Quality of life against seasonal vs perennial allergens: ESPRINT-15 modified in the pediatric population

Introduction: Allergic rhinitis (AR) is a clinical syndrome characterized by IgE-mediated inflam-mation of the nasal mucosa. The present study investigates the quality of life (QoL) with AR among adults, using widely validated questionnaires, unlike in pediatric patients.Materials and methods: A cross-sectional descriptive observational study was conducted, analyzing the QoL of 102 children with AR aged between 10-15 years, belonging to two health centers (HC) in Zaragoza and two HC in Coruña. The comparison of means between the two groups is carried out using the Student's test or the Mann-Whitney test, considering a value of p<0.05 to be significant.Results: Around 102 children were studied, with a majority (59.8%) being male and a mean age of 12 years. Around 76.5% have a family history of atopy. It was found that AR is more prevalent in Zaragoza (p <0.005), and asthmais highly prevalent in Coruña (p <0.001). The most import-ant sensitizations are pollen in Zaragoza (p <0.05) and dust mites in A Coruña (p <0.001). More treatment needs and associated comorbidities (p<0.05) were observed in A Coruña. The results of the ESPRINT-15 show that 63% of the patients have a good QoL, 27% fair, and 8.8%, poor. Those sensitized to mites have a worse score (p = 0.02). It was found that 52% of children expe-rienced improvement during home confinement, with no notable differences between the two populations. The use of the mask favored QoL in patients from Zaragoza (p <0.0 01 (AU)

[Overweight and obesity prevalence estimates in a population from Zaragoza by using different growth references]. / Estimación de la prevalencia de sobrepeso y obesidad infantil en un sector sanitario de Zaragoza utilizando diferentes estándares de crecimiento.

OBJECTIVES: To investigate the prevalence of overweight and obesity among our pediatric population and observe whether the use of different growth references for classification produce significant differences. MATERIAL AND METHODS: A total of 35824 boys and girls aged between 2 and 14 years were included. Body mass index (BMI) was used to calculate the prevalence of overweight-obesity by age and sex. Prevalence was obtained by using a set of national references (Hernández's standards) and the references of World Health Organization (WHO standards). Prevalences were compared for each age and sex subset, as well as with the percentage of patients who had an overweight-obesity diagnosis in the clinical record. RESULTS: The overall prevalence of overweight-obesity among children aged 2 to 14 years was 17.0% (95% CI; 16.1%-18.0%) according to the Hernández standards vs 30.8% (95% CI; 29.9%-31.7%) according to WHO standards (10.1% vs 12.2% obese, and 6.9% vs 18.6% overweight). It was significantly higher in boys, by both standards, due to the higher prevalence of obesity. By using the Hernández standards the prevalence was significantly lower than by using WHO standards for all ages and for both sexes. A low percentage of patients were found to have an obesity-overweight diagnosis in the clinical record (from 3% to 22% at the ages of 2 and 14 years, respectively). CONCLUSIONS: The prevalence of overweight-obesity in our population is high, especially among boys. Using Hernández standards leads to an under-estimation of the problem, especially because it detects less overweight patients, thus we recommend using the WHO standards in our daily practice. The low number of overweight-obesity diagnoses in the clinical records might reflect that there is little awareness of the problem by the professionals.

[Immigration and factors associated with breastfeeding. CALINA study]. / Inmigración y factores asociados con la lactancia materna. Estudio CALINA.

OBJECTIVE: To identify socio-cultural, obstetric and perinatal characteristics associated with complete breastfeeding (CBF) during the first 4 months of age, depending on maternal origin. MATERIAL AND METHODS: Socio-cultural, obstetric and perinatal aspects associated with breastfeeding depending on maternal origin were evaluated in a longitudinal study in a representative infant population from Aragon (n = 1452). RESULTS: The prevalence of CBF was higher in immigrant mothers than in those from Spain. CBF was maintained in 37.2% of mothers from Spain at 4 months, compared with 43% of immigrants (P=.039) (RR Spanish/immigrants=0.76; 95% CI: 0.58-0.99); at 6 months this occurred in 13.9% vs. 23.8%, respectively (P<.001) (RR Spanish/immigrants=0.52; 95% CI: 0.37-0.72). The factors associated with CBF at 4 months are different between both groups. Mothers born in Spain are older (P=.002), have higher academic level (P=.001), greater parity (P=.003), and a higher probability of vaginal delivery (P=.005); and their children have the highest anthropometric values at birth. However, in immigrant mothers, the maintenance of CBF was associated with a higher maternal body mass index and with working at home. In both groups, CBF remains more frequently in those mothers who do not smoke (P=.001). CONCLUSIONS: The prevalence of CBF during the first months of life is higher in immigrant mothers than in those from Spain, and socio-cultural, obstetric and perinatal factors are different, depending on maternal origin.

Prevalencia de la lactancia materna durante el primer año de vida en Aragón. Estudio CALINA / Breastfeeding prevalence during the first year of life in Aragon. CALINA study

Objetivos: Estudiar la prevalencia actual de la lactancia materna (LM) hasta los 12 meses de edad en Aragón, analizando los aspectos demográficos, perinatales y sociales que la modifican. Material y métodos: Estudio observacional longitudinal en una cohorte representativa de la población de lactantes aragoneses, nacidos desde marzo del 2009 a marzo del 2010, y controlados hasta los 12 meses de edad (N=1.602). Se han evaluado sus variables obstétricas, perinatológicas y de alimentación. Resultados: La LM exclusiva o predominante fue superior al resto de modalidades de alimentación durante los 4 primeros meses de vida. El mantenimiento conjunto de la LM en cualquiera de sus modalidades fue del 82,5% al mes de edad, el 71,8% al tercero, el 54,3% al sexto y 27,8% al año. Las variables maternas que se asociaron significativamente al mantenimiento de la LM, tanto al mes como a los 6 meses de edad fueron: tipo de parto (mayor probabilidad si el parto es vaginal), el nivel de estudios (mayor probabilidad si tienen estudios superiores), la procedencia (mayor probabilidad en las madres de origen africano), la adiposidad (mayor probabilidad en las madres que tienen un peso adecuado o sobrepeso frente a las obesas) y no fumar durante la gestación. Conclusiones: La prevalencia de LM en Aragón durante los primeros 12 meses de vida es alta y ha aumentado respecto a los datos que previamente se disponían. La LM se mantiene en más de la mitad de los lactantes de 6 meses y en una cuarta parte al año de edad. Los condicionantes maternos que influyen significativamente en el inicio y mantenimiento de la LM en nuestro medio son el tipo de parto, el nivel de estudios, la procedencia (inmigración), la adiposidad y el hábito tabáquico (AU)

Objectives: To study the current prevalence of breastfeeding (BF) in Aragon (Spain) during the first 12 months of life, and analyse its demographic, perinatal and social influential factors. Material and methods: Obstetric, perinatal and feeding aspects were evaluated in a longitudinal and observational study, in a representative cohort of infant population from Aragon born between March 2009 to March 2010, controlled until 12 months of age (N=1.602). Results: Exclusive or predominant BF was more frequent than the rest of feeding modalities during the first 4 months of life. Maintenance prevalence of any BF modality was 82.5% at 1stmonth of age, 71.8% at 3rd, 54.3% at 6th, and 27.8% at 12 months of age. Maternal variables that were significantly associated with BF maintenance both at 1 and 6 months of age were: delivery modality (higher probability in case of vaginal delivery), academic level (higher probability if university studies), origin (higher probability in mothers from Africa), adiposity (higher probability of normal weight or overweight mothers compared with obese ones), and not to smoke during gestation. Conclusions: BF prevalence in Aragon (Spain) during the first 12 months of age is high and has increased compared with previous data. BF continues in more than half of infants at six months and in a quarter of infants at 12 months of age. Maternal factors that significantly influence BF initiation and maintenance are, delivery modality, academic level, origin (immigration), adiposity and smoking habit (AU)

[Breastfeeding prevalence during the first year of life in Aragon. CALINA study]. / Prevalencia de la lactancia materna durante el primer año de vida en Aragón. Estudio CALINA.

OBJECTIVES: To study the current prevalence of breastfeeding (BF) in Aragon (Spain) during the first 12 months of life, and analyse its demographic, perinatal and social influential factors. MATERIAL AND METHODS: Obstetric, perinatal and feeding aspects were evaluated in a longitudinal and observational study, in a representative cohort of infant population from Aragon born between March 2009 to March 2010, controlled until 12 months of age (N=1.602). RESULTS: Exclusive or predominant BF was more frequent than the rest of feeding modalities during the first 4 months of life. Maintenance prevalence of any BF modality was 82.5% at 1(st) month of age, 71.8% at 3(rd), 54.3% at 6(th), and 27.8% at 12 months of age. Maternal variables that were significantly associated with BF maintenance both at 1 and 6 months of age were: delivery modality (higher probability in case of vaginal delivery), academic level (higher probability if university studies), origin (higher probability in mothers from Africa), adiposity (higher probability of normal weight or overweight mothers compared with obese ones), and not to smoke during gestation. CONCLUSIONS: BF prevalence in Aragon (Spain) during the first 12 months of age is high and has increased compared with previous data. BF continues in more than half of infants at six months and in a quarter of infants at 12 months of age. Maternal factors that significantly influence BF initiation and maintenance are, delivery modality, academic level, origin (immigration), adiposity and smoking habit.

Experiencia de un año del foro de lactancia materna para profesionales y padres / One-year experience of the breast feeding forum for professionals and parents

No disponible

[Type 4 echovirus meningitis in childhood. Epidemiologic and clinical aspects apropos of an epidemiologic outbreak]. / Meningitis por echovirus tipo 4 en la infancia. Aspectos epidemiológicos y clínicos a propósito de un brote epidémico.

In the first half of 1988 we observed 13 cases of lymphocytic meningitis from which echovirus type 4 was isolated in the CSF. We found a higher infection rate in the 6-9 years old group (54%) and in the masculine sex (69%). Almost all of the cases occurred during the springtime. The clinical and CSF characteristics of this epidemic do not differ much from those that have appeared in the literature. Throughout 1988, in our hospital, 46 cases of lymphocytic meningitis took place and in 20 of them an etiologic diagnosis was done. We think that the introduction of enterovirus cultures can help to know the etiology of many of these cases of meningitis since this virus is responsible for a great part of them.