Recently, there has been an increase in the use of over-the-counter (OTC) drugs. The consumption of these medicines can be unsafe, as incorrect self-diagnosis or the ingestion of inappropriate doses can lead to side effects and the occurrence of adverse reactions and drug–drug interactions. A cross-sectional descriptive observational study was carried out, targeting the entire Spanish population by using an online questionnaire. The results showed that 78.9% of the subjects had previously taken or were currently taking OTC drugs. This consumption decreased as the age of the subjects increased, with a prevalence of 36.4% of subjects aged ≥ 71 taking OTC drugs. Analgesics were the most consumed OTC drugs (49.1%) especially in women, youngsters with non-formal educational qualifications, and individuals of a low–medium socioeconomic level residing in urban areas. Measures should be implemented to optimize the safe use of OTC drugs in order to avoid the occurrence of secondary events associated with the lack of knowledge related to their the usage.
1 February 2014 in Archives of Physical Medicine and Rehabilitation
The aim of this study was to determine healthcare providers’ knowledge and practices about dysphagia. A descriptive cross-sectional study was carried out based on a self-administered and anonymous questionnaire addressed to healthcare providers in Spain. A total of 396 healthcare providers participated in the study. Of these, 62.3% knew the definition of dysphagia as a swallowing disorder. In addition, up to 39.2% of the participants reported that they did not know whether the EatingAssessmentTool (EAT-10) dysphagia screening test was usedin their own clinical settings. Similarly, up to 49.1% of them did not know the ClinicalExaminationVolume-Viscosity (MECV-V) method. Nearly all participants (98.8%) reported that thickeners must be used forall liquids administered to patients. A higher percentage of respondents based the choice of texture on patient’s tolerance (78.2%) rather than on the MECV-V result (17.3%). In addition,76.4% of the professionals had witnessed a bronchoaspiration; after it, 44.4% (n = 175) of them reported the appearance of pneumonia, and 14.5% (n = 57) the death of the patient (p = 0.005). The participants revealeda moderate/low knowledge ofthe definition, diagnosis, and clinical management of liquid dysphagia, which indicates some room for improvements.
1 December 2013 in Archives of Physical Medicine and Rehabilitation
The aim of the present study was to examine the role of of the classical physiological model of endurance running performance - maximal oxygen uptake (VO2max), %VO2max at ventilatory thresholds (VT), and lactate levels - and body composition on the prediction of short trail running performance. Eleven male trail runners (age 36.1 ± 6.5 years, sport experience 6.6 ± 3.8 years, mean ± standard deviation) were examined for fat mass and skeletal muscle mass, and performed a graded exercise test to measure VO2max, vVO2max and ventilatory thresholds. Also, they participated in a short 27-km trail run with a positive elevation of + 1750 m. Age, years of training and skeletal muscle mass did not correlate with race time (P>0.05). Fat mass and body mass index showed significant correlations with race time (P0.05). Only vVO2max (P=0.005) and VO2max (P=0.007) showed significant correlations. Multiple regression models for VO2max accounted for 57% of the total variance. The vVO2max model variable accounted for 60% and the fat mass model for 59.5%. Finally, the combined VO2max and fat mass model explained 83.9% of the total variance (P<0.05 in all models). The equation for this model is ‘Race time (min) = 203.9956 – 1.9001 * VO2max + 10.2816 * Fat mass %’ (R2 = 0.839, SEE = 11.1 min, P = 0.0007). The multiple regression model that includes VO2max and fat mass percentage most accurately predicted short trail running performance
Background: Probiotic supplements contain different strains of living microorganisms that promote the health of the host. These dietary supplements are increasingly being used by athletes to improve different aspects such as athletic performance, upper respiratory tract infections (URTIs), the immune system, oxidative stress, gastrointestinal (GI) problems, etc. This study aimed to identify the current evidence on the management of probiotics in endurance athletes and their relationship with sports performance. Methods: A systematic review of the last five years was carried out in PubMed, Scopus, Web of science, Sportdiscus and Embase databases. Results: Nine articles met the quality criteria. Of these, three reported direct benefits on sports performance. The remaining six articles found improvements in the reduction of oxidative stress, increased immune response and decreased incidence of URTIs. There is little scientific evidence on the direct relationship between the administration of probiotics in endurance athletes and sports performance. Conclusions: Benefits were found that probiotics could indirectly influence sports performance by improving other parameters such as the immune system, response to URTIs and decreased oxidative stress, as well as the monitoring of scheduled workouts.