eduardo; Carbajal Huamani, Oliverio (Asociacion Espanola de Dietistas-Nutricionistas, 2018-03-16)
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    • Comment about the article: «Understanding of different front-of-package labels by the Spanish population: Results of a comparative study»

      Grados-Jares, Manuel D.; Munoz-Denegri, Viviana M.; Medina-Pizzali, Maria L. (Elsevier Doyma, 2020-08-01)
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    • Comments on: "Family life stories in teenage mothers: Qualitative study conducted at the Engativá ESE Hospital in Bogotá, Colombia"

      Rodríguez-Soto, Karen; Reyes-Aranibar, Sara; Uribe-Chincha, Tula; Torres-Slimming, Paola (NLM (Medline), 2020-06-01)
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    • Comments to the article "Overweight and clinical course in children younger than two years old hospitalized for lower respiratory tract infection"

      Bejarano-Talavera, Grecia Odalis; Acosta, Carla Andrea Estrada; Quispe, Jorge Luis Maguiña; Cruz-Retamozo, Ximena (ARAN Ediciones S.A., 2020-01-01)
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    • Contenido de sodio en la dieta diaria de niños de un albergue peruano

      Trujillo Espino, Stefany; Paredes Aramburú, Jacqueline; Miranda Rodríguez, Camila; Bernabe-Ortiz, Antonio (Sociedad Argentina de Pediatría (SAP), 2015-01-26)
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    • Co‐occurrence and clustering of sedentary behaviors, diet, sugar‐sweetened beverages, and alcohol intake among adolescents and adults: The latin american nutrition and health study (elans)

      Leme, Ana Carolina B.; Ferrari, Gerson; Fisberg, Regina M.; Kovalskys, Irina; Gómez, Georgina; Cortes, Lilia Yadira; Gárcia, Martha Cecilia Yépez; Herrera‐cuenca, Marianella; Rigotti, Attilo; Liria‐domínguez, María Reyna; Fisberg, Mauro (MDPI AG, 2021-06-01)
      Poor diet, sedentary behaviors, sugar‐sweetened beverages (SSB) and alcohol intake seem to co‐exist in complex ways that are not well understood. The aim of this study was to provide an understanding of the extent to which unhealthy behaviors cluster in eight Latin America countries. A secondary aim was to identify socio‐demographic characteristics associated with these behaviors by country. Data from adolescents and adults from the “Latin American Health and Nutrition Study” was used and the prevalence of screen‐time, occupational and transportation–sedentary time, socializing with friends, poor diet, SSB and alcohol intake, alone and in combination, were identified. The eight Latin America (LA) countries added to analyses were: Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela. Logistic regression was used to estimate associations between ≥2 behaviors clustering, socio‐demographics and weight status. Among 9218 individuals, the most prevalent behaviors were transportation and occupation–sedentary time, SSB and alcohol intake. Younger, female, married/living with a partner, low and middle‐income and obese individuals had higher chances for these clustering behaviors. These results provide a multi-country level of understanding of the extent to which behaviors co‐occur in the LA population.
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    • Development of the set of scales to assess the job satisfaction among physicians in Peru: validity and reliability assessment

      Villarreal-Zegarra, David; Torres-Puente, Roberto; Castillo-Blanco, Ronald; Cabieses, Baltica; Bellido-Boza, Luciana; Mezones-Holguin, Edward (BioMed Central Ltd, 2021-12-01)
      Background: To assess the validity and reliability of the set of scales (general professional activity, health services management, and working conditions) on the different areas of job satisfaction in Peruvian physicians based on the data from the National Survey of Satisfaction of Users in Health (ENSUSALUD). Method: We carried out a psychometric study based on the secondary data analysis of Questionnaire 2 of ENSUSALUD-2016. Participants were selected from a two-stage stratified national probability representative sampling by political region. Validity was assessed by exploratory and confirmatory factor analyses, and measurement invariance analysis. We assessed the reliability using internal consistency coefficients (alpha and omega). The set of scales were composed of items related to three different areas of job satisfaction: 1) satisfaction with general professional activity, 2) satisfaction with the health services management, and 3) satisfaction with the working conditions of the health center. Results: We included 2137 participants in the analysis. The general professional activity scale with six items (Comparative Fit Index, CFI = 0.946; Root Mean Square Error of Approximation, RMSEA = 0.071; Standardized Root Mean Square Residual, SRMR = 0.035), the health services management scale with eight items (CFI) = 0.972; RMSEA = 0.081; SRMR = 0.028), showed good measurement properties for the one-dimensional model. The working conditions scale with eight items for individual conditions and three items for infrastructural conditions (CFI = 0.914; RMSEA = 0.080; SRMR = 0.055) presented adequate measurement properties with a two-dimensional model. The invariance analysis showed that comparisons between sex, age, civil status, medical speciality, working in other institutions, work-related illness, chronic disease, and time working in the healthcare center. All scales had adequate internal consistency (ω and α between 0.70 and 0.90). Conclusions: The set of scales has a solid factorial structure and measurement invariance, making it possible for group comparison. The study achieved stability in the scores as they showed adequate internal consistency coefficients. Based on our findings, these instruments are suitable for measuring job satisfaction among outpatient physicians throughout Peru, as our data is representative of the country level.
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    • Discordancia lipídica y placa carotídea en pacientes obesos en prevención primaria

      Masson, Walter; Siniawski, Daniel; Lobo, Martín; Molinero, Graciela; walter.masson@hospitalitaliano.org.ar (Elsevier España S.L., 2017-11)
      Introduction Obese patients with lipid discordance (non-HDL cholesterol levels 30mg/dL above the LDL-c value) may have a greater prevalence of carotid atherosclerotic plaque (CAP). Our study objectives were: 1) To assess the prevalence of lipid discordance in a primary prevention population of obese patients; 2) To investigate the association between lipid discordance and presence of CAP. Methods Obese subjects aged >18 years (BMI ≥30kg/m2) with no cardiovascular disease, diabetes, or lipid-lowering treatment from six cardiology centers were included. Lipid discordance was defined when, regardless of the LDL-c level, the non-HDL cholesterol value exceeded the LDL-c value by 30mg/dL. Presence of CAP was identified by ultrasonography. Univariate and multivariate analyses were performed to explore the association between lipid discordance and presence of CAP. Results The study simple consisted of 325 obese patients (57.2% men; mean age, 52.3 years). Prevalence of lipid discordance was 57.9%. CAP was found in 38.6% of patients, but the proportion was higher in subjects with lipid discordance as compared to those without this lipid pattern (44.4% vs. 30.7%, P=.01). In both the univariate (OR: 1.80; 95% CI: 1.14-2.87; P=.01) and the multivariate analysis (OR: 2.07; 95% CI: 1.22-3.54; P=.007), presence of lipid discordance was associated to an increased probability of CAP. Conclusion In these obese patients, lipid discordance was associated to greater prevalence of CAP. Evaluation of obese patients with this strategy could help identify subjects with higher residual cardiovascular risk.
    • Efecto de la anemia en el desarrollo infantil: Consecuencias a largo plazo

      Zavaleta, Nelly; Astete-Robilliard, Laura (Instituto Nacional de Salud (INS), 2017-12)
      La anemia en niños menores de tres años es un problema de salud pública en el Perú y el mundo. Se estima que la causa principal de la anemia, aunque no la única, es la deficiencia de hierro. Existen muchos estudios y revisiones sobre cómo esta carencia en los infantes impacta negativamente en el desarrollo psicomotor y, a pesar de corregirse la anemia, los niños con este antecedente presentan, a largo plazo, un menor desempeño en las áreas cognitiva, social y emocional. Estos hallazgos se describen en estudios observacionales, de seguimiento, así como en experimentales con grupo control. La anemia puede disminuir el desempeño escolar, y la productividad en la vida adulta, afectando la calidad de vida, y en general la economía de las personas afectadas. Se describen algunos posibles mecanismos de cómo la deficiencia de hierro, con o sin anemia, podría afectar el desarrollo en la infancia; por ello, causa preocupación la alta prevalencia de anemia que se observa en este grupo de edad. La prevención de la anemia en el primer año de vida debe ser la meta para evitar consecuencias en el desarrollo de la persona a largo plazo.
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    • Effect of vegetarian diets on the presentation of metabolic syndrome or its components: a systematic review and meta-analysis

      Picasso, Maria C.; Lo-Tayraco, Jessica A.; Ramos-Villanueva, Juselly M.; Pasupuleti, Vinay; Hernandez, Adrian V.; mariaclaudiapicasso@gmail.com; jlotayraco@gmail.com; jurv1114@gmail.com; lepiscean@gmail.com; adrianhernandezdiaz@gmail.com (Churchill Livingstone, 2018)
      Background & aims: Several studies have examined the effect of vegetarian diets (VD) on metabolic syndrome (MetS) or its components, but findings have been inconsistent. The aim of this study was to perform a systematic review and meta-analysis of randomized controlled trials (RCTs) and observational studies to assess the association between VD and MetS or its components (systolic blood pressure [SBP], diastolic blood pressure [DBP], fasting glucose triglycerides, waist circumference [WC], HDL-cholesterol (HDL-C)) in adults. Methods: The Cochrane Library, EMBASE, PubMed, Web of Science, and Scopus were searched. RCTs, cohort studies and cross-sectional studies evaluating the effects of VD on MetS or its components in adults, with omnivore diet as control group, were included. Random effects meta-analyses stratified by study design were employed to calculate pooled estimates. Results: A total of 71 studies (n = 103 008) met the inclusion criteria (6 RCTs, 2 cohorts, 63 cross-sectional). VD were not associated with MetS in comparison to omnivorous diet (OR 0.96, 95% CI 0.50–1.85, p = 0.9) according to meta-analysis of five cross-sectional studies. Likewise, meta-analysis of RCTs and cohort studies indicated that consumption of VD were not associated with MetS components. Meta-analysis of cross-sectional studies demonstrated that VD were significantly associated with lower levels of SBP (mean difference [MD] −4.18 mmHg, 95%CI −5.57 to −2.80, p < 0.00001), DBP (MD −3.03 mmHg, 95% CI −4.93 to −1.13, p = 0.002), fasting glucose (MD −0.26 mmol/L, 95% CI −0.35to −0.17, p < 0.00001), WC (MD −1.63 cm, 95% CI −3.13 to −0.13, p = 0.03), and HDL-C (MD −0.05 mmol/L, 95% CI −0.07 to −0.03, p < 0.0001) in comparison to omnivorous diet. Heterogeneity of effects among cross-sectional studies was high. About, one-half of the included studies had high risk of bias. Conclusions: VD in comparison with omnivorous diet is not associated with a lower risk of MetS based on results of meta-analysis of cross-sectional studies. The association between VD and lower levels of SBP, DBP, HDL-C, and fasting glucose is uncertain due to high heterogeneity across the cross-sectional studies. Larger and controlled studies are needed to evaluate the association between VD and MetS and its components.
    • Evaluación de la composición nutricional de los menús expendidos en restaurantes: necesidad de nueva información

      Benavides, Mariale; Vizarreta, Daniela; Maguiña, Jorge L.; dani.viza.25@gmail.com (Sociedad Chilena de Nutrición, Bromatología y Toxicología, 2017-07)
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    • Evaluación del estado nutricional, patrones de consumo alimentario y de actividad física en escolares del Cercado de Lima

      Aparco, Juan Pablo; Bautista Olórtegui, William; Astete Robilliard, Laura; Pillaca, Jenny; japarco@ins.gob.pe (Instituto Nacional de Salud (INS), 2016-12)
      Objectives. To assess the nutritional status, physical activity, and eating habits of schoolchildren in Cercado de Lima (Lima district). Materials and methods. Cross-sectional descriptive study. The sample included schoolchildren from first to fourth grade in four public elementary schools located in Cercado de Lima. The study variables were nutritional status, hemoglobin dose, physical activity, and eating habits. The percentages of the qualitative variables and central tendency measures for quantitative ones were calculated. The t-test and chi-squared test were applied to analyze differences between both genders. Results. Of 824 schoolchildren included in the study, 24% were obese, 22% were overweight, 5% had short stature, and 11.9% had anemia; in all instances, there were no substantial gender differences. More than 40% of schoolchildren would eat crackers and drink packaged juice and/or soda two or more times a week. In addition, 28% of schoolchildren were inactive; there were significant differences in both genders (P<0.05). Conclusions. Obesity is an ongoing problem with higher rates than overweight and, together, the aforementioned problems affect almost 50% of schoolchildren surveyed. Similarly, the study revealed patterns associated with a sedentary lifestyle and frequent consumption of foods with high levels of sugar, salt, and/or fats.
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    • Factores asociados al abandono de la lactancia materna exclusiva en una muestra de madres de Lima, Perú, 2013

      Laghi Rey, A; Yaipen Ayca, A.; Risco Denegri, R.V.; Pereyra Elías, Reneé (iMedPub Journals, 2015-11-24)
      Background: Exclusive breastfeeding (EBF) has proven to be highly beneficial for children’s health. Identifying the associated factors with its cessation is useful in order to target specific groups for preventive interventions. Objective: To evaluate the associated factors with EBF cessation before six months of age in women with infants, living in a district in Lima. Methods: A cross-sectional analytic study was performed. It evaluated mothers with infants aged 6-24 months, in a periurban district in Lima, Peru, 2013. The study outcome was cessation in EBF before six months of age. Sociodemographic variables, factors related to gestation and delivery, and factors properly related to breastfeeding were assessed. Crude and adjusted prevalence ratios and their respective 95% confidence intervals (95%CI) were calculated through simple and multiple Poisson regression. Results: From the 109 mothers included in the analysis, 85.3% were 18 years old or more and all of them had a monthly family income under 250 US dollars. Seventy percent of women interrupted EBF before six months of age. Statistically significant association was found between EBF cessation and being primiparous (PR: 1.54; 95%CI: 1.20-1.98), having problems with the nipples (PR: 1.58; 95%CI: 1.07-2.33) and the perception of infant’s persistent hunger with EBF (PR: 1.35; 95%CI: 1.01-1.79). Conclusion: EBF cessation frequency was high in the study sample. Primiparity, having problems with the nipples and the perception of infant’s persistent hunger with EBF were found as associated factors. Preventive strategies might specially focus in mothers with this characteristics.
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    • Figures performance of glycemia in type 2 diabetic patients with intake of two breakfast with the same amount of carbohydrates

      Cóndor Marín, Katherine; Hamasaki Matos, Angie; angie.hamasaki@gmail.com (Sociedad Española de Nutrición Parenteral y Enteral, 2015-06)
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    • Hipótesis alternativas sobre los beneficios de los fermentados sobre la microbiota intestinal

      Bernardi Espinoza, Diego; Jiménez Guerrero, Carlos Fernando; Milon, Pohl (ARAN Ediciones S.A., 2018-11)
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    • Hospital malnutrition in a low-resources country: A survey and critique of the status of the published available literature

      Meza, J. Nicolle; Ortiz, Fabiola; Segura, Eddy R. (Elsevier B.V., 2015-01-16)
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