Determinación del índice homa en transportistas de buses urbanos del cantón Cuenca 2017

Abstract

BACKGROUND: The HOMA index (homeostatic model for the evaluation of insulin resistance) is a relationship between glucose and insulin that allows the evaluation of the presence of insulin resistance; this is an important factor in developing cardiovascular diseases, metabolic syndrome and diabetes (1).

OBJECTIVE: To determine the HOMA index of professional urban drivers in the city of Cuenca.

METHODOLOGY: Descriptive study, prospective of a transversal cut, was performer in a universe of 460 professional drivers from urban bus cooperatives of Cuenca. This happened with a full representation of 164 people according to the calculation formula for a finite universe. The people involved in this study signed a consent form, which explain the process to follow and the development of the investigation. These people also filled out a survey form, which allowed us to the results with variables of study. The glucose and insulin tests were performed in the laboratory of the Biochemistry Laboratory of the Medical School Technology of the University of Cuenca. During analysis of the information a program called SPSS was used.

RESULTS: From the 164 drivers in this study, 93 showed a high HOMA Index, which determines insulin resistance. It was observed that the conditions of age over 40 years and a working day of more than 8 hours increase the risk of this alteration. 42.6% are sedentary and with a diet high in saturated fat, which is reflected in that 79.6% are overweight and obese, a major factor for the development of insulin resistance and chronic no communicable diseases.

CONCLUSION: It was determined that 56.7% of the people studied presented insulin resistance, obesity and sedentary lifestyle being the main factors for their development.