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Bustamante-Villagómez SK, Vásquez-Alvarez S, Gonzalez-Mejia ME, Porchia LM, Herrera-Fomperosa O, Torres-Rasgado E, Ruiz-Vivanco G, Pérez-Fuentes R. [Association between metabolic syndrome, socioeconomic status and quality of life in mexicans]. REVISTA MEDICA DEL INSTITUTO MEXICANO DEL SEGURO SOCIAL 2021; 59:490-499. [PMID: 34908382] [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] [MESH Headings] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Accepted: 07/14/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND In Mexico there is little information regarding the link between metabolic syndrome (MetS), socioeconomic status (SES) and quality of life (QoL). OBJECTIVE To assess the association between subjects who are at high risk of developing MetS with SES and QoL. MATERIAL AND METHODS Patients attending UMF-2 IMSS or Centro Urbano-SSA Clínica-1 were asked to participate. Anthropometric measures were collected, the AMAI, SF12, and ESF-I questionnaire where apply for SES, QoL, and MetS, respectively. Association were determined by calculating Spearman's rho and the risk (odds ratio and 95% confidence-interval) was assessed using logistic regression. RESULTS The difference of SES (193 ± 53 vs. 124 ± 50) and QoL (86.3 ± 14.8 vs. 56.0±25.4) questionnaires were significantly between low-risk and high-risk groups, respectively (p < 0.001). There was a negative correlation between ESF-I and SES (rho = -0.623, p < 0.001) as well as the QoL (rho = -0.719, p < 0.001). MetS risk was augmented by decreasing SES (C+: OR = 6.4, 95%IC: 3.2-13.0; D: OR = 66.1, 95%IC: 23.2-188.3), whereas increasing QoL attenuated it (OR = 0.93, 95%CI: 0.91-0.94). However, QoL mitigated the effect of SES (C+: OR = 4.5, 95%IC: 2.1-9.6; D: OR = 11.9, 95%IC: 3.8-37.6). CONCLUSIONS Lower QoL and SES increased the risk of MetS in Central Mexico; however, improving the QoL can mitigated the effect SES has on developing MetS.
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Affiliation(s)
| | - Sarahí Vásquez-Alvarez
- Benemérita Universidad Autónoma de Puebla, Facultad de Medicina, Departamento de Genética. Puebla, Puebla, México
| | - Martha Elba Gonzalez-Mejia
- Benemérita Universidad Autónoma de Puebla, Facultad de Medicina, Departamento de Genética. Puebla, Puebla, México
| | - Leonardo M Porchia
- Instituto Mexicano del Seguro Social, Centro de investigación Biomédica de Oriente, Laboratorio de Fisiopatología en Enfermedades Crónicas. Atlixco, Puebla, México
| | - Oscar Herrera-Fomperosa
- Benemérita Universidad Autónoma de Puebla, Facultad de Medicina, Departamento de Genética. Puebla, Puebla, México
| | - Enrique Torres-Rasgado
- Benemérita Universidad Autónoma de Puebla, Facultad de Medicina, Departamento de Medicina Interna. Puebla, Puebla, México
| | - Guadalupe Ruiz-Vivanco
- Benemérita Universidad Autónoma de Puebla, Facultad de Medicina, Departamento de Salud Pública. Puebla, Puebla, México
| | - Ricardo Pérez-Fuentes
- Instituto Mexicano del Seguro Social, Centro de investigación Biomédica de Oriente, Laboratorio de Fisiopatología en Enfermedades Crónicas. Atlixco, Puebla, México
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Vásquez-Alvarez S, Bustamante-Villagomez SK, Vazquez-Marroquin G, Porchia LM, Pérez-Fuentes R, Torres-Rasgado E, Herrera-Fomperosa O, Montes-Arana I, Gonzalez-Mejia ME. Metabolic Age, an Index Based on Basal Metabolic Rate, Can Predict Individuals That are High Risk of Developing Metabolic Syndrome. High Blood Press Cardiovasc Prev 2021; 28:263-270. [PMID: 33666897 DOI: 10.1007/s40292-021-00441-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2020] [Accepted: 02/21/2021] [Indexed: 12/12/2022] Open
Abstract
INTRODUCTION Every 10 years, an adult's basal metabolic rate (BMR), independent of their BMI, decreases 1-2% due to skeletal muscle loss, thus decreasing an adult's energy requirement and promoting obesity. Increased obesity augments the risk of developing Metabolic Syndrome (MetS); however, an adult's healthy lifestyle, which increases BMR, can mitigate MetS development. To compare different BMRs for certain ages, Metabolic age (Met-age) was developed. AIM To assess the association between Met-age and MetS and to determine if Met-age is an indicator of high-risk individuals for MetS. METHODS Four hundred thirty-five attendees at 2 clinics agreed to participate and gave signed informed consent. MetS risk was assessed by the ESF-I questionnaire. Met-age was determined using a TANITA bio-analyzer. Strengthen of association was determined by calculating Spearman's rho and predictability was evaluated by the area-under-a-receiver-operating characteristic curve (AUC). Difference-in-age (DIA) = [chronological age - Met-age]. RESULTS There was a difference between the low-risk (n = 155) and the high-risk (n = 280) groups' Met-age (37.8±16.7 v. 62.9±17.3) and DIA (1.3±17.4 v. - 10.5±20.8, p < 0.001). There was a positive correlation between the ESF-I questionnaire and Met-age (rho = - 0.624, p < 0.001) and a negative correlation for DIA (rho = - 0.358, p < 0.001). Met-age was strongly predictive (AUC = 0.84, 95% CI 0.80-0.88), suggesting a 45.5 years cutoff (sensitivity = 83.2%, specificity = 72.3%). DIA was a good predictor (AUC = 0.68, 95% CI 0.63-0.74) with a - 11.5 years cutoff (sensitivity = 52.5%, specificity = 82.8%). CONCLUSION Met-age highly associated with and is an indicator of high-risk individuals for MetS. This would suggest that increases in Met-age are associated with augmented MetS severity, independent of the individual's chronological age.
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Affiliation(s)
- Sarahi Vásquez-Alvarez
- Facultad de Medicina, Benemérita Universidad Autónoma de Puebla, Calle 13 Sur 2901 Colonia Volcanes, C.P. 72420, Puebla, Puebla, Mexico
| | - Sergio K Bustamante-Villagomez
- Facultad de Medicina, Benemérita Universidad Autónoma de Puebla, Calle 13 Sur 2901 Colonia Volcanes, C.P. 72420, Puebla, Puebla, Mexico
| | - Gabriela Vazquez-Marroquin
- Facultad de nutrición, Benemérita Universidad Autónoma de Puebla, Calle 13 Sur 2901 Colonia Volcanes, C.P. 72420, Puebla, Puebla, Mexico
| | - Leonardo M Porchia
- Laboratorio de Investigación en Fisiopatología de Enfermedades Crónicas, Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Delegación Puebla, Carretera Federal Atlixco-Metepec Km 4.5, C.P. 42730, Atlixco, Puebla, Mexico
| | - Ricardo Pérez-Fuentes
- Facultad de Medicina, Benemérita Universidad Autónoma de Puebla, Calle 13 Sur 2901 Colonia Volcanes, C.P. 72420, Puebla, Puebla, Mexico.,Laboratorio de Investigación en Fisiopatología de Enfermedades Crónicas, Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Delegación Puebla, Carretera Federal Atlixco-Metepec Km 4.5, C.P. 42730, Atlixco, Puebla, Mexico
| | - Enrique Torres-Rasgado
- Facultad de Medicina, Benemérita Universidad Autónoma de Puebla, Calle 13 Sur 2901 Colonia Volcanes, C.P. 72420, Puebla, Puebla, Mexico
| | - Oscar Herrera-Fomperosa
- Facultad de Medicina, Benemérita Universidad Autónoma de Puebla, Calle 13 Sur 2901 Colonia Volcanes, C.P. 72420, Puebla, Puebla, Mexico
| | - Ivette Montes-Arana
- Unidad de Medicina Familiar 2 (UMF-2) del IMSS, Delegación Puebla, Calle 9 Oriente 404, Colonia Centro, C.P. 72000, Puebla, Puebla, Mexico
| | - M Elba Gonzalez-Mejia
- Facultad de Medicina, Benemérita Universidad Autónoma de Puebla, Calle 13 Sur 2901 Colonia Volcanes, C.P. 72420, Puebla, Puebla, Mexico.
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