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1.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-LISBR1.1-46984

RESUMEN

"O câncer tem como causa uma variedade de fatores, que nós chamamos fatores de risco, cuja maioria se relaciona com o ambiente externo ou com aquilo que nós colocamos no nosso organismo”, explicou Inez Gadelha, Chefe de Gabinete da Secretaria de Atenção Especializada do Ministério da Saúde.


Asunto(s)
Neoplasias/prevención & control , Estilo de Vida Saludable
4.
Orv Hetil ; 161(4): 129-138, 2020 Jan.
Artículo en Húngaro | MEDLINE | ID: mdl-31955585

RESUMEN

Introduction: Cardiovascular disease is the leading cause of death accounting for 4 million deaths per year in Europe. Psychosocial factors explain at least 25-40% of the disease's prevalence beyond the well-known lifestyle factors. Isolation in adulthood is one of the main sources of chronic stress that raises the incidence of the disease. The low level of social support and social isolation are increasing the risk of depression and high blood pressure hence the incidence of cardiovascular diseases. Aim: Our aim was to observe the correlation between social isolation and health behaviour. Furthermore, we have adapted the earlier validated Multidimensional Social Support Scale to the domain of health. Method: The data from 507 persons were collected online in 2018. Multidimensional Social Support Scale adapted to health, self-rated health, subjective means, short version of Beck Depression, shortened version of WHO Wellbeing, and Perceived Stress Scales were recorded. Results: Factor analysis verified the scale construction of the original 3-subscale structure (Cronbach alpha values = 0.945, 0.950 and 0.905). According to the regression models, social support received from friends we have observed to have moderately positive correlation with intensive exercises (B = 0.205, beta = 0.096, p = 0.093). Logistic regression model revealed that health-connected social support does not correlate with smoking, only education variable was related with it strongly, statistically significantly (B = -1.284, OR = 0.277, p<0.001). Conclusion: Multidimensional Social Support Scale has satisfactory stability and consistency to measure health-related social support. Social support showed correlation with the measures of mental health (depression, stress-level, wellbeing), and moderate association with intense exercises. Orv Hetil. 2020; 161(4): 129-138.


Asunto(s)
Estilo de Vida Saludable , Apoyo Social , Humanos
5.
BMJ ; 368: l6669, 2020 01 08.
Artículo en Inglés | MEDLINE | ID: mdl-31915124

RESUMEN

OBJECTIVE: To examine how a healthy lifestyle is related to life expectancy that is free from major chronic diseases. DESIGN: Prospective cohort study. SETTING AND PARTICIPANTS: The Nurses' Health Study (1980-2014; n=73 196) and the Health Professionals Follow-Up Study (1986-2014; n=38 366). MAIN EXPOSURES: Five low risk lifestyle factors: never smoking, body mass index 18.5-24.9, moderate to vigorous physical activity (≥30 minutes/day), moderate alcohol intake (women: 5-15 g/day; men 5-30 g/day), and a higher diet quality score (upper 40%). MAIN OUTCOME: Life expectancy free of diabetes, cardiovascular diseases, and cancer. RESULTS: The life expectancy free of diabetes, cardiovascular diseases, and cancer at age 50 was 23.7 years (95% confidence interval 22.6 to 24.7) for women who adopted no low risk lifestyle factors, in contrast to 34.4 years (33.1 to 35.5) for women who adopted four or five low risk factors. At age 50, the life expectancy free of any of these chronic diseases was 23.5 (22.3 to 24.7) years among men who adopted no low risk lifestyle factors and 31.1 (29.5 to 32.5) years in men who adopted four or five low risk lifestyle factors. For current male smokers who smoked heavily (≥15 cigarettes/day) or obese men and women (body mass index ≥30), their disease-free life expectancies accounted for the lowest proportion (≤75%) of total life expectancy at age 50. CONCLUSION: Adherence to a healthy lifestyle at mid-life is associated with a longer life expectancy free of major chronic diseases.


Asunto(s)
Enfermedades Cardiovasculares , Diabetes Mellitus Tipo 2 , Estilo de Vida Saludable/fisiología , Esperanza de Vida , Neoplasias , Conducta de Reducción del Riesgo , Adulto , Consumo de Bebidas Alcohólicas , Índice de Masa Corporal , Enfermedades Cardiovasculares/prevención & control , Enfermedades Cardiovasculares/psicología , Diabetes Mellitus Tipo 2/prevención & control , Diabetes Mellitus Tipo 2/psicología , Ejercicio , Femenino , Humanos , Masculino , Persona de Mediana Edad , Neoplasias/prevención & control , Neoplasias/psicología , Investigación en Enfermería , Estudios Prospectivos , Fumar
6.
Sports Health ; 12(1): 10-11, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31865889
7.
Recurso Educacional Abierto en Español | CVSP - Argentina | ID: oer-3884

RESUMEN

1º Jornada «Derecho a la Salud», organizada por el CVSP Nodo Argentina, la Sala de Derecho a la Salud del Colegio de Abogados de Córdoba y la Escuela de Salud Pública y Ambiente de la Facultad de Ciencias Médicas–UNC. La misma se llevó a cabo el día 4 de diciembre del corriente año en el Salón Rojo de la Secretaría de Graduados en Ciencias de la Salud FCM-UNC. La jornada contó con la presencia de Profesionales de la Salud, Profesionales del Derecho, alumnos de postgrado de las Carreras de Ciencias Médicas, Derecho y Ciencias Sociales y público en general. Conferencia dictada por el Prof. Dr. Rubén Torres. Ex Miembro de la OPS. Rector de ISALUD de Buenos Aires.


Asunto(s)
Calidad de la Atención de Salud/organización & administración , Estilo de Vida Saludable/ética , Argentina , Política Nacional de Ciencia, Tecnología e Innovación , Sistemas de Salud/economía
8.
Rev Med Suisse ; 15(674): 2247-2250, 2019 Dec 04.
Artículo en Francés | MEDLINE | ID: mdl-31804037

RESUMEN

Lower extremity peripheral artery disease can lead to local complications but also to complications in other vascular areas, stressing the systemic impact of the atheromatous disease. The current concepts of MALE (Major Adverse Limb Events) and MACE (Major Adverse Cardiac Events) encompass these risks. The systemic vascular complications, as well as the ones at lower extremities, are associated with significant morbidity and mortality. An optimal therapeutic management and healthy lifestyle, such as regular exercise, are crucial to limit the risk of unfavorable progression of the arterial disease. A close collaboration between the general practitioner and the angiologist is a key to adequate initial management and follow-up of the patients.


Asunto(s)
Extremidad Inferior/irrigación sanguínea , Enfermedad Arterial Periférica/complicaciones , Enfermedad Arterial Periférica/terapia , Estilo de Vida Saludable , Humanos , Factores de Riesgo , Resultado del Tratamiento
9.
Actas dermo-sifiliogr. (Ed. impr.) ; 110(10): 830-840, dic. 2019. ilus, tab
Artículo en Español | IBECS | ID: ibc-185605

RESUMEN

Introducción: La exposición solar en la infancia es el principal factor de riesgo para el desarrollo de cáncer de piel en la vida adulta. Las intervenciones basadas en programas y políticas de fotoprotección escolar han demostrado ser las estrategias más eficaces y coste-efectivas para la prevención del cáncer de piel. Objetivos: Elaborar un modelo de certificación que permita identificar de forma objetiva aquellos centros escolares que promueven activamente la fotoprotección. Métodos: Se empleó metodología de consenso basada en panel de expertos, recurriendo al método Delphi en 2 rondas. Se analizaron las medianas de las valoraciones de la importancia y factibilidad de cada una de las recomendaciones, y el porcentaje de respuestas positivas para los niveles de cada una de ellas. Resultados: Se obtuvo un modelo integrado por 14 recomendaciones junto a sus criterios de evaluación, relativas a 7 dimensiones: 1) liderazgo organizacional (5 recomendaciones), 2) comunicación efectiva (2 recomendaciones), 3) elementos estructurales (2 recomendaciones), 4) formación de profesionales (una recomendación), 5) currículum escolar (una recomendación), 6) modelos de conducta (2 recomendaciones) y 7) hábitos del alumnado (una recomendación). Todas las recomendaciones mostraron un alto nivel de acuerdo, tanto en la valoración de la importancia y factibilidad como en la categorización de los niveles de complejidad. Conclusión: Se trata del primer distintivo de fotoprotección escolar que se desarrolla en nuestro país. Se necesitan estudios que evalúen el grado de aceptación de la estrategia y su impacto en los hábitos de fotoprotección de los escolares


Introduction: Sun exposure during childhood is the main risk factor for skin cancer in later life. School-based sun protection policies and practices have proven to be the most effective and cost-effective strategies for preventing skin cancer. Objective: To develop a sun protection accreditation program known as «Soludable» (a play on the Spanish words sol [sun] and saludable [healthy]) to objectively identify schools that actively promote sun protection behaviors among students. Methods: The consensus method used was a 2-round Delphi technique with input from a panel of experts. We then calculated the median scores for the importance and feasibility of each of the recommendations proposed and the level of complexity assigned to each recommendation by counting the percentage of experts who chose each difficulty category. Results: The resulting accreditation model consists of 14 recommendations with corresponding evaluation criteria divided into 7 domains: 1) organizational leadership (5 recommendations), 2) effective communication (2 recommendations), 3) structural elements (2 recommendations), 4) training of professionals (1 recommendation), 5) school curriculum (1 recommendation), 6) behavioral models (2 recommendations), and 7) student habits (1 recommendation). A high level of agreement among experts was observed for all recommendations, in terms of both their perceived importance and feasibility and their categorization by levels of complexity. Conclusions: This is the first sun protection accreditation program developed for Spanish schools. Studies are needed to evaluate how this program is received and how it affects students' sun protection behaviors


Asunto(s)
Humanos , Quemadura Solar/prevención & control , Política de Salud , Instituciones Académicas , Exposición a Riesgos Ambientales/prevención & control , Consenso , Técnica Delfos , Liderazgo , Estilo de Vida Saludable
10.
Rev. salud pública Parag ; 9(2): [P58-P65], Dic 2019.
Artículo en Español | LILACS | ID: biblio-1047140

RESUMEN

Las amebas de vida libre (AVL) existen ampliamente distribuidas en la naturaleza, donde el género Acanthamoeba es la más frecuentemente aislada en diversos ambientes del suelo, aire y agua y está asociada a enfermedades en humanos. Su capacidad para vivir en ambientes adversos se debe a su baja demanda de alimentación y a que en su ciclo biológico tiene un estadio en forma de quiste, lo que la hace muy resistente. El hombre, como hospedero puede desarrollar infecciones en el sistema nervioso central, en la piel y los pulmones. A nivel ocular es capaz de afectar la córnea y producir queratitis. Por lo tanto es considerado un importante agente etiológico de patologías humanas. En esta revisión se aborda la biología, patogénesis y los mecanismos de defensa del ser humano frente a la infección por Acanthamoeba. Además a esto, de los factores de riesgo por el uso de lentes de contacto y malos hábitos de higiene del usuario y por último el abordaje diagnóstico microbiológico y molecular. Esta herramienta ha ido mejorando con el avance de la tecnología, indispensable para la temprana identificación y el logro de una oportuna y eficaz intervención clínica y terapéutica. Finalmente exponemos la situación actual en relación a los métodos de diagnóstico con que se cuentan y los escasos reportes clínicos existentes en Paraguay. Palabras clave: Acanthamoeba sp., Lentes de contacto, Queratitis.


Free-living amoeba (FLA) exist widely in nature, where the genus Acanthamoeba is the most frequently isolated in various environments of soil, air and water. It is associated with diseases in human. Its ability to live in adverse environments is due to the low food demand and that in its biological cycle it has a cyst-shaped stage, which makes it very resistant. Man, as a host, can acquire infections in the central nervous system and in the skin and lungs. On the ocular level, it can affect the cornea and cause keratitis. Therefore, it is considered an important etiological agent of human pathologies. This review addresses the biology, pathogenesis and human defense mechanisms against Acanthamoeba infection. In addition to this, the review explores the risk factors related to the use of contact lenses and poor hygienic behavior of the users, and finally the microbiological and molecular diagnosis. This particular tool has been improved with the advancement of technology and is essential for timely identification and the achievement of a good clinical and therapeutic intervention. Finally, we present the current situation in Paraguay regarding the few existing clinical reports and the diagnostic methods available. Key words: Acanthamoeba sp., Contact lenses, Keratitis.


Asunto(s)
Humanos , Queratitis por Acanthamoeba/diagnóstico , Lentes de Contacto/efectos adversos , Factores de Riesgo , Estilo de Vida Saludable
11.
Vasc Health Risk Manag ; 15: 551-558, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31853180

RESUMEN

Introduction: As hypertension is a chronic cardiovascular disease that contributes to a high proportion of morbidity and mortality worldwide, favorable knowledge is crucial to control it. Objective: The objective of this study was thus to assess knowledge and associated factors of blood pressure control among hypertensive patients at the chronic illness follow-up Clinic of the University of Gondar comprehensive-specialized hospital, Gondar, Ethiopia. Methods: An institution-based cross-sectional study was conducted from March to April 2018. A systematic random sampling technique was used to select participants. Bi-variable and multivariable logistic regressions were done to assess the relationship between dependent and independent variables. The adjusted odds ratio with a 95% confidence interval was used to determine the presence and strength of association between covariates and the outcome variable. Results: A total of 404 participants took part in the study with a response rate of 97.3%. The overall good knowledge about blood pressure control was 51.7% (95% CI=46.3-56.8). Females were 3.79 (AOR= 3.79, 95% CI: (1.55, 9.28)) more knowledgeable about blood pressure control than males. In the multivariable analysis, the odds of being knowledgeable were 2.80 (AOR= 2.80, 95% CI (1.44, 5.46)), 8.05 (AOR=8.05, 95% CI (2.93, 22.10)), and 7.53 (AOR=7.53, 95% CI (2.52, 22.49)) for can read and write, secondary, preparatory and above education, respectively, compared to cannot read and write. Occupation was significantly associated with the knowledge of plod pressure control. For example, merchants 7.66 (AOR=7.66, 95% CI (3.01, 19.47)), government employee 6.33 (AOR=6.33, 95% CI (1.90, 22.07)), and self-employed 4.58 (AOR=4.58, 95% CI (1.80, 11.70)) times more likely to be knowledgeable than farmers, respectively. Participants with family history of hypertension were 2.36 (AOR=2.36, 95% CI (1.42, 3.92)) times more knowledgeable than their counterparts. Conclusion: In this study, knowledge of blood pressure control was lower compared to the finding of a study done at Bishoftu hospital, Ethiopia. But it is higher than studies in other African countries. Both pharmacological and non-pharmacological awareness is vital for blood pressure control.


Asunto(s)
Antihipertensivos/uso terapéutico , Presión Sanguínea/efectos de los fármacos , Conocimientos, Actitudes y Práctica en Salud , Estilo de Vida Saludable , Hospitales Universitarios , Hipertensión/terapia , Servicio Ambulatorio en Hospital , Conducta de Reducción del Riesgo , Adulto , Anciano , Estudios Transversales , Escolaridad , Etiopía , Femenino , Humanos , Hipertensión/diagnóstico , Hipertensión/fisiopatología , Hipertensión/psicología , Masculino , Persona de Mediana Edad , Ocupaciones , Factores de Riesgo , Factores Sexuales
12.
Clín. investig. arterioscler. (Ed. impr.) ; 31(6): 245-250, nov.-dic. 2019. tab
Artículo en Español | IBECS | ID: ibc-185149

RESUMEN

Objetivo: Valorar el efecto de un programa de actividad física motivada sobre los parámetros lipídicos más relacionados con el exceso de peso (triglicéridos [TG] y colesterol de las lipoproteínas de alta densidad [cHDL]) en una intervención para reducir peso en pacientes con sobrepeso y obesidad. Métodos: Ensayo clínico, aleatorizado y controlado, con 2 brazos y un seguimiento de 12 meses. Los pacientes incluidos en el estudio fueron aleatorizados en 2 grupos de intervención: intervención motivacional de obesidad con enfermera entrenada previamente (G1), grupo motivacional, con apoyo de plataforma digital y programa de actividad física motivada (iwopi [G2]). Las variables antropométricas medidas fueron estatura, peso, índice masa corporal (IMC) y las analíticas, colesterol total, TG y cHDL. Resultados: Han participado en el estudio 123 pacientes, de los que 61 fueron aleatorizados al G1 y 62 al G2. Todos los grupos disminuyeron significativamente el peso al final del estudio, siendo la disminución en el G1 (-4,898kg) y del G2 (-6,292kg). También todos los grupos disminuyeron significativamente (p < 0,05) el colesterol total y los TG, y aumentaron el cHDL, siendo estos cambios más intensos en el grupo G2, el grupo que más peso perdió. Conclusiones: La reducción de peso se acompaña de cambios favorables en los parámetros lipídicos relacionados con el sobrepeso y la obesidad, siendo más intensos cuanto mayor es la pérdida de peso


Objective: To assess the effect of a motivated physical activity program on the lipid parameters most related to excess weight (triglycerides [TG], and high density lipoprotein cholesterol [HDL]) in a weight-loss intervention in obese and overweight patients. Methods: A randomised and controlled, 2-arm, clinical trial and a 12-months follow-up was conducted. The patients included in the study were randomised into 2 intervention groups: Motivational intervention of obesity with a previously trained nurse (G1), motivational group, with digital platform support and motivated physical activity program (iwopi [G2]). The anthropometric variables measured were height, weight, Body Mass Index (BMI), as well as the analytical variables, total cholesterol, TG and HDL-C. Results: A total of 123 patients participated in the study, of which 61 were randomised to G1, and 62 to G2. Both groups significantly decreased weight at the end of the study, with the decrease in G1 being 4.898 kg, and 6.292 kg in G2. In both groups there was also a significantly decrease (P < .05) in total cholesterol and TG, and increase in HDL cholesterol, with these changes being more intense in the G2 group, as well as being the group that lost more weight. Conclusions: Weight reduction is accompanied by favourable changes in lipid parameters related to overweight and obesity, being more intense the greater the weight loss


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Actividad Motora/fisiología , Obesidad/terapia , Sobrepeso/terapia , Lípidos/análisis , Programas Gente Sana/organización & administración , Metabolismo de los Lípidos/fisiología , Estilo de Vida Saludable
13.
Gynecol Oncol ; 155(3): 461-467, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31706666

RESUMEN

OBJECTIVE: Although a high proportion of women with advanced stage ovarian cancer die within five years, approximately 30% will survive longer than this. The factors contributing to exceptional survival are currently poorly understood. The viewpoints of ovarian cancer survivors were qualitatively explored to determine the factors they felt have influenced their exceptional ovarian cancer survival. METHODS: Four focus groups, one each in Los Angeles (California), Ann Arbor (Michigan), New York (New York) and Edmonton (Alberta, Canada), were conducted with women who had survived at least five years. Physical activity, diet, meditation, prayer, treatment, complementary medicine, and side effects were explored in semi-structured discussions. The audiotaped sessions were transcribed and coded and then analyzed using Dedoose Version 8.0.35, a qualitative analysis software. RESULTS: Of the 26 women who participated, 23 had advanced stage disease. Three overarching themes emerged: (a) survivors had improved their 'lifestyles', including but not limited to fitness and diet; (b) survivors were able to draw on strong support systems, which included family, friends, support groups, faith communities, and healthcare workers; and (c) survivors had a strong life purpose, which manifested as positivity, taking charge of their lives, and advocating for themselves. CONCLUSIONS: Long-term survivors have varying experiences with their cancer, but identified lifestyle modification, motivation and persistence, strong life purpose, and strong support systems as key elements in their better survival. These preliminary findings indicate the need for further prospective studies to determine whether meaningful differences exist between short term and long term survivors on these characteristics.


Asunto(s)
Supervivientes de Cáncer/psicología , Neoplasias Ováricas/psicología , Alberta/epidemiología , California/epidemiología , Femenino , Grupos Focales , Estilo de Vida Saludable , Humanos , Michigan/epidemiología , Persona de Mediana Edad , Estadificación de Neoplasias , New York/epidemiología , Neoplasias Ováricas/mortalidad , Neoplasias Ováricas/patología , Neoplasias Ováricas/terapia , Apoyo Social
15.
Prog Cardiovasc Dis ; 62(5): 431-435, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31711788

RESUMEN

In the past five decades, cardiorespiratory fitness (CRF) has become fairly established as an important risk factor or marker for cardiovascular disease (CVD), as well as CVD - and all-cause mortality. Substantial evidence supports a strong inverse association between baseline levels of CRF and the risk of developing CVD risk factors, including dyslipidemia. Additionally, accumulating evidence also supports that maintaining or improving a certain level of CRF over time leads to a lower rate of developing CVD risk factors, such as dyslipidemia, and also improves survival. Recent evidence also supports the role of resistance exercise and muscular strength to reduce the development of metabolic syndrome and hypercholesterolemia and potentially reduce development of diabetes as well, in addition to improving survival. Therefore, great efforts are needed to increase both CRF and muscle strength with aerobic exercise and resistance exercise in the primary and secondary prevention of CVD.


Asunto(s)
Capacidad Cardiovascular , Enfermedades Cardiovasculares/prevención & control , Dislipidemias/prevención & control , Estilo de Vida Saludable , Lípidos/sangre , Conducta de Reducción del Riesgo , Biomarcadores/sangre , Enfermedades Cardiovasculares/mortalidad , Dislipidemias/sangre , Dislipidemias/mortalidad , Estado de Salud , Humanos , Fuerza Muscular , Pronóstico , Factores Protectores , Entrenamiento de Resistencia , Medición de Riesgo , Factores de Riesgo , Factores de Tiempo
16.
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med ; 27(Special Issue): 704-709, 2019 Aug.
Artículo en Ruso | MEDLINE | ID: mdl-31747165

RESUMEN

The key role in healthy lifestyle (HLS) formation among the population belongs to medical specialists, who possess reliable scientific knowledge in this field. The effectiveness of spreading healthy living message is connected with organizational conditions: principles of segmentation and patient routing, role of non-physician staff, development of remote forms of work and staff training system. Much attention is given to healthy living attitudes among medical specialists. According to the conducted sociological study and review of foreign and national experience, the authors present practical recommendations which include organizational changes aimed at greater effectiveness of HLS promotion by healthcare professionals.


Asunto(s)
Personal de Salud , Estilo de Vida Saludable , Humanos
17.
BMC Health Serv Res ; 19(1): 694, 2019 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-31615525

RESUMEN

BACKGROUND: Group-based Diabetes Prevention Programs (DPP), aligned with recommendations from the Centers for Disease Control and Prevention, promote clinically significant weight loss and reduce cardio-metabolic risks. Studies have examined implementation of the DPP in community settings, but less is known about its integration in healthcare systems. In 2010, a group-based DPP known as the Group Lifestyle Balance (GLB) was implemented within a large healthcare delivery system in Northern California, across three geographically distinct regional administration divisions of the organization within 12 state counties, with varying underlying socio-demographics. The regional divisions implemented the program independently, allowing for natural variation in its real-world integration. We leveraged this natural experiment to qualitatively assess the implementation of a DPP in this healthcare system and, especially, its fidelity to the original GLB curriculum and potential heterogeneity in implementation across clinics and regional divisions. METHODS: Using purposive sampling, we conducted semi-structured interviews with DPP lifestyle coaches. Data were analyzed using mixed-method techniques, guided by an implementation outcomes framework consisting of eight constructs: acceptability, adoption, appropriateness, cost, feasibility, fidelity, penetration, and sustainability. RESULTS: We conducted 33 interviews at 20 clinics across the three regional administrative divisions. Consistencies in implementation of the program were found across regions in terms of satisfaction with the evidence base (acceptability), referral methods (adoption), eligibility criteria (fidelity), and strategies to increase retention and effectiveness (sustainability). Heterogeneity in implementation across regions were found in all categories, including: the number and frequency of sessions (fidelity); program branding (adoption); lifestyle coach training (adoption), and patient-facing cost (cost). Lifestyle coaches expressed differing attitudes about curriculum content (acceptability) and suitability of educational level (appropriateness). While difficulties with recruitment were common across regions (feasibility), strategies used to address these challenges differed (sustainability). CONCLUSIONS: Variation exists in the implementation of the DPP within a large multi-site healthcare system, revealing a dynamic and important tension between retaining fidelity to the original program and tailoring the program to meet the local needs. Moreover, certain challenges across sites may represent opportunities for considering alternative implementation to anticipate these barriers. Further research is needed to explore how differences in implementation domains impact program effectiveness.


Asunto(s)
Diabetes Mellitus Tipo 2/prevención & control , Promoción de la Salud/métodos , California , Consejo , Prestación de Atención de Salud/organización & administración , Femenino , Educación en Salud/métodos , Personal de Salud , Estilo de Vida Saludable , Humanos , Masculino , Persona de Mediana Edad , Educación del Paciente como Asunto/métodos , Evaluación de Programas y Proyectos de Salud/métodos , Proyectos de Investigación , Pérdida de Peso
18.
Vasc Health Risk Manag ; 15: 291-299, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31616149

RESUMEN

Background: A significant discovery was recently made in which participation in physical activity and sedentary behavior, two contrasting lifestyles, was found to be related to the frequency of hyperuricemia diagnosis. The purpose of this study was to identify the association between sedentary behavior and physical activity levels in South Korean men and women diagnosed with hyperuricemia. Methods: This study included 161,064 healthy men and women participants who had obtained a complete health examination. Physical activity levels and sitting time were assessed by the validated International Physical Activity Questionnaire Short Form Korean version. The presence of hyperuricemia in the subjects was determined by measuring serum uric acid (SUA) concentration (SUA ≥6 mg/dL [male], SUA ≥7 mg/dL [female]). Logistic regression analysis, adjusting other confounding factors, was conducted to identify the association of sedentary behavior and physical activity levels with hyperuricemia (p<0.05). Results: Subjects who spent ≥10 hr/day in sedentary behavior were more likely to have hyperuricemia than those who spent <5 hour/day in sedentary behavior (OR=1.08, 95% CI=1.03-1.12). The subject group that more frequently participated in health enhanced physical activity (HEPA) had a lower hyperuricemia odds ratio than the subject group with lower physical activity participation rate (OR=0.90, 95% Ci=0.86-0.93). From the analysis of sex (male, female), age (young, middle, older), methods of measuring obesity (body mass index, waist circumference, body fat percentage), the association of sedentary behavior and physical activity levels with hyperuricemia was shown differently in different multivariable models. Conclusion: Participation in regular physical activity and reduced sedentary time is highly recommended in order to reduce the prevalence of hyperuricemia.


Asunto(s)
Ejercicio , Estilo de Vida Saludable , Hiperuricemia/prevención & control , Conducta Sedentaria , Ácido Úrico/sangre , Adolescente , Adulto , Anciano , Biomarcadores/sangre , Estudios Transversales , Femenino , Humanos , Hiperuricemia/sangre , Hiperuricemia/diagnóstico , Hiperuricemia/epidemiología , Masculino , Persona de Mediana Edad , Prevalencia , Factores Protectores , República de Corea/epidemiología , Estudios Retrospectivos , Medición de Riesgo , Factores de Riesgo , Conducta de Reducción del Riesgo , Factores de Tiempo , Regulación hacia Arriba , Adulto Joven
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