This review identifies and describes the main outcomes and complications associated with remote work during the COVID-19 pandemic. A systematic review of the literature was carried out. This included observational studies whose population or partly carried out remote work, published between March 1, 2020, and November 30, 2020. The descriptors were adapted to MEDLINE (Ovid), EMBASE, Scopus and PsycINFO databases. We found 139 studies; 15 articles were included in this synthesis. A total of 18,818 remote workers were reported, of which women represented between 18.2%-100%. The findings describe the increased use of electronic devices, sedentary lifestyle, anxiety, depression, feelings of loneliness, sleep disorders and the presence of musculoskeletal pain in remote workers. Therefore, it is necessary to provide assistance and education to the remote worker in order to improve their condit...

Introduction: Metabolic syndrome (MetS) is a group of cardiovascular risk factors characterized by the presence of low-grade chronic inflammation. Among all the inflammatory biomarkers associated with MetS, the best characterized and well standardized is C-Reactive protein (CRP). Objectives: To evaluate the association between C-Reactive protein and metabolic syndrome in the Peruvian population of the PERU MIGRANT study. Methods: Secondary database analysis of the PERU MIGRANT study. MetS was considered according to the Harmonizing the Metabolic Syndrome criteria. For CRP, a cutoff point of ≥ 3 mg/L was established. Results: We worked with a total of 958 subjects. The prevalence of MetS was 24.53%. In the simple regression analysis, it was found that people with high CRP levels had a 75% higher frequency of having MetS, compared to those who did not p...

Introduction: Metabolic syndrome (MetS) is a group of cardiovascular risk factors characterized by the presence of low-grade chronic inflammation. Among all the inflammatory biomarkers associated with MetS, the best characterized and well standardized is C-Reactive protein (CRP). Objectives: To evaluate the association between C-Reactive protein and metabolic syndrome in the Peruvian population of the PERU MIGRANT study. Methods: Secondary database analysis of the PERU MIGRANT study. MetS was considered according to the Harmonizing the Metabolic Syndrome criteria. For CRP, a cutoff point of ≥ 3 mg/L was established. Results: We worked with a total of 958 subjects. The prevalence of MetS was 24.53%. In the simple regression analysis, it was found that people with high CRP levels had a 75% higher frequency of having MetS, compared to those who did not p...

Introducción: El síndrome metabólico (MetS) es un grupo de factores de riesgo cardiovascular que se caracteriza por la presencia de inflamación crónica de bajo grado. Entre todos los biomarcadores inflamatorios asociados al MetS, el mejor caracterizado y bien estandarizado es la proteína C-Reactiva (PCR). Objetivo: Evaluar la asociación entre la proteína C-Reactiva y el síndrome metabólico en la población peruana del estudio PERU MIGRANT. Métodos: Estudio transversal analítico. Análisis de base de datos secundario del estudio PERU MIGRANT. Se consideró MetS según los criterios de Harmonizing the Metabolic Syndrome. Para la PCR, se dispuso un punto de corte ≥ 3 mg/L. Se usó modelos lineales generalizados de familia de Poisson para hallar la razón de prevalencias cruda y ajustada. Resultados: Se trabajó con un total de 958 sujetos. La prevalencia de MetS fue de 24,53%....

| Scientific publications in the occupational area have a growing trend towards management of safety in the workplace, despite lack of knowledge on the distribution and characteristics of scientific evidence on occupational accidents in healthcare professionals. This study aims to determine the characteristics and collaboration networks of publications, the co-occurrence of terms, and the main journals on occupational accidents in healthcare professionals among publications indexed in Scopus from 2010 to 2019. This is an observational, cross-sectional, bibliometric study based on publications indexed in the Scopus database. The indicators were number of publications per year, main journals of publication and its quality index, collaboration networks between authors, and co-occurrence of terms. The predominant language of publication was English, the main type of study was the observation...

Introducción: El papel que juega la resistencia a la insulina (RI) en las enfermedades crónicas se debe en gran medida a la presencia de inflamación de bajo grado, a través de proteínas como la proteína C reactiva (PCR). Si bien hay datos que evidencian la relación entre la RI y la PCR, ello es escaso en población no obesa. Evaluar la asociación entre la RI y la PCR en una muestra de Objetivo:peruanos no obesos. Estudio transversal analítico de base Material y métodos: de datos secundario del estudio PERU MIGRANT. Se encontró una Resultados: prevalencia de RI de 3,72 %; mientras que la prevalencia de PCR alto (≥ 3 mg/L) en los sujetos de estudio fue 19,26 %. Los pacientes con PCR alto tenían 5,65 % mayor frecuencia de tener RI, en comparación con quienes tenían PCR normal (2,63% vs 8,28%; p= 0,003). Las mujeres tenían 1,49 % mayor frecuencia en tener RI, respecto a los ...

Introducción: Uno de los síntomas físicos de la depresión es el asma. El asma genera gran carga social, económico y deterioro en la calidad de vida; agravando la depresión del paciente. Objetivo: Determinar la asociación entre asma y depresión en una muestra de pacientes peruanos según la escala de depresión del centro de estudios epidemiológicos (CES-D). Métodos: Se realizó un estudio transversal, analítico, llevado a cabo a través de un análisis de base de datos secundario de la cohorte CRONICAS. Nuestra variable principal fue la presencia o no de asma, medido a través del criterio autoinformado. La variable respuesta fue depresión, que fue medido a través del CES-D, con cortes ≥ 16 y ≥ 23 puntos. Resultados: Se trabajó con un total de 2901 sujetos. La prevalencia de asma fue 1,86 %, depresión fue 36,44 % (CES-D ≥ 16) y 16,99 % (CES-D ≥ 23). En el primer an...

Background: The role of insulin resistance (IR) in chronic disease is largely due to the presence of low-grade inflammation, through proteins such as C-reactive protein (CRP). Although there is evidence of a relationship between IR and CRP, this is scarce in non-obese population. Objective: To evaluate the association between IR and CRP in a sample of non-obese Peruvians. Materials and methods: Cross-sectional analytical study of the secondary database of the PERU MIGRANT study. Results: We found a prevalence of IR of 3.72 %; while the prevalence of high CRP (≥ 3 mg/L) in the study subjects was 19.26 %. Patients with high CRP had 5.65 % higher frequency of having RI, compared to those with normal CRP (2.63 % vs 8.28 %; p= 0.003). Females had 1.49 % higher frequency of having IR, compared to males (4.51 % vs. 3.02 %; p= 0.336). Patients with high CRP had 214% higher frequency of having ...

Introduction: The COVID-19 pandemic led to the transition to remote work, triggering variations in stress and physical activity (PA), associated with context-specific instability. Objective: To identify the association between perceived stress (PS) and the level of physical activity (PA) and explore its relationship with the sociodemographic, family, work and individual characteristics of professors working remotely during the COVID-19 pandemic. Material and methods: Cross-sectional analytical study based on a virtual survey of professors. PS was assessed using the Perceived Stress Scale (PSS-14), and PA using an International Physical Activity Questionnaire. The prevalence of high PS and the association with PA were estimated using a Poisson regression analysis with robust variance that estimated crude prevalence ratios (cPR) and adjusted prevalence ratios (aPR) with a 95% confidence in...

Introduction:The role of p-value knowledge for clinical practice is elemental; however, insufficient evidence on this is found in health science students.Objective:To determine the factors associated with p-value knowledge in human medical students.Methods:Analytical cross-sectional study. Application of a virtual survey to human medicine students from different faculties in Peru.Results:54.69% had sufficient knowledge of p-value. The multivariate analysis found a statistically significant association with having sufficient knowledge on this topic in those who were between 6th to 9th semester (APr: 1.118; 95% CI 1.051 -1.412; p=0.009) and medical internship (APr: 1.234; 95% CI 1.073 -1.418; p=0.003); taking an external course in biostatistics, epidemiology or research (APr: 1.420; 95% CI 1.227 -1.643; p<0.001); having read 6 to 12 articles per year (APr: 1.353; 95% CI 1.196 -1.530; p<0.0...

Introducción: La reducción del consumo de sal se ha identificado como una de las intervenciones prioritarias para prevenir las enfermedades no transmisibles a nivel mundial. Por ello, se recomienda que uno de los tres pilares para reducir su ingesta es reconocer el nivel de conocimientos, actitudes y prácticas relacionadas con el consumo de sal (CAP-sal). Objetivo: Determinar el nivel de CAP-sal y los factores asociados a estos en la población peruana. Materiales y métodos: Estudio transversal analítico realizado mediante encuesta virtual en población adulta peruana. Resultados: Se trabajó con una muestra de 918 sujetos. La proporción de participantes con conocimiento, actitudes y prácticas suficientes, fue del 54,58 %; 50,22 % y 40,31 %, respectivamente. Las variables que aumentan la probabilidad de tener un nivel suficiente de CAP-sal fueron el sexo femenino, la presencia de ...

Introduction: Given the relationship between obesity and type 2 diabetes mellitus (T2DM) and hypertension, an indicator of body fat, A Body Shape Index (ABSI), has been considered to have apparent predictive power for these diseases.Objective: To determine the predictive power of the ABSI for DMT2 and hypertension in Peru through the analysis of the Demographic and Health Survey-2020 (ENDES-by its acronym in Spanish-2020).Methods: Cross-sectional analytical study of the ENDES-2020. The variables evaluated were ABSI, body mass index, high abdominal waist, waist-to-height ratio, body roundness index (BRI) and conicity index (COI). Areas under the curves (AUC) together with their 95% confidence interval (95%CI) were used to present each index.Results: A total of 19 984 subjects were studied. Regarding hypertension, the highest AUC was presented by the COI: AUC=0.707 (95%CI 0.694-0.719). Whi...

Introduction:Noise-induced hearing loss has been implicated in the genesis of several chronic conditions; however, its behavior concerning hypertension still raises doubts about it.Objective:to determine the association between hearing loss due to exposure to noise and the presence of hypertension in a sample of Peruvian workers.Methods: Cross-sectional analytical study. Secondary analysis of the occupational database of a Medical centerin Lima, Peru. hypertensionwas measured by self-report and clinical method. Hearing loss was classified as none, mild, moderate and severe. For the regression analysis, Poisson was performed with robust variance, obtaining crude (PRc) and adjusted (PRa) prevalence ratios.Results: We worked with a total of 1987 participants. The prevalence of hypertension was 15.40% and hearing loss was 36.39%. For the multivariate regression analysis, a statistically sign...

Introducción: La prediabetes, en su gran mayoría evolucionará hacia diabetes mellitus; por ello, es importante su detección temprana, a través de pruebas de cribado. Objetivo: Estimar la precisión de la prueba de riesgo del ADA y la prueba de riesgo peruana como cribado para prediabetes. Métodos: Estudio transversal para pruebas diagnósticas. Para el diagnóstico de prediabetes se utilizó la glucosa en ayunas como prueba de referencia. Para evaluar el rendimiento diagnóstico discriminativo se utilizó el gráfico de curvas COR que se presentó con el área bajo la curva y se tomó en cuenta la sensibilidad para determinar el punto de corte. Se calcularon los intervalos de confianza al 95 %. Se trabajó con un total de 441 sujetos. Resultados: La prevalencia de prediabetes fue 14,29 %. El punto de corte de la prueba de riesgo del ADA fue 4; presentó un área bajo la curva de 0,...

La Diabetes Mellitus tipo 2 es una enfermedad que representa un reto para la salud pública por su tendencia al crecimiento e impacto sobre todo en países en desarrollo. Objetivo: determinar los factores asociados a la no realización del cribado de diabetes mellitus tipo 2 según la encuesta demográfica y de salud familiar del año 2020 (ENDES-2020). Materiales y métodos: Estudio analítico transversal secundario de la ENDES-2020. Resultados: Las variables que mostraron asociación estadísticamente significativa para cribado de DM2 fueron: sexo masculino (PR=1,06, IC95% 1,02–1,10; p<0,001), edad entre 30 a 59 años (0,92; IC95% 0,89–0,95; p<0,001) y 60 años a más (PR=0,72; IC95% 0,65–0,79; p<0,001), educación primaria (PR=0,94, IC 95% 0,92 - 0,99; p<0,020), secundaria (PR=0,93; IC 95% 0,88–0,97; p=0,008) y superior (PR=0,86, IC 95% 0,85–0,94; p<0,001), ser pobre (PR=0,9...

Introduction: Despite the growing awareness of the importance of knowledge in biostatistics, many investigations worldwide have found that medical students have a poor understanding of it. Objective: To determine the percentage of Peruvian medical students with sufficient biostatistics knowledge and the associated factors. Methods: Cross-sectional analytical study. Application of a virtual survey to medical students from different faculties in Peru. Results: 56.46% of medical students have insufficient knowledge of biostatistics. A statistically significant association was found for those who were 25 years of age or older (aPR: 1.195; 95% CI 1.045 - 1.366; p=0.009); being between the 9th and 12th semester (aPR: 1.177; 95% CI 1.001 - 1.378; p=0.037) and medical internship (aPR: 1.373; 95% CI 1.104 - 1.707; p=0.004); take an external course in biostatistics, epidemiology or research (aPR: ...

Background: The association between obesity and depression has been frequently reported. However, it still remains unclear which anthropometric indicators for obesity could be the best measure to explain its linkage with depressive symptoms. Methods: This is a cross-sectional analytical study. Secondary data was analyzed using information from the Demographic and Health Survey of Peru (ENDES in Spanish). Data from the years 2018 to 2021 were reviewed. The outcome of interest was the presence of depressive symptoms, assessed with the Patient Health Questionnaire-9 (PHQ-9). The exposure variable was the presence of obesity, which was evaluated by body mass index (BMI) and abdominal circumference. Crude and adjusted odds ratios (cOR and aOR) were calculated using logistic regression. Both prevalence and association measures were presented with 95% confidence intervals (95% CI). Results: A t...

Introduction: The Mediterranean diet (MedD)is a characteristic eating pattern of the countries of the Mediterranean region. Nonetheless, is unknown its adherence in medical students. We aimed to determine the prevalence of adherence to the Mediterranean diet (AMedD) and associated factors in medical students from Peru. Material and methods: Analytical cross-sectional study carried out by means of a virtual survey. PREDIMED scale was used to evaluate AMedD. The factors assessed were age, sex, academic year, body mass index (BMI), place of lunch consumption, cigarette smoking, and physical activity. Poisson regression with robust variance was used to present it in crude and adjusted prevalence ratios (PRa). Results: High AMedD was present in 38.50%. Statistically significant association was found for sex (PRa: 0.623; 95%CI 0.488-0.796); for overweight (PRa: 0.417; 95%CI 0.270-0.644), obesi...

Introducción: El fibrinógeno plasmático es reconocido como un factor de riesgo importante para eventos cardiometabólicos a través de mecanismos como la formación de trombina, agregación plaquetaria e inflamación, todos partes de la disfunción endotelial conducentes al Síndrome Coronario Agudo. Elevados niveles pueden estar presentes en sujetos con obesidad, sin embargo, no hay información suficiente sobre si esto también es igual en los sujetos delgados metabólicamente obesos (DMO). Objetivo: Determinar la asociación entre el DMO y niveles de fibrinógeno en una muestra de pobladores peruanos. Metodología: Estudio transversal analítico. Análisis de datos secundarios del estudio PERU MIGRANT (2007, 989 participantes). Para el diagnóstico de DMO se consideró si presentaba dos o más características de siete criterios metabólicos: circunferencia de la cintura (mediante ...

Introduction: Obesity and depression contribute to the global burden of economic cost, morbidity, and mortality. Nevertheless, not all people with obesity develop depression. Objective: To determine the factors associated with depressive symptoms among people aged 15 or older with obesity from the National Demographic and Family Health Survey (ENDES in Spanish 2019–2021). Methods: Cross-sectional analytical study. The outcome of interest was the presence of depressive symptoms, assessed using the Patient Health Questionnaire-9 (PHQ-9). Crude (cPR) and adjusted (aPR) prevalence ratios were estimated using GLM Poisson distribution with robust variance estimates. Results: The prevalence of depression symptoms was 6.97%. In the multivariate analysis, a statistically significant association was found between depressive symptoms and female sex (PRa: 2.59; 95% CI 1.95–3.43); mountain region...