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Rial-Vázquez J, Pérez-Ríos M, Santiago-Pérez MI, Ruano-Ravina A. [Short version of the Minnesota Leisure Time Physical Activity Questionnaire for general population: MLTPAQ 9+2]. Gac Sanit 2023; 37:102309. [PMID: 37269629 DOI: 10.1016/j.gaceta.2023.102309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 03/27/2023] [Accepted: 03/31/2023] [Indexed: 06/05/2023]
Abstract
The aim of this study was to propose a short version of the Minnesota Leisure Time Physical Activity Questionnaire (MLTPAQ) to estimate the prevalence of physical inactivity. MLTPAQ was included in the Galician Risk Behavior Information System survey. Each activity was associated with an intensity code, in multiples of 1 MET, and a weekly energy expenditure of less than 1000kcal was defined as physically inactive. The prevalence of physical inactivity was calculated with the complete and short list (nine activities are performed by at least 10% of the population). The complete and short list classify physical inactivity with an agreement of 98,8%. Misclassified people do one or two more activities, so two open response items were included. This study proposes a short version (9+2 items), suitable for inclusion in a general adult population health survey.
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Affiliation(s)
- Jessica Rial-Vázquez
- Área de Medicina Preventiva y Salud Pública, Universidad de Santiago de Compostela, Santiago de Compostela (A Coruña), España; Departamento de Educación Física y Deportiva, Facultad de Ciencias del Deporte y Educación Física, Universidad de A Coruña, A Coruña, España
| | - Mónica Pérez-Ríos
- Área de Medicina Preventiva y Salud Pública, Universidad de Santiago de Compostela, Santiago de Compostela (A Coruña), España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Instituto de Investigación Sanitaria de Santiago de Compostela, Santiago de Compostela (A Coruña), España.
| | | | - Alberto Ruano-Ravina
- Área de Medicina Preventiva y Salud Pública, Universidad de Santiago de Compostela, Santiago de Compostela (A Coruña), España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Instituto de Investigación Sanitaria de Santiago de Compostela, Santiago de Compostela (A Coruña), España
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Sotos-Prieto M, Delgado-Velandia M, Fernández-Felix BM, Zamora J, Ortolá R, García-Esquinas E, Rimm EB, Rodríguez-Artalejo F. Performance and validation of the Healthy Heart Score model for predicting 12-year cardiovascular mortality in a nationwide Mediterranean population. Rev Esp Cardiol (Engl Ed) 2023; 76:444-452. [PMID: 36379366 DOI: 10.1016/j.rec.2022.10.009] [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] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Accepted: 10/26/2022] [Indexed: 05/28/2023]
Abstract
INTRODUCTION AND OBJECTIVES The Healthy Heart Score (HHS) is a lifestyle-based equation for predicting cardiovascular disease (CVD) risk and may serve as a tool in primordial prevention. However, its performance outside North American populations is unknown. This study assessed the performance of the HHS for estimating CVD mortality in the adult population of Spain. METHODS We analyzed data from the ENRICA cohort, comprising 10 228 participants free of chronic disease and representative of the Spanish population aged ≥ 18-years, who were recruited from 2008 to 2010 and were followed up to 2020. The HHS includes body mass index, alcohol, physical activity, smoking, and a 5-component dietary score. The HHS was calculated at baseline using the sex-specific beta coefficients from the original development cohorts. Model discrimination was assessed using the Harrell c-statistic and Gonen-Heller c-statistic for survival data, and calibration was evaluated through calibration plots. RESULTS After a median follow-up of 11.8 years, 110 CVD deaths were ascertained. The discrimination of the HHS was similar for women (Harrell c, 0.91; 95%CI, 0.87-0.95; Gonen-Heller-c, 0.85; 95%CI, 0.83-0.88) and men (Harrell c, 0.91; 95%CI, 0.88-0.94; Gonen-Heller c: 0.85; 95%CI, 0.83-0.88). After recalibration by the sex-specific baseline survival function, the calibration became optimal for: a) all deciles of predicted CVD risk except the highest decile, where HHS underestimated the risk, and b) all age groups except 70 years and older, where there was an underestimation. CONCLUSIONS In this Spanish cohort, the HHS showed good discrimination and calibration for predicting CVD death. The performance of HHS in other European populations and its implementation in the clinical setting warrants further investigation.
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Affiliation(s)
- Mercedes Sotos-Prieto
- Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain; Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain; Instituto Madrileño de Estudios Avanzados - Alimentación (IMDEA-Food Institute), Campus de Excelencia Internacional de la Universidad Autónoma de Madrid y del Consejo Superior de Investigaciones Científicas (CEI UAM+CSIC), Madrid, Spain; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States.
| | - Mario Delgado-Velandia
- Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain; Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain
| | - Borja M Fernández-Felix
- Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain; Unidad de Bioestadística Clínica, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
| | - Javier Zamora
- Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain; Unidad de Bioestadística Clínica, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain; World Health Organization (WHO) Collaborating Centre for Global Women's Health, Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, United Kingdom
| | - Rosario Ortolá
- Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain; Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain
| | - Esther García-Esquinas
- Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain; Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain; Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, Spain
| | - Eric B Rimm
- Department of Nutrition, Harvard TH Chan School of Public Health, Boston, Massachusetts, United States; Channing Division of Network Medicine, Department of Medicine, Brigham & Women's Hospital and Harvard Medical School, Boston, Massachusetts, United States
| | - Fernando Rodríguez-Artalejo
- Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain; Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Spain; Instituto Madrileño de Estudios Avanzados - Alimentación (IMDEA-Food Institute), Campus de Excelencia Internacional de la Universidad Autónoma de Madrid y del Consejo Superior de Investigaciones Científicas (CEI UAM+CSIC), Madrid, Spain
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Ortego GG, Alvarez RM, Landesa SA, Escuer PC, Martin LC, Gimenez MDC, Rodriguez MAH, Martinez IP, Lopez-Rodriguez JA, Galan JLH, Muñoz BG, Juan CLD, Izquierdo PB. [ROWING AGAINST THE CURRENT]. Aten Primaria 2023; 55:102608. [PMID: 37028885 PMCID: PMC10111955 DOI: 10.1016/j.aprim.2023.102608] [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: 03/13/2023] [Accepted: 03/13/2023] [Indexed: 04/09/2023] Open
Abstract
At Lalonde we know that the determinants that most influence the health of the population are lifestyle, genetics and the environment. Health represents only 10% and is the determinant that consumes the most resources. It has been shown that a salutogenic approach focused on the social determinants of health and the support of public policies to improve the environment are more efficient in the long term than medicine focused on hospitals, technology and super-specialization. Primary Care (PC) that has an approach centered on the person and families with a community vision, is the ideal level to provide health care, and to influence lifestyles. However it is not invested in PC. In this article we review the socioeconomic and political factors that globally influence the lack of interest in the development of PC.
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Affiliation(s)
- Gisela Galindo Ortego
- Junta Permanente, Secciones y Vocalia de residentes de la Junta Permanente de la Sociedad Española de Medicina de Familia y Comunitaria (semFYC).
| | - Remedios Martin Alvarez
- Junta Permanente, Secciones y Vocalia de residentes de la Junta Permanente de la Sociedad Española de Medicina de Familia y Comunitaria (semFYC)
| | - Susana Aldecoa Landesa
- Junta Permanente, Secciones y Vocalia de residentes de la Junta Permanente de la Sociedad Española de Medicina de Familia y Comunitaria (semFYC)
| | - Paula Chao Escuer
- Junta Permanente, Secciones y Vocalia de residentes de la Junta Permanente de la Sociedad Española de Medicina de Familia y Comunitaria (semFYC)
| | - Laura Carbajo Martin
- Junta Permanente, Secciones y Vocalia de residentes de la Junta Permanente de la Sociedad Española de Medicina de Familia y Comunitaria (semFYC)
| | - Maria Del Campo Gimenez
- Junta Permanente, Secciones y Vocalia de residentes de la Junta Permanente de la Sociedad Española de Medicina de Familia y Comunitaria (semFYC)
| | - Miguel Angel Hernandez Rodriguez
- Junta Permanente, Secciones y Vocalia de residentes de la Junta Permanente de la Sociedad Española de Medicina de Familia y Comunitaria (semFYC)
| | - Ignecio Parraga Martinez
- Junta Permanente, Secciones y Vocalia de residentes de la Junta Permanente de la Sociedad Española de Medicina de Familia y Comunitaria (semFYC)
| | - Juan Antonio Lopez-Rodriguez
- Junta Permanente, Secciones y Vocalia de residentes de la Junta Permanente de la Sociedad Española de Medicina de Familia y Comunitaria (semFYC)
| | - Jose Luis Hernandez Galan
- Junta Permanente, Secciones y Vocalia de residentes de la Junta Permanente de la Sociedad Española de Medicina de Familia y Comunitaria (semFYC)
| | - Beatriz Gutierrez Muñoz
- Junta Permanente, Secciones y Vocalia de residentes de la Junta Permanente de la Sociedad Española de Medicina de Familia y Comunitaria (semFYC)
| | - Carmen Lázaro de Juan
- Junta Permanente, Secciones y Vocalia de residentes de la Junta Permanente de la Sociedad Española de Medicina de Familia y Comunitaria (semFYC)
| | - Paula Bellido Izquierdo
- Junta Permanente, Secciones y Vocalia de residentes de la Junta Permanente de la Sociedad Española de Medicina de Familia y Comunitaria (semFYC)
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Rodríguez García PL, Pérez Soto JJ, García Cantó E, Tárraga Marcos L, Meseguer Zafra M, Salmerón Ríos R, Tárraga López PJ. [Reliability and validity of the Acquired healthy lifestyle assessment scale (E-VEVSA) in adults from Albacete and Murcia (Spain)]. Semergen 2023; 49:101910. [PMID: 36580756 DOI: 10.1016/j.semerg.2022.101910] [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: 09/06/2022] [Revised: 11/22/2022] [Accepted: 11/29/2022] [Indexed: 12/28/2022]
Abstract
BACKGROUND Lifestyle is a theoretical construct that is formed by the life habits of a subject. The analysis and objective quantification of lifestyle can have a great impact on people's health, as well as on the evolution of its status over the years. The objective of this research has been the validation of the Acquired Healthy Lifestyle Assessment Scale (E-VEVSA) in Spanish adults. METHOD On an initial sample for the exploratory tests of 248 subjects and a final sample for the confirmatory tests of 780 subjects, aged between 22 and 72 years of age. Exploratory and confirmatory psychometric tests were carried out based on the Cronbach's alpha statistic (reliability) and exploratory factorial analysis with oblique rotation (oblimin) and confirmatory with varimax rotation (construct validity), which resulted in an instrument made up of 52 items and structured in 7 dimensions: individual responsibility in health care (9 items), habits of physical-sports practice (6 items), health habits in social relationships (10 items), habit of tobacco and alcohol consumption (9 items), habit of healthy eating (7 items), psychological health habits (6 items) and daily rest and sleep habits (5 items). RESULTS All the items explained a total variance of 66.87% and a Cronbach's alpha of .894, with the partial alpha of each dimension or factor being above .700. CONCLUSIONS The results show psychometric tests that confirm the validity of the E-VEVSA scale as a useful instrument to measure the healthy lifestyle acquired among adults.
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Affiliation(s)
- P L Rodríguez García
- Facultad de Educación, Universidad Pública de Murcia, Murcia, España; Grupo de investigación AFYDOS, Universidad Pública de Murcia, Murcia, España
| | - J J Pérez Soto
- Facultad de Educación, Universidad Pública de Murcia, Murcia, España; Grupo de investigación AFYDOS, Universidad Pública de Murcia, Murcia, España
| | - E García Cantó
- Grupo de investigación AFYDOS, Universidad Pública de Murcia, Murcia, España
| | | | - M Meseguer Zafra
- Grupo de investigación AFYDOS, Universidad Pública de Murcia, Murcia, España
| | | | - P J Tárraga López
- Facultad de Medicina de Albacete, Universidad de Castilla-La Mancha, Castilla-La Mancha, España.
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Rodríguez García PL, Pérez Soto JJ, García Cantó E, Meseguer Zafra M, Salmerón Ríos R, Tárraga López PJ. Health-related lifestyle assessment among Spanish adults from 22 to 72 years. Clin Investig Arterioscler 2023; 35:12-20. [PMID: 35840427 DOI: 10.1016/j.arteri.2022.06.002] [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] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 06/05/2022] [Accepted: 06/13/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The objective of this paper has focused on assessing the level of health-related lifestyle acquired in Spanish adults in the Spanish cities of Albacete and Murcia, and analyzing the existing differences according to sex and age. MATERIAL AND METHODS On a sample of 788 subjects aged between 22 and 72, the Health-related Lifestyle Assessment Scale was applied, consisting of 52 items and structured in 7 dimensions that explained a total variance of 66.87% and a Cronbach's alpha of 0.894. RESULTS A percentage of 12 of the adults surveyed have a healthy lifestyle, 53% show a trend to health and 35% poor or unhealthy. Pearson's χ2 tests show a positive and significant association of women with health and a trend of significant improvement in lifestyle with age. The inferential data (t-Student tests and one-factor ANOVA) confirm these differences according to gender and age. CONCLUSIONS It is necessary to promote preventive programs to improve health in the habits of the population, especially in the 35% that show a poor or unhealthy level of lifestyle.
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Affiliation(s)
- Pedro Luis Rodríguez García
- Facultad de Educación, Universidad Pública de Murcia, Murcia, España; Grupo de investigación AFYDOS, Universidad Pública de Murcia, Murcia, España.
| | - Juan José Pérez Soto
- Facultad de Educación, Universidad Pública de Murcia, Murcia, España; Grupo de investigación AFYDOS, Universidad Pública de Murcia, Murcia, España
| | - Eliseo García Cantó
- Grupo de investigación AFYDOS, Universidad Pública de Murcia, Murcia, España
| | | | - Raúl Salmerón Ríos
- Médico de Familia, Centro de Salud Ossa de Montiel, Ossa de Montiel, Albacete, España
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Afşar F, Güler A, Yılmaz H. The relationship between results of coronary angiography, Mediterranean-type lifestyle, type D personality, and healthy life expectancy. CIR CIR 2023; 91:439-445. [PMID: 37677937 DOI: 10.24875/ciru.22000443] [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: 08/31/2022] [Accepted: 04/17/2023] [Indexed: 09/09/2023]
Abstract
AIM The aim of this study was to determine the relationship between coronary angiography results and Mediterranean-type lifestyle and type D personality. METHODS Mediterranean-type lifestyle index and type D personality scale were administered to 230 participants. RESULTS In univariate analysis according to coronary angiography results, a statistically significant effect was determined between the decision for treatment with percutaneous coronary intervention (PCI) and diabetes mellitus, and total and subscale points of Mediterranean lifestyle index, and between the decision for treatment with bypass and body mass index, Mediterranean diet, physical activity, and total points. In multivariate analysis, there was determined to be an effect between the PCI and systolic pressure, and between bypass and body mass index and subscale of physical activity. When disease-free life expectancy was examined, there was seen to be a negative effect of smoking and low Mediterranean diet points for participants with PCI, and of smoking, presence of hypertension, family history, and high type D personal characteristics score for those with bypass decision. CONCLUSION The evidence-based recommendations for a Mediterranean-type lifestyle stated in cardiovascular disease (CVD) preventative guidelines may have a positive effect on the prevention of CVD, disability-free life, and mortality.
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Affiliation(s)
- Füsun Afşar
- Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital
| | - Ahmet Güler
- Department of Cardiology, Istanbul Başakşehir Çam and Sakura City Hospital, University of Health Sciences
| | - Habip Yılmaz
- Department of Management, Istanbul 1st Region Public Hospitals Presidency. Istanbul, Turkey
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Boraita RJ, Ibort EG, Torres JMD, Alsina DA. Factors associated with a low level of physical activity in adolescents from La Rioja (Spain). An Pediatr (Engl Ed) 2022; 96:326-333. [PMID: 35523685 DOI: 10.1016/j.anpede.2021.02.014] [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: 10/24/2020] [Accepted: 02/18/2021] [Indexed: 11/29/2022] Open
Abstract
INTRODUCTION Compliance with the recommendations regarding physical activity by adolescents is poor despite its proven benefits on their health. OBJECTIVE The objective of this study was to analyse the physical activity engagement in an adolescent population, evaluating its relationship with various indicators of physical and psychological health, as well as the influence of different sociodemographic variables as potential predictors. METHODS A cross-sectional study was applied to a sample of 761 students (14.51 ± 1.63 years) from 25 schools in La Rioja (Spain). Physical activity engagement, hours of nightly sleep, maximum oxygen uptake, health-related quality of life, self-esteem, body image satisfaction, adherence to the Mediterranean diet, body mass index, academic performance and various sociodemographic factors were analysed for all participants. RESULTS Being older, being a girl, having a low/medium socioeconomic level, living in unfavourable environments for practicing physical activity, not doing extracurricular sports activities, and being dissatisfied with body image were all predictors of a low physical activity engagement. Likewise, physical activity engagement reported positive associations with health-related quality of life, self-esteem, hours of nightly sleep, adherence to the Mediterranean diet and maximum oxygen uptake. CONCLUSIONS Interventions aimed at promoting physical activity must take into account these predictive factors, trying to favor their performance, especially in the most vulnerable groups.
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Vega T, Hilario F, Pérez-Caro M, Núñez-Torres R, Pinto RM, González-Neira A. Genetic, environmental and life-style factors associated with longevity. Protocol and response of the LONGECYL Study. Gac Sanit 2022; 36:260-264. [PMID: 35339311 DOI: 10.1016/j.gaceta.2022.01.005] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Revised: 01/03/2022] [Accepted: 01/03/2022] [Indexed: 11/18/2022]
Abstract
OBJECTIVE To describe the objectives, the methodological approach, the response rate of the Genetic, Environmental and Life-style Factors Study in Castilla y León (Spain). METHOD The Health Sentinel Network studied a sample of long-lived individuals aged 95 or more (LLI). The study included biological samples processed with the Global Screening Array v3.0 that contains a total of 730,059 markers. Written consent was obtained before the examination. CONCLUSIONS The LLI contacted were 944, and 760 were completed studied. The 87.4% of LLI were born in Castile and Leon and only 1% were non-native of Spain. Severe cognitive impairment was declared in 8.1% of men and 19.2% of women. Genotyping was performed in 739 LLI, the 78.3% of the contacted sample. Family doctors and nurses achieve high participation in population-based studies. DNA samples were taken from 94% of fully studied LLI, and 100% of these samples where successfully genotyped.
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Affiliation(s)
- Tomás Vega
- Dirección General de Salud Pública, Consejería de Sanidad, Valladolid, Spain.
| | - Fernando Hilario
- Dirección General de Salud Pública, Consejería de Sanidad, Valladolid, Spain
| | - María Pérez-Caro
- Banco Nacional de ADN, Universidad de Salamanca, Salamanca, Spain
| | - Rocío Núñez-Torres
- Unidad de Genotipado Humano-CEGEN, Centro Nacional de Investigaciones Oncológicas, Madrid, Spain
| | - Rosa M Pinto
- Banco Nacional de ADN, Universidad de Salamanca, Salamanca, Spain
| | - Anna González-Neira
- Unidad de Genotipado Humano-CEGEN, Centro Nacional de Investigaciones Oncológicas, Madrid, Spain
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de Juan A, Barrio Anta G, Caballero P, Gea MT, Ronda-Pérez E. [Health risk behaviors by occupation in working population in Spain]. Gac Sanit 2021; 36:301-308. [PMID: 34924218 DOI: 10.1016/j.gaceta.2021.10.006] [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] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 09/15/2021] [Accepted: 10/16/2021] [Indexed: 11/04/2022]
Abstract
OBJECTIVE This study aims to analyze the variations in the prevalence of different health risk behaviors according to occupation in working population in Spain. METHOD Cross-sectional study with data from the Spanish National Health Survey of 2017. The analysis includes adults between 18 and 65 years with employment at the time of the survey. Health risk behaviors are obesity, physical inactivity in free time, tobacco consumption and excessive alcohol consumption. The primary explanatory variable is the occupation, using the National Classification of Occupations of 2011. Sociodemographic characteristics are gender, age, country of birth and educational level. The prevalences (P) of risk behaviors have been calculated, as well as the odd and adjusted odds ratios (aOR). RESULTS The highest figures of obesity are observed in operators of installations and machinery and assemblers (P: 20.0%; ORa: 1.26; A95%CI: 1.04-1.52). The higher level of physical inactivity during free time appears in elementary occupations (P: 83.4%; ORa: 1.70; A95%CI: 1.45-1.99). Tobacco consumption is higher in operators of installations and machinery and assemblies (P: 37.4%; ORa: 1.22; A95%CI: 1.05-1.43). Excessive alcohol consumption appears to a greater extent on skilled workers in the agricultural sector, livestock, forestry and fisheries (P: 3.9%; ORa: 1.51; A95%CI: 0.83-2.75). CONCLUSIONS The results indicate a greater relationship between risk behaviors for health and manual or lower-skilled occupations.
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Affiliation(s)
- Alba de Juan
- Servicio de Medicina Preventiva y Salud Pública, Hospital Universitario de San Juan de Alicante, San Juan de Alicante, Alicante, España.
| | - Gregorio Barrio Anta
- Instituto de Salud Carlos III, Escuela Nacional de Sanidad, Madrid, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España
| | - Pablo Caballero
- Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Universidad de Alicante, Alicante, España
| | - María Teresa Gea
- Servicio de Medicina Preventiva y Salud Pública, Hospital Universitario de San Juan de Alicante, San Juan de Alicante, Alicante, España
| | - Elena Ronda-Pérez
- Instituto de Salud Carlos III, Escuela Nacional de Sanidad, Madrid, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España
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Pérez-Rodrigo C, Hervás Bárbara G, Gianzo Citores M, Aranceta-Bartrina J. Prevalence of obesity and associated cardiovascular risk factors in the Spanish population: the ENPE study. ACTA ACUST UNITED AC 2021; 75:232-241. [PMID: 33773941 DOI: 10.1016/j.rec.2020.12.020] [Citation(s) in RCA: 3] [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] [Received: 08/14/2020] [Accepted: 12/17/2020] [Indexed: 11/29/2022]
Abstract
INTRODUCTION AND OBJECTIVES Obesity is a significant public health problem associated with an increased risk of cardiovascular risk factors (CVRF). The aim of this study was to determine the prevalence of overweight and abdominal obesity (AO) in the Spanish population aged ≥ 3 years and to analyze the influence of sociodemographic and lifestyle factors and their association with CVRF. METHODS The sample was drawn from the ENPE study (n=6800). The study protocol included individual anthropometric measurements, sociodemographic factors, food intake (food frequency questionnaire), physical activity, lifestyles, and health problems. RESULTS The estimated overall prevalence of obesity (22.0%; 95%CI, 21.0-23.0) and AO (64.7%; 95%CI, 63.5-65.8) was higher in men, in persons aged ≥ 65 years, and in those with a lower socioeconomic level or from southern regions. Lifestyle pattern was significantly associated with obesity and AO (P=.011), which were less likely in people with an active lifestyle pattern (P <.0001). Obesity (OR, 1.85; 95%CI, 1.24-2.78) and AO (OR, 2.16; 95%CI, 1.1-4.24) were positively associated with CVRF. Clustering of CVRF with obesity and/or AO was higher in women (12.6%; 95%CI, 11.4-13.9) and in persons aged ≥ 65 years (32.7%; 95%CI, 30.0-35.4). CONCLUSIONS The prevalence of obesity and AO in the Spanish population is high; it is higher in men, increases with age, and is inversely related to socioeconomic status. A lifestyle pattern combining a higher level of physical activity, moderate sedentariness and a Mediterranean dietary pattern is associated with a lower probability of obesity, AO, and CVRF.
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Affiliation(s)
- Carmen Pérez-Rodrigo
- Departamento de Fisiología, Facultad de Medicina y Enfermería, Universidad del País Vasco (UPV/EHU), Leioa, Vizcaya, Spain; Sociedad Española de Nutrición Comunitaria (SENC), Spain
| | | | | | - Javier Aranceta-Bartrina
- Departamento de Fisiología, Facultad de Medicina y Enfermería, Universidad del País Vasco (UPV/EHU), Leioa, Vizcaya, Spain; Sociedad Española de Nutrición Comunitaria (SENC), Spain; Departamento de Ciencias de la Alimentación y Fisiología, Universidad de Navarra, Pamplona, Navarra, Spain; Instituto Universitario de Investigaciones Biomédicas y Sanitarias (IUIBS), Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain; Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain.
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Jiménez Boraita R, Gargallo Ibort E, Dalmau Torres JM, Arriscado Alsina D. [Factors associated with a low level of physical activity in adolescents from La Rioja (Spain)]. An Pediatr (Barc) 2021; 96:S1695-4033(21)00144-2. [PMID: 33771460 DOI: 10.1016/j.anpedi.2021.02.011] [Citation(s) in RCA: 3] [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] [Received: 10/24/2020] [Revised: 02/16/2021] [Accepted: 02/18/2021] [Indexed: 10/21/2022] Open
Abstract
INTRODUCTION Compliance with the recommendations regarding physical activity by adolescents is poor despite its proven benefits on their health. OBJECTIVE The objective of this study was to analyse the physical activity engagement in an adolescent population, evaluating its relationship with various indicators of physical and psychological health, as well as the influence of different sociodemographic variables as potential predictors. METHODS A cross-sectional study was applied to a sample of 761 students (14.51 ± 1.63 years) from 25 schools in La Rioja (Spain). Physical activity engagement, hours of nightly sleep, maximum oxygen uptake, health-related quality of life, self-esteem, body image satisfaction, adherence to the Mediterranean diet, body mass index, academic performance and various sociodemographic factors were analysed for all participants. RESULTS Being older, being a girl, having a low/medium socioeconomic level, living in unfavourable environments for practicing physical activity, not doing extracurricular sports activities, and being dissatisfied with body image were all predictors of a low physical activity engagement. Likewise, physical activity engagement reported positive associations with health-related quality of life, self-esteem, hours of nightly sleep, adherence to the Mediterranean diet and maximum oxygen uptake. CONCLUSIONS Interventions aimed at promoting physical activity must take into account these predictive factors, trying to favor their performance, especially in the most vulnerable groups.
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Córdoba García R, Camarelles Guillem F, Muñoz Seco E, Gómez Puente JM, San José Arango J, Ramírez Manent JI, Martín Cantera C, Del Campo Giménez M, Revenga Frauca J. [PAPPS expert group. Lifestyle recommendations]. Aten Primaria 2021; 52 Suppl 2:32-43. [PMID: 33388116 PMCID: PMC7801215 DOI: 10.1016/j.aprim.2020.07.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Accepted: 07/31/2020] [Indexed: 12/01/2022] Open
Abstract
Los determinantes de salud primarios y secundarios explican gran parte de la morbimortalidad observada en atención primaria. Se presentan las recomendaciones del Programa de Actividades Preventivas y Promoción de la Salud (PAPPS) de la semFyC, para la promoción de un estilo de vida saludable mediante la metodología de intervención y las actuaciones preventivas en consumo de tabaco, consumo de alcohol, alimentación saludable, actividad física en el tiempo libre, prevención de accidentes de tráfico y sistemas de retención infantil. Se señalan las pautas más comunes de prevención clínica. Se actualizan las recomendaciones, se señalan aspectos novedosos como la definición de consumo de alcohol de bajo riesgo y se pone al día la bibliografía. Para las principales recomendaciones se incluyen tablas específicas que recogen la calidad de la evidencia y la fuerza de la recomendación.
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Affiliation(s)
- Rodrigo Córdoba García
- Medicina de Familia y Comunitaria, Centro de Salud Delicias Sur. Coordinador del Grupo de Educación Sanitaria y Promoción de la Salud (ESPS), Zaragoza, España.
| | | | - Elena Muñoz Seco
- Medicina de Familia y Comunitaria, Unidad Básica de Salud es Castell, Ibsalut, Es Castell, Menorca, España
| | | | - Joaquín San José Arango
- Medicina de Familia y Comunitaria, Centro de Salud Vilagarcía. Grupo de Trabajo de Alimentación y Nutrición, Pontevedra, España
| | - Jose Ignacio Ramírez Manent
- Medicina de Familia y Comunitaria, Centro de Salud de Calviá, Instituto de Investigación Sanitaria Illes Balears, IdIsBa, Calvià, Mallorca, España
| | - Carlos Martín Cantera
- Medicina de Familia y Comunitaria, Grupo de Investigación Estilos de Vida, IDIAP Jordi Gol, Barcelona, España
| | - María Del Campo Giménez
- Medicina de Familia y Comunitaria, Gerencia de Atención Integrada de Albacete, SESCAM, Albacete, España
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13
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Balanzá-Martínez V, Kapczinski F, de Azevedo Cardoso T, Atienza-Carbonell B, Rosa AR, Mota JC, De Boni RB. The assessment of lifestyle changes during the COVID-19 pandemic using a multidimensional scale. Rev Psiquiatr Salud Ment (Engl Ed) 2021; 14. [PMID: 32962948 PMCID: PMC10068027 DOI: 10.1016/j.rpsmen.2020.07.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
Abstract
INTRODUCTION Healthy lifestyles are relevant to several diseases and to maintain individuals' mental health. Exposure to epidemics and confinement have been consistently associated with psychological consequences, but changes on lifestyle behaviours remain under-researched. MATERIALS AND METHODS An online survey was conducted among the general population living in Spain during the COVID-19 home-isolation. In addition to demographic and clinical data, participants self-reported changes in seven lifestyle domains. The Short Multidimensional Inventory Lifestyle Evaluation was developed specifically to evaluate changes during the confinement (SMILE-C). RESULTS A total of 1254 individuals completed the survey over the first week of data collection. The internal consistency of the SMILE-C to assess lifestyles during confinement was shown (Cronbach's Alpha=0.747). Most participants reported substantial changes on outdoor time (93.6%) and physical activity (70.2%). Moreover, about one third of subjects reported significant changes on stress management, social support, and restorative sleep. Several demographic and clinical factors were associated to lifestyle scores. In the multivariate model, those independently associated with a healthier lifestyle included substantial changes on stress management (p<0.001), social support (p=0.001) and outdoor time (p<0.001), amongst others. In contrast, being an essential worker (p=0.001), worse self-rated health (p<0.001), a positive screening for depression/anxiety (p<0.001), and substantial changes on diet/nutrition (p<0.001) and sleep (p<0.001) were all associated with poorer lifestyles. CONCLUSIONS In this study, sizable proportions of participants reported meaningful changes in lifestyle behaviours during the COVID-19 pandemic in Spain. Moreover, the SMILE-C was sensitive to detect these changes and presented good initial psychometric properties. Further follow-up studies should collect relevant data to promote healthy lifestyles in pandemic times.
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Affiliation(s)
- Vicent Balanzá-Martínez
- Teaching Unit of Psychiatry and Psychological Medicine, Department of Medicine, University of Valencia, Valencia, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.
| | - Flavio Kapczinski
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada; Mood Disorders Program, St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada; Graduation Program in Psychiatry, Department of Psychiatry, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil; Instituto Nacional de Ciência e Tecnologia Translacional em Medicina (INCT-TM), Porto Alegre, RS, Brazil
| | | | | | - Adriane R Rosa
- Universidade Federal do Rio Grande do Sul (UFRGS), Basic Health Science Institute, Department of Pharmacology, Postgraduate Program in Psychiatry and Behavioral Sciences, Postgraduate Program in Pharmacology and Therapeutics, Porto Alegre, RS, Brazil; Laboratory of Molecular Psychiatry, Centro de Pesquisa Experimental (CPE), Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil
| | - Jurema C Mota
- Fundação Oswaldo Cruz, Instituto de Informação Cientifica e Tecnológica em Saúde (ICICT), Rio de Janeiro, Brazil; Biblioteca de Manguinhos, Suite 229, Avenida Brasil, 4365, Rio de Janeiro CEP 21045-900, Brazil
| | - Raquel B De Boni
- Fundação Oswaldo Cruz, Instituto de Informação Cientifica e Tecnológica em Saúde (ICICT), Rio de Janeiro, Brazil; Biblioteca de Manguinhos, Suite 229, Avenida Brasil, 4365, Rio de Janeiro CEP 21045-900, Brazil
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14
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Danet Danet A, Prieto Rodríguez MÁ, Toro Cárdenas SM, Garrido Peña F, Escudero Carretero MJ, March Cerdà JC. [Differential impact and heterogeneous needs. A peer-led training program for improving chronic patients' health status and health behaviors]. Aten Primaria 2020; 52:112-121. [PMID: 30982640 PMCID: PMC7025955 DOI: 10.1016/j.aprim.2018.09.020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Accepted: 09/13/2018] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVE To measure the impact of the peer-led training for chronic patients on their health status and behaviors. DESIGN Descriptive, transversal pretest and posttest quantitative approach. PLACEMENT Andalusia. PARTICIPANTS Nine hundred sixty-four patients with Diabetes, fibromyalgia and heart failure, trained at the School of Patients between 2013 and 2015. INTERVENTIONS Peer-training intervention for self-efficacy for chronic patients. MAIN MEASUREMENT Self-reported health status, activity limitation, diet and physical activity. Statistical analysis included descriptive and bivariate statistics, correlation coefficient and net gains for paired variables. RESULTS Health status improved after the training, with less limitations and better diet and physical activity, with significant differences by sex, chronic illness, education level and marriage status. Improvement areas where identified for the training strategy, with special attention on the needs of more vulnerable groups (women, people with less education level). CONCLUSIONS The peer training had a positive impact, with differences depending on social profiles. 1-year and 2-years posttest measurements are needed and a qualitative study is required in order to better evaluate the peer-led strategy and to adapt it to participants' needs and expectations.
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Affiliation(s)
- Alina Danet Danet
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, España; Escuela Andaluza de Salud Pública, Granada, España; Instituto de Investigación Biosanitaria de Granada, Granada, España.
| | - María Ángeles Prieto Rodríguez
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, España; Escuela Andaluza de Salud Pública, Granada, España; Instituto de Investigación Biosanitaria de Granada, Granada, España
| | - Silvia María Toro Cárdenas
- Escuela Andaluza de Salud Pública, Granada, España; Instituto de Investigación Biosanitaria de Granada, Granada, España
| | | | - María José Escudero Carretero
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, España; Escuela Andaluza de Salud Pública, Granada, España; Instituto de Investigación Biosanitaria de Granada, Granada, España
| | - Joan Carles March Cerdà
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, España; Escuela Andaluza de Salud Pública, Granada, España; Instituto de Investigación Biosanitaria de Granada, Granada, España
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15
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Rodríguez-Socarrás M, Skjold Kingo P, Uvin P, Østergren P, Patruno G, Edison E, Kasivisvanathan V, Vásquez JL, Esperto F, Gómez Rivas J. Lifestyle among urology trainees and young urologist in the context of burn-out syndrome. Actas Urol Esp 2020; 44:19-26. [PMID: 31542187 DOI: 10.1016/j.acuro.2019.03.010] [Citation(s) in RCA: 7] [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: 01/07/2019] [Accepted: 03/19/2019] [Indexed: 12/21/2022]
Abstract
INTRODUCTION Burnout syndrome has increased dramatically in urology within recent years. A healthy lifestyle has been described as a protective factor. However, data on lifestyle is lacking among residents and urologists and remains to be elucidated. We aim to assess lifestyle among urology residents and young urologists across Europe. MATERIALS AND METHODS Members of the European Society of Residents in Urology (ESRU) designed a 34-item online survey via surveymonkey.com. The survey was designed in accordance with Checklist for Reporting Results of Internet E-Surveys (CHERRIES) guidelines and was distributed via e-mail and social media in 23 European countries to urology residents and young urologists. The primary endpoint was reported as self-perceived health status. Secondary endpoints included questions on sleeping disorders, exercise and dietary habits. Data was analyzed SPSS software. RESULTS A total of 412 residents and young urologists responded to the survey. The mean age of the respondents was 31.4±3.9 yr. The data on dietary intake demonstrate a mean of 2 or more cups/day of coffee and alcohol consumption 2-3 times/week. The intake of fruits and vegetables is very low, almost 60% of responders consume<1 portions of fruit/day and more than half (52%) eat<1 portion of vegetable/day. Overall, the majority of respondents reported to have a moderate to low satisfaction with lifestyle (59.65%) and low to moderate self-perceived health status (45.94%). Moreover, 46% of respondents reported to have some kind of sleep disturbance and 60% only slept 6hours/night or less with 53% reporting a moderate to very low quality of Sleep. Regular exercise of at least 30min twice weekly was only performed by 33% of the respondents. CONCLUSIONS Residents and young urologists have unbalanced diet, tend to exercise too little and often suffer from sleep disturbances all of which increases the risk of burnout. Physicians, organizations and institutions should strive to promote healthy lifestyle, resiliency and support programs.
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16
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Silva AOD, Diniz PRB, Santos MEP, Ritti-Dias RM, Farah BQ, Tassitano RM, Oliveira LMFT. Health self-perception and its association with physical activity and nutritional status in adolescents. J Pediatr (Rio J) 2019; 95:458-465. [PMID: 29957248 DOI: 10.1016/j.jped.2018.05.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2018] [Revised: 04/01/2018] [Accepted: 04/18/2018] [Indexed: 10/28/2022] Open
Abstract
OBJECTIVE To evaluate the association between total physical activities, physical activity in free time and nutritional status with self-perceived health in adolescents of both genders. METHODS This is a quantitative study that integrates the school-based, cross-sectional epidemiological survey with statewide coverage, whose sample consisted of 6261 adolescents (14-19 years old) selected by random conglomerate sampling. Data were collected using the Global School-based Student Health Survey. The chi-squared test (χ2) and the Poisson regression model with robust variance were used in the data analyses. RESULTS It was observed that 27.3% of the adolescents had a negative health self-perception, which was higher among girls (33.0% vs. 19.0%, p<0.001). After adjusting for potential confounding factors, it was observed that boys who did not practice physical activity during free time (PR=1.44, 95% CI: 1.15-1.81) and were classified as insufficiently active (PR=1.27, 95% CI: 1.04-1.56), as well as girls who did not practice physical activity during free time (PR=1.15, 95% CI: 1.02-1.29) and were classified as overweight (PR=1.27, 95% CI: 1.01-1.29) had a greater chance of negative health self-perception. CONCLUSION Behavioral issues may have different effects on health self-perception when comparing boys with girls. Negative health self-perception was associated with nutritional status in girls and a lower level of physical activity in boys, and the practice of physical activity in the free time was considered a protective factor against a negative health self-perception for adolescents of both genders.
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Affiliation(s)
| | - Paula R B Diniz
- Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil
| | - Maria E P Santos
- Centro Universitário Tabosa de Almeida (Asces-Unita), Caruaru, PE, Brazil
| | | | - Breno Q Farah
- Universidade Federal Rural de Pernambuco (UFRPE), Recife, PE, Brazil
| | | | - Luciano M F T Oliveira
- Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil; Centro Universitário Tabosa de Almeida (Asces-Unita), Caruaru, PE, Brazil
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Pascual V, Perez Martinez P, Fernández JM, Solá R, Pallarés V, Romero Secín A, Pérez Jiménez F, Ros E. [SEA/SEMERGEN consensus document 2019: Dietary recommendations in the prevention of cardiovascular disease]. Semergen 2019; 45:333-348. [PMID: 31164311 DOI: 10.1016/j.semerg.2019.02.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Accepted: 02/14/2019] [Indexed: 12/12/2022]
Abstract
The current paradigm in the nutrition sciences states that the basic nutritional unit is not the nutrients, but the foods that contain them (oils, nuts, dairy products, eggs, red or processed meats, etc.). These act as a food matrix in which the different nutrients synergistically or antagonistically modulate their effects on the various metabolic pathways determining health and disease. Food is not based on nutrients or isolated foods but on complex mixtures of one and the other that are part of a specific food pattern, a concept that has been targeted as the most pertinent to evaluate the associations between nutrition and health or disease. This document presents a summary of the available evidence on the relationship between different foods and cardiovascular health, and offers simple recommendations to be implemented in the dietary advice offered by the health professional.
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Affiliation(s)
- Vicente Pascual
- Centro de Salud Palleter, Castellón, España; Grupo de Trabajo Nutrición y Estilo de Vida, Sociedad Española de Arteriosclerosis (SEA); Grupo de Trabajo Nutrición de SEMERGEN; Universidad CEU-Cardenal Herrera, Castellón, España.
| | - Pablo Perez Martinez
- Unidad de Lípidos y Arterioesclerosis, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Unidad de Gestión Clínica de Medicina Interna, Hospital Universitario Reina Sofía, Universidad de Córdoba, Córdoba, España; CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España; Grupo de Trabajo Nutrición y Estilo de Vida, Sociedad Española de Arteriosclerosis (SEA)
| | - José Manuel Fernández
- Centro de Salud de Valga, Valga, Pontevedra, España; Grupo de Trabajo Nutrición de SEMERGEN
| | - Rosa Solá
- Functional Nutrition, Oxidation and Cardiovascular Diseases Group (NFOC-Salut), Hospital Universitario Sant Joan, EURECAT-Technological Center of Nutrition and Health (CTNS), Facultad de Medicina y Ciencias de la Salud, Universidad Rovira i Virgili, Reus, Tarragona, España; Grupo de Trabajo Nutrición y Estilo de Vida, Sociedad Española de Arteriosclerosis (SEA)
| | - Vicente Pallarés
- Unidad de Vigilancia de la Salud, Unión de Mutuas, Castellón, España; Grupo de Trabajo de Hipertensión Arterial y Enfermedad Cardiovascular de SEMERGEN; Departamento de Medicina, Universitat Jaume I, Castellón, España
| | - Anny Romero Secín
- Centro de Salud de Tineo, Tineo, Asturias, España; Grupo de Trabajo Nutrición de SEMERGEN
| | - Francisco Pérez Jiménez
- Unidad de Lípidos y Arterioesclerosis, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Unidad de Gestión Clínica de Medicina Interna, Hospital Universitario Reina Sofía, Universidad de Córdoba, Córdoba, España; CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España; Grupo de Trabajo Nutrición y Estilo de Vida, Sociedad Española de Arteriosclerosis (SEA)
| | - Emilio Ros
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España; Instituto de Investigaciones Biomédicas August Pi i Sunyer (IDIBAPS), Hospital Clínic, Universidad de Barcelona, Barcelona, España; Unidad de Lípidos, Servicio de Endocrinología y Nutrición, Hospital Clínic, Barcelona, España; Grupo de Trabajo Nutrición y Estilo de Vida, Sociedad Española de Arteriosclerosis (SEA)
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18
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Pascual V, Perez Martinez P, Fernández JM, Solá R, Pallarés V, Romero Secín A, Pérez Jiménez F, Ros E. SEA/SEMERGEN consensus document 2019: Dietary recommendations in the prevention of cardiovascular disease. Clin Investig Arterioscler 2019; 31:186-201. [PMID: 30910237 DOI: 10.1016/j.arteri.2019.02.004] [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] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Accepted: 02/14/2019] [Indexed: 01/15/2023]
Abstract
The current paradigm in the nutrition sciences states that the basic nutritional unit is not the nutrients, but the foods that contain them (oils, nuts, dairy products, eggs, red or processed meats, etc.). These act as a food matrix in which the different nutrients synergistically or antagonistically modulate their effects on the various metabolic pathways determining health and disease. Food is not based on nutrients or isolated foods but on complex mixtures of one and the other that are part of a specific food pattern, a concept that has been targeted as the most pertinent to evaluate the associations between nutrition and health or disease. This document presents a summary of the available evidence on the relationship between different foods and cardiovascular health, and offers simple recommendations to be implemented in the dietary advice offered by the health professional.
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19
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Vieira-Ribeiro SA, Fonseca PCA, Andreoli CS, Ribeiro AQ, Hermsdorff HHM, Pereira PF, Priore SE, Franceschini SCC. The TyG index cutoff point and its association with body adiposity and lifestyle in children. J Pediatr (Rio J) 2019; 95:217-223. [PMID: 29457996 DOI: 10.1016/j.jped.2017.12.012] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2017] [Revised: 12/11/2017] [Accepted: 12/15/2017] [Indexed: 01/24/2023] Open
Abstract
OBJECTIVE To investigate the factors associated with insulin resistance in children aged 4-7 years, and to identify the cutoff point of the triglyceride-glucose index for the prediction of insulin resistance in this population. METHODS A cross-sectional study was conducted with 403 children from a retrospective cohort. Insulin resistance was also evaluated in a sub-sample using the HOMA index. Four indicators of body adiposity were assessed: body mass index, waist-to-height ratio, and the percentages of total and central body fat. Food habits were evaluated by the identification of dietary patterns, using principal component analysis. Information was also collected on lifestyle, socioeconomic status, and breastfeeding time. RESULTS The median index observed in the sample was 7.77, which did not differ between the genders. The shorter the time spent in active activities, the higher the triglyceride-glucose value; and increase in the values of body adiposity indicators was positively associated with triglyceride-glucose. The cutoff point with the best balance between sensitivity and specificity values was 7.88 (AUC=0.63, 95% CI: 0.51-0.74). CONCLUSION The present study identified that total and central body adiposity and shorter time spent in lively activities was positively associated with insulin resistance, evaluated through the triglyceride-glucose index. The cutoff point of 7.88 may be used in this population for insulin resistance risk screening, but caution is required when using it in other populations.
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Affiliation(s)
| | | | | | - Andréia Q Ribeiro
- Universidade Federal de Viçosa (UFV), Departamento de Nutrição e Saúde, Viçosa, MG, Brazil
| | - Helen H M Hermsdorff
- Universidade Federal de Viçosa (UFV), Departamento de Nutrição e Saúde, Viçosa, MG, Brazil
| | - Patrícia F Pereira
- Universidade Federal de Viçosa (UFV), Departamento de Nutrição e Saúde, Viçosa, MG, Brazil
| | - Silvia E Priore
- Universidade Federal de Viçosa (UFV), Departamento de Nutrição e Saúde, Viçosa, MG, Brazil
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Pérez-Jiménez F, Pascual V, Meco JF, Pérez Martínez P, Delgado Lista J, Domenech M, Estruch R, León-Acuña A, López-Miranda J, Sánchez-Ramos A, Soler I Ferrer C, Soler-Rivas C, Solá Alberich RM, Valdivielso P, Ros E. Document of recommendations of the SEA 2018. Lifestyle in cardiovascular prevention. Clin Investig Arterioscler 2018; 30:280-310. [PMID: 30236615 DOI: 10.1016/j.arteri.2018.06.005] [Citation(s) in RCA: 8] [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] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Accepted: 06/16/2018] [Indexed: 02/05/2023]
Abstract
Lifestyle is a complex concept that includes aspects external to ourselves that can modulate and influence our health. The knowledge of the relationship between lifestyle and cardiovascular risk does not attain the level of evidence achieved with clinical trials with drugs, because clinical studies are scarce and mainly of observational nature, albeit based on large cohorts. Nutritional epidemiology has the added difficulty of being based mostly on subjective dietary recall methods to ascertain nutrient and food intake over time, with the additional problems of incomplete data collection, variable measurements of adherence due to seasonal and geographical differences in food composition, and the changing eating behavior that human beings have over time. The purpose of this document is to carry out an updated and hierarchical review of the relationship between lifestyle and cardiovascular disease based on current evidence, paying attention to three aspects that are of great pathogenic importance and are directly modifiable: physical activity, tobacco consumption, and diet. With this, we intend to update the knowledge on this relationship, construct evidence-based recommendations, and provide a simple tool for clinical practice especially directed to health professionals involved in the care of people at cardiovascular risk, defining simple and easy strategies for individuals who receive advice for the primary and secondary prevention of cardiovascular diseases.
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Affiliation(s)
- Francisco Pérez-Jiménez
- Unidad de Lípidos y Arterioesclerosis, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), UGC de Medicina Interna, Hospital Universitario Reina Sofía, Universidad de Córdoba, Córdoba, España; CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España; Grupo de Nutrición y Estilo de Vida, Sociedad Española de Arteriosclerosis (SEA), España.
| | - Vicente Pascual
- Centro de Salud Palleter, Universidad CEU-Cardenal Herrera, Castellón, España; Grupo de Nutrición y Estilo de Vida, Sociedad Española de Arteriosclerosis (SEA), España
| | - José Félix Meco
- Medicina Interna, Advance Medical, Barcelona, España; Grupo de Nutrición y Estilo de Vida, Sociedad Española de Arteriosclerosis (SEA), España
| | - Pablo Pérez Martínez
- Unidad de Lípidos y Arterioesclerosis, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), UGC de Medicina Interna, Hospital Universitario Reina Sofía, Universidad de Córdoba, Córdoba, España; CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España; Grupo de Nutrición y Estilo de Vida, Sociedad Española de Arteriosclerosis (SEA), España
| | - Javier Delgado Lista
- Unidad de Lípidos y Arterioesclerosis, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), UGC de Medicina Interna, Hospital Universitario Reina Sofía, Universidad de Córdoba, Córdoba, España; CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España; Grupo de Nutrición y Estilo de Vida, Sociedad Española de Arteriosclerosis (SEA), España
| | - Monica Domenech
- Grupo de Riesgo Cardiovascular, Nutrición y Envejecimiento del Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS). Servicio de Medicina Interna, Hospital Clínic, Universidad de Barcelona, Barcelona, España
| | - Ramon Estruch
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España; Departamento de Medicina Interna, Hospital Clínic. Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Hospital Clínic, Barcelona, España
| | - Ana León-Acuña
- Unidad de Lípidos y Arterioesclerosis, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), UGC de Medicina Interna, Hospital Universitario Reina Sofía, Universidad de Córdoba, Córdoba, España; CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España; Grupo de Nutrición y Estilo de Vida, Sociedad Española de Arteriosclerosis (SEA), España
| | - José López-Miranda
- Unidad de Lípidos y Arterioesclerosis, Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), UGC de Medicina Interna, Hospital Universitario Reina Sofía, Universidad de Córdoba, Córdoba, España; CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España; Grupo de Nutrición y Estilo de Vida, Sociedad Española de Arteriosclerosis (SEA), España
| | - Andrea Sánchez-Ramos
- Unidad de Lípidos, Instituto de Investigación Biomédica de Málaga (IBIMA), UGC de Medicina Interna, Hospital Virgen de la Victoria, Málaga, España
| | - Cristina Soler I Ferrer
- Unidad de Lípidos y Arteriosclerosis, Medicina Interna, Hospital de Santa Caterina, Salt, Girona, España; Grupo de Nutrición y Estilo de Vida, Sociedad Española de Arteriosclerosis (SEA), España
| | - Cristina Soler-Rivas
- Departamento de Producción y Caracterización de Nuevos Alimentos. CIAL -Instituto de Investigación en Ciencias de la Alimentación (UAM +CSIC), Universidad Autónoma de Madrid, Madrid, España
| | - Rosa Maria Solá Alberich
- Functional Nutrition, Oxidation and Cardiovascular Diseases Group (NFOC-Salut), Hospital Universitario Sant Joan, EURECAT-Technological Center of Nutrition and Health (CTNS), Facultad de Medicina y Ciencias de la Salud, Universidad Rovira i Virgili, Reus, Tarragona, España; Grupo de Nutrición y Estilo de Vida, Sociedad Española de Arteriosclerosis (SEA), España
| | - Pedro Valdivielso
- Unidad de Lípidos, Instituto de Investigación Biomédica de Málaga (IBIMA), UGC de Medicina Interna, Hospital Virgen de la Victoria, Málaga, España
| | - Emilio Ros
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, España; Departamento de Medicina Interna, Hospital Clínic. Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Hospital Clínic, Barcelona, España; Unidad de Lípidos, Servicio de Endocrinología y Nutrición, Hospital Clínic, Barcelona, España; Grupo de Nutrición y Estilo de Vida, Sociedad Española de Arteriosclerosis (SEA), España.
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Duque PA, Valencia Rico CL, Araujo JJ. Socio-demographic and preconception risk factors in parents of children suffering from congenital cardiopathy. Enferm Clin (Engl Ed) 2018; 28:300-308. [PMID: 29891353 DOI: 10.1016/j.enfcli.2018.03.003] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2017] [Revised: 02/06/2018] [Accepted: 03/18/2018] [Indexed: 10/14/2022]
Abstract
OBJECTIVE To identify the preconception risk factors in parents of children suffering from congenital cardiopathy. METHOD A cross-sectional descriptive study, which included parents of children suffering from cardiopathy, attended at consultations in a not-for-profit organization, in order to be diagnosed and referred for heart surgery or to be assessed in postoperative cardiac monitoring. The sample population included 500 people who responded to a survey for the identification of socio-demographic and preconception risk factors. RESULTS Couples were found with up to 3 cardiac children. Parents with 2 or more children suffering from cardiopathy were classified in the majority as belonging to the middle socioeconomic level and not owning their own house. An association with the number of children with cardiopathy, the educational level of their parents (P=.013), their home area (P=.041) and type of accommodation (P=.045) was found. Regarding the preconception risk factors, there was evidence of statistically significant associations among the number of children with cardiopathy and their exposure to fertilizers (P=.024), their exposure to fuels (P=.025), the use of antihypertensive medication (P=.37), and alcohol consumption (P=.042) and cocaine use (P=.039) by their parents. CONCLUSIONS The population of parents with a greater number of children suffering from cardiopathy were characterized as having socioeconomic and educational constraints. The preconception risk factors which show an association with the number of children suffering from cardiopathy were characterized as physical and/or chemical environmental risk factors and the consumption of certain psychoactive substances and medication by their parents. It is necessary to analyze each risk factor separately, taking into account the different types of cardiopathy.
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Affiliation(s)
- Paula Andrea Duque
- Programa Enfermería, Universidad Católica de Manizales, Caldas, Colombia.
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22
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Vaquero-Álvarez M, Romero-Saldaña M, Valle-Alonso J, Llorente Cantarero FJ, Blancas-Sánchez IM, Fonseca Del Pozo FJ. [Study of obesity in a rural children population and its relationship with anthropometric variables]. Aten Primaria 2018; 51:341-349. [PMID: 29789165 PMCID: PMC6836889 DOI: 10.1016/j.aprim.2018.03.007] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2018] [Revised: 03/19/2018] [Accepted: 03/20/2018] [Indexed: 11/21/2022] Open
Abstract
Objetivos Conocer la prevalencia de obesidad en escolares de educación primaria y secundaria, y evaluar la precisión diagnóstica de variables antropométricas para su detección. Diseño Estudio transversal. Año 2014. Emplazamiento Área rural de Córdoba. Participantes Población estudiantil. Se llevó a cabo un muestreo estratificado por edad, género y centros educativos. Un total de 323 alumnos de 6 a 16 años fueron estudiados, cuyos padres habían firmado el consentimiento informado. Mediciones principales Se determinó la prevalencia de obesidad y se recogieron variables predictoras sociodemográficas, antropométricas, de condición física y alimentación. Se realizó una regresión logística binaria determinando los valores de odds ratio (OR) crudas y ajustadas, se confeccionaron curvas ROC y se determinaron valores de corte, calculando la sensibilidad, la especificidad y el índice de Youden. Resultados La prevalencia de sobrepeso y obesidad fue del 26,2 y 22,3%, respectivamente. Solo un 15,2% de los escolares realizó dieta mediterránea óptima. El índice cintura-altura (ICT) fue la variable predictiva con mayor OR ajustada (7,1 [4,3-11,6]) y mayor área bajo la curva (0,954 [0,928-0,979]); a partir de un valor de corte global para discriminar obesidad de 0,507, consiguió una sensibilidad del 90% y una especificidad del 87,2%. Conclusiones La alta prevalencia de obesidad, la media-baja adherencia a la dieta mediterránea y la baja condición física hacen de esta población un objetivo prioritario de actuación para la prevención de futuros eventos cardiovasculares. El ICT ha sido el mejor predictor antropométrico de obesidad, recomendándose su uso para el diagnóstico de obesidad en población infantil en detrimento del índice de masa corporal.
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Affiliation(s)
| | | | | | | | | | - Francisco Javier Fonseca Del Pozo
- Dispositivos de Cuidados Críticos y Urgencias de Atención Primaria Montoro, Instituto Maimónides de Investigación Biomédica, Córdoba, España
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Ruiz-Zaldibar C, Serrano-Monzó I, Mujika A. Parental competence programs to promote positive parenting and healthy lifestyles in children: a systematic review. J Pediatr (Rio J) 2018; 94:238-250. [PMID: 29112860 DOI: 10.1016/j.jped.2017.07.019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2017] [Accepted: 06/19/2017] [Indexed: 10/18/2022] Open
Abstract
OBJECTIVE To analyze the available evidence regarding the efficacy of interventions on parents whose children were aged 2-5 years to promote parental competence and skills for children's healthy lifestyles. SOURCE Articles published in English and Spanish, available at PubMed, Psycinfo, CINAHL, Web of Science, Eric, and Cochrane Library were reviewed. SUMMARY OF THE FINDINGS The literature search yielded 2282 articles. Forty-one full texts were retrieved and assessed for inclusion using the PRISMA flow diagram. Twenty-six articles were excluded, as they did not meet the inclusion criteria. In the end, 15 studies were included. The studies were conducted between 2003 and 2016, nine in North America, four in Europe, and two in Asia. Extracted data were synthesized in a tabular format. CASPe guide was used to assess the quality of studies that was moderate overall. Parental self-efficacy was the main construct assessed in most studies. Four studies reported an increase in parental self-efficacy, although most of them were studies without control groups. CONCLUSIONS Outcomes of interventions to improve parental competence in order to promote children's lifestyles are promising, but inconsistent. Additional studies with higher methodological and conceptual quality are needed.
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Affiliation(s)
- Cayetana Ruiz-Zaldibar
- Universidad de Navarra, Facultad de Enfermería, Pamplona, Spain; Universidad de Navarra, Grupo de Investigación IMPULS, Pamplona, Spain; Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain.
| | - Inmaculada Serrano-Monzó
- Universidad de Navarra, Facultad de Enfermería, Pamplona, Spain; Universidad de Navarra, Grupo de Investigación IMPULS, Pamplona, Spain; Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain
| | - Agurtzane Mujika
- Universidad de Navarra, Facultad de Enfermería, Pamplona, Spain; Universidad de Navarra, Grupo de Investigación IMPULS, Pamplona, Spain; Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Spain
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Oviedo-Caro MÁ, Bueno-Antequera J, Munguía-Izquierdo D. Transcultural adaptation and psychometric properties of Spanish version of Pregnancy Physical Activity Questionnaire: the PregnActive project. Gac Sanit 2018; 33:369-376. [PMID: 29566956 DOI: 10.1016/j.gaceta.2017.12.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2017] [Revised: 11/28/2017] [Accepted: 12/31/2017] [Indexed: 12/16/2022]
Abstract
OBJECTIVE To transculturally adapt the Spanish version of Pregnancy Physical Activity Questionnaire (PPAQ) analyzing its psychometric properties. METHODS The PPAQ was transculturally adapted into Spanish. Test-retest reliability was evaluated in a subsample of 109 pregnant women. The validity was evaluated in a sample of 208 pregnant women who answered the questionnaire and wore the multi-sensor monitor for 7 valid days. The reliability (intraclass correlation coefficient), concordance (concordance correlation coefficient), correlation (Pearson correlation coefficient), agreement (Bland-Altman plots) and relative activity levels (Jonckheere-Terpstra test) between both administrations and methods were examined. RESULTS Intraclass correlation coefficients between both administrations were good for all categories except transportation. A low but significant correlation was found for total activity (light and above) whereas no correlation was found for other intensities between both methods. Relative activity levels analysis showed a significant linear trend for increased total activity between both methods. CONCLUSIONS Spanish version of PPAQ is a brief and easily interpretable questionnaire with good reliability and ability to rank individuals, and poor validity compared with multi-sensor monitor. The use of PPAQ provides information of pregnancy-specific activities in order to establish physical activity levels of pregnant women and adapt health promotion interventions.
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Affiliation(s)
- Miguel Ángel Oviedo-Caro
- Department of Sports and Computer Science, Section of Physical Education and Sports, University Pablo de Olavide, Seville, Spain.
| | - Javier Bueno-Antequera
- Department of Sports and Computer Science, Section of Physical Education and Sports, University Pablo de Olavide, Seville, Spain
| | - Diego Munguía-Izquierdo
- Department of Sports and Computer Science, Section of Physical Education and Sports, University Pablo de Olavide, Seville, Spain
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Díaz AR, Navas PZ. Risk factors for trochanteric and femoral neck fracture. Rev Esp Cir Ortop Traumatol (Engl Ed) 2018; 62:134-141. [PMID: 29429857 DOI: 10.1016/j.recot.2017.09.002] [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: 06/20/2017] [Revised: 09/06/2017] [Accepted: 09/17/2017] [Indexed: 01/12/2023] Open
Abstract
INTRODUCTION AND OBJECTIVES The differences between the two main types of fracture of proximal end of the femur, trochanteric and cervical fractures, are still a subject of study, and could be the key to a better understanding of its pathophysiology and prevention. The aim of this study is to determine whether epidemiological differences in the distribution of risk factors associated with hip fracture exist between these two entities. PATIENTS AND METHOD A descriptive cross-sectional study of 428 patients over the age of 65 admitted for trochanteric or cervical fractures in 2015, in which gender, age, previous diagnosis, external causes associated with fracture and place of the event were recorded. RESULTS There were 220 patients with a cervical fracture (51.4%) and 208 patients with a trochanteric fracture (48.6%). The average age was higher in the trochanteric fracture, observing a constant increase with age only in women with trochanteric fractures. Cervical fracture showed a significant association with cerebrovascular disease (p=0.039) and trochanteric fracture with accidental falls (p=0.047) and presence of 5-9 previous diseases (p=0.014). A regression analysis maintained this association in the case of a cerebrovascular disease (OR 2.6, 95%CI 1.1-6.4) and the presence of 5-9 diseases (OR 1.5, 95%CI 1.1-2.3). CONCLUSIONS Trochanteric fractures are associated with women patients of more advanced ages, 5-9 previous diseases and accidental falls. Cerebrovascular disease shows a higher prevalence in cervical fractures.
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Affiliation(s)
- A R Díaz
- Graduado en Medicina, Área de Traumatología, Facultad de Medicina, Málaga
| | - P Z Navas
- FEA COT, Unidad de Cadera, HCU Virgen de la Victoria, Facultad de Medicina, Málaga.
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Leirós-Rodríguez R, Romo-Pérez V, García-Soidán J. Prevalence of urinary incontinence and its relation with sedentarism in Spain. Actas Urol Esp 2017; 41:624-630. [PMID: 28587843 DOI: 10.1016/j.acuro.2017.04.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2017] [Revised: 04/19/2017] [Accepted: 04/20/2017] [Indexed: 10/19/2022]
Abstract
OBJECTIVES To determine the prevalence of urinary incontinence in the elderly Spanish population of both sexes and identify a possible relationship between physical activity habits and the presence of urinary incontinence in the elderly. MATERIAL AND METHODS We used data from 8146 individuals older than 60 years (age range, 60-94 years), from which data from a 15-year cohort were obtained. Of these, 4745 (58.2%) were women and 3401 (41.8%) were men. We analysed the presence of urinary incontinence, physical activity habits and the influence of other variables such as sex, age, weight and body mass index. RESULTS We detected a prevalence of urinary incontinence of 15% for the women and 11.6% for the men. Those with urinary incontinence had a greater average age, weight and body mass index than the healthy participants. At the same time, the patient group with incontinence showed more sedentary habits compared with the healthy participants. CONCLUSIONS A strong relationship was observed between the body mass index and prevalence of urinary incontinence. Urinary incontinence was also related to attitudinal aspects such as physical inactivity, a behaviour that predisposes the elderly to developing incontinence. For the first time, we observed a reduction in the prevalence of incontinence compared with previous studies.
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Pérez-Manchón D, Rodríguez-Álvarez ML, Alcívar-Arteaga C, Redondo-Pico M, Ramos-Quirós E. Barometer of type 2 diabetes in primary care. Metabolic control, styles of life and morbidity profile. Enferm Clin 2017; 27:369-374. [PMID: 28040315 DOI: 10.1016/j.enfcli.2016.10.005] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2016] [Revised: 10/26/2016] [Accepted: 10/26/2016] [Indexed: 01/06/2023]
Abstract
OBJECTIVE Knowing the profile of cardiovascular morbidity, degree of control and lifestyles in type 2 diabetes. METHOD Randomized multicenter cross-sectional study conducted in 2015 in primary care with 129 diabetics. It included sociodemographic variables, microvascular and macrovascular complications, organic damage, comorbidity and lifestyles of smoking, exercise and adherence to Mediterranean diet. Metabolic control was assessed with the latest annual glycosylated haemoglobin. RESULTS 57% were men and 43% women. Metabolic control was acceptable (HbAc1%, 7.15%) without differences by town. 74.4% had cardiovascular comorbidity and the 99.2% risk factors. 23% were smokers and 41% sedentary with a 56% adherence to Mediterranean diet. CONCLUSIONS The cardiometabolic profile of diabetes includes retinopathy, peripheral arterial disease, comorbidity of hypertension and cardiovascular risk factors. Individual or group health education in self-care and healthy lifestyles can improve metabolic control.
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Affiliation(s)
- David Pérez-Manchón
- Centro de Salud Universitario Villanueva de la Cañada, Dirección asistencial noroeste del Servicio Madrileño de Salud (SERMAS), Madrid, España.
| | | | - Claudia Alcívar-Arteaga
- Consultorio de Brunete, Dirección asistencial noroeste del Servicio Madrileño de Salud (SERMAS), Madrid, España
| | - Mercedes Redondo-Pico
- Consultorio de Villafranca del Castillo, Dirección asistencial noroeste del Servicio Madrileño de Salud (SERMAS), Madrid, España
| | - Elena Ramos-Quirós
- Consultorio de Quijorna, Dirección asistencial noroeste del Servicio Madrileño de Salud (SERMAS), Madrid, España
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Ruilope LM, Chagas ACP, Brandão AA, Gómez-Berroterán R, Alcalá JJA, Paris JV, Cerda JJO. Hypertension in Latin America: Current perspectives on trends and characteristics. Hipertens Riesgo Vasc 2016; 34:50-56. [PMID: 28007488 DOI: 10.1016/j.hipert.2016.11.005] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2016] [Accepted: 11/28/2016] [Indexed: 12/13/2022]
Abstract
The region of Latin America, which includes Central America, the Caribbean and South America, is one that is rapidly developing. Signified by socio-economic growth, transition and development over the last few decades, living standards in countries like Brazil and Mexico have improved dramatically, including improvements in education and health care. An important marker of socio-economic change has been the epidemiological shift in disease burden. Cardiovascular disease is now the leading cause of death in Latin America, and the drop in prevalence of infectious diseases has been accompanied by a rise in non-communicable diseases. Hypertension is the major risk factor driving the cardiovascular disease continuum. In this article we aim to discuss the epidemiological and management trends and patterns in hypertension that may be specific or more common to Latin-American populations - what we term 'Latin American characteristics' of hypertension - via a review of the recent literature. Recognizing that there may be a specific profile of hypertension for Latin-American patients may help to improve their treatment, with the ultimate goal to reduce their cardiovascular risk. We focus somewhat on the countries of Brazil, Mexico and Venezuela, the experience of which may reflect other Latin American countries that currently have less published data regarding epidemiology and management practices.
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Affiliation(s)
- L M Ruilope
- "Cátedra UAM de Epidemiología y Control del Riesgo Cardiovascular", Universidad Autónoma de Madrid, Spain; Hypertension Unit, Institute of Research i+12: Hypertension and Cardiovascular Risk Group, Hospital Universitario 12 de Octubre & Department of Preventive Medicine and Public Health Universidad Autónoma de Madrid, Madrid, Spain.
| | - A C P Chagas
- Chief Cardiology Division, ABC Medical School, Av. Principe de Gales, 821, 09060-870 Santo André, SP, Brazil
| | - A A Brandão
- Department of Cardiology - Hypertension Unit, State University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - R Gómez-Berroterán
- Social Security, Hospital Dr. Domingo Luciani, Rio de Janeiro av. Municipio Sucre, Caracas 1073, Venezuela
| | - J J A Alcalá
- "Hospital Dr. Domingo Luciani" - Institute Venezuelan of the Safe Social (IVSS), Caracas, Venezuela
| | - J V Paris
- Instituto Nacional de Cardiologia "Ignacio Chávez", Mexico City, Mexico
| | - J J O Cerda
- Research and Education General Director, Grupo Angeles Servicios de Salud, Mexico City, Mexico
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Castro JAC, Nunes HEG, Silva DAS. Prevalence of abdominal obesity in adolescents: association between sociodemographic factors and lifestyle. Rev Paul Pediatr 2016; 34:343-51. [PMID: 26993748 DOI: 10.1016/j.rpped.2016.01.003] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/11/2015] [Revised: 01/11/2016] [Accepted: 01/17/2016] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To estimate the prevalence of abdominal obesity and verify the association with sociodemographic factors (gender, school shift, ethnicity, age, maternal education and economic status) and lifestyle (alcohol consumption, sleep, soft drink consumption, level of physical activity and sedentary behavior) in adolescents in Southern Brazil. METHODS This was a cross-sectional epidemiological study of 930 adolescents (490 girls) aged 14 to 19 years, living in the city of São José, SC, Brazil. A self-administered questionnaire was used to collect sociodemographic and lifestyle data. Abdominal obesity was measured through the waist circumference and analyzed according to gender and age. Descriptive statistics (absolute and relative frequency, mean and standard deviation) and binary logistic regression, expressed as odds ratios (OR) and 95% confidence interval (95%CI) were employed, with p<0.05 being considered statistically significant; the SPSS 17.0 software was used for the statistical analyses. RESULTS The prevalence of abdominal obesity was 10.6% for the total sample (10.5% male, 10.8% female). Adolescents that watched television daily for two or more hours (OR=2.11, 95%CI 1.08 to 4.13) had a higher chance of having abdominal obesity and adolescents whose mothers had fewer than eight years of schooling (OR=0.56; 95%CI from 0.35 to 0.91) had a lower chance of having abdominal obesity. CONCLUSIONS Approximately one in 10 adolescents had abdominal obesity; the associated factors were maternal schooling (≥8 years) and television screen time (≥2hours/day).
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Affiliation(s)
- João Antônio Chula Castro
- Programa de Pós-Graduação em Educação Física, Universidade Federal de Santa Catarina (UFSC), Florianópolis, SC, Brasil
| | - Heloyse Elaine Gimenes Nunes
- Programa de Pós-Graduação em Educação Física, Universidade Federal de Santa Catarina (UFSC), Florianópolis, SC, Brasil
| | - Diego Augusto Santos Silva
- Programa de Pós-Graduação em Educação Física, Universidade Federal de Santa Catarina (UFSC), Florianópolis, SC, Brasil.
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Maestre-Miquel C, Figueroa C, Santos J, Astasio P, Gil P. [Counseling and preventive action in elderly population in hospitals and residences in Spain]. Aten Primaria 2016; 48:550-556. [PMID: 26920448 PMCID: PMC6877857 DOI: 10.1016/j.aprim.2015.10.012] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2014] [Revised: 10/08/2015] [Accepted: 10/25/2015] [Indexed: 12/24/2022] Open
Abstract
Objetivos Conocer el perfil sociosanitario de los pacientes mayores atendidos en consultas; conocer las acciones preventivas que se llevan a cabo, de forma rutinaria, en hospitales, residencias geriátricas y otros centros asistenciales en España. Diseño Estudio descriptivo transversal, basado en un cuestionario a médicos que atienden a población mayor de 65 años en España (2013). Emplazamiento Centros de diferentes comunidades autónomas en España. Participantes: Un total de 420 médicos de hospitales, residencias y otros centros. Se obtuvieron datos de 840 consultas a pacientes geriátricos. Mediciones principales Variables principales de resultados: dependencia, comorbilidad, motivo de consulta, actuación en consulta y recomendación de estilos de vida saludable. Factor asociado, tipo de institución en la que se atendió al paciente. Análisis de prevalencias y diferencias con Chi-cuadrado. Resultados El 66,7% presentaban dependencia, siendo mayor entre las mujeres: 68,9% vs 62,4% (p = 0,055). El 88,6% de mujeres atendidas con 85 o más años presentaban comorbilidad, mientras que en hombres de ese mismo grupo de edad eran un 79,8%. Solo un 6,6% de pacientes con comorbilidad recibieron recomendaciones saludables durante la consulta. El 79,6% de pacientes atendidos en hospitales recibieron recomendaciones de estilo de vida saludable, mientras que en las residencias geriátricas las recibieron el 59,62% de los pacientes (p < 0,001). Conclusiones Se detecta una escasa acción preventiva y de promoción de la salud hacia las personas mayores, con diferencias entre hospitales y residencias geriátricas. Parece necesario incentivar la actitud promotora de salud y las intervenciones preventivas en la práctica clínica gerontológica.
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Affiliation(s)
- Clara Maestre-Miquel
- Departamento de Enfermería y Fisioterapia, Facultad de Terapia Ocupacional, Logopedia y Enfermería, Universidad de Castilla-La Mancha, Talavera de la Reina, Toledo, España.
| | - Carmen Figueroa
- Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Complutense, Madrid, España
| | - Juana Santos
- Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Complutense, Madrid, España
| | - Paloma Astasio
- Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Complutense, Madrid, España
| | - Pedro Gil
- Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Complutense, Madrid, España; Departamento de Geriatría, Hospital Clínico San Carlos, Madrid, España
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Blázquez Abellán G, López-Torres Hidalgo JD, Rabanales Sotos J, López-Torres López J, Val Jiménez CL. [Healthy eating and self-perception of health]. Aten Primaria 2016; 48:535-542. [PMID: 26920449 PMCID: PMC6877839 DOI: 10.1016/j.aprim.2015.12.001] [Citation(s) in RCA: 8] [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: 07/15/2015] [Revised: 11/06/2015] [Accepted: 12/07/2015] [Indexed: 11/17/2022] Open
Abstract
Objetivo Determinar si en mayores de 50 años existe asociación entre el estado de salud percibido, una alimentación saludable y otros estilos de vida. Diseño Estudio observacional transversal. Emplazamiento Ocho zonas básicas de salud del área sanitaria de Albacete. Participantes Un total de 781 sujetos, de 50 a 74 años, seleccionados mediante muestreo simple aleatorio. Mediciones principales Variables: autopercepción de salud (cuestionario EuroQol-5D), hábitos alimentarios (cuestionario sobre frecuencia de consumo de alimentos), actividad física (cuestionario IPAQ), hábitos tóxicos, problemas de salud (clasificación internacional de atención primaria) y características sociodemográficas. Resultados La edad media fue de 61,4 años (DE: 6,6) y la proporción de mujeres, del 60,1%. En una escala de 0-100 la puntuación media en el estado de salud percibido fue de 74,0 (DE: 15,2). Dicha puntuación presentó una débil correlación con el número de criterios de alimentación saludable (r = 0,078; p = 0,03). Se observó una tendencia lineal (p = 0,001) entre intensidad de ejercicio físico y mejor autopercepción de salud. En fumadores la puntuación fue inferior (DE: 70,9 ± 15,6 vs. DE: 74,9 ± 15,1; p = 0,004). Mediante regresión múltiple el número de criterios de alimentación saludable mantuvo una asociación con la puntuación en el estado de salud percibido (p = 0,04), una vez ajustado el modelo por características sociodemográficas, número de problemas de salud y hábitos tóxicos. Conclusiones En mayores de 50 años el nivel de salud autopercibida se asocia al cumplimiento de los criterios de una alimentación saludable, lo cual es independiente de otros hábitos de salud y de las principales variables sociodemográficas.
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Affiliation(s)
| | | | - Joseba Rabanales Sotos
- Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla-La Mancha, Cuenca, España
| | | | - Carmen Ll Val Jiménez
- Complejo Hospitalario Universitario de Albacete, Servicio de Salud de Castilla-La Mancha, Albacete, España
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Gonçalves EC, Silva DA. [Factors associated with low levels of aerobic fitness among adolescents]. Rev Paul Pediatr 2016; 34:141-7. [PMID: 26743851 DOI: 10.1016/j.rpped.2015.06.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2015] [Revised: 06/22/2015] [Accepted: 06/22/2015] [Indexed: 11/23/2022]
Abstract
OBJECTIVE To evaluate the prevalence of low aerobic fitness levels and to analyze the association with sociodemographic factors, lifestyle and excess body fatness among adolescents of southern Brazil. METHODS The study included 879 adolescents aged 14 to 19 years the city of São José/SC, Brazil. The aerobic fitness was assessed by Canadian modified test of aerobic fitness. Sociodemographic variables (skin color, age, sex, study turn, economic level), sexual maturation and lifestyle (eating habits, screen time, physical activity, consumption of alcohol and tobacco) were assessed by a self-administered questionnaire. Excess body fatness was evaluated by sum of skinfolds triceps and subscapular. We used logistic regression to estimate odds ratios and 95% confidence intervals. RESULTS Prevalence of low aerobic fitness level was 87.5%. The girls who spent two hours or more in front screen, consumed less than one glass of milk by day, did not smoke and had an excess of body fatness had a higher chance of having lower levels of aerobic fitness. White boys with low physical activity had had a higher chance of having lower levels of aerobic fitness. CONCLUSIONS Eight out of ten adolescents were with low fitness levels aerobic. Modifiable lifestyle factors were associated with low levels of aerobic fitness. Interventions that emphasize behavior change are needed.
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Rivadeneyra-Sicilia A, Minué Lorenzo S, Artundo Purroy C, Márquez Calderón S. [Lessons from abroad. Current and previous crisis in other countries. SESPAS report 2014]. Gac Sanit 2015; 28 Suppl 1:12-7. [PMID: 24863989 DOI: 10.1016/j.gaceta.2014.03.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/07/2013] [Revised: 03/02/2014] [Accepted: 03/04/2014] [Indexed: 02/04/2023]
Abstract
The evidence available on the impact of previous crises on health reveals different patterns attributable to study designs, the characteristics of each crisis, and other factors related to the socioeconomic and political context. There is greater consensus on the mediating role of government policy responses to financial crises. These responses may magnify or mitigate the adverse effects of crises on population health. Some studies have shown a significant deterioration in some health indicators in the context of the current crisis, mainly in relation to mental health and communicable diseases. Alcohol and tobacco use have also declined in some European countries. In addition, this crisis is being used by some governments to push reforms aimed at privatizing health services, thereby restricting the right to health and healthcare. Specifically, action is being taken on the three axes that determine health system financing: the population covered, the scope of services, and the share of the costs covered. These measures are often arbitrarily implemented based on ideological decisions rather than on the available evidence and therefore adverse consequences are to be expected in terms of financial protection, efficiency, and equity.
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Affiliation(s)
| | - Sergio Minué Lorenzo
- Escuela Andaluza de Salud Pública, Consejería de Salud y Bienestar Social, Junta de Andalucía, Granada, España
| | - Carlos Artundo Purroy
- Escuela Andaluza de Salud Pública, Consejería de Salud y Bienestar Social, Junta de Andalucía, Granada, España
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Sousa P, Gaspar P, Fonseca H, Hendricks C, Murdaugh C. Health promoting behaviors in adolescence: validation of the Portuguese version of the Adolescent Lifestyle Profile. J Pediatr (Rio J) 2015; 91:358-65. [PMID: 25727027 DOI: 10.1016/j.jped.2014.09.005] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2014] [Revised: 09/08/2014] [Accepted: 09/10/2014] [Indexed: 10/23/2022] Open
Abstract
OBJECTIVE Reliable and valid instruments are essential for understanding health-promoting behaviors in adolescents. This study analyzed the psychometric properties of the Portuguese version of the Adolescent Lifestyle Profile (ALP). METHODS A linguistic and cultural translation of the ALP was conducted with 236 adolescents from two different settings: a community (n=141) and a clinical setting (n=95). Internal consistency reliability and confirmatory factor analysis were performed. RESULTS Results showed an adequate fit to data, yielding a 36-item, seven-factor structure (CMIN/DF=1.667, CFI=0.807, GFI=0.822, RMR=0.051, RMSEA=0.053, PNFI=0.575, PCFI=0.731). The ALP presented a high internal consistency (α=0.866), with the subscales presenting moderate reliability values (from 0.492 to 0.747). The highest values were in Interpersonal Relations (3.059±0.523) and Positive Life Perspective (2.985±0.588). Some gender differences were found. Findings showed that adolescents from the clinic reported an overall healthier lifestyle than those from the community setting (2.598±0.379 vs. 2.504±0.346; t=1.976, p=0.049). CONCLUSION The ALP Portuguese version is a psychometrically reliable, valid, and useful measurement instrument for assessing health-promoting lifestyles in adolescence. The ALP is cross-culturally validated and can decisively contribute to a better understanding of adolescent health promotion needs. Additional research is needed to evaluate the instrument's predictive validity, as well as its clinical relevance for practice and research.
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Affiliation(s)
- Pedro Sousa
- School of Health Sciences, Instituto Politécnico de Leiria, Leiria, Portugal; Health Research Unit (UIS), Instituto Politécnico de Leiria, Leiria, Portugal.
| | - Pedro Gaspar
- School of Health Sciences, Instituto Politécnico de Leiria, Leiria, Portugal; Health Research Unit (UIS), Instituto Politécnico de Leiria, Leiria, Portugal
| | - Helena Fonseca
- School of Medicine, Universidade de Lisboa, Lisbon, Portugal; Pediatric Obesity Clinic, Department of Pediatrics, Hospital de Santa Maria (HSM), Lisbon, Portugal
| | | | - Carolyn Murdaugh
- College of Nursing, University of Arizona, Tucson, United States
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Carbayo Herencia JA. [Foods related to the novel 'don quixote de la mancha'. did they follow the healthy nutritional recommendations which are advised nowadays?]. Clin Investig Arterioscler 2015; 27:193-204. [PMID: 25979663 DOI: 10.1016/j.arteri.2015.03.002] [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] [Subscribe] [Scholar Register] [Received: 02/16/2015] [Revised: 03/12/2015] [Accepted: 03/13/2015] [Indexed: 11/25/2022]
Abstract
It is known that Miguel de Cervantes's novel 'Don Quixote de La Mancha' has done and is still doing a great contribution to the universal literature. A book that has reached such category and grows in number of its readers, shows multiple dimensions for its study. One of them is nutrition. One of the aims of this study has been to value and expound, according to their own nutrients, the kinds of food cited in 'The Quixote' and in the times of Cervantes. This has allowed the comparison made between ways of nutrition in La Mancha and in Catalonia, as well as the regions situated at the beginning and end of the itinerary covered by its main characters Don Quixote and Sancho Panza. The evaluation of the nutrients in the middle part of the itinerary, placed mainly in Aragón, has not been considered in this study. Another purpose has been to check if these nutrients followed the current recommendations of the Spanish Society of Arteriosclerosis and other valid agreements at the moment.
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Affiliation(s)
- Julio A Carbayo Herencia
- Unidad de Lípidos, IdcSalud Hospital, Albacete, España; Grupo de Enfermedades Vasculares de Albacete (GEVA), Albacete, España; Departamento de Medicina Clínica, Universidad Miguel Hernández, Alicante, España; Cátedra de Riesgo Cardiovascular, Universidad Católica de Murcia (UCAM), Murcia, España.
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Casado-Pérez C, Hernández-Barrera V, Jiménez-García R, Fernández-de-Las-Peñas C, Carrasco-Garrido P, Palacios-Ceña D. [Physical activity in adult working population: results from the European National Health Survey for Spain (2009)]. Aten Primaria 2015; 47:563-72. [PMID: 25746034 PMCID: PMC6983833 DOI: 10.1016/j.aprim.2015.01.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [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: 04/14/2014] [Revised: 12/19/2014] [Accepted: 01/14/2015] [Indexed: 11/13/2022] Open
Abstract
Objetivos 1) Describir la actividad física realizada por la población española trabajadora entre los 16 y los 70 años, y 2) determinar las variables sociodemográficas, la percepción del estado de salud y los hábitos relacionados con estilos de vida asociados a la actividad física en población adulta trabajadora. Diseño Estudio observacional, utilizando la Encuesta Europea de Salud en España. Emplazamiento Comunitario. Participantes Los sujetos con edades entre 16-70 años fueron 10.928 (5.628 mujeres, 5.300 hombres). Intervenciones No se aplicó ninguna intervención. Mediciones principales La actividad física y su intensidad fueron valoradas mediante preguntas incluidas en la encuesta. Se analizaron variables sociodemográficas, la percepción del estado de salud y variables de salud, utilizando modelos multivariados de regresión logística. Resultados No tener pareja (OR 1,44; p < 0,001), tener estudios universitarios (OR 1,62; p < 0,001), no fumar (OR 1,50; p < 0,001) y tomar medicación (OR 1,22; p < 0,5) eran predictores de actividad física intensa en los hombres. En las mujeres se asoció significativamente con los 3 primeros factores. Por el contrario, la obesidad (OR 0,58; p < 0,001) y tener 36-50 años (OR 0,68; p < 0,001) se asociaron con sedentarismo en los hombres. Tener ≥ 2 enfermedades (OR 1,30; p < 0,001), no fumar (OR 1,17; p < 0,5) y tener 36-50 años (OR 1,26; p < 0,01) estaban asociados a una actividad moderada en las mujeres. El estado mental positivo fue significativo para la actividad física intensa en ambos sexos (OR 1,01; p < 0,5). Conclusiones Se identifican factores que pueden influir en la actividad física de la población española trabajadora, con implicaciones para las estrategias y políticas de salud pública.
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Affiliation(s)
- Carmen Casado-Pérez
- Departamento de Medicina Preventiva y Salud Pública e Inmunología y Microbiología Médicas, Universidad Rey Juan Carlos, Madrid, España.
| | - Valentín Hernández-Barrera
- Departamento de Medicina Preventiva y Salud Pública e Inmunología y Microbiología Médicas, Universidad Rey Juan Carlos, Madrid, España
| | - Rodrigo Jiménez-García
- Departamento de Medicina Preventiva y Salud Pública e Inmunología y Microbiología Médicas, Universidad Rey Juan Carlos, Madrid, España
| | - Cesar Fernández-de-Las-Peñas
- Departamento de Fisioterapia, Terapia Ocupacional, Rehabilitación y Medicina Física, Universidad Rey Juan Carlos, Madrid, España
| | - Pilar Carrasco-Garrido
- Departamento de Medicina Preventiva y Salud Pública e Inmunología y Microbiología Médicas, Universidad Rey Juan Carlos, Madrid, España
| | - Domingo Palacios-Ceña
- Departamento de Fisioterapia, Terapia Ocupacional, Rehabilitación y Medicina Física, Universidad Rey Juan Carlos, Madrid, España
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Mata-Cases M, Artola S, Escalada J, Ezkurra-Loyola P, Ferrer-García J, Fornos J, Girbés J, Rica I. [Consensus on the detection and management of prediabetes. Consensus and Clinical Guidelines Working Group of the Spanish Diabetes Society]. Aten Primaria 2015; 47:456-68. [PMID: 25735589 PMCID: PMC6983698 DOI: 10.1016/j.aprim.2014.12.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [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: 10/27/2014] [Accepted: 12/04/2014] [Indexed: 01/09/2023] Open
Abstract
En España, según datos del estudio Di@bet.es, un 13,8% de la población adulta padece diabetes y un 14,8% algún tipo de prediabetes (intolerancia a la glucosa, glucemia basal alterada o ambas). Puesto que la detección precoz de la prediabetes puede facilitar la puesta en marcha de medidas terapéuticas que eviten su progresión a diabetes, consideramos que las estrategias de prevención en las consultas de atención primaria y especializada deberían consensuarse. La detección de diabetes y prediabetes mediante un cuestionario específico (test de FINDRISC) y/o la determinación de la glucemia basal en pacientes de riesgo permiten detectar los pacientes con riesgo de desarrollar la enfermedad y es necesario considerar cómo debe ser su manejo clínico. La intervención sobre los estilos de vida puede reducir la progresión a diabetes o hacer retroceder un estado prediabético a la normalidad y es una intervención coste-efectiva. Algunos fármacos, como la metformina, también se han mostrado eficaces en reducir la progresión a diabetes aunque no son superiores a las intervenciones no farmacológicas. Finalmente, aunque no hay pruebas sólidas que apoyen la eficacia del cribado en términos de morbimortalidad, sí que se ha observado una mejora de los factores de riesgo cardiovascular. El Grupo de Trabajo de Consensos y Guías Clínicas de la Sociedad Española de Diabetes, ha elaborado unas recomendaciones que han sido consensuadas con la Sociedad Española de Endocrinología y Nutrición, la Sociedad Española de Endocrinología Pediátrica, la Sociedad Española de Farmacia Comunitaria, la Sociedad Española de Medicina Familiar y Comunitaria, la Sociedad Española de Médicos Generales, la Sociedad Española de Médicos de Atención Primaria, la Sociedad Española de Medicina Interna y la Asociación de Enfermería Comunitaria y la Red de Grupos de Estudio de la Diabetes en Atención Primaria.
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Castro Cuesta JY, Abellán Huerta J, Leal Hernández M, Gómez Jara P, Ortín Ortín EJ, Abellán Alemán J. [Lifestyles related with cardiovascular risk in university students]. Clin Investig Arterioscler 2013; 26:10-6. [PMID: 24332838 DOI: 10.1016/j.arteri.2013.10.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/16/2013] [Revised: 10/28/2013] [Accepted: 10/29/2013] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To analyze the lifestyles associated with cardiovascular risk in a university population in university admission. MATERIAL AND METHODS A descriptive, observational, cross-sectional students of the Catholic University San Antonio of Murcia. Select a sample of 672 college students enrolled in the first year of the race. The instrument used to collect the data, is a self-completed questionnaire anonymous, with a total of 59 questions. RESULTS With respect to smoking 242 are smokers (36%), 117 former smokers (17.4%), and 313 non-smokers (46.6%). When compared snuff consumption by sex, no differences are detected. By running the largest group of non-smokers often seen in students of physical sciences (59.1%) compared to the careers humanities (40.9%). 87.4% (587) of students surveyed report using alcohol, compared to 12.6% (85) no. According to the race group not detected association between race group and the fact consume alcohol or not. The 65.6% of students surveyed physical exercise commonly referred, being higher the frequency of exercise in men than in women (81.7% versus 49.4%) (P<.001). 54.3% of surveyed students follow a dietary pattern typical of the Mediterranean diet. CONCLUSIONS The University does not exercise the role that could mean in terms of enhancing healthy lifestyles and abandonment of harmful health styles.
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Affiliation(s)
| | | | | | | | | | - José Abellán Alemán
- Cátedra de Riesgo Cardiovascular, Universidad Católica de Murcia, Murcia, España.
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Carral San Laureano F, Cabo Navarro D, Ayala Ortega C, Gómez Rodríguez F, Piñero Zaldivar A, Prieto Ferrón M, Jiménez Millán AI, Sanz Sanz A, García Calzado C. [Effectiveness of lifestyle intervention program in persons with obesity treated in a day hospital]. Rev Calid Asist 2013; 28:285-90. [PMID: 23684047 DOI: 10.1016/j.cali.2013.03.007] [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] [Subscribe] [Scholar Register] [Received: 01/22/2013] [Revised: 02/27/2013] [Accepted: 03/04/2013] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Obesity is a chronic disease that affects approximately 25% of the Spanish population, causing high morbidity and associated healthcare costs. OBJECTIVE To evaluate the effectiveness of an intervention program on lifestyles in obese patients treated in a day hospital scheme. METHODS A prospective non- controlled intervention study was conducted on obese patients treated in the Endocrinology and Nutrition day hospital, Puerto Real University Hospital, and included in program of lifestyle modification to achieve a weight loss of ≥ 5% minimum. RESULTS We studied 262 patients with a mean age of 44.6±16.0 years (71% women) with an initial weight, body mass index and waist circumference of 110.4±21.1kg, 41.6±6.6Kg/m(2) and 120.5±13.2cm, respectively. Patients who continued in the study lost an average of 4.8±4.8kg (n=165) and 7.0±6.2kg (n=48) at three and six months, respectively, with 51.5% (n=135) patients reaching the weight loss goal of ≥ 5%. There were no statistically differences in weight loss between any clinical or follow-up variables analysed. 43.5% of patients voluntarily left the study without reaching the weight loss goal. CONCLUSION The intervention on lifestyles in obese patients treated in a day hospital achieves moderate weight loss in the medium term, with half of patients achieving a weight loss ≥5%.
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Affiliation(s)
- F Carral San Laureano
- Unidad de Gestión Clínica (UGC) de Endocrinología y Nutrición, Hospital Universitario Puerto Real, Cádiz, España.
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Guitard Sein-Echaluce ML, Torres Puig-gros J, Farreny Justribó D, Gutiérrez Vilaplana JM, Martínez Orduna M, Artigues Barberá EM. [Adherence to physical activity recommendations in a hypertensive primary care population]. Gac Sanit 2013; 27:365-8. [PMID: 23287102 DOI: 10.1016/j.gaceta.2012.11.004] [Citation(s) in RCA: 2] [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: 07/09/2012] [Revised: 11/13/2012] [Accepted: 11/13/2012] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To determine the prevalence of adherence to physical activity recommendations in the hypertensive population of Lerida (Spain) attended in primary care and to identify related factors. METHODS A cross sectional study was carried out in hypertensive adults. The dependent variable was adherence to physical activity recommendations measured with the Minnesota Questionnaire. The independent variables were sociodemographic factors, the information received, and attitudes to physical activity. RESULTS A total of 786 hypertensive patients participated in this study; 53.9% were women and the mean age was 66.0±10.2 years. Adherence to recommendations was found in 64.3% (95% CI: 60.9-67.6); this percentage was 65.2% in men (95% CI: 60.2-70.0) and 63.4% in women (95% CI: 58.8-67.9). Greater adherence was associated with age in men and with residence in a rural area in women. In both genders, greater adherence was associated with unpaid work and with having a favorable attitude to physical activity. No association was observed with the number of recommendations received in the last 6 months. CONCLUSIONS More than half the hypertensive population adhered to physical activity recommendations. To improve physical activity levels, recommendations can be tailored to the attitudes of individual patients.
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