This page has only limited features, please log in for full access.

Unclaimed
María José Santi
Research Group on Nutrition, Molecular, Pathophysiological and Social Issues, University of Cádiz, 11009 Cádiz, Spain

Honors and Awards

The user has no records in this section


Career Timeline

The user has no records in this section.


Short Biography

The user biography is not available.
Following
Followers
Co Authors
The list of users this user is following is empty.
Following: 0 users

Feed

Journal article
Published: 27 May 2021 in Nutrients
Reads 0
Downloads 0

Coronary heart disease is one of the main causes of morbimortality around the world. Patients that survive a coronary event suffer a high risk of readmission, relapse and mortality, attributed to the sub-optimal control of cardiovascular risk factors (CVRF), which highlights the need to improve secondary prevention strategies aimed at improving their lifestyle and adherence to treatment. Through a randomized controlled clinical trial, this study aims to evaluate the effect of an intervention involving an online health application supported by a mobile telephone or tablet (mHealth) on lifestyle (diet, physical activity, and tobacco consumption) and treatment adherence among people with coronary heart disease after percutaneous coronary intervention. The sample will comprise 240 subjects (120 in each arm: intervention and usual care). They are assessed immediately and nine months after their hospital discharge about sociodemographic, clinical, CVRF, lifestyle, and treatment adherence characteristics. The educative intervention, involving a follow-up and self-monitoring, will be performed using an online mHealth tool consisting of an application for mobile phones and tablets. The quantitative primary outcomes from the two groups will be compared using an analysis of covariance (ANCOVA) adjusted for age and gender. A multivariate analysis will be performed to examine the association of the intervention with lifestyle habits, the control of CVRFs, and outcomes after discharge in terms of the use of health services, emergency visits, cardiovascular events and readmissions.

ACS Style

María Bernal-Jiménez; Germán Calle-Pérez; Alejandro Gutiérrez-Barrios; Livia Gheorghe; Ana Solano-Mulero; Amelia Rodríguez-Martín; Josep Tur; Rafael Vázquez-García; María Santi-Cano. Lifestyle and Treatment Adherence Intervention after a Coronary Event Based on an Interactive Web Application (EVITE): Randomized Controlled Clinical Trial Protocol. Nutrients 2021, 13, 1818 .

AMA Style

María Bernal-Jiménez, Germán Calle-Pérez, Alejandro Gutiérrez-Barrios, Livia Gheorghe, Ana Solano-Mulero, Amelia Rodríguez-Martín, Josep Tur, Rafael Vázquez-García, María Santi-Cano. Lifestyle and Treatment Adherence Intervention after a Coronary Event Based on an Interactive Web Application (EVITE): Randomized Controlled Clinical Trial Protocol. Nutrients. 2021; 13 (6):1818.

Chicago/Turabian Style

María Bernal-Jiménez; Germán Calle-Pérez; Alejandro Gutiérrez-Barrios; Livia Gheorghe; Ana Solano-Mulero; Amelia Rodríguez-Martín; Josep Tur; Rafael Vázquez-García; María Santi-Cano. 2021. "Lifestyle and Treatment Adherence Intervention after a Coronary Event Based on an Interactive Web Application (EVITE): Randomized Controlled Clinical Trial Protocol." Nutrients 13, no. 6: 1818.

Study protocol
Published: 08 February 2021 in International Journal of Environmental Research and Public Health
Reads 0
Downloads 0

This paper describes the protocol for a study designed to address the high prevalence (40%) of childhood overweight and obesity in the province of Cádiz, Spain, as a reflection of what is happening worldwide. It is widely known that children who suffer from childhood obesity have a higher risk of developing chronic diseases in adulthood. This causes a decrease in the quality of life and an increase in health spending. In this context, it is necessary to intervene promoting healthy lifestyle habits from an early stage. The objective of this project will be to evaluate the effectiveness of a multimodal intervention (individual, school and family) called “PREVIENE-CÁDIZ” [CADIZ-PREVENT]. The intervention will be focused mainly on diet, physical activity, sedentary lifestyle and sleep, to prevent overweight and obesity in schoolchildren from 8 to 9 years old in the province of Cádiz. It will consist of a 10-session education program carried out in the classroom by the teachers. In addition, children will be assigned two workbooks, one to work on in class and the other at home with parents. A workshop aimed at parents will be included to help teach them how to obtain healthier lifestyle habits. The proposed study will involve a quasi-experimental design with a control group.

ACS Style

Rubén Aragón-Martín; María Del Mar Gómez-Sánchez; David Jiménez-Pavón; José Manuel Martínez-Nieto; Mónica Schwarz-Rodríguez; Carmen Segundo-Iglesias; José Pedro Novalbos-Ruiz; María José Santi-Cano; José Castro-Piñero; Carmen Lineros-González; Mariano Hernán-García; Amelia Rodríguez-Martín. A Multimodal Intervention for Prevention of Overweight and Obesity in Schoolchildren. A Protocol Study “PREVIENE-CÁDIZ”. International Journal of Environmental Research and Public Health 2021, 18, 1622 .

AMA Style

Rubén Aragón-Martín, María Del Mar Gómez-Sánchez, David Jiménez-Pavón, José Manuel Martínez-Nieto, Mónica Schwarz-Rodríguez, Carmen Segundo-Iglesias, José Pedro Novalbos-Ruiz, María José Santi-Cano, José Castro-Piñero, Carmen Lineros-González, Mariano Hernán-García, Amelia Rodríguez-Martín. A Multimodal Intervention for Prevention of Overweight and Obesity in Schoolchildren. A Protocol Study “PREVIENE-CÁDIZ”. International Journal of Environmental Research and Public Health. 2021; 18 (4):1622.

Chicago/Turabian Style

Rubén Aragón-Martín; María Del Mar Gómez-Sánchez; David Jiménez-Pavón; José Manuel Martínez-Nieto; Mónica Schwarz-Rodríguez; Carmen Segundo-Iglesias; José Pedro Novalbos-Ruiz; María José Santi-Cano; José Castro-Piñero; Carmen Lineros-González; Mariano Hernán-García; Amelia Rodríguez-Martín. 2021. "A Multimodal Intervention for Prevention of Overweight and Obesity in Schoolchildren. A Protocol Study “PREVIENE-CÁDIZ”." International Journal of Environmental Research and Public Health 18, no. 4: 1622.

Journal article
Published: 23 July 2020 in Journal of Clinical Medicine
Reads 0
Downloads 0

Background: The prevalence of obesity is increasing worldwide. Because of their close proximity to the population, primary care physicians and nurses are in a unique position to motivate and advise patients with obesity on a healthy diet and increased physical activity. Drawing from information recorded in electronic clinical records, we evaluated how the general recommendations included in obesity guidelines are being implemented in routine clinical practice. Methods: This study drew from the following data from a cohort of 209 patients with obesity that attended primary care consultations: electronic clinical records, body mass index (BMI), waist circumference (WC), cardiovascular risk factors, comorbidities and whether their health professional documented compliance with the recommendations of the evidence-based obesity guidelines in their electronic history. Results: Only 25.4% of the clinical records met all the criteria established in the therapeutic guidelines regarding diet prescription, 1.4% for physical activity and 1.5% for behavioral change activities. The patients whose records mentioned diet prescription and physical activity and who received follow-up consultations for both factors had lower average BMI and WC, although this relationship was not significant after adjusting for baseline. Conclusions: We found that only a small number of records in the electronic clinical histories followed the evidence-based obesity guidelines. Recording dietetic prescription and physical exercise in the patient’s clinical record is associated with better control of obesity.

ACS Style

Nuria Trujillo-Garrido; María Ángeles Bernal-Jiménez; María J. Santi-Cano. Evaluation of Obesity Management Recorded in Electronic Clinical History: A Cohort Study. Journal of Clinical Medicine 2020, 9, 2345 .

AMA Style

Nuria Trujillo-Garrido, María Ángeles Bernal-Jiménez, María J. Santi-Cano. Evaluation of Obesity Management Recorded in Electronic Clinical History: A Cohort Study. Journal of Clinical Medicine. 2020; 9 (8):2345.

Chicago/Turabian Style

Nuria Trujillo-Garrido; María Ángeles Bernal-Jiménez; María J. Santi-Cano. 2020. "Evaluation of Obesity Management Recorded in Electronic Clinical History: A Cohort Study." Journal of Clinical Medicine 9, no. 8: 2345.

Journal article
Published: 15 March 2020 in Nutrients
Reads 0
Downloads 0

Objective: Cardiorespiratory fitness (CRF) and a healthy diet may be part of an overall healthy lifestyle. The association between cardiorespiratory fitness and adherence to an overall Mediterranean Diet (MedD) pattern and specific MedD foods has been assessed. Design: Subjects completed a lifestyle survey and dietary pattern, using the validated MedD Adherence 14-item questionnaire and two self-reported 24-h dietary recalls. Participants’ height, body weight, waist circumference (WC), and CRF (maximum oxygen uptake, VO2max, ml/kg/min) were measured. Setting: University of Cádiz, Spain. Subjects: A sample of young adults (n = 275, 22.2 ± 6.3 years). Results: Mean VO2max was 43.9 mL/kg/min (SD 8.5 mL/kg/min). Most participants had healthy CRF (75.9%). The average MedD score was 6.2 points (SD 1.8 points). Participants who consumed more servings of nuts had higher VO2max. Those who showed low CRF performed less physical activity (PA) and had a higher body mass index (BMI) and WC compared with those classified as having healthy CRF. Nut consumption was positively associated with VO2max (β = 0.320; 95% CI 2.4, 10.7; p < 0.002), adjusting for sex, age, smoking PA, BMI, WC, and energy intake, showing the subjects who consumed more nuts were fitter than young adults who consumed less. Conclusions: CRF is positively associated with nut consumption but not with the overall MedD pattern and all other MedD foods in the young adults. The subjects who consumed more servings of nuts were fitter than young adults who consumed less. Moreover, fitter subjects performed more PA and had a lower BMI and WC than those who had lower fitness levels.

ACS Style

Mª José Santi-Cano; José Pedro Novalbos-Ruiz; Mª Angeles Bernal Jiménez; María Del Mar Bibiloni; Josep A. Tur; Amelia Rodriguez Martin. Association of Adherence to Specific Mediterranean Diet Components and Cardiorespiratory Fitness in Young Adults. Nutrients 2020, 12, 776 .

AMA Style

Mª José Santi-Cano, José Pedro Novalbos-Ruiz, Mª Angeles Bernal Jiménez, María Del Mar Bibiloni, Josep A. Tur, Amelia Rodriguez Martin. Association of Adherence to Specific Mediterranean Diet Components and Cardiorespiratory Fitness in Young Adults. Nutrients. 2020; 12 (3):776.

Chicago/Turabian Style

Mª José Santi-Cano; José Pedro Novalbos-Ruiz; Mª Angeles Bernal Jiménez; María Del Mar Bibiloni; Josep A. Tur; Amelia Rodriguez Martin. 2020. "Association of Adherence to Specific Mediterranean Diet Components and Cardiorespiratory Fitness in Young Adults." Nutrients 12, no. 3: 776.

Review
Published: 08 January 2020 in Journal of Nursing Scholarship
Reads 0
Downloads 0

To analyze the effect of different diabetes education methods on metabolic control, body mass index (BMI), and blood pressure. A systematic review was carried out. PubMed, Medline, Embase, Cochrane, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), CUIDEN, Ibecs, and Scopus databases were consulted. The search was done in May 2018. Studies included controlled clinical trials on diabetes education in primary care that were published in English and Spanish during the years 2011 to 2018. The post-intervention results were as follows: glycosylated hemoglobin concentration (HbA1c) ranged between -1.6% (individual education [IE]) and + 0.05% (mixed education [ME]). The values of BMI varied from -0.7% (group education [GE]) to -0.3% (GE). Systolic blood pressure (SBP) and diastolic blood pressure (DBP) fluctuated. SBP varied from -8.5 mmHg (GE) to +2.9 mmHg (GE); DBP varied from -3.1 mmHg (GE) to -0.9 mmHg (GE). Total cholesterol ranged from -15.9/dL (GE) to +2 mg/dL (GE). LDL cholesterol ranged from -18.3 mg/dL (GE) to -7 mg/dL (ME). HDL cholesterol ranged from +0.8 mg/dL (IE) to +8.12 mg/dL (GE). Triglycerides varied from -21.1 mg/dL (GE) to +11.0 (GE). The most profound decrease in HbA1c was achieved using individual education. However, to decrease BMI, SBP, DBP, total cholesterol, LDL cholesterol, and triglycerides, group education was the most effective intervention. To obtain good metabolic control, it is necessary to address both clinical and psychological aspects, including modifying nutritional and dietary habits, monitoring medication, increasing knowledge of diabetes, and combining theoretical content with physical exercise programs. Reinforcement strategies are very important to achieve the objectives of educational programs.

ACS Style

Celia Cruz‐Cobo Rn; M José Santi‐Cano. Efficacy of Diabetes Education in Adults With Diabetes Mellitus Type 2 in Primary Care: A Systematic Review. Journal of Nursing Scholarship 2020, 52, 155 -163.

AMA Style

Celia Cruz‐Cobo Rn, M José Santi‐Cano. Efficacy of Diabetes Education in Adults With Diabetes Mellitus Type 2 in Primary Care: A Systematic Review. Journal of Nursing Scholarship. 2020; 52 (2):155-163.

Chicago/Turabian Style

Celia Cruz‐Cobo Rn; M José Santi‐Cano. 2020. "Efficacy of Diabetes Education in Adults With Diabetes Mellitus Type 2 in Primary Care: A Systematic Review." Journal of Nursing Scholarship 52, no. 2: 155-163.

Research paper
Published: 02 January 2020 in European Geriatric Medicine
Reads 0
Downloads 0

To assess the association between in-hospital dietary intake and the course of mobilization of hip-fractured older patients in the post-surgical period until hospital discharge. In hip-fracture older patients, energy-protein intake and Charlson Comorbidity Index are the main factors associated with poor mobilization in the post-surgical period. The worldwide epidemic of hip fractures and its impact on the subject health and functionality demands to design effective strategies to manage this situation, focused on early detection of nutritional deficits to avoid muscle wasting and enhancement of fast mobilization after hip-fractured surgery.

ACS Style

Jose Carlos Rodriguez Bocanegra; Consuelo Cañavate-Solano; Celia Cruz-Cobo; Maria M. Bibiloni; Josep A. Tur; María J. Santi-Cano. In-hospital dietary intake and the course of mobilization among older patients with hip fracture in the post-surgical period. European Geriatric Medicine 2020, 11, 535 -543.

AMA Style

Jose Carlos Rodriguez Bocanegra, Consuelo Cañavate-Solano, Celia Cruz-Cobo, Maria M. Bibiloni, Josep A. Tur, María J. Santi-Cano. In-hospital dietary intake and the course of mobilization among older patients with hip fracture in the post-surgical period. European Geriatric Medicine. 2020; 11 (4):535-543.

Chicago/Turabian Style

Jose Carlos Rodriguez Bocanegra; Consuelo Cañavate-Solano; Celia Cruz-Cobo; Maria M. Bibiloni; Josep A. Tur; María J. Santi-Cano. 2020. "In-hospital dietary intake and the course of mobilization among older patients with hip fracture in the post-surgical period." European Geriatric Medicine 11, no. 4: 535-543.

Preprint content
Published: 20 December 2019
Reads 0
Downloads 0

BACKGROUND The prevalence of obesity is on the increase worldwide and yet scientific evidence shows that primary care professionals are not adequately addressing overweight and obesity. In this study, we evaluate how obesity guidelines are being implemented in routine clinical practice. METHODS The study obtained the following data on a cohort of 209 obese patients attending primary care consultations: electronic medical records, body mass index (BMI), waist circumference (WC), cardiovascular risk factors, comorbidities and whether or not their health professional adhered to obesity evidence-based guidelines. RESULTS 57.9% of the participants were women and their average age was 65.8 ± 12.7 years. Only 25.4% of the medical records met all the criteria established in the therapeutic guidelines regarding diet prescription. This percentage was significantly higher in males than females (36.4% vs 17.4, p = 0.002). 1.4% met the criteria for physical activity and 1.5% for behavioural change activities. In the multivariate analysis, the variable associated with the most favourable BMI and WC figures, after adjusting for age, was a follow up by health professionals on physical activity (β=0.347, p=0.027, CI=0.429-6.868; β=0.367, p=0.024, CI=1.256-17.556) during routine check-ups with women. CONCLUSIONS We detected low adherence to the evidence-based guidelines among professionals. Recording dietetic prescription and physical exercise in the patient's medical record is associated with a better control of obesity. This data suggest that primary health care should be improved for obese patient.

ACS Style

Nuria Trujillo Garrido; Mariangeles Bernal; Maria José Santi Cano. Health professionals’ adherence to evidence-based obesity guidelines: a cohort study. 2019, 1 .

AMA Style

Nuria Trujillo Garrido, Mariangeles Bernal, Maria José Santi Cano. Health professionals’ adherence to evidence-based obesity guidelines: a cohort study. . 2019; ():1.

Chicago/Turabian Style

Nuria Trujillo Garrido; Mariangeles Bernal; Maria José Santi Cano. 2019. "Health professionals’ adherence to evidence-based obesity guidelines: a cohort study." , no. : 1.

Journal article
Published: 06 September 2019 in International Journal of Nursing Studies
Reads 0
Downloads 0

Systematic reviews and meta-analyses have shown very different values for the effectiveness of education in type 2 diabetes mellitus. However, the achievement of therapeutic targets after educational programs has been poorly evaluated. Evaluate the effectiveness of a structured and individualised education program for type 2 diabetes, provided by a primary care nurse, which featured educational reinforcements and family support to achieve metabolic control, and long-term therapeutic targets. Randomised controlled clinical trial with two arms: Intervention and control group. The intervention consisted of six face-to-face sessions of 30 min and follow-ups after 12 and 24 months for 236 participants with type 2 diabetes mellitus in a primary care setting in Andalusia (Spain). The primary outcome variables were the values and achievement of the type 2 diabetes mellitus control targets established by the American Diabetes Association: Glycated haemoglobin, fasting blood glucose, total cholesterol, low-density lipoprotein-cholesterol, high-density lipoprotein-cholesterol, triglycerides, systolic and diastolic blood pressure. The secondary outcome variable was body mass index. From an overall total of 236 participants, 54.2% were male and the average age was 65.1 ± 9.5. After 12 months, the glycated haemoglobin level and systolic blood pressure decreased in the intervention group. After 24 months, the following variables significantly improved among the intervention group participants: basal glycemia, glycated haemoglobin, total cholesterol low-density lipoprotein cholesterol, and diastolic blood pressure. The glycated haemoglobin target (<7%) was better achieved in the intervention group than in the control group (35.2% vs 24.7%, p < 0.003). The rest of the targets were not met. Continual diabetes education with reinforcement sessions provided by a nurse achieved reductions in glycated haemoglobin, basal glycaemia, total cholesterol, low-density lipoprotein-cholesterol and systolic blood pressure in both the medium and long term. It also increased the proportion of participants who achieved the therapeutic target of glycated haemoglobin.

ACS Style

María del Carmen De la Fuente Coria; C. Cruz-Cobo; M.J. Santi-Cano. Effectiveness of a primary care nurse delivered educational intervention for patients with type 2 diabetes mellitus in promoting metabolic control and compliance with long-term therapeutic targets: Randomised controlled trial. International Journal of Nursing Studies 2019, 101, 103417 .

AMA Style

María del Carmen De la Fuente Coria, C. Cruz-Cobo, M.J. Santi-Cano. Effectiveness of a primary care nurse delivered educational intervention for patients with type 2 diabetes mellitus in promoting metabolic control and compliance with long-term therapeutic targets: Randomised controlled trial. International Journal of Nursing Studies. 2019; 101 ():103417.

Chicago/Turabian Style

María del Carmen De la Fuente Coria; C. Cruz-Cobo; M.J. Santi-Cano. 2019. "Effectiveness of a primary care nurse delivered educational intervention for patients with type 2 diabetes mellitus in promoting metabolic control and compliance with long-term therapeutic targets: Randomised controlled trial." International Journal of Nursing Studies 101, no. : 103417.

Journal article
Published: 01 January 2019 in Nutrición Hospitalaria
Reads 0
Downloads 0

As is known, the type and amount of food consumption determine the nutritional composition of the diet. A healthy nutritional composition plays an essential role in the prevention of diseases such as cardiovascular, diabetes mellitus type 2 and obesity. Regarding overweight and obesity, its prevalence has increased in recent years in our country and more markedly in Andalusia, reaching quite worrying figures, due to unfavorable changes in lifestyle and nutrition. In Andalusia, food consumption figures are lower than national ones and this contrasts with the higher prevalence of overweight and obesity in this Community. In addition, the sale of soft drinks in Andalusia are higher than the national average and sedentary lifestyle is higher. Among the strengths of the food model in western Andalusia, it is worth mentioning the follow-up of a model more adjusted to the Mediterranean diet by women and the elderly. There is a tendency to abandon the Mediterranean diet among the youngest and low socio-economic levels. On the nutritional profile, the lipids (39.1%) exceed the recommendations at the expense of carbohydrates, the consumption of saturated fatty acids (11.3%) exceeds the recommendations and the intakes of zinc and folic acid do not reach the values recommended. In general terms, there is an abandonment, fundamentally on the part of the youngest people of the typical foods of the Mediterranean diet.

ACS Style

Josefa Santi Cano; Rafael Moreno Rojas; Amelia Rodríguez Martín. Modelo alimentario en Andalucía occidental. Nutrición Hospitalaria 2019, 36, 121 -129.

AMA Style

Josefa Santi Cano, Rafael Moreno Rojas, Amelia Rodríguez Martín. Modelo alimentario en Andalucía occidental. Nutrición Hospitalaria. 2019; 36 ():121-129.

Chicago/Turabian Style

Josefa Santi Cano; Rafael Moreno Rojas; Amelia Rodríguez Martín. 2019. "Modelo alimentario en Andalucía occidental." Nutrición Hospitalaria 36, no. : 121-129.

Comparative study
Published: 01 August 2018 in Nutrition, Metabolism and Cardiovascular Diseases
Reads 0
Downloads 0

The aim of this study was to assess whether women differ from men with regard to lowering lipid levels, achieving target of optimal lipid levels, and analyzing evidence-based dose and intensity of statin prescription in primary care patients. A multicenter cross-sectional survey was conducted among 1046 patients with dyslipidemia (554 women) who were receiving statin therapy from the Primary Health Care of Andalucía (Spain). A random sample was obtained using data from the electronic health record system. The primary outcomes were the prescription of statin therapy (intensity and dose), lowering lipid levels, and achieving target of optimal lipid levels. Women were less likely to be treated with a more potent statin than men (9.2% vs. 14.4%, p = 0.009), and they received lower doses (45 ± 59 mg/day vs. 56 ± 71 mg/day, p = 0.004) than men. Total cholesterol and LDL-C levels were higher in women than in men (5.7 ± 1.3 mmol/l vs. 5.2 ± 1.2 mmol/l, p < 0.0001 and 3.5 ± 1.2 mmol/l vs. 3.1 ± 1.0 mmol/l, p < 0.0001, respectively). Compliance with established goals for total cholesterol (47.7% vs. 31.3%, p < 0.0001) and LDL-C (39.7% vs. 25.4%, p < 0.0001) was superior in men than in women. In multivariate analysis, adjusted for age, the variables male gender and CVD were associated with a higher compliance with total cholesterol and LDL-C target levels, and the variable diabetes mellitus 2 was associated with a lower compliance with HDL-C and triglycerides target levels. Women were less likely to be prescribed high-intensity statin to achieve total cholesterol and LDL-C target levels, and mean doses of statin were lower in women than in men. Dyslipidemia is less closely controlled in women than in men.

ACS Style

S. Moreno-Arellano; J. Delgado-De-Mendoza; M.J. Santi-Cano. Sex disparity persists in the prevention of cardiovascular disease in women on statin therapy compared to that in men. Nutrition, Metabolism and Cardiovascular Diseases 2018, 28, 810 -815.

AMA Style

S. Moreno-Arellano, J. Delgado-De-Mendoza, M.J. Santi-Cano. Sex disparity persists in the prevention of cardiovascular disease in women on statin therapy compared to that in men. Nutrition, Metabolism and Cardiovascular Diseases. 2018; 28 (8):810-815.

Chicago/Turabian Style

S. Moreno-Arellano; J. Delgado-De-Mendoza; M.J. Santi-Cano. 2018. "Sex disparity persists in the prevention of cardiovascular disease in women on statin therapy compared to that in men." Nutrition, Metabolism and Cardiovascular Diseases 28, no. 8: 810-815.

Journal article
Published: 01 January 2016 in Enfermería Clínica
Reads 0
Downloads 0

Socio-health interventions include performance and care intended to attend to the needs of people who have suffered a decrease in their personal autonomy because of their age, illness or disability. Oriented towards achieving an improvement in the quality of life of people in that situation, they try to meet the requirements of people in an integrated way. To intervene in those situations involves providing technical aids and environmental, custom and social changes as well as personal care needed to improve their quality of life and enhance their skills and well-being. Scientific advances and demographic and social changes have determined a change in the profile of socio-health interventions' receivers, highlighting longevity, chronicity of processes and aging of the informal caregiver. The aim of this work is to characterize the person receiving the social-health interventions and to reflect on what their needs are. To do this we have conducted a biomedical studies' review through literature searches at ScienceDirect as well as a review of national institutional documentation related to people in dependent situations and their family caregivers. People who need socio-health help establish a heterogeneous population in respect of their needs. Both the person with disabilities and their informal caregiver need to be considered as an object of interest and attention.

ACS Style

Josefa Abellán Hervás; Consuelo López-Fernández; Josefa Santi Cano; Mercedes Deudero-Sánchez; Juan Manuel Picardo-García. ¿Quién es el receptor de intervenciones sociosanitarias y cuáles son sus necesidades? Enfermería Clínica 2016, 26, 49 -54.

AMA Style

Josefa Abellán Hervás, Consuelo López-Fernández, Josefa Santi Cano, Mercedes Deudero-Sánchez, Juan Manuel Picardo-García. ¿Quién es el receptor de intervenciones sociosanitarias y cuáles son sus necesidades? Enfermería Clínica. 2016; 26 (1):49-54.

Chicago/Turabian Style

Josefa Abellán Hervás; Consuelo López-Fernández; Josefa Santi Cano; Mercedes Deudero-Sánchez; Juan Manuel Picardo-García. 2016. "¿Quién es el receptor de intervenciones sociosanitarias y cuáles son sus necesidades?" Enfermería Clínica 26, no. 1: 49-54.

Journal article
Published: 01 December 2015 in Journal of Healthcare Engineering
Reads 0
Downloads 0

Collaboration between patients and their medical and technical experts enabled the development of an automated questionnaire for the early detection of COPD exacerbations (AQCE). The questionnaire consisted of fourteen questions and was implemented on a computer system for use by patients at home in an un-supervised environment. Psychometric evaluation was conducted after a 6-month field trial. Fifty-two patients were involved in the development of the questionnaire. Reproducibility was studied using 19 patients (ICC = 0.94). Sixteen out of the 19 subjects started the 6 month-field trial with the computer application. Cronbach’s alpha of 0.81 was achieved. In the concurrent validity analysis, a correlation of 0.80 (p = 0.002) with the CCQ was reported. The results suggest that AQCE is a valid and reliable questionnaire, showing that an automated home-based electronic questionnaire may enable early detection of exacerbations of COPD.

ACS Style

Francisco De B. Velazquez-Peña; Daniel Sanchez-Morillo; Mario Crespo-Miguel; Sonia Astorga-Moreno; Mj Santi-Cano; Ma Fernandez-Granero; Antonio Leon-Jimenez; Related Information. Development and Evaluation of an Automated, Home-Based, Electronic Questionnaire for Detecting COPD Exacerbations. Journal of Healthcare Engineering 2015, 6, 705 -716.

AMA Style

Francisco De B. Velazquez-Peña, Daniel Sanchez-Morillo, Mario Crespo-Miguel, Sonia Astorga-Moreno, Mj Santi-Cano, Ma Fernandez-Granero, Antonio Leon-Jimenez, Related Information. Development and Evaluation of an Automated, Home-Based, Electronic Questionnaire for Detecting COPD Exacerbations. Journal of Healthcare Engineering. 2015; 6 (4):705-716.

Chicago/Turabian Style

Francisco De B. Velazquez-Peña; Daniel Sanchez-Morillo; Mario Crespo-Miguel; Sonia Astorga-Moreno; Mj Santi-Cano; Ma Fernandez-Granero; Antonio Leon-Jimenez; Related Information. 2015. "Development and Evaluation of an Automated, Home-Based, Electronic Questionnaire for Detecting COPD Exacerbations." Journal of Healthcare Engineering 6, no. 4: 705-716.

Journal article
Published: 01 March 2015 in Nutrición Hospitalaria
Reads 0
Downloads 0

Central obesity is specifically associated with cardiovascular disease. Nevertheless, the molecular events that promote these conditions remain incompletely defined and risk stratifying patients for cardiovascular disease continues a challenge. The aim of this study was to assess some cost-efficient haemostatic markers, and its association with central obesity and traditional cardiovascular risk factors, in a cohort of middle aged subjects, without clinical cardiovascular disease, as basis for an improved prevention and intervention. We studied 307 men, aged 45±7 years, which underwent medical history, physical examination, anthropometric measurements, plasmatic biochemical parameters, plasma concentrations of fibrinogen, prothrombin activity, activated partial thromboplastin time, platelet count and mean platelet volume. Prothrombin activity values were significantly higher in patients with central obesity (103 ± 16 % vs 111 ± 17 %, p<0.001). Across tertiles of fibrinogen (low and high), there was an increase in cholesterol, adjusted for age and body mass index (4.9±0.9 mmol/L vs 5.4±1.1 mmol/L, p< 0.01). High tertile of prothrombin activity showed higher levels of cholesterol (4.8±1.0 mmol/L vs 5.4±0.9 mmol/L , p< 0.05), triglycerides (1.07±0.6 mmol/L vs 1.32±0.9 mmol/L, p< 0.05), and waist circumference (92.8±8.3 cm vs 96.5±8.8 cm, p= ns) . Mean values of cholesterol were higher in low-activated partial thromboplastin time tertile (5.3±0.9 mmol/L vs 4.9±1.1 mmol/L, p<0.01). Participants in the high-mean platelet volume tertile showed higher levels of glycemia (5.7±0.6 mmol/L vs 5.99±0.7 mmol/L, p<0.05). Significant positive correlations were observed between fibrinogen and cholesterol (r=0.198, p<0.001) and triglycerides (r=0.116, p<0.05). Prothrombin activity was positively correlated with waist circumference (r=0.156, p<0.05), glucose (r=0.227, p<0.001), cholesterol (r=0.270, p=0.001), triglycerides (r=0.187, p=0.001) and mean platelet volume (r=0.130, p=0.05). Activated partial thromboplastin time was inversely related cholesterol (r=-0.172, p<0.01) concentrations. Mean platelet volume rose with increasing glucose concentrations (r=0.170, p<0.01). Haemostatic markers studied have shown association with abdominal adiposity and established cardiovascular risk factors. These markers are widely available, relatively inexpensive, and might allow risk stratifying patients for cardiovascular disease and the identification of hypercoagulable state in patients who might deserve preventive measures and are potential tools for assessing the impact of these measures.

ACS Style

María José Santi. BIOMARCADORES DE ESTADO PROTROMBÓTICO EN LA OBESIDAD ABDOMINAL. Nutrición Hospitalaria 2015, 31, 1059 -1066.

AMA Style

María José Santi. BIOMARCADORES DE ESTADO PROTROMBÓTICO EN LA OBESIDAD ABDOMINAL. Nutrición Hospitalaria. 2015; 31 (3):1059-1066.

Chicago/Turabian Style

María José Santi. 2015. "BIOMARCADORES DE ESTADO PROTROMBÓTICO EN LA OBESIDAD ABDOMINAL." Nutrición Hospitalaria 31, no. 3: 1059-1066.

Journal article
Published: 30 June 2005 in Medicina Clínica
Reads 0
Downloads 0

Waist circumference (WC) is a measure of upper body fat and so should be useful for identifying overweight and obese men at risk of developing metabolic complications. The objective was to determine the relations of WC to cardiovascular risk factors in a sample of young men and to assess the clinical relevance of WC in identifying insulin resistance. This study included 194 male Spanish subjects aged 26 (5) years who were divided in 3 groups according to the WC: Normal (< 94 cm), moderate risk (> or = 94 cm) and elevated risk (> or = 102 cm). Body mass index (BMI), WC, blood pressure, serum levels of total cholesterol, triglycerides (TG), HDL-cholesterol, LDL-cholesterol, glucose, uric acid and insulin were measured by standard methods. The homeostasis model assessment was applied to estimate the degree of insulin resistance (HOMAIR). The prevalence of overweight and obesity was 46.9% and 6.7% respectively. Men with moderate and elevated risk showed higher concentrations of glucose (p < 0.004), uric acid (p < 0.001), TG (p < 0.001), LDL-cholesterol/HDL-cholesterol index (p < 0.001), insulin (p < 0.001) and HOMAIR (p < 0.001). WC was significantly correlated with age (r = 0,282; p < 0.001), TG (r = 0.308; p < 0,001), insulin (r = 0.282; p < 0.001) and HOMAIR (r = 0.281; p < 0.001). A multivariate linear correlation analysis showed that HOMAIR was significantly associated with WC (p < 0.009) and TG (p < 0.003; r2 = 0.13). WC of these young men was independently associated with certain cardiovascular risk factors, in particular insulin resistance. This suggests that WC may be reasonably included in clinical practice as a simple tool that may help identify sub-groups of overweight or obese young men at higher metabolic risk.

ACS Style

M. José Santi; M. Ángeles Carrozas; Antonio Barba; Antonio Astola; Andrés Jiménez; Alipio Mangas. Circunferencia de la cintura como predictor de resistencia insulínica en varones jóvenes. Medicina Clínica 2005, 125, 46 -50.

AMA Style

M. José Santi, M. Ángeles Carrozas, Antonio Barba, Antonio Astola, Andrés Jiménez, Alipio Mangas. Circunferencia de la cintura como predictor de resistencia insulínica en varones jóvenes. Medicina Clínica. 2005; 125 (2):46-50.

Chicago/Turabian Style

M. José Santi; M. Ángeles Carrozas; Antonio Barba; Antonio Astola; Andrés Jiménez; Alipio Mangas. 2005. "Circunferencia de la cintura como predictor de resistencia insulínica en varones jóvenes." Medicina Clínica 125, no. 2: 46-50.