ABSTRACT
Non-alcoholic fatty liver disease (NAFLD) includes a spectrum of liver alterations that can result in severe disease and even death. Consumption of ultra-processed foods (UPF) has been associated with obesity and related comorbidities. However, the link between UPF and NAFLD has not been sufficiently assessed. We aimed to investigate the prospective association between UPF consumption and liver health biomarkers. Methods: We followed for 1 year 5867 older participants with overweight/obesity and metabolic syndrome (MetS) from the PREDIMED-Plus trial. A validated 143-item semi-quantitative food frequency questionnaire was used to evaluate consumption of UPF at baseline, 6, and 12 months. The degree of processing for foods and beverages (g/day) was established according to the NOVA classification system. The non-invasive fatty liver index (FLI) and hepatic steatosis index (HSI) were used to evaluate liver health at three points in time. The associations between changes in UPF consumption (percentage of total daily dietary intake (g)) and liver biomarkers were assessed using mixed-effects linear models with repeated measurements. Results: In this cohort, UPF consumption at baseline was 8.19% (SD 6.95%) of total daily dietary intake in grams. In multivariable models, each 10% daily increment in UPF consumption in 1 year was associated with significantly greater FLI (ß 1.60 points, 95% CI 1.24;1.96 points) and HSI (0.43, 0.29; 0.57) scores (all p-values < 0.001). These associations persisted statistically significant after adjusting for potential dietary confounders and NAFLD risk factors. Conclusions: A higher UPF consumption was associated with higher levels of NAFLD-related biomarkers in older adults with overweight/obesity and MetS.
Subject(s)
Metabolic Syndrome , Non-alcoholic Fatty Liver Disease , Aged , Diet , Fast Foods/adverse effects , Food Handling , Humans , Non-alcoholic Fatty Liver Disease/etiology , Obesity/complications , OverweightABSTRACT
BACKGROUND: The Geriatric Oral Health Assessment Index (GOHAI) was developed and validated in 1990 and translated into Spanish in 1999. Since then, the original version has been used in numerous studies, but it has not been re-evaluated in terms of language in the new generations of older adults. The purpose of this study is to confirm the validity of the Spanish version of the Geriatric Oral Health Assessment Index (GOHAI-SP) after three decades to be used as part of an ongoing field trial. METHODS: The GOHAI-SP was pilot tested in a focus group to confirm linguistic comprehension. A version with minor language changes was administered to individuals with metabolic syndrome aged 55-75 years from one health care district in southern Spain as part of an ongoing field trial (PREDIMED-Plus). Clinical evaluation included assessment of dental and periodontal status. The psychometric properties of the GOHAI-SP were evaluated through stability and internal consistency measures, and concurrent and discriminant validity were assessed. RESULTS: The new version of the GOHAI-SP was administered to 100 individuals. The application time was reduced by 7 min. The alpha value for reliability was 0.87. The item-scale correlation coefficients ranged from 0.54 to 0.75, and the test-re-test correlation for the total score was 0.75. There were inverse correlations between GOHAI-SP scores and the number of lost teeth and the decayed-missing-filled teeth index (p < 0.001). CONCLUSIONS: The GOHAI-SP questionnaire remains a valid and useful tool to assess oral health-related quality of life in primary health care settings. A linguistic update of the questionnaire brought improvements to the instrument application. TRIAL REGISTRATION: The PREDIMED-Plus trial is registered in the ISRCTN registry with reference number ISRCTN89898870. Registration date: 4th July 2014.
Subject(s)
Geriatric Assessment/methods , Oral Health , Quality of Life , Surveys and Questionnaires/standards , Aged , Aged, 80 and over , Attitude to Health , Dental Care/psychology , Dental Caries/psychology , Dental Health Surveys , Female , Humans , Language , Male , Middle Aged , Reproducibility of Results , Socioeconomic Factors , Spain , Tooth Loss/psychology , ToothbrushingABSTRACT
OBJETIVO: Explorar la relación existente entre «calidad de vida profesional» e «inteligencia emocional percibida», y la relación de ambas con el grado de consecución de objetivos laborales en el Distrito de Atención Primaria Costa del Sol. DISEÑO: Estudio observacional descriptivo transversal multicéntrico. Emplazamiento: Distrito Sanitario Costa del Sol en la Provincia de Málaga. PARTICIPANTES: Muestra de profesionales de todas las categorías, fijos y contratados, de las Unidades de Gestión del Distrito Costa del Sol (n = 303). Respondieron 247 (81,5%). MEDICIONES PRINCIPALES: Se recogieron los datos de porcentaje de consecución de objetivos del año 2010 y los datos sociodemográficos de los participantes; para ello se utilizaron cuestionarios autoadministrados diseñados ad hoc. Para medir la «inteligencia emocional percibida» y «calidad de vida profesional percibida», se utilizaron los cuestionarios TMMS-24 que mide las dimensiones: percepción, comprensión y regulación emocional y CVP-35 que mide las dimensiones: apoyo directivo, demanda de trabajo y motivación intrínseca. RESULTADOS: Se observaron correlaciones significativas entre calidad de vida profesional e inteligencia emocional en las categorías de regulación (p < 0,01) y comprensión (p < 0,05). También existían correlaciones significativas entre la profesión y tipo de contrato con la consecución de objetivos, (p < 0,005) y entre calidad de vida profesional y tipo de contrato (p < 0,05). CONCLUSIONES: La calidad de vida profesional percibida se relaciona con la percepción y la regulación como dimensiones de la inteligencia emocional. Desde los órganos de gestión se debe promover el conocimiento de métodos del manejo de las emociones en todos sus profesional
OBJECTIVE: To examine the relationship between "Quality of Professional Life" and "Perceived Emotional Intelligence" and the relationship of both of these with the level of achievement of occupational objectives in the Costa del Sol Primary Health Care District. DESIGN: Multicentre descriptive cross-sectional observational study. LOCATION: The Costa del Sol Primary Health Care District in the province of Málaga. PARTICIPANTS: Sample of Employees of all categories in fixed and contracted employment in the Management Units of the Costa del Sol District. (N = 303). Respondents 247 (81.5%). Principal Measurements: The data collected was that of the percentage of achievement of objectives in 2010 and the socio-demographic data of the participants, using ad hoc designed self-report questionnaires. The TMMS -24 questionnaire was used to measure the "Perceived Emotional Intelligence", with the following dimensions: Perception, comprehension, and emotional control, and the CVP-35 measuring: management support, work demands, and intrinsic motivation. RESULTS: Significant correlationas were observed between Quality of Professional Life and Emotional Intelligence in the Regulation (p< .01) and Comprehension categories (p < 0.05). There were also significant correlations between the profession and the type of contract in the achievement of objectives (p< .005), and quality of professional life and type of contract (p< .05). CONCLUSIONS: The perceived quality of professional life is related to perception and regulation dimensions of Emotional Intelligence. Knowledge of emotion management methods should be promoted by management organisations for all employees
Subject(s)
Humans , Male , Female , Emotional Intelligence/physiology , Job Satisfaction , Burnout, Professional/prevention & control , Burnout, Professional/psychology , Occupational Health , Organizational Objectives , 16054/psychology , Quality of Life , 16360 , Sanitary Management/instrumentation , Sanitary Management/methods , Emotions/physiology , Professionalism , Societies , Health , Observational Study , Cross-Sectional Studies/instrumentation , Cross-Sectional Studies/methods , Multicenter Studies as Topic/instrumentation , Multicenter Studies as Topic/methods , Surveys and Questionnaires , SpainABSTRACT
OBJECTIVE: To examine the relationship between "Quality of Professional Life" and "Perceived Emotional Intelligence" and the relationship of both of these with the level of achievement of occupational objectives in the Costa del Sol Primary Health Care District. DESIGN: Multicentre descriptive cross-sectional observational study. LOCATION: The Costa del Sol Primary Health Care District in the province of Málaga. PARTICIPANTS: Sample of Employees of all categories in fixed and contracted employment in the Management Units of the Costa del Sol District. (N=303). Respondents 247 (81.5%) PRINCIPAL MEASUREMENTS: The data collected was that of the percentage of achievement of objectives in 2010 and the socio-demographic data of the participants, using ad hoc designed self-report questionnaires. The TMMS -24 questionnaire was used to measure the "Perceived Emotional Intelligence", with the following dimensions: Perception, comprehension, and emotional control, and the CVP-35 measuring: management support, work demands, and intrinsic motivation. RESULTS: Significant correlationas were observed between Quality of Professional Life and Emotional Intelligence in the Regulation (p<.01) and Comprehension categories (p<0.05). There were also significant correlations between the profession and the type of contract in the achievement of objectives (p<.005), and quality of professional life and type of contract (p<.05). CONCLUSIONS: The perceived quality of professional life is related to perception and regulation dimensions of Emotional Intelligence. Knowledge of emotion management methods should be promoted by management organisations for all employees.
Subject(s)
Achievement , Emotional Intelligence , Goals , Primary Health Care , Quality of Life , Cross-Sectional Studies , Female , Humans , Male , Self Report , SpainABSTRACT
Objetivo: Evaluar la prevalencia de la infecciónpor sífilis en el embarazo y los resultados delmanejo de esta afección.Material y métodos: Revisión retrospectiva detodos los casos de sífilis y embarazo diagnosticadoy tratados entre enero de 1996 y diciembre de2006 en el Hospital Universitario San Cecilio deGranada.Resultados: La incidencia global de sífilis duranteel embarazo en nuestro medio en los 11 últimosaños es de 2,42 × 1004 (7 casos), 3 de ellos en elúltimo año.Conclusiones: En nuestro medio, presentamos unaincidencia de sífilis durante el embarazo superior ala media de los países con nuestro nivelsocioeconómico, como EE.UU. con 1,1/100.000gestaciones, posiblemente debido a un incrementode la población inmigrante
Objective: To evaluate the prevalence of syphilisinfection in pregnancy and the results of themanagement of this disease.Material and methods: We performed aretrospective study of all cases of syphilis infectionin pregnancy diagnosed and treated betweenJanuary 1996 and December 2006 in the SanCecilio University Hospital in Granada.Results: During the 11-year period studied, theoverall incidence of syphilis infection in pregnancywas 2.42 × 1004 (seven cases), with three casesoccurring in the final year.Conclusions: In our area, the incidence of syphilisin pregnancy was higher than the average reportedin other countries of a similar socioeconomic level(e.g. the USA with 1.1 × 100,000 pregnancies),possibly due to the increase in the immigrantpopulation
