Effects of Cardiac Rehabilitation on Sleep Quality in Heart Disease Patients with and without Heart Failure.

Insomnia is a modifiable cardiovascular risk factor. Previous studies suggested that attending a cardiac rehabilitation program may improve sleep quality in cardiac patients and pointed out the association between heart failure and poor sleep quality. The primary aim of this study was to evaluate sleep quality in patients attending a Multidisciplinary Cardiac Rehabilitation Program (MRCP), and to compare sleep quality between patients with and without heart failure. A prospective observational study was carried out on a consecutive sample of 240 patients attending an 8-week MRCP; 50 patients (20.8%) were included due to heart failure (NYHA stages I-III) and the rest of them after having undergone any revascularization procedure or valvular surgery. Before and after the completion of the MRCP, the quality of sleep was assessed by the Pittsburgh Sleep Quality Index (PSQI) score. Post-intervention global PSQI scores were statistically significantly lower than those of pre-intervention (p = 0.008), but only 60 patients (25%) registered a clinically significant improvement. When comparing patients with heart failure with those without, no differences in sleep quality were found. This suggests that only a small percentage of patients can achieve clinically significant improvements in sleep quality attending conventional MCRP. Suggestions for future research are given.

Conocer los hábitos de vida y factores de riesgo de los adolescentes atendidos por los centros de salud de dos poblaciones semiurbanas mediante una entrevista clínica estructurada con respuestas abiertas / To find out the life habits and risk factors of adolescents seen in the Health Centres of two semi-urban populations using a structured open response clinical interview

Objetivo: Conocer los hábitos y factores de riesgo de adolescentes atendidos por los centros desalud de 2 poblaciones semiurbanas mediante una entrevista clínica estructurada con respuestasabiertas.Diseño: Estudio descriptivo transversal.Emplazamiento: Dos poblaciones semiurbanas de la provincia de Málaga.Participantes: Adolescentes de 16 a 18 a˜nos. De los 19 cupos médicos se seleccionaron 5mediante muestreo aleatorio estratificado por centro de salud. Se incluyeron 204 adolescentes.Resultados: Tienen sobrepeso u obesidad 42,3%. La relación entre IMC y TAM fue R=0,4. Consumenfruta, verdura o lácteos menos de una vez al día el 54,2%, 57,8% y 24,5% respectivamente.No practican deporte regularmente 32,3 de los hombres y 63,5% de las mujeres. Fuman 21,8%estando asociado al nivel socioeconómico bajo (OR: 3,38 p=0,01 IC95%: 1,27—9) y abandonode los estudios (OR: 2,88 p=0,015 IC95%. 1,20—6,86). Beben el 56,3% estando asociado a haberabandonado los estudios (OR: 3,5 IC95%: 1,43—8,94). Consumían drogas ilegales el 10,6% y sugrupo de amigos 36,6%. Mantuvieron relaciones sexuales sin método anticonceptivo 12,1%. Nose ponen casco o cinturón el 12,4% y 13,4% respectivamente Han conducido alguna vez bebidosel 24,2%. Se han sentido alguna vez deprimidos el 20,4%.Conclusiones: Las prevalencias de factores de riesgo y hábitos de vida referidos al peso,consumo de frutas, verduras y lácteos, ejercicio físico, tabaco, alcohol y trastornos de ánimo han sido semejantes a otros estudios que utilizan encuestas anónimas. Las prevalencias deconsumo otras drogas ha sido menor(AU)

Objective: To investigate the habits and risk factors of adolescents from two Health Centres intwo semi-urban populations using a structured clinical interview with open questions.Design: Cross-sectional descriptive study.Setting: Two semi-urban populations from the Malaga area.Participants: Adolescents aged between 16 and 18 years old. We selected 5 medical clinicsout of the 19 clinics in the Health Centres, using stratified random sampling. A total of 204adolescents were included, with 62 (30.39%) of them not attending.Outcomes: 42.3% were overweight or obese. The BMI and MBP ratio was R=0.4 They ate fruit,vegetables or dairy products at least once a day 54.2%, 57.8% and 24.5%, respectively. 32.3%of the male teenagers and 63.5% of females did not exercise regularly. 21.8% were smokers,and this was related to a low socio-economical level (OR: 3.38 P=0.001 95% CI: 1.27 to 9) andwith abandoning education (OR: 2.88 P=0.015 CI 95%. 1.20 to 6,86). 56.3% usually drink and thishabit was also related to abandoning education. (OR: 3.5 95% CI: 1.43 to 8.94). 10.6% of theteenagers consumed illegal substances and their group of friends in 36.6% of the cases. 12.1%had unprotected sex. 12.4% and 13.4% did not use a crash helmet or seat belt, respectively.24.2% have driven in a drunken state at some point. 20.4% have felt depressed at least once.Conclusions: Risk factors and life style habits prevalent in reference to weight, fruit, vegetablesand dairy products consumption, sport, smoking, alcohol and depression problems have beensimilar to the ones found in other studies that have used anonymous surveys. Prevalence ofsubstance abuse has been lower(AU)

[To find out the life habits and risk factors of adolescents seen in the Health Centres of two semi-urban populations using a structured open response clinical interview]. / Conocer los hábitos de vida y factores de riesgo de los adolescentes atendidos por los centros de salud de dos poblaciones semiurbanas mediante una entrevista clínica estructurada con respuestas abiertas.

OBJECTIVE: To investigate the habits and risk factors of adolescents from two Health Centres in two semi-urban populations using a structured clinical interview with open questions. DESIGN: Cross-sectional descriptive study. SETTING: Two semi-urban populations from the Malaga area. PARTICIPANTS: Adolescents aged between 16 and 18 years old. We selected 5 medical clinics out of the 19 clinics in the Health Centres, using stratified random sampling. A total of 204 adolescents were included, with 62 (30.39%) of them not attending. OUTCOMES: 42.3% were overweight or obese. The BMI and MBP ratio was R=0.4 They ate fruit, vegetables or dairy products at least once a day 54.2%, 57.8% and 24.5%, respectively. 32.3% of the male teenagers and 63.5% of females did not exercise regularly. 21.8% were smokers, and this was related to a low socio-economical level (OR: 3.38 P=0.001 95% CI: 1.27 to 9) and with abandoning education (OR: 2.88 P=0.015 CI 95%. 1.20 to 6,86). 56.3% usually drink and this habit was also related to abandoning education. (OR: 3.5 95% CI: 1.43 to 8.94). 10.6% of the teenagers consumed illegal substances and their group of friends in 36.6% of the cases. 12.1% had unprotected sex. 12.4% and 13.4% did not use a crash helmet or seat belt, respectively. 24.2% have driven in a drunken state at some point. 20.4% have felt depressed at least once. CONCLUSIONS: Risk factors and life style habits prevalent in reference to weight, fruit, vegetables and dairy products consumption, sport, smoking, alcohol and depression problems have been similar to the ones found in other studies that have used anonymous surveys. Prevalence of substance abuse has been lower.