1
|
Cuesta M, Fuentes M, Rubio M, Bordiu E, Barabash A, Garcia de la Torre N, Rojo-Martinez G, Valdes S, Soriguer F, Vendrell JJ, Urrutia IM, Ortega E, Montanya E, Menendez E, Lago-Sampedro A, Gomis R, Goday A, Castell C, Badia-Guillen R, Girbés J, Gaztambide S, Franch-Nadal J, Delgado Álvarez E, Chaves FJ, Castano L, Calle-Pascual AL. Incidence and regression of metabolic syndrome in a representative sample of the Spanish population: results of the cohort di@bet.es study. BMJ Open Diabetes Res Care 2020; 8:8/1/e001715. [PMID: 33051280 PMCID: PMC7554469 DOI: 10.1136/bmjdrc-2020-001715] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2020] [Revised: 07/22/2020] [Accepted: 08/19/2020] [Indexed: 12/01/2022] Open
Abstract
INTRODUCTION Metabolic syndrome (MetS) is an important predictor of cardiovascular mortality. Identification of occurrence and regression trends of MetS could permit elaboration of preventive strategies with new targets. The objective of this study was to analyze the occurrence and regression rates of MetS and its associated factors in the representative cohort of Spain of the di@bet.es study. RESEARCH DESIGN AND METHODS The di@bet.es study is a prospective cohort where 5072 people representative of the Spanish population over 18 years of age were randomly selected between 2009 and 2010. Follow-up was a median of 7.5 (IQR 7.2-7.9) years, with 2408 (47%) participating subjects. A total of 1881 (78%) subjects had all the pertinent data available and were included in this study. RESULTS Of the 1146 subjects without baseline criteria for MetS, 294 (25.7%) developed MetS during follow-up, while of the 735 patients with prior MetS, 148 (20.1%) presented regression. Adjusted MetS incidence per 1000 person-years was 38 (95% CI 32 to 44), while regression incidence was 36 (95% CI 31 to 41). Regression rate was independently higher than incidence rate in the following: women, subjects aged 18-45, university-degree holders, patients without central obesity, without hypertension, as well as those with body mass index of <25 kg/m2. Lower progression and higher regression rates were observed with an adapted 14-point Mediterranean Diet adherence screener questionnaire score of >11 in both groups and with >500 and>2000 MET-min/week of physical activity, respectively. CONCLUSIONS This study provides MetS incidence and regression rates, and identifies the target population for intervention strategies in Spain and possibly in other countries.
Collapse
Affiliation(s)
- Martín Cuesta
- Endocrinologia y Nutricion, Hospital Clínico San Carlos, Madrid, Spain
- Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Madrid, Spain
| | - Manuel Fuentes
- Peventive Medicine Department, Hospital Clínico Universitario San Carlos, Madrid, Spain
| | - Miguel Rubio
- Endocrinologia y Nutricion, Hospital Clínico San Carlos, Madrid, Spain
| | - Elena Bordiu
- Endocrinologia y Nutricion, Hospital Clínico San Carlos, Madrid, Spain
- Departamento de Medicina II, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain
| | - Ana Barabash
- Endocrinologia y Nutricion, Hospital Clínico San Carlos, Madrid, Spain
- Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Madrid, Spain
| | - Nuria Garcia de la Torre
- Endocrinologia y Nutricion, Hospital Clínico San Carlos, Madrid, Spain
- Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Madrid, Spain
| | - Gemma Rojo-Martinez
- Endocrinology and Nutrition Department, Hospital Universitario Carlos Haya, Malaga, Spain
- Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Malaga, Spain
| | - Sergio Valdes
- Endocrinology and Nutrition Department, Hospital Universitario Carlos Haya, Malaga, Spain
- Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Malaga, Spain
| | - Federico Soriguer
- Endocrinology and Nutrition Department, Hospital Universitario Carlos Haya, Malaga, Spain
- Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Malaga, Spain
| | - Joan Josep Vendrell
- Endocrinology, University Hospital Joan XXIII, Tarragona, Spain
- Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Tarragona, Spain
| | - Ines Maria Urrutia
- Endocrinology and Diabetes Research Group,UPV/EHU, Endo-ERN (ID number 739527), BioCruces Health Research Institute, Barakaldo, Bizkaia, Spain
- Spanish Biomedical Research Network in Diabetes and Associated Metabolic Disorders (CIBERDEM), Spanish Biomedical Research Network in Rare Diseases (CIBERER), Barakaldo, Spain
| | - Emilio Ortega
- Department of Endocrinology and Nutrition, August Pi i Sunyer Biomedical Research Institute - IDIBAPS, Barcelona, Spain
- Spanish Biomedical Research Network in Physiopathology of Obesity and Nutrition (CIBEROBN), Barcelona, Spain
| | - Eduard Montanya
- Hospital Universitario Bellvitge IDIBELL, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Barceloma, Spain
| | - Eldelmiro Menendez
- Department of Endocrinology and Nutrition, Department of Medicine,University of Oviedo, Health Research Institute of the Principality of Asturias (ISPA), Central University Hospital of Asturias, Oviedo, Asturias, Spain
- Spanish Biomedical Research Network in Rare Diseases (CIBERER), Oviedo, Asturias, Spain
| | - Ana Lago-Sampedro
- Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Malaga, Spain
- Biomedical Research Institute of Malaga (IBIMA), Endocrinology and Nutrition Department, Hospital Universitario Carlos Haya, Malaga, Spain
| | - Ramón Gomis
- Department of Endocrinology and Nutrition, August Pi i Sunyer Biomedical Research Institute - IDIBAPS, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Barceloma, Spain
| | - Albert Goday
- Spanish Biomedical Research Network in Physiopathology of Obesity and Nutrition (CIBEROBN), Barcelona, Spain
- Department of Medicine, Department of Endocrinology and Nutrition, Hospital del Mar, Barcelona, Spain
| | - Conxa Castell
- Department of Health, Public Health Agency of Catalonia, Barcelona, Catalunya, Spain
| | - Rocio Badia-Guillen
- Endocrinology and Nutrition Department, Hospital Universitario Carlos Haya, Malaga, Spain
| | - Juan Girbés
- Diabetes Unit, Hospital Arnau de Vilanova, Valencia, Valenciana, Spain
| | - Sonia Gaztambide
- Spanish Biomedical Research Network in Diabetes and Associated Metabolic Disorders (CIBERDEM), Spanish Biomedical Research Network in Rare Diseases (CIBERER), Barakaldo, Spain
- Department of Endocrinology, UPV/EHU, Endo-ERN (ID number 739527), Biocruces Bizkaia Health Research Institute, Barakaldo, Bizkaia, Spain
| | - Josep Franch-Nadal
- Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Barceloma, Spain
- Research Support Unit (IDIAP - Jordi Gol Foundation), EAP Raval Sud, Catalan Institute of Health, GEDAPS Network, Primary Care, Barcelona, Spain
| | - Elías Delgado Álvarez
- Spanish Biomedical Research Network in Rare Diseases (CIBERER), Oviedo, Asturias, Spain
- Department of Endocrinology and Nutrition, Universidad de Oviedo, Oviedo, Asturias, Spain
| | - Felipe Javier Chaves
- Genetic Diagnosis and Genotyping Unit, Fundacion Investigacion Clinico de Valencia-INCLIVA; CIBERDEM, Valencia, Valenciana, Spain
| | - Luis Castano
- Spanish Biomedical Research Network in Diabetes and Associated Metabolic Disorders (CIBERDEM), Spanish Biomedical Research Network in Rare Diseases (CIBERER), Barakaldo, Spain
- Endocrine Research Laboratory, Biocruces Bizkaia Health Research Institute, UPV/EHU, Endo-ERN (ID number 739527), Hospital de Cruces, Barcaldo,Vizcaya, Spain
| | - Alfonso L Calle-Pascual
- Endocrinologia y Nutricion, Hospital Clínico San Carlos, Madrid, Spain
- Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Madrid, Spain
| |
Collapse
|
2
|
Gutiérrez Caballero JM, Blázquez Manzano A, Feu S. Motivos de práctica como predictor de la actividad física en maestros y la satisfacción con la vida. UNIVERSITAS PSYCHOLOGICA 2020. [DOI: 10.11144/javeriana.upsy18-4.mppa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
El objetivo de esta investigación es analizar la relación entre la intención de práctica de actividad física, la actividad actual, la motivación y satisfacción vital de maestros españoles. A través de un diseño descriptivo, predictivo y transversal, se administró un cuestionario con diversos instrumentos a una muestra de 649 docentes en activo. Inicialmente, se realizó un análisis de las propiedades psicométricas de las escalas a través de un análisis factorial confirmatorio y de fiabilidades de los factores, encontrando unos índices de ajuste adecuados. Seguidamente, se realizó un análisis correlacional y una regresión lineal múltiple por el método de pasos sucesivos. Las correlaciones más altas se dieron entre los motivos de diversión, competencia, fitness y la actividad física actual y futura (p < 0.05). Los resultados muestran que los motivos de práctica: diversión, competencia y fitness tienen capacidad para predecir la actividad física realizada en la actualidad (R2 = 0.32; p < 0.001); mientras que todos los motivos de práctica de actividad física, excepto los sociales, predicen la intención de ser físicamente activos en el futuro (R2 = 0.59; p < 0.001). Finalmente, se encontró una tendencia de que la práctica de actividad física con motivo de diversión predice significativamente la satisfacción con la vida.
Collapse
|