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artículo
Publicado 2016
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The objective was to develop and validate a risk score for detecting cases of undiagnosed diabetes in a resource-constrained country. Methods. Two population based studies in Peruvian population aged ≥35 years were used in the analysis: the ENINBSC survey and the CRONICAS Cohort Study. Fasting plasma glucose ≥7.0 mmol/L was used to diagnose diabetes in both studies. Coefficients for risk score were derived from the ENINBSC data and then the performance was validated using both baseline and follow-up data of the CRONICAS Cohort Study.
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Los cambios en los marcadores de composición corporal (peso, masa grasa, masa magra e IMC) a lo largo del tiempo pueden asociarse con el resultado del tratamiento de la TB en pacientes infectados por el VIH. El objetivo de este estudio fue investigar si los cambios en la masa grasa y magra se asociaron con la respuesta al tratamiento entre los pacientes con infección por VIH y tuberculosis pulmonar. Materiales y métodos: Este fue un estudio de cohorte prospectivo. Se analizaron los datos de pacientes infectados por el VIH que comenzaron la terapia contra la tuberculosis. Esto incluyó la medición del peso corporal con equipo de bioimpedancia al inicio del estudio, un mes y dos meses después de comenzar el tratamiento de la TB. Resultados: El estudio se realizó en 125 pacientes, 17 pacientes (13,6%) murieron durante el tratamiento, de los cuales 5 murieron durante el primer mes de t...
3
artículo
Publicado 2021
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This study was supported by FONDECYT (Fondo Nacional de Ciencia y Tecnología, Peru), code: 071-2020. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
4
artículo
Publicado 2023
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Background:Previous studies have shown that multimorbidity is a risk factor for cognitive dysfunction (CD).Type 2 diabetes mellitus (T2DM) and hypertension (HT) are very common risk factors.The association between multimorbidity due to both diseases and CD has been understudied in low and middle-income countries, in which the strength of the association might be stronger. Aim: To evaluate the association between multimorbidity due to T2DM and HT with CD among adults ≥50 years in Tumbes. Materials and methods: A secondary analysis of a population-based cross-sectional study was conducted. The exposure variable was the presence of both T2DM and HT, split into categories: without HT or T2DM, only T2DM, only HT, and with T2DM and HT; whereas CD was the outcome variable, defined as a score ≤26 in the Leganes Cognitive Test. Crude and adjusted generalized linear models were used to estimat...
5
artículo
Publicado 2017
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Interventions to promote behaviors to reduce sodium intake require messages tailored to local understandings of the relationship between what we eat and our health. We studied local explanations about hypertension, the relationship between local diet, salt intake, and health status, and participants’ opinions about changing food habits. This study provided inputs for a social marketing campaign in Peru promoting the use of a salt substitute containing less sodium than regular salt. Qualitative methods (focus groups and in-depth interviews) were utilized with local populations, people with hypertension, and health personnel in six rural villages. Participants were 18–65 years old, 41% men. Participants established a direct relationship between emotions and hypertension, regardless of age, gender, and hypertension status. Those without hypertension established a connection between eati...
6
artículo
Publicado 2020
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Aims: To determine the predictive performance of well-known obesity markers: body mass index (BMI), waist circumference (WC), waist-hip ratio (WHR), waist-height ratio (WHtR), and total body fat percentage (TBF%), to identify incident cases of type 2 diabetes mellitus T2DM. Methods: Secondary data analysis of the CRONICAS Cohort Study, conducted in 3 regions of Peru. Participants without T2DM at baseline were selected for analyses. The obesity markers were evaluated at the beginning of the study, and the development of T2DM was determined at 30 months of follow-up. The predictive performance of the markers was calculated using areas under the curve (AUC), and sensitivity and specificity of the best cutoff points were estimated. Results: A total of 2510 participants with no diabetes at baseline, median age 54.1 years (inter-quartile range: 44.6 to 63.5), were included in the analysis. The...
7
artículo
Publicado 2016
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Se compara la incidencia de úlceras del pie diabético (DFU) entre los participantes que reciben termometría sola y aquellos que reciben termometría, así como mHealth (SMS y mensajes de voz) durante un período de estudio de un año.
8
artículo
Publicado 2017
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To characterize the association between altitude and urbanization and lipid profile among Peruvian adults aged $35 years.
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artículo
Publicado 2017
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Geographical and environmental features such as urbanization and altitude may influence individual's lipid profiles because of the diversity of human-environment interactions including lifestyles.
10
artículo
Publicado 2021
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Background: This study aims to evaluate trends of DBM in Peru over the last 20 years. Methods: Using individual-level data collected in nationally representative household surveys from Peru between 1996 and 2017, we analysed trends in the prevalence and patterning of the DBM. We classified the nutritional status of children and their mothers as undernourished (either underweight, stunted or wasted for children), normal, overweight or obese. Children classified as experiencing the DBM were those undernourished and living with an overweight or obese mother. We also fitted logistic regression models to evaluate the probability of children having an overweight/obese mother across subgroups of socioeconomic status, place of residence and education. Results: The overall percentage of children experiencing the DBM in 2016 was 7%, and constitutes ~203,600 children (90% of whom were stunted). Bet...
11
artículo
Publicado 2020
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Patients diagnosed with type 2 diabetes mellitus, who then become infected with SARS-CoV-2, are at greater risk of developing complications from COVID-19, which may even lead to death. Diabetes is a chronic condition that requires continuous contact with healthcare facilities; therefore, this type of patients should have regular access to medicines, tests and appointments with healthcare personnel. In Peru, care and treatment continuity have been affected since the national state of emergency due to COVID-19 began; because many healthcare facilities suspended outpatient consultations. The strategies presented in this study were developed by different Peruvian health providers in the pandemic context to ensure care continuity for people with diabetes. This article provides recommendations to strengthen primary healthcare, because it is the first level of healthcare contact for patients wi...
12
artículo
Publicado 2016
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Describes the experience of the CRONICAS Centre of Excellence in Chronic Diseases, based at Universidad Peruana Cayetano Heredia in Lima, Peru, as a case study for fostering meaningful and sustainable partnerships for international collaborative research. In defiant contexts, partnerships require to be nurtured and sustained. Acknowledging that all partnerships are not and should not be the same, we also need to learn from the evolution of such relationships, its key successes, hurdles and failures to contribute to the promotion of a culture of global solidarity where mutual goals, mutual gains, as well as mutual responsibilities are the norm.
13
artículo
Publicado 2020
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Background Describing the prevalence and trends of cardiometabolic risk factors that are associated with noncommunicable diseases (NCDs) is crucial for monitoring progress, planning prevention, and providing evidence to support policy efforts. We aimed to analyse the transition in body-mass index (BMI), obesity, blood pressure, raised blood pressure, and diabetes in the Americas, between 1980 and 2014. Methods We did a pooled analysis of population-based studies with data on anthropometric measurements, biomarkers for diabetes, and blood pressure from adults aged 18 years or older. A Bayesian model was used to estimate trends in BMI, raised blood pressure (systolic blood pressure =140 mm Hg or diastolic blood pressure =90 mm Hg), and diabetes (fasting plasma glucose =7.0 mmol/L, history of diabetes, or diabetes treatment) from 1980 to 2014, in 37 countries and six subregions of the Ameri...
