Hipertrigliceridemia asociada a sobrepeso y obesidad en médicos del hospital San Francisco del IESS, en la ciudad de Quito: una alerta para los profesionales médicos
DOI:
https://doi.org/10.29166/ciencias_medicas.v42i2.1499Keywords:
nutritional condition, Hypertriglyceridemia, obesity among healthcare professionalsAbstract
Context: the World Health Organisation has mentioned that accelerated changes in the food regime and lifestyles of the population will cause noticeable alterations in the nutritional conditions of people in developing countries occurring as a response to the “industrialization, urbanisation, economic development and globalisation of markets”. In Ecuador, people have increased their consumption of readily available food products which are
high in saturated fats and are distinctly calorific; and thus, according to current statistics, in the past ten years a noticeable nutritional shift has taken place. It is therefore imperative to consider Hypertriglyceridemia as a future risk factor for chronic non-communicable diseases, especially cardiovascular ones.
Objective: to describe the rate of prevalence of Hypertriglyceridemia in relation to excess weight and obesity in doctors working for IESS (National Health Service) San Francisco Hospital in Quito during the 2015 – 2016 period.
Subjects and methods: this is an epidemiological descriptive set of studies using BMI and triglyceride counts, aimed at describing the prevalence of Hypertriglyceridemia and its relation to the nutritional conditions of medical personnel. Main measurements: nutritional conditions, triglycerides
Results: a total of 90 medical staff took part: 60% IC95% 49.67 – 69.51% were female with an average age of 37.96 ± 5.95 years, and 40% IC95% 30.49 – 50.33% were male ranging 40.94 ± 7.53 years of age. The prevalence of Hypertriglyceridemia was 34.44% IC95% 25.45 – 44.72%, and according to gender: 22.22% IC95% 13.20 – 34.94% in women and 52.78% IC95% 37.01 – 68.01% in men. The prevalence of excess weight and obesity was 52.2% IC95% 37.76 – 57.98 %: in terms of gender 42.59% IC95% 30.33 – 55.84% in women and 66.67% IC95% 50.33 – 79.79% in men. The results indicated that 23.26% IC95% 13.15 – 37.74% of the 43 subjects suffering excess weight or obesity are hypertriglyceridemic: this is equal to a hypertriglyceridemic rate of 232.6 x per every 1000 overweight persons.
Conclusion: five of every 10 doctors are obese, and 3 out of every 10 present Hypertriglyceridemia. Approximately a quarter of the persons suffering excess weight and obesity have Hypertriglyceridemia which is a disease that is directly related to excess weight and obesity. Medical professionals have a high prevalence of Hypertriglyceridemia due to being overweight and obese, and are therefore at increased risk of developing cardiovascular disease.
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OMS/FAO. Dieta, nutrición y prevención de enfermedades crónicas, Informe de una Consulta Mixta de Expertos. Ser Inf técnicos 916. 2003;1:1–152.
Ministerio de Salud Pública del Ecuador/Instituto Nacional de Estadísticas y Censos. Tomo I: Encuesta Nacional de Salud y Nutrición (ENSANUT). MSP, editor. Quito; 2012.
Sociedad Española de Medicina Interna. Protocolos hipertrigliceridemias. 1st ed. Elsevier España, editor. Protocolos Hipertrigliceridemias. Madrid; 2008.
Orgaz Morales MT, Villegas S, Díaz Portillo J. Guía del Paciente con Trastornos Lipídicos. Minist Sanid y Consum [Internet]. 2007;19. Available from: http://www.ingesa.msc.es/estadEstudios/documPublica/internet/pdf/guiaTrastornosLipidicos.pdf
Parreño Tipián J, Gutiérrez E. Colesterol y Triglicéridos y su Relación con el Índice de Masa Corporal en Pacientes Adultos en Lima Metropolitana. Rev Investig la Univ Norbert Wiener. 2010;1(October 2008):59–74.
Miller M, Stone NJ, Ballantyne C, Bittner V, Criqui MH, Ginsberg HN, et al. Triglycerides and cardiovascular disease: A scientific statement from the American Heart Association. Circulation. 2011;123(20):2292–333.
Schnell M, Dominguez Z a. Genetical, clinical and pathophysiological aspects of the Metabolic Syndrome. An Venez Nutr. 2007;20(2):92–8.
Canalizo E, Favela E, Salas J, Gómez R, Jara R, Torres L, et al. Guía de práctica clínica: Diagnóstico y tratamiento de las dislipidemias. Rev Médica Mex del Seguro Soc [Internet]. 2013;51(6):700–9. Available from: http://www.medigraphic.com/pdfs/imss/im-2013/im136t.pdf
Karalis DG. A Review of Clinical Practice Guidelines for the Management of Hypertriglyceridemia: A Focus on High Dose Omega-3 Fatty Acids. Adv Ther. 2017;34(2):300–23.
Arroyave, G, Brock, JF, Hegsted, DM, Jelliffe D et al. Expert Committee on Medical Assessment of Nutritional Status, WHO Technical Report Series, No. 258. Vol. 258, World Health Organization Tech Rep Ser. 1963. p. 1–67.
Comité de expertos de la OMS. El estado físico: uso e interpretación de la antropometría [Internet]. Vol.854, OMS, Serie de Informes Técnicos. 1993. p. 521. Available from: http://whqlibdoc.who.int/trs/WHO_TRS_854_spa.pdf?ua=1
Comité de expertos de la OMS. Obesidad y sobrepeso, Nota descriptiva N° 311. 2016;
Pucci G, Alcidi R, Tap L, Battista F, Mattace-Raso F, Schillaci G. Sex- and gender-related prevalence, cardiovascular risk and therapeutic approach in metabolic syndrome: A review of the literature. Pharmacol Res [Internet]. 2017 Jun;120:34–42. Available from: http://dx.doi.org/10.1016/j.phrs.2017.03.008
Jensen JT, Addis IB, Hennebold JD, Bogan RL. Ovarian Lipid Metabolism Modulates Circulating Lipids in Premenopausal Women. J Clin Endocrinol Metab [Internet]. 2017 Sep 1;102(9):3138–
Available from: https://academic.oup.com/jcem/article/doi/10.1210/jc.2016-3456/2849243/Ovarian-Lipid-Metabolism-Modulates-Circulating
Wang Q, Würtz P, Auro K, Morin-Papunen L, Kangas AJ, Soininen P, et al. Effects of hormonal contraception on systemic metabolism: cross-sectional and longitudinal evidence. Int J Epidemiol [Internet]. 2016 Oct;45(5):1445–57. Available from: https://academic.oup.com/ije/article-lookup/doi/10.1093/ije/dyw147
Munguía-Miranda C, Sánchez-Barrera RG, Hernández-Saavedra D, Cruz-López M. Prevalencia de dislipidemias en una población de sujetos en apariencia sanos y su relación con la resistencia a la insulina. Salud Publica Mex [Internet]. 2008;50(5):375–82. Available from: http://content.ebscohost.com/Content-Server.asp?T=P&P=AN&K=34586264&S=R&D=bth&EbscoContent=dGJyMNLr40SeprM4y9fwOLCmr0ueqK5Ssa64SrWWxWXS&
ContentCustomer=dGJyMPGnsEu2rbdNuePfgeyx44Dt6fIA%5Cnhttp://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=3458626
Martínez A, Chávez R. Prevalencia y comorbilidad de dislipidemias en el primer nivel de atención. Rev Med Inst Mex Seguro Soc. 2007;45(5):469–75.
Lombo B, Tique C. Prevalencia del síndrome metabólico entre los pacientes que asisten al servicio Clínica de Hipertensión de la Fundación Santa Fe de Bogotá. Rev Colomb Cardiol. 2005;12(6):472–8.
Hernández M. Incidencia de hipertrigliceridemia como factor de riesgo en enfermedades cardiovasculares en la comunidad educativa (San Agustín) Guayaquil, 2013. Univerdidad de Guayaquil; 2014.
Hernández M. Encuesta Nacional de Salud y Nutrición de Medio Camino 2016: Resultados ponderados. Instituto Nacional de Salud Pública; 2016.
National Heart Lung and Blood. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Natl Institutes Heal [Internet]. 2004;59.Available from: http://www.ncbi.nlm.nih.gov/pubmed/17452760%5Cnhttp://www.ncbi.nlm.nih.gov/pubmed/
Colorado F, Gómez S. Estilos de vida y estado nutricional antropométrico en médicos y enfermeras que laboran en establecimientos de salud en el distrito de Chiclayo en el año 2015. Universidad Católica Santo Toribio de Mogrovejo; 2017.
Figueroa R, Saltzman J, Jarick Metcalfe J, Wiley A. “Culture Is so Interspersed”: Child-Minders’ and Health Workers’ Perceptions of Childhood Obesity in South Africa. J Obes. 2017;2017.
Simfukwe P, Van Wyk B, Swart C. Perceptions, attitudes and challenges about obesity and adopting a healthy lifestyle among health workers in Pietermaritzburg, KwaZulu-Natal province. African J Prim Heal Care Fam Med. 2017;9(1):1–9.
Baltodano JK, Castillo NM, Aragón J V. Relación de los conocimientos de nutrición, alimentación y los estilos de vida con el estado nutricional del personal de salud del hospital Metropoli Xolotlan de Nicaragua, Noviembre 2014- Enero 2015. Universidad Nacional Autónoma de Nicaragua, Managua; 2015