Analysis of criteria for metabolic syndrome in a population-based study of Japanese-Brazilians

Objective: Criteria for metabolic syndrome (MS) differ particularly regarding the definition of central obesity and consequently, there could be differences in the assessment of cardiovascular risk. We estimated the prevalence of metabolic syndrome, compared the agreement of the World Health Organization (WHO) criteria with the standard and a modified National Cholesterol Education Program (NCEP) criterion and investigated whether additional factors were associated with the diagnosis of the syndrome in a Japanese descendant population.Methods: In this cross-sectional, population-based survey, 1166 Japanese-Brazilians (533 men, 633 women) aged 57.4 +/- 12.4 years with mean body mass index (BMI) and waist of 25.2 +/- 4.0 kg/m(2) and 84.5 +/- 10.6 cm, respectively, were included. McNemar and kappa statistics were used to assess the concordance between WHO criteria with the standard and a modified NCEP criteria (waist of 90 and 80 cm, for men and women, respectively). in logistic regression analysis, a number of metabolic variables and albumin-to-creatinine ratio were included to test independent associations with metabolic syndrome defined by the modified NCEP criteria.Results: According to WHO, 55.4% (95% Cl 52.5-58.2%) of the subjects had MS and to NCEP 47.4% (95% Cl 44.6-50.0%). WHO criterion detected 48.3% of central obese subjects while NCEP only 14.0%. Kappa statistics showed a good strength of agreement (k = 0.67, p < 0.01) between WHO and NCEP standard definitions of MS. Using the modified NCEP criterion for Asians, more subjects with metabolic syndrome were identified (58%) and agreement with WHO was improved (k = 0.72, p < 0.001). However, similar Framingham risk scores were attributed to the subsets of subjects classified by any of the three criteria. Areas under the receiver operating characteristic curves, obtained for the modified waist values to diagnose metabolic syndrome according to WHO, were > 0.80 and corresponded, respectively, to sensitivity and specificity of 63 and 83% for men and 77 and 72% for women. In final logistic regression model, age, male sex, BMI and homeostasis model assessment-insulin resistance but not with albumin-to-creatinine ratio (ACR) were independently associated with the syndrome.Conclusions: High prevalence of MS, independent of the criterion considered, was found in this Japanese-Brazilian population. The replacement of waist cutoff by those proposed by WHO for Asians lead to this diagnosis in a higher number of subjects with elevated cardiovascular risk. Our data did not support that ACR should be included in the classical definition of MS in Japanese descendants as previously suggested by WHO.

High paracellular nutrient absorption in intact bats is associated with high paracellular permeability in perfused intestinal segments

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Correlação de resultados da depuração de creatinina determinada e o Clearance estimado por fórmula

O presente trabalho compara os resultados obtidos da depuração da creatinina endógena de pacientes encaminhados por solicitação médica, realizados pelo Setor de Bioquímica Clínica do CRD-NAC Unesp com protocolo do procedimento de depuração implantado na rotina laboratorial, que utiliza dados da creatinina de sangue e urina (amostra de 24 horas), com os resultados obtidos, para os mesmos pacientes, a partir das fórmulas de Cockcroft-Gault, MDRD simplificada e CDK-EPI, onde não se utiliza os valores obtidos na amostra de urina de 24 horas. E, a partir dessa análise, verifica em que casos o resultado do exame sem a amostra de urina de 24 horas correlaciona-se com o resultado da depuração da creatinina endógena realizado como procedimento de rotina e quais seriam as prováveis variáveis interferentes na aplicação destas fórmulas utilizadas em casos específicos, conforme a necessidade na avaliação clínica.

Estimated production and evapotranspiration of irrigated bean cultivars

The current study intended to determine the optimum water depth, yield and evapotranspiration (ETc) for bean cultivars. The experiment was conducted in the Campus of Unit I of the Triângulo Mineiro Federal Education and Technology Institute in Uberaba, MG, in a completely randomized design with three replications. The treatments consisted of four water-replacing levels in the soil (70, 100, 130 and 160% of the crop evapotranspiration) and four bean cultivars (Pérola, BRSMG Madrepérola, BRSMG Majestoso and IAC Alvorada). The average values of ETc obtained for soil water balance for the cultivars Pérola, BRSMG Madrepérola, BRSMG Majestoso and IAC Alvorada were, respectively, of 5.25 mm day-1, 4.59 mm day-1, 4.54 mm day-1 and 4.77 mm day-1. The water depths which provided the highest yields were for the cultivars Pérola, BRSMG Madrepérola, BRSMG Majestoso and IAC Alvorada of 451.61 mm, 454.41 mm, 504.71 mm and 344.30 mm, respectively. The maximum yields found were 4597.87 kg ha-1 (Pérola), 4546.27 kg ha-1 (BRSMG Madrepérola), 4253.39 kg ha-1 (BRSMG Majestoso) and 3958.50kg ha-1 (IAC Alvorada).

Fetal kidney programming by severe food restriction: effects on structure, hormonal receptor expression and urinary sodium excretion in rats

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Strain rates estimated by geodetic observations in the Borborema Province, Brazil

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Validity and behaviour of tropospheric gradients estimated by GPS in Corsica

Estimation of tropospheric gradients in GNSS data processing is a well-known technique to improve positioning (e.g. Bar-Sever et al., 1998; Chen and Herring, 1997). More recently, several authors also focused on the estimation of such parameters for meteorological studies and demonstrated their potential benefits (e.g. Champollion et al., 2004). Today, they are routinely estimated by several global and regional GNSS analysis centres but they are still not yet used for operational meteorology.This paper discusses the physical meaning of tropospheric gradients estimated from GPS observations recorded in 2011 by 13 permanent stations located in Corsica Island (a French Island in the western part of Italy). Corsica Island is a particularly interesting location for such study as it presents a significant environmental contrast between the continent and the sea, as well as a steep topography.Therefore, we estimated Zenith Total Delay (ZTD) and tropospheric gradients using two software: GAMIT/GLOBK (GAMIT version 10.5) and GIPSY-OASIS II version 6.1. Our results are then compared to radiosonde observations and to the IGS final troposphere products. For all stations we found a good agreement between the ZWD estimated by the two software (the mean of the ZWD differences is 1 mm with a standard deviation of 6 mm) but the tropospheric gradients are in less good agreement (the mean of the gradient differences is 0.1 mm with a standard deviation of 0.7 mm), despite the differences in the processing strategy (double-differences for GAMIT/GLOBK versus zero-difference for GIPSY-OASIS).We also observe that gradient amplitudes are correlated with the seasonal behaviour of the humidity. Like ZWD estimates, they are larger in summer than in winter. Their directions are stable over the time but not correlated with the IWV anomaly observed by ERA-Interim. Tropospheric gradients observed at many sites always point to inland throughout the year. These preferred directions are almost opposite to the largest slope of the local topography as derived from the world Digital Elevation Model ASTER GDEM v2. These first results give a physical meaning to gradients but the origin of such directions need further investigations.

Nasal mucociliary clearance in subjects with COPD after smoking cessation

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Optimal clearance of Sporothrix schenckii requires an intact Th17 response in a mouse model of systemic infection

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Intake, performance and estimated methane production of Nellore steers fed soybean grain

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Variability in obstacle clearance may (not) indicate cognitive disorders in alzheimer disease

The aim of this study was to investigate obstacle clearance and its variability in individuals with Alzheimer dementia (AD) as well as healthy elderly individuals while they approached and crossed an obstacle in their path. Fifteen people with AD and 15 age-matched/sex-matched healthy individuals (control group) participated in this study. Clinical assessment of both groups was performed by a neuropsychiatrist. Spatial-temporal parameters of 5 trials of unobstructed walking and 5 trials of obstacle crossing during walking (approach and crossing phases) were measured using a 3-dimensional optoelectronic system. The results indicated that individuals with AD showed higher variability in the approach phase for stride length and the horizontal distance from their trailing limb foot to the obstacle. However, their gait variability in the crossing phase was similar to the control group. In addition, the individuals with AD were found to walk slowly and with a short stride length in both conditions. In conclusion, individuals with AD had increased gait variability while approaching an obstacle during walking, indicating a deficit in planning to avoid obstacles that could be related to cognitive disorders. However, gait variability during the crossing phase may not be indicative of cognitive disorders in AD.

Acute mucociliary clearance response to aerobic exercise in smokers

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Effect of oral infections on serum creatinine levels in diabetic rats

Aim: The aim of this study was to evaluate the relationship between pulpal and/or periodontal disease and serum creatinine levels in a rat model of diabetes mellitus. Methods: Eighty male rats (Rattus norvegicus albinus, Wistar) were divided into the following 8 groups compris-ing 10 animals each: normal (G1), with pulpal disease (G2), with periodontal disease (G3), with both pulpal and periodontal disease (G4), diabetic (G5), diabetic with pulpal disease (G6), diabetic with periodontal disease (G7), and diabetic with both pulpal and periodontal disease (G8). Diabetes was induced by injecting streptozotocin, pul-pal disease were induced by exposing pulpal tissue to the oral environment, and periodontal disease was induced by periodontal ligature. After 30 days, blood was collected by cardiac puncture and the animals were killed. The maxillae were processed for histopathology. Serum creatinine levels were measured by the enzymatic method. The total assessed values were statistically analyzed by analysis of variance and Tukey’s test (p < 0.05). Results: Serum creatinine levels were significantly higher in diabetic rats than that in all normoglycemic rats (p < 0.05). The presence of pulpal and periodontal disease increased the serum creatinine levels in normoglycemic and diabetic rats, but there was no statistical difference between the groups (p > 0.05). Conclusions: We found that the serum creatinine level was higher in diabetic rats and may be related to the pres-ence of oral infections. Clinical significance: Changes in serum creatinine level may be related to the presence of oral infections and diabetes.