La clase de Educación Física como referencia para identificar actividades vigorosas con acelerometría en niños de 8 y 9 años

The World Health Organization recommends that children and adolescents incorporate vigorous intensity activities but does not define how much vigorous physical activity (VPA) is necessary or what should be the duration of the activity sessions. Objective: To define the proportion of VPA in the most active physical education classes (PEC) to identify vigorous intensity physical activity sessions (i.e., activities). Methods: The PEC of 490 children (8-9 years old) were evaluated using accelerometry. The health-enhancing PEC were identified through the VPA performed and the weight status of the children. The 66.7 percentile of the VPA performed in the PEC by the children was calculated. Results: The average proportion of VPA of the health-enhancing PEC, and that performed by the most active schoolchildren (66.7 percentile) in the total PEC, show similar results. In boys, a VPA proportion of 16.3% and 16.1% was observed, respectively, and in girls 12.0% and 12.8%. Conclusion: The use of bouts of ≥60 minutes with ≥16.7% and 12.5% of VPA in boys and girls, respectively, is proposed to identify vigorous activity sessions with accelerometry.La Organización Mundial de la Salud recomienda que los niños y adolescentes incorporen actividades de intensidad vigorosa, pero no define cuánta actividad física vigorosa (VPA) es necesaria ni cuál debe ser la duración de las sesiones de actividad. Objetivo: Definir la proporción de VPA en las clases de educación física (CEF) más activas para identificar sesiones de actividad física (es decir, actividades) de intensidad vigorosa. Métodos: Se evaluaron mediante accelerometría las CEF de 490 escolares (8-9 años). Se identificaron las CEF consideradas saludablemente activas a través de la VPA realizada y el estado ponderal de los escolares. Se calculó el percentil 66,7 de la VPA realizada en las CEF por los escolares. Resultados: La proporción de VPA media de las CEF saludablemente activas, y la realizada por los escolares más activos (percentil 66,7) en el total de CEF, muestran resultados similares. En los niños se observó una proporción de VPA de 16,3% y 16,1%, y en las niñas del 12,0% y 12,8%, respectivamente. Conclusión: Se propone el uso de bouts de ≥60 minutos con ≥16,7% y 12,5% de VPA en niños y en niñas, respectivamente, para identificar sesiones de actividades vigorosas con acelerometría

Smoking Prevalence and Associated Factors During Pregnancy in Andalucía 2007-2012

Fundamentos: El tabaquismo durante la gestación constituye el principal problema prevenible de salud perinatal. El objetivo es establecer la prevalencia de tabaquismo de las mujeres gestantes en distintos momentos del embarazo así como explorar factores asociados al mismo. Métodos: Estudio transversal. La población diana fueron las mujeres cuyo control de embarazo se realizaba en centros de salud públicos. Muestra aleatoria representativa de 40 centros estratificados según número de embarazos. Participaron 1.813 mujeres seleccionadas en 3 muestras independientes (inicio y final del embarazo y posparto). La exposición se midió mediante cotinina en orina, autodeclaración y monóxido de carbono. Se registraron variables sociodemográficas, de tabaquismo y clínico-obstétricas. Se realizó una regresión logística para identificar los factores asociados al tabaquismo. Resultados: La prevalencia media fue 21,6%, menor al final del embarazo (15,6%) y en el puerperio (16,7%) y mayor en el principio del embarazo (30,3%). Las mujeres fumadoras diarias pasaron del 56,3% antes del embarazo al 14% al final (autodeclaración). El 21,8% de los abandonos se produjo antes del embarazo y el 23,6% cuando las mujeres supieron que estaban embarazadas. La ocultación del consumo fue 19,6% . Fueron factores asociados ser joven (OR: 0,956; IC: 0,92-0,99), estar expuesta al tabaco en el hogar (OR: 3,48; IC: 2,6-4,7), consumo pregestacional alto (6-10 OR: 13,1 IC: 3-56,9; >10 OR: 25,1 IC: 5,8-109,6), mayor edad gestacional en la medición (al final OR: 0,5 IC: 0,4-0,8; posparto inmediato OR: 0,4 IC: 0,3-0,6) y menor nivel de estudios (sin estudios y primer grado comparadas con universitarias OR: 1,98; IC: 1,22-3,22). Conclusiones: El perfil de la mujer gestante fumadora es el de una mujer joven con bajo nivel educativo, expuesta al humo de tabaco en el hogar y con alto consumo pregestacional.Background: Smoking during pregnancy is the most important preventable perinatal health problem. The aim of this research is to determine smoking prevalence in pregnant women at different times of pregnancy in Andalucía, using biochemical validation methods and to explore factors associated with it. Methods: Cross-sectional study. The study population was pregnant women followed in andalusian public health centers. A random sample of 40 health centers, stratified by number of pregnancies was collected, with 1813 pregnant enrolled in 3 independent samples (beginning and end of pregnancy, postpartum). The smoke exposure was measured by urinary cotinine, self-report and carbon monoxide in exhaled air. Control variables were socio-demographic, obstetric and related to smoking habit. A logistic regression was performed to explore factors associated with pregnancy smoking. Results: The mean prevalence in the whole sample was 21.6%, which was lower at the end of pregnancy (15.6%) and postpartum (16.7%) than at the beginning (30.3%). Daily smokers fell from 56.3% before pregnancy to 14% at the end (according to selfreport). Most of the quitters gave up before pregnancy (21.8%) or when they noticed they were pregnant (23.6%). Deception rate was 19.6%, varying according to gestational age and the amount of tobacco consumed. Younger age (OR: 0.956, CI 0.92-0.99), be exposed to second hand smoke at home (OR: 3.48, CI 2.6 to 4.7), a higher level of consumption before pregnancy (6-10 OR 13.1 CI 3 to 56.9,> 10 OR 25.1 CI 5.8 to 109.6), greater gestational age at measurement (end OR: 0.5 CI: 0.4-0.8; immediate postpartum OR 0.4 CI 0.3-0.6) and lower educational level (no education and first grade compared to university OR: 1.98, CI 1.22 to 3.22) were identified as factors associated. Conclusion: Consumption variations with gestational age compel to indicate the time of measurement in prevalence studies. The profile of the pregnant smoker was being young, poorly educated, exposed to tobacco smoke at home and with a previous history of heavy smoking.Proyecto financiado por la Consejería de Salud de la Junta de Andalucía: Subvenciones para la financiación de proyectos de investigación en Ciencias de la Salud en el ámbito de la Comunidad Autónoma de Andalucía según resolución de 27 de diciembre de 2004. Expediente 284/04

Relación entre las horas de sueño y la frecuencia de consumo de alimentos en niños y niñas en Andalucía en 2015

Introducción: La frecuencia de consumo de alimentos y bebidas en los niños depende de diferentes patrones de comportamiento. Objetivos:Evaluar el efecto de la duración del sueño de los niños sobre la frecuencia de consumo de alimentos, y describir las frecuencias de consumo según su estado ponderal y el nivel de educación familiar. Método: Se estudiaron 2721 niños y niñas de 6 a 9 años del Estudio ALADINO 2015 en Andalucía. Se recogieron el número de horas de sueño y la frecuencia semanal de consumo de 24 grupos de alimentos. Se calculó el estado ponderal mediante el índice de masa corporal, con los estándares de crecimiento de la OMS, se recogió el nivel educativo de los padres y madres. Las frecuencias medias de consumo de alimentos se calcularon según la duración del sueño (mayor o menor que la media diaria). Se ajustaron modelos de regresión logística para evaluar las asociaciones independientes de las horas de sueño sobre las frecuencias de consumo de alimentos (variables resultado), ajustando por edad, sexo, nivel de educación de los padres, estado ponderal y disponibilidad de medios de ocio pasivo en la habitación. Resultados: Dormir suficiente número de horas se asocia con mayor probabilidad de consumir fruta (OR:1,23;IC95%:1,06-1,42) y verdura (OR:1,19;IC95%:1,01-1,40), y menor probabilidad de consumir refrescos azucarados (OR:0,80;IC95%:0,67-0,97), zumos con azúcar (OR:0,79;IC95%:0,64-0,99), snacks salados (OR:0,46;IC95%:0,33-0,65), chocolates o caramelos (OR:0,71;IC95%:0,55-0,92), y galletas y bollos (OR:0,70;IC95%:0,58-0,84). El consumo de frutas y verduras medio semanal es mayor en niños sin sobrepeso y en hijos de padres con mayor nivel educativo. Conclusiones: Una duración de sueño adecuada está asociada con mayor consumo de frutas y verduras, y menos alimentos con alta densidad de energía. Mejorar la higiene del sueño es fundamental para mejorar los hábitos alimentarios, y especialmente en niños con sobrepeso, y de menor nivel educativoUniversidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Guía de intervenciones sanitarias eficaces ante la exposición al humo de tabaco ambiental

Ye

Accelerometry-assessed daily physical activity and compliance with recommendations in Spanish children: importance of physical education classes and vigorous intensity

Background Physical activity (PA) is associated with numerous health benefits. Vigorous PA (VPA) may have a greater impact on public health than lower-intensity PA. The incorporation of a specific recommendation on VPA could complement and improve existing recommendations for average daily moderate-vigorous PA (MVPA). Physical education classes could have a positive impact on children’s adherence to average daily physical activity recommendations. The aim was to investigate the association between MVPA and VPA in children, as well as adherence to recommendations, and obesity and the presence of physical education classes. Methods A cross-sectional study of physical activity was conducted in a sample of 8 and 9-year-old children in Andalusia (Spain). GENEActiv accelerometers were used, placed on the non-dominant wrist for at least eight consecutive days (24-h protocol). School days with and without physical education class, and weekend days were defined. ROC curves were used to calculate the threshold associated with obesity for average daily MVPA and VPA for recommendations. Results A total of 360 schoolchildren were included in the analyses (184 girls). An average of 7.7 (SD 1.4) valid days per participant were evaluated, with 19.9 (SD 10.5) and 11.4 (SD 5.1) minutes of VPA performed by boys and girls respectively. 25.8% of the participants were classified with central obesity. The optimal threshold determined with ROC analysis was 12.5 and 9.5 minutes of average daily VPA for boys and girls, respectively (RecVPA), and 75 minutes of average daily MVPA for both sexes (RecMVPA). The RecVPA showed stronger association with obesity. On school days with physical education class, compared to days without this class, children showed increased VPA and MVPA engagement and better compliance with recommendations, with smaller differences in adherence according to sex or obesity. Conclusions On days with physical education class, more physical activity was accumulated at all intensities and greater adherence to the recommendations than on days without this class. VPA had a stronger correlation with the absence of obesity than lower-intensity activity. It was also observed that boys were physically more active and had higher adherence to the recommendations than girls

Adherence to the WHO recommendation of three weekly days of vigorous intensity activities in children: an accelerometry study of vigorous physical activity bouts

Background The World Health Organization (WHO) recommends that children and adolescents incorporate vigorous intensity activities (VIAs) at least three days a week. This recommendation has not been sufficiently studied using objective methods, such as accelerometry. Physical education classes and extracurricular sports activities are optimal opportunities for compliance with this recommendation. Objective To identify VIAs through bouts of vigorous physical activity (VPA-Bouts) evaluated with accelerometry and, with this, to know the compliance with the recommendation on VIAs. Methods A cross-sectional study of the habitual physical activity of 353 children (8–9 years old) was carried out using accelerometry and participation in organized extracurricular sports activities was asked through a questionnaire. School days with and without physical education class, weekends, and the average weekly day were identified, as well as school time and out-of-school time. A VPA-Bout was defined as an interval of at least 60 minutes with a proportion of VPA of at least 16.7% in boys and 12.5% in girls (10.0 and 7.5 minutes/hour of VPA, respectively). Results The average daily time in organized extracurricular sports activities declared by questionnaire and the average daily duration of the VPA-Bouts evaluated with accelerometers in the extracurricular period was 21.3 (SD 19.8) and 23.9 (SD 31.2) minutes, respectively, in boys, whereas, in girls it was 20.2 (SD 17.4) and 11.0 (SD 16.9) minutes, respectively. In school time including a physical education class, there was a higher proportion of VPA-Bouts than without these classes (with: 28.6%, without: 2.1%, p < 0.001). Children who reported at least three weekly hours of organized extracurricular sports activities accumulated a higher proportion of school afternoons with VPA-Bouts than those with fewer weekly hours of this type of activities (≥3 hours/week: 27.5%, <3 hours/week: 9.3%, p < 0.001). On the weekend, boys who reported at least three weekly hours of organized extracurricular sports activities performed more VPA-Bouts than those participating in less weekly hours, while in girls no significant differences were observed (weekend; boys, ≥3 hours/week: 26.0%, <3 hours/week: 9.0%, p < 0.001; girls: 8.3%, 8.0%, p = 0.917). Compliance with the recommendation to incorporate VIAs at least three days a week was 23.8%. Children who reported at least three weekly hours of extracurricular sports activities achieved higher compliance than those who reported fewer extracurricular activities (≥3 hours/week: 35.1%, <3 hours/week: 12.7%, p < 0.001). Additionally, boys showed higher compliance rates than girls (boys: 32.9%, girls: 15.3%, p < 0.001). Conclusion One in every four children met the WHO recommendation to incorporate VIAs at least three days a week, as evaluated by accelerometry. Physical education classes and extracurricular organized sports activities contributed to compliance with this recommendation

Programa de promoción de la salud bucodental + propuesta didáctica : sonrisitas

YesPrograma para la promoción de la salud bucodental en la población infantil de 0 a 3 años. Recursos didácticos para centros que imparten el primer ciclo de educación infantil

Prevalencia de tabaquismo durante el embarazo y factores asociados en Andalucía 2007-2012 (*)

Background: Smoking during pregnancy is the most important preventable perinatal health problem. The aim of this research is to determine smoking prevalence in pregnant women at different times of pregnancy in Andalucía, using biochemical validation methods and to explore factors associated with it. Methods: Cross-sectional study. The study population was pregnant women followed in andalusian public health centers. A random sample of 40 health centers, stratified by number of pregnancies was collected, with 1813 pregnant enrolled in 3 independent samples (beginning and end of pregnancy, postpartum). The smoke exposure was measured by urinary cotinine, self-report and carbon monoxide in exhaled air. Control variables were socio-demographic, obstetric and related to smoking habit. A logistic regression was performed to explore factors associated with pregnancy smoking. Results: The mean prevalence in the whole sample was 21.6%, which was lower at the end of pregnancy (15.6%) and postpartum (16.7%) than at the beginning (30.3%). Daily smokers fell from 56.3% before pregnancy to 14% at the end (according to selfreport). Most of the quitters gave up before pregnancy (21.8%) or when they noticed they were pregnant (23.6%). Deception rate was 19.6%, varying according to gestational age and the amount of tobacco consumed. Younger age (OR: 0.956, CI 0.92-0.99), be exposed to second hand smoke at home (OR: 3.48, CI 2.6 to 4.7), a higher level of consumption before pregnancy (6-10 OR 13.1 CI 3 to 56.9,> 10 OR 25.1 CI 5.8 to 109.6), greater gestational age at measurement (end OR: 0.5 CI: 0.4-0.8; immediate postpartum OR 0.4 CI 0.3-0.6) and lower educational level (no education and first grade compared to university OR: 1.98, CI 1.22 to 3.22) were identified as factors associated. Conclusion: Consumption variations with gestational age compel to indicate the time of measurement in prevalence studies. The profile of the pregnant smoker was being young, poorly educated, exposed to tobacco smoke at home and with a previous history of heavy smoking.Fundamentos: El tabaquismo durante la gestación constituye el principal problema prevenible de salud perinatal. El objetivo es establecer la prevalencia de tabaquismo de las mujeres gestantes en distintos momentos del embarazo así como explorar factores asociados al mismo. Métodos: Estudio transversal. La población diana fueron las mujeres cuyo control de embarazo se realizaba en centros de salud públicos. Muestra aleatoria representativa de 40 centros estratificados según número de embarazos. Participaron 1.813 mujeres seleccionadas en 3 muestras independientes (inicio y final del embarazo y posparto). La exposición se midió mediante cotinina en orina, autodeclaración y monóxido de carbono. Se registraron variables sociodemográficas, de tabaquismo y clínico-obstétricas. Se realizó una regresión logística para identificar los factores asociados al tabaquismo. Resultados: La prevalencia media fue 21,6%, menor al final del embarazo (15,6%) y en el puerperio (16,7%) y mayor en el principio del embarazo (30,3%). Las mujeres fumadoras diarias pasaron del 56,3% antes del embarazo al 14% al final (autodeclaración). El 21,8% de los abandonos se produjo antes del embarazo y el 23,6% cuando las mujeres supieron que estaban embarazadas. La ocultación del consumo fue 19,6% . Fueron factores asociados ser joven (OR: 0,956; IC: 0,92-0,99), estar expuesta al tabaco en el hogar (OR: 3,48; IC: 2,6-4,7), consumo pregestacional alto (6-10 OR: 13,1 IC: 3-56,9; >10 OR: 25,1 IC: 5,8-109,6), mayor edad gestacional en la medición (al final OR: 0,5 IC: 0,4-0,8; posparto inmediato OR: 0,4 IC: 0,3-0,6) y menor nivel de estudios (sin estudios y primer grado comparadas con universitarias OR: 1,98; IC: 1,22-3,22). Conclusiones: El perfil de la mujer gestante fumadora es el de una mujer joven con bajo nivel educativo, expuesta al humo de tabaco en el hogar y con alto consumo pregestacional

Las mujeres y el tabaco : enfoque de género en el control de la epidemia en Andalucía

YesEn este documento se podrá encontrar una presentación de la evolución histórica del fenómeno del tabaquismo en la población femenina, las dificultades y limitaciones que existen para las mujeres, las intervenciones generales sobre tabaquismo y experiencias que muestran la eficacia cuando se diseñan acciones específicas y accesibles para ellas