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1.
Artículo en Inglés | MEDLINE | ID: mdl-36078403

RESUMEN

Handball is a team sport involving a great physical demand from its practitioners in which a high number of injuries occur, affecting individual and collective performance. Knowledge of the injuries is of great importance for their prevention. The objective of the present study was to identify, locate and compare the most frequent injuries and injury mechanisms in handball practice. It was carried out following the Preferred Informed Item for Systematic Reviews and Meta-analysis (PRISMA) guidelines. The source of data collection was direct consultation of the PubMed and Medline databases. Several keywords were used for the documentary retrieval, and the quality of the studies that were selected was evaluated. Of the 707 studies retrieved, only 27 were considered appropriate for the review, and quality scores were obtained that ranged from 10 to 26 points, out of a maximum of 28. The most frequent injuries in handball players are located in the lower limbs (thigh, knee and ankle), and in the shoulder in the upper limbs. Regarding the playing position, the players who play over the 6-m line are the most affected by injuries, while the women players have a higher probability of injury. Most injuries occur during competition.


Asunto(s)
Traumatismos en Atletas , Deportes , Traumatismos en Atletas/epidemiología , Traumatismos en Atletas/prevención & control , Femenino , Humanos , Articulación de la Rodilla , Extremidad Inferior , Masculino , Hombro
2.
Artículo en Inglés | MEDLINE | ID: mdl-35954720

RESUMEN

BACKGROUND: Currently, tactics play an important and decisive role in sprint distance triathlons. One of the most decisive tactical elements is drafting in the cycling sector, depending on whether or not it is allowed by the test regulations. The objective was to analyze the physiological responses in running, in relation to drafting in the cycling sector, according to level and sex. METHODS: To do this, a total of n = 44 subjects were divided into two levels (elite: they got a podium in the national championship, 15.68 ± 0.82 years; amateurs: they compete at the regional level, 15.68 ± 1.62 and 37.9 ± 1.74 years), undergoing two training sessions of four cycling-running multitransitions with variability in the permissibility of drafting were analyzed. A descriptive analysis of the variables was carried out, together with an inferential analysis to know the relationships and associations between the dependent and independent variables. RESULTS: The results showed significant differences in the parameters, as related to running technique, heart rate, speed, and displacement (both between levels and sex). CONCLUSIONS: This study concludes that drafting in the cycling sector generates decisive physiological responses for the running sector.


Asunto(s)
Atletas , Ciclismo , Ciclismo/fisiología , Frecuencia Cardíaca/fisiología , Humanos , Natación/fisiología
3.
Sensors (Basel) ; 22(9)2022 Apr 26.
Artículo en Inglés | MEDLINE | ID: mdl-35590988

RESUMEN

The general objective of this study was to identify the variation in heart rate (HR) of Portuguese skydivers during 6 moments in their first jump of the day, bearing in mind the variable level of experience. Thirty-one Portuguese skydivers, 28 men and 3 women, aged between 19 and 62, participated in the study, 12 had A and B licenses (less experienced) and 19 had C and D licences (more experienced). The instrument used to record the heart rate of the skydivers at the different moments of their first jump of the day was the WIMU PRO. A repeated measures analysis of variance was used to analyse HR at different moments in the jump and its relation with the variables level of experience. Bonferroni multiple comparisons were performed to study the importance of the differences observed in HR at the different moments. The effect size was evaluated with partial eta squared. The results showed that average HR in this group of skydivers was 130 bpm, in the different moments of the jump. HR increases from the value recorded at rest until the moment of jumping from the plane and opening the parachute, reaching the highest average at that moment, then decreasing until contact with the ground. Comparing the variable, we found that the less experienced had higher HR than the more experienced at all moments during the jump. Statistically significant differences were found at the different moments of the jump, regarding HR (Max: p < 0.001, ƞ2p = 0.820; Min: p < 0.001, ƞ2p = 0.821; AVG: p < 0.001, ƞ2p = 0.834) Level of experience with jumping moment interaction, we only verified differences related to HR Min (p = 0.007, ƞ2p = 0.056),. With regard to experience, the identified differences were not statistically significant. Skydiving triggers an acute adaptive cardiovascular response which is reflected in the increase in the HR, between the moment of boarding the plane and the moment at which the parachute opens, thereafter decreasing until contact with the ground. The most experienced parachutists recorded the highest HR at the moment of landing and the least experienced at the moment of free fall.


Asunto(s)
Aviación , Adulto , Fenómenos Biomecánicos , Femenino , Frecuencia Cardíaca/fisiología , Humanos , Articulación de la Rodilla , Masculino , Persona de Mediana Edad , Portugal , Adulto Joven
4.
PLoS One ; 17(4): e0265745, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35381045

RESUMEN

The load in tasks planned for sports teaching in physical education classes has received little attention. The purpose of this study was therefore to analyze the external load, eTL, in the tasks designed by physical education teachers from the in-service and pre-service stages, for teaching handball in primary education, and to compare them with the tasks included in the lesson plans designed for handball using the tactical games teaching model. An associative, comparative and cross-sectional methodology was used. Twenty-three teachers, five in the in-service phase and eighteen in the pre-service phase, designed lesson plans for teaching handball, which were compared with lesson plans validated by a panel of experts. The analysis was performed on 1,232 tasks or analysis units. eTL was categorized using the Integrated analysis system of training tasks (SIATE) instrument. A descriptive and associative analysis was made of the variables that make up the eTL and an inferential analysis of the eTL using non-parametric tests. The total eTL of the tasks planned by the in-service and pre-service teachers was low, and significantly lower than the tasks planned using the tactical games model, which showed a high level.


Asunto(s)
Personal Docente , Deportes , Estudios Transversales , Humanos , Aprendizaje , Educación y Entrenamiento Físico
5.
Artículo en Inglés | MEDLINE | ID: mdl-36612721

RESUMEN

The teacher's didactic intervention also requires knowledge and control of learning tasks' workloads. The objectives of the study were as follows: (i) to quantify the subjective external load-eTL of tasks framed in didactic units designed by in-service teachers; and (ii) to analyze the differences in the subjective eTL according to the game situation and the game space. A total of 306 learning tasks designed by seven in-service teachers (five men and two women), with more than 10 years of teaching practice, were analyzed. These tasks were coded through the Integral System for Training Task Analysis (SIATE, acronym in Spanish). The interobserver reliability of the coded variables obtained a considerable concordance (MKfree > 0.70). The results indicated that there were significant differences in the subjective eTL according to the game situation and game space. The situations of small-sided games in numerical equality or inequality and full games, in medium spaces or large spaces, presented a higher subjective eTL and therefore the highest physiological and motor demands on students. The inclusion of attacking or defending players and an adequate selection of the game space indicated the importance of planning and organizing learning tasks.


Asunto(s)
Rendimiento Atlético , Aprendizaje , Masculino , Humanos , Femenino , Reproducibilidad de los Resultados , Estudiantes , Rendimiento Atlético/fisiología , Instituciones Académicas
6.
Artículo en Inglés | MEDLINE | ID: mdl-34831765

RESUMEN

BACKGROUND: Scoring first seems to be a determinant in professional football playing; several factors could influence the development of the match and the outcome. This study aimed to identify which factors could influence scoring first and impact match outcomes in professional European female football. METHODS: There were 504 official matches held on 74 match days during the 2018-2019 professional female European football seasons (Primera Iberdrola, D1 Féminine, and Frauen-Bundesliga), analysed using a notational and inferential assessment. RESULTS: There was a direct positive relationship (p < 0.05) between scoring first and winning the match; 75.9% of the winning teams scored first. Moreover, those teams that usually scored first had a better final league classification (p < 0.05). These relationships were not influenced by home or away conditions. CONCLUSIONS: Scoring first is a determinant in the outcomes of professional European female football matches. Physical and tactical training and programming should focus on those variables, leading female teams to score first.


Asunto(s)
Rendimiento Atlético , Fútbol , Femenino , Humanos
7.
Artículo en Inglés | MEDLINE | ID: mdl-34682325

RESUMEN

The objective of this investigation was to analyze scientific production assessed by indexed doctoral theses in the Ordered Spanish Theses (TESEO) database, on the topic of the sport of handball in Spain. Productivity was analyzed on the basis of variables grouped by contextual information, methodologies and procedures. Seventy-two indexed theses from between 1976 and 2021 were analyzed. A progressive increase was identified in scientific production based on these theses during this period. The scientific disciplines that presented the highest number of theses were Sport Sciences (n = 33) and Sport Pedagogy (n = 19). The main results show that quantitative approaches are the most common (n = 49), doctoral theses using descriptive studies based on systematic observation represent the majority (73%), the predominant type of data collection was the use of cross-sectional studies (70.8%) versus longitudinal studies (26.4%), and the most used sampling method was that of convenience (n = 65). The results make it possible to ascertain the reality of this research topic, the methodological positioning and research tendencies, and to draw the basic lines for development.


Asunto(s)
Médicos , Proyectos de Investigación , Estudios Transversales , Recolección de Datos , Humanos , España
8.
Artículo en Inglés | MEDLINE | ID: mdl-34208515

RESUMEN

Since coaches play an important role in the development of athletes, the process and mechanisms used by Special Olympics Portugal to develop coaches' skills are worthy of research. In this context, the study aims to identify the training paths and profiles of the Special Olympics Portugal coach. It also aims to analyze the relationship between formal and non-formal learning in the profile and training of this type of coach. The research is descriptive and transversal regarding Special Olympics Portugal coaches, with the participation of 50 subjects. Two questionnaires were used, the Coaches' Training Profile Questionnaire to determine the training routes, and the Coaches' Orientation Questionnaire. The results show that the Special Olympics Portugal coaches have an academic background and a somewhat critical profile. It is imperative to build formal and non-formal learning contexts that focus on the theme of adapted sports, in order to allow the training of more qualified coaches, who are consequently more effective in their interventions with this type of athlete.


Asunto(s)
Deportes , Atletas , Humanos , Portugal , Encuestas y Cuestionarios
9.
Artículo en Inglés | MEDLINE | ID: mdl-34205351

RESUMEN

This study aims to synthesize and understand the qualitative and empirical evidence previously published on adapted sports career development. This systematic literature review also aimed at developing a conceptual model of the training and career path of adapted sports coaches. The research was carried out through the following databases: PubMed, Erid, EBSCO, Web of Science and Scopus. We selected nine qualitative studies according to the specific eligibility criteria. Data extraction was carried out independently by different authors, including the assessment of the methodological quality of the articles. We developed a conceptual model composed of four descriptive subjects (adapted sport option; perception of training athletes in adapted sports; development of the adapted sports coach's learning; adapted sports coach reality) about the adapted sports coach's pathway and added three analytical subjects about the difficulties, opportunity and reality of adapted sports. The conceptual model suggests inclusion of practical activity programs, the specificities of related contents with the adapted modalities, and observation in a real context are fundamental.


Asunto(s)
Atletas , Deportes para Personas con Discapacidad , Humanos , Investigación Cualitativa
10.
Artículo en Inglés | MEDLINE | ID: mdl-33050131

RESUMEN

The NBA Draft Combine includes a series of standardized measurements and drills that provide NBA teams with an opportunity to evaluate players. The purpose of this research was to identify the Combine tests that explain draft position and future performance in the NBA rookie season. Variables were selected from the previous categories of anthropometric measurements and strength and agility tests. A regression analysis was carried out. Combine variables, anthropometric and agility/strength variables were analyzed to explore their effect on draft position. Moreover, correlation analyses were performed to identify relationships among: (i) Combine anthropometric and strength and agility measures and game performance through game related statistics; and (ii) the draft position and game performance using Pearson's correlation coefficients. Results show that the Combine test does not predict draft position, with the exception of hand width and height in frontcourt players, and standard vertical jump and running vertical jump. Future performance indicators were explained by several Combine tests in all players.


Asunto(s)
Rendimiento Atlético , Baloncesto , Prueba de Esfuerzo , Antropometría , Rendimiento Atlético/normas , Prueba de Esfuerzo/normas , Humanos , Carrera
11.
Artículo en Inglés | MEDLINE | ID: mdl-32605081

RESUMEN

The assessment of tactical-technical knowledge of football is essential to develop optimal and integral teaching processes for students. Therefore, the aim of this study was to design and validate an instrument so that teachers, coaches, and researchers can observe and codify both the tactical behaviors and technical skills performed by the students in the game of football. The design and validation of the instrument were carried out in four phases: a) review of the literature and previous instruments; b) design of the Instrument for the Measurement of Learning and Performance in Football (IMLPFoot). It assesses all the offensive and defensive play actions, with and without the ball, as well as their three components (decision-making, technical execution, and final result); c) sample selection of experts (N = 12); and d) quantitative (Likert-type scale from 1 to 10) and qualitative assessment of degree the pertinence, unambiguity, and importance of each of the 33 items included in the IMLPFoot. Aiken's V coefficient was used to determine content validity. Likewise, internal consistency was calculated using Cronbach's α coefficient. The results showed demanding levels of validity (V ≥ 0.77), internal consistency (α = 0.983), inter-rater, and intra-rater reliability. Therefore, it is a valid and reliable instrument that makes possible a complete assessment of football in physical education classes and/or in the sports context (out-of-school football).


Asunto(s)
Rendimiento Atlético/normas , Fútbol Americano , Fútbol , Humanos , Aprendizaje , Reproducibilidad de los Resultados
12.
Artículo en Inglés | MEDLINE | ID: mdl-32098230

RESUMEN

Current trends in the analysis of the physical fitness of athletes are based on subjecting the athlete to requirements similar to those found in competition. Regarding physical fitness, a thorough study of the capacities that affect the development of team sports in different ages and gender is required since the demands are not equivalent. The objective of this paper was to characterize the physical-physiological demands of athletes in an aerobic and anaerobic test specific to basketball players, as well as the evolution of the variables according to age and gender. The research was carried out in 149 players from different training categories (n = 103 male; n = 46 female). The athletes performed two field tests that evaluated both aerobic capacity and lactic anaerobic capacity. Each athlete was equipped with an inertial device during the tests. Sixteen variables (equal in both tests) were analyzed. Three of them evaluated technical-tactical aspects, four variables of objective internal load, six kinematic variables of objective external load (two related to distance and four related to accelerometry) and three neuromuscular variables of objective external load. The obtained results show significant differences in the variables analyzed according to the age and gender of the athletes. They are mainly due to factors related to the anthropometric maturation and development inherent in age and have an impact on the efficiency and technical and tactical requirements of the tests carried out and, therefore, on the obtained results in the tests.


Asunto(s)
Atletas , Baloncesto , Aptitud Física , Anaerobiosis , Antropometría , Tolerancia al Ejercicio , Femenino , Humanos , Masculino
13.
Artículo en Inglés | MEDLINE | ID: mdl-31947877

RESUMEN

The design of teaching tasks determines the physical and physiological demands that students are exposed to in physical education classes. The purpose of this study is to quantify and compare, according to gender and teaching methodology, the external (eTL) and internal (iTL) load resulting from the application of two programs that follow different teaching methodologies, i.e., a Tactical Games Approach (TGA) and Direct Instruction (DI), to teach school football. The Ratings of Perceived Exertion (RPEs) recorded in the assessments were also studied. A total of 41 students in the fifth year of primary education from a state school from Spain participated in the study (23 boys and 18 girls), aged from 10 to 11 (M ± SD, 10.63 ± 0.49 years) and divided into two class groups. All the sessions were monitored with inertial devices that made it possible to record physical activity and convert the information into kinematic parameters. The results indicated that the students who followed the TGA method recorded higher iTL values (heart rate) and spent more time performing high-intensity activities. Boys recorded higher eTL, iTL, and RPE values than girls. There was an evolution in the RPE between the assessments, with both groups presenting a more efficient RPE in the posttest. The TGA method favors student physical fitness and health, thus, this method is recommended when planning physical education sessions.


Asunto(s)
Ejercicio Físico/fisiología , Ejercicio Físico/psicología , Esfuerzo Físico/fisiología , Aptitud Física/fisiología , Aptitud Física/psicología , Fútbol , Estudiantes/estadística & datos numéricos , Niño , Femenino , Juegos Recreacionales , Humanos , Masculino , Educación y Entrenamiento Físico , Factores Sexuales , España
14.
J Strength Cond Res ; 34(10): 2920-2928, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-30216248

RESUMEN

González-Espinosa, S, Antúnez, A, Feu, S, and Ibáñez, SJ. Monitoring the external and internal load under 2 teaching methodologies. J Strength Cond Res 34(10): 2920-2928, 2020-The purpose of this study was to analyze and compare the physical demands produced by the implementation of 2 sport teaching methods during a class and their relation with the learning achieved by the students. Two intervention programs were used to teach the sport of basketball, one based on the direct instruction (DI) method and the other on the tactical-game approach (TGA). The intervention programs were administered to 4 groups of students, 2 for each methodology, with 88 students participating in the study. A total of 10 practical sessions were given, as well as a pre-test and post-test. The practical sessions and the tests were recorded with an inertial system for monitoring and recording physical activity and movement in real time. Differences were found between the methodologies in the teaching sessions in the variables m·min, acc·min, PL·min, and HRmax (p < 0.000). In the assessment tests, there were also differences between both methodologies in the walk and sprint variables (p < 0.005). The results obtained from the analysis of the sessions using each methodology show that the TGA method obtained better results in the variables of external and internal loads than the DI methodology. The TGA methodology permitted a greater development of the students' physical fitness. Moreover, performance in play was not associated with the achievement of higher values in the results of external and internal load in the tests. The students trained with the TGA methodology recorded better performance indicators in the game. These results lead us to recommend physical education teachers to use a student-centered approach in their lessons because it improved both the students' physical fitness and their sports performance.


Asunto(s)
Rendimiento Atlético/fisiología , Baloncesto/fisiología , Frecuencia Cardíaca/fisiología , Educación y Entrenamiento Físico/métodos , Esfuerzo Físico/fisiología , Logro , Niño , Femenino , Humanos , Aprendizaje , Estudios Longitudinales , Masculino , Aptitud Física/fisiología
15.
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1137231

RESUMEN

Abstract The purpose of the present study was to analyze the sex-related differences in beach handball workload. A total sample of 105 handballers (male, n=50; female, n=55) belonging to six U'16 teams, seven U'18 teams and eight senior teams were monitored in the final round of 2018-2019 beach handball tournament celebrated during 3-days congested-fixture design. The external load variables Steps, Jumps, Player Load, Total Impacts (>2G) and Total Impacts per Intensities (very low, 2-4G; low, 4-6G; moderate, 6-8G; high, 8-10G; very high, >10G) through WIMUTM inertial devices. Statistical analysis was composed by t-test and Cohen's d for anthropometrical variables and by MANOVA and omega partial square for sex and categories related differences. Greater values in male handballers were found in height, weight and age in each categories (U'16: p<0.05; d=0.50-2.26; U'18: p<0.05; d=0.95-2.21; senior: p<0.05; d=1.01-1.99), except in age in U'18 (p=0.97; d=0.01). Respect to external workload, differences were found related to category (p<0.01; ωp²= 0.02-0.05, small) and sex (p<0.01; ωp²= 0.04-0.21, small to high), except in Steps (p=0.47; ωp²= 0.00), finding the greatest sex-related differences in U'16 category. From the differences found in anthropometrical characteristics and external workload, their evaluation during competition allows designing specific training sessions with the purpose of sports performance enhancement in beach handball.


Resumo Objetivou-se analisar as diferenças relacionadas ao sexo na carga de trabalho de handebol de praia. Uma amostra total de 105 jogadores de handebol (masculino, n = 50; feminino, n = 55) pertencentes a seis equipes sub-16, sete equipes sub-18 e oito equipes seniores foi monitorada na rodada final do torneio de handebol de praia 2018-2019 durante 3 dias de projeto. As variáveis ​​de carga externa Etapas, Saltos, Carga do jogador, Impactos totais (> 2G) e Impactos totais por intensidade (muito baixo, 2-4G; baixo, 4-6G; moderado, 6-8G; alto, 8-10G; muito alto,> 10G) foram mensurados por meio de dispositivos inerciais WIMUTM. A análise estatística foi composta pelo teste t, d de Cohen e MANOVA. Maiores valores nos handebolistas masculinos foram encontrados em estatura, massa corporal e idade em cada categoria (U'16: p <0,05; d = 0,50-2,26; U'18: p <0,05; d = 0,95-2,21; sénior: p <0,05 ; d = 1,01-1,99), exceto na idade nos U'18 (p = 0,97; d = 0,01). No que diz respeito à carga de trabalho externa, foram encontradas diferenças relacionadas à categoria (p <0,01; ωp² = 0,02-0,05, pequeno) e sexo (p <0,01; ωp² = 0,04-0,21, pequeno a alto), exceto nas etapas (p = 0,47; ωp² = 0,00), encontrando as maiores diferenças relacionadas ao sexo na categoria U'16. A partir das diferenças encontradas nas características antropométricas e na carga de trabalho externa, sua avaliação durante a competição permite projetar sessões de treinamento específicas com o objetivo de melhorar o desempenho esportivo no handebol de praia.

16.
Rev. bras. cineantropom. desempenho hum ; 22: e72115, 2020. tab, graf
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1143977

RESUMEN

Abstract The performance of goalkeepers can predict the final ranking of teams in tournaments. The aim of the study was to examine the percentages of goalkeepers of different national teams, according to the position on the field from which the pitch was taken, the location of the pitch in the goal and the ranking of the game. To this end, a documentary study based on the data collected by the International Handball Federation was carried out with 24 national teams that took part in the last absolute handball world championship (Germany 2017). The sample consisted of 7606 pitches made in 83 matches. The results showed that the highest percentage of saves was obtained with shots taken from the 9 meters and to the central and middle zone of the goal, and the lowest with throws in fast-breaks and to the lower and lateral areas of the goal. There were no significant differences in the variables analyzed according to the game ranking, except in pitching zone 1.


Resumo O desempenho do goleiro pode prever a classificação final das equipas em torneios. O objetivo do estudo foi examinar as porcentagens de defesas feitas por goleiros de diferentes seleções, de acordo com a posição no campo de onde o chute foi feito, a localização do chute no gol e o ranking do jogo. Para tal, foi realizado um estudo documental baseado em dados recolhidos pela Federação Internacional de Handebol com 24 equipes que participaram no último Campeonato do Mundo de Handebol absoluto (Alemanha 2017). A amostra consistiu em 7606 lances feitos em 83 partidas. Os resultados mostraram que a maior porcentagem de defesas foi obtida a partir dos chutes de 9 metros e da zona central e média do gol, e a menor porcentagem de defesas a partir dos chutes de contra-ataque e das zonas baixa e lateral do gol. Não houve diferenças significativas nas variáveis analisadas de acordo com o ranking do jogo, exceto na zona 1 de arremesso.

17.
Mol Syndromol ; 8(4): 219-223, 2017 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-28690489

RESUMEN

The Xp22.31 duplication is a copy number variant which is challenging to categorize as pathogenic or benign. There is an increasing number of patients with the duplication and a neurobehavioral phenotype, but the duplication is almost always inherited from a parent, who in some cases is phenotypically normal. Also, the duplication is detected in the general population, though in a smaller percentage than in clinically ascertained populations. The Xp22.31 triplication has only been identified in 3 individuals of a large cohort of developmental delay cases but never in the control cohorts or general population. We report a severely affected female with an Xp22.31 tetrasomy, inherited from duplications identified in both phenotypically normal parents. Although our study has limitations, it suggests that the Xp22.31 triplication seems to be more penetrant than the duplication and is associated with a neurological phenotype.

18.
Rev Neurol ; 62(2): 61-7, 2016 Jan 16.
Artículo en Español | MEDLINE | ID: mdl-26758352

RESUMEN

INTRODUCTION: Sleep disorders are common in children with neurological disorders. The aim of this study is to know the opinion of neuropediatricians and the prevalence of these disturbances in Spain. PATIENTS AND METHODS: Multicenter cross-sectional study (12 Spanish hospitals, 15 researchers). BEARS survey was collected in three groups: A (2-5 years), (6-12 years), and C (> 12 years). The opinion of neuropediatricians was also collected. RESULTS: 939 questionnaires were filled. The main results in groups B and C were ADHD (32.4% and 30.1% respectively) and headache (25.1% and 27.6% respectively), whereas in group A neurodevelopmental disorders (32.4%) and epilepsy (21.4%) were the main diagnoses. Disturbances in at least one area of sleep were found in 92% of children in group A (n = 209, mean 3 years), 64.2% in group B (n = 534, mean 9.4 years) and 58.2% in group C (n = 196, mean 13.7 years). Sixty-one surveys were answered by neuropediatricians (16.75% of the total sent), estimating that less than a quarter of the patients (24.5%) suffered. Even, up to 23% of doctors claimed that the prevalence of sleep disorders was < 10%. CONCLUSIONS: 58-92% of parents-patients under follow up at a neuropediatrician office in Spain have some degree of disturbed sleep. Although most neurologists emphasize the importance of an early diagnosis and treatment of sleep disorders in children with neurological disorders, its frequency is often underestimated (risk of underdiagnosis).


TITLE: Importancia de los problemas de sueño en los niños con cefalea y otros trastornos del neurodesarrollo en las consultas de neuropediatria.Introduccion. Los trastornos de sueño son frecuentes en niños con trastornos neurologicos. El objetivo del estudio es conocer la opinion de los neuropediatras y su prevalencia real en España. Pacientes y metodos. Estudio transversal multicentrico (12 hospitales españoles, 15 investigadores). Se administro la encuesta Bedtime, Excesive Daytime Sleepiness, Awakenings, Regularity, Sleep-Disordered Breathing (BEARS) y se definieron tres grupos: A (2-5 años), B (6-12 años) y C (> 12 años). Asimismo, se recogio la opinion de neuropediatras de la Sociedad Española de Neuropediatria mediante una encuesta anonima. Resultados. Se recogieron 939 encuestas. Los principales motivos de consulta en los grupos B y C fueron trastorno por deficit de atencion/hiperactividad (32,4% y 30,1%, respectivamente) y cefalea (25,1% y 27,6%, respectivamente), y en el grupo A, los trastornos del neurodesarrollo (32,4%) y la epilepsia (21,4%). Al menos un area del sueño alterada se encontro en el 92,9% de niños del grupo A (n = 209; media: 3 años), en el 64,2% del grupo B (n = 534; media: 9,4 años) y en el 58,2% del grupo C (n = 196; media: 13,7 años). Se recibieron 61 encuestas respondidas por los neuropediatras (16,75% de las enviadas), quienes estimaban que los trastornos del sueño afectaban a menos de una cuarta parte de sus pacientes (24,5%), y hasta un 23% afirmo que la prevalencia era inferior al 10%. Conclusion. El 58-92% de los padres-pacientes que acuden a consultas de neuropediatria refiere tener algun aspecto del sueño alterado. Aunque la mayoria de los neuropediatras subraya la importancia de un diagnostico y tratamiento de los trastornos de sueño de los niños con trastornos neurologicos, se suele infraestimar su frecuencia e importancia.


Asunto(s)
Cefalea/complicaciones , Trastornos del Neurodesarrollo/complicaciones , Trastornos del Sueño-Vigilia/complicaciones , Trastornos del Sueño-Vigilia/epidemiología , Adolescente , Actitud del Personal de Salud , Niño , Preescolar , Estudios Transversales , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Neurología , Pediatría , Prevalencia , Estudios Prospectivos , España/epidemiología
19.
Bol. méd. Hosp. Infant. Méx ; 42(2): 92-8, feb. 1985. tab
Artículo en Español | LILACS | ID: lil-28816

RESUMEN

Con la finalidad de conocer la relación que pudiese existir entre los niveles sanguíneos de vitamina C durante el último trimestre del embarazo y las cifras encontradas en los niños al nacer, y seis semanas después en ambas partes (madres e hijos) se estudiaron 44 mujeres embarazadas; 19 de ellas fueron atendidas de su parto en la misma institución donde fueron captadas y 12 de éstas fueron seguidas longitudinalmente durante seis semanas. Los hallazgos indican que la concentración plasmática de vitamina C en las madres gestantes, no se encuentra relacionada con los niveles registrados en sus hijos al nacer, ni cuando éstos tienen seis semanas de vida. Tampoco se observó que la vitamina C plasmática de los recién nacidos fuese estadísticamente diferente de la determinada en el plasma de sus madres. Como contraste, la concentración de esta vitamina en los leucocitos de las mujeres embarazadas, mostró una correlación significativa con respecto a la cantidad encontrada en los leucocitos de los recién nacidos. Expresada la vitamina C en función del peso corporal, se observó que a menor concentración por unidad de peso registrado por los niños al nacer, hubo en ellos una menor concentración de esta vitamina a las seis semanas de la vida. A pesar del bajo nivel socioeconómico de las madres, los niveles de vitamina C en el plasma y en los leucocitos cayeron dentro del margen que se juzga suficiente para mantener a madres y niños fuera de los limites de riesgo de presentar una deficiencia


Asunto(s)
Adulto , Humanos , Femenino , Ácido Ascórbico/sangre , Lactancia , Embarazo , Recién Nacido
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