17 research outputs found
Maternal knowledge about complementary feeding in Latin america: A narrative review
Malnutrition has been the cause of 60% of the 10.9 million of deaths annually among children under five in the world. More than two thirds of those deaths are related to inappropriate feeding practices. Complementary feeding of children begins at 6 months with the introduction of any food other than breast milk or its substitutes. The inadequate start, inappropriate practices and insufficient knowledge about it, bring important consequences on the health of children and future adults. Objective: To review the degree of maternal knowledge about AC, in Latin America 2001 -2016. Methodology: This was a narrative review. Original,
available in full version, studies evaluating maternal knowledge about complementary feeding in Latin America were included. The reports were evaluated means the STROBE tool (Strengthening the Reporting of Observational Studies in Epidemiology). Results: There were 13 studies on practices and knowledge in complementary feeding: Mexico (one study), Peru (11 studies) and Ecuador (one study). In Colombia, there were six studies on practices and one about breastfeeding knowledge. Conclusion: In Latin America, the most studies show an intermediate level of knowledge about complementary feeding. In Colombia, is difficult to establish a degree of knowledge of complementary feeding current due to the lack of studies
Conocimientos maternos sobre alimentación complementaria en Latinoamérica: revisión narrativa
Malnutrition has been the cause of 60% of the 10.9 million of deaths annually among children under five in the world. More than two thirds of those deaths are related to inappropriate feeding practices. Complementary feeding of children begins at 6 months with the introduction of any food other than breast milk or its substitutes. The inadequate start, inappropriate practices and insufficient knowledge about it, bring important consequences on the health of children and future adults. Objective: To review the degree of maternal knowledge about AC, in Latin America 2001 -2016. Methodology: This was a narrative review. Original,
available in full version, studies evaluating maternal knowledge about complementary feeding in Latin America were included. The reports were evaluated means the STROBE tool (Strengthening the Reporting of Observational Studies in Epidemiology). Results: There were 13 studies on practices and knowledge in complementary feeding: Mexico (one study), Peru (11 studies) and Ecuador (one study). In Colombia, there were six studies on practices and one about breastfeeding knowledge. Conclusion: In Latin America, the most studies show an intermediate level of knowledge about complementary feeding. In Colombia, is difficult to establish a degree of knowledge of complementary feeding current due to the lack of studies.La malnutrición ha sido la causa del 60% de 10,9 millones de defunciones registradas cada año entre los niños menores de cinco años en el mundo. Más de dos tercios de esas muertes están relacionadas con prácticas inadecuadas de alimentación. La alimentación complementaria (AC) del niño se inicia a los 6 meses con la introducción de cualquier alimento que no sea leche materna o alguno de sus sucedáneos. El inicio inadecuado, las prácticas inapropiadas y los conocimientos insuficientes, traen consecuencias deletéreas importantes en la salud del niño y del futuro adulto. Objetivo: Revisar la literatura latinoamericana sobre el grado de conocimientos maternos sobre AC desde el 2001 hasta el 2016. Materiales y métodos: Esta fue una revisión narrativa; se incluyeron los estudios originales, disponibles en versión completa, que evaluaron los conocimientos maternos sobre AC en Latinoamérica. Los reportes fueros evaluados con la herramienta STROBE (Strengthening the Reporting of Observational Studies in Epidemiology). Resultados: Se encontraron 13 estudios: México (1 estudio), Perú (11 estudios) y Ecuador (1 estudio). En Colombia, se encontraron 6 estudios sobre prácticas y 1 sobre conocimientos en lactancia materna. Conclusión: En Latinoamérica, la mayoría los estudios muestra un nivel de conocimientos maternos intermedio sobre AC. En Colombia, es difícil establecer un grado de conocimiento de la corriente de alimentación complementaria debido a la falta de estudios
Fundamento y generalidades de la construcción de modelos estadísticos multinivel en el ámbito de la investigación en salud
The objective is to present a global vision of the applicability of multilevel analysis models in health research. Information is presented on the theoretical, methodological, and statistical foundations, as well as the basic steps for the construction of these models, and examples of their use according to the hierarchical structure of the data. It should be noted that before using these models it is necessary to have a theoretical support on the need for use it and a statistical evaluation that accounts for the percentage of variance explained by the grouping effect of the observations. The requirements to conduct this type of analysis will depend on special conditions such as the type of variables, the number of units per level or the type of hierarchical structure. It is concluded that multilevel analysis models are a useful tool to achieve information integration considering the complexity of relations and interactions that determine most health conditions, including the loss of independence between observation units.Este trabajo tiene como objetivo presentar una mirada global de la aplicabilidad de los modelos de análisis multinivel en el ámbito de la investigación sanitaria. Ofrece información sobre los fundamentos teóricos, metodológicos y estadísticos, además de los pasos básicos para la construcción de estos modelos, y ejemplos de su uso según la estructura jerárquica de los datos. Se destaca que antes de utilizar estos modelos se requiere contar con un soporte teórico sobre la necesidad de uso y una valoración estadística que dé cuenta del porcentaje de varianza explicada por el efecto de agrupación de las observaciones. Los requerimientos para llevar a cabo este tipo de análisis dependerán de condiciones especiales como el tipo de variables, la cantidad de unidades por nivel o el tipo de estructura jerárquica. Se concluye que los modelos de análisis multinivel son una herramienta útil para lograr la integración de información considerando la complejidad de las relaciones y las interacciones que determinan la mayoría de las condiciones de salud, incluida la pérdida de independencia entre las unidades de observación
Factores relacionados con la recuperación de la capacidad funcional en mujeres con cáncer de mama: revisión sistemática
The objective of this review was to consolidate the available evidence about the factors related to the re-covery of functional capacity (FC) in women with breast cancer, based the PRISMA declaration criteria. The qua-lity of the studies was assessed using the New Castle Ottawa and JADAD scales. 11 studies were included: se-ven experimental and four cohort follow-ups. Psycholo-gical, clinical, and treatment factors related to FC reco-very, were identified. However, some results come from studies with low methodological quality. Additionally, the findings are not comparable because they were evaluated using different instruments. In conclusion, the recovery of FC to require considering individual and interventions factors, as psychological well-being and early rehabilitation. Is necessary to standardize the ins-truments to evaluate FC in women with breast cancer, and to increase the quality of the research about this topicEl objetivo de esta revisión fue consolidar la evidencia disponible sobre los factores relacionados con la recuperación de la capacidad funcional (CF) en mujeres con cáncer de mama de acuerdo a los criterios de la declaración de PRISMA. La calidad de los estudios se evaluó utilizando las escalas New Castle Ottawa y JADAD. Se incluyeron 11 estudios: 7 experimentales y 4 seguimientos de cohortes. Identificamos factores psicológicos, clínicos y de tratamiento relacionados con la recuperación de CF, sin embargo, algunos resultados provienen de estudios con baja calidad metodológica. Además, los resultados no son comparables, porque fueron evaluados utilizando diferentes instrumentos. En conclusión, la recuperación de la FC requiere considerar factores individuales y de intervención, como el bienestar psicológico y la rehabilitación temprana, pero es necesario estandarizar los instrumentos para evaluar la CF en mujeres con cáncer de mama y aumentar la calidad de la investigación sobre este temaActividad Física y Deport
Protocolo con recomendaciones para aplicar el WHOQOL-BREF en población con cáncer de mama
Objective: To determine content validity of a protocol with the recommendations for the application of the WHOQOL-BREF instrument to assess the quality of life of women with breast cancer.
Materials and methods: This is a descriptive, observational, and type validation of instruments study. The process was developed in 3 phases, including content validation with the participation of experts in the oncology, psychology, social work, and nursing fields that assessed the clarity, coherence, relevance, and sufficiency of the protocol. The degree of agreement between the evaluators was determined using the rWG index.
Results: The protocol obtained mean scores higher than 9.0 in all items, the majority with rWG indices greater than 0.5. The evaluators added key recommendations such as permanent accompany during the application of the survey and active pauses inclusion due to the instrument extension.
Conclusions: A protocol is presented to improve the application of the WHOQOL-BREF instrument in populations that suffer from breast cancer.Objetivo: Determinar la validez de contenido de un protocolo con recomendaciones para la aplicación del instrumento WHOQOL-BREF, en la evaluación de la calidad de vida en mujeres con cáncer de mama.
Materiales y métodos: Estudio descriptivo, observacional, tipo validación de instrumentos. El proceso se desarrolló en 3 fases, incluyendo validación de contenido con la participación de expertos en las áreas de oncología, psicología, trabajo social, y enfermería; valorando la claridad, coherencia, pertinencia, y suficiencia del protocolo. Se determinó el grado de acuerdo entre los evaluadores con el índice RwG.
Resultados: El protocolo obtuvo puntajes promedios superiores a 9,0 en todos los ítems, la mayoría con índices RwG mayor a 0,5. Por su parte, los evaluadores adicionaron recomendaciones claves como acompañamiento permanente durante la aplicación de la encuesta e incluir pausas activas, por la extensión del instrumento.
Conclusiones: Se presenta un protocolo para mejorar la aplicación del instrumento WHOQOL-BREF en población con cáncer de mama
Protocolo con recomendaciones para aplicar el WHOQOL-BREF en población con cáncer de mama
Objective: To determine content validity of a protocol with the recommendations for the application of the WHOQOL-BREF instrument to assess the quality of life of women with breast cancer.
Materials and methods: This is a descriptive, observational, and type validation of instruments study. The process was developed in 3 phases, including content validation with the participation of experts in the oncology, psychology, social work, and nursing fields that assessed the clarity, coherence, relevance, and sufficiency of the protocol. The degree of agreement between the evaluators was determined using the rWG index.
Results: The protocol obtained mean scores higher than 9.0 in all items, the majority with rWG indices greater than 0.5. The evaluators added key recommendations such as permanent accompany during the application of the survey and active pauses inclusion due to the instrument extension.
Conclusions: A protocol is presented to improve the application of the WHOQOL-BREF instrument in populations that suffer from breast cancer.Objetivo: Determinar la validez de contenido de un protocolo con recomendaciones para la aplicación del instrumento WHOQOL-BREF, en la evaluación de la calidad de vida en mujeres con cáncer de mama.
Materiales y métodos: Estudio descriptivo, observacional, tipo validación de instrumentos. El proceso se desarrolló en 3 fases, incluyendo validación de contenido con la participación de expertos en las áreas de oncología, psicología, trabajo social, y enfermería; valorando la claridad, coherencia, pertinencia, y suficiencia del protocolo. Se determinó el grado de acuerdo entre los evaluadores con el índice RwG.
Resultados: El protocolo obtuvo puntajes promedios superiores a 9,0 en todos los ítems, la mayoría con índices RwG mayor a 0,5. Por su parte, los evaluadores adicionaron recomendaciones claves como acompañamiento permanente durante la aplicación de la encuesta e incluir pausas activas, por la extensión del instrumento.
Conclusiones: Se presenta un protocolo para mejorar la aplicación del instrumento WHOQOL-BREF en población con cáncer de mama
Factores relacionados con la calidad del sueño y la somnolencia diurna en universitarios del suroccidente colombiano
This research relates sociodemographic and academic characteristics and some life habits with sleep characteristics (quality and degree of sleepiness). A descriptive cross-sectional study with analytical intention, in which the Epworth daytime sleepiness scale and the Pittsburgh sleep quality index were applied to 313 students in health areas, it was obtained by an online questionnaire. Of the participants, 89.1% were classified as poor sleepers, 84.3% had some degree of daytime sleepiness, including excessive daytime sleepiness (3.5%). A relationship was found between the use of substances for NOT sleeping with sleep quality (p=0.009) and the degree of sleepiness (p=0.014). In the same way, between the degree of daytime sleepiness and the performance of work-related extracurricular activities (p=0.029). Also, a weak correlation between the Pittsburg score with age (p=0.009) and academic average (p=0.030). A high percentage of sleep difficulties and some associated factors were identified, which implies the need to educate on sleep hygiene since previous research have described that these can generate long-term negative consequences such as memory and concentration problems.Esta investigación relaciona las características del sueño (calidad y grado de somnolencia) con las características sociodemográficas y académicas, y algunos hábitos de vida. Estudio descriptivo de corte transversal con intención analítica, en el que se aplicaron la escala de somnolencia diurna de Epworth y el índice de calidad del sueño de Pittsburgh a 313 estudiantes de áreas de la salud, mediante cuestionario en línea. El 89,1% de los participantes se clasificaron como malos dormidores, y el 84,3% presentaron algún grado de somnolencia diurna, incluida la excesiva (3,5%). Se encontró relación entre el uso de sustancias para no dormir con la calidad del sueño (p=0,009) y el grado de somnolencia (p=0,014), así como entre el grado de somnolencia diurna y la realización de actividades extracurriculares de tipo laboral (p=0,029). También se dio una correlación débil entre el puntaje de Pittsburg y la edad (p=0,009) y el promedio académico (p=0,030). Se identificó un alto porcentaje de dificultades del sueño y algunos factores asociados, lo que supone la necesidad de educar en la higiene del sueño, dado que investigaciones previas han descrito que estos problemas pueden generar consecuencias negativas como problemas de memoria y concentración
The global burden of cancer attributable to risk factors, 2010-19 : a systematic analysis for the Global Burden of Disease Study 2019
Background Understanding the magnitude of cancer burden attributable to potentially modifiable risk factors is crucial for development of effective prevention and mitigation strategies. We analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to inform cancer control planning efforts globally. Methods The GBD 2019 comparative risk assessment framework was used to estimate cancer burden attributable to behavioural, environmental and occupational, and metabolic risk factors. A total of 82 risk-outcome pairs were included on the basis of the World Cancer Research Fund criteria. Estimated cancer deaths and disability-adjusted life-years (DALYs) in 2019 and change in these measures between 2010 and 2019 are presented. Findings Globally, in 2019, the risk factors included in this analysis accounted for 4.45 million (95% uncertainty interval 4.01-4.94) deaths and 105 million (95.0-116) DALYs for both sexes combined, representing 44.4% (41.3-48.4) of all cancer deaths and 42.0% (39.1-45.6) of all DALYs. There were 2.88 million (2.60-3.18) risk-attributable cancer deaths in males (50.6% [47.8-54.1] of all male cancer deaths) and 1.58 million (1.36-1.84) risk-attributable cancer deaths in females (36.3% [32.5-41.3] of all female cancer deaths). The leading risk factors at the most detailed level globally for risk-attributable cancer deaths and DALYs in 2019 for both sexes combined were smoking, followed by alcohol use and high BMI. Risk-attributable cancer burden varied by world region and Socio-demographic Index (SDI), with smoking, unsafe sex, and alcohol use being the three leading risk factors for risk-attributable cancer DALYs in low SDI locations in 2019, whereas DALYs in high SDI locations mirrored the top three global risk factor rankings. From 2010 to 2019, global risk-attributable cancer deaths increased by 20.4% (12.6-28.4) and DALYs by 16.8% (8.8-25.0), with the greatest percentage increase in metabolic risks (34.7% [27.9-42.8] and 33.3% [25.8-42.0]). Interpretation The leading risk factors contributing to global cancer burden in 2019 were behavioural, whereas metabolic risk factors saw the largest increases between 2010 and 2019. Reducing exposure to these modifiable risk factors would decrease cancer mortality and DALY rates worldwide, and policies should be tailored appropriately to local cancer risk factor burden. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.Peer reviewe
Maternal knowledge about complementary feeding in Latin america: A narrative review
Malnutrition has been the cause of 60% of the 10.9 million of deaths annually among children under five in the world. More than two thirds of those deaths are related to inappropriate feeding practices. Complementary feeding of children begins at 6 months with the introduction of any food other than breast milk or its substitutes. The inadequate start, inappropriate practices and insufficient knowledge about it, bring important consequences on the health of children and future adults. Objective: To review the degree of maternal knowledge about AC, in Latin America 2001 -2016. Methodology: This was a narrative review. Original,
available in full version, studies evaluating maternal knowledge about complementary feeding in Latin America were included. The reports were evaluated means the STROBE tool (Strengthening the Reporting of Observational Studies in Epidemiology). Results: There were 13 studies on practices and knowledge in complementary feeding: Mexico (one study), Peru (11 studies) and Ecuador (one study). In Colombia, there were six studies on practices and one about breastfeeding knowledge. Conclusion: In Latin America, the most studies show an intermediate level of knowledge about complementary feeding. In Colombia, is difficult to establish a degree of knowledge of complementary feeding current due to the lack of studies