Associations between health-related physical fitness and self-esteem in primary school children

Physical fitness plays an important role as an indicator of physical health. It is also associated with psychological well-being by showing positive relationships between its components and self-esteem in children and adolescents. However, while the musculoskeletal fitness shows clearer associations, this is not the case of cardiorespiratory fitness and body composition. This study aimed to determine the relationships between the different components of the physical fitness and self-esteem in a sample of 377 students from 9 to 13 years in Albacete. Physical fitness was measured by the 20m shuttle run, broad jump test and handgrip strength. Waist circumference and body mass index were used as body composition measures. Self-esteem was evaluated with the Multimedia and Multilingual Questionnaire for Self-Esteem Assessment, attending to its academic, athletic, socio-affective and global domains. Results showed significant positive associations of 20m shuttle run and broad jump test with global self-esteem and most of the dimensions. There were also significant correlations between body composition measures and athletic and global self-esteem. These results allow for guiding those interventions aimed at increasing self-esteem in school age and incorporating the improvement of physical fitness.The researchers Álvaro Infantes-Paniagua and María Pilar León are supported by a grant from the Spanish Ministry of Education, Culture and Sport (FPU16/00082 and FPU15/00137, respectively)

Efecto de un programa de iniciación a la natación basado en juegos motores acuáticos sobre la autoestima corporal y socio afectiva en niñas y niños de 5 y 6 años de edad

This study sought to examine the success of the application of two introductory swimming programmes in enhancing the body and socio-affective self-esteem of 5 and 6 year olds, and to determine which of these programmes was more effective in this improvement. Both programmes were administered over three months and were designed under the stageapproach of the Royal Spanish Swimming Federation. The first was implemented in the control group (31 girls and 27 boys), and the second in the experimental group (29 girls and 23 boys). The experimental group included the application of aquatic games designed to promote cooperative play and children’s knowledge of their own bodies. The results showed significant improvements in both types of self-esteem in the experimental group, while only body self-esteem improved in the control group. In the between-group comparison, the experimental group showed significantly more robust results in both types of self-esteem. No gender differences were found. We conclude that the use of motor games oriented towards collaborative games and knowledge of one's own body aremore effective in improving both types of self-esteem. Thus, their use is recommended in introductory swimming classes.Este estudio analizó si la aplicación de dos programas de iniciación a la natación conseguía mejorar la autoestima corporal y socio afectiva de alumnos de cinco y seis años, y conocer cuál era más efectivo en dicha mejora. Sendos programas se aplicaron durante tres meses. Los programas se diseñaron bajo el planteamiento de etapas de la Real Federación Española de Natación. El primero se estableció en el grupo control (31 niñas y 27 niños), y el segundo en el grupo experimental (29 niñas y 23 niños). El grupo experimental incluyó la aplicación de juegos motores acuáticos diseñados para fomentar el conocimiento del propio cuerpo y el juego cooperativo. Los resultados mostraron que en el grupo experimental se lograron mejoras significativas de ambas autoestimas, mientras que en el grupo control solo mejoró la autoestima corporal. En la comparación entre grupos, el grupo experimental fue significativamente más eficiente en ambas autoestimas. No se encontraron diferencias en función del sexo. Se concluye que la utilización de los juegos motores orientados al conocimiento del propio cuerpo, y los juegos cooperativos son más eficaces para la mejora de ambas autoestimas. De este modo es conveniente su uso en las clases de iniciación a la natación

Evolución post-lahárica de un canal proglaciar: garganta de Huiloac (México)

En el último periodo eruptivo del volcán Popocatépetl (19º 02´ N, 98º 37´ W, 5424 m) se produjeron varios lahares sin-eruptivos que modificaron la red fluvial de su ladera nororiental, donde se localiza el curso del río Huiloac. Los lahares responsables de los cambios morfológicos más importantes fueron los ocurridos en 1997 y 2001. Aunque desde entonces se han producido algunos eventos explosivos, como las recientes erupciones de mayo y junio de 2013, en la garganta de Huiloac no se ha vuelto a registrar ningún lahar relacionado con la actividad volcánica. El presente artículo propone una metodología para detectar y cuantificar los cambios morfológicos, así como determinar la diná¬mica de procesos erosivos y sedimentarios en un tramo de la garganta de Huiloac, tras el paso del lahar sin-eruptivo de 2001, durante un primer periodo de siete años. Este método combina la interpretación de una serie temporal de mapas geomorfológicos y de perfiles topográficos transversales del canal, con ayuda de herramientas de CAD (Computer-aided design) y de SIG (Sistemas de Información Geográfica). El análisis de la evolución geomorfológica y topográfica se cruza finalmente con la información meteorológica disponible sobre precipitaciones. Los resultados obtenidos muestran que la fase inicial (hasta octubre de 2002) estuvo caracterizada por la incisión y evacuación del material que colmató el cauce durante el lahar de 2001. Posteriormente, la acción geomorfológica de las aguas corrientes y la dinámica de laderas ensancharon y profundizaron el canal, aunque también se produjo sedimentación, como lo atestiguan bancos y terrazas fluvio-laháricos. La frecuencia y capacidad de los lahares secundarios, alimentados por las precipitaciones y el agua del deshielo glaciar, fueron los factores que determinaron el dominio de procesos erosivos o de sedimentación en Huiloac. De esta manera, se ha observado que en épocas menos lluviosas y con precipitaciones regulares, el canal experimentó menos variaciones morfológicas y las cantidades erosionadas son también menores, como en el periodo 2004 ‒ 2006. En cambio, las precipitaciones excepcionales en la estación seca (enero de 2002 y enero de 2004) y los aguaceros continuados al final de la estación húmeda (septiembre y octubre de 2007) activaron los procesos de erosión por incisión y por zapa lateral, lo cual produjo el vaciado de los depósitos laháricos que tapizan el canal. Una vez concluido el primer periodo de observación, se concluye que el cauce no ha alcanzado su estabilidad, ya que sus laderas fueron muy inestables debido a la fuerte pendiente que presentaron, a pesar del considerable vaciado de depósitos que ha experimentado en este lapso temporal.In the last eruptive period of Popocatépetl volcano (19º 02'N, 98º 37' W, 5424 m) several syn-eruptive lahars modified the fluvial network of the northeastern slope, where the Huiloac River is located. The lahars that produced the most important morphological changes took place in 1997 and 2001. Although some explosive events have taken place since then, such as the recent eruptions of May and June 2013, lahars related to volcanic activity have not been recorded in Huiloac gorge. This article proposes a methodology to detect and quantify morphological changes and to determine the dynamics of erosion and sedimentary processes in a section of Huiloac gorgef or the first seven years after the syn-eruptive lahar of 2001. This method combines the interpretation of a temporal series of geomorphological maps and topographic profiles across the channel using CAD (Computer-aided design) and GIS (Geographic Information Systems). Finally, the analysis of the geomorphic and topographic evolution is cross-referenced with available information on rainfall. The results show that the initial phase (up until October 2002) is characterized by incision and removal of the material that filled the river bed during the 2001 lahar. Afterwards, the geomorphological action of running water and the dynamics of slopes widened and deepened the channel, although sedimentation occurred as well, as evidenced by river-banks and lahar terraces. The frequency and capacity of secondary lahars, fed by rainfall and glacier melt water, are the factors that determine the domain of erosion or sedimentation in Huiloac. Thus, it has been observed that in seasons with less rain and regular precipitation, fewer morphological variations occurred and a smaller amount of material was eroded, such as in the period 2004 ‒ 2006. On the other hand, exceptional rainfall in the dry season (January 2002 and January 2004) or continuous rains at the end of the wet season (September and October 2007) triggered processes of erosion by incision, lateral erosion, and removal of the laharic deposits. It can be concluded, at the end of this first period of observation, that despite considerable erosion, the riverbed is still unstable due to steep slopes on the sides of the river.-- Ministerio de Economía y Competitividad (Proyecto CGL 2012-35858 (CRYOCRISIS)) -- Grupo de Trabajo BSCH/UCM:931562 Geografía de Alta MontañapeerReviewe

Sex-Related Disparities in the Prevalence of Depression among Patients Hospitalized with Type 2 Diabetes Mellitus in Spain, 2011–2020

(1) Background: Recent reports suggest a decrease in the prevalence of depression among people with diabetes and important sex-differences in the association between these conditions, however data from Spain is sparse. We aim to assess trends in the prevalence of depression and in-hospital outcomes among patients with type 2 diabetes (T2DM) hospitalized (2011–2020) identifying sex-differences. (2) Methods: Using the Spanish national hospital discharge database we analysed the prevalence of depression globally, by sex, and according to the conditions included in the Charlson comorbidity index (CCI). We tested factors associated with the presence of depression and with in-hospital mortality (IHM). Time trends in the prevalence of depression and variables independently associated with IHM were analyzed using multivariable logistic regression. (3) Results: From 2011 to 2020, we identified 5,971,917 hospitalizations of patients with T2DM (5.7% involved depression). The prevalence of depression decreased significantly between 2011 and 2020. The adjusted prevalence of depression was 3.32-fold higher in women than in men (OR 3.32; 95%CI 3.3–3.35). The highest prevalence of depression among men and women with T2DM was found among those who also had a diagnosis of obesity, liver disease, and COPD. Older age, higher CCI, pneumonia, and having been hospitalized in 2020 increased the risk of IHM in patients with T2DM and depression. Obesity was a protective factor for IHM in both sexes, with no differences detected for IHM between men and women. Among patients hospitalized with T2DM, concomitant depression was associated with lower IHM than among patients without depression (depression paradox). (4) Conclusions: The prevalence of depression decreased over time in both sexes. The prevalence of depression was over three-fold higher in women. Female sex and depression were not associated with higher IHM. Based on our results we recommend that clinicians screen regularly for depression in patients with T2DM, particularly women, younger patients, and those with multiple comorbidities.Depto. de Salud Pública y Materno - InfantilFac. de MedicinaTRUEUnión EuropeaComunidad de MadridInstituto de Salud Carlos IIIUniversidad Complutense de MadridUniversidad Complutense de Madrid. Grupo de Investigación en Epidemiología de las Enfermedades Crónicas de Alta Prevalencia en España (970970)pu

Impact of the COVID-19 Pandemic on the Use and Outcomes of Cardiac Procedures in COPD Patients

(1) Background: The aim of this study was to assess the effects of the COVID-19 pandemic on the use and outcomes of cardiac procedures among people with chronic obstructive pulmonary disease (COPD) in Spain. (2) Methods: We used national hospital discharge data to select patients admitted to hospital with a diagnosis of COPD from 1 January 2019 to 31 December 2020. (3) Results: The number of COPD patients hospitalized in 2019 who underwent a cardiac procedure was 4483, 16.2% higher than in 2020 (n = 3757). The length of hospital stay was significantly lower in 2020 than in 2019 (9.37 vs. 10.13 days; p = 0.004), and crude in-hospital mortality (IHM) was significantly higher (5.32% vs. 4.33%; p = 0.035). Multivariable logistic regression models to assess the differences in IHM from 2019 to 2020 showed Odds Ratio (OR) values over 1, suggesting a higher risk of dying in 2020 compared to in 2019. However, the ORs were only statistically significant for “any cardiac procedure” (1.18, 95% CI 1.03–1.47). The Charlson comorbidity index increased IHM for each of the procedures analyzed. The probability of IHM was higher for women and older patients who underwent coronary artery bypass graft or open valve replacement procedures. Suffering a COVID-19 infection was associated with significantly higher mortality after cardiac procedures. (4) Conclusions: The COVID-19 pandemic limited the access to healthcare for patients with COPD.Depto. de Salud Pública y Materno - InfantilFac. de MedicinaTRUEComunidad de MadridUniversidad Complutense de Madridpu

National Trends in Prevalence of Depression in Men and Women with Chronic Obstructive Pulmonary Disease Hospitalized in Spain, 2016–2020

(1) Background: To describe trends in the prevalence of depression in men and women with COPD hospitalized in Spain (2016–2020). (2) Methods: We used a nationwide discharge database to select all patients ≥35 years with COPD. (3) Results: The prevalence of depression was 3.54-times higher in women with COPD than in men (OR 3.54; 95%CI 3.48–3.6). It decreased significantly between 2016 and 2020, although the reduction was only significant in women (12.27% in 2016 vs. 10.56% in 2020). Older age, comorbidity and the most recent years of hospital admission were associated with lower prevalence of depression in both men and women, while obesity, obstructive sleep apnea (OSA) and use of oxygen prior to admission were risk factors. In-hospital mortality (IHM) increased significantly over time. Older age, comorbidity, the use of oxygen prior to admission and having been hospitalized in 2020 increased the risk of IHM. Female sex was associated with a lower IHM in patients with depression and COPD. (4) Conclusions: The prevalence of depression has decreased over time in women with COPD while it has not changed significantly in men with this disease. IHM increased over time both in men and women with COPD and depression, with higher prevalence in the former.Depto. de Salud Pública y Materno - InfantilFac. de MedicinaTRUEComunidad de MadridUniversidad Complutense de MadridUniversidad Complutense de Madrid; Grupo de Investigación en Epidemiología de las Enfermedades Crónicas de Alta Prevalencia en España (970970)Sociedad Española de Neumología y Cirugía de Tóraxpu

Trends in prevalence and the effects on hospital outcomes of dementia in patients hospitalized with acute COPD exacerbation

Aims: To assess changes in prevalence and the effects on hospital outcomes of dementia among patients hospitalized with an acute exacerbation of chronic obstructive pulmonary disease (AE-COPD); and to evaluate sexdifferences, as well as the impact of COVID-19 pandemic in this relationship. Methods: We used a nationwide discharge database to select patients admitted with AE-COPD in Spain from 2011 to 2020. We identified those with any type of dementia, vascular dementia (VaD) or Alzheimer’s disease (AD). Results: We identified 658,429 hospitalizations with AE-COPD (4.45% had any type of dementia, 0.79% VaD and 1.57% AD). The presence of any type of dementia remained stable from 2011 to 2015, and increased significantly between 2016 and 2020. For VaD, the time trend showed no change until 2020, when a significant increment was found. The probability of AD decreased significantly overtime. The in-hospital mortality (IHM) among patients with any type of dementia remained stable overtime until 2020, when it increased significantly. Older age, higher comorbidity, COVID-19, and use of mechanical ventilation were variables associated to IHM. Women had lower risk of dying in the hospital than men in all subgroups. Conclusions: After a previous period of stability, the prevalence of any type of dementia increased over the last 5 years of the study, although we identified different trends depending on the specific cause of dementia. The IHM remained stable overtime until 2020, when it increased, probably related to the COVID-19 pandemic. It is remarkable the protective effect of female sex for IHM.Depto. de Salud Pública y Materno - InfantilFac. de MedicinaTRUEResearch Aid 2022Sociedad Madrileña de Neumología y Cirugía de Tórax (NEUMOMADRID)Comunidad de MadridUniversidad Complutense de Madrid. Grupo de Investigación en Epidemiología de las Enfermedades Crónicas de Alta Prevalencia en EspañaSociedad Española de Neumología y Cirugía de Tórax (SEPAR)pu

Sex Differences in COVID-19 Hospitalization and Hospital Mortality among Patients with COPD in Spain: A Retrospective Cohort Study

We aimed to assess the effect of COPD in the incidence of hospital admissions for COVID-19 and on the in-hospital mortality (IHM) according to sex. (2) Methods: We used national hospital discharge data to select persons aged ≥40 years admitted to a hospital with a diagnosis of COVID-19 in 2020 in Spain. (3) Results: The study population included 218,301 patients. Age-adjusted incidence rates of COVID-19 hospitalizations for men with and without COPD were 10.66 and 9.27 per 1000 persons, respectively (IRR 1.14; 95% CI 1.08–1.20; p < 0.001). The IHM was higher in men than in women regardless of the history of COPD. The COPD was associated with higher IHM among women (OR 1.09; 95% CI 1.01–1.22) but not among men. The COPD men had a 25% higher risk of dying in the hospital with COVID-19 than women with COPD (OR 1.25, 95% CI 1.1–1.42). (4) Conclusions: Sex differences seem to exist in the effect of COPD among patients suffering COVID-19. The history of COPD increased the risk of hospitalization among men but not among women, and COPD was only identified as a risk factor for IHM among women. In any case, we observed that COPD men had a higher mortality than COPD women. Understanding the mechanisms underlying these sex differences could help predict the patient outcomes and inform clinical decision making to facilitate early treatment and disposition decisions.Fac. de Enfermería, Fisioterapia y PodologíaTRUEComunidad de MadridUniversidad Complutense de Madridpu

Use of Cardiac Procedures in People with Diabetes during the COVID Pandemic in Spain: Effects on the In-Hospital Mortality

We aimed to assess the effect of the COVID-19 pandemic in Spain on people with diabetes undergoing cardiac procedures, such as coronary artery bypass graft (CABG), percutaneous coronary intervention (PCI), open surgical valve replacement (OSVR), and transcatheter valve implantation (TCVI). We compared the year 2019 with the year 2020. We conducted an observational study using data from the Spanish National Hospital Discharge Database from 1 January 2019 to 31 December 2020. In 2020, a total of 21,067 cardiac procedures were performed on people with diabetes compared with 24,675 in the previous year. The use of CABG, PCI, OSVR and TCVI decreased from 2019 to 2020 by 13.9%, 14.8%, 21.4% and 2.9%, respectively. In 2020, patients had a significantly higher mean Charlson Comorbidity Index than in 2019 for all the cardiac procedures analyzed. In-hospital mortality (IHM) was higher (p > 0.05) for all the procedures in the year 2020. Over the entire period, female sex was a significant risk factor for IHM among those who underwent CABG, PCI and OSVR (OR 1.94, 95%CI 1.41–2.66; OR 1.19, 95%CI 1.05–1.35; and OR 1.79, 95%CI 1.38–2.32, respectively). The sensitivity analysis including two more years, 2017 and 2018, confirmed that female patients and comorbidity were risk factors for IHM in patients with diabetes regardless of whether it was during the pandemic era or before. We conclude that the frequency of cardiac procedures among people with diabetes declined in 2020. IHM did not change significantly in the COVID-19 era.Depto. de Salud Pública y Materno - InfantilFac. de MedicinaTRUEUnión EuropeaInstituto de Salud Carlos IIIComunidad de MadridUniversidad Complutense de MadridUniversidad Complutense de Madrid. Grupo de Investigación en Epidemiología de las Enfermedades Crónicas de Alta Prevalencia en España (970970)pu

Trends and Outcomes in Lung Transplantation in Patients with and without Idiopathic Pulmonary Fibrosis in Spain during the Period 2016–2020.

Background: This paper aims to assess temporal trends (2016–2020) in incidence, patient’s characteristics, complications, length of hospital stay (LOHS) and in-hospital mortality (IHM) among patients with and without idiopathic pulmonary fibrosis (IPF) undergoing lung transplantation (LTx). We also analyse the effect of the COVID-19 pandemic on LTx in these populations. (2) Methods: A retrospective, population-based observational study was conducted using the Spanish National Hospital Discharge Database. Multivariable adjustment was conducted with logistic regression to analyse the IHM. (3) Results: We identified 1777 admissions for LTx during the study period, of which 573 (32.2%) were performed in patients with IPF. The number of hospital admissions for LTx rose from 2016 to 2020, both in patients with and without IPF, but a marked reduction was observed from year 2019 to year 2020. Over time, the proportion of single LTx decreased and bilateral LTx increased significantly in both groups. The incidence of LTx complications increased significantly over time along with the increase in the incidence of IPF. No significant differences in the incidence of complications or in the IHM between patients with and without IPF were found. Suffering any complication of the LTx and pulmonary hypertension were conditions positively associated with IHM in patients with and without IPF. The IHM remained stable from 2016 to 2020 in both study populations and was not affected by the COVID pandemic. (4) Conclusions: Patients with IPF account for almost a third of all lung transplants. The number of LTx increased over time in patients with and without IPF, but a marked reduction was observed from 2019 to 2020. Although the proportion of LTx complications increased significantly over time in both groups, the IHM did not change. IPF was not associated with increased complications or IHM after LTx.Partial funding for open access charge: Universidad de Málag