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Tesis Univ. Granada. Departamento de Educación Física y Deportiva. Leída el 9 de julio de 2010

On behalf of the UP&DOWN Study Group., [Objective]: To examine the association between cardiorespiratory fitness (CRF) at baseline and cardiovascular disease (CVD) risk in 6- to 10-year-olds (cross-sectional) and 2 years later (8- to 12-year-olds [longitudinal]) and whether changes with age in CRF are associated with CVD risk in children aged 8 to 12 years. [Patients and Methods]: Spanish primary schoolchildren (n=236) aged 6 to 10 years participated at baseline. Of the 23 participating primary schools, 22% (n=5) were private schools and 78% (n=18) were public schools. The dropout rate at 2-year follow-up was 9.7% (n=23). The 20-m shuttle run test was used to estimate CRF. The CVD risk score was computed as the mean of 5 CVD risk factor standardized scores: sum of 2 skinfolds, systolic blood pressure, insulin/glucose, triglycerides, and total cholesterol/high-density lipoprotein cholesterol. [Results]: At baseline, CRF was inversely associated with single CVD risk factors (all P0.85; P, This work was supported by grant DEP 2010-21662-C04-00 (DEP 2010-21662-C04-01: DEP 2010-21662-C04-02: DEP 2010-21662-C04-03: DEP 2010-21662-C04-04) from the National Plan for Research: Development and Innovation (R+D+i) MICINN and by grant FPU15/05337 from the Spanish Ministry of Education.

Coordinated by Andoni Penacho. Commended and funded by Sociedad Española de Reumatología (SER), Endorsed by Consejo General de Psicología, Sociedad Española de Medicina Interna (SEMI) and Sociedad Española de Médicos de Atención Primaria (SEMERGEN), [EN]A Beginner’s Guide to Fibromyalgia is a collaborative project by healthcare professionals with diverse expertise, provides up to date and useful information, and can be recommended as an excellent reference for those eager to have a better knowledge of fibromyalgia.

On behalf of the UP & DOWN Study Group: Coordinator: Ascension Marcos. Principal Investigators: Ascension Marcos, Oscar L. Veiga, Jose Castro-Piñero, and Fernando Bandrés. Scientific Coordinators: David Martinez-Gomez (chair), Jonatan R. Ruiz (co-chair), Ana Carbonell-Baeza, Sonia Gomez-Martinez, and Catalina Santiago. Spanish National Research Council: Ascension Marcos, Sonia Gomez-Martinez, Esther Nova, Esperanza L. Diaz, Belén Zapatera, Ana M. Veses, Jorge R. Mujico, and Alina Gheorghe. Autonomous University of Madrid: Oscar L. Veiga, H. Ariel Villagra, Juan del-Campo, Carlos Cordente (UPM), Mario Diaz, Carlos M. Tejero, Aitor Acha, Jose M. Moya, Alberto Sanz, David Martinez-Gomez, Veronica Cabanas-Sanchez, Gabriel Rodriguez-Romo (UPM), Rocio Izquierdo-Gomez, Laura Garcia-Cervantes, and Irene Esteban-Cornejo. University of Cadiz: José Castro-Piñero, Jesús Mora-Vicente, José L. González-Montesinos, Julio Conde-Caveda, Francisco B. Ortega (UGR), Jonatan R. Ruiz (UGR), Carmen Padilla Moledo, Ana Carbonell Baeza, Palma Chillón (UGR), Jorge del Rosario Fernández, Ana González Galo, Gonzalo Bellvís Guerra, Álvaro Delgado Alfonso, Fernando Parrilla, Roque Gómez, and Juan Gavala. Complutense University of Madrid: Fernando Bandrés, Alejandro Lucia (UEM), Catalina Santiago (UEM), and Felix Gómez-Gallego (UEM)., The aims of the present study were to assess the association of environmental perception with objective and self-reported physical activity (PA) and the relation between environmental perception and meeting PA recommendations on children and adolescents. A sample of 1520 youth (770 boys) aged 8-18 years (12.1 ± 2.5 years) from the UP&DOWN study were included in the data analyses. Environmental perception was assessed with the short adapted version of the ALPHA environmental questionnaire. PA was objectively (accelerometers) and self-reported measured (PA Questionnaire for Children, Patient-centered Assessment and Counseling for Exercise Questionnaire and Finnish PA Index). Linear regression models were used to assess the association of environmental perception with PA. Bivariate logistic regression models were used to assess differences between environmental perception and meeting PA recommendations. Environmental perception was positively associated with both objective and self-reported PA. Some differences were found in the association of environmental perception and PA between sex-and age-specific groups. Youth who perceived a more favourable environment were more likely to meet PA recommendations (at least 60 min · day of moderate to vigorous PA (MVPA)). Results suggest that environmental perceptions of children and adolescents may play an important role in achieving higher levels of PA., This work was supported by the National Plan for Research, Development and Innovation (R + D + i) MICINN [grant number DEP 2010-21662-C04-00].

OBJECTIVE: This population-based cross-sectional study aimed to characterize the association of different components of physical fitness with pain levels, pain-related catastrophizing, and chronic pain self-efficacy in women with fibromyalgia (FM). METHODS: A total of 468 women with FM participated. The experience of pain was assessed with different tools (algometry, a numeric rating scale [revised FM impact questionnaire], a visual analog scale, and the bodily pain subscale on the Short Form 36 health survey). We also assessed pain-related catastrophizing and chronic pain self-efficacy. Physical fitness was assessed with performance-based tests (Senior Fitness Test battery and handgrip dynamometry). A standardized composite score was computed for each component of physical fitness (aerobic fitness, muscle strength, flexibility, and motor agility), and their average comprised a clustered global fitness profile. RESULTS: Overall, higher physical fitness was consistently associated with lower levels of pain, lower pain-related catastrophizing, and higher chronic pain self-efficacy (regardless of the pain assessment method and the fitness test evaluated). Muscle strength and flexibility were independently associated with pain (P < 0.005 for both), and participants with high muscle strength plus high flexibility (combined effect) had the lowest levels of pain in this population. Aerobic fitness and flexibility were independently associated with pain-related catastrophizing (P < 0.001 for both) and chronic pain self-efficacy (P < 0.001 for both), and participants with high flexibility plus high aerobic fitness (combined effect) had the best catastrophizing and self-efficacy profiles. CONCLUSION: Our results suggest that higher physical fitness is associated with lower levels of pain, lower pain-related catastrophizing, and higher chronic pain self-efficacy in women with FM. These results might have implications for future intervention studies in this population.

OBJECTIVES: To examine the construct validity of the International FItness Scale (IFIS) (ie, self-reported fitness) against objectively measured physical fitness in women with fibromyalgia and in healthy women; and to study the test-retest reliability of the IFIS in women with fibromyalgia. DESIGN: Cross-sectional study. SETTING: Fibromyalgia patient support groups. PARTICIPANTS: Women with fibromyalgia (n=413) and healthy women (controls) (n=195) for validity purposes and women with fibromyalgia (n=101) for the reliability study. The total sample was N=709. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Fitness level was both self-reported (IFIS) and measured using performance-based fitness tests. For the reliability study the IFIS was completed on 2 occasions, 1 week apart. RESULTS: Women with fibromyalgia who reported average fitness had better measured fitness than those reporting very poor fitness (all P

OBJECTIVES: The purpose of the current study was to compare physical activity (PA) levels and sedentary time between two accelerometers, the SenseWear Pro3 Armband (SWA) and the Actigraph GT1M, in Spanish female fibromyalgia patients. METHODS: Patients wore the SWA and the Actigraph for 7 consecutive days. Total minutes/day spent in sedentary, light, moderate and moderate-to-vigorous PA were analysed. The agreement between the SWA and the Actigraph were assessed by using Bland-Altman plots. RESULTS: Total PA, light, moderate, and moderate-vigorous PA levels in total-week, weekdays and weekends were higher (all, p ≤ 0.001), and sedentary time in total-week, weekdays and weekends lower (all, p

Coordinación: Andoni Penacho. Guía premiada por la Sociedad Española de Reumatología. Avalada por la Sociedad Española de Reumatología (SER), el Consejo General de la Psicología, la Sociedad Española de Medicina Interna (SEMI) y la Sociedad Española de Médicos de Atención Primaria (SEMERGEN)., [ES]La fibromialgia, actualmente está considerada una enfermedad reumática de etiología desconocida, que provoca dolor musculoesquelético difuso y discapacitante. La Guía está dirigida a personas recién diagnósticadas de Fibromialgia; con lenguaje claro y preciso trata de informar al paciente de la naturaleza de su enfermedad, tranquilizándole acerca de su gravedad y centrando sus expectativas en objetivos alcanzables. La Guía pretende ser un aliado del médico en el control de su enfermedad, y el pivote alrededor del cual girará la asistencia en un futuro cercano.

On behalf of UP & DOWN Study Group., [Objective]: To examine the associations of (i) objectively measured and self-reported sedentary behavior during leisure time with academic performance and (ii) patterns of sedentary behavior with academic performance., [Methods]: This study was conducted with 1146 youth aged 12.5 ± 2.5 years in Spain during 2011–2012. Leisure-time sedentary behavior during out-of-school hours was assessed by accelerometry and self-report. Academic performance was assessed through school grades., [Results]: Objectively measured sedentary leisure-time was not significantly associated with academic performance. Time spent in Internet surfing, listening to music, and sitting without doing anything were negatively associated with all academic performance indicators (β ranging from − 0.066 to − 0.144; all p < 0.05). However, time spent in doing homework/study without computer and reading for fun were positively associated (β ranging from 0.058 to 0.154; all p < 0.05). Five major sedentary patterns were identified. The “high social-low TV/video” and the “low studying-high TV/video” patterns were negatively associated with all academic indicators (β ranging from − 0.085 to − 0.148; all p < 0.05). The “educational” pattern was positively associated with all academic indicators (β ranging from 0.063 to 0.105; all p < 0.05)., [Conclusions]: Specific domains of self-reported sedentary behavior during leisure-time, but not objectively measured sedentary leisure time, may influence academic performance., The UP&DOWN Study was supported by the DEP 2010-21662-C04-00 grant from the National Plan for Research, Development and Innovation (R + D + i) MICINN.

[Background] An objective diagnosis of sedentary behaviour as well as of the physical activity and fitness levels in youth and to better understand how lifestyle is associated with cardiovascular disease risk factors and other phenotypes is of clinical and public health interest, and might be informative for developing intervention studies focused on the promotion of physical activity in these population. The aim of this methodological paper is to describe the design and assessment in the UP&DOWN study. [Methods/Design] The UP&DOWN study is a multi-center follow-up design where 2225 Spanish primary and secondary schoolchildren from Cadiz and Madrid, respectively, as well as 110 Spanish adolescents with Down syndrome from Madrid and Toledo were recruited to be assessed. Nine main measurement categories are assessed: i) socio-demographic and early determinants; ii) environmental determinants; iii) physical activity and sedentary behaviour; iv) health-related fitness; v) blood pressure and resting heart rate; vi) mental health; vii) dietary patterns; viii) blood samples; and ix) genetic analysis. During the 3-yr follow-up study, socio-demographic and early determinants, and genetic analysis are only assessed in the first year. Blood sampling is assessed in the first year and the third year (2nd follow-up), and all the other measurements are assessed every year. [Discussion] The findings of the UP&DOWN study may help the Health Information Systems and policy makers to identify the target population for primary prevention and health promotion policies, and to develop and test preventive strategies. Moreover, these data will allow following the trends at population level, as well as to modify/adapt/create new evidence-based physical activity guidelines at national level. The findings will also serve as a scientific platform for interventional studies. This study was supported by the DEP 2010-21662-C04-00 (DEP 2010-21662-C04-01, DEP 2010-21662-C04-02, DEP 2010-21662-C04-03, DEP 2010-21662-C04-04) RYC-2010-05957 grants from the National Plan for Research, Development and Innovation (R + D + i) MICINN.

Plan para la Promoción de la Actividad Física y la Alimentación Equilibrada (PAFAE). Publicado en la página Web de la Consejería de Igualdad, Salud y Políticas Sociales : www.juntadeandalucia.es/salud (Ciudadanía / Nuestra Salud / Vida sana / Alimentación equilibrada y actividad física / Materiales para la promoción del ejercicio físico y alimentación saludables / Más materiales) Yes La fibromialgia es un síndrome de etiología desconocida, caracterizada por un estado de dolor crónico y generalizado, que presenta una elevada comorbilidad y afecta a la calidad de vida de la persona. Además, la fatiga es un síntoma muy frecuente en esta enfermedad. En las personas con fibromialgia, la práctica de actividad física produce los mismos efectos que en los individuos sanos: mejora de la función cardiorrespiratoria, reducción de los factores de riesgo de enfermedad coronaria, disminución de la mortalidad y morbilidad cardiovascular y mejora de la función psicosocial. También produce un incremento de la fuerza muscular y movilidad articular y mejoras en el equilibrio y control postural, facilitando una mejor capacidad funcional para el desarrollo de las actividades de la vida cotidiana. Respecto a los efectos del ejercicio físico sobre los síntomas propios de la enfermedad, la Sociedad Española de Reumatología afirma que el ejercicio físico aeróbico produce mejorías en el dolor, la salud mental en términos generales, el grado de ansiedad y el impacto global de la fibromialgia en la vida de la enferma. Esta publicación recoge de forma precisa qué modalidades y características de la actividad física son beneficiosas para la personas con fibromialgia y permite a los profesionales sanitarios y de la actividad física conocer y aconsejar qué tipo de actividad es beneficiosa para las personas con esta enfermedad, y requerirán para su desarrollo la colaboración entre los servicios de salud, los recursos locales para la actividad física y las personas y asociaciones.

El contexto social actual hace evidente la necesidad de incluir la perspectiva de género en los planes de estudio de las universidades españolas, desde las titulaciones hasta los currículos de las materias a impartir. En este contexto enmarcamos nuestra investigación, cuyo objetivo es detectar y analizar la existencia/presencia de la perspectiva de género en las memorias de verificación de dos titulaciones de grado de las áreas de conocimiento de Ciencias Sociales y Jurídicas (Grado en Ciencias de la Actividad Física y el Deporte) y de Ciencias de la Salud (Grado en Farmacia) que existen en la Universidad de Sevilla. Además se realiza un estudio complementario de cuatro guías docentes del primer curso de cada uno de los grados estudiados. La metodología utilizada ha sido cualitativa, teniendo como técnica de investigación el análisis de contenido asistido por Atlas-ti 5.0. Los resultados muestran como en las memorias de grado de Ciencias de la Actividad Física y el Deporte y Farmacia, así como en las guías docentes analizadas existe un uso mayoritario del lenguaje en masculino. Se observa la presencia de competencias docentes en materia de igualdad de género en ambas memorias de grado, pero no en las guías docentes. Por último, resaltar que no existe un desglose estadístico explícito de los datos por sexo en ninguna de las memorias de grado.