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Stress contributes to the development and maintenance of obesity. Mindfulness-based therapies are being used to reduce stress and promote weight reduction and maintenance. This study aimed to determine the efficacy of mindfulness-based interventions for stress and weight reduction in the short, medium, and long term. Searches on PsycINFO, Medline, CINAHL, Scopus, WOS, and Science Direct were conducted until March 2021. Intervention studies with a sample of adults were included; these evaluated a mindfulness-based intervention and used stress and weight or body mass index as outcome variables. These criteria were met by 13 articles. A meta-analysis of 8 of the 13 articles was performed with a random-effects or fixed-effects model, depending on the level of heterogeneity between studies. Mindfulness-based interventions had a small effect on stress reduction over a 3-month period: effect size (standardized mean difference) = −0.29 (95% CI: −0.49, −0.10). However, no significant evidence was found for stress reduction from 3 months onwards, nor for weight or body mass index reduction in any period. Mindfulness-based interventions are effective in reducing stress in the short term, but not in the medium or long term, nor are they effective for weight or body mass index. More robust and longer study designs are needed to determine their effects., This research was supported by the Spanish Ministry of Education, as allocated to the intern E.S.-C., with reference number [FPU18/04620].

Resumen: Introducción: La obesidad, un problema de salud mundial, está aumentando en muchos países en sintonía con el crecimiento del suministro de energía alimentaria, afectando no solo a adultos, sino, preocupantemente, cada vez más a adolescentes y niños. La Organización Mundial de la Salud ha declarado que, globalmente, a día de hoy, la obesidad y el sobrepeso causan más morbimortalidad que la malnutrición. Ocasiona una gran carga económica a la sociedad a través de costes directos e indirectos. Según múltiples estudios, el entrenamiento en Mindfulness (Atención Plena) puede contribuir al mantenimiento de peso promoviendo la reducción del estrés, la conciencia sobre las señales de hambre y saciedad y las técnicas de control emocional. Aunque estas intervenciones se centran en poblaciones y síntomas clínicos dispares, la evidencia de eficacia para cada una de ellas sugiere que el entrenamiento en Mindfulness es un componente beneficioso clave de estas intervenciones, sobre todo, en la reducción del estrés. No obstante, se requiere una revisión sistemática sobre Mindfulness en pacientes con sobrepeso u obesidad para proporcionar evidencia disponible para estudios posteriores. Nuestro estudio tiene como objetivo proporcionar una evaluación actualizada y más crítica de la eficacia de las intervenciones basadas en Mindfulness para la reducción del estrés. Además, se realizará un análisis exhaustivo de la evidencia disponible de la eficacia del Mindfulness y la reducción del estrés en la disminución del peso a corto, medio y largo plazo, ya que, aunque existe mucho conocimiento científico entre la relación del Mindfulness y la reducción del estrés, no lo hay sobre ésta con el peso. Métodos y análisis: Se realizará una revisión sistemática con metaanálisis de ensayos controlados aleatorios publicados en español e inglés, siguiendo el esquema de la Declaración PRISMA. Se revisarán las bases de datos: PubMed y PsycINFO. Se incluirán estudios a texto completo que utilicen Mindfulness como la intervención principal en adultos. La extracción de datos y la evaluación de la calidad metodológica será realizada por dos investigadores de forma independiente y el riesgo de sesgo del metaanálisis se evaluará con base en el Manual Cochrane para Revisiones Sistemáticas. Para evaluar la calidad de la evidencia se utilizará el Sistema GRADE. Los resultados primarios serán cambios en el nivel de estrés o de peso. El análisis de datos se realizará mediante el paquete estadístico SPSS versión 21.0. El análisis primario adoptará el modelo de efectos fijos o aleatorios en función de la heterogeneidad entre los ensayos. El tamaño del efecto se expresará como la diferencia de medias estandarizada, con su IC del 95%. Ética y difusión: Dado que este estudio es una revisión sistemática, los hallazgos se basan en la evidencia publicada. No se considera necesaria la aprobación ética. Los resultados de este estudio se difundirán a través de publicaciones revisadas por pares y reuniones científicas. Palabras clave: Protocolo, Revisión sistemática, Mindfulness, Pérdida de peso, Estrés Abstract: Introduction: Obesity, a global health problem, is increasing in many countries in line with the growth of the dietary energy supply, affecting not only adults but, worryingly, increasingly adolescents and children. The World Health Organization has stated that, globally, obesity and overweight today cause more morbidity and mortality than malnutrition. It causes a great economic burden to society through direct and indirect costs. According to multiple studies, Mindfulness training can contribute to weight maintenance by promoting stress reduction, awareness of hunger and satiety signals, and emotional control techniques. Although these interventions focus on disparate populations and clinical symptoms, the efficacy evidence for each suggests that Mindfulness training is a key beneficial component of these interventions, especially in stress reduction. However, a systematic review on Mindfulness in overweight or obese patients is required to provide available evidence for further studies. Our study aims to provide an updated and more critical assessment of the efficacy of Mindfulness-based interventions for stress reduction. In addition, an exhaustive analysis will be carried out of the available evidence of the effectiveness of Mindfulness and stress reduction in weight loss in the short, medium and long term, since, although there is much scientific knowledge between the relationship of Mindfulness and weight reduction of stress, there is no stress on it with weight. Methods and analysis: A systematic review with meta-analysis of randomized controlled trials published in Spanish and English will be carried out, following the scheme of the PRISMA Declaration. The databases will be reviewed: PubMed and PsycINFO. Full-text studies using Mindfulness as the main intervention in adults will be included. Data extraction and methodological quality assessment will be performed by two investigators independently and the risk of bias of the meta-analysis will be assessed based on the Cochrane Handbook for Systematic Reviews. To assess the quality of the evidence, the GRADE System will be used. The primary outcomes will be changes in stress level or weight. The data analysis will be carried out using the SPSS version 21.0 statistical package. The primary analysis will adopt the fixed or random effects model depending on the heterogeneity between the trials. The effect size will be expressed as the standardized mean difference, with its 95% CI. Ethics and dissemination: Since this study is a systematic review, the findings are based on published evidence. Ethical approval is not considered necessary. The results of this study will be disseminated through peer-reviewed publications and scientific meetings. Keywords: protocol, systematic review, Mindfulness, weight loss, stress

Introducción: El uso excesivo de videojuegos ha aumentado de manera vertiginosa y, especialmente, entre los varones con edades comprendidas entre los 10 y los 19 años. Muchos adolescentes pierden el control sobre el videojuego, lo que puede tener consecuencias negativas como el juego patológico, problemático o la adicción al videojuego. Objetivos: Conocer la producción científica existente sobre el uso problemático de videojuegos y la adicción al videojuego en los adolescentes. Metodología: Se han analizado los documentos encontrados tras una búsqueda bibliográfica en las bases de datos COCHRANE, MEDLINE, LILACS, CINAHL y CUIDEN. Resultados: Se han definido los factores predictores, la prevalencia, las características, los cuestionarios validados, la relación con otras adicciones, la relación con el TEA (Trastorno del Espectro Autista) y con el TDAH (Trastorno por Déficit de Atención e Hiperactividad) y la prevención del uso problemático y la adicción al videojuego. Conclusiones: Hay inconsistencias en los resultados debido al diseño transversal de la mayoría de los estudios, a las muestras pequeñas, a la ausencia de muestras clínicas o aleatorizadas, a la extracción de datos con cuestionarios de autorreporte, a la realización de estos en colegios, sin tener en cuenta a los adolescentes ingresados en centros de salud mental u hospitales, a la falta de estudios en el género femenino y a la falta de estandarización de los criterios diagnósticos. El tema menos estudiado es el tratamiento y la prevención, el más importante para nuestra profesión, por lo que la principal futura línea de investigación sería en este ámbito. Introduction: The excessive use of videogames has increased dramatically, especially among 10-to-19- year-old males. Many teenagers lose control over video games, which may have negative consequences such as pathological, problematic, or addictive gaming. Objectives: Knowing the existing scientific production about the problematic use of video games and video games addiction in teenagers. Methodology: Documents found after a bibliographic search in the databases COCHRANE, MEDLINE, LILACS, CINAHL and CUIDEN have been analyzed. Results: It has been defined the predictive factors, the prevalence, the characteristics, the validated questionnaires, the associations with other addictions, the relations with ASD (Autism Spectrum Disorder) and ADHD (Attention-Deficit/Hyperactivity Disorder), and prevention of problematic use and addiction to video games. Conclusions: There are inconsistencies in the results due to the transversal design of most of the studies, such as small samples, the absence of clinical or randomized samples, data extraction with self-reporting questionnaires conducted in schools, without taking into account adolescents hospitalized into mental health centers or hospitals, the gender bias in research and the lack of standardization of diagnostic criteria. The least studied subject is the treatment and prevention, the most important for nursing profession, so the future main line of research would be in this area.

Emotional Eating (EE) patterns have been shown to play a relevant role in the development of overweight and obesity. The aim of this study was to analyze the factor structure and psychometric properties of the Emotional Eater Questionnaire (EEQ) in university students from Huelva. The EEQ was administered to 1282 students (age 22.00 (±5.10), BMI 23.59 (±6.74)), belonging to the University of Huelva. An exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were carried out. The internal structure of the questionnaire, internal consistency, test-retest reliability, and convergent validity were analyzed. Principal component analysis of the questionnaire showed two dimensions, explaining 56% of the variance. Internal consistency showed a Cronbach’s alpha of 0.859 globally, and of 0.841–0.855 if the items were removed. The corrected item-total correlation yielded values of 0.444–0.687. The test-retest stability was ICC = 0.924 (p < 0.001). The data showed significant correlations between EEQ and the rest of the variables, and a Spearman’s Coefficient ranging from −0.367 to 0.400. The fit indexes were good for the confirmatory factor analysis. The results obtained with this structure found an adequate reliability and validity of the questionnaire in comparison with previous studies, This research was supported by the Spanish Ministry of Education, as allocated to the intern ESC, with reference number (FPU18/04620) The authors thank all the students participating in the study for their selfless collaboration in this research. We also extend a special thanks to Ester Molina for her assistance with the write-up and English review of this study

Health promotion activities in secondary schools are scarce and have little involvement of the teaching staff. Most often, activities are developed from the curriculum that appears in school materials, with little capacity for adaptation and innovation. The aim of this study was to construct and validate a tool to find out teachers’ attitudes towards activities to promote healthy eating in secondary schools. For this purpose, a descriptive study was conducted. The total sample of the study consisted of 200 teachers from secondary schools. Internal consistency was determined by Cronbach’s alpha coefficient globally and by dimension, and with the corrected item–test correlation. The construct validity of the questionnaire was assessed by means of an exploratory factor analysis, for which the principal components method with Varimax rotation was used. A Likert-type scale with nine items and four response options about attitude was designed. The exploratory factor analysis showed a nine-factor solution, of which two had eigenvalues greater than 1. These two factors explained 63.4% of the variance. The Cronbach’s alpha internal consistency index obtained for the global scale was 0.81, and 0.75 and 0.85 for each component. The results obtained with this structure confirmed an adequate reliability and validity of the questionnaire, We really appreciate the participation of the management teams and teachers of all the centres included in this study

espanolObjetivo: explorar los conocimientos, las necesidades sentidas y la utilidad percibida por la comunidad educativa de Educacion Primaria y Secundaria sobre la figura de la enfermera escolar en el ambito rural de Huelva (Andalucia). Metodo: estudio cualitativo de corte fenomenologico efectuado en 2019. Se realizaron entrevistas semiestructuradas a profesorado, padres y madres de los centros educativos de dos poblaciones del ambito rural onubense que fueron seleccionados mediante muestreo intencional y en bola de nieve. Se llevo a cabo analisis tematico a partir de categorias preestablecidas. Resultados: se realizaron 23 entrevistas hasta la saturacion de la informacion (14 profesores/as y nueve padres/madres). Se confirmaron tres categorias: conocimiento sobre la enfermera escolar, necesidad de la enfermera escolar y conocimiento y acciones en promocion de salud. Los participantes vieron necesaria la figura de la enfermera escolar en los centros tanto de Educacion Primaria como Secundaria. El profesorado encontro muchas dificultades para atender las necesidades clinicas del elevado numero de alumnos/as con discapacidades o enfermedades cronicas. Se detecto poca informacion y conocimiento en los progenitores sobre la promocion de la salud en el centro escolar. Conclusion: el discurso del profesorado, padres y madres participantes indico la necesidad y utilidad de la implantacion de la enfermera escolar en los centros de Educacion Primaria y Secundaria en el ambito rural. EnglishObjective: to explore the knowledge, the need felt, and the utility perceived by the Primary and Secondary Education community regarding the role of the school nurse in the rural setting of Huelva (Andalusia). Method: a qualitative phenomenological study conducted on 2019. Semi-structured interviews were conducted with professors, fathers and mothers from the education centres of two populations within the rural setting of Huelva, who were selected through intentional and snowball sampling. Thematic analysis was conducted, based on pre-established categories. Results: twenty-three (23) interviews were conducted, until there was information overload (14 professors and nine fathers/mothers). Three categories were confirmed: knowledge about the school nurse, need for the school nurse, and knowledge and actions in health promotion. The participants considered that the role of the school nurse was necessary in both Primary and Secondary Education centres. The teaching staff found many difficulties to manage the clinical needs of the high number of patients with disabilities or chronic conditions. Lack of information and knowledge was detected among parents regarding health promotion at the school center. Conclusion: the discourse of the teaching staff, fathers and mothers involved, indicated the need and utility of implementing the role of the school nurse in the Primary and Secondary Education centres in the rural setting.

In order to discover family conceptions and their di culties with regard to healthy eating habits during the school day, a qualitative study framed in the phenomenological, exploratory, and explanatory perspective has been carried out to detect and describe the aspects and interrelationships that shape the study phenomenon. The researchers performed triangulation techniques and information analysis support with the Atlas-ti programme. As participants, the students’ parents belonging to public secondary education high schools in Huelva, and the capital and its province were included. The participants were intentionally chosen based on established selection and segmentation criteria. Four main categories were obtained from the triangulated analysis. Healthy breakfast, school snack, school cafeteria, and promotion of healthy food measures. Other subcategories were established within them. Families are well aware of the composition of a healthy breakfast, although this is often not translated into practice. Lack of time, comfort and market influence are the main challenges they encounter for their children to acquire healthy habits. The maintenance of healthy habits, their responsibility and control on behalf of the family, and promoting fruit consumption and healthy products from the part of the centre and its cafeteria were highlighted as improvement proposals., This research has been funded by the Community and Family Nursing chair of the University of Alicante

Resumen Objetivo Valorar las cafeterias de los Institutos de Educacion Secundaria (IES) de Andalucia como servicios de promocion de la salud alimentaria, comprobar la adecuacion de la oferta alimentaria a la Ley de Seguridad Alimentaria y Nutricion espanola y determinar el conocimiento de dicha ley por los/as directivos/as de los centros educativos. Diseno Estudio observacional descriptivo transversal. Emplazamiento IES de las 8 provincias andaluzas. Participantes Los servicios de cafeteria y equipos directivos de los centros educativos. Muestra aleatoria estratificada con afijacion proporcional por provincia y tamano de habitat de 95 IES andaluces con error ± 10% y nivel de confianza del 95,5%. Mediciones principales Aplicacion de la Guia de promocion de alimentacion saludable, validada a traves de un grupo Delphi, que recoge informacion sobre: la oferta alimentaria, la ubicacion de los productos alimentarios y la publicidad sobre alimentacion saludable. Entrevista semiestructurada a un miembro de cada equipo directivo. Resultados En el 85% de las cafeterias se produce una baja promocion de la alimentacion saludable. El 100% de las cafeterias ofertan una amplia variedad de productos no recomendados (golosinas, refrescos, paquetes de fritos, bolleria industrial) incumpliendo lo establecido en la Ley de Seguridad Alimentaria y Nutricion. El 33,7% de los/as entrevistados/as afirman conocer la existencia de esta ley. Conclusiones Las cafeterias de los IES andaluces no promueven una alimentacion saludable. Podemos afirmar que la ley ha tenido muy poco impacto durante su primer ano de vigencia. Es prioritario introducir medidas acordes con la legislacion y con las recientes investigaciones que favorezcan un entorno escolar saludable.

La siguiente investigación indaga en la potencialidad de la perspectiva educativa de trabajo por proyectos para la educación nutricional. Se realiza un estudio de casos con el alumnado y profesorado de tercero de Educación Primaria utilizando diversos instrumentos de investigación como cuestionarios y entrevistas, entre otros. Entre los resultados se detectan mejoras en la calidad de la dieta, aumentando el consumo de frutas y verduras, reduciéndose el de golosinas, al tiempo que mejora la calidad del desayuno. Las conclusiones del estudio aluden a la idoneidad de la perspectiva educativa de trabajo por proyectos para el tratamiento de la educación alimentaria

This study sought to describe and compare adherence to the Mediterranean diet and consumption of local foods from the Huelva region among Spanish university women in relation to menstrual pain and other menstrual characteristics. This cross-sectional study included 311 health science students. The study variables were sociodemographic and gynecologic characteristics, adherence to the Mediterranean diet using the KIDMED questionnaire, alcohol consumption (SDU) and consumption of local food. A descriptive bivariate analysis and multiple binary regression were performed for menstrual pain. Up to 55.3% of participants had moderate adherence to the Mediterranean diet and only 29.6% had high adherence. Women with low adherence had longer menstrual cycles (p &lt, 0.01). Eating less than two pieces of fruit per day (OR = 3.574, 95%CI = 1.474&ndash, 8.665, p &lt, 0.05) and eating pulses more than one day a week (OR = 2.320, 95%CI = 1.006&ndash, 5.348) raised the probability of suffering menstrual pain. A positive correlation between SDU and cycle length was identified (r = 0.119, p = 0.038), and menstrual bleeding was lower in women who consumed olive oil daily (p = 0.044). In conclusion, the Mediterranean diet, alcohol consumption and consuming typical foods from southern Spain appear to influence cycle length, menstrual flow and menstrual pain. Further research is necessary to confirm and expand these findings.

Obesity and overweight are both public health problems, affecting increasingly younger populations. Promoting healthy eating should be a must in schools. Therefore, getting to know the eating habits of a population group as sensitive as adolescents and whether their schools apply an appropriate policy for their nutrition should be a priority. Therefore, the objective of this study was to discover whether the Secondary Education High Schools of Huelva and its province could be considered as centres that promote a healthy diet. A cross-sectional descriptive study was developed using a questionnaire comprising 39 indicators that were evaluated on 5 previously piloted subcategories of validated information. Data were obtained through a questionnaire presented to 200 key informants with four different profiles. The highest score for promoting healthy eating in the centres was related to the subcategory &ldquo, School Curriculum&rdquo, whereas the lowest means were those related to the Community category. No practical activities such as outings or cooking workshops were carried out. The low participation in activities promoting healthy eating habits, research and health training must be highlighted. Little attention was paid to compliance and monitoring of school cafeterias. Most of the studied Secondary Education High Schools did not meet the requisites to be considered promoters of healthy eating habits. Only three of the studied centres can be considered healthy-eating promoters. Institutional commitment is needed to favour the intersectorality of the different agents implied and to provide teaching units and other teaching profiles with the necessary resources, training, and tools to achieve integral and protective teaching activities aimed at promoting students&rsquo, healthy eating habits.

The development of healthy eating habits in adolescence is perceived as an effective strategy to avoid health problems in adulthood. The involvement of educational centres&rsquo, governing boards, as well as the Educational State and Regional Administrations&rsquo, may be necessary to create healthy food environments during the school day. The objective of this study is to identify the relationship between students&rsquo, eating habits during the school day and sociodemographic, family and physical activity variables, as well as the existence of a school cafeteria. For this, a cross-sectional study in a stratified random sample of 8068 students of Public Secondary Education High Schools of Andalusia (Spain) has been carried out. The results show that students who are 14 years old or older are more likely to skip breakfast at home (odds ratio (OR): 1.81, 95% confidence interval (CI): 1.55&ndash, 2.12) than those under this age. Students whose mothers do not have a university education are more likely to consume incomplete breakfasts (OR: 1.83, 95% CI: 1.26&ndash, 2.65). Snacks with sweets (OR: 1.93, 95% CI: 1.67&ndash, 2.23), candy in general (OR: 2.75, 95% CI: 2.38&ndash, 3.19), and bagged crisps (OR: 3.06, 95% CI: 2.65&ndash, 3.54) were more likely to be consumed in schools with a cafeteria. The factors that significantly influence the eating habits of secondary students in Andalusia include age, sex, parental level of education, physical activity and the existence of a cafeteria.

Introduction: Students attending university are at a critical period for the development and consolidation of future lifestyles. The objective of this study was to know the eating habits, food preferences and culinary skills of first-year students on different degree courses at the University of Huelva. Material and Method: Cross-sectional descriptive study in academic year 2015-2016 of a sample of 756 students. Adherence to the Mediterranean Diet was measured by the KIDMED questionnaire. The rest of the variables were measured by an ad hoc questionnaire. Data analysis was performed using the PSPP programme, calculating arithmetic means, standard deviations and percentages for the descriptive analysis, with Chi-square test and ANOVA for the relational analysis. Results: 20.4% of students have an optimal level of adherence to the Mediterranean Diet, compared to 65.3% % with an average level and 14.3% with low adherence. Favourite foods cited were chicken (62.2%), pasta (58.2%), pork (50.4%) and chips (45.9%). The types of food the students knew how to prepare included pasta (93.8%), egg and chips (90.2%), precooked pizza (88.7%), fruit juices (86.1%) and grilled meat (85.8%). Conclusions: Huelva university students diet is very similar to that of other university populations studied. We found a preference for meat and foods rich in carbohydrates, to the detriment of fruit and vegetables. A lack of culinary skills was observed, which could explain the deterioration in eating habits; this is a pointer to future interventions., Introducción: Los estudiantes universitarios se encuentran en un periodo crítico para el desarrollo y consolidación de estilos de vida futuros. El objetivo fue conocer los hábitos alimentarios, preferencias alimentarias y habilidades culinarias del alumnado de primer curso de las distintas titulaciones de la Universidad de Huelva. Material y Método: Estudio descriptivo transversal durante el año académico 2015-2016 de una muestra final de 756 alumnos. La adherencia a la Dieta Mediterránea se ha medido a través del cuestionario KIDMED. El resto de variables se han recogido mediante un cuestionario ad hoc. El análisis de datos se realizó mediante el PSPP, calculándose medias, desviaciones típicas y porcentajes para el análisis descriptivo, prueba de Chi-cuadrado y ANOVA para el análisis relacional. Resultados: El 20,4% del alumnado tiene un nivel óptimo de adherencia a la Dieta Mediterránea, frente al 65,3% que posee un nivel medio y un 14,3% bajo. Los alimentos preferidos son pollo (62,2%), pasta (58,2%), cerdo (50,4%) y las patatas fritas (45,9%). Entre los alimentos que saben preparar están la pasta, (93,8%), patatas con huevo (90.2 %), pizza precocinada (88.7 %), zumo (86.1 %) y carne a la plancha (85.8 %). Conclusiones: La dieta de los estudiantes onubenses es muy similar a la de otras poblaciones universitarias estudiadas. Se encontró preferencia por las carnes y alimentos ricos en glúcidos, en detrimento de la fruta y la verdura. Se observó un déficit en las habilidades culinarias, lo cual podría explicar el deterioro del patrón alimentario de éstos y orientar futuras intervenciones.

Se ha realizado una revisión bibliográfica del período de 1983-2014 con el objetivo de conocer el desarrollo curricular de la materia de Enfermería Comunitaria en la titulación de Enfermería en el contexto español. La búsqueda se realizó en 9 bases de datos de Enfermería, Educación, Ciencias de la Salud y otras Ciencias Sociales, además de en TESEO. Los criterios de selección de documentos fueron: el tipo de documento, la nacionalidad y la fecha de publicación. Se analizaron 43 documentos, 24 de los cuales eran experiencias de innovación y 19 investigaciones curriculares. La temática más frecuente en las publicaciones fue la formación práctico-clínica de los/as estudiantes en el ámbito de la Atención Primaria. Los elementos curriculares más estudiados fueron la evaluación y la metodología. El alumnado fue la población más estudiada en la investigación con clara perspectiva cuantitativa, en la que la encuesta sobresale como la principal técnica de recogida de datos. El desarrollo científico-curricular ha sido muy reducido. Se han localizado muy pocas publicaciones y la investigación curricular ha sido escasa, diversa en áreas temáticas y elementos curriculares, y homogénea en enfoques metodológicos., A literature review has been carried out in the period of 1983-2014. The aim has been to know the curricular development of the Community Nursing subject in the university degree of Nursing in the Spanish context. The search was conducted in nine databases of Nursing, Education, Health Sciences and other Social Sciences, in addition to TESEO. The selection criteria for documents were: the type of document, the nationality and the date of publication. 43 documents were analyzed, 24 of which were innovation experiences and 19 curricular investigations. The most frequent topic in the publications was the practical-clinical training of the students in the field of Primary Care. The most studied curricular elements were the evaluation and the methodology. The students were the most studied population in a research with clear quantitative perspective, in which the survey stands out as the main data collection technique. The scientific-curricular development has been greatly reduced. Very few publications have been located and curricular research has been limited, diverse in thematic areas and curricular elements, and homogeneous in methodological approaches.

espanolEl estudio que se presenta perseguia conocer y mejorar los habitos de descanso, desayuno y merienda escolar de un grupo de escolares a partir de una propuesta educativa segun el enfoque comunitario. Se ha realizado un estudio longitudinal en tres fases a partir de un diseno cuasi-experimental de pretest y postest con 48 estudiantes de 3o de Educacion Primaria. Los resultados evidenciaron que en el primer periodo solo un 3.8% de la muestra realizaba un desayuno completo frente al 32.8% de la tercera fase. Asimismo, se registro una mejora en el consumo de fruta, que aumento de un promedio del 5.7% a un 24.9%. Las conclusiones aluden al positivo impacto de la intervencion de corte comunitario en la mejora de los habitos. EnglishThe study presented aims to know and improve the rest habits, breakfast and school snack of a group of schoolchildren from a proposal according to the community approach. A longitudinal study has been carried out in three phases based on a quasi-experimental pretest-posttest design with 48 third grade pupils of Primary Education. The results showed that in the first period only 3.8% of the sample had a full breakfast versus 32.8% of the third phase. Likewise, there was an increase in the consumption of fruit from an average of 5.7% to 24.9%. The conclusions show the positive impact of the community intervention on the improvement of student health habits. portuguesO estudo apresentado visa conhecer e melhorar os habitos de descanso, cafe da manha e lanche escolar de um grupo de escolares a partir de uma proposta de acordo com a abordagem da comunidade. Foi realizado um estudo longitudinal em tres fases, a partir de um pre-teste quase-experimental e desenho pos-teste com 48 alunos de 3o do Ensino Fundamental. Os resultados mostraram que no primeiro periodo apenas 3,8% da amostra teve um cafe da manha completo versus 32,8% da terceira fase. Da mesma forma, houve melhora no consumo de frutas, que passou de uma media de 5,7% para 24,9%. As conclusoes aludem ao impacto positivo da intervencao comunitaria na melhoria dos habitos.

El estudio que se presenta tiene una finalidad diagnóstica en relación a los hábitos de vida y alimentación de un grupo de escolares. Se persigue conocer los patrones alimentarios (desayuno y merienda escolar), actividad física y horas de sueño en dos aulas de tercero de Educación Primaria de un centro andaluz. El estudio utiliza una metodología de corte cuantitativo, a partir de un cuestionario administrado a 46 alumnos-as obteniéndose 410 respuestas a lo largo de dos semanas. Los resultados revelan que la práctica totalidad del alumnado ingiere algún alimento antes de acudir al centro escolar, si bien la composición nutricional del mismo es insuficiente. Aproximadamente siete de cada diez alumnos-as expresan la necesidad de ingerir alimento en el momento de responder al cuestionario, una hora antes del recreo. Analizando los ingredientes que componen la merienda escolar destacan los zumos y batidos envasados, bocadillos de embutidos y galletas. El análisis de la dimensión de actividad física revela un escenario en el que la muestra se divide equitativamente en función de sus hábitos, predominando no obstante actividades de corte sedentario. Mientras cinco de cada diez alumnos-as no realizan actividad física por las tardes, la mayoría dedica un tiempo considerable a ver la televisión. Finalmente, el análisis de las horas de sueño evidencia que el seis de cada diez alumnos-as duermen una media de 9,2 h., situándose así en el rango mínimo recomendado para esta edad. Una vez finalizado el diagnóstico se realizan propuestas de intervención en el marco del enfoque comunitario. The present study has a diagnostic purpose in relation to the eating habits and lifestyle of a group of schoolchildren, once symptoms of potential imbalances have been detected by the teaching staff. Eating patterns (breakfast and school afternoon snack), physical activity and rest levels are studied in two third-year Primary Education classrooms in an Andalusian school. The study uses a quantitative methodology, based on a questionnaire administered to 46 students, obtaining 410 responses over two weeks. The results reveal that almost all students eat some food before going to school, although its nutritional composition is limited. Approximately seven out of ten students reported they were hungry while answering the questionnaire, one hour before the school break. As for the ingredients that make up the school snack, they include packaged juices and smoothies, cold cut sandwiches and cookies, with a marginal presence of fruit. The analysis of the physical activity dimension reveals that sedentary activities predominate slightly. While five out of ten students do not do physical activity in the afternoons, the majority spend considerable time watching television. Finally, the analysis of sleep hours shows that six out of ten students sleep an average of 9.2 hours, just within the minimum recommended range. Finally, intervention proposals are made within the framework of the community-led approach. L’étude suivante a pour objectif d’apporter un diagnostic en ce qui concerne les modes de vie et l’alimentation d’un groupe d’écoliers. Spécifiquement, l’objectif visé est de faire connaître les habitudes d’activité physique, de repos, ld petit déjeuner et de goûter dans deux salles de classe de CE2 dans un établissement scolaire andalou. Cette étude utilise une méthodologie quantitative sur la base d’un questionnaire adressé à quarantesix élèves, permettant d’obtenir 410 réponses, au cours de deux semaines. Les résultats obtenus révèlent que la plupart des élèves consomment quelques aliments avant d’entrer à l’école ; par contre, leur composition nutritionnelle reste insuffisante. Cela conditionne sans aucun doute le fait qu’environ sept élèves sur dix expriment le besoin d’ingérer quelque chose au moment de la réalisation du questionnaire, justement une heure avant la récréation. En analysant les ingrédients qui constituent le repas scolaire, l’accent a été mis sur les jus et les Milkshakes emballés, les sandwichs à la charcuterie et les biscuits. L’analyse de l’activité physique révèle que l’échantillon est divisé également en fonction de leurs habitudes, bien que les activités sédentaires prédominent. Tandis que cinq élèves sur dix n’exercent pas une activité physique le soir, la plupart consacre un temps considérable à regarder la télévision. Enfin, l’analyse des heures de sommeil montre que six élèves sur dix dorment en moyenne 9,2 h, ce qui correspond à la fourchette minimale recommandée à cet âge. Une fois le diagnostic finalisé, les propositions d’intervention sont faites dans le cadre de l’approche communautaire.

Resumen Objetivo Definir y priorizar las lineas de investigacion a desarrollar desde la Asociacion Andaluza de Enfermeria Comunitaria (ASANEC). Metodo Aplicacion de la tecnica Delphi en la que participan los miembros del Grupo de Trabajo de la Vocalia de Investigacion de ASANEC, formado por enfermeras/os comunitarias/os docentes y asistenciales, referentes en materia de investigacion en siete de las provincias andaluzas. Se han realizado tres rondas de participacion y se ha priorizado en el ultimo envio mediante escala lineal. Se han calculado medias y desviaciones tipicas. Resultados El total de participantes en la tecnica fue de 13 profesionales (54,16%). Las principales lineas finalmente consensuadas y priorizadas en orden descendente son: «gestion de cuidados», «calidad de vida», «estilos de vida y educacion para la salud en poblacion infantil y adolescente», «elaboracion y validacion de instrumentos de valoracion enfermera», «seguridad del paciente» y «accesibilidad de cuidados y autocuidados». Conclusiones Se prioriza en una posicion preferente la investigacion sobre el nuevo modelo de gestion de cuidados implantado en la atencion primaria andaluza, aunque emergen mas lineas referidas a la promocion de salud y prevencion de problemas de salud en la poblacion en general, ninos, jovenes y poblacion mas vulnerable. Estos resultados han sido determinantes en la decision de la actual linea de investigacion que se esta desarrollando desde el Grupo de Investigacion de ASANEC.

Resumen Objetivo Conocer el comportamiento de los factores conductuales en las usuarias potenciales del programa de Atencion a la mujer climaterica de la Zona Basica de Salud Molino de la Vega, de Huelva. Metodo Estudio descriptivo sobre un total de 70 mujeres (de entre 40 y 60 anos) adscritas a dicha zona. Se aplico un cuestionario de 146 preguntas, agrupadas en 5 dimensiones, previa prueba de jueces y pilotaje. Analisis estadistico: frecuencias absolutas y relativas, aplicacion del test de independencia, analisis de varianza y test de Newman-Keuls. Resultados a) Comportamiento alimentario: el 65% de las encuestadas tomaba leche 2 o mas veces al dia; el 90% mantenia una ingesta moderada de fibra; tomaban carne de ave varias veces a la semana el 83%; cerdo, el 55%; huevos, el 78%; pescado azul, el 75%; hidratos de carbono de absorcion lenta, el 76%. El 86,7% utilizaba el aceite de oliva. b) Actividad fisica: el 40% dijo realizar ejercicio fisico raramente o nunca. c) Conducta respecto al sueno: el 78,3% se despertaba a menudo. d) Conductas psicosociales: el 66% de las mujeres solo salia con su pareja o amistades, de vez en cuando o nunca; en sus relaciones sexuales, el 64,5% no tomaba la iniciativa. e) Otras conductas: el 83,3% no habia fumado nunca, el 18,4% consumia hipnoticos a menudo, el 25% tranquilizantes, y el 48,3% analgesicos. Conclusiones Aunque en todas las dimensiones hay aspectos que deben trabajarse en la intervencion educativa, los comportamientos relacionados con la actividad fisica y los aspectos psicosociales son los puntos donde el repertorio conductual se muestra menos saludable.