Physical activity recommendations during the COVID-19 pandemic: a practical approach for different target groups / Recomendaciones de actividad física durante la pandemia de COVID-19: un enfoque práctico para diferentes grupos objetivo

Ensuring health and well-being during this pandemic is essential according to the United Nations Sustainable Development Goals. Physical exercise has an important role in the preservation of the immune system, which is vital to prevent infections. To promote physical exercise and maintain a healthy status, recent studies have suggested general exercise routines to be implemented during the quarantine period. However, to improve the health-related physical fitness components, any specific prescription should include intensity, volume, duration, and mode. Controversy persists about which is the best intensity of physical activity, while performing exercise at a moderate intensity could bring important benefits to asymptomatic people. High intensity or unaccustomed exercise should be restricted for older people, and for people of all ages with chronic diseases or compromised immune system, obesity, or upper respiratory tract infection with limited symptoms. Besides, physical activity guidelines should be particular to each population group, giving special consideration to those vulnerable to COVID-19 who are much more likely to suffer more self-isolation. Therefore, the present study is to provide specific physical activity recommendations for different populations during this pandemic

En este periodo de pandemia es vital garantizar la salud y el bienestar según indican los Objetivos de Desarrollo Sostenible de la ONU. El ejercicio físico desempeña un papel importante en la mejora del sistema inmunológico, siendo vital en la prevención de infecciones. Por todo ello, se recomienda la realización de actividad física de manera regular para preservar la salud mental, neuromuscular, cardiovascular, metabólica y endocrina. Para promover el ejercicio físico y mantener un estado saludable, estudios recientes han sugerido que se apliquen rutinas generales de actividad física durante el período de cuarentena. Sin embargo, para mejorar los componentes de la aptitud física relacionados con la salud, la prescripción específica debe matizar la intensidad, el volumen, la duración y el modo. Se ha detectado cierta controversia acerca de cuál es la intensidad adecuada de la actividad física durante el periodo de pandemia, ya que la realización de ejercicios de intensidad moderada podría aportar importantes beneficios. Se debería ser cauteloso con el ejercicio de alta intensidad en las personas no entrenadas o incluso limitarse en los grupos de riesgo. Se deben establecer pautas de actividad física adaptadas para cada grupo de población, prestando especial consideración a los vulnerables a la COVID 19, ya que tienen más probabilidades de volver a aislarse. Por lo tanto, el presente estudio proporciona recomendaciones específicas de actividad física para diferentes poblaciones y su estado de condición física durante esta pandemia

La universidad como comunidad: universidades promotoras de salud. Informe SESPAS 2018 / The university as a community: health-promoting universities. SESPAS Report 2018

La vinculación de la universidad con la comunidad a la que pertenece es uno de los principios básicos en los que esta institución se sustenta. Una comunidad será saludable en la medida en que existan múltiples conexiones entre los individuos y las subagrupaciones que la integran. Al trabajar en promoción de la salud, hablar de participación y de modelos participativos implica asumir que personas y comunidades tienen el derecho de autogestionarse. Viabilizar la participación implicará abrir posibilidades para la cogestión, la autonomía, la comprensión de realidades dinámicas, la formalización de alianzas y la transformación de contextos y formas de relación. Implicará entender la salud como un derecho. El trabajo en red es fundamental en un mundo interconectado y global. El Proyecto de Universidades Promotoras de Salud se construye desde sus inicios con la participación de la comunidad universitaria con el objetivo de mejorar las condiciones para la salud, la calidad de vida y el bienestar de todos los miembros de la comunidad. Las universidades son escenarios idóneos para implementar estrategias de mejora de los estilos de vida de sus miembros, que además trasciendan a los espacios universitarios y afecten positivamente a la vida de las personas dentro y fuera de los campus. Las redes de Universidades Promotoras de la Salud en América Latina se institucionalizaron en el año 2003, y tomaron forma de Red Iberoamericana de Universidades Promotoras de la Salud en 2007, en el marco del III Congreso de Universidades Promotoras de la Salud desarrollado en Ciudad Juárez, México. En España se creó en 2008 la Red Española de Universidades Saludables con el objetivo de reforzar el papel de las universidades como entornos promotores de la salud y el bienestar tanto de sus estudiantes como de su personal y de la sociedad, liderando y apoyando procesos de cambio social

The connection of the University with the community to which it belongs is one of the basic principles on which the former is based. A community will be healthy as long as there are many connections between the individuals and sub-groups that form it. Working on health promotion, talking about participation and participatory models implies the assumption that people and communities have the right to self-manage. Implementing participation will involve opening up possibilities for co-management, autonomy, understanding of dynamic realities, the formalization of alliances, the transformation of contexts, and forms of relationship. It will involve understanding health as a right. Networking is fundamental in an interconnected and global world. Since its inception, the Project of Health Promoting Universities has been built with the participation of the university community towards improving the conditions for health, quality of life and well-being of all members of the community. Universities are ideal scenarios to implement strategies to improve the lifestyles of their members that also transcend to the university spaces and positively affect the lives of people on and off campus. The networks of Health Promoting Universities in Latin America were institutionalized in 2003, and took the form of the Ibero-American Network of Health Promoting Universities in 2007 within the framework of the third Conference on Health Promoting Universities held in the city of Juarez, Mexico. In 2008, the Spanish Network of Healthy Universities was created in Spain, in order to enhance the role of universities as environments that promote the health and well-being of their students, their staff and society, leading and supporting processes of social change

[The university as a community: health-promoting universities. SESPAS Report 2018]. / La universidad como comunidad: universidades promotoras de salud. Informe SESPAS 2018.

The connection of the University with the community to which it belongs is one of the basic principles on which the former is based. A community will be healthy as long as there are many connections between the individuals and sub-groups that form it. Working on health promotion, talking about participation and participatory models implies the assumption that people and communities have the right to self-manage. Implementing participation will involve opening up possibilities for co-management, autonomy, understanding of dynamic realities, the formalization of alliances, the transformation of contexts, and forms of relationship. It will involve understanding health as a right. Networking is fundamental in an interconnected and global world. Since its inception, the Project of Health Promoting Universities has been built with the participation of the university community towards improving the conditions for health, quality of life and well-being of all members of the community. Universities are ideal scenarios to implement strategies to improve the lifestyles of their members that also transcend to the university spaces and positively affect the lives of people on and off campus. The networks of Health Promoting Universities in Latin America were institutionalized in 2003, and took the form of the Ibero-American Network of Health Promoting Universities in 2007 within the framework of the third Conference on Health Promoting Universities held in the city of Juarez, Mexico. In 2008, the Spanish Network of Healthy Universities was created in Spain, in order to enhance the role of universities as environments that promote the health and well-being of their students, their staff and society, leading and supporting processes of social change.

Clustering of lifestyle factors in Spanish university students: the relationship between smoking, alcohol consumption, physical activity and diet quality.

OBJECTIVE: To ascertain the prevalence of and association between main lifestyle factors (diet, physical activity, alcohol consumption and smoking) in students from the Balearic Islands University. DESIGN: A cross-sectional, descriptive study. A questionnaire including questions on lifestyle, dietary habits and physical activity habits was administered to the students. Four different diet quality scores were calculated (Diet Diversity Score, Mediterranean Diet Score, Dietary Guidelines Score and Global Dietary Guidelines Score). SETTING: A sample of students from the Balearic Islands University. SUBJECTS: Nine hundred and eighty-seven students (45·5 % males; mean age 21·5 (sd 3·3) years). RESULTS: The dietary pattern of the student population was characterized by a low consumption of cereals and tubers, fruits, vegetables, olive oil, legumes and nuts, and a high consumption of processed meat, sweets, snacks, soft drinks and pastries. Linear, positive and statistically significant correlations were found between the number of meals consumed daily and all of the diet quality scores determined. Determinants of diet quality, both in the univariate and multivariate analyses, were physical activity practice, sex, age and number of meals consumed daily. CONCLUSIONS: Risk factors such as smoking, diet and physical inactivity had a tendency of clustering among Spanish university students. Overall diet quality was low, due to important departures from dietary recommendations and loss of the traditional Mediterranean dietary pattern. Nutritional education campaigns that include promotion of physical activity practice are needed to improve the overall health status of this population.

Self-perceived factors associated with smoking cessation among primary health care nurses: a qualitative study / Tabagismo em enfermeiras de cuidados primários à saúde: um estudo qualitativo / Tabaquismo en enfermeras de Atención Primaria: un estudio cualitativo

The aim of this work was to characterize the views of nurses about factors modulating smoking cessation. Results of this study will allow us to design helping interventions with the maximum specificity for nurses. A qualitative study through a semi-structured interview of 15 Primary Health Care nurses who were smokers was performed. In contrast with other studies in which nurses were not aware of any particular social pressure to give up smoking, 18 months after the application of the Anti-Smoking Spanish Law, this feeling was expressed. Therefore, the main reasons for giving up smoking include that smoking in public is every day worse seen, together with a sense of shame and guilt in front of their social and family environment, especially for being a professional group dedicated to health.

O objetivo deste estudo foi identificar os fatores percebidos por enfermeiras fumantes como facilitadores ao abandono do tabagismo, com o propósito de, posteriormente, elaborar intervenções de ajuda com maior especificidade para esse grupo. Foi realizado estudo qualitativo, por meio de entrevistas semiestruturadas, com 15 enfermeiras de cuidados primários à saúde, que eram fumantes. Ao contrário de outros estudos, os quais as enfermeiras não percebiam pressão social para deixar o hábito tabágico, 18 meses após a vigência da Lei de Prevenção ao Tabagismo, as enfermeiras entrevistadas expressaram sentir pressão social. Portanto, entre os principais motivos para abandonar o hábito tabágico é que, a cada dia, fumar em público é malvisto, e está aliado a sentimentos de vergonha e culpa no seu entorno social e familiar, principalmente por se tratar de um grupo profissional dedicado aos cuidados da saúde.

El objetivo de este trabajo fue identificar los factores percibidos por las enfermeras fumadoras como moduladores del cese tabáquico, con el fin de diseñar posteriormente intervenciones de ayuda con la máxima especificidad para este colectivo. Se realizó un estudio cualitativo mediante entrevista semiestructurada a 15 enfermeras fumadoras de Atención Primaria de Salud. Contrariamente a otros estudios en los que las enfermeras no percibían una especial presión social para dejar el hábito tabáquico, 18 meses después de vigencia de la Ley de Prevención del Tabaquismo sí que la expresan. Por ello, entre los principales motivos de cese figura el que cada día esté peor considerado fumar en público, unido a un sentimiento de vergüenza y de culpa ante su entorno social y familiar, especialmente por tratarse de un colectivo profesional dedicado a los cuidados de salud.

Self-perceived factors associated with smoking cessation among primary health care nurses: a qualitative study.

The aim of this work was to characterize the views of nurses about factors modulating smoking cessation. Results of this study will allow us to design helping interventions with the maximum specificity for nurses. A qualitative study through a semi-structured interview of 15 Primary Health Care nurses who were smokers was performed. In contrast with other studies in which nurses were not aware of any particular social pressure to give up smoking, 18 months after the application of the Anti-Smoking Spanish Law, this feeling was expressed. Therefore, the main reasons for giving up smoking include that smoking in public is every day worse seen, together with a sense of shame and guilt in front of their social and family environment, especially for being a professional group dedicated to health.