Successful Implementation of a Mediterranean Weight Loss Program to Prevent Overweight and Obesity in the Workplace.

OBJECTIVE: Reducing obesity is a priority for employers seeking to lower the incidence and severity of chronic illness and associated health services. The aim was to identify if a workplace-based dietary intervention monitored by health professionals is effective at reducing obesity, as part of an obesity-control-program at work. METHODS: A 12-week dietary intervention was designed for 102 overweight/obese Spanish employees in Madrid. Dietary and anthropometric (height, weight, body mass index [BMI], fat mass, and waist circumference) assessment was conducted at baseline, follow-up, and final. Six 20-minute counseling sessions were undertaken by participants. RESULTS: Significant post-intervention reductions were observed in all anthropometric measures. 77.5% of the participants were considered respondents to the intervention, while 22.5% remaining were not. A higher proportion of women responded positively to the treatment compared with men. However, higher decrease in anthropometric measures were observed in men. CONCLUSION: The workplace is deemed to be effective for providing guided dietary intervention and behavioral support based on the proximity of health professionals to the employee.

Incontinencia urinaria de esfuerzo: cinesiterapia pura y combinación con urotens en mujeres peri y post-menopáusicas / Urinary stress incontinence: pure kinesitherapy and combination with UROTENS urotens for peri-and post-menopausal women

La Incontinencia urinaria de esfuerzo femenina se caracteriza por la emisión de orina con el esfuerzo. Esta condición no ha sido plenamente identificada como campo de acción de la fisioterapia, a pesar de su importante componente musculo – esquelético. El objetivo de este estudio fue identificar la técnica más eficaz para fortalecer la musculatura del suelo pélvico en el tratamiento de esta patología, comparando la aplicación de cinesiterapia pura y cinesiterapia combinada con el Urotens. Posterior a la implantación, los dos tratamientos en ambos grupos registraron cambios al valorar el grado de incontinencia, número de accidentes miccionales, duración del periodo de incontinencia y la fuerza muscular del perineo. En la fuerza de los grupos musculares específicos no se encontró diferencia significativa al comparar los resultados entre los dos grupos. Los resultados de este estudio permiten reconocer la utilidad de la cinesiterapia con o sin Urotens, como herramienta en el abordaje interdisciplinario de la incontinencia urinaria de esfuerzo femenina.