Subclinical hypothyroidism may contribute to development of cardiovascular disease and has been shown that TSH >2.5uUI/mL is associated with endothelial dysfunction. Objectives: To determine carotid intima media thickness (CIMT), presence of carotid artery plaque and metabolic profile in asymptomatic middle-aged women with TSH ≥2.5 uUI/mL, and compare them with those with levels <2.5 uUI/mL. Design: Analytical and cross-sectional study. Setting: Dos de Mayo Hospital and Institute of Clinical Research, Universidad Nacional Mayor de San Marcos, Lima, Peru. Participants: Women with no history of thyroid disease, cardiovascular disease or diabetes. Interventions: Total cholesterol, HDL cholesterol, triglycerides, oral glucose tolerance test (OGTT), fasting insulin (F-Ins), body mass index (BMI), waist circumference and blood pressure were assessed in 60 women with no history of thyro...

Introduction: Obesity is a chronic disease, which is considered as a public health problem. It affects a large number of people and requires governmental policies that encourage this situation. Objective: To determine the variations in the frequencies of non-morbid obesity (NMO) and morbid obesity (MO) according with different national surveys, and in function of socio-demographic variables. Methods: A descriptive study with data of five national surveys: Nutritional Evaluation of the Peruvian Population (ENPPE 1975), National Survey of Nutritional, Biochemical, Socio-economic and Cultural Indicators (CENAN 2005), National Household Survey (ENAHO 2009-2010) and National Household Survey (ENAHO 2012-2013). NMO was identified by a BMI of 30 to 39.99 kg/m2 and MO was defined by a BMI equal to or greater than 40 kg/m2. Results: The frequency of NMO has...

Introduction. Childhood obesity is a Public Health problem in our country; instead of that, the situation of population aged between 10-19 years-old has been poorly studied. Objective. To determine the prevalence of obesity and severe obesity in Peruvian adolescents. Methods. A secondary study of data from the National Household Survey 2009-2010. The Body Mass In ≥ dex (BMI) was used to define obesity as a BMI value 95 percentile. Severe obesity (SO) was defined using two criteria, BMI ≥ 99 p and 120% of the value corresponding to 95p of BMI. Results. 7,6% presented obesity, and 2,4 and 1,4% were diagnosed with SO according to the mentioned criteria. The highest prevalence of SO was evidenced in men (3% vs. 1,8%), age group of 10 to 14 years-old (3,4% vs. 2%), people who are living in Lima Metropolitana (4,2% vs. 2,4%), or in a urban area (3,2% vs. ...

Objetivo: Estimar la proporción de sujetos con diabetes mellitus tipo 2 (DMT2) que alcanzan la meta terapéutica para HbA1C un año después del diagnóstico (control metabólico temprano). Métodos: Revisión retrospectiva de historias clínicas de adultos atendidos en 16 centros médicos distribuidos en nueve ciudades peruanas. Se incluyeron pacientes que recibieron un diagnóstico inicial de DMT2 y tuvieron al menos un año de seguimiento. Se consideraron las metas metabólicas definidas en los estándares ADA 2018. Resultados: Se incluyeron 457 sujetos (53,03% mujeres). Cuando fueron diagnosticados, la edad media fue de 55,75 años (DE ± 12,92), la media de HbA1C fue de 9,10% (DE ± 2,28). Hubo diagnóstico concomitante de hipertensión arterial o de dislipidemia en 27,13% y 52,40%, respectivamente. Al año de seguimiento, 57,76% de los sujetos alcanzó la meta de HbA1C (<7,0%). El...

Objective: To estimate the rate of subjects with type 2 diabetes mellitus (T2DM) who reach the therapy goal for HbA1C one year after diagnosis (early metabolic control). Methods: This was a retrospective study reviewing clinical records of adults who came to sixteen health centers distributed in nine Peruvian cities. Patients who received an initial T2DM diagnosis and who had at least one-year follow-up were included. Metabolic goals set in ADA 29018 standards were considered.     Results: Four hundred and fifty-seven subjects (53,03% female) were included. When diagnosed, their mean age was 55,75 years (standard deviation [SD]: ± 12,92), and mean HbA1C value was 9,10% (SD: ± 2,28). Concomitant diagnosis including high blood pressure or dyslipidemia were found in 27,13% and 52,40% of all subjects, respectively. After one-year follow-up, 57,76% of all subjects achieved th...

Objective: To estimate the rate of subjects with type 2 diabetes mellitus (T2DM) who reach the therapy goal for HbA1C one year after diagnosis (early metabolic control). Methods: This was a retrospective study reviewing clinical records of adults who came to sixteen health centers distributed in nine Peruvian cities. Patients who received an initial T2DM diagnosis and who had at least one-year follow-up were included. Metabolic goals set in ADA 29018 standards were considered.     Results: Four hundred and fifty-seven subjects (53,03% female) were included. When diagnosed, their mean age was 55,75 years (standard deviation [SD]: ± 12,92), and mean HbA1C value was 9,10% (SD: ± 2,28). Concomitant diagnosis including high blood pressure or dyslipidemia were found in 27,13% and 52,40% of all subjects, respectively. After one-year follow-up, 57,76% of all subjects achieved th...