Calidad de vida relacionada con la salud y obesidad en un centro de atención primaria

Gutiérrez, Miguel Angel Barajas; Martín, Elisa Robledo; Garcia, Nuria Tomás; Cuesta, Teresa Sanz; Martín, Pilar García; Somolinos, Inmaculada Cerrada

doi:10.1590/s1135-57271998000300007

Cited by 21 publications

(4 citation statements)

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“…The prevalence of this diseases is generally associated with adulthood [ 31 , 32 , 33 ]. Our study shows a bigger risk of living with diabetes among unemployed and other occupations (including those who work occasionally) high levels of stress have documented [ 34 , 35 ]. High levels of education are associated to a less probability of being diabetic.…”

Section: Discussionmentioning

confidence: 73%

The complex scenario of obesity, diabetes and hypertension in the area of influence of primary healthcare facilities in Mexico

Alcalde‐Rabanal¹,

Orozco²,

Espinosa-Henao³

et al. 2018

PLoS ONE

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IntroductionAmong non-communicable chronic diseases (NCCD), diabetes and hypertension are the main cause of adult mortality worldwide. Among the members of the Organization for Economic Cooperation and Development, Mexico is first in prevalence of diabetes and second in obesity. To face this problematic situation of NCCDs the Ministry of Health declared a national epidemiological alert against the overweight, obesity and diabetes. The target of this study is to characterize the status of obesity, diabetes and hypertension in the adult population in the area of influence of primary health facilities located in high social marginality areas.MethodsWe conducted a cross-sectional observational study and used a convenience sample. A survey was conducted on a population of 18 years old and above in four primary health facilities in four Mexican States. The survey explored sociodemographic characteristics, the presence of chronic diseases, the access to healthcare services, risk factors and life styles. We also applied a complementary questionnaire to 20% of the participants, in order to explore food consumption during the last week and physical activity (International Physical Activity Questionnaire). We based our analysis on descriptive statistics and logistic multivariate regression to analyze factors associated with diabetes and hypertension.Results73% (n = 7531, CI 0.72–0.74) percent of the population reported being diabetic, hypertensive and/or overweight. The majority of them receive healthcare in public health services. People over 40 years old, are 11 times more probable of living with diabetes and 8.7 times more probable of living with hypertension. Both conditions affect mostly women, whose main activity is to be a housewife. People who have lunch and dinner out of home are more likely to develop diabetes. People who perform intense physical activity are less likely to live with hypertension.ConclusionAccording to the self-report, more than 70% of adult population living in areas with high social marginality suffer diabetes, hypertension and obesity. However, the percentage of people who live with these chronic conditions and are not aware of them, is unknown. The Mexican health system needs a primary healthcare that emphasizes on health promotion, timely detection of risk factors of Non Communicable Diseases and prevention of their complications.

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Section: Discussionmentioning

confidence: 73%

The complex scenario of obesity, diabetes and hypertension in the area of influence of primary healthcare facilities in Mexico

Alcalde‐Rabanal¹,

Orozco²,

Espinosa-Henao³

et al. 2018

PLoS ONE

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“…It is associated with a higher risk of cardiovascular diseases [9], diabetes [10], some types of cancer [11, 12], depression [13], discrimination [14] and weight-related problems, as well as other illnesses, where the short- and long-term risks of childhood obesity translate to a decrease in quality of life [15], requiring earlier interventions that result in healthy behaviours within an obesogenic environment [16]. …”

Section: Introductionmentioning

confidence: 99%

Impact of a school-based intervention on nutritional education and physical activity in primary public schools in Chile (KIND) programme study protocol: cluster randomised controlled trial

et al. 2016

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BackgroundChile has suffered a fast increase in childhood obesity in the last 10 years. As a result, several school programmes have been implemented, however the effectiveness of these needs to be evaluated to identify and prioritize strategies to curve this trend.MethodsCluster randomized controlled trial. Twelve primary public schools chosen at random over three regions of the country will take part in this study. The sample size consisted of a total of 1,655 children. For each region one school will be selected for each of the three nutritional intervention modes and one school will be selected as the control group. The intervention modes consist of the following:Healthy Kiosk and nutritional education (KSEAN);Optimized physical activity (AFSO);Healthy Kiosk and nutritional education (KSEAN) + optimized physical activity (AFSO);Control group. The effectiveness of each intervention will be evaluated by determining the nutritional condition of each child by measuring percentage of body fat, BMI and the z-score of the BMI. This study will also identify the eating behaviours, nutritional knowledge and fitness of each child, along with the effective time of moderate activity during physical education classes.DiscussionA protocol to evaluate the effectiveness of a school based intervention to control and/or reduce the rates of childhood obesity for children between 6 and 10 years of age was developed. The protocol was developed in line with the Declaration of Helsinski, the Nüremberg Code and the University of Chile Guidelines for ethical committees, and was approved by the INTA, Universidad de Chile ethical committee on Wednesday 12 March 2014.There is consensus among researchers and health and education personnel that schools are a favourable environment for actions to prevent and/or control childhood obesity. However a lack of evidence on the effectiveness of interventions to date has led some to question the wisdom of allocating resources to programmes. This is the first study of this kind in Chile and could be an important first step to provide guidance to political authorities in relation to which food and nutrition strategies to prioritize to curve this alarming trend.Trial registration ISRCTN32136790, registered retrospectively on 05 September 2014.

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“…En España, los estudios sobre calidad de vida son habituales en otras poblaciones 5,6 y van emergiendo en población laboral [7][8][9] . En pro de fortalecer la orientación de la investigación en salud laboral hacia la esfera subjetiva de los trabajadores, es necesario plantear investigaciones que se preocupen por describir estos elementos en poblaciones laborales de diferentes contextos.…”

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Calidad de vida relacionada con la salud en trabajadores del área medioambiental

Villodres¹,

Montoro

Navarro³

et al. 2012

Med. segur. trab.

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Calidad de vida relacionada con la salud y obesidad en un centro de atención primaria

Cited by 21 publications

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The complex scenario of obesity, diabetes and hypertension in the area of influence of primary healthcare facilities in Mexico

The complex scenario of obesity, diabetes and hypertension in the area of influence of primary healthcare facilities in Mexico

Impact of a school-based intervention on nutritional education and physical activity in primary public schools in Chile (KIND) programme study protocol: cluster randomised controlled trial

Calidad de vida relacionada con la salud en trabajadores del área medioambiental

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