<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2413-4341</journal-id>
<journal-title><![CDATA[Revista Paraguaya de Reumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. parag. reumatol.]]></abbrev-journal-title>
<issn>2413-4341</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Reumatología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2413-43412019000200043</article-id>
<article-id pub-id-type="doi">10.18004/rpr/2019.05.02.43-50</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Niveles de vitamina D y su asociación con la actividad de la enfermedad y calidad de vida de pacientes con artritis idiopática juvenil del Hospital Materno Infantil de ISSyM Toluca]]></article-title>
<article-title xml:lang="en"><![CDATA[Vitamin D levels and its association with disease activity and quality of life in patients with juvenile idiopathic arthritis from ISSEMYM Toluca Maternal Children&#8216;s Hospital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendieta-Zerón]]></surname>
<given-names><![CDATA[Samara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-González]]></surname>
<given-names><![CDATA[Mateo Sebastian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martín-de Saro]]></surname>
<given-names><![CDATA[Mónica Denisse]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Materno infantil ISSEMYM  ]]></institution>
<addr-line><![CDATA[Toluca ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>5</volume>
<numero>2</numero>
<fpage>43</fpage>
<lpage>50</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2413-43412019000200043&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2413-43412019000200043&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2413-43412019000200043&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La Artritis Idiopática Juvenil (AIJ) es una de las enfermedades crónicas inflamatorias más comunes en la edad pediátrica; se sabe que la vitamina D tiene un efecto directo sobre la salud del hueso y músculo y en la última década se han encontrado funciones sobre la respuesta inmune e inflamación. El objetivo de este trabajo es determinar si existe una asociación entre los niveles de vitamina D y la actividad de la enfermedad y calidad de vida de los pacientes con AIJ.  Material y Métodos: Estudio de cohorte, observacional y analítico en donde, previa aprobación por el comité de Ética en Investigación del Hospital, se determinaron niveles de Vitamina D, al mismo tiempo se aplicaron test CHAQ y JADAS71, en pacientes con diagnóstico de AIJ, en la consulta de Reumatología Pediátrica, se recolectó información de 28 pacientes con diagnóstico de AIJ.  Resultados: Se encontró una media de niveles de Vitamina D de 21.53 ng/mL (+/- 7.04 ng/mL) con un mínimo de 6.9 ng/mL y una máximo de 38.9 ng/mL. Los resultados obtenidos para calidad de vida evaluada a través del Cuestionario CHAQ reportaron que un 30.8% cursa con limitación nula, el 30.8% limitación leve, 26.9% limitación moderada y 11.5% de limitación grave. Al utilizar el test JADAS para valorar actividad de la enfermedad, un 42.3% de pacientes cuentan con enfermedad inactiva; 7.7% con baja actividad, un 26.9% con actividad moderada y 23.1% con actividad alta.  Conclusión: En la población estudiada se encontró a la población en rangos de insuficiencia de vitamina D, sin embargo, no se encontró una relación entre estos niveles con la actividad de la enfermedad y calidad de vida de los de los pacientes con AIJ.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Juvenile Idiopathic Arthritis (JIA) is one of the most common chronic inflammatory diseases in pediatrics, it is known that vitamin D has a direct effect on bone and muscle health, in the last decade functions have been found on the immune response and inflammation. Studies on chronic inflammatory diseases in pediatric age including JIA. The objective of this work is to determine if there is an association between vitamin D levels and disease activity and quality of life of patients with JIA.  Methods:  Cohort, observational and analytical study where, prior approval by the Research Ethics Committee of the Hospital, Vit D levels were determined and with the result CHAQ and JADAS71 tests were applied, in patients with JIA diagnosis, in the Pediatric Rheumatology consultation, information was collected from 28 patients diagnosed with JIA.  Results: An average of Vitamin D levels of 21.53 ng / mL (+/- 7.04 ng / mL) was found with a minimum of 6.9 ng / mL and a maximum of 38.9 ng / mL. The results obtained for the quality of life evaluated through the CHAQ Questionnaire reported that 30.8% were with zero limitation, 30.8% mild limitation, 26.9% moderate limitation and 11.5% severe limitation. When using the JADAS test to assess disease activity, 42.3% of patients have inactive disease; 7.7% with low activity, 26.9% with moderate activity and 23.1% with high activity.  Conclusion: Although if it is found with an average in the population studied of vitamin D, in ranges of insufficiency, no relationship was found between these levels with the disease activity and quality of life of those of patients with JIA.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Artritis Idiopática Juvenil]]></kwd>
<kwd lng="es"><![CDATA[Vitamina D]]></kwd>
<kwd lng="es"><![CDATA[Actividad de enfermedad]]></kwd>
<kwd lng="es"><![CDATA[Calidad de vida]]></kwd>
<kwd lng="en"><![CDATA[Juvenile Idiopathic Arthritis]]></kwd>
<kwd lng="en"><![CDATA[Vitamin D]]></kwd>
<kwd lng="en"><![CDATA[Disease Activity]]></kwd>
<kwd lng="en"><![CDATA[Quality of Life]]></kwd>
</kwd-group>
</article-meta>
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