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1.
Eur J Investig Health Psychol Educ ; 12(6): 631-638, 2022 Jun 16.
Article in English | MEDLINE | ID: mdl-35735468

ABSTRACT

(1) Background: During the COVID-19 lockdown, high rates of physical inactivity and dietary imbalances were reported in both adults and adolescents. Physical separation and isolation not only have a significant impact on the performance of physical activity but also affect people's lives, particularly their dietary habits. In the present study, we aimed to examine whether or not bioelectrical impedance-derived body composition parameters and dietary habits were affected during the pandemic-associated lockdown in postmenopausal Spanish women. (2) Methods: Sixty-six women participated in the study (58.7 ± 5.4 years) before (between July−October 2019) and after (August−October 2020) the lockdown, which occurred as a consequence of the COVID-19 pandemic in Spain. Body composition parameters were measured by bioelectrical impedance analysis while dietary intake of proteins, fat, carbohydrates, and energy was measured by a food frequency questionnaire. (3) Results Regarding body composition, no differences were observed in fat mass in % (mean increase 0.05 (2.74); p = 0.567), fat mass in kg (mean increase −0.07 (4.137); p = 0.356) or lean mass in kg (mean increase 0.20 (1.424); p = 0.636). Similarly, no statistically significant differences were observed between the two study periods for any of the nutrients studied, nor for energy intake (p > 0.05 in all cases). (4) Conclusions: After comprehensively assessing body composition and dietary intake of protein, fat, carbohydrates, and energy before and after COVID-19 lockdown in healthy adult women in Spain no changes in the parameters studied were observed during the period analyzed in the women examined.

2.
Healthcare (Basel) ; 9(4)2021 Apr 01.
Article in English | MEDLINE | ID: mdl-33916088

ABSTRACT

Preventive actions and potential obesity interventions for children are mainly researched throughout the school period, either as part of the school curricula or after regular school hours, via interventions mostly lasting less than 12 months. We aimed to perform a meta-analysis on randomized controlled clinical trials to evaluate the evidence of the efficacy of long-term school-based interventions in the management of childhood obesity in terms of BMI from a dietary and physical activity-based approach. Eleven randomized controlled clinical trials were examined using the random effects model, and the results showed that there were no significant effects associated with physical activity + nutrition intervention in school children aged 6-12 years, with a pooled standardized mean difference (SMD) (95% CI) of -0.00 (-0.05, 0.04). No effects were observed after subgroup analysis based on the intervention length. The findings from our study indicate that long-term school-based interventions on physical activity and dietary habits received by children aged 6-12 years seem to have no effect on BMI. However, the promotion of such interventions should not be discouraged, as they promote additional positive health outcomes for other domains of children's health.

3.
Nutrients ; 13(5)2021 Apr 25.
Article in English | MEDLINE | ID: mdl-33922947

ABSTRACT

Different factors may contribute to the development of osteopenia or osteoporosis. Fatty acids are key nutrients for health, and a number of studies have reported an association between bone mineral density (BMD) and fatty acid intake. We aimed to investigate the relationships between serum levels of different fatty acids and bone parameters determined by quantitative bone ultrasound (QUS), peripheral quantitative computed tomography (pQCT), and dual-energy X-ray absorptiometry (DXA) in a sample of Spanish postmenopausal women. We enrolled a total of 301 postmenopausal women (median age 59 years; interquartile range (IQR) 7) in this study. All participants underwent full densitometric screening, including calcaneal quantitative ultrasound (QUS), peripheral quantitative computed tomography (pQCT), and dual-energy X-ray absorptiometry (DXA), as well as plasma fatty acid measurement. After adjustment for potential confounders, plasma n-3 polyunsaturated fatty acid (PUFA) levels correlated with BMD in the spine (r = 0.150; p = 0.014) and femoral neck (r = 0.143; p = 0.019). By multiple linear regression, an independent statistically significant positive relationship was observed between BMD in the spine and BMI (ß = 0.288; p = 0.001) as well as total plasma n-3 PUFAs (ß = 0.155; p = 0.009). The plasma n-3 PUFA level was also a significant and positive predictor of BMD at the femoral neck (ß = 0.146; p = 0.009). Independent risk factors for low BMD (T-score ≤ 1) were determined by logistic regression analysis, and a relatively high level of plasma n-3 PUFAs (OR = 0.751; 95% CI 0.587-0.960, p = 0.022) was identified as a protective factor against low bone mass. In this single-center sample of Spanish postmenopausal women, we reported a significant positive and statistically independent association between BMD and plasma levels of n-3 PUFAs.


Subject(s)
Absorptiometry, Photon/methods , Fatty Acids/blood , Osteoporosis, Postmenopausal/blood , Osteoporosis, Postmenopausal/diagnostic imaging , Tomography, X-Ray Computed/methods , Ultrasonography/methods , Bone Density , Cross-Sectional Studies , Evaluation Studies as Topic , Female , Femur Neck/diagnostic imaging , Humans , Middle Aged , Spain , Spine/diagnostic imaging
4.
Nutrients ; 11(3)2019 Mar 05.
Article in English | MEDLINE | ID: mdl-30841631

ABSTRACT

The Mediterranean diet (MD) has been associated with an improvement in health and an increase in longevity. Certain components of a MD can play a role in the prevention of osteoporosis and/or hip fracture. We investigated the association between the degree of adherence to a MD and bone mineral density (BMD) measured in several bone areas in a population of Spanish premenopausal women. We analyzed 442 premenopausal women aged 42.73 ± 6.67 years. Bone measurements were obtained using quantitative bone ultrasound (QUS) for the phalanx, dual energy X-ray absorptiometry (DXA) for the lumbar spine, Ward's triangle, trochanter, and hip, and peripheral quantitative computed tomography (pQCT) for the non-dominant distal forearm. MD adherence was evaluated with MedDietScore. Amplitude-dependent speed of sound (Ad-SOS), BMD, and volumetric bone mineral density (vBMD) (total, trabecular, and cortical bone density) were positively associated with higher adherence to the MD (p < 0.05). Adherence to the MD was significantly associated with QUS, BMD, and vBMD in multiple regression analysis; QUS: Ad-SOS (m/s) ß = 0.099 (p = 0.030); BMD (g/cm²): femur neck ß = 0.114 (p = 0.010) and Ward's triangle ß = 0.125 (p = 0.006); vBMD (mg/cm³): total density ß = 0.119 (p = 0.036), trabecular density ß = 0.120 (p = 0.035), and cortical density ß = 0.122 (p = 0.032). We conclude that the adherence to the MD was positively associated with better bone mass in Spanish premenopausal women.


Subject(s)
Bone Density/physiology , Diet, Mediterranean/statistics & numerical data , Patient Compliance/statistics & numerical data , Premenopause/physiology , Absorptiometry, Photon , Adult , Cancellous Bone/diagnostic imaging , Cross-Sectional Studies , Diet, Mediterranean/psychology , Female , Forearm/diagnostic imaging , Humans , Lumbar Vertebrae/diagnostic imaging , Middle Aged , Premenopause/psychology , Spain , Tomography, X-Ray Computed
5.
Nutrients ; 10(8)2018 Jul 26.
Article in English | MEDLINE | ID: mdl-30049982

ABSTRACT

Olive oil has been demonstrated to enhance various cardiometabolic risk factors. However, to our knowledge, the association between olive oil intake and cortical and trabecular bone microarchitecture has never been evaluated in Spanish women. We aimed to examine the association between olive oil intake and cortical and trabecular bone microarchitecture. We analyzed 523 women aged 50 (9) year, range (23⁻81) year. Participants underwent dual-energy X-ray absorptiometry and peripheral quantitative computed tomography scans. Dietary intake of calcium, vitamin D, energy and olive oil (g/day) were assessed by a self-administered food frequency questionnaire (FFQ). After adjustment for potential confounding factors (calcium (mg/day), vitamin D (µg/day) energy (Kcal/day), age, body mass index (BMI) (kg/m²), menopausal status, and osteoporotic diagnosis (normal, osteopenia, or osteoporosis)), there were significant increases in volumetric bone mineral density (vBMD) (mg/cm³) (p < 0.01) in the group with a higher intake of olive oil. Total, trabecular and cortical bone density were positively correlated with olive oil intake. The dietary intake of olive oil was significantly associated with vBMD in multiple regression analysis; total density: olive oil intake (g/day) standardized ß = 0.185 (p < 0.001), trabecular density: olive oil intake (g/day) standardized ß = 0.186 (p < 0.001) and cortical density olive oil intake (g/day) standardized ß = 0.114 (p = 0.008). We conclude that the dietary intake of olive oil is positively associated with a better vBMD in Spanish women.


Subject(s)
Bone Density , Bone Diseases, Metabolic/physiopathology , Cancellous Bone/physiopathology , Cortical Bone/physiopathology , Diet, Healthy , Olive Oil/administration & dosage , Osteoporosis/physiopathology , Absorptiometry, Photon , Adult , Aged , Aged, 80 and over , Bone Diseases, Metabolic/diagnostic imaging , Bone Diseases, Metabolic/epidemiology , Bone Diseases, Metabolic/prevention & control , Calcium, Dietary/administration & dosage , Cancellous Bone/diagnostic imaging , Cortical Bone/diagnostic imaging , Cross-Sectional Studies , Energy Intake , Female , Humans , Middle Aged , Osteoporosis/diagnostic imaging , Osteoporosis/epidemiology , Osteoporosis/prevention & control , Protective Factors , Risk Factors , Spain/epidemiology , Tomography, X-Ray Computed , Vitamin D/administration & dosage , Young Adult
6.
Article in English | MEDLINE | ID: mdl-29168740

ABSTRACT

The bone is one of the relevant target organs of heavy metals, and heavy metal toxicity is associated with several degenerative processes, such osteoporosis and bone mineral alterations, that could lead to fractures. We aimed to study a presumed relationship between bone density, evaluated by quantitative bone ultrasound (QUS), dual-energy X-ray absorptiometry (DXA) and peripheral quantitative computed tomography (pQCT) and the dietary intake of cadmium, lead and mercury in healthy premenopausal women. A total of 158 healthy, non-smoking, premenopausal women were incorporated into the study. A validated food frequency questionnaire (FFQ) was administered to assess intake during the preceding seven days. The median predicted dietary cadmium intake among the 158 women studied was 25.29 µg/day (18.62-35.00) and 2.74 µg/kg body weight/week (b.w./w) (1.92-3.83). Dietary lead intake was 43.85 µg/day (35.09-51.45) and 4.82 µg/kg b.w./w (3.67-6.13). The observed dietary mercury intake was 9.55 µg/day (7.18-13.57) and 1.02 µg/kg b.w./w (0.71-1.48). Comparisons, in terms of heavy metal intake, showed no significant results after further adjusting for energy intake. No statistically significant correlations between heavy metal intake and the QUS, DXA and pQCT parameters were observed. Levels of dietary exposure of cadmium, lead and mercury were mostly within the recommendations. We did not find associations between the QUS, DXA and pQCT parameters and the dietary intake of the studied heavy metals in healthy premenopausal women.


Subject(s)
Bone Density/physiology , Diet , Metals, Heavy/administration & dosage , Premenopause/physiology , Absorptiometry, Photon , Adult , Bone and Bones , Cadmium/administration & dosage , Female , Humans , Lead/administration & dosage , Mercury/administration & dosage , Osteoporosis , Tomography, X-Ray Computed , Ultrasonography , Women's Health
7.
Nutrients ; 7(12): 9908-17, 2015 Dec 01.
Article in English | MEDLINE | ID: mdl-26633479

ABSTRACT

We aimed to investigate and compare the effects of chronic antiepileptic therapy on bone health in pediatric patients using quantitative ultrasound of the phalanges (QUS) and controlling for potential confounding factors, particularly nutrient intake. The amplitude-dependent speed of sound (Ad-SoS) was measured in 33 epileptic children and 32 healthy children aged 6.5 ± 3.1 and 6.3 ± 1.1 (mean ± SD) years, respectively. There were no significant differences in the demographics such as age, weight and height between epileptic children and the control group children. None of the children in the epileptic or the treatment group were found to have a vitamin D deficiency. There were no significant differences in laboratory tests between groups. Lower QUS figures were found in the epileptic children (p = 0.001). After further adjustment for potential confounders such age, height, weight, calcium intake, vitamin D intake, physical activity and sex, the differences remained significant (p < 0.001). After further classification of the participants based on the tertile of calcium intake, no significant differences were found between patients and healthy controls in the greatest tertile of calcium intake (p = 0.217). We conclude that anticonvulsant therapy using valproate may lead to low bone mass in children and that an adequate intake of calcium might counteract such deleterious effects.


Subject(s)
Anticonvulsants/adverse effects , Bone Density/drug effects , Calcium/pharmacology , Finger Phalanges , Calcium/administration & dosage , Case-Control Studies , Child , Child, Preschool , Diet , Feeding Behavior , Female , Humans , Male
8.
PLoS One ; 10(9): e0138606, 2015.
Article in English | MEDLINE | ID: mdl-26393357

ABSTRACT

A longitudinal study was conducted to investigate the relation between a polymorphism in the vitamin D receptor (VDR) gene and changes in bone mineral density (BMD) and quantitative ultrasound of the phalanges (QUS) over a five-year period. The subjects were 456 postmenopausal women with osteoporosis undergoing treatment, aged 59.95±7.97 years (mean±standard deviation [SD]) at baseline. BMD was measured at the hips and lumbar spine by dual-energy X-ray absorptiometry, and QUS was measured by means of amplitude-dependent speed of sound (Ad-SoS) at the phalanges. Lifestyle information was obtained via a questionnaire. The genotype frequencies of the BsmI (rs1544410) gene polymorphism were 29.4%, 47.1%, and 23.5% for bb, Bb, and BB, respectively. After five years, BMD (annual change in %/year) at the femoral neck (FN) showed a significant modification based on the rs1544410 genotype (BB vs Bb); there was an overall decrease in bone mass (-0.70±2.79%/year; P = 0.025). An analysis of covariance with adjustments for age, weight, height, percentage of weight change per year, baseline BMD and calcium intake showed that the observed associations were no longer significant (P = 0.429). No significant associations were found between the QUS measurements and the rs1544410 genotype after the five-year period. Our study limitations includes lack of information about type and length of duration of the osteoporosis treatment. Our results indicate that rs1544410 polymorphisms do not account significantly for the changes in bone mass in Spanish women with osteoporosis undergoing treatment.


Subject(s)
Genetic Predisposition to Disease/genetics , Osteoporosis, Postmenopausal/genetics , Polymorphism, Single Nucleotide , Receptors, Calcitriol/genetics , Aged , Analysis of Variance , Binding Sites/genetics , Bone Density , Chi-Square Distribution , Deoxyribonucleases, Type II Site-Specific/metabolism , Female , Finger Phalanges/ultrastructure , Follow-Up Studies , Gene Frequency , Genotype , Humans , Linkage Disequilibrium , Longitudinal Studies , Middle Aged , Osteoporosis, Postmenopausal/therapy , Spain , Time Factors
9.
PeerJ ; 3: e953, 2015.
Article in English | MEDLINE | ID: mdl-26157644

ABSTRACT

Osteoporosis is a polygenic disorder that is determined by the effects of several genes, each with relatively modest effects on bone mass. The aim of this study was to determine whether the vitamin D receptor single nucleotide polymorphism BsmI is associated with bone mineral density (BMD) in Spanish postmenopausal women. A total of 210 unrelated healthy postmenopausal women aged 60 ± 8 years were genotyped using TaqMan(®) SNP Genotyping Assays. Lumbar and femoral BMD were determined by dual-energy X-ray absorptiometry (DEXA). Daily calcium and vitamin D intake were determined by a food questionnaire. No differences were found in the femoral neck, trochanter, Ward's Triangle, L2, L3, L4, L2-L4, or between the femoral neck and total hip BMD after further adjustment for potential confounding factors (P > 0.05) (age, BMI, years since menopause and daily calcium intake). The BsmI polymorphism in the VDR gene was not associated with BMD in Spanish postmenopausal women.

10.
Int J Clin Exp Med ; 8(5): 8173-7, 2015.
Article in English | MEDLINE | ID: mdl-26221388

ABSTRACT

This study examined the association between bone mineral density (BMD) and the rs7975232 (ApaI) polymorphism of the vitamin receptor D (VDR) gene. The polymorphism was detected using the real-time PCR TaqMan method. The rs7975232 genotype was determined in 274 postmenopausal osteoporotic Spanish women who were 60.53±8.02 years old. The observed genotype frequencies were in agreement with Hardy-Weinberg equilibrium (χ(2)=1.85, P=0.1736). There were no significant differences in the rs7975232 genotype groups in our total sample of osteoporotic women regarding age, years since menopause, height, weight, and BMD at femoral neck, femoral trochanter and lumbar spine. Significant differences were found in menarche age (aa vs Aa; P=0.008) and BMI (aa vs AA; P=0.029). We conclude that the VDR gene rs7975232 polymorphism is not related to figures of bone mineral density in postmenopausal osteoporotic Spanish women.

12.
Am J Hum Biol ; 27(4): 468-74, 2015.
Article in English | MEDLINE | ID: mdl-25452257

ABSTRACT

OBJECTIVES: This study provides updated data on body composition in adult Spanish women. METHODS: We considered data, including height and weight, from a survey conducted on a total of 4,013 adult women between 2009 and 2010. A subgroup of 2,224 women completed a bioelectrical body impedance analysis of body composition using a Tanita Body Composition Analyzer (Model no. BF-418). RESULTS: Total fat mass (FM) gradually increased between 18 and 74 years of age and decreased thereafter. FM increased in both legs between 65 and 74 years of age (5.69 ± 1.4 Kg and 5.66 ± 1.4 Kg for right and left legs, respectively) and decreased thereafter. FM in the right arm increased until 44 years of age (1.22 ± 2.6 Kg), decreased to 1.19 ± 0.5 Kg between 45 and 54 years of age, and increased to 1.54 ± 0.63 from 65 to 74 years of age. FM in the left arm increased constantly until it reached a peak of 1.63 ± 0.6 Kg between 65 and 74 years of age and decreased thereafter. FM increased in the trunk throughout life (peaks at 13.27±3.8 Kg) until subjects reached between 65 and 74 years of age. Fat free mass increased until 44 years of age (42.42 ± 4.17 Kg) and decreased thereafter. The prevalence of overweight/obesity significantly increased with age in the entire sample. CONCLUSIONS: Our results indicate that age-related increases in weight were at least partially due to increased adiposity.


Subject(s)
Body Composition , Body Mass Index , Adult , Aged , Aged, 80 and over , Cross-Sectional Studies , Electric Impedance , Female , Humans , Middle Aged , Pilot Projects , Spain , Young Adult
13.
J Ultrasound Med ; 33(7): 1279-85, 2014 Jul.
Article in English | MEDLINE | ID: mdl-24958415

ABSTRACT

OBJECTIVES: The aims of this pilot study were to describe quantitative ultrasound (US) measurements and peripheral bone mineral density (BMD) of the hand phalanges on dual-energy x-ray absorptiometry and to examine the correlations between them in elderly Spanish men. METHODS: We studied 199 healthy men (mean age ± SD, 73.31 ± 5.10 years). The participants were not taking any medications, and they reported no diseases, including diseases that are associated with abnormalities in mineral metabolism. Phalangeal and calcaneal quantitative US measurements and phalangeal BMD measurements were performed in all participants. RESULTS: A bivariate correlation analysis showed no association between quantitative US assessments at the phalanges or the calcaneus (P = .409). After adjustment for potential confounders, the correlation between phalangeal BMD and phalangeal quantitative US measurements was r = 0.417 (P < .0001), and the correlation for calcaneal quantitative US was r = 0.26 (P = .001). Further adjustment by percentage of body fat increased quantitative US correlations with phalangeal BMD: r = 0.450 (P < .0001) at the phalanges; r = 0.291 (P = .001) at the calcaneus. CONCLUSIONS: There is a small correlation between quantitative US measurements at the calcaneus and phalangeal BMD that increases to a moderate level with quantitative US measurements at the phalanges in elderly Spanish men.


Subject(s)
Bone Density , Calcaneus/diagnostic imaging , Fingers/diagnostic imaging , Fingers/physiology , Absorptiometry, Photon , Aged , Aged, 80 and over , Electric Impedance , Humans , Male , Pilot Projects , Spain , Ultrasonography
14.
Nutrients ; 5(12): 4924-37, 2013 Dec 04.
Article in English | MEDLINE | ID: mdl-24304609

ABSTRACT

We aim to evaluate whether calcium and vitamin D intake is associated with 25-hydroxyvitamin D (25-OH-Vitamin D3) and parathyroid hormone (PTH) serum concentrations or is associated with either the phalangeal dual energy X-ray absorptiometry (pDXA) or the quantitative bone ultrasound (QUS) in independent elderly men. Serum PTH and 25-OH-Vitamin D3 were measured in 195 healthy elderly men (mean age: 73.31 ± 5.10 year). Food intake was quantified using a dietetic scale. Participants with 25-OH-Vitamin D3 levels ≥ 30 ng/mL (75 nmol/L) and a calcium intake of 800-1200 mg/day exhibited the lowest PTH levels (41.49 ± 16.72 ng/mL). The highest PTH levels (75.60 ± 14.16 ng/mL) were observed in the <30 ng/mL group 25-OH-Vitamin D3 with a calcium intake >1200 mg/day. No significant differences in the serum PTH levels based on the serum 25-OH-Vitamin D3 levels were observed among participants with a calcium intake of 800-1200 mg/day. Serum PTH was inversely correlated with serum 25-OH-Vitamin D3 in the entire patient sample (r = -0.288, p = 0.019). No differences in any of the three densitometry techniques were observed between any of the age groups in the 800-1200 mg/day and >1200 mg/day calcium intake groups. PTH levels correlate negatively with serum 25-OH-Vitamin D3 levels, and neither calcium nor vitamin D intake exert a strong influence on either of the two parameters.


Subject(s)
Bone Density , Calcium, Dietary/administration & dosage , Parathyroid Hormone/blood , Vitamin D/administration & dosage , Absorptiometry, Photon , Aged , Aged, 80 and over , Bone and Bones/diagnostic imaging , Calcium, Dietary/blood , Humans , Linear Models , Male , Pilot Projects , Rural Population , Spain , Ultrasonography , Vitamin D/blood
15.
Biol Res Nurs ; 15(3): 280-4, 2013 Jul.
Article in English | MEDLINE | ID: mdl-22544518

ABSTRACT

We studied the relationship between bone density and cystic fibrosis in Spanish children and young adults. We measured the phalangeal bone amplitude-dependent speed of sound (Ad-SoS) in 35 patients with cystic fibrosis and in 30 healthy controls matched for gender, age, and body mass index (BMI). Participants were subjects with normal levels of 25(OH) Vitamin D. We found no difference in Ad-SoS between patients and controls. The only difference between the groups was that the patients had a significantly higher daily caloric intake than the controls (p < .05) as a result of the patient group's greater intake of fats (p < .05). There was a positive correlation between Ad-SoS and weight (p < .0001), but after adjusting for potential confounding factors such as age, the correlation was lost. The percentage of ideal weight did not differ between the two groups. We conclude that well-nourished CF patients had similar Ad-SoS to controls.


Subject(s)
Cystic Fibrosis/diagnostic imaging , Adolescent , Adult , Body Mass Index , Case-Control Studies , Child , Female , Humans , Male , Spain , Ultrasonography , Young Adult
17.
Biol Res Nurs ; 15(4): 416-21, 2013 Oct.
Article in English | MEDLINE | ID: mdl-22997347

ABSTRACT

We studied the effects of moderate physical activity on bone mass in healthy postmenopausal women as assessed by quantitative bone ultrasound. We enrolled a total of 326 postmenopausal women (60.95 ± 8.51 years old and 13.02 ± 9.52 years since menopause) and categorized them by weekly physical activity in their leisure time (sedentary, moderate, and active). We administered a questionnaire on general health and diet and measured bone density by ultrasound on phalanges II-V in the nondominant hand. We found no significant difference in the amplitude-dependent speed of sound (Ad-SoS; p > .05) between sedentary and active women. We concluded that the changes induced by moderate physical activity on bone mass are minimal in healthy postmenopausal women.


Subject(s)
Bone Density/physiology , Finger Phalanges/diagnostic imaging , Motor Activity/physiology , Osteoporosis, Postmenopausal/diagnostic imaging , Postmenopause/physiology , Aged , Female , Finger Phalanges/physiology , Humans , Leisure Activities , Middle Aged , Osteoporosis, Postmenopausal/physiopathology , Sedentary Behavior , Spain , Surveys and Questionnaires , Ultrasonography
18.
Rev Neurol ; 55(6): 337-42, 2012 Sep 16.
Article in Spanish | MEDLINE | ID: mdl-22972575

ABSTRACT

INTRODUCTION: The instrumental activities of daily living are activities that are somewhat more complex than basic activities of daily living, and being able to perform them allows a person to be independent within a community. They include housework, tasks involving mobility, managing the home and property; catching the bus; cooking meals and going shopping, among other things. AIMS: To evaluate these activities using the Lawton and Brody scale following an ischaemic stroke or intraparenchymatous haemorrhage and to analyse the factors that have an influence on the functional status at six months. PATIENTS AND METHODS: We conducted a prospective study of patients admitted to the stroke unit between September 2010 and June 2011 diagnosed with ischaemic strokes and spontaneous intraparenchymatous haemorrhages. A series of clinical and demographic variables were collected. In the follow-up visit at six months, the patients were re-evaluated by measuring their score on the Lawton and Brody scale again. RESULTS: The percentages of the Lawton and Brody scale at six months were as follows: 28.9% of patients were highly dependent, 45.4% were moderately dependent and 25.6% were dependent. There were differences according to age, severity and the type of stroke, and also depending on the presence of aphasia or hemiparesis. CONCLUSIONS: Patients who have suffered an ischaemic stroke or haemorrhage present a poorer score in instrumental activities of daily living when age is more advanced, the stroke is more severe and when aphasia or hemiparesis are present.


Subject(s)
Activities of Daily Living , Stroke , Aged , Female , Humans , Male , Neuropsychological Tests , Prospective Studies , Stroke/diagnosis
19.
Rev. neurol. (Ed. impr.) ; 55(6): 337-342, 16 sept., 2012. tab, graf
Article in Spanish | IBECS | ID: ibc-103511

ABSTRACT

Introducción. Las actividades instrumentales de la vida diaria son actividades más complejas que las actividades básicas de la vida diaria, y su realización permite que una persona pueda ser independiente dentro de una comunidad. Incluyen tareas domésticas, de movilidad, de administración del hogar y de la propiedad; coger el autobús; preparar la comida y realizar compras, entre otras. Objetivos. Valorar estas actividades mediante la escala de Lawton y Brody tras un ictus isquémico o hemorragia intraparenquimatosa y analizar los factores que influyen en el estado funcional a los seis meses. Pacientes y métodos. Estudio prospectivo de los pacientes ingresados en la unidad de ictus entre septiembre de 2010 y junio de 2011 con el diagnóstico de ictus isquémico y hemorragias intraparenquimatosas espontáneas. Se recogió una serie de variables clínicas y demográficas. En la visita de control a los seis meses se reevaluó a los pacientes midiendo nuevamente la escala de Lawton y Brody. Resultados. Los porcentajes de la escala de Lawton y Brody a los seis meses fueron los siguientes: un 28,9% de los pacientes con gran dependencia, un 45,4% con dependencia moderada y un 25,6% con independencia. Existen diferencias en función de la edad, la gravedad y el tipo de ictus, así como en función de la presencia de afasia o hemiparesia. Conclusiones. Los pacientes con ictus isquémico o hemorrágico presentan peor puntuación en las actividades instrumentales de la vida diaria en función de la edad avanzada, la gravedad del ictus y la presencia de afasia o hemiparesia (AU)


Introduction. The instrumental activities of daily living are activities that are somewhat more complex than basic activities of daily living, and being able to perform them allows a person to be independent within a community. They include housework, tasks involving mobility, managing the home and property; catching the bus; cooking meals and going shopping, among other things. Aims. To evaluate these activities using the Lawton and Brody scale following an ischaemic stroke or intraparenchymatous haemorrhage and to analyse the factors that have an influence on the functional status at six months. Patients and methods. We conducted a prospective study of patients admitted to the stroke unit between September 2010 and June 2011 diagnosed with ischaemic strokes and spontaneous intraparenchymatous haemorrhages. A series of clinical and demographic variables were collected. In the follow-up visit at six months, the patients were re-evaluated by measuring their score on the Lawton and Brody scale again. Results. The percentages of the Lawton and Brody scale at six months were as follows: 28.9% of patients were highly dependent, 45.4% were moderately dependent and 25.6% were dependent. There were differences according to age, severity and the type of stroke, and also depending on the presence of aphasia or hemiparesis.Conclusions. Patients who have suffered an ischaemic stroke or haemorrhage present a poorer score in instrumental activities of daily living when age is more advanced, the stroke is more severe and when aphasia or hemiparesis are present (AU)


Subject(s)
Humans , Executive Function , Activities of Daily Living , Stroke/complications , Cerebral Hemorrhage/complications , Task Performance and Analysis
20.
J Bone Miner Metab ; 30(2): 193-201, 2012 Mar.
Article in English | MEDLINE | ID: mdl-21822585

ABSTRACT

The purpose of this study was to: (a) determine the relationship between quantitative ultrasound (QUS) results and anthropometric, dietary and body composition factors and establish reference ranges for amplitude-dependent speed of sound (Ad-SoS) in the phalanges and broadband ultrasound attenuation (BUA) in the calcaneus of children from Extremadura, Spain, and (b) to present reference curves for this population. Healthy children (n = 245), aged 4-16 years, were included (124 girls and 121 boys). Phalangeal and calcaneal QUS measurements were performed using DBM Sonic Bone Profiler and McCue CUBA Clinical ultrasound devices, respectively. Weight, height and body mass index (BMI) were evaluated by anthropometric methods. Fat percentage, fat mass, lean mass (FFM) and total body water (TBWater) were evaluated by bioelectrical impedance measurements using a Holtain body composition analyzer. Food intake was evaluated by a 7-day food record. A gender analysis revealed that Ad-SoS and BUA parameters increased significantly with age and that both positively correlated with age, weight, height, BMI, FFM and TBWater. For both genders, Ad-SoS showed significant and positive correlations with age, weight, height, BMI, FFM, BUA and TBWater.


Subject(s)
Anthropometry , Body Composition/physiology , Bone and Bones/anatomy & histology , Bone and Bones/physiology , Diet , Schools , Adolescent , Age Distribution , Bone and Bones/diagnostic imaging , Calcaneus/diagnostic imaging , Child , Child, Preschool , Feeding Behavior , Female , Finger Phalanges/diagnostic imaging , Food , Humans , Male , Organ Size/physiology , Puberty/physiology , Reference Standards , Regression Analysis , Sex Characteristics , Spain , Ultrasonography
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