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1.
Rev. bras. med. esporte ; 27(1): 70-74, Jan.-Mar. 2021. tab
Article in English | LILACS | ID: biblio-1156107

ABSTRACT

ABSTRACT Introduction Dehydration has been described as one of the main factors of reduced performance in combat sports activities, leading to death in extreme cases. Objective To investigate the pre-training hydration status and changes in fluid homeostasis during two taekwondo training sessions. Methods Eighteen male college athletes (age 22.6 ± 3.37 years) were assessed. The study design aimed to reproduce the conditions of a 90-minute taekwondo training session, divided into three stages: a) warm-up exercises (20 min); b) poomsae (30 min) and c) technical training (40 min). The athletes had ad libitum water intake during training. To assess the hydration status we considered body mass (BM), the amount of liquid consumed and urine output, which enabled us to establish absolute and relative fluid loss in kg and percentage as well as the sweating rate. We also considered urine specific gravity (USG), urine color (U-COL), and subjective sensation of thirst (Sthirst) before and after the training session. Pre- and post-training results were compared separately in each session and between sessions. Results There was a significant difference (P<0.05) in pre-training BM between the two days of training. There was a significant difference (P<0.05) in the final BM on both days of the experiment. Most subjects had relative dehydration below 2%. A significant difference (P<0.05) was recorded pre and post training for U-COL and Sthirst, with the highest rates obtained at the end of each session. Participants always started training at a low dehydration status (USG >1,020g.ml-1). Conclusions The athletes tended to start the training sessions in dehydration status, which increases over the course of the training. Ad libitum water intake was not sufficient to balance fluid loss. Changes in fluid levels between sessions were similar. Level of Evidence II; Therapeutic Studies Investigating the Results Level of Treatment.


RESUMO Introdução A desidratação tem sido descrita como um dos principais fatores de redução de desempenho em atividades de luta, levando, em casos extremos, à morte. Objetivos Investigar o estado da hidratação antes do treino e as alterações no balanço hídrico corporal durante dois treinamentos de taekwondo. Métodos Foram avaliados 18 atletas universitários do sexo masculino (22,6 ± 3,37 anos). O desenho do estudo procurou reproduzir uma condição de treinamento de taekwondo com duração de 90 minutos, dividido em três etapas: a) aquecimento (20 min.), b) poomsae (30 min.) e c) treino técnico (40 min.). Durante o treino, adotou-se o consumo de água ad libitum. Para avaliar o estado de hidratação, considerou-se a massa corporal (MC), a quantidade de líquido consumido e o volume de urina produzido, o que permitiu estabelecer a perda hídrica absoluta e relativa em kg e porcentagem, além da taxa de sudorese. Foi considerada ainda a gravidade específica da urina (GEU), bem como sua coloração (COL-U), além da sensação subjetiva de sede (SSede) antes e depois do treino. Os resultados antes e depois do treino foram comparados de forma isolada em cada sessão, assim como entre as sessões. Resultados Houve diferença significativa (P < 0,05) da MC pré-treinamento entre os dois dias de treino. Houve redução significativa (P < 0,05) da MC final em ambos os dias de experimento. A maior parte dos avaliados apresentou desidratação relativa inferior a 2%. Registrou-se diferença significativa (P < 0,05) antes e depois do treino para COL-U e para SSede, com os maiores índices obtidos ao final de cada sessão. Os participantes sempre iniciaram o comparados de forma isolada em cada sessão, assim como entre as sessões. Resultados Houve diferença significativa (P < 0,05) da MC pré-treinamento entre os dois dias de treino. Houve redução significativa (P < 0,05) da MC final em ambos os dias de experimento. A maior parte dos avaliados apresentou desidratação relativa inferior a 2%. Registrou-se diferença significativa (P < 0,05) antes e depois do treino para COL-U e para SSede, com os maiores índices obtidos ao final de cada sessão. Os participantes sempre iniciaram o treinamento em leve estado de desidratação (GEU > 1.020 g.ml-1). Conclusões Os atletas tendem a iniciar os treinamentos em estado de desidratação, que se amplia durante o treino. O consumo de líquidos ad libitum não foi suficiente para equilibrar a perda hídrica. As alterações hídricas entre as sessões foram semelhantes. Nível de Evidência II; Estudos terapêuticos- Investigação dos resultados do tratamento.


RESUMEN Introducción La deshidratación ha sido descrita como uno de los principales factores de reducción del desempeño en actividades de lucha, llevando, en casos extremos, a la muerte. Objetivos Investigar el estado de la hidratación antes del entrenamiento y las alteraciones en el balance hídrico corporal durante dos entrenamientos de taekwondo. Métodos Se evaluaron 18 atletas universitarios del sexo masculino (22,6 ± 3,37 años). El diseño del estudio intentó reproducir una condición de entrenamiento de taekwondo con duración de 90 minutos, dividido en tres etapas: a) calentamiento (20 min); b) poomsae (30 min); y c) entrenamiento técnico (40 min). Durante el entrenamiento, se adoptó el consumo de agua ad libitum. Para evaluar el estado de hidratación, se consideró la masa corporal (MC), la cantidad de líquido consumido y el volumen de orina producido, lo que permitió establecer la pérdida hídrica absoluta y relativa en kg y porcentaje, además de la tasa de sudoración. Fue considerada además la gravedad específica de la orina (GEO), así como su coloración (COL-O), además de la sensación subjetiva de sed (SSed), antes y después del entrenamiento. Los resultados antes y después del entrenamiento fueron comparados de forma aislada en cada sesión, así como entre las sesiones. Resultados Hubo diferencia significativa (P<0,05) de la MC preentrenamiento entre los dos días de entrenamiento. Hubo reducción significativa (P<0,05) de la MC final en ambos días de experimento. La mayor parte de los evaluados presentó deshidratación relativa inferior a 2%. Se registró diferencia significativa (P<0,05) antes y después del entrenamiento para COL-O y para SSed, con los mayores índices obtenidos al final de cada sesión. Los participantes siempre iniciaron el entrenamiento en leve estado de deshidratación (GEO > 1.020 g.ml-1). Conclusiones Los atletas tienden a iniciar los entrenamientos en estado de deshidratación, que se amplía durante el entrenamiento. El consumo de líquidos ad libitum no fue suficiente para equilibrar la pérdida hídrica. Las alteraciones hídricas entre las sesiones fueron semejantes. Nivel de Evidencia II; Estudios terapéuticos - Investigación de los resultados del tratamiento.


Subject(s)
Humans , Male , Adult , Young Adult , Water-Electrolyte Balance/physiology , Martial Arts/physiology , Drinking , Urinalysis , Athletes
2.
Alger. J. health sci. (Online. Oran) ; 3(3): 13-21, 2021. Tables, figures
Article in English | AIM, AIM | ID: biblio-1292607

ABSTRACT

Introduction et objectif : Les boissons énergisantes (BE) sont de plus en plus populaires en Algérie ainsi qu'ailleurs dans le monde. Elles sont particulièrement consommées par les sportifs qui les confondent souvent avec les boissons énergétiques. Le présent travail vise à évaluer les connaissances et les habitudes de consommation des BE en milieu footballistique. Méthodes : il s'agit d'une étude transversale à visée descriptive via un questionnaire auprès des professionnels et des amateurs du football du moment où ce dernier occupe une place prééminente par rapport à d'autres sports. Les données ont été traitées par les logiciels Excel et SPSS et les résultats comparatifs ont été estimés par le test de khi-deux avec un niveau de signification de p<5%. Résultats : L'étude a été réalisée auprès de 165 joueurs (appartenant à 14 clubs), 27 arbitres et 13 entraîneurs. Les résultats révèlent une consommation accrue des BE (63,90%) qui commence après le début du parcours sportif (50,38%), notamment par les jeunes joueurs et arbitres, croyant aux vertus attribuées à ces boissons, comme l'amélioration des performances, négligeant les effets potentiels sur la santé. Presque tous les enquêtés affirment connaître ces breuvages (97%), et pourtant seuls 22% connaissent leur composition, uniquement 27% font la distinction entre ces derniers et les boissons énergétiques, 16% les trouvent bonnes pour la santé et 59% pensent qu'elles améliorent les performances physiques. Conclusion : Des mesures de prévention et une réglementation spécifiques aux BE doivent être profondément étudiées et mises en place.


Introduction and objective: Energy drinks are becoming increasingly popular in Algeria and elsewhere in the world. They are particularly consumed by athletes who often confuse them with "sport drinks". This study aims to assess the knowledge and consumption habits of energy drinks in a football environment. Methods: we realized a cross-sectional survey via questionnaire among professionals and amateurs of football because the latter occupies a prominent place compared to other sports. The data were handled by Excel and SPSS softwares and the comparative results were estimated by the Chi-square test with a significance level of p < 5%. Results: The study included 165 players - belonging to 14 clubs-, 27 referees and 13 coaches. Results indicate increased consumption of these drinks (63.90%) wich starts after beginning the Sports activities (50.38%), in particular by the young players and referees, believing in the virtues attributed to these beverages, such as improving performance, neglecting the potential health effects. Almost all of the investigated claim to know energy drinks (97%), and nevertheless only 22% know their composition, only 27% make the distinction between these beverages and the sport drinks, 16% find them good for the health and 59% thinks that they improve the physical performance. Conclusion: Prevention measures and regulations specific in energy drinks must be deeply studied and put in place.


Subject(s)
Knowledge , Drinking , Algeria , Energy Drinks , Soccer
3.
Esc. Anna Nery Rev. Enferm ; 25(1): e20190337, 2021.
Article in Portuguese | LILACS, BDENF | ID: biblio-1124790

ABSTRACT

RESUMO Objetivo analisar a internalização do cuidado com o corpo pelo escolar com a doença falciforme com base na teoria do desenvolvimento de Vigotski e no conceito de cuidado de Collière. Método Estudo qualitativo com 15 escolares que convivem com a doença falciforme, acompanhados em ambulatório na cidade de Vitoria - ES. A técnica utilizada foi a entrevista individual e a análise temática. A hidratação corporal, o brincar, a prevenção e manejo da crise falcêmica, a alimentação e as roupas foram as unidades temáticas que emergiram. Resultados Os participantes referiram ingerir variados tipos de líquidos. As brincadeiras foram predominantemente ativas. Os medicamentos foram de reparação e manutenção da saúde. Não se evidenciou consumo de alimentos saudáveis. Observou-se a utilização de roupas adequadas ao frio. A dor foi um signo da internalização do cuidado e do conhecimento para brincadeiras. A diminuição de líquidos e roupas inadequadas desencadearam a crise falcêmica. Considerações Finais Evidenciaram-se a internalização do conhecimento e dos cuidados mediados pela dor e o despreparo dos professores pela falta de conhecimento. Implicações para a prática este estudo poderá subsidiar a melhor articulação entre profissional de saúde, criança e escola.


RESUMEN Objetivo analizar la internalización de la atención por parte del escolar con la enfermedad de células falciformes basado en la teoría del desarrollo de Vigotski y el concepto de atención de Collière. Método Estudio cualitativo con 15 escolares que viven con la enfermedad de células falciformes, monitoreados en una clínica ambulatoria en la ciudad de Vitoria - ES. La técnica fue la entrevista individual y el análisis temático. La hidratación corporal, el juego, la prevención y el manejo de la crisis falcémica, la alimentación y la ropa fueron las unidades temáticas que emergieron. Resultados Los participantes informaron de la ingestión de varios tipos de líquidos. Los juegos fueron predominantemente activos. Los medicamentos fueron de reparación y mantenimiento de la salud. No se ha demostrado el consumo de alimentos saludables. Se observó el uso de ropa adecuada para el frío. El dolor fue un signo de la internalización de la atención y el conocimiento para los juegos. La disminución de líquidos y la ropa inadecuada desencadenaron la crisis falcémica. Consideraciones finales Se señalaron la internalización del conocimiento y la atención mediados por el dolor y la falta de preparación de los maestros debido a la falta de conocimiento. Implicaciones para la práctica este estudio podrá subsidiar la mejor articulación entre los profesionales de la salud, los niños y la escuela.


ABSTRACT Objective to analyze the internalization of body care by the schoolchildren with sickle cell disease based on Vigotski's development theory and Collière's concept of care. Method Qualitative study with 15 schoolchildren living with sickle cell disease, followed in an outpatient clinic in the city of Vitoria - ES. The technique was the individual interview and thematic analysis. Body hydration, playing, prevention and management of the sickle cell crisis, food and clothing were the thematic units that emerged. Results Participants reported ingesting various types of liquids. The games were predominantly active. The medications were repair and maintenance of health. It was observed no consumption of healthy foods. The use of clothes suitable for the cold was evidenced. Pain was a sign of the internalization of care and knowledge for games. The decrease in liquids and inadequate clothing triggered the sickle cell crisis. Final Considerations The internalization of knowledge and care mediated by pain and the unpreparedness of teachers due to lack of knowledge were highlighted. Implications for practice this study can support the best articulation between health professionals, children and school.


Subject(s)
Humans , Male , Female , Child , Self Care , Anemia, Sickle Cell/prevention & control , Pain/drug therapy , Play and Playthings , Dehydration , Qualitative Research , Drinking , Eating , Folic Acid/therapeutic use , Hydroxyurea/therapeutic use , Analgesics/therapeutic use
4.
Cuad. Hosp. Clín ; 61(2): 33-46, dic. 2020. ilus.
Article in Spanish | LILACS, LIBOCS | ID: biblio-1179186

ABSTRACT

PREGUNTA DE INVESTIGACIÓN: ¿Cuál será la composición corporal, el agua corporal total, y el agua extra e intracelular relacionados a los cambios después del ejercicio submáximo de 30 minutos y post rehidratación con agua pura en adultos residentes permanentes de gran altitud, La Paz, Bolivia, gestión 2019? OBJETIVO: Determinar la composición corporal, el agua corporal total, y el agua extra e intracelular relacionados a los cambios después del ejercicio submáximo de 30 minutos y post rehidratación con agua pura en adultos residentes permanentes de gran altitud, La Paz, Bolivia, gestión 2019. MATERIAL Y MÉTODOS: el trabajo de investigación fue tipo experimental, antes y después, sobre Fisiología de Altitud, en 29 jóvenes residentes de gran altitud (3600 m.s.n.m.). Se evaluó variables antes y después de realizar una prueba de ejercicio submáxima, de 30 minutos, y la rehidratación post ejercicio, tras el consumo de agua pura. Variables dependientes fueron: 1. Composición corporal, medida a través del análisis de impedancia bioeléctrica (AIB), 2. Volumen de agua corporal total, determinado por AIB. 3. Agua extra e intracelular evaluada por AIB y 4. Estado de rehidratación, evaluado por el cambio de peso post ejercicio, y mediante el AIB. Las variables independientes fueron el ejercicio a través de la prueba submáxima de 30 minutos y la rehidratación con agua pura. RESULTADOS: en jóvenes residentes de gran altitud, se estima que el porcentaje de agua corporal total en las mujeres está disminuida en relación a la referencia de poblaciones del nivel del mar. La masa grasa corporal está muy incrementada en las mujeres. La diferencia de agua basal versus el agua post ejercicio entre varones y mujeres no es significativa. La diferencia de agua del líquido extra e intracelular basal versus el agua post ejercicio entre varones y mujeres no es significativa. La diferencia en la distancia recorrida en 30 minutos de ejercicio de trote submáximo es estadísticamente significativa a favor de los varones (4424 vs. 3619 metros). La correlación del IMC y el porcentaje de masa grasa es muy baja (r=0.109). El IMC entre varones y mujeres no presenta diferencia estadísticamente significativa (26±3 vs 24±3 respectivamente). La frecuencia de exceso de grasa corporal evaluada por AIB, es del 55% en las mujeres y de 0% en varones. La presión arterial sistémica en varones (PS: 107±6 y PD:73± 4mmHg) y en mujeres (PS:104±8 y PD:70± 7mmHg), está disminuida en relación a referencia del nivel del mar. La frecuencia respiratoria esta incrementada tanto en varones (21±2) y mujeres (23±3). CONCLUSIONES: el método de AIB permite evaluar la composición corporal y el agua corporal total y por tanto la masa grasa, mismo que fue validado en altitud por el método estándar de referencia de dilución isotópica en estudios previos en altitud. El ejercicio de trote submáximo ejecutado, ha exigido más a los universitarios estudiados. Se verifica que en el mismo tiempo los varones han recorrido una mayor distancia que las mujeres. Se estima que en mujeres la masa grasa corporal (MGC) esta incrementada y que el exceso de grasa (obesidad) es del 55%. La diferencia del agua al momento basal y post ejercicio y el LEC y LIC entre varones y mujeres no es significativa. El IMC subestima en este grupo la frecuencia de obesidad, principalmente en mujeres. El uso de técnicas nucleares, ha permitido a través del análisis del deuterio estudiar el agua, la composición corporal, y se asocia fuertemente con determinaciones similares mediante el uso de la bioimpedancia eléctrica.


RESEARCH QUESTION: what will be the body composition, the total body water, and the extra and intracellular water related to the changes after submaximal exercise of 30 minutes and post rehydration with pure water in permanent resident adults of high altitude, La Paz, Bolivia, management 2019? OBJECTIVE: to determine the body composition, the total body water, and the extra and intracellular water related to the changes after submaximal exercise of 30 minutes and post rehydration with pure water in permanent residents of high altitude adults, La Paz, Bolivia, management 2019. MATERIAL AND METHODS: the research work was experimental, before and after, on Altitude Physiology, in 29 young residents of high altitude (3600 m.a.s.l.). Variables were evaluated before and after performing a 30-minute submaximal exercise test and post-exercise rehydration after consuming pure water. Dependent variables were: 1. Body composition, measured through bioelectrical impedance analysis (AIB), 2. Total body water volume, determined by AIB. 3. Extra and intracellular water evaluated by AIB and 4. Rehydration status, evaluated by post-exercise weight change, and by AIB. The independent variables were exercise through the 30-minute submaximal test and rehydration with pure water. RESULTS: in young residents of high altitude, it is estimated that the percentage of total body water in women is decreased in relation to the reference of sea level populations. Body fat mass is greatly increased in women. The difference in basal water versus post-exercise water between men and women is not significant. The difference in water from basal extra and intracellular fluid versus post-exercise water between men and women is not significant. The difference in distance covered in 30 minutes of submaximal jogging exercise is statistically significant in favor of men (4424 vs. 3619 meters). The correlation of BMI and the percentage of fat mass is very low (r = 0.109). The BMI between men and women did not present a statistically significant difference (26 ± 3 vs 24 ± 3 respectively). The frequency of excess body fat evaluated by AIB is 55% in women and 0% in men. The systemic blood pressure in men (PS: 107 ± 6 and PD: 73 ± 4mmHg) and in women (PS: 104 ± 8 and PD: 70 ± 7mmHg), is decreased in relation to the sea level reference. Respiratory rate is increased in both men (21 ± 2) and women (23 ± 3). CONCLUSIONS: the AIB method allows evaluating body composition and total body water and therefore fat mass, which was validated at altitude by the isotopic dilution reference standard method in previous studies at altitude. The submaximal trot exercise performed has demanded more from the university students studied. It is verified that in the same time the men have traveled a greater distance than the women. It is estimated that in women the body fat mass (FGM) is increased and that the excess fat (obesity) is 55%. The difference in water at baseline and post-exercise and the LEC and LIC between men and women is not significant. The BMI underestimates the frequency of obesity in this group, mainly in women. The use of nuclear techniques has allowed the analysis of deuterium to study water, body composition, and is strongly associated with similar determinations through the use of electrical bioimpedance.


Subject(s)
Humans , Body Water , Water Quantity , Drinking , Altitude , Students , Universities , Exercise , Respiratory Rate
5.
s.l; s.n; 7 ago. 2020.
Non-conventional in Portuguese | ColecionaSUS, LILACS, ColecionaSUS | ID: biblio-1224271
7.
Arq. bras. med. vet. zootec. (Online) ; 72(2): 346-354, Mar./Apr. 2020. ilus
Article in Portuguese | LILACS, VETINDEX | ID: biblio-1128185

ABSTRACT

O bem-estar dos animais, além dos aspectos individuais, depende do entendimento e dedicação dos responsáveis pelo abrigo. O objetivo do presente trabalho foi avaliar o bem-estar dos cães mantidos em abrigos municipais do estado do Paraná, mediante a aplicação do protocolo Shelter Quality. Foram avaliados 16 abrigos, 439 cães e 165 recintos, na estação do outono de 2017. A maioria dos abrigos apresentou cães com condição corporal adequada e pelagem limpa, em recintos seguros, com metragem e suprimento de água adequados e conforto térmico. Além disso, a maioria dos cães eram mantidos em recintos coletivos e em ambientes abertos, com baixo nível de ruído e demonstravam mais emoções positivas, desejáveis na adoção. Como aspectos negativos, 58% (96/165) dos recintos avaliados tinham camas inadequadas ou inexistentes e 30% (50/165) dos recintos mantinham cães individualmente, sendo indicadores de baixo grau de bem-estar para os cães envolvidos. Além disso, nenhum abrigo disponibilizava ração para cães idosos e 81% (13/16) dos abrigos negligenciavam o diagnóstico e tratamento da dor. Apesar de a maioria dos abrigos apresentarem mais pontos positivos que negativos em sua avaliação, a gestão dos abrigos deve sempre visar à correção dos pontos críticos que comprometam o bem-estar dos animais.(AU)


Animal welfare, in addition to individual aspects, depends on the understanding and dedication of those responsible for the shelter. The objective of this study was to evaluate the welfare of dogs kept in municipal shelters in the state of Paraná, using the Shelter Quality protocol. A total of 16 shelters, 439 dogs and 165 enclosures were evaluated in the fall season of 2017. Most shelters presented dogs with adequate body condition and clean coat, in secure enclosures with adequate water supply and thermal comfort. In addition, most dogs were kept in collective enclosures and in open environments, with low noise levels and showing more positive, desirable emotions in adoption. As negative aspects, 58% (96/165) of the precincts evaluated had inadequate or inexistent beds and 30% (50/165) of the enclosures kept dogs individually, being indicators of a low degree of well-being for the dogs involved. In addition, no shelter provided elderly dog rations and 81% (13/16) of the shelters neglected the diagnosis and treatment of pain. Although most shelters present more positive than negative points in their evaluation, shelter management should always aim at correcting critical points that compromise animal welfare.(AU)


Subject(s)
Humans , Dogs , Quality of Life , Animal Welfare , Protocols/methods , Housing, Animal/standards , Brazil , Drinking
9.
Article in Korean | WPRIM | ID: wpr-811372

ABSTRACT

OBJECTIVES: This study examined the association of the total diet quality with the incidence risk of metabolic syndrome constituents and metabolic syndrome among Korean adults.METHODS: Based on a community-based cohort of the Korean Genome and Epidemiology Study (KoGES) from 2001 to 2014, data from a total of 5,549 subjects (2,805 men & 2,744 women) aged 40~69 years at the baseline with a total follow-up period of 38,166 person-years were analyzed. The criteria of the National Cholesterol Education Program Adult Treatment Panel was employed to define metabolic syndrome. The total diet quality was estimated using the Korean Healthy Eating Index (KHEI). Hazard ratios (HR) and 95% confidence intervals (CI) for risk of metabolic syndrome constituents and metabolic syndrome in relation to KHEI quintile groups was calculated by multivariate Cox proportional hazards regression model.RESULTS: After adjusting for age, energy intake, income, education, physical activity, smoking, and drinking, the incidence of abdominal obesity and high blood pressure was significantly lower, by approximately 29.7% (P < 0.01) and 25.2% (P < 0.01), respectively, in the fifth KHEI quintile compared to the first quintile in men. A significant decreasing trend of the metabolic syndrome incidence was observed across the improving levels of KHEI (HRq5vs.q1: 0.775, 95% CIq5vs.q1: 0.619~0.971, P for trend < 0.01). In women, the incidence of abdominal obesity and metabolic syndrome was significantly lower, by approximately 29.8% (P < 0.01) and 22.5% (P < 0.05), respectively, in the fifth KHEI quintile compared to the first quintile adjusting for multiple covariates. On the other hand, the linear trend of metabolic syndrome risk across the KHEI levels did not reach the significance level.CONCLUSIONS: A better diet quality can prevent future metabolic syndrome and its certain risk factors among Korean men and women.


Subject(s)
Adult , Cholesterol , Cohort Studies , Diet , Drinking , Eating , Education , Energy Intake , Epidemiology , Female , Follow-Up Studies , Genome , Hand , Humans , Hypertension , Incidence , Male , Obesity, Abdominal , Physical Education and Training , Prospective Studies , Risk Factors , Smoke , Smoking
10.
Article in Korean | WPRIM | ID: wpr-811316

ABSTRACT

PURPOSE: We determined whether elevated serum alkaline phosphatase (ALP) was related to prevalence, location, type, length, and recurrence of pterygium in a population from the Republic of Korea.METHODS: A nationwide cross-sectional dataset, the Korean National Health and Nutrition Examination Survey (2008–2011), was used in this study. All participants were > 30 years of age and underwent the ALP test and ophthalmic evaluation (n = 22,359). One-way analysis of variance, the chi-square test, and Fisher's exact test were used to compare characteristics and outcomes among participants. Multivariable logistic regression was used to examine the possible associations between serum ALP levels and various types of pterygium. Data were adjusted for known risk factors for development of pterygium and ALP elevation (age, sex, residence, sunlight exposure, drinking, smoking, hypertension, diabetes, BMI, AST, ALT, vitamin D, and HDL).RESULTS: The overall prevalence of pterygium was 8.1%, and participants with pterygium had higher levels of serum ALP (p < 0.001). Participants with higher serum ALP had a significantly higher prevalence of all types of pterygium than those in the lower serum ALP quartiles. After adjusting for potential confounding factors, multivariate logistic regression analysis revealed that ALP was associated with the prevalence of pterygium (odds ratio [OR], 1.001; p = 0.038). Trend analysis between the OR and ALP quartiles revealed a linear trend in overall prevalence and in the intermediate type of pterygium. Subgroup analysis revealed a stronger correlation in participants > 50 years of age. One-way analysis of variance revealed an association between the size of pterygium and serum ALP quartile levels. Serum ALP was not associated with recurrence of pterygium.CONCLUSIONS: Increased serum ALP was associated with the prevalence and size of pterygium.


Subject(s)
Alkaline Phosphatase , Cross-Sectional Studies , Dataset , Drinking , Hypertension , Korea , Logistic Models , Nutrition Surveys , Prevalence , Pterygium , Recurrence , Republic of Korea , Risk Factors , Smoke , Smoking , Sunlight , Vitamin D
11.
Article in English | WPRIM | ID: wpr-811118

ABSTRACT

BACKGROUND: In drug therapy for patients with arthritis, a naproxen/esomeprazole combination drug may be a tolerable choice because it can minimize gastrointestinal and cardiovascular adverse effects. The aim of this study was to investigate the changes in quality of life (QOL), medication adherence, and satisfaction after switch from the existing drug to the combination drug. In addition, we analyzed the correlation between the above-mentioned variables and the stratified demographic and medical data of the patients.METHODS: A prospective, noninterventional, observational study was conducted in 30 hospitals between May 2014 and July 2016. In total, 2,308 patients with osteoarthritis, 99 patients with rheumatoid arthritis, and 76 patients with ankylosing spondylitis were enrolled. Demographic information (age, sex, body mass index [BMI], alcohol consumption, and smoking) and medical information (type of arthritis, duration of disease, and comorbidities) were collected via a self-administered questionnaire. Patients were observed for more than three months after switching to the combination drug. Data on the QOL (EuroQoL 5-Dimension questionnaire [EQ-5D questionnaire]), medication adherence (Morisky Medication Adherence Scale [MMAS]), and satisfaction were collected at the first and last visits.RESULTS: A total of 2,483 patients enrolled at 30 hospitals completed the questionnaire. After the switch to the combination drug, the mean EQ-5D score improved from 0.72 ± 0.17 to 0.79 ± 0.14 (p < 0.001), and significant improvement was associated with female sex (p = 0.016), shorter disease duration (p < 0.001), and absence of comorbidities (p < 0.001). The mean MMAS score was 6.38 ± 1.77, indicating medium adherence. Satisfaction was significantly higher in female patients (p < 0.001), in patients with a shorter disease duration (p < 0.001), osteoarthritis (p = 0.003), and no comorbidities (p < 0.001). Serious drug-related adverse effects did not occur.CONCLUSIONS: The overall QOL was improved with medium adherence after the switch to the combination drug. On the basis of the analysis of stratified data, sex, age, drinking, smoking, disease duration, comorbidities, and BMI might be associated with QOL, satisfaction, and adherence.


Subject(s)
Alcohol Drinking , Arthritis , Arthritis, Rheumatoid , Body Mass Index , Comorbidity , Drinking , Drug Therapy , Female , Humans , Medication Adherence , Naproxen , Observational Study , Osteoarthritis , Prospective Studies , Quality of Life , Smoke , Smoking , Spondylitis, Ankylosing
12.
Article in Korean | WPRIM | ID: wpr-820823

ABSTRACT

OBJECTIVES: The aim of this study was to investigate the effects of some commercial calamansicontaining beverages on the sound surface of bovine teeth as well as the dental erosion inhibitory effects of calcium.METHODS: The pH and titratable acidity of six kinds of commercially available calamansi beverages were determined. Further, 3% calcium was added to the calamansi beverage Oranssi in the experimental group to confirm its dental erosion inhibitory effect. Jeju Samdasoo was used in the negative control group and Coca-Cola in the positive control group. After immersing the sound teeth specimens for 10 min, surface microhardness was measured using the Vickers hardness number (VHN), and surface changes in specimens were observed under a scanning electron microscope.RESULTS: The average pH of the commercial calamansi beverages was 2.54±0.22. After 10 min of treatment with each experimental beverage, the surface hardness difference (ΔVHN) was highest in the Coca-Cola group (−49.05±12.59), followed by the Oranssi calamansi group (−43.77±13.70), 3% calcium-added Oranssi calamansi group (−2.71±12.58), and Samdasoo group (14.03±20.79). There was no significant difference between the bottled water and calcium-added Oranssi calamansi groups or between the Coca-Cola and Oranssi calamansi groups (P>0.05). However, there was a significant difference in the surface hardness between the bottled water and CocaCola groups (P<0.05). On scanning electron microscopy, the Samdasoo group showed a smooth surface without any loss, but Coca-Cola and Oranssi calamansi groups showed a rough surface due to erosion. However, although fine cracks and porosities were seen in the calcium-added Oranssi calamansi group, surfaces in the group were much smoother than those in the Oranssi calamansi group.CONCLUSIONS: Calamansi beverages of low pH may cause corrosion of the tooth surface, and the addition of calcium to the calamansi beverages inhibits demineralization of the tooth surface. Therefore, it is necessary to consider the risk of dental erosion when drinking calamansi beverages of low pH.


Subject(s)
Beverages , Calcium , Corrosion , Dental Enamel , Drinking , Drinking Water , Hardness , Hydrogen-Ion Concentration , Microscopy, Electron, Scanning , Porosity , Tooth
13.
Rev. Col. Bras. Cir ; 47: e20202356, 2020. tab, graf
Article in Portuguese | LILACS | ID: biblio-1136561

ABSTRACT

RESUMO Objetivo: investigar em uma série de casos de pacientes submetidos a operações de médio porte em cirurgia geral, o uso da conduta de realimentação pós-operatória "ultra precoce"(dieta oral líquida oferecida na recuperação pós-anestésica), avaliando-se o volume de fluidos endovenosos recebidos no pós-operatório por estes pacientes, assim como a ocorrência de complicações e o tempo de internação hospitalar. Métodos: estudo prospectivo, observacional. Avaliou-se a aderência à rotina de realimentação "ultra precoce", abreviação do jejum pré-operatório, volume de hidratação venosa perioperatório, tempo de internação e morbidade operatória. Resultados: um total de 154 pacientes com média da idade de 46±15 anos, foram acompanhados. Realimentação "ultra precoce" foi realizada em 144 casos (93,5%). Pacientes que não receberam realimentação "ultra precoce" receberam volume significativamente maior de fluidos endovenosos no pós-operatório do que pacientes realimentados de maneira "ultra precoce" (500ml versus 200ml, p=0,018). O tempo de internação foi de 2,4±2,79 dias (realimentação convencional) versus 1,45±1,83 dias (realimentação "ultra precoce"), sem diferença estatística (p=0,133).Não houve diferença no percentual de complicações gerais (p=0,291), vômitos (p=0,696) ou infecção do sítio cirúrgico (p=0,534). Conclusão: a realimentação "ultra precoce" apresentou-se como uma conduta de elevada aderência em operações de médio porte em Cirurgia Geral nesta série de casos e, esteve relacionada a infusão de volume significativamente menor de fluidos endovenosos no pós-operatório, com índices baixos de complicações e sem impacto no tempo de internação.


ABSTRACT Objective: To investigate the use of "ultra-early" postoperative feeding (oral liquid diet offered in the post-anesthetic recovery room) in patients undergoing common general surgical procedures and to assess the volume of intravenous fluids, as well as the rate of complications and the length of hospital stay. Methods: Prospective, observational study, which assessed the compliance with the "ultra-early" feeding, the reduction of preoperative fasting time, the perioperative venous hydration volume, the length of stay and the operative morbidity. Results: 154 patients with a mean age of 46 ± 15 years were followed. "Ultra-early" feeding was performed in 144 cases (93.5%). Patients who did not receive the "ultra-early" feeding received a significantly greater volume of postoperative intravenous fluids (500mL versus 200mL, p = 0.018). The length of stay was 2.4 ± 2.79 days (conventional feeding) versus 1.45 ± 1.83 days ("ultra-early" feeding), with no statistical difference (p = 0.133). There was no difference in the percentage of general complications (p = 0.291), vomiting (p = 0.696) or surgical infection (p = 0.534). Conclusion: "Ultra-early" feeding had a high adherence by patients undergoing common general surgical procedures, and it was related to decreased infusion of postoperative fluids. Complication rates and the length of stay were similar between groups.


Subject(s)
Humans , Male , Female , Adult , Postoperative Care/methods , Elective Surgical Procedures , Drinking , Eating , Postoperative Period , Time Factors , Prospective Studies , Length of Stay , Middle Aged
14.
Rio de Janeiro; s.n; 2020. 91 f p. graf, tab.
Thesis in Portuguese | LILACS | ID: biblio-1367872

ABSTRACT

Considerar o contexto e o ambiente em que os indivíduos realizam suas escolhas é uma possível estratégia para melhorar escolhas alimentares. A partir do conceito de arquitetura de escolhas, têm sido sugeridas intervenções que influenciem positivamente as decisões dos indivíduos, promovendo assim hábitos alimentares saudáveis. Nesse sentido, o objetivo do presente estudo foi avaliar o impacto de uma intervenção baseada em arquitetura de escolhas aplicada em refeitórios e bebedouros escolares sobre o consumo da alimentação escolar e de água. Foi conduzido um ensaio comunitário randomizado em sete escolas públicas (três do grupo controle e quatro do grupo intervenção) do município de Duque de Caxias/RJ no ano de 2017, com escolares do quinto e do sexto ano. As escolas do grupo intervenção foram expostas a alterações no ambiente escolar baseadas em estratégias de arquitetura de escolhas que incluíram: (1) confecção de um banner colorido para o cardápio diário da alimentação escolar, posicionado na parte externa do refeitório; (2) colocação de toalhas de mesa impermeáveis no refeitório; (3) confecção de displays e cartazes com frases e imagens de incentivo a hábitos alimentares saudáveis; (4) alocação de recipientes grandes e transparentes para as frutas permanecerem em destaque no refeitório; (5) elaboração de dois personagens super-heróis para incentivo ao consumo de água, frutas e verduras e; (6) inclusão de pegadas coloridas no chão que direcionavam ao refeitório e ao bebedouro escolar. A fim de avaliar o efeito da intervenção, após um mês de exposição, sobre a taxa de variação no tempo do consumo da alimentação escolar, do consumo diário de água e do consumo diário de água no bebedouro escolar, foram realizadas análises longitudinais, por intenção de tratamento, utilizando modelos de equações de estimação generalizadas para medidas repetidas. Ao todo, foram analisados dados de 982 escolares (grupo controle=363; grupo intervenção=619). Na linha de base, cerca de 46,9% dos escolares eram do sexo feminino, com idade média de 12 anos, 39,3% relataram consumo diário da alimentação escolar, 54,9% consumiam cinco ou mais copos de água ao dia e 45,7% consumiam água no bebedouro escolar três ou mais vezes ao dia. Houve aumento significativo na chance de aumentar o consumo diário de água no bebedouro escolar no grupo intervenção quando comparado ao grupo controle (OR= 1,42 IC95%= 1,05; 1,93). Para as demais variáveis de desfecho, o efeito não foi significativo. No que diz respeito ao consumo de água, estratégias de baixo custo e complexidade, baseadas no conceito de arquitetura de escolhas, podem ser promissoras para a promoção do seu consumo no ambiente escolar.


To consider the context and environment in which individuals make their choices is a possible strategy for improving food choices. Based on the concept of choice architecture, interventions focused on positively influencing individual's decisions have been suggested to promote healthy food habits. In this sense, the aim of the present study was to evaluate the impact of an intervention based on choice architecture applied in school cafeterias and drinking fountains on the consumption of school feeding and water. A randomized community trial was conducted in seven public schools (three in the control group and four in the intervention group) in the municipality of Duque de Caxias/RJ in 2017, with fifth and sixth grade students The schools in the intervention group were exposed to changes in the school environment based on choice architecture strategies that included: (1) elaboration of a colorful banner for the daily school feeding menu, positioned outside the cafeteria; (2) placing waterproof tablecloths in the cafeteria tables; (3) manufacture of displays and posters with phrases and images to encourage healthy food habits; (4) allocation of large transparent containers with fruits to draw attention to it in the cafeteria; (5) elaboration of two superheroes characters to encourage the consumption of water, fruits and vegetables, and; (6) inclusion of colored footprints on the floor that led to the cafeteria and the school drinking fountain. In order to evaluate the effect of the intervention, after one month of exposure, on the time variation rate of school feeding, total daily water consumption and daily water consumption in the school drinking fountain, longitudinal analyzes were performed, considering groups intention to treat, using generalized estimating equations models for repeated measures. Data from 982 students were analyzed (control group = 363; intervention group = 619). At baseline, about 46.9% of all students were female, with an average age of 12 years, 39.3% reported daily consumption of school feeding, 54.9% consumed five or more glasses of water a day and 45.7% consumed water at the school drinking fountain three or more times a day. There was a significant increase in the odds of increasing daily water consumption in the school drinking fountain in the intervention group when compared to the control group (OR = 1.42 95% CI = 1.05; 1.93). It wasn't observed significant effects for further outcome variables. Regard water consumption, low cost and low complexity strategies based on choice architecture can be promising to improve water consumption in the school environment.


Subject(s)
Humans , Child , Students , School Feeding , Choice Behavior , Drinking , Eating , Brazil , Randomized Controlled Trial
15.
Rev. iberoam. psicol. (En línea) ; 13(3): 139-150, 2020. graf, tab
Article in Spanish | LILACS, COLNAL | ID: biblio-1224698

ABSTRACT

El objetivo de este trabajo era conocer el alcance del deterioro de las funciones cognitivas debido al consumo abusivo de alcohol y su posible recuperación espontánea, así como observar la evolución temporal de esta recuperación, desde el inicio hasta los 24 meses de la abstinencia. Participaron voluntariamente 100 pacientes de ambos sexos, en tratamiento de deshabituación de consumo perjudicial o síndrome de dependencia alcohólico, agrupados en cohortes según tiempo de abstinencia. El grupo control estuvo formado por 20 personas sin antecedentes de alcoholismo, equiparadas con los pacientes en las variables edad, sexo y nivel de estudios. Los datos socio-demográficos y clínicos se recogieron con una anamnesis protocolizada, mientras que para evaluar el deterioro cognitivo se emplearon el Mini-Mental State Examination (MMSE) y el Montreal Cognitive Assessment (MoCA), en sus versiones al español. Para cada participante se obtuvieron datos de 8 variables clínicas y socio-demográficas y 27 variables cognitivas. Se observaron diferencias significativas entre las medidas de las mismas variables cognitivas proporcionadas por ambos instrumentos, siendo más discriminativo el MoCA. Los resultados mostraron que el deterioro y la recuperación espontánea varían para las distintas funciones cognitivas y que los cambios más significativos se dan seis meses después de iniciada la deshabituación y entre los 18 y 24 meses. En base a la evidencia obtenida, atención, memoria y lenguaje se perfilan como las funciones más susceptibles de beneficiarse de un programa de rehabilitación cognitiva, que convendría implementar entre los 6 y 18 meses de abstinencia.


The aim of this study was to determine the extent of the deterioration of cognitive functions due to alcohol abuse and its possible spontaneous recovery, as well as to observe the temporal evolution of this recovery, from the beginning to 24 months of abstinence. One hundred patients of both sexes participate voluntarily. All were in treatment for harmful drinking cessation or alcohol dependency syndrome, and they were grouped into cohorts according to withdrawal time. The control group consisted of 20 people with no history of alcoholism, paired with the patients in the variables of age, sex and educational level. Socio-demographic and clinical data were collected through a standardized anamnesis, while the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA), in their Spanish versions, were used to assess cognitive impairment. For each participant, data was obtained on 8 clinical and socio-demographic variables and 27 cognitive variables. Significant differences were observed between measures of the same cognitive variables provided by both instruments, with MoCA being more discriminating. The results showed that both the deterioration at the beginning of abstinence and its subsequent spontaneous recovery are different for each variable, and that the most outstanding changes occur 6 months after starting abstinence, and later on, between 18 and 24 months. According the obtained evidence, Attention and Language are the variables most likely to benefit from a cognitive rehabilitation program, which should be implemented between 6 and 18 months of abstinence.


Subject(s)
Humans , Alcoholism , Cognitive Dysfunction , Therapeutics , Cognition , Diagnosis , Drinking , Mental Status and Dementia Tests
16.
Acta bioquím. clín. latinoam ; 53(4): 477-486, dic. 2019. graf, tab
Article in Spanish | LILACS | ID: biblio-1124025

ABSTRACT

En este estudio se evaluó el efecto de tomar mate en las pruebas bioquímicas de rutina. Se extrajo sangre a 32 mujeres voluntarias luego de 12 horas de ayuno y a la hora (T1), dos horas (T2) y tres horas (T3) posteriores a la toma de 5 mates. Se estudiaron parámetros hematológicos y analitos de química clínica. Los resultados se analizaron empleando pruebas estadísticas para muestras relacionadas. Se calculó la diferencia porcentual media (DM%) de cada analito en cada hora respecto del valor basal y se comparó con el valor de referencia del cambio (VRC). Una DM% mayor que el VRC se consideró clínicamente significativa. En T1, T2 y T3 los recuentos de neutrófilos, eosinófilos y linfocitos fueron más bajos que en T0, también los niveles de glucosa, urea, creatinina y cistatina C fueron más bajos que en T0, mientras que los valores de proteínas totales, colesterol transportado por lipoproteínas de baja densidad y la actividad enzimática de lactato deshidrogenasa fueron más altos que en T0. En todos los casos los cambios fueron estadísticamente significativos, aunque no lo fueron desde el punto de vista clínico. Tomar 5 mates antes de la flebotomía no interfiere en los resultados de las pruebas bioquímicas de rutina.


In the present study the effect of drinking mate in routine biochemical tests was evaluated. Blood was collected from 32 female volunteers after a 12 h fasting period. In addition, 1 hour (T1), 2 hours (T2), and 3 hours (T3) after drinking 5 mates, blood was collected again. Hematological parameters and clinical chemistry analytes were studied. The results were analyzed using statistical tests for related samples. Mean difference % (MD%) was calculated for each analyte and was further compared with reference change value (RCV). The MDs% higher than RCV were considered clinically significant. At T1, T2, and T3 the count neutrophils, eosinophils and lymphocytes were lower than at T0. Also glucose, urea, creatinine, and cystatin C values were lower than at T0 whereas total proteins, LDL-C, and LD enzymatic activity values were higher than at T0. In all cases, variability was statistically significant but not clinically significant. Drinking 5 mates prior to phlebotomy does not interfere with the results of routine biochemical tests.


Neste trabalho, o efeito de beber chimarrão foi avaliado em testes bioquímicos de rotina. O sangue foi extraído de 32 mulheres voluntárias após 12 horas de jejum, e uma hora (T1), duas horas (T2) e três horas (T3) após a tomada de 5 chimarrões. Parâmetros hematológicos e analitos de química clínica foram estudados. Os resultados foram analisados utilizando testes estatísticos para amostras relacionadas. A diferença percentual média% (DM%) de cada analito em cada hora foi calculada em relação ao valor basal e comparada com o valor de referência da modificação (VRM). Uma DM% maior que o VRM foi considerada clinicamente significativa. Em T1, T2 e T3 as contagens de neutrófilos, eosinófilos e linfócitos foram mais baixas que em T0, Também os níveis de glicose, ureia, creatinina e cistatina C foram mais baixos que em T0, ao passo que os valores de proteínas totais, colesterol transportado por lipoproteínas de baixa densidade e a atividade enzimática de lactato desidrogenase foram mais altos que em T0. Em todos os casos as alterações foram estatisticamente significativas, embora do ponto de vista clínico não o tenham sido. Tomar 5 chimarrões antes da flebotomia não interfere nos resultados dos testes bioquímicos de rotina.


Subject(s)
Humans , Urea , Blood , Lymphocytes , Chemistry, Clinical , Fasting , Phlebotomy , Creatinine , Drinking , Cystatin C , Pre-Analytical Phase/methods , Glucose , Lipoproteins, LDL , Referral and Consultation , Rutin , Triiodothyronine , Women , Cholesterol , Data Collection , Eosinophils , Reference Parameters , Pre-Analytical Phase/statistics & numerical data , L-Lactate Dehydrogenase , Neutrophils
17.
Rev. chil. nutr ; 46(4): 451-459, ago. 2019. tab, graf
Article in Spanish | LILACS | ID: biblio-1013810

ABSTRACT

RESUMEN Evaluar el consumo de bebidas y la cantidad ingerida durante el día, reviste importancia para los profesionales de la salud, quienes participan en la educación y diseño de políticas en alimentación y nutrición, relacionadas con el bienestar de la comunidad. El objetivo del estudio fue comparar entre sexos, el gusto por el consumo de diferentes tipos de bebidas y la cantidad consumida por día. El estudio se realizó en una muestra representativa de los habitantes de la ciudad de Medellín, Colombia, entre los 18 y 50 años de edad. Se utilizó análisis multivariado de la varianza (MANOVA) con contraste canónico de tipo ortogonal, análisis de correspondencia múltiple con clasificación jerárquica indexada, análisis de frecuencias unidimensional y bidimensional. Se detectó diferencia significativa entre sexos en el gusto por consumir bebidas aromáticas y gaseosas dietéticas (p< 0.05), no se detectó diferencia (p> 0.05) en la cantidad de líquido consumido al día según sexo. La principal conclusión radica en que a más del 80% de los indagados les gusta consumir agua de manera frecuente, afirman conocer las recomendaciones de consumo de este líquido al día y los beneficios que aportan para el mantenimiento de la salud. El tamaño de la muestra utilizado fue de 322 personas.


ABSTRACT Evaluating daily beverage consumption is important for health professionals who participate in education and policy design related to food, nutrition, and community welfare. The objective of the study was to compare, between sexes, the preference for the consumption of different types of drinks and daily consumption. A study with a representative sample of the inhabitants of the city of Medellín, Colombia, between 18 and 50 years of age, was conducted. Multivariate analysis of variance (MANOVA) with orthogonal canonical contrast, multiple correspondence analysis with hierarchical indexed classification, and one-dimensional and two-dimensional frequency analysis was used. A significant difference between sexes was detected in the taste for consuming aromatic beverages and diet sodas (p<0.05), no difference was detected (p>0.05) in daily consumption of liquid according to sex. The main conclusion was that more than 80% of respondents liked to consume water on a frequent basis, reported knowing the recommendations for daily consumption of this liquid and the benefits it provided for maintaining health. The sample size was 322 persons.


Subject(s)
Humans , Carbonated Beverages , Colombia , Drinking , Feeding Behavior , Nutrition Surveys , Cross-Sectional Studies , Diet, Healthy
18.
Salud pública Méx ; 61(4): 486-494, Jul.-Aug. 2019. tab, graf
Article in English | LILACS | ID: biblio-1099325

ABSTRACT

Abstract: Objective: We tested the effectiveness of the I prefer plain water educational strategy used to increase water consumption in elementary school children. Materials and methods: A community intervention trial was performed in eight public elementary schools in Mexico City. The schools were randomized into an intervention (IG) and a control (CG) group. Each school was provided water dispensers inside the classrooms. The IG received the educational strategy. The strategy was considered effective if the students increased their water consumption by ≥220 ml. Results: Water consumption in the IG increased 167 ml vs. 37 ml in CG (p < 0.001). The goal of the educational strategy for water consumption was achieved in 166/413 children in the IG and 95/364 children in the CG (p < 0.001). Conclusions: I prefer plain water, associated with free access to water inside the classrooms, proved to be effective to increase water consumption.


Resumen: Objetivo: Evaluar la efectividad de la estrategia Prefiero agua simple para incrementar el consumo de agua en niños de escuelas primarias públicas. Material y métodos: Ensayo de intervención comunitaria en ocho escuelas en la Ciudad de México. Las escuelas se aleatorizaron en grupo de intervención (GI) y de control (GC). Se instalaron dispensadores de agua dentro de las aulas. Implementamos la estrategia al GI. Consideramos efectiva la estrategia si los estudiantes incrementaron su consumo de agua en ≥220 ml. Resultados: El incremento global en el consumo de agua del GI fue de 167 ml vs. 37 ml en GC (p <0.001). La efectividad de la estrategia para el consumo de agua se logró en 166/413 niños del GI y en 95/364 niños del GC (p <0.001). Conclusiones: Prefiero agua simple, asociada con libre acceso al agua dentro de las aulas, demostró ser efectiva para incrementar el consumo de agua.


Subject(s)
Humans , Animals , Male , Female , Child, Preschool , Child , Students , Drinking Water , Drinking , Health Promotion/methods , Carbonated Beverages/statistics & numerical data , Milk/statistics & numerical data , Sugar-Sweetened Beverages/statistics & numerical data , Mexico
19.
Rev. chil. nutr ; 46(3): 319-327, jun. 2019. tab
Article in Spanish | LILACS | ID: biblio-1003710

ABSTRACT

RESUMEN En México, el consumo de bebidas endulzadas o refrescos es uno de los más altos a nivel mundial, esto representa un factor de riesgo para el desarrollo de obesidad y enfermedades metabólicas. En este estudio empleamos la Teoría de la Conducta Planeada (TCP) para identificar factores cognitivos asociados a la frecuencia de consumo de refrescos en adultos jóvenes mexicanos. Estudiamos una muestra de 261 personas, 110 hombres y 151 mujeres, de 18 a 45 años de edad (M= 22.51; DE = 4.2). Los participantes completaron cuestionarios de frecuencia de consumo e instrumentos basados en la TCP. Se encontraron dos factores predictores independientes y significativos de la frecuencia de consumo, el principal fue la baja autoeficacia, seguido por la intención. Ambos factores explican el 27.3% de la varianza de la frecuencia de consumo. Estos resultados contribuyen a entender los factores cognitivos involucrados en el consumo de refrescos, y sugieren que la alta frecuencia de consumo es una conducta no racional, por lo que podrían estar implicados aspectos afectivos y motivacionales, lo que deberá ser dilucidado con más investigación que permita explorar nuevas alternativas para el desarrollo de programas de prevención y tratamiento del consumo de bebidas con riesgo para la salud humana.


ABSTRACT Consumption of sugar sweetened beverages (SSB) in Mexico is one of the highest in the world, which represents a risk factor for the development of obesity and metabolic diseases. In the present study we used the Theory of Planned Behavior (TPB) to identify cognitive factors associated with the frequency of SSB consumption in Mexican young adults. We studied a sample of 261 people, 110 men and 151 women, from 18 to 45 years of age (M = 22.51, SD = 4.2). Participants completed consumption frequency questionnaires and instruments based on TPB. Two independent and significant predictors of consumption frequency were found: low self-efficacy and intention. Both factors explained 27.3% of the variance in consumption frequency. These results contribute to the understanding of the cognitive factors underlying SSB consumption, and suggest that high consumption frequency is a non-rational behaviour. It is possible that affective and motivational aspects could also be involved, which should be clarified with more research, in order to explore alternatives for the prevention and treatment of unhealthy consumption of beverages that are a risk to human health.


Subject(s)
Young Adult , Students , Carbonated Beverages , Education, Higher , Drinking , Feeding Behavior/psychology , Mexico
20.
Acta toxicol. argent ; 27(1): 19-29, mayo 2019. ilus, tab
Article in Spanish | LILACS | ID: biblio-1010979

ABSTRACT

Se evaluó la importancia del consumo diario de agua por ingesta en la evaluación de riesgo a la salud humana (ERS) de contaminantes presentes en agua subterránea de pozos domiciliarios en la ciudad de Azul, Argentina. El riesgo probabilístico acumulativo se calculó en base al modelo de la Agencia de Protección Ambiental de Estados Unidos (USEPA) para cuatro grupos de edad (5, 10, 15 años y adultos). Los resultados fueron comparados mediante la aplicación de un consumo diario de agua por ingesta estimado utilizado con frecuencia en la literatura frente a una cantidad ingerida local. De las seis variables usadas (Concentración de la sustancia peligrosa en el agua; Ingesta diaria de agua (I); Frecuencia de exposición; Duración de la exposición; Peso corporal del individuo expuesto; Factor de corrección para el tiempo promedio de exposición crónica), la Ifue la variable más influyente en el va­lor del riesgo presentando diferencias significativas entre los resultados derivados de ambos tipos de I. La diferencia más alta fue en los 5 años de edad, grupo que presentó un riesgo acumulado asociado con I local 98% más bajo respecto del riesgo calculado utilizando I basada en la literatura. La selección de la I tuvo un impacto significativo en los resultados del riesgo, lo que sugiere una cuidadosa elección de las variables de entrada al modelo de la evaluación del riesgo para evitar subestimaciones o sobreestimaciones.


We evaluated the importance of the daily consumption of water by ingestion on health risk assessment (HRA) from pollutants present in shallow groundwater from residential wells in the city of Azul, Argentina. The probabilistic cumulative risk was calculated based on the model of the United States Environmental Protection Agency (USEPA) for four age groups (5, 10, 15 years and adults). The results were compared by applying a daily consumption of water by estimated intake frequently used in the literature against a local ingested amount. From the six variables used (Concentration of the hazardous substance in water, Daily water intake (I), Frequency of exposure, Duration of exposure, Body weight of the exposed individual, Correction factor for the average time of chronic exposure), I was the most influential variable in the value of risk, presenting significant differences between the results de­rived from both types of I. The highest difference was in the 5 years of age, a group that presented an accumulated risk associated with local I 98% lower regarding the risk calculated using I based on the literature. The selection of I had a significant impact on risk outcomes, suggesting a careful choice of input variables to the risk assessment model to avoid underestimation or overestimation.


Subject(s)
Male , Female , Child, Preschool , Child , Adolescent , Adult , Drinking Water/analysis , Risk Assessment/methods , Drinking , Water Wells , Phenols/toxicity , Argentina/epidemiology , Arsenic/toxicity , Water Pollutants, Chemical/toxicity
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