Angel Arturo López-González

• Doctor of Medicine
• Titular profesor Research Director at Escuela Universitaria ADEMA

Introduction. Atherosclerosis is the histopathological lesion underlying most cardiovascular diseases. Several scales assess the risk of developing atherosclerosis, with the most recognized being atherogenic dyslipidemia (AD) and atherogenic indices (AIs). The aim of this study is to assess the associations between shift work, sociodemographic vari...

Background: Metabolic dysfunction-associated steatotic liver disease (MASLD) is the most prevalent chronic liver disorder worldwide and is closely linked to the components of metabolic syndrome. Shift work, through its disruption of circadian rhythms and the promotion of adverse behavioral patterns, has been proposed as a potential contributor to m...

Atherogenic dyslipidemia is a major contributor to cardiovascular disease, the leading cause of morbidity and mortality worldwide. While lipid abnormalities are well-established clinical risk factors, growing evidence highlights the influence of sociodemo-graphic and lifestyle determinants on lipid profiles. However, large-scale epidemiological dat...

Objective: The assessment of stigma is a multifaceted process requiring a comprehensive understanding of stigma itself, quantification of its degree, evaluation of changes over time, and assessment of the effectiveness of interventions aimed at reducing or preventing it. This study aims to review some of the most widely used scales in health-relate...

ORIGINAL Riesgo de enfermedad del hígado graso asociada a la disfunción metabólica en 44.939 trabajadores sanitarios españoles: variables asociadas Recibido el 1 de marzo de 2025; aceptado el 6 de abril de 2025 PALABRAS CLAVE MASLD; Trabajadores sanitarios; Factores de riesgo; Actividad física; Dieta mediterránea Resumen Objetivo: Evaluar la asocia...

Citation: García Samuelsson, M.; Tárraga López, P.J.; López-González, Á.A.; Busquets-Cortés, C.; Obrador de Hevia, J.; Ramírez-Manent, J.I. Simple Summary: Not all people with obesity are equally at risk for type 2 diabetes. Some individuals, although obese, do not show the typical signs of poor metabolic health-like high blood pressure, high blood...

Background: Metabolic dysfunction-associated steatotic liver disease (MASLD) is a prevalent liver disorder with significant metabolic implications. Metabolic age, determined through bioimpedance analysis, has emerged as a potential indicator of overall metabolic health. The objective of this study is to evaluate the association between metabolic ag...

Background: Insulin resistance (IR) is a key metabolic alteration that precedes type 2 diabetes and is closely linked to obesity and lifestyle factors. Occupational context may influence IR risk through variations in physical activity, diet, and socioeconomic determinants. Objective: To compare the risk of insulin resistance between workers in the...

Background: Alcohol consumption is a major public health concern, influencing metabolic health and insulin resistance (IR). While moderate alcohol intake has been associated with potential metabolic benefits, excessive consumption is linked to IR and related disorders. This study examines the association between sociodemographic variables, health h...

Citation: Gordito Soler, M.; Tárraga López, P.J.; López-González, Á.A.; Paublini, H.; Martínez-Almoyna Rifá, E.; Vicente-Herrero, M.T.; Ramírez-Manent, J.

Background: Insulin resistance (IR) is a metabolic disorder linked to type 2 diabetes and cardiovascular diseases. Visceral fat is a better predictor of IR than BMI and waist circumference due to its metabolic and inflammatory impact. Methods such as DEXA and bioimpedance (BIA) estimate body fat, while scales such as METS-IR, SPISE, and TyG assess...

Background/Objectives: In a previous study, we utilized categorical variables and machine learning (ML) algorithms to predict the success of non-surgical root canal treatments (NSRCTs) in apical periodontitis (AP), classifying the outcome as either success (healed) or failure (not healed). Given the importance of radiographic imaging in diagnosis,...

Introduction and Objectives: Obesity constitutes a significant public health concern and is frequently linked to metabolic dysfunctions, particularly insulin resistance (IR). Nevertheless, a subset of obese individuals, referred to as metabolically healthy obese (MHO), do not exhibit overt metabolic abnormalities. The present study aims to assess t...

Resumen Introducción: La inteligencia artificial (IA) es una herramienta que ayuda en el diagnóstico de patologías que requieren para su detección imágenes radiográficas. En odontología la periodontitis apical (PA) es una de estas patologías, pues es la presencia de radiolucidez periapical lo que nos indica el diagnóstico de periodontitis apical. O...

Background and Objectives: Type 2 diabetes (T2D) and prediabetes represent major global health concerns, with obesity being a key risk factor. However, recent evidence suggests that the adipose tissue composition and distribution play a more critical role in metabolic dysfunction than the total body weight or body mass index (BMI). This study evalu...

Asociación entre variables sociodemográficas, hábitos saludables y estrés con edad vascular y SCORE2 Association between sociodemographic variables, healthy habits and stress with vascular age and SCORE2 10.20960/nh.05629 03/06/2025 OR 5629 Asociación entre variables sociodemográficas, hábitos saludables y estrés con edad vascular y SCORE2 Associat...

Asociación entre variables sociodemográficas, hábitos saludables y estrés con edad vascular y SCORE2 Association between sociodemographic variables, healthy habits and stress with vascular age and SCORE2 10.20960/nh.05629 03/06/2025 OR 5629 Asociación entre variables sociodemográficas, hábitos saludables y estrés con edad vascular y SCORE2 Associat...

Introduction: Metabolic age (MA) is the difference between an individual’s actual age and the age of their body based on physiological and biological factors. It is an indicator that reflects a person’s physical and biological state, regardless of chronological age. Insulin resistance (IR) is a health disorder in which tissues exhibit a reduced res...

Introduction: Cardiovascular diseases are a global public health concern due to their high morbidity, mortality, and prevalence. Numerous scales based on different risk factors have been used to assess cardiovascular risk (CVR). The aim of this study is to evaluate how various sociodemographic variables, healthy habits, and stress are associated w...

Introduction: The assessment of cardiovascular risk has traditionally relied on validated scales designed to estimate the likelihood of experiencing a cardiovascular event within a specific timeframe. In recent years, novel methodologies have emerged, offering a more objective evaluation of this risk through indicators such as vascular age (VA) and...

Background/Objectives In a previous study, we utilized categorical variables and Machine Learning (ML) algo-rithms to predict the success of non-surgical root canal treatments (NSRCTs) in apical periodontitis (AP), classifying the outcome as either success (healed) or failure (not healed). Given the importance of radiographic imaging in diagnosis,...

Background/Objectives: Excessive body adiposity is a significant public health challenge on a global scale. This study aimed to investigate the association between various sociodemographic factors and healthy lifestyle habits and the presence or absence of elevated body adiposity levels. Methodology: Two studies were conducted, a retrospective long...

Background/Objectives: Cardiovascular diseases (CVD) are one of the major public health concerns worldwide due to their high morbidity and mortality rates. This situation has necessitated the development of tools to assess cardiovascular risk (CVR) in order to prevent the onset of CVD. The aim of this study is to assess how sociodemographic variabl...

Resumen Introducción: El síndrome metabólico (SM) es una entidad patológica que engloba diferentes factores de riesgo cardiometabólico como la obesidad, la dislipemia, la hiperglucemia y la elevación de los valores de tensión arterial. Se considera que es un cuadro patológico multi-factorial. El objetivo de este estudio es valorar como se asocian v...

Introduction: Insulin resistance (IR) is a highly prevalent pathophysiological entity implicated in the development of a wide variety of metabolic, cardiovascular, and endocrine disorders. The aim of this study is to assess the association between sociodemographic variables and healthy habits with IR risk scales. Methodology: This dual study, incor...

Metabolic dysfunctionassociated fatty liver disease (MAFLD) is the most common cause of chronic liver disease worldwide, with a multifactorial etiology. This study aims to evaluate the associations between various sociodemographic variables, healthy habits, and stress with risk scale values for MAFLD. Materials and Methods: A descriptive, crosssect...

Background and Objectives: The accumulation of fat in the body, especially visceral fat, is associated with various cardiometabolic conditions such as diabetes mellitus and fatty liver. The reasons for the accumulation of this fat are diverse. Some studies, also in the working population, have shown a clear association between sociodemographic vari...

Resumen Introducción: El Estigma es un concepto que implica discriminación y autopercepción. Cuando se asocia a enfermedades crónicas y limitantes puede tener un impacto en la vida de los afectados en el ámbito personal, social y laboral, entre otros. Metodología: Se revisa la bibliografía médica (PUB MED) referida a los últimos 10 años (2014-2025)...

Metabolic dysfunction-associated fatty liver disease (MAFLD) is the most common cause of chronic liver disease worldwide, with a multifactorial etiology. This study aims to evaluate the associations between various sociodemographic variables, healthy habits, and stress with risk scale values for MAFLD. Materials and Methods: A descriptive, cross-se...

Introduction: Cardiovascular diseases are recognized as a major public health problem worldwide due to the high morbidity and mortality they cause. Their development is influenced by various risk factors, including dyslipidemia, arterial hypertension (HTN), and hyperglycemia. Objective: This study assesses the association between sociodemographic v...

Introduction: Metabolic syndrome (MetS) and hypertriglyceridemic waist (HTW) are two multifactorial pathological conditions that have been increasing in prevalence worldwide. The objective of this study was to evaluate how various sociodemographic variables and healthy habits are associated with the presence or absence of MetS and HTW. Methodology:...

Objective: Insulin resistance (IR) is a highly prevalent condition that causes significant morbidity and has a multifactorial etiology. The objective of this study is to assess the risk of developing IR by applying three different criteria, and to determine how IR is associated with various sociodemographic variables, tobacco consumption, and obesi...

Objective: Liver fibrosis is a progressive disease characterised by the accumulation of excessive scar tissue in the liver. It occurs in response to chronic viral hepatitis, alcohol abuse or non-alcoholic fatty liver disease (NAFLD). There are different ways to diagnose it, including FIB-4. The aim of this study is to assess which variables are ass...

Objective: Liver fibrosis is a progressive disease characterised by the accumulation of excessive scar tissue in the liver. It occurs in response to chronic viral hepatitis, alcohol abuse or non-alcoholic fatty liver disease (NAFLD). There are different ways to diagnose it, including FIB-4. The aim of this study is to assess which variables are ass...

Introduction: Obesity, globally considered a pandemic, is associated with various complications, particularly cardiometabolic ones. However, there is a group of obese individuals who do not exhibit these alterations; they are known as metabolically healthy obese (MHO). The aim of this study is to determine the prevalence of MHO and assess the varia...

Introducción: La obesidad considerada globalmente como una pandemia se asocia a diferentes complicaciones especialmente cardiometabólicas. Sin embargo, existen un grupo de personas obesas que no presentan estas alteraciones, son los llamados obesos metabólicamente sanos (OMS). El objetivo de este estudio es conocer la prevalencia de OMS y valorar l...

Background: Metabolic age is defined as an estimation of a person’s age based on their basal metabolic rate (BMR) and other physiological health indicators. Unlike chronological age, which simply measures the number of years lived since birth, metabolic age is based on various health and fitness markers that estimate the body’s “true” biological ag...

Introduction: Insulin resistance (IR) is a multifactorial clinical condition that contributes to the development of various pathological processes. This study aims to assess the associations between different sociodemographic variables, healthy habits, and stress with the values of three IR risk scales. Materials and Methods: A descriptive cross-se...

Background: Shift work has been associated with unhealthy lifestyle habits and a higher prevalence of obesity, which negatively impacts the health of shift workers. The objective of our study was to examine the influence of shift work on obesity, as well as on sociodemographic variables, anthropometric measurements, and lifestyle habits in individu...

Objective: Hypertension (HTN) is one of the leading risk factors for cardiovascular diseases, contributing significantly to the global burden of morbidity and mortality. Among the different types of hypertension, isolated systolic hypertension (ISH) and isolated diastolic hypertension (IDH) are distinguished, both with particular clinical implicati...

Background: Cardiovascular diseases (CVDs) are the leading cause of morbidity and mortality worldwide, accounting for one-third of all global deaths. The World Health Organization (WHO) asserts that prevention is the most effective strategy to combat CVD, emphasizing the need for non-invasive, low-cost tools to identify individuals at high risk of...

Introduction ad aim: A significant number of professionals in high-risk situations have been infected by COVID-19, due to a lack of adequate respiratory protective equipment or to poor peripheral sealing fits. The main aim of this study was to determine whether there are statistically significant differences in the level of respiratory protection i...

Objective: Cardiometabolic diseases are currently the leading causes of morbidity and mortality worldwide and are highly prevalent. Firefighters, due to the nature of their work, appear to have a high prevalence of these pathologies. Our objective was to determine the prevalence of variables related to cardiometabolic risk in a group of professiona...

Background Down Syndrome (DS) presents with systemic, craniofacial and oral alterations accompanied by different levels of intellectual disability and because of this, they frequently require professional dental care. Objective: This work aims to know the dental care patients with DS receive from dentists in the Balearic Islands. Material and Meth...

Background: Cardiovascular diseases are the leading cause of death worldwide. Obesity and atherosclerosis are considered risk factors for this pathology. There are multiple methods to evaluate obesity, in the same way as there are different formulas to determine atherogenic risk. Since both pathologies are closely related, the objective of our work...

Introduction and objectives: Alcohol is a toxic substance widely consumed in the world and is responsible for a multitude of pathologies of different organs and body systems. The aim of this study is to determine the effect of alcohol consumption on arterial hypertension, dyslipidaemia and hyperglycaemia. Methodology: A double study was carried out...

Background: Obesity constitutes a public health problem worldwide and causes non-alcoholic fatty liver disease (MALFD), the leading cause of liver disease in developed countries, which progresses to liver cirrhosis and liver cancer. MAFLD is associated with obesity and can be evaluated by validated formulas to assess MAFLD risk using different para...

Resumen Introducción: Los trastornos cardiovasculares y metabólicos constituyen importantes problemas de salud en las poblaciones trabajadoras de Europa donde, junto con los hábitos de vida saludable se correlacionan aspectos como el tipo de trabajo y las condiciones en que se realiza. Es objetivo de este estudio estimar la prevalencia de factores...

Background Metabolic dysfunction-associated fatty liver disease (MAFLD, 2020 diagnostic criteria) and glomerular hyperfiltration share common risk factors, including obesity, insulin resistance, impaired glucose tolerance, diabetes, dyslipidemia, and hypertension. Aims To assess the prevalence of MAFLD and its association with glomerular hyperfi...

Introduction: Practically all the studies carried out on musicians have focused on musculoskeletal and mental injuries. The aim of this study is to determine the level of cardiometabolic risk in this group of workers. Methodology: Descriptive and cross-sectional study in 1136 Spanish professional musicians in which the level of cardiometabolic risk...

Introduction and objective: Excess body fat is an important risk factor for multiple pathologies, especially cardiometabolic ones, and its genesis is multifactorial. There are many ways of determining excess body fat, either directly or indirectly by means of estimation scales, among which one very easy to calculate is the Cordoba fat estimator equ...

Introduction The acquisition of skills and manual dexterity in aesthetic dentistry in undergraduate teaching requires preclinical practices with simulation that should approximate real clinical situations. Objective We will present a digital procedure for the creation of three‐dimensional (3D) resin models adapted to the practices of the Aesthetic...

Background: Cardiovascular and metabolic diseases include a large group of pathologies and constitute one of the most serious chronic health problems facing the 21st century, with high rates of morbidity and mortality worldwide. Unhealthy diets influence the development of these pathologies. The Mediterranean diet can be an important part in the tr...

Resumen Introducción: La morbilidad cardiovascular representa la causa principal de mortalidad a nivel global, lo que ha generado un creciente interés en los factores de riesgo (FRCV) y los elementos protectores de la salud cardiovascular, entre los cuales se destacan el sedentarismo y la actividad física respectivamente. Metodología: En este estud...

Este texto está disponible en la página Web de la Asociación Española de Especialistas en Medicina del Trabajo: (AEEMT) http://www.aeemt.com/web/2024/02/22/la-obesidad-en-la-salud-laboral/

Síndrome metabólico y síndrome metabólico pre mórbido en población laboral con los criterios NCEP-ATPIII ,JIS e IDF. Prevalencia e influencia de diferentes variables y su relación con otras escalas y parámetros de riesgo cardiovascular Tesis presentada para aspirar al grado de Doctor por Andrés Jesús Martínez Jover Licenciado en Medicina y cirugía...

Objetivo: estimar la capacidad predictiva de los índices de adiposidad visceral (VAI) y disfuncional (DAI) en riesgo cardiovascular (RCV) de población laboral española. Métodos: análisis descriptivo en 418.343 trabajadores españoles de diferentes sectores durante la vigilancia de la salud en sus empresas. Se calculó el VAI y el DAI ajustándose a s...

Citation: Mestre Font, M.; Busquets-Cortés, C.; Ramírez-Manent, J.I.; Tomás-Gil, P.; Paublini, H.; López-González, Á.A. Influence of Sociodemographic Variables and Healthy Habits on the Values of Insulin Resistance Indicators in 386,924 Spanish Workers. Nutrients 2023, 15, 5122. https://doi. Abstract: Background: Insulin resistance (IR) is an alter...

Background: Insulin resistance (IR) is an alteration of the action of insulin in cells, which do not respond adequately to this action, leading to an increase in blood glucose levels. IR produces a very diverse clinical picture and increases the cardiometabolic risk of the population that suffers from it. Among the factors that influence IR are ge...

Resumen Introducción: La obesidad ha alcanzado proporciones pandémicas y conlleva un aumento del riesgo cardiometabólico. La resistencia a la insulina y la enfermedad cardiovascular representan dos peligros para la salud pública. Método: Estudio transversal en 193.462 trabajadores. Se valora síndrome metabólico con: NCEP/ATP-III, IDF y JIS. Se valo...

Resumen Introducción y objetivo: Estimar en población laboral española la relación de los índices de adiposidad visceral (DAI) y adiposidad disfuncional (VAI) con riesgo de desarrollar hígado graso no alcohólico (NAFLD: Non-Alcoholic Fatty Liver Disease). Métodos: análisis descriptivo en 418.343 trabajadores durante la vigilancia de la salud en sus...

Objetivo: estimar la capacidad predictiva de los índices de adiposidad visceral (VAI) y disfuncional (DAI) en riesgo cardiovascular (RCV) de población laboral española. Métodos: análisis descriptivo en 418.343 trabajadores españoles de diferentes sectores durante la vigilancia de la salud en sus empresas. Se calculó el VAI y el DAI ajustándose a su...

Objective: Obesity is a growing pandemic and body mass index (BMI) is insufficient to assess the risk of complications. Other estimates of adiposity are used. Materials and methods: Cross-sectional study in 193,462 workers. BMI, CUN-BAE (Clínica Universitaria de Navarra Body adiposity Estimator), Cordoba Equation (ECORE-BF), Relative Fat Mass (RFM)...

Introducción: El envejecimiento de la población laboral plantea actuaciones preventivas desde los centros de trabajo para minimizar su repercusión en salud. Es objetivo de este estudio conocer el impacto de un programa de intervención en prevención del envejecimiento psicofísico y cognitivo de una población laboral y su relación con el tipo de trab...

Introduction, objectives: Obesity is a global health problem with a great negative impact on health. Among the pathologies caused by obesity are insulin resistance and metabolic syndrome, which constitute an increasingly common health problem in both developed and developing countries. The aim of this study was to examine the relationship between t...

Resumen Introducción: La obesidad es un problema global de prevalencia creciente. La patogenia de las enfermedades cardiovasculares comienza mucho antes de la presentación del evento cardiovascular. Es objetivo de este trabajo valorar la adiposidad relacionada con obesidad con los índices de volumen abdominal (AVI) y de adiposidad corporal(BAI), la...

Introduction: Type 2 diabetes is one of the most prevalent metabolic diseases worldwide and is responsible for a large number of complications. There are many factors that increase the risk of presenting this pathology. Objectives: The aim was to assess the influence of sociodemographic variables and healthy habits on the values of different risk s...

Resumen Objetivo: Estimar en población laboral española la fortaleza asociativa de los índices de adiposidad visceral (DAI) y adiposidad disfuncional (VAI) con Resistencia a la Insulina (RI) y Riesgo de prediabetes. Métodos: análisis descriptivo en trabajadores durante la vigilancia de la salud en sus empresas. Se calculó el VAI y El DAI ajustándos...