1
|
Rodríguez-Carrillo PL, Aguirre-Tostado PI, Macías-Cervantes MH, Alegría-Torres JA, Luevano-Contreras C. Novel Adiposity and Biochemical-Anthropometric Indices to Identify Cardiometabolic Risk and Metabolic Syndrome in Mexican Adults. Healthcare (Basel) 2021; 9:1561. [PMID: 34828607 PMCID: PMC8620800 DOI: 10.3390/healthcare9111561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 11/10/2021] [Accepted: 11/13/2021] [Indexed: 11/17/2022] Open
Abstract
Although several indices used in clinical practice identify cardiometabolic risk (CR) and metabolic syndrome (MetS), it is imperative to develop indices for specific populations. Therefore, we proposed and validated sex-specific indices to identify CR associated with visceral adipose tissue (VAT) accumulation or MetS in Mexican adults. Additionally, a cut-off value for the visceral fat area (VFA) to identify CR was proposed. Clinical, anthropometric, biochemical, and body composition variables were evaluated in 904 subjects (25-45 years old) (84.4% men). Multiple and logistic regressions were used to model the indices and ROC curve analysis to determine predictive performance. An additional cohort (n = 186) was used for indices validation, and Cohen's kappa coefficient was employed for agreement analysis. The proposed sex-specific indices, called Mexican adiposity indices (MAIs) and biochemical-anthropometric indices (BAIs), were good predictors for CR and MetS. The kappa coefficients showed a moderate agreement level. The VFA cut-off value chosen to identify CR was 100.3 cm2 because it had the best combination of sensitivity (66.8%) and specificity (64.4%). MAIs and BAIs could be clinical tools to identify either CR associated to VAT accumulation or MetS, respectively. A VFA cut-off value of 100.3 cm2 could identify CR in Mexican men.
Collapse
Affiliation(s)
| | | | - Maciste H. Macías-Cervantes
- Department of Medical Sciences, University of Guanajuato, León 37320, Mexico; (P.L.R.-C.); (P.I.A.-T.); (M.H.M.-C.)
| | | | - Claudia Luevano-Contreras
- Department of Medical Sciences, University of Guanajuato, León 37320, Mexico; (P.L.R.-C.); (P.I.A.-T.); (M.H.M.-C.)
| |
Collapse
|
2
|
Vargas-Ortiz K, Lira-Mendiola G, Gómez-Navarro CM, Padilla-Estrada K, Angulo-Romero F, Hernández-Márquez JM, Villa-Martínez AK, González-Mena JN, Macías-Cervantes MH, Reyes-Escogido MDL, Guardado-Mendoza R. Effect of a family and interdisciplinary intervention to prevent T2D: randomized clinical trial. BMC Public Health 2020; 20:97. [PMID: 31969136 PMCID: PMC6977289 DOI: 10.1186/s12889-020-8203-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Accepted: 01/13/2020] [Indexed: 01/25/2023] Open
Abstract
Background Lifestyle changes can reduce the risk of T2D; however, no study has evaluated the effect of a lifestyle intervention involving patients´ family. The aim of this study was to compare the impact of an interdisciplinary family (FI) Vs individual intervention (II) on glucose metabolism, insulin resistance (IR), pancreatic β-cell function and cardiovascular risk markers in patients with prediabetes, as well as to measure the impact on their families’ metabolic risk. Methods Randomized Clinical Trial (RCT) to compare the impact of FI and II on IR and pancreatic β-cell function in subjects with prediabetes. There were 122 subjects with prediabetes (and 101 family members) randomized to FI or II. Data were collected in 2015–2016 and analyzed in 2017–2018. FI group had the support of their family members, who also received personalized diet and exercise recommendations; patients and their family members attended monthly a lifestyle enhancement program. II group received personalized diet and exercise recommendations. The follow-up was for 12 months. Glucose, IR, pancreatic β-cell function and secondary outcomes (body composition and lipid profile) were assessed at baseline, 6 and 12 months. Results FI group improved area under the glucose curve (AUC) (from 18,597 ± 2611 to 17,237 ± 2792, p = 0.004) and the Matsuda index (from 3.5 ± 2.3 to 4.7 ± 3.5, p = 0.05) at 12 months. II group improved Disposition Index (from 1.5 ± 0.4 to 1.9 ± 0.73, p < .0001) at 12 months. The improvements achieved in weight and lipids at 6 months, were lost in II group at 12 moths, whereas in FI persisted. Adherence up to 12 months was not different between the study groups (FI 56% Vs II 60%). Conclusions FI intervention was more effective by improving glucose AUC, insulin sensitivity and lipid profile, besides that, metabolic risk in family members of the FI group was maintained, while the risk of II group was increased. Trial registration This study was retrospectively registered at clinicaltrials.gov on December 15, 2015 (NTC026365646).
Collapse
Affiliation(s)
- Katya Vargas-Ortiz
- Department of Medical Sciences, University of Guanajuato, Campus León, Guanajuato, Mexico
| | - Georgina Lira-Mendiola
- Metabolic Research Laboratory, Department of Medicine and Nutrition, University of Guanajuato, Campus León, Blvd. Puente Milenio No. 1001 Fracción del Predio San Carlos C.P. 37670; León, Guanajuato, Mexico
| | - Claudia M Gómez-Navarro
- Metabolic Research Laboratory, Department of Medicine and Nutrition, University of Guanajuato, Campus León, Blvd. Puente Milenio No. 1001 Fracción del Predio San Carlos C.P. 37670; León, Guanajuato, Mexico
| | - Katya Padilla-Estrada
- Metabolic Research Laboratory, Department of Medicine and Nutrition, University of Guanajuato, Campus León, Blvd. Puente Milenio No. 1001 Fracción del Predio San Carlos C.P. 37670; León, Guanajuato, Mexico
| | - Fabiola Angulo-Romero
- Metabolic Research Laboratory, Department of Medicine and Nutrition, University of Guanajuato, Campus León, Blvd. Puente Milenio No. 1001 Fracción del Predio San Carlos C.P. 37670; León, Guanajuato, Mexico
| | - José M Hernández-Márquez
- Metabolic Research Laboratory, Department of Medicine and Nutrition, University of Guanajuato, Campus León, Blvd. Puente Milenio No. 1001 Fracción del Predio San Carlos C.P. 37670; León, Guanajuato, Mexico
| | - Ana K Villa-Martínez
- Metabolic Research Laboratory, Department of Medicine and Nutrition, University of Guanajuato, Campus León, Blvd. Puente Milenio No. 1001 Fracción del Predio San Carlos C.P. 37670; León, Guanajuato, Mexico
| | - Jessica N González-Mena
- Metabolic Research Laboratory, Department of Medicine and Nutrition, University of Guanajuato, Campus León, Blvd. Puente Milenio No. 1001 Fracción del Predio San Carlos C.P. 37670; León, Guanajuato, Mexico
| | | | - Maria de Lourdes Reyes-Escogido
- Metabolic Research Laboratory, Department of Medicine and Nutrition, University of Guanajuato, Campus León, Blvd. Puente Milenio No. 1001 Fracción del Predio San Carlos C.P. 37670; León, Guanajuato, Mexico
| | - Rodolfo Guardado-Mendoza
- Metabolic Research Laboratory, Department of Medicine and Nutrition, University of Guanajuato, Campus León, Blvd. Puente Milenio No. 1001 Fracción del Predio San Carlos C.P. 37670; León, Guanajuato, Mexico.
| |
Collapse
|
3
|
Saenz-Herrera S, Pérez-Vazquez V, Macías-Cervantes MH, Figueroa A, SanMillan I, Guardado-Mendoza R, Vallejo TG, Vargas-Ortiz K. Lactate Response During Graded Exercise Test In Individuals With Prediabetes After Aerobic Exercise Training. Med Sci Sports Exerc 2019. [DOI: 10.1249/01.mss.0000563429.76340.00] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
4
|
Vargas-Ortiz K, Pérez-Vázquez V, Figueroa A, Díaz FJ, Montaño-Ascencio PG, Macías-Cervantes MH. Aerobic training but no resistance training increases SIRT3 in skeletal muscle of sedentary obese male adolescents. Eur J Sport Sci 2017; 18:226-234. [PMID: 29220206 DOI: 10.1080/17461391.2017.1406007] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
In recent years, prevalence of obesity in children and adolescents has increased. A strategy for prevention and management of obesity is aerobic training (AT) due to its effectiveness to decrease fat mass. AT increases the content of SIRT3, a mitochondrial protein that increases the expression of PGC-1α and NFR1, thereby enhances mitochondrial function and metabolic health. Resistance training (RT) provides metabolic benefits but its effect on SIRT3 content is unknown. To compare the effect of AT and RT on SIRT3, PGC-1α and NRF-1 protein levels in skeletal muscle of sedentary obese adolescents. Twenty-seven sedentary obese male adolescents (age: 16.7 ± 0.9 years; BMI: 33.7 ± 4.3 kg/m2) completed a 1-month control period prior to randomization to one of two supervised exercise protocols: AT (3 days/week, 40 min/day, 70-80% peak heart rate) or RT (3 days/week, 11 exercises, 2 sets/exercise, 12 repetitions/set) for 12 weeks. Biopsies were obtained from the vastus lateralis muscle before and after 12 weeks to analyse SIRT3, PGC-1α and NRF-1 proteins content. Peak oxygen consumption (VO2peak) and anthropometric variables were evaluated before and after training. AT increased SIRT3 content, which was associated with improvements in PGC-1α content and body fat percentage. RT did not affect SIRT3 or PGC-1α. VO2peak increased only in AT. The increase in muscle mitochondrial SIRT3 was observed only following AT. In contrast, RT increased muscle mass without improving SIRT3 in obese male adolescents.
Collapse
Affiliation(s)
- Katya Vargas-Ortiz
- a Department of Medical Science , University of Guanajuato , Guanajuato , Mexico
| | | | - Arturo Figueroa
- c Department of Nutrition, Food, and Exercise Sciences , Florida State University , Tallahassee , FL , USA
| | - Francisco J Díaz
- b Division of Health Science, Department of Applied Work Science , University of Guanajuato , Guanajuato , Mexico
| | | | | |
Collapse
|
5
|
Uribarri J, del Castillo MD, de la Maza MP, Filip R, Gugliucci A, Luevano-Contreras C, Macías-Cervantes MH, Markowicz Bastos DH, Medrano A, Menini T, Portero-Otin M, Rojas A, Sampaio GR, Wrobel K, Wrobel K, Garay-Sevilla ME. Dietary advanced glycation end products and their role in health and disease. Adv Nutr 2015; 6:461-73. [PMID: 26178030 PMCID: PMC4496742 DOI: 10.3945/an.115.008433] [Citation(s) in RCA: 221] [Impact Index Per Article: 24.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Over the past 2 decades there has been increasing evidence supporting an important contribution from food-derived advanced glycation end products (AGEs) to the body pool of AGEs and therefore increased oxidative stress and inflammation, processes that play a major role in the causation of chronic diseases. A 3-d symposium (1st Latin American Symposium of AGEs) to discuss this subject took place in Guanajuato, Mexico, on 1-3 October 2014 with the participation of researchers from several countries. This review is a summary of the different presentations and subjects discussed, and it is divided into 4 sections. The first section deals with current general knowledge about AGEs. The second section dwells on mechanisms of action of AGEs, with special emphasis on the receptor for advanced glycation end products and the potential role of AGEs in neurodegenerative diseases. The third section discusses different approaches to decrease the AGE burden. The last section discusses current methodologic problems with measurement of AGEs in different samples. The subject under discussion is complex and extensive and cannot be completely covered in a short review. Therefore, some areas of interest have been left out because of space. However, we hope this review illustrates currently known facts about dietary AGEs as well as pointing out areas that require further research.
Collapse
Affiliation(s)
- Jaime Uribarri
- Department of Medicine, The Icahn School of Medicine at Mount Sinai, New York, NY;
| | - María Dolores del Castillo
- Food Bioscience Group, Department of Food Analysis and Bioactivity, Institute of Food Science Research, Spanish National Research Council, Madrid, Spain
| | - María Pía de la Maza
- Institute of Nutrition and Food Technology Dr. Fernando Monckeberg Barros, University of Chile, Santiago, Chile
| | - Rosana Filip
- Department of Pharmacognosy, Institute of Drug Chemistry and Metabolism, School of Pharmacy and Biochemistry, University of Buenos Aires, Buenos Aires, Argentina
| | | | | | | | | | - Alejandra Medrano
- Food Science and Technology Department, School of Chemistry, University of the Republic, Montevideo, Uruguay
| | - Teresita Menini
- College of Osteopathic Medicine, Touro University California, Vallejo, CA
| | - Manuel Portero-Otin
- Metabolic Pathophysiology Department, School of Medicine, Biomedical Research Institute of Lleida, University of Lleida, Lleida, Spain
| | - Armando Rojas
- Biomedical Research Laboratories, Faculty of Medicine, Catholic University of Maule, Talca, Chile; and
| | | | - Kazimierz Wrobel
- Chemistry Department, University of Guanajuato, Guanajuato, Mexico
| | - Katarzyna Wrobel
- Chemistry Department, University of Guanajuato, Guanajuato, Mexico
| | | |
Collapse
|
6
|
Macías-Cervantes MH, Pérez-Vázquez V, Rivera-Cisneros AE, Martínez-Rivera A, Ramírez-Emiliano J, Kornhauser C. Physical activity and cardiovascular risk factors in university students in the city of Leon, Mexico. Health (London) 2013. [DOI: 10.4236/health.2013.511250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
7
|
Romero-Gamboa D, Pérez-Vázquez V, Vargas-Ortiz K, Díaz-Cisneros FJ, Martínez-Cordero C, Macías-Cervantes MH. Intense exercise increases HDL level in children regardless of body weight. Health (London) 2013. [DOI: 10.4236/health.2013.512264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|