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1.
Texto & contexto enferm ; 29: e20180345, Jan.-Dec. 2020. tab
Artículo en Inglés | LILACS, BDENF - Enfermería | ID: biblio-1059130

RESUMEN

ABSTRACT Objective: to analyze the content of the defining characteristics of the Disturbed Sleep Pattern Nursing Diagnosis (00198) in patients with Acute Coronary Syndrome. Method: content analysis performed by specialists who achieved a score equal to or greater than five, according to established criteria: clinical experience, teaching and/or research; participation in research groups; doctorate degree; master's degree; specialization and/or residency in cardiology and/or sleep and/or nursing classifications. Eight defining characteristics were evaluated for their relationship to population, relevance, clarity and accuracy. Descriptive statistics were performed to characterize the sample, binomial statistical test to establish if there is agreement between the experts and chi-square and Fisher's exact to establish associations between the evaluated items and the experts' variables. Results: 54 experts participated in the study. The defining characteristics validated by the experts were the following: dissatisfaction with sleep, feeling unrested, sleep deprivation, alteration in sleep pattern, unintentional awakening, difficulty initiating sleep and daytime sleepiness. There was a statistically significant association between evaluated items and the variables time of training, time of operation and punctuation. Conclusion: seven of the eight defining characteristics were considered valid after the application of binomial test. This study will contribute to the refinement of the Disturbed Sleep Pattern Nursing Diagnosis (000198) and may enable the improvement of the quality of care of patients hospitalized with Acute Coronary Syndrome regarding changes in sleep pattern. The content analysis stage will support the next stage of the validation process of the present diagnosis, the clinical validation.


RESUMEN Objetivo: analizar el contenido de las características definidoras del Diagnóstico de Enfermería de Patrón de Sueño Perjudicado (00198) en pacientes con Síndrome Coronario Agudo. Método: análisis de contenido realizado por especialistas que obtuvieron una puntaje mayor o igual a cinco, de acuerdo con los criterios establecidos: experiencia clínica, en docencia y/o en investigación; participación en grupos de investigación; doctorado; maestría; especialización y/o residencia en cardiología y/o en clasificaciones de enfermería. Se evaluaron ocho características definidoras en cuanto a su relación con la población, relevancia, claridad y precisión. Se realizó un análisis estadístico descriptivo para caracterizar la muestra, una prueba estadística de binomios para establecer si había concordancia entre los especialistas y las pruebas de chi-cuadrado y exacto de Fisher para establecer asociaciones entre los puntos evaluados y las variables de los especialistas. Resultados: del estudio participaron 54 especialistas. Las características definidoras que evaluaron los especialistas fueron las siguientes: insatisfacción con el sueño, no sentirse descansado, privación del sueño, alteración en el patrón de sueño, despertar no intencional, dificultad para iniciar el sueño y somnolencia diurna. Se registró una asociación estadística significativa entre los puntos evaluados y las siguientes variables: tiempo de formación, tiempo de ejercicio en la profesión y puntuación. Conclusión: siete de las ocho Características definidoras se consideraron válidas después de aplicar la prueba de binomios. El presente estudio contribuirá a perfeccionar el Diagnóstico de Enfermería de Patrón de Sueño Perjudicado (000198) y podrá hacer posible que se mejore la calidad de la atención de pacientes internados con Síndrome Coronario Agudo en lo referente a alteraciones en el patrón de sueño. La etapa del análisis de contenido servirá de ayuda para la próxima etapa del proceso de validación del presente diagnóstico: la validación clínica.


RESUMO Objetivo: analisar o conteúdo das características definidoras do Diagnóstico de Enfermagem Padrão de Sono Prejudicado (00198) em pacientes com Síndrome Coronariana Aguda. Método: análise de conteúdo realizada por especialistas que atingiram pontuação igual ou maior a cinco, de acordo com critérios estabelecidos: experiência clínica, no ensino e/ou pesquisa; participação em grupos de pesquisa; doutorado; mestrado; especialização e/ou residência em cardiologia e/ou sono e/ou classificações de enfermagem. Oito características definidoras foram avaliadas quanto a sua relação com a população, relevância, clareza e precisão. Realizou-se estatística descritiva para caracterização da amostra, teste estatístico binomial para estabelecer se há concordância entre os especialistas e qui-quadrado e exato de Fisher para estabelecer associações entre os itens avaliados e variáveis dos especialistas. Resultados: 54 especialistas participaram do estudo. As características definidoras validadas pelos especialistas foram: insatisfação com o sono, não se sentir descansado, privação do sono, alteração do padrão de sono, despertar não intencional, dificuldade para iniciar o sono e sonolência diurna. Houve associação estatística significativa entre itens avaliados e as variáveis tempo de formação, tempo de atuação e pontuação. Conclusão: sete das oito características definidoras foram consideradas válidas após aplicação de teste binomial. O presente estudo contribuirá para o refinamento do Diagnóstico de Enfermagem Padrão de Sono Prejudicado (000198) e poderá possibilitar a melhoria da qualidade do atendimento de pacientes internados com Síndrome Coronariana Aguda no que tange a alterações do padrão de sono. A etapa de análise de conteúdo subsidiará a próxima etapa do processo de validação do presente diagnóstico, a validação clínica.


Asunto(s)
Cardiología , Estudio de Validación , Proceso de Enfermería , Investigación , Sueño , Privación de Sueño , Diagnóstico de Enfermería , Unidades de Cuidados Coronarios , Diagnóstico , Síndrome Coronario Agudo
2.
Artículo en Inglés | MEDLINE | ID: mdl-33198389

RESUMEN

Coronavirus 2019 (COVID-19) is an infectious viral disease that has spread globally, resulting in the ongoing pandemic. Currently, there is no vaccine or specific treatment for COVID-19. Preventive measures to reduce the chances of contagion consist mainly of confinement, avoiding crowded places, social distancing, masks, and applying strict personal hygiene as recommended by the World Health Organization (WHO). After the first wave of infection in many countries, the potential effects of relaxing containment and physical distancing control measures suggest that as a result of these measures, a second wave of COVID-19 appears probable in these countries. In sport, the period of self-isolation, and quarantine, for COVID-19 affects the physical preparation of athletes as well as their mental health and quality of life to an even greater extent (i.e., nutrition, sleep, healthy lifestyle), and thus, relevant and practical recommendations are needed to help alleviate these physical and mental health concerns. Our review aims to summarize the physiological and psychological effects of detraining associated with athletes' confinement during the proposed second wave of COVID-19. This article also proposes answers to questions that concern the advantages and disadvantages of different types of social media platforms, the importance of nutrition, and the effects of sleep disturbance on the health and modified lifestyle of athletes during this worldwide pandemic. Thus, this review provides some general guidelines to better manage their modified lifestyle and optimally maintain their physical and mental fitness with respect to measures taken during this restrictive proposed second wave of the COVID-19 confinement period.


Asunto(s)
Atletas/psicología , Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Betacoronavirus , Humanos , Estilo de Vida , Salud Mental , Necesidades Nutricionales , Pandemias , Calidad de Vida , Cuarentena , Sueño
3.
Zh Nevrol Psikhiatr Im S S Korsakova ; 120(10. Vyp. 2): 80-88, 2020.
Artículo en Ruso | MEDLINE | ID: mdl-33205935

RESUMEN

Disturbances in sleep and wakefulness are important symptoms of Parkinson's disease (PD) and are associated with negative effects on patients' quality of life. The analysis of literature on the relationship between RLS and PD revealed three main hypotheses explaining the relatively high incidence of RLS in PD: (1) RLS can be considered as an early (prodromal) manifestation or a predictor of PD that can outpace its main symptoms by several years (by analogy with conduct disorder during sleep with REM); (2) the high incidence of RLS in the advanced stage of PD may be associated with augmentation of previously latent RLS symptoms during prolonged dopaminergic therapy of PD; (3) a significant proportion of RLS cases in PD patients are not «classical¼ RLS, but represent, for example, manifestations of motor or non-motor fluctuations or a special form of stereotypy in the legs. Further research is needed to determine if any of these statements are true.


Asunto(s)
Enfermedad de Parkinson , Síndrome de las Piernas Inquietas , Humanos , Pierna , Enfermedad de Parkinson/complicaciones , Enfermedad de Parkinson/tratamiento farmacológico , Enfermedad de Parkinson/epidemiología , Calidad de Vida , Síndrome de las Piernas Inquietas/epidemiología , Síndrome de las Piernas Inquietas/etiología , Sueño
4.
PLoS One ; 15(11): e0241540, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33152004

RESUMEN

BACKGROUND: Coronavirus disease 2019 (COVID-19) has spread to the world. Whether there is an association between lifestyle behaviors and the acquisition of COVID-19 remains unclear. METHODS: In this case-control study, we recruited 105 patients with SARS-CoV-2 infection as a case group from the Wuhan Tongji Hospital (Wuhan, China). For each case two control subjects were recruited. Participants were randomly selected from communities in Wuhan and matched for sex, age (± 2yrs), and pre-existing comorbidities (hypertension and diabetes). RESULTS: A total of 105 patients diagnosed with COVID-19 and 210 controls were included. Compared with control group, the case group had higher proportions of lack of sleep (30.5% vs. 14.8%, P = 0.001) and increased physical activities (56.2% vs. 32.9%, P < 0.001). And patients in the case group were more likely to have alopecia (28.6% vs. 10.0%, P < 0.001) than people from the control group. Overall, we found that lack of sleep [adjusted odds ratio (OR) 1.56, 95% confidence interval (CI) 1.03-2.39)], physical activities (≥ 5 times a week) (adjusted OR 2.05, 95%CI 1.39-3.02) and alopecia (adjusted OR 1.73, 95%CI 1.13-2.66) were independent risk factors for COVID-19 infection. Conversely, low-dose alcohol intake (<100g alcohol per week), hand hygiene, and fruits intake (daily) were significantly associated with a decrease in morbidity. CONCLUSIONS: Individual lifestyle behaviors and health status can affect the occurrence of COVID-19.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Estado de Salud , Estilo de Vida , Neumonía Viral/epidemiología , Adulto , Anciano , Consumo de Bebidas Alcohólicas , Betacoronavirus , Estudios de Casos y Controles , China , Comorbilidad , Ejercicio Físico , Femenino , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Pandemias , Factores de Riesgo , Sueño
5.
Artículo en Inglés | MEDLINE | ID: mdl-33202686

RESUMEN

BACKGROUND: A global pandemic due to COVID-19 emerged in November 2019 and hit France in early March 2020. It not only resulted in a loss of lives, but also in very strict confinement measures. The objective of this study was to understand what the determinants of the changes in participants' behavior and mental state were during the confinement. METHODS: An online survey was launched on 23 April 2020 and closed on 7 May 2020. The final sample included 1454 participants from 24 to 65 years old. Descriptive and multivariate analyses were then performed. RESULTS: In total, 28.7% reported having a more balanced diet, against 17.1% with a less balanced diet, 22.7% of respondents reported an increased alcohol consumption, as opposed to only 12.2% declaring a decrease, and 11.2% of respondents increased their tobacco consumption, while 6.3% decreased it. In total, 50.6% of the participants reported being more depressed, stressed, or irritable since the beginning of the lockdown. Confinement had a negative effect on every behavior studied in this survey, except for nutrition. We also found that negative mental state changes were strongly associated with nutrition, sleep, physical activity and alcohol consumption changes.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Conductas Relacionadas con la Salud , Neumonía Viral/epidemiología , Cuarentena/psicología , Adulto , Anciano , Consumo de Bebidas Alcohólicas , Betacoronavirus , Infecciones por Coronavirus/psicología , Depresión/epidemiología , Dieta , Ejercicio Físico , Francia/epidemiología , Humanos , Internet , Persona de Mediana Edad , Pandemias , Neumonía Viral/psicología , Sueño , Estrés Psicológico/epidemiología , Encuestas y Cuestionarios , Adulto Joven
6.
Artículo en Inglés | MEDLINE | ID: mdl-33207786

RESUMEN

The International Study of Movement Behaviors in the Early Years (SUNRISE) was initiated in response to the 2019 WHO guidelines for physical activity, sedentary behavior, and sleep in children aged 0-5 years. This Swedish pilot study aimed to: (i) assess the proportion of preschoolers meeting the guidelines, (ii) evaluate the feasibility of the methods for the SUNRISE study, and (iii) assess how movement behaviors have been affected in preschoolers during the COVID-19 pandemic. Physical activity and sleep (waist-worn ActiGraph); screen time and movement behaviors (parental questionnaire); motor skills (Ages and Stages Questionnaire); and executive functions (3 iPad games) were assessed in 100 Swedish preschoolers (n = 58 boys). There were 19.4% of preschoolers (n = 14) who met the WHO guidelines. The motor skill and executive function assessments were feasible; however, 20% refused to wear the ActiGraph overnight. Additionally, during the pandemic Swedish children's physical activity, time spent outside on weekdays and weekend days, and screen time significantly increased (+53; +124; +68; +30min/day, respectively, all p-values ≤ 0.001). Methods for the SUNRISE study were feasible in a Swedish context; however, considerations to switch to a wrist-worn accelerometer should be made. Furthermore, children's physical activity increased during the pandemic, which is likely due to how the rules/restrictions were implemented in Sweden.


Asunto(s)
Infecciones por Coronavirus , Ejercicio Físico , Pandemias , Neumonía Viral , Conducta Sedentaria , Sueño , Betacoronavirus , Preescolar , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Proyectos Piloto , Suecia
7.
Nutrients ; 12(11)2020 Nov 10.
Artículo en Inglés | MEDLINE | ID: mdl-33182816

RESUMEN

As a consequence of COVID-19, millions of households have suffered mobility restrictions and changes in their lifestyle over several months. The aim of this study is to evaluate the effects of COVID-19 home confinement on the food habits, lifestyle and emotional balance of the Spanish population. This cross-sectional study used data collected via an anonymous online questionnaire during the month before lockdown finished in Spain, with a total of 675 participants. 38.8% of the respondents experienced weight gain while 31.1% lost weight during confinement. The increase in body weight was positively correlated with age (Rs = 0.14, p < 0.05) and BMI (Rs = 0.20, p < 0.05). We also identified that 39.7% reported poorer quality sleep, positively correlated with BMI (Rs = -0.18, p < 0.05) and with age (Rs = -0.21, p < 0.05). 44.7% of the participants had not performed physical exercise during confinement with differences by sex (p < 0.05), by age (p < 0.05), by BMI (p < 0.05) and by sleep quality (p < 0.05). According to an emotional-eater questionnaire, 21.8% and 11% were classified as an emotional eater or a very emotional eater, respectively. We emphasize the importance of adopting a healthy lifestyle, as the COVID-19 pandemic is ongoing.


Asunto(s)
Infecciones por Coronavirus , Emociones , Ejercicio Físico , Conducta Alimentaria , Estilo de Vida , Pandemias , Neumonía Viral , Aislamiento Social , Adulto , Factores de Edad , Betacoronavirus , Índice de Masa Corporal , Peso Corporal , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Estudios Transversales , Dieta , Conducta Alimentaria/psicología , Femenino , Humanos , Masculino , Salud Mental , Persona de Mediana Edad , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Conducta Sedentaria , Factores Sexuales , Sueño , Aislamiento Social/psicología , España/epidemiología , Encuestas y Cuestionarios
8.
Zhonghua Jie He He Hu Xi Za Zhi ; 43(11): 953-957, 2020 Nov 12.
Artículo en Chino | MEDLINE | ID: mdl-33137862

RESUMEN

Objective: To establish a noninvasive method for measuring upper airway critical closing pressure (Pcrit), so as to evaluate collapsibility of the upper airway during sleep. Methods: Pcrit was determined through the use of a noninvasive positive/negative pressure (CPAP/CPNP) ventilator(with independent intellectual property rights) during stageⅡ of non-rapid eye movement sleep. For the direct measurement, Pcrit was the pressure below which the upper airway occluded. For the indirect measurement, nasal pressure was plotted against maximum inspiratory flow (Vimax), and linear regression was used to interpolate the pressure (i.e., Pcrit) at which zero flow occurred. Pcrit was attained from 19 subjects without obstructive sleep apnea syndrome(OSAS), and the correlation between direct and indirect measurement methods was analyzed. Results: Directly measured and indirectly measured Pcrit showed no significant difference [(-7.02±2.74 vs (-7.26±2.96) cmH2O, 1 cmH2O=0.098 kPa; t=1.667, P>0.05] and had a highly significant correlation (r=0.986, P=0.000). Bland-Altman analysis revealed that the mean between-method difference was (0.24±0.53) cmH2O, and 95% limits of agreement ranged from -0.80 to 1.27 cmH2O, and all points except one were within limits of agreement. Conclusion: Pcrit derived from the direct and indirect measurement methods does not differ, and both methods could be used for evaluating the upper airway collapsibility.


Asunto(s)
Faringe , Apnea Obstructiva del Sueño , Presión de las Vías Aéreas Positiva Contínua , Humanos , Polisomnografía , Sueño , Apnea Obstructiva del Sueño/diagnóstico
10.
Arch Osteoporos ; 15(1): 164, 2020 10 17.
Artículo en Inglés | MEDLINE | ID: mdl-33070238

RESUMEN

Based on the use of Osteoporosis Self-Assessment Tool for Asians (OSTA) to assess osteoporosis risk, we found that short sleep duration and taking a daytime nap had an increased risk of osteoporosis. PURPOSE: To explore the associations between different sleep patterns with osteoporosis. METHODS: 3659 postmenopausal women (average age of 60 years) were divided into low, middle, and high osteoporosis risk categories based on the Osteoporosis Self-Assessment Tool for Asians (OSTA). After having collected by a standard questionnaire, total and nocturnal sleep duration was collapsed to form categories of ≤ 6 h, > 6 h and ≤ 7 h, > 7 h and ≤ 8 h, > 8 h and ≤ 9 h, > 9 h, and daytime nap duration of 0 h and > 0 h. RESULTS: As a categorical variable, the total sleep duration of ≤ 6 h per day (OR = 1.34, 95% CI 1.04-1.72), nocturnal sleep duration of ≤ 6 h per night (OR = 1.65, 95% CI 1.24-2.18), and taking a daytime nap (OR = 1.33, 95% CI 1.09-1.64) had higher osteoporosis risk after adjustment for covariates. As a continuous variable, after the adjustment for covariates, both longer total (OR = 0.86, 95% CI 0.78-0.94) and nocturnal sleep duration (OR = 0.83, 95% CI 0.76-0.91) had lower risk of osteoporosis risk while taking longer daytime nap (OR = 1.10, 95% CI 1.02-1.19) had higher osteoporosis risk. CONCLUSIONS: Postmenopausal women with both short total and nocturnal sleep duration (6 h or less) and taking a daytime nap had increased osteoporosis risk as assessed by OSTA.


Asunto(s)
Osteoporosis , Autoevaluación , Privación de Sueño , Sueño , Grupo de Ascendencia Continental Asiática , Femenino , Humanos , Persona de Mediana Edad , Osteoporosis/epidemiología , Privación de Sueño/complicaciones , Encuestas y Cuestionarios
12.
J Stroke Cerebrovasc Dis ; 29(11): 105170, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33066932

RESUMEN

OBJECTIVES: To evaluate the sonographic findings of soft tissues more comprehensively, to investigate the relationship between sonographic pathologies and clinical features, and to determine the predicted factors that may interfere with the most common sonographic findings in patients with hemplegic shoulder pain (HSP) . METHODS: Sixty-four consecutive stroke patients with HSP admitted to inpatient clinic were included in this cross-sectional study. Demographic, clinical, and sonographic findings were recorded. Patients were assigned to poor or good motor function groups according to the Brunnstrom motor recovery (BMR) stages. RESULTS: There were abnormal sonographic findings in 63 patients (98.4%). A significant reverse correlation was found between the sonographic grading and functional independence measure (p=0.005) and a positive correlation with energy level (p=0.044). The main risk factors were age for acromioclavicular joint degeneration, BMR stage for glenohumeral joint subluxation, subacromial-subdeltoid bursitis for partial-thickness rotator cuff tear, and Pittsburgh Sleep Quality Index for long head of the biceps tenosynovitis. CONCLUSION: Age, motor recovery, subacromial-subdeltoid bursitis, and sleep quality were the strongest predictors of different sonographic findings in HSP patients. Functional capacity and energy level are negatively affected by an increased number of abnormal sonographic findings. Therefore, sonographic evaluation of shoulder soft tissue lesions eventually might provide a more constructive rehabilitation approach to achieve optimal outcomes, particularly in elderly patients with poor motor function and sleep quality.


Asunto(s)
Hemiplejía/diagnóstico por imagen , Dolor de Hombro/diagnóstico por imagen , Ultrasonografía , Adolescente , Adulto , Factores de Edad , Anciano , Estudios Transversales , Evaluación de la Discapacidad , Femenino , Hemiplejía/etiología , Hemiplejía/fisiopatología , Humanos , Masculino , Persona de Mediana Edad , Actividad Motora , Valor Predictivo de las Pruebas , Pronóstico , Factores de Riesgo , Dolor de Hombro/etiología , Dolor de Hombro/fisiopatología , Sueño , Adulto Joven
13.
Annu Int Conf IEEE Eng Med Biol Soc ; 2020: 4239-4242, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-33018932

RESUMEN

In this study, we have developed a new practical system for estimating circadian rhythm by using smart wear that can measure electrocardiogram (ECG) during sleep. This system can estimate the time and heart rate (HR) value to reach the lowest point in circadian rhythm. We show the system in detail. And for further application, we conducted the experiment for showing the effects of jet lag on the circadian rhythm by using the developed system. The results showed that the time of the lowest HR shifted earlier and the lowest HR was higher in case of traveling in a westward direction.


Asunto(s)
Ritmo Circadiano , Trastornos del Sueño del Ritmo Circadiano , Frecuencia Cardíaca , Humanos , Síndrome Jet Lag , Sueño
14.
BMJ Open ; 10(10): e042030, 2020 10 10.
Artículo en Inglés | MEDLINE | ID: mdl-33040019

RESUMEN

OBJECTIVE: This study aims to assess and compare demographic and psychological factors and sleep status of frontline healthcare workers (HCWs) in relation to non-frontline HCWs. DESIGN, SETTINGS, PARTICIPANTS AND OUTCOMES: This cross-sectional study was conducted from 8 April 2020 to 17 April 2020 using an online survey across varied healthcare settings in Oman accruing 1139 HCWs.The primary and secondary outcomes were mental health status and sociodemographic data, respectively. Mental health status was assessed using the Depression, Anxiety, and Stress Scale (DASS-21), and insomnia was evaluated by the Insomnia Severity Index. Samples were categorised into the frontline and non-frontline groups. χ2 and t-tests were used to compare groups by demographic data. The Mantel-Haenszel OR was used to compare groups by mental health outcomes adjusted by all sociodemographic factors. RESULTS: This study included 1139 HCWs working in Oman. While working during the pandemic period, a total of 368 (32.3%), 388 (34.1%), 271 (23.8%) and 211 (18.5%) respondents were reported to have depression, anxiety, stress and insomnia, respectively. HCWs in the frontline group were 1.5 times more likely to report anxiety (OR=1.557, p=0.004), stress (OR=1.506, p=0.016) and insomnia (OR=1.586, p=0.013) as compared with those in the non-frontline group. No significant differences in depression status were found between the frontline and non-frontline groups (p=0.201). CONCLUSIONS: To our knowledge, this is the first study to explore the differential impacts of the COVID-19 pandemic on different grades of HCWs. This study suggests that frontline HCWs are disproportionally affected compared to non-frontline HCWs, with managing sleep-wake cycles and anxiety symptoms being highly endorsed among frontline HCWs. As psychosocial interventions are likely to be constrained owing to the pandemic, mental healthcare must first be directed to frontline HCWs.


Asunto(s)
Ansiedad/etiología , Infecciones por Coronavirus , Depresión/etiología , Personal de Salud/psicología , Pandemias , Neumonía Viral , Trastornos del Inicio y del Mantenimiento del Sueño/etiología , Estrés Psicológico/etiología , Adulto , Ansiedad/epidemiología , Trastornos de Ansiedad/etiología , Betacoronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/virología , Estudios Transversales , Depresión/epidemiología , Femenino , Estado de Salud , Humanos , Masculino , Salud Mental , Oportunidad Relativa , Omán , Neumonía Viral/epidemiología , Neumonía Viral/virología , Sueño , Trastornos del Inicio y del Mantenimiento del Sueño/epidemiología , Estrés Psicológico/epidemiología , Encuestas y Cuestionarios
15.
Medicine (Baltimore) ; 99(43): e22686, 2020 Oct 23.
Artículo en Inglés | MEDLINE | ID: mdl-33120760

RESUMEN

The effect of the afternoon napping duration on the risk of depression has not been well established, particularly with regard to sex and age differences. The present study examines the association between afternoon napping duration and depression stratified by sex and age among Chinese adults aged 45 years or older.The 2011 to 2012 survey of the China Health and Retirement Longitudinal Study was utilized, including 5746 participants. We conducted logistic regression with the overall sample and subjects stratified by sex and age.Elderly men with short napping (<30 minutes) had lower odds of having depression symptoms compared with those with no napping group (OR = 0.66, 95% CI = 0.44-0.97). In addition, the finding indicated that middle-aged women with long napping (≥90 min) had a marginally significant difference than those in reference, which showed a negative effect on depression (OR = 0.72, 95% CI = 0.51-1.01).Our findings revealed that extended daytime napping duration can decrease the risk of depression status among middle and elderly people. Moreover, relevant promotion measures should be adopted, such as a suitable rest environment and regular napping habits. The potential mechanism should be clarified by a longitudinal survey to examine the specific causality.


Asunto(s)
Depresión/epidemiología , Sueño/fisiología , Factores de Edad , Anciano , Estudios de Casos y Controles , Causalidad , China , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Distribución por Sexo , Factores de Tiempo
16.
Med Sci (Paris) ; 36(10): 929-934, 2020 Oct.
Artículo en Francés | MEDLINE | ID: mdl-33026337

RESUMEN

Sleep is a succession of two stages: slow-wave and rapid eye-movement sleep. The later has mixed characteristics between sleep and wakefulness. Therefore, dreams have been proposed to occur during this stage. This hypothesis is now considered as oversimplified. Dreaming may occur during the two stages though with different characteristics. Deciphering brain structures associated with dreaming is difficult. However, during the two stages, a decrease in low-frequency and an increase in high-frequency electrical activity in posterior cortical regions has been reported that might be the neural correlate of dreaming. The origin of cortex stimulation is under debate, but the mechanisms involved are similar to those acting during wakefulness. Dream function is not known and it might be an epiphenomenon originating from synaptic transmission noise. Depriving subjects of rapid-eye movement sleep for two weeks has no apparent effect on their behavior.


Asunto(s)
Sueños/psicología , Neurociencias/métodos , Encéfalo/fisiología , Sueños/fisiología , Electroencefalografía , Humanos , Polisomnografía , Sueño/fisiología
18.
Neurol Sci ; 41(12): 3475-3483, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33095368

RESUMEN

BACKGROUND: The World Health Organization (WHO) declared a global pandemic of Covid-19 on 11 March 2020. The lockdown caused a lifestyle changes: an increase in the use of mobile media devices (MMDs), sleep and psychiatric disorders, incorrect habits regarding food and physical activities. We investigate prevalence of admission for seizures at our emergency department (ED), during Italian lockdown, comparing with that of the same period of the previous year (2019), and the relationship with some lifestyle changes. METHODS: In this observational study, patients (4-14 years) with seizures that accessed at our ED, during Italian lockdown, were eligible. Non-epileptic events and febrile seizures were excluded. We describe two groups: patients with new-onset seizures and not. Moreover, a questionnaire concerning use of MMDs and sleep habits was administered. RESULTS: Fifty-seven patients were included; median age 8.03 years. Considering only paediatric medical emergencies, the prevalence of accesses for seizures was 2.6% (CI 95% 0.020-0.034), while the incidence was 0.94% (CI 95% 0.006-0.0149). There was a statistically significant difference with prevalence of previous years, χ2 102.21 (p = 0.0001). We also reported a difference in daily screen time (DST) (p = 0.001) and total sleep time (TST) (p = 0.045), in all population, between period pre- and during lockdown. A negative correlation between DST and seizures latency (Spearman's ρ -0.426, p = 0.038) was found. In the two groups, the results were partially overlapping. CONCLUSIONS: During lockdown period, we assisted to an increase of accesses for seizures. It is conceivable that a sleep time change and/or higher MMD use could act as triggers for seizures.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Pandemias/prevención & control , Neumonía Viral/prevención & control , Cuarentena , Convulsiones/epidemiología , Adolescente , Betacoronavirus , Uso del Teléfono Celular/efectos adversos , Niño , Preescolar , Servicio de Urgencia en Hospital/estadística & datos numéricos , Femenino , Humanos , Italia , Masculino , Prevalencia , Sueño
19.
Clin Obes ; 10(6): e12416, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33009706

RESUMEN

This study aim to assess changes in obesity and activity patterns among youths in China during the COVID-19 lockdown. We used the COVID-19 Impact on lifestyle change survey (COINLICS), a national retrospective survey distributed via social media platforms in early May 2020 where more than 10 000 youth participants in China have voluntarily reported their basic sociodemographic information, weight status, and routine lifestyles in the months before and during COVID-19 lockdown. The extended IOTF and WHO standards were used to define overweight and obesity of the participants. We used paired t-tests or χ2 tests and non-parametric methods to evaluate the significance of differences in weight-related outcomes and lifestyles across education levels, between sexes, and before and during COVID-19 lockdown. The mean body mass index of all participating youths has significantly increased (21.8-22.6) and in all education subgroups during COVID-19 lockdown. Increases also occurred in the prevalence of overweight/obesity (21.3%-25.1%, P < .001) and obesity (10.5% to 12.9%, P < .001) in overall youths, especially in high school and undergraduate students. Their activity patterns had also significantly changed, including the decreased frequency of engaging in active transport, moderate-/vigorous-intensity housework, leisure-time moderate-/vigorous-intensity physical activity, and leisure-time walking, and the increased sedentary, sleeping, and screen time. Our findings would inform policy-makers and clinical practitioners of these changes in time, for better policy making and clinical practice. School administrators should also be informed of these changes, so in-class and/or extracurricular physical activity programs could be designed to counteract them.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Ejercicio Físico , Estilo de Vida , Obesidad/epidemiología , Sobrepeso/epidemiología , Neumonía Viral/epidemiología , Adolescente , Adulto , Betacoronavirus , Índice de Masa Corporal , China/epidemiología , Femenino , Humanos , Masculino , Pandemias , Obesidad Pediátrica/epidemiología , Estudios Retrospectivos , Tiempo de Pantalla , Conducta Sedentaria , Sueño , Estudiantes , Adulto Joven
20.
PLoS One ; 15(10): e0239288, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33052906

RESUMEN

Participants often vary in their response to behavioral interventions, but methods to identify groups of participants that are more likely to respond are lacking. In this secondary analysis of a randomized clinical trial, we used baseline characteristics to group participants into distinct behavioral phenotypes and evaluated differential responses to a physical activity intervention. Latent class analysis was used to segment participants based on baseline participant data including demographics, validated measures of psychosocial variables, and physical activity behavior. The trial included 602 adults from 40 U.S. states with body mass index ≥25 who were randomized to control or one of three gamification interventions (supportive, collaborative, or competitive) to increase physical activity. Daily step counts were monitored using a wearable device for a 24-week intervention with 12 weeks of follow-up. The model segmented participants into three classes named for key defining traits: Class 1, extroverted and motivated; Class 2, less active and less social; Class 3, less motivated and at-risk. Adjusted regression models were used to test for differences in intervention response relative to control within each behavioral phenotype. In Class 1, only participants in the competitive arm increased their mean daily steps during the intervention (adjusted difference, 945; 95% CI, 352-1537; P = .002), but it was not sustained during follow-up. In Class 2, participants in all three gamification arms significantly increased their mean daily steps compared to control during the intervention (supportive arm adjusted difference 1172; 95% CI, 363-1980; P = .005; collaborative arm adjusted difference 1119; 95% CI, 319-1919; P = .006; competitive arm adjusted difference 1179; 95% CI, 400-1957; P = .003) and all three had sustained impact during follow-up. In Class 3, none of the interventions had a significant effect on physical activity. Three behavioral phenotypes were identified, each with a different response to the interventions. This approach could be used to better target behavioral interventions to participants that are more likely to respond to them.


Asunto(s)
Terapia Conductista/métodos , Ejercicio Físico , Juegos Experimentales , Acelerometría , Adolescente , Adulto , Índice de Masa Corporal , Femenino , Conductas Relacionadas con la Salud , Humanos , Masculino , Persona de Mediana Edad , Motivación , Fenotipo , Autoeficacia , Sueño/fisiología , Dispositivos Electrónicos Vestibles , Adulto Joven
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