Cumplimiento de los indicadores NAOS en los menús escolares de Gipuzkoa. Curso 2011/2012 / NAOS strategy's indicators observance by Gipuzkoa's school menus: Course 2011-2012

Fundamentos: las políticas dirigidas a prevenir la obesidad recomiendan una alimentación saludable y equilibrada. Objetivo: valorar el seguimiento de las recomendaciones de la Estrategia NAOS, en los menús ofertados a la población de 3 a 16 años en los centros escolares del Territorio de Gipuzkoa. Método: estudio descriptivo transversal realizado en el curso 2011-2012 sobre una muestra de 80 centros, a partir de las hojas de los menús escolares que se distribuyen a los padres. Resultados: Todos los comedores incluyen semanalmente una ración de legumbres y pescado. En el 100% de los centros públicos y en el 97% de los privados no se sirve más de una ración semanal de platos precocinados. El 98% de centros públicos y el 17% de los privados ofrecen 4 raciones semanales de verduras y hortalizas. El 85% de los centros ofrecía como máximo 3 piezas de fruta por semana. Conclusiones: de forma general los menús cumplen los indicadores recomendados por la Estrategia NAOS para prevenir la obesidad, exceptuando la fruta, que en el 100% de los menús incumplen el indicador NAOS y no alcanza las 4piezas semanales. Es necesario impulsar el consumo de fruta fresca en los menús escolares

Fundamentals: Policies aimed at preventing obesity advisea healthy and balanced eating. Goal: NAOS Strategy compliance assessment on menus offered to 3-16 years old pupils in Gipuzkoa. Methods: cross-sectional study conducted during 2011-2012 on a sample of 80 schools, from school menus distributed to parents of schoolchildren who use the school canteen. Results: all canteens include a weekly portion of vegetables and fish. In most cases no more than one portion of ready-to-eat meals is served per week. 98% of public schools and 17% of private schools offer 4 portions of vegetables per week.85% of centres offer a maximum of 3 pieces of fruit perweek. Conclusions: in general, menus meet the NAOS recommendations strategy to prevent the obesity but in case fruit. 100% of the schools do not fulfil the suggested 4 pieces offresh fruit per week recommended. It is convenient to foster fresh fruit inclusion in school menus

[Cancer Survival between 1995 and 2004 in the Basque Country, Spain].

BACKGROUND: geographic differences described in the prognosis of cancer patients in the Basque Country have been attributed to a different incidence in tumours with different lethality. Therefore, cancer relative survival adjusted by case-mix was included to estimate cancer survival by provinces and health regions, using data from 1995 to 2004. METHODS: a total of 93 585 cases of malignant tumours were identified from a population-based cancer registry. The five-year relative survival (RS) was calculated using Ederer´s method. The five-year relative excess risk (RER) of death was estimated with a generalised linear model, standardized by age and adjusted for sex, date of diagnosis and case-mix. RESULTS: the five-year RS increased from period 1995-1999 to 2000-2004, this latter, with values ranging by health regions between 46-58% and 57-65% in men and women, respectively. There was an excess risk of death in Bizkaia (RER=1.06, CI95%: 1.03-1.09), this same effect being identified in almost all the health regions in the province. In contrast, in Gipuzkoa province, differences were only statistically significant in the Gipuzkoa and Tolosa health regions (RER=1.07; CI95%: 1.02-1.13 and RER=0.91; CI95%: 0.84-0.98, respectively), and even these disappeared after adjusting for potential confounders. CONCLUSIONS: cancer patients of Bizkaia, except for the Uribe health region, presented a worse prognosis.

Supervivencia del cáncer en el País Vasco entre 1995-2004 / Cancer survival between 1995 and 2004 in the Basque Country, Spain

Fundamentos: las diferencias geográficas descritas en el pronóstico de los pacientes de cáncer en el País Vasco han sido atribuidas a la diferente incidencia en tumores de diferente letalidad. Por ello, se incluye la supervivencia relativa del cáncer ajustada por la casuística para estimar la supervivencia del conjunto de los tumores malignos por provincias y comarcas sanitarias, utilizando los datos de 1995 a 2004. El objetivo del trabajo es estimar la supervivencia de los tumores malignos en el País Vasco por provincias y comarcas sanitarias durante el período 1995-2004. Métodos: se incluyeron 93.585 tumores malignos del registro poblacional de cáncer. Se calculó la supervivencia relativa (SR) a 5 años con el método de Ederer. Se estimó el exceso de riesgo relativo (ERR) de muerte a los 5 años con el modelo lineal generalizado, estandarizando por edad y ajustando por sexo, período de diagnostico y casuística. Resultados: la SR a los 5 años aumentó en el período 2000-2004 con respecto a 1995-1999 con valores que oscilaron por comarcas entre el 46-58% y el 57-65% en hombres y mujeres, respectivamente. Se observó un exceso de riesgo de muerte en pacientes de Bizkaia (ERR= 1,06; IC95%: 1,03-1,09, efecto que se observo en casi todas sus comarcas. Por el contrario, en Gipuzkoa, sólo las comarcas Gipuzkoa y Tolosa mostraron diferencias significativas (ERR=1,07; IC95%: 1,02-1,13 y ERR=0,91; IC95%: 0,84-0,98, respectivamente), las cuales desaparecieron al ajustar el modelo. Conclusiones: dentro del Pais Vasco fueron los pacientes de Bizkaia, a excepción de la comarca Uribe, los que presentaron peor pronóstico(AU)

Background: geographic differences described in the prognosis of cancer patients in the Basque Country have been attributed to a different incidence in tumours with different lethality. Therefore, cancer relative survival adjusted by case-mix was included to estimate cancer survival by provinces and health regions, using data from 1995 to 2004. Methods: a total of 93 585 cases of malignant tumours were identified from a population-based cancer registry. The five-year relative survival (RS) was calculated using Ederer's method. The five-year relative excess risk (RER) of death was estimated with a generalised linear model, standardized by age and adjusted for sex, date of diagnosis and case-mix. Results: the five-year RS increased fromperiod 1995-1999 to 2000- 2004, this latter, with values ranging by health regions between 46-58% and 57-65% in men and women, respectively. There was an excess risk of death in Bizkaia (RER=1.06, CI95%: 1.03-1.09), this same effect being identified in almost all the health regions in the province. In contrast, in Gipuzkoa province, differences were only statistically significant in the Gipuzkoa and Tolosa health regions (RER=1.07; CI95%: 1.02-1.13 and RER=0.91; CI95%: 0.84-0.98, respectively), and even these disappeared after adjusting for potential confounders. Conclusions: cancer patients of Bizkaia, except for the Uribe health region, presented a worse prognosis(AU)