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Hospital de Órbigo, Spain

Marrugo-Florez M.,Grupo de Investigacion Salud de la Mujer | Romero-Perez I.,Grupo de Investigacion Salud de la Mujer | Fernandez-Alonso A.M.,Hospital Torrecardenas | Chedraui P.,University of Guayaquil | Perez-Lopez F.R.,University of Zaragoza
Menopause | Year: 2013

The aim of this study was to determine the relationship between self-reported sleep quality, menopausal symptom intensity, and correlates (including ethnicity) among middle-aged women. METHODS: The present cross-sectional study involved 1,078 Colombian women aged 40 to 59 years who completed the Pittsburgh Sleep Quality Index (PSQI), the Menopause Rating Scale (MRS), and a general questionnaire exploring sociodemographic data. RESULTS: The median [interquartile range] age of the whole sample was 49.0 [9.0] years. Among the participants, 45.4% were postmenopausal, 57.2% had increased body mass index values, 13.9% were black, 20.7% had hypertension, 74.1% had a stable partner, and 3.8% used hormone therapy. The prevalence of poor sleep quality was 57.1% (PSQI global score ≥5). Significant correlations between PSQI global scores and MRS total and subscale scores were found. Multiple linear regression analysis found that higher PSQI scores (poorer quality of sleep) correlated with higher MRS psychological and somatic subscale scores (more severe symptoms), smoking habit, and hypertension. Menopause status and black ethnicity were excluded from the final regression model. CONCLUSIONS: Despite study limitations, poor sleep quality is highly prevalent in this large middle-aged Colombian female sample and is related to menopausal symptom severity, tobacco use, and presence of hypertension. © 2012 by The North American Menopause Society. Source


Monterrosa-Castro A.,University of Cartagena | Romero-Perez I.,Grupo de Investigacion Salud de la Mujer | Marrugo-Florez M.,Grupo de Investigacion Salud de la Mujer | Fernandez-Alonso A.M.,Hospital Torrecardenas | And 2 more authors.
Menopause | Year: 2012

OBJECTIVE: The aim of this study was to assess quality of life (QoL) in a cohort of mid-aged Colombian women using the Cervantes Scale (CS). METHODS: In this cross-sectional study, 1,739 healthy women aged 40 to 59 years were asked to simultaneously fill out the CS and a questionnaire containing general female demographic data. The CS includes four domains: menopause and health (15 items), psychological (9 items), sexuality (4 items), and couple relationship (3 items). In addition, the menopause and health domain includes three subdomains: vasomotor symptoms, health, and aging. The global CS score may range from 0 to 155 (from better to worse QoL). RESULTS: Multiple linear regression determined that CS scores (global and domains) significantly increased (therefore, worse QoL) with age, menopause status, body mass index, parity, race, and marital and working status. The CS displayed a high internal consistency as Cronbach α values for the global and domain scores were above 0.80. CONCLUSIONS: This is the first study to report QoL assessment using the CS among mid-aged Latin American women from Colombia in whom age, menopause status, body mass index, and other personal factors influenced QoL. © 2012 by The North American Menopause Society. Source


Olivares-Romero J.,Hospital Torrecardenas
Revista de Neurologia | Year: 2015

Summary. In movies and television series are few References to seizures or reflex epilepsy even though in real life are an important subgroup of total epileptic syndromes. It has performed a search on the topic, identified 25 films in which they appear reflex seizures. Most seizures observed are tonic-clonic and visual stimuli are the most numerous, corresponding all with flashing lights. The emotions are the main stimuli in higher level processes. In most cases it is not possible to know if a character suffers a reflex epilepsy or suffer reflex seizures in the context of another epileptic syndrome. The main conclusion is that, in the movies, the reflex seizures are merely a visual reinforcing and anecdotal element without significant influence on the plot. © 2015, Revista de Neurología. All rights reserved. Source


Fernandez-Alonso A.M.,Hospital Torrecardenas | Dionis-Sanchez E.C.,Hospital Torrecardenas | Chedraui P.,Catholic University of Santiago de Guayaquil | Gonzalez-Salmeron M.D.,Hospital Torrecardenas | Perez-Lopez F.R.,University of Zaragoza
International Journal of Gynecology and Obstetrics | Year: 2012

Objective To determine the pregnancy outcome as a function of the first-trimester serum 25-hydroxyvitamin D 3 [25(OH)D] status and to compare the 25(OH)D levels in the first and third trimesters. Methods Pregnant women (n = 466) tested for serum 25(OH)D levels during the first trimester were followed up until the end of pregnancy, and the obstetric and neonatal outcomes were compared in reference to the baseline 25(OH)D status. The third-trimester 25(OH)D levels were additionally measured in a subset of women (n = 148). Results The obstetric and neonatal outcomes did not vary as a function of the first-trimester 25(OH)D status. Neither did the 25(OH)D levels vary as a function of pregnancy outcomes. Overall, the 25(OH)D levels significantly decreased from the first to the third trimester. The first- and third-trimester 25(OH)D levels of samples initially taken during autumn/winter were significantly lower than those that were initially taken during spring/summer. Interestingly, the decrease in 25(OH)D levels during the third trimester was independent of the season of sampling. Conclusion The pregnancy outcome was independent of the first-trimester 25(OH)D status. Overall, the 25(OH)D levels significantly decreased in the third trimester. More research in this area is warranted. © 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved. Source


Fernandez-Alonso A.M.,Hospital Torrecardenas | Trabalon-Pastor M.,Hospital Torrecardenas | Vara C.,Hospital Torrecardenas | Chedraui P.,University of Guayaquil | Perez-Lopez F.R.,University of Zaragoza
Maturitas | Year: 2012

Background: Studies assessing life satisfaction and feelings of loneliness in mid-aged women are scarce. Objective: To assess loneliness, life satisfaction and related factors in mid-aged Spanish women. Method: This was a cross sectional study in which 182 women aged 40 to 65 completed the menopause rating scale (MRS), the University of California at Los Angeles loneliness scale (UCLA-LS), the life satisfaction index A (LSI-A), and a general socio-demographic questionnaire containing personal/partner data. Internal consistency of each tool was also computed. Results: Median [interquartile range] age of the sample was 51 [9.0] years. A 55.5% were postmenopausal, 47.3% had increased body mass index (BMI) values, 57.7% were abdominally obese, 1.6% had hypertension and 86.3% had a stable partner. In addition, 4.9% used hormone therapy and 19.2% psychotropic drugs. Multiple linear regression analysis found that higher UCLA-LS scores (more loneliness) correlated with MRS psychological scores, partner alcohol abuse, living in urban areas, lower LSI-A scores (less life satisfaction) and not having a stable partner. Lower LSI-A scores (worse life satisfaction) correlated with severe female economical problems, BMI values and UCLA-LS and MRS psychological scores. Conclusion: Loneliness and life satisfaction in this mid-aged female sample was influenced by personal and partner issues which seem to play a much more relevant role than biological aspects. More research is warranted in this regard. © 2012 Elsevier Ireland Ltd. All rights reserved. Source

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