Influence of physical fitness components on personality factors and risk perception of children and adolescents: a cross-sectional study.

OBJECTIVES: To examine the associations of cardiorespiratory fitness (VO2 max) and muscular strength with indicators related to the risk scale, such as perceived competence, sensation seeking, competitiveness, risk taking and risk perception in sports. DESIGN: Cross-sectional study. SETTING: High schools from the Region of Murcia (Spain). PARTICIPANTS: Three-hundred-and-seventeen adolescents participated (mean age: 13.69±1.2 years old). PRIMARY AND SECONDARY OUTCOME MEASURES: Body mass, body height, Course-Navette test, upper limb strength and psychoeducational factors that determine the propensity towards sports accidents in school children, the Sports Accident Propensity Scale were evaluated. It was performance t-test for independent samples, stepwise multiple linear regression models and a multiple mediation analysis. RESULTS: The analysis showed significant differences with respect to sex in height, VO2 max, handgrip strength and in all factors of the questionnaire (p=0.02-<0.01). Adolescents who presented greater VO2 max, strength in the handgrip test and age showed a higher score in factors 1 and 3. Higher scores in factor 2 were associated with better VO2 max and strength in handgrip test. Youngers and better values of strength in the handgrip showed higher score in factors 4 and 5. The mediation analysis with two mediating variables (handgrip strength and VO2 max) showed a significant indirect effect. When handgrip strength and VO2 max were included in the equations, the association between sex and each factor ceased to be significant. CONCLUSION: This study highlights the potential benefits of muscular strength (handgrip) and VO2 max in the perceived risk scale, and the variable of age on this. TRIAL REGISTRATION NUMBER: Clinical trial: NCT05544370 (pre-results).

Overall proportion of orthorexia nervosa symptoms: A systematic review and meta-analysis including 30 476 individuals from 18 countries.

Background: To date, no previous meta-analysis has determined the overall proportion of orthorexia nervosa symptoms on a global scale. The aim of the present study was 2-fold: first, to establish the overall proportion of orthorexia nervosa symptoms on a global scale, assessed with the ORTO-15 questionnaire; and second, to determine the role of sex, type of population, mean age, body mass index, and the temporal trend in relation to orthorexia nervosa symptoms. Methods: Four databases were searched (PubMed, Scopus, Web of Science, and Cochrane Database of Systematic Reviews) with date limits from January 2005 to June 2023. Studies assessing the proportion of orthorexia nervosa assessed using the ORTO-15 questionnaire with a cutoff of <35 or <40 points were included in this review. Results: The overall proportion of orthorexia nervosa symptoms (using the cutoff <35 points) was 27.5% (95% confidence interval (CI) = 23.5-31.6, I2 = 97.0%). In addition, no significant differences were observed between females (34.6%, 95% CI = 29.5-39.8, I2 = 96.1%) and males (32.1%, 95% CI = 26.5-38.1, I2 = 93.1%). According to the type of population, the highest overall proportion was found in people focused on sports performance or body composition (34.5%, 95% CI = 23.1-47.0, I2 = 98.0%). Notwithstanding, caution should be exercised in interpreting this result, as reverse causality could be a potential pitfall in this relationship. Conclusions: We found that approximately three out of 10 study participants showed orthorexia nervosa symptoms according to the ORTO-15 tool. This overall proportion was higher in those participants who were athletes or fitness practitioners. Over the years, the proportion of orthorexia nervosa symptoms seems to be increasing. These high percentages and their increase are worrisome from a public health perspective and highlight the need to develop psychometric instruments to aid in clinical diagnosis and treatment efficacy. Registration: PROSPERO (CRD42022350873).

Cirugía bariátrica mediante la técnica del cruce duodenal: evolución ponderal y deficiencias nutricionales asociadas / Bariatric surgery in duodenal switch procedure: weight changes and associated nutritional deficiencies

Introducción La cirugía bariátrica mediante la técnica del cruce duodenal está considerada como uno de los tratamientos más efectivos para conseguir la pérdida de peso y la disminución de comorbilidades en pacientes obesos mórbidos. Derivada de su práctica se pueden producir deficiencias nutricionales que debemos conocer y tratar. Objetivos Valoración de la pérdida de peso y del desarrollo de síndromes carenciales en pacientes obesos mórbidos sometidos a cirugía bariátrica mediante la técnica del cruce duodenal. Material y métodos Se ha estudiado la evolución de 128 pacientes obesos mórbidos sometidos a cirugía bariátrica mediante la técnica del cruce duodenal en el Hospital General Universitario de Albacete. Se realizaron controles ponderales y de las deficiencias nutricionales más relevantes surgidas tras la intervención. Resultados El peso corporal desciende de manera acusada desde un índice de masa corporal (IMC) promedio de 52,9±7,7kg/m2 (40,7-78,5) hasta un IMC de 30,8±5,2kg/m2, con un porcentaje de exceso de peso perdido (%EPP) de 81,4±16,4% a los 18 meses tras la intervención. La pérdida de peso se ralentiza en el seguimiento posterior, llegando a su valor más bajo a los 30 meses postintervención (%EPP del 82,1±16,8; IMC de 30,2±4,3kg/m2) y tiende a estabilizarse en los pacientes con seguimiento más prolongado. Las deficiencias nutricionales más significativas que requirieron tratamiento sustitutivo se detectaron en algunos micronutrientes como el hierro (42,9%), zinc (38,3%) y vitaminas liposolubles A (55,5%) y D (57,8%), entre otros. Conclusiones El tratamiento de la obesidad mórbida mediante cruce duodenal es una técnica muy efectiva para conseguir una importante pérdida de peso de forma mantenida. La elevada presencia de déficits nutricionales durante el seguimiento obliga a realizar revisiones periódicas de forma indefinida (AU)

Introduction: Bariatric surgery using the technique of duodenal switch is considered as one of the most effective treatments to lose weight and decrease comorbidity in morbidly obese patients. However, we have to be familiar with and adequately manage the various nutritional deficiencies that may occur as a consequence of its practice.Objectives: To assess weight loss and development of nutritional deficiencies in morbidly obesepatients undergoing bariatric surgery through the duodenal switch procedure. Material and methods: One hundred and twenty-eight morbidly obese patients underwent aduodenal switch procedure at Hospital General Universitario in Albacete. Weight changes and the most important nutritional deficiencies occurring after surgery were recorded. Results: Median follow-up time was 30 months (interquartile range, 18 months). Body weightmarkedly decreased, with mean body mass index (BMI) decreasing from a preoperative value of 52.9±7.7 kg/m2 to 30.8±5.2 kg/m2 18 months after surgery. The percentage of excess weight lost (% EWL) was 81.4±16.4% in this period. Weight loss slowed down subsequently, reaching its lowest value 30 months after surgery (% EWL 82.1%±16.8, BMI 30.2±4.3 kg/m2) and tended tostabilize in patients with longer follow-up times. Significant nutritional deficiencies requiring replacement therapy were detected in some micronutrients with iron (42.9%), zinc (38.3%),vitamin A (55.5%), and vitamin D (57.8%) deficiencies being most relevant.Conclusions: Duodenal switch is a very effective surgical procedure for treating morbidly obesepatients because it allows for achieving a significant and sustained weight loss.Close lifetimemonitoring is required in these patients because of the high prevalence of nutritional deficiencies during follow-up (AU)

[Bariatric surgery in duodenal switch procedure: weight changes and associated nutritional deficiencies]. / Cirugía bariátrica mediante la técnica del cruce duodenal: evolución ponderal y deficiencias nutricionales asociadas.

INTRODUCTION: Bariatric surgery using the technique of duodenal switch is considered as one of the most effective treatments to lose weight and decrease comorbidity in morbidly obese patients. However, we have to be familiar with and adequately manage the various nutritional deficiencies that may occur as a consequence of its practice. OBJECTIVES: To assess weight loss and development of nutritional deficiencies in morbidly obese patients undergoing bariatric surgery through the duodenal switch procedure. MATERIAL AND METHODS: One hundred and twenty-eight morbidly obese patients underwent a duodenal switch procedure at Hospital General Universitario in Albacete. Weight changes and the most important nutritional deficiencies occurring after surgery were recorded. RESULTS: Median follow-up time was 30 months (interquartile range, 18 months). Body weight markedly decreased, with mean body mass index (BMI) decreasing from a preoperative value of 52.9±7.7kg/m(2) to 30.8±5.2kg/m(2) 18 months after surgery. The percentage of excess weight lost (% EWL) was 81.4±16.4% in this period. Weight loss slowed down subsequently, reaching its lowest value 30 months after surgery (% EWL 82.1%±16.8, BMI 30.2±4.3kg/m(2)) and tended to stabilize in patients with longer follow-up times. Significant nutritional deficiencies requiring replacement therapy were detected in some micronutrients with iron (42.9%), zinc (38.3%), vitamin A (55.5%), and vitamin D (57.8%) deficiencies being most relevant. CONCLUSIONS: Duodenal switch is a very effective surgical procedure for treating morbidly obese patients because it allows for achieving a significant and sustained weight loss.Close lifetime monitoring is required in these patients because of the high prevalence of nutritional deficiencies during follow-up.