6 results on '"Marta Ramón Krauel"'
Search Results
2. [Cardiovascular Health School Program (PESCA). Methodology and initial results: 2018-2020]
- Author
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Marta Ramón Krauel, Francisco Javier Martín Carpi, Marcela González Gross, Fernando Zárate Osuna, and Augusto G. Zapico
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Gerontology ,Pediatric Obesity ,Nutrition and Dietetics ,medicine.diagnostic_test ,business.industry ,Cardiovascular health ,Teaching ,Psychological intervention ,Medicine (miscellaneous) ,Physical examination ,Disease ,Overweight ,medicine.disease ,Obesity ,Cardiovascular Physiological Phenomena ,Intervention (counseling) ,medicine ,Humans ,medicine.symptom ,Program Development ,business ,Body mass index - Abstract
Introduction: despite the fact that 40 % of children in Spain, ages 6 to 9, are overweight or obese, and 2/3 of them are at risk of developing cardiovascular disease, there is a lack of protocolized efficient interventions to fight this important health problem. The PESCA project aims to reduce the prevalence of overweight and obesity with a transversal model focused on a school intervention, but also involving families and primary care doctors, to increase the quantity and quality of physical activity (PA) and improve eating habits. Methods: a 5-step protocol was carried out at schools: 1) family and personal background questionnaire for children; 2) body mass index (BMI); 3) bioimpedance corporal composition (BIA); 4) hand grip dynamometry (DIN); and 5) medical physical examination. As a result, each subject received a medical report about his/her diagnosis of body weight and composition and cardiovascular health, and also recommendations to improve eating habits and increase physical activity. Results: in the first two years of PESCA, the weekly time of physical activity has significantly increased among participants (up to 20.12 %; p0.001). In addition, the prevalence of overweight/obesity has significantly declined in both girls and children under 6 years of age (35.78 % and 58.92 %; p0.05, respectively). Conclusion: the school, pediatrician, and family working together on a transversal intervention has shown effectiveness in reducing the lack of diagnosis and prevalence of overweight and obesity in children.Introducción: el 40 % de los niños entre los 6 y 9 años en España presentan exceso de peso infantil (EPI). Más de 2/3 padecerán enfermedad cardiovascular en la vida adulta. Aun así, no existe un modelo protocolarizado de acción con el que combatir, de forma eficaz, el problema. El objetivo del programa PESCA es la reducción de la prevalencia del EPI a través de un modelo transversal de actuación que, tomando como centro la red escolar y su profesorado, implique a las familias y la red de atención primaria de salud para actuar mediante la mejora cualitativa y cuantitativa de la actividad física (AF) y los hábitos de alimentación. Métodos: el protocolo incluye 5 pasos que se realizan en el centro escolar: 1) cuestionario de antecedentes personales y familiares de cada alumno; 2) índice de masa corporal (IMC); 3) bioimpedancia de composición corporal (BIA); 4) dinamometría de mano (DIN), y 5) exploración física facultativa. Como resultado, cada sujeto participante recibe un informe facultativo con su diagnostico individualizado de peso corporal y salud cardiovascular, y recomendaciones de mejora en cuanto a AF y hábitos de alimentación. Resultados: en los dos primeros años del programa se ha objetivado un aumento del tiempo semanal dedicado a la AF entre los sujetos participantes (hasta un 20,12 %; p0,001) y un descenso significativo en la prevalencia del EPI en las niñas y los menores de 6 años (35,78 % y 58,92 %; p0,05, respectivamente). Conclusión: la actuación transversal de colegio, pediatra y familia permite disminuir tanto el déficit diagnóstico de la obesidad y el sobrepeso infantiles como su prevalencia.
- Published
- 2021
3. [Noonan syndrome: genetic and clinical update and treatment options]
- Author
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Atilano, Carcavilla, Larisa, Suárez-Ortega, Amparo, Rodríguez Sánchez, Isabel, Gonzalez-Casado, Marta, Ramón-Krauel, Jose Ignacio, Labarta, Sofia, Quinteiro Gonzalez, Isolina, Riaño Galán, Begoña, Ezquieta Zubicaray, and Juan Pedro, López-Siguero
- Subjects
Diagnosis, Differential ,Genetic Markers ,Proto-Oncogene Proteins p21(ras) ,Phenotype ,Genotype ,Mutation ,Noonan Syndrome ,Humans ,Mitogen-Activated Protein Kinases - Abstract
Noonan syndrome (NS) is a relatively common genetic condition characterised by short stature, congenital heart defects, and distinctive facial features. NS and other clinically overlapping conditions such as NS with multiple lentigines (formerly called LEOPARD syndrome), cardiofaciocutaneous syndrome, or Costello syndrome, are caused by mutations in genes encoding proteins of the RAS-MAPKinases pathway. Because of this shared mechanism, these conditions have been collectively termed «RASopathies». Despite the recent advances in molecular genetics, nearly 20% of patients still lack a genetic cause, and diagnosis is still made mainly on clinical grounds. NS is a clinically and genetically heterogeneous condition, with variable expressivity and a changing phenotype with age, and affects multiple organs and systems. Therefore, it is essential that physicians involved in the care of these patients are familiarised with their manifestations and the management recommendations, including management of growth and development. Data on growth hormone treatment efficacy are sparse, and show a modest response in height gains, similar to that observed in Turner syndrome. The role of RAS/MAPK hyper-activation in the pathophysiology of this group of disorders offers a unique opportunity for the development of targeted approaches.
- Published
- 2020
4. Contributors
- Author
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Graham C. Burdge, Douglas T. Carrell, Amelia Casamassimi, Frances A. Champagne, Tian Chi, David Crews, Andrew G. Cridge, György Csaba, Peter K. Dearden, Rubén Díaz, Rodney R. Dietert, Yingwen Ding, Elizabeth J. Duncan, Jemma L. Geoghegan, Andrea C. Gore, Leonie R. Grenfell, Mark A. Hanson, Takae Hirasawa, Dao H. Ho, Samuel P. Hoile, Hidetaka Ito, Josep C. Jimenez-Chillaron, Ravinder Kaundal, Richard Kellermayer, Therese A. Kosten, Takeo Kubota, Jiong Li, Karen A. Lillycrop, Francesco Paolo Mancini, Rahia Mashoodh, Kunio Miyake, Kristin E. Murphy, Patrick J. Murphy, Claudio Napoli, David A. Nielsen, Eric Nilsson, Timothy Nottoli, Amy J. Osborne, Rebecca Painter, Ariane Paoloni-Giacobino, Marta Ramón-Krauel, Sílvia Ribó, Nicole C. Riddle, Tessa Roseboom, Cheryl S. Rosenfeld, Jeanine Roeters van Lennep, Eric J.G. Sijbrands, Michael K. Skinner, Trygve O. Tollefsbol, Tobias Uller, Jorie Versmissen, Yan Yang, Ling Zheng, and Alberto Zullo
- Published
- 2014
5. Síndrome de Noonan: actualización genética, clínica y de opciones terapéuticas
- Author
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Atilano Carcavilla, Larisa Suárez-Ortega, Amparo Rodríguez Sánchez, Isabel Gonzalez-Casado, Marta Ramón-Krauel, Jose Ignacio Labarta, Sofia Quinteiro Gonzalez, Isolina Riaño Galán, Begoña Ezquieta Zubicaray, and Juan Pedro López-Siguero
- Subjects
RASopathies ,Ras/MAPK pathway ,Noonan syndrome ,Gidelines ,Congenital heart disease ,Short stature ,Pediatrics ,RJ1-570 - Abstract
Resumen: El síndrome de Noonan (SN) es una enfermedad de origen genético relativamente frecuente cuyas manifestaciones fundamentales son la talla baja, la cardiopatía congénita y un fenotipo facial característico.La causa del síndrome de Noonan y de otras enfermedades clínicamente solapadas como el síndrome de Noonan con lentiginosis múltiple (anteriormente llamado síndrome LEOPARD), el cardiofaciocutáneo o el síndrome de Costello, son mutaciones en genes que codifican para proteínas de la vía de señalización de las RAS-MAPKinasas. Debido a este sustrato común este grupo de enfermedades son denominadas colectivamente «rasopatías». A pesar de los avances genéticos de las últimas décadas, cerca de 20% de pacientes no tienen causa genética identificada, y el diagnóstico sigue siendo clínico.El síndrome de Noonan se caracteriza por una alta heterogeneidad clínica y genética, con afectación variable, y cambiante con la edad, de múltiples órganos y sistemas. Debido a esta variabilidad es fundamental que los médicos involucrados en su cuidado estén familiarizados con sus manifestaciones y conozcan las recomendaciones de seguimiento, incluido el seguimiento del crecimiento y desarrollo. Hasta la fecha los escasos datos de crecimiento con GH a talla adulta dan resultados de ganancia de talla moderados, semejantes a los obtenidos en el síndrome de Turner.La hiperactivación de la vía RAS-MAPK como base común de esta familia de enfermedades brinda una oportunidad única para el desarrollo de tratamientos dirigidos a la etiología de estos trastornos. Abstract: Noonan syndrome (NS) is a relatively common genetic condition characterised by short stature, congenital heart defects, and distinctive facial features.NS and other clinically overlapping conditions such as NS with multiple lentigines (formerly called LEOPARD syndrome), cardiofaciocutaneous syndrome, or Costello syndrome, are caused by mutations in genes encoding proteins of the RAS-MAPKinases pathway. Because of this shared mechanism, these conditions have been collectively termed «RASopathies». Despite the recent advances in molecular genetics, nearly 20% of patients still lack a genetic cause, and diagnosis is still made mainly on clinical grounds.NS is a clinically and genetically heterogeneous condition, with variable expressivity and a changing phenotype with age, and affects multiple organs and systems. Therefore, it is essential that physicians involved in the care of these patients are familiarised with their manifestations and the management recommendations, including management of growth and development. Data on growth hormone treatment efficacy are sparse, and show a modest response in height gains, similar to that observed in Turner syndrome.The role of RAS/MAPK hyper-activation in the pathophysiology of this group of disorders offers a unique opportunity for the development of targeted approaches.
- Published
- 2020
- Full Text
- View/download PDF
6. Plasma Metabolome Alterations Associated with Extrauterine Growth Restriction
- Author
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Danuta Dudzik, Isabel Iglesias Platas, Montserrat Izquierdo Renau, Carla Balcells Esponera, Beatriz del Rey Hurtado de Mendoza, Carles Lerin, Marta Ramón-Krauel, and Coral Barbas
- Subjects
growth failure ,preterm infants ,metabolic fingerprinting ,multiplatform untargeted metabolomics ,Nutrition. Foods and food supply ,TX341-641 - Abstract
Very preterm infants (VPI, born at or before 32 weeks of gestation) are at risk of adverse health outcomes, from which they might be partially protected with appropriate postnatal nutrition and growth. Metabolic processes or biochemical markers associated to extrauterine growth restriction (EUGR) have not been identified. We applied untargeted metabolomics to plasma samples of VPI with adequate weight for gestational age at birth and with different growth trajectories (29 well-grown, 22 EUGR) at the time of hospital discharge. A multivariate analysis showed significantly higher levels of amino-acids in well-grown patients. Other metabolites were also identified as statistically significant in the comparison between groups. Relevant differences (with corrections for multiple comparison) were found in levels of glycerophospholipids, sphingolipids and other lipids. Levels of many of the biochemical species decreased progressively as the level of growth restriction increased in severity. In conclusion, an untargeted metabolomic approach uncovered previously unknown differences in the levels of a range of plasma metabolites between well grown and EUGR infants at the time of discharge. Our findings open speculation about pathways involved in growth failure in preterm infants and the long-term relevance of this metabolic differences, as well as helping in the definition of potential biomarkers.
- Published
- 2020
- Full Text
- View/download PDF
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