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ABSTRACT Background: Inflammatory bowel disease (IBD) is an immune-mediated disorder that includes Crohn’s disease (CD) and ulcerative colitis. CD is characterized by a transmural intestinal involvement from the mouth to the anus with recurrent and remitting symptoms that can lead to progressive bowel damage and disability over time. Objective: To guide the safest and effective medical treatments of adults with CD. Methods: This consensus was developed by stakeholders representing Brazilian gastroenterologists and colorectal surgeons (Brazilian Organization for Crohn's disease and Colitis (GEDIIB)). A systematic review of the most recent evidence was conducted to support the recommendations/statements. All included recommendations and statements were endorsed in a modified Delphi panel by the stakeholders and experts in IBD with an agreement of at least 80% or greater consensus rate. Results and conclusion: The medical recommendations (pharmacological and non-pharmacological interventions) were mapped according to the stage of treatment and severity of the disease in three domains: management and treatment (drug and surgical interventions), criteria for evaluating the effectiveness of medical treatment, and follow-up/patient monitoring after initial treatment. The consensus is targeted towards general practitioners, gastroenterologists, and surgeons interested in treating and managing adults with CD and supports the decision-making of health insurance companies, regulatory agencies, and health institutional leaders or administrators.

RESUMO Contexto: A doença inflamatória intestinal (DII) é uma doença imunomediada que inclui a doença de Crohn (DC) e a retocolite ulcerativa. A DC é caracterizada por um envolvimento intestinal transmural da boca ao ânus com sintomas recorrentes e remitentes que podem levar a danos intestinais progressivos e incapacidade ao longo do tempo. Objetivo: Orientar os tratamentos médicos mais seguros e eficazes de adultos com DC. Métodos: Este consenso foi desenvolvido por autores que representam gastroenterologistas e cirurgiões brasileiros especialistas em doenças colorretais (GEDIIB, Organização Brasileira de Doença de Crohn e Colite). Uma revisão sistemática das evidências mais recentes foi realizada para apoiar as recomendações/declarações. Todas as recomendações e declarações incluídas foram endossadas em um painel Delphi modificado pelas partes interessadas e especialistas em DII com uma concordância de pelo menos 80% ou mais. Resultados e conclusão: As recomendações médicas (intervenções farmacológicas e não farmacológicas) foram mapeadas de acordo com o estágio de tratamento e gravidade da doença em três domínios: manejo e tratamento (intervenções medicamentosas e cirúrgicas), critérios para avaliar a eficácia do tratamento médico, e acompanhamento/monitoramento do paciente após o tratamento inicial. O consenso é direcionado a clínicos gerais, gastroenterologistas e cirurgiões interessados em tratar e gerenciar adultos com DC e apoia a tomada de decisões de companhias de seguro de saúde, agências reguladoras e líderes ou administradores de instituições de saúde.

https://doi.org/10.1590/s0004-2803.2022005s1-02

SECOND BRAZILIAN CONSENSUS ON THE MANAGEMENT OF ULCERATIVE COLITIS IN ADULTS: A CONSENSUS OF THE BRAZILIAN ORGANIZATION FOR CROHN’S DISEASE AND COLITIS (GEDIIB)
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BAIMA, Júlio Pinheiro

; IMBRIZI, Marcello

; ANDRADE, Adriana Ribas

; CHEBLI, Liliane Andrade

; ARGOLLO, Marjorie Costa

; QUEIROZ, Natália Sousa Freitas

; AZEVEDO, Matheus Freitas Cardoso de

; VIEIRA, Andrea

; COSTA, Marcia Henriques de Magalhães

; FRÓES, Renata de Sá Brito

; PENNA, Francisco Guilherme Cancela e

; QUARESMA, Abel Botelho

; DAMIÃO, Aderson Omar Mourão Cintra

; MORAES, Antonio Carlos da Silva

; SANTOS, Carlos Henrique Marques dos

; FLORES, Cristina

; ZALTMAN, Cyrla

; VILELA, Eduardo Garcia

; MORSOLETTO, Eloá

; GONÇALVES FILHO, Francisco de Assis

; SANTANA, Genoile Oliveira

; ZABOT, Gilmara Pandolfo

; PARENTE, José Miguel Luz

; SASSAKI, Ligia Yukie

; ZERÔNCIO, Marco Antonio

; MACHADO, Marta Brenner

; CASSOL, Ornella Sari

; KOTZE, Paulo Gustavo

; PARRA, Rogerio Serafim

; MISZPUTEN, Sender Jankiel

; COY, Cláudio Saddy Rodrigues

; AMBROGINI JUNIOR, Orlando

; CHEBLI, Júlio Maria Fonseca

; SAAD-HOSSNE, Rogério

Arquivos de Gastroenterologia

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2022, Volume 59 Suppl. 1 Pages 51 - 84

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT Background: Inflammatory bowel diseases are immune-mediated disorders that include Crohn’s disease (CD) and ulcerative colitis (UC). UC is a progressive disease that affects the colorectal mucosa causing debilitating symptoms leading to high morbidity and work disability. As a consequence of chronic colonic inflammation, UC is also associated with an increased risk of colorectal cancer. Objective: This consensus aims to provide guidance on the most effective medical management of adult patients with UC. Methods: A consensus statement was developed by stakeholders representing Brazilian gastroenterologists and colorectal surgeons (Brazilian Organization for Crohn’s Disease and Colitis [GEDIIB]). A systematic review including the most recent evidence was conducted to support the recommendations and statements. All recommendations/statements were endorsed using a modified Delphi Panel by the stakeholders/experts in inflammatory bowel disease with at least 80% or greater consensus. Results and conclusion: The medical recommendations (pharmacological and non-pharmacological) were mapped according to the stage of treatment and severity of the disease onto three domains: management and treatment (drug and surgical interventions), criteria for evaluating the effectiveness of medical treatment, and follow-up/patient monitoring after initial treatment. The consensus targeted general practitioners, gastroenterologists and surgeons who manage patients with UC, and supports decision-making processes by health insurance companies, regulatory agencies, health institutional leaders, and administrators.

RESUMO Contexto: As doenças inflamatórias intestinais são doenças imunomediadas que incluem a doença de Crohn (DC) e a retocolite ulcerativa (RCU). A RCU é uma doença progressiva que acomete a mucosa colorretal causando sintomas debilitantes levando a alta morbidade e incapacidade laboral. Como consequência da inflamação crônica do cólon, a RCU também está associada a um risco aumentado de câncer colorretal. Objetivo: Este consenso visa fornecer orientações sobre o manejo médico mais eficaz de pacientes adultos com RCU. Métodos: As recomendações do consenso foram desenvolvidas por gastroenterologistas e cirurgiões colorretais referências no Brasil (membros da Organização Brasileira para Doença de Crohn e Colite [GEDIIB]). Uma revisão sistemática, incluindo as evidências mais recentes, foi conduzida para apoiar as recomendações. Todas as recomendações foram endossadas pelas partes interessadas/especialistas em doença inflamatória intestinal usando um Painel Delphi modificado. O nível de concordância para alcançar consenso foi de 80% ou mais. Resultados e conclus ão: As recomendações médicas (farmacológicas e não farmacológicas) foram mapeadas de acordo com o estágio de tratamento e gravidade da doença em três domínios: manejo e tratamento (intervenções medicamentosas e cirúrgicas), critérios para avaliar a eficácia do tratamento médico, e acompanhamento/monitoramento do paciente após o tratamento inicial. O consenso foi direcionado a clínicos gerais, gastroenterologistas e cirurgiões que tratam pacientes com RCU e apoia os processos de tomada de decisão por companhias de seguro de saúde, agências reguladoras, líderes institucionais de saúde e administradores.

https://doi.org/10.1590/s0004-2803.2022005s1-03

Consenso argentino en gestión efectiva de clínicas de anticoagulación para uso de antagonistas de la vitamina K
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Ceresetto, José M

; Duboscq, Cristina

; Korin, Jorge

; Fondevila, Carlos

; Casais, Patricia

; Rossi, Andrea

; Scazziota, Alejandra

; Martinuzzo, Marta

; Aris Cancela, María Esther

; Rosa, Claudio

; Pombo, Gonzalo

; Guimelli, Carla

; Adamczuk, Yolanda

; Martí, Alejandra

; Penchasky, Diana

; Riveros, Dardo

; Puente, Dolores

; Celebrin, Lucía

; Molnar, Soledad

; Meschengieser, Susana

; Castro Ríos, Miguel

; Blanco, Alicia

; Hendler, Héctor

; Brodsky, Andrés

; Sánchez Luceros, Analía

; Negri Aranguren, Pedro

; Fedele, José Luis

; Merlo, Claudio

; Raña, Pablo

; Gumpel, Carina

; Colorio, Cecilia

; Grand, Beatriz

; Canónico, Virginia

; Rossi, Eleonora

; Colimodio, Paulo

; Orlando, Sergio

; Fassi, Daniel

; Arias, Mirta

; Viudez, Laura

; Farreras, Roberto

; Martínez, Pablo

; Ferro, Hugo

; Casali, Claudia

; Baques, Alejandra

; Arbesú, Guillermo

; Viñuales, Susana

; Medina, Fernanda

; Cortés, Verónica

; Gallo, María Del Carmen

; Ehelou, Ludmila

; Barrera, Luis

; Rey, Irene

; De Larrañaga, Gabriela

; Figueroa, Flavia

; Vilaseca, Alicia

; Kuri, Isabel

; Maneyro, Alberto

; Otaran, María

; Xavier, David Luis

; Garbiero, Susana

; Salviú, Julieta

; Fontenla, Patricia

; Eckhardt, Andrea

; Bomparola, Carolina

; Fornasiero, Laura

Medicina (Buenos Aires)

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sep 2020, Volume 80 Suppl. 4 Pages 1 - 26

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract Treating an anticoagulated patient with vitamin K antagonists (VKA) remains a challenge, especially in areas where dicoumarins are still the first drug of choice due to the cost of other oral anticoagulants. Anticoagulation clinics have proven to be the most efficient and safe way to avoid thrombotic and hemorrhagic complications and to keep patients in optimal treatment range. However, they require adequate infrastructure and trained personnel to work properly. In this Argentine consensus we propose a series of guidelines for the effective management of the anticoagulation clinics. The goal is to achieve the excellence in both the clinical healthcare and the hemostasis laboratory for the anticoagulated patient. The criteria developed in the document were agreed upon by a large group of expert specialists in hematology and biochemistry from all over the country. The criteria presented here must always be considered when indicating VKA although they had to be adapted to the unequal reality of each center. Taking these premises into consideration will allow us to optimize the management of the anticoagulated patient with VKA and thus minimize thrombotic and hemorrhagic intercurrences, in order to honor our promise not to harm the patient.

Resumen El tratamiento de un paciente anticoagulado con antagonistas de la vitamina K (AVK) sigue siendo un desafío, especialmente en regiones donde, por el costo, los dicumarínicos son todavía la alternativa más buscada a la hora de elegir un anticoagulante oral. Las clínicas de anticoagulación han demostrado ser la forma más eficiente y segura de evitar complicaciones trombóticas y hemorrágicas y de mantener al paciente en rango óptimo de tratamiento. Sin embargo, requieren de una adecuada infraestructura y personal capacitado para que funcionen eficientemente. En este consenso argentino se propone una serie de parámetros para la gestión efectiva de una clínica de anticoagulación. El objetivo es lograr una elevada calidad desde el punto de vista clínico-asistencial a través de un laboratorio de hemostasia de excelencia. Los criterios desarrollados en el documento fueron consensuados por un amplio grupo de expertos especialistas en hematología y en bioquímica de todo el país. Estos criterios deben adaptarse a la irregular disponibilidad de recursos de cada centro, pero siempre se los debe tener en cuenta a la hora de indicar el tratamiento anticoagulante con estas drogas. Tener en consideración estas premisas nos permitirá optimizar la atención del enfermo anticoagulado con AVK y de esta forma minimizar las intercurrencias trombóticas y hemorrágicas a las que está expuesto, para así honrar nuestra promesa de no dañar al paciente.

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Muscle strength training program in nonagenarians – a randomized controlled trial
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Carral, José Maria Cancela

; Rodríguez, Adriana López

; Cardalda, Irimia Mollinedo

; Bezerra, José Pedro Arieiro Gonçalves

Revista da Associação Médica Brasileira

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jun 2019, Volume 65 N. 6 Pages 851 - 856

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO OBJETIVO: O objetivo do estudo é melhorar a capacidade funcional e a qualidade de vida (QV) de nonagenários por meio da implementação de um programa de treinamento aeróbico e de força individualizado em um centro geriátrico residencial. DESENHO DO ESTUDO: Estudo controlado randomizado. METODOLOGIA: Vinte e seis mulheres idosas foram randomizadas em grupo controle (CG) e grupo intervenção (SG). O SG realizou um programa de força com 12 semanas de duração de duas sessões semanais. As ferramentas de avaliação usadas antes e após a intervenção foram o Índice de Barthel das atividades da vida diária, o teste Five-to-Stand (FTSTS) e o Timed Up and Go (TUG) com sensores Wiva®. RESULTADOS: O SG manteve as pontuações no Índice de Barthel e melhora no FTSTS; o GC apresentou redução significativa nos dois testes. O teste de equilíbrio dinâmico mostrou diferenças significativas entre os grupos para as variáveis: Sit to Stand, pico da velocidade angular, amplitude anteroposterior, giro, posição sentada, tempo total e velocidade. CONCLUSÕES: Os programas de intervenção de força muscular podem ajudar a promover estilos de vida saudáveis nesta população para a manutenção da autonomia, a melhora da função e o equilíbrio.

SUMMARY OBJECTIVES: The study aims to improve the functional capacity and quality of life (QOL) of nonagenarian women by implementing an individualized muscle strength training program in a geriatric residential care home. STUDY DESIGN: A randomized controlled trial METHODS: Twenty-six elderly women were randomized into a control group (CG) and an intervention group (SG). The SG carried out a strength program with TheraBands® for 12 weeks, with two weekly sessions. The assessment tools that we used pre- and post-intervention were the Barthel index of daily living activities, the five times sit-to-stand test (FTSTS) and timed up and go (TUG) test with wiva® sensors. RESULTS: The SG maintained the Barthel index scores for activities of daily living and improved in the FTSTS; the CG showed a significant decrease on both tests. The dynamic balance test showed significant differences between groups for the variables sit to stand, peak angular velocity, anterior-posterior range, turning, stand to sit, total time, and speed. CONCLUSIONS: Individualized muscle strength training programs may help promote healthy lifestyles in such populations by maintaining autonomy, improving function and balance.

https://doi.org/10.1590/1806-9282.65.6.851 2588 downloads

Drug use, family support and related factors in university students. A cross-sectional study based on the uniHcos Project data
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Arias-De la Torre, Jorge

; Fernández-Villa, Tania

; Molina, Antonio José

; Amezcua-Prieto, Carmen

; Mateos, Ramona

; Cancela, José María

; Delgado-Rodríguez, Miguel

; Ortíz-Moncada, Rocío

; Alguacil, Juan

; Almaraz, Ana

; Gómez-Acebo, Inés

; Suárez-Varela, María Morales

; Blázquez-Abellán, Gemma

; Jiménez-Mejías, Eladio

; Valero, Luis Félix

; Ayán, Carlos

; Vilorio-Marqués, Laura

; Olmedo-Requena, Rocío

; Martín, Vicente

Gaceta Sanitaria

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apr 2019, Volume 33 N. 2 Pages 141 - 147

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract Objective To assess the prevalence of illegal drug use in college students on any previous occasion, during the previous year and the previous month, and to analyze the relationship between illegal drug use and family support and other factors. Methods A cross-sectional study using data from students participating in the uniHcos project (n = 3767) was conducted. The prevalence and age of onset of consumption of cannabis, non-prescription sedatives, stimulants and depressants was evaluated. Polyconsumption was also assessed. The independent variables were: family support, age, residence, and employment status. To determine the factors related to drug use multivariate logistic regression models stratified by gender were fitted. Results Differences between men and women in prevalence of illegal drug use except non-prescription sedatives were observed. In both genders, less family support was associated with higher consumption of all drugs, except depressants, and with polyconsumption. To be studying and looking for work was related to cannabis and stimulant use and to polyconsumption among women, but only to cannabis use among men. Conclusions These results support the notion that the start of university studies is a particularly relevant stage in the onset of illegal drug use and its prevention, and that consumption may be especially associated with family support.

Resumen Objetivo Evaluar la prevalencia del consumo de drogas ilegales en estudiantes universitarios y analizar la relación entre dicho consumo, el apoyo familiar y otros factores. Método Se realizó un diseño transversal basado en datos de participantes en el proyecto uniHcos (n = 3767). Se evaluaron la prevalencia y la edad de inicio del consumo de cannabis, tranquilizantes sin receta, estimulantes y depresores, y el policonsumo. Como variables independientes se consideraron el apoyo familiar, la edad, la residencia y la situación laboral. Para la determinación de los factores asociados al consumo de drogas se ajustaron modelos de regresión logística estratificados por sexo. Resultados Se observaron diferencias entre hombres y mujeres en la prevalencia del consumo de todas las drogas ilegales, excepto tranquilizantes sin receta. En ambos sexos, cuanto peor apoyo familiar, mayor consumo de todas las drogas, excepto depresores y policonsumo. Encontrarse estudiando y buscando trabajo se relacionó con el consumo de cannabis, estimulantes y policonsumo en las mujeres, y solo con cannabis en los hombres. Conclusiones Los resultados de este estudio aportan nueva evidencia a favor de que el inicio de la etapa universitaria es un momento de especial relevancia en el inicio del consumo de drogas ilegales y su prevención, pudiendo este consumo estar especialmente relacionado con el apoyo familiar.

https://doi.org/10.1016/j.gaceta.2017.10.019 339 downloads

Drug use, family support and related factors in university students. A cross-sectional study based on the uniHcos Project data
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Arias-De la Torre, Jorge

; Fernández-Villa, Tania

; Molina, Antonio José

; Amezcua-Prieto, Carmen

; Mateos, Ramona

; Cancela, José María

; Delgado-Rodríguez, Miguel

; Ortíz-Moncada, Rocío

; Alguacil, Juan

; Almaraz, Ana

; Gómez-Acebo, Inés

; Suárez-Varela, María Morales

; Blázquez-Abellán, Gemma

; Jiménez-Mejías, Eladio

; Valero, Luis Félix

; Ayán, Carlos

; Vilorio-Marqués, Laura

; Olmedo-Requena, Rocío

; Martín, Vicente

Gaceta Sanitaria

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apr 2019, Volume 33 N. 2 Pages 141 - 147

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

https://doi.org/10.1016/j.gaceta.2017.10.019

Association between sex differences on foot health related to the quality of life in a sample of sedentary people
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López-López, Daniel

; Cancela-Carral, Jose María

; Araujo, Romeu

; Losa-Iglesias, Marta Elena

; Becerro-de-Bengoa-Vallejo, Ricardo

; Rodríguez-Sanz, David

; Calvo-Lobo, Cesar

Revista da Associação Médica Brasileira

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feb 2019, Volume 65 N. 2 Pages 149 - 155

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO O tempo sedentário (sentado) pode produzir muitas consequências anatômicas e fisiológicas que supostamente estão associadas a uma redução de qualidade de vida (QoL) relacionada à saúde do pé. Por conseguinte, o objetivo deste estudo foi analisar o impacto da QV sobre a saúde geral e a saúde do pé entre pessoas sedentárias masculinas e femininas. Uma amostra de 312 participantes com idade média de 39,81 ± 15,40 anos completou todas as fases do processo de estudo. Além disso, os dados autorrelatados foram registrados. O comportamento sedentário dos informantes foi determinado usando o questionário de prospecção prospectiva de câncer e nutrição (Epic). Além disso, os resultados obtidos com a versão em português do Questionário de Status de Saúde do Pé (PFHSQ) foram registrados. As pessoas sedentárias no equivalente de energia metabólica apresentaram 301,09 ± 72,22 (min/semana). Na primeira seção, os valores foram maiores para a dor no pé e função do pé e diminuíram a saúde e o calçado do pé geral. Na segunda seção, os valores foram maiores para saúde geral e vigor e menores para atividade física e capacidade social. As diferenças entre os grupos sexuais do estudo foram estatisticamente significativas para o calçado (P = 0,008), atividade física (P = 0,002), capacidade social (P = 0,001) e vigor (P = 0,001), mostrando uma pior QV relacionada à saúde do pé a favor dos sujeitos do sexo masculino em relação aos participantes sedentários femininos. O restante dos domínios não apresentou diferença estatisticamente significante (P ≥ 0,01). A população sedentária evidenciou um impacto negativo na QoL relacionada à saúde dos pés. Esse problema pode estar associado a este comportamento, especialmente no sexo masculino.

SUMMARY Sedentary (sitting) time may produce many anatomical and physiological consequences which are supposedly associated with a decreased quality of life (QoL) related to foot health. Accordingly, this study aimed to analyze the QoL impact on the overall health and the foot health among male and female sedentary people. A total of 312 participants with an age mean of 39.81 ± 15.40 years completed all phases of the study. In addition, self-reported data were registered. The participants' sedentary lifestyle was determined using the European Prospective Investigation into Cancer and Nutrition (EPIC) physical activity questionnaire. Furthermore, the scores obtained from the Portuguese version of the Foot Health Status Questionnaire were registered. Sedentary people in the equivalent metabolic energy had 301.09 ± 72.22 (min/week). In the first section, values were higher for foot pain and foot function and lower for general foot health and footwear. In the second section, values were higher for general health and vigor and lower for physical activity and social capacity. The differences between the sex groups of the study were statistically significant for footwear (P = 0.008), physical activity (P= 0.002), social capacity (P = 0.001) and vigor (P = 0.001) showing a worst QoL related to foot health in favor of male subjects in comparison with females. The rest of the domains did not show any statistically significant difference (P ≥ .01). The sedentary population evidenced a negative impact on the QoL related to foot health. This problem may be associated with this lifestyle, especially for males.

https://doi.org/10.1590/1806-9282.65.2.149 1202 downloads

Efectos de la ingesta de naringina en combinación con el ejercicio sobre respuestas clínicas: una Revisión Sistemática
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Raffoul Orozco, Abdel Kerim

; Ávila González, Ana Elisa

; Cancela Carral, José María

Revista Española de Nutrición Humana y Dietética

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mar 2018, Volume 22 N. 1 Pages 21 - 30

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

ABSTRACT Introduction Naringin is a flavonoid used as a dietary supplement, which is marketed in products for athletes, is promoted as enhancer of other supplements, increases physical capacity and as a “fat burner” for weight loss, among other effects. Objective: To evaluate the available evidence of the effect of oral naringin supplementation in combination with physical activity and / or exercise on clinical responses compared with physical activity and exercise alone. Material and Method A systematic search was carried out in electronic databases. Data sources were Science Direct, MEDLINE, PubMed, Web of Science, Cochrane Central Register of Controlled Trials, SPORTDiscus. Selection of studies was publications aiming to study the effects of naringin in combination with exercise or physical activity. Data extraction and synthesis method: Two reviewers analyzed data; data extracted: authors, year of publication, study design, universe of study, intervention and relevant results; quality was quantified with the PEDro scale. The review was carried out following the PRISMA guidelines. Results Three clinical trials were identified (mean PEDro score of 8.3). Naringin improves physical activity time and decreases fatigue time, and subjectively improves physical condition but was not statistically better than placebo. Conclusions Studies show contradictions about the effects of the combination on physical fitness.

RESUMEN Introducción La naringina es un flavonoide utilizado como suplemento alimenticio, el cual es comercializado en productos para atletas, se promueve como: potenciador de otros suplementos, aumenta la capacidad física y como “quemador de grasa” para la pérdida de peso, entre otros efectos. Objetivo: Evaluar la evidencia disponible del efecto de la suplementación oral de naringina en combinación con actividad física y/o ejercicio en respuestas clínicas en comparación con sólo actividad física y ejercicio. Material y Métodos Se realizó una búsqueda sistemática en bases de datos electrónicas. Fuentes de datos: Science Direct, MEDLINE, PubMed, Web of Science, Registro Cochrane Central de ensayos controlados, SPORTDiscus. Selección de estudios: Publicaciones con el objetivo de estudiar los efectos de la naringina en combinación con ejercicio o actividad física. Extracción de datos y método de síntesis: Se realizó analisis por dos revisores, datos extraídos: autores, año de publicación, diseño del estudio, universo de estudio, intervención y resultados relevantes; se cuantificó la calidad con la escala PEDro. La revisión fue realizada siguiendo los lineamientos PRISMA. Resultados Se identificaron 3 ensayos clínicos (escala de PEDro media de 8,3). Naringina mejora el tiempo de actividad física y disminuye el tiempo fatiga, y mejora subjetivamente la condición física pero no resultó estadísticamente mejor al placebo. Conclusiones Los estudios muestran contradicciones sobre los efectos de la combinación sobre la condición física.

https://doi.org/10.14306/renhyd.22.1.393 966 downloads

SELECTION OF TALENTS IN HANDBALL: ANTHROPOMETRIC AND PERFORMANCE ANALYSIS
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Fernández-Romero, Juan José

; Suárez, Helena Vila

; Carral, Jose María Cancela

Revista Brasileira de Medicina do Esporte

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sep 2017, Volume 23 N. 5 Pages 361 - 365

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Introdução: Os parâmetros antropométricos e de desempenho físico que determinam o nível competitivo no handebol devem ser submetidos a um estudo mais aprofundado para identificar quais deles podem contribuir de forma otimizada ao serem selecionados os talentos para esse esporte. Objetivo: Identificar quais variáveis antropométricas e de desempenho físico avaliadas nas categorias de base (infantil, sub-15 e cadete, sub-17) têm a maior influência sobre os níveis profissionais atingidos por jogadores de handebol do sexo masculino e feminino ao longo de sua carreira esportiva. Método: Um total de 145 jogadores de handebol (75 homens e 70 mulheres) participou do estudo. Os participantes foram inicialmente avaliados durante a temporada de 1998-99 e os níveis de desempenho foram supervisionados até março de 2013. Os dados resultantes foram classificados pelo nível de desempenho (regional n = 109; nacional n = 36), por sexo e por categoria (infantil, cadete). Resultados: A análise MANCOVA indicou que o estágio de maturação do jogador é um dos principais parâmetros a serem considerados ao escolher quais variáveis devem configurar o modelo de detecção de talento para o handebol, que também é condicionado por sexo. As variáveis antropométricas influenciam muito os atletas do sexo masculino, enquanto as variáveis de desempenho físico (salto agachado (squat jump), salto com contramovimento (counter movement jump), salto com contramovimento com braço (counter movement jump with arm), corrida vaivém (shuttle run) 10 x 5 m, corrida vaivém 20 m e VO2 máx) têm efeito semelhante em ambos os sexos. Conclusão: O estudo das mudanças que ocorrem em variáveis de desempenho antropométricas e físicas podem gerar informações úteis para identificar talentos para o handebol, e a maturação é um fator chave na escolha das variáveis mais adequadas.

ABSTRACT Introduction: Anthropometric and physical performance parameters that determine competitive levels in handball need to be carefully studied to identify which of them can bring the optimal contribution when the talents for this sport are selected. Objective: To identify which anthropometric and physical performance variables evaluated in the basic categories (infantile, under-15 and cadet, under-17) have the greatest influence on professional levels attained by male and female handball players throughout their sports careers. Method: A total of 145 handball players (75 males and 70 females) participated in the study. Participants were initially evaluated during the season 1998-99 and their performance levels were supervised until March 2013. The resulting data were classified according to the performance level (regional n = 109; national n = 36), gender, and category (infantile, cadet). Results: The MANCOVA analysis indicated that the player’s maturation stage is one of the main parameters to be accounted for when selecting the variables that should configure a talent detection model for handball, which is also conditioned by sex. Anthropometric variables are highly influential in the case of male players, while physical performance variables (squat jump, counter movement jump, counter movement jump with arm, 10x5m shuttle run, 20 m shuttle run, and VO2 max) have a similar effect in males and females. Conclusion: The study of changes occurring in anthropometric and physical performance variables may yield useful information to detect talents in handball, and maturation is a key factor to choose the most appropriate variables.

RESUMEN Introducción: Los parámetros antropométricos y de rendimiento físico que determinan el nivel competitivo en el balonmano deben ser sometidos a un estudio más profundo con el fin de identificar cuáles de ellos pueden contribuir de forma óptima para la selección de talentos para ese deporte. Objetivo: Identificar qué variables antropométricas y de rendimiento físico evaluadas en las categorías base (infantil, sub-15 y cadete, sub-17) tienen mayor influencia sobre los niveles profesionales alcanzados por los jugadores y las jugadoras de balonmano a lo largo de su carrera deportiva. Método: Un total de 145 jugadores de balonmano (75 hombres y 70 mujeres) participaron en el estudio. Los participantes fueron evaluados inicialmente durante la temporada 1998-99 y los niveles de rendimiento fueron supervisados hasta marzo de 2013. Los datos fueron clasificados según el nivel de rendimiento (regional n = 109; nacional n = 36), el sexo y la categoría (infantil, cadete). Resultados: El análisis MANCOVA indicó que la etapa de maduración del jugador es uno de los principales parámetros a tener en cuenta al seleccionar qué variables deben componer el modelo identificador del talento en balonmano, que también está condicionada por el sexo. Las variables antropométricas son las que mayor influencia presentan en los deportistas de sexo masculino, mientras que las variables de rendimiento físico (sentadilla con salto (squat jump), salto en contramovimiento (counter movement jump), salto en contramovimiento con brazos (counter movement jump with arm), 10 x 5 m shuttle run, 20 m shuttle run y VO2 máx) tienen una influencia similar en ambos sexos. Conclusión: El estudio de los cambios que se producen en las variables antropométricas y de rendimiento físico puede generar informaciones útiles para la identificación de talentos en el balonmano, y la maduración es un factor clave a la hora de escoger las variables más adecuadas.

https://doi.org/10.1590/1517-869220172305141727 3725 downloads

10.

Effects of two programmes of combined Land-Based and Water-Based exercise on the cognitive function and fitness levels of healthy older adults
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Carral, José Maria Cancela

; Curras, David Malvido

; Pérez, Carlos Ayán

; Suárez, Maria Helena Vila

Motriz: Revista de Educação Física

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2017, Volume 23 N. 2 elocation e101641

Abstract: En | Text: En | PDF: En

Abstract Very little is known about the influence training programmes that combine land-based and water-based exercises might have on the cognitive function of healthy older people. Aim to analyze the combined effect of two physical exercise programs (water-based and land-based) on fitness level and cognitive function. Method 15 senior citizens carried out a water and land-based exercise program (EF group), while 22 senior citizens followed the same program with the addition of cognitive training performed in water (EC group). The effects of both programs were assessed by means of the Symbol Digit Modalities, the Two-minute step and the Timed-up-and-go tests. Results The data obtained showed that both programs had significant effects on the participants' fitness level and cognitive function, although only those in the EC group showed a significantly higher improvement. Conclusion The combination of water-based and land-based exercise may lead to improvements in cognitive functions and fitness levels in healthy older adults. The inclusion of cognitive exercises performed in water seems to maximise these effects.

https://doi.org/10.1590/s1980-6574201700020011 1580 downloads

11.

Análisis de fiabilidad y validez de tres cuestionarios de autoinforme para valorar la actividad física realizada por adolescentes españoles
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Cancela Carral, José María

; Lago Ballesteros, Joaquín

; Ayán Pérez, Carlos

; Mosquera Morono, María Belén

Gaceta Sanitaria

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oct 2016, Volume 30 N. 5 Pages 333 - 338

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Objective: To analyse the reliability and validity of the Weekly Activity Checklist (WAC), the One Week Recall (OWR), and the Godin-Shephard Leisure Time Exercise Questionnaire (GLTEQ) in Spanish adolescents. Methods: A total of 78 adolescents wore a pedometer for one week, filled out the questionnaires at the end of this period and underwent a test to estimate their maximal oxygen consumption (VO2max). The reliability of the questionnaires was determined by means of a factor analysis. Convergent validity was obtained by comparing the questionnaires' scores against the amount of physical activity quantified by the pedometer and the VO2max reported. Results: The questionnaires showed a weak internal consistency (WAC: alpha = 0.59-0.78; OWR: alpha = 0.53-0.73; GLTEQ: alpha = 0.60). Moderate statistically significant correlations were found between the pedometer and the WAC (r = 0.69; p <0.01) and the OWR (r = 0.42; p <0.01), while a low statistically significant correlation was found for the GLTEQ (r = 0.36; p = 0.01). The estimated VO2max showed a low level of association with the WAC results (r = 0.30; p <0.05), and the OWR results (r = 0.29; p <0.05). When classifying the participants as active or inactive, the level of agreement with the pedometer was moderate for the WAC (k = 0.46) and the OWR (r = 0.44), and slight for the GLTEQ (r = 0.20). Conclusion: Of the three questionnaires analysed, the WAC showed the best psychometric performance as it was the only one with respectable convergent validity, while sharing low reliability with the OWR and the GLTEQ.

Objetivo: Analizar la fiabilidad y la validez de los cuestionarios Weekly Activity Checklist (WAC), One Week Recall (OWR) y Godin-Shephard Leisure Time Exercise Questionnaire (GLTEQ) en población adolescente. Método: Setenta y ocho adolescentes portaron un podómetro durante una semana, completaron los cuestionarios al término de la misma y realizaron una prueba de estimación de consumo máximo de oxígeno (VO2max). Se realizó un análisis factorial para determinar la fiabilidad de los cuestionarios. Su validez convergente se obtuvo mediante la comparación entre los resultados obtenidos en el cuestionario, la actividad física cuantificada por el podómetro y el VO2max reportado. Resultados: Se encontró una consistencia interna débil para los cuestionarios WAC (alpha = 0,59-0,78), OWR (alpha = 0,53-0,73) y GLTEQ (alpha = 0,60). Se encontraron correlaciones estadísticamente significativas al comparar los valores obtenidos por el podómetro y los cuestionarios, moderadas para el WAC (r = 0,69; p <0,01) y el OWR (r = 0,42; p <0,01), y baja para el GLTEQ (r = 0,36; p = 0,01). El VO2max estimado mostró una baja asociación con los resultados del WAC (r = 0,30; p <0,05) y del OWR (r = 0,29; p <0,05). Al clasificar a los participantes como activos o inactivos, la concordancia con el podómetro fue moderada para el WAC (k = 0,46) y el OWR (r = 0,44), y leve para el GLTEQ (r = 0,20). Conclusiones: De los cuestionarios analizados, el WAC es el que mejor comportamiento psicométrico parece tener, ya que es el único que presenta una validez convergente respetable a la vez que comparte una baja fiabilidad con el OWR y el GLTEQ.

https://doi.org/10.1016/j.gaceta.2016.04.009 145 downloads

12.

Análisis de fiabilidad y validez de tres cuestionarios de autoinforme para valorar la actividad física realizada por adolescentes españoles
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Cancela Carral, José María

; Lago Ballesteros, Joaquín

; Ayán Pérez, Carlos

; Mosquera Morono, María Belén

Gaceta Sanitaria

Journal Metrics
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oct 2016, Volume 30 N. 5 Pages 333 - 338

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

https://doi.org/10.1016/j.gaceta.2016.04.009 1079 downloads

13.

Validez del cuestionario de recuerdo de la actividad física realizada durante las 24h del día previo (PDPAR-24) en adolescentes españoles
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Cancela, José María

; Lago, Joaquín

; Ouviña, Lara

; Ayán, Carlos

Nutrición Hospitalaria

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apr 2015, Volume 31 N. 4 Pages 1701 - 1707

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Introduction: The monitoring of physical activity levels in adolescent population, its determinant factors and susceptibility to change is essential to intervene on the obesity epidemic affecting Spanish society. However, the number of validated questionnaires to assess physical activity in Spanish adolescents is scarce. Objectives: To assess the validity of the 24h Previous Day Physical Activity Recall (PDPAR-24) questionnaire when it is administered to the Spanish adolescent population. Methods: The participants of the study were students, aged between 14 and 15 years, from two secondary schools in the north of Galicia. The measurement of physical activity by the accelerometer Actigraph GT3X was used as criterion. Participants were asked to wear the accelerometer during waking hours for one day and the questionnaire was administered the day after. Results: A total of 79 students (15.16 ± 0.81 years, 36% women) completed the study. Statistically significant positive correlations of high and moderate nature( r=0.50-0.98) were observed for low and moderate intensity physical activity in both sexes. Correlation coefficients were higher as physical activity intensity increased. Conclusions: The PDPAR-24 can be deemed as a valid tool for the assessment of physical activity in Spanish adolescents.

Introducción: El control del nivel de práctica de actividad física que realizan los adolescentes, de sus factores determinantes y susceptibilidad al cambio resulta indispensable para intervenir sobre la epidemia de obesidad que afecta a la sociedad española. Sin embargo, el número de cuestionarios validados para valorar la actividad física en adolescentes españoles es escaso. Objetivos: Evaluar la validez del cuestionario 24h Previous Day Physical Activity Recall (PDPAR-24) cuando es aplicado a la población de adolescentes españoles. Método: Participaron en este estudio estudiantes de 14-15 años de dos centros de educación secundaria del norte de Galicia. Como criterio objetivo de la actividad física realizada se utilizó el registro proporcionado por el acelerómetro Actigraph GT3X. Se monitorizó a los sujetos durante un día por medio del acelerómetro y al día siguiente se administró el cuestionario de auto-informe. Resultados: Un total de 79 alumnos (15.16 ± 0.81 años, 39% mujeres) finalizaron el estudio. Se observan correlaciones positivas estadísticamente significativas de tamaño medio a grande en ambos sexos (r=0.50-0.98), para la actividad física ligera y moderada. Las correlaciones observadas son más elevadas a medida que aumenta la intensidad de la actividad física realizada. Conclusiones: El cuestionario de auto-informe PDPAR-24 puede ser considerado como una herramienta válida a la hora de valorar el nivel de actividad física en adolescentes españoles.

https://doi.org/10.3305/nh.2015.31.4.8310 404 downloads

14.

Energy cost and motivation in a population of young swimmers
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Carral, José Maria Cancela

; Pérez, Carlos Ayán

; Prieto, Carlos Montero

Revista Brasileira de Medicina do Esporte

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dec 2014, Volume 20 N. 6 Pages 429 - 432

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Objetivo: Analisar a relação entre o custo energético implícito na competição em diferentes eventos de natação e sua relação com a motivação para a prática desse esporte.Métodos: Um total de 389 nadadores (192 meninos e 197 meninas), com idades entre 8 e 22 anos, que competiram em eventos com diferentes demandas de energia respondeu às versões em espanhol do Inventário de Motivação para a Participação.Resultados: A análise multivariada demonstrou que o custo energético do evento preferido teve influência significante sobre a motivação dos nadadores (Î" de Wilkis = 0,96, F7.388 = 6,29, P < 0,005). Uma análise univariada posterior mostrou que a motivação dos nadadores nas modalidades predominantemente aeróbias, em comparação com as anaeróbias, foi significativamente influenciada por quatro componentes motivacionais: "Saúde/Boa forma física", "Diversão/Amizade", "Competição/Habilidades" e "Pessoas significantes". Os fatores motivacionais também variaram de acordo com o sexo e o estágio de desenvolvimento desportivo dos nadadores.Conclusão: Os resultados deste estudo mostram sinais de que os fatores motivacionais relacionados com a prática da natação competitiva em jovens atletas comportam-se de forma diferente, dependendo do custo energético do teste realizado.

Objective: To examine the relationship between the energy cost implied in competition in different swimming events and its relationship with motivation to practice this sport.Methods: A total of 389 swimmers (192 boys and 197 girls), aged 8-22 years, who competed in events with different energy demands responded to the Spanish versions of the Participation Motivation Inventory.Results: A multivariate analysis showed that the energy cost of the preferential event had a significant influence on the swimmer motivation (Wilk's λ=0.96, F7,388=6.29, P<0.005). A later univariate analysis showed that the motivation of swimmers in predominantly aerobic modalities, as compared to those in anaerobic ones, was significantly influenced by four motivational components: "Health/Fitness", "Fun/Friendship", "Competition/Skills" and "Significant Others". The motivational factors also varied according to gender and stage of sport development of the swimmers.Conclusion: The results of this study show signs that the motivational factors related to the practice of competitive swimming in young athletes behaves differently depending on the energy cost of the test carried out.

Objetivo: Examinar el relacionamiento entre el costo energético implicado en la competición en diferentes eventos de natación y su relacionamiento con la motivación para la práctica de este deporte.Métodos: Un total de 389 nadadores (192 masculinos y 197 femeninos), con edad entre 8-22 años, que competían en eventos con diferentes demandas de energía respondieron a las versiones en Español del Inventario de Motivación para la Práctica.Resultados: Un análisis multivariado mostró que el costo energético del evento preferencial tuvo una influencia significativa en la motivación de los nadadores (WilkÂ's Î"=0,96, F7.388=6,29, P<0,005). Un análisis univariado posterior mostró que la motivación de los nadadores en modalidades predominantemente aeróbicas, comparada con aquellas anaeróbicas, fue significativamente influenciada por cuatro componentes motivacionales: "Salud/Aptitud", "Diversión/Amistad", "Competición/Habilidades", y "Otros Significativos". Los factores motivacionales también variaron de acuerdo al género y nivel de desarrollo deportivo de los nadadores.Conclusión: Los resultados en este estudio muestran señales del hecho de que los factores motivacionales en la práctica de natación competitiva en jóvenes atletas se comporta de formas diferentes, dependiendo del costo energético del test realizado.

https://doi.org/10.1590/1517-86922014200602143 2544 downloads

15.

Proyecto UNIHCOS: cohorte dinámica de estudiantes universitarios para el estudio del consumo de drogas y otras adicciones
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Fernández Villa, Tania

; Alguacil Ojeda, Juan

; Ayán Pérez, Carlos

; Bueno Cavanillas, Aurora

; Cancela Carral, José María

; Capelo Álvarez, Rocío

; Delgado Rodríguez, Miguel

; Jiménez Mejías, Eladio

; Jiménez Moleón, José Juan

; Llorca Díaz, Javier

; Mateos Campos, Ramona

; Molina de la Torre, Antonio José

; Valero Juan, Luis Félix

; Martín Sánchez, Vicente

Revista Española de Salud Pública

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dec 2013, Volume 87 N. 6 Pages 575 - 585

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

The University stage gives rise to social and personal changes as the independence of the nuclear family and the increased responsibilities that are related to the acquisition and/or consolidation of life styles and habits that may determine the future health status. Inadequate nutrition, a high level of inactivity, risky sexual behavior, abuse of new technologies or starting consumption of legal and illegal drugs, are among the most significant risk behaviors in this phase. In order to know how to set and / or consolidate the habits and lifestyles in the university stage and health effects in the future, to born the uniHcos project. It is a dynamic cohort of university students who join the project during the first academic year and will be followed during their stay at college and working life. The follow-up will be biennially and for the capture and the information collection will be used on-line technologies. This paper aims to show the uniHcos project to the scientific community as well as present preliminary results found so far in the two cohorts established since 2011.

La etapa universitaria da lugar a cambios sociales y personales, que se relacionan con la adquisición y/o consolidación de estilos y hábitos de vida que pueden determinar el estado de salud futuro. Una inadecuada nutrición, un alto nivel de sedentarismo, conductas sexuales de riesgo, el abuso de las nuevas tecnologías o el inicio en el consumo de drogas tanto legales como ilegales, son algunas de las conductas más destacables de esta etapa. Con el objeto de conocer cómo se establecen y consolidan los hábitos y estilos de vida en la etapa universitaria y sus efectos sobre la salud futura nace el proyecto uniHcos. Se trata del estudio de una cohorte dinámica de estudiantes universitarios que se incorporan al proyecto durante el primer curso académico y serán seguidos durante su permanencia en la universidad y vida laboral. El seguimiento se realizará bienalmente y para la captación y recogida de información se utilizarán las nuevas tecnologías on-line. El objetivo del presente trabajo es dar a conocer el proyecto uniHcos a la comunidad científica así como presentar los resultados preliminares encontrados hasta el momento en las dos cohortes establecidas desde el 2011.

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