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García-Alberca JM, de la Rosa MD, Solo de Zaldívar P, Ledesma M, Oltra E, Esther G, Ocejo O, Torrecilla J, Zafra C, Sánchez-Fernández A, Mancilla T, López-Romero M, Jerez R, Santana N, Lara JP, Barbancho MÁ, Blanco-Reina E. Erratum to: Effect of Nordic Sensi® Chair on Behavioral and Psychological Symptoms of Dementia in Nursing Homes Residents: A Randomized Controlled Trial. J Alzheimers Dis 2024; 97:1477. [PMID: 38277332 PMCID: PMC11002718 DOI: 10.3233/jad-249001] [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: 01/28/2024]
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2
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García-Casares N, González-González G, de la Cruz-Cosme C, Garzón-Maldonado FJ, de Rojas-Leal C, Ariza MJ, Narváez M, Barbancho MÁ, García-Arnés JA, Tinahones FJ. Effects of GLP-1 receptor agonists on neurological complications of diabetes. Rev Endocr Metab Disord 2023; 24:655-672. [PMID: 37231200 PMCID: PMC10404567 DOI: 10.1007/s11154-023-09807-3] [Citation(s) in RCA: 1] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/21/2023] [Indexed: 05/27/2023]
Abstract
Emerging evidence suggests that treatment with glucagon-like peptide-1 receptor agonists (GLP-1 RAs) could be an interesting treatment strategy to reduce neurological complications such as stroke, cognitive impairment, and peripheral neuropathy. We performed a systematic review to examine the evidence concerning the effects of GLP-1 RAs on neurological complications of diabetes. The databases used were Pubmed, Scopus and Cochrane. We selected clinical trials which analysed the effect of GLP-1 RAs on stroke, cognitive impairment, and peripheral neuropathy. We found a total of 19 studies: 8 studies include stroke or major cardiovascular events, 7 involve cognitive impairment and 4 include peripheral neuropathy. Semaglutide subcutaneous and dulaglutide reduced stroke cases. Liraglutide, albiglutide, oral semaglutide and efpeglenatide, were not shown to reduce the number of strokes but did reduce major cardiovascular events. Exenatide, dulaglutide and liraglutide improved general cognition but no significant effect on diabetic peripheral neuropathy has been reported with GLP-1 RAs. GLP-1 RAs are promising drugs that seem to be useful in the reduction of some neurological complications of diabetes. However, more studies are needed.
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Affiliation(s)
- Natalia García-Casares
- Facultad de Medicina, Departamento de Medicina, Universidad de Málaga, Málaga, Spain.
- Instituto de Investigación Biomédica de Málaga (I.B.I.M.A), Málaga, Spain.
- Centro de Investigaciones Médico-Sanitarias (C.I.M.ES), Málaga, Spain.
- Departamento de Medicina, Facultad de Medicina, Universidad de Málaga, Centro de Investigaciones Médico Sanitarias (C.I.M.E.S), Universidad de Málaga, Instituto de Investigación Biomédica de Málaga (IBIMA), Campus Universitario de Teatinos s/n., Málaga, 29010, España.
| | | | - Carlos de la Cruz-Cosme
- Instituto de Investigación Biomédica de Málaga (I.B.I.M.A), Málaga, Spain
- Hospital Universitario Virgen de la Victoria de Málaga, Málaga, Spain
| | - Francisco J Garzón-Maldonado
- Instituto de Investigación Biomédica de Málaga (I.B.I.M.A), Málaga, Spain
- Hospital Universitario Virgen de la Victoria de Málaga, Málaga, Spain
| | - Carmen de Rojas-Leal
- Facultad de Medicina, Departamento de Medicina, Universidad de Málaga, Málaga, Spain
| | - María J Ariza
- Facultad de Medicina, Departamento de Medicina, Universidad de Málaga, Málaga, Spain
- Instituto de Investigación Biomédica de Málaga (I.B.I.M.A), Málaga, Spain
- Centro de Investigaciones Médico-Sanitarias (C.I.M.ES), Málaga, Spain
| | - Manuel Narváez
- Facultad de Medicina, Departamento de Medicina, Universidad de Málaga, Málaga, Spain
- Instituto de Investigación Biomédica de Málaga (I.B.I.M.A), Málaga, Spain
| | - Miguel Ángel Barbancho
- Facultad de Medicina, Departamento de Medicina, Universidad de Málaga, Málaga, Spain
- Instituto de Investigación Biomédica de Málaga (I.B.I.M.A), Málaga, Spain
- Centro de Investigaciones Médico-Sanitarias (C.I.M.ES), Málaga, Spain
| | | | - Francisco J Tinahones
- Facultad de Medicina, Departamento de Medicina, Universidad de Málaga, Málaga, Spain.
- Instituto de Investigación Biomédica de Málaga (I.B.I.M.A), Málaga, Spain.
- Hospital Universitario Virgen de la Victoria de Málaga, Málaga, Spain.
- Departamento de Medicina, Facultad de Medicina, Universidad de Málaga, Instituto de Investigación Biomédica de Málaga (IBIMA), Campus Universitario de Teatinos s/n., Málaga, 29010, España.
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3
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García-Alberca JM, de la Rosa MD, Solo de Zaldívar P, Ledesma M, Oltra E, Gris E, Ocejo O, Torrecilla J, Zafra C, Sánchez-Fernández A, Mancilla T, López-Romero M, Jerez R, Santana N, Lara JP, Barbancho MÁ, Blanco-Reina E. Effect of Nordic Sensi® Chair on Behavioral and Psychological Symptoms of Dementia in Nursing Homes Residents: A Randomized Controlled Trial. J Alzheimers Dis 2023; 96:1609-1622. [PMID: 38007648 PMCID: PMC10741310 DOI: 10.3233/jad-230391] [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] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/29/2023] [Indexed: 11/27/2023]
Abstract
BACKGROUND Behavioral and psychological symptoms of dementia (BPSD) are present in most people with dementia (PwD), including Alzheimer's disease. There is consensus that non-pharmacological therapies represent the first line of treatment to address BPSD. OBJECTIVE We explore the efficacy of the use of a rocking chair (Nordic Sensi® Chair, NSC) in the treatment of BPSD in nursing home residents with moderate and severe dementia. METHODS We carried out a 16-week randomized, single-blind, controlled, clinical trial with PwD admitted to nursing homes. Participants were assigned to a treatment group (n = 40) that received three times a week one session per day of 20 minutes in the NSC and a control group (n = 37). The Neuropsychiatric Inventory-Nursing Home (NPI-NH) was used as primary efficacy outcome. Occupational distress for the staff was evaluated using the NPI-NH Occupational Disruptiveness subscale (NPI-NH-OD). Statistical analyses were conducted by means of a Mixed Effects Model Analysis. RESULTS Treatment with the NSC was associated with a beneficial effect in most of BPSD, as reflected by differences between the treatment and control group on the NPI-NH total score (mean change score -18.87±5.56 versus -1.74±0.67, p = 0.004), agitation (mean change score -2.32±2.02 versus -0.78±1.44, p = 0.003) and irritability (mean change score -3.35±2.93 versus -1.42±1.31, p = 0.004). The NPI-NH-OD total score also improved the most in the treatment group (mean change score -9.67±7.67 versus -7.66±6.08, p = 0.003). CONCLUSIONS The reduction in overall BPSD along with decreased caregiver occupational disruptiveness represent encouraging findings, adding to the potential of nonpharmacological interventions for nursing home residents living with dementia.
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Affiliation(s)
- José María García-Alberca
- Alzheimer Research Center and Memory Clinic, Instituto Andaluz de Neurociencia (IANEC), Málaga, Spain
| | - María Dolores de la Rosa
- Alzheimer Research Center and Memory Clinic, Instituto Andaluz de Neurociencia (IANEC), Málaga, Spain
| | - Paloma Solo de Zaldívar
- Alzheimer Research Center and Memory Clinic, Instituto Andaluz de Neurociencia (IANEC), Málaga, Spain
| | - María Ledesma
- Alzheimer Research Center and Memory Clinic, Instituto Andaluz de Neurociencia (IANEC), Málaga, Spain
| | - Estela Oltra
- Alzheimer Research Center and Memory Clinic, Instituto Andaluz de Neurociencia (IANEC), Málaga, Spain
| | - Esther Gris
- Alzheimer Research Center and Memory Clinic, Instituto Andaluz de Neurociencia (IANEC), Málaga, Spain
| | - Olga Ocejo
- Centro Residencial Almudena, Rincón de laVictoria, Spain
| | | | - Carmen Zafra
- Centro Residencial Almudena, Rincón de laVictoria, Spain
| | | | - Tomás Mancilla
- Residencia DomusVi Fuentesol, Alhaurín de la Torre, Spain
| | | | - Raquel Jerez
- Alzheimer Research Center and Memory Clinic, Instituto Andaluz de Neurociencia (IANEC), Málaga, Spain
| | - Nuria Santana
- Alzheimer Research Center and Memory Clinic, Instituto Andaluz de Neurociencia (IANEC), Málaga, Spain
| | - José Pablo Lara
- Brain Health Unit, School of Medicine, University of Málaga, Málaga, Spain
| | | | - Encarnación Blanco-Reina
- Pharmacology and Therapeutics Department, School of Medicine, University of Málaga, Málaga, Spain
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4
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Rodríguez-Martínez MDC, De la Plana Maestre A, Armenta-Peinado JA, Barbancho MÁ, García-Casares N. Evidence of Animal-Assisted Therapy in Neurological Diseases in Adults: A Systematic Review. Int J Environ Res Public Health 2021; 18:12882. [PMID: 34948491 PMCID: PMC8701659 DOI: 10.3390/ijerph182412882] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 10/22/2021] [Revised: 11/26/2021] [Accepted: 11/30/2021] [Indexed: 11/17/2022]
Abstract
BACKGROUND In recent years, the possibility of intervening humans with animal-assisted therapy (AAT) has been growing due to numerous physical, psychological, and social benefits provided to humanity, enabling them to maintain or improve their quality of life. There exist different animals through which this therapy can be performed. The purpose of this systematic review will focus on the effects of AAT in several neurological diseases. METHODS The search of clinical trials was carried out in the PubMed, Scielo, Embase and PEDro databases. The selection of articles was made according to the different inclusion and exclusion criteria, incorporating those that approached neurological diseases to be reviewed. RESULTS Twenty-five clinical trials were identified, seventeen of which were finally included in the review. The results indicate that animal-assisted therapy (AAT) in different neurological diseases has many benefits in several areas, for example, in motor and physical ability as well as in mental and behavioural health. CONCLUSIONS This systematic review provides occupational therapy practitioners with evidence on the use of activity based on animal-assisted therapy as a novel field of intervention that can complement other therapies and obtain benefits in different populations.
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Affiliation(s)
| | | | - Juan Antonio Armenta-Peinado
- Department of Physical Therapy, Faculty of Health Sciences, University of Malaga, C/Arquitecto Francisco Peñalosa 3, 29071 Málaga, Spain;
| | - Miguel Ángel Barbancho
- Pathological Anatomy and Physical-Sports, Education, Department of Human Physiology, Human Histology, University of Malaga, 29016 Málaga, Spain
- Centro de Investigaciones Médico Sanitarias (CIMES), University of Malaga, 29010 Málaga, Spain;
- Instituto de Investigación Biomédica de Málaga (IBIMA), 29010 Málaga, Spain
| | - Natalia García-Casares
- Centro de Investigaciones Médico Sanitarias (CIMES), University of Malaga, 29010 Málaga, Spain;
- Instituto de Investigación Biomédica de Málaga (IBIMA), 29010 Málaga, Spain
- Department of Medicine, Faculty of Medicine, University of Malaga, 29016 Málaga, Spain
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5
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Carazo-Barrios L, Archidona-Arranz A, Claros-Ruiz A, García-Basterra I, Garzón-Maldonado FJ, Serrano-Castro V, Gutiérrez-Bedmar M, Barbancho MÁ, De la Cruz Cosme C, García-Campos JM, García-Casares N. Correlation between retinal nerve fibre layer thickness and white matter lesions in Alzheimer's disease. Int J Geriatr Psychiatry 2021; 36:935-942. [PMID: 33387372 DOI: 10.1002/gps.5496] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [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: 12/09/2020] [Accepted: 12/27/2020] [Indexed: 11/07/2022]
Abstract
OBJECTIVES Early diagnosis in Alzheimer's disease (AD) is crucial in order to implement new therapeutic strategies. The retina is embryologically related to the brain. Thus, the possible usefulness of optical coherence tomography (OCT) in the early detection of AD is currently being studied. Our aim was to study the relationship between retinal nerve fiber layer (RNFL) thickness and AD. METHODS We undertook an observational, analytical, cross-sectional study with consecutive sampling of 32 patients with AD or mild cognitive impairment and a group of healthy controls (C). The total number of eyes studied was 64. An ophthalmological and a comprehensive neuropsychological evaluation were performed in all participants. Quantification of white matter lesions and study of atrophy of the hippocampus by cerebral magnetic resonance were also performed. RESULTS We observed a significant linear trend towards a thinning of RNFL as the degree of cognitive deterioration increased, in the superior and temporal quadrants of the retina. A significant correlation was also noted between the mean thickness of the RNFL of the left temporal quadrant and occipital white matter lesions (r = -0.579, p = 0.038). CONCLUSIONS OCT could be a safe, rapid noninvasive tool providing useful biomarkers in the early detection of cognitive deterioration and AD.
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Affiliation(s)
- Lina Carazo-Barrios
- Department of Neurology, University Hospital Virgen de la Victoria, Málaga, Spain
| | | | | | | | | | | | | | - Miguel Ángel Barbancho
- Department of Medicine, Faculty of Medicine, University of Málaga, Málaga, Spain
- Department of Clinical Neurology, Centro de Investigaciones Médico-Sanitarias (C.I.M.ES), University of Málaga, Spain
| | | | - Jose M García-Campos
- Department of Ophthalmology, University Hospital Virgen de la Victoria, Málaga, Spain
- Department of Medicine, Faculty of Medicine, University of Málaga, Málaga, Spain
- Department of Clinical Neurology, Centro de Investigaciones Médico-Sanitarias (C.I.M.ES), University of Málaga, Spain
| | - Natalia García-Casares
- Department of Medicine, Faculty of Medicine, University of Málaga, Málaga, Spain
- Department of Clinical Neurology, Centro de Investigaciones Médico-Sanitarias (C.I.M.ES), University of Málaga, Spain
- Instituto de Investigación Biomédica de Málaga (I.B.I.M.A), Málaga, Spain
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6
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Fernández-Vega N, Ramos-Rodriguez JR, Alfaro F, Barbancho MÁ, García-Casares N. Usefulness of magnetic resonance spectroscopy in mesial temporal sclerosis: a systematic review. Neuroradiology 2021; 63:1395-1405. [PMID: 33851253 DOI: 10.1007/s00234-021-02704-z] [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: 01/28/2021] [Accepted: 03/29/2021] [Indexed: 10/21/2022]
Abstract
BACKGROUND Magnetic resonance spectroscopy (MRS) provides non-invasive information about metabolic features in different regions of the brain affected by mesial temporal sclerosis (MTS). PURPOSE To review articles analyzing the most common alterations in biochemical parameters in MTS and the applications of MRS in presurgical assessment. METHODS We undertook a systematic literature search for MRS in MTS in PubMed, SCOPUS, and Cochrane based on the MESH terms ""Magnetic Resonance Spectroscopy", "Proton Magnetic Resonance Spectroscopy", "Carbon-13 Magnetic Resonance Spectroscopy", "1H-MRS", "31P-MRS", "mesial temporal sclerosis", "hippocampal sclerosis", "mesial temporal seizure", and "mesial temporal epilepsy". RESULTS Of the initial 134 articles found, 30 were selected after the exclusion process. Of these, 13 detected a decrease in N-acetylaspartate (NAA), 9 showed a decreased in the ratio NAA/Cho+Cr, and 8 demonstrated a decreased in the ratio NAA/Cr, all of them in the ipsilateral hippocampus. Nine studies also found reduced NAA levels in extrahippocampal regions. CONCLUSIONS The main findings were a decrease in NAA in the ipsilateral hippocampus. In addition, NAA levels were low outside the hippocampus so MTS could be a more extensive disease. Patients without MTS also presented a decrease in NAA in the ipsilateral hippocampus although NAA was even lower in the MTS patients. Thus, MRS could be useful in the presurgical evaluation to locate the epileptogenic focus, but not specific for the diagnosis of MTS.
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Affiliation(s)
- Nadín Fernández-Vega
- Department of Medicine, Faculty of Medicine, University of Málaga, Málaga, España
| | | | - Francisco Alfaro
- Centro de Investigaciones Médico-Sanitarias (C.I.M.ES), University of Málaga, Málaga, España
| | - Miguel Ángel Barbancho
- Centro de Investigaciones Médico-Sanitarias (C.I.M.ES), University of Málaga, Málaga, España.,Instituto de Investigación Biomédica de Málaga (I.B.I.M.A), Málaga, España
| | - Natalia García-Casares
- Department of Medicine, Faculty of Medicine, University of Málaga, Málaga, España. .,Centro de Investigaciones Médico-Sanitarias (C.I.M.ES), University of Málaga, Málaga, España. .,Instituto de Investigación Biomédica de Málaga (I.B.I.M.A), Málaga, España. .,Departamento de Medicina, Facultad de Medicina, Universidad de Málaga, Boulevard Louis Pasteur, 32, C.P 29010, Málaga, España.
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7
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Romero M, Marín E, Guzmán-Parra J, Navas P, Aguilar JM, Lara JP, Barbancho MÁ. Relationship between parental stress and psychological distress and emotional and behavioural problems in pre-school children with autistic spectrum disorder. Anales de Pediatría (English Edition) 2021. [DOI: 10.1016/j.anpede.2020.03.014] [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: 10/22/2022] Open
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8
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López-González MV, González-García M, Peinado-Aragonés CA, Barbancho MÁ, Díaz-Casares A, Dawid-Milner MS. Pontine A5 region modulation of the cardiorespiratory response evoked from the midbrain dorsolateral periaqueductal grey. J Physiol Biochem 2020; 76:561-572. [PMID: 32812210 DOI: 10.1007/s13105-020-00761-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [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: 07/31/2019] [Accepted: 08/09/2020] [Indexed: 12/19/2022]
Abstract
Connections between the midbrain dorsolateral periaqueductal grey (dlPAG) and the pontine A5 region have been shown. The stimulation of both regions evokes similar cardiovascular responses: tachycardia and hypertension. Accordingly, we have studied the interactions between dlPAG and A5 region in spontaneously breathing anesthetized rats. dlPAG was electrically stimulated (20-30 μA 1-ms pulses were given for 5 s at 100 Hz). Changes in the evoked cardiorespiratoy response were analysed before and after ipsilateral microinjections of muscimol (GABAergic agonist, 50 nl, 0.25 nmol, 5 s) within the A5 region. Electrical stimulation of the dlPAG produces, in the rat, a response characterized by tachypnoea (p < 0.001), hypertension (p < 0.001) and tachycardia (p < 0.001). The increase in respiratory rate was due to a decrease in expiratory time (p < 0.01). Pharmacological inhibition of the A5 region with muscimol produced a marked reduction of the tachycardia (p < 0.001) and the tachypnoea (p < 0.01) evoked from the dlPAG. Finally, to assess functional interactions between A5 and dlPAG, extracellular activity of putative A5 neurones were recorded during dlPAG electrical stimulation. Forty A5 cells were recorded, 16 of which were affected by dlPAG stimulation (40%). 4 cells showed activation, 5 cells excitation and 7 cells decreased spontaneous activity to dlPAG stimulation (p < 0.001). These results confirm a link between the A5 region and dlPAG. The potential role of these connections in the modulation of dlPAG evoked cardiorespiratory responses and their possible clinical implications are discussed.
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Affiliation(s)
- Manuel Víctor López-González
- Departamento de Fisiología Humana, Histología Humana, Anatomía Patológica y Educación Física y Deportiva, Facultad de Medicina, Universidad de Málaga, Málaga, Spain. .,Unidad de Neurofisiología del Sistema Nervioso Autónomo (CIMES), Universidad de Málaga, Málaga, Spain.
| | - Marta González-García
- Departamento de Fisiología Humana, Histología Humana, Anatomía Patológica y Educación Física y Deportiva, Facultad de Medicina, Universidad de Málaga, Málaga, Spain.,Unidad de Neurofisiología del Sistema Nervioso Autónomo (CIMES), Universidad de Málaga, Málaga, Spain
| | - Carlos Antonio Peinado-Aragonés
- Departamento de Fisiología Humana, Histología Humana, Anatomía Patológica y Educación Física y Deportiva, Facultad de Medicina, Universidad de Málaga, Málaga, Spain
| | - Miguel Ángel Barbancho
- Departamento de Fisiología Humana, Histología Humana, Anatomía Patológica y Educación Física y Deportiva, Facultad de Medicina, Universidad de Málaga, Málaga, Spain
| | - Amelia Díaz-Casares
- Departamento de Fisiología Humana, Histología Humana, Anatomía Patológica y Educación Física y Deportiva, Facultad de Medicina, Universidad de Málaga, Málaga, Spain.,Unidad de Neurofisiología del Sistema Nervioso Autónomo (CIMES), Universidad de Málaga, Málaga, Spain
| | - Marc Stefan Dawid-Milner
- Departamento de Fisiología Humana, Histología Humana, Anatomía Patológica y Educación Física y Deportiva, Facultad de Medicina, Universidad de Málaga, Málaga, Spain.,Unidad de Neurofisiología del Sistema Nervioso Autónomo (CIMES), Universidad de Málaga, Málaga, Spain
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9
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Romero-González M, Marín E, Guzmán-Parra J, Navas P, Aguilar JM, Lara JP, Barbancho MÁ. [Relationship between parental stress and psychological distress and emotional and behavioural problems in pre-school children with autistic spectrum disorder]. An Pediatr (Barc) 2020; 94:99-106. [PMID: 32402776 DOI: 10.1016/j.anpedi.2020.03.012] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 03/08/2020] [Accepted: 03/23/2020] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION The Autistic Spectrum Disorders (ASD) are characterised by general deficits in social communication, stereotypes, and restricted interests. The ASD have a high prevalence of additional psychiatric disorders that make their daily functioning worse, and reduces the quality of life of them and their families. MATERIAL AND METHODS In an effort to identify family environmental characteristics that may influence in the course of additional psychiatric disorders, this study has focused on the symptoms of parental stress and psychological distress as possible risk factors. A cross-section study was carried out on the relationship between the stress and psychological distress of the parents and its relationship with co-existing psychopathology in a population of pre-school children with ASD (2-6 years). RESULTS AND CONCLUSIONS High levels of stress and psychological distress of the parents arealready associated, since early childhood, with co-existing psychiatric symptoms, specifically with emotional and behavioural problems (p < 0.05). However, further longitudinal studies are needed for a better understanding of the causal relationship between these variables and their possible bidirectional relationship.
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Affiliation(s)
- Marina Romero-González
- U.G.C Salud Mental, Hospital Regional Universitario de Málaga, IBIMA, Málaga, España; Unidad de Salud Cerebral, CIMES, Facultad de Medicina, Universidad de Málaga, IBIMA, Málaga, España.
| | - Ester Marín
- U.G.C Salud Mental, Hospital Regional Universitario de Málaga, IBIMA, Málaga, España
| | - Jose Guzmán-Parra
- U.G.C Salud Mental, Hospital Regional Universitario de Málaga, IBIMA, Málaga, España
| | - Patricia Navas
- Unidad de Salud Cerebral, CIMES, Facultad de Medicina, Universidad de Málaga, IBIMA, Málaga, España; U.G.C Neurociencias, Servicio de Neurofisiología, Clínica HRU Málaga, Málaga, España
| | - Juan Manuel Aguilar
- U.G.C Salud Mental, Hospital Regional Universitario de Málaga, IBIMA, Málaga, España
| | - J Pablo Lara
- Unidad de Salud Cerebral, CIMES, Facultad de Medicina, Universidad de Málaga, IBIMA, Málaga, España
| | - Miguel Ángel Barbancho
- Unidad de Salud Cerebral, CIMES, Facultad de Medicina, Universidad de Málaga, IBIMA, Málaga, España
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10
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Romero M, Aguilar JM, Del-Rey-Mejías Á, Mayoral F, Rapado M, Peciña M, Barbancho MÁ, Ruiz-Veguilla M, Lara JP. Psychiatric comorbidities in autism spectrum disorder: A comparative study between DSM-IV-TR and DSM-5 diagnosis. Int J Clin Health Psychol 2016; 16:266-275. [PMID: 30487870 PMCID: PMC6225088 DOI: 10.1016/j.ijchp.2016.03.001] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [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: 01/11/2016] [Accepted: 03/29/2016] [Indexed: 12/19/2022] Open
Abstract
Background/Objective: The heterogeneous clinical presentations of individuals with Autism Spectrum Disorders (ASD) pose a significant challenge for sample characterization. Therefore the main goal of DSM-5 must be to identify subgroups of ASD, including comorbidity disorders and severity. The main goal of this study is to explore the psychiatric comorbidities and the severity of symptoms that could be relevant for the phenotype characterization in ASD and also to compare these results according to the different classification criteria between the DSM-IV-TR and the DSM-5. Method: A comparative study of severity and psychiatric comorbidities was carried out between a sample of participants that only met criteria for Pervasive Developmental Disorder (PDD) according to the DSM-IV-TR and a sample of participants that also met ASD criteria according to DSM-5 classification. The recruitment of children was via educational (N = 123). The psychiatric symptoms, comorbid disorders and severity of symptoms were assessed through The Nisonger Child Behavior Rating Form, clinical interview and The Inventory of Autism Spectrum Disorder, respectively. The psychiatric comorbidities considered were: anxiety, eating behavioural problems, self-aggressiveness, hetero–aggressiveness, self-harm, obsessive compulsive disorder and attention deficit and hyperactivity disorder. Results: Statistically significant differences between both groups were found regarding obsessive compulsive disorder, eating behavioural problems and severity. Conclusions: The results support the hypothesis that patients who meet the DSM-5 criteria have more severe symptoms, not only regarding the core autistic symptoms but also in relation with psychiatric comorbidities.
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Affiliation(s)
- Marina Romero
- King's College London, United Kingdom
- Universidad de Málaga, Andalucía TECH, IBIMA, Spain
- Corresponding author: Institute of Psychiatry, Psychology & Neuroscience, King's College London, De Crespigny Park, London SE5 8AF, United Kingdom.
| | | | | | | | - Marta Rapado
- Hospital General Universitario Gregorio Marañón Madrid, Spain
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Navas P, Rodríguez-Santos L, Bauzano-Poley E, Lara JP, Barbancho MÁ. [The importance of sleep deprivation as a mechanism for activating interictal epileptiform paroxysms]. Rev Neurol 2016; 62:289-295. [PMID: 26988166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
INTRODUCTION Although sleep deprivation has been used for years in electroencephalography (EEG) as a method for activating interictal epileptiform discharges (IED) in patients with a strong suspicion of epilepsy, its sensitivity and specificity are still under discussion. PATIENTS AND METHODS We conducted a descriptive retrospective study of paediatric patients who were referred to a neurophysiology clinic for epilepsy assessment. The results of the sleep-deprived EEG (SD-EEG) were compared with those of the wakefulness EEG (W-EEG) carried out in each patient in order to describe the performance of each method as a mechanism for activating IED. RESULTS A total of 500 patients were analysed (830 SD-EEG and 1018 W-EEG). IED were detected in 44% of the W-EEG. SD-EEG increased the capacity of the test to detect IED by 35%. IED (not detected in the W-EEG) were detected in 25.1% of the SD-EEG in which spontaneous sleep was achieved. In the group of focal epilepsies, it was found that W-EEG detected IED in 60.1% versus the 79.12% displayed with SD-EEG. In generalised epilepsies this difference was more marked (27.2% and 77.2%, respectively). In patients in whom no IED were detected following an SD-EEG (23.7%) and the clinical suspicion of epilepsy was still high, nocturnal polysomnography was performed and interictal epileptiform activity was observed in 13.6%. CONCLUSIONS SD-EEG increases the chances of recording IED by 35% with respect to W-EEG. Sleep deprivation is a method for activating epileptiform paroxysms, regardless of whether the EEG is performed while sleeping or not, although this effect is more pronounced in patients who do manage to sleep.
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Affiliation(s)
- Patricia Navas
- Hospital Regional Universitario de Malaga. Hospital Materno Infantil, Malaga, Espana
| | | | - Enrique Bauzano-Poley
- Hospital Regional Universitario de Malaga. Hospital Materno Infantil, Malaga, Espana
| | - José Pablo Lara
- Andalucia Tech. Centro de Investigaciones Medico-Sanitarias (CIMES). Universidad de Malaga, Malaga, Espana
| | - Miguel Ángel Barbancho
- Andalucia Tech. Centro de Investigaciones Medico Sanitarias (CIMES). Universidad de Malaga, Malaga, Espana
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Fernández Vázquez R, Martínez Blanco J, García Vega MDM, Barbancho MÁ, Alvero-Cruz JR. EFFECTS OF FOOD AND DRINK INGESTION ON BODY COMPOSITION VARIABLES OF ABDOMINAL BIOELECTRICAL IMPEDANCE. NUTR HOSP 2015; 32:2269-73. [PMID: 26545687 DOI: 10.3305/nh.2015.32.5.9618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE to know the changes in trunk fat and visceral fat level determined by abdominal bioelectrical impedance (BIA) as well as other anthropometric measures related to the central or abdominal fat after the ingestion of a lunch. METHODS the experimental study was conducted to assess a longitudinal intervention descriptive study. PARTICIPANTS 21 subjects (10 male and 11 female), volunteers who have access to a medical assessment, with an age of 74 ± 13.43 years. MEASUREMENTS Maximal waist circumference in standing position, waist circumference at navel level in supine position and sagittal abdominal diameter (SAD). In the same position trunk fat and visceral fat level by abdominal bioelectrical impedance analysis with Tanita AB-140 (ViScan) were obtained before and after meal. RESULTS anthropometric measures as waist circumference in supine position and SAD did not show significant differences (P > 0.05), after food ingestion, except for a significant increase of the maximal waist circumference in standing position (P < 0.05). In addition trunk fat and visceral fat ratio did not change (P > 0.05). The percentage changes of the measures were less than 2% for waist circumference in standing position, waist circumference by Viscan, sagittal abdominal diameter and trunk fat and 5.9% for visceral fat ratio. CONCLUSIONS the effects on trunk fat and visceral fat ratio by abdominal bioelectrical impedance are minimal after the ingestion of a portion of food and drink, although it is always recommended to do it in fasting conditions.
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Affiliation(s)
- Rosalía Fernández Vázquez
- Universidad de Málaga, Andalucía. Tech. Dpto. de Fisiología Humana, Histología, Anatomía Patológica y Educación Física y Deportiva. Facultad de Medicina. Campus de Teatinos, Málaga..
| | - Javier Martínez Blanco
- Unidad de Residencias del Distrito Sanitario Costa del Sol. Consejería de Salud de la Junta de Andalucía, Málaga..
| | | | - Miguel Ángel Barbancho
- Universidad de Málaga, Andalucía. Tech. Dpto. de Fisiología Humana, Histología, Anatomía Patológica y Educación Física y Deportiva. Facultad de Medicina. Campus de Teatinos, Málaga. Instituto de Investigaciones Biomédicas de Málaga, España..
| | - José Ramón Alvero-Cruz
- Universidad de Málaga, Andalucía. Tech. Dpto. de Fisiología Humana, Histología, Anatomía Patológica y Educación Física y Deportiva. Facultad de Medicina. Campus de Teatinos, Málaga. Instituto de Investigaciones Biomédicas de Málaga, España..
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Fernández-Vázquez R, Millán Romero Á, Barbancho MÁ, Alvero-Cruz JR. [ABDOMINAL BIOELECTRICAL IMPEDANCE ANALYSIS AND ANTHROPOMETRY FOR PREDICTING METABOLIC SYNDROME IN MIDDLE AGED MEN]. NUTR HOSP 2015; 32:1122-30. [PMID: 26319829 DOI: 10.3305/nh.2015.32.3.9401] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE central obesity has a higher risk of metabolic syndrome. The present work aimed to study the relationship of trunk fat and the visceral fat index, and other anthropometric indices in relation to the metabolic syndrome in middle aged male Methods: design: transversal descriptive and correlational study. PARTICIPANTS 75 male, volunteers who have access to a medical assessment, with an age range of 21 to 59 years, from different professions. MEASUREMENTS Weight, height, body mass index, waist circumference, gluteal circumference, waist-to-hip ratio, waist-to-height ratio, trunk fat and visceral fat level by bioelectrical abdominal impedance analysis with Tanita AB-140 (ViScan) and biochemical markers: fasting glucose, total cholesterol, and triglycerides. Likewise, the systolic and diastolic blood pressure was measured. RESULTS there are significant correlations of anthropometric measurements with trunk fat and visceral fat level and the same with biochemical variables. Receptor-operator curves (ROC curve) analysis shows that the cutoff points from which arises the metabolic syndrome are 32.7% of trunk fat and a level of visceral fat of 13 with a high sensitivity and specificity, attaining the same cut-off points for the metabolic syndrome and obesity status. CONCLUSIONS trunk fat and visceral fat levels determined by bioelectrical abdominal impedance analysis, values are variables very sensitive and specific for the detection of metabolic syndrome and obesity, though not over the variables and anthropometric indices. In the condition of the overweight, trunk fat and visceral fat level are more predictive than anthropometric measures.
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Affiliation(s)
- Rosalía Fernández-Vázquez
- Universidad de Málaga, Andalucía Tech. Dpto. de Fisiología Humana y Educación Física y Deportiva. Facultad de Medicina. Campus de Teatinos, Málaga..
| | - Ángel Millán Romero
- Universidad de Málaga, Andalucía Tech. Dpto. de Fisiología Humana y Educación Física y Deportiva. Facultad de Medicina. Campus de Teatinos, Málaga..
| | - Miguel Ángel Barbancho
- Universidad de Málaga, Andalucía Tech. Dpto. de Fisiología Humana y Educación Física y Deportiva. Facultad de Medicina. Campus de Teatinos, Málaga. Instituto de Investigaciones Biomédicas de Málaga, España..
| | - José Ramón Alvero-Cruz
- Universidad de Málaga, Andalucía Tech. Dpto. de Fisiología Humana y Educación Física y Deportiva. Facultad de Medicina. Campus de Teatinos, Málaga. Instituto de Investigaciones Biomédicas de Málaga, España..
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García-Alberca JM, Lara JP, Berthier ML, Cruz B, Barbancho MÁ, Green C, González-Barón S. Can impairment in memory, language and executive functions predict neuropsychiatric symptoms in Alzheimer's disease (AD)? Findings from a cross-sectional study. Arch Gerontol Geriatr 2011; 52:264-9. [DOI: 10.1016/j.archger.2010.05.004] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2010] [Revised: 05/02/2010] [Accepted: 05/03/2010] [Indexed: 11/29/2022]
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