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Gallo-Galán LM, Gallo-Vallejo MA, Gallo-Vallejo JL. [Medical recommendations from primary care on physical exercise in the postpartum]. Semergen 2024; 50:102148. [PMID: 38064768 DOI: 10.1016/j.semerg.2023.102148] [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] [Received: 09/26/2023] [Revised: 11/05/2023] [Accepted: 11/08/2023] [Indexed: 04/01/2024]
Abstract
There is evidence that demonstrates the benefits of practicing physical activity/exercise for the mother after childbirth. However, this postpartum period (PP) is often a missed opportunity in a lifetime for women to start or resume physical exercise and get the great benefits that it can bring them. The objective of this article was to analyze the benefits of physical exercise during PP; the prescription of physical exercise; recommendations on when to resume your practice; barriers and facilitators; physical exercise during breastfeeding; as well as its role in the most frequent illnesses and discomforts in this period, always keeping in mind that the work of the primary care doctor is essential to motivate and encourage women to perform physical exercise in the PP.
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Affiliation(s)
- L M Gallo-Galán
- Servicio de Obstetricia y Ginecología, Hospital Universitario Sanitas La Moraleja, Madrid, España
| | - M A Gallo-Vallejo
- Centro de Medicina Deportiva, Concejalía de Deportes del Ayuntamiento de Granada, Granada, España
| | - J L Gallo-Vallejo
- Servicio de Obstetricia y Ginecología, Hospital Universitario Virgen de las Nieves, Granada, España; Departamento de Obstetricia y Ginecología de la Universidad de Granada, Granada, España.
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Mija Chavez LD, López Berrocal LE, Del Carpio Coya A, Gutiérrez Villafuerte C. [Correlation between physical activity and the symptoms of depression in senior centers in Lima, Peru]. Rev Esp Geriatr Gerontol 2024; 59:101489. [PMID: 38518547 DOI: 10.1016/j.regg.2024.101489] [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: 11/23/2023] [Revised: 01/23/2024] [Accepted: 02/19/2024] [Indexed: 03/24/2024]
Abstract
BACKGROUND AND OBJECTIVE Depression in the elderly is a growing problem, and exercise is a strategy to prevent it. We aim to identify the correlation between scores obtained in the Geriatric Depression Scale - 15 items (GDS-15) for depressive symptomatology and Metabolic equivalent of task (MET) obtained in the International Physical Activity Questionnaire - Short Form (IPAQ-S) for physical activity in aged attending senior centers in a district of Lima, Peru. METHODS We conducted a cross-sectional study in three senior centers in Miraflores, Lima, Peru. Participants (n=158) completed a three-part questionnaire, including a sociodemographic survey to collect general participant data, the GDS-15 to assess the level of depressive symptomatology, and the IPAQ-S to evaluate the amount of physical activity performed in the last week. RESULTS A mild but significant inverse linear correlation was identified between the GDS-15 score and METs obtained in the IPAQ-S (rho=-0.213, p=0.007). Moderate to severe depressive symptomatology decreased with a higher level of physical activity: 4.3% low level, 3.3% moderate level, and no cases in those with vigorous activity; however, these differences were not significant (p=0.541, Kendall's Tau B test). CONCLUSIóN: The results showed that individuals with moderate to severe depressive symptoms show a lower level of depressive symptoms in relation to the degree of physical activity carried out in the last week.
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González García J, García Aguilar E, Vilchez Quino T, Blanco M, Barrull C. [Prevalence of subjective memory complaints: Population study in Spain]. Rev Esp Geriatr Gerontol 2024; 59:101426. [PMID: 37922626 DOI: 10.1016/j.regg.2023.101426] [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] [Received: 02/23/2023] [Revised: 09/22/2023] [Accepted: 09/28/2023] [Indexed: 11/07/2023]
Abstract
INTRODUCTION Subjective memory complaints (SMC) might be an early sign of further deterioration in cognitive functions. However, no population studies have been published covering all Spain to determine the SMC prevalence. The objective of the present study was to determine the SMC prevalence in the general population residing in Spain >50 years of age and also which related actions were done. MATERIALS AND METHODS Interviews were conducted with a nationally representative sample >50 years of age using an online/computer assisted web interview (CAWI) questionnaire. The survey consisted of 34 items divided into two blocks. Presence of SMC was considered when in question 1 the subject answered that "Yes" he had some memory problem. RESULTS Two thousand three hundred people (53.7% women; 23.9% ≥75 years old) were interviewed. 31% answered that they considered they had a memory problem (no differences between sexes, mean time with memory problems of 3.0 years). A higher prevalence of SMC was observed in ≥75 years old (44%). 90% did not include any specific foods in their diet for their memory problems, neither were taking any pharmaceuticals, diet supplements or nutritional supplements (92%). 78% of those interviewed with SMC have not consulted health professionals for their memory problems. CONCLUSIONS SMC are considerably prevalent in our environment affecting almost a third of people ≥50 years of age. Most of the interviewees with SMC did not go to health professionals to manage their SMC.
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Affiliation(s)
| | - Eva García Aguilar
- Departamento Médico, ITF Research Pharma, SLU, Alcobendas, Madrid, España
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Primo D, Izaola O, Gomez JJL, Luis DD. Anthropometric, muscle and serum myokine levels effects of physical exercise with an online platform in female patients with obesity. ENDOCRINOL DIAB NUTR 2023; 70:484-491. [PMID: 37596009 DOI: 10.1016/j.endien.2023.04.007] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Accepted: 04/03/2023] [Indexed: 08/20/2023]
Abstract
INTRODUCTION Under physical exercise conditions, muscles can synthetise and release myokines and these molecules can exert paracrine and endocrine actions. Females with obesity have a sedentary lifestyle with alterations in myokine levels. OBJECTIVE The aim of our study was to evaluate the effect of physical exercise on myokine levels, anthropometric parameters, clinical data, impedance parameters, and muscle ultrasound data in sedentary females with obesity. MATERIAL AND METHODS Anthropometric data, muscle mass by ultrasound at the quadriceps level, myokine determination, and blood pressure were collected at baseline and after 12 weeks in 25 females with obesity. For 12 weeks, the physical exercise programme was prescribed through an online platform. RESULTS After the physical exercise programme, there was a significant improvement in body mass index (-1.49±0.1kg/m2; p=0.02), weight (-3.9±0.7kg; p=0.01), waist circumference (-7.2±0.2cm; p=0.01), skeletal muscle mass (5.4±1.2kg; p=0.01), appendicular skeletal muscle mass index (0.5±0.1kg; p=0.02) and appendicular skeletal muscle mass (1.4±0.1kg; p=0.03), and a decrease in fat mass (-4.1±0.2kg; p=0.01) and blood pressure. The ultrasound parameters of the anterior rectus quadriceps muscle improved significantly. The following biochemical parameters decreased; insulin levels (-66.3±10.2pg/ml; p=0.04), HOMA-IR (-0.4±0.1 units; p=0.03), apelin (-3.5±0.2IU/l; p=0.04), FABP3 (-143.6±38.1pg/ml; p=0.03), IL6 (-4.1±0.02pg/ml; p=0.02), myostatin (-81.6±18.1pg/ml; p=0.04), and FGF21 (-9.5±1.1pg/ml; p=0.03). CONCLUSION The prescription of physical exercise with an online platform for females with obesity decreases weight, body fat mass and increases muscle mass, producing a decrease in insulin resistance and some myokine levels.
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Affiliation(s)
- David Primo
- Centre of Investigation of Endocrinology and Clinical Nutrition, School of Medicine, Valladolid, Spain; Dept Endocrinology and Nutrition Hospital Clinico Universitario, University of Valladolid, Valladolid, Spain
| | - Olatz Izaola
- Centre of Investigation of Endocrinology and Clinical Nutrition, School of Medicine, Valladolid, Spain; Dept Endocrinology and Nutrition Hospital Clinico Universitario, University of Valladolid, Valladolid, Spain
| | - Juan Jose Lopez Gomez
- Centre of Investigation of Endocrinology and Clinical Nutrition, School of Medicine, Valladolid, Spain; Dept Endocrinology and Nutrition Hospital Clinico Universitario, University of Valladolid, Valladolid, Spain
| | - Daniel de Luis
- Centre of Investigation of Endocrinology and Clinical Nutrition, School of Medicine, Valladolid, Spain; Dept Endocrinology and Nutrition Hospital Clinico Universitario, University of Valladolid, Valladolid, Spain.
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Gallo-Galán LM, Gallo-Vallejo MÁ, Gallo-Vallejo JL. [Practical recommendations on physical exercise during pregnancy based on the main clinical practice guidelines]. Aten Primaria 2023; 55:102553. [PMID: 36739638 PMCID: PMC9931916 DOI: 10.1016/j.aprim.2022.102553] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 11/23/2022] [Accepted: 12/01/2022] [Indexed: 02/05/2023] Open
Abstract
The main guidelines for physical activity/exercise during pregnancy recommend that all pregnant women without medical or obstetric contraindications remain physically active during pregnancy, in order to achieve health benefits and, at the same time, reduce the possibility of complications during pregnancy. The objective of this article was to extract the practical recommendations on physical exercise during pregnancy, of interest to the primary care physician, from the clinical practice guidelines of three international societies of Obstetrics and Gynecology of recognized prestige and great international influence on this subject, two of them pioneers in the elaboration of this type of recommendations: the American College of Obstetrics and Gynecology and the Society of Obstetricians and Gynaecologists of Canada; and the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, together with the one published by the Spanish Society of Gynecology and Obstetrics.
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Affiliation(s)
- Luz María Gallo-Galán
- Servicio de Obstetricia y Ginecología, Hospital Universitario Sanitas La Moraleja, Madrid, España
| | | | - José Luis Gallo-Vallejo
- Servicio de Obstetricia y Ginecología, Hospital Universitario Virgen de las Nieves de Granada, Granada, España; Departamento de Obstetricia y Ginecología de la Universidad de Granada, Granada, España.
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Santaularia N, Arnau A, Jaarsma T, Torà N, Vázquez-Oliva G. Efficacy of a supervised exercise training program on five-year readmission rates in patients with acute coronary syndrome. A randomised controlled trial. Rehabilitacion (Madr) 2023; 57:100720. [PMID: 35317941 DOI: 10.1016/j.rh.2021.12.001] [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] [Received: 07/30/2021] [Accepted: 12/10/2021] [Indexed: 06/14/2023]
Abstract
INTRODUCTION AND OBJECTIVES Exercise-based cardiac rehabilitation programmes can reduce mortality but their effects on readmission rates are unclear. The primary aim was to evaluate the efficacy of a supervised exercise-based cardiac rehabilitation programme on cardiac readmissions in patients with acute coronary syndrome at five years. METHODS We conducted an open, controlled, randomized, hospital-based clinical trial. Patients were assigned either to the control group (CG) who received standard care or to the intervention group (IG) who participated in a supervised exercise programme (3h per week of supervised exercise training for 10 weeks). Patients were evaluated at 5 years. RESULTS Seventy-six patients [41 CG, 35 IG, mean age 59.2 (SD 10.4), 82.9% men] were included. Cardiac readmission rates at 5 years were 24% in the CG compared to 9% in the IG (p=0.068), and readmission rates for all causes were 42% in the CG and 23% in the IG (p=0.085). Emergency care for cardiac disease was required more frequently in the CG (17% vs 11%, p=0.486). IG patients performed more regular and intensive exercise (62% vs. 33%, p=0.088). In both groups there were significant deterioration in systolic and diastolic blood pressure, body mass index, waist circumference, HbAc1, triglycerides, LDL and diet, and a significant increase in HDL. CONCLUSIONS Patients who participated in the supervised exercise training programme were readmitted less often than controls for cardiac disease and for all causes at 5 years, the reduction was clinically meaningful although not statistically significant. Control of cardiovascular risk factors deteriorated in both groups.
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Affiliation(s)
- N Santaularia
- Cardiac Rehabilitation Integrated Practice Unit, Althaia Xarxa Assistencial Universitària de Manresa, Manresa, Spain; Faculty of Health Sciences at Manresa, Universitat de Vic - Universitat Central de Catalunya (UVic-UCC), Manresa, Spain.
| | - A Arnau
- Central Catalonia Chronicity Research Group (C3RG), Research and Innovation Unit, Althaia Xarxa Assistencial Universitària de Manresa, Manresa, Spain; Centre d'Estudis Sanitaris i Socials, (CESS), Universitat de Vic-Universitat Central de Catalunya (UVIC-UCC), Vic, Spain
| | - T Jaarsma
- Department of Health, Medicine and Care, Division of Nursing Science, Linköping University, Faculty of Medicine and Health Sciences, Linköping, Sweden
| | - N Torà
- Research and Innovation Unit, Althaia Xarxa Assistencial Universitària de Manresa, Manresa, Spain
| | - G Vázquez-Oliva
- Department of Cardiology, Althaia Xarxa Assistencial Universitària de Manresa, Manresa, Spain; Faculty of Medicine, Universitat de Vic, Universitat Central de Catalunya (UVic-UCC), Vic, Spain
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Román Belmonte JM, Muñoz de la Torre E, Vázquez Sasot A, Sánchez Polo MT, Rodríguez Damiani BA, Resino Luís C. [Impact of lockdown on physical activity of patients with osteoarthritis during the COVID-19 pandemic]. Rehabilitacion (Madr) 2023; 57:100732. [PMID: 35545482 PMCID: PMC8898677 DOI: 10.1016/j.rh.2022.02.006] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Revised: 02/24/2022] [Accepted: 02/27/2022] [Indexed: 01/25/2023]
Abstract
INTRODUCTION Physical activity is essential in the osteoarthritis population, however, confinement during the COVID pandemic forced lifestyle changes. An observational and descriptive study was conducted to assess physical exercise in people with degenerative osteoarticular disease (DOD) during the COVID-19 pandemic. MATERIAL AND METHODS A telephone survey was conducted among people over 60 years of age with DOD previously treated at the Hospital Central de la Cruz Roja, assessing physical exercise during the COVID-19 pandemic confinement. The variables (time of physical exercise, causes if exercise was reduced, and pain intensity) were analysed and compared with the situation prior to home confinement. RESULTS A total of 33 patients (8 men, 25 women) were included, with a mean age of 75.6 years. Polyarthrosis was the most frequent diagnosis. 51.5% performed the same amount of physical exercise, 21.21% performed more and 24.2% less than before. Only 6.1% performed more than 1 h a day of activity. 36.4% had more pain than previously. CONCLUSIONS Although there is a high adherence to the exercises learned in the rehabilitation service, COVID-19 confinement has had a negative effect on the level of exercise performed by POD patients. It is advisable to encourage physical exercise during periods of lockdown.
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Affiliation(s)
- J M Román Belmonte
- Servicio de Medicina Física y Rehabilitación, Hospital Universitario Central de la Cruz Roja, Madrid, España.
| | - E Muñoz de la Torre
- Servicio de Medicina Física y Rehabilitación, Hospital Costa del Sol, Marbella, España
| | - A Vázquez Sasot
- Servicio de Medicina Física y Rehabilitación, Hospital Universitario Central de la Cruz Roja, Madrid, España
| | - M T Sánchez Polo
- Servicio de Medicina Física y Rehabilitación, Hospital Universitario Central de la Cruz Roja, Madrid, España
| | - B A Rodríguez Damiani
- Servicio de Medicina Física y Rehabilitación, Hospital Universitario Central de la Cruz Roja, Madrid, España
| | - C Resino Luís
- Servicio de Medicina Física y Rehabilitación, Hospital Universitario Central de la Cruz Roja, Madrid, España
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Collado Chazarra P, Santiñá Vila M. [Influence of physical activity on radiotherapy-treated breast cancer patients: A systematic review]. J Healthc Qual Res 2023; 38:50-58. [PMID: 35792048 DOI: 10.1016/j.jhqr.2022.05.008] [Citation(s) in RCA: 2] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 04/22/2022] [Accepted: 05/23/2022] [Indexed: 01/25/2023]
Abstract
INTRODUCTION The number of survivors with cancer is growing worldwide, but the adverse effects of the radiotherapy are still frequent, affecting effort capacity, respiratory function and quality of life. The objective is to know how the physical exercise influences the respiratory function and tolerance to effort, in pacients with breast cancer after the radiotherapy treatment. MATERIALS AND METHODS The searches were carried out in the databases of Pubmed, PEDro, Web Of Science, Cochrane, EMBASE, UptoDate and Tripdatabase. Were included studies with patients with breast cancer treated with radiotherapy and included in an exercise program. The main results were: maximum oxygen consumption, 6 minutes walking test, forced vital capacity, vital capacity, forced expiratory volume in 1 second, total lounge capacity, inspiratory capacity, and the diffusion capacity of the lungs for carbon monoxide. RESULTS The results show an increase of the effort capacity with 15% improvements in the maximum oxygen consumption and 6.675% in the 6 minutes walking test, while they are limited for the respiratory function. CONCLUSIONS The physical exercise is effective for improve the effort capacity in pacients with breast cancer treated with radiotherapy, without changes in the respiratory function. Nevertheless, new studies are necessary to investigate deeply how the physical exercise influences in those pacients, and the ideal design of the programs.
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Affiliation(s)
- P Collado Chazarra
- Máster Universitario en Fisioterapia del Tórax, Escuelas Universitarias Gimbernat, Barcelona, España.
| | - M Santiñá Vila
- Dirección de Calidad y Seguridad Clínica, Hospital Clínic, Barcelona, España
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Villanego F, Arroyo D, Martínez-Majolero V, Hernández-Sánchez S, Esteve-Simó V. Importance of physical exercise prescription in patients with chronic kidney disease: results of the survey of the Grupo Español Multidisciplinar de Ejercicio Físico en el Enfermo Renal [Spanish Multidisciplinary Group of Physical Exercise in Kidney Patients] (GEMEFER). Nefrologia 2023; 43:126-132. [PMID: 37003930 DOI: 10.1016/j.nefroe.2023.03.009] [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] [Received: 01/23/2022] [Accepted: 03/02/2022] [Indexed: 04/03/2023] Open
Abstract
INTRODUCTION Despite the benefits of physical exercise (PE) for patients with chronic kidney disease (CKD), the number of Nephrology services that have PE programs is limited. OBJECTIVES To describe the degree of knowledge of PE benefits in patients with CKD among professionals, as well as the level of implementation and characteristics of PE programs in Nephrology services in Spain. METHODS A questionnaire on the degree of knowledge and prescription of PE in patients with CKD was designed and sent to members of the Spanish Nephrology and Nephrology Nursing Societies, as well as to physiotherapists and professionals in the Sciences of Physical Activity and Sport (PASS). RESULTS 264 professionals participated. 98.8% agreed on the importance of prescribing PE, but only 20.5% carry out an assessment of functional capacity and 19.3% have a PE program for patients with CKD in their centre. The most frequent programs are performed for haemodialysis patients and strength and aerobic resistance exercises are combined. A physiotherapist or a PASS usually participates in its prescription. The main barriers were the absence of human and/or physical resources and the lack of training. CONCLUSIONS Healthcare workers know the benefits of PE in patients with CKD. However, the implementation of these programs in Spain is low, motivated by the lack of resources and training of professionals. We must establish strategies to guarantee an adequate functional capacity within the care of our patients.
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Affiliation(s)
| | - David Arroyo
- Servicio de Nefrología, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | | | | | - Vicent Esteve-Simó
- Servicio de Nefrología, Consorci Sanitari de Terrassa, Terrassa, Barcelona, Spain
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Roselló-Novella A, Lumillo-Gutiérrez I, Pla-Consuegra M, Rosa-Castillo A, Villa-Garcia L, Morin-Fraile V. [Perceptions and external factors of physical activity in adolescents using mixed methods]. Gac Sanit 2022; 37:102281. [PMID: 36527841 DOI: 10.1016/j.gaceta.2022.102281] [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] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 10/17/2022] [Accepted: 10/18/2022] [Indexed: 12/23/2022]
Abstract
OBJECTIVE Analyze the levels of physical activity in adolescents and their relationship with perceptions of physical activity and external factors. METHOD Cross-sectional descriptive observational study. The participants were adolescents between the ages of 11 and 18. They were recruited in secondary schools in the municipality of Esplugues de Llobregat, Barcelona, Spain. The measurements were amount of physical activity (IPAQ-A questionnaire) and the relationship between level of physical activity and the perceptions of physical activity and external factors proposed by the health promotion model. RESULTS Of the total sample, 60.34% participants were insufficiently active. The factors positively associated with physical activity were male gender (p<0.01), engaging in extracurricular sports (p<0.01), perceiving benefits (p<0.01), perceiving self-efficacy (p<0.01), interpersonal influences (p<0.01), having parents who engage in sports (p<0.01), social support (p<0.01) and social norms supporting exercise (p<0.01). The factors negatively associated with physical activity were female gender (p<0.01), body mass index (p=0.048) and perceiving obstacles (p<0.01). There was no relationship with social class (p=0.164). Situational influences were a conditioning factor for boys (p<0.01), but not girls (p=0.561). CONCLUSIONS This study identifies factors that determinate the practice of physical activity in adolescents. Taking these factors into account in the design of health promotion interventions and policies could help increase levels of physical activity in this population. Even so, there are some variables, such as gender and socioeconomic status, that should be explored in depth through research that is more exploratory and discursive.
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Affiliation(s)
- Alba Roselló-Novella
- Departament d'Infermeria de Salut Pública, Salut Mental i Maternoinfantil, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), L'Hospitalet del Llobregat (Barcelona), España; Centre d'Atenció Primària Can Vidalet, Gerència Territorial Metropolitana Sud, Institut Català de la Salut, Esplugues de Llobregat (Barcelona), España; Grup d'Investigació d'Entorns i Materials per l'Aprenentatge (EMA), Universitat de Barcelona (UB), Barcelona, España.
| | - Iris Lumillo-Gutiérrez
- Departament d'Infermeria de Salut Pública, Salut Mental i Maternoinfantil, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), L'Hospitalet del Llobregat (Barcelona), España; Grup d'Investigació d'Entorns i Materials per l'Aprenentatge (EMA), Universitat de Barcelona (UB), Barcelona, España; Unitat d'Atenció a la Cronicitat i Complexitat, Servei d'Atenció Primària Baix Llobregat Centre, Gerència Territorial Metropolitana Sud, Institut Català de la Salut, Cornellà de Llobregat (Barcelona), España
| | - Margarida Pla-Consuegra
- Departament d'Infermeria de Salut Pública, Salut Mental i Maternoinfantil, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), L'Hospitalet del Llobregat (Barcelona), España; Grup d'Investigació en Gènere, Identitat i Diversitat (GENI), Universitat de Barcelona (UB), Barcelona, España
| | - Antonio Rosa-Castillo
- Departament d' Infermeria Fonamental i Medicoquirúrgica, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), L'Hospitalet del Llobregat (Barcelona), España; Centre d'Atenció Primària Adrià, Gerència Territorial d'Atenció Primària Barcelona Ciutat, Institut Català de la Salut, Barcelona, España
| | - Lorena Villa-Garcia
- Departament d'Infermeria de Salut Pública, Salut Mental i Maternoinfantil, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), L'Hospitalet del Llobregat (Barcelona), España; Grup de Recerca en Envelliments, Fragilitat i Transicions de Barcelona (REFiTBCN), Vall d'Hebron Institut de Recerca (VHIR) i Parc Sanitari Pere Virgili, Barcelona, España
| | - Victoria Morin-Fraile
- Departament d'Infermeria de Salut Pública, Salut Mental i Maternoinfantil, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), L'Hospitalet del Llobregat (Barcelona), España; Grup d'Investigació d'Entorns i Materials per l'Aprenentatge (EMA), Universitat de Barcelona (UB), Barcelona, España
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Egea-Ronda A, Niclos-Esteve M, Ródenas A, Verdeguer M, Cassetti V, Herrero C, Soler JM, Paredes-Carbonell JJ. [Theory of change implemented in the program to promote physical activity "La Ribera Camina"]. Gac Sanit 2022; 36:546-552. [PMID: 35584981 DOI: 10.1016/j.gaceta.2022.02.012] [Citation(s) in RCA: 1] [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] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 02/20/2022] [Accepted: 02/21/2022] [Indexed: 12/14/2022]
Abstract
OBJECTIVE To develop a theory of change of a program to promote physical activity in eleven health districts, in order to improve its design and plan its evaluation. METHOD Four focus groups were carried out, to develop a participatory theory of change, to identify the expected changes (long, medium and short term) of "La Ribera Camina" program, according to the following stakeholders: primary healthcare professionals, local government representatives and community members. A thematic analysis was used to identify the actions to be taken to achieve these changes, as well as the difficulties and facilitators to enhance the sustainability of the program. RESULTS The identified changes were classified into four themes: 1) changes in physical and social health (improved physical condition, healthy habits, self-esteem and perceived well-being); 2) organizational and relational changes (better coordination between institutions); 3) specific changes to the program (incorporation of more "assets" and local associations, especially male participants, more trails and schedules); and 4) changes in the environment (improved trails' infrastructures and safety). CONCLUSIONS The theory of change allows to identify and classify the changes that are expected, the actions to be carried out and the links between elements of the program. This will serve as the basis for its evaluation. This methodology could be applied to other programs interested in incorporating intersectorality and community engagement in their design and evaluation.
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Affiliation(s)
- Ana Egea-Ronda
- Departament de Salut València Arnau de Vilanova-Llíria, San Antonio de Benagéber, Valencia, España
| | | | - Amparo Ródenas
- Centre de Salut Pública Alzira, FISABIO, Alzira, Valencia, España
| | - Mariví Verdeguer
- Departament de Salut de La Ribera, FISABIO, Alzira, Valencia, España
| | - Viola Cassetti
- Affiliated researcher, UNESCO Chair in Global Health and Education, Valencia, España
| | - Carlos Herrero
- Departament de Salut de La Ribera, FISABIO, Alzira, Valencia, España
| | - José M Soler
- Departament de Salut de La Ribera, FISABIO, Alzira, Valencia, España; Derpartament d'Estadística i Investigació Operativa Aplicada i Qualitat, Universitat Politècnica de Valencia, Valencia, España
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Hernández López M, Puentes Gutiérrez AB, García Bascones M, Fernández García L, Pérez Novales D, Marquina Valero MA. [Strength training education for physicians increases its prescription]. Rehabilitacion (Madr) 2022; 56:274-278. [PMID: 35469644 DOI: 10.1016/j.rh.2021.10.003] [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] [Received: 01/03/2021] [Revised: 08/16/2021] [Accepted: 10/23/2021] [Indexed: 06/14/2023]
Abstract
INTRODUCTION Medical prescriptions have traditionally been focused on aerobic exercise. However, an increasing number of authors are pointing towards strength training as the healthiest exercise modality. The purpose of this study is to assess whether physicians increase their knowledge as well as their confidence to prescribe strength training after attending a physical training course. MATERIALS AND METHODS A prospective cohort study of 160 physicians was conducted, 80 physicians out of the 160 attended a physical training course, whereas the remaining 80 physicians did not. Personal and professional data was collected, as well as data regarding the type of exercise they were practising or prescribing and the confidence and knowledge for their prescription. Finally, differences between the two groups and the impact of attending the course where analysed. RESULTS Both groups were homogeneous in gender, age, medical speciality and practice of physical exercise, with very low rates of strength training and prescription for both groups. It was established that the group attending the course acquired knowledge and confidence for prescribing strength training. Moreover, this group considered that strength training was the exercise modality which should be encouraged (P<.001). CONCLUSIONS Education in strength training for physicians by means of a theoretical-practical course increases knowledge and confidence for its prescription.
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Affiliation(s)
- M Hernández López
- Servicio de Medicina Física y Rehabilitación, Complejo Hospitalario Universitario de Toledo, Toledo, España.
| | - A B Puentes Gutiérrez
- Servicio de Medicina Física y Rehabilitación, Complejo Hospitalario Universitario de Toledo, Toledo, España
| | - M García Bascones
- Servicio de Medicina Física y Rehabilitación, Complejo Hospitalario Universitario de Toledo, Toledo, España
| | - L Fernández García
- Servicio de Medicina Física y Rehabilitación, Complejo Hospitalario Universitario de Toledo, Toledo, España
| | - D Pérez Novales
- Servicio de Medicina Física y Rehabilitación, Complejo Hospitalario Universitario de Toledo, Toledo, España
| | - M A Marquina Valero
- Servicio de Medicina Física y Rehabilitación, Complejo Hospitalario Universitario de Toledo, Toledo, España
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13
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Conde Maldonado E, Marqués-Jiménez D, Casas-Agustench P, Bach-Faig A. Effect of supplementation with leucine alone, with other nutrients or with physical exercise in older people with sarcopenia: a systematic review. ENDOCRINOL DIAB NUTR 2022; 69:601-613. [PMID: 36396594 DOI: 10.1016/j.endien.2022.11.012] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Accepted: 10/01/2021] [Indexed: 06/16/2023]
Abstract
BACKGROUND Older adults are at a greater risk of developing sarcopenia as a result of reduced mobility, malnutrition, dietary changes and certain diseases. There are no systematic reviews in the literature analysing the effects of supplementation with leucine alone or as part of a supplement, and with or without physical exercise in older people with sarcopenia. We aimed to systematically review the evidence in intervention studies on the effects of supplementation with leucine, either alone, combined with other supplements, or combined with other supplements and physical exercise in older people with sarcopenia. MATERIALS AND METHODS Literature searches related to the topic were conducted in three databases (Pubmed/Medline, Cochrane and SciELO) looking for articles published prior to December 2020. This review includes intervention studies in older adults over 60 years of age with a history of sarcopenia where researchers reported on the effects of leucine supplementation, with or without physical exercise, related to the disease's treatments or outcomes. RESULTS The systematic review identified three intervention studies examining the effect of leucine without physical exercise, one on leucine with physical exercise, seven on leucine paired with another nutrient and without physical exercise, and twelve on leucine paired with another nutrient and physical exercise. The results revealed that leucine supplementation alone and without physical exercise did not improve markers of sarcopenia, whereas interventions pairing leucine with supplements, particularly leucine-enriched protein supplements, are a promising treatment for the improvement of sarcopenic markers, whether with or without physical exercise. CONCLUSIONS Leucine supplementation, specifically paired with protein supplements, both with and without physical exercise, was found to be an effective dietary intervention for the improvement of sarcopenia. Further dietary interventions are necessary to calculate effective dosage quantities for both leucine and nutrient supplementation as an integral part of the treatment.
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Affiliation(s)
| | - Diego Marqués-Jiménez
- Facultad de Ciencias de la Salud, Universitat Oberta de Catalunya (UOC), Barcelona, Spain; Deportivo Alavés (SAD) (Academia), Vitoria-Gasteiz, Spain
| | - Patricia Casas-Agustench
- Facultad de Ciencias de la Salud, Universitat Oberta de Catalunya (UOC), Barcelona, Spain; School of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK.
| | - Anna Bach-Faig
- Grupo de Investigación FoodLab (2017SGR 83), Facultad de Ciencias de la Salud, Universitat Oberta de Catalunya, Barcelona, Spain; Vocalía de Alimentación y Nutrición, Colegio Oficial de Farmacéuticos de Barcelona, Barcelona, Spain.
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Del Campo Giménez M, López-Torres Hidalgo J, Fernández Bosch A, Martínez de la Torre C, Minuesa García M, Córcoles García S, Párraga Martínez I. Influence of the mother's lifestyles on the initiation of breastfeeding: A case-control study. An Pediatr (Barc) 2022; 97:342-350. [PMID: 36114110 DOI: 10.1016/j.anpede.2022.09.002] [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: 11/07/2021] [Revised: 03/08/2022] [Accepted: 03/21/2022] [Indexed: 10/14/2022] Open
Abstract
INTRODUCTION Breast milk is the optimal food during the first months of life. The main objective was to analyse the factors associated with not initiating breastfeeding in terms of maternal lifestyles, epidemiological characteristics and information on breastfeeding. MATERIAL AND METHOD Observational analytical study of cases and controls in 6 primary care centres. The sample included women with a child under 5 years, with an estimated necessary sample size of 166 cases (women who did not initiate breastfeeding) and 166 controls (women who began breastfeeding). Sociodemographic and maternal lifestyle variables were measured before and during pregnancy, such as physical activity using the BPAAT questionnaire, diet with the MEDAS-14 questionnaire, and tobacco and alcohol consumption. We assessed the information and opinions about breastfeeding as well as previous experience with it. RESULTS The study included 348 women (174 cases and 174 controls) with a mean age of 33.4 years (SD, 5.4). The variables independently associated with not initiating breastfeeding were: absence of previous experience with breastfeeding (odds ratio [OR], 12.75), making the decision during pregnancy or delivery (OR, 10.55), not being married or in a partnership (OR, 3.42) and being sedentary for periods of 2 hours or greater/day during pregnancy (OR, 1.77). CONCLUSIONS In our study, the determining factors associated with not initiating breastfeeding were the lack of previous experience with breastfeeding, the timing of the decision about breastfeeding, and marital status. When it came to lifestyle, only a sedentary lifestyle was associated with not initiating breastfeeding, while dietary or other habits had no influence.
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Affiliation(s)
- María Del Campo Giménez
- Consultorio de Ledaña, Centro de Salud de Iniesta, Gerencia de Atención Integrada de Albacete, Albacete, Spain.
| | - Jesús López-Torres Hidalgo
- Centro de Salud Zona VIII de Albacete, Gerencia de Atención Integrada de Albacete, Facultad de Medicina de Albacete, Universidad de Castilla-La Mancha, Albacete, Spain
| | - Alba Fernández Bosch
- Centro de Salud Plaza Segovia, Gerencia de Atención Primaria Hospital Doctor Peset, Valencia, Spain
| | - Carlos Martínez de la Torre
- Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Albacete, Centro de Salud Zona VIII de Albacete, Albacete, Spain
| | - María Minuesa García
- Consultorio de Fonelas, Centro de Salud de Purullena, Área Sanitaria Nordeste, Granada, Spain
| | - Sara Córcoles García
- Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Albacete, Centro de Salud Zona VIII de Albacete, Albacete, Spain
| | - Ignacio Párraga Martínez
- Centro de Salud Zona VIII de Albacete, Gerencia de Atención Integrada de Albacete, Facultad de Medicina de Albacete, Universidad de Castilla-La Mancha, Albacete, Spain
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Arietaleanizbeaskoa MS, Pablo S, Sancho A, Martin X, Moreno C, Grandes G. [Barriers and facilitators of the EfiKroniK exercise program for people with chronic diseases in Primary Care]. Aten Primaria 2022; 54:102456. [PMID: 36037780 DOI: 10.1016/j.aprim.2022.102456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Revised: 07/13/2022] [Accepted: 07/25/2022] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE Explore patients' perceptions during a supervised exercise program and detect the barriers and facilitators that influence exercise adherence after the supervision period. DESIGN A qualitative observational study with three focus groups as the main data collection technique was conducted. SITE: Primary Health centers of Bizkaia. PARTICIPANTS Out of the 175 randomized patients in the hybrid effectiveness-implementation trial, a sample of 19 patients from the intervention group were included in the qualitative study (12 advanced-stage onco-haematological patients and seven with severe mental disorders). METHODS Content analysis of the generated transcripts was performed by combining a deductive approach, based on the domains of the PRACTIS theoretical framework, and an inductive one, based on the postulates of the Grounded Theory. RESULTS The data analysis showed that participants were satisfied with the EfiKroniK program and that the main identified benefits were discovery of the benefits of physical exercise, the psychological and emotional management of the disease, the benefits from peer communication and emotional support, and the break from routine of their illness. Participants decreased the levels of physical exercise at the end of the supervision6 due to the confluence of several barriers. CONCLUSION A supervised exercise program carried out in Primary Care contributed to the improvement of the quality of life as well as the emotional and social well-being of patients with advanced-stage diseases. Our study identified potential barriers and facilitators associated with exercise participation and its continuity, however, it is necessary to encourage inter-sectoral coordination within the socio-health system to promote integrated and continuous care for chronic patients.
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Carrasco Paniagua C, Mayordomo Cava J, Zarralanga Lasobras T, González Chávez S, Ortiz Alonso J, Serra Rexach JA. [Functional recovery at discharge and at three months after a multicomponent physical exercise intervention in elderly subjects hospitalized in an Acute Geriatric Unit]. Rev Esp Geriatr Gerontol 2022; 57:156-160. [PMID: 35272871 DOI: 10.1016/j.regg.2022.01.007] [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] [Received: 11/22/2021] [Revised: 01/04/2022] [Accepted: 01/08/2022] [Indexed: 06/14/2023]
Abstract
INTRODUCTION Hospitalization in the elderly, even in short stays, is associated with functional impairment. Once the acute illness is reversed, the evolution of this hospital-generated impairment can be variable, and a year after hospitalization more than half of the elderly patients remain impaired. This impairment is associated with a higher risk of institutionalization, of mortality at discharge and of 30-day mortality. Previous studies have shown how interdisciplinary physical exercise programs can improve functionality at discharge and decrease mortality rate, hospital stay and institutionalization. STUDY DESIGN AND OBJECTIVES In the Acute Geriatric Unit of the Gregorio Marañon University hospital a randomized controlled trial was carried out to assess the effectiveness of an exercise and health education program to prevent functional decline during hospitalization and at three months after discharge in elderly subjects aged 74 years or older. Patients were excluded if at least one of the following exclusion criteria was met: baseline Barthel Index (15-days prior hospitalization) below 20, severe cognitive impairment or inability to walk. The intervention consisted on a physical exercise program (that included squats, balance, gait stimulation, elastic bands, and inspiratory muscle training) and health education program. The control group received usual care.
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Affiliation(s)
| | - Jennifer Mayordomo Cava
- Servicio de Geriatría, Hospital General Universitario Gregorio Marañón, Madrid, España; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, España; Centro de Investigación Biomédica en Red sobre Fragilidad y Envejecimiento Saludable, CIBERFES, Madrid, España
| | | | - Sofía González Chávez
- Servicio de Geriatría, Hospital General Universitario Gregorio Marañón, Madrid, España
| | - Javier Ortiz Alonso
- Servicio de Geriatría, Hospital General Universitario Gregorio Marañón, Madrid, España; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, España; Facultad de Medicina, Universidad Complutense, Madrid, España
| | - José Antonio Serra Rexach
- Servicio de Geriatría, Hospital General Universitario Gregorio Marañón, Madrid, España; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, España; Centro de Investigación Biomédica en Red sobre Fragilidad y Envejecimiento Saludable, CIBERFES, Madrid, España; Facultad de Medicina, Universidad Complutense, Madrid, España
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Maia Neves Menezes JI, Lopes Pereira LA. Physical exercise and peritoneal dialysis: An area yet to be explored. Nefrologia 2022; 42:265-272. [PMID: 36210121 DOI: 10.1016/j.nefroe.2021.02.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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] [Received: 08/30/2020] [Accepted: 02/06/2021] [Indexed: 06/16/2023] Open
Abstract
Health-related quality of life (HRQoL) of patients suffering from chronic kidney disease (CKD) is profoundly impaired by their frailty, disability and decreased physical capacity. Especially among older patients, a high prevalence of low physical activity levels and reduced functional performance has been reported. Physical exercise training has been shown to have a beneficial impact, counteracting these same hazardous consequences of inactivity and sedentarism both on CKD and end-stage kidney disease (ESKD) patients on hemodialysis (HD) treatment. The evidence-based knowledge on the effects of physical exercise on ESKD patients undergoing Peritoneal Dialysis (PD) treatment is scarce, even though this is a continually growing population that shares the same risk factors and desired clinical outcomes as the previously mentioned groups of patients. Further investigation will be necessary to clarify whether this exercise-based approach may be suitable for the PD population. This paper's purpose is to review the available literature, including randomized controlled trials, reviews and meta-analysis results that assessed the impact of physical exercise on patients under PD treatment bearing in mind their HRQoL, physical functioning and cardiovascular parameters. Furthermore, it aims to evaluate the perceived significant barriers and limitations of the PD population in what concerns physical exercise practice and how nephrologists should address them.
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Affiliation(s)
| | - Luciano Artur Lopes Pereira
- Institute of Investigation and Innovation in Health, University of Porto, Portugal; INEB - National Institute of Biomedical Engineering, University of Porto, Portugal; Department of Nephrology, São João Hospital Center, Porto, Portugal.
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Lucerón-Lucas-Torres MI, Valera-Ortín J. Health technology tools used to increase physical activity and improve cardiovascular parameters in older adults: A review. Enferm Clin (Engl Ed) 2022; 32:171-183. [PMID: 35078754 DOI: 10.1016/j.enfcle.2021.05.004] [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: 08/07/2020] [Accepted: 05/29/2021] [Indexed: 06/14/2023]
Abstract
INTRODUCTION Ageing is a period of physical and psychological changes. Inactivity is one of the biggest problems among the older adult population increasing the risk of sarcopenia and chronic diseases. Physical activity is an effective intervention to improve health outcomes. In recent years, there has been an increase in the use of technology, with health technology tools (ICT) appearing as an intervention to increase physical activity and improve associated health problems. OBJECTIVE In this review, we evaluated the effectiveness of health technology to increase physical activity and to improve cardiovascular parameters in older adults. METHODOLOGY Studies with a great variety of health technology tools to increase physical activity levels, and that evaluated the effect of that increase on cardiovascular parameters were included by searching the main databases. RESULTS Eleven studies reporting the use of a variety of ICT tools were included in this review. Despite these differences, the effectiveness of health technology tool interventions has been demonstrated in increasing physical activity and reducing cardiovascular parameters. DISCUSSION The lack of adherence of older adults to health technology would be a disadvantage, but it has been shown that younger older adults are more familiar with health technology tools and the number using them is increasing. CONCLUSION Health technology tools show effectiveness in increasing physical activity in older adults and improving cardiovascular parameters.
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Affiliation(s)
| | - Jorge Valera-Ortín
- Facultad de Enfermería de Cuenca, Edificio Melchor Cano, Universidad de Castilla-La Mancha, Cuenca, Spain
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Avilés-Martínez MA, López-Román FJ, Galiana Gómez de Cádiz MJ, Arnau-Sánchez J, Martínez-Ros MT, Fernández-López ML, García-Sánchez E, Menarguez-Puche JF. [Benefits of a community physical exercise program prescribed from primary care for perimenopausal/menopausal women]. Aten Primaria 2022; 54:102119. [PMID: 34634454 PMCID: PMC8515407 DOI: 10.1016/j.aprim.2021.102119] [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: 01/02/2021] [Revised: 04/05/2021] [Accepted: 04/27/2021] [Indexed: 01/21/2023] Open
Abstract
OBJECTIVE To measure the benefits of a physical exercise program in a community, through the modifications in quality of life, and perimenopausal-menopausal women physical condition. SETTING The participants were recruited in PC consultations from two health centers in Molina de Segura (Murcia). PARTICIPANTS Women between 40 and 70 years old, or under 40 of age diagnosed with early menopause. DESIGN Quasi-experimental study, non-randomized, controlled, open and single-center with 2 parallel branches to study. INTERVENTION Experimental group: ACTIVA Bone Health Program for six months. CONTROL inactive. MAIN MEASUREMENTS IN BOTH GROUPS The SF 36 questionnaire was used to measure the Quality of life. PHYSICAL CONDITION Aerobic condition, flexibility, balance and strength measured with the mile, flamenco, flexibility box tests, and throwing the medicine ball, respectively. Physical activity level through the GPPAQ Questionnaire. Sociodemographic variables were collected and the adherence to the program was measured. RESULTS The quality of life improved in the intervention group compared to the control group, except «Body Pain» dimension (p = 0.412). As regards the intragroup level, all dimensions showed significant improvement except both «Physical Function» (p = 0.263) and «Body Pain» (p = 0.136). The physical capacities that benefited most were aerobic fitness, strength and balance. CONCLUSIONS The Active Bone Health Physical Exercise Program piloting showed benefits on participants' physical and mental quality of life. In addition, it has been shown that performing a specific physical exercise for premenopausal-menopausal women improves their physical condition.
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Affiliation(s)
| | | | | | - José Arnau-Sánchez
- Dirección General de Planificación, Investigación, Farmacia y Atención al Ciudadano, Murcia, España
| | - María Teresa Martínez-Ros
- Planificación, Investigación, Farmacia y Atención al Ciudadano. Consejería de Salud. Comunidad Autónoma de la Región de Murcia, Murcia, España
| | | | - Esther García-Sánchez
- Dirección General de Planificación, Investigación, Farmacia y Atención al Ciudadano, Murcia, España
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Maia Neves Menezes JI, Lopes Pereira LA. Physical exercise and peritoneal dialysis: An area yet to be explored. Nefrologia 2021; 42:S0211-6995(21)00116-8. [PMID: 34419333 DOI: 10.1016/j.nefro.2021.02.007] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2020] [Revised: 11/27/2020] [Accepted: 02/06/2021] [Indexed: 12/25/2022] Open
Abstract
Health-related quality of life (HRQoL) of patients suffering from chronic kidney disease (CKD) is profoundly impaired by their frailty, disability and decreased physical capacity. Especially among older patients, a high prevalence of low physical activity levels and reduced functional performance has been reported. Physical exercise training has been shown to have a beneficial impact, counteracting these same hazardous consequences of inactivity and sedentarism both on CKD and end-stage kidney disease (ESKD) patients on hemodialysis (HD) treatment. The evidence-based knowledge on the effects of physical exercise on ESKD patients undergoing Peritoneal Dialysis (PD) treatment is scarce, even though this is a continually growing population that shares the same risk factors and desired clinical outcomes as the previously mentioned groups of patients. Further investigation will be necessary to clarify whether this exercise-based approach may be suitable for the PD population. This paper's purpose is to review the available literature, including randomized controlled trials, reviews and meta-analysis results that assessed the impact of physical exercise on patients under PD treatment bearing in mind their HRQoL, physical functioning and cardiovascular parameters. Furthermore, it aims to evaluate the perceived significant barriers and limitations of the PD population in what concerns physical exercise practice and how nephrologists should address them.
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Affiliation(s)
| | - Luciano Artur Lopes Pereira
- Institute of Investigation and Innovation in Health, University of Porto, Portugal; INEB - National Institute of Biomedical Engineering, University of Porto, Portugal; Department of Nephrology, São João Hospital Center, Porto, Portugal.
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21
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Jofré-Saldía E, Villalobos-Gorigoitía Á, Gea-García G. Effects of multicomponent exercise program with progressive phases on functional capacity, fitness, quality of life, dual-task and physiological variables in older adults: Randomized controlled trial protocol. Rev Esp Geriatr Gerontol 2021; 56:272-278. [PMID: 34112535 DOI: 10.1016/j.regg.2021.04.006] [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: 02/16/2021] [Accepted: 04/26/2021] [Indexed: 10/21/2022]
Abstract
INTRODUCTION The multicomponent exercise program must be carried out in phases, due to the low tolerance of the old adults to prolonged efforts, since their functional reserve is reduced. The aim of study is investigate the effects of Multicomponent on Progressive Phases Program on functional capacity, fitness, quality of life, dual-task and physiological variables in the elderly. METHODS This is a randomized controlled trial protocol with blind examiners. The protocol was registered at clinictrials.gov (protocol number: NCT04118478). The experimental group will participate in a progressive multi-component program of 27 weeks divided into 3 phases of 9 weeks each of them. Primary outcomes will be determined by evaluating functional capacity using the Short Physical Performance Battery (SPPB), gait speed, and Time up and Go test. Fitness will be determined by the handgrip, 2-min step test, chair sit and reach test, and back scratch test. Quality of life will appear with the SF-36 questionnaire and dual-task with the walking-while-talking test. The physiological variables evaluated will be heart rate and blood pressure at rest, autonomic balance and forced spirometry. Secondary outcomes are determined by measuring the level of physical activity, motivation for exercise, and anthropometric variables. DISCUSSION The results derived from this research will increase the knowledge about the effects of a program of this type. The possible discoveries could serve as a guide to encourage future researchers to develop similar protocols. The purpose of the program is to serve as a practical and viable tool for the benefit of older people. Clinical trial registry protocol: NCT04118478.
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Affiliation(s)
- Emilio Jofré-Saldía
- Instituto del Deporte de Universidad de las Américas, Escuela Licenciatura en Ciencias de la Actividad Física, Chile.
| | - Álvaro Villalobos-Gorigoitía
- Programa de Fisiología y Biofísica, Instituto de Ciencias Biomédicas (ICBM), Facultad de Medicina, Universidad de Chile, Chile
| | - Gemma Gea-García
- Department of Sport Science, Faculty of Sport Sciences, Catholic University of Murcia, Spain; Health, Physical Activity, Fitness and Motor Control Performance Research Group (GISAFFCOM), Spain
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Núñez Vergara C, Smith Plaza R, Pérez Ramírez N. [Effectiveness of high intensity interval training in the cardiorespiratory capacity of people older than 65 years old: A systematic review]. Rev Esp Geriatr Gerontol 2021; 56:297-307. [PMID: 34083059 DOI: 10.1016/j.regg.2021.04.009] [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: 04/28/2020] [Revised: 04/19/2021] [Accepted: 04/27/2021] [Indexed: 12/09/2022]
Abstract
The objective of this review was to analyze the effect of HIIT on cardiorespiratory fitness, health-related quality of life (HRQL) and safety of its execution in people over 65 years of age. A systematic search was carried out, following the PRISMA recommendations, in 11 electronic databases, evaluating the resolution of the HIIT, affecting cardiorespiratory capacity as the main result and secondarily HRQL and safety of its execution, assessing the risk of bias using Rob 2.0 and ROBINS-I. Thirteen studies met the inclusion criteria, consisting of people >65 years, HIIT intervention >4 weeks, and studies assessing cardiorespiratory fitness. It can be concluded that HIIT improves cardiorespiratory capacity in people over 65 years of age, with respect to HRQL and the safety of its execution, the results are not conclusive. It becomes essential to unify criteria in intervention protocols, requiring further research in this regard.
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Affiliation(s)
| | - Raúl Smith Plaza
- Subdirección de Investigación, Sociedad Pro-Ayuda al Niño Lisiado, Teletón, Chile; Unidad de Ejercicio y Deporte Adaptado, Teletón, Chile; Hospital Clínico Mutual de Seguridad C.Ch.C, Santiago, Chile; Alemana Sport, Clínica Alemana de Santiago, Chile
| | - Natalia Pérez Ramírez
- Subdirección de Investigación, Sociedad Pro-Ayuda al Niño Lisiado, Teletón, Chile; Facultad de Medicina, Clínica Alemana, Universidad del Desarrollo, Santiago, Chile
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23
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Cárcamo-Regla R, Zapata-Lamana R, Ulloa N, Cigarroa I. [Where and how is multicomponent exercise being applied, and in which elderly people, in order to obtain health benefits? A systematic review]. Rev Esp Geriatr Gerontol 2021; 56:100-108. [PMID: 33431198 DOI: 10.1016/j.regg.2020.11.005] [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: 05/16/2020] [Revised: 11/15/2020] [Accepted: 11/18/2020] [Indexed: 11/29/2022]
Abstract
The aim of this systematic review was to synthesise the characteristics of older adults (OA) and to give an account of how and when multicomponent exercise (MCE) has been used to improve physical and psychological health, as well as their cognitive function. This systematic review was conducted on 21 articles published in PsycINFO, Medline, and Web of Science databases from 2009 to 2019, using the procedures set out in the PRISMA statement. The total sample consisted of 3,768 older adults with a mean age of 74.2. More than three-quarters (76%) of the articles studied older adults that lived in the community. evidenced Frailty was observed in the subjects in 23.8% of the articles. In 76% of the studies, a health professional was responsible for the program. Just under half (48%) of the studies were carried out in places equipped for exercise. The most frequent parameters used were two weekly 45 to 60-minute-long sessions for six months. The most frequent variables for physical health, psychological health, and cognitive function were muscle strength, social function, and memory, respectively. To assess physical health, psychological health, and cognitive function, the most frequent tools used were the timed up and go test (TUG), the geriatric depression scale (GDS), and the mini-mental state examination (MMSE), respectively. It was concluded that there is an age and health profile of OA who participate in MCE. The parameters and times most frequently used in MCE, along with the most frequently used parameters and times were recorded. In addition, the variables of interest, and the tools used to evaluate the effects of MCE on physical and psychological health and cognitive functions, were identified.
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Affiliation(s)
| | - Rafael Zapata-Lamana
- Centro de Vida Saludable, Universidad de Concepción, Concepción, Chile; Escuela de Educación, Universidad de Concepción, Los Ángeles, Chile
| | - Natalia Ulloa
- Centro de Vida Saludable, Universidad de Concepción, Concepción, Chile
| | - Igor Cigarroa
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Santiago de Chile, Chile.
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Ortín EJO, Leal Hernández M, Barceló AO, Caignet NR, Hernández Baño S, Morales Santos MC. [Knowledge in the prescription of Physical Exercise by Primary Care professionals in the Region of Murcia]. Semergen 2020; 47:72-80. [PMID: 32571676 DOI: 10.1016/j.semerg.2020.05.009] [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: 03/14/2020] [Revised: 05/03/2020] [Accepted: 05/06/2020] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To determine if the Primary Health care professionals prescribe physical exercise (PE) using adequate knowledge criteria. MATERIAL AND METHOD A comparative cross-sectional descriptive and observational study carried out in 32 health centres in the Region of Murcia. A total of 476 doctors and 327 nurses were included. A questionnaire was administered to all of them, in which the variables analysed were: Level of overall and specific knowledge by blocks of pathologies (lipids, diabetes, hypertension, obesity, and generalities) on the prescribing of PE to patients with cardiovascular risk, as well as related variables associated with the quality of prescribing PE. RESULTS Statistically significant differences in knowledge were found in the group that recommends heart rate measurement in «30% to 70%» of their patients. Differences in the subgroups were observed in the sections on diabetes (P < 0.05), obesity (P < 0.05), and hypertension (P <0.05). When analysing the knowledge values obtained according to the proportion of patients to whom «very rarely» PE time is specified, significant differences are observed (P <0.05), showing doctors with a higher level of knowledge. The differences were accentuated between both professional groups in the group of respondents who specify time to «less than 30%» of their patients (P <0.01). There are no differences between those professionals who specify time to «more than 31%» of their patients, although the trend shows higher knowledge values among doctors. CONCLUSIONS The prescription of physical exercise among Primary Care professionals is not carried out using adequate knowledge criteria.
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Affiliation(s)
- E J Ortín Ortín
- Centro de Salud Docente de Ceutí. Unidad Docente MFyC. IMIB, Murcia, España
| | - M Leal Hernández
- Centro de Salud Docente San Andrés. Unidad Docente MFyC. IMIB. CESM, Murcia, España.
| | - A Ortín Barceló
- Centro de Salud Docente de Ceutí. Unidad Docente MFyC. IMIB, Murcia, España
| | - N Rill Caignet
- Centro de Salud Docente de Ceutí. Unidad Docente MFyC. IMIB, Murcia, España
| | - S Hernández Baño
- Centro de Salud Docente de Ceutí. Unidad Docente MFyC. IMIB, Murcia, España
| | - M C Morales Santos
- Centro de Salud Docente de Ceutí. Unidad Docente MFyC. IMIB, Murcia, España
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Villanego F, Naranjo J, Vigara LA, Cazorla JM, Montero ME, García T, Torrado J, Mazuecos A. Impact of physical exercise in patients with chronic kidney disease: Sistematic review and meta-analysis. Nefrologia 2020; 40:237-252. [PMID: 32305232 DOI: 10.1016/j.nefro.2020.01.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [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: 09/10/2019] [Revised: 11/25/2019] [Accepted: 01/19/2020] [Indexed: 01/22/2023] Open
Abstract
Physical exercise may offer multiple benefits to patients with chronic kidney disease (CKD). However, it was not traditionally recommended because of the possibility of impairing renal function and increasing proteinuria. The objective of this study is to review the clinical trials on physical exercise in patients with CKD and describe its effect on the progression of kidney disease and other factors associated. Randomized clinical trials (RCT) comparing an intervention that included an exercise component with a control group without physical exercise in non-dialysis patients with CKD from 2007 to 2018 in English and Spanish were included. PubMed, Scopus, Embase, Ovid (Medline) and PEDro databases were used for the search. Effects of physical exercise were summarized by the standardized mean difference (SMD). No differences were found in glomerular filtration rate or proteinuria between the intervention group and the control group: SMD -0.3 (P=.81); SMD 26.6 (P=.82). Positive effects were obtained on peak oxygen consumption: SMD 2.5 (P<.001), functional capacity: SMD 56.6 (P<.001), upper limb strength: SMD 6.8 (P<.001) and hemoglobin: SMD 0.3 (P=.003). An improvement on the quality of life was also evident using the KDQOL-36 survey: SMD 3.56 (P=.02) and the SF-36 survey: SMD 6.66 (P=.02). In conclusion, the practice of low-intensity physical exercise routinely has no negative impact on renal function. On the contrary, it improves aerobic and functional capacity, impacting positively on the quality of life.
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Affiliation(s)
| | - Javier Naranjo
- Servicio de Nefrología, Hospital Universitario Puerta del Mar, Cádiz, España
| | - Luis Alberto Vigara
- Servicio de Nefrología, Hospital Universitario Puerta del Mar, Cádiz, España
| | - Juan Manuel Cazorla
- Servicio de Nefrología, Hospital Universitario Puerta del Mar, Cádiz, España
| | - Maria Elisa Montero
- Servicio de Nefrología, Hospital Universitario Puerta del Mar, Cádiz, España
| | - Teresa García
- Servicio de Nefrología, Hospital Universitario Puerta del Mar, Cádiz, España
| | - Julia Torrado
- Servicio de Nefrología, Hospital Universitario Puerta del Mar, Cádiz, España
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Alvarez-Pitti J, Casajús Mallén JA, Leis Trabazo R, Lucía A, López de Lara D, Moreno Aznar LA, Rodríguez Martínez G. [Exercise as medicine in chronic diseases during childhood and adolescence]. An Pediatr (Barc) 2020; 92:173.e1-173.e8. [PMID: 32061527 DOI: 10.1016/j.anpedi.2020.01.010] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2019] [Revised: 01/14/2020] [Accepted: 01/15/2020] [Indexed: 12/30/2022] Open
Abstract
Physical activity (PA) and exercise improve the overall quality of life, as well as prevent the onset of diseases in healthy children and adolescents, and as an aid to treat prevalent chronic diseases in childhood. PA and exercise are like medicine, but sedentary lifestyle and inactivity cause disease. In this article, the existing scientific evidence in this field is reviewed and recommendations for professionals involved in child health are updated. A good knowledge of how to prescribe exercise and PA in paediatrics in different diseases is necessary. Interventions to avoid inactivity of children and adolescents must be supported by the appropriate increase in the level of PA, through integration and training programs, which achieve both an overall improvement of the neuromuscular physical condition and also physical, cognitive, and psychosocial performance. The Health Promotion Committee of Spanish Paediatric Association proposes strategies that help to obtain this objective, aiming to improve the health of our patients through the practice of exercise and the increase in PA.
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Affiliation(s)
- Julio Alvarez-Pitti
- Unidad contra la Obesidad y el Riesgo Cardiovascular, Servicio de Pediatría, Consorcio Hospital General Universitario de Valencia, Valencia, España; Comité de Promoción de la Salud, Asociación Española de Pediatría, Madrid, España; CIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España.
| | - José A Casajús Mallén
- CIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España; Grupo GENUD (Growth, Exercise, Nutrition and Development), Universidad de Zaragoza, Zaragoza, España; Departamento de Fisiatría y Enfermería, Área de Educación Física y Deportiva, Facultad de Ciencias de la Salud, Universidad de Zaragoza, Zaragoza, España
| | - Rosaura Leis Trabazo
- CIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España; Unidad de Gastroenterología, Hepatología y Nutrición Pediátrica, Departamento de Pediatría, Hospital Clínico Universitario de Santiago, Universidad de Santiago de Compostela, Santiago de Compostela, España; Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, A Coruña, España
| | - Alejandro Lucía
- Laboratorio de Fisiología del Ejercicio, Universidad Europea de Madrid. Facultad de Ciencias de la Salud
| | | | - Luis A Moreno Aznar
- CIBER Fisiopatología Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España; Grupo GENUD (Growth, Exercise, Nutrition and Development), Universidad de Zaragoza, Zaragoza, España; Instituto Agroalimentario de Aragón (IA2), Zaragoza, España; Instituto de Investigación Sanitaria Aragón (IIS Aragón, Zaragoza), Zaragoza, España
| | - Gerardo Rodríguez Martínez
- Comité de Promoción de la Salud, Asociación Española de Pediatría, Madrid, España; Grupo GENUD (Growth, Exercise, Nutrition and Development), Universidad de Zaragoza, Zaragoza, España; Instituto de Investigación Sanitaria Aragón (IIS Aragón, Zaragoza), Zaragoza, España; Red Salud Materno Infantil y del Desarrollo (SAMID, RETICS ISCIII, España), Baracaldo, Vizcaya, España
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López Rodríguez-Arias F, Sánchez-Guillén L, Armañanzas Ruiz LI, Díaz Lara C, Lacueva Gómez FJ, Balagué Pons C, Ramírez Rodríguez JM, Arroyo A. A Narrative Review About Prehabilitation in Surgery: Current Situation and Future Perspectives. Cir Esp 2020; 98:178-186. [PMID: 31987464 DOI: 10.1016/j.ciresp.2019.11.005] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2019] [Revised: 11/05/2019] [Accepted: 11/09/2019] [Indexed: 01/07/2023]
Abstract
Prehabilitation has a multimodal conception based on three fundamental pillars: improvement of the patient's physical condition, nutritional optimization and cognitive intervention to reduce stress and anxiety, as well as other measures such as smoking cessation and correction of anemia. The aim of prehabilitation programs is to optimize the patient from the moment of diagnosis until the surgical intervention in order to reduce postoperative complications. As in the case of multimodal rehabilitation protocols, the actions of prehabilitation programs have synergistic effects, that is, small changes that, by themselves, do not have clinical significance but when added up, they produce a significant improvement in the postoperative evolution of patients. Although more studies are required to evaluate the impact of these programs on patients groups with different pathologies, interventions and risk factors, their progressive implementation is necessary in the daily clinical practice of our patients. The objective of this narrative review is to evaluate the available evidence about prehabilitation in surgery, focusing on current established strategies, knowledge gaps and future research.
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Affiliation(s)
- Francisco López Rodríguez-Arias
- Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Elche, Universidad Miguel Hernández, Elche, Alicante, España
| | - Luis Sánchez-Guillén
- Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Elche, Universidad Miguel Hernández, Elche, Alicante, España.
| | - Laura Irene Armañanzas Ruiz
- Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Elche, Universidad Miguel Hernández, Elche, Alicante, España
| | - Carlos Díaz Lara
- Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Elche, Universidad Miguel Hernández, Elche, Alicante, España
| | - Francisco Javier Lacueva Gómez
- Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Elche, Universidad Miguel Hernández, Elche, Alicante, España
| | - Carmen Balagué Pons
- Servicio de Cirugía General y del Aparato Digestivo, Hospital de la Santa Creu i Sant Pau, Universidad Autónoma de Barcelona, Barcelona, España
| | - José Manuel Ramírez Rodríguez
- Servicio de Cirugía General y del Aparato Digestivo, Hospital Clínico Universitario Lozano Blesa, Universidad de Zaragoza, Zaragoza, España
| | - Antonio Arroyo
- Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Elche, Universidad Miguel Hernández, Elche, Alicante, España
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Martínez Aldao D, Martínez Lemos RI, Penedo Vázquez S, Ayán Pérez CL. [Effects of a physical exercise programme on the risk of falls, balance, and walking speed in older people with intellectual disabilities]. Rehabilitacion (Madr) 2020; 54:19-24. [PMID: 32007178 DOI: 10.1016/j.rh.2019.09.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Revised: 08/10/2019] [Accepted: 09/07/2019] [Indexed: 01/19/2023]
Abstract
INTRODUCTION People with intellectual disabilities (ID) have balance disturbances and risk of falls, which are aggravated with ageing. This study aimed to provide information on the effects of an exercise programme on fall risk, balance, and walking speed in a group of older people with ID. MATERIALS AND METHODS Eight people with mild to moderate ID (mean age: 56.37±7.08 years) participated in a 12-week programme based on a weekly session that included exercises aimed at strengthening stabilising muscles, stimulating proprioception, and enhancing reflexes in unstable situations. The effects of the programme on the risk of falling and on balance and walking speed were assessed using the Tinetti scale and the Timed Up and Go test, respectively. RESULTS The programme was feasible and no adverse effects were registered. At the end of the programme, the risk of falls remained unchanged, while balance and gait speed improved significantly. CONCLUSIONS A three-month weekly programme based on muscle strengthening and proprioceptive re-education exercises was feasible and had a positive impact on balance and walking speed in a group of older people with ID. These results lay the foundation for future randomised clinical trials aiming to confirm the effects of such programmes on the risk of falls in this population.
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Moreno Reyes P, Muñoz Gutiérrez C, Pizarro Mena R, Jiménez Torres S. [Effects of physical exercise on sleep quality, insomnia, and daytime sleepiness in the elderly. A literature review]. Rev Esp Geriatr Gerontol 2020; 55:42-49. [PMID: 31610889 DOI: 10.1016/j.regg.2019.07.003] [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] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Revised: 07/21/2019] [Accepted: 07/23/2019] [Indexed: 06/10/2023]
Abstract
The ageing process alters the stages of sleep, and the elderly that have this problem tend to be prescribed pharmacological treatment. This has long term side effects and results in increased health costs. On the other hand, frequent or regular physical exercise could be an overall superior alternative, due to its multifactorial effects. It is also less expensive, thus more affordable and accessible. Furthermore, these benefits could be extrapolated to the quality of sleep. Taking this into account the purpose of this paper is to establish the proper amount of physical exercise using the FITT (frequency, intensity, time, type of exercise) principle, and its effect on the quality of sleep, insomnia, and daytime sleepiness in the elderly. This could lead us to a paradigm shift in the treatment of sleep disorders, and also may constitute an alternative method for treating the elderly.
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Affiliation(s)
- Paula Moreno Reyes
- Departamento de Kinesiología, Facultad de Ciencias de la Salud, Universidad de Atacama, Copiapó, Chile.
| | - Constanza Muñoz Gutiérrez
- Departamento de Kinesiología, Facultad de Ciencias de la Salud, Universidad de Atacama, Copiapó, Chile; Departamento de Kinesiología y Nutrición, Facultad de Ciencias de la Salud, Universidad de Tarapacá, Arica, Chile
| | - Rafael Pizarro Mena
- Escuela de Kinesiología, Facultad de Ciencias de la Salud, Universidad San Sebastián, Santiago, Chile
| | - Sergio Jiménez Torres
- Departamento de Kinesiología y Nutrición, Facultad de Ciencias de la Salud, Universidad de Tarapacá, Arica, Chile
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Calderón C, Errasti N, Virto C, Ajuriagojeaskoa J, Gartziarena S, Blanco M, Uranga A. [Healthy walks, beyond physical exercise: evaluation of an experience in older population from Gipuzkoa (Spain)]. Gac Sanit 2019; 35:3-11. [PMID: 31056207 DOI: 10.1016/j.gaceta.2019.02.012] [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] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2018] [Revised: 02/18/2019] [Accepted: 02/20/2019] [Indexed: 11/27/2022]
Abstract
INTRODUCTION In 2011 the Tipi-Tapa initiative was endorsed by the Public Health Department of Gipuzkoa to promote physical exercise through healthy walks in community-dwelling older adults, in collaboration with municipalities, citizens associations and primary care. OBJECTIVE To evaluate, from the participants' perspective, the Tipi-Tapa experience during 2012-2017 to identify the main successes and failures and share proposals of continuity and improvement. METHOD Mixed methods design with a qualitative core component and a supplementary questionnaire to all participants from 13 municipalities. The Chi-squared test was used to compare percentages. In the qualitative study, a purposive sampling was applied considering participants' profiles through nine focus groups and 10 individual interviews. The interviews were audio recorded with previous consent. A thematic analysis was performed using conceptual maps and the MAXQDA software. Triangulation among researchers was done in a research-learning context. RESULTS We analysed 464 questionnaires; 64% from women and 36% from men. The participants' mean age was 69.8 years; 75% were older than 65 years. The general satisfaction was 9.05/10 with significant differences in favour of women, older age groups and widows. In the qualitative study, 43 women and 37 men participated. Three main thematic areas were identified based on category coding and overlap: a) it is not just walking; b) organization, values and persons; and c) collaborative keystones and future challenges. CONCLUSIONS The health benefits perceived by participants go beyond physical exercise, with important implications for social interaction and cohesion. The complexity of the processes assessed entails methodological, organizational and collaborative requirements.
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Affiliation(s)
- Carlos Calderón
- Centro de Salud de Alza, OSI-Donostia, Osakidetza, Donostia-San Sebastián (Gipuzkoa), España.
| | - Nagore Errasti
- Comarca de Salud Pública Tolosa-Goierri, Tolosa (Gipuzkoa), España
| | - Carmen Virto
- Comarca de Salud Pública Tolosa-Goierri, Tolosa (Gipuzkoa), España
| | | | - Sebas Gartziarena
- Centro de Salud de Ordizia, OSI Goierri-Alto Urola, Osakidetza, Ordizia (Gipuzkoa), España
| | - María Blanco
- Subdirección de Salud Pública y Adicciones de Gipuzkoa, Donostia-San Sebastián (Gipuzkoa), España
| | - Arantxa Uranga
- Subdirección de Salud Pública y Adicciones de Gipuzkoa, Donostia-San Sebastián (Gipuzkoa), España
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Rosa Guillamón A, Carrillo López PJ, García Cantó E, Perez Soto JJ, Tarraga Marcos L, Tarraga López PJ. Mediterranean diet, weight status and physical activity in schoolchildren of the Region of Murcia. Clin Investig Arterioscler 2019; 31:1-7. [PMID: 30503075 DOI: 10.1016/j.arteri.2018.09.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Revised: 08/08/2018] [Accepted: 09/14/2018] [Indexed: 12/28/2022]
Abstract
INTRODUCTION Childhood and adolescence are key stages to promote a healthy lifestyle. OBJECTIVE To analyze the relationship between weight status, physical activity and the Mediterranean diet in schoolchildren in the Region of Murcia. METHODS Cross-sectional descriptive study with 520 schoolchildren aged 8-17 years. The weight status was calculated through the body mass index. The Mediterranean diet was found through the KIDMED questionnaire and physical activity was estimated using the IPAQ-C and IPAQ-A questionnaires. RESULTS The Mediterranean diet is not significantly associated with sex (P<.537) or weight status (P<.417) but it maintains a relationship of dependence with age (P<.010) and the level of physical activity (P<.000). Schoolchildren in normal weight and assets have a greater follow-up to the Mediterranean diet than their overweight and sedentary peers (P<.000). CONCLUSION The Fat but fit phenomenon applied to the Mediterranean diet is confirmed.
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Galle FA, Martella D, Bresciani G. [Antioxidant and anti-inflammatory modulation of exercise during aging]. Rev Esp Geriatr Gerontol 2018; 53:279-284. [PMID: 29898833 DOI: 10.1016/j.regg.2018.03.003] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2017] [Revised: 01/09/2018] [Accepted: 03/06/2018] [Indexed: 06/08/2023]
Abstract
Aging is characterised by a gradual loss of the functional reserve. This, along with the fostering of sedentary habits and the increase in risk factors, causes a deterioration of antioxidant defences and an increase of the circulatory levels of inflammatory and oxidative markers, boosting a low-rate chronic inflammation, defined as inflamm-aging. This phenomenon is present in the aetiopathology of chronic diseases, as well as in cognitive deterioration cases associated with aging. The objective of this review is to describe the modulation of antioxidant and anti-inflammatory effects of physical exercise of moderate intensity and volume in the elderly. Evidence of its effectiveness as a non-pharmacological resource is presented, which decreases some deleterious effects of aging. This is mainly due to its neuroprotective action, the increase in circulating anti-inflammatory markers, and the improvement of antioxidant defence derived from its practice.
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Affiliation(s)
- Fernando Alexis Galle
- Facultad de Ciencias de la Educación, Universidad San Sebastián, Puerto Montt, Chile; Universidad Autónoma de Chile, Chile
| | | | - Guilherme Bresciani
- Grupo de Investigación en Rendimiento Físico y Salud (IRyS), Escuela de Educación Física, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile.
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Meseguer Zafra M, Rosa Guillamón A, García-Cantó E, Rodríguez García PL, Pérez-Soto JJ, Tárraga López PJ, Del Moral García JE, Tárraga Marcos ML. [Influence of a programme of therapeutic exercise on different clinical indicators related to dyslipidaemia in adult subjects aged between 26 to 73 years with a cardiovascular risk factor]. Hipertens Riesgo Vasc 2019; 36:21-7. [PMID: 29636229 DOI: 10.1016/j.hipert.2018.02.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2017] [Revised: 01/29/2018] [Accepted: 02/01/2018] [Indexed: 12/12/2022]
Abstract
INTRODUCTION A sedentary lifestyle is indicated in the international literature as one of the main causes for the onset of some cardiovascular risk factors. OBJECTIVE To assess the effect of a therapeutic physical exercise programme on different clinical indicators related to dyslipidaemia (total cholesterol, HDL and LDL) in sedentary subjects with a cardiovascular risk factor. METHOD Intervention study with before-and-after evaluation of a sample of 340 patients (132 males and 208 females) referred from the 2 primary care centres of the municipality of Molina de Segura (Murcia), and who participated in a 30-week programme of physical exercise combining muscle-conditioning work circuits with other cardio-respiratory resistance workouts. Regarding the clinical indicators, the health professionals collected in the medical history the health indicators corresponding to the biological evolution of the process for which the subjects studied had started the physical exercise programme. RESULTS The statistical analyses showed a significant improvement (p<.005) in the LDL indicator and a non-significant improvement in total and HDL cholesterol indicators after a 3-month exercise programme of 3 weekly sessions. CONCLUSIONS The prescription of physical exercise in dyslipidaemic subjects from primary care centre should be evaluated as a resource for improving the clinical indicators specific to their pathology.
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Rosas Hernández AM, Alejandre Carmona S, Rodríguez Sánchez JE, Castell Alcalá MV, Otero Puime Á. [Detection of the largest population susceptible to prescription of a program of exercises in Primary Care to prevent frailty]. Aten Primaria 2019; 51:135-41. [PMID: 29555215 DOI: 10.1016/j.aprim.2017.11.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2017] [Revised: 11/08/2017] [Accepted: 11/22/2017] [Indexed: 11/20/2022] Open
Abstract
Objetivo Identificar a la población mayor de 70 años atendida en Atención Primaria, susceptible de participar en un programa de ejercicio físico para prevenir fragilidad. Analizar la concordancia entre 2 criterios para seleccionar la población beneficiaria del programa. Diseño Estudio transversal de base poblacional. Emplazamiento Atención Primaria. Participantes Mayores de 70 años no frágiles residentes del Barrio Peñagrande (distrito Fuencarral, Madrid) pertenecientes a la cohorte de Peñagrande localizables en 2015 y que aceptaron participar (n = 307). Mediciones principales La variable principal del estudio es la necesidad de prescripción de ejercicio en Atención Primaria en personas mayores de 70 años; se identificó a través de 2 definiciones diferentes: personas prefrágiles (1 o 2 de los 5 criterios de Fried) y personas independientes con desempeño físico limitado, definida por los criterios del documento de consenso sobre prevención de fragilidad y caídas en la persona mayor (mayor de 70 años independiente y con puntuación total del SPPB < 10). Resultados El 63,84% de los participantes (n = 196) necesitan prescripción del ejercicio por ser prefrágiles y/o por cumplir los criterios definidos en el documento de consenso. En 82 casos cumplían los 2 criterios (prefragilidad y desempeño físico disminuido), 80 eran prefrágiles con desempeño físico normal y 34 eran robustos con desempeño físico limitado. La concordancia entre ambos criterios es débil (índice kappa 0,27). Conclusión Casi 2 tercios de los mayores presentan algún tipo de limitación funcional. Los criterios del documento de consenso para prevenir la fragilidad detectan a la mitad de los individuos prefrágiles de la comunidad.
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Coelho-Júnior HJ, Asano RY, Gonçalvez IO, Brietzke C, Pires FO, Aguiar SDS, Feriani DJ, Caperuto EC, Uchida MC, Rodrigues B. Multicomponent exercise decreases blood pressure, heart rate and double product in normotensive and hypertensive older patients with high blood pressure. Arch Cardiol Mex 2018; 88:413-22. [PMID: 29496407 DOI: 10.1016/j.acmx.2018.01.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2017] [Revised: 01/18/2018] [Accepted: 01/22/2018] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE The present study aimed to investigate the effects of a 6-month multicomponent exercise program on blood pressure, heart rate, and double product of uncontrolled and controlled normotensive and hypertensive older patients. METHODS The study included 183 subjects, 97 normotensives, of which 53 were controlled normotensives (CNS), and 44 uncontrolled normotensives (UNS), as well as 86 hypertensives, of which 43 were controlled hypertensives (CHS), and 43 uncontrolled hypertensives (UHS). Volunteers were recruited and blood pressure and heart rate measurements were made before and after a 6-month multicomponent exercise program. The program of physical exercise was performed twice a week for 26 weeks. The physical exercises program was based on functional and walking exercises. Exercise sessions were performed at moderate intensity. RESULTS The results indicated that UHS showed a marked decrease in systolic (-8.0mmHg), diastolic (-11.1mmHg), mean (-10.1mmHg), and pulse pressures, heart rate (-6.8bpm), and double product (-1640bpmmmHg), when compared to baseline. Similarly, diastolic (-5.5mmHg) and mean arterial (-4.8mmHg) pressures were significantly decreased in UNS. Concomitantly, significant changes could be observed in the body mass index (-0.9kg/m2; -1.5kg/m2) and waist circumference (-3.3cm; only UHS) of UNS and UHS, which may be associated with the changes observed in blood pressure. CONCLUSIONS In conclusion, the data of the present study indicate that a 6-month multicomponent exercise program may lead to significant reductions in blood pressure, heart rate, and double product of normotensive and hypertensive patients with high blood pressure values.
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Ayán C, de Pedro-Múñez A, Martínez-Lemos I. [Effects of physical exercise in a population with systemic lupus erythematosus: A systematic review]. Semergen 2018; 44:192-206. [PMID: 29439911 DOI: 10.1016/j.semerg.2017.12.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2017] [Revised: 11/23/2017] [Accepted: 12/17/2017] [Indexed: 01/24/2023]
Abstract
This systematic review was aimed at analysing the existing scientific evidence regarding the effects of physical exercise on the symptomatology, disease activity, and fitness level in a population with systemic lupus erythematosus. Following the PRISMA checklist, a search was carried out on PubMed, PEDro, and Sportdiscus databases. The PEDro and MINORS checklists were used in order to identify the methodological quality of the studies selected. A total of 14 studies were found, of which 10 were randomised controlled trials, and 4 were comparative studies. The performance of physical exercise led to significant improvements in fitness and fatigue. No adverse effects were registered. None of the studies found reported positive effects on the disease activity. The obtained results imply that the performance of physical exercise is safe for people with systemic lupus erythematosus, although its benefits are reduced mainly to improvements in their fitness and perceived level of fatigue.
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Meseguer Zafra M, García-Cantó E, Rodríguez García PL, Pérez-Soto JJ, Tárraga López PJ, Rosa Guillamón A, Tarraga López ML. Influence of a physical exercise program on VO 2max in adults with cardiovascular risk factors. Clin Investig Arterioscler 2018; 30:95-101. [PMID: 29395495 DOI: 10.1016/j.arteri.2017.11.003] [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] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/02/2017] [Revised: 11/29/2017] [Accepted: 11/29/2017] [Indexed: 11/16/2022]
Abstract
OBJECTIVE The aim of the study was to assess the influence of a physical exercise program on VO2max in sedentary subjects with cardiovascular risk factors. MATERIALS AND METHODS The sample was composed of 214 patients (80 males, 134 females) with an average age of 52 years, who were referred to a physical exercise program from 2 primary care centres of Spanish southeast. It was implemented a 10 week program (3 training×1h/week) combining strength with cardiorespiratory fitness. TheVO2max was analyzed through the Rockport Walk Test (RWT) comparing the pre and post program measurements. RESULTS The results show significant improvements on VO2max for both genders (p<0,05). The most pronounced increase in VO2max was among males in the highest age band (56-73 years). CONCLUSIONS Prescribing and referral exercise programs from primary care centers must be considered as a resource for improving cardiorespiratory fitness in the population studied.
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Barreira E, Novo A, Vaz JA, Pereira AMG. Dietary program and physical activity impact on biochemical markers in patients with type 2 diabetes: A systematic review. Aten Primaria 2017; 50:590-610. [PMID: 29061310 PMCID: PMC6836882 DOI: 10.1016/j.aprim.2017.06.012] [Citation(s) in RCA: 9] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2017] [Revised: 05/26/2017] [Accepted: 06/13/2017] [Indexed: 02/07/2023] Open
Abstract
Objectives Evaluate the effectiveness of the implementation of independently or combined dietary and physical activity programs on the blood glucose values and lipid profile in patients with type 2 diabetes, including participants aged 60 years and over. Design Systematic review. Data source PubMed/Medline database, with language restrictions. Papers published between 2010 and 2016 were included. Study selection A total of 30 randomised controlled trials were included that focused on physical activity and dietary interventions in patients with type 2 diabetes mellitus and include participants aged 60 years and over. Results The selected articles have shown that the implementation of physical activity programs (aerobic, resistance, flexibility and combined exercises), and programs based on a higher intake of vegetables, grains, legumes, fruits, unsaturated fatty acids, as well as consumption of foods with low glycaemic index, calorie restriction, intake of probiotics, vitamin D supplementation and educational sessions about diabetes improves blood glucose levels, as well as the lipid profile, in patients with type 2 diabetes. Conclusions Physical activity and dietary programs are fundamental in the treatment and metabolic control of type 2 diabetes mellitus.
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Affiliation(s)
- Eduarda Barreira
- Health School, Polytechnic Institute of Bragança, Bragança, Portugal.
| | - André Novo
- Health School, Polytechnic Institute of Bragança, Bragança, Portugal; CINTESIS-Research Center on Health Technologies and Services, Porto, Portugal
| | - Josiana A Vaz
- Health School, Polytechnic Institute of Bragança, Bragança, Portugal; CIMO-Mountain Research Centre, Polytechnic Institute of Bragança, Campus de Santa Apolónia, Bragança, Portugal
| | - Ana M G Pereira
- Health School, Polytechnic Institute of Bragança, Bragança, Portugal
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Viladrosa M, Casanova C, Ghiorghies AC, Jürschik P. [Effectiveness of physical exercise on fitness in frail older adults: A systematic review of randomised trials]. Rev Esp Geriatr Gerontol 2017. [PMID: 28641903 DOI: 10.1016/j.regg.2017.05.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Performing exercise to maintain a good physical condition is crucial to improve and prevent frailty in older adults. The aim of this review was to assess the beneficial effects of physical exercise on fitness in frail older adults. A thorough literature search of randomised clinical trials (RCT) in the last 15 years was performed on different electronic databases. The methodological assessment of studies was obtained using the PEDro scale. Ten RCT were included, providing a final sample of 1,130 individuals. Scores on the PEDro scale ranged from 5 to 8/10. Multicomponent training programs seem to be the best strategy to improve fitness outcomes. Further studies should be performed in order to optimise the design of supervised exercise programs, and further research is needed in hospital and institutionalised settings.
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Affiliation(s)
- Maria Viladrosa
- Departamento de Enfermería y Fisioterapia, Universitat de Lleida, Lleida, España; Hospital Universitari Arnau de Vilanova, Lleida España.
| | - Carles Casanova
- Departamento de Enfermería y Fisioterapia, Universitat de Lleida, Lleida, España
| | | | - Pilar Jürschik
- Departamento de Enfermería y Fisioterapia, Universitat de Lleida, Lleida, España
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Rubio Pérez FJ, Franco Bonafonte L, Ibarretxe Guerediaga D, Oyon Belaza MP, Ugarte Peyron P. Effect of an individualised physical exercise program on lipid profile in sedentary patients with cardiovascular risk factors. Clin Investig Arterioscler 2017; 29:201-8. [PMID: 28625710 DOI: 10.1016/j.arteri.2017.02.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Physical exercise has become in an important tool in the reduction of cardiovascular risk. OBJECTIVES To evaluate the effectiveness of an unsupervised physical exercise program that on the physical condition and the lipid profile. METHOD The final sample included 49 sedentary men and women, who were non-smokers, with dyslipidaemia, overweight, and type1 obesity. The 4-month program included walking for 30-60minutes every day, and for three days a week, 30minutes of cycling at an intensity of 40-60% of maximum functional capacity, as well as isometric abdominals and static stretching. Anthropometrics, physical condition (6minute test), and the lipid profile were evaluated before and after the physical exercise program. The objective was to achieve a caloric expenditure between 1200-2000kcal/week. RESULTS At the end of the program it was observed, in both sexes, that there was a decrease in total cholesterol (P<0.02), LDL cholesterol (P<0.01), VLDL cholesterol (P<0.01), and triglycerides (P<0.05), and an increase HDL cholesterol (P<0.05). There was also an increase in the distance travelled in the 6minute test of 52m in men and 39.5m in women (P<0.002), plus a decrease in the perception of fatigue on the Borg scale of 1.19 in men, and 0.96 in women (P<0.01). There were no anthropometric changes. CONCLUSIONS The physical exercise improved physical condition and the lipid profile in the sample that has been studied, with 64% of participants continuing to do it.
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Gómez Escribano L, Gálvez Casas A, Escribá Fernández-Marcote AR, Tárraga López P, Tárraga Marcos L. Review and analysis of physical exercise at hormonal and brain level, and its influence on appetite. Clin Investig Arterioscler 2017. [PMID: 28625709 DOI: 10.1016/j.arteri.2017.04.002] [Citation(s) in RCA: 2] [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] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Due to the currently growing rate of obesity, it is important to maintain good control of food intake. The main purpose of the present study is to determine the influence of physical exercise on appetite, changes in hormone concentrations, and changes in certain neuronal regions. To achieve this, a literature search was conducted using different data bases. The results show how exercise produces changes in the appetite perception, in the amount of energy intake, and in different weight-control related hormones, as well as in specific neuronal responses. In conclusion, it can be shown that exercise leads to changes in appetite, hunger, and energy intake. In addition, exercise decreases the ghrelin levels and increases concentrations of leptin. Likewise, it is shown how physical exercise alters the responses of certain neuronal regions after visualizing specific food elements decreasing so the appetite or the intake of them.
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Affiliation(s)
- Laura Gómez Escribano
- Departamento de Didáctica de la Expresión Plástica, Musical y Dinámica, Facultad de Educación. Universidad de Murcia, Murcia, España
| | - Arancha Gálvez Casas
- Departamento de Didáctica de la Expresión Plástica, Musical y Dinámica, Facultad de Educación. Universidad de Murcia, Murcia, España
| | | | - Pedro Tárraga López
- Departamento de Ciencias Biomédicas, Facultad de Medicina, Universidad de Castilla La Mancha, Ciudad Real, España.
| | - Loreto Tárraga Marcos
- Departamento de Ciencias Biomédicas, Facultad de Medicina, Universidad de Castilla La Mancha, Ciudad Real, España
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McMonnies CW. Intraocular pressure and glaucoma: Is physical exercise beneficial or a risk? J Optom 2016; 9:139-47. [PMID: 26794458 PMCID: PMC4911456 DOI: 10.1016/j.optom.2015.12.001] [Citation(s) in RCA: 43] [Impact Index Per Article: 5.4] [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: 07/11/2015] [Revised: 11/27/2015] [Accepted: 12/07/2015] [Indexed: 05/07/2023]
Abstract
Intraocular pressure may become elevated with muscle exertion, changes in body position and increased respiratory volumes, especially when Valsalva manoeuver mechanisms are involved. All of these factors may be present during physical exercise, especially if hydration levels are increased. This review examines the evidence for intraocular pressure changes during and after physical exercise. Intraocular pressure elevation may result in a reduction in ocular perfusion pressure with the associated possibility of mechanical and/or ischaemic damage to the optic nerve head. A key consideration is the possibility that, rather than being beneficial for patients who are susceptible to glaucomatous pathology, any intraocular pressure elevation could be detrimental. Lower intraocular pressure after exercise may result from its elevation causing accelerated aqueous outflow during exercise. Also examined is the possibility that people who have lower frailty are more likely to exercise as well as less likely to have or develop glaucoma. Consequently, lower prevalence of glaucoma would be expected among people who exercise. The evidence base for this topic is deficient and would be greatly improved by the availability of tonometry assessment during dynamic exercise, more studies which control for hydration levels, and methods for assessing the potential general health benefits of exercise against any possibility of exacerbated glaucomatous pathology for individual patients who are susceptible to such changes.
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Delgado Floody P, Caamaño Navarrete F, Osorio Poblete A, Jerez Mayorga D. [Not Available]. NUTR HOSP 2016; 33:16. [PMID: 27019243 DOI: 10.20960/nh.v33i1.16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2016] [Accepted: 02/16/2016] [Indexed: 11/02/2022] Open
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Gálvez Casas A, Rodríguez García PL, García-Cantó E, Rosa Guillamón A, Pérez-Soto JJ, Tarraga Marcos L, Tarraga Lopez P. [Aerobic capacity and quality of life in school children from 8 to 12]. Clin Investig Arterioscler 2015; 27:239-45. [PMID: 25814171 DOI: 10.1016/j.arteri.2015.01.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [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: 12/01/2014] [Revised: 01/11/2015] [Accepted: 01/12/2015] [Indexed: 11/15/2022]
Abstract
Aerobic capacity is a powerful physiological indicator of the overall health status. The objective of this study was to analyse the relationship between aerobic capacity and quality of life in a sample of 298 (159 girls) school children aged 8-12 years. Aerobic capacity was tested using the Course-Navette test. Quality of life was assessed using the KIDSCREEN-10 Index scale. Males showed higher performance in the Course-Navette test and highest values of VO2max (P<.001 for both). ANOVA statistical analysis showed that the quality of life was significantly higher in school children with increased level of aerobic capacity compared to those with a low level (P=.001). Children with high aerobic capacity showed higher quality of life scores in relation to their peers with low scores (P<.001). As for the females, significant differences were found among those with high aerobic capacity level and their peers low levels (P<.031). The results of this study suggest that school children with higher level of aerobic capacity show better results in the quality of life index. Long-term intervention studies are needed to verify if an aerobic capacity development programme may upgrade the quality of life of children and adolescents.
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Parra-Sánchez J, Moreno-Jiménez M, Nicola CM, Nocua-Rodríguez II, Amegló-Parejo MR, Del Carmen-Peña M, Cordero-Prieto C, Gajardo-Barrena MJ. [Evaluation of a supervised physical exercise program in sedentary patients over 65 years with type 2 diabetes mellitus]. Aten Primaria 2015; 47:555-62. [PMID: 25769195 PMCID: PMC6983777 DOI: 10.1016/j.aprim.2015.01.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [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: 02/02/2014] [Revised: 01/15/2015] [Accepted: 01/16/2015] [Indexed: 01/12/2023] Open
Abstract
OBJECTIVE To analyze whether an exercise program can modify glycated hemoglobin (HbA1c), blood pressure (BP), body mass index (BMI), lipids, cardiovascular risk profile (CVR), self-perceived health status (SHS), and pharmaceutical expenditure (PE). DESIGN A randomized, single blind, controlled trial. INTERVENTION program of supervised aerobic physical exercise. Analysis by intention to treat. LOCATION Primary Care: 2 rural health areas. Health Area of Navalmoral. Cáceres. Extremadura. Spain. PARTICIPANTS 100 type 2 diabetic patients, aged 65 to 80 years, sedentary. Distribution: 50% control group (CG) and 50% intervention group (IG). Abandoned 12%. INTERVENTION monitored aerobic exercise: 40minutes, 2 days/week, 3 months. KEY MEASURES HbA1c, BP, BMI, lipid, CVR, SHS, PE. Complications during exercise. RESULTS There were post-intervention differences between groups in HbA1c, BP, BMI, cholesterol and SHS. In the IG, there was a significant decrease in; HbA1c: 0.2±0.4% (95% CI: 0.1 to 0.3), systolic BP: 11.8±8.5mmHg (95% CI: 5.1 to 11.9), BMI: 0.5±1 (95% CI: 0.2 to 0.8), total cholesterol: 14±28.2mg/dl (95% CI: 5.9 to 22.2), LDL: 18.3±28.2mg/dl 95% CI: 10.2 to 26.3), CVR: 6.7±7.7% (95% CI: 4.5 to 8.9), PE: 3.9±10.2 € (95% CI: 0.9 to 6.8), and an increase in SHS; 4.7±5.7 (95% CI: 3 to 6.3). CONCLUSIONS In diabetics over 65 years, a program of monitored aerobic exercise, of easy implementation, improves HbA1c, BP, cholesterol, CVR, PE, and SHS.
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Affiliation(s)
| | | | | | | | | | - Marlen Del Carmen-Peña
- Centro de Salud de Navalmoral de la Mata, Área de Salud de Navalmoral de la Mata, Cáceres, Servicio Extremeño de Salud, España
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Fernández García R, Sánchez Sánchez LDC, López Rodríguez MDM, Sánchez Granados G. [Effects of an exercise and relaxation aquatic program in patients with spondyloarthritis: A randomized trial]. Med Clin (Barc) 2015; 145:380-4. [PMID: 25639496 DOI: 10.1016/j.medcli.2014.10.015] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [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] [Received: 04/24/2014] [Revised: 09/29/2014] [Accepted: 10/02/2014] [Indexed: 01/22/2023]
Abstract
BACKGROUND AND OBJECTIVE Spondyloarthritis is a general term referring to a group of chronic rheumatic illnesses that share clinical, genetic, radiological and epidemiological features. The clinical presentation of spondyloarthritis is characterized by the compromise of both the axial and peripheral articular skeleton. We aimed to evaluate the efficacy of an aquatic exercise plus relaxation program in patients with spondyloarthritis. PATIENTS AND METHOD This was a randomized single blind study including 30 patients with spondylitis who were randomly assigned to an experimental or control group. For 2 months, the experimental group underwent an aquatic fitness plus relaxation program (3 sessions per week). Evaluations were also performed in the control group the same days as the experimental group but they did not participate in any supervised exercise program. The following data were obtained at baseline and immediately after application of the last session: Bath Ankylosing Spondylitis Functional Index, Bath Ankylosing Spondylitis Disease Activity Index, Health Questionnaire SF-12 and Sigma PC3(®) (Sigma-Elektro GmbH, Neustadt, Germany) Heart Rate Monitor. RESULTS The Mann-Whitney test showed statistically significant differences in the quality of life (physical function [P=.05]), Bath Ankylosing Spondylitis Functional Index (P=.015), Bath Ankylosing Spondylitis Disease Activity Index (fatigue [P=.032], neck pain, back and hips [P=.045], pain or swelling in other joints [P=.032] and in waking morning stiffness [P=.019]). CONCLUSIONS The results of the present study suggest that therapy with physical exercise plus relaxation provides benefits to spondyloarthritis patients and these are advised as a part of their usual treatment.
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Affiliation(s)
- Rubén Fernández García
- Facultad de Ciencias de la Salud, Departamento de Enfermería, Fisioterapia y Medicina, Universidad de Almería, Almería, España.
| | | | - María Del Mar López Rodríguez
- Facultad de Ciencias de la Salud, Departamento de Enfermería, Fisioterapia y Medicina, Universidad de Almería, Almería, España
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Galve E, Cordero A, Bertomeu-Martínez V, Fácila L, Mazón P, Alegría E, Fernández de Bobadilla J, García-Porrero E, Martínez-Sellés M, González-Juanatey JR. Update in cardiology: vascular risk and cardiac rehabilitation. ACTA ACUST UNITED AC 2015; 68:136-43. [PMID: 25583549 DOI: 10.1016/j.rec.2014.10.005] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2014] [Accepted: 10/02/2014] [Indexed: 01/03/2023]
Abstract
As in other fields, understanding of vascular risk and rehabilitation is constantly improving. The present review of recent epidemiological update shows how far we are from achieving good risk factor control: in diet and nutrition, where unhealthy and excessive societal consumption is clearly increasing the prevalence of obesity; in exercise, where it is difficult to find a balance between benefit and risk, despite systemization efforts; in smoking, where developments center on programs and policies, with the electronic cigarette seeming more like a problem than a solution; in lipids, where the transatlantic debate between guidelines is becoming a paradigm of the divergence of views in this extensively studied area; in hypertension, where a nonpharmacological alternative (renal denervation) has been undermined by the SYMPLICITY HTN-3 setback, forcing a deep reassessment; in diabetes mellitus, where the new dipeptidyl peptidase-4 and sodium-glucose cotransporter type 2 inhibitors and glucagon like peptide 1 analogues have contributed much new information and a glimpse of the future of diabetes treatment, and in cardiac rehabilitation, which continues to benefit from new information and communication technologies and where clinical benefit is not hindered by advanced diseases, such as heart failure. Our summary concludes with the update in elderly patients, whose treatment criteria are extrapolated from those of younger patients, with the present review clearly indicating that should not be the case.
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Affiliation(s)
- Enrique Galve
- Servicio de Cardiología, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
| | - Alberto Cordero
- Departamento de Cardiología, Hospital Universitario de San Juan, San Juan de Alicante, Alicante, Spain
| | - Vicente Bertomeu-Martínez
- Departamento de Cardiología, Hospital Universitario de San Juan, San Juan de Alicante, Alicante, Spain
| | - Lorenzo Fácila
- Servicio de Cardiología, Consorcio Hospital General de Valencia, Valencia, Spain
| | - Pilar Mazón
- Servicio de Cardiología, Hospital Universitario Santiago de Compostela, Santiago de Compostela, A Coruña, Spain
| | - Eduardo Alegría
- Servicio de Cardiología, Policlínica Gipuzkoa, San Sebastián, Guipúzcoa, Spain
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Iglesias Martínez B, Olaya Velázquez I, Gómez Castro MJ. [Prevalence of performing and prescribing physical exercise in patients diagnosed with anxiety and depression]. Aten Primaria 2014; 47:428-37. [PMID: 25500217 PMCID: PMC6983692 DOI: 10.1016/j.aprim.2014.10.003] [Citation(s) in RCA: 5] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2014] [Revised: 10/08/2014] [Accepted: 10/22/2014] [Indexed: 10/25/2022] Open
Abstract
OBJECTIVE To estimate the prevalence of physical exercise practice in patients diagnosed with anxiety and/or depression. DESIGN Cross-sectional, observational study. LOCATION Sabugo and la Magdalena primary care centers in Avilés. PARTICIPANTS Patients aged 18 to 75 years diagnosed with anxiety and/or depression, consumers of psychoactive drugs in the three months previous to the realization of the study. We selected 376 patients by simple random sampling stratified by health center, making them a telephone survey. MAIN MEASUREMENTS Age, sex, physical exercise realization, type and duration of exercise, diagnosis of anxiety and/or depression, exercise prescription, prescriber health personnel and use of psychotropic medication. RESULTS 294 participants (78.19% of selected) with a mean age of 55.33 years (55.32±12.53 SD) and 78.2% were female. 60.9% were diagnosed with anxiety, 59.5% with depression and 20.4% both diagnoses. 62.9% used antidepressants, benzodiazepines 76.9% and 39.79% both treatments. 58.5% (95%CI: 52.70-64.31) performed exercise of which 44.77% did it 3-5 times/week. The mean duration was 1.24h each time (95%CI: 0.53-1.96). The physical exercise was prescribed to the 59.18% (95%CI: 53.39-64.97); 90.23% by the family physician, 63.22% primary care nurse, 17.24% psychiatrist and 5.17% psychologist. The adherence to the prescription was 59.77% (95%CI: 52.20-67.34). CONCLUSIONS The percentage of anxious and/or depressed patients who practiced exercise is similar to the general population but should be higher. The exercise prescription by health personnel is insufficient.
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Affiliation(s)
| | | | - María José Gómez Castro
- Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Asturias, La Fresneda, España
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Neipp MC, Quiles MJ, León E, Tirado S, Rodríguez-Marín J. [Applying the Theory of Planned Behavior: Which factors influence on doing physical exercise?]. Aten Primaria 2014; 47:287-93. [PMID: 25159024 PMCID: PMC6985607 DOI: 10.1016/j.aprim.2014.07.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [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: 05/12/2014] [Revised: 07/02/2014] [Accepted: 07/14/2014] [Indexed: 11/25/2022] Open
Abstract
Objetivo El propósito de este estudio fue analizar las diferencias entre las actitudes, la norma subjetiva y la percepción de control comportamental entre los grupos de individuos que hacían ejercicio físico y los que no. Diseño Estudio transversal, observacional. Emplazamiento Se aplicó el cuestionario a la población general en la provincia de Alicante. Participantes Seiscientos setenta y nueve personas que practicaban regularmente ejercicio físico de la provincia de Alicante. Mediciones principales Se administró el cuestionario que evaluaba los componentes del modelo de la Teoría de la Conducta Planeada (TCP). Resultados Los resultados mostraron que las variables del modelo (TCP) presentaron un buen ajuste a los datos. Además, la norma subjetiva y la percepción de control comportamental influyeron significativamente en la intención y las 3 variables explicaron el 61% de su varianza. Conclusión Los resultados apoyan el importante papel de la TCP en el contexto del ejercicio físico. En ambos grupos, la percepción de control comportamental fue el predictor más potente de la intención de practicar ejercicio físico. Se presenta una propuesta para incluir estas variables en los programas para potenciar la práctica del ejercicio físico.
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Affiliation(s)
- Mari Carmen Neipp
- Departamento de Psicología de la Salud, Universidad Miguel Hernández, Elche, Alicante, España.
| | - María José Quiles
- Departamento de Psicología de la Salud, Universidad Miguel Hernández, Elche, Alicante, España
| | - Eva León
- Departamento de Psicología de la Salud, Universidad Miguel Hernández, Elche, Alicante, España
| | - Sonia Tirado
- Departamento de Psicología de la Salud, Universidad Miguel Hernández, Elche, Alicante, España
| | - Jesús Rodríguez-Marín
- Departamento de Psicología de la Salud, Universidad Miguel Hernández, Elche, Alicante, España
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Osuna-Pozo CM, Ortiz-Alonso J, Vidán M, Ferreira G, Serra-Rexach JA. [Review of functional impairment associated with acute illness in the elderly]. Rev Esp Geriatr Gerontol 2014; 49:77-89. [PMID: 24529877 DOI: 10.1016/j.regg.2013.08.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [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] [Received: 06/04/2013] [Revised: 07/29/2013] [Accepted: 08/01/2013] [Indexed: 06/03/2023]
Abstract
Hospitalization is a risk for elderly population, with a high probability of having adverse events. The most important one is functional impairment, due to its high prevalence and the serious impact it has on the quality of life. The main risk factors for functional decline associated with hospitalization are, age, immobility, cognitive impairment, and functional status prior to admission. It is necessary to detect patients at risk in order to implement the necessary actions to prevent this deterioration, with physical exercise and multidisciplinary geriatric care being the most important.
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Affiliation(s)
| | - Javier Ortiz-Alonso
- Servicio de Geriatría, Hospital General Universitario Gregorio Marañón, Madrid, España
| | - Maite Vidán
- Servicio de Geriatría, Hospital General Universitario Gregorio Marañón, Madrid, España
| | - Guillermo Ferreira
- Servicio de Geriatría, Hospital General Universitario Gregorio Marañón, Madrid, España
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