JUAN MIGUEL MUÑOZ PERETE

Prof. JUAN MIGUEL MUÑOZ PERETE

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Research Focus & Metrics

Academic Career Length

5Years (2022-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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3 February 2025 in Diagnostics
Verified
Journal Article
Open access
PDF file
MAMarcelina Sánchez Alcalá
Marcelina Sánchez Alcalá
Agustín Aibar-AlmazánAgustín Aibar-Almazán
Agustín Aibar-Almazán
MCMaría del Carmen Carcelén-Fraile
María del Carmen Carcelén-Fraile
YCYolanda Castellote-Caballero
Yolanda Castellote-Caballero
Javier Cano-SánchezJavier Cano-Sánchez
Javier Cano-Sánchez
Fidel Hita-ContrerasFidel Hita-Contreras
Fidel Hita-Contreras
Background/Objectives: The purpose of this study has been to evaluate the effects of a dance-based aerobic training program on frailty, cognitive impairment, executive functions, and verbal fluency in older adults with mild cognitive impairment. Methods: Randomized clinical trial, whose sample was made up of 92 older adults, of which 47 performed rhythmic physical activity for 12 weeks. Data on frailty were collected through FRAIL, cognitive function through the Mini-Mental State Examination (MMSE), cognitive impairment through The Montreal Cognitive Assessment (MoCA), verbal fluency using the Isaac test, and executive functions with the Trail Making Test (TMT). All variables were measured before and after the intervention by an independent researcher blinded to the treatment. Results: Participants in the experimental group showed statistically significant improvements in frailty (Cohen’s d = 0.60), cognitive function (Cohen’s d = 0.98), cognitive impairment (Cohen’s d = 1.22), verbal fluency (Cohen’s d = 0.61) and executive functions (Cohen’s d = 0.64). Conclusions: This study demonstrated that a 12-week dance-based aerobic training program can significantly reduce frailty and improve cognitive abilities in older adults with mild cognitive impairment. These improvements suggest that the intervention is not only effective in terms of physical health, but also in promoting mental health and general well-being.

8 March 2025 in Healthcare
Verified
Journal Article
Open access
PDF file
JPJUAN MIGUEL MUÑOZ PERETE
JUAN MIGUEL MUÑOZ PERETE
MCMaría del Carmen Carcelén-Fraile
María del Carmen Carcelén-Fraile
Javier Cano-SánchezJavier Cano-Sánchez
Javier Cano-Sánchez
Agustín Aibar-AlmazánAgustín Aibar-Almazán
Agustín Aibar-Almazán
YCYolanda Castellote-Caballero
Yolanda Castellote-Caballero
Fidel Hita-ContrerasFidel Hita-Contreras
Fidel Hita-Contreras
Background: Mild cognitive impairment (MCI) represents an early stage of cognitive loss that significantly increases the risk of dementia. The aim of this study was to comprehensively synthesize the current evidence on the effect of combined physical and cognitive therapies in older adults with MCI. Methods: A systematic review with meta-analysis was conducted by searching for specific keywords in the PubMed, Scopus, Cinhal, and Web of Science databases. This meta-analysis included a total of 2256 participants distributed across 21 studies that evaluated the benefits of combining physical exercise with cognitive stimulation. Results: This review revealed that these types of therapies present a significant improvement in memory, attention, and executive functions. Participants showed notable improvements in these cognitive areas, highlighting the synergistic effects of physical exercise and cognitive stimulation, which exceeded the benefits of each therapy separately. These results contribute to the understanding of how these combined therapies can improve cognitive health in this population, offering robust evidence supporting their application in clinical practice. Conclusions: This meta-analysis shows that combined physical exercise and cognitive stimulation interventions may be an effective strategy for improving cognitive health in older adults with MCI. The findings of this study offer a valuable contribution to the field, highlighting the potential of these combined therapies to prevent cognitive decline and improve the quality of life of this population. The results may be of interest to health professionals and guide future research and clinical applications.

10 June 2025 in Diagnostics
Verified
Journal Article
Open access
JPJUAN MIGUEL MUÑOZ PERETE
JUAN MIGUEL MUÑOZ PERETE
MCMaría del Mar Carcelén-Fraile
María del Mar Carcelén-Fraile
YCYolanda Castellote-Caballero
Yolanda Castellote-Caballero
MCMaría del Carmen Carcelén-Fraile
María del Carmen Carcelén-Fraile
Background/Objectives: The global increase in life expectancy has led to a higher prevalence of cognitive and physical decline in older adults, particularly in those with mild cognitive impairment (MCI). This study aimed to evaluate the effects of a combined cognitive stimulation and resistance training intervention on cognitive performance, physical function, and fall risk in older adults with MCI. Methods: A randomized controlled trial was conducted with 80 community-dwelling older adults diagnosed with MCI. Participants were randomly assigned to an experimental group (EG), which received a 12-week intervention consisting of cognitive stimulation and progressive strength training, or a control group (CG), which maintained their usual routine. Pre- and post-intervention assessments included measures of cognitive function, verbal fluency, attention, processing speed, executive function, gait, balance, fall risk, and lower- and upper-body strength. Results: The EG showed significant improvements compared with the CG in cognitive impairment, verbal fluency, processing speed, balance, gait, and risk of falls (all p < 0.05), with effect sizes ranging from moderate to large. Notably, strength gains were observed in both lower body and grip strength. Attention and executive function also improved in the EG, although with smaller effect sizes. No adverse events were reported. Conclusions: A combined intervention of cognitive stimulation and resistance training is effective in improving multiple domains of cognitive and physical function in older adults with MCI. These findings support the integration of multidomain interventions in clinical and community settings to promote autonomy, reduce fall risk, and delay cognitive and functional decline. Future studies should explore the long-term sustainability of these effects and the individual contribution of each intervention component.

Verified
Journal Article
Open access
PDF file
JPJUAN MIGUEL MUÑOZ PERETE
JUAN MIGUEL MUÑOZ PERETE
Javier Cano-SánchezJavier Cano-Sánchez
Javier Cano-Sánchez
YCYolanda Castellote-Caballero
Yolanda Castellote-Caballero
Paulino Vico RodríguezPaulino Vico Rodríguez
Paulino Vico Rodríguez
MCMarta Cano-Orihuela
Marta Cano-Orihuela
MCMaría del Carmen Carcelén-Fraile
María del Carmen Carcelén-Fraile
Background/Objectives: Aging leads to cognitive decline that may progress to dementia. Transcranial direct current stimulation (tDCS) has emerged as a strategy to improve cognitive functions in older adults with mild cognitive impairment (MCI). This study reviews the effectiveness of tDCS in these populations. Methods: A systematic review and meta-analysis was conducted following the PRISMA 2020 guidelines. Randomized controlled trials obtained from PubMed, Scopus, Cinahl, and Web of Science were included. Studies with tDCS intervention in older adults with MCI were selected, excluding those without a control group or that did not measure relevant cognitive variables. Methodological quality was analyzed with the PEDro scale and a meta-analysis was applied with random-effects models. Results: A total of 27 studies were included in this review, of which 13 were part of the meta-analysis. tDCS showed significant improvements in global cognitive function (p < 0.001) and selective attention (p = 0.044), but not in mental flexibility or visual attention. Positive effects on quality of life and depressive symptoms were also reported in some studies. Conclusions: tDCS may improve cognitive functions in older adults with MCI, but inconsistencies persist in its magnitude and duration. It is recommended to standardize protocols and conduct studies with greater methodological rigor and long-term follow-up.

YRYulieth Rivas-Campo
Yulieth Rivas-Campo
EMElsa Patricia Muñoz-Laverde
Elsa Patricia Muñoz-Laverde
Agustín Aibar-AlmazánAgustín Aibar-Almazán
Agustín Aibar-Almazán
Jose Daniel Jimenez-GarciaJose Daniel Jimenez-Garcia
Jose Daniel Jimenez-Garcia
Antonio Martínez-AmatAntonio Martínez-Amat
Antonio Martínez-Amat
MCMaría Yolanda Castellote-Caballero
María Yolanda Castellote-Caballero
(1) Background: This study determined the factors associated with manual grip strength in people with high blood pressure (HBP); (2) Methods: 219 subjects participated in this cross-sectional study, which evaluated muscle strength (manual dynamometer), sociodemographic factors, clinical characteristics, level of physical activity (International Physical Activity Questionnaire-IPAQ score), and depression (Zung’s Depression Self-Rating Scale); (3) Results: The bivariate analysis found that handgrip strength in people with HPB was associated with sex (p = 0.000), age (p = 0.000), ethnicity (p = 0.019), smoking habits (p = 0.037), alcohol consumption (p = 0.004), diastolic blood pressure (p = 0.012), weight (p = 0.000), height (p = 0.000), measurement of waist circumference (p = 0.002), depression (p = 0.041), and IPAQ score (p = 0.000). Regardless of being male or female, handgrip strength was associated with age (p = 0.009), IPAQ (p = 0.000), weight (p = 0.038), height (p = 0.000), DPB units (p = 0.043), and depression (p = 0.020). The multivariate generalized linear gamma regression model showed that the coefficient with the greatest weight, regardless of sex, was age (p = 0.043), level of physical activity (24% more at high level than at low level, p = 0.031), and depression (moderate/severe depression level) associated with lower handgrip strength (p = 0.025); (4) Conclusions: Handgrip strength showed an association with level of physical activity, age, and level of depression in a middle-aged population with HBP.

PRPaola Romera-Gasparico
Paola Romera-Gasparico
MCMaría del Carmen Carcelén-Fraile
María del Carmen Carcelén-Fraile
Javier Cano-SánchezJavier Cano-Sánchez
Javier Cano-Sánchez
MAMarcelina Sánchez Alcalá
Marcelina Sánchez Alcalá
JPJUAN MIGUEL MUÑOZ PERETE
JUAN MIGUEL MUÑOZ PERETE
MCMaría Yolanda Castellote-Caballero
María Yolanda Castellote-Caballero
Psychological problems such as depression, anxiety, stress, loneliness, and reduced quality of life are prevalent in older adults, yet the effectiveness of psychological interventions remains heterogeneous. This systematic review with meta-analysis evaluated the impact of psychological and psychoeducational interventions on emotional symptoms and quality-of-life outcomes in adults aged 60 years and older. Following PRISMA 2020 guidelines, a comprehensive search was conducted in PubMed, Scopus, CINAHL, and Web of Science. Randomized controlled trials published in the last five years were included if they assessed interventions such as mindfulness, cognitive behavioral therapy, reminiscence therapy, or behavioral activation. Twenty-eight trials were included in the qualitative synthesis and twenty-two in the meta-analysis. Standardized mean differences (Hedges’ g) were pooled under fixed- and random-effects models. Heterogeneity, subgroup analyses, and publication bias were examined using Q, I2, Begg–Mazumdar, Egger, and Trim-and-Fill methods. The global meta-analysis showed a moderate and significant favorable effect of psychological interventions on emotional symptoms under the random-effects model (SMD = −0.623, 95% CI −0.888 to −0.359; p < 0.001), where negative values indicate reductions in symptom severity. Subgroup analyses revealed a moderate effect on depressive symptoms, which remained significant after adjustment for publication bias, and a large effect on perceived stress (SMD = 0.581; p < 0.001); for stress outcomes, positive SMDs indicate reductions in stress (i.e., improvement) after aligning scale directionality. Anxiety showed a significant effect only under the fixed-effects model, while loneliness showed a small but significant effect (SMD = −0.110; p = 0.018). Mindfulness-specific outcomes and quality of life did not show significant pooled effects. No substantial publication bias was detected. Psychological interventions significantly improve emotional well-being in older adults, particularly by reducing depression and stress. Effects on anxiety, loneliness, mindfulness, and quality of life are more variable, emphasizing the need for methodological consistency and longer follow-up in future studies.