Search

Your search keyword '"Galera Martínez, Rafael"' showing total 5 results
Start Over Author "Galera Martínez, Rafael" Topic obesity
5 results on '"Galera Martínez, Rafael"'

1. Thyroid Function and Thyroid Autoimmunity in Relation to Weight Status and Cardiovascular Risk Factors in Children and Adolescents: A Population-Based Study.

Author

García-García E, Vázquez-López MA, García-Fuentes E, Galera-Martínez R, Gutiérrez-Repiso C, García-Escobar I, and Bonillo-Perales A

Subjects
Adolescent, Autoimmune Diseases blood, Autoimmunity, Body Mass Index, Child, Child, Preschool, Cross-Sectional Studies, Female, Humans, Luminescent Measurements, Male, Obesity blood, Overweight blood, Overweight epidemiology, Prevalence, Risk Factors, Thyroid Diseases blood, Thyroid Gland, Thyrotropin blood, Autoimmune Diseases epidemiology, Obesity epidemiology, Thyroid Diseases epidemiology
Abstract

Objective: In obese subjects, slight increases have been observed in thyrotropin [thyroid-stimulating hormone (TSH)] levels, but data in children are scarce. The aim of this study was to evaluate whether thyroid function and autoimmunity vary with weight status in a healthy population of children and adolescents and to determine whether hyperthyrotropinemia is associated with any cardiovascular risk factor., Methods: This cross-sectional epidemiological study was conducted in Almería (Spain) on a representative sample of 1317 healthy subjects aged 2-16 years. Thyroid function, thyroid autoimmunity and cardiovascular risk factors were measured. Chi-square test, analysis of variance and multiple linear regression were used in the statistical analyses., Results: The obese children and adolescents had thyrotropin levels (mean ± standard deviation) of 3.12±2.44 mU/L. These levels were higher than those of overweight subjects (2.79±1.51 mU/L) and of normal weight subjects (2.73±1.30 mU/L) (p=0.02). Levels of free thyroxine and urinary iodine did not differ significantly between the groups. The prevalence (95% confidence interval) of thyroid autoimmunity was lower in the individuals with normal weight (2.9%; 2.0-4.2) than in the overweight (6.3%; 3.9-9.9) and obese subjects (5.6%, 2.5-11.3) (p=0.02). TSH levels were associated with obesity (β=0.36; p<0.001) and thyroid autoimmunity (β=1.10; p<0.001). They were not associated with any cardiovascular risk factor., Conclusion: Obese children and adolescents had higher levels of thyrotropin than those who were overweight and of normal weight. The differences among the groups were of very little clinical significance and could possibly be linked to the higher prevalence of thyroid autoimmunity in obese subjects. The hyperthyrotropinemia in these subjects was not associated with any cardiovascular risk factor.

Published
2016
Full Text
View/download PDF

2. Prevalence of overweight and obesity in children and adolescents aged 2-16 years.

Author

García García E, Vázquez López MÁ, Galera Martínez R, Alias I, Martín González M, Bonillo Perales A, Cabrera Sevilla JE, García Escobar I, Gómez Bueno S, López Ruzafa E, Muñoz Vico FJ, Oliva Pérez P, Ortiz Pérez M, Poveda González J, Rodríguez Lucenilla M, Rodríguez Sánchez FI, Ruiz Sánchez A, Ruiz Tudela L, Sáez MI, Salvador J, and Torrico S

Subjects
Adolescent, Child, Child, Preschool, Cross-Sectional Studies, Female, Humans, Infant, Male, Prevalence, Obesity epidemiology, Overweight epidemiology
Abstract

Objectives: To estimate the prevalence of obesity and overweight in children and adolescents in our city and to investigate the associated factors., Subjects and Methods: A cross-sectional study of 1317 children and adolescents aged 2-16 years. Multistage probability sampling was used to select three groups of subjects: 411 aged 12 to 16 years, 504 aged 6 to 12 years, and 402 aged 2 to 6 years. Body mass index was calculated, and obesity and overweight were diagnosed using the threshold levels of the International Obesity Task Force for children and adolescents. Parents were asked about eating habits, health, social, and demographic aspects. Results are given as percentages (95% confidence interval). The relationship between obesity and overweight and the different variables was studied using multiple logistic regression. The adjusted odds ratio (OR) was calculated., Results: Among children and adolescents aged 2-16 years, 9.5% (8.0%-11.0%) were obese and 22.4% (23.3%-24.6%) were overweight. Of subjects aged 12-16 years, 8.5% (5.9%-11.2%) were obese and 20.5% (16.7%-24.3%) were overweight. In the groups aged 6-12 years and 2-6 years, rates of obesity and overweight were 11.6% (8.9% -14.3%) and 31.0% (27.0-35.0) and 8.0% (5.4%-10.6%) and 13.6% (10.3%-16.9%) respectively. Obesity or overweight was associated to age (OR 1.21; P<0.001), maternal obesity (OR 10.99; P= 0.008), a birthweight higher than 4kg (OR 2.91; p 0.002), and formula feeding (OR 1.82; P= 0.005)., Conclusion: Obesity and overweight in children and adolescents are highly prevalent problems in our city., (Copyright © 2012 SEEN. Published by Elsevier Espana. All rights reserved.)

Published
2013
Full Text
View/download PDF

3. Unhealthy food advertising. A position paper by the AEP Committee on Nutrition and Breastfeeding

Author

Rodríguez Delgado, Juan, Campoy, Cristina, Galera-Martínez, Rafael, Gallego Mayo, Encina, Gil-Campos, Mercedes, González Jiménez, David, Redecillas Ferreiro, Susana, Saenz de Pipaon, Miguel, Leis, Rosaura, Institut Català de la Salut, [Rodríguez Delgado J] Centro de Salud de Alpedrete, Madrid, Spain. [Campoy C] Departamento de Pediatría, Facultad de Medicina, Universidad de Granada, Instituto Biosanitario de Granada (Ibs-Granada), CIBERESP, Granada, Spain. [Galera Martínez R] Unidad de Gastroenterología y Nutrición Pediátrica, Hospital Torrecárdenas, Almería, Spain. [Gallego Mayo E] Centro de Salud Concepción Arenal, Santiago de Compostela, Spain. [Gil-Campos M] Unidad de metabolismo infantil, Hospital Universitario Reina Sofía, IMIBIC, UCO, CiberObn, Córdoba, Spain. [González Jiménez D] Unidad de Gastroenterología y Nutrición Pediátrica, Hospital Universitario Central de Asturias, Oviedo, Spain. [Redecillas Ferreiro S] Unitat de Gastroenterologia, Hepatologia, Suport Nutricional i Trasplantaments Hepàtics Pediàtrics, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Sáenz de Pipaón M] Servicio de Neonatología, Hospital Universitario La Paz, Madrid, Spain. [Leis R] Unidad de Gastroenterología, Hepatología y Nutrición Pediátrica, Complejo Hospitalario Universitario Santiago de Compostela, IDIS.USC, CiberObn, Santiago de Compostela, Spain, and Vall d'Hebron Barcelona Hospital Campus

Subjects
Otros calificadores::Otros calificadores::/prevención & control [Otros calificadores], Pediatric Obesity, Adolescent, Conducta alimentaria, Publicitat - Aliments, tecnología, industria y agricultura::comercio::mercadotecnia::publicidad como asunto::publicidad directa al consumidor [TECNOLOGÍA, INDUSTRIA Y AGRICULTURA], Obesidad, Adolescents, Publicidad de alimentos, Other subheadings::Other subheadings::/prevention & control [Other subheadings], Food advertising, Meta-Analysis as Topic, Advertising, Management of Technology and Innovation, Humans, Eating behavior, Obesity, Child, Adolescentes, Children, Niños, Preferencia de alimentos, personas::Grupos de Edad::adolescente [DENOMINACIONES DE GRUPOS], Persons::Age Groups::Adolescent [NAMED GROUPS], Technology, Industry, and Agriculture::Commerce::Marketing::Advertising as Topic::Direct-to-Consumer Advertising [TECHNOLOGY, INDUSTRY, AND AGRICULTURE], Nutritional and Metabolic Diseases::Nutrition Disorders::Overnutrition::Obesity::Pediatric Obesity [DISEASES], enfermedades nutricionales y metabólicas::trastornos nutricionales::hipernutrición::obesidad::obesidad pediátrica [ENFERMEDADES], Breast Feeding, Food preference, Obesitat - Prevenció, Female, Television, Systematic Reviews as Topic
Abstract

Publicidad de alimentos; Niños; Conducta alimentaria Food advertising; Children; Eating behavior Publicitat d'aliments; Nens; Conducta alimentària Introduction Some important factors influencing and maintaining unhealthy habits are food advertising and products accessibility. In order to develop and support recommendations, an analysis of the available evidence on the impact of food advertising on the health of children and adolescents has been carried out. Methods Literature review of systematic reviews and meta-analyses published up to January 2022 for the term “food advertising” that analyzed the impact of food advertising on weight, body mass index (BMI), adiposity, dietary intake, behavior toward the advertised product, its purchase or consumption in children and adolescents. Results Twenty-one systematic reviews fulfilled the inclusion criteria, including a total of 490 primary studies, 5 of which also contained a meta-analysis. The vast majority of the primary studies evaluate intermediate effects, related to the behavior of children and adolescents in relation to advertised products and their consumption. There is great variety in terms of the type of advertising and effects studied. Most of the studies agree that there is an association between food advertising and effect analyzed, being more evident in children under 12 years of age and in obese children. Most recent systematic reviews are focused on online advertising, noticing the negative effects especially in adolescents. Conclusions Children and adolescents are a particularly vulnerable population to food advertising strategies. Despite the difficulty to demonstrate an independent effect, there is evidence of an association between food advertising and childhood and adolescents’ behavior respect to the announced products, and the increase of consumption at short-term. In Spain unhealthy product advertising are still very common in the media and in the children and adolescent's online environment. The Nutrition and Breastfeeding Committee of the Spanish Association of Pediatrics supports the need for regulation and limitation of unhealthy food advertising, covering all media and marketing strategies. Introducción Entre los factores más importantes que influyen en la aparición y el mantenimiento de malos hábitos de alimentación están la accesibilidad y publicidad de los productos alimentarios menos saludables. Con el objetivo de elaborar y fundamentar recomendaciones, se ha realizado un análisis de la evidencia disponible sobre el impacto de la publicidad de alimentos en la salud de niños y adolescentes. Métodos Se ha realizado una revisión bibliográfica de revisiones sistemáticas y metanálisis publicados hasta enero de 2022 con el término “food advertising”, incluyendo aquellas que analizaban el impacto de la publicidad de alimentos sobre el peso, índice de masa corporal (IMC), adiposidad, ingesta dietética, conducta ante el producto anunciado, su compra o su consumo en niños y adolescentes. Resultados Fueron incluidas 21 revisiones sistemáticas que incluyen un total de 490 artículos, 5 de las cuales contienen además un meta-análisis. La gran mayoría de los estudios primarios evalúan efectos intermedios, relacionados con el comportamiento de niños y adolescentes ante los productos anunciados y su consumo. Existe gran variedad en cuanto al tipo de publicidad y efectos estudiados. La mayoría de trabajos muestra una asociación entre el tipo de publicidad y el efecto concreto analizado, siendo más evidente en menores de 12 años y en niños obesos. Las revisiones más recientes se centran en la publicidad online indicando sus efectos nocivos especialmente en adolescentes. Conclusiones Los niños y adolescentes constituyen una población especialmente vulnerable. A pesar de la dificultad para demostrar un efecto independiente, hay evidencia de asociación entre la publicidad y los comportamientos en la infancia y adolescencia respecto a los productos anunciados y el aumento de su consumo a corto plazo. En España, los anuncios de productos no saludables siguen muy presentes en los medios y en el entorno online de los menores. El Comité de Nutrición y Lactancia Materna de la Asociación Española de Pediatría suscribe la necesidad de una regulación y limitación de la publicidad de alimentos no saludables que abarque todos los medios y todas las estrategias de marketing.

Published
2022

4. PREVALENCE OF METABOLIC SYNDROME AMONG ADOLESCENTS IN A CITY IN THE MEDITERRANEAN AREA: COMPARISON OF TWO DEFINITIONS.

Author

Galera-Martínez, Rafael, García-García, Emilio, Ángeles Vázquez-López, Ma., Ortiz-Pérez, María, Ruiz-Sánchez, Ana Mar, Martín-González, Manuel, Garrido-Fernández, Pablo, Bonillo-Perales, Antonio, and Vázquez-López, M Ángeles

Subjects
*METABOLIC syndrome, *ADOLESCENT health, *INSULIN resistance, *METABOLIC disorders, *METABOLISM, *ADOLESCENT obesity, *METABOLIC syndrome diagnosis, *COMPARATIVE studies, *RESEARCH methodology, *MEDICAL cooperation, *OBESITY, *RESEARCH, *SOCIAL change, *EVALUATION research, *DISEASE prevalence
Abstract

Background and Objective: there are few studies on the prevalence of metabolic syndrome (MetS) in European adolescent populations, and some have reported a higher prevalence in the Mediterranean basin area. Our objective was to examine the prevalence of MetS in adolescents in a Mediterranean city of Spain, comparing two different definitions of MetS and the associated risk factors.Methods and Results: a cross-sectional population-based study was conducted among 379 adolescents aged 12-16.9 years, selected using a random sampling method. Anthropometric measurements and fasting blood samples were obtained. The definitions of MetS used were that of the National Cholesterol Education Program's Adult Treatment Panel III (NCEP-ATPIII) and that of the International Diabetes Federation (IDF). Kappa coefficient was used to measure the agreement between definitions and a multivariate logistic regression model to determine the associated risk factors.Results: the prevalence of MetS was 5.7% (95%CI 3.33-8.07) according to the NCEP-ATPIII definition and 3.8% (95%CI 1.85-5.75) according to the IDF definition. No differences between the sexes or by age groups were found. The agreement between the two definitions was very good (kappa 0.815), especially in the obese subsample, but was lower in normal weight adolescents (kappa 0.497). Insulin resistance and obesity were associated with both definitions.Conclusions: the prevalence of MetS in our adolescent population is higher than the European media. Although the overall agreement between both definitions was very good, the prevalence was higher using the NCEP-ATPIII criteria. Independently of the definition used, obesity and insulin resistance were risk factors for MetS. [ABSTRACT FROM AUTHOR]

Published
2015
Full Text
View/download PDF

5. Insulinaemia and insulin resistance in Caucasian general paediatric population aged 2 to 10 years: Associated risk factors.

Author

Alías‐Hernández, Irene, Galera‐Martínez, Rafael, García‐García, Emilio, Muñoz‐Vico, Francisco Javier, Vázquez Lopez, María Ángeles, Olvera‐Porcel, María Carmen, and Bonillo Perales, Antonio

Subjects
*HYPERGLYCEMIA, *ANTHROPOMETRY, *BLOOD pressure, *BLOOD sugar, *CARDIOVASCULAR diseases risk factors, *CONFIDENCE intervals, *FASTING, *HIGH density lipoproteins, *INSULIN, *INSULIN resistance, *MULTIVARIATE analysis, *OBESITY, *TRIGLYCERIDES, *WHITE people, *LOGISTIC regression analysis, *ODDS ratio, *DISEASE complications, *CHILDREN, *DISEASE risk factors
Abstract

Background: The aim of this study is to determine values of insulinaemia, homeostasis model assessment (HOMA) index and quantitative insulin sensitivity check index (QUICKI) among a population of prepubertal Caucasian children, to analyse factors associated with insulin resistance (IR), and to study its association with cardiovascular risk factors. Materials and Methods: Population‐based study conducted on a randomly selected sample of prepubescent Caucasian subjects aged 2.00 to 9.99 years old. Anthropometric measurements, blood pressure, and fasting blood samples were obtained, including fasting glucose, triglycerides, High Density Lipoprotein (HDL)‐cholesterol, and insulin. In addition, QUICKI and HOMA indices were calculated. Generalised additive models for location, scale and shape (GAMLSS) was used to calculate centiles curves and multivariate logistic regression analysis to assess factors associated with IR. Results: A total of 654 subjects were included. Mean values obtained for insulinaemia, HOMA index, and QUICKI were 3.74 μIU/mL, 0.73, and 0.44, respectively, in the overall population and 3.32 μIU/mL, 0.64 and 0.46, respectively, in normal weight subjects. The main factor associated with IR was abdominal obesity (odds ratio [OR] 3.38 [95% CI 1.44‐7.94] in the subgroup aged 2.00‐5.99 years and OR 9.14 [3.42‐24.41] for those aged 6.00‐9.99 years). An increased risk of hyperglycaemia (P = 0.043), hypertriglyceridaemia (P < .001), and HDL < p10 (P = 0.021) was described among children aged 2.00 to 5.99 years with IR, and among those aged 6.00 to 9.99 years, IR was associated with an increased risk of hypertriglyceridaemia (P < .001). Conclusion: Abdominal obesity was the main factor associated with IR. Metabolic changes associated with IR seem to be present from early stages of life, which highlights the importance of the prevention, early diagnosis and treatment of obesity. [ABSTRACT FROM AUTHOR]

Published
2018
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results