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Grau González A, Sánchez Del Pino A, Amezcua-Prieto C, Møller Luef B, Anne Vinter C, Stener Jorgensen J, García-Valdés L. An umbrella review of systematic reviews on interventions of physical activity before pregnancy, during pregnancy, and postpartum to control and/or reduce weight gain. Int J Gynaecol Obstet 2024. [PMID: 38466033 DOI: 10.1002/ijgo.15453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Revised: 02/13/2024] [Accepted: 02/18/2024] [Indexed: 03/12/2024]
Abstract
BACKGROUND The increasing prevalence of overweight and obesity worldwide represents a (chronic) complex public health problem. This is also seen among women of childbearing age despite increased efforts to promote physical activity (PA) interventions. Excessive gestational weight gain (GWG) is associated with negative health outcomes for both mothers and offspring. OBJECTIVES To summarize current systematic reviews (SRs) on PA interventions during pregnancy and postpartum to prevent excessive GWG and identify the most effective approaches. SEARCH STRATEGY A literature search was conducted on major electronic databases (MEDLINE/Pubmed, Cochrane, Web of Science, Epistemonikos) from inception to March 2023. SELECTION CRITERIA This study included SRs and meta-analyses of studies involving women aged 18 years or older from diverse ethnic backgrounds, who were either in the preconception period, pregnant, or within 1 year postpartum and who had no contraindications for exercise. Women with chronic diseases, such as pre-existing diabetes (type 1 or type 2) were excluded. DATA COLLECTION AND ANALYSIS Two reviewers extracted data from selected studies assessing the impact of PA in preconception, pregnancy, and postpartum. Methodologic quality was assessed with the AMSTAR-2 tool. A narrative summary of results addresses relationships between PA and weight before, during, and after pregnancy, informing future research priorities for preventing excessive weight gain. This study is registered on PROSPERO (CRD420233946666). MAIN RESULTS Out of 892 identified articles, 25 studies were included after removing duplicates, unrelated titles, and screening titles and abstracts for eligibility. The results demonstrate that PA can help prevent excessive GWG and postpartum weight retention. Structured and supervised moderate-intensity exercise, at least twice a week, and each session lasting a minimum of 35 min seems to provide the greatest benefits. CONCLUSIONS Women who comply with the PA program and recommendations are more likely to achieve adequate GWG and return to their pre-pregnancy body mass index after delivery. Further research is warranted to explore how preconception PA influences pregnancy and postpartum outcomes given the absence of identified preconception-focused interventions.
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Affiliation(s)
- Andrea Grau González
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain
| | - Ana Sánchez Del Pino
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain
- CIBER of Epidemiology and Public Health, Carlos III Health Institute, Madrid, Spain
- Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain
| | - Birgitte Møller Luef
- University of Southern Denmark, Odense, Denmark
- Department of Gynecology and Obstetrics, Odense University Hospital, Odense, Denmark
| | - Christina Anne Vinter
- University of Southern Denmark, Odense, Denmark
- Department of Gynecology and Obstetrics, Odense University Hospital, Odense, Denmark
- Steno Diabetes Center Odense, Odense University Hospital, Odense, Denmark
| | - Jan Stener Jorgensen
- University of Southern Denmark, Odense, Denmark
- Department of Gynecology and Obstetrics, Odense University Hospital, Odense, Denmark
| | - Luz García-Valdés
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain
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2
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Morales-Suárez-Varela M, Amezcua-Prieto C, Llopis-Gonzalez A, Ayan Perez C, Mateos-Campos R, Hernández-Segura N, Ortiz-Moncada R, Almaraz A, Alguacil J, Delgado Rodríguez M, Blázquez Abellán G, Alonso-Molero J, Martínez-Ruiz V, Santana-Garcia I, Cancela JM, Valero Juan LF, Martín-Peláez S, Fernández-Villa T. Prevalence of Depression and Fish Consumption among First Year Spanish University Students: UniHcos Project. Nutrients 2023; 15:2757. [PMID: 37375661 DOI: 10.3390/nu15122757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Revised: 06/09/2023] [Accepted: 06/13/2023] [Indexed: 06/29/2023] Open
Abstract
The World Health Organization estimates that one fifth of university students have experienced major depressive disorder at some point in their lives. Nutrition may be one of the modifiable factors that influence the development of depression. Specifically, low omega-3 fatty acid and vitamin D levels, both nutrients found in high quantities in fish, have been linked to depressive disorders. The main objective of this study was to evaluate the prevalence of depression among young Spanish university students, in addition to the pattern of fish consumption among students and the possible relationship between fish consumption and the presence of depression. Data were collected retrospectively from a nationally representative sample of 11,485 Spanish university students aged 18 years or older in 11 Spanish universities, from 2012 to 2022. The respondents were analyzed according to frequency of consumption and compliance with weekly recommendations for fish intake and the presence of depression. Regression models were also performed to determine students' odds of depression as a function of compliance with recommendations according to selected sociodemographic variables. The prevalence of depression was 10.5%; it was more prevalent in women, older students and in those with both high and low BMIs. In addition, it was also more prevalent in those that lived outside the family home, with roommates and those who were employed. Sixty-seven percent of the students met the fish intake recommendations. The most common frequency of fish consumption was 1-2 times/week (44.2%), and the least frequent was 2.3% daily fish consumption. Students from northern universities were more likely to consume fish (68.4%) than those from southern universities (66.4%). Non-consumption of fish was found to increase the risk of depression (ORa = 1.45 (1.28-1.64); AF = 31.0% (21.9-39.0)), but it was the student's own conditions that had the greatest influence on the development of the disorder. In summary, a lower consumption of fish seems to be associated with a higher incidence of depression in Spanish university students; however, other social factors of the student may influence the development of the disorder, and all of this should be taken into account for the development of prevention strategies.
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Affiliation(s)
- María Morales-Suárez-Varela
- Research Group in Social and Nutritional Epidemiology, Pharmacoepidemiology and Public Health, Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Forensic Medicine, Faculty of Pharmacy, Universitat de València, 46100 Burjassot, Spain
- CIBER of Epidemiology and Public Health, Carlos III Health Institute, 28029 Madrid, Spain
| | - Carmen Amezcua-Prieto
- CIBER of Epidemiology and Public Health, Carlos III Health Institute, 28029 Madrid, Spain
- Department of Preventive Medicine and Public Health, Universidad de Granada, 18016 Granada, Spain
- Instituto de Investigación Biosanitaria ibs, 18012 Granada, Spain
| | - Agustín Llopis-Gonzalez
- Research Group in Social and Nutritional Epidemiology, Pharmacoepidemiology and Public Health, Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Forensic Medicine, Faculty of Pharmacy, Universitat de València, 46100 Burjassot, Spain
- CIBER of Epidemiology and Public Health, Carlos III Health Institute, 28029 Madrid, Spain
| | | | - Ramona Mateos-Campos
- Area of Preventive Medicine and Public Health, Department of Biomedical and Diagnostic Sciences, Universidad de Salamanca, 37007 Salamanca, Spain
| | - Natalia Hernández-Segura
- Area of Preventive Medicine and Public Health, Department of Biomedical Sciences, Universidad de León, 24071 León, Spain
| | - Rocío Ortiz-Moncada
- Food and Nutrition Research Group, Department of Community Nursing, Preventive Medicine and Public Health and History of Science, Universidad de Alicante, 03690 San Vicente del Raspeig, Spain
| | - Ana Almaraz
- Preventive Medicine and Public Health, Faculty of Medicine, University of Valladolid, 47005 Valladolid, Spain
| | - Juan Alguacil
- CIBER of Epidemiology and Public Health, Carlos III Health Institute, 28029 Madrid, Spain
- Natural Resources, Health and Environment Research Center (RENSMA), University of Huelva, 21071 Huelva, Spain
| | - Miguel Delgado Rodríguez
- CIBER of Epidemiology and Public Health, Carlos III Health Institute, 28029 Madrid, Spain
- Department of Preventive Medicine and Public Health, University of Jaen, 23071 Jaén, Spain
| | - Gemma Blázquez Abellán
- Area of Preventive Medicine and Public Health, Department of Medical Sciences, School of Pharmacy, Universidad de Castilla-La Mancha, 02071 Albacete, Spain
| | - Jéssica Alonso-Molero
- School of Medicine, Universidad de Cantabria, 39005 Santander, Spain
- Marqués de Valdecilla Research Institute-IDIVAL, 39011 Santander, Spain
| | - Virginia Martínez-Ruiz
- CIBER of Epidemiology and Public Health, Carlos III Health Institute, 28029 Madrid, Spain
- Department of Preventive Medicine and Public Health, Universidad de Granada, 18016 Granada, Spain
- Instituto de Investigación Biosanitaria ibs, 18012 Granada, Spain
| | - Irene Santana-Garcia
- Research Group in Social and Nutritional Epidemiology, Pharmacoepidemiology and Public Health, Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Forensic Medicine, Faculty of Pharmacy, Universitat de València, 46100 Burjassot, Spain
| | - José M Cancela
- HealthyFit Research Group, Faculty of Education and Sports Sciences, Universidad de Vigo, 36005 Pontevedra, Spain
| | - Luis Félix Valero Juan
- Area of Preventive Medicine and Public Health, Department of Biomedical and Diagnostic Sciences, Universidad de Salamanca, 37007 Salamanca, Spain
| | - Sandra Martín-Peláez
- CIBER of Epidemiology and Public Health, Carlos III Health Institute, 28029 Madrid, Spain
- Department of Preventive Medicine and Public Health, Universidad de Granada, 18016 Granada, Spain
| | - Tania Fernández-Villa
- CIBER of Epidemiology and Public Health, Carlos III Health Institute, 28029 Madrid, Spain
- Area of Preventive Medicine and Public Health, Department of Biomedical Sciences, Universidad de León, 24071 León, Spain
- Group of Investigation in Interactions Gene-Environment and Health (GIIGAS), Institute of Biomedicine (IBIOMED), Universidad de León, 24071 León, Spain
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Hernández-Segura N, Botella-Juan L, Amezcua-Prieto C, Morales-Suárez-Varela M, Mateos-Campos R, Fernández-Villa T, Ortiz-Moncada R, Almaraz A, Narciso-Rufo A, Ayán-Pérez C, Molina AJ. Excess Weight in Relation to Lifestyle Habits in Spanish First-Year University Students: Differences between Pre- and Post-COVID-19-A Serial Cross-Sectional Study Based on uniHcos Project. Healthcare (Basel) 2023; 11:healthcare11111547. [PMID: 37297687 DOI: 10.3390/healthcare11111547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 05/18/2023] [Accepted: 05/23/2023] [Indexed: 06/12/2023] Open
Abstract
The objective of this research was to study the relationship between the body weight and diet, physical activity, and other habits among freshmen students by sex, and to determine whether these habits have changed during the post-era of the COVID-19 pandemic. A serial cross-sectional study with data from 11 Spanish universities was carried out. In total, 10,096 first-year university students (73.2% female, mean age = 19.0 ± 1.5 years) completed an online self-administered questionnaire between 2012 and 2022. For some analyses, questionnaires were categorized by the year in which the survey was filled out as Before COVID-19, Lockdown, and New Normal. In total, 72.9% of participants were within the normal weight range, and 17.7% of men and 11.8% of women were overweight (p < 0.001). The students who did not meet the WHO criteria of physical activity, spent more than 7 h per day sitting, and skipped breakfast had a higher prevalence of obesity (p < 0.05). According to the period of study, the prevalence of overweight/obesity Before COVID-19 was 16.1% (95% CI: 15.4-16.9%), while in Lockdown the prevalence was significantly higher (20.2, 95% CI: 17.1-23.8) and in New Normal it was 18.9% (CI: 15.7-22.5). Moreover, the study suggests that during the Lockdown period, there was a reduction in the practice of physical activity and an increase in the prevalence of a healthy diet. For all these, it is necessary to propose public health interventions that improve the lifestyles of university students.
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Affiliation(s)
- Natalia Hernández-Segura
- Area of Preventive Medicine and Public Health, Department of Biomedical Sciences, Faculty of Health Sciences, Universidad de León, 24071 León, Spain
- The Research Group in Gene-Environment and Health Interactions (GIIGAS), Institute of Biomedicine (IBIOMED), Universidad de León, 24071 León, Spain
| | - Lorena Botella-Juan
- Area of Preventive Medicine and Public Health, Department of Biomedical Sciences, Faculty of Health Sciences, Universidad de León, 24071 León, Spain
- The Research Group in Gene-Environment and Health Interactions (GIIGAS), Institute of Biomedicine (IBIOMED), Universidad de León, 24071 León, Spain
| | - Carmen Amezcua-Prieto
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP), Carlos III Health Institute, Avenida Monforte de Lemos 3-5, Pabellón 11, Planta 0, 28029 Madrid, Spain
- Department of Preventive Medicine and Public Health, Universidad de Granada, 18016 Granada, Spain
- Instituto de Investigación Biosanitaria (ibs.Granada), 18014 Granada, Spain
| | - María Morales-Suárez-Varela
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP), Carlos III Health Institute, Avenida Monforte de Lemos 3-5, Pabellón 11, Planta 0, 28029 Madrid, Spain
- Research Group in Social and Nutritional Epidemiology, Pharmacoepidemiology and Public Health, Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Forensic Medicine, Faculty of Pharmacy, Universitat de València, Av. Vicent Andrés Estelles s/n, 46100 València, Spain
| | - Ramona Mateos-Campos
- Area of Preventive Medicine and Public Health, Department of Biomedical and Diagnostic Sciences, Universidad de Salamanca, 37007 Salamanca, Spain
| | - Tania Fernández-Villa
- Area of Preventive Medicine and Public Health, Department of Biomedical Sciences, Faculty of Health Sciences, Universidad de León, 24071 León, Spain
- The Research Group in Gene-Environment and Health Interactions (GIIGAS), Institute of Biomedicine (IBIOMED), Universidad de León, 24071 León, Spain
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP), Carlos III Health Institute, Avenida Monforte de Lemos 3-5, Pabellón 11, Planta 0, 28029 Madrid, Spain
| | - Rocío Ortiz-Moncada
- Area of Preventive Medicine and Public Health, Food and Nutrition Research Group (ALINUT), Universidad de Alicante, 03550 Alicante, Spain
| | - Ana Almaraz
- Department of Pathological Anatomy, Microbiology and Preventive Medicine and Public Health, School of Medicine, Universidad de Valladolid, 47005 Valladolid, Spain
| | - Alicia Narciso-Rufo
- Centre for Research on Natural Resources, Health and Environment (RENSMA), Universidad de Huelva, 21071 Huelva, Spain
| | - Carlos Ayán-Pérez
- Well-Move Research Group, Department of Special Didactics, University of Vigo, 36310 Vigo, Spain
| | - Antonio José Molina
- Area of Preventive Medicine and Public Health, Department of Biomedical Sciences, Faculty of Health Sciences, Universidad de León, 24071 León, Spain
- The Research Group in Gene-Environment and Health Interactions (GIIGAS), Institute of Biomedicine (IBIOMED), Universidad de León, 24071 León, Spain
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP), Carlos III Health Institute, Avenida Monforte de Lemos 3-5, Pabellón 11, Planta 0, 28029 Madrid, Spain
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4
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Mozas-Moreno J, Sánchez-Fernández M, González-Mesa E, Olmedo-Requena R, Amezcua-Prieto C, Jiménez-Moleón JJ. Perinatal and Maternal Outcomes According to the Accurate Term Antepartum Ultrasound Estimation of Extreme Fetal Weights. J Clin Med 2023; 12:jcm12082995. [PMID: 37109331 PMCID: PMC10146552 DOI: 10.3390/jcm12082995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 04/15/2023] [Accepted: 04/18/2023] [Indexed: 04/29/2023] Open
Abstract
(1) Background: The accuracy of ultrasound estimation of fetal weight (EFW) at term may be useful in addressing obstetric complications since birth weight (BW) is a parameter that represents an important prognostic factor for perinatal and maternal morbidity. (2) Methods: In a retrospective cohort study of 2156 women with a singleton pregnancy, it is verified whether or not perinatal and maternal morbidity differs between extreme BWs estimated at term by ultrasound within the seven days prior to birth with Accurate EFW (difference < 10% between EFW and BW) and those with Non-Accurate EFW (difference ≥ 10% between EFW and BW). (3) Results: Significantly worse perinatal outcomes (according to different variables such as higher rate of arterial pH at birth < 7.20, higher rate of 1-min Apgar < 7, higher rate of 5-min Apgar < 7, higher grade of neonatal resuscitation and need for admission to the neonatal care unit) were found for extreme BW estimated by antepartum ultrasounds with Non-Accurate EFW compared with those with Accurate EFW. This was the case when extreme BWs were compared according to percentile distribution by sex and gestational age following the national reference growth charts (small for gestational age and large for gestational age), and when they were compared according to weight range (low birth weight and high birth weight). (4) Conclusions: Clinicians should make a greater effort when performing EFW by ultrasound at term in cases of suspected extreme fetal weights, and need to take an increasingly prudent approach to its management.
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Affiliation(s)
- Juan Mozas-Moreno
- Department of Obstetrics and Gynecology, University of Granada, 18016 Granada, Spain
- Obstetrics and Gynecology Service, Virgen de las Nieves University Hospital, 18014 Granada, Spain
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain
- Biohealth Research Institute (Instituto de Investigación Biosanitaria Ibs.GRANADA), 18014 Granada, Spain
| | | | - Ernesto González-Mesa
- Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina (IBIMA-Plataforma BIONAND), Research Group in Maternal-Fetal Medicine, Epigenetics, Women's Diseases and Reproductive Health, 29071 Málaga, Spain
- Obstetrics and Gynecology Service, Regional University Hospital of Malaga, 29011 Malaga, Spain
- Department of Surgical Specialties, Biochemistry and Immunology, University of Malaga, 29071 Malaga, Spain
| | - Rocío Olmedo-Requena
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain
- Biohealth Research Institute (Instituto de Investigación Biosanitaria Ibs.GRANADA), 18014 Granada, Spain
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016 Granada, Spain
| | - Carmen Amezcua-Prieto
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain
- Biohealth Research Institute (Instituto de Investigación Biosanitaria Ibs.GRANADA), 18014 Granada, Spain
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016 Granada, Spain
| | - José J Jiménez-Moleón
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain
- Biohealth Research Institute (Instituto de Investigación Biosanitaria Ibs.GRANADA), 18014 Granada, Spain
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016 Granada, Spain
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5
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Román-Gálvez MR, Martín-Peláez S, Hernández-Martínez L, Cano-Ibáñez N, Olmedo-Requena R, Martínez-Galiano JM, Bueno-Cavanillas A, Amezcua-Prieto C. Caffeine Intake throughout Pregnancy, and Factors Associated with Non-Compliance with Recommendations: A Cohort Study. Nutrients 2022; 14:5384. [PMID: 36558543 PMCID: PMC9785327 DOI: 10.3390/nu14245384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Revised: 12/09/2022] [Accepted: 12/15/2022] [Indexed: 12/24/2022] Open
Abstract
Maternal caffeine consumption is associated with adverse gestational outcomes. The aim of this study was to assess the intake of caffeine and factors associated with the non-adherence to caffeine intake recommendations in a cohort of 463 women before (T0) and in each trimester of gestation (T1, T2, and T3), by using validated questionnaires. Caffeine intake (median (mg/day), IQR) was 100.0 (181.1) at T0, 9.42 (66.2) at T1, 12.5 (65.6) at T2, and 14.0 (61.1) at T3 (p < 0.001). Non-compliance prevalence (intake > 200 mg/day) was 6.2% at T1, 4.2% at T2, and 2.7% at T3. Not being an active smoker at T1 (OR = 0.17; 95% CI 0.05−0.59) and T2 (OR = 0.22; 95% CI 0.09−0.52), adherence to the Mediterranean Diet at T1 (OR = 0.50; 95% CI 0.28−0.88) and T2 (OR = 0.39; 95% CI 0.15−1.02), and moderate physical activity at T1 (OR = 0.50; 95% CI 0.28−0.88) were inversely associated with caffeine consumption. Although caffeine intake may be considered low, intake prevalence increases throughout pregnancy. Although the main source of caffeine during pregnancy is coffee, attention must be also paid to the increasingly intake of chocolate, of which the effect during pregnancy is controversial. Smoking, non-adherence to a good quality diet, and light physical activity are associated with a higher caffeine intake and a lower compliance with caffeine intake recommendations. Perinatal dietary and lifestyle educational policies are needed.
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Affiliation(s)
- María Rosario Román-Gálvez
- Unit of Clinical Management Alhama de Granada, Andalusian Health Service, 18120 Alhama de Granada, Spain
- Department of Nursing, University of Granada, 18006 Granada, Spain
| | - Sandra Martín-Peláez
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016 Granada, Spain
- Instituto de Investigación Biosanitaria (ibs.Granada), 18014 Granada, Spain
| | | | - Naomi Cano-Ibáñez
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016 Granada, Spain
- Instituto de Investigación Biosanitaria (ibs.Granada), 18014 Granada, Spain
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
| | - Rocío Olmedo-Requena
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016 Granada, Spain
- Instituto de Investigación Biosanitaria (ibs.Granada), 18014 Granada, Spain
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
| | - Juan Miguel Martínez-Galiano
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
- Department of Nursing, University of Jaén, 23071 Jaén, Spain
| | - Aurora Bueno-Cavanillas
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016 Granada, Spain
- Instituto de Investigación Biosanitaria (ibs.Granada), 18014 Granada, Spain
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016 Granada, Spain
- Instituto de Investigación Biosanitaria (ibs.Granada), 18014 Granada, Spain
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
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El Founti Khsim I, Martínez Rodríguez M, Riquelme Gallego B, Caparros-Gonzalez RA, Amezcua-Prieto C. Risk Factors for Post-Traumatic Stress Disorder after Childbirth: A Systematic Review. Diagnostics (Basel) 2022; 12:diagnostics12112598. [PMID: 36359442 PMCID: PMC9689389 DOI: 10.3390/diagnostics12112598] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 10/17/2022] [Accepted: 10/25/2022] [Indexed: 12/02/2022] Open
Abstract
Background: Post-traumatic stress disorder (PTSD) after birth has generated a growing interest in recent years. Although some risk factors associated with PTSD have been studied, information is still scarce to date on risk factors associated with PTSD. This systematic review aims to identify risk factors associated with the diagnosis of PTSD after childbirth. Methods: We searched on PubMed, Web of Science and SCOPUS databases, from inception to May 2022. Quality assessment of the articles was performed using the Newcastle-Ottawa Quality Assessment (“NOQAS”) scale. This systematic review was performed according to the PRISMA guidelines. Inclusion criteria were women with age ≥18 years; articles in English or Spanish; articles focused on physical, social, psychological, medical-obstetric, and environmental risk factors. Results: A total of n = 17,675 women were included among the studies in this systematic review. The main risk factors associated with PTSD after birth were obstetric interventions and obstetric violence such as emergency caesarean section or a non-compliant birth plan, a previous mental illness, having suffered from of a traumatic event or depression and/or anxiety, and having poor social support throughout pregnancy and/or during birth. Conclusions: Obstetric interventions, obstetric violence, experiencing a traumatic event or depression and/or anxiety, and a previous mental illness are factors associated with the diagnosis of PTSD after birth. Protective factors are multiparity, adherence to the mother’s birth plan and skin-to-skin contact.
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Affiliation(s)
- Ijlas El Founti Khsim
- PhD Program in Clinical Medicine and Public Health, University of Granada, 18071 Granada, Spain
| | - Mirella Martínez Rodríguez
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016 Granada, Spain
| | - Blanca Riquelme Gallego
- Department of Nursing, University of Granada, 18071 Granada, Spain
- Instituto de Investigación Biosanitaria (ibs.GRANADA), 18014 Granada, Spain
| | - Rafael A. Caparros-Gonzalez
- Department of Nursing, University of Granada, 18071 Granada, Spain
- Instituto de Investigación Biosanitaria (ibs.GRANADA), 18014 Granada, Spain
- Correspondence:
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016 Granada, Spain
- Instituto de Investigación Biosanitaria (ibs.GRANADA), 18014 Granada, Spain
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
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7
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Botella-Juan L, Amezcua-Prieto C, Morales-Suarez-Varela MM, Mateos-Campos R, Ayán-Pérez C, Molina AJ, Ortiz-Moncada R, Redondo-Martín S, Alguacil J, Blázquez-Abellán G, Delgado-Rodríguez M, Alonso-Molero J, Fernández-Villa T. Impact of the COVID-19 Pandemic on the Evolution of Prevalence and Patterns of Cannabis Use among First-Year University Students in Spain-UniHcos Project. Int J Environ Res Public Health 2022; 19:11577. [PMID: 36141846 PMCID: PMC9517240 DOI: 10.3390/ijerph191811577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 09/06/2022] [Accepted: 09/08/2022] [Indexed: 06/16/2023]
Abstract
Among university students there has been evidence that the COVID-19 pandemic increased their psychological distress, exacerbated by social restrictions. The main objective of this study was to explore the impact of the COVID-19 pandemic on the prevalence and patterns of cannabis use among university students, in contrast to previous trends since 2012. Data from 10,522 first-year university students (73.3% female, Mage 19 (SD = 1.6)) from eleven Spanish universities collected between 2012 and May 2022 was analysed. Prevalences of cannabis use and their differences by sex were studied, as well as changes in patterns of use and its use for coping during the pandemic. It was found that during lockdown, all prevalence rates of cannabis use decreased in both sexes, showing no statistically significant differences and increasing again in the new normal period in both. Among regular cannabis users, 79.7% reported maintaining or increasing their cannabis use during the pandemic, and of these, half reported using cannabis to cope. Moreover, cannabis use in the usual household increased during the lockdown. These results show that although the overall prevalence of cannabis use was reduced during the lockdown, regular users tended to maintain or increase cannabis use. This could imply two different patterns of use among students, one social and occasional versus the other regular, providing new lines of research for prevention and the implementation of social policies.
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Affiliation(s)
- Lorena Botella-Juan
- Department of Biomedical Sciences, Area of Preventive Medicine and Public Health, Faculty of Health Sciences, University of León, 24071 León, Spain
| | - Carmen Amezcua-Prieto
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain
- Department of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain
- Instituto de Investigación Biosanitaria (ibs.Granada), 18014 Granada, Spain
| | - María M. Morales-Suarez-Varela
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain
- Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Legal Medicine, University of Valencia, 46100 Burjassot, Spain
| | - Ramona Mateos-Campos
- Area of Preventive Medicine and Public Health, University of Salamanca, 37007 Salamanca, Spain
| | - Carlos Ayán-Pérez
- Well-Move Research Group, Department of Special Didactics, University of Vigo, 36310 Vigo, Spain
| | - Antonio José Molina
- Department of Biomedical Sciences, Area of Preventive Medicine and Public Health, Faculty of Health Sciences, University of León, 24071 León, Spain
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain
- The Research Group in Gene-Environment and Health Interactions (GIIGAS), Institute of Biomedicine (IBIOMED), University of León, 24071 León, Spain
| | - Rocío Ortiz-Moncada
- Area of Preventive Medicine and Public Health, Food and Nutrition Research Group, University of Alicante, 03550 Alicante, Spain
| | - Susana Redondo-Martín
- Department of Pathological Anatomy, Microbiology and Preventive Medicine and Public Health, School of Medicine, Universidad de Valladolid, 47005 Valladolid, Spain
- Comisionado Regional para la Droga, Junta de Castilla y León, 47009 Valladolid, Spain
| | - Juan Alguacil
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain
- Centre for Research on Natural Resources, Health, and Environment (RENSMA), University of Huelva, 21071 Huelva, Spain
| | - Gemma Blázquez-Abellán
- Department of Medical Sciences, Faculty of Pharmacy, University of Castilla-La Mancha, 02008 Albacete, Spain
| | - Miguel Delgado-Rodríguez
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain
- Department of Health Sciences, University of Jaén, 23071 Jaén, Spain
| | - Jessica Alonso-Molero
- Departamento de Medicina Preventiva y Salud Pública, Universidad de Cantabria-IDIVAL, 39008 Santander, Spain
| | - Tania Fernández-Villa
- Department of Biomedical Sciences, Area of Preventive Medicine and Public Health, Faculty of Health Sciences, University of León, 24071 León, Spain
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain
- The Research Group in Gene-Environment and Health Interactions (GIIGAS), Institute of Biomedicine (IBIOMED), University of León, 24071 León, Spain
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8
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Romero-Rodríguez E, Amezcua-Prieto C, Morales-Suárez-Varela M, Pérez CA, Mateos-Campos R, Marcos-Delgado A, Ortíz-Moncada R, Martín SR, Rodríguez-Reinado C, Delgado-Rodríguez M, Abellán GB, Molero JA, Martín-Peláez S, Cancela-Carral JM, Valero Juan LF, Martínez-Ruiz V, Fernández-Villa T. Alcohol use and family-related factors among Spanish university students: the unHicos project. BMC Public Health 2022; 22:1573. [PMID: 35982433 PMCID: PMC9389699 DOI: 10.1186/s12889-022-13900-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Accepted: 07/18/2022] [Indexed: 11/12/2022] Open
Abstract
Background During adolescence and youth there are relevant changes in the consolidation, gain or loss of consumption habits and lifestyles and the family factors has a fundamental role to development these habits. The study of the consumption of toxins, such as alcohol intake, is crucial at this stage due to the repercussions that said consumption presents in adulthood. Therefore, the objective of our study was to evaluate the associations between alcohol consumption patterns and related family factors (family functioning, family history of alcohol consumption) in Spanish university students. Methods Observational, descriptive, cross-sectional, multicenter study, carried out in first-year university students from 11 Spanish universities. Through an online questionnaire, alcohol consumption (risky consumption and intensive consumption or binge drinking), family functioning and history of alcohol in the family were evaluated. Risky alcohol consumption and binge drinking were assessed using the AUDIT test, and family functioning was assessed using the family APGAR questionnaire. A descriptive analysis of the data was performed, as well as the Chi-Square test and Student's T-Test, and non-conditional logistic regression models were carried out to examine this association. Results The prevalence of risky alcohol consumption identified in the 10,167 respondents was 16.9% (95% CI = 16.2–17.6), and that of BD was 48.8% (95% CI = 47.9–48.8). There is a significant association between risky alcohol consumption and family functioning in students of both sexes, with greater consumption in the face of severe dysfunctional support (men OR = 1.72; p < 0.001 and women OR = 1.74; p < 0.001) and family history of consumption (p = 0.005). Regarding the binge drinking pattern, no statistically significant differences were observed. Conclusions Risky alcohol consumption in university students is associated with dysfunctional family support, unlike the binge drinking pattern, where there is no such association. The findings of this study show the importance of creating prevention programs focused on the family approach in university students, which include alcohol screening in the population with a family history of this substance, and greater social support from health services. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13900-8.
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Affiliation(s)
- Esperanza Romero-Rodríguez
- Maimonides Biomedical Research Institute of Cordoba / Reina Sofia University Hospital / University of Córdoba, Córdoba, Spain
| | - Carmen Amezcua-Prieto
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiología Y Salud Pública-CIBERESP), Madrid, Spain.,Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain.,Instituto de Investigación Biosanitaria (Ibs), Granada, Spain
| | - María Morales-Suárez-Varela
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiología Y Salud Pública-CIBERESP), Madrid, Spain.,Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Legal, Medicine, Area of Preventive Medicine and Public Health, University of Valencia, Valencia, Spain.,Biomedical Research Center Network on Epidemiology and Public Health (CIBERESP), Institute of Health Carlos III, Avenida Monforte de Lemos, 3-5, Pabellón 11, Planta 0, 28029, Madrid, Spain
| | - Carlos Ayán Pérez
- Department of Special Didactics, Galicia Sur Health Research Institute (IIS Galicia Sur), Sergas-UVIGO, HealthyFit Research Group, University of Vigo, Vigo, Spain
| | - Ramona Mateos-Campos
- Departament of Biomedical and Diagnostic Sciences. Area of Preventive Medicine and Public Health, University of Salamanca, Salamanca, Spain
| | - Alba Marcos-Delgado
- Faculty of Health Sciences, Department of Biomedical Sciences, Area of Preventive Medicine and Public Health, Universidad de León, Ponferrada Campus S/N, 24401, Ponferrada, Léon, Spain. .,Institute of Biomedicine (IBIOMED), The Research Group in Gene - Environment and Health Interactions, Universidad de León, León, Spain.
| | - Rocío Ortíz-Moncada
- Department of Community Nursing, Preventive Medicine and Public Health and History of Science, Food and Nutrition Research Group, Area of Preventive Medicine and Public Health, University of Alicante, Alicante, Spain
| | - Susana Redondo Martín
- Department of Preventive Medicine and Public Health, University of Valladolid, Valladolid, Spain
| | - Carmen Rodríguez-Reinado
- Centro de Investigación en Recursos Naturales, Salud Y Medio Ambiente, Universidad de Huelva, Huelva, Spain
| | - Miguel Delgado-Rodríguez
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiología Y Salud Pública-CIBERESP), Madrid, Spain.,Department of Health Sciences, Area of Preventive Medicine and Public Health, University of Jaen, Jaen, Spain
| | - Gemma Blázquez Abellán
- Department of Medical Sciences, Area of Preventive Medicine and Public Health. Faculty of Pharmacy, University of Castilla La Mancha, Albacete, Spain
| | - Jessica Alonso Molero
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiología Y Salud Pública-CIBERESP), Madrid, Spain.,Faculty of Health Sciences, Department of Biomedical Sciences, Area of Preventive Medicine and Public Health, Universidad de León, Ponferrada Campus S/N, 24401, Ponferrada, Léon, Spain
| | - Sandra Martín-Peláez
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiología Y Salud Pública-CIBERESP), Madrid, Spain.,Instituto de Investigación Biosanitaria (Ibs), Granada, Spain
| | - José M Cancela-Carral
- Department of Special Didactics, Galicia Sur Health Research Institute (IIS Galicia Sur), Sergas-UVIGO, HealthyFit Research Group, University of Vigo, Vigo, Spain
| | - Luis F Valero Juan
- Departament of Biomedical and Diagnostic Sciences. Area of Preventive Medicine and Public Health, University of Salamanca, Salamanca, Spain
| | - Virginia Martínez-Ruiz
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiología Y Salud Pública-CIBERESP), Madrid, Spain.,Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain.,Instituto de Investigación Biosanitaria (Ibs), Granada, Spain
| | - Tania Fernández-Villa
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBER Epidemiología Y Salud Pública-CIBERESP), Madrid, Spain.,Faculty of Health Sciences, Department of Biomedical Sciences, Area of Preventive Medicine and Public Health, Universidad de León, Ponferrada Campus S/N, 24401, Ponferrada, Léon, Spain.,Institute of Biomedicine (IBIOMED), The Research Group in Gene - Environment and Health Interactions, Universidad de León, León, Spain
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9
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Benito-Villena R, Guerrero-Martínez I, Naveiro-Fuentes M, Cano-Ibánez N, Femia-Marzo P, Gallo-Vallejo JL, Mozas-Moreno J, Amezcua-Prieto C. Walking Promotion in Pregnancy and Its Effects on Insomnia: Results of Walking_Preg Project (WPP) Clinical Trial. Int J Environ Res Public Health 2022; 19:10012. [PMID: 36011647 PMCID: PMC9408512 DOI: 10.3390/ijerph191610012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 08/10/2022] [Accepted: 08/11/2022] [Indexed: 06/15/2023]
Abstract
Introduction: Insomnia is a frequent condition during pregnancy. The aim of this study was to assess if a walking promotion program from the 12th Gestational Week (GW) of pregnancy helps to prevent insomnia and improve the quality of sleep at third trimester. Materials and Methods: A prospective, randomized, and controlled trial was conducted with 270 pregnant women divided into 3 groups in parallel: maximum intervention group, I1 (pedometer and goal of 10,000 steps/day), minimum intervention group, I2 (pedometer without a goal), and control group (no intervention). All groups received recommendations about physical activity in pregnancy. A structured interview was performed at 13th, 20th, and 32nd GW, collecting pedometer mean steps/day, Athens Insomnia Scale (AIS), and Pittsburgh questionnaire (PSQI). Lineal regression models were conducted to determine the association between mean steps/day at 31st GW and AIS or PSQI score. Results: At 19th GW, groups I1 and I2 reached a mean of 6267 steps/day (SD = 3854) and 5835 steps/day (SD = 2741), respectively (p > 0.05). At 31st GW mean steps/day was lower for I2 (p < 0.001). Insomnia and poor sleep quality prevalence increased through pregnancy, but no differences between groups, within trimesters, were found (p > 0.05). Lineal regression showed no association between the average steps/day at third trimester of pregnancy and AIS and PSQI scores. Conclusions: Our walking promotion program based on pedometers did not help to prevent insomnia in the third trimester of pregnancy.
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Affiliation(s)
- Rebeca Benito-Villena
- Obstetrics and Gynecology Service, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain
- PhD Program in Clinical Medicine and Public Health, University of Granada, 18016 Granada, Spain
| | - Ingrid Guerrero-Martínez
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016 Granada, Spain
| | - Mariña Naveiro-Fuentes
- Obstetrics and Gynecology Service, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain
| | - Naomi Cano-Ibánez
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016 Granada, Spain
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
- Instituto de Investigación Biosanitaria (ibs.Granada), 18014 Granada, Spain
| | - Pedro Femia-Marzo
- Unit of Biostatistics, Department of Statistics and O.R., Faculty of Medicine, University of Granada, 18016 Granada, Spain
| | - José Luis Gallo-Vallejo
- Obstetrics and Gynecology Service, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain
- Department of Obstetrics and Gynecology, Universidad de Granada, 18016 Granada, Spain
| | - Juan Mozas-Moreno
- Obstetrics and Gynecology Service, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
- Instituto de Investigación Biosanitaria (ibs.Granada), 18014 Granada, Spain
- Department of Obstetrics and Gynecology, Universidad de Granada, 18016 Granada, Spain
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016 Granada, Spain
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
- Instituto de Investigación Biosanitaria (ibs.Granada), 18014 Granada, Spain
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10
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Tercero-Hidalgo JR, Khan KS, Bueno-Cavanillas A, Fernández-López R, Huete JF, Amezcua-Prieto C, Zamora J, Fernández-Luna JM. Artificial intelligence in COVID-19 evidence syntheses was underutilized, but impactful: a methodological study. J Clin Epidemiol 2022; 148:124-134. [PMID: 35513213 PMCID: PMC9059390 DOI: 10.1016/j.jclinepi.2022.04.027] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 03/09/2022] [Accepted: 04/28/2022] [Indexed: 11/24/2022]
Abstract
OBJECTIVES A rapidly developing scenario like a pandemic requires the prompt production of high-quality systematic reviews, which can be automated using artificial intelligence (AI) techniques. We evaluated the application of AI tools in COVID-19 evidence syntheses. STUDY DESIGN After prospective registration of the review protocol, we automated the download of all open-access COVID-19 systematic reviews in the COVID-19 Living Overview of Evidence database, indexed them for AI-related keywords, and located those that used AI tools. We compared their journals' JCR Impact Factor, citations per month, screening workloads, completion times (from pre-registration to preprint or submission to a journal) and AMSTAR-2 methodology assessments (maximum score 13 points) with a set of publication date matched control reviews without AI. RESULTS Of the 3,999 COVID-19 reviews, 28 (0.7%, 95% CI 0.47-1.03%) made use of AI. On average, compared to controls (n = 64), AI reviews were published in journals with higher Impact Factors (median 8.9 vs. 3.5, P < 0.001), and screened more abstracts per author (302.2 vs. 140.3, P = 0.009) and per included study (189.0 vs. 365.8, P < 0.001) while inspecting less full texts per author (5.3 vs. 14.0, P = 0.005). No differences were found in citation counts (0.5 vs. 0.6, P = 0.600), inspected full texts per included study (3.8 vs. 3.4, P = 0.481), completion times (74.0 vs. 123.0, P = 0.205) or AMSTAR-2 (7.5 vs. 6.3, P = 0.119). CONCLUSION AI was an underutilized tool in COVID-19 systematic reviews. Its usage, compared to reviews without AI, was associated with more efficient screening of literature and higher publication impact. There is scope for the application of AI in automating systematic reviews.
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Affiliation(s)
- Juan R Tercero-Hidalgo
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain; CIBER Epidemiology and Public Health (CIBERESP), Madrid, Spain; Instituto Biosanitario Granada (IBS-Granada), Granada, Spain.
| | - Khalid S Khan
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain; CIBER Epidemiology and Public Health (CIBERESP), Madrid, Spain
| | - Aurora Bueno-Cavanillas
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain; CIBER Epidemiology and Public Health (CIBERESP), Madrid, Spain; Instituto Biosanitario Granada (IBS-Granada), Granada, Spain
| | | | - Juan F Huete
- Department of Computer Science and Artificial Intelligence, School of Technology and Telecommunications Engineering, University of Granada, Granada, Spain
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain; CIBER Epidemiology and Public Health (CIBERESP), Madrid, Spain; Instituto Biosanitario Granada (IBS-Granada), Granada, Spain
| | - Javier Zamora
- CIBER Epidemiology and Public Health (CIBERESP), Madrid, Spain; Clinical Biostatistics Unit, Hospital Ramon y Cajal (IRYCIS), Madrid, Spain; Institute for Metabolism and Systems Research, University of Birmingham, Birmingham, United Kingdom
| | - Juan M Fernández-Luna
- Department of Computer Science and Artificial Intelligence, School of Technology and Telecommunications Engineering, University of Granada, Granada, Spain
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11
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Romero-Rodríguez E, Amezcua-Prieto C, Morales Suárez-Varela M, Ayán-Pérez C, Mateos-Campos R, Martín-Sánchez V, Ortíz-Moncada R, Redondo-Martín S, Alguacil Ojeda J, Delgado-Rodríguez M, Blázquez Abellán G, Alonso-Molero J, Cancela-Carral JM, Valero Juan LF, Fernández-Villa T. Patterns of Alcohol Consumption and Use of Health Services in Spanish University Students: UniHcos Project. Int J Environ Res Public Health 2022; 19:6158. [PMID: 35627695 PMCID: PMC9141368 DOI: 10.3390/ijerph19106158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/27/2022] [Revised: 05/10/2022] [Accepted: 05/16/2022] [Indexed: 11/28/2022]
Abstract
The aim of the study was to examine the association of alcohol consumption patterns (hazardous alcohol use and binge drinking) and the use of emergency services and primary care consultations in university students. An observational, descriptive, cross-sectional study was conducted at eleven Spanish universities collaborating within the uniHcos Project. University students completed an online questionnaire that assessed hazardous alcohol use and binge drinking using the AUDIT questionnaire and evaluated the use of emergency services and primary care. A descriptive analysis of the data was performed, as well as the chi-squared test and Student’s t-test and nonconditional logistic regression models to examine this association. Results: There were 10,167 participants who completed the questionnaire. The prevalence of hazardous alcohol use was 16.9% (95% CI: 16.2−17.6), while the prevalence of binge drinking was 48.8% (95% CI: 47.9−49.8). There were significant differences in the use of emergency services in those surveyed with hazardous alcohol use (p < 0.001) or binge drinking pattern (p < 0.001). However, no significant differences were observed in terms of attendance during primary care visits in individuals with hazardous alcohol use (p = 0.367) or binge drinking pattern (p = 0.755). The current study shows the association between university students with a pattern of hazardous alcohol use or binge drinking and greater use of emergency services. However, no significant association was observed between the said consumption patterns and the use of primary care services.
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Affiliation(s)
- Esperanza Romero-Rodríguez
- Maimonides Biomedical Research Institute, Reina Sofia University Hospital, University of Córdoba, 14001 Cordoba, Spain;
| | - Carmen Amezcua-Prieto
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain; (C.A.-P.); (M.M.S.-V.); (V.M.-S.); (M.D.-R.)
- Department of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain
| | - María Morales Suárez-Varela
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain; (C.A.-P.); (M.M.S.-V.); (V.M.-S.); (M.D.-R.)
- Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Legal Medicine, University of Valencia, 46100 Valencia, Spain
| | - Carlos Ayán-Pérez
- Well-Move Research Group, Department of Special Didactics, University of Vigo, 36310 Vigo, Spain;
| | - Ramona Mateos-Campos
- Area of Preventive Medicine and Public Health, University of Salamanca, 37007 Salamanca, Spain; (R.M.-C.); (L.F.V.J.)
| | - Vicente Martín-Sánchez
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain; (C.A.-P.); (M.M.S.-V.); (V.M.-S.); (M.D.-R.)
- Department of Biomedical Sciences, University of León, 24071 León, Spain
- The Research Group in Gene-Environment and Health Interactions, Institute of Biomedicine (IBIOMED), University of León, 24071 León, Spain
| | - Rocío Ortíz-Moncada
- Public Health Research Group, Food and Nutrition Research Group, University of Alicante, 03550 Alicante, Spain;
| | - Susana Redondo-Martín
- Department of Preventive Medicine and Public Health, University of Valladolid, 47005 Valladolid, Spain;
| | - Juan Alguacil Ojeda
- Department of Clinical and Experimental Psychology, University of Huelva, 21071 Huelva, Spain;
| | - Miguel Delgado-Rodríguez
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain; (C.A.-P.); (M.M.S.-V.); (V.M.-S.); (M.D.-R.)
- Department of Health Sciences, University of Jaén, 23071 Jaén, Spain
| | - Gemma Blázquez Abellán
- Department of Medical Sciences, School of Pharmacy, University of Castilla-La Mancha, 02008 Albacete, Spain;
| | - Jéssica Alonso-Molero
- Department of Preventive Medicine and Public, University of Cantabria-IDIVAL, 39008 Santander, Spain;
| | - José María Cancela-Carral
- Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, 36312 Vigo, Spain;
- Department of Specials Didactics, University of Vigo, 36310 Vigo, Spain
| | - Luis Félix Valero Juan
- Area of Preventive Medicine and Public Health, University of Salamanca, 37007 Salamanca, Spain; (R.M.-C.); (L.F.V.J.)
| | - Tania Fernández-Villa
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain; (C.A.-P.); (M.M.S.-V.); (V.M.-S.); (M.D.-R.)
- Department of Biomedical Sciences, University of León, 24071 León, Spain
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12
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El Founti Khsim I, Mohanaraj-Anton A, Benjamin Horte I, Lamont RF, Khan KS, Jørgensen JS, Amezcua-Prieto C. Listeriosis in pregnancy: An Umbrella Review of Maternal Exposure, Treatment, and Neonatal Complications. BJOG 2021; 129:1427-1433. [PMID: 34954888 DOI: 10.1111/1471-0528.17073] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Revised: 11/15/2021] [Accepted: 11/22/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND Listeria monocytogenes is a commonly found organism in processed and prepared food and the disease of listeriosis is associated with a high morbidity and mortality. Compared to the general population, the risk of being diagnosed with listeriosis increased during pregnancy. Listeriosis can lead to miscarriage, spontaneous preterm labour and preterm birth, stillbirth, and congenital neonatal infections. OBJECTIVES We conducted a universal review of listeriosis in pregnancy and in the newborn. SEARCH STRATEGY The EMBASE, PubMed, Cinahl, and Web of Science databases were searched for Systematic Reviews (SRs) indexed before 1st December 2020. SELECTION CRITERIA Any SR evaluating the prevalence, treatment, diagnosis, and effects of listeriosis during pregnancy and up to 4-weeks postnatally were included. DATA COLLECTION AND ANALYSIS Eligibility assessment, data extraction, and quality assessment by the Methodological Quality Assessment of Systematic Reviews (AMSTAR-2) were performed in duplicate. MAIN RESULTS We identified 397 citations of which nine Systematic Reviews comprising 330 studies and 487 patients' reviews were included. Most SRs (7 of 9) were of moderate to high quality. Prevention in pregnant women was based on adherence to strict dietary recommendations, such as reheating leftovers until steamed and avoiding unpasteurized dairy products. Listeriosis infections were likely to occur in the third trimester (66%) rather than in the first trimester (3%) of pregnancy. Symptoms are mostly fever and other flu-like, such as fatigue. Diagnosis was primarily made by culture of the pathogen. Intravenous amoxicillin or ampicillin were first line treatment. CONCLUSIONS Listeriosis, a rare but serious infectious disease in pregnancy, can cause devastating consequences for the fetus and new-borns. Appropriate preventative treatment should be initiated during early pregnancy to avoid complications.
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Affiliation(s)
- Ijlas El Founti Khsim
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016, Granada, Spain
| | - Ahalini Mohanaraj-Anton
- Department of Gynecology and Obstetrics, University of Southern Denmark, Institute of Clinical Research, Research Unit of Gynaecology and Obstetrics, Kløvervaenget 10, 5000, Odense, Denmark
| | - Ivar Benjamin Horte
- Department of Gynecology and Obstetrics, University of Southern Denmark, Institute of Clinical Research, Research Unit of Gynaecology and Obstetrics, Kløvervaenget 10, 5000, Odense, Denmark
| | - Ronald Francis Lamont
- Department of Gynecology and Obstetrics, University of Southern Denmark, Institute of Clinical Research, Research Unit of Gynaecology and Obstetrics, Kløvervaenget 10, 5000, Odense, Denmark.,Division of Surgery, University College London, Northwick Park Institute for Medical Research Campus, Watford Road, London, HA1 3UJ, UK
| | - Khalid Saeed Khan
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016, Granada, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029, Madrid, Spain
| | - Jan Stener Jørgensen
- Department of Gynecology and Obstetrics, University of Southern Denmark, Institute of Clinical Research, Research Unit of Gynaecology and Obstetrics, Kløvervaenget 10, 5000, Odense, Denmark
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016, Granada, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029, Madrid, Spain.,Instituto de Investigación Biosanitaria (ibs.Granada), 18014, Granada, Spain
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Sánchez-Herrero H, Amezcua-Prieto C, Morales-Suárez-Varela M, Ayán-Pérez C, Mateos-Campos R, Molina AJ, Ortiz-Moncada R, Almaraz-Gómez A, Alguacil J, Delgado-Rodríguez M, Blázquez Abellán G, Alonso-Molero J, Martínez-Ruiz V, Peraita-Costa I, Cancela-Carral JM, Valero-Juan LF, Martín-Peláez S, Fernández-Villa T. [Discrimination and its relationship with risk behaviors and perceived health in spanish university students: a cross-sectional study.]. Rev Esp Salud Publica 2021; 95:e202111156. [PMID: 34779425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Accepted: 08/12/2021] [Indexed: 06/13/2023] Open
Abstract
OBJECTIVE Discrimination during vital moments, such as the university period, can generate a high impact on people's behavior and health. The aim of this study was to analyze the possible association of discrimination with perceived health and with different risk behaviors, as well as to describe gender differences in Spanish university students. Discrimination during vital moments, such as college, can have a high impact on people's behavior and health. METHODS A cross-sectional study was carried out with data from first-year university students from 11 Spanish universities (n=9,862). Discrimination, perceived health, alcohol consumption, smoking, consumption of illegal substances, leisure time connected to the Internet, risky sexual relations, family function, risk of mental health problems and risk of eating disorders were assessed. Prevalences with their 95% confidence intervals were obtained and for quantitative variables the mean and standard deviation were calculated. Odds ratios with 95% confidence intervals were calculated to determine the relationship between discrimination and the other variables. RESULTS An association was found between discrimination and fair or poor perceived health (OR: 1.7; p=0.0001), consumption of illegal substances (OR: 1.3; p=0.002), problematic internet use (OR: 1.3; p=0.004), family dysfunction (OR: 1.8; p=0.0001), risk of mental health problems (OR: 1.9; p=0.0001) and eating disorders (OR: 1.5; p=0.0001). Regarding gender differences, higher prevalence of discrimination was observed in men with health status perceived as fair or worse (OR: 2.2; p=0.0001), family dysfunction (OR: 1.8; p=0.0001), risk of mental health problems (OR: 2.2; p=0.0001) and eating disorders (OR: 1.9; p=0.002). Women, apart from the previous variables, presented association of discrimination with consumption of illegal substances (OR: 1.3; p=0.005) and problematic internet use (OR: 1.4; p=0.002). CONCLUSIONS The study findings underline that there is an association between discrimination and risk behaviors among Spanish university students. In turn, discrimination was associated with poor or fair perceived health, this relationship being similar in both men and women.
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Affiliation(s)
- Héctor Sánchez-Herrero
- Unidad de Investigación en Cuidados. Hospital Universitario Puerta de Hierro Majadahonda. Madrid. España
- Grupo de Investigación en Enfermería y Cuidados de Salud. Instituto de Investigación Sanitaria Puerta de Hierro - Segovia de Arana. España
| | - Carmen Amezcua-Prieto
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP). Instituto de Salud Carlos III. Madrid. España
- Departamento de Medicina Preventiva y Salud Pública. Universidad de Granada. Granada. España
- Instituto de Investigación Biosanitaria de Granada (ibs.GRANADA). Granada. España
| | - María Morales-Suárez-Varela
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP). Instituto de Salud Carlos III. Madrid. España
- Área de Medicina Preventiva y Salud Pública. Departamento de Medicina Preventiva y Salud Pública, Ciencias de la Alimentación, Toxicología y Medicina Legal. Facultad de Farmacia. Universitat de Valencia. Valencia. España
| | - Carlos Ayán-Pérez
- Departamento de Didácticas Especiales. Universidad de Vigo. Pontevedra. España
| | - Ramona Mateos-Campos
- Departamento de Ciencias Biomédicas y del Diagnóstico. Área de Medicina Preventiva y Salud Pública. Universidad de Salamanca. Salamanca. España
| | - Antonio José Molina
- Grupo de investigación en interacciones Gen - Ambiente y Salud (GIIGAS). Instituto de Biomedicina (IBIOMED). Universidad de León. León. España
- Departamento de Ciencias Biomédicas. Área de Medicina Preventiva y Salud Pública. Universidad de León. León. España
| | - Rocío Ortiz-Moncada
- Grupo de Investigación en Alimentación y Nutrición (ALINUT). Departamento Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia. Universidad de Alicante. Alicante. España
| | - Ana Almaraz-Gómez
- Departamento de Anatomía Patología, Microbiología, Medicina Preventiva y Salud Pública, Medicina Legal y Forense. Universidad de Valladolid. Valladolid. España
| | - Juan Alguacil
- Centro de Investigación en Recursos Naturales, Salud y Medio Ambiente (RENSMA). Universidad de Huelva. Huelva. España
| | - Miguel Delgado-Rodríguez
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP). Instituto de Salud Carlos III. Madrid. España
- Departamento de Medicina Preventiva y Salud Pública. Universidad de Jaén. Jaén. España
| | - Gemma Blázquez Abellán
- Departamento de Ciencias Médicas. Facultad de Farmacia. Universidad de Castilla-La Mancha. Albacete. España
| | - Jessica Alonso-Molero
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP). Instituto de Salud Carlos III. Madrid. España
- Universidad de Cantabria-Instituto de Investigación Marqués de Valdecilla (IDIVAL). Santander. España
| | - Virginia Martínez-Ruiz
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP). Instituto de Salud Carlos III. Madrid. España
- Departamento de Medicina Preventiva y Salud Pública. Universidad de Granada. Granada. España
- Instituto de Investigación Biosanitaria de Granada (ibs.GRANADA). Granada. España
| | - Isabel Peraita-Costa
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP). Instituto de Salud Carlos III. Madrid. España
- Área de Medicina Preventiva y Salud Pública. Departamento de Medicina Preventiva y Salud Pública, Ciencias de la Alimentación, Toxicología y Medicina Legal. Facultad de Farmacia. Universitat de Valencia. Valencia. España
| | - José María Cancela-Carral
- Departamento de Didácticas Especiales. Universidad de Vigo. Pontevedra. España
- Grupo de Investigación HealthyFit. Instituto de Investigación Sanitaria Galicia Sur (IIS Galicia Sur). España
| | - Luis Félix Valero-Juan
- Departamento de Ciencias Biomédicas y del Diagnóstico. Área de Medicina Preventiva y Salud Pública. Universidad de Salamanca. Salamanca. España
| | - Sandra Martín-Peláez
- Departamento de Medicina Preventiva y Salud Pública. Universidad de Granada. Granada. España
- Instituto de Investigación Biosanitaria de Granada (ibs.GRANADA). Granada. España
| | - Tania Fernández-Villa
- Grupo de investigación en interacciones Gen - Ambiente y Salud (GIIGAS). Instituto de Biomedicina (IBIOMED). Universidad de León. León. España
- Departamento de Ciencias Biomédicas. Área de Medicina Preventiva y Salud Pública. Universidad de León. León. España
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14
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Rogozińska E, Daru J, Nicolaides M, Amezcua-Prieto C, Robinson S, Wang R, Godolphin PJ, Saborido CM, Zamora J, Khan KS, Thangaratinam S. Iron preparations for women of reproductive age with iron deficiency anaemia in pregnancy (FRIDA): a systematic review and network meta-analysis. Lancet Haematol 2021; 8:e503-e512. [PMID: 34171281 PMCID: PMC7612251 DOI: 10.1016/s2352-3026(21)00137-x] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Revised: 04/30/2021] [Accepted: 04/30/2021] [Indexed: 12/19/2022]
Abstract
BACKGROUND Numerous iron preparations are available for the treatment of iron deficiency anaemia in pregnancy. We aimed to provide a summary of the effectiveness and safety of iron preparations used in this setting. METHODS We did a systematic review and network meta-analysis of randomised trials. We searched MEDLINE, Embase, Cochrane Central Register of Controlled Trials, trial registers, and grey literature for trials published in any language from Jan 1, 2011, to Feb 28, 2021. We included trials including pregnant women with iron deficiency anaemia and evaluating iron preparations, irrespective of administration route, with at least 60 mg of elemental iron, in comparison with another iron or non-iron preparation. Three authors independently selected studies, extracted data, and did a risk of bias assessment using the Cochrane tool (version 1.0). The primary outcome was the effectiveness of iron preparations, evaluated by changes in haemoglobin concentration at 4 weeks from baseline. The secondary outcomes were change in serum ferritin concentration at 4 weeks from baseline and treatment-related severe and non-severe adverse events. We did random-effects pairwise and network meta-analyses. Side-effects were reported descriptively for each trial. This study is registered with PROSPERO, CRD42018100822. FINDINGS Among 3037 records screened, 128 full-text articles were further assessed for eligibility. Of the 53 eligible trials (reporting on 9145 women), 30 (15 interventions; 3243 women) contributed data to the network meta-analysis for haemoglobin and 15 (nine interventions; 1396 women) for serum ferritin. The risk of bias varied across the trials contributing to network meta-analysis, with 22 of 30 trials in the network meta-analysis for haemoglobin judged to have a high or medium global risk of bias. Compared with oral ferrous sulfate, intravenous iron sucrose improved both haemoglobin (mean difference 7·17 g/L, 95% CI 2·62-11·73; seven trials) and serum ferritin (mean difference 49·66 μg/L, 13·63-85·69; four trials), and intravenous ferric carboxymaltose improved haemoglobin (mean difference 8·52 g/L, 0·51-16·53; one trial). The evidence for other interventions compared with ferrous sulfate was insufficient. The most common side-effects with oral iron preparations were gastrointestinal effects (nausea, vomiting, and altered bowel movements). Side-effects were less common with parenteral iron preparations, although these included local pain, skin irratation, and, on rare occasions, allergic reactions. INTERPRETATION Iron preparations for treatment of iron deficiency anaemia in pregnancy vary in effectiveness, with good evidence of benefit for intravenous iron sucrose and some evidence for intravenous ferric carboxymaltose. Clinicians and policy makers should consider the effectiveness of individual preparations before administration, to ensure effective treatment. FUNDING None.
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Affiliation(s)
| | - Jahnavi Daru
- Institute for Population Health Science, Queen Mary University of London, London, UK.
| | - Marios Nicolaides
- Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain
| | - Susan Robinson
- Department of Haematology, Guy's and St Thomas' Hospital, London, UK
| | - Rui Wang
- Department of Obstetrics and Gynaecology, Monash University, Melbourne, VIC, Australia
| | - Peter J Godolphin
- MRC Clinical Trials Unit at UCL, University College London, London, UK
| | - Carlos Martín Saborido
- Department of Health Planning and Economics, National School of Public Health, Institute of Health Carlos III, Madrid, Spain
| | - Javier Zamora
- Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK; Hospital Universitario Ramón y Cajal (IRYCIS), CIBERESP, Madrid, Spain
| | - Khalid S Khan
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain
| | - Shakila Thangaratinam
- Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK
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Díaz-Burrueco JR, Cano-Ibáñez N, Martín-Peláez S, Khan KS, Amezcua-Prieto C. Effects on the maternal-fetal health outcomes of various physical activity types in healthy pregnant women. A systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol 2021; 262:203-215. [PMID: 34058612 DOI: 10.1016/j.ejogrb.2021.05.030] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2021] [Revised: 05/11/2021] [Accepted: 05/16/2021] [Indexed: 02/08/2023]
Abstract
BACKGROUND Physical activity (PA) promotes health in pregnancy. OBJECTIVE To collate the recent randomized controlled trial (RCT) on the effects of various types of PA during pregnancy on maternal-fetal health outcomes, among healthy mothers, and to report the variability in the outcomes reported. SEARCH STRATEGY Registered in PROSPERO (CRD42019143522). Systematic search conducted in EMBASE, CENTRAL, MEDLINE and CINAHL, from 2015-2020. SELECTION CRITERIA RCT examining PA interventions and maternal-fetal outcomes. DATA COLLECTION AND ANALYSIS Were independently extracted by two reviewers. Quality of studies was assessed with Cochrane Collaboration's risk of bias tool. RESULTS 37 studies (6857 women) were included. PA had a protective effect on gestational weight gain (overall SMD -0.32, 95 % CI -0.46, -0.17, I2 77 %; supervised exercise SMD -0.15, 95 % CI -0.28, -0.02, I2 51 %; static cycling SMD -0.32, 95 % CI -0.59, -0.05; I2 49 %), gestational diabetes (overall OR 0.65, 95 % CI: 0.43, 0.98, I2 48 %), and hypertensive disorders (overall OR 0.51, 95 % CI: 0.31, 0.83, I2 0%). CONCLUSIONS PA in pregnancy had a preventive effect on weight gain, gestational diabetes, and hypertensive disorders. Supervised exercise and static cycling had a protective effect on gestational weight gain. Variation in outcomes reported suggest establishing a core outcome set.
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Affiliation(s)
- Javier Ramón Díaz-Burrueco
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain
| | - Naomi Cano-Ibáñez
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain; CIBER de Epidemiología y Salud Pública, (CIBERESP), Granada, Spain; Instituto de Investigación Biosanitaria ibs, GRANADA, Granada, Spain.
| | - Sandra Martín-Peláez
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain; Instituto de Investigación Biosanitaria ibs, GRANADA, Granada, Spain
| | - Khalid S Khan
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain; CIBER de Epidemiología y Salud Pública, (CIBERESP), Granada, Spain
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain; CIBER de Epidemiología y Salud Pública, (CIBERESP), Granada, Spain; Instituto de Investigación Biosanitaria ibs, GRANADA, Granada, Spain
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16
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Redondo-Martín S, Amezcua-Prieto C, Suarez-Varela MM, Ayán C, Mateos-Campos R, Martín V, Ortíz-Moncada R, Almaraz-Gómez A, Rodríguez-Reinado C, Delgado-Rodríguez M, Blázquez-Abellán G, Alonso-Molero J, Llopis Morales A, Cancela Carral JM, Valero-Juan LF, Martínez-Ruiz V, Fernández-Villa T. [Declared experiences of risky sexual behaviors in relation to alcohol consumption in the first year of college.]. Rev Esp Salud Publica 2021; 95:e202105063. [PMID: 33950045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Accepted: 02/24/2021] [Indexed: 06/12/2023] Open
Abstract
OBJECTIVE In college students, higher risk alcohol consumption (drunkenness and binge drinking-BD) has negative consequences on their development and and probably facilitates risk sexual behaviors. The objective was to study if risky sexual behaviors when consuming alcohol (RSBA) are associated with higher risk consumption. METHODS Cross-sectional multicenter study with UniHcos Project, 1st year university students from 11 universities in Spain, academic years 2011-2012 to 2017-2018 data. This data were collected by self-administered questionnaire. A uni and bivariate analysis was performed, evaluated the statistical significance of the differences in prevalence with chi-square. Mean and standard deviation were used for quantitative variables and Student's t test statistic was used. RESULTS 9,862 subjects (72.2% women). 90.3% reported having consumed alcohol and 60.9% had drunk the last year, 49% BD in last month. It was deteded in men, significantly higher consumption in the last month and drunkenness. Last month consumption and drunkenness were significantly higher in men and in <21 years. The RSBA were significantly higher among who were drunk (15.7% unprotected sex, 1.9% sexual abuse and 0.7% taking sexual advantage) and had BD (17.1%, 1.9% and 0.7 %). Women with both risk consumptions had more sexual abuse (2.2%), and men had greater behaviors of taking sexual advantage of someone (drunk: 1.2%; BD: 1.3%). CONCLUSIONS Alcohol consumption was above similar groups. BD consumption was similar by gender and age. Risk sexual behaviors appear mainly in problematic consumption. Gender differences are not detected in alcohol consumers in unprotected sex but deteded in the rest.
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Affiliation(s)
- Susana Redondo-Martín
- Comisionado Regional para la Droga Junta de Castilla y León. España
- Departamento de Anatomía patológica, microbiología, medicina preventiva y salud pública, medicina legal y forense. Facultad de Medicina. Universidad de Valladolid. Valladolid. España
| | - Carmen Amezcua-Prieto
- Departamento de Medicina Preventiva y Salud Pública. Facultad de Medicina Universidad de Granada. Granada. España
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP). Instituto de Salud Carlos III. Madrid. España
| | - María Morales Suarez-Varela
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP). Instituto de Salud Carlos III. Madrid. España
- Unidad de salud pública, higiene y salud ambiental. Departamento de medicina preventiva y salud pública, ciencias de los alimentos, toxicología y medicina legal. Facultad de farmacia. Universidad de Valencia. Valencia. España
| | - Carlos Ayán
- Facultad de Ciencias de la Educación y el Deporte. Universidad de Vigo. Pontevedra. España
| | - Ramona Mateos-Campos
- Área de Medicina Preventiva y Salud Pública. Universidad de Salamanca. Salamanca. España
| | - Vicente Martín
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP). Instituto de Salud Carlos III. Madrid. España
- Área de Medicina Preventiva y Salud Pública. Facultad Universitaria de Ciencias de la Salud. Universidad de León. España. Grupo de Investigación en Interacciones Gen-Ambiente y Salud (GIIGAS) / Instituto de Biomedicina (IBIOMED). Universidad de León. León. España
| | - Rocío Ortíz-Moncada
- Área de Medicina Preventiva y Salud pública. Grupo de investigación alimentación y nutrición. Universidad de Alicante. Alicante. España
| | - Ana Almaraz-Gómez
- Departamento de Anatomía patológica, microbiología, medicina preventiva y salud pública, medicina legal y forense. Facultad de Medicina. Universidad de Valladolid. Valladolid. España
| | - Carmen Rodríguez-Reinado
- RENSMA (Centro de Investigación en recursos naturales, salud y medio ambiente). Universidad de Huelva. Huelva. España
| | - Miguel Delgado-Rodríguez
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP). Instituto de Salud Carlos III. Madrid. España
- Área de Medicina Preventiva y Ciencias de la Salud. Universidad de Jaén. Jaén. España
| | - Gema Blázquez-Abellán
- Facultad de Farmacia. Departamento de Ciencias Médicas. Área de Medicina Preventiva y Salud Pública. Universidad de Castilla-La Mancha. Albacete. España
| | - Jéssica Alonso-Molero
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP). Instituto de Salud Carlos III. Madrid. España
- Universidad de Cantabria-IDIVAL. Santander. España
| | - Agustin Llopis Morales
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP). Instituto de Salud Carlos III. Madrid. España
| | | | - Luis Felix Valero-Juan
- Área de Medicina Preventiva y Salud Pública. Universidad de Salamanca. Salamanca. España
| | - Virginia Martínez-Ruiz
- Departamento de Medicina Preventiva y Salud Pública. Facultad de Medicina Universidad de Granada. Granada. España
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP). Instituto de Salud Carlos III. Madrid. España
| | - Tania Fernández-Villa
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP). Instituto de Salud Carlos III. Madrid. España
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Cano-Ibáñez N, Zolfaghari Y, Amezcua-Prieto C, Khan KS. Physician-Patient Language Discordance and Poor Health Outcomes: A Systematic Scoping Review. Front Public Health 2021; 9:629041. [PMID: 33816420 PMCID: PMC8017287 DOI: 10.3389/fpubh.2021.629041] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Accepted: 02/08/2021] [Indexed: 01/08/2023] Open
Abstract
Objective: This systematic review assessed whether physician-patient language concordance, compared with discordance, is associated with better health outcomes. Methods: A systematic literature search was conducted, without language restrictions, using PubMed, EMBASE, Web of Science, and PsycINFO, from inception to July 2020. We included studies that evaluated the effects of physician-patient language concordance on health outcomes. Articles were screened, selected, and data-extracted in duplicate. Review protocol was prospectively registered (PROSPERO, CRD42020157229). Results: There were 541 citations identified through databases and eight citations through reverse search and Google Scholar. A total of 15 articles (84,750 participants) were included reporting outcomes within five domains: diabetes care (four studies), inpatient care (five studies), cancer screening (three studies), healthcare counseling (two studies), and mental health care (one study). Ten studies were of good quality, four were fair, and one was poor, according to the modified Newcastle-Ottawa Scale. Eight studies (53%) showed a significant negative association between language discordance and at least one clinical outcome. Five studies (33%) found no association. Conclusion: Over half the evidence collated showed that physician-patient language concordance was associated with better health clinical outcomes.
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Affiliation(s)
- Naomi Cano-Ibáñez
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Granada, Spain.,Instituto de Investigación Biosanitaria ibs. GRANADA, Granada, Spain
| | - Yasmin Zolfaghari
- Women's Health Research Unit, Barts and the London School of Medicine and Dentistry, London, United Kingdom
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Granada, Spain.,Instituto de Investigación Biosanitaria ibs. GRANADA, Granada, Spain
| | - Khalid Saeed Khan
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Granada, Spain
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García-Martín M, Amezcua-Prieto C, H Al Wattar B, Jørgensen JS, Bueno-Cavanillas A, Khan KS. Patient and Public Involvement in Sexual and Reproductive Health: Time to Properly Integrate Citizen's Input into Science. Int J Environ Res Public Health 2020; 17:ijerph17218048. [PMID: 33142916 PMCID: PMC7663614 DOI: 10.3390/ijerph17218048] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Revised: 10/26/2020] [Accepted: 10/28/2020] [Indexed: 12/17/2022]
Abstract
Evidence-based sexual and reproductive health is a global endeavor without borders. Inter-sectorial collaboration is essential for identifying and addressing gaps in evidence. Health research funders and regulators are promoting patient and public involvement in research, but there is a lack of quality tools for involving patients. Partnerships with patients are necessary to produce and promote robust, relevant and timely research. Without the active participation of women as stakeholders, not just as research subjects, the societal benefits of research cannot be realized. Creating and developing platforms and opportunities for public involvement in sexual and reproductive health research should be a key international objective. Cooperation between healthcare professionals, academic institutions and the community is essential to promote quality research and significant developments in women's health. This cooperation will be improved when involvement of citizens in the research process becomes standard.
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Affiliation(s)
- Miguel García-Martín
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016 Granada, Spain; (M.G.-M.); (A.B.-C.); (K.S.K.)
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
- Instituto de Investigación Biosanitaria (ibs.Granada), 18014 Granada, Spain
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016 Granada, Spain; (M.G.-M.); (A.B.-C.); (K.S.K.)
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
- Instituto de Investigación Biosanitaria (ibs.Granada), 18014 Granada, Spain
- Correspondence: ; Tel.: +34-95824100 (ext. 20287)
| | - Bassel H Al Wattar
- Reproductive Medicine Unit, Institute for Women’s Health, University College London Hospitals, London WC1E 6BT, UK;
- Warwick Medical School, University of Warwick, Coventry CV4 7 AL, UK
| | - Jan Stener Jørgensen
- Department of Obstetrics and Gynaecology CIMT-Centre for Innovative Medical Technologies Odense University Hospital, 5000 Odense C, Denmark;
| | - Aurora Bueno-Cavanillas
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016 Granada, Spain; (M.G.-M.); (A.B.-C.); (K.S.K.)
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
- Instituto de Investigación Biosanitaria (ibs.Granada), 18014 Granada, Spain
| | - Khalid Saeed Khan
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18016 Granada, Spain; (M.G.-M.); (A.B.-C.); (K.S.K.)
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
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19
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Román-Gálvez MR, Amezcua-Prieto C, Salcedo-Bellido I, Olmedo-Requena R, Martínez-Galiano JM, Khan KS, Bueno-Cavanillas A. Physical activity before and during pregnancy: A cohort study. Int J Gynaecol Obstet 2020; 152:374-381. [PMID: 32978781 DOI: 10.1002/ijgo.13387] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Revised: 07/17/2020] [Accepted: 09/18/2020] [Indexed: 12/16/2022]
Abstract
OBJECTIVE To estimate physical activity (PA) in healthy women before and during pregnancy and to evaluate the features associated with moderate PA (MPA). METHODS A prospective cohort study was conducted on women selected 14 weeks of pregnancy during 2013-2015 in primary public health service centers in southern Spain. Type, duration, and frequency of PA (IPAQ questionnaire in first, second, and third trimesters [T1, T2, T3]) were measured. Variables associated with MPA were evaluated using multiple logistic regressions controlling for age, pre-pregnancy obesity, level of education, number of living children, pre-pregnancy PA, and adherence to Mediterranean diet (AMD). RESULTS Out of 463 women, MPA was estimated in 64% pre-pregnancy, and 54%, 61%, and 59% in T1, T2, and T3, respectively. MPA was associated with greater AMD in T2 (adjusted odds ratio [aOR] 1.17, 95% confidence interval [CI] 1.04-1.33) and T3 (aOR 1.16, 95% CI 1.02-1.31), previous PA (aOR 13.5, 95% CI 8.12-22.5 in T1; aOR 2.61, 95% CI 1.72-3.96 in T2; aOR 2.59, 95% CI 1.65-4.05 in T3), and pre-pregnancy obesity (aOR 2.97, 95% CI 1.28-6.89 in T1; aOR 2.69, 95% CI 1.23-3.60 in T3). CONCLUSION PA decreased at the beginning of pregnancy, but compliance remained over 50%. MPA was associated with diet, pre-pregnancy PA, and obesity.
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Affiliation(s)
- María Rosario Román-Gálvez
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain.,Unidad de Gestión Clínica Churriana de la Vega, Andalusian Health Service, Granada, Spain
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Instituto de Investigación Biosanitaria ibs.GRANADA, Complejo Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain
| | - Inmaculada Salcedo-Bellido
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Instituto de Investigación Biosanitaria ibs.GRANADA, Complejo Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain
| | - Rocío Olmedo-Requena
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Instituto de Investigación Biosanitaria ibs.GRANADA, Complejo Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain
| | - Juan Miguel Martínez-Galiano
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Department of Nursing, University of Jaén, Jaén, Spain
| | - Khalid S Khan
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain.,Women's Health Research Unit, Barts and the London, School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Aurora Bueno-Cavanillas
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Instituto de Investigación Biosanitaria ibs.GRANADA, Complejo Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain
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20
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Fernández-Martínez E, Fernández-Villa T, Amezcua-Prieto C, Suárez-Varela MM, Mateos-Campos R, Ayán-Pérez C, Molina de la Torre AJ, Ortíz-Moncada R, Almaraz A, Blázquez Abellán G, Delgado-Rodríguez M, Alonso-Molero J, Martínez-Ruíz V, Llopis-Morales A, Valero Juan LF, Cancela Carral JM, Martín-Peláez S, Alguacil J. Menstrual Problems and Lifestyle among Spanish University Women. Int J Environ Res Public Health 2020; 17:ijerph17207425. [PMID: 33053847 PMCID: PMC7599672 DOI: 10.3390/ijerph17207425] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Revised: 09/27/2020] [Accepted: 09/30/2020] [Indexed: 12/12/2022]
Abstract
Menstrual problems affect many young women worldwide, conditioning both their academic performance and quality of life. This study sought to analyse the prevalence of menstrual problems and their possible relationship with lifestyle among Spanish university women, as part of a research project (UniHcos Project) involving a cohort of 11 Spanish universities with 7208 university students. A descriptive analysis was performed using the bivariate chi-square test and the Student’s t-test together with a binary logistic regression, in which the dependent variable was ‘suffering from menstrual problems’. Menstrual problems were identified in 23.8% of the students, representing women who paid more visits to the doctor and to emergency rooms, and who consumed more painkillers and contraceptives. In relation to dietary preferences, menstrual problems were 1.39 (CI 95% 1.22–1.61; p = 0.000) times more likely among women classified as high-risk alcohol users according to the AUDIT questionnaire, and 1.187 (CI 95% 1.029–1.370; p = 0.019) times greater among those who consumed sweets daily, 1.592 (CI 95% 1.113–2.276; p = 0.011) times more frequent among those who eat fish daily, and 1.199 (CI 95% 1.004–1.432; p = 0.045) times greater among those who were dieting. Menstrual problems affect many college students and potentially modifiable lifestyle variables exist which may influence their prevalence. It would be interesting to develop programmes to promote women’s health in the university context.
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Affiliation(s)
- Elia Fernández-Martínez
- Department of Nursing, University of Huelva, 21071 Huelva, Spain
- Correspondence: (E.F.-M.); (T.F.-V.)
| | - Tania Fernández-Villa
- Research Group on Gene-Environment Interactions and Health (GIIGAS)/Institute of Biomedicine (IBIOMED), University of León, 24071 León, Spain;
- Correspondence: (E.F.-M.); (T.F.-V.)
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain; (C.A.-P.); (V.M.-R.); (S.M.-P.)
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain
- Biosanitary Research Institute ibs., 18014 Granada, Spain
| | - María Morales Suárez-Varela
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain
- Area of Preventive Medicine and Public Health, Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Legal Medicine, School of Pharmacy, University of Valencia, 46100 Valencia, Spain; (M.M.S.-V.); (A.L.-M.)
| | - Ramona Mateos-Campos
- Preventive Medicine and Public Health, University of Salamanca, 37007 Salamanca, Spain; (R.M.-C.); (L.F.V.J.)
| | | | - Antonio José Molina de la Torre
- Research Group on Gene-Environment Interactions and Health (GIIGAS)/Institute of Biomedicine (IBIOMED), University of León, 24071 León, Spain;
| | - Rocío Ortíz-Moncada
- Area of Preventive Medicine and Public Health, Food and Nutrition Research Group, University of Alicante, 03550 Alicante, Spain;
| | - Ana Almaraz
- Preventive Medicine and Public Health, Faculty of Medicine, University of Valladolid, 47005 Valladolid, Spain;
| | - Gemma Blázquez Abellán
- Departament of Medical Sciences, Faculty of Pharmacy, University of Castilla-La Mancha, 02071 Albacete, Spain;
| | - Miguel Delgado-Rodríguez
- Department of Preventive Medicine and Public Health, University of Jaen, 23071 Jaén, Spain;
- CIBERESP, Institute of Health Carlos III, Ministry of Health, 28029 Madrid, Spain
| | - Jéssica Alonso-Molero
- CIBERESP, Institute of Health Carlos III, Ministry of Health, 28029 Madrid, Spain
- University of Cantabria–IDIVAL, 39011 Santander, Spain;
| | - Virginia Martínez-Ruíz
- Department of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain; (C.A.-P.); (V.M.-R.); (S.M.-P.)
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain
- Biosanitary Research Institute ibs., 18014 Granada, Spain
| | - Agustín Llopis-Morales
- Area of Preventive Medicine and Public Health, Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Legal Medicine, School of Pharmacy, University of Valencia, 46100 Valencia, Spain; (M.M.S.-V.); (A.L.-M.)
| | - Luis Félix Valero Juan
- Preventive Medicine and Public Health, University of Salamanca, 37007 Salamanca, Spain; (R.M.-C.); (L.F.V.J.)
| | - José Mª Cancela Carral
- Galicia Sur Health Research Institute (IIS Galicia Sur), Sergas-UVIGO, HealthyFit Research Group, Faculty of Education and Sport Sciences, University of Vigo, 36310 Pontevedra, Spain;
| | - Sandra Martín-Peláez
- Department of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain; (C.A.-P.); (V.M.-R.); (S.M.-P.)
- Biosanitary Research Institute ibs., 18014 Granada, Spain
| | - Juan Alguacil
- CIBERESP, Institute of Health Carlos III, Ministry of Health, 28029 Madrid, Spain
- Natural Resources, Health and Environment Research Center (RENSMA), University of Huelva, 21071 Huelva, Spain;
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21
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Amezcua-Prieto C, Ross J, Rogozińska E, Mighiu P, Martínez-Ruiz V, Brohi K, Bueno-Cavanillas A, Khan KS, Thangaratinam S. Maternal trauma due to motor vehicle crashes and pregnancy outcomes: a systematic review and meta-analysis. BMJ Open 2020; 10:e035562. [PMID: 33020077 PMCID: PMC7537450 DOI: 10.1136/bmjopen-2019-035562] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Revised: 07/09/2020] [Accepted: 08/04/2020] [Indexed: 01/15/2023] Open
Abstract
OBJECTIVES To systematically review and quantify the effect of motor vehicle crashes (MVCs) in pregnancy on maternal and offspring outcomes. DESIGN Systematic review and meta-analysis of observational data searched from inception until 1 July 2018. Searching was from June to August 2018 in Medline, Embase, Web of Science, Scopus, Latin-American and Caribbean System on Health Sciences Information, Scientific Electronic Library Online, TRANSPORT, International Road Research Documentation, European Conference of Ministers of Transportation Databases, Cochrane Database of Systematic Reviews and Cochrane Central Register. PARTICIPANTS Studies were selected if they focused on the effects of exposure MVC during pregnancy versus non-exposure, with follow-up to verify outcomes in various settings, including secondary care, collision and emergency, and inpatient care. DATA SYNTHESIS For incidence data, we calculated a pooled estimate per 1000 women. For comparison of outcomes between women involved and those not involved in MVC, we calculated ORs with 95% CIs. Where possible, we statistically pooled the data using the random-effects model. The quality of studies used in the comparative analysis was assessed with Newcastle-Ottawa Scale. RESULTS We included 19 studies (3 222 066 women) of which the majority was carried out in high-income countries (18/19). In population-level studies of women involved in MVC, maternal death occurred in 3.6 per 1000 (95% CI 0.25-10.42; 3 studies, 12 000 women; Tau=1.77), and fetal death or stillbirth in 6.6 per 1000 (95% CI 3.81-10.12; 8 studies, 47 992 women; I2=92.6%). Pooled incidence of complications per 1000 women involved in MVC was labour induction (276.43), preterm delivery (191.90) and caesarean section (166.65). Compared with women not involved in MVC, those involved had increased odds of placental abruption (OR 1.43, 95% CI 1.27-1.63; 3 studies, 1 500 825 women) and maternal death (OR 202.27; 95% CI 110.60-369.95; 1 study, 1 094 559 women). CONCLUSION Pregnant women involved in MVC were at higher risk of maternal death and complications than those not involved. PROSPERO REGISTRATION NUMBER CRD42018100788.
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Affiliation(s)
- Carmen Amezcua-Prieto
- Preventive Medicine and Public Health, University of Granada Faculty of Medicine, Granada, Andalucía, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Granada, Spain
- Instituto de Investigación Biosanitaria, ibs.GRANADA, Granada, Spain
| | - Jennifer Ross
- Centre for Trauma Sciences, Queen Mary University of London, London, UK
| | - Ewelina Rogozińska
- Women's Health Research Unit, Barts and the London School of Medicine and Dentistry, London, UK
- Meta-analysis Group, MRC Clinical Trials Unit, University College London, London, UK
| | - Patritia Mighiu
- Women's Health Research Unit, Barts and the London School of Medicine and Dentistry, London, UK
| | - Virginia Martínez-Ruiz
- Preventive Medicine and Public Health, University of Granada Faculty of Medicine, Granada, Andalucía, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Granada, Spain
- Instituto de Investigación Biosanitaria, ibs.GRANADA, Granada, Spain
| | - Karim Brohi
- Centre for Trauma Sciences, Queen Mary University of London, London, UK
| | - Aurora Bueno-Cavanillas
- Preventive Medicine and Public Health, University of Granada Faculty of Medicine, Granada, Andalucía, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Granada, Spain
- Instituto de Investigación Biosanitaria, ibs.GRANADA, Granada, Spain
| | - Khalid Saeed Khan
- Preventive Medicine and Public Health, University of Granada Faculty of Medicine, Granada, Andalucía, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Granada, Spain
- Women's Health Research Unit, Barts and the London School of Medicine and Dentistry, London, UK
| | - Shakila Thangaratinam
- Women's Health Research Unit, Barts and the London School of Medicine and Dentistry, London, UK
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22
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Amezcua-Prieto C, Naveiro-Fuentes M, Arco-Jiménez N, Olmedo-Requena R, Barrios-Rodríguez R, Vico-Zúñiga I, Manzanares Galán S, Mozas-Moreno J, Jiménez-Moleón JJ, Gallo-Vallejo JL. Walking in pregnancy and prevention of insomnia in third trimester using pedometers: study protocol of Walking_Preg project (WPP). A randomized controlled trial. BMC Pregnancy Childbirth 2020; 20:521. [PMID: 32912184 PMCID: PMC7481758 DOI: 10.1186/s12884-020-03225-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Accepted: 09/01/2020] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND Previous studies in pregnancy have not focused in evaluating the effect of walking during pregnancy and prevention of insomnia. Our general objective is to determine the effect of a walking program in preventing the appearance of insomnia in the third trimester of pregnancy, increasing sleep quality and improving quality of life throughout pregnancy. METHODS Randomized Controlled trial in parallel in healthy sedentary pregnant women (n = 265), Walking_Preg Project (WPP), from university hospital in Granada, Spain. At 12th gestational week (GW), they will be invited to participate and randomly assigned to one of the three arms of study: the intervention group I1 (pedometer, goal of 11,000 steps/day), intervention group I2 (pedometer, no goal) and control (no pedometer). Duration of intervention: 13-32 GW. At 12th, 19th and 31st GW the average steps/day will be measured in groups I1 and I2. At 13th, 20th and 32nd GW, Athens Insomnia Scale (AIS), Pittsburgh Sleep Quality Index (PSQI), Adherence to Mediterranean Diet (AMD), physical activity (short IPAQ), quality of life (PSI), and consumption of toxic substances (caffeine, illegal drugs, alcohol and tobacco) will be collected. Student t test or Mann-Whitney U will be used to compare 19th and 31st GW mean of daily steps between I1 and I2 groups. To compare differences between groups in terms of frequency of insomnia/quality of life for each trimester of pregnancy, Pearson's Chi-square test or Fisher's exact test will be used. To determine differences in hours of sleep and quality of sleep throughout each trimester of pregnancy, analysis of variance or Friedman test will be used. McNemar-Bowker test will be used to assess differences in life quality in pre-post analyses in the 3 arms. We will use Stata 15 statistical software. DISCUSSION promoting walking in second half of pregnancy through use of pedometer and health pre-registration of a goal to be achieved -'10,000-11,000 steps a day'- should prevent appearance of insomnia in third trimester, will increase sleep quality and quality of life in pregnant women. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT03735381 . Registered 8th November, 2018.
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Affiliation(s)
- C Amezcua-Prieto
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Tower A, 8th Floor, Room 06, 18016, Granada, Spain.
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029, Madrid, Spain.
- Instituto de Investigación Biosanitaria ibs. GRANADA, Granada, Spain.
| | - M Naveiro-Fuentes
- Obstetrics and Gynecology Service, Virgen de las Nieves University Hospital, 8014, Granada, Spain
| | - N Arco-Jiménez
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Tower A, 8th Floor, Room 06, 18016, Granada, Spain
| | - R Olmedo-Requena
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Tower A, 8th Floor, Room 06, 18016, Granada, Spain
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029, Madrid, Spain
- Instituto de Investigación Biosanitaria ibs. GRANADA, Granada, Spain
| | - R Barrios-Rodríguez
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Tower A, 8th Floor, Room 06, 18016, Granada, Spain
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029, Madrid, Spain
- Instituto de Investigación Biosanitaria ibs. GRANADA, Granada, Spain
| | - I Vico-Zúñiga
- Obstetrics and Gynecology Service, Virgen de las Nieves University Hospital, 8014, Granada, Spain
| | - S Manzanares Galán
- Obstetrics and Gynecology Service, Virgen de las Nieves University Hospital, 8014, Granada, Spain
| | - J Mozas-Moreno
- Instituto de Investigación Biosanitaria ibs. GRANADA, Granada, Spain
- Obstetrics and Gynecology Service, Virgen de las Nieves University Hospital, 8014, Granada, Spain
| | - J J Jiménez-Moleón
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Tower A, 8th Floor, Room 06, 18016, Granada, Spain
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029, Madrid, Spain
- Instituto de Investigación Biosanitaria ibs. GRANADA, Granada, Spain
| | - J L Gallo-Vallejo
- Obstetrics and Gynecology Service, Virgen de las Nieves University Hospital, 8014, Granada, Spain
- Department of Obstetrics and Gynecology, University of Granada, 18016, Granada, Spain
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23
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Olmedo-Requena R, Amezcua-Prieto C, Al Wattar BH, Rogozinska E, Bueno-Cavanillas A, Juan Jiménez-Moleón J, Thangaratinam S, Khan KS. Variations in long-term outcome reporting among offspring followed up after lifestyle interventions in pregnancy: a systematic review. J Perinat Med 2020; 48:89-95. [PMID: 31926098 DOI: 10.1515/jpm-2019-0302] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Accepted: 11/21/2019] [Indexed: 02/02/2023]
Abstract
Background Mothers and their offspring may benefit from lifestyle interventions during pregnancy. We systematically reviewed the literature to map and evaluate the quality of long-term offspring outcomes in follow-up cohorts of randomised controlled trials (RCTs). Methods We searched MEDLINE, EMBASE, CINAHL, Database of Abstracts of Reviews of Effects and Cochrane Central (until March 2019) for all RCTs evaluating any lifestyle (diet or exercise) intervention during pregnancy and their follow-up cohorts. Two reviews evaluated the extracted outcomes using two standardised assessment tools, one for quality of reporting (score range 0-6) and another for the variation in outcome selection. We extracted data in duplicate and reported using natural frequencies, medians, ranges, means and standard deviation (SD). Results We captured 30 long-term offspring outcomes reported in six articles (four studies). Offspring anthropometric measurements were the most commonly reported outcomes. There was a large variation in the measurement tools used. The mean overall quality score for outcome reporting was 3.33 (SD 1.24), with poor reporting of secondary outcomes and limited justification for the choice of the reported outcomes. Most studies showed selective reporting for both their primary and secondary outcomes. Conclusion The quality of reporting for long-term offspring outcomes following lifestyle interventions in pregnancy is varied with evidence of selective outcome reporting. Developing a core outcome set will help to reduce the variations in outcome reporting to optimise future research.
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Affiliation(s)
- Rocío Olmedo-Requena
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), Madrid, Spain
- Inst Invest Biosanitaria Ibs GRANADA, Granada, Spain
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), Madrid, Spain
- Inst Invest Biosanitaria Ibs GRANADA, Granada, Spain
| | - Bassel H Al Wattar
- Women's Health Research Unit, Barts and the London School of Medicine and Dentistry, Queen Mary University, London, UK
- Multidisciplinary Evidence Synthesis Hub (mEsh), Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Ewelina Rogozinska
- Women's Health Research Unit, Barts and the London School of Medicine and Dentistry, Queen Mary University, London, UK
- Multidisciplinary Evidence Synthesis Hub (mEsh), Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Aurora Bueno-Cavanillas
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), Madrid, Spain
- Inst Invest Biosanitaria Ibs GRANADA, Granada, Spain
| | - José Juan Jiménez-Moleón
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), Madrid, Spain
- Inst Invest Biosanitaria Ibs GRANADA, Granada, Spain
| | - Shakila Thangaratinam
- Women's Health Research Unit, Barts and the London School of Medicine and Dentistry, Queen Mary University, London, UK
- Multidisciplinary Evidence Synthesis Hub (mEsh), Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Khalid S Khan
- Women's Health Research Unit, Barts and the London School of Medicine and Dentistry, Queen Mary University, London, UK
- Multidisciplinary Evidence Synthesis Hub (mEsh), Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
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24
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Olmedo-Requena R, Martínez-Galiano JM, Amezcua-Prieto C, Cano-Ibáñez N, Salcedo-Bellido I, Barrios-Rodríguez R, Jiménez-Moleón JJ, Delgado-Rodríguez M. Association between low dairy intake during pregnancy and small for gestational age infants. Eur J Clin Nutr 2019; 73:1642-1645. [PMID: 31611637 DOI: 10.1038/s41430-019-0513-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Revised: 09/25/2019] [Accepted: 09/27/2019] [Indexed: 11/09/2022]
Abstract
Maternal nutrition is recognized as one of the main determinants of fetal growth. We analyzed the risk of having a Small for Gestational Age (SGA) newborn according to maternal dairy intake during pregnancy. A matched case-control study was conducted in Spain. Dietary intake during pregnancy was assessed using a validated Food Frequency Questionnaire. Odds ratios (OR) and their 95% confidence intervals (CI) were estimated using conditional logistic regression models. 518 cases (SGA) and 518 controls (adequate birth weight) were included. Most study participants did not meet the current recommendations for dairy intake (78.6% cases and 80.2% controls). Intake of dairy products was not associated with a lower frequency of SGA, aORQ4 vs. Q1 = 1.12 (95% CI 0.73, 1.70), and aORQ5 vs. Q1 = 1.44 (95% CI 0.92, 2.26). Our results suggest that a low dairy intake during pregnancy is not associated with an increased risk of SGA; possibly due to the low consumption of dairy in both groups.
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Affiliation(s)
- Rocío Olmedo-Requena
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Instituto de Investigación Biosanitaria ibs.GRANADA, Complejo Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain
| | - Juan Miguel Martínez-Galiano
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain. .,Department of Nursing, University of Jaén, Campus de Las Lagunillas s/n, Building B3 Office 266, 23071, Jaén, Spain.
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Instituto de Investigación Biosanitaria ibs.GRANADA, Complejo Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain
| | - Naomi Cano-Ibáñez
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Instituto de Investigación Biosanitaria ibs.GRANADA, Complejo Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain
| | - Inmaculada Salcedo-Bellido
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Instituto de Investigación Biosanitaria ibs.GRANADA, Complejo Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain
| | - Rocío Barrios-Rodríguez
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Instituto de Investigación Biosanitaria ibs.GRANADA, Complejo Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain
| | - José Juan Jiménez-Moleón
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain.,Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Instituto de Investigación Biosanitaria ibs.GRANADA, Complejo Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain
| | - Miguel Delgado-Rodríguez
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Division of Preventive Medicine, University of Jaen, 23071, Jaen, Spain
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25
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Cano-Ibáñez N, Martínez-Galiano JM, Amezcua-Prieto C, Olmedo-Requena R, Bueno-Cavanillas A, Delgado-Rodríguez M. Maternal dietary diversity and risk of small for gestational age newborn: Findings from a case-control study. Clin Nutr 2019; 39:1943-1950. [PMID: 31495734 DOI: 10.1016/j.clnu.2019.08.019] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Revised: 07/26/2019] [Accepted: 08/19/2019] [Indexed: 01/22/2023]
Abstract
BACKGROUND & AIMS An inadequate nutrients intake during pregnancy has been related to an increase of having a small for gestational age (SGA) newborn. A diversity dietary (DD) intake could decrease the risk of SGA delivery, providing the adequate nutrient requirements during pregnancy. The aim of this study was to assess the effect of DD on adequate nutrient intake in a sample of Spanish pregnant women, further to investigate their association on SGA delivery. METHODS A matched case-control study of 518 cases and controls of pregnant women was performed in five hospitals in Eastern Andalusia (Spain). Cases were women with a newborn with SGA. Data about demographic characteristics and diet were collected by trained midwives. DD score (DDS) adjusted by total energy intake was gathered through a validated food frequency questionnaire (FFQ). Nutrient inadequacy was defined as an intake below 2/3 of the recommended dietary intake according to dietary recommendations intake (DRI) for pregnant women. The association between DDS and SGA was assessed by logistic regression models with adjustment for confounding factors. RESULTS The prevalence of nutrient inadequate intake decreased across total DDS quintiles (p < 0.05). Women in higher strata of total DDS presented less SGA risk (aOR = 0.50, C.I. 95%: 0.31, 0.80). According to each DDS component, the consumption of high diversity of dairy products showed a significative protection against the risk of having a SGA newborn (aOR = 0.48, C.I. 95%: 0.32, 0.71). CONCLUSIONS SGA mothers had higher prevalence of nutritional inadequacies and lower DDS compared to their counterparts. Poor total DDS and less variety of dairy products were associated with higher risk of SGA newborn. Efforts to promote DD during pregnancy need to be strengthened to reduce the prevalence of SGA in Spain.
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Affiliation(s)
- Naomi Cano-Ibáñez
- Department of Preventive Medicine and Public Health, University of Granada, 18071 Granada, Spain; Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain; Instituto de Investigación Biosanitaria ibs. GRANADA, Complejo Hospitales, Universitarios de Granada/Universidad de Granada, 18071 Granada, Spain
| | - Juan Miguel Martínez-Galiano
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain; Department of Nursing, University of Jaén, Campus de Las Lagunillas s/n, Building B3 Office 266, 23071 Jaén, Spain.
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, University of Granada, 18071 Granada, Spain; Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain; Instituto de Investigación Biosanitaria ibs. GRANADA, Complejo Hospitales, Universitarios de Granada/Universidad de Granada, 18071 Granada, Spain
| | - Rocío Olmedo-Requena
- Department of Preventive Medicine and Public Health, University of Granada, 18071 Granada, Spain; Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain; Instituto de Investigación Biosanitaria ibs. GRANADA, Complejo Hospitales, Universitarios de Granada/Universidad de Granada, 18071 Granada, Spain
| | - Aurora Bueno-Cavanillas
- Department of Preventive Medicine and Public Health, University of Granada, 18071 Granada, Spain; Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain; Instituto de Investigación Biosanitaria ibs. GRANADA, Complejo Hospitales, Universitarios de Granada/Universidad de Granada, 18071 Granada, Spain
| | - Miguel Delgado-Rodríguez
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain; Division of Preventive Medicine and Public Health, University of Jaen, 23071 Jaen, Spain
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26
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Olmedo-Requena R, Gómez-Fernández J, Amezcua-Prieto C, Mozas-Moreno J, Khan KS, Jiménez-Moleón JJ. Pre-Pregnancy Adherence to the Mediterranean Diet and Gestational Diabetes Mellitus: A Case-Control Study. Nutrients 2019; 11:nu11051003. [PMID: 31052474 PMCID: PMC6566892 DOI: 10.3390/nu11051003] [Citation(s) in RCA: 34] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2019] [Revised: 04/26/2019] [Accepted: 04/30/2019] [Indexed: 12/20/2022] Open
Abstract
Gestational diabetes mellitus (GDM), an important public health problem that affects mothers and offspring, is a common metabolic disorder. We evaluated the effect of the pre-pregnancy Mediterranean diet (MD) level of exposure on the odds of GDM development. A case-control study (291 GDM cases and 1175 controls without GDM) was conducted in pregnant women. Pre-pregnancy dietary intake was assessed using a validated food frequency questionnaire to calculate an MD adherence index (range score 0-9: low ≤ 2; middle 3-4; high 5-6; very high ≥ 7). Adjusted odds ratios (aOR) and their 95% confidence intervals (CI) were estimated using multivariable logistic regression models including age, BMI, family history of diabetes mellitus, previous GDM, miscarriages, and gravidity. Overall, middle-high MD adherence was 216/291 (74.2%) and very high adherence was 17/291 (5.8%) in cases. In controls the corresponding figures were 900/1175 (76.6%) and 73/1175 (6.2%), respectively. Compared to low adherence, high MD adherence was associated with GDM reduction (aOR 0.61, 95% CI 0.39,0.94; p = 0.028), and very high MD adherence was even more strongly associated (aOR 0.33, 95% CI 0.15, 0.72; p = 0.005). The protective effect of adherence to the MD prior to pregnancy should be considered as a preventive tool against the development of GDM.
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Affiliation(s)
- Rocío Olmedo-Requena
- Department of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain.
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain.
- Instituto de Investigación Biosanitaria ibs.GRANADA, 18071 Granada, Spain.
| | | | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain.
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain.
- Instituto de Investigación Biosanitaria ibs.GRANADA, 18071 Granada, Spain.
| | - Juan Mozas-Moreno
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain.
- Instituto de Investigación Biosanitaria ibs.GRANADA, 18071 Granada, Spain.
- Obstetrics and Gynecology Service, Virgen de las Nieves University Hospital, 18014 Granada, Spain.
- Departament of Obstetrics and Gynecology. University of Granada. 18016 Granada, Spain.
| | - Khalid S Khan
- Women's Health Research Unit, Barts and the London School of Medicine, Queen Mary University London, E1 4NS London, UK.
- Multidisciplinary Evidence Synthesis Hub (mEsh), Barts and the London School of Medicine and Dentistry, Queen Mary University of London, E1 4NS London, UK.
| | - José J Jiménez-Moleón
- Department of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain.
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain.
- Instituto de Investigación Biosanitaria ibs.GRANADA, 18071 Granada, Spain.
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Arias-de la Torre J, Fernández-Villa T, Molina AJ, Amezcua-Prieto C, Mateos R, Cancela JM, Delgado-Rodríguez M, Ortíz-Moncada R, Alguacil J, Redondo S, Gómez-Acebo I, Morales-Suárez-Varela M, Blázquez Abellán G, Jiménez Mejías E, Valero LF, Ayán C, Vilorio-Marqués L, Olmedo-Requena R, Martín V. Psychological Distress, Family Support and Employment Status in First-Year University Students in Spain. Int J Environ Res Public Health 2019; 16:ijerph16071209. [PMID: 30987309 PMCID: PMC6480047 DOI: 10.3390/ijerph16071209] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/15/2019] [Revised: 04/01/2019] [Accepted: 04/02/2019] [Indexed: 01/04/2023]
Abstract
Mental disorders are consistently and closely related to psychological distress. At the start of the university period, the relationship between a student's psychological distress, family support, and employment status is not well-known. The aims of this study were: To determine the prevalence of psychological distress in first-year university students and to analyze its relationship with family support and the student's employment status. Data from 4166 first-year university students from nine universities across Spain were considered. The prevalence of psychological distress was obtained using the GHQ-12, a valid and reliable screening tool to detect poor mental health. To analyze the relationship between psychological distress, family support, and employment status, logistic regression models were fitted. Regarding the prevalence found, 46.9% of men and 54.2% of women had psychological distress. In both genders, psychological distress levels increased as family support decreased. Among women, psychological distress was associated with their employment status. The prevalence of psychological distress among first-year university students in Spain is high. In addition, family support, and employment status for women, could be factors to take into account when developing psychological distress prevention strategies at the beginning of the university period.
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Affiliation(s)
- Jorge Arias-de la Torre
- The Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
- Agency for Health Quality and Assessment of Catalonia (AQuAS), Carrer de Roc Boronat, 81, 08005 Barcelona, Spain.
- Grupo de Investigación en Interacciones Gen-Ambiente y Salud (GIIGAS)/Instituto de Biomedicina (IBIOMED), Universidad de León, 24071 León, Spain.
| | - Tania Fernández-Villa
- Grupo de Investigación en Interacciones Gen-Ambiente y Salud (GIIGAS)/Instituto de Biomedicina (IBIOMED), Universidad de León, 24071 León, Spain.
| | - Antonio José Molina
- Grupo de Investigación en Interacciones Gen-Ambiente y Salud (GIIGAS)/Instituto de Biomedicina (IBIOMED), Universidad de León, 24071 León, Spain.
| | - Carmen Amezcua-Prieto
- The Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18071 Granada, Spain.
- Biosanitary Research Institute of Granada (ibs.GRANADA), University Hospitals of Granada-University of Granada, 18071 Granada, Spain.
| | - Ramona Mateos
- Department of Preventive Medicine and Public Health, University of Salamanca, 37007 Salamanca, Spain.
| | - José María Cancela
- Faculty of Education Sciences & Sports, University of Vigo, HealthyFit Research Group Galicia Sur Health Research Institute (IIS Galicia Sur), Sergas-UVIGO, 36005 Pontevedra, Spain.
| | - Miguel Delgado-Rodríguez
- The Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
- Division of Preventive Medicine and Public Health, University of Jaén, 23071 Jaén, Spain.
| | - Rocío Ortíz-Moncada
- Departments of Community Nursing, Preventive Medicine and Public Health and History of Science, University of Alicante, 03690 Alicante, Spain.
- Research group on Food and Nutrition-Research group of Public Health, University of Alicante, 03690 Alicante, Spain.
| | - Juan Alguacil
- The Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
- Research Center on Natural Resources, Health, and Environment (RENSMA), University of Huelva, 21071 Huelva, Spain.
| | - Susana Redondo
- Gerencia de Servicios Sociales, Comisionado Regional para la Droga, 47009 Valladolid, Spain.
| | - Inés Gómez-Acebo
- The Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
- IDIVAL, University of Cantabria, 39011 Santander, Spain.
| | - María Morales-Suárez-Varela
- The Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
- Department of Preventive Medicine and Public Health, Faculty of Pharmacy, University of Valencia, 46100 Burjassot, Spain.
| | - Gemma Blázquez Abellán
- Department of Biomedical Sciences, Area of Preventive Medicine and Public Health, University of Castilla-La Mancha, 13071 Albacete, Spain.
| | - Eladio Jiménez Mejías
- The Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18071 Granada, Spain.
- Biosanitary Research Institute of Granada (ibs.GRANADA), University Hospitals of Granada-University of Granada, 18071 Granada, Spain.
| | - Luis Félix Valero
- Department of Preventive Medicine and Public Health, University of Salamanca, 37007 Salamanca, Spain.
| | - Carlos Ayán
- Faculty of Education Sciences & Sports, University of Vigo, HealthyFit Research Group Galicia Sur Health Research Institute (IIS Galicia Sur), Sergas-UVIGO, 36005 Pontevedra, Spain.
| | - Laura Vilorio-Marqués
- Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), 33011 Oviedo, Spain.
| | - Rocío Olmedo-Requena
- The Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, 18071 Granada, Spain.
- Biosanitary Research Institute of Granada (ibs.GRANADA), University Hospitals of Granada-University of Granada, 18071 Granada, Spain.
| | - Vicente Martín
- The Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
- Grupo de Investigación en Interacciones Gen-Ambiente y Salud (GIIGAS)/Instituto de Biomedicina (IBIOMED), Universidad de León, 24071 León, Spain.
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28
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Amezcua-Prieto C, Martínez-Galiano JM, Cano-Ibáñez N, Olmedo-Requena R, Bueno-Cavanillas A, Delgado-Rodríguez M. Types of Carbohydrates Intake during Pregnancy and Frequency of a Small for Gestational Age Newborn: A Case-Control Study. Nutrients 2019; 11:nu11030523. [PMID: 30823429 PMCID: PMC6471256 DOI: 10.3390/nu11030523] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Revised: 02/22/2019] [Accepted: 02/25/2019] [Indexed: 01/22/2023] Open
Abstract
The objective of this study was to assess the relationship between consumption of different types of carbohydrates (CHO) during pregnancy and the risk of having a small for gestational age (SGA) newborn. A retrospective matched case–control design was carried out with a total of 518 mother-offspring pairs. A total of 137 validated items were included in the food frequency questionnaire (FFQ). Conditional logistic regression models were used to calculate crude odds ratios (cORs) and adjusted odds ratios (aORs) with 95% confidence intervals (CIs). Having more than 75 g/day of brown bread showed an inverse association with SGA (aOR = 0.64, CI 0.43–0.96). In contrast, an intake of industrial sweets more than once a day (aOR = 2.70, CI 1.42–5.13), or even 2–6 times a week (aOR = 1.84, CI 1.20–2.82), increased the odds of having a SGA newborn. During pregnancy, the higher the increase of wholegrain cereal and bread, the lower the possibility of having a SGA newborn, but the opposite occurred with refined sugar products—just consuming industrial bakery products or pastries twice a week increased the odds of having an SGA infant. Case–control studies cannot verify causality and only show associations, which may reflect residual confusion due to the presence of unknown factors. It is possible that a high consumption of sugary foods is a marker of a generally poor lifestyle.
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Affiliation(s)
- Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, University of Granada, 18071 Granada, Spain.
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
- Instituto de Investigación Biosanitaria ibs.GRANADA, Complejo Hospitales Universitarios de Granada/Universidad de Granada, 18071 Granada, Spain.
| | - Juan Miguel Martínez-Galiano
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
- Department of Nursing, University of Jaén, Campus de Las Lagunillas s/n, Building B3 Office 266, 23071 Jaén, Spain.
| | - Naomi Cano-Ibáñez
- Department of Preventive Medicine and Public Health, University of Granada, 18071 Granada, Spain.
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
- Instituto de Investigación Biosanitaria ibs.GRANADA, Complejo Hospitales Universitarios de Granada/Universidad de Granada, 18071 Granada, Spain.
| | - Rocío Olmedo-Requena
- Department of Preventive Medicine and Public Health, University of Granada, 18071 Granada, Spain.
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
- Instituto de Investigación Biosanitaria ibs.GRANADA, Complejo Hospitales Universitarios de Granada/Universidad de Granada, 18071 Granada, Spain.
| | - Aurora Bueno-Cavanillas
- Department of Preventive Medicine and Public Health, University of Granada, 18071 Granada, Spain.
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
- Instituto de Investigación Biosanitaria ibs.GRANADA, Complejo Hospitales Universitarios de Granada/Universidad de Granada, 18071 Granada, Spain.
| | - Miguel Delgado-Rodríguez
- Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
- Division of Preventive Medicine and Public Health, University of Jaen, 23071 Jaen, Spain.
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29
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Martínez-Galiano JM, Amezcua-Prieto C, Salcedo-Bellido I, González-Mata G, Bueno-Cavanillas A, Delgado-Rodríguez M. Maternal dietary consumption of legumes, vegetables and fruit during pregnancy, does it protect against small for gestational age? BMC Pregnancy Childbirth 2018; 18:486. [PMID: 30537936 PMCID: PMC6288906 DOI: 10.1186/s12884-018-2123-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Accepted: 11/26/2018] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Different diets during pregnancy might have an impact on the health, reflected in the birthweight of newborns. The consumption of fruits and vegetables during pregnancy and the relationship with newborn health status have been studied by several authors. However, these studies have shown inconsistent results. PURPOSE We assessed whether certain foods were related to the risk of small for gestational age (SGA). METHODS A matched by age (± 2 years) and hospital 1:1 case-control study of 518 pairs of pregnant Spanish women in five hospitals was conducted. The cases were women with an SGA newborn at delivery (neonates weighting less than the 10th percentile, adjusted for gestational age at delivery and sex, were diagnosed as SGA). The control group comprised women giving birth to babies adequate for gestational age (AGA). Mothers who gave birth to babies large for gestational age (LGA) were excluded. Data were gathered concerning demographic characteristics, socioeconomic status, toxic habits and diet. A food frequency questionnaire (FFQ) comprising 137 items was completed by all participants. The intake of vegetables, legumes and fruits was categorized in quintiles (Q1-Q5). Crude values and and adjusted odds ratios (AORs) and 95% confidence intervals (CIs) were estimated using conditional logistic regression. The variables for adjustment were as follows: preeclampsia, education, smoking, weight gain per week during pregnancy, fish intake and previous preterm/low birthweight newborns. RESULTS Total pulse intake showed an inverse association with the risk of SGA (trend p = 0.02). Women with an intake of fruits above 420 g/day (Q5), compared with women in Q1 (≤ 121 g/day) showed a decreased risk of SGA (AOR = 0.63, 95% CI = 0.40-0.98). The total consumption of vegetables was not associated with the risk of SGA. The intake of selenium was assessed: a protective association was observed for Q3-5; a daily intake above 60 μg was associated with a lower risk of SGA (AOR = 0.39, 95% CI: 0.22-0.69). CONCLUSIONS Fruits, pulses and selenium reduce the risk of SGA in Spanish women.
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Affiliation(s)
- Juan Miguel Martínez-Galiano
- Department of Health Sciences, University of Jaen, Campus de Las Lagunillas s n Edificio B3, 23071 Jaén, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Jaén, Spain
| | - Carmen Amezcua-Prieto
- CIBER de Epidemiología y Salud Pública (CIBERESP), Jaén, Spain
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain
- Biosanitary Research Institute Granada (IBS-Granada), Granada, Spain
| | - Inmaculada Salcedo-Bellido
- CIBER de Epidemiología y Salud Pública (CIBERESP), Jaén, Spain
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain
- Biosanitary Research Institute Granada (IBS-Granada), Granada, Spain
| | - Guadalupe González-Mata
- Department of Health Sciences, University of Jaen, Campus de Las Lagunillas s n Edificio B3, 23071 Jaén, Spain
| | - Aurora Bueno-Cavanillas
- CIBER de Epidemiología y Salud Pública (CIBERESP), Jaén, Spain
- Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain
- Biosanitary Research Institute Granada (IBS-Granada), Granada, Spain
| | - Miguel Delgado-Rodríguez
- Department of Health Sciences, University of Jaen, Campus de Las Lagunillas s n Edificio B3, 23071 Jaén, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Jaén, Spain
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30
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Lana-Pérez A, Caamaño-Isorna F, Baltasar-Bagué A, Amezcua-Prieto C, Vives-Cases C, Davó-Blanes MC. [Public health competencies and contents of Nursing degree programs in Spanish universities]. Rev Esp Salud Publica 2018; 92:e201808064. [PMID: 30197414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2018] [Accepted: 06/22/2018] [Indexed: 06/08/2023] Open
Abstract
OBJECTIVE The Forum of Public Health University Teachers aims to update the Public Health training in the degree studies. The aim was to determine the competences and basic contents of Public Health of Nursing Degree in Spain according to the criterion of the university academic staff. METHODS Qualitative study, based on the nominal group technique. The snowball sampling was used to recruit Public Health professors of the Nursing degree, with full time dedication and preferably of the area of Preventive Medicine and Public Health. Finally, 17 professors from 11 public universities participated, who formed the Forum of University Professors of Public Health of the Nursing Degree, which was held at the University of Barcelona. RESULTS Nursing professors selected 43 of the 80 competences which are recognized for Public Health professionals. The majority corresponded to the functions 'Assessing population health needs' and 'Developing health policies'. Professors also got to agree about 47 issues organized in 7 blocks, with contents on introduction of Public Health, demography, health determinants, epidemiology of communicable and non-communicable diseases, health systems and health management, and health promotion and education for health. CONCLUSIONS The university teachers agreed on Public Health competencies and contents suitable for the Nursing Degree. This consensus constitutes a reference to elaborate educational guides of Public Health for Nursing Degree.
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Affiliation(s)
- Alberto Lana-Pérez
- Área de Medicina Preventiva y Salud Pública. Universidad de Oviedo. Oviedo. España
| | - Francisco Caamaño-Isorna
- Departamento de Medicina Preventiva y Salud Pública. CIBERESP. Universidad de Santiago de Compostela. Santiago de Compostela. España
| | | | - Carmen Amezcua-Prieto
- Departamento de Medicina Preventiva y Salud Pública. CIBERESP. Universidad de Granada. Granada. España
| | - Carmen Vives-Cases
- Área de Medicina Preventiva y Salud Pública. Universidad de Alicante. Alicante. España
- CIBER de Epidemiología y Salud Pública (CIBERESP). Barcelona. España
| | - María Carmen Davó-Blanes
- Centros de Investigación Biomédica en Red en Epidemiología y Salud Pública (CIBERESP). Madrid. España
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Amezcua-Prieto C, Martínez-Galiano JM, Salcedo-Bellido I, Olmedo-Requena R, Bueno-Cavanillas A, Delgado-Rodríguez M. Maternal seafood intake and the risk of small for gestational age newborns: a case-control study in Spanish women. BMJ Open 2018; 8:e020424. [PMID: 30121592 PMCID: PMC6104785 DOI: 10.1136/bmjopen-2017-020424] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
OBJECTIVE To investigate the relationship between seafood consumption during pregnancy and the risk of delivering a small for gestational age (SGA) newborn. DESIGN This case-control study included women with SGA newborns and controls matched 1:1 for maternal age (±2 years) and hospital. SETTING Five hospitals in Eastern Andalusia, Spain. PARTICIPANTS 518 pairs of pregnant Spanish women. The SGA group included women who delivered SGA newborns: SGA was defined as a birth weight below the 10th percentile of infants at a given gestational age. Controls were women who delivered newborns with adequate birth weights. INTERVENTIONS We collected data on demographic characteristics, socioeconomic status, toxic habits and diet. Midwives administered a 137-item Food Frequency Questionnaire. OUTCOME MEASURES We calculated quintiles of seafood intake and applied conditional logistic regression to estimate ORs and 95% CIs. RESULTS Shellfish intake more than once/week yielded a significant protective effect against an SGA newborn (OR 0.25, 95% CI 0.08 to 0.76, after adjusting for energy, educational level, smoking, prepregnancy body mass index, weight and a history of preterm or low birthweight newborn). The risk of an SGA newborn was lower among women who consumed >121 g/day fish compared with women who consumed ≤56 g (adjusted OR 0.63, 95% CI 0.41 to 0.98; p=0.025 for a trend). Similarly, the risk of an SGA newborn was lower among women who consumed >1 g/day of marine n-3 polyunsaturated fatty acids compared with those who consumed ≤0.4 g/day (adjusted OR 0.58, 95% CI 0.38 to 0.90; p=0.025 for a trend). CONCLUSION An average seafood intake of at least 121 g/day during pregnancy, equivalent to 3-4 servings/week, reduced the risk of an SGA newborn, compared with an average seafood intake of less than 56 g/day.
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Affiliation(s)
- Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Granada, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP, Spain), Madrid, Spain
- Instituto de Investigación Biosanitaria de Granada (ibs.Granada), Granada, Spain
| | - Juan Miguel Martínez-Galiano
- CIBER de Epidemiología y Salud Pública (CIBERESP, Spain), Madrid, Spain
- Department of Health Sciences, University of Jaen, Jaén, Spain
| | - Inmaculada Salcedo-Bellido
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Granada, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP, Spain), Madrid, Spain
- Instituto de Investigación Biosanitaria de Granada (ibs.Granada), Granada, Spain
| | - Rocío Olmedo-Requena
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Granada, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP, Spain), Madrid, Spain
- Instituto de Investigación Biosanitaria de Granada (ibs.Granada), Granada, Spain
| | - Aurora Bueno-Cavanillas
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Granada, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP, Spain), Madrid, Spain
- Instituto de Investigación Biosanitaria de Granada (ibs.Granada), Granada, Spain
| | - Miguel Delgado-Rodríguez
- CIBER de Epidemiología y Salud Pública (CIBERESP, Spain), Madrid, Spain
- Department of Health Sciences, University of Jaen, Jaén, Spain
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Saqib SE, Ahmad MM, Amezcua-Prieto C, Virginia MR. Treatment Delay among Pulmonary Tuberculosis Patients within the Pakistan National Tuberculosis Control Program. Am J Trop Med Hyg 2018; 99:143-149. [PMID: 29761768 DOI: 10.4269/ajtmh.18-0001] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Delay in diagnosis and treatment worsens the disease and clinical outcomes, which further enhances transmission of tuberculosis (TB) in the community. Therefore, this study aims to assess treatment delay and its associated factors among pulmonary TB patients in Pakistan. A cross-sectional study was conducted among 269 pulmonary TB patients in the district. Binary and multivariate logistic regressions were used to explore the factors associated with delay in TB treatment. Results reveal that most patients were from low socioeconomic backgrounds. For example, 74.7% were living in kacha houses, 54.7% were from lowest the income group (< 250 US$/month), 60.2% married, 54.3% illiterate, 62.5% rural, 56.1% had no house ownership, and 56.5% had insufficient income for daily family expenditures. Significant delays were revealed by this study: 160 patients had experienced a delay of more than 4 weeks, whereas the median delay was 5 weeks. Results show that the most important reason for patient delay was low income and poverty (42.0%) followed by unaware of TB center (41.6), stigma (felt ashamed = 38.7%), and treatment from local traditional healers. Old age (adjusted odds ratio [AOR] = 6.6; 95% confidence interval [CI] = 1.63-26.95); and rural areas patients (AOR = 2.1; 95% CI = 1.15-3.71) were more likely to have experienced delay. However, the higher income and sufficient income category (AOR = 0.5; 95% CI = 0.31-0.95) were associated factors and less likely to experience delay in patient treatment. Integrative prevention interventions, such as those involving community leaders, health extension workers such as lady health workers, and specialized TB centers, would help to reduce delay and expand access to TB-care facilities.
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Affiliation(s)
- Shahab E Saqib
- Department of Development and Sustainability, Regional and Rural Development Planning, Asian Institute of Technology, Pathum Thani, Thailand
| | - Mokbul Morshed Ahmad
- Department of Development and Sustainability, Regional and Rural Development Planning, Asian Institute of Technology, Pathum Thani, Thailand
| | - Carmen Amezcua-Prieto
- CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.,Department of Public Health and Preventive Medicine, Faculty of Medicine, University of Granada (CTS-137) (CIBER), Granada, Spain
| | - Martínez-Ruiz Virginia
- CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.,Department of Public Health and Preventive Medicine, Faculty of Medicine, University of Granada (CTS-137) (CIBER), Granada, Spain
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Arias-De la Torre J, Fernández-Villa T, Molina AJ, Amezcua-Prieto C, Mateos R, Cancela JM, Delgado-Rodríguez M, Ortíz-Moncada R, Alguacil J, Almaraz A, Gómez-Acebo I, Suárez-Varela MM, Blázquez-Abellán G, Jiménez-Mejías E, Valero LF, Ayán C, Vilorio-Marqués L, Olmedo-Requena R, Martín V. Drug use, family support and related factors in university students. A cross-sectional study based on the uniHcos Project data. Gac Sanit 2018; 33:141-147. [PMID: 29329793 DOI: 10.1016/j.gaceta.2017.10.019] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2017] [Revised: 10/10/2017] [Accepted: 10/18/2017] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To assess the prevalence of illegal drug use in college students on any previous occasion, during the previous year and the previous month, and to analyze the relationship between illegal drug use and family support and other factors. METHODS A cross-sectional study using data from students participating in the uniHcos project (n = 3767) was conducted. The prevalence and age of onset of consumption of cannabis, non-prescription sedatives, stimulants and depressants was evaluated. Polyconsumption was also assessed. The independent variables were: family support, age, residence, and employment status. To determine the factors related to drug use multivariate logistic regression models stratified by gender were fitted. RESULTS Differences between men and women in prevalence of illegal drug use except non-prescription sedatives were observed. In both genders, less family support was associated with higher consumption of all drugs, except depressants, and with polyconsumption. To be studying and looking for work was related to cannabis and stimulant use and to polyconsumption among women, but only to cannabis use among men. CONCLUSIONS These results support the notion that the start of university studies is a particularly relevant stage in the onset of illegal drug use and its prevention, and that consumption may be especially associated with family support.
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Affiliation(s)
- Jorge Arias-De la Torre
- The Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), Spain; Agency for Health Quality and Assessment of Catalonia (AQuAS), Barcelona, Spain; The Research Group in Gene - Environment and Health Interactions, University of León, León, Spain.
| | - Tania Fernández-Villa
- The Research Group in Gene - Environment and Health Interactions, University of León, León, Spain
| | - Antonio José Molina
- The Research Group in Gene - Environment and Health Interactions, University of León, León, Spain
| | - Carmen Amezcua-Prieto
- The Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), Spain; Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain; Biosanitary Research Institute (Ibs Granada), Granada, Spain
| | - Ramona Mateos
- Department of Preventive Medicine and Public Health, University of Salamanca, Salamanca, Spain
| | - José María Cancela
- Faculty of Education and Sport Science, University of Vigo, Vigo, Pontevedra, Spain
| | - Miguel Delgado-Rodríguez
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain; Area of Preventive Medicine and Public Health, University of Jaén, Jaén, Spain
| | - Rocío Ortíz-Moncada
- Departments of Community Nursing, Preventive Medicine and Public Health and History of Science, University of Alicante, Alicante, Spain; Research Group of Food and Nutrition - Research Group of Public Health, University of Alicante, Alicante, Spain
| | - Juan Alguacil
- Research Center in Health and Environment (CYSMA), University of Huelva, Huelva, Spain
| | - Ana Almaraz
- Department of Preventive Medicine and Public Health, University of Valladolid, Valladolid, Spain
| | - Inés Gómez-Acebo
- The Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), Spain; IDIVAL, University of Cantabria, Santander, Spain
| | | | - Gemma Blázquez-Abellán
- Department of Biomedical Sciences, Area of Preventive Medicine and Public Health, University of Castilla-La Mancha, Albacete, Spain
| | - Eladio Jiménez-Mejías
- The Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), Spain; Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain; Biosanitary Research Institute (Ibs Granada), Granada, Spain
| | - Luis Félix Valero
- Department of Preventive Medicine and Public Health, University of Salamanca, Salamanca, Spain
| | - Carlos Ayán
- Faculty of Education and Sport Science, University of Vigo, Vigo, Pontevedra, Spain
| | - Laura Vilorio-Marqués
- The Research Group in Gene - Environment and Health Interactions, University of León, León, Spain
| | - Rocío Olmedo-Requena
- The Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), Spain; Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain; Biosanitary Research Institute (Ibs Granada), Granada, Spain
| | - Vicente Martín
- The Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), Spain; The Research Group in Gene - Environment and Health Interactions, University of León, León, Spain
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Román-Gálvez RM, Amezcua-Prieto C, Olmedo-Requena R, Lewis-Mikhael Saad AM, Martínez-Galiano JM, Bueno-Cavanillas A. Authors' reply re: Partner smoking infl uences whether mothers quit smoking during pregnancy: a prospective cohort study. BJOG 2017; 125:905. [PMID: 29243412 DOI: 10.1111/1471-0528.15031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/09/2017] [Indexed: 11/28/2022]
Affiliation(s)
- R M Román-Gálvez
- Andalusian Health Service, Unidad de Gestión Clínica Churriana de la Vega, Granada, Spain.,Doctoral Program of Clinical Medicine and Public Health, University of Granada, Granada, Spain
| | - C Amezcua-Prieto
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain.,CIBER de Epidemiología y Salud Pública, CIBERESP, Madrid, Spain
| | - R Olmedo-Requena
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain.,CIBER de Epidemiología y Salud Pública, CIBERESP, Madrid, Spain
| | - A M Lewis-Mikhael Saad
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain
| | - J M Martínez-Galiano
- CIBER de Epidemiología y Salud Pública, CIBERESP, Madrid, Spain.,University of Jaen, Jaén, Spain
| | - A Bueno-Cavanillas
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain.,CIBER de Epidemiología y Salud Pública, CIBERESP, Madrid, Spain
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Román-Gálvez RM, Amezcua-Prieto C, Salcedo-Bellido I, Martínez-Galiano JM, Khan KS, Bueno-Cavanillas A. Factors associated with insomnia in pregnancy: A prospective Cohort Study. Eur J Obstet Gynecol Reprod Biol 2017; 221:70-75. [PMID: 29304393 DOI: 10.1016/j.ejogrb.2017.12.007] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2017] [Accepted: 12/06/2017] [Indexed: 10/18/2022]
Abstract
OBJECTIVE To quantify insomnia and their components in a longitudinal cohort of pregnant women and factors associated with insomnia. STUDY DESIGN A prospective cohort of 486 healthy singleton pregnancies assembled before the 14th gestational week (February 2013 to March 2016). Insomnia data were collected pre-gestationally, in each trimester and six months post-partum, analysing five different moments. Multiple logistic regression analysis was performed to generate adjusted Odds Ratios (aOR) with 95% confidence intervals (CI) of determinants of insomnia in each trimester, defined using Athens Insomnia Scale (AIS) as score ≥8. RESULTS Insomnia prevalence was 6.1% (3.9-8.9) pre-gestational, 44.2% (39.3-49.6) in first trimester (T1), 46.3% (41.9-51.3) in second (T2) and 63.7% (57.7-67.8) in third trimester (T3). Post-gestational insomnia was 33.2% (28.2-37.9) (p < 0.001 pre-gestational vs T1, T2 vs T3 and T3 vs after pregnancy). There was worsening mean AIS score, from: 2.34 before pregnancy to 9.87 in T3 because the deterioration of nighttime sleep, in absolute terms, but daytime impact was higher in T1. Previous trimester insomnia was associated with insomnia in T2 (aOR = 4.21, 95% CI 2.78-6.37) and T3 (aOR = 4.43, 95% CI 2.77-7.08). Pre-gestational insomnia was determinant of insomnia in T1 (aOR 12.50, 95% CI 3.58-43.60) and obesity was associated with insomnia in T3 (aOR = 2.30, 95% CI 0.99-5.32). On the contrary, moderate physical activity reduced the odds of insomnia in T3 (aOR 0.65, 95% CI 0.40-1.03). CONCLUSIONS Insomnia prevalence was high from the beginning of pregnancy, associated with pre-gestational insomnia. In late pregnancy, two out of three pregnant women suffering insomnia. Insomnia prevention should be targeted particularly to those with high body mass index and pre-gestational insomnia.
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Affiliation(s)
- R M Román-Gálvez
- Unidad de Gestión Clínica Churriana de la Vega, Andalusian Health Service, C/Santa Lucía 1, Churriana de la Vega, 18194, Granada, Spain; Doctoral Program of Clinical Medicine and Public Health, University of Granada, Spain
| | - C Amezcua-Prieto
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Avenida de la Investigación, 11, 18071 Granada, Spain; CIBER de Epidemiología y Salud Pública, CIBERESP, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA.
| | - I Salcedo-Bellido
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Avenida de la Investigación, 11, 18071 Granada, Spain; CIBER de Epidemiología y Salud Pública, CIBERESP, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA
| | - J M Martínez-Galiano
- CIBER de Epidemiología y Salud Pública, CIBERESP, Spain; University of Jaen, Campus de las Lagunillas S/N. Edificio B3, despacho 413, 23071, Jaén, Spain
| | - K S Khan
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Avenida de la Investigación, 11, 18071 Granada, Spain; Women's Health Research Unit, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - A Bueno-Cavanillas
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Avenida de la Investigación, 11, 18071 Granada, Spain; CIBER de Epidemiología y Salud Pública, CIBERESP, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA
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Román-Gálvez RM, Amezcua-Prieto C, Olmedo-Requena R, Lewis-Mikhael Saad AM, Martínez-Galiano JM, Bueno-Cavanillas A. Partner smoking influences whether mothers quit smoking during pregnancy: a prospective cohort study. BJOG 2017; 125:820-827. [PMID: 29052334 DOI: 10.1111/1471-0528.14986] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/04/2017] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To analyse the prevalence and intensity of smoking among pregnant women and their partners, and factors associated with quitting smoking among pregnant women. DESIGN A prospective cohort study, starting in 2013. SETTING Andalusia, the south of Spain. SAMPLE A cohort of 486 healthy pregnant women followed-up on three occasions during pregnancy. METHODS Estimation of the proportions of women and partners who quit smoking at each trimester. MAIN OUTCOME MEASURES To determine factors associated in a multivariable model, considering sociodemographic, obstetric, anthropometric, lifestyle variables, and the smoking habits of their partners. RESULTS A high proportion of women quit smoking during pregnancy (61.08%; 95% confidence interval, 95% CI 53.61-68.55%). The smoking rate amongst mothers decreased from 36.06% (n = 167) before pregnancy to 14.08% (n = 65), 12.39% (n = 54), and 11.92% (n = 51) during the three pregnancy trimesters (P < 0.001), and consumption decreased from 8.71 cigarettes/day in the first trimester to 5.51 cigarettes/day in the second trimester (P < 0.001) and 5.96 cigarettes/day in third trimester (P = 0.0002 first versus third trimester). There was only a minimal decrease in the frequency of smoking among the partners, however: 38.44% (n = 178) before pregnancy, and 36.07% (n = 167), 32.72% (n = 143), and 31.85% (n = 136) during the three trimesters of pregnancy. The consumption of cigarettes did not decrease among partners: 11.75, 11.67, and 12.09 cigarettes/day (P = 0.4299 first versus second trimester; P = 0.654 first versus third trimester). Women whose partner smoked were less likely to quit (adjusted odds ratio, aOR 0.26; 95% CI 0.12-0.55). CONCLUSIONS About one in ten pregnant women smoked and one in four was a passive smoker. Strategies to reduce tobacco exposure in pregnancy should include a focus on partner smoking. TWEETABLE ABSTRACT Pregnant women quit smoking cigarettes in pregnancy. What about their partners?
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Affiliation(s)
- R M Román-Gálvez
- Unidad de Gestión Clínica Churriana de la Vega, Andalusian Health Service, Churriana de la Vega, Granada, Spain.,Doctoral Program of Clinical Medicine and Public Health, University of Granada, Granada, Spain
| | - C Amezcua-Prieto
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain.,CIBER de Epidemiología y Salud Pública (CIBERESP), Spain
| | - R Olmedo-Requena
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain.,CIBER de Epidemiología y Salud Pública (CIBERESP), Spain
| | - A M Lewis-Mikhael Saad
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain
| | - J M Martínez-Galiano
- CIBER de Epidemiología y Salud Pública (CIBERESP), Spain.,University of Jaén, Jaén, Spain
| | - A Bueno-Cavanillas
- Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain.,CIBER de Epidemiología y Salud Pública (CIBERESP), Spain
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Onieva-García MÁ, Martínez-Ruiz V, Lardelli-Claret P, Jiménez-Moleón JJ, Amezcua-Prieto C, de Dios Luna-del-Castillo J, Jiménez-Mejías E. Erratum to: Gender and age differences in components of traffic-related pedestrian death rates: exposure, risk of crash and fatality rate. Inj Epidemiol 2016; 3:20. [PMID: 31265716 PMCID: PMC4978753 DOI: 10.1186/s40621-016-0085-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2016] [Accepted: 08/03/2016] [Indexed: 11/10/2022] Open
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Martínez-Ruiz V, Jiménez-Mejías E, Valenzuela-Martínez M, Amezcua-Prieto C, Olmedo-Requena R, Salcedo-Bellido I, Luna-del-Castillo JD, Lardelli-Claret P. Driver-dependent factors and the risk of pedestrian's death after a road crash. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw174.201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Jiménez-Mejías E, Martínez-Ruiz V, Amezcua-Prieto C, Olmedo-Requena R, Luna-Del-Castillo JDD, Lardelli-Claret P. Pedestrian- and driver-related factors associated with the risk of causing collisions involving pedestrians in Spain. Accid Anal Prev 2016; 92:211-218. [PMID: 27085592 DOI: 10.1016/j.aap.2016.03.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/30/2015] [Revised: 03/18/2016] [Accepted: 03/23/2016] [Indexed: 06/05/2023]
Abstract
This study aimed to quantify the association between pedestrian- and driver-related factors and the risk of causing road crashes involving pedestrians in urban areas in Spain between 1993 and 2011. From the nationwide police-based registry of road crashes with victims in Spain, we analyzed all 63,205 pairs of pedestrians and drivers involved in crashes in urban areas in which only the pedestrian or only the driver was at fault. Logistic regression models were used to obtain adjusted odds ratios to assess the strength of association between each individual-related variable and the pedestrian's odds of being at fault for the crash (and conversely, the driver's odds of not being at fault). The subgroups of road users at high risk of causing a road crash with a pedestrian in urban areas were young and male pedestrians, pedestrians with psychophysical conditions or health problems, the youngest and the oldest drivers, and drivers with markers of high-risk behaviors (alcohol use, nonuse of safety devices, and driving without a valid license). These subgroups should be targeted by preventive strategies intended to decrease the rate of urban road crashes involving pedestrians in Spain.
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Affiliation(s)
- Eladio Jiménez-Mejías
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Spain; Centros de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain.
| | - Virginia Martínez-Ruiz
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Spain
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Spain; Centros de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain
| | - Rocío Olmedo-Requena
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Spain
| | - Juan de Dios Luna-Del-Castillo
- Centros de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain; Department of Biostatistics, School of Medicine, University of Granada, Spain
| | - Pablo Lardelli-Claret
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Spain; Centros de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain
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Onieva-García MÁ, Martínez-Ruiz V, Lardelli-Claret P, Jiménez-Moleón JJ, Amezcua-Prieto C, de Dios Luna-Del-Castillo J, Jiménez-Mejías E. Gender and age differences in components of traffic-related pedestrian death rates: exposure, risk of crash and fatality rate. Inj Epidemiol 2016; 3:14. [PMID: 27747551 PMCID: PMC4901119 DOI: 10.1186/s40621-016-0079-2] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2016] [Accepted: 05/18/2016] [Indexed: 11/10/2022] Open
Abstract
Background This ecological study aimed i) to quantify the association of age and gender with the three components of pedestrians’ death rates after a pedestrian-vehicle crash: exposure, risk of crash and fatality, and ii) to determine the contribution of each component to differences in death rates according to age and gender in Spain. Methods We analyzed data for 220 665 pedestrians involved in road crashes recorded in the Spanish registry of road crashes with victims from 1993 to 2011, and a subset of 39 743 pedestrians involved in clean collisions (in which the pedestrian did not commit an infraction). Using decomposition and quasi-induced exposure methods, we obtained the proportion of increase in death rates for each age and gender group associated with exposure, risk of collision and fatality. Results Death rates increased with age. The main contributor to this increase was fatality, although exposure also increased with age. In contrast, the risk of collision decreased with age. Males had higher death rates than females, especially in the 24–54 year old group. Higher fatality rates in males were the main determinant of this difference, which was also related with a higher risk of collision in males. However, exposure rates were higher in females. Conclusions The magnitude and direction of the associations between age and gender and each of the three components of pedestrians’ death rates differed depending on the specific component explored. These differences need to be taken into account in order to prioritize preventive strategies intended to decrease mortality among pedestrians. Electronic supplementary material The online version of this article (doi:10.1186/s40621-016-0079-2) contains supplementary material, which is available to authorized users.
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Affiliation(s)
| | - Virginia Martínez-Ruiz
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Avda. de la Investigación, 11, 18016, Granada, Spain.,Centros de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - Pablo Lardelli-Claret
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Avda. de la Investigación, 11, 18016, Granada, Spain.,Centros de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - José Juan Jiménez-Moleón
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Avda. de la Investigación, 11, 18016, Granada, Spain.,Centros de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Avda. de la Investigación, 11, 18016, Granada, Spain.,Centros de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - Juan de Dios Luna-Del-Castillo
- Centros de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.,Department of Biostatistics, School of Medicine, University of Granada, Avenida de Madrid 11, 18012, Granada, Spain
| | - Eladio Jiménez-Mejías
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Avda. de la Investigación, 11, 18016, Granada, Spain.,Centros de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
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Martínez-Ruiz V, Jiménez-Mejías E, Amezcua-Prieto C, Olmedo-Requena R, Luna-del-Castillo JDD, Lardelli-Claret P. Contribution of exposure, risk of crash and fatality to explain age- and sex-related differences in traffic-related cyclist mortality rates. Accid Anal Prev 2015; 76:152-158. [PMID: 25658669 DOI: 10.1016/j.aap.2015.01.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/11/2014] [Revised: 12/11/2014] [Accepted: 01/09/2015] [Indexed: 06/04/2023]
Abstract
This study was designed to quantify the percent contribution of exposure, risk of collision and fatality rate to the association of age and sex with the mortality rates among cyclists in Spain, and to track the changes in these contributions with time. Data were analyzed for 50,042 cyclists involved in road crashes in Spain from 1993 to 2011, and also for a subset of 13,119 non-infractor cyclists involved in collisions with a vehicle whose driver committed an infraction (used as a proxy sample of all cyclists on the road). We used decomposition and quasi-induced exposure methods to obtain the percent contributions of these three components to the mortality rate ratios for each age and sex group compared to males aged 25-34 years. Death rates increased with age, and the main component of this increase was fatality (around 70%). Among younger cyclists, however, the main component of increased death rates was risk of a collision. Males had higher death rates than females in every age group: this rate increased from 6.4 in the 5-14 year old group to 18.8 in the 65-79 year old group. Exposure, the main component of this increase, ranged between 70% and 90% in all age categories, although the fatality component also contributed to this increase. The contributions of exposure, risk of crash and fatality to cyclist death rates were strongly associated with age and sex. Young male cyclists were a high-risk group because all three components tended to increase their mortality rate.
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Affiliation(s)
- Virginia Martínez-Ruiz
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Avenida de Madrid 11, 18012 Granada, Spain; Doctoral Program in Clinical Medicine and Public Health, University of Granada, Spain.
| | - Eladio Jiménez-Mejías
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Avenida de Madrid 11, 18012 Granada, Spain; Centros de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain
| | - Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Avenida de Madrid 11, 18012 Granada, Spain; Centros de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain
| | - Rocío Olmedo-Requena
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Avenida de Madrid 11, 18012 Granada, Spain; Centros de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain
| | - Juan de Dios Luna-del-Castillo
- Centros de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain; Department of Biostatistics, School of Medicine, University of Granada, Avenida de Madrid 11, 18012 Granada, Spain
| | - Pablo Lardelli-Claret
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Avenida de Madrid 11, 18012 Granada, Spain; Centros de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain
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Amezcua-Prieto C, Olmedo-Requena R, Jímenez-Mejías E, Hurtado-Sánchez F, Mozas-Moreno J, Lardelli-Claret P, Jiménez-Moleón JJ. Changes in leisure time physical activity during pregnancy compared to the prior year. Matern Child Health J 2013; 17:632-8. [PMID: 22569946 DOI: 10.1007/s10995-012-1038-3] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
To quantify changes in leisure time physical activity (LTPA) type, frequency, duration and intensity during the first half of pregnancy as compared with the year prior to pregnancy. A cross sectional study was conducted at the Maternal University Hospital in Granada, Spain. A total of 1,175 healthy pregnant women attending a scheduled visit during the 20-22nd gestational week were enrolled in the study. Information about socio-demographic, obstetric and life-style variables during the previous year and the first half of pregnancy were collected. LTPA was quantified by assigning metabolic equivalents to each activity according to frequency, intensity and duration. The prevalence of women who met the optimal physical activity recommendations before and during pregnancy was calculated, and the McNemar-Bowker symmetry test was used to assess changes in type, frequency, intensity and duration of activities between the two periods. Some sort of LTPA was performed before and during pregnancy by 68.6% of the pregnant women. Respectively, just 27.5% and 19.4% of women fulfilled LTPA recommendations prior to pregnancy and during pregnancy; 12.6% of the women meeting recommendations prior to pregnancy later did not meet those recommendations during gestation, and 4.5% showed the reverse trend. A light increase in walking as a LTPA, and a decrease in the rest of the LTPA type activities, were seen during pregnancy. Some 13.4% of women changed from moderate--the year before- to light LTPA- during pregnancy. Pregnancy involved a decrease in LTPA, not only regarding frequency, but also duration and intensity.
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Affiliation(s)
- Carmen Amezcua-Prieto
- Department of Preventive Medicine and Public Health, University of Granada, Avenida de Madrid, 11, 18071 Granada, Spain.
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Martínez-Ruiz V, Lardelli-Claret P, Jiménez-Mejías E, Amezcua-Prieto C, Jiménez-Moleón JJ, Luna del Castillo JDD. Risk factors for causing road crashes involving cyclists: An application of a quasi-induced exposure method. Accid Anal Prev 2013; 51:228-237. [PMID: 23274281 DOI: 10.1016/j.aap.2012.11.023] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2012] [Revised: 10/01/2012] [Accepted: 11/26/2012] [Indexed: 06/01/2023]
Abstract
A quasi-induced exposure approach was applied to the Spanish Register of Traffic Crashes to identify driver- and vehicle-related factors associated with the risk of causing a road crash involving a cyclist in Spain from 1993 to 2009. We analyzed 19,007 collisions between a bicycle and another vehicle in which only one of the drivers committed an infraction, and 13,540 records that included the group of non-infractor cyclists in the above collisions plus cyclists involved in single-bicycle crashes. Adjusted odds ratios were calculated for being responsible for each type of crash for each factor considered. Age from 10 to 19 years, male sex, alcohol or drug consumption and non-helmet use were cyclist-related variables associated with a higher risk of crash, whereas cycling more than 1h increased only the risk of single crashes. Bicycles with brake defects and ridden by two occupants were also at higher risk of involvement in a crash, whereas light defects were associated only with collisions with another vehicle. For drivers of the other vehicle, age more than 60 years, alcohol, not using safety devices and nonprofessional drivers were at higher risk. The risk of colliding with a bicycle was higher for mopeds than for passenger cars.
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Jiménez-Mejías E, Lardelli-Claret P, Jiménez-Moleón JJ, Amezcua-Prieto C, Pulido Manzanero J, Luna-del-Castillo JDD. Decomposing the association between the amount of exposure and the frequency of self-reported involvement in a road crash. Inj Prev 2012; 19:280-3. [PMID: 23129719 PMCID: PMC3717768 DOI: 10.1136/injuryprev-2012-040467] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
We tried to obtain preliminary evidence to test the hypothesis that the association between driving exposure and the frequency of reporting a road crash can be decomposed into two paths: direct and indirect (mediated by risky driving patterns). In a cross-sectional study carried out between 2007 and 2010, a sample of 1114 car drivers who were students at the University of Granada completed a questionnaire with items about driving exposure during the previous year, risk-related driving circumstances and involvement in road crashes. We applied the decomposition procedure proposed by Buis for logit models. The indirect path showed a strong dose-response relationship with the frequency of reporting a road crash, whereas the direct path did not. The decomposition procedure was able to identify the indirect path as the main explanatory mechanism for the association between exposure and the frequency of reporting a road crash.
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Affiliation(s)
- Eladio Jiménez-Mejías
- Department of Preventive Medicine and Public Health, School of Medicine, University of Granada, Granada, Spain.
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Martínez-García E, Olvera-Porcel MC, de Dios Luna-Del Castillo J, Jiménez-Mejías E, Amezcua-Prieto C, Bueno-Cavanillas A. Inadequate prenatal care and maternal country of birth: a retrospective study of southeast Spain. Eur J Obstet Gynecol Reprod Biol 2012; 165:199-204. [PMID: 22917937 DOI: 10.1016/j.ejogrb.2012.08.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2012] [Revised: 07/18/2012] [Accepted: 08/01/2012] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To quantify the association between the maternal country of birth and inadequacy in the use of prenatal care, and to identify factors that might explain this association. STUDY DESIGN A retrospective case series was carried out in a public hospital in southern Spain, including 6873 women who delivered between 2005 and 2007. The maternal country of birth was categorised into four regional groups: Spain, Maghreb (north-west Africa), Eastern Europe and Others (non-Spain), while the use of prenatal care was quantified according to a modified Kotelchuck index: APNCU-1M and APNCU 2M. The effect of country of birth on inadequate prenatal care was analysed using a multiple logistic regression model designed to accommodate factors such as age, parity, previous miscarriages, and pre-gestational and gestational risks. Likelihood ratio tests were performed to assess any interactions. RESULTS A significant association was found between maternal country of birth and inadequate prenatal care regardless of the index used. Under APNCU 1-M the strength of association was strongest for Eastern European origin (odds ratio (OR) 6.17, 95% confidence interval (CI) 5.2-7.32), followed by the Maghreb (OR: 5.58, 95% CI: 4.69-6.64). These associations remained virtually unchanged after adjusting for potential confounders. Interactions were observed between age and parity, with the highest risk of inadequacy seen among the Eastern European childbearing women over 34 years of age having 1-2 previous children (OR: 7.63, 95% CI: 3.65-15.92). CONCLUSION Prenatal health care initiatives would benefit from the study of a larger number of variables to address the differences between different groups of women. We recommend the widespread use of standardised indices for the study of prenatal care utilisation.
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Amezcua-Prieto C, Lardelli-Claret P, Olmedo-Requena R, Mozas-Moreno J, Bueno-Cavanillas A, Jiménez-Moleón JJ. Compliance with leisure-time physical activity recommendations in pregnant women. Acta Obstet Gynecol Scand 2011; 90:245-52. [PMID: 21306314 DOI: 10.1111/j.1600-0412.2010.01050.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
OBJECTIVE The aim of this study was to identify the prevalence and factors associated with the performance of minimal beneficial leisure-time physical activity in the first half of pregnancy according to the criteria of the American College of Sport and Medicine (ACSM) and the American College of Obstetricians and Gynecologists (ACOG). MATERIAL AND METHODS This was a cross-sectional study carried out at the Maternal and Neonatal University Hospital in Granada, which services the whole population of the hospital reference area. We studied 1,175 healthy pregnant women aged over 18 years. Information about sociodemographics, lifestyles, obstetric antecedents and anthropometric variables were collected. The amount of leisure-time physical activity was quantified by assigning metabolic equivalents to each activity. The ACSM and ACOG criteria were used to define optimal physical activity in the first half of pregnancy. The frequency of compliance for both criteria was estimated. Multiple logistic regression models were fitted to study the factors associated with the recommendations. RESULTS Only 20.3% (95% confidence interval 15.50-26.10) of the women complied with ACOG criteria. More women complied with ACSM recommendations (70.8%, 95% confidence interval 67.5-73.8), which are less restrictive criteria. Women aged 30 years old or older and those with a university degree tended to devote more time to exercising according to both recommendations. CONCLUSION The prevalence of pregnant women who performed minimal beneficial leisure-time physical activity was lower with the dominant and more accepted criteria. It is necessary to encourage physical activity, mainly among those who are younger, and those with lower levels of educational attainment.
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Lardelli-Claret P, Espigares-Rodríguez E, Amezcua-Prieto C, Jiménez-Moleón JJ, de Dios Luna-del-Castillo J, Bueno-Cavanillas A. Association of age, sex and seat belt use with the risk of early death in drivers of passenger cars involved in traffic crashes. Int J Epidemiol 2009; 38:1128-34. [DOI: 10.1093/ije/dyp143] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Amezcua-Prieto C, Espigares-Rodríguez E, Mozas-Moreno J, Bueno-Cavanillas A, Jiménez-Moleón J, Lardelli-Claret P. Modificación del consumo de tabaco durante el embarazo: incidencia y factores asociados. Clínica e Investigación en Ginecología y Obstetricia 2008. [DOI: 10.1016/s0210-573x(08)75103-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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