12 research outputs found
¿Se asocia el consumo de refrescos azucarados con la composición corporal? Estudio transversal en adolescentes españoles
Objectives: Published data about the association between
the consumption of sweetened soft-drinks (SSD)
and obesity in childhood are controversial and still inconsistent.
In addition, data are lacking in the Spanish population.
The purpose of this study was therefore, to explore
the cross-sectional association between body composition-
related parameters and SSD consumption in Spanish
adolescents.
Subjects and methods: A representative sample of 1,523
adolescents (768 boys and 755 girls), with complete dietary
data as well as anthropometric measurements, were
included in this study. Weight, height, waist circumferences,
and 6 skinfolds were measured, and BMI and percentage
body fat were calculated. From a 24h dietary recall
the subjects were grouped in 3 groups according to their
SSD consumption: 1) Non-consumers (0 g of SSD consumption);
2) Moderate consumption (< 336 g/day of
SSD, equivalent to the average SSD portion size); and 3)
High consumption (> 336 g/day of SSD).
Results: 67% males and 75% females did not consume
any SSD the day before the dietary recall interview.
Males consumed more SSD than females. Regarding the
association between SSD consumption and measures of
obesity, no difference was observed between the three
groups of SSD consumption in any of the anthropometric
measurement, BMI or body fat.
Conclusion: As no association was present between
SSD consumption and obesity in our cross-sectional study
we suggest that dietary patterns and habits as well as
lifestyle factors such as physical activity should be present when examining cross-sectional or longitudinal relationships
with obesity. Multidisciplinary intervention
studies are crucial when trying to develop solutions
against the increasing obesity epidemic.Objetivos: Los datos publicados sobre la asociación
entre el consumo de refrescos azucarados (SSD) y la obesidad
en la infancia son controvertidos y todavía inconsistentes.
Además, estos datos son muy escasos en la población
española. Por ello, el propósito de este estudio ha sido
estudiar la asociación entre los parámetros relacionados
con la composición corporal y el consumo de SSD en adolescentes
españoles.
Sujetos y métodos: Se ha realizado el estudio en una
muestra de 1.523 adolescentes (768 chicos y 755 chicas)
que tenían cumplimentados los datos dietéticos y los
parámetros antropométricos (peso, altura, circunferencias
de cintura, y 6 pliegues). Se calculó el IMC y el porcentaje
de grasa corporal. La dieta ha sido calculada a
partir de un recordatorio de 24h. Los sujetos fueron divididos
en grupos dependiendo de la cantidad de SSD que
consumían: 1) No consumidores (0 g de consumo SSD); 2)
Consumo moderado (< 336 g/día de SSD, equivalente a
una bebida al día de SSD); y 3) Consumo alto (> 336 g/día
de SSD).
Resultados: El 67% de los varones y el 75% de las
mujeres indican no consumir este tipo de bebidas el día
anterior a la encuesta. Los varones en general consumieron
más SSD que las mujeres. En cuanto a la asociación
entre consumo SSD y medidas antropométricas y de composición
corporal, no se encontraron diferencias significativas
entre los tres grupos de estudio en los parámetros
antropométricos, IMC o grasa corporal.
Conclusión: Dado que no se ha encontrado en este estudio
ninguna asociación entre el consumo de SSD y la obesidad,
sugerimos que los patrones y hábitos dietarios así
como los factores del estilo de vida, y la actividad física,
deberían tenerse en cuenta al examinar las relaciones
transversales o longitudinales con la obesidad, y que los estudios de intervención multidisciplinar son cruciales
cuando se trata de desarrollar soluciones contra el incremento
de una epidemia como la obesidad.The AVENA study was supported by Spanish Ministry
of Health (00/0015) and by grants from the Spanish Higher
Sports Council (05/UPB32/01, 09/UPB31/03 and
13/UPB20/04), the Spanish Ministry of Education
(AP2003-2128 and AP2004-2745), Coca-Cola, Panrico
SA, Madaus SA and Procter & Gamble SA
Design and evaluation of a treatment programme for Spanish adolescents with overweight and obesity. The EVASYON Study
Background
The prevalence of overweight and obesity (OW/OB) among adolescents worldwide has increased since the 60 s. Spain has reached one of the highest OW/OB prevalence rates among adolescents from European countries. The aim of this methodological paper is to describe the design and evaluation in the EVASYON study (Development, implementation and evaluation of the efficacy of a therapeutic programme for adolescents with OW/OB: integral education on nutrition and physical activity).
Methods/Design
The EVASYON was planned by a multidisciplinary team to treat OW/OB in Spanish adolescents. The EVASYON is a multi-centre study conducted in 5 hospitals in 5 Spanish cities (Granada, Madrid, Pamplona, Santander and Zaragoza) and two hundred and four OW/OB Spanish adolescents were recruited for this intervention. The treatment was implemented for approximately one-year follow-up. The adolescents were treated in groups of a maximum of 10 subjects; each group had 20 visits during the treatment period in two phases: intensive during the first 2 months (1st to 9th visits), and extensive during the last 11 months (10th to 20th visits). In order to assess the efficacy of the treatment, 8 dimensions were measured: diet; physical activity and fitness; eating behaviour; body composition; haematological profile; metabolic profile; minerals and vitamins; immuno-inflammatory markers. Moreover, genetic polymorphisms were also determined.
Discussion
The treatment programme developed in the EVASYON study was designed as a national pilot study to be implemented as an effective treatment for adolescents with OW/OB into the Spanish Health Care Service
Long-term results of breast conservation and immediate volume replacement with myocutaneous latissimus dorsi flap
<p>Abstract</p> <p>Background</p> <p>Published long-term outcomes of oncoplastic breast-conserving surgery are scarce and, specifically, aesthetic outcomes assessed with an objective method have not previously been published.</p> <p>Methods</p> <p>A cohort of 41 patients treated with a quadrantectomny and immediate reconstruction using a myocutaneous latissimus dorsi flap were analyzed and their aesthetic outcomes were evaluated objectively by BCCT.core software.</p> <p>Results</p> <p>At the end of a 58-month follow-up from the date of initial diagnosis, one patient (2.4%) developed an ipsilateral recurrence, six patients developed distant metastases and three patients died (7.3%) without ipsilateral recurrence, one of them presenting hepatic metastases at the time of the initial diagnosis. We were able to evaluate aesthetic results in 23 patients, 3 assessed as excellent, 12 good and 8 fair.</p> <p>Conclusion</p> <p>This oncoplastic volume replacement technique obtained a good local control and satisfactory and stable aesthetic results which have maintained unchanged after a long period of time.</p
Prácticas alimentarias de los adolescentes de Cantabria
Objetivo. Analizar determinadas prácticas alimentarias
en adolescentes escolarizados en centros de educación pública
de Cantabria, participantes en el Proyecto "Promoción
de Hábitos Saludables en Adolescentes desde el Ámbito
Educativo".
Sujetos. Se realizó un estudio transversal, analizando
una muestra de 1.101 adolescentes: 568 (51,6%) varones y
533 (48,4%) mujeres, de edades comprendidas entre los 10 y
los 17 años, escolarizados en dieciséis centros de enseñanza
primaria y secundaria, mediante un cuestionario autocumplimentado.
Resultados. Los adolescentes suelen realizar entre cuatro
(41,5%) y cinco (31,6%) ingestas diarias. Durante los días
de colegio, el 34% emplea entre diez y quince minutos en
desayunar, y entre 30 y 35 minutos en comer (33,5%) y cenar
(23%). Un elevado porcentaje (49,4%) de adolescentes desayunaba
en soledad durante los días lectivos. Las principales
ingestas alimenticias se realizan en el hogar. Las bebidas no
alcohólicas (53,6%) y los dulces (42%) son los principales
destinos de su dinero de bolsillo. En la casi totalidad de los
hogares, es la madre la que se encarga de la compra de los
alimentos, de la preparación de las comidas y de decidir
tanto el almuerzo como la merienda. La pizza (72,6%) y las
patatas fritas (70,8%) son los alimentos considerados más
ricos entre los analizados, mientras que el perrito caliente (49,4%) y la hamburguesa (48,5%) son considerados como
los menos sanos. El 58,6% de los encuestados cena viendo
la televisión.
Conclusión. En el estudio del comportamiento alimentario
es necesario analizar la influencia de otros factores que,
en muchas ocasiones, están detrás de las recomendaciones
dietéticas y que casi siempre son ignorados. Prácticas alimentarias
como las analizadas en el presente estudio, permiten,
cuando estas se desarrollan de forma adecuada, una
mejora sustancial en la salud alimentaria y nutricional de
las personas
Autoimagen en las dos primeras fases de la adolescencia y factores relacionados
Se trata de la descripción de la imagen corporal en un amplio grupo de alumnos escolarizados en Cantabria (n=1179 adolescentes), de 10 a 17 años de edad (adolescencia temprana e intermedia) dentro de un estudio más amplio encaminado a evidenciar un estilo de vida saludable en estos adolescentes, llevado a cabo por profesores de universidad y profesores de educación física de los centros educativos. Los principales hallazgos consisten en que los adolescentes tienen, en general, una buena imagen de sí mismos y, aunque no reconocen la elevada prevalencia de sobrepeso y obesidad, desean adelgazar y el grado de satisfacción que tienen con su imagen corporal va empeorando conforme avanza la adolescencia, signifi cativamente más en las del sexo femenino. Esta insatisfacción debe ser tenida en cuenta en el abordaje de los adolescentes con obesidad
Birth weight and blood lipid levels in Spanish adolescents: Influence of selected APOE, APOC3 and PPARgamma2 gene polymorphisms. The AVENA Study
Background: There is increasing evidence indicating that genes involved in certain metabolic processes of cardiovascular diseases may be of particular influence in people with low body weight at birth. We examined whether the apolipoprotein (APO) E, APOC3 and the peroxisome proliferator-activated receptor-gamma-2 (PPAR gamma 2) polymorphisms influence the association between low birth weight and blood lipid levels in healthy adolescents aged 13-18.5 years.
Methods: A cross-sectional study of 502 Spanish adolescents born at term was conducted. Total (TC) and high density lipoprotein cholesterol (HDLc), triglycerides (TG), apolipoprotein (apo) A and B, and lipoprotein(a) [ Lp(a)] were measured. Low density lipoprotein cholesterol (LDLc), TC-HDLc, TC/HDLc and apoB/apoA were calculated. Results: Low birth weight was associated with higher levels of TC, LDLc, apoB, Lp(a), TC-HDLc, TC/HDLc and apoB/apoA in males with the APOE epsilon 3 epsilon 4 genotype, whereas in females, it was associated with lower HDLc and higher TG levels. In males with the APOC3 S1/S2 genotype, low birth weight was associated with lower apoA and higher Lp(a), yet this association was not observed in females. There were no associations between low birth weight and blood lipids in any of the PPAR gamma 2 genotypes.
Conclusion: The results indicate that low birth weight has a deleterious influence on lipid profile particularly in adolescents with the APOE epsilon 3/epsilon 4 genotype. These findings suggest that intrauterine environment interact with the genetic background affecting the lipid profile in later life
Birth weight and blood lipid levels in Spanish adolescents: Influence of selected APOE, APOC3 and PPARgamma2 gene polymorphisms. The AVENA Study
Background
There is increasing evidence indicating that genes involved in certain metabolic processes of cardiovascular diseases may be of particular influence in people with low body weight at birth. We examined whether the apolipoprotein (APO) E, APOC3 and the peroxisome proliferator-activated receptor-γ-2 (PPARγ2) polymorphisms influence the association between low birth weight and blood lipid levels in healthy adolescents aged 13–18.5 years.
Methods
A cross-sectional study of 502 Spanish adolescents born at term was conducted. Total (TC) and high density lipoprotein cholesterol (HDLc), triglycerides (TG), apolipoprotein (apo) A and B, and lipoprotein(a) [Lp(a)] were measured. Low density lipoprotein cholesterol (LDLc), TC-HDLc, TC/HDLc and apoB/apoA were calculated.
Results
Low birth weight was associated with higher levels of TC, LDLc, apoB, Lp(a), TC-HDLc, TC/HDLc and apoB/apoA in males with the APOE ε3ε4 genotype, whereas in females, it was associated with lower HDLc and higher TG levels. In males with the APOC3 S1/S2 genotype, low birth weight was associated with lower apoA and higher Lp(a), yet this association was not observed in females. There were no associations between low birth weight and blood lipids in any of the PPARγ2 genotypes.
Conclusion
The results indicate that low birth weight has a deleterious influence on lipid profile particularly in adolescents with the APOE ε3/ε4 genotype. These findings suggest that intrauterine environment interact with the genetic background affecting the lipid profile in later life.The AVENA study was supported by the Spanish Ministry of Health Instituto de Salud Carlos III (FIS PI021830), the Spanish Ministry of Health, FEDER-FSE funds FIS n° 00/0015, CSD grants 05/UPB32/0, 109/UPB31/03 and 13/UPB20/04, the Spanish Ministry of Education (AP-2004-2745; EX-2007-1124), scholarships from Panrico S.A., Madaus S.A. and Procter and Gamble S.A
Birth weight and blood lipid levels in Spanish adolescents: Influence of selected APOE, APOC3 and PPARgamma2 gene polymorphisms. The AVENA Study
Background: There is increasing evidence indicating that genes involved in certain metabolic processes of cardiovascular diseases may be of particular influence in people with low body weight at birth. We examined whether the apolipoprotein (APO) E, APOC3 and the peroxisome proliferator-activated receptor-gamma-2 (PPAR gamma 2) polymorphisms influence the association between low birth weight and blood lipid levels in healthy adolescents aged 13-18.5 years.
Methods: A cross-sectional study of 502 Spanish adolescents born at term was conducted. Total (TC) and high density lipoprotein cholesterol (HDLc), triglycerides (TG), apolipoprotein (apo) A and B, and lipoprotein(a) [ Lp(a)] were measured. Low density lipoprotein cholesterol (LDLc), TC-HDLc, TC/HDLc and apoB/apoA were calculated. Results: Low birth weight was associated with higher levels of TC, LDLc, apoB, Lp(a), TC-HDLc, TC/HDLc and apoB/apoA in males with the APOE epsilon 3 epsilon 4 genotype, whereas in females, it was associated with lower HDLc and higher TG levels. In males with the APOC3 S1/S2 genotype, low birth weight was associated with lower apoA and higher Lp(a), yet this association was not observed in females. There were no associations between low birth weight and blood lipids in any of the PPAR gamma 2 genotypes.
Conclusion: The results indicate that low birth weight has a deleterious influence on lipid profile particularly in adolescents with the APOE epsilon 3/epsilon 4 genotype. These findings suggest that intrauterine environment interact with the genetic background affecting the lipid profile in later life