Raúl Expósito González

Prof. Dr. Raúl Expósito González

orcid

Research Focus & Metrics

Academic Career Length

4Years (2023-Present)

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

Representative Publications

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8 April 2025 in Nursing Open
Verified
Journal Article
Open access
ABAlberto Bermejo-Cantarero
Alberto Bermejo-Cantarero
LVLaura Velázquez‐Ruiz
Laura Velázquez‐Ruiz
Cristina Romero-BlancoCristina Romero-Blanco
Cristina Romero-Blanco
RGRaúl Expósito González
Raúl Expósito González
MOMaría Dolores Onieva-Zafra
María Dolores Onieva-Zafra
MSMairena Sánchez-López
Mairena Sánchez-López
Background: The university period generally involves dropping out of sporting activities and higher levels of stress. However, studies addressing the consequences of these changes in the self‐esteem of university students are very scarce.Aim: To determine the relationship between physical activity (PA), sedentary lifestyle and self‐esteem levels in university students, and to analyse the differences according to gender.Design: Cross‐sectional online survey of 314 spanish university students.Methods: Global self‐esteem was assessed with the Rosenberg self‐esteem scale. PA was measured using the short version of the International Physical Activity Questionnaire (IPAQ‐SF). An analysis of variance (ANOVA) model was used to evaluate differences between total self‐esteem values by PA categories (low‐moderate‐high). Pearson's correlation was used to analyse the association of global self‐esteem with the level of total PA and with a sedentary lifestyle.Results: Physical activity, sedentary behaviour, and self‐esteem scores were higher in men than in women. High levels of PA were positively correlated to self‐esteem in the total sample; and sedentary behaviour was inversely correlated to self‐esteem in the total sample and women. The differences between men and women in self‐esteem were not significant in participants that engaged in vigorous PA.Conclusions: Engaging in PA was related to better self‐esteem. A sedentary lifestyle had a greater impact on women's self‐esteem. When women engage in vigorous physical activity, their self‐esteem equals that of men. These findings could serve as a basis for developing strategies to promote mental health through physical activity.Implications for the Profession and/or Patient Care: Our findings could help Mental Health Nurses, Community Health Nurses and university policymakers take steps to promote physical activity, with a gender perspective, within university curriculum enhancement strategies, with the goal of improving self‐esteem and mental health in young people during a critical period of transition to adulthood.Impact (Addressing): What problem did the study address? This study addressed the relationship between the self‐esteem of university students and their physical activity levels, emphasising the role of sedentary behaviour and gender differences. What were the main findings? The practice of PA was associated with higher self‐esteem. The differences in self‐esteem between men and women were not significant among those who participated in vigorous physical activity. Additionally, a sedentary lifestyle had a greater negative impact on women's self‐esteem. Where and on whom will the research have an impact? The implementation of physical activity programs in the university setting is a key factor in improving students' self‐esteem. These programs should be designed from a gender perspective to better address students' specific needs.Additionally, nurses, particularly those working in mental health and community health, play a critical role in promoting physical activity as a preventive and therapeutic strategy for mental health issues. Integrating physical activity recommendations into routine health assessments and university‐based interventions could facilitate the early identification of students at risk of low self‐esteem and associated mental health challenges.From a nursing perspective, structured exercise programmes, active breaks during classes and active learning methodologies that incorporate physical movement with academic content could contribute to creating a healthier university environment and improving students' psychological well‐being.Reporting Method: This study adhered to the reporting guidelines for observational studies according to the STROBE (Reporting of Observational Studies in Epidemiology) statement.Patient or Public Contribution: No patient or public contribution.

4 May 2023 in Healthcare
Verified
Journal Article
Open access
PDF file
JMJuan José Fernández Muñoz
Juan José Fernández Muñoz
MPMaría Laura Parra-Fernández
María Laura Parra-Fernández
MOMaría Dolores Onieva-Zafra
María Dolores Onieva-Zafra
RGRaúl Expósito González
Raúl Expósito González
JRJosé Manuel MARQUINEZ RENGIFO
José Manuel MARQUINEZ RENGIFO
EFElia Fernández-Martínez
Elia Fernández-Martínez
It is essential to understand the behavior and attitudes of nurses towards older people to improve clinical practice and quality of care in the gerontological sector. A clearer understanding of the attitudes that drive nurses toward the desire to work with older people would be a good starting point to encourage the development of positive and nurturing attitudes. A cross-sectional study with non-probabilistic sampling and a self-administered questionnaire was conducted among 381 nursing students of the Faculty of Nursing at the University of Castilla La-Mancha to evaluate the psychometric properties of the Spanish Version of the Kogan’s Attitudes Towards Older People Scale (KAOP-S). Construct validity, internal consistency, and reliability were assessed. In total, 298 females and 83 males completed the questionnaires. Their mean age was 20.42 years. The results revealed a Cronbach’s alpha coefficient of 0.75 for the scale, which is comparable with other published versions of the KAOP Scale. The results of the exploratory factor analysis established that the scale has a two-factor solution and an explained variance of 25% in the sample. The KAOP-S was found to be a reliable and valid tool with good content and construct validity for assessing nursing students’ attitudes towards older people.

5 December 2025 in Nutrients
Verified
Journal Article
Open access
PDF file
MMMaría Manzanares-Cabrera
María Manzanares-Cabrera
MOMaría Dolores Onieva-Zafra
María Dolores Onieva-Zafra
ABAlberto Bermejo-Cantarero
Alberto Bermejo-Cantarero
RGRaúl Expósito González
Raúl Expósito González
Daniel Lerma GarciaDaniel Lerma Garcia
Daniel Lerma Garcia
MPMaría Laura Parra-Fernández
María Laura Parra-Fernández
Background: Orthorexia nervosa (OrNe) and healthy orthorexia (HeOr) are two distinct but related dimensions of interest in eating behavior research. Evidence regarding their associations with sociodemographic, dietary, and sport-related variables in physically active young adults remains limited. Methods: A cross-sectional study was conducted in 190 physically active young adults (53.2% women; mean age = 23.16 ± 5.13 years). Participants practiced a variety of sports including fitness (25.3%), soccer (13.7%), handball (10.5%), athletics, martial arts, cycling, and other individual or team sports. Although all participants belonged to organized sports teams or structured training groups, 38.9% were not actively competing at the time of data collection. Participants completed validated instruments assessing OrNe, HeOr, and eating-related cognitions, alongside questionnaires on sociodemographic data, dietary habits, sport discipline, training frequency, and supplement use. Hierarchical and K-means clustering were applied using the standardized scores of HeOr, OrNe, and the EHQ total score. Group differences were assessed using t-tests and ANOVA with effect sizes (η2p) reported. Results: Age correlated positively with OrNe, HeOr, and eating-related cognitions, indicating greater consolidation of rigid eating patterns in young adulthood. BMI was associated with OrNe only among men. Vegetarian participants showed higher nutritional knowledge but lower overall orthorexia scores. Supplement users in fitness-related sports reported higher OrNe, whereas participants in collective sports reported lower scores. Three distinct orthorexia profiles were identified, characterized by lower, slightly above-average, and higher scores on orthorexia-related variables. Participants in the higher-scoring profile showed significantly higher EHQ total, OrNe, and HeOr scores compared with the other groups (η2p range = 0.11–0.19). Correlations among orthorexia dimensions were positive and moderate to large. Differences between clusters in sport modality, training frequency, and supplement use underscored the influence of the sporting context. Conclusions: Orthorexia in young physically active adults reflects heterogeneous patterns shaped by the interplay of individual (age, sex, BMI), dietary, and sport-related factors. The identification of differentiated profiles reinforces the multidimensional nature of orthorexia and underscores the relevance of considering specific sport environments when interpreting orthorexic tendencies. Longitudinal research is warranted to examine the stability or variability of these patterns over time and to enable the use of more robust multivariate approaches that further clarify the characterization of orthorexia.

10 July 2025 in Healthcare
Verified
Journal Article
Open access
PDF file
IRIsmael Rodríguez-Castellanos
Ismael Rodríguez-Castellanos
MGMaria Isabel Ortega Gonzalez-Gallego
Maria Isabel Ortega Gonzalez-Gallego
ABAlberto Bermejo-Cantarero
Alberto Bermejo-Cantarero
RGRaúl Expósito González
Raúl Expósito González
JRJulián Rodríguez-Almagro
Julián Rodríguez-Almagro
ARAndrés Redondo-Tébar
Andrés Redondo-Tébar
Background/Objectives: Auditory capacity plays a fundamental role in human emotional development from prenatal stages and persists as the last sensory modality to fade during terminal phases. In palliative sedation, uncertainty about preserved hearing—despite potential unconsciousness—underscores the need to evaluate current care recommendations for this critical sensory dimension. This review examines European guidelines to (i) assess auditory care integration in palliative sedation protocols and (ii) propose humanization strategies for sensory-preserving end-of-life care. Methods: Narrative review of evidence from the European Palliative Sedation Repository and the European Association for Palliative Care (EAPC). Results: Three key findings emerged: (i) lack of explicit protocols for auditory care despite acknowledging environmental sound management (e.g., music, family communication); (ii) limited consensus exists regarding hearing preservation during unconsciousness. Conclusions: Although auditory perception during palliative sedation remains scientifically uncertain, the precautionary principle warrants integrating auditory care into palliative sedation through (i) family education on potential hearing preservation; (ii) therapeutic sound protocols; and (iii) staff training in sensory-inclusive practices. This approach addresses current gaps in the guidelines while enhancing patient dignity and family support during end-of-life care. Further research should clarify auditory perception thresholds during sedation.

21 March 2026 in BMC Public Health
Verified
Journal Article
Open access
PDF file
ABAlberto Bermejo-Cantarero
Alberto Bermejo-Cantarero
VMVictoria Mazoteras-Pardo
Victoria Mazoteras-Pardo
Ana María RecioAna María Recio
Ana María Recio
LMLaura Muñoz de Morales-Romero
Laura Muñoz de Morales-Romero
RGRaúl Expósito González
Raúl Expósito González
José Miguel Mansilla DomínguezJosé Miguel Mansilla Domínguez
José Miguel Mansilla Domínguez
Background: Health-related quality of life (HRQoL) is a key indicator of well-being among university students, who are often exposed to stress and unhealthy lifestyles. Students enrolled in nursing programs represent a specific subgroup within the university population, characterized by high academic demands and early exposure to health-related knowledge and practices. Although higher physical fitness (PF) levels have been associated with better HRQoL, the contribution of specific PF components and potential gender differences has been insufficiently explored. This study aimed to examine the association between PF and HRQoL in nursing students, with a focus on gender differences and the role of individual PF components across HRQoL dimensions. Methods: A cross-sectional analysis of 637 nursing students from two Spanish universities was conducted. HRQoL was assessed using the WHOQOL-BREF questionnaire. Self-reported PF was assessed using the International Fitness Scale (IFIS) questionnaire. Body mass index and parental education level were included as covariates. Partial correlations, analysis of covariance (ANCOVA), and linear regression analyses were performed. Results: Higher PF levels were associated with better HRQoL across all dimensions. General PF, cardiorespiratory fitness (CRF), muscular strength (MS), and speed-agility showed the strongest associations with HRQoL. Men reported higher PF levels, greater psychological well-being, and higher overall QoL compared to women. Flexibility showed statistically significant associations with physical and psychological well-being in women, and weaker associations with life satisfaction and overall QoL in the total sample. Stronger associations between PF and HRQoL were observed for general PF, CRF, and MS, especially in analyses conducted among men. Conclusions: Higher levels of general PF and its core components are closely associated with most dimensions of HRQoL among nursing students. From a gender perspective, the observed sex-related patterns suggest the potential value of gender-sensitive interventions to improve HRQoL through PF within this population.

1 January 2025 in História, Ciências, Saúde-Manguinhos
Verified
Journal Article
Open access
PDF file
RGRaúl Expósito González
Raúl Expósito González
JMJuan Carlos Muñoz-Camargo
Juan Carlos Muñoz-Camargo
ABAlberto Bermejo-Cantarero
Alberto Bermejo-Cantarero
MPMaría Laura Parra-Fernández
María Laura Parra-Fernández
MOMaría Dolores Onieva-Zafra
María Dolores Onieva-Zafra
JRJulián Rodríguez-Almagro
Julián Rodríguez-Almagro
Health professional publications have proved to be a valuable source of historical research. This study analyses the journalistic life of El Practicante Oscense, the bulletin of the Official College of Practicantes of Huesca and its province (Colegio Oficial de Practicantes de Huesca y su provincia), published between 1935 and 1940, copies of which are kept at the Huesca Official College of Nursing (Colegio Oficial de Enfermería de Huesca). Issues such as the professional identity of practicantes (male medical and surgical assistants), their professional interactions with nurses, labour demands, and political, social and professional synergies are analysed, especially the collegial organization of the profession during the Spanish Civil War (1936-1939).