27 research outputs found
Treatment of children obesity and diabetes through gamification
Childhood obesity is nowadays a global epidemic. This illness
sometimes comes with another associated problem, like Diabetes
type II. In this paper we present a case of study about the results
of the application of a gamified educational program. A 3-year
longitudinal and prospective study was conducted a patient with
obesity and diabetes. Different assessments regarding the health
state of the patient have been developed (family background,
physical/medical, emotional state and physical activity). Using
Positive outcomes have been obtained in their medical registers
and also, in their health habits. Thus, the application of
gamification strategies in the educational program has positive
impact in the health
Predictors of Response to Exclusive Enteral Nutrition in Newly Diagnosed Crohn´s Disease in Children: PRESENCE Study from SEGHNP
Exclusive enteral nutrition (EEN) has been shown to be more effective than corticosteroids in achieving mucosal healing in children with Crohn´s disease (CD) without the adverse effects of these drugs. The aims of this study were to determine the efficacy of EEN in terms of inducing clinical remission in children newly diagnosed with CD, to describe the predictive factors of response to EEN and the need for treatment with biological agents during the first 12 months of the disease. We conducted an observational retrospective multicentre study that included paediatric patients newly diagnosed with CD between 2014–2016 who underwent EEN. Two hundred and twenty-two patients (140 males) from 35 paediatric centres were included, with a mean age at diagnosis of 11.6 ± 2.5 years. The median EEN duration was 8 weeks (IQR 6.6–8.5), and 184 of the patients (83%) achieved clinical remission (weighted paediatric Crohn’s Disease activity index [wPCDAI] 15 mg/L and ileal involvement tended to respond better to EEN. EEN administered for 6–8 weeks is effective for inducing clinical remission. Due to the high response rate in our series, EEN should be used as the first-line therapy in luminal paediatric Crohn’s disease regardless of the location of disease and disease activityS