Cumplimiento de las recomendaciones sobre actividad física en personas hipertensas asistidas en atención primaria / Adherence to physical activity recommendations in a hypertensive primary care population

Objetivo: Determinar la prevalencia de cumplimiento de las recomendaciones de actividad física en la población hipertensa del Área de Salud de Lleida y los factores asociados. Métodos: Estudio transversal en personas hipertensas adultas. La variable dependiente fue el cumplimiento de las recomendaciones medido con el cuestionario Minnesota; las independientes fueron las características sociodemográficas, la información recibida y las actitudes frente a la actividad física. Resultados: Participaron 786 personas hipertensas de 66,0±10,2 años; el 53,9% eran mujeres. Cumplieron las recomendaciones el 64,3% (intervalo de confianza del 95% [IC95%]: 60,9-67,6): el 65,2% (IC95%: 60,2-70,0) de los hombres y el 63,4% (IC95%: 58,8-67,9) de las mujeres. Un mayor cumplimiento se asoció con la edad en los hombres y con residir en el ámbito rural en las mujeres. Tener ocupación no remunerada y buena actitud hacia la realización de actividad física se asociaron con mayor cumplimiento en ambos sexos. No se observó asociación con el número de consejos recibidos los últimos 6 meses. Conclusiones: Más de la mitad de la población hipertensa cumple las recomendaciones. Para mejorar el nivel de actividad física puede recomendarse una prescripción individualizada según la actitud hacia ésta (AU)

Objective: To determine the prevalence of adherence to physical activity recommendations in the hypertensive population of Lerida (Spain) attended in primary care and to identify related factors. Methods: A cross sectional study was carried out in hypertensive adults. The dependent variable was adherence to physical activity recommendations measured with the Minnesota Questionnaire. The independent variables were sociodemographic factors, the information received, and attitudes to physical activity. Results: A total of 786 hypertensive patients participated in this study; 53.9% were women and the mean age was 66.0±10.2 years. Adherence to recommendations was found in 64.3% (95% CI: 60.9-67.6); this percentage was 65.2% in men (95% CI: 60.2-70.0) and 63.4% in women (95% CI: 58.8-67.9). Greater adherence was associated with age in men and with residence in a rural area in women. In both genders, greater adherence was associated with unpaid work and with having a favorable attitude to physical activity. No association was observed with the number of recommendations received in the last 6 months. Conclusions: More than half the hypertensive population adhered to physical activity recommendations. To improve physical activity levels, recommendations can be tailored to the attitudes of individual patients (AU)

[Adherence to physical activity recommendations in a hypertensive primary care population]. / Cumplimiento de las recomendaciones sobre actividad física en personas hipertensas asistidas en atención primaria.

OBJECTIVE: To determine the prevalence of adherence to physical activity recommendations in the hypertensive population of Lerida (Spain) attended in primary care and to identify related factors. METHODS: A cross sectional study was carried out in hypertensive adults. The dependent variable was adherence to physical activity recommendations measured with the Minnesota Questionnaire. The independent variables were sociodemographic factors, the information received, and attitudes to physical activity. RESULTS: A total of 786 hypertensive patients participated in this study; 53.9% were women and the mean age was 66.0±10.2 years. Adherence to recommendations was found in 64.3% (95% CI: 60.9-67.6); this percentage was 65.2% in men (95% CI: 60.2-70.0) and 63.4% in women (95% CI: 58.8-67.9). Greater adherence was associated with age in men and with residence in a rural area in women. In both genders, greater adherence was associated with unpaid work and with having a favorable attitude to physical activity. No association was observed with the number of recommendations received in the last 6 months. CONCLUSIONS: More than half the hypertensive population adhered to physical activity recommendations. To improve physical activity levels, recommendations can be tailored to the attitudes of individual patients.

Intercepción poscoital hormonal en un servicio de planificación familiar / Postcoital hormonal contraception in a family planning service

Objetivo. Conocer las características de la población atendida en el Servicio de Planificación Familiar de Lleida que demanda la intercepción poscoital, y conocer su uso y efectos en dicha población. Método. Se planteó un estudio epidemiológico observacional transversal, que fue realizado durante 3 años, entre 1999 y 2001. Se estudió a todas las mujeres que acudieron durante los 3 años al mencionado servicio de planificación familiar y que solicitaron la intercepción poscoital, a las que se aplicó una encuesta estructurada que fue cumplimentada por una enfermera del mismo servicio. Se recogieron variables relativas a aspectos sociodemográficos de las mujeres y al uso y a los efectos de la intercepción poscoital. Resultados. Las 2.813 mujeres estudiadas tenían una media de edad de 21,5 años. El 92,3% (2.577) conocía la existencia de la intercepción poscoital, pero 2.018 (72,3%) de ellas la demandaban por primera vez. El motivo principal de la demanda era la rotura del preservativo, con una frecuencia de 1.741 (62,1%). Las mujeres tardaban 33,7 h de promedio en solicitar el tratamiento. La menstruación apareció en el 98,6% de las mujeres que acudieron al control poscoital. Conclusiones. Los resultados encontrados en el presente estudio coinciden bastante con los de la bibliografía especializada. Creemos que es necesario potenciar la educación sexual de la juventud

Objective. To determine the characteristics of the population seeking postcoital hormonal contraception in the family planning service of Lleida (Spain) and to determine the use and effects of this form of contraception in this population. Method. We performed an epidemiological, observational, cross-sectional study over a 3-year period (1999-2001). All women who attended the family planning service in the study period and who requested postcoital hormonal contraception were included. In all subjects a structured interview was performed by a nurse from the family planning service. Variables relating to sociodemographic factors and the use and effects of this form of contraception were gathered. Results. A total of 2813 women were studied. The mean age was 21.5 years. Nearly all the women (92.3% [2577]) knew about postcoital hormonal contraception but 2018 (72.3%) had not requested it previously. The main reason for seeking this form of contraception was condom rupture, with a frequency of 1741 (62.1%). The mean interval before requesting postcoital hormonal contraception was 33.7 hours. Menstruation occurred in 98.6% of the women who sought emergency contraception. Conclusions. The results of the present study are in fairly close agreement with those reported in the specialist literature. We believe that sex education should be increased among young peopleObjective. To determine the characteristics of the population seeking postcoital hormonal contraception in the family planning service of Lleida (Spain) and to determine the use and effects of this form of contraception in this population. Method. We performed an epidemiological, observational, cross-sectional study over a 3-year period (1999-2001). All women who attended the family planning service in the study period and who requested postcoital hormonal contraception were included. In all subjects a structured interview was performed by a nurse from the family planning service. Variables relating to sociodemographic factors and the use and effects of this form of contraception were gathered. Results. A total of 2813 women were studied. The mean age was 21.5 years. Nearly all the women (92.3% [2577]) knew about postcoital hormonal contraception but 2018 (72.3%) had not requested it previously. The main reason for seeking this form of contraception was condom rupture, with a frequency of 1741 (62.1%). The mean interval before requesting postcoital hormonal contraception was 33.7 hours. Menstruation occurred in 98.6% of the women who sought emergency contraception. Conclusions. The results of the present study are in fairly close agreement with those reported in the specialist literature. We believe that sex education should be increased among young people

Intercepción postcoital y uso de anticonceptivos en la población joven / Postcoital interception and the use of contraceptives in the young population

Objetivo: conocer la relación entre el Conocimientode la Intercepción Postcoital (IPC) y eluso de anticonceptivos habituales entre las jóvenesatendidas por demanda de IPC en el Centro de PlanificaciónFamiliar de Lleida.Material y métodos: se realizó un estudio observacionaltransversal mediante una encuesta estructuradallevada a cabo mediante entrevista personala todas las mujeres menores de veinte añosatendidas entre 1999 y 2001 en el centro, siendoen total 1.164.Resultados: un 19,3% de las jóvenes realizabancoitos sin protección y un 64,4% expresó utilizarun método anticonceptivo seguro, pero habían tenidoun accidente con el preservativo.El 65,3% tenían conocimiento previo de la IPC perono la habían usado, seguido del 27,1% que yala habían empleado con anterioridad. El conocimientoprevio de la IPC no mostró relación con eluso de anticonceptivos habituales.Conclusiones: el estudio sugiere reflexiones tantoacerca de la finalidad de la IPC como de la necesidadde más educación sexual en los jóvenes

Objective: To determine the relationship betweenpostcoital interception (PCI) and the use ofcommon contraceptives among young females thatdemand PCI at Family Planning Centre in Lleida.Material and methods: A cross-sectional observationalstudy was performed by using astructure survey by interviewing all females underthe age of 20, treated between 1999 and 2002in the centre, amounting to a total of 1.164 youngwomen.Results: 19,3% of the girls had sex withoutprotection and 64,4% wanted to use a safecontraceptive method, but had had an accidentwith the condom.65,3% knew previously about PCI but had neverused it, followed by 27,1% that had already usedthe method before. The previous knowledge of thePCI did not show any relationship with the use ofcommon contraceptives.Conclusions: This study suggests that somereflection is needed regarding the finality of PCI aswell as the need for a stronger sexual educationamong the young