Centenera de Andaluz, Spain
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PubMed | Hospital Universitario Puerta del Mar Cadiz, University of Cádiz and Medico Of Familia Hospital Universitario Puerta Del Mar Cadiz
Type: Journal Article | Journal: Nutricion hospitalaria | Year: 2014

Socioeconomical status may indirectly affect the obesity prevalence. This study gathers together dietary behaviour, physical activity and sedentary lifestyle in relation to the family socioeconomic status in a sample of Spanish children.Population-based cross-sectional study of 3-16 years children.Questionnaires about dietary behaviors, physical activity and sedentary lifestyles, and direct anthropometric measures. Criteria of physical activity recommended was >5METs (metabolic equivalence) during 60 min/day, and sedentary lifestyle as 120 min/day of sedentary activities, using obesity criteria from the ENKID study. We derived a single family socioeconomic level indicator (FSEL) from the level of studies, professional category and work situation of both parents.1620 children were studied. 59.5% met the physical activity recommendations. Boys with the higher FSEL quartile tend to do more physical activity. In girls, physical activity increases with the age and degree of overweight. 57.7% of boys and 48.1% of girls were found to be sedentary, with a lower rate in families with higher FSEL. Higher FSEL quartile was related to healthy dietary habits such as having breakfast, 5 meals per day and less snacking. The FSEL was related also to the consumption of whole grains, dairy products and fruits, but not to vegetables, meat or fish. The greatest risk of excess weight was found in girls >6 years old, with a low FSEL, sedentary habits, that snack frequently and eat few proteins.Family socioeconomic status seems to determine the level of physical activity, sedentary lifestyle and dietary behavior. The elaboration of a simple socioeconomic indicator may be useful to study factors involved in child obesity.


Fuentes-Ruiz J.A.,Emergencias Medicas y Urgencias | Lagares-Franco C.,University of Cádiz | Rodriguez-Molina O.,Emergencias Medicas y Urgencias | Cordero-Canas E.,Servicio de Emergencias Medicas y Urgencias | Benavente-Fernandez I.,Hospital Universitario Puerta del Mar Cadiz
Revista de Neurologia | Year: 2015

Introduction. Induced hypothermia for the first hours of life in a newborn is an effective treatment to reduce mortality and serious effects in neonates that had suffered a hypoxia episode. This method needs an universal attendance independently of the place of birth being usually necessary a transfer to the reference hospital. Aim. To analyze the efficacy of the newborn with hypoxic-ischemic encephalopathy transfer in passive hypothermia. Patients and methods. Descriptive study of series of cases with retrospective character of newborn from Cadiz’s province that need induced hypothermia. 46 newborn were included in the study: 33 of them (71.74%) needed being transfer by the Critical Patients Transport service (CPT group), the rest (28.26%) were born into the reference hospital. Results. Both groups are similar in age gestational at birth, sex, weight and hypoxic-ischemic encephalopathy degree. It analyzed variables related to hypothermia therapy and in addition in CPT group transfer specific variables. At discharge, it does not exist significant differences between groups in the efficiency-consequence of neuroprotection therapy with hypothermia (p = 0.159). It does not find complications derived from the interhospital move. Conclusions. Neonatal inter-hospital transfer in passive therapeutic hypothermia is effective, safe and necessary for the therapy compliance. It is required reach an agreement between the attendance and the reference service, setting up guides for the support and suitable range of temperature. © 2015 Revista de Neurología.


Lopez Ruzafa E.,Complejo Hospitalario Torrecardenas | Galera Martinez R.,Complejo Hospitalario Torrecardenas | Cortes Mora P.,Hospital Universitario Santa Maria del Rosell | Rivero De La Rosa M.C.,Hospital Universitario Virgen Macarena | And 2 more authors.
Acta Pediatrica Espanola | Year: 2011

The choice of the correct nutritional formula is the most important phase when establishing enteral nutrition. Given that children's energy and protein requirements are not the same as those in adults, there are different formulations adapted to the pediatric stage and within this, to different age groups. Furthermore, in recent years new types of formulas have been commercialized, as special foods or polymeric formulas for infants. This variety of formulas has allowed us to individualize nutritional support in pediatric patients. The aim of this article is to review, classify and establish the indications for the different formulas available at this time in the Spanish market. ©2011 Ediciones Mayo, S.A. All rights reserved.


Villagran Perez S.,Medico Of Familia Hospital Universitario Puerta Del Mar Cadiz Ameliarodriguez@Ucaes | Novalbos-Ruiz J.P.,University of Cádiz | Rodriguez-Martin A.,University of Cádiz | Martinez-Nieto J.M.,University of Cádiz | Lechuga-Sancho A.M.,Hospital Universitario Puerta del Mar Cadiz
Nutrición hospitalaria | Year: 2013

INTRODUCTION: Socioeconomical status may indirectly affect the obesity prevalence. This study gathers together dietary behaviour, physical activity and sedentary lifestyle in relation to the family socioeconomic status in a sample of Spanish children.DESIGN: Population-based cross-sectional study of 3-16 years children.METHODS: Questionnaires about dietary behaviors, physical activity and sedentary lifestyles, and direct anthropometric measures. Criteria of physical activity recommended was >5METs (metabolic equivalence) during 60 min/day, and sedentary lifestyle as 120 min/day of sedentary activities, using obesity criteria from the ENKID study. We derived a single "family socioeconomic level" indicator (FSEL) from the level of studies, professional category and work situation of both parents.RESULTS: 1620 children were studied. 59.5% met the physical activity recommendations. Boys with the higher FSEL quartile tend to do more physical activity. In girls, physical activity increases with the age and degree of overweight. 57.7% of boys and 48.1% of girls were found to be sedentary, with a lower rate in families with higher FSEL. Higher FSEL quartile was related to healthy dietary habits such as having breakfast, 5 meals per day and less snacking. The FSEL was related also to the consumption of whole grains, dairy products and fruits, but not to vegetables, meat or fish. The greatest risk of excess weight was found in girls >6 years old, with a low FSEL, sedentary habits, that snack frequently and eat few proteins.DISCUSSION: Family socioeconomic status seems to determine the level of physical activity, sedentary lifestyle and dietary behavior. The elaboration of a simple socioeconomic indicator may be useful to study factors involved in child obesity. Copyright AULA MEDICA EDICIONES 2013. Published by AULA MEDICA. All rights reserved.Abstract available from the publisher.


Perez S.V.,Hospital Universitario Puerta Del Mar Cadiz | Rodriguez-Martin A.,University of Cádiz | Ruiz J.P.N.,University of Cádiz | Nieto J.M.M.,University of Cádiz | Campoy J.L.L.,Hospital Universitario Puerta Del Mar Cadiz
Nutricion Hospitalaria | Year: 2010

In the prevention for being overweight and for obesity, much attentionis given to the influence of dietary factors, making the joint evaluation with other modifiable factors necessary. Objetives: The aim of this project is to study the association between modifiable factors (physical activity, sedentary lifestyle, and dietary habits) with the prevalence of being overweight or obesess in the youth population. Methods: Cross-Sectional study of1283 school children between the ages of 3 and 16 years old, with measurements of the MBI, dietary habits, physical activity, sedentary lifestyle and family history of being overweight. Physical activity measured in MET was classified according to Pate criteria. Results: 22.4% of the boys and 32.9% of the girls were overweightThe presence of a BMI>25 in parents multiplied by 2.4 the risk of being overweight in children (OR CI 95% 1.5-3.7). 63.6% of overweight boys meet physical activity recommendations compared with 52.2% of girls, although in their case, it was greater than the average (45%). Sedentary time was 141 minutes for men and 128 minutes for women, with more sedentary behaviors associated with being overweight, especially in girls over 12 years of age (66.7%). Consuming cereal (OR 0.8) and having fivemeals per day (OR 0.5) act as protective factors. Conclusions: In subjects with overweight, the levels of physical activity are close to those recommended levels, so which the values of a sedentary lifestyle together with dietary habits (if the parents have overweight) acquire a new relevance in intervention strategies of this problem.


Martin A.R.,University of Cádiz | Ruiz J.P.N.,University of Cádiz | Perez S.V.,Hospital Universitario Puerta Del Mar Cadiz | Nieto J.M.M.,University of Cádiz | Campoy J.L.L.,Hospital Universitario Puerta Del Mar Cadiz
Revista Espanola de Salud Publica | Year: 2012

Background: Parents often do not perceive their children's excess weight, and therefore not modified their lifestyles. We study how often this actually occurs and whether this perception is associated with differences in dietary habits, physical activity and sedentary in children. Methods: Cross-sectional study of 1620 children aged 3-16 years selected by multi-stage sampling (2008-2010) of which 454 children had excess weight. We studied family anthropometric characteristics, dietary habits, physical activity (adapted questionnaires Cindi/Marathon), and sedentary lifestyle. We analyze the differences in children with normal weight, unperceived and perceived excess weight (chi2 test and ANOVA). Results: Parents receive 34.7% of overweight cases and 72.3% obesity cases of their sons, and a 10.8% and 53,8% respectively in daughters. Obese parents recognize a 54.5% and 57,7% of cases of excess weight in sons, compared to 23.8% and 27,8% in daughters. Perception of excess weight was associated with the professional qualifications of the father (47%) and be a housewife (40%). Excess weight parents' perception coincided with more compliance with physical activity recommendations in younger's sons (67.5% vs. 77.3%) and daughters (47.5% vs. 55.6%), and a lower frequency of sedentary in 3-9 years girls (42.6% vs. 38.9%). According to parents' excess weight perception we found slight differences in dietary by gender and age group of children. Conclusions: A significant percentage of childrens excess weight is not perceived by the parents, being due to study the causes and why parent's perception does not determine differences in dietary habits, physical activity and sedentary habits in their children.


Perez S.V.,Hospital Universitario Puerta del Mar Cadiz | Novalbos-Ruiz J.P.,University of Cádiz | Rodriguez-Martin A.,University of Cádiz | Martinez-Nieto J.M.,University of Cádiz | Lechuga-Sancho A.M.,Hospital Universitario Puerta del Mar
Nutricion Hospitalaria | Year: 2013

Introduction: Socioeconomical status may indirectly affect the obesity prevalence. This study gathers together dietary behaviour, physical activity and sedentary lifestyle in relation to the family socioeconomic status in a sample of Spanish children. Design: Population-based cross-sectional study of 3-16 years children. Methods: Questionnaires about dietary behaviors, physical activity and sedentary lifestyles, and direct anthropometric measures. Criteria of physical activity recommended was >5METs (metabolic equivalence) during 60 min/day, and sedentary lifestyle as 120 min/day of sedentary activities, using obesity criteria from the ENKID study. We derived a single family socioeconomic level indicator (FSEL) from the level of studies, professional category and work situation of both parents. Results: 1620 children were studied. 59.5% met the physical activity recommendations. Boys with the higher FSEL quartile tend to do more physical activity. In girls, physical activity increases with the age and degree of overweight. 57.7% of boys and 48.1% of girls were found to be sedentary, with a lower rate in families with higher FSEL. Higher FSEL quartile was related to healthy dietary habits such as having breakfast, 5 meals per day and less snacking. The FSEL was related also to the consumption of whole grains, dairy products and fruits, but not to vegetables, meat or fish. The greatest risk of excess weight was found in girls >6 years old, with a low FSEL, sedentary habits, that snack frequently and eat few proteins. Discussion: Family socioeconomic status seems to determine the level of physical activity, sedentary lifestyle and dietary behavior. The elaboration of a simple socioeconomic indicator may be useful to study factors involved in child obesity.


Carmona Espinazo F.,Hospital Universitario Puerta Del Mar Cadiz | Perteguer Huertas I.,Hospital Universitario Puerta Del Mar Cadiz | Alarcon Manoja M.,Hospital Universitario Puerta Del Mar Cadiz | Garcia Polo C.,Hospital Universitario Puerta Del Mar Cadiz | And 2 more authors.
Nutricion Clinica y Dietetica Hospitalaria | Year: 2016

Background: In cases of ALS, due to the highly complex situations arising during the disease, it is essential to provide adequate information to the patient, so they can make suitable decisions concerning quality of life and symptom management over the course of their disease. To this end, an interdisciplinary and interlevel team has been created in the Hospital Universitario Puerta del Mar of Cadiz to provide the best care for people living with ALS. Objectives: Compare variables related to the clinical outcome and decisioin-making before and after the creation of the team. Methods: Descriptive and observational study. Variables under evaluation were compared pre- and post- intervention, including: symptoms at the admission or consultation stages, care taking episodes in the hospital, interdepartmental clinical issues, entries in the medical record of existence or prospect of completing the advance health care directive, decision-making and nutritional support. Result: For sake of comparison, two groups were formed, the first one was made of 15, whereas the second one composed of 13 patients. There was a significant improvement in all the variables under study. It is especially remarkable the advance in the living will records, decision-making and nutritional support. Discussion-Conclusion: The creation of an interdisciplinary team capable fo engaging the patient of ALS in the clinical issues and symptom management over the course of the disease, not only ensures an adequate decision-making by the patient, but improves the results of the corresponding clinical indicators. © Copyright 2012. Fundación Alimentación Saludable.

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