Adherence to the Mediterranean diet in first-year university students and its association with lifestyle-related factors: A cross-sectional study / Adherencia a la dieta mediterránea en estudiantes universitarios de primer año y su asociación con factores relacionados con el estilo de vida: un estudio transversal

Introduction: Students’ dietary habits are moving from Mediterranean diet guidelines towards unhealthy eating patterns. The aim of this study was to determine adherence to the Mediterranean diet in a sample of Spanish university students and its association with lifestyle factors. Material and methods: A descriptive cross-sectional study was conducted with 685 university students who completed a self-report questionnaire. The data collected included demographic characteristics, dietary habits, smoking habits, alcohol consumption and physical activity. Mediterranean diet adherence was assessed by measuring the consumption of the foods that compose this type of diet through a score (range 0–10). Adherence to the Mediterranean diet was considered poor, average, or good. Results: The mean adherence score for the Mediterranean diet was 4.9 (1.2) points out of 10. A higher degree of adherence to the Mediterranean diet was observed in physically active students (OR=2.31, 95% CI: 1.05–5.10; p=0.038). Students who performed ≥150min/week of physical activity (OR=0.45, 95% CI: 0.33–0.62; p<0.001) and those over 25 years old (OR=0.44, 95% CI: 0.26–0.73; p=0.002) were less prone to low adherence to the Mediterranean diet than sedentary and younger students. Conclusion: The university students have poor adherence to the Mediterranean diet. The results of the current study indicate that age and physical activity are associated with Mediterranean diet adherence. It is urgent to raise awareness among university students and implement intervention programmes promoting a healthy lifestyle. (AU)

Introducción: Los hábitos alimentarios de los estudiantes universitarios se están alejando de las pautas de la dieta mediterránea hacia patrones de alimentación poco saludables. El objetivo de este estudio fue determinar la adherencia a la dieta mediterránea en una muestra de estudiantes universitarios españoles y su asociación con factores del estilo de vida. Material y métodos: Se realizó un estudio descriptivo transversal con 685 universitarios que cumplimentaron un cuestionario autoinformado. Los datos recogidos incluyeron características demográficas, hábitos alimentarios, hábito tabáquico, consumo de alcohol y actividad física. La adherencia a la dieta mediterránea fue evaluada midiendo el consumo de alimentos que componen este tipo de dieta a través de una escala (rango 0-10). La adherencia a la dieta mediterránea se consideró pobre, media y buena. Resultados: La puntuación media de adherencia a la dieta mediterránea fue de 4,9 (1,2) puntos de 10. Se observó un mayor grado de adherencia a esta dieta en los estudiantes físicamente activos (OR=2,31; IC95%: 1,05-5,10; p=0,038). Los estudiantes que realizaban ≥150min/semana de actividad física (OR=0,45; IC95%: 0,33-0,62; p<0,001) y los mayores de 25 años (OR=0,44; IC95%: 0,26-0,73; p=0,002) fueron menos propensos a una baja adherencia a la dieta mediterránea que los estudiantes sedentarios y los más jóvenes. Conclusión: Los estudiantes universitarios tienen una pobre adherencia a la dieta mediterránea. Los resultados del presente estudio indican que la edad y la actividad física están asociadas con la adherencia a la dieta mediterránea. Es urgente concienciar a los universitarios e implementar programas de intervención que promuevan un estilo de vida saludable. (AU)

Adherence to the Mediterranean diet in first-year university students and its association with lifestyle-related factors: A cross-sectional study.

INTRODUCTION: Students' dietary habits are moving from Mediterranean diet guidelines towards unhealthy eating patterns. The aim of this study was to determine adherence to the Mediterranean diet in a sample of Spanish university students and its association with lifestyle factors. MATERIAL AND METHODS: A descriptive cross-sectional study was conducted with 685 university students who completed a self-report questionnaire. The data collected included demographic characteristics, dietary habits, smoking habits, alcohol consumption and physical activity. Mediterranean diet adherence was assessed by measuring the consumption of the foods that compose this type of diet through a score (range 0-10). Adherence to the Mediterranean diet was considered poor, average, or good. RESULTS: The mean adherence score for the Mediterranean diet was 4.9 (1.2) points out of 10. A higher degree of adherence to the Mediterranean diet was observed in physically active students (OR=2.31, 95% CI: 1.05-5.10; p=0.038). Students who performed ≥150min/week of physical activity (OR=0.45, 95% CI: 0.33-0.62; p<0.001) and those over 25 years old (OR=0.44, 95% CI: 0.26-0.73; p=0.002) were less prone to low adherence to the Mediterranean diet than sedentary and younger students. CONCLUSION: The university students have poor adherence to the Mediterranean diet. The results of the current study indicate that age and physical activity are associated with Mediterranean diet adherence. It is urgent to raise awareness among university students and implement intervention programmes promoting a healthy lifestyle.

Factores relacionados con una respuesta inmediata a los síntomas en pacientes con ictus o accidente isquémico transitorio / Factors related to immediate response to symptoms in patients with stroke or transient ischaemic attack

INTRODUCCIÓN: Pese a los recientes avances en el manejo agudo del ictus, se aplican terapias de reperfusión a menos de un 10% de los pacientes. Una de las causas es el retraso en la búsqueda de atención médica por el paciente y sus familiares, que analizaremos a continuación. MÉTODOS: Se realizó un estudio observacional, prospectivo, en pacientes consecutivos con ictus o accidente isquémico transitorio. Se recogieron parámetros sociodemográficos y clínicos, y datos sobre el retraso en la decisión, retraso prehospitalario y el tipo de contacto médico seleccionado. Se realizaron análisis descriptivo, bivariante y multivariante para determinar los factores relacionados con la búsqueda de atención médica en los primeros 15minutos. RESULTADOS: Se recogieron 382 pacientes. Un 24,9% decidió solicitar atención médica en los primeros 15 minutos. Lo favorecieron la severidad del evento (OR: 1,08; IC 95%: 1,04-1,13; p < 0,001), estar acompañado de un hijo (OR: 3,44; IC 95%: 1,88-6,27; p < 0,001) y el tratamiento con insulina (OR: 2,89; IC 95%: 1,35-6,20; p = 0,006). Los infartos lacunares (OR: 0,41; IC 95%: 0,17-0,97; p = 0,042), los infartos parciales de circulación anterior (OR: 0,43; IC 95%: 0,22-0,85; p = 0,015) y los cuadros monosintomáticos sin afasia o paresia de miembros (OR: 0,15; IC 95%: 0,033-0,724; p = 0,018) se relacionaron con retrasos mayores de 15 minutos. CONCLUSIONES: La severidad y estar acompañado de un hijo fueron los principales determinantes de una reacción inmediata. Futuras intervenciones deben promocionar una consulta inmediata independientemente de la severidad, así como incidir en un mayor abanico de síntomas

INTRODUCTION: Despite recent advances in the management of acute stroke, fewer than 10% of patients receive reperfusion therapy. One of the main reasons for such a low rate of administration is the delay on the part of patients and their families in seeking medical attention. This study aimed to analyse this delay. METHODS: A prospective observational study was conducted on consecutive stroke or transient ischaemic attack. Data on sociodemographic and clinical parameters, decision delay, pre-hospital delay, and first medical contact were collected. Descriptive, bivariate, and multivariate logistic regression analyses were performed to determine factors associated with seeking medical attention within the first 15minutes of stroke or TIA occurrence. RESULTS: A total of 382 patients were included, 24.9% of whom had a decision delay of 15 minutes or less. Stroke severity (OR 1.08; 95% CI, 1.04-1.13; P < .001), patient's son/daughter witnessing the event (OR 3.44; 95% CI, 1.88-6.27; P < .001), and insulin treatment (OR 2.89; 95% CI, 1.35-6.20; P = .006) were related to an immediate reaction. Lacunar infarcts (OR 0.41; 95% CI, 0.17-0.97; P=.042), partial anterior circulation infarcts (OR 0.43; 95% CI, 0.22-0.85; P = .015), and monosymptomatic events not involving limb paresis or aphasia (OR 0.15; 95% CI, 0.033-0.724; P = .018) favoured delays longer than 15 minutes. CONCLUSIONS: Severity of the event and presence of a son/daughter are the factors most frequently associated with an immediate response to stroke. Future interventions should emphasise the need for an immediate response irrespective of severity and include a wider spectrum of symptoms

Factors related to immediate response to symptoms in patients with stroke or transient ischaemic attack. / Factores relacionados con una respuesta inmediata a los síntomas en pacientes con ictus o accidente isquémico transitorio.

INTRODUCTION: Despite recent advances in the management of acute stroke, fewer than 10% of patients receive reperfusion therapy. One of the main reasons for such a low rate of administration is the delay on the part of patients and their families in seeking medical attention. This study aimed to analyse this delay. METHODS: A prospective observational study was conducted on consecutive stroke or transient ischaemic attack. Data on sociodemographic and clinical parameters, decision delay, pre-hospital delay, and first medical contact were collected. Descriptive, bivariate, and multivariate logistic regression analyses were performed to determine factors associated with seeking medical attention within the first 15minutes of stroke or TIA occurrence. RESULTS: A total of 382 patients were included, 24.9% of whom had a decision delay of 15minutes or less. Stroke severity (OR 1.08; 95% CI, 1.04-1.13; P<.001), patient's son/daughter witnessing the event (OR 3.44; 95% CI, 1.88-6.27; P<.001), and insulin treatment (OR 2.89; 95% CI, 1.35-6.20; P=.006) were related to an immediate reaction. Lacunar infarcts (OR 0.41; 95% CI, 0.17-0.97; P=.042), partial anterior circulation infarcts (OR 0.43; 95% CI, 0.22-0.85; P=.015), and monosymptomatic events not involving limb paresis or aphasia (OR 0.15; 95% CI, 0.033-0.724; P=.018) favoured delays longer than 15minutes. CONCLUSIONS: Severity of the event and presence of a son/daughter are the factors most frequently associated with an immediate response to stroke. Future interventions should emphasise the need for an immediate response irrespective of severity and include a wider spectrum of symptoms.

Control de la presión arterial en pacientes con fibrilación auricular tratados con acenocumarol e índice de Rosendaal alterado / Control of blood pressure in patients with atrial fibrillation treated with acenocoumarol and with an altered Rosendaal index

No disponible

Most advisable strategy in search of asymptomatic target organ damage in hypertensive patients / Estrategia óptima de búsqueda de daño de órgano diana asintomático en el hipertenso

Objective: To evaluate the diagnostic potential of seven examinations in order to define the most suitable strategy for target organ damage (TOD) search in hypertensive patients. Methods: This is a descriptive, cross-sectional study. 153 consecutive treated and essential hypertensive patients were enrolled. Patients with established cardiovascular or chronic renal disease (stage ≥ 4) were excluded. TOD search was assessed by: glomerular filtration rate (GFR), albumin/creatinine ratio (ACR), electrocardiogram (ECG), echocardiogram (ECO), ankle-brachial index (ABI), pulse wave velocity (PWV), and carotid ultrasound (intima media thickness and presence of plaques). The rationale of our strategy ought to determine the performance of applying a set of the most widely available tests (GFR, ACR, ABI, ECG) and advise about the optimal sequence of the remaining tests. Results: The sample was 64.4 ± 7.9 years old, 45.8% males. 82.6% of the sample had any TOD at all. The resulting algorithm found a 37% TOD in relation to GFR, ACR, ABI and ECG values. Adding carotid ultrasound added up to 70% of the studied population and properly classified (TOD+/TOD−) 89% of the cohort. When performing PWV, 78% of the patients had been identified as TOD+ and 96% of the population was correctly identified. Contribution of ECO was minor. Conclusion: After running the more widely available explorations (GFR, ACR, ABI, ECG), a step-by-step strategy that included carotid ultrasound, PWV and ECO could be the best sequence for TOD search in asymptomatic hypertensive patientsien

Objetivo: Evaluar el rendimiento diagnóstico de un panel de siete pruebas de determinación de daño de órgano diana (DOD) aplicadas de forma sistemática, a fin de sugerir la estrategia óptima para la búsqueda de DOD en el hipertenso. Método: Estudio descriptivo y transversal. Se incluyeron 153 pacientes diagnosticados de hipertensión esencial bajo tratamiento farmacológico. Se excluyeron pacientes con enfermedad cardiovascular establecida o enfermedad renal crónica estadio ≥4. Se realizó una búsqueda de DOD mediante filtrado glomerular estimado (FGe), índice albúmina creatinina (IAC), hipertrofia ventricular por electrocardiograma (ECG) y ecocardiograma (ECO), índice tobillo brazo (ITB), velocidad de la onda de pulso (VOP) y ecografía carotídea (placas y grosor íntima media). Se propuso una estrategia de búsqueda de DOD en la que tras la realización de las exploraciones más accesibles (FGe, IAC, ITB y ECG) se sugiere la secuencia de exploraciones a realizar con mayor eficacia diagnóstica. Resultados: La edad media fue 64.4 ± 7.9 años, siendo el 45.8% varones. El 82.6% presentó algún tipo de DOD. Según el algoritmo propuesto, las pruebas de mayor accesibilidad diagnosticaron un 37% de DOD en la muestra. Tras añadir la ecografía carotídea, se detectó DOD en el 70%, y el 89% de la población fue apropiadamente clasificada en DOD+/DOD−. La realización de VOP incrementó la prevalencia de DOD hasta el 78%, y el 96% de la muestra fue correctamente clasificada. La contribución de la ECO fue menor. Conclusión: Tras la realización de las exploraciones más accesibles (FGe, IAC, ITB y ECG), la realización sistemática de ecografía carotídea, VOP y ECO podría ser la estrategia óptima para la búsqueda de DOD en el hipertenso

Most advisable strategy in search of asymptomatic target organ damage in hypertensive patients.

OBJECTIVE: To evaluate the diagnostic potential of seven examinations in order to define the most suitable strategy for target organ damage (TOD) search in hypertensive patients. METHODS: This is a descriptive, cross-sectional study. 153 consecutive treated and essential hypertensive patients were enrolled. Patients with established cardiovascular or chronic renal disease (stage ≥4) were excluded. TOD search was assessed by: glomerular filtration rate (GFR), albumin/creatinine ratio (ACR), electrocardiogram (ECG), echocardiogram (ECO), ankle-brachial index (ABI), pulse wave velocity (PWV), and carotid ultrasound (intima media thickness and presence of plaques). The rationale of our strategy ought to determine the performance of applying a set of the most widely available tests (GFR, ACR, ABI, ECG) and advise about the optimal sequence of the remaining tests. RESULTS: The sample was 64.4±7.9 years old, 45.8% males. 82.6% of the sample had any TOD at all. The resulting algorithm found a 37% TOD in relation to GFR, ACR, ABI and ECG values. Adding carotid ultrasound added up to 70% of the studied population and properly classified (TOD+/TOD-) 89% of the cohort. When performing PWV, 78% of the patients had been identified as TOD+ and 96% of the population was correctly identified. Contribution of ECO was minor. CONCLUSION: After running the more widely available explorations (GFR, ACR, ABI, ECG), a step-by-step strategy that included carotid ultrasound, PWV and ECO could be the best sequence for TOD search in asymptomatic hypertensive patients.

Valoración del control de los factores de riesgo cardiovascular en mujeres menopáusicas obesas tras el seguimiento de un programa estructurado de educación dietética y ejercicio físico. (Programa SÍSIFO) / Assessment of control of cardiovascular risk factors in obese posmenopausal women after monitoring a structured dietary education and exercise program. (SÍSIFO Program)

Objetivo: Evaluar la influencia de un programa de ejercicio físico específico sobre el riesgo cardiovascular, la calidad de vida y hábitos alimentarios en las mujeres menopáusicas. Método: Estudio de intervención antes-después sin grupo control, prospectivo, de tres meses de duración. Se incluyen 66 mujeres menopáusicas. La intervención realizada consistió en un programa estructurado de dieta y ejercicio físico. Las determinaciones realizadas consistieron en los parámetros bioquímicos, antropométricos, dietéticos y de calidad de vida, antes y a los tres meses de la intervención. Resultados: Tras el de intervención se produce una disminución en el peso (4,4 ± 2,3kg) y el IMC (1,83 ± 0,84 kg/m2) (p < 0,05). También se aprecia un descenso de la PAS (p < 0,05). La glucemia basal desciende 13,75 ± 11,12 mg/dl y la HbA1c desciende un 0,19 ± 0,12%, ambos con p < 0,05. El perfil lipídico sigue un comportamiento similar, destacando una disminución de 8 ± 6,2 mg/dl en los valores de LDL colesterol (p<0,05). La puntuación obtenida en el riesgo cardiovascular medido mediante las tablas Framingham disminuye en un 3% tras la intervención (p < 0,05). Respecto a la calidad de vida se produce una mejoría significativa en todas las áreas analizadas. Conclusiones: La aplicación de un programa estructurado de ejercicio físico y dieta con seguimiento estrecho mejora los parámetros relacionados con el riesgo cardiovascular de las mujeres estudiadas. También mejora la calidad de vida y los hábitos dietéticos

Objective: Evaluate the influence of a specific program of physical exercise on cardiovascular risk, quality of life and eating habits of menopausal women. Method: Prospective, intervention study previous-after without control group for three months. 66 menopausal women were included. The intervention consisted of a structured diet and exercise program. Biochemical, anthropometric, dietary and life quality parameters were determined before and three months after surgery. Results: After the intervention a decrease in weight (4.4 ± 2,3 kg) and BMI (1.83 ± 0.84 kg/m2) (p < .05) occurs. A decrease in SBP (p < .05) was also observed. The fasting glucose went down 13.75 ± 11.11 mg/dl and HbA1c fell by 0.19 ± 0,12%, both with p < .05. The lipid profile follows a similar behavior, highlighting a decline of 8 ± 6.2mg/dl in LDL cholesterol values (p < .05). The score on the measured cardiovascular risk by the Framingham tables decreases by 3% postoperatively (p < .05). Regarding the quality of life, it is significantly improved in all analyzed areas. Conclusions: The application of a structured exercise and diet program improves close monitoring parameters associated with cardiovascular risk of the women studied. It also improves the quality of life and dietary habits

[Assessment of control of cardiovascular risk factors in obese posmenopausal women after monitoring a structured dietary education and exercise program. (SÍSIFO Program)]. / Valoración del control de los factores de riesgo cardiovascular en mujeres menopáusicas obesas tras el seguimiento de un programa estructurado de educación dietética y ejercicio físico. (Programa SÍSIFO).

OBJECTIVE: Evaluate the influence of a specific program of physical exercise on cardiovascular risk, quality of life and eating habits of menopausal women. METHOD: Prospective, intervention study previous-after without control group for three months. 66 menopausal women were included. The intervention consisted of a structured diet and exercise program. Biochemical, anthropometric, dietary and life quality parameters were determined before and three months after surgery. RESULTS: After the intervention a decrease in weight (4.4±2,3kg) and BMI (1.83±0.84kg/m(2)) (p<.05) occurs. A decrease in SBP (p<.05) was also observed. The fasting glucose went down 13.75±11.11mg/dl and HbA1c fell by 0.19±0,12%, both with p<.05. The lipid profile follows a similar behavior, highlighting a decline of 8± 6.2mg/dl in LDL cholesterol values (p<.05). The score on the measured cardiovascular risk by the Framingham tables decreases by 3% postoperatively (p<.05). Regarding the quality of life, it is significantly improved in all analyzed areas. CONCLUSIONS: The application of a structured exercise and diet program improves close monitoring parameters associated with cardiovascular risk of the women studied. It also improves the quality of life and dietary habits.

Revisión sistemática de la atención farmacéutica comunitaria y hospitalaria. Control del riesgo cardiovascular en España y otros países (AU) / Community and hospital pharmaceutical care systematic review. Control cardiovascular risk in spain and other countries

Introducción: La enfermedad cardiovascular (ECV) aterosclerótica es un trastorno crónico que constituye la principal causa de muerte y discapacidad en el mundo occidental. Contribuye significativamente al aumento del coste sanitario. Diferentes estudios y modelos epidemiológicos sugieren que cambios en estilo de vida o prevalencia de factores de riesgo puedan determinar la disminución del riesgo cardiovascular (RCV). Objetivo: Poner en valor el trabajo coordinado de la farmacia comunitaria con el centro de salud, en el marco de la atención farmacéutica, como herramienta para conseguir resultados que mejoren la calidad de vida del paciente, en el ámbito cardiovascular. Metodología: Se ha llevado a cabo una revisión de la literatura científica existente en las bases de datos biomédicas MEDLINE, COCHRANE y en revistas y webs especializadas en atención farmacéutica en todo el mundo. Se incluyeron sólo ensayos controlados y aleatorizados. Resultados: Como resultado de la búsqueda se obtuvieron, entre otros, 5 ensayos controlados y 2 metaanálisis. La descripción de cada estudio contiene tipo de estudio, el número y tipo de pacientes, tiempo de seguimiento, tipo de intervención farmacéutica y resultados. Las intervenciones conducidas por farmacéuticos estuvieron asociadas con un mejor control de algunos factores de riesgo cardiovascular tales como hipertensión arterial, dislipemia o diabetes. Conclusiones: Esta revisión subraya los beneficios significativos de la atención farmacéutica en el control de los principales factores de riesgo cardiovascular en pacientes ambulatorios

Introduction: (CVD) Atherosclerotic Cardiovascular Disease is a chronic disorder, which is the leading cause of mortality and disability worldwide. It contributes significantly to the increase in health expenditure. Epidemiological studies and models suggest that changes in either lifestyle or prevalence of risk factors can Results: As search results, five controlled trials and two meta-analyses, among others, were obtained. The description of each study contains the kind of study, the number and type of patients, the follow-up time, the type of pharmaceutical intervention and the outcomes achieved. Pharmacist-led interventions were associated with a better control of some cardiovascular disease (CVD) risk factors such as hypertension, dyslipidemia and diabetes. Conclusions: This review stresses the significant benefits of pharmacists ́ interventions in the management of the main CVD risk factors in outpatients

Estimación fiable del perímetro de cintura mediante la talla de pantalón / Trouser size as a reliable estimate of waist circumference

No disponible

Objetivos de control de los factores de riesgo cardiovascular. ¿Conocidos por nuestros pacientes hipertensos? / Control objetives of cardiovascular risk factors. Are they known by our hypertensive patients?

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Influencia de la balneoterapia sobre la presión arterial. Estudio Balneotens / Effect of balneotherapy on blood pressure. The Balneotens study

Objective To determine whether a stay in a treatment center with thermal and sulfur mineral water and topically applied peloids correlates with changes in blood pressure. Design Observational study of a cohort of individuals. Participants A total of 53 individuals. There was no age range and both hypertensive and non-hypertensive individuals were evaluated. Method Before and after balneotherapy, a total of 18 self blood-pressure measurements were taken, as well an isolated clinical blood pressure measurement (seated and standing). We also conducted a survey to evaluate adherence to the Mediterranean diet. Scores ranged from 0 points (non-adherence) and 10 points (complete adherence). Results Clinical measurement: systolic blood pressure (SBP) was 133.0 ± 13.9 mm Hg at baseline and 126.5 ± 12.3 mm Hg (P=.015) at the end of the study. The mean diastolic blood pressure (DBP) was 78.5 ± 7.8 mm Hg at baseline and 75.9 ± 6.5 mm Hg (ns) at the end of the study. Self-monitored blood pressure: The mean SBP after treatment was 2.3 mm Hg lower than before treatment (P=.008). The mean DBP was 1.1 mm Hg lower after treatment than before treatment (ns). Conclusions A 10-day stay in a spa with sulfur water correlates with decreased blood pressure mainly due to the decrease in SBP(AU)

Objetivo Analizar si la estancia en un centro termal y el tratamiento con aguas mineromedicinales sulfuradas y peloides aplicadas por vía tópica se correlaciona con cambios en la presión arterial. Diseño Estudio observacional de una cohorte de individuos. Participantes Un total de 53 individuos. No existe rango de edad y se valoran tanto individuos hipertensos como no hipertensos. Método Previa y posteriormente al tratamiento, balneoterápico se practican un total de 18 automedidas de la presión arterial (AMPA) y una medición clínica aislada (sentado y en bipedestación) de la presión arterial. También se realizó una encuesta para evaluar el seguimiento de la dieta mediterránea valorándose entre 0 puntos (nada de seguimiento) y 10 puntos (total seguimiento). Resultados Medición clínica: La presión arterial sistólica (PAS) al inicio del estudio fue 133,0 ± 13,9 mm Hg y al final de 126,5 ± 12,3 mm Hg (p = 0,015). La presión arterial diastólica (PAD) media al inicio del estudio fue 78,5 ± 7,8 mm Hg y al final 75,9 ± 6,5 mm Hg (ns). AMPA: Al comparar PAS media antes del tratamiento y después se puede ver que la PAS media después del tratamiento es 2,3 mm Hg más baja que antes de dicho tratamiento (p = 0,008). Al comparar PAD media antes del tratamiento y después se determina que la PAD media después del tratamiento es 1,1 mm Hg más baja (ns). Conclusiones La estancia en un balneario de aguas sulfuradas, siguiendo un tratamiento de 10 días se correlaciona con disminución de la presión arterial a expensas de la PAS(AU)

Tratamiento farmacológico en la deshabituación tabáquica. Ventajas e inconvenientes de los tratamientos actuales / Advantages and drawbacks of current pharmacological treatments for smoking cessation

Actualmente disponemos de 3 familias de fármacos que son los que se utilizan habitualmente en la práctica clínica y que ayudan a los fumadores a dejar de serlo: la terapia sustitutiva con nicotina, bupropión y vareniclina. El conocimiento resumido de las particularidades, eficacia y contraindicaciones de cada uno de ellos nos puede resultar útil para realizar una prescripción adecuada a nuestros pacientes (AU)

There are currently three families of drugs that are commonly used in the clinic to help smokers to stop; nicotine replacement therapy, bupropion and varenicline. Summary knowledge of the specific efficacy and contraindications of each of them can be useful before prescribing them to our patients (AU)

[Advantages and drawbacks of current pharmacological treatments for smoking cessation]. / Tratamiento farmacológico en la deshabituación tabáquica. Ventajas e inconvenientes de los tratamientos actuales.

There are currently three families of drugs that are commonly used in the clinic to help smokers to stop; nicotine replacement therapy, bupropion and varenicline. Summary knowledge of the specific efficacy and contraindications of each of them can be useful before prescribing them to our patients.