Bases conceptuales de la cirugía metabólica

2021 ◽  
Vol 64 (3) ◽  
pp. 6-19
Author(s):  
Juan Carlos Arana Reyes ◽  
Fernando Cerón Rodríguez ◽  
Juan Javier Díaz Rodríguez ◽  
Raúl Vázquez Pelcastre ◽  
Rodolfo Aparicio Ponce ◽  
...  

The term Metabolic Syndrome (MS) has been used since its introduction in 2001 by the National Cholesterol Program (NCEP: ATP III). The concept has been discussed in the scientific literature for decades. The X Syndrome and other terms such as "death quartet" and insulin resistance syndrome have been used to describe the association between metabolic and cardiovascular risk factors. In Mexico, the prevalence of MS in the National Health and Nutrition Survey (Encuesta Nacional de Salud y Nutrición, ENSANUT) was 34% in 2000 and 41% in 2012. Lifestyle modifications along with increased physical activity, quitting smoking, and limiting alcohol consumption are essential for management and prevention because they play a central role in metabolic abnormalities. However, despite the large amount of medications available for diabetes, up to 50% of patients have been reported to fail to achieve adequate control goals, as defined by the American Diabetes Association (glycosylated hemoglobin <7%). In contrast, bariatric surgery (BS) has clearly confirmed that it contributes to improved beta cell function in patients with BMI > 35 kg / m 2 , as well as control of dyslipidemia and other metabolic disorders. Keywords: Metabolic surgery; surgery and metabolic syndrome; syndrome X; mini gastric bypass; bypass of an anastomosis; Roux-en-Y bypass; bariatric surgery.


2007 ◽  
Vol 9 (1) ◽  
pp. 50-58 ◽  
Author(s):  
H. S. Park ◽  
S. M. Kim ◽  
J. S. Lee ◽  
J. Lee ◽  
J. H. Han ◽  
...  


2008 ◽  
Vol 32 (7) ◽  
pp. 1091-1097 ◽  
Author(s):  
K M Choi ◽  
J S Lee ◽  
H S Park ◽  
S H Baik ◽  
D S Choi ◽  
...  


Author(s):  
Christian F. Juna ◽  
Yoon Hee Cho ◽  
Dongwoo Ham ◽  
Hyojee Joung

The effects of the physical environment on metabolic syndrome (MetS) are still largely unexplained. This study aimed to analyze the associations of relative humidity of residence, lifestyles, and MetS among Ecuadorian adults. Data from 6024 people aged 20 to 60 years were obtained from an Ecuador national population-based health and nutrition survey (i.e., ENSANUT-ECU, 2012) and the mean annual relative humidity (%) from the Ecuador National Institute for Meteorology and Hydrology (2012). Odds ratio (OR) with 95% confidence intervals (CI) for MetS according to groups of relative humidity were calculated using multiple logistic regression. Living in high relative humidity (>80%) increased ORs of reduced high-density lipoprotein (HDL) cholesterol (1.25; 95 % CI, 1.06–1.56) and MetS (OR = 1.20; 95 % CI,1.01–1.42) in women. Furthermore, physically active men living in high relative humidity showed lower OR of elevated triglycerides (0.56; 95 % CI,0.37–0.85) while menopausal women living in high relative humidity showed increased ORs of MetS (5.42; 95 % CI, 1.92–15.27), elevated blood pressure (3.10; 95 % CI, 1.15–8.35), and increased waist circumference (OR = 1.34; 95 % CI, 1.09–1.63). Our results show that residence in high relative humidity and menopausal status increase ORs of MetS and its components in Ecuadorian women; however, physical activity significantly reduces the OR of elevated triglycerides in men. The obtained findings may help make public health policies regarding environmental humidity management, nutritional education, menopausal care, and physical activity promotion to prevent the onset of MetS among Ecuadorian adults.



2014 ◽  
Vol 58 (11) ◽  
pp. 2189-2195 ◽  
Author(s):  
Ling-ling Han ◽  
Yu-xia Wang ◽  
Jia Li ◽  
Xiao-lei Zhang ◽  
Che Bian ◽  
...  


2010 ◽  
Vol 52 ◽  
pp. S11-S18 ◽  
Author(s):  
Rosalba Rojas ◽  
Carlos A Aguilar-Salinas ◽  
Aída Jiménez-Corona ◽  
Teresa Shamah-Levy ◽  
Juan Rauda ◽  
...  


2016 ◽  
Vol 2 (1) ◽  
pp. 87-92 ◽  
Author(s):  
Y. Kawashita ◽  
M. Kitamura ◽  
Y. Ando ◽  
T. Saito

The 2004 Japanese National Health and Nutrition Survey collected data on several measures, including self-reported dental health. In addition, this was the first nationwide survey to focus on metabolic syndrome (MetS) in Japan. Therefore, the authors used this nationwide data set to assess the relationship between number of teeth present and MetS. Anonymized data were available with permission from the Ministry of Health, Labour and Welfare of Japan. Data from 3,195 men and women aged 35 to 99 y were examined, and logistic regression analyses were used to evaluate the association between number of teeth and MetS. Moreover, the authors performed an analysis of covariance to compare the mean number of teeth between those with and those without MetS, after adjusting for confounders. In comparison with those having ≥28 teeth, those with fewer remaining teeth demonstrated significantly higher odds of having MetS. Specifically, those having 1 to 9 teeth had higher odds of having MetS than those with more teeth and were more than twice as likely to be affected than those with ≥28 teeth. Furthermore, individuals with MetS in the age groups of 45 to 54, 55 to 64, and 65 to 74 y had significantly fewer teeth than those without MetS in the same age groups. These results suggest that the number of teeth present is associated with the prevalence of MetS in the Japanese population. Knowledge Transfer Statement: The results of this study can be used by clinicians when they examine patients with periodontal disease or extensive tooth loss to refer for a general medical examination.



Diabetes Care ◽  
2007 ◽  
Vol 30 (7) ◽  
pp. 1904-1905 ◽  
Author(s):  
J. A Kim ◽  
S. M. Kim ◽  
J. S. Lee ◽  
H. J. Oh ◽  
J. H. Han ◽  
...  


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