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Dalmau J.,Hospital Infantil la Fe | Pena-Quintana L.,University of Las Palmas de Gran Canaria | Morais A.,Hospital Universitario La Paz | Varea V.,Institute Dexeus | And 2 more authors.
Anales de Pediatria | Year: 2015

Objective: The objeetive of the study was to analyze the nutritional patterns of ehildren under three years of age and to eompare the results against the reeommendations for energy and nutrient intake. Patients and methods: In this eross-seetional epidemiologieal study, parents eompleted a dietary diary on their food intake of their ehildren on 4 non-eonseeutive days. The pereentage of ehildren with mean intakes below the reeommendations for eaeh age and nutrient was analyzed using the "Estimated Average Requirement (EAR) eut-point method." Results: A total of 186 pediatrieians ineluded 1701 ehildren in the study. A total of 95.9% (n = 1320) of the ehildren between 7 and 36 months had a protein eonsumption more than twiee that of the Reeommended Daily Allowanees. The defieieneies observed (% < EAR) in the age groups 13-24 months and 25-36 months, respeetively, were: vitamin D in 81.7% and 92.1%; vitamin E in 39.3% and 53.4%; folie aeid in 12.5% and 14.8%; ealeium in 10.1% and 5.5%; iodine in 27.1% and 31%. It was observed that a higher pereentage in the daily intake of proteins (P=.013) and of earbohydrates (P<.0001), and a lower pereentage of total lipids (P<.0001), were related to a greater body mass index, regardless of energy intake. Conclusions: The study presents a very detailed view of the eating patterns of Spanish ehildren less than three years of age. The eneouragement of healthy feeding should be direeted towards the eorreetion of the dietary imbalanees deteeted, in order to promote the future health of ehildren. © 2014 Asoeiaeion Espanola de Pediatria. Published by Elsevier Espana, S.L.U. All rights reserved.


Dalmau J.,Hospital Infantil la Fe | Morais A.,Hospital Universitario La Paz | Pena-Quintana L.,University of Las Palmas de Gran Canaria | Varea V.,Institute Dexeus | And 2 more authors.
Anales de Pediatria | Year: 2014

Objective The present study evaluates energy and nutrient intake in Spanish children under three years of age, and compares the results with the current recommendations in order to identify possible inadequate nutrient intake. Patients and methods A cross-sectional pilot study. The mothers completed a diet diary for four non-consecutive days, recording the products and amounts consumed by their children. Nutrient intake was calculated, and the results were compared with the dietary reference intakes (DRI) for each age group. Results A total of 188 children (93 boys and 95 girls) aged 0-6 (n = 41), 7-12 (n = 24), 13-24 (n = 57), and 25-36 months (n = 66) were included. Statistically significant differences in DRI were observed for most of the nutrients analyzed. Protein intake, in particular was 376% of DRI in children between 1-3 years of age. By age groups, 96% of the children aged 7-12 months, 88% of the children aged 13-24 months, and 97% of the children aged 25-36 months showed protein intakes more than two-fold DRI. Conclusions Nutrient intake differed from the DRI, particularly as regards proteins. A new study is required to determine whether the observed study deviations could be representative of the national population of this age group, as well as the possible effects on child health. © 2013 Asociación Española de Pediatría. Publicado por Elsevier España, S.L. Todos los derechos reservados.


Eddy Ives L.S.,Center Medic Sant Ramon | de Frutos Gallego E.,ABS Raval Nord | Calvo Terrades M.,ABS Albera Salut | Curell Aguila N.,Institute Dexeus
Pediatria de Atencion Primaria | Year: 2012

Objective: to assess lifestyle habits and efficacy of a lifestyle intervention to reduce body mass index (BMI) in adolescents. Methods: one-year randomized control trial, carried out in 48 pediatrc primary care units of Catalonia. A random sample of 174 overweight and obese adolescents 10-14 years old was taken, 87 allocated to intervention group (IG) and 87 to control (CG). IG received baseline lifestyle counseling (food and exercise habits) plus 5 interventions at months 1, 3, 6, 9 and 12. CG received baseline intervention plus final control. Main outcome measures were: change in lifestyle habits, and of BMI and waist circumference (WC). Results: mean (SD) age was 11.81 (1.21) and 50% were female. A total of 125 participants (71.8%) completed follow-up at 12 months. Body mass index Z-scores showed a significant reduction in both study groups (p < 0.001), reducing from a mean (SD) initial value of 2.35 (0.46) to final value of 2.06 (0.60), which represents approximately 12% reduction of baseline Z-score, without showing differences between study groups. The waist circumference Z-score also was statistically reduced in both study groups: IG from mean 2.06 to 1.77; and CG from mean 2.06 to 1.82 (p < 0.001). Counseling improved many food habits (highlighting increase of fruit, decrease of candy and habit to pick-on food when bored) but physical activities decreased instead of increasing (p = 0.002). Conclusions: lifestyle counseling was effective to reduce body mass index and waist circumference in adolescents, regardless of intensity. Counseling improved food habits, but not exercise.


Varea Calderon V.,Hospital Sant Joan Of Deu | Varea Calderon V.,Institute Dexeus | Dalmau Serra J.,Hospital Infantil la Fe | Lama More R.,Hospital Universitario La Paz | Leis Trabazo R.,University of Santiago de Compostela
Acta Pediatrica Espanola | Year: 2013

In the first year, the breastfeeding is the gold standard for at least the first 6 months, but there is some dispersion of trends when it reaches the age of introducing complementary feeding. Traditionally, cereals are and have been the first foods that have been recommended as the start of complementary feeding. In recent times there has been a decline that is possibly related to some negative stereotypes so we thought it timely to update its role. The physiological characteristics of the first years of life are circumstances that are very important to get a good fit in the progression of food in response to the new capabilities will be acquired, in these early years, preferably in their digestive, renal and neuromuscular functions. Cereals are an excellent source of nutrition, but not everyone has the same properties, so it reviews the composition thereof, to assess the benefits that they have to the health of children, as well as the energy input is needed to cover their needs, and to avoid protected of deficits in vitamins and trace elements. Not only the quantity is important, it is undoubtedly the quality of them and place them in a context of varied and balanced diet that helps compensate the rest of the contributions. Being important cereals in the diet of our children, we should remember some updated recommendations in different periods of life will have on their use, either in the form of porridge in the early days, as more complex grain more advanced age and highlight the effect that conserve importance in the early years if used correctly. ©2013 Ediciones Mayo, S.A. All rights reserved.


PubMed | Molecular Genetics and Institute Dexeus
Type: Journal Article | Journal: Diagnostics (Basel, Switzerland) | Year: 2016

To analyze trends in screening and invasive prenatal diagnosis of chromosome abnormalities (CA) over a 13-year period and correlate them to changes in the national prenatal screening policy.We retrospectively reviewed Down syndrome (DS) screening tests and fetal karyotypes obtained by prenatal invasive testing (IT) in our fetal medicine unit between January 1999 and December 2011.A total of 24,226 prenatal screening tests for DS and 11,045 invasive procedures have been analyzed. Over a 13-year period, utilization of non-invasive screening methods has significantly increased from 57% to 89%. The percentage of invasive procedures has declined from 49% to 12%, although the percentage of IT performed for maternal anxiety has increased from 22% to 55%. The percentage of detected CA increased from 2.5% to 5.9%. Overall, 31 invasive procedures are needed to diagnose 1 abnormal case, being 23 procedures in medical indications and 241 procedures in non-medical indications.Our experience on screening and invasive prenatal diagnostic practice shows a decrease of the number of IT, with a parallel decline in medical indications. There is an increasing efficiency of prenatal screening program to detect CA. Despite the increasing screening policies, our population shows a growing request for prenatal IT. The a priori low risk population shows a not negligible residual risk for relevant CA. This observation challenges the current prenatal screening strategy focused on DS; showing that the residual risk is higher than the current cut-off used to indicate an invasive technique.

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