ABSTRACT
BACKGROUND: It is imperative to have effective programs to improve or maintain the health of aged people. AIM: To evaluate the effectiveness of an intervention based on a multidimensional program in Senior centers in Chile five months after its implementation, in the domains of physical and mental health, functionality and quality of life in aged people. MATERIAL AND METHODS: Sixty participants older than 60 years completed a multidimensional program for one month that included interventions of guided physical exercises, in addition to educational and social activities. They were evaluated at baseline and one and five months after the intervention. RESULTS: After the first and fifth months, significant improvements were observed in the five times sit to stand test (5TSTS) and gait speed (WST), in addition, significant improvements were observed in literacy measured by the Short Assessment of Health Literacy for Spanish-speaking Adults (SAHLSA). At the fifth month, slight improvements were observed in the Yesavage and short Falls efficacy scales, Barthel index, Unipodal Station and EuroQol five-dimensional quality of life tests. CONCLUSIONS: A multidimensional program for aged people lasting one month, improved the physical health dimension and literacy by the fifth month of evaluation.
Subject(s)
Humans , Middle Aged , Aged , Quality of Life , Senior Centers , Exercise/psychology , Chile , Educational StatusABSTRACT
RESUMEN El confinamiento por la pandemia del COVID-19 pudo impactar negativamente los hábitos alimentarios en Chile, principalmente debido al menor acceso a alimentos y los efectos psicológicos del encierro, cambiando patrones de consumo de frutas, verduras y legumbres. El objetivo del estudio fue comparar la frecuencia y cantidad consumida de frutas, verduras y legumbres y el cumplimiento de las guías alimentarias para estos alimentos en adultos residentes del sector oriente de Santiago, antes y durante el confinamiento. Se realizó mediante una encuesta digital de frecuencia de consumo y participaron 1.351 residentes de las comunas en confinamiento pertenecientes al sector oriente, mayores de 18 años y ambos sexos. En los resultados se observó una disminución en la frecuencia y cantidad consumida de frutas y verduras y un aumento en la frecuencia y cantidad de legumbres consumidas durante el confinamiento. El cumplimiento de la guía alimentaria de legumbres aumentó, para las frutas disminuyó y para las verduras se mantuvo. El confinamiento afectó negativamente el consumo de frutas, mantuvo el de verduras y el consumo de legumbres aumentó pero sigue siendo insuficiente. Los efectos del confinamiento en la alimentación podrían agravar la situación epidemiológica de los chilenos.
ABSTRACT Confinement due to COVID-19 pandemic could have a negative impact on eating habits in Chile, mainly due to decreased food access, the psychological effects of confinement, and the changing patterns of fruit, vegetable and legume consumption. The objective of the study was to compare frequency and quantity of fruits, vegetables and legumes consumed by adults from the eastern sector of Santiago de Chile before and during confinement, as well as compliance with dietary guidelines for these foods. 1.351 subjects over 18 years old, of both sexes and residents of localities in confinement within the eastern sector of Santiago answered a digital food frequency questionnaire. Results showed a decrease in the frequency and quantity of fruits and vegetables consumed and an increase in the frequency and quantity of legumes consumed during confinement. Compliance with the dietary guideline for legumes increased, it decreased for fruits and was unchanged for vegetables. Confinement negatively affected consumption of fruits, did not alter that of vegetables, and legume consumption increased, yet is still insufficient. The effects of confinement on food habits could aggravate the epidemiological situation of Chileans.
ABSTRACT
RESUMEN Propósito: Relacionar la ingesta dietaria de hierro con el estado nutricional de éste en una muestra de mujeres en edad fértil de Santiago de Chile. Método: A 51 mujeres entre 18 - 35 años se aplicó una Encuesta de Tendencia de Consumo para estimar el aporte de hierro dietario, junto con la medición de los biomarcadores bioquímicos a modo de determinar el estado de los depósitos de hierro. Mediante prueba estadística de Mann-Whitney se analizaron diferencias significativas entre los grupos según estado nutricional del hierro y sus parámetros sanguíneos. Resultados: Treinta y siete de las participantes (72,5%) no cumple con la ingesta recomendada de hierro diario. Dos de las mujeres presentaron anemia, 2 deficiencia de hierro sin anemia y 12 tenía los depósitos de hierro depletados. Tres de las mujeres que presentaron depósitos deficientes tuvieron una ingesta de hierro adecuada, mientras que el 71% de las mujeres con depósitos normales presentaron una ingesta de hierro insuficiente. Conclusiones: Hay un bajo cumplimiento de los requerimientos diarios de hierro y no se observan mejores valores hematológicos a mayor ingesta de hierro, a pesar de presentar un alto porcentaje con depósitos normales de hierro. Se requiere mayor análisis de la alimentación de este grupo de la población para identificar el tipo de hierro que se está aportando principalmente y si hay otros factores dietarios y no dietarios afectando los depósitos de hierro.
ABSTRACT Objectives: To relate dietary intake of iron with iron status in a sample of women of childbearing age from Santiago de Chile. Methods: A Food Frequency Survey was applied to 51 women between 18 - 35 years of age to estimate intake of dietary iron, together with the measurement of biochemical biomarkers to determine iron stores. Using the Mann-Whitney statistical test, significant differences were analyzed between the groups according to nutritional status of iron and its blood parameters. Results: Thirty seven of the participants (72.5%) do not meet the recommended daily iron intake. Two had anemia, 2 had iron deficiency without anemia, and twelve had depleted iron stores. Three women with deficient iron stores had an adequate iron intake, while 71% of women with normal iron stores showed an insufficient iron intake. Conclusions: We observed a low compliance with the daily iron requirements and no better hematological values were associated with higher iron intake, despite a high percentage of women with normal iron stores. To identify the type of iron mainly contributed by the diet and if there are other dietary and non-dietary factors affecting iron stores, further analysis of this population group is required.