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1.
Nutrients ; 15(24)2023 Dec 12.
Artículo en Inglés | MEDLINE | ID: mdl-38140334

RESUMEN

Scientific evidence has increasingly supported the beneficial effects of probiotic-based food supplements on human intestinal health. This ex vivo study investigated the effects on the composition and metabolic activity of the intestinal microbiota of three probiotic-based food supplements, containing, respectively, (1) Bifidobacterium longum ES1, (2) Lactobacillus acidophilus NCFM®, and (3) a combination of L. acidophilus NCFM®, Lactobacillus paracasei Lpc-37™, Bifidobacterium lactis Bi-07™, and Bifidobacterium lactis Bl-04™. This study employed fecal samples from six healthy donors, inoculated in a Colon-on-a-plate® system. After 48 h of exposure or non-exposure to the food supplements, the effects were measured on the overall microbial fermentation (pH), changes in microbial metabolic activity through the production of short-chain and branched-chain fatty acids (SCFAs and BCFAs), ammonium, lactate, and microbial composition. The strongest effect on the fermentation process was observed for the combined formulation probiotics, characterized by the significant stimulation of butyrate production, a significant reduction in BCFAs and ammonium in all donors, and a significant stimulatory effect on bifidobacteria and lactobacilli growth. Our findings suggest that the combined formulation probiotics significantly impact the intestinal microbiome of the healthy individuals, showing changes in metabolic activity and microbial abundance as the health benefit endpoint.


Asunto(s)
Compuestos de Amonio , Microbioma Gastrointestinal , Probióticos , Humanos , Probióticos/farmacología , Suplementos Dietéticos , Lactobacillus acidophilus/fisiología , Ácidos Grasos Volátiles
2.
Rev Esp Salud Publica ; 972023 Oct 18.
Artículo en Español | MEDLINE | ID: mdl-37921372

RESUMEN

OBJECTIVE: Alzheimer's disease has become the great epidemic of the 21st century, being a challenge for the sustainability of the social and health system. Alzheimer's causes disability and dependency among the elderly, requiring continued care with therapies that improve the health and quality of life of these people. The objective of this paper was to evaluate the effectiveness of non-pharmacological therapies applied to people with Alzheimer's in Primary Care. METHODS: A systematic review of articles published between April 2017 and April 2022 was carried out, applying the PRISMA methodology. The databases consulted were: PubMed, CINAHL, Dialnet, Web of Science and PsycINFO. MeSH and DeSH were used, with the Boolean operators AND and OR. The quality of the articles was evaluated with the STROBE, COCHRANE, AMSTAR-2 and JBI scales. RESULTS: A total of nineteen articles were selected in which various non-pharmacological therapies and their effectiveness in people with Alzheimer's were evaluated. Therapies based on physical activity and rehabilitation, cognitive stimulation and occupational therapy with music, animals and art, applied and maintained over time, are an alternative which, either combined or applied in isolation, are effective in preventing, stopping and slowing down Alzheimer's disease symptoms, especially in the first phase. CONCLUSIONS: Physical activity and rehabilitation, cognitive stimulation and therapy with music, animals and art, improve the health status and quality of life of patients with Alzheimer's disease in the first phase of the disease.


OBJETIVO: La enfermedad de Alzheimer se ha convertido en la gran epidemia del siglo XXI, siendo un reto para la sostenibilidad del sistema social y sanitario. El Alzheimer causa discapacidad y dependencia entre las personas mayores, siendo necesaria una atención continuada mediante terapias que mejoren la salud y la calidad de vida de estas personas. El objetivo de este trabajo fue evaluar la efectividad de las terapias no farmacológicas aplicadas en personas con Alzheimer en Atención Primaria. METODOS: Se realizó una revisión sistemática de artículos publicados entre abril de 2017 y abril de 2022, aplicando la metodología PRISMA. Las bases de datos consultadas fueron: PubMed, CINAHL, Dialnet, Web of Science y PsycINFO. Se usaron MeSH y DeSH, con los operadores boleanos AND y OR. La calidad de los artículos se evaluó con las escalas STROBE, COCHRANE, AMSTAR-2 y JBI. RESULTADOS: Se seleccionaron un total de diecinueve artículos en los que se evaluaron diversas terapias no farmacológicas y su efectividad en personas con Alzheimer. Las terapias basadas en actividad física y rehabilitación, estimulación cognitiva y la terapia ocupacional con música, animales y arte, aplicadas y mantenidas en el tiempo, son alternativas que, bien combinadas o aplicadas de forma aislada, son eficaces para prevenir, frenar y ralentizar los síntomas la enfermedad de Alzheimer, sobre todo en la fase inicial. CONCLUSIONES: La actividad física y rehabilitación, la estimulación cognitiva y la terapia con música, animales y arte, mejoran el estado de salud y la calidad de vida de pacientes con enfermedad de Alzheimer en fase inicial.


Asunto(s)
Enfermedad de Alzheimer , Humanos , Anciano , Enfermedad de Alzheimer/terapia , Calidad de Vida , España
3.
Nutrients ; 15(5)2023 Feb 25.
Artículo en Inglés | MEDLINE | ID: mdl-36904168

RESUMEN

The aim of this study was to assess the potential benefits of caffeine intake in protecting against the development of diabetic retinopathy (DR) in subjects with type 2 diabetes (T2D). Furthermore, we tested the effect of topical administration of caffeine on the early stages of DR in an experimental model of DR. In the cross-sectional study, a total of 144 subjects with DR and 147 individuals without DR were assessed. DR was assessed by an experienced ophthalmologist. A validated food frequency questionnaire (FFQ) was administered. In the experimental model, a total of 20 mice were included. One drop (5 µL) of caffeine (5 mg/mL) (n = 10) or vehicle (5 µL PBS, pH 7.4) (n = 10) was randomly administered directly onto the superior corneal surface twice daily for two weeks in each eye. Glial activation and retinal vascular permeability were assessed using standard methods. In the cross-sectional study in humans, the adjusted-multivariable model showed that a moderate and high (Q2 and Q4) caffeine intake had a protective effect of DR (odds ratio (95% confidence interval) = 0.35 (0.16-0.78); p = 0.011 and 0.35 (0.16-0.77); p = 0.010, respectively). In the experimental model, the administration of caffeine did not improve either reactive gliosis or retinal vascular permeability. Our results suggest a dose-dependent protective effect of caffeine in the development of DR, while the potential benefits of antioxidants in coffee and tea should also be considered. Further research is needed to establish the benefits and mechanisms of caffeinated beverages in the development of DR.


Asunto(s)
Diabetes Mellitus Tipo 2 , Retinopatía Diabética , Humanos , Animales , Ratones , Cafeína , , Estudios Transversales , Café , Factores de Riesgo
4.
Nutr Diabetes ; 12(1): 24, 2022 04 22.
Artículo en Inglés | MEDLINE | ID: mdl-35459205

RESUMEN

BACKGROUND: Medical nutrition therapy (MNT) has an integral role in overall diabetes management. During adolescence, consideration of physiological and psychosocial changes is essential for implementing an optimal diabetes treatment. OBJECTIVES: Our aim was to identify, summarize, and interpret the published literature about MNT in adolescents with type 1 diabetes. METHODS: The Medline (PubMed) and EMBASE databases were searched from January 1959 to December 2021. The inclusion criteria were interventional studies with MNT in adolescents with type 1 diabetes with a disease duration over 1 year, including the following outcomes: dietary intake and daily eating patterns (assessed with validated tools, two or more 24 h dietary recall or 3-day dietary records), the diabetes self-management education and support (DSMES), glycemic control, lipid profile and body mass index (BMI). The exclusion criteria were studies without a control group (except for pre-post studies), the lack of randomization and those studies that assessed only a single nutrient, food or meal consumption, as well as reviews, and in-vitro/in-vivo studies. The risk of bias assessment was performed using the Cochrane risk-of-bias tool for randomized trials. A narrative synthesis was performed to present the results. The quality of evidence was assessed with the GRADE guidance. RESULTS: From a total of 5377 records, 12 intervention studies (9 RCT and 3 pre-post intervention studies) were included. The data were assessed in order to perform a meta-analysis; however, the studies were too heterogeneous. The studies showed conflicting results about the effectiveness of MNT on dietary pattern, DSMES, glycemic control, lipid profile and BMI. CONCLUSIONS: Clinical research studies on the effectiveness of MNT in adolescents with type 1 diabetes are scarce. The limited number of studies with a high risk of bias precludes establishing robust conclusions on this issue. Further research is warranted.


Asunto(s)
Diabetes Mellitus Tipo 1 , Terapia Nutricional , Adolescente , Diabetes Mellitus Tipo 1/terapia , Dieta , Conducta Alimentaria , Humanos , Lípidos , Terapia Nutricional/métodos
5.
Anal Chim Acta ; 1192: 339334, 2022 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-35057930

RESUMEN

In this study, single-stranded DNA aptamers with binding affinity to Ole e 1, the major allergen of olive pollen, were selected using systematic evolution of ligands by exponential enrichment (SELEX) method. Binding of the aptamers was firstly established by enzyme-linked oligonucleotide assay (ELONA) and aptaprecipitation assays. Additionally, aptamer-modified monolithic capillary chromatography was used in order to evaluate the recognition of this allergenic protein against other non-target proteins. The results indicated that AptOle1#6 was the aptamer that provided the highest affinity for Ole e 1. The selected aptamer showed good selective recognition of this protein, being not able to retain other non-target proteins (HSA, cyt c, and other pollen protein such as Ole e 9). The feasibility of the affinity monolithic column was demonstrated by selective recognition of Ole e 1 in an allergy skin test. The stability and reproducibility of this monolithic column was suitable, with relative standard deviations (RSDs) in retention times and peak area values of 7.8 and 9.3%, respectively (column-to-column reproducibility). This is the first study that describes the design of an efficient DNA aptamer for this relevant allergen.


Asunto(s)
Aptámeros de Nucleótidos , Olea , Alérgenos , Polen , Reproducibilidad de los Resultados
7.
Poult Sci ; 99(11): 5308-5315, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33142446

RESUMEN

Nutraceuticals are not only nutritionally beneficial for animals but also their use as feed supplements may reduce environmental contamination. The effect of fermented defatted "alperujo," an olive oil by-product, supplementation on the intestinal health of broiler chickens was assessed by analyzing the intestinal mucosal morphology of the duodenum and the cecum. The microbiota of the cecum was also characterized by analyzing the V3-V4 region of the 16S rRNA gene on days 7, 14, 21, 28, 35, and 42. Supplemented broilers from 14 to 35 D of age showed an increase in villus height in the duodenum. This increase likely improved digestibility and absorption capacity during growth, leading to the observed increase in BW at day 35 of life. A progressive increase in crypt depth in both the duodenum and the cecum was also observed. This modification likely enhanced epithelial renewal, thus safeguarding the turnover capacity of the intestinal mucosa. Our molecular analysis of cecal microbiota suggests that this dietary supplement may favor the growth of certain bacteria and may control the spread of pathogenic bacteria by means of competitive exclusion.


Asunto(s)
Ciego , Pollos , Suplementos Dietéticos , Alimentos Fermentados , Mucosa Intestinal , Microbiota , Alimentación Animal/análisis , Fenómenos Fisiológicos Nutricionales de los Animales , Animales , Ciego/microbiología , Dieta/veterinaria , Suplementos Dietéticos/análisis , Mucosa Intestinal/fisiología , Microbiota/genética , ARN Ribosómico 16S/genética
8.
Nutr Hosp ; 37(6): 1285-1288, 2020 Dec 16.
Artículo en Español | MEDLINE | ID: mdl-33241939

RESUMEN

INTRODUCTION: Introduction: the vitamin cobalamin is essential for a proper functioning of the CNS, hematopoiesis, and DNA synthesis. Its deficiency is frequently secondary to pernicious anemia or strict vegetarian diets. Case report: an 18-month-old male infant presented with a decreased level of consciousness and movement disorder (tremor and choreiform movements) of several hours' standing. He had a history of delayed acquisition of motor milestones (not standing, monosyllabic language), and progressive loss of these over the last few weeks (head support and sitting). He had been breastfed from birth. His family has a vegetarian diet. In neuroimages, cranial CT and MRI scans showed generalized supratentorial atrophy involving both matters and the basal ganglia. Treatment was started with intramuscular vitamin B12, which increased its levels. Subsequently, the patient was subjected to dietary diversification and oral cyanocobalamin, with clinical normalization after 6 months and radiological normalization after 7 months. Conclusions: we emphasize the importance of vitamin B12 supplementation during pregnancy and lactation in vegetarina mothers and their infants.


INTRODUCCIÓN: Introducción: la vitamina cobalamina es esencial para el buen funcionamiento del SNC, la hematopoyesis y la síntesis de ADN. Su déficit es frecuentemente secundario a la anemia perniciosa o a las dietas vegetarianas estrictas. Caso clínico: lactante varón de 18 meses con disminución del nivel de conciencia y trastorno del movimiento (temblor y movimientos coreiformes) de horas de duración. Como antecedentes, presenta retraso de adquisición de hitos motores (no bipedestación, lenguaje monosilábico) y pérdida progresiva de los mismos en lúltimas semanas (sostén cefálico y sedestación). Alimentado mediante lactancia materna desde el nacimiento. La familia sigue una alimentación vegetariana. En las pruebas de neuroimagen, la TC y la RM craneales muestran atrofia supratentorial generalizada de ambas sustancias y de los ganglios basales. Se inicia tratamiento con vitamina B12 intramuscular, aumentando sus niveles. Posteriormente se procede a la diversificación alimentaria y la administración de cianocobalamina oral, con normalización clínica al cabo de 6 meses y radiológica al cabo de 7 meses. Conclusiones: recalcamos la importancia de la suplementación con B12 durante el embarazo y lactancia tanto en la mujer como en el lactante.


Asunto(s)
Encefalopatías/etiología , Dieta Vegana/efectos adversos , Deficiencia de Vitamina B 12/complicaciones , Vitamina B 12/uso terapéutico , Complejo Vitamínico B/uso terapéutico , Encefalopatías/diagnóstico por imagen , Encefalopatías/terapia , Humanos , Lactante , Masculino , Veganos , Deficiencia de Vitamina B 12/terapia
9.
Biomolecules ; 10(8)2020 08 13.
Artículo en Inglés | MEDLINE | ID: mdl-32823755

RESUMEN

The proper development of the early gastrointestinal tract (GIT) microbiota is critical for newborn ruminants. This microbiota is susceptible to modification by diverse external factors (such as diet) that can lead to long-lasting results when occurring in young ruminants. Dietary supplementation with prebiotics, ingredients nondigestible and nonabsorbable by the host that stimulate the growth of beneficial GIT bacteria, has been applied worldwide as a potential approach in order to improve ruminant health and production yields. However, how prebiotics affect the GIT microbiota during ruminants' early life is still poorly understood. We investigated the effect of milk supplementation with a combination of two well-known prebiotics, fructooligosaccharides (FOS) from sugar beet and garlic residues (all together named as "additive"), exerted on preweaned lamb growth and the composition of their fecal microbiota, by using 16S rRNA gene amplicon high-throughput sequencing. The results showed a significant increase in the mean daily weight gain of lambs fed with the additive. Lamb fecal microbiota was also influenced by the additive intake, as additive-diet lambs showed lower bacterial diversity and were significantly more abundant in Bifidobacterium, Enterococcus, Lactobacillus and Veillonella. These bacteria have been previously reported to confer beneficial properties to the ruminant, including promotion of growth and health status, and our results showed that they were strongly linked to the additive intake and the increased weight gain of lambs. This study points out the combination of FOS from sugar beet and garlic residues as a potential prebiotic to be used in young ruminants' nutrition in order to improve production yields.


Asunto(s)
Bacterias/clasificación , Beta vulgaris/química , Peso Corporal/efectos de los fármacos , Ajo/química , Oligosacáridos/administración & dosificación , Extractos Vegetales/administración & dosificación , Animales , Animales Recién Nacidos , Bacterias/genética , Bacterias/crecimiento & desarrollo , Bacterias/aislamiento & purificación , Bifidobacterium/clasificación , Bifidobacterium/genética , Bifidobacterium/crecimiento & desarrollo , Bifidobacterium/aislamiento & purificación , Suplementos Dietéticos , Microbioma Gastrointestinal , Secuenciación de Nucleótidos de Alto Rendimiento , Lactobacillus/clasificación , Lactobacillus/genética , Lactobacillus/crecimiento & desarrollo , Lactobacillus/aislamiento & purificación , Leche/química , Oligosacáridos/farmacología , Extractos Vegetales/farmacología , Prebióticos/administración & dosificación , ARN Ribosómico 16S/genética , Análisis de Secuencia de ADN , Ovinos , Veillonella/clasificación , Veillonella/genética , Veillonella/crecimiento & desarrollo , Veillonella/aislamiento & purificación
10.
J Nutr Biochem ; 63: 197-205, 2019 01.
Artículo en Inglés | MEDLINE | ID: mdl-30414540

RESUMEN

The evaluation of the benefits of omega-3 fatty acid supplementation in humans requires the identification and characterization of suitable biomarkers of its incorporation in the body. The reference method for the evaluation of omega-3, gas chromatography, is difficult to apply in clinical practice because of its low throughput and does not provide information about the incorporation of specific fatty acids in lipid species and the potential effects of supplementation on lipid classes. We used a quantitative lipidomic approach to follow the incorporation of omega-3 fatty acids into plasma lipids in cystic fibrosis patients (n=50) from a randomized controlled clinical trial after the supplementation of seaweed oil enriched with docosahexaenoic acid (DHA). Lipidomic analysis accurately showed the distribution of fatty acids in different lipid classes after omega-3 supplementation, and the performance in determining the compliance to supplementation was similar to that of gas chromatography coupled to mass spectrometry. Twelve months after fatty acid supplementation, DHA was predominantly incorporated into highly unsaturated cholesteryl esters (110.9±16.2 vs. 278.6±32.6 µM, mean±S.E.M.) and phosphatidylcholine (142.4±11.9 vs. 272.9±21.4 µM) and, to a lesser extent, into phosphatidylethanolamine (9.4±0.8 vs. 15.5±1.5 µM) and triglycerides (0.4±0.04 vs. 1.1±0.12 µM). In addition, a technique was developed for the fast measurement of the DHA/arachidonic acid ratio to simplify the follow-up of nutritional intervention with DHA-enriched foods. We conclude that lipidomics is a suitable approach for monitoring the incorporation of omega-3 fatty acids in nutritional studies.


Asunto(s)
Fibrosis Quística/dietoterapia , Ácidos Grasos Omega-3/farmacología , Lípidos/sangre , Fibrosis Quística/sangre , Suplementos Dietéticos , Ácidos Docosahexaenoicos/farmacología , Método Doble Ciego , Ácidos Grasos/sangre , Humanos , Lipidómica/métodos , Algas Marinas , Espectrometría de Masa por Láser de Matriz Asistida de Ionización Desorción
11.
Nutr Hosp ; 35(5): 1174-1185, 2018 Oct 08.
Artículo en Inglés | MEDLINE | ID: mdl-30307302

RESUMEN

INTRODUCTION: osteoporosis is a metabolic bone disease that leads to increased bone fragility and increased risk of fracture. OBJECTIVES: the aim of the present research was to determine the effectiveness of a diary intake of three different dairy products (250 ml) enriched with vitamins and calcium on decreasing bone mass. METHOS: the present study is a comparative trial of three dairy products fortified with calcium and vitamin D, parallel, randomized, double-blind andsingle-center. Bone mass content (BMC), bone mass density (BMD), T-score and Z-score were measured in different locations, besides biochemical markers along 18 months in premenopausal women. Two hundred and ten volunteers from all the three groups were submitted to the same monitoring procedures, consisting on blood extraction, urine collection and energy X-ray absorptiometry (DEXA) done in the laboratory. The monitoring was carried on three times, first at month 0 (baseline), the second at month 9 (in the middle of the treatment) and, finally, at month 18 (the end of the treatment). RESULTS: the majority of anatomical locations showed both BMC and BMD decrease ranging between 0.5% and 1.5%. The T-score and the Z-scoreincreased in lumbar spine after the treatment with the dairy products. Moreover, the most noteworthy change on the biomarkers of bone resorption was showed by plasmatic tartrate-resistant acid phosphatase (TRAP), with and increase between 20.7% and 29.5% after the intake of the different products. CONCLUSIONS: therefore, the intake of the three dairy products improves the bone mass in lumbar spine, leading to important changes in the concentration of biomarkers of bone resorption. Especially, tartrate-resistant acid phosphatase seems to be strongly influenced by the intake of every dairy product. However, no significant differences were found between the different dairy products used in the present study. Therefore, the intake of dairy product seems to be more determinant than micronutrients supplementation.


Asunto(s)
Desarrollo Óseo/efectos de los fármacos , Remodelación Ósea/efectos de los fármacos , Calcio de la Dieta/uso terapéutico , Productos Lácteos , Suplementos Dietéticos , Vitamina D/uso terapéutico , Vitamina K/uso terapéutico , Vitaminas/uso terapéutico , Absorciometría de Fotón , Adulto , Densidad Ósea , Método Doble Ciego , Femenino , Humanos , Persona de Mediana Edad , Osteoporosis Posmenopáusica , Premenopausia , Población Blanca
12.
JCI Insight ; 3(18)2018 09 20.
Artículo en Inglés | MEDLINE | ID: mdl-30232268

RESUMEN

Cardiac Nav1.5 and Kir2.1-2.3 channels generate Na (INa) and inward rectifier K (IK1) currents, respectively. The functional INa and IK1 interplay is reinforced by the positive and reciprocal modulation between Nav15 and Kir2.1/2.2 channels to strengthen the control of ventricular excitability. Loss-of-function mutations in the SCN5A gene, which encodes Nav1.5 channels, underlie several inherited arrhythmogenic syndromes, including Brugada syndrome (BrS). We investigated whether the presence of BrS-associated mutations alters IK1 density concomitantly with INa density. Results obtained using mouse models of SCN5A haploinsufficiency, and the overexpression of native and mutated Nav1.5 channels in expression systems - rat ventricular cardiomyocytes and human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) - demonstrated that endoplasmic reticulum (ER) trafficking-defective Nav1.5 channels significantly decreased IK1, since they did not positively modulate Kir2.1/2.2 channels. Moreover, Golgi trafficking-defective Nav1.5 mutants produced a dominant negative effect on Kir2.1/2.2 and thus an additional IK1 reduction. Moreover, ER trafficking-defective Nav1.5 channels can be partially rescued by Kir2.1/2.2 channels through an unconventional secretory route that involves Golgi reassembly stacking proteins (GRASPs). Therefore, cardiac excitability would be greatly affected in subjects harboring Nav1.5 mutations with Golgi trafficking defects, since these mutants can concomitantly trap Kir2.1/2.2 channels, thus unexpectedly decreasing IK1 in addition to INa.


Asunto(s)
Síndrome de Brugada/metabolismo , Canal de Sodio Activado por Voltaje NAV1.5/metabolismo , Canales de Potasio de Rectificación Interna/metabolismo , Animales , Arritmias Cardíacas/metabolismo , Células CHO , Cricetulus , Proteínas de la Matriz de Golgi , Humanos , Células Madre Pluripotentes Inducidas , Masculino , Ratones , Ratones Noqueados , Ratones Transgénicos , Miocitos Cardíacos/metabolismo , Canal de Sodio Activado por Voltaje NAV1.5/genética , Canales de Potasio/metabolismo , Canales de Potasio de Rectificación Interna/genética , Ratas , Ratas Sprague-Dawley , Canales de Sodio/metabolismo
13.
Ciudad Autónoma de Buenos Aires; Argentina. Ministerio de Salud de la Nación. Dirección de Investigación en Salud; jul. 2016. 1-24 p.
No convencional en Español | ARGMSAL, BINACIS | ID: biblio-1400620

RESUMEN

INTRODUCCIÓN En los pacientes con mielomeningocele e incontinencia fecal la biorretroalimentacion manometrica produce mejoría clínica con continencia satisfactoria. OBJETIVO Comprobar si se mantienen los resultados funcionales y la mejoría en la calidad de vida percibida en estos pacientes y sus padres, obtenidos al año de finalizada la terapia con biorretroalimentación. MÉTODO Estudio longitudinal, analítico y observacional. Participaron junto a sus padres, pacientes con mielomeningocele de 6 y 16 años que presentaron incontinencia fecal inicial, recibieron tratamiento con biorretroalimentación finalizado el año anterior y completaron las encuestas de calidad de vida. Se obtuvieron consentimiento y asentimiento informado y el cuestionario genérico PedsQL tm Luego se realizó la manometría recto-anal. Se utilizó para el análisis Test de Student, Fisher y Chi cuadrado. RESULTADOS 17 pacientes y sus padres fueron incluidos. Sexo femenino 8 (47,1%). Edad 11,47 ± 3,33 años. 13 pacientes (76,5%) no usaban pañales, 9 (53%) no presentaban incontinencia fecal. Todos con evacuación espontánea y en inodoro. No se observaron diferencias significativas en los parametros manometricos comparados al año de finalizar el tratamiento, a excepción del volumen de tolerancia máxima. En cuanto al Test de calidad de vida al año del tratamiento, en los niños se observó una diferencia estadísticamente significativa en el aspecto escolar, con respecto a los valores al finalizar el tratamiento, esto último quizás a un menor número de inasistencias escolares. En los padres no se observaron diferencias estadísticas, respecto al test previo. DISCUSIÓN Con este estudio hemos podido comprobar que es posible brindar una solución al problema de la incontinencia fecal en niños con mielomeningocele, estable en el tiempo, manteniendo los resultados funcionales y la mejoría en la calidad de vida percibida en estos pacientes y sus padres, al año de finalizada la terapia con biorretroalimentación


Asunto(s)
Calidad de Vida , Biorretroalimentación Psicológica , Meningomielocele , Incontinencia Fecal , Manometría
14.
Curr Diab Rep ; 16(4): 22, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26879305

RESUMEN

Medical nutrition therapy (MNT) plays an important role in the management of gestational diabetes mellitus (GDM), and accordingly, it has a significant impact on women and newborns. The primary objective of MNT is to ensure adequate pregnancy weight gain and fetus growth while maintaining euglycemia and avoiding ketones. However, the optimal diet (energy content, macronutrient distribution, its quality and amount, among others) remains an outstanding question. Overall, the nutritional requirements of GDM are similar for all pregnancies, but special attention is paid to carbohydrates. Despite the classical intervention of restricting carbohydrates, the latest evidence, although limited, seems to favor a low-glycemic index diet. There is general agreement in the literature about caloric restrictions in the case of being overweight or obese. Randomized controlled trials are necessary to investigate the optimal MNT for GDM; this knowledge could yield health benefits and cost savings.


Asunto(s)
Diabetes Gestacional/dietoterapia , Terapia Nutricional , Restricción Calórica , Femenino , Humanos , Sobrepeso , Embarazo
15.
J Agric Food Chem ; 64(5): 1103-10, 2016 Feb 10.
Artículo en Inglés | MEDLINE | ID: mdl-26760897

RESUMEN

Various fatty acids, tocopherols, carotenoids, and their respective antioxidant contributions in 7 amaranth seed and 11 quinoa seed samples along with a new evaluation method are reported. The lipid yield was 6.98-7.22% in amaranth seeds and 6.03-6.74% in quinoa seeds, with unsaturated fatty acids (UFAs) being the predominant fatty acids, 71.58-72.44% in amaranth seeds and 81.44-84.49% in quinoa seeds, respectively. Carotenoids, mainly lutein and zeaxanthin, are confirmed for the first time in amaranth seeds, while ß-carotene is reported first in quinoa seeds. The predominant tocopherols in amaranth seeds are δ- and α-tocopherol, whereas γ- and α-tocopherol are the primary tocopherols in quinoa seeds. UFAs, carotenoids, and tocopherols showed good correlation with antioxidant activity. All of the amaranth seeds demonstrated lower overall lipophilic quality than quinoa seeds, with the AS1 and QS10 cultivars providing the highest scores for amaranth and quinoa seeds, respectively. Results from this study will contribute to developing quinoa seeds and related functional foods with increased benefits.


Asunto(s)
Amaranthus/química , Carotenoides/química , Chenopodium quinoa/química , Ácidos Grasos/química , Extractos Vegetales/química , Tocoferoles/química , Amaranthus/crecimiento & desarrollo , Chenopodium quinoa/crecimiento & desarrollo , Valor Nutritivo , Ontario , Semillas/química , Semillas/crecimiento & desarrollo
16.
J Lipid Res ; 56(5): 1043-56, 2015 May.
Artículo en Inglés | MEDLINE | ID: mdl-25773888

RESUMEN

The benefits of dietary phytosterols (PhySs) and long-chain n-3 PUFA (ω3) have been linked to their effects as cholesterol- and triglyceride (TGL)-lowering agents. However, it remains unknown whether these compounds have further metabolic effects on LDL lipid composition. Here, we studied the effects of PhyS- or ω3-supplemented low-fat milk (milk) on the LDL-lipidome. Overweight and moderately hypercholesterolemic subjects (n = 32) were enrolled in a two-arm longitudinal crossover study. Milk (250 ml/day), enriched with either 1.57 g PhyS or 375 mg ω3 (EPA + DHA), was given to the participants during two sequential 28 day intervention periods. Compared with baseline, PhyS-milk induced a higher reduction in the LDL cholesterol (LDLc) level than ω3-milk. LDL resistance to oxidation was significantly increased after intervention with PhyS-milk. Changes in TGL and VLDL cholesterol were only evident after ω3-milk intake. Lipidomic analysis revealed a differential effect of the PhyS- and ω3-milk interventions on the LDL lipid metabolite pattern. Content in LDL-glycerophospholipids was reduced after PhyS-milk intake, with major changes in phosphatidylcholine (PC) and phosphatidylserine subclasses, whereas ω3-milk induced significant changes in the long-chain polyunsaturated cholesteryl esters and in the ratio PC36:5/lysoPC16:0, associated to a reduced inflammatory activity. In conclusion, daily intake of milk products containing PhyS or ω3 supplements induce changes in the LDL-lipidome that indicate reduced inflammatory and atherogenic effects, beyond their LDLc- and TGL-lowering effects.


Asunto(s)
Ácidos Grasos Omega-3/administración & dosificación , Hipercolesterolemia/tratamiento farmacológico , Lipoproteínas LDL/sangre , Sobrepeso/sangre , Fitosteroles/administración & dosificación , Administración Oral , Adulto , Anciano , Animales , Colesterol/sangre , Estudios Cruzados , Método Doble Ciego , Femenino , Humanos , Hipercolesterolemia/sangre , Metabolismo de los Lípidos/efectos de los fármacos , Lipoproteínas LDL/química , Masculino , Persona de Mediana Edad , Leche , Oxidación-Reducción , Tamaño de la Partícula , Resultado del Tratamiento
17.
Water Res ; 74: 110-21, 2015 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-25723339

RESUMEN

Soil aquifer treatment is widely applied to improve the quality of treated wastewater in its reuse as alternative source of water. To gain a deeper understanding of the fate of thereby introduced organic micropollutants, the attenuation of 28 compounds was investigated in column experiments using two large scale column systems in duplicate. The influence of increasing proportions of solid organic matter (0.04% vs. 0.17%) and decreasing redox potentials (denitrification vs. iron reduction) was studied by introducing a layer of compost. Secondary effluent from a wastewater treatment plant was used as water matrix for simulating soil aquifer treatment. For neutral and anionic compounds, sorption generally increases with the compound hydrophobicity and the solid organic matter in the column system. Organic cations showed the highest attenuation. Among them, breakthroughs were only registered for the cationic beta-blockers atenolol and metoprolol. An enhanced degradation in the columns with organic infiltration layer was observed for the majority of the compounds, suggesting an improved degradation for higher levels of biodegradable dissolved organic carbon. Solely the degradation of sulfamethoxazole could clearly be attributed to redox effects (when reaching iron reducing conditions). The study provides valuable insights into the attenuation potential for a wide spectrum of organic micropollutants under realistic soil aquifer treatment conditions. Furthermore, the introduction of the compost layer generally showed positive effects on the removal of compounds preferentially degraded under reducing conditions and also increases the residence times in the soil aquifer treatment system via sorption.


Asunto(s)
Agua Subterránea/química , Compuestos Orgánicos/aislamiento & purificación , Preparaciones Farmacéuticas/química , Aguas Residuales/química , Contaminantes Químicos del Agua/química , Purificación del Agua/métodos , Oxidación-Reducción , Preparaciones Farmacéuticas/análisis , Suelo/química , Aguas Residuales/análisis
18.
ACS Nano ; 9(1): 52-61, 2015 Jan 27.
Artículo en Inglés | MEDLINE | ID: mdl-25493329

RESUMEN

The photothermal response of plasmonic nanomaterials can be exploited for a number of biomedical applications in diagnostics (biosensing and optoacoustic imaging) and therapy (drug delivery and photothermal therapy). The most common cellular response to photothermal cancer treatment (ablation of solid tumors) using plasmonic nanomaterials is necrosis, a process that releases intracellular constituents into the extracellular milieu producing detrimental inflammatory responses. Here we report the use of laser-induced photothermal therapy employing gold nanoprisms (NPRs) to specifically induce apoptosis in mouse embryonic fibroblast cells transformed with the SV40 virus. Laser-irradiated "hot" NPRs activate the intrinsic/mitochondrial pathway of apoptosis (programmed cell death), which is mediated by the nuclear-encoded proteins Bak and Bax through the activation of the BH3-only protein Bid. We confirm that an apoptosis mechanism is responsible by showing how the NPR-mediated cell death is dependent on the presence of caspase-9 and caspase-3 proteins. The ability to selectively induce apoptotic cell death and to understand the subsequent mechanisms provides the foundations to predict and optimize NP-based photothermal therapy to treat cancer patients suffering from chemo- and radioresistance.


Asunto(s)
Apoptosis/efectos de los fármacos , Apoptosis/efectos de la radiación , Oro/química , Oro/farmacología , Nanomedicina , Nanoestructuras , Fototerapia , Animales , Transformación Celular Viral , Fibroblastos/citología , Fibroblastos/efectos de los fármacos , Fibroblastos/efectos de la radiación , Cinética , Rayos Láser , Ratones
19.
J Agric Food Chem ; 62(52): 12585-94, 2014 Dec 31.
Artículo en Inglés | MEDLINE | ID: mdl-25474757

RESUMEN

The phytochemicals and antioxidant activity in lipophilic and hydrophilic (extractable and bound) fractions of lentils before and after domestic cooking were investigated. The hydrophilic fractions in lentils contributed much more to the antioxidant activity than the lipophilic fraction. The phenolic content of lentils was mainly composed of extractable compounds. Significant changes (P < 0.05) in carotenoid, tocopherol, total phenolic, and condensed tannin contents of both extractable and bound phenolics fractions, as well as in antioxidant activities, were found in lentils before and after cooking. More specifically, cooking was found to favor the release of carotenoids and tocopherols and flavonols (kaempferol glycosides), but led to losses of flavanols (monomeric and condensed tannin). Whereas reduced flavanols and other phenolic compounds may have negatively affected the antioxidant activity, other components, especially the lipophilic antioxidants, were increased. The present study suggests that incorporation of cooked lentils into the diet will not cause significant loss to the phytochemical antioxidants and thus will retain the potential health benefits.


Asunto(s)
Antioxidantes/química , Carotenoides/química , Ácidos Grasos/química , Lens (Planta)/química , Fenoles/química , Extractos Vegetales/química , Tocoferoles/química , Culinaria , Calor
20.
J Agric Food Chem ; 62(52): 12610-9, 2014 Dec 31.
Artículo en Inglés | MEDLINE | ID: mdl-25465272

RESUMEN

Composition of lipophilic phytochemicals including fatty acids, tocopherols, and carotenoids in leaves of 6 quinoa and 14 amaranth cultivars was analyzed. The oil yields in quinoa and amaranth leaves were only 2.72-4.18%, which contained mainly essential fatty acids and had a highly favorable ω-3/ω-6 ratio (2.28-3.89). Pro-vitamin A carotenoids, mainly α- and ß-carotenes, and xanthophylls, predominantly lutein and violaxanthin, were found in all samples. The primary tocopherol isomers present in both quinoa and amaranth leaves were α- and ß-tocopherols. Added to the discussion on the lipophilic nutrients was the normalization of ω-3/ω-6 ratio, α-tocopherol equivalents, and carotenoids, in an attempt to establish a novel system for evaluation of the overall quality attributes of lipophilic nutrients (NQ value). The NQ value, but not the individual components, was highly correlated with all the antioxidant activities, supporting the ranking order of the potential nutritional quality of quinoa and amaranth leaves based on this new method.


Asunto(s)
Amaranthus/química , Carotenoides/química , Chenopodium quinoa/química , Lípidos/química , Extractos Vegetales/química , Hojas de la Planta/química , Tocoferoles/química , Ácidos Grasos/química , Isomerismo , Valor Nutritivo
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