1,839 research outputs found
Calidad de vida y enfermedad pulmonar obstructiva crónica
La Enfermedad Pulmonar Obstructiva Crónica (EPOC) tiene un carácter progresivo e irreversible y está asociada a la triada de la disnea, la limitación del ejercicio y el evidente deterioro en la calidad de vida. En Estados Unidos la prevalencia de EPOC en la población adulta es aproximadamente del 6 % en hombres y de 1 a 3% en las mujeres y es la cuarta causa de mortalidad por enfermedades crónicas no transmisibles. En 1993 el National Health Interview Surgery, estimó que 12 millones de americanos sufrían bronquitis crónica y 2 millones tenían enfisema pulmonar, siendo estas dos afecciones responsables de más del 13 % de las hospitalizaciones. A medida que esta afección progresa, los pacientes experimentan una disminución de la calidad de vida relacionada con la salud (CVRS), su capacidad para trabajar empeora y disminuye su participación en actividades físicas y sociales. Sin embargo, se ha confirmado que la evaluación aislada de la gravedad de la EPOC, definida por el grado de descenso del volumen espiratorio forzado en el primer segundo (FEV1), no proporciona la información suficiente para conocer el estado de salud percibido por los pacientes. El hecho de que la CVRS sea el resultado de la interacción de múltiples factores físicos, psicológicos y sociales, únicos para cada individuo, puede explicar este hallazgo. Este documento, es una aproximación general y actualizada al manejo integral de los pacientes con EPOC, y discute el concepto de calidad de vida relacionada con el mejoramiento de la salud.The Chronic Obstructive Pulmonary Disease (COPD) has a progressive and irreversible character and it’s associated to the triad of dyspnea, exercise limitation and the evident deterioration of quality of life. In the United States the prevalence of COPD in adult population is approximately of 6% in men, and 1 to 3% in women and it’s the fourth cause of mortality by no transmissible chronic diseases. In 1993, the National Health Interview Surgery considered that 12 millions of Americans suffer from chronic bronchitis and 2 million had emphysema. These two affections are responsible for more than 13% of the hospitalizations. As this affection progresses, patients experience a diminution in quality of life related to health (CVRS), their capacity to work get worse and their participation in physical and social activities reduces. Nevertheless, it has been confirmed that the isolated evaluation of COPD seriousness, defined by the reduction of the Forced Expiratory Volume in the First Second (FEV1), does not provide enough information to know the health state perceived by the patients. The fact that the CVRS is the result of the interaction of multiple physical, psychological and social factors, unique for each individual, can explain this finding. This paper is a general and updated approach to the integral handling of patients with COPD, and it discusses the concept of quality of life, related to health improvement
Embarazo y calidad de vida relacionada con la salud : Estudio transversal
Objective: To evaluate and identify determinants of health related quality of life (HRQoL) during pregnancy.
Methods: In this descriptive exploratory study in sixty-four nulliparous pregnant women, completed the questionnaire:
HRQoL (Colombian standard version of the Medical Outcome Study Short-Form Health Survey -SF12v2-), and sociodemographic
determinants (i.e., age, place of origin, education, marital status, and occupation) during the second trimester.
Results: Mean age of patients included was 19.1±2.7 years old and gestational age was 17.6 ± 3.4 weeks. The participants
reported higher HRQoL scores in the vitality domain (56±11), followed by mental health (5110), and general health (50±11).
Moreover, the lowest score was demonstrated in the domains of emotional role (18±5) and physical role (25±4). Having a
higher household socioeconomic level was significantly correlated with higher scores in the physical role, general health,
social functioning, emotional role, and mental health. Being married or cohabiting was significantly correlated with all the
SF-12v2 domains, with the exception of the Bodily pain domain.
Conclusions: While we have included a comprehensive assessment of socioeconomic variables needed to assess and
identify the factors determining the HRQoL during pregnancy, further studies are needed that can guide the expectations of
women, their health care providers, and public policy. Objetivo: Evaluar e identificar los factores determinantes de la calidad de vida relacionada con la salud (CVRS) durante
el embarazo.
Métodos: Estudio descriptivo exploratorio en 64 gestantes nulíparas. Las participantes completaron el cuestionario de
CVRS SF-12v2 (versión colombiana estándar del Medical Outcome Study Short-Form Health Survey-SF12-), y encuesta de
factores determinantes sociodemográficos (edad, procedencia, nivel de educación, estado civil y situación laboral) durante
el segundo trimestre del embarazo.
Resultados: La edad media de las participantes fue 19.1±2.7 años y la edad gestacional 17.6 ±3.4 semanas. Las
puntuaciones más altas de la CVRS se presentaron en los dominios de vitalidad (56±11), seguido de salud mental (51±10)
y salud general (50±11). Por otra parte, la puntuación de CVRS más baja fue acusada en los dominios rol emocional (18±5)
y rol físico (25±4). Un mayor nivel socioeconómico se correlacionó significativamente con mejor puntuación en el
Cuestionario de Salud SF-12v2 en los dominios función física, salud general, función social, rol emocional y salud mental.
Estar casada o en unión libre se correlacionó significativamente con todos los dominios del SF-12v2, con excepción del
dominio dolor corporal.
Conclusiones: Si bien se ha incluido una evaluación exhaustiva de las variables socioeconómicas necesarias para evaluar
e identificar los factores determinantes en la CVRS durante el embarazo, se necesitan más estudios que puedan guiar las
expectativas de las mujeres, sus proveedores de atención de salud y políticas públicas
Diseño y control de una microred en dc de baja tensión con recursos distribuidos de energía
In this document a brief review of the DC microgrids generalities with emphasis in the control architecture is done. A novel hybrid-control architecture to take care of the inner, primary and secondary levels of DC microgrids monitoring, is simulated under different conditions. In the inner control architecture an Modified Exact Feedback Linearization with integral action approach, is proposed for control current or voltage in a Buck converter, designed to be part of the DC microgrid.
The controllers are tested in simulation using Matlab-Simulink . Results are compared with classic PID controllers and evaluated under two different mathematical
tools (Mean Square Error, Integral Time Absolute Error) in order to prove their effectiveness. The evaluated data show that the proposed approach outperform the
classical methods..
Diseño y control de una microred en dc de baja tensión con recursos distribuidos de energía
In this document a brief review of the DC microgrids generalities with emphasis in the control architecture is done. A novel hybrid-control architecture to take care of the inner, primary and secondary levels of DC microgrids monitoring, is simulated under different conditions. In the inner control architecture an Modified Exact Feedback Linearization with integral action approach, is proposed for control current or voltage in a Buck converter, designed to be part of the DC microgrid.
The controllers are tested in simulation using Matlab-Simulink . Results are compared with classic PID controllers and evaluated under two different mathematical
tools (Mean Square Error, Integral Time Absolute Error) in order to prove their effectiveness. The evaluated data show that the proposed approach outperform the
classical methods..
Facilitación neuromuscular propioceptiva (FNP) y su impacto en la función vascular
Estudios recientes de intervención en sujetos sedentarios, o aquellos con lesiones neurológicas, sugieren que una mayor actividad motora (ejercicio / actividad física), realizada a intensidades moderadas y habitualmente, podría tener efectos beneficiosos sobre la función vascular. Sin embargo, se desconocen los efectos fisiológicos de las intervenciones realizadas con técnicas facilitadoras de la actividad motora, como las técnicas de facilitación neuromuscular propioceptiva (PNF) de Kabat sobre la función vascular, aunque dichos efectos fisiológicos se proponen en dichos postulados. Este informe presenta la utilidad de PNF en la función vascular en tres voluntarios sanos. Los patrones de PNF de Kabat aumentan, al igual que los modelos o la actividad isotónica contráctil propuesta en esta prueba, la tensión de fricción vascular, que se relaciona con una mejor función vascular.Recent studies of intervention in sedentary subjects, or those with neurological lesions, suggest that increased motoractivity (exercise/physical activity), performed at moderate intensities and habitually, could have beneficial effects on thevascular function. However, the physiological effects of interventions conducted with facilitating techniques of the motoractivity, such as Kabat’s proprioceptive neuromuscular facilitation techniques (PNF) on vascular function are unknown, eventhough such physiological effects are proposed in said postulates. This report presents the usefulness of PNF on vascularfunction in three healthy volunteers. The patterns of Kabat’s PNF increase, just like the models or contractile isotonic activityproposed in this test, the tension of vascular friction, which relates to better vascular function
Precision physical activity and exercise prescriptions for disease prevention: the effect of interindividual variability under different training approaches
Papers in this research topic highlight the notion that personalized exercise is a feasible and effective lifestyle modification strategy, for all individuals with, or at risk of, non-communicable chronic diseases.
Accordingly, more research is needed to compare the training paradigms in defined subgroups, for instance, at-risk subjects, and at different stages of disease join to the point. With many issues unresolved, further research is warranted before exercise can conscientiously be prescribed as “precision medicine” to address cardiometabolic risk factors and their progression to many non-communicable diseases.This study has been funded in part by a research grant PI17/01814 of the Ministerio de Economia, Industria y Competitividad (ISCIII, FEDER)
Resistance training and clinical status in patients with postdischarge symptoms after COVID‑19: protocol for a randomized controlled crossover trial “The EXER‑COVID Crossover Study”
Background: Physical exercise induces a coordinated response of multiple organ systems, including the immune
system. In fact, it has been proposed that physical exercise may modulate the immune system. However, the potential
effect of an exercise program on COVID-19 survivors has not been investigated. Thus, the aim of this study is to evaluate
the modifications in immunological parameters, physical condition, inflammatory profile, and perceived persistent
symptoms after 6 weeks of supervised resistance training (RT), in addition to the standard care on the clinical status
of patients with persistent COVID-19 symptoms. The objective of this protocol is to describe the scientific rationale in
detail and to provide information about the study procedures.
Methods/design: A total of 100 patients with postdischarge symptoms after COVID-19 will be randomly allocated
into either a group receiving standard care (control group) or a group performing a multicomponent exercise
program two times a week over a period of 6 weeks. The main hypothesis is that a 6-week multicomponent exercise
program (EXER-COVID Crossover Study) will improve the immunological and inflammatory profile, physical condition,
and persistent perceived symptoms (fatigue/tiredness, musculoskeletal pain, and shortness of breath) in patients with
postdischarge symptoms after COVID-19.
Discussion: Our results will provide insights into the effects of a multicomponent exercise program on immunological
parameters, physical condition, inflammatory profile, and persistent perceived symptoms in patients with postdischarge
symptoms after COVID-19. Information obtained by this study will inform future guidelines on the exercise
training rehabilitation of patients with postdischarge symptoms after COVID-19."Proyectos de I+D+i" de los Programas Estatales de Generacion de Conocimiento y Fortalecimiento Cientifico y Tecnologico del Sistema de I+D+i Orientada a los Retos de la Sociedad, en el marco del Plan Estatal de Investigacion Cientifica y Tecnica y de Inno PID2020-113098RB-I0
Lipidomic signatures from physically frail and robust older adults at hospital admission
Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. This study was funded by a Gobierno de Navarra project Resolucion grant 2186/2014 and acknowledged with the "Beca Ortiz de Landazuri" as the best research clinical project in 2014, as well as by a research grant PI17/01814 of the Ministerio de Economia, Industria y Competitividad (ISCIII, FEDER). A.G.-H. is a Miguel Servet Fellow (Instituto de Salud Carlos III -CP18/0150). N.M.-V. received funding from "la Caixa" Foundation (ID 100010434), under agreement LCF/PR/PR15/51100006. R.R.-V. is funded in part by a Postdoctoral Fellowship Resolution ID 420/2019 of the Universidad Publica de Navarra.Identifying serum biomarkers that can predict
physical frailty in older adults would have tremendous
clinical value for primary care, as this condition is
inherently related to poor quality of life and premature
mortality. We compared the serum lipid profile of physically
frail and robust older adults to identify specific
lipid biomarkers that could be used to assess physical
frailty in older patients at hospital admission. Fortythree
older adults (58.1% male), mean (range) age 86.4
(78–100 years) years, were classified as physically frail
(n = 18) or robust (n = 25) based on scores from the
Short Physical Performance Battery (≤ 6 points). Nontargeted
metabolomic study by ultra-high performance
liquid chromatography coupled to mass spectrometry (UHPLC-MS) analysis with later bioinformatics data
analysis. Once the significantly different metabolites
were identified, the KEGG database was used on
them to establish which were the metabolic pathways
mainly involved. Area under receiver-operating curve
(AUROC) analysis was used to test the discriminatory
ability of lipid biomarkers for frailty based on the Short
Physical Performance Battery. We identified a panel of
five metabolites including ceramides Cer (40:2), Cer
(d18:1/20:0), Cer (d18:1/23:0), cholesterol, and phosphatidylcholine
(PC) (14:0/20:4) that were significantly
increased in physically frail older adults compared with
robust older adults at hospital admission. The most
interesting in the physically frail metabolome study
found with the KEGG database were the metabolic
pathways, vitamin digestion and absorption, AGERAGE
signaling pathway in diabetic complications, and insulin resistance. In addition, Cer (40:2) (AUROC
0.747), Cer (d18:1/23:0) (AUROC 0.720), and cholesterol
(AUROC 0.784) were identified as higher values
of physically frail at hospital admission. The non-targeted
metabolomic study can open a wide view of the
physically frail features changes at the plasma level,
which would be linked to the physical frailty phenotype
at hospital admission. Also, we propose that metabolome
analysis will have a suitable niche in personalized
medicine for physically frail older adults.Gobierno de Navarra project Resolucion grant 2186/2014Spanish Government PI17/01814Instituto de Salud Carlos III III -CP18/0150La Caixa Foundation 100010434
LCF/PR/PR15/51100006Universidad Publica de Navarra 420/2019CRUE-CSIC agreementSpringer Natur
Prevalence of non-responders for glucose control markers after 10 weeks of high-intensity interval training in adult women with higher and lower insulin resistance
Background: Exercise training improves performance and biochemical parameters on average, but wide interindividual variability exists, with individuals classified as responders (R) or non-responders (NRs), especially between populations with higher or lower levels of insulin resistance. This study assessed the effects of high-intensity interval training (HIIT) and the prevalence of NRs in adult women with higher and lower levels of insulin resistance. Methods: Forty adult women were assigned to a HIIT program, and after training were analyzed in two groups; a group with higher insulin resistance (H-IR, 40 ± 6 years; BMI: 29.5 ± 3.7 kg/m2; n = 20) and a group with lower insulin resistance (L-IR, 35 ± 9 years; 27.8 ± 2.8 kg/m2; n = 20). Anthropometric, cardiovascular, metabolic, and performance variables were measured at baseline and after 10 weeks of training. Results: There were significant training-induced changes [delta percent (Δ%)] in fasting glucose, fasting insulin, and homeostasis model assessment of insulin resistance (HOMA-IR) scores in the H-IR group (-8.8, -26.5, -32.1%, p < 0.0001), whereas no significant changes were observed in the L-IR. Both groups showed significant pre-post changes in other anthropometric variables [waist circumference (-5.2, p < 0.010, and -3.8%, p = 0.046) and tricipital (-13.3, p < 0.010, and -13.6%, p < 0.0001), supra-iliac (-19.4, p < 0.0001, and -13.6%, p < 0.0001), and abdominal (-18.2, p < 0.0001, and -15.6%, p < 0.010) skinfold measurements]. Systolic blood pressure decreased significantly only in the L-IR group (-3.2%, p < 0.010). Both groups showed significant increases in 1RMLE (+12.9, p < 0.010, and +14.7%, p = 0.045). There were significant differences in the prevalence of NRs between the H-IR and L-IR groups for fasting glucose (25 vs. 95%, p < 0.0001) and fasting insulin (p = 0.025) but not for HOMA-IR (25 vs. 45%, p = 0.185). Conclusion: Independent of the "magnitude" of the cardiometabolic disease (i.e., higher vs. lower insulin resistance), no differences were observed in the NRs prevalence with regard to improved HOMA-IR or to anthropometric, cardiovascular, and muscle performance co-variables after 10 weeks of HIIT in sedentary adult women. This research demonstrates the protective effect of HIIT against cardiometabolic disease progression in a sedentary population. © 2017 álvarez, Ramírez-Campillo, Ramírez-Vélez and Izquierdo
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