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dc.contributor.authorGay, Johnes_ES
dc.contributor.authorPorrata, Carmenes_ES
dc.contributor.authorHernández, Manueles_ES
dc.contributor.authorClúa, Ana Mes_ES
dc.contributor.authorArguelles, José Mes_ES
dc.contributor.authorCabrera, Alejandrinaes_ES
dc.contributor.authorSilva, Luis Ces_ES
dc.date.accessioned2016
dc.date.available2016
dc.date.issued1995es_ES
dc.identifier.urihttps://iris.paho.org/handle/10665.2/26910
dc.description.abstractAn epidemic neuropathy that broke out in late 1991 has exhibited clinical manifestations similar to those of other polyneuropathies of nutritional origin. To investigate its possible association with diet, a study was conducted on the Isle of Youth in 1993, at the start of an outbreak there. Thirthy-four subjects with cases and 65 controls were interviewed regarding their diets, measured anthropometrically, and evaluated. As a whole, the subjects with cases demonstrated greater weight loss before the onset of disease, lower body mass indexes (BMI), lower percentages of body fat, and more deficient diets than the control subjects. Analysis of individual variables found associations between occurrence of the disease and the following; weight loss, low BMI, a broad range of specific dietary deficiencies, a sugar intake exceeding 15 percent of total caloric intake, alcohol consumption, and smoking. Also protective associations were found between absence of the disease and regular consumption of certain foods at or above specified levels. Multivariate analysis indicated that while smoking and alcohol consumption reinforced the effects of the dietary deficiencies, they did not account for occurrence of the disease by themselves. Overall, the results indicate that diets which are deficient in caloric energy, protein, fat, and the micronutrients included in the study, and which reflect an imbalance resulting from a relative excess of sugar, with consequent effects on body weight, are strongly associated with, and causally related to, the occurrence of epidemic neuropathy in Cubaen_US
dc.description.abstractThis article was also published in Spanish in the BOSP. Vol. 117(5), Nov. 1994en_US
dc.format.extentiluses_ES
dc.relation.ispartofseriesBulletin of the Pan American Health Organization (PAHO);29(1),mar. 1995en_US
dc.subjectNeuromyelitis Opticaes_ES
dc.subjectDisease Outbreakses_ES
dc.subjectCase-Control Studieses_ES
dc.subjectNutrition Assessmentes_ES
dc.subjectFood Consumptiones_ES
dc.subjectAnthropometryes_ES
dc.subjectCubaes_ES
dc.titleDietary factors in epidemic neuropathy on the Isle of Youth, Cubaes_ES
dc.typeJournal articlesen_US
dc.rights.holderPan American Health Organizationen_US


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