Influence of Omega 3 Fatty Acid Supplementation on Phase Angle Values of People Living with HIV/AIDS with Lipodystrophy Secondary to Antiretroviral Therapy: A Randomized Clinical Trial

Objective: The measurement of phase angles is an important monitoring parameter and supplementation with omega-3 could promote benefits by modulating the electrical potential of membranes and increasing body cell mass. This study aimed to evaluate the effectiveness of omega-3 fatty acid supplementation on the phase angle of people living with HIV/AIDS. Methods: In this study, 63 individuals of all genders who were undergoing outpatient follow-up and showed lipodystrophy due to highly active antiretroviral therapy were analyzed. Our sample consisted of two groups, one that received supplementation containing 2550 mg of omega-3/day (1080 mg of eicosapentaenoic acid and 720 mg of docosahexaenoic acid) for three months (n = 32) and another that underwent nutrition guidance (n = 31). Phase angle and body cell mass were assessed for both groups and compared at the beginning of research (T0) and after our intervention (T1) for each group separately. Results: Phase angle averaged 6.45° ± 1.06 SD. The comparison between T0 and T1 showed a significant increase in phase angle and body cell mass, whereas the guidance group showed a decrease in body cell mass at T1 in relation to T0, with a significant p-value. Variance in phase angle between moments showed significant values between T0 and T1 in the supplementation group for all genders. Conclusion: Omega-3 positively modulated patients phase angle and body cell mass, but we emphasize the need for other studies that can solidify knowledge about supplementation dosage and intervention time.

Diversity and Biological Activities of Endophytic Fungi Associated with Micropropagated Medicinal Plant <i>Echinacea purpurea</i>(L.) Moench

Echinacea is one of the top ten selling medicinal herbs in Europe and United States. Commercially available formulations may contain different plant parts of three species (Echinacea purpurea, E. pallida, and E. angustifolia). Our study evaluates the diversity of microbial community associated with healthy E. purpurea clones and their ability to produce defense compounds. We recovered and identified thirty-nine fungal endophytes through the molecular methods in 15 distinct phylotypes, which were closely related to species of the following genera Ceratobasidium, Cladosporium Colletotrichum, Fusarium, Glomerella, and Mycoleptodiscus. These taxa were previously reported as decomposer and phytopathogenic fungi. The fungal community associated with two E. purpurea clones showed high richness and dominance indices with different distribution among plant organs. Crude extracts of fungal isolates were tested for antifungal and insecticidal biological activities. A total of 16 extracts (41%) showed antifungal properties;while just the extract of M. indicus exhibited larvicidal activity against A. aegypti. These results suggest that the symbiosis between the endophytic fungal community and micropropagated clones of E. purpurea was re-established after acclimatization to soil and the endophytic fungi produced compounds against phytopathogenic fungi.

Cyathus tenuicorticalis(Agaricales,Basidiomycota),a new species from La Selva Biological Station,Costa Rica

Cyathus tenuicorticalis was found growing on decaying wood from La Selva Biological Station,Costa Rica.Specimens were analyzed using the methodology proposed for the group and specific literature for the genus.The fundamental diagnostic features for this new species are the very thin double-layered cortex in peridioles,exoperidium strongly hirsute,and a platinum bright endoperidium.Description,discussion and photographs of this new species are provided.

Synthesis and Biological Evaluation of a Highly Constrained Analogue of Methylthioadenosine (MTA)

We describe the synthesis and the antibacterial evaluation 2’,N3-cyclonucleoside 3 analogue of MTA that is characterized by the presence of an additional linkage between the heterocyclic ring and the sugar moiety.

Microbiological Contamination and Disinfection Procedures of Kitchen Sponges used in Food Services

Kitchen sponges continue to be heavily used in Brazilian food services, even though they may be very contaminated. The objective of this study was to evaluate the microbiological contamination and the efficacy of two procedures for the disinfection of kitchen sponges used in Brazilian food services. Eighty sponges were collected from food services and then analyzed for the quantification heterotrophic microorganisms (HM), fecal coliforms (CF), Staphylococcus coagulase-positive (SA) microorganisms and to the investigation of the presence of Salmonella sp. (SAM). After that, the sponges were disinfected, separately, by either boiling water for five minutes or immersed in 200ppm sodium hypochlorite, for 10 minutes, added to a rinse with potable water. The results showed that sponges presented HM counts between 3.4 and 10.4 log CFU/sponge, with an average of 9.1 log CFU/sponge, and 76.25% of them presented CF with average counts of 8.4 log CFU/sponge. SA and SAM were found in 2.5% of samples. Both disinfection procedures were able to significantly reduce the bacterial counts, but the boiling method showed a greater reduction (99.9999%) than the method of disinfection by 200 ppm sodium hypochlorite (99.9%). Based on the results it was possible to conclude that kitchen sponges can be very contaminated, but simple disinfection procedure can be applied to significantly reduce the microbial contamination.

hsa-miR-29c and hsa-miR-135b differential expression aspotential biomarker of gastric carcinogenesis

AIM: To investigate the expression profiles of hsa-mi R-29 c and hsa-mi R-135 b in gastric mucosal samples and their values as gastric carcinogenesis biomarkers. METHODS: The expression levels of hsa-mi R-29 c and hsa-mi R-135 b in normal gastric mucosa, non-atrophic chronic gastritis, intestinal metaplasia and intestinaltype gastric adenocarcinoma were analysed using quantitative real-time PCR. The difference between hsa-mi R-29 c and hsa-mi R-135 b expression profiles in the grouped samples was evaluated by ANOVA and Student's t-test tests. The results were adjusted for multiple testing by using Bonferroni's correction. P values ≤ 0.05 were considered statistically significant. To evaluate hsa-mi R-29 c and hsa-mi R-135 b expressions as potential biomarkers of gastric carcinogenesis, we performed a receiver operating characteristic curve analysis and the derived area under the curve, and a Categorical Principal Components Analysis. In silico identification of the genetic targets of hsa-mi R-29 c and hsa-mi R-135 b was performed using different prediction tools, in order to identify possible genes involved in gastric carcinogenesis.RESULTS: The expression levels of hsa-mi R-29 c were higher in normal gastric mucosal samples, and decreased progressively in non-atrophic chronic gastritis samples, intestinal metaplasia samples and intestinal-type gastric adenocarcinoma samples. The expression of hsa-mi R-29 c in the gastric lesions showed that non-atrophic gastritis have an intermediate profile to gastric normal mucosa and intestinal-type gastric adenocarcinoma, and that intestinal metaplasia samples presented an expression pattern similar to that in intestinal-type gastric adenocarcinoma. This micro RNA(mi RNA) has a good discriminatory accuracy between normal gastric samples and(1) intestinal-type gastric adenocarcinoma; and(2) intestinal metaplasia, and regulates the DMNT3 A oncogene. hsa-mi R-135 b is up-regulated in non-atrophic chronic gastritis and intestinal metaplasia samples and down-regulated in normal gastric mucosa and intestinal-type gastric adenocarcinoma samples. Non-atrophic chronic gastritis and intestinal metaplasia are significantly different from normal gastric mucosa samples. hsa-mi R-135 b expression presented a greater discriminatory accuracy between normal samples and gastric lesions. This mi RNA was associated with Helicobacter pylori presence in non-atrophic chronic gastritis samples and regulates the APC and KLF4 tumour suppressor genes.CONCLUSION: Our results provide evidence of epigenetic alterations in non-atrophic chronic gastritis and intestinal metaplasia and suggest that hsa-mi R-29 c and hsa-mi R-135 b are promising biomarkers of gastric carcinogenesis.

Therapeutic effectiveness of a single exercise session combined with WalkAide functional electrical stimulation in post-stroke patients:a crossover design study

A growing body of evidence has suggested that the imbalance of epigenetic markers and oxidative stress appears to be involved in the pathophysiology and progression of stroke.Thus,strategies that modulate these biomarkers might be considered targets for neuroprotection and novel therapeutic opportunities for these patients.Physical exercise has been reported to induce changes in these epigenetic markers and improve clinical outcomes in different populations.However,little is reported on this in post-stroke patients.The purpose of this study was to investigate the effect of a single exercise session with WalkAide functional electrical stimulation(FES)on cognitive performance,clinical functional parameters,oxidative stress and epigenetic modulation in post-stroke individuals.In this crossover design study,12 post-stroke individuals aged 54–72 years of either sexes were included and subjected to a single session of exercise(45 minutes)without WalkAide functional electrical stimulation(EXE alone group),followed by another single session of exercise(45 minutes)with WalkAide functional electrical stimulation(EXE+FES group).The clinical functional outcome measures,cognitive performance and blood collections for biomarker measurements were assessed pre-and post-intervention.After intervention,higher Berg Balance Scale scores were obtained in the EXE+FES group than in the EXE alone group.There was no significant difference in the Timed Up and Go test results post-intervention between EXE alone and EXE+FES groups.After intervention,a better cognitive performance was found in both groups compared with before the intervention.After intervention,the Timed Up and Go test scores were higher in the EXE+FES group than in the EXE alone group.In addition,the intervention induced lower levels of lipid peroxidation.After intervention,carbonyl level was lower,superoxide dismutase activity and superoxide dismutase/catalase activity ratio were higher in the EXE+FES group,compared with the EXE group alone.In each group,both histone deacetylase(HDAC2)and histone acetyltransferase activities were increased after intervention compared with before the intervention.These findings suggest that a single exercise session with WalkAide FES is more effective on balance ability and cognitive performance compared with conventional exercise alone in post-stroke patients.This is likely to be related to the regulation of oxidative stress markers.The present study was approved by the Research Ethics Committee of the Methodist University Center-IPA(approval No.2.423.376)on December 7,2017 and registered in the Brazilian Registry of Clinical Trials—ReBEC(RBR-9phj2q)on February 11,2019.

Effects of a multimodal exercise protocol on functional outcomes,epigenetic modulation and brain-derived neurotrophic factor levels in institutionalized older adults:a quasi-experimental pilot study

Epigenetic changes have been shown to be associated with both aging process and aging-related diseases.There is evidence regarding the benefits of physical activity on the functionality,cognition,and quality of life of institutionalized older adults,however,the molecular mechanisms involved are not elucidated.The purpose of this pilot study was to investigate the effects of a multimodal exercise intervention on functional outcomes,cognitive performance,quality of life(QOL),epigenetic markers and brain-derived neurotrophic factor(BDNF)levels among institutionalized older adult individuals.Participants(n=8)without dementia who were aged 73.38±11.28 years and predominantly female(87.5%)were included in this quasi-experimental pilot study.A multimodal exercise protocol(cardiovascular capacity,strength,balance/agility andflexibility,perception and cognition)consisted of twice weekly sessions(60 minutes each)over 8 weeks.Balance(Berg Scale),mobility(Timed Up and Go test),functional capacity(Six-Minute Walk test),cognitive function(Mini-Mental State Examination)and QOL(the World Health Organization Quality of Life-BREF Scale questionnaire)were evaluated before and after the intervention.Blood sample(15 mL)was also collected before and after intervention for analysis of biomarkers global histone H3 acetylation and brain-derived neurotrophic factor levels.Significant improvements were observed in cognitive function,balance,mobility,functional capacity and QOL after the intervention.In addition,a tendency toward an increase in global histone H3 acetylation levels was observed,while brain-derived neurotrophic factor level remained unchanged.This study provided evidence that an 8-week multimodal exercise protocol has a significant effect on ameliorating functional outcomes and QOL in institutionalized older adult individuals.In addition,it was also able to promote cognitive improvement,which seems to be partially related to histone hyperacetylation status.The Ethics Research Committee of Centro Universitário Metodista-IPA,Brazil approved the current study on June 6,2019(approval No.3.376.078).

Selective logging alters allometric relationships of five tropical tree species in seasonal semi-deciduous forests

In selectively logged forests,trees are more likely to expand their diameters(D)at the expense of height(H)growth,resulting in variations in H:D relationships.This study examines how selective logging affects the H:D allometric relationships of five common tree species and whether the effects vary with functional groups(shade-intolerant or shade tolerant)in seasonal semi-deciduous forests.Individuals of five species in a 3000 m^2(0.3 ha)plot were marked and heights and diameters recorded.Most of the species,with one exception,showed greater investment in diameter per increment of height compared to an unlogged forest,possibly because of the greater light available.This study shows the effects of selective logging on species populations as evidenced by increases in H:D ratios.Comparison of forest fragments with different degrees of human impact is important because it allows us to understand the differences in architectural characteristics caused by selective logging.

Effect of Larval Topical Application of Juvenile Hormone on Caste Determination in the Independent-Founding Eusocial Wasp <i>Mischocyttarus consimilis</i>(Hymenoptera: Vespidae)

Eusocial wasps are excellent models for understanding polyethism and division of labor among castes in social insects. However, little is known about the mechanisms controlling caste determination in eusocial wasps. Evidence suggests that the phenotype of queens in independent-founding (IF) eusocial wasps of the subfamily Polistinae can be partly fixed in the larval stage;however, this hypothesis has not yet been investigated. In this study we evaluate whether juvenile hormone (JH) affects pre-imaginal caste determination in the IF eusocial wasp Mischocyttarus consimilis (Hymenoptera: Vespidae). Analyzing morphometric and behavioral data, we demonstrated experimentally that females emerging from larvae that were treated with JH in the third instar had a significantly larger body size, spent more time in the nest, and were subject to less physical aggression from nestmates compared with females emerging from untreated control larvae. These results indicate that phenotype differences among castes in IF eusocial wasps can be partly fixed in the pre-adult stage and influenced by variations in the JH titer.

Phylogeny of Bacteria from Steelmaking Wastes and Their Acidic Enrichment Cultures

Currently, millions of tons of steel are produced worldwide. This has become a serious economic and environmental challenge because the ores used for steel production are nonrenewable resources and the production generates huge amount of waste. In this study, we identified and investigated the ability of bacteria from steelmaking waste with low and high zinc concentration to promote leaching of zinc, when enriched by acidic (pH 2) culture conditions. The bioleaching assays indicated removal of Zn, as in chemical leaching. Bacterial communities from crude and enrichment culture wastes were characterized by the 16S rRNA gene. Phylogenetic analysis of the generated clone libraries revealed predominance of Proteobacteria and Firmicutes. The Actino- bacteria, Bacteroidetes, Cyanobacteria, and Deinococcus-Thermus phyla were also encountered. The clones were most closely related to cultivable heterotrophic bacteria. Different genera were identified including iron redox cycling and leaching bacteria such as Chromobacterium, Aeromonas, Escherichia, Bacillus, and Ochrobactrum. These data add significant new information on bacteria which survive in extremely acidic conditions. They are distantly related to typical acidophiles responsible for the leaching process, which makes them good candidates for future studies on metal bioleaching.

Species delimitation based on diagnosis and monophyly, and its importance for advancing mammalian taxonomy

A recently proposed taxonomic classification of extant ungulates sparked a series of publications that criticize the Phylogenetic Species Concept （PSC） claiming it to be a particularly poor species concept.These opinions reiteratively stated that （1） the two fundamental elements of the ＂PSC＂,i.e.,monophyly and diagnosability,do not offer objective criteria as to where the line between species should be drawn;and （2） that extirpation of populations can lead to artificial diagnosability and spurious recognitions of species.This sudden eruption of criticism against the PSC is misleading.Problems attributed to the PSC are common to most approaches and concepts that modern systematists employ to establish species boundaries.The controversial taxonomic propositions that sparked criticism against the PSC are indeed highly problematic,not because of the species concept upon which they are based,but because no evidence （whatsoever） has become public to support a substantial portion of the proposed classification.We herein discuss these topics using examples from mammals.Numerous areas of biological research rest upon taxonomic accuracy （including conservation biology and biomedical research）;hence,it is necessary to clarify what are （and what are not）the real sources of taxonomic inaccuracy.

Ultrastructural analysis of sperm from the genus Idarnes(Hymenoptera:Chalcidoidea,Sycophaginae)

In this study,the sperm ultrastructure of three species of Idarnes genus was investigated using light and transmission electron microscopy.Spermatozoon morphology of the three species was similar to that of most Chalcidoidea,with helicoidally twisted nucleus and flagellum.The head region consists of an acrosome and a nucleus;the nucleus-flagellum transition region characterized by the presence of mitochondrial derivatives and the centriolar adjunct;a flagellum region,which includes the axoneme with microtubular arrangement 9+9+2 and two mitochondrial derivatives.However,the sperm of these three species exhibit features that discriminate one species from each other:(1)only one species,Idarnes sp.2(carme group)exhibited an extracellular sheath surrounding the anterior portion of the nucleus,which extends to the anterior region of the flagellum,but it did not present filaments;(2)the acrosome in the three species was quite different,Idarnes sp.1 and Idarnes sp.2(carme group)has two compartments(acrosomal and subacrosomal vesicles)while Idarnes sp.3(flavicollis group)has a third compartment(perforatorium);(3)the centriolar adjunct elongated and its location among the mitochondrial derivatives is similar for the three species analyzed;(4)mitochondrial derivatives differ between the species,with triangular(Idarnes sp.1 and sp.3)and elongated or flat shaped(Idarnes sp.2)appearance.These data shows that sperm structure may differ within the same genus and confirms the potential of these cells in phylogenetic and taxonomic analyses in the Chalcidoidea superfamily,as well as in Hymenoptera in general.

Mechanobiology of the cell surface:Probing its remodeling dynamics using membrane tether pulling assays with optical tweezers

Mammalian cell surfaces consist of the plasma membrane supported by an underneath cortical cytoskeleton.Together,these structures can control not only the shape of cells but also a series of cellular functions ranging from migration and division to exocytosis,endocytosis and differentiation.Furthermore,the cell surface is capable of exerting and reacting to mechanical forces.Its viscoelastic properties,especially membrane tension and bending modulus,are fundamental parameters involved in these responses.This viewpoint summarizes our current knowledge on how to measure the viscoelastic properties of cell surfaces employing optical tweezers-based tether assays,paving the way for a better understanding of how cells react to external mechanical forces,with a glance on their remodeling dynamics and possible consequences on downstream cellular processes.

Seed Germination in Tomato: A Focus on Interaction between Phytochromes and Gibberellins or Abscisic Acid

Separately, it is well-documented that phytochromes (phys), gibberellin (GA) and abscisic acid (ABA) strongly control the seed germination in tomato. However, we hipothesized that phys interact with GA or ABA during this response. Thus, we make an analysis of seed germination of ABA deficient (sit), GA constitutive response (pro), phytochrome deficient (au) mutants as well as, specially, au sit and au pro double mutants of tomato?incubated in the dark or light conditions during 120 h [12 h intervals (i)]. Compared to au, which severely?reduced percentage germination (Gi%) and pro, which did not alter Gi%, au pro showed in the light enhanced Gi% and germination speed index (GSI) besides the reduced average germination time (AGT). Moreover, in the dark, germination of au pro was similar to pro. These results indicate that the mechanisms by which GA modulate germination in tomato are light dependent through the phy signaling, whereas intermediary values of Gi%, GSI and AGT in dark and light of au sit compared to au and sit single mutants indicate an additive effect of the au and sit mutations, suggesting that ABA and phy may act through the parallel signaling pathway.

An Ethylene Over-Producing Mutant of Tomato (<i>Solanum lycopersicum</i>), Epinastic, Exhibits Tolerance to High Temperature Conditions

Above-optimal temperatures reduce yield in many crops, including tomato, largely because of the heat-sensitivity of their reproduction process. A full understanding of heat-stress (HS) response and thermotolerance of tomato reproduction is still lacking. Recently, using external application of the plant hormone ethylene, it was demonstrated that ethylene plays a role in heat-tolerance of tomato pollen (the male reproductive cells). In order to expand our understanding on involvement of ethylene in tomato pollen thermotolerance, we analyzed the response of wild type and ethylene-related tomato mutant plants to HS, at physiological and molecular levels. We report that mild chronic HS conditions highly reduce the number of viable and germinating pollen grains as well as the production of seeded fruits in wild type tomato plants, while no significant reduction was detected/observed in pollen quality, number of seeded fruits and seeds per fruit in plants of the ethylene over-producer mutant epinastic. Our findings suggest that ethylene is involved in thermotolerance of tomato reproduction, pointing to an effect on pollen viability and germination potential, highlighting candidate genes involved in pollen response to HS (like SlHSP17, SlHSP101, SlMBF1) and suggesting directions for further studies.

Myxomycetes on Palm Trees: Species on <i>Attalea speciosa</i>Mart. ex Spreng

Attalea speciosa Mart. ex Spreng (baba?u) is a palm tree of considerable economic importance in Brazil, especially in the northeast portion of the country. The myxobiota of baba?u was studied by examining living and dead trunks, leaves, inflorescences and fallen fruits on the ground during the wet season at the Teresina Park, Piauí State, Brazil. Taxonomic diversity, species diversity, frequency of occurrence, abundance and constancy of each species were determined in two areas of deciduous mixed forest. The taxonomic diversity of the myxobiota was similar, with values of 1.5 and 1.6 for the two areas. The highest frequency of occurrence value was recorded for the spathe (50% -54%), followed by the petiole (18% -19%) and leaf sheath (4% -19%). Myxomycetes were absent on fallen fruits and rare on the leaf blade (6%) and dead (9%) or living (2%) trunks. Hemitrichia serpula (Scop.) Rostaf. ex Lister, Perichaena depressa Lib., Arcyria cinerea (Bull.) Pers. and H. calyculata (Speg.) M. L. Farr were the species characterized by the highest levels of constancy, abundance and frequency. Cribraria microcarpa (Schrad.) Pers. and Stemonitopsis typhina (F. H. Wigg.) Nann.-Bremek. were occasionally present. Ceratiomyxa fruticulosa (Mull.) T. Macbr., Clastoderma debaryanum A. Blytt, Craterium aureum (Schumach.) Rostaf. and Physarum melleum (Berk. & Broome) Massee were infrequently encountered. Other species recorded were Arcyria denudata (L.) Wettst., Cribraria cancellata (Batsch.) Nann.-Bremek., C. violacea Rex, Lycogala exiguum Morgan, Metatrichia vesparia (Batsch) Nann.-Bremek. ex G. W. Martin, Physarum bogoriense Racib., P. nucleatum Rex, P. pusillum (Berk. & M. A. Curtis) G. Lister and Stemonitis axifera (Bull.) T. Macbr. The myxobiota of the shaded study area was characterized by a higher diversity (6.10) than the unshaded area (2.10), and the incidence of myxomycetes on the A. speciosa trees selected for study was appreciably higher (100% and 40%, respectively).

Malpighian Tubules in Larvae of Diatraea saccharalis (Lepidoptera;Crambidae): A Morphological Comparison between Non-Parasitized and Parasitized by Cotesia flavipes (Hymenoptera;Braconidae)

In Diatraea saccharalis larvae, the Malpighian tubules are found along the digestive tube, extending from the middle mesenteric region to the end of the posterior intestine, where they come in contact with the rectum to form the cryptonephridium. Scanning and transmission electron microscopy of non-parasitized and parasitized larvae by Cotesia flavipes have indicated that the tubules consist of secretory and reabsorption cells. In parasitized larvae, the occurrence of hemocytes and teratocytes around the tubules is indicative of their role in immunological defense;however, they were not observed in non-parasitized larvae. At day 9 of parasitism, the mitochondria-containing vacuoles and myelin-like figures show signs of degeneration. The results of this study have confirmed that C. flavipes manipulates the physiology and biochemistry of D. saccharalis because the Malpighian tubules of the parasitized larvae remain active until the parasitoid completes its pupal stage and is released from the host organism.

Molecular and Pathogenic Study of <i>Guignardia</i>spp. Isolates Associated to Different Hosts

Fungi of Guignardia genus are commonly isolated from different plant species and most of the time, they are characterized as endophytes. However, some species of this genus, like G. citricarpa and G. psidii are known as causal agents of serious diseases that affect important crops such as Citrus Black Spot and guava fruit rot, respectively. They are also responsible for diseases that cause foliar spots in different fruit species and also in other crops, but cause minor damages. Despite evidences that G. mangiferae colonizes different plant species, there are few studies about its genetic diversity associated with different hosts. This work has the objective to characterize Guignardia isolates obtained from different hosts and tissues by RAPD, fAFLP and DNA sequence of ITS1-5.8S-ITS2 region, as well as to develop pathogenicity tests through cross inoculation in citrus and guava fruits. It was observed that molecular markers were able to discriminate isolates of different Guignardia species. Pathogenicity tests showed that G. citricarpa caused CBS symptoms on citrus fruits, but it did not produce any symptoms in guava fruits. G. mangiferae isolates were able to cause rot symptoms on guava fruits, but they have not produced any symptoms on citrus fruits. Guignardia isolates obtained from mango leaves that have not been classified in species have not presented any symptoms in citrus and guava fruits. Although G. mangiferae is commonly isolated asymptomatically in different plants, this work supports the evidence that this species has a latent pathogen behavior, at least for guava plants.

Screening of Type 2 Diabetes in the City of Belo Horizonte: Differences between Genders

Introduction: Diabetes mellitus is a major public health problem that carries a high social and economic burden. Its diagnosis is unknown in half of individuals who have the disease. The diagnosis of the risk factors should be done in the beginning, since changes in lifestyle and hyperglycemic correction may delay the appearance of the disease and its complications. In this context, screening has been considered an important tool for an early detection of diabetes in asymptomatic adults. Objective: The objective is to track diabetes in people from BH, comparing genders. Patients and methods: People were interviewed with questions concerning the risk factors associated with the development of diabetes. According to the risk factors present, they were classified as non-diabetic [ND], pre-diabetic [PD] or diabetic [DM]. Statistical analyses were performed considering p ≤ 0.05 as significant. Results: 1264 individuals participated (5.5% DM, 6.5% PD, 88.0% ND). When grouped, PD and DM males were more prevalent than PD and DM females. Those in the DM group had higher blood pressure, age, glycaemia, number of past smokers, first-degree relatives with diabetes than either PD or ND. Both males and females in DM and PD groups had a higher waist circumference than did either ND males or females. ND men had a higher intake of fried food and smoked more in the past than ND women. Both ND and PD males had higher blood pressure than women from the same groups. Conclusion: Screening for diabetes is very important for an early diagnosis and to avoid future complications in patients. It’s possible to infer that women are more conscientious when it comes to taking care of themselves than men.