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Supplemental Material, sj-pdf-1-lup-10.1177_09612033221074192 for Efficacy of hydroxychloroquine in the prevention of thromboembolic events: A systematic review and meta-analysis by Fernando Luiz Barros Edington, Daniel Fraga de Rezende, Luis Fernando Sim��es dos Santos, Rayssa Valandro Garcia, Sandra Rocha Gadelha and Mittermayer Barreto Santiago in Lupus

The objectives of this study were to compare waist and abdominal circumference and to analyze their association with cardiometabolic risk factors in employees of a university in Bahia. Fifty-five men and 71 women (36.4 ± 11.2 years) were submitted to anthropometric assessment and measurement of systolic and diastolic blood pressure, blood glucose, triglycerides, total cholesterol, and HDL and LDL fractions. Despite strong correlations (P < 0.01) between the different measures (r > 0.93), waist circumference was significantly lower than abdominal circumference in the two genders, with the mean difference being greater in women (8.6 ± 4.1 vs 3.8 ± 4.2 cm; P < 0.01). Waist circumference was significantly associated with two and four risk factors in men and women, respectively. On the other hand, abdominal circumference was significantly associated with one risk factor in men and with five factors in women. No significant differences (P > 0.05) between correlation coefficients were observed in cases in which the two circumference measures were significantly associated with one risk factor. These results suggest that the site of measurement has substantial influence on circumference measured in the lower region of the trunk, particularly in women. However, there is no clear evidence of the superiority of a single measure in terms of the association with traditional cardiometabolic risk factors in the Brazilian sample studied. Further investigations are needed to compare the predictive capacity of different circumference measures for the development of risk factors and cardiovascular diseases in different populations. Os objetivos deste estudo foram comparar medidas de circunferências da cintura e abdominal e analisar suas relações com fatores de risco cardiometabólico em servidores de uma universidade da Bahia. Para tanto, cinquenta e cinco homens e setenta e uma mulheres (36,4 ± 11,2 anos) foram submetidos à avaliação antropométrica bem como medidas das pressões arteriais sistólica e diastólica, glicemia, triglicerídeos, colesterol total e frações HDL e LDL. Apesar das fortes correlações (P < 0.01) entre as diferentes medidas (r > 0,93), a circunferência da cintura foi significativamente menor que a circunferência abdominal em ambos os sexos, sendo a diferença média entre locais maior em mulheres (8,6 ± 4,1 vs 3,8 ± 4,2 cm; P < 0,01). A circunferência da cintura foi significativamente relacionada a dois e quatro fatores de risco em homens e mulheres, respectivamente. Por outro lado, a circunferência abdominal foi significativamente relacionada a um fator em homens e cinco em mulheres. Não foram observadas diferenças significativas (P > 0,05) entre coeficientes de correlação nos casos em que ambas as circunferências se relacionaram significativamente a um fator de risco. Esses resultados sugerem que o local de mensuração tem influência substancial sobre a circunferência tomada na região inferior do tronco, particularmente, em mulheres, porém, não evidenciam clara superioridade de uma das medidas quanto às relações com fatores de risco cardiometabólico tradicionais em amostra brasileira. Estudos devem ser conduzidos, buscando comparar a capacidade preditiva de diferentes medidas de circunferência para o desenvolvimento de fatores de risco e doenças cardiovasculares em diferentes populações.

p. 269-274 Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2013-10-15T14:58:13Z No. of bitstreams: 1 en_v92n4a06.pdf: 369689 bytes, checksum: f38dcddfd847d43f6c3ebf3c72ba504e (MD5) Approved for entry into archive by Rodrigo Meirelles (rodrigomei@ufba.br) on 2013-11-18T21:13:02Z (GMT) No. of bitstreams: 1 en_v92n4a06.pdf: 369689 bytes, checksum: f38dcddfd847d43f6c3ebf3c72ba504e (MD5) Made available in DSpace on 2013-11-18T21:13:02Z (GMT). No. of bitstreams: 1 en_v92n4a06.pdf: 369689 bytes, checksum: f38dcddfd847d43f6c3ebf3c72ba504e (MD5) Previous issue date: 2009 Background: Studies comparing inflammatory activity between diabetic and non diabetic individuals with acute coronary syndrome are scarce, and none including only patients with unstable angina (UA) has been published to date. Objective: We compared serum C-reactive protein (CRP), and interleukin-6(IL-6) between diabetic and non-diabetic patients with unstable angina (UA) to determine if difference in inflammatory activity is responsible for a worse prognosis in diabetic patients. We also evaluated the correlation between inflammatory markers and the metabolic profile in diabetic patients and the correlation between inflammatory response and in-hospital outcomes: death, acute myocardial infarction, congestive heart failure, and length of stay in hospital. Methods: A prospective cohort study of 90 consecutive patients admitted to a chest pain unit with UA and divided into two groups, diabetic and non-diabetic. Serum CRP, IL-6, metabolic profile and leukocyte count were measured at hospital arrival. Results: Forty-two patients (47%) were diabetic (age 62±9) vs. 48 (53%) non diabetic (age 63±12). No differences between median C-reactive protein (1.78 vs. 2.23mg/l,p=0.74) and interleukin-6 (0 vs. 0pg/ml,p=0.31) were found between the two groups. There was a positive correlation between CRP and total cholesterol (rs = 0.21,p = 0.05), CRP and LDL-cholesterol (rs=0.22,p=0.04) and between CRP and leukocyte count (rs = 0.32, p = 0.02) in both groups. No associations were found between inflammatory markers and in-hospital outcomes. Conclusion: We found no difference in inflammatory activity between diabetic and non diabetic patients with UA, suggesting that this clinical condition may result in balanced inflammatory activity between the two groups and increase acute-phase proteins independently of metabolic state.

CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico FAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais A obesidade nos dias atuais é considerada uma pandemia, acometendo pessoas de todas as idades, sexo e raça. É uma doença que cursa com um estado inflamatório crônico de baixo grau, de causa multifatorial, associada a complicações metabólicas de alta morbimortalidade que geram elevados custos ao sistema de saúde. A microbiota intestinal possui grande importância no desenvolvimento da função intestinal. Estudos recentes têm associados à microbiota intestina humana ao desenvolvimento e manutenção da obesidade envolvendo vários mecanismos distintos. O objetivo do presente estudo foi avaliar a diversidade bacteriana no ecossistema intestinal de indivíduos obesos, com sobrepeso e eutróficos e correlacionar o perfil microbiano com o perfil nutricional e bioquímico destes pacientes. Foram avaliados 72 indivíduos classificados em eutróficos (n=24), com sobrepeso (n=24) e obesos (n=24), de acordo com o IMC. Medidas antropométricas, avaliação sociodemográfica e nutricional dos pacientes foram realizadas. Dos 72 indivíduos amostrados 63,9% pertence ao sexo feminino e 36,1% ao masculino, com uma média de idade de 39,6 anos, representativo de indivíduos adultos. A densidade de diferentes grupos bacterianos foi avaliada por hibridização fluorescente in situ (FISH) e análises de fingerprint foram realizadas pelo método de PCR-Eletroforese em Gel com Gradiente Desnaturante (DGGE) utilizando os iniciadores para o domínio Bactéria. Os resultados da FISH mostraram uma densidade relativa menor no grupo de obesos, comparado aos eutróficos, na maioria dos grupos bacterianos estudados, porém a razão Firmicutes/Bacteroidetes encontra-se aumentada nos obesos em relação aos eutróficos. A MIH dos indivíduos com sobrepeso mostrou estar em um processo de transição, indo ao encontro à microbiota de pessoas obesas. A análise de PCR-DGGE mostrou uma maior similaridade da MIH entre os grupos com sobrepeso e obeso. Indivíduos do mesmo grupo tenderam a se agrupar mais próximo, mesmo em clusters diferentes. As análises de correlação (spearman) entre os grupos bacterianos e paramêtros bioquímicos e antropométricos dos indivíduos mostrou uma correlação negativa moderada entre colesterol total e colesterol LDL e alguns grupos bacterianos, porém essa correlação só foi percebida no grupo de eutróficos, sugerindo que a MIH se comporta de maneira diferente dependendo do tipo de ambiente intestinal. A análise de correlação (odds ratio) entre razão Firmicutes/Bacteroidetes alterada (razão >1), com os índices IMC (>25), glicose (>100 mg/dL) e colesterol séricos (>200 mg/dL) mostraram uma correlação positiva, sugerindo que esses fatores que estão fortemente associados ao processo de obesidade, podem afetar a composição da MIH, de maneira a propiciar um ambiente que privilegie um aumento de Firmicutes. Nowadays obesity is considered a pandemic, affecting people of all ages, gender and ethnicity. It is a chronic disease that leads to a chronic low-grade inflammatory state, with multifactorial cause, associated with metabolic complications with high morbimortality which generates high costs to the health care system. There is a great importance related to the gut microbiota and its functional development. Recent studies have associated gut microbiota to obesity development and maintenance, involving different mechanisms. This study objective was to evaluate the bacterial diversity in gut ecosystem between obese, overweight and eutrophic people, besides correlating microbial profile and nutricional-biochemical profile in each patient. 72 patients have been evaluated and classified as eutrophic (n=24), overweight (n=24) or obese (n=24) according to BMI. Anthropometric measurements, socio-demographic and nutricional evaluation have been carried out. . From these 72 patients 63% are female and 36,1% male, with a mean age of 39,61 years, representative of adults individuals. The density of different bacterial groups has been evaluated using Fluorescence in situ hybridization (FISH) and Fingerprint Analyze have been made with PCR- Denaturing Gradient Gel Electrophoresis (DGGE) using initiators to the domain Bacteria. Though the results from FISH showed that the ratio Firmicutes/Bacteroidetes is greater in obeses than eutrophics, they showed a reduced relative density in obese. The overweights gut microbiota is still at the process of transition to meet obese people’s microbiota. PCR-DGGE Analysis showed more similarity of Human Gut Microbiota(HGM) between the groups with overweight and obese, and who is in the same group tends to group together next to, even on different clusters. Correlation analysis (spearman) between bacterial groups and Anthropometric-Biochemical from these individuals showed a moderate negative correlation between total cholesterol and LDL-cholesterol and some bacterial groups, but this correlation was just realized in eutrophic group, suggesting the HGM behas in a different way according to intestinal environment. Correlation analysis (odds ratio) between ratio Firmicutes / Bacteroidetes changed (ratio>1), with the BMI index (>25), glucose (>100 mg/dL) and serum cholesterol (>200 mg/dL) showed a positive correlation suggesting that these factors, which are related with the obese process, can affect the composition of Human Gut Microbiota, increasing positively Firmicutis.