Asociación entre submarinismo y trastornos neurocognitivos en personal militar retirado
DOI:
https://doi.org/10.24265/horizmed.2018.v18n1.02Palavras-chave:
Submarineros, Trastornos neurocognitivos, Adulto mayorResumo
Objetivo: Determinar la asociación entre el haber practicado submarinismo durante el servicio militar y el desarrollo de trastornos neurocognitivos en adultos mayores. Materiales y métodos: Estudio analítico retrospectivo, proviene del análisis de la base de datos del estudio: Fragilidad y dependencia funcional en adultos mayores, realizado entre 2010-2015 realizado por el personal del servicio de geriatría del Centro Médico Naval del Perú, en niveles asistenciales ambulatorios. En cuanto a la asociación se usó Chi2, p<0,05 e IC 95 %, para el modelo de regresión, se utilizó un modelo de Poisson. Resultados: Se analizaron en total 1020 participantes. 322 (42,42 %) de los participantes estuvieron en el rango de 71 – 80 años de edad. 240 (31,62 %) presentaban trastornos neurocognitivos. Los factores asociados a los trastornos neurocognitivos fueron los siguientes: el rango de edad entre 71 – 80 años de edad (RP=1,69; IC95 %: 1,12 – 2,54), enfermedad cerebro vascular (RP=1,48; IC95 %: 1,01 – 2,23) y especialidad de submarinismo (RP=2,36; IC95 %: 1,64 – 3,39). Tener grado militar superior se asoció con menor riesgo (RP=0,62; IC95 %: 0,43 – 0,89). Conclusiones: Los pacientes que han practicado el submarinismo tienen un mayor riesgo de padecer trastorno neurocognitivo, sin embargo, se requieren estudios prospectivos adicionales para corroborar dicha asociación.
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Bauer UE, Briss PA, Goodman RA, Bowman BA. Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the USA. Lancet. 2014;384(9937):45-52.
Miranda JJ, Kinra S, Casas JP, Davey Smith G, Ebrahim S. Non-communicable diseases in low- and middle-income countries: context, determinants and health policy. Trop Med Int Health. 2008;13(10):1225-34.
Fried LP, Ferrucci L. Etiological role of aging in chronic diseases: from epidemiological evidence to the new Geroscience. In: Sierra F, Kohanski R, editors. Advances in Geroscience. New York: Springer;2016. p.37-51.
Olivera J, Tournier I. Successful ageing and multi-dimensional poverty: the case of Peru. Ageing Soc; 36(8):1690–714.
Prince Martin, Wimo Anders, Guerchet Maëlenn, Ali Gemma-Claire, Wu Yu-Tzu,Prina Matthew, etal. Informe Mundial sobre el Alzheimer 2015. El Impacto Global de la Demencia: Análisis de prevalencia, incidencia, coste y tendencias Informe Mundial sobre el Alzheimer. Londres, Reino Unido: Asociación Internacional de Alzheimer (ADI); 2015.
Rodriguez JJL, Ferri CP, Acosta D, Guerra M, Huang Y, Jacob K, et al. Prevalence of dementia in Latin America, India, and China: a population-based cross-sectional survey. Lancet. 2008;372(9637):464–74.
Instituto Nacional de Salud Mental "Honorio Delgado – Hideyo Noguchi". Estudio Epidemiológico de Salud Mental en Lima Metropolitana y Callao- Replicación 2012. Informe General. Anales de Salud Mental. 2013; 29 (1): 1-392
Parodi JF, Nieto-Gutierrez W, Tellez WA, Ventocilla-Gonzales I, Runzer-Colmenares FM, Taype-Rondan A. Gait speed and the appearance of neurocognitive disorders in older adults: Results of a Peruvian cohort. Rev Esp Geriatr Gerontol. 2017; 53(1).
Wimo A, Guerchet M, Ali G-C, Wu Y-T, Prina AM, Winblad B, et al. The worldwide costs of dementia 2015 and comparisons with 2010. Alzheimer’s Dement. 2017 Jan; 13(1):1–7.
Bos I, Vos SJ, Frölich L, Kornhuber J, Wiltfang J, Maier W, et al. The frequency and influence of dementia risk factors in prodromal Alzheimer’s disease. Neurobiol Aging. 2017;56 (numero):33–40.
Panza F, Solfrizzi V, Barulli MR, Santamato A, Seripa D, Pilotto A, et al. Cognitive Frailty: A Systematic Review of Epidemiological and Neurobiological Evidence of an Age-Related Clinical Condition. Rejuvenation Res. 2015;18(5):389–412.
Petrova N, Mehrabian S, Raycheva M, Traykov L. The frequency of cognitive impairment and dementia one year after ischemic stroke in Bulgarian patients. Meditsinski Pregl / Med Rev. 2014;50(2):49–53.
Hemelryck W, Germonpré P, Papadopoulou V, Rozloznik M, Balestra C. Long term effects of recreational SCUBA diving on higher cognitive function. Scand J Med Sci Sports. 2014;24(6):928–34.
Navas AH, Salgado MM, Moreno ÁM. Barotraumatismo del piloto. ¿Puede ayudar la logopedia en estos casos? REDUCA (Enfermería, Fisioter y Podol).2016;8(2):1-11.
Kim JW, Oh J-K, Byun Y-S, Shon O-J, Park JH, Oh HK, et al. Incidence of Avascular Necrosis of the Femoral Head After Intramedullary Nailing of Femoral Shaft Fractures: A Multicenter Retrospective Analysis of 542 Cases. Medicine. 2016;95(5):1-4.
Tetzlaff K, Friege L, Hutzelmann A, Reuter M, Höll D, Leplow B. Magnetic resonance signal abnormalities and neuropsychological deficits in elderly compressed-air divers. Eur Neurol. 1999;42(4):194–199.
Runzer-Colmenares FM, Samper-Ternent R, Al Snih S, Ottenbacher KJ, Parodi JF, Wong R. Prevalence and factors associated with frailty among Peruvian older adults. Arch Gerontol Geriatr. 2014;58(1):69–73.
Lobo A, Lobo CA, Saz P, Marcos G, Día JL, De La Cámara C, et al. Re-validation of the Mini-Examen Cognoscitivo (first Spanish version of the Mini-Mental Status Examination) and population-based norms in the elderly community. Med Clin. 1999; 112(20):767-774.
Washburn RA, Smith KW, Jette AM, Janney CA. The Physical Activity Scale for the Elderly (PASE): development and evaluation. J Clin Epidemiol. 1993;46(2):153–162.
Nogales-Gaete J, Archibaldo Donoso S, Renato J, Verdugo L. Tratado de neurología Clínica. . 1a ed. Chile: Ediciones Universitaria; 2005. 738 p.
Macdiarmid, JI; Ross, JAS; Watt, SJ; Osman, LM; Lawson, A; Godden, D; Stephenson, R. Potential long term health effects of diving at work: health related symptoms reported by professional divers. Undersea and Hyperbaric Medical Society.
Calderon J. Determination of neurological sequeale by disbaric accidents in a group of divers of chiloe, chile.En: Proceedings of the Fifteenth International Congress on Hyperbaric Medicine. Barcelona: CRIS-UTH;2005.198-199.
Hoiberg A, Blood C. Effects of Age and Exposure on the Health Status of U.S. Navy Divers. San Diego, United States: Naval health research center; 1984. Report No: NAVHLTHRSCHC-84-3.
Todnem K, Nyland H, Skeidsvoll H, Svihus R, Rinck P, Kambestad BK, et al. Neurological long term consequences of deep diving. Br J Ind Med. 1991;48(4):258–66.
Todnem K, Skeidsvoil H, Svihus R, Rinck P, Riise T, Kambestad Bk, et al. Electroencephalography, evoked potentials and MRI brain scans in saturation divers. An epidemiological study. Electroencephalogr Clin Neurophysiol. 1991;79(4):322–9.
Cordes P, Keil R, Bartsch T, Tetzlaff K, Reuter M, Hutzelmann A, et al. Neurologic outcome of controlled compressed-air diving. Neurology. 2000;55(11):1743–5.
Owens S. Simple Tests of Balance, Grip Strength May Predict Late-Age Dementia Risk : Neurology Now. United States: American Brain Foundation. 2016
Manley L. Apnoeic heart rate responses in humans. A review. Sports Med. 1990;9(5):286–310.
Linér MH, Ferrigno M, Lundgren CE. Alveolar gas exchange during simulated breath-hold diving to 20 m. Undersea Hyperb Med J Undersea Hyperb Med Soc Inc. 1993;20(1):27–38.
Ferretti G. Extreme human breath-hold diving. Eur J Appl Physiol. 2001;84(4):254–71.
Lindholm P, Lundgren CEG. The physiology and pathophysiology of human breath-hold diving. J Appl Physiol (1985). 2009;106(1):284–92.
Dujic Z, Breskovic T. Impact of breath holding on cardiovascular respiratory and cerebrovascular health. Sports Med. 2012;42(6):459–72.
Breskovic T, Uglesic L, Zubin P, Kuch B, Kraljevic J, Zanchi J, et al. Cardiovascular changes during underwater static and dynamic breath-hold dives in trained divers. J Appl Physiol (1985). 2011;111(3):673–8.
Oh YJ, Jung JY, Kim SS, Chae K-S, Rhu J, Lee C. The association of kidney function with repetitive breath-hold diving activities of female divers from Korea, Haenyeo. BMC Nephrol. 2017;18(1):75.
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