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Associate professor of Biostatistics, Malaga University PhD in Mathematics, Université Pierre et Marie Curie
Self-perceived health has been used as a good estimator of health status and receiving affection can be a determining factor for good self-perceived health. The aim of the present study was to assess whether lack of social support (measured through Duke scale, which ranges from 11 to 55) was associated with poorer health status measured as self-perceived health, and whether that association was different between women and men. A cross-sectional study was conducted using data from the 2017 Spanish National Health Survey. A descriptive study was performed, and logistic regression models were applied using self-perceived health as a dependent variable. Mean Duke score was 47.6 for men and 47.9 for women (p = 0.016). Moreover, 36.3% of women and 27.6% of men reported poor self-perceived health (p < 0.001). The multivariate analysis revealed that lower scores in Duke-UNC social support scale were associated with poorer health status. That association was higher in women than in men. Poor self-perceived health was also associated with low level of education and obesity, especially among women. There was gender inequality as regards health status associated with lack of social support. These results can help design prevention strategies to improve health.
Julia Wärnberg; Napoleón Pérez-Farinós; María Ajejas-Bazán; Jéssica Pérez-López; Juan Benavente-Marín; Edelys Crespo-Oliva; Virginia Castillo-Antúnez; Olga Fernández-Barceló; Silvia Valenzuela-Guerrero; María Silva-Soto; F. Barón-López. Lack of Social Support and Its Role on Self-Perceived Health in a Representative Sample of Spanish Adults. Another Aspect of Gender Inequality. Journal of Clinical Medicine 2021, 10, 1502 .
AMA StyleJulia Wärnberg, Napoleón Pérez-Farinós, María Ajejas-Bazán, Jéssica Pérez-López, Juan Benavente-Marín, Edelys Crespo-Oliva, Virginia Castillo-Antúnez, Olga Fernández-Barceló, Silvia Valenzuela-Guerrero, María Silva-Soto, F. Barón-López. Lack of Social Support and Its Role on Self-Perceived Health in a Representative Sample of Spanish Adults. Another Aspect of Gender Inequality. Journal of Clinical Medicine. 2021; 10 (7):1502.
Chicago/Turabian StyleJulia Wärnberg; Napoleón Pérez-Farinós; María Ajejas-Bazán; Jéssica Pérez-López; Juan Benavente-Marín; Edelys Crespo-Oliva; Virginia Castillo-Antúnez; Olga Fernández-Barceló; Silvia Valenzuela-Guerrero; María Silva-Soto; F. Barón-López. 2021. "Lack of Social Support and Its Role on Self-Perceived Health in a Representative Sample of Spanish Adults. Another Aspect of Gender Inequality." Journal of Clinical Medicine 10, no. 7: 1502.
The aim of this study is to evaluate if screen time and parents’ education levels are associated with adherence to a Mediterranean dietary pattern. This cross-sectional study analyzed a representative sample of 3333 children and adolescents (8 to 16 years) included in the Physical Activity, Sedentarism, lifestyles and Obesity in Spanish youth (PASOS) study in Spain (which ran from March 2019 to February 2020). Data on screen time (television, computer, video games, and mobile phone) per day, Mediterranean diet adherence, daily moderate or vigorous physical activity, and parents’ education levels were gathered using questionnaires. A descriptive study of the variables according to sex and parents’ education level was performed. Logistic regression models (adjusted by sex and weight status) were fitted to evaluate the independent association between screen time and Kids’ level of adherence to the Mediterranean diet (KIDMED) index, as well as some of its items. A greater amount of screen time was associated with worse adherence to the Mediterranean diet; a lower consumption of fruit, vegetables, fish, legumes, and nuts; and a greater consumption of fast food, sweets, and candies. A lower parents’ education level was associated with worse adherence to the Mediterranean diet. It is necessary to promote the responsible, limited use of screen time, especially in children with parents with a lower education level.
Julia Wärnberg; Napoleón Pérez-Farinós; Juan Benavente-Marín; Santiago Gómez; Idoia Labayen; Augusto G. Zapico; Narcis Gusi; Susana Aznar; Pedro Alcaraz; Miguel González-Valeiro; Lluís Serra-Majem; Nicolás Terrados; Josep Tur; Marta Segú; Camille Lassale; Clara Homs; Maddi Oses; Marcela González-Gross; Jesús Sánchez-Gómez; Fabio Jiménez-Zazo; Elena Marín-Cascales; Marta Sevilla-Sánchez; Estefanía Herrera-Ramos; Susana Pulgar; María Bibiloni; Olga Sancho-Moron; Helmut Schröder; F. Barón-López. Screen Time and Parents’ Education Level Are Associated with Poor Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study. Journal of Clinical Medicine 2021, 10, 795 .
AMA StyleJulia Wärnberg, Napoleón Pérez-Farinós, Juan Benavente-Marín, Santiago Gómez, Idoia Labayen, Augusto G. Zapico, Narcis Gusi, Susana Aznar, Pedro Alcaraz, Miguel González-Valeiro, Lluís Serra-Majem, Nicolás Terrados, Josep Tur, Marta Segú, Camille Lassale, Clara Homs, Maddi Oses, Marcela González-Gross, Jesús Sánchez-Gómez, Fabio Jiménez-Zazo, Elena Marín-Cascales, Marta Sevilla-Sánchez, Estefanía Herrera-Ramos, Susana Pulgar, María Bibiloni, Olga Sancho-Moron, Helmut Schröder, F. Barón-López. Screen Time and Parents’ Education Level Are Associated with Poor Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study. Journal of Clinical Medicine. 2021; 10 (4):795.
Chicago/Turabian StyleJulia Wärnberg; Napoleón Pérez-Farinós; Juan Benavente-Marín; Santiago Gómez; Idoia Labayen; Augusto G. Zapico; Narcis Gusi; Susana Aznar; Pedro Alcaraz; Miguel González-Valeiro; Lluís Serra-Majem; Nicolás Terrados; Josep Tur; Marta Segú; Camille Lassale; Clara Homs; Maddi Oses; Marcela González-Gross; Jesús Sánchez-Gómez; Fabio Jiménez-Zazo; Elena Marín-Cascales; Marta Sevilla-Sánchez; Estefanía Herrera-Ramos; Susana Pulgar; María Bibiloni; Olga Sancho-Moron; Helmut Schröder; F. Barón-López. 2021. "Screen Time and Parents’ Education Level Are Associated with Poor Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study." Journal of Clinical Medicine 10, no. 4: 795.
Hiking is a very popular outdoor activity, and has led to an exponential increase in the number of visitors to natural spaces. The objective of this study was to analyze the circulation pattern of visitors to the Caminito del Rey trail, based on the three zones into which the trail can be divided. The sample consisted of 1582 hikers distributed into three different profiles. Of these, 126 utilized an eye-tracking device during the hike, while, for the rest (1456), only their travel speed along the trail was recorded. The use of eye tracking devices identified a greater number of interesting landscapes located in zones 1 and 3 of the trail, and it was observed that the mean travel speed was greater for zone 2 (42.31 m/min) (p < 0.01). Additionally, when the three different visitor profiles were analyzed, significant differences were found between the mean travel speeds according to sectors (p < 0.05). This information is crucial for more efficient management of the trail, as it allows for the development of measures to control and regulate the flow of visitors according to zone, and the design of additional strategies to increase the awareness of the hiker about specific areas of the hike.
Gemma Gea-García; Carmelo Fernández-Vicente; Francisco Barón-López; Jesús Miranda-Páez. The Recreational Trail of the El Caminito del Rey Natural Tourist Attraction, Spain: Determination of Hikers’ Flow. International Journal of Environmental Research and Public Health 2021, 18, 1809 .
AMA StyleGemma Gea-García, Carmelo Fernández-Vicente, Francisco Barón-López, Jesús Miranda-Páez. The Recreational Trail of the El Caminito del Rey Natural Tourist Attraction, Spain: Determination of Hikers’ Flow. International Journal of Environmental Research and Public Health. 2021; 18 (4):1809.
Chicago/Turabian StyleGemma Gea-García; Carmelo Fernández-Vicente; Francisco Barón-López; Jesús Miranda-Páez. 2021. "The Recreational Trail of the El Caminito del Rey Natural Tourist Attraction, Spain: Determination of Hikers’ Flow." International Journal of Environmental Research and Public Health 18, no. 4: 1809.
Falls in the elderly are associated with morbidity and mortality. Research about fall risk factors in Spanish care facilities is scarce. This study aimed to assess the prevalence of falls among residents living in long-term care Spanish institutions and to identify fall risk factors in this population. A nationwide retrospective cohort study was conducted in 113 centers. Persons over 70 years old who were living in a residential setting for at least 1 year were included. Simple and multiple regression analyses were conducted to estimate the associations between the main clinical variables registered in the databases and the presence of falls. A total of 2849 subjects were analyzed (mean age 85.21 years). The period prevalence of fallers in the last 12 months was 45.3%, with a proportion of recurrent fallers of 51.7%. The presence of falls was associated with lower Tinetti Scale scores (OR = 1.597, 95% CI: 1.280, 1.991; OR = 1.362, 95% CI: 1.134, 1.635), severe or moderate cognitive impairment (OR= 1.992, 95% CI: 1.472, 2.695; OR = 1.507, 95% CI: 1.231, 1.845, respectively), and polypharmacy (OR = 1.291, 95% CI: 1.039, 1.604). Fall prevention interventions should focus on the prevention of balance and cognitive deterioration and the improvement of these functions when possible. It should also focus on a periodical medication history revision aiming to avoid inappropriate prescriptions.
Lourdes Bujalance Díaz; María Jesús Casuso-Holgado; María Teresa Labajos-Manzanares; Francisco Javier Barón-López; Elena Pinero-Pinto; Rita Pilar Romero-Galisteo; Noelia Moreno-Morales. Analysis of Fall Risk Factors in an Aging Population Living in Long-Term Care Institutions in SPAIN: A Retrospective Cohort Study. International Journal of Environmental Research and Public Health 2020, 17, 7234 .
AMA StyleLourdes Bujalance Díaz, María Jesús Casuso-Holgado, María Teresa Labajos-Manzanares, Francisco Javier Barón-López, Elena Pinero-Pinto, Rita Pilar Romero-Galisteo, Noelia Moreno-Morales. Analysis of Fall Risk Factors in an Aging Population Living in Long-Term Care Institutions in SPAIN: A Retrospective Cohort Study. International Journal of Environmental Research and Public Health. 2020; 17 (19):7234.
Chicago/Turabian StyleLourdes Bujalance Díaz; María Jesús Casuso-Holgado; María Teresa Labajos-Manzanares; Francisco Javier Barón-López; Elena Pinero-Pinto; Rita Pilar Romero-Galisteo; Noelia Moreno-Morales. 2020. "Analysis of Fall Risk Factors in an Aging Population Living in Long-Term Care Institutions in SPAIN: A Retrospective Cohort Study." International Journal of Environmental Research and Public Health 17, no. 19: 7234.
Environmental and genetic factors are assumed to be necessary for the development of multiple sclerosis (MS), however its interactions are still unclear. For this reason here, we have not only analyzed the impact on increased risk of MS of the best known factors (HLA-DRB1*15:01 allele, sun exposure, vitamin D levels, smoking habit), but we have included another factor (skin phototype) that has not been analyzed in depth until now. This study included 149 MS patients and 147 controls. A multivariate logistic regression (LR) model was carried out to determine the impact of each of the factors on the increased risk of MS. Receiver Operating Characteristics (ROC) analysis was performed to evaluate predictive value of the models. Our multifactorial LR model of susceptibility showed that females with light brown skin (LBS), smokers and who had HLA-DRB1*15:01 allele had a higher MS risk (LBS: OR = 5.90, IC95% = 2.39–15.45; smoker: OR = 4.52, IC95% = 2.69–7.72; presence of HLA-DRB1*15:01: OR = 2.39, IC95% = 1.30–4.50; female: OR = 1.88, IC95% = 1.08–3.30). This model had an acceptable discriminant value with an Area Under a Curve AUC of 0.76 (0.69–0.82). Our study indicates that MS risk is determined by complex interactions between sex, environmental factors, and genotype where the milieu could provide the enabling proinflammatory environment that drives an autoimmune attack against myelin by self-reactive lymphocytes.
Patricia Urbaneja; Isaac Hurtado-Guerrero; Miguel Ángel Hernández; Begoña Oliver-Martos; Celia Oreja-Guevara; Jesús Ortega-Pinazo; Ana Alonso; Francisco J Barón-López; Laura Leyva; Óscar Fernández; María Jesús Pinto-Medel. Skin Phototype Could Be a Risk Factor for Multiple Sclerosis. Journal of Clinical Medicine 2020, 9, 2384 .
AMA StylePatricia Urbaneja, Isaac Hurtado-Guerrero, Miguel Ángel Hernández, Begoña Oliver-Martos, Celia Oreja-Guevara, Jesús Ortega-Pinazo, Ana Alonso, Francisco J Barón-López, Laura Leyva, Óscar Fernández, María Jesús Pinto-Medel. Skin Phototype Could Be a Risk Factor for Multiple Sclerosis. Journal of Clinical Medicine. 2020; 9 (8):2384.
Chicago/Turabian StylePatricia Urbaneja; Isaac Hurtado-Guerrero; Miguel Ángel Hernández; Begoña Oliver-Martos; Celia Oreja-Guevara; Jesús Ortega-Pinazo; Ana Alonso; Francisco J Barón-López; Laura Leyva; Óscar Fernández; María Jesús Pinto-Medel. 2020. "Skin Phototype Could Be a Risk Factor for Multiple Sclerosis." Journal of Clinical Medicine 9, no. 8: 2384.
According to the Challenge Hypothesis, high levels of testosterone (T) are associated with status-seeking behaviors, especially in competitive situations. However, there have not been many studies about rivals’ social status and pre-competition neuroendocrine responses. The aim of this study was to analyze whether the participants in a chess tournament showed different pre-match testosterone and cortisol levels depending on differences in ELO (i.e., the International Chess Federation rating to rank the competitive potential and social status between players). The sample was six male participants (mean ± SD) aged 25.5 ± 8.4 years with experience in official tournaments of 16.33 ± 5.72 years and an average ELO rating of 2217.67 ± 112.67. Saliva samples were collected before each round for hormonal determination when participants competed against a rival with a different ELO rating. After five competition rounds per participant, higher rival pre-competition T concentrations were shown when playing against the best-rated participant, but there were no differences in cortisol (C). The multilevel model confirmed rises in rivals’ precompetitive T levels modulated by the difference in the opponent’s ELO rating. No significant changes were observed in C. The results suggest that the rival’s status can determine the opponent’s anticipatory neuroendocrine responses to an official chess tournament.
Guillermo Mendoza; Manuel Jiménez; Jerónimo García-Romero; Jorge García Bastida; Iván Rivilla; Margarita Carrillo De Albornoz-Gil; Francisco Javier Baron-Lopez; Javier Benítez-Porres; José Ramón Alvero-Cruz. Challenging the Top Player: A Preliminary Study on Testosterone Response to An Official Chess Tournament. International Journal of Environmental Research and Public Health 2020, 17, 1204 .
AMA StyleGuillermo Mendoza, Manuel Jiménez, Jerónimo García-Romero, Jorge García Bastida, Iván Rivilla, Margarita Carrillo De Albornoz-Gil, Francisco Javier Baron-Lopez, Javier Benítez-Porres, José Ramón Alvero-Cruz. Challenging the Top Player: A Preliminary Study on Testosterone Response to An Official Chess Tournament. International Journal of Environmental Research and Public Health. 2020; 17 (4):1204.
Chicago/Turabian StyleGuillermo Mendoza; Manuel Jiménez; Jerónimo García-Romero; Jorge García Bastida; Iván Rivilla; Margarita Carrillo De Albornoz-Gil; Francisco Javier Baron-Lopez; Javier Benítez-Porres; José Ramón Alvero-Cruz. 2020. "Challenging the Top Player: A Preliminary Study on Testosterone Response to An Official Chess Tournament." International Journal of Environmental Research and Public Health 17, no. 4: 1204.
Research examining associations between objectively-measured napping time and type 2 diabetes (T2D) is lacking. This study aimed to evaluate daytime napping in relation to T2D and adiposity measures in elderly individuals from the Mediterranean region. A cross-sectional analysis of baseline data from 2190 elderly participants with overweight/obesity and metabolic syndrome, in the PREDIMED-Plus trial, was carried out. Accelerometer-derived napping was measured. Prevalence ratios (PR) and 95% confidence intervals (CI) for T2D were obtained using multivariable-adjusted Cox regression with constant time. Linear regression models were fitted to examine associations of napping with body mass index (BMI) and waist circumference (WC). Participants napping ≥90 min had a higher prevalence of T2D (PR 1.37 (1.06, 1.78)) compared with those napping 5 to
Christopher Papandreou; Andrés Díaz-López; Nancy Babio; Miguel A. Martínez-González; Mónica Bulló; Dolores Corella; Montse Fitó; Dora Romaguera; Jesús Vioque; Ángel M. Alonso-Gómez; Julia Wärnberg; Alfredo J. Martínez; Lluís Serra-Majem; Ramon Estruch; José C. Fernández-García; José Lapetra; Xavier Pintó; Josep A. Tur; Antonio Garcia-Rios; Aurora Bueno-Cavanillas; Miguel Delgado-Rodríguez; Pilar Matía-Martín; Lidia Daimiel; Vicente Martín-Sánchez; Josep Vidal; Clotilde Vázquez; Emilio Ros; Pilar Buil-Cosiales; Nerea Becerra-Tomas; Raul Martinez-Lacruz; Helmut Schröder; Jadwiga Konieczna; Manoli Garcia-De-La-Hera; Anai Moreno-Rodriguez; Javier Barón-López; Napoleón Pérez-Farinós; Itziar Abete; Inmaculada Bautista-Castaño; Rosa Casas; Araceli Muñoz-Garach; José M. Santos-Lozano; Ferran Trias; Laura Gallardo-Alfaro; Miguel Ruiz-Canela; Rocio Barragan; Alberto Goday; Aina M. Galmés-Panadés; Andrés González-Botella; Jessica Vaquero-Luna; Estefanía Toledo; Olga Castañer; Jordi Salas-Salvadó. Long Daytime Napping Is Associated with Increased Adiposity and Type 2 Diabetes in an Elderly Population with Metabolic Syndrome. Journal of Clinical Medicine 2019, 8, 1053 .
AMA StyleChristopher Papandreou, Andrés Díaz-López, Nancy Babio, Miguel A. Martínez-González, Mónica Bulló, Dolores Corella, Montse Fitó, Dora Romaguera, Jesús Vioque, Ángel M. Alonso-Gómez, Julia Wärnberg, Alfredo J. Martínez, Lluís Serra-Majem, Ramon Estruch, José C. Fernández-García, José Lapetra, Xavier Pintó, Josep A. Tur, Antonio Garcia-Rios, Aurora Bueno-Cavanillas, Miguel Delgado-Rodríguez, Pilar Matía-Martín, Lidia Daimiel, Vicente Martín-Sánchez, Josep Vidal, Clotilde Vázquez, Emilio Ros, Pilar Buil-Cosiales, Nerea Becerra-Tomas, Raul Martinez-Lacruz, Helmut Schröder, Jadwiga Konieczna, Manoli Garcia-De-La-Hera, Anai Moreno-Rodriguez, Javier Barón-López, Napoleón Pérez-Farinós, Itziar Abete, Inmaculada Bautista-Castaño, Rosa Casas, Araceli Muñoz-Garach, José M. Santos-Lozano, Ferran Trias, Laura Gallardo-Alfaro, Miguel Ruiz-Canela, Rocio Barragan, Alberto Goday, Aina M. Galmés-Panadés, Andrés González-Botella, Jessica Vaquero-Luna, Estefanía Toledo, Olga Castañer, Jordi Salas-Salvadó. Long Daytime Napping Is Associated with Increased Adiposity and Type 2 Diabetes in an Elderly Population with Metabolic Syndrome. Journal of Clinical Medicine. 2019; 8 (7):1053.
Chicago/Turabian StyleChristopher Papandreou; Andrés Díaz-López; Nancy Babio; Miguel A. Martínez-González; Mónica Bulló; Dolores Corella; Montse Fitó; Dora Romaguera; Jesús Vioque; Ángel M. Alonso-Gómez; Julia Wärnberg; Alfredo J. Martínez; Lluís Serra-Majem; Ramon Estruch; José C. Fernández-García; José Lapetra; Xavier Pintó; Josep A. Tur; Antonio Garcia-Rios; Aurora Bueno-Cavanillas; Miguel Delgado-Rodríguez; Pilar Matía-Martín; Lidia Daimiel; Vicente Martín-Sánchez; Josep Vidal; Clotilde Vázquez; Emilio Ros; Pilar Buil-Cosiales; Nerea Becerra-Tomas; Raul Martinez-Lacruz; Helmut Schröder; Jadwiga Konieczna; Manoli Garcia-De-La-Hera; Anai Moreno-Rodriguez; Javier Barón-López; Napoleón Pérez-Farinós; Itziar Abete; Inmaculada Bautista-Castaño; Rosa Casas; Araceli Muñoz-Garach; José M. Santos-Lozano; Ferran Trias; Laura Gallardo-Alfaro; Miguel Ruiz-Canela; Rocio Barragan; Alberto Goday; Aina M. Galmés-Panadés; Andrés González-Botella; Jessica Vaquero-Luna; Estefanía Toledo; Olga Castañer; Jordi Salas-Salvadó. 2019. "Long Daytime Napping Is Associated with Increased Adiposity and Type 2 Diabetes in an Elderly Population with Metabolic Syndrome." Journal of Clinical Medicine 8, no. 7: 1053.
The aim of the study was to evaluate sleep duration and sleep variability in relation to serum uric acid (SUA) concentrations and SUA to creatinine ratio. This is a cross-sectional analysis of baseline data from 1842 elderly participants with overweight/obesity and metabolic syndrome in the (Prevención con Dieta Mediterránea) PREDIMED-Plus trial. Accelerometry-derived sleep duration and sleep variability were measured. Linear regression models were fitted to examine the aforementioned associations. A 1 hour/night increment in sleep duration was inversely associated with SUA concentrations (β = −0.07, p = 0.047). Further adjustment for leukocytes attenuated this association (p = 0.050). Each 1-hour increment in sleep duration was inversely associated with SUA to creatinine ratio (β = −0.15, p = 0.001). The findings of this study suggest that longer sleep duration is associated with lower SUA concentrations and lower SUA to creatinine ratio.
Christopher Papandreou; Nancy Babio; Andrés Díaz-López; Miguel Á. Martínez-González; Nerea Becerra-Tomas; Dolores Corella; Helmut Schröder; Dora Romaguera; Jesús Vioque; Ángel M. Alonso-Gómez; Julia Wärnberg; Alfredo J. Martínez; Lluís Serra-Majem; Ramon Estruch; Araceli Muñoz-Garach; José Lapetra; Xavier Pintó; Josep A. Tur; Antonio Garcia-Rios; Aurora Bueno-Cavanillas; Miguel Delgado-Rodríguez; Pilar Matía-Martín; Lidia Daimiel; Vicente Martín-Sánchez; Josep Vidal; Clotilde Vázquez; Emilio Ros; Miguel Ruiz-Canela; Mónica Bulló; Jose V. Sorli; Mireia Quifer; Antoni Colom; Alejandro Oncina-Canovas; Lucas Tojal-Sierra; Javier Barón-López; Napoleón Pérez-Farinós; Itziar Abete; Almudena Sanchez-Villegas; Rosa Casas; José C. Fernández-Garcia; José M. Santos-Lozano; Emili Corbella; Maria Del M. Bibiloni; Javier Diez-Espino; Eva M. Asensio; Laura Torras; Marga Morey; Laura Compañ-Gabucio; Itziar Salaverria-Lete; Juan C. Cenoz-Osinaga; Olga Castañer; Jordi Salas-Salvadó. Sleep Duration is Inversely Associated with Serum Uric Acid Concentrations and Uric Acid to Creatinine Ratio in an Elderly Mediterranean Population at High Cardiovascular Risk. Nutrients 2019, 11, 761 .
AMA StyleChristopher Papandreou, Nancy Babio, Andrés Díaz-López, Miguel Á. Martínez-González, Nerea Becerra-Tomas, Dolores Corella, Helmut Schröder, Dora Romaguera, Jesús Vioque, Ángel M. Alonso-Gómez, Julia Wärnberg, Alfredo J. Martínez, Lluís Serra-Majem, Ramon Estruch, Araceli Muñoz-Garach, José Lapetra, Xavier Pintó, Josep A. Tur, Antonio Garcia-Rios, Aurora Bueno-Cavanillas, Miguel Delgado-Rodríguez, Pilar Matía-Martín, Lidia Daimiel, Vicente Martín-Sánchez, Josep Vidal, Clotilde Vázquez, Emilio Ros, Miguel Ruiz-Canela, Mónica Bulló, Jose V. Sorli, Mireia Quifer, Antoni Colom, Alejandro Oncina-Canovas, Lucas Tojal-Sierra, Javier Barón-López, Napoleón Pérez-Farinós, Itziar Abete, Almudena Sanchez-Villegas, Rosa Casas, José C. Fernández-Garcia, José M. Santos-Lozano, Emili Corbella, Maria Del M. Bibiloni, Javier Diez-Espino, Eva M. Asensio, Laura Torras, Marga Morey, Laura Compañ-Gabucio, Itziar Salaverria-Lete, Juan C. Cenoz-Osinaga, Olga Castañer, Jordi Salas-Salvadó. Sleep Duration is Inversely Associated with Serum Uric Acid Concentrations and Uric Acid to Creatinine Ratio in an Elderly Mediterranean Population at High Cardiovascular Risk. Nutrients. 2019; 11 (4):761.
Chicago/Turabian StyleChristopher Papandreou; Nancy Babio; Andrés Díaz-López; Miguel Á. Martínez-González; Nerea Becerra-Tomas; Dolores Corella; Helmut Schröder; Dora Romaguera; Jesús Vioque; Ángel M. Alonso-Gómez; Julia Wärnberg; Alfredo J. Martínez; Lluís Serra-Majem; Ramon Estruch; Araceli Muñoz-Garach; José Lapetra; Xavier Pintó; Josep A. Tur; Antonio Garcia-Rios; Aurora Bueno-Cavanillas; Miguel Delgado-Rodríguez; Pilar Matía-Martín; Lidia Daimiel; Vicente Martín-Sánchez; Josep Vidal; Clotilde Vázquez; Emilio Ros; Miguel Ruiz-Canela; Mónica Bulló; Jose V. Sorli; Mireia Quifer; Antoni Colom; Alejandro Oncina-Canovas; Lucas Tojal-Sierra; Javier Barón-López; Napoleón Pérez-Farinós; Itziar Abete; Almudena Sanchez-Villegas; Rosa Casas; José C. Fernández-Garcia; José M. Santos-Lozano; Emili Corbella; Maria Del M. Bibiloni; Javier Diez-Espino; Eva M. Asensio; Laura Torras; Marga Morey; Laura Compañ-Gabucio; Itziar Salaverria-Lete; Juan C. Cenoz-Osinaga; Olga Castañer; Jordi Salas-Salvadó. 2019. "Sleep Duration is Inversely Associated with Serum Uric Acid Concentrations and Uric Acid to Creatinine Ratio in an Elderly Mediterranean Population at High Cardiovascular Risk." Nutrients 11, no. 4: 761.
When promoting physical activity (PA) participation, it is important to consider the plausible environmental determinants that may affect this practice. The impact of objectively-measured public open spaces (POS) and walk-friendly routes on objectively-measured and self-reported PA was explored alongside the influence of rainy conditions on this association, in a Mediterranean sample of overweight or obese senior adults with metabolic syndrome. Cross-sectional analyses were undertaken on 218 PREDIMED-Plus trial participants aged 55⁻75 years, from the city of Palma, in Mallorca (Spain). Indicators of access to POS and walk-friendly routes were assessed in a 1.0 and 0.5 km sausage network walkable buffers around each participant's residence using geographic information systems. Mean daily minutes of self-reported leisure-time brisk walking, and accelerometer objectively-measured moderate-to-vigorous PA in bouts of at least 10 min (OM-MVPA) were measured. To investigate the association between access to POS and walk-friendly routes with PA, generalized additive models with a Gaussian link function were used. Interaction of rainy conditions with the association between access to POS and walk-friendly routes with OM-MVPA was also examined. Better access to POS was not statistically significantly associated with self-reported leisure-time brisk walking or OM-MVPA. A positive significant association was observed only between distance of walk-friendly routes contained or intersected by buffer and OM-MVPA, and was solely evident on non-rainy days. In this elderly Mediterranean population, only access to walk-friendly routes had an influence on accelerometer-measured PA. Rainy conditions during the accelerometer wear period did appear to modify this association.
Antoni Colom; Maurici Ruiz; Julia Wärnberg; Montserrat Compa; Josep Muncunill; Francisco Javier Barón-López; Juan Carlos Benavente-Marín; Elena Cabeza; Marga Morey; Montserrat Fitó; Jordi Salas-Salvadó; Dora Romaguera. Mediterranean Built Environment and Precipitation as Modulator Factors on Physical Activity in Obese Mid-Age and Old-Age Adults with Metabolic Syndrome: Cross-Sectional Study. International Journal of Environmental Research and Public Health 2019, 16, 854 .
AMA StyleAntoni Colom, Maurici Ruiz, Julia Wärnberg, Montserrat Compa, Josep Muncunill, Francisco Javier Barón-López, Juan Carlos Benavente-Marín, Elena Cabeza, Marga Morey, Montserrat Fitó, Jordi Salas-Salvadó, Dora Romaguera. Mediterranean Built Environment and Precipitation as Modulator Factors on Physical Activity in Obese Mid-Age and Old-Age Adults with Metabolic Syndrome: Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2019; 16 (5):854.
Chicago/Turabian StyleAntoni Colom; Maurici Ruiz; Julia Wärnberg; Montserrat Compa; Josep Muncunill; Francisco Javier Barón-López; Juan Carlos Benavente-Marín; Elena Cabeza; Marga Morey; Montserrat Fitó; Jordi Salas-Salvadó; Dora Romaguera. 2019. "Mediterranean Built Environment and Precipitation as Modulator Factors on Physical Activity in Obese Mid-Age and Old-Age Adults with Metabolic Syndrome: Cross-Sectional Study." International Journal of Environmental Research and Public Health 16, no. 5: 854.
Background: When promoting physical activity practice, it is important to consider the plausible environmental determinants that may affect this practice. We aimed to explore the impact of objectively measured Public Open Spaces (POS) on objectively measured and self-reported physical activity and the influence of weather on this association, in a Mediterranean sample of senior adults with overweight or obesity and the metabolic syndrome. Method: Cross-sectional analyses based on 218 PREDIMED-Plus trial participants aged 55 to 75 years, from Palma de Mallorca (Spain). Indicators of access to POS were assessed in a 1.0 km sausage network walkable buffer around each participant’s residence address using geographic information systems. Mean daily minutes of self-reported leisure-time brisk walking, and accelerometer objectively measured moderate-to-vigorous physical activity in bouts of at least 10 min (OM-MVPA) were measured. To investigate the association between access to POS and physical activity, generalized additive models with Gaussian link function were used. Results: Better access to POS was not statistically significantly associated with self-reported leisure-time brisk walking. A positive significant association was only observed between the distance of healthy routes contained or intersected by buffer and OM-MVPA. This association was only evident on non-rainy days. Conclusions: In this elderly population living in a Mediterranean city, only healthy routes contained or intersected by a 1 km sausage network walkable buffer influenced the accelerometer objectively measured moderate-to-vigorous physical activity in bouts of at least 10 min and rainy conditions during the accelerometer period appeared to be an important factor related to active ageing.
Antoni Colom; Maurici Ruiz; Josep Muncunill; Julia Wärnberg; Montserrat Compa; Javier Baron; Napoleón Pérez; Marga Morey; Elena Cabeza; Miquel Fiol; Dora Romague. Mediterranean Built Environment and Weather as Modulator Factors on Physical Activity: Cross-Sectional Study. Proceedings 2018, 6, 2 .
AMA StyleAntoni Colom, Maurici Ruiz, Josep Muncunill, Julia Wärnberg, Montserrat Compa, Javier Baron, Napoleón Pérez, Marga Morey, Elena Cabeza, Miquel Fiol, Dora Romague. Mediterranean Built Environment and Weather as Modulator Factors on Physical Activity: Cross-Sectional Study. Proceedings. 2018; 6 (1):2.
Chicago/Turabian StyleAntoni Colom; Maurici Ruiz; Josep Muncunill; Julia Wärnberg; Montserrat Compa; Javier Baron; Napoleón Pérez; Marga Morey; Elena Cabeza; Miquel Fiol; Dora Romague. 2018. "Mediterranean Built Environment and Weather as Modulator Factors on Physical Activity: Cross-Sectional Study." Proceedings 6, no. 1: 2.
Inadequate diet influences chronic diseases such as cardiovascular disease (CVD), the leading cause of death in Spain. CVD figures vary from one geographical region to another; this could be associated with different food choices. Our aim was to analyse the influence of geographical area on nutrient intakes among the Spanish adult population with Metabolic Syndrome (MetS). We analysed cross-sectional baseline data from the PREDIMED-Plus study: 6646 Spanish adults, aged 55–75 years, with overweight/obesity and MetS in four geographical areas. A validated 143-item Food Frequency Questionnaire (FFQ) was used to assess energy and nutrient intakes. The prevalence of inadequate nutrient intake was estimated according to Dietary Reference Intakes (DRIs). Multivariable-adjusted logistic regression was used to assess the relationship between geographical area (North, Central, East and South areas) and inadequate nutrient intake. People in the North area consumed significantly lower amounts of vegetables and fish but more sugar and alcohol (p < 0.001) than other areas. Dietary fibre, vitamin A, E, calcium and magnesium intakes were all lower among men of North area than in the other areas (p < 0.001). Sex (women), non-smoker and physical activity were also associated to adequate nutrient intake. Geographical area influences nutrient intakes. Its effect on dietary quality should be taken into account when planning food policies.
Naomi Cano-Ibáñez; Aurora Bueno-Cavanillas; Miguel A. Martínez-González; Dolores Corella; Jordi Salas-Salvadó; M. Dolors Zomeño; Manoli García-De-La-Hera; Dora Romaguera; J. Alfredo Martínez; F. Javier Barón-López; Antonio García-Ríos; Ramón Estruch; Laura García-Molina; Ángel Alonso Gómez; Josep A. Tur; Francisco Tinahones; Lluis Serra-Majem; Naiara Cubelos-Fernández; José Lapetra; Clotilde Vázquez; Xavier Pintó; Josep Vidal; Lidia Daimiel; José Juan Gaforio; Pilar Matía; Emilio Ros; Javier Diez-Espino; Rebeca Fernández-Carrión; Josep Basora; Montse Fitó; Juan Manuel Zazo; Antoni Colom; Estefanía Toledo; Andrés Díaz-López; Miguel Ángel Muñoz; Miguel Ruiz-Canela; Alfredo Gea. Dietary Intake in Population with Metabolic Syndrome: Is the Prevalence of Inadequate Intake Influenced by Geographical Area? Cross-Sectional Analysis from PREDIMED-Plus Study. Nutrients 2018, 10, 1661 .
AMA StyleNaomi Cano-Ibáñez, Aurora Bueno-Cavanillas, Miguel A. Martínez-González, Dolores Corella, Jordi Salas-Salvadó, M. Dolors Zomeño, Manoli García-De-La-Hera, Dora Romaguera, J. Alfredo Martínez, F. Javier Barón-López, Antonio García-Ríos, Ramón Estruch, Laura García-Molina, Ángel Alonso Gómez, Josep A. Tur, Francisco Tinahones, Lluis Serra-Majem, Naiara Cubelos-Fernández, José Lapetra, Clotilde Vázquez, Xavier Pintó, Josep Vidal, Lidia Daimiel, José Juan Gaforio, Pilar Matía, Emilio Ros, Javier Diez-Espino, Rebeca Fernández-Carrión, Josep Basora, Montse Fitó, Juan Manuel Zazo, Antoni Colom, Estefanía Toledo, Andrés Díaz-López, Miguel Ángel Muñoz, Miguel Ruiz-Canela, Alfredo Gea. Dietary Intake in Population with Metabolic Syndrome: Is the Prevalence of Inadequate Intake Influenced by Geographical Area? Cross-Sectional Analysis from PREDIMED-Plus Study. Nutrients. 2018; 10 (11):1661.
Chicago/Turabian StyleNaomi Cano-Ibáñez; Aurora Bueno-Cavanillas; Miguel A. Martínez-González; Dolores Corella; Jordi Salas-Salvadó; M. Dolors Zomeño; Manoli García-De-La-Hera; Dora Romaguera; J. Alfredo Martínez; F. Javier Barón-López; Antonio García-Ríos; Ramón Estruch; Laura García-Molina; Ángel Alonso Gómez; Josep A. Tur; Francisco Tinahones; Lluis Serra-Majem; Naiara Cubelos-Fernández; José Lapetra; Clotilde Vázquez; Xavier Pintó; Josep Vidal; Lidia Daimiel; José Juan Gaforio; Pilar Matía; Emilio Ros; Javier Diez-Espino; Rebeca Fernández-Carrión; Josep Basora; Montse Fitó; Juan Manuel Zazo; Antoni Colom; Estefanía Toledo; Andrés Díaz-López; Miguel Ángel Muñoz; Miguel Ruiz-Canela; Alfredo Gea. 2018. "Dietary Intake in Population with Metabolic Syndrome: Is the Prevalence of Inadequate Intake Influenced by Geographical Area? Cross-Sectional Analysis from PREDIMED-Plus Study." Nutrients 10, no. 11: 1661.
Study ObjectivesTo examine independent and combined associations of sleep duration and sleep variability with body composition, obesity and type 2 diabetes (T2D) in elders at high cardiovascular risk.MethodsCross-sectional analysis of 1986 community-dwelling elders with overweight/obesity and metabolic syndrome from PREDIMED-Plus trial. Associations of accelerometry-derived sleep duration and sleep variability with body mass index (BMI), waist circumference (WC) and body composition were assessed fitting multivariable-adjusted linear regression models. Prevalence ratios (PR) and 95% confidence intervals (CI) for obesity and T2D were obtained using multivariable-adjusted Cox regression with constant time. “Bad sleepers” (age-specific non-recommended sleep duration plus sleep variability above the median) and “good sleepers” (age-specific recommended sleep duration plus sleep variability below the median) were characterized by combining sleep duration and sleep variability, and their associations with these outcomes were examined.ResultsOne hour/night increment in sleep duration was inversely associated with BMI (β −0.38 kg/m 2 [95% CI −0.54, −0.23]), WC (β −0.86 cm [95% CI −1.25, −0.47]), obesity (PR 0.96 [95% CI 0.93, 0.98]), T2D (PR 0.93 [95% CI 0.88, 0.98]) and other DXA-derived adiposity-related measurements (android fat and trunk fat, all p < .05). Each 1-hour increment in sleep variability was positively associated with T2D (PR 1.14 [95% CI 1.01, 1.28]). Compared with “good sleepers,” “bad sleepers” were positively associated with obesity (PR 1.12 [95% CI 1.01, 1.24]) and T2D (PR 1.62 [95% CI 1.28, 2.06]).ConclusionsThis study revealed cross-sectional associations of sleep duration with adiposity parameters and obesity. Sleep duration and sleep variability were associated with T2D. Considering simultaneously sleep duration and sleep variability could have additional value, particularly for T2D, as they may act synergistically.
Nuria Rosique-Esteban; Christopher Papandreou; Dora Romaguera; Julia Warnberg; Dolores Corella; Miguel Ángel Martínez-González; Andrés Díaz-López; Ramon Estruch; Jesus Vioque; Fernando Arós; Antonio Garcia-Rios; Aurora Bueno-Cavanillas; Josep Vidal; Lluís Serra-Majem; Abdurrahman Adlbi Sibai; Francisco Jose Tinahones; J Alfredo Martínez; José M Ordovás; Josep A Tur; Macarena Torrego Ellacuría; Albert Sanllorente; Xavier Pintó; Pilar Buil-Cosiales; Antoni Colom Fernández; Olga Castañer; Mònica Bulló; Miguel Ruiz-Canela; Manuela Garcia de la Hera; Napoleon Pérez-Farinós; Francisco Javier Barón López; Antoni Colom; Itziar Abete; Emilio Ros; Jordi Salas-Salvadó. Cross-sectional associations of objectively-measured sleep characteristics with obesity and type 2 diabetes in the PREDIMED-Plus trial. Sleep 2018, 41, 1 .
AMA StyleNuria Rosique-Esteban, Christopher Papandreou, Dora Romaguera, Julia Warnberg, Dolores Corella, Miguel Ángel Martínez-González, Andrés Díaz-López, Ramon Estruch, Jesus Vioque, Fernando Arós, Antonio Garcia-Rios, Aurora Bueno-Cavanillas, Josep Vidal, Lluís Serra-Majem, Abdurrahman Adlbi Sibai, Francisco Jose Tinahones, J Alfredo Martínez, José M Ordovás, Josep A Tur, Macarena Torrego Ellacuría, Albert Sanllorente, Xavier Pintó, Pilar Buil-Cosiales, Antoni Colom Fernández, Olga Castañer, Mònica Bulló, Miguel Ruiz-Canela, Manuela Garcia de la Hera, Napoleon Pérez-Farinós, Francisco Javier Barón López, Antoni Colom, Itziar Abete, Emilio Ros, Jordi Salas-Salvadó. Cross-sectional associations of objectively-measured sleep characteristics with obesity and type 2 diabetes in the PREDIMED-Plus trial. Sleep. 2018; 41 (12):1.
Chicago/Turabian StyleNuria Rosique-Esteban; Christopher Papandreou; Dora Romaguera; Julia Warnberg; Dolores Corella; Miguel Ángel Martínez-González; Andrés Díaz-López; Ramon Estruch; Jesus Vioque; Fernando Arós; Antonio Garcia-Rios; Aurora Bueno-Cavanillas; Josep Vidal; Lluís Serra-Majem; Abdurrahman Adlbi Sibai; Francisco Jose Tinahones; J Alfredo Martínez; José M Ordovás; Josep A Tur; Macarena Torrego Ellacuría; Albert Sanllorente; Xavier Pintó; Pilar Buil-Cosiales; Antoni Colom Fernández; Olga Castañer; Mònica Bulló; Miguel Ruiz-Canela; Manuela Garcia de la Hera; Napoleon Pérez-Farinós; Francisco Javier Barón López; Antoni Colom; Itziar Abete; Emilio Ros; Jordi Salas-Salvadó. 2018. "Cross-sectional associations of objectively-measured sleep characteristics with obesity and type 2 diabetes in the PREDIMED-Plus trial." Sleep 41, no. 12: 1.
La IU tras PR es uno de los factores con mayor impacto en la calidad de vida de los pacientes y en el gasto sanitario asociado. La definición de IU es muy variable en la literatura. De igual modo, son múltiples los factores predictores estudiados que influyen en la recuperación de la continencia posquirúrgica, siendo los más importantes los factores intraoperatorios. Estudio retrospectivo y observacional, desde septiembre del 2008 hasta marzo del 2015. Se realiza el análisis de factores intraoperatorios mediante la visualización, con un editor de vídeos, de 148 pacientes tratados mediante prostatectomía radical asistida por robot, junto con otros factores perioperatorios asociados a la continencia y descritos en la literatura. Valoramos la continencia mediante cuestionarios ICQ, pérdidas urinarias contabilizadas con absorbentes y entrevista clínica en el primer, el tercer y el sexto mes, y al año de la cirugía. Definimos continencia como el no uso de absorbente o uno como protección social o ICQ ≤ 7. Analizamos mediante regresión logística binaria y lineal qué relación tienen las variables intraoperatorias y perioperatorias sobre la continencia urinaria medidas el primer, el tercer y el sexto mes, y al año de la cirugía, y sobre la estabilidad de la continencia. En nuestro estudio el 72,9% de los pacientes conseguían estar continentes al año de la cirugía, con un tiempo medio de estabilización de la misma a los 4,3 meses. En nuestro análisis de regresión logística binaria de las variables intraoperatorias, no hemos encontrado una relación significativa con la variable continencia, analizadas durante el primer año. En el análisis de regresión logística lineal hemos encontrado que las suturas libres de tensión tienen un efecto directo positivo (p ≤ 0,05) sobre el tiempo de estabilidad de la continencia, al igual que las pérdidas urinarias medidas en el primer mes de la cirugía. En conclusión, en nuestro estudio encontramos que aquellas suturas libre de tensión pueden ayudar a la estabilidad precoz de la continencia. No hemos encontrado otros predictores intraoperatorios que influyan en la continencia urinaria. Las pérdidas urinarias medidas en el primer mes se relacionan con la recuperación precoz de la continencia. UI after RP is a factor that has a major impact on patients’ quality of life and the associated healthcare costs. The definition of UI is very variable in the literature. Similarly, a great many predictors have been studied that affect recovery of continence after surgery, the most important of which are intraoperative. a retrospective and observational study performed between September 2008 and March 2015. We studied intraoperative factors through visualisation using a video editor of 148 patients who underwent robot-assisted radical prostatectomy, together with other perioperative factors associated with continence, and described in the literature. We assessed continence through ICQ questionnaires, urinary loss calculated by pad count, and clinical interview in the first, third, sixth month and at one year after surgery. We defined continence as not having to use a pad or using a pad for protection socially, or an ICQ ≤ 7. We used binary and lineal logistic regression analysis to study the relationship between the intraoperative and perioperative variables on urinary continence measured at the first, third, sixth month and one year after the operation, and on continence stability. In our study, 72.9% of the patients were continent at one year after surgery with a mean continence stabilisation time at 4.3 months. In our lineal logistic regression analyses we found no significant relationship with the continence variable analysed during the first year. In the lineal logistic regression analysis we found that tension-free sutures had a direct positive effect (P≤.05) on the stability time of continence, as well as the urinary losses measured in the first month after surgery. In conclusion, we found in our study that the tension-free sutures were able to help towards early stability of continence. We found no other intraoperative predictors that influenced urinary continence. The urinary losses measured in the first month related to early recovery of continence.
J.C. Bautista Vidal; E. García Galisteo; J. Barón López; N. Sánchez Martínez; D. Hernández Alcaraz; P. Morales Jiménez; R. Vozmediano Chicharro. Valoración objetiva de la continencia urinaria precoz mediante el análisis y la visualización de variables intraoperatorias de prostatectomías radicales robóticas con un editor de vídeos. Actas Urológicas Españolas 2018, 43, 99 -105.
AMA StyleJ.C. Bautista Vidal, E. García Galisteo, J. Barón López, N. Sánchez Martínez, D. Hernández Alcaraz, P. Morales Jiménez, R. Vozmediano Chicharro. Valoración objetiva de la continencia urinaria precoz mediante el análisis y la visualización de variables intraoperatorias de prostatectomías radicales robóticas con un editor de vídeos. Actas Urológicas Españolas. 2018; 43 (2):99-105.
Chicago/Turabian StyleJ.C. Bautista Vidal; E. García Galisteo; J. Barón López; N. Sánchez Martínez; D. Hernández Alcaraz; P. Morales Jiménez; R. Vozmediano Chicharro. 2018. "Valoración objetiva de la continencia urinaria precoz mediante el análisis y la visualización de variables intraoperatorias de prostatectomías radicales robóticas con un editor de vídeos." Actas Urológicas Españolas 43, no. 2: 99-105.
Background Subacromial impingement syndrome poses a substantial socioeconomic burden, leading to significant consumption of healthcare. Health systems are calling for greater evidence of economic impacts of particular healthcare services. Telerehabilitation programmes have the potential to reduce costs and improve patient access as an alternative to traditional care. Cost analysis has been traditionally included in study protocols and results, although the reliability and research methodology have frequently been under debate. The aim of this study was to compare costs related to a telerehabilitation programme versus conventional physiotherapy following subacromial decompression surgery (ASD). Methods The study was embedded in a randomised controlled trial. The economic analysis was based on the perspective of the health sector and the human capital method. Only the costs associated with the provision of physiotherapy services were taken into account. Costs were measured during the intervention period between baseline and 12 weeks for both groups. Student’s t-test was used to compare independent variables between the two groups, with a 95% confidence interval for the estimates and real costs. Results The estimated total cost analysis shows a preliminary cost differential in favour of the telerehabilitation group, meaning that for each participant’s total intervention, telerehabilitation saves 29.8% of the costs. Real cost analysis, only for received treatments, shows a cost differential in favour of telerehabilitation, meaning that for each participant’s total intervention, telerehabilitation saves 22.15% of the costs incurred for conventional rehabilitation. Conclusions Our study provides direct and meaningful information about telerehabilitation opportunities and can be an essential component in further cost evaluations for different strategies after surgical procedures. This study demonstrates that there was a trend towards lower healthcare costs after ASD. Managers now have the responsibility to decide whether to implement telerehabilitation based on clinical and economic data.
Jose Manuel Pastora-Bernal; Rocío Martín-Valero; Francisco Javier Barón-López. Cost analysis of telerehabilitation after arthroscopic subacromial decompression. Journal of Telemedicine and Telecare 2017, 24, 553 -559.
AMA StyleJose Manuel Pastora-Bernal, Rocío Martín-Valero, Francisco Javier Barón-López. Cost analysis of telerehabilitation after arthroscopic subacromial decompression. Journal of Telemedicine and Telecare. 2017; 24 (8):553-559.
Chicago/Turabian StyleJose Manuel Pastora-Bernal; Rocío Martín-Valero; Francisco Javier Barón-López. 2017. "Cost analysis of telerehabilitation after arthroscopic subacromial decompression." Journal of Telemedicine and Telecare 24, no. 8: 553-559.
Background: In addition to traditional physiotherapy, studies based on telerehabilitation programs have published the results of effectiveness, validity, noninferiority, and important advantages in some neurological, cognitive, and musculoskeletal disorders, providing an opportunity to define new social policies and interventions. Objectives: The aim of this systematic review is to investigate the effects of telerehabilitation after surgical procedures on orthopedic conditions as well as to describe how interventions are designed and to determine whether telerehabilitation is comparable with conventional methods of delivery. This systematic review summarizes the levels of evidence and grades of recommendation regarding telerehabilitation intervention (synchronous or asynchronous provided via the telerehabilitation medium, either in conjunction with, or in isolation of, other treatment interventions) after surgical procedures on orthopedic conditions. Methods: Study quality was assessed using the Physiotherapy Evidence Database (PEDro) scores and grade of recommendation following the recommendation of the Oxford Centre for Evidence-Based Medicine. Results: We found 3 studies with PEDro scores between 6 and 8, which is considered as level 1 evidence (good; 20% [3/15]), 4 studies with a score of 5, which is considered as level 2 evidence (acceptable; 27% [4/15]), and the remaining 8 studies had scores of 4 or less, which is considered (poor; 53% [8/15]). A total of 1316 participants received telerehabilitation intervention in the selected studies, where knee and hip replacement were 75% of all the studies. Strong and moderate grades of evidence (grade of recommendation A–B) were found in knee and hip replacement interventions. Studies on the upper limb were 25% of the studies, but only 1 study presented a moderate grade of evidence (grade of recommendation B) and the rest were of poor methodological quality with weak evidence (grade of recommendation C). Conclusions: Conclusive evidence on the efficacy of telerehabilitation for treatment after an orthopedic surgery, regardless of pathology, was not obtained. We found strong evidence in favor of telerehabilitation in patients following total knee and hip arthroplasty and limited evidence in the upper limb interventions (moderate and weak evidence). Future research needs to be more extensive and conclusive. To the best of the authors’ knowledge, this is the first attempt at evaluating the quality of telerehabilitation intervention research after surgical procedures on orthopedic conditions in a systematic review. Clinical messages and future research recommendations are included in the review. [J Med Internet Res 2017;19(4):e142]
Jose Manuel Pastora-Bernal; Rocio Martín-Valero; Francisco Javier Barón-López; María José Estebanez-Pérez. Evidence of Benefit of Telerehabitation After Orthopedic Surgery: A Systematic Review. Journal of Medical Internet Research 2017, 19, e142 .
AMA StyleJose Manuel Pastora-Bernal, Rocio Martín-Valero, Francisco Javier Barón-López, María José Estebanez-Pérez. Evidence of Benefit of Telerehabitation After Orthopedic Surgery: A Systematic Review. Journal of Medical Internet Research. 2017; 19 (4):e142.
Chicago/Turabian StyleJose Manuel Pastora-Bernal; Rocio Martín-Valero; Francisco Javier Barón-López; María José Estebanez-Pérez. 2017. "Evidence of Benefit of Telerehabitation After Orthopedic Surgery: A Systematic Review." Journal of Medical Internet Research 19, no. 4: e142.
Background Telerehabilitation promises to improve quality, increase patient access and reduce costs in health care. Physiotherapy with exercises is generally recommended to restore function after surgery in patients with chronic subacromial syndrome. Relatively few studies have investigated the feasibility of telerehabilitation interventions in musculoskeletal and orthopaedic disorders. The aim of this study was to evaluate the feasibility and effectiveness of a customizable telerehabilitation intervention and compare with traditional care. Methods This research includes 18 consecutive patients with subacromial impingement who underwent arthroscopic subacromial decompression in a controlled clinical prospective study. Patients were randomized to either a 12-week telerehabilitation programme or the usual face-to-face physical therapy for immediate postoperative rehabilitation. We have developed a telerehabilitation system to provide services to patients who have undergone shoulder arthroscopy. An independent blinded observer performed postoperative follow-up after 4, 8, and 12 weeks. Results The preliminary efficacy of this telerehabilitation programme in terms of both physical and functional objective outcome measures was assessed on eight patients. Using the Constant–Murley score to evaluate functional outcome, patients in the telerehabilitation group were shown to have improved from a mean 43.50 ± 3.21 points to a mean 68.50 ± 0.86 points after 12 weeks. The physical and functional improvements in the telerehabilitation group were similar to those in the control group ( p = 0.213). There was a non-significant trend for greater improvements in the telerehabilitation group for most outcome measurements. Conclusion The results of this study provide evidence for the efficacy of telerehabilitation after shoulder arthroscopy in shoulder impingement syndrome. A telerehabilitation programme with range of motion, strengthening of the rotator cuff and scapula stabilizers exercises seems to be similar and not inferior to traditional face-to-face physiotherapy after subacromial arthroscopic decompression. Through this study, we are developing our preliminary dataset to evaluate the efficacy of telerehabilitation programmes following surgical procedures in musculoskeletal injuries and for comparison with more traditional interventions.
Jose Manuel Pastora-Bernal; Rocío Martín-Valero; Francisco Javier Barón-López; Noelia Guerrero Moyano; María-José Estebanez-Pérez. Telerehabilitation after arthroscopic subacromial decompression is effective and not inferior to standard practice: Preliminary results. Journal of Telemedicine and Telecare 2017, 24, 428 -433.
AMA StyleJose Manuel Pastora-Bernal, Rocío Martín-Valero, Francisco Javier Barón-López, Noelia Guerrero Moyano, María-José Estebanez-Pérez. Telerehabilitation after arthroscopic subacromial decompression is effective and not inferior to standard practice: Preliminary results. Journal of Telemedicine and Telecare. 2017; 24 (6):428-433.
Chicago/Turabian StyleJose Manuel Pastora-Bernal; Rocío Martín-Valero; Francisco Javier Barón-López; Noelia Guerrero Moyano; María-José Estebanez-Pérez. 2017. "Telerehabilitation after arthroscopic subacromial decompression is effective and not inferior to standard practice: Preliminary results." Journal of Telemedicine and Telecare 24, no. 6: 428-433.
ResumenObjetivoEvaluar la validez y la fiabilidad del cuestionario de «Conocimientos y actitudes de los profesionales sanitarios en el proceso de declaración de voluntades vitales anticipadas» (VVA).DiseñoEstudio transversal en 3 fases: a)pilotaje con cuestionario administrado en papel para valorar pérdidas y problemas de ajuste del cuestionario; b)valoración de la validez y fiabilidad interna del cuestionario, y c)evaluación de la estabilidad (test-retest) del cuestionario filtrado de la fase previa.EmplazamientoÁrea Sanitaria Costa del Sol (Málaga). Enero de 2014 a abril de 2015.ParticipantesProfesionales sanitarios del Distrito de Atención Primaria Costa del Sol y la Agencia Sanitaria Costa del Sol. Contestaron 391 (23,6%). Cien participaron en la evaluación de la estabilidad (83 respuestas).Mediciones principalesEl cuestionario constaba de 2 bloques: a)Conocimientos (5 dimensiones y 41 ítems), y b)Actitudes (2 dimensiones y 17 ítems).ResultadosEn el estudio piloto, en ningún ítem las perdidas superaron el 10%. En la fase de evaluación de la validez y la fiabilidad, el cuestionario se redujo a 41 ítems (29 de conocimientos y 12 de actitudes). En la fase de evaluación de la estabilidad, todos los ítems evaluados, bien cumplieron criterio de kappa superior a 0,2, o tenían un porcentaje de acuerdo absoluto superior al 75%.ConclusionesEl cuestionario permitirá identificar el estado y las áreas de mejora en el entorno sanitario, y posibilitar posteriormente una mejora de la cultura de las VVA en la población general.AbstractObjectiveEvaluate the validity and reliability of the knowledge and attitudes of health professionals questionnaire on the Living Will Declaration (LWD) process.DesignCross-sectional study structured into 3 phases: (i)pilot questionnaire administered with paper to assess losses and adjustment problems; (ii)assessment of the validity and internal reliability, and (iii)assessment of the pre-filtering questionnaire stability (test-retest).LocationCosta del Sol (Malaga) Health Area. January 2014 to April 2015.ParticipantsHealthcare professionals of the Costa del Sol Primary Care District and the Costa del Sol Health Agency. There were 391 (23.6%) responses, and 100 participated in the stability assessment (83 responses).Main measurementsThe questionnaire consisted of 2 parts: (i)Knowledge (5 dimensions and 41 items), and (ii)Attitudes (2 dimensions and 17 items).ResultsIn the pilot study, none of the items lost over 10%. In the evaluation phase of validity and reliability, the questionnaire was reduced to 41 items (29 of knowledge, and 12 of attitudes). In the stability evaluation phase, all items evaluated met the requirement of a kappa higher than 0.2, or had a percentage of absolute agreement exceeding 75%.ConclusionsThe questionnaire will identify the status and areas for improvement in the health care setting, and then will allow an improved culture of LWD process in general population
Eugenio Contreras-Fernández; Francisco Javier Barón-López; Camila Méndez-Martínez; José Carlos Canca-Sánchez; Isabel Cabezón Rodríguez; Francisco Rivas-Ruiz. Validación del cuestionario de conocimientos y actitudes de los profesionales sanitarios en el proceso de declaración de voluntades vitales anticipadas. Atención Primaria 2017, 49, 233 -239.
AMA StyleEugenio Contreras-Fernández, Francisco Javier Barón-López, Camila Méndez-Martínez, José Carlos Canca-Sánchez, Isabel Cabezón Rodríguez, Francisco Rivas-Ruiz. Validación del cuestionario de conocimientos y actitudes de los profesionales sanitarios en el proceso de declaración de voluntades vitales anticipadas. Atención Primaria. 2017; 49 (4):233-239.
Chicago/Turabian StyleEugenio Contreras-Fernández; Francisco Javier Barón-López; Camila Méndez-Martínez; José Carlos Canca-Sánchez; Isabel Cabezón Rodríguez; Francisco Rivas-Ruiz. 2017. "Validación del cuestionario de conocimientos y actitudes de los profesionales sanitarios en el proceso de declaración de voluntades vitales anticipadas." Atención Primaria 49, no. 4: 233-239.
Shoulder pain is common in society, with high prevalence in the general population. Shoulder impingement syndrome (SIS) is the most frequent cause. Patients suffer pain, muscle weakness and loss of movement in the affected joint. Initial treatment is predominantly conservative. The surgical option has high success rates and is often used when conservative strategy fails. Traditional physiotherapy and post-operative exercises are needed for the recovery of joint range, muscle strength, stability and functionality. Telerehabilitation programmes have shown positive results in some orthopaedic conditions after surgery. Customized telerehabilitation intervention programmes should be developed to recover shoulder function after SIS surgery. The objective of this study is to evaluate the feasibility and effectiveness of a telerehabilitation intervention compared with usual care in patients after subacromial decompression surgery. We will compare an intervention group receiving videoconferences and a telerehabilitation programme to a control group receiving traditional physiotherapy intervention in a single-blind, randomized controlled non-inferiority trial study design. Through this study, we will further develop our preliminary data set and practical experience with the telerehabilitation programmes to evaluate their effectiveness and compare this with traditional intervention. We will also explore patient satisfaction and cost-effectiveness. Patient enrolment is ongoing. ClinicalTrials.gov, NCT02909920. 14 September 2016.
Jose-Manuel Pastora-Bernal; Rocío Martín-Valero; Francisco Javier Barón-López; Oscar García-Gómez. Effectiveness of telerehabilitation programme following surgery in shoulder impingement syndrome (SIS): study protocol for a randomized controlled non-inferiority trial. Trials 2017, 18, 1 -11.
AMA StyleJose-Manuel Pastora-Bernal, Rocío Martín-Valero, Francisco Javier Barón-López, Oscar García-Gómez. Effectiveness of telerehabilitation programme following surgery in shoulder impingement syndrome (SIS): study protocol for a randomized controlled non-inferiority trial. Trials. 2017; 18 (1):1-11.
Chicago/Turabian StyleJose-Manuel Pastora-Bernal; Rocío Martín-Valero; Francisco Javier Barón-López; Oscar García-Gómez. 2017. "Effectiveness of telerehabilitation programme following surgery in shoulder impingement syndrome (SIS): study protocol for a randomized controlled non-inferiority trial." Trials 18, no. 1: 1-11.
Background: Of all of the lower-extremity injuries with multifactorial causes, heel pain represents the most frequent reason for visits to health-care professionals. Managing patients with heel pain can be very difficult. The purpose of this research was to identify key variables that can influence foot health in patients with heel pain. Methods: A cross-sectional observational study was performed with 62 participants recruited from the Educational Welfare Unit of the University of Malaga, Malaga, Spain. Therapists, blinded for the study, acquired the anthropometric information and the Foot Posture Index, and participants completed the Foot Health Status Questionnaire. Results: The most significant results reveal that there is a moderate relationship between clinical variables such as footwear and Foot Health Status Questionnaire commands such as Shoe (r = 0.515; P < .001). The most significant model domain was General Health (P < .001), with the highest determination coefficient (beta not standard = 34.05). The most significant predictable variable was body mass index (−0.110). Conclusions: The variables that can help us manage clinical patients with heel pain are age, body mass index, footwear, and Foot Posture Index (left foot).
Ana Belen Ortega-Avila; Antonio I. Cuesta-Vargas; Ana María Jiménez-Cebrián; María Teresa Labajos-Manzanares; Francisco Javier Barón-López; Paul Bennet. Contribution Levels of Intrinsic Risk Factors to the Management of Patients with Plantar Heel Pain. Journal of the American Podiatric Medical Association 2016, 106, 88 -92.
AMA StyleAna Belen Ortega-Avila, Antonio I. Cuesta-Vargas, Ana María Jiménez-Cebrián, María Teresa Labajos-Manzanares, Francisco Javier Barón-López, Paul Bennet. Contribution Levels of Intrinsic Risk Factors to the Management of Patients with Plantar Heel Pain. Journal of the American Podiatric Medical Association. 2016; 106 (2):88-92.
Chicago/Turabian StyleAna Belen Ortega-Avila; Antonio I. Cuesta-Vargas; Ana María Jiménez-Cebrián; María Teresa Labajos-Manzanares; Francisco Javier Barón-López; Paul Bennet. 2016. "Contribution Levels of Intrinsic Risk Factors to the Management of Patients with Plantar Heel Pain." Journal of the American Podiatric Medical Association 106, no. 2: 88-92.
Patients undergoing a surgical intervention for the first time are unfamiliar with the perioperative context, and they usually have no knowledge of postoperative pain management. In the preoperative circuit, there is no time to educate the patient in these terms. The professional profile of nurses allows this need to be addressed, and provides a regulated language to evaluate their effectiveness. This study evaluates the effectiveness of nursing counseling during a preoperative consultation for the management of postoperative pain and its effects on patient satisfaction at hospital discharge. This quasi-experimental study assesses the efficacy of preoperative nursing intervention in two groups, control (n = 185) and intervention (n = 195). Those in the intervention group attended a preoperative session during which they received information from nursing staff and took part in activities to learn about postoperative pain management and the perioperative circuit. Control group patients underwent the standard preoperative protocol. Data were compiled from January to December 2009. Statistically significant differences existed between the two groups regarding postoperative pain (visual analogue scale >3, 20.5% versus 11.5%; p = .023), patient satisfaction (87.1% versus 78.7%; p = .041), and surgical wound complications (13.9% versus 5.5%; p = .010). The results confirm the benefits of applying the nursing methodology in preoperative clinics.
María Helena Porras-González; Francisco Javier Barón-López; María José García-Luque; Isabel María Morales-Gil. Effectiveness of the Nursing Methodology in Pain Management after Major Ambulatory Surgery. Pain Management Nursing 2015, 16, 520 -525.
AMA StyleMaría Helena Porras-González, Francisco Javier Barón-López, María José García-Luque, Isabel María Morales-Gil. Effectiveness of the Nursing Methodology in Pain Management after Major Ambulatory Surgery. Pain Management Nursing. 2015; 16 (4):520-525.
Chicago/Turabian StyleMaría Helena Porras-González; Francisco Javier Barón-López; María José García-Luque; Isabel María Morales-Gil. 2015. "Effectiveness of the Nursing Methodology in Pain Management after Major Ambulatory Surgery." Pain Management Nursing 16, no. 4: 520-525.