Efecto del programa Mi Salud Mi Vida en el Síndrome Metabólico y sus componentes en trabajadores de una institución trujillana
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Date
2024
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Universidad Nacional de Trujillo
Abstract
Objetivo: Determinar el efecto del Programa Mi Salud Mi Vida en trabajadores de la Dirección Regional de Salud La Libertad con o sin Síndrome Metabólico, sus componentes y el índice triglicéridos/colesterol HDL. Material y método: Estudio preexperimental, prospectivo, analítico en 220 trabajadores de la Gerencia Regional de Salud en el 2023 18 a 69 años, con un primer tamizaje antropométrico (peso, talla, circunferencial abdominal), medición de presión arterial y toma de glucosa y perfil lipídico, luego la intervención con 12 sesiones educativas en cambios de estilos de vida y se finalizó con tamizaje post intervención. El SM fue determinado de acuerdo a la definición de ALAD: Asociación Latinoamericana de Diabetes. Se utilizó la Prueba de normalidad Kolmogorov-Smirnov, prueba no paramétrica de Wilcoxon y la Prueba de McNemar para determinar el efecto del Programa Mi Salud Mi Vida en los diferentes componentes del síndrome metabólico y el Índice Triglicéridos/HDL con un p<0,05. Resultados: Los varones fueron 86(38,6%) y mujeres 134 (61,4%) p 0,005. El SM se presentó más frecuentemente en varones (50%) que en mujeres (31,6%). Al final de la intervención disminuyó la frecuencia de síndrome metabólico de (85) 38,6% a (55) 25% p<0,01; en varones de 50% a 34,9%, en mujeres de 31,3% a 18,7%. La glucosa, la circunferencia abdominal, el índice Triglicéridos/ colesterol HDL disminuyeron después de la intervención en la población total (p<0,01) y en trabajadores con síndrome metabólico (p=0,01). La glucosa disminuyó también en trabajadores sin síndrome metabólico (p=0,01). El colesterol HDL y la presión arterial disminuyo sólo en trabajadores con síndrome metabólico (p=0,01). Conclusiones: El programa Mi Salud Mi Vida disminuyó la prevalencia de síndrome metabólico, los componentes y el índice triglicéridos/colesterol HDL en trabajadores con síndrome metabólico.
Objective: Determine the effect of the My Health My Life Program on workers of the La Libertad Regional Health Directorate with or without Metabolic Syndrome, its components and the triglycerides/HDL cholesterol index. Material and method: Pre-experimental, prospective, analytical study in 220 workers of the Regional Health Management in 2023, 18 to 69 years old, with a first anthropometric screening (weight, height, abdominal circumferential), blood pressure measurement and measurement. glucose and lipid profile, then the intervention with 12 educational sessions on lifestyle changes and ended with post-intervention screening. The MS was determined according to the definition of ALAD: Latin American Diabetes Association. The Kolmogorov-Smirnov normality test, Wilcoxon non-parametric test and the McNemar test were used to determine the effect of the My Health My Life Program on the different components of the metabolic syndrome, the Triglyceride/HDL Index with a p<0.05. Results: There were 86 men (38.6%) and 134 women (61.4%) p 0.005. MS occurred more frequently in men (50%) than in women (31.6%). At the end of the intervention, the frequency of metabolic syndrome decreased from (85) 38.6% to (55) 25% p<0.01; in men from 50% to 34.9%, in women from 31.3% to 18.7%. Glucose, abdominal circumference, triglyceride/HDL cholesterol ratio decreased after the intervention in the total population (p<0.01) and in workers with metabolic syndrome (p=0.01). Glucose also decreased in workers without metabolic syndrome (p=0.01). HDL cholesterol and blood pressure decreased only in workers with metabolic syndrome (p=0.01). Conclusions: The My Health My Life program decreased the prevalence of metabolic syndrome, the components and the triglyceride/HDL cholesterol index in workers with metabolic syndrome.
Objective: Determine the effect of the My Health My Life Program on workers of the La Libertad Regional Health Directorate with or without Metabolic Syndrome, its components and the triglycerides/HDL cholesterol index. Material and method: Pre-experimental, prospective, analytical study in 220 workers of the Regional Health Management in 2023, 18 to 69 years old, with a first anthropometric screening (weight, height, abdominal circumferential), blood pressure measurement and measurement. glucose and lipid profile, then the intervention with 12 educational sessions on lifestyle changes and ended with post-intervention screening. The MS was determined according to the definition of ALAD: Latin American Diabetes Association. The Kolmogorov-Smirnov normality test, Wilcoxon non-parametric test and the McNemar test were used to determine the effect of the My Health My Life Program on the different components of the metabolic syndrome, the Triglyceride/HDL Index with a p<0.05. Results: There were 86 men (38.6%) and 134 women (61.4%) p 0.005. MS occurred more frequently in men (50%) than in women (31.6%). At the end of the intervention, the frequency of metabolic syndrome decreased from (85) 38.6% to (55) 25% p<0.01; in men from 50% to 34.9%, in women from 31.3% to 18.7%. Glucose, abdominal circumference, triglyceride/HDL cholesterol ratio decreased after the intervention in the total population (p<0.01) and in workers with metabolic syndrome (p=0.01). Glucose also decreased in workers without metabolic syndrome (p=0.01). HDL cholesterol and blood pressure decreased only in workers with metabolic syndrome (p=0.01). Conclusions: The My Health My Life program decreased the prevalence of metabolic syndrome, the components and the triglyceride/HDL cholesterol index in workers with metabolic syndrome.
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Keywords
Programa Mi Salud Mi Vida, Síndrome metabólico, Índice triglicéridos/HDL, Asegurados, Estilos de vida