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- ÍtemSolo MetadatosPercentile values for physical condition for Cali, Colombian children and adolescents(2011-01-01) Ramírez-Vélez, Robinson; Aguilar,Ana Cecilia; Pradilla, Alberto; Mosquera,Mildrey; Gracia,Ana Beatriz; Ortega, José Guillermo; Leiva,Jaime HumbertoMuchos estudios han mostrado la relación entre la condición física durante la infancia y adolescencia y el riesgo cardiovascular en la edad adulta.Objetivos. Determinar los valores por edad y sexo de la condición física de niños y adolescentes de 10 a 16 años de Cali, Colombia.Materiales y métodos. Se llevó a cabo un estudio descriptivo en 1.773 niños y adolescentes de ambos sexos, 865 niños y 908 niñas, pertenecientes al estudio Identificación de factores de riesgo de enfermedades crónicas no transmisibles del adulto en la población escolarizada de 10 a 16 años en el Municipio de Cali, Colombia (IFRECNTEC), a quienes se les determinó la condición física con la prueba de capacidad física de trabajo a una frecuencia cardiaca de 170 por minuto (Physical Working Capacity, the workload at a heart rate of 170 bpm, PWC170), como marcador del volumen máximo de oxígeno (VO2máx). Se calcularon los valores percentiles (5, 25, 50, 75, 90 y 95) con el método de los mínimos cuadrados (Least Mean Squares, LMS) por curvas centiles que representan la asimetría, la mediana y la viariabilidad, utilizando el paquete estadístico Growth Analyzer®.Resultados. Se presentan los datos percentiles de la condición física en menores de 10 a 16 años, por primera vez en esta población. En los de sexo masculino, el percentil 50 medido con la prueba de PWC170 (VO2máx) se situó entre 49 y 43 ml/kg por minuto, y en las de sexo femenino, entre 52 y 40 ml/kg por minuto. Por otro lado, hay una tendencia a la disminución (~10 %) en el percentil 50, en en adolescentes de ambos sexos de 16 años de edad por VO2máx estimado. En general, en el sexo masculino hay más heterogeneidad que en el femenino, en términos de condición física mediante el VO2máx.Conclusión. Los resultados obtenidos en el presente estudio permiten evaluar e interpretar correctamente la condición física de niños y adolescentes de 10 a 16 años. También, indican que la condición física de este grupo de edad en Colombia, se debe mejorar para ayudar a protegerlos contra las enfermedades cardiovasculares en la edad adulta
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Health-related physical fitness and weight status in 13- to 15-year-old Latino adolescents. A pooled analysis(2019) Garcia-Hermoso, Antonio; Correa-Bautista, Jorge E.; Olloquequi, Jordi; Ramírez-Vélez, RobinsonObjective: The aim of this study was to investigate the relation between health-related physical fitness and weight status in 13- to 15-year-old Latino adolescents. Method: The final sample consisted of 73,561 adolescents aged 13–15 years (35,175 girls) from Chile (n = 48,771) and Colombia (n = 24,790). Cardiorespiratory and musculoskeletal fitness were measured using 20-m shuttle run (relative peak oxygen uptake – VO2peak) and standing broad jump test (lower body explosive strength), respectively. The International Obesity Task Force definition was used to define weight status (i.e., underweight, normal weight, overweight, and obese). Results: The present study found an inverted J-shape relationship between body mass index, cardiorespiratory fitness, and musculoskeletal fitness in both genders and all age groups (p and lt; 0.01). Results also suggest that underweight adolescents, and not just overweight and obese adolescents, have lower odds of having a healthy cardiorespiratory fitness (based on new international criterion-referenced standards) profile when compared with their normal weight peers, except in girls aged 14 (p = 0.268) and 15 years (p = 0.280). Conclusions: The present results indicate low cardiorespiratory fitness and musculoskeletal fitness levels in underweight, overweight, and obese adolescents when compared with their normal weight peers. The findings appear to suggest that exercise programs should to decrease fat mass in overweight/obese adolescents and increase muscle mass in underweight adolescents. © 2018 Sociedade Brasileira de Pediatria - ÍtemAcceso Abierto
Use of dietary supplements by pregnant women in Colombia(2018) Ramírez-Vélez, Robinson; Correa Bautista, Jorge Enrique; Triana Reina, Héctor Reynaldo; González-Jiménez, Emilio; Schmidt-Riovalle, Jacqueline; González-Ruíz, KatherineBackground: During pregnancy, the need for certain nutrients increases. This study assessed the prevalence and socio-demographic factors associated with dietary supplement use in a representative sample of pregnant women in Colombia. Method: Data for this study were obtained from a cross-sectional, nationally representative survey (ENSIN, 2010). A total of 1856 pregnant women, 13-49 years of age, were recruited. The use of prenatal dietary supplements (Vitamins A, C or E) was treated as a binary outcome (used at some time or never sued during pregnancy when prescribed by a doctor) in multinomial analyses. Sociodemographic data and associated factors were assessed by computer-assisted personal interview technology. Results: Of the sample, 1123 women (68.6%) reported taking prenatal dietary supplements at some stage during their pregnancy. Most users had a high socioeconomic level (79.5%), were in their third trimester of pregnancy (79.5%), were 30-49 years of age (74.0%), and lived in the central region of Colombia (73.8%). The multivariate logistic regression showed that third trimester of pregnancy (OR 6.2;95% CI 4.0 to 9.3), high educational level (OR 2.3; 95% CI 1.5 to 3.4), high socioeconomic level -SISBEN IV or more- (OR 2.0; 95% CI 1.4 to 2.8), residence in the Atlantic region (north) (OR 2.6; 95% CI 1.7 to 3.6), Eastern region (OR 2.0; 95% CI 1.3 to 3.1), central region (OR 2.6; 95% CI 1.7 to 3.9), Pacific region (west) (OR 1.5; 95% CI 1.0 to 2.3), and belonging to the mestizo (others) ethnic group (OR 1.2; 95% CI 1.0 to 2.6), were all associated with a higher probability of dietary supplement intake. Conclusion: The prevalence of prenatal dietary supplements in pregnant women in Colombia was found to be substantial. The variables significantly associated with their use were educational level, socioeconomic level, trimester of pregnancy, geographic level and ethnic group. These results indicate the necessity of implementing new health policies that guarantee uniform access to nutritional supplements for all population sectors, especially in countries, such as Colombia, who are currently undergoing a process of nutritional transition. © 2018 The Author(s). - ÍtemAcceso Abierto
Zinc deficiency and associated factors in Colombian children; results from the 2010 national nutrition survey; a cross sectional study(2014) Ramírez-Vélez, Robinson; Martínez-Torres, Javier MartínezEl zinc (Zn) es un micronutriente esencial en el crecimiento celular, la síntesis proteica y la diferenciación celular. La deficiencia de Zn afecta el crecimiento y desarrollo del niño, el metabolismo energético y la respuesta inmune. - ÍtemSolo MetadatosHandgrip Strength and Ideal Cardiovascular Health among Colombian Children and Adolescents(2016) Ramírez-Vélez, Robinson; Tordecilla Sanders, María Alejandra; Correa Bautista, Jorge Enrique; Peterson, Mark D.; Garcia-Hermoso, AntonioObjective To evaluate the association between handgrip strength and ideal cardiovascular health (CVH) in Colombian children and adolescents. Study design During the 2014-2015 school years, we examined a cross-sectional component of the FUPRECOL (Association for Muscular Strength with Early Manifestation of Cardiovascular Disease Risk Factors among Colombian Children and Adolescents) study. Participants included 1199 (n?=?627 boys) youths from Bogota (Colombia). Handgrip strength was measured with a standard adjustable hand held dynamometer and expressed relative to body mass (handgrip/body mass) and as absolute values in kilograms. Ideal CVH, as defined by the American Heart Association, was determined as meeting ideal levels of the following components: 4 behaviors (smoking status, body mass index, cardiorespiratory fitness, and diet) and 3 factors (total cholesterol, blood pressure, and glucose). Results Higher levels of handgrip strength (both absolute and relative values) were associated with a higher frequency of ideal CVH metrics in both sexes (P for trend ?.001). Also, higher levels of handgrip strength were associated with a greater number of ideal health behaviors (P for trend less than .001 in both boys and girls), and with a higher number of ideal health factors in boys (P for trend less than .001). Finally, levels of handgrip strength were similar between ideal versus nonideal glucose or total cholesterol groups in girls. Conclusions Handgrip strength was strongly associated with ideal CVH in Colombian children and adolescents, and thus supports the relevance of early targeted interventions to promote strength adaptation and preservation as part of primordial prevention. © 2016 Elsevier Inc.
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Ferritin levels in pregnant Colombian women(2015) Ramírez-Vélez, Robinson; González-Ruíz, Katherine; Correa Bautista, Jorge Enrique; Martínez-Torres, Javier; Meneses-Echávez, José F; Rincon-Pabon, DavidObjective: Ferritin deficiency is associated with many adverse health outcomes and is highly prevalent worldwide. The present study assesses the prevalence and socio-demographic factors associated with ferritin deficiency in a representative sample of pregnant women in Colombia. Methods: We used data from the cross-sectional, nationally representative survey National Nutritional Survey (ENSIN, 2010). A total of 1,386, (13-49 years old) pregnant women were enrolled. Serum ferritin a concentration was determined by chemiluminescence and sociodemographic date (age, urbanicity geographic region, ethnicity and socioeconomic level-SISBEN), was assessed by computer-assisted personal interview technology. Multivariate analyses using unordered binomial logistic regression models were conducted in the main analysis. Results: The overall prevalence of ferritin deficiency (serum less than 12µg/L) was 37.2% (95% CI 35.0% to 39.2%). The multivariate logistic regression no shows associated with a probability of serum ferritin deficiencies. Conclusion: A significant prevalence of ferritin deficiency was found in our study population without an association with the studied sociodemographic factors. © 2015, Grupo Aula Medica S.A. All rights reserved. - ÍtemAcceso Abierto
Prevalence and demographic factors associated with ferritin deficiency in Colombian children, 2010(2014-01-01) Ramírez-Vélez, Robinson; Matínez Torres,Javier; Meneses Echavez,José FranciscoObjetivos. Determinar la prevalencia y los factores sociodemográficos asociados a la deficiencia de ferritina en una muestra representativa de niños de Colombia. Materiales y métodos. Análisis secundario transversal de la Encuesta Nacional de la Situación Nutricional (ENSIN) realizada en Colombia el año 2010 en 3542 infantes entre 12 y 59 meses de edad. Los niveles plasmáticos de ferritina se determinaron por quimioluminiscencia y se consideraron como déficit de ferritina los valores < 12 µg/L, los factores sociodemográficos (sexo, edad, etnia, nivel socioeconómico, región y área geográfica) se recogieron mediante una encuesta estructurada. Todos los análisis se realizaron teniendo en cuenta la naturaleza compleja de la muestra. Resultados. Se encontró que el valor promedio de ferritina fue de 32,1 µg/L, (IC 95%: 30,7-35,6). El 10,6% (IC 95%: 9,3-12,0) de los niños presentaron niveles de ferritina menores a 12,0 µg/L. La regresión logística multivariable muestra que los niños de 12 a 23 (OR 5,1; IC 95%: 3,3-8,0) y 24 a 35 meses de edad (OR 2,4; IC 95%: 1,5-3,7), pertenecer al grupo étnico indígena (OR 1,8; IC 95%: 1,1-2,8), residir en la zona atlántico (OR 2,0; IC 95%: 1,1-3,6), o zona pacifica (OR 2,0; IC 95%: 1,1-3,6) se asociaron a una mayor probabilidad de presentar deficiencias de ferritina. Conclusiones. Se encontró una importante prevalencia de anemia por deficiencia de ferritina y diversos factores sociodemográficos contribuyeron con la probabilidad de incrementar este problema. Se recomienda intervenciones integrales donde estén involucrados los componentes nutricional y educativo. - ÍtemSolo MetadatosWaist circumference distribution in Colombian schoolchildren and adolescents: The FUPRECOL Study(2016) Caicedo-Álvarez, Juan Carlos; Correa Bautista, Jorge Enrique; González-Jiménez, Emilio; Schmidt-RioValle, Jacqueline; Ramírez-Vélez, RobinsonObjective This study was intended to establish the percentile distribution of waist circumference in schoolchildren from Bogota, Colombia, participating in the FUPRECOL Study. Methods A cross-sectional study conducted in 3,005 children and 2,916 adolescents aged 9 to 17.9 years. Height, weight, waist circumference, hip circumference, and self-assessed sexual maturity status were recorded. Percentiles (3rd, 10th, 25th, 50th, 75th, 90th, and 97th) and smoothed sex- and age-specific curves were calculated, and the waist circumference values found were compared to international references from other ethnic populations. Results Fifty-seven percent of the overall population (n = 5,921) were females (mean age, 12.7 ± 2.3 years). In most age groups, waist circumference was greater in boys as compared to girls. The increase between the 50th and 97th percentiles by age was 15.7 cm in boys aged 9 to 9.9 years and 16.0 cm in girls aged 11-11.9 years. Comparison of our study results, by age group and sex, to international references showed that our 50th percentile was lower than reported in Peru and the UK except for studies in India, Venezuela (Merida), US, and Spain was higher. Conclusions Age- and sex-specific percentiles of waist circumference obtained from children and adolescents from Bogota, Colombia, are reported. They may be used as a reference both for nutritional assessment and for predicting cardiovascular risks at early ages. © 2016 SEEN
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Índice de adiposidad corporal como predictor de obesidad y de síndrome metabólico en adultos de Bogotá, Colombia(2015-08-06) González-Ruíz, Katherine; Ramírez-Vélez, Robinson; Correa Bautista, Jorge Enrique; Ramírez-Vélez, Robinson; Correa Bautista, Jorge EnriqueRecientemente, Bergman et al. desarrollaron el índice de adiposidad corporal (IAC), como un marcador de obesidad por exceso de grasa corporal en la práctica clínica. En este estudio se evaluó la validez del IAC como marcador de obesidad por exceso de adiposidad, además de examinar la capacidad predictiva del IAC con componentes e índices metabólicos asociados al SM en adultos de Bogotá, Colombia. - ÍtemAcceso Abierto
Body adiposity and its relationship of metabolic syndrome components in Colombian adults(2015) González-Ruíz, Katherine; Correa Bautista, Jorge Enrique; Ramírez-Vélez, RobinsonObjective: recently, Bergman et al. have introduced a new index of adiposity, namely, body adiposity index (BAI), as a marker of obesity excess body fat in clinical practice. We aimed to determine the prevalence of obesity and metabolic syndrome (MetS) and to assess the predicting ability of BAI in various atherogenic indices, MetS and its components among adult from Bogota, Colombia. Methods: cross-sectional study in 690 male. MetS components (waist circumference ? 90 cm; fasting plasma glucose ? 100 mg/dL, blood pressure ? 135/85 mm Hg; triglycerides ? 150 mg/dL and HDL-c ? 40 mg/dL were measured. Atherogenic indices (cholesterol/HDL-c, LDL-c/HDL-c, triglycerides/HDL-c, lipid-metabolic index [LMI] and MetS score) were calculated. Results: the prevalence of obesity by BAI (cut-point > 26.1%) and MetS was 50.1% and 19.1%, respectively. Subjects with MetS and obesity by BAI, show lower HDL-c levels and more frequently components of MetS (waist circumference, cholesterol and serum triglycerides). Predicting ability of BAI with a greater odds for atherogenic indices were 1.78 (95%CI 1.25 to 2.55), 1.46 (95%CI 1.01 to 2.14), 1.97 (95% 1.29 to 3.02), 2.04 (95%CI 1.23 to 3.39) and 1.47 (95%CI 1.03 to 2.11), elevation in LDL-c, LMI, MetS score and cholesterol/ HDL-c, and triglyceride/HDL-c, respectively (p less than 0.05). Conclusion: subjects with higher levels of BAI show raised prevalence of obesity and positively associated with components of MetS. © 2015, Grupo Aula Medica S.A. All Rights Reserved.




