Examinando por Autor "Cruz-Díaz, David"
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Ítem Associations of sleep and depression with obesity and sarcopenia in middle-aged and older adults(ELSEVIER IRELAND LTD, 2020-12) Fábrega-Cuadros, Raquel; Cruz-Díaz, David; Martínez-Amat, Antonio; Aibar-Almazán, Agustín; Redecillas-Peiró, María Teresa; Contreras-Hita, FidelObjectives: To analyze the association of depression and the quality and duration of sleep with general and abdominal obesity, sarcopenia, and sarcopenic obesity (SO) in Spanish middle-aged and older adults. Study design and outcome measures: A total of 304 participants (72.04±7.88 years, 83.88% women) participated in this study. Body mass index, waist circumference, skeletal muscle mass index (bioelectrical impedance analysis), and hand-grip strength were used to evaluate sarcopenia, obesity, and SO. The Pittsburgh Sleep quality index was used for sleep quality. Sleep duration (hours) was categorized as either short (<6), normal (6-8), or long (>8). Depression was measured using the Hospital Anxiety and Depression Scale. Fatigue (Fatigue Severity Scale), nutritional status (Mini Nutritional Assessment survey) and physical activity (PA) level (International Physical Activity Questionnaire-Short Form) were also assessed. Independent associations were evaluated by multivariate logistic regressions. Results: Only depression was associated with sarcopenia (OR=1.10, 95% CI=1.02-1.19). Poorer sleep quality (OR=1.06, 95% CI=1.06-1.11) and short sleep duration (OR=2.63, 95% CI=1.45-4.78) were related to general obesity, as well as fatigue and low PA level. Poor sleep latency (OR=1.43, 95% CI=1.09-1.87) was linked to abdominal obesity, along with fatigue, low PA level, older age, and female sex. Finally, short sleep duration (OR=5.25, 95% CI=1.97-14.00), together with fatigue, low PA level, and male sex were associated with OS. Conclusion: Among Spanish middle-aged and older adults, after adjusting for potential confounding variables, depression was uniquely associated with sarcopenia, while short sleep duration was related to general and sarcopenic obesity, and poor sleep quality was linked to general and abdominal obesity.Ítem Effects of Pilates training on sleep quality, anxiety, depression and fatigue in postmenopausal women: A randomized controlled trial.(ELSEVIER IRELAND LTD, 2019-06) Aibar-Almazán, Agustín; Hita-Contreras, Fidel; Cruz-Díaz, David; De la Torre-Cruz, Manuel J.; Jiménez-García, José D.; Martínez-Amat, AntonioObjectives: To analyze the effects that a Pilates-based exercise program has on sleep quality, anxiety, depression and fatigue in community-dwelling Spanish postmenopausal women aged 60 and over. Study design: A total of 110 women (69.15 ± 8.94 years) participated in this randomized controlled trial. They were randomly allocated to either a control (n = 55) or a Pilates (n = 55) group. Main outcome measures: Sleep quality and self-perceived fatigue were assessed by the Pittsburgh Sleep Quality Index (PSQI) and the Fatigue Severity Scale, respectively. Anxiety and depression were evaluated using the Hospital Anxiety and Depression Scale (HADS). Results: Significant improvements were observed after Pilates training in all PSQI domains as well as in the PSQI total score, with small to medium-size effects, while significant between-group differences in post-intervention measures were observed only for sleep duration (d = 0.69) and sleep disturbances (d = 0.78). Moreover, intraand inter-group statistical differences were observed for depression (d = 0.39 and d = 0.86, respectively) and for anxiety (d = 0.43 and d = 1.27 respectively). Finally, participants in the Pilates group experienced a decrease in self-perceived fatigue after the intervention period (d = 0.32). Conclusions: For community-dwelling Spanish postmenopausal women aged 60 years and over, a twelve-week Pilates exercise intervention has beneficial effects on sleep quality, anxiety, depression and fatigue.Ítem Inestabilidad crónica de tobillo: tratamiento mediante movilizaciones articulares y un programa de entrenamiento propioceptivo. Validación de la versión española del cuestionario "Cumberland Ankle Instability Tool"(Jaén : Universidad de Jaén, 2013) Cruz-Díaz, David; Martínez-Amat, Antonio; Hita-Contreras, Fidel; Universidad de Jaén. Departamento de Ciencias de la Salud[ES] La inestabilidad crónica de tobillo CAI es una patología muy frecuente debido a que hasta un 80% de todos los pacientes que sufren un esguince de tobillo desarrollan secuelas relacionadas con la inestabilidad mecánica y funcional. Basándonos en la fisioterapia basada en la evidencia, el tratamiento de esta patología mediante la aplicación de técnicas de movilización articular y entrenamiento propioceptivo parece ser el más acertado para mejorar los déficits funcionales de estos pacientes. Asimismo, para determinar la presencia de CAI existen varios métodos, siendo el uso de cuestionarios específicos autoadministrados uno de los más extendidos por su fácil uso y aplicabilidad en la práctica clínica. No obstante, en la fecha de inicio de esta tesis no existía ningún instrumento de medida validado al idioma castellano. El objetivo de esta investigación consiste en validar el test de Cumberland Ankle Instability Tool (CAIT) al castellano y evaluar la efectividad de la aplicación de un programa de entrenamiento propioceptivo y de movilización articular en pacientes con CAIÍtem Sarcopenia and sarcopenic obesity in Spanish community-dwelling middleaged and older women: Association with balance confidence, fear of falling and fall risk(ELSEVIER IRELAND LTD, 2018-01) Aibar-Almazán, Agustín; Martínez-Amat, Antonio; Cruz-Díaz, David; Jiménez-García, José D.; Achalandabaso-Ochoa, Alexander; Sánchez-Montesinos, Indalecio; De la Torre-Cruz, Manuel; Hita-Contreras, FidelObjectives: To analyze the association of sarcopenia, obesity, and sarcopenic obesity (SO) with fear of falling (FoF) and balance confidence in a Spanish sample of middle-aged and older community-dwelling women. Study design and outcome measures: A total of 235 women (69.21 ± 7.56 years) participated in this study. Body composition (bioelectrical impedance analysis), hand-grip strength, and physical performance (gait speed) were evaluated for the diagnosis of sarcopenia, obesity, and SO. Anxiety and depression were measured using the Hospital Anxiety and Depression Scale. The Activities-Specific Balance Confidence Scale (ABC) and the Falls Efficacy Scale-International (FES-I) were employed to assess FoF and balance confidence, respectively. Scores of > 26 on the FES-I and < 67% on the ABC were used to identify women at risk of falling. The independent associations of sarcopenia, obesity and SO with FoF, balance confidence, and fall risk were evaluated by multivariate linear and logistic regressions, adjusting for potential confounding variables. Results: 27.23% and 18.72% of women presented with sarcopenia and SO, respectively. Gait speed, body mass index (BMI), and fall history were independently associated with ABC score (adjusted-R2 = 0.152) and fall risk (ABC) (adjusted-R2 = 0.115). FES-I score was independently associated (adjusted-R2 = 0.193) with fall history, gait speed, BMI, and depression, which, together with obesity (BMI) and SO, remained independent factors for fall risk measured as FES-I score (adjusted-R2 = 0.243). Conclusion: In community-dwelling middle-aged and older Spanish women, BMI, gait speed, and fall history were independently associated with FoF, balance confidence, and fall risk. Depression was related only to FoF, and, together with obesity (BMI) and SO, was an independent predictor of fall risk as assessed by the FES-I.Ítem The Female Sexual Function Index: reliability and validity in Spanish postmenopausal women.(LIPPINCOTT WILLIAMS & WILKINS, 2019-04) Pérez-Herrezuelo, Isabel; Hita-Contreras, Fidel; Martínez-Amat, Antonio; Aibar-Almazán, Agustín; Cruz-Díaz, David; Wangensteen, Rosemary; Achalandabaso-Ochoa, Alexander; Díaz-Mohedo, EstherObjective: To examine the reliability and validity of the Spanish version of the Female Sexual Function Index (FSFI) and its ability to discriminate between women with and without female sexual dysfunction (FSD) among Spanish postmenopausal women. Methods: A total of 152 postmenopausal women completed the Spanish version of FSFI. Internal consistency, test-retest reliability, and construct validity (exploratory factor analysis) were analyzed. Concurrent and divergent validity were assessed using a visual analogue scale for overall satisfaction with sexual life and the Hospital Anxiety and Depression Scale, respectively. To determine the ability and the accuracy of the FSFI total score in discriminating between women with and without FSD, a receiver operating characteristic (ROC) curve analysis was performed. Results: Factor analysis suggested a three-factor structure (explained variance 77.77%). The Spanish FSFI showed substantial-to-excellent test-retest reliability, with good internal consistency in the FSFI total score (Cronbach’s alpha=0.964) as well as in its three dimensions. The FSFI total and domains scores showed strong (r>0.50) and significant correlations (p<0.01) with overall satisfaction with sexual life (concurrent validity), and low correlations with anxiety and depression (divergent validity). The Spanish FSFI total score and dimensions were significantly able to discriminate between women with and without FSD (p<0.05), with an optimal cut-off point of <24.95 for the FSFI total score (64.15% sensitivity and 75.76% specificity). Conclusions: The Spanish FSFI is a valid and reliable instrument for assessing and discriminating for FSD among Spanish postmenopausal women.