Examinando por Autor "Hita-Contreras, Fidel"
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Ítem Associations between the impact of menopausal symptoms and fall-related self-efficacy(Lippincott, 2023-04-01) Espírito Santo, João; Marques de Loureiro, Nuno Eduardo; Brandão Loureiro, Vânia; Aibar-Almazán, Agustín; Hita-Contreras, FidelObjective: To analyze the association between the severity of menopausal symptoms and two important fall risk factors, namely balance confidence and fear of falling, among Portuguese and Spanish postmenopausal women aged ≥ 65 years. Methods: A cross-sectional, observational study was conducted on 363 women (66.21 ± 9.00 years) from several Portuguese and Spanish locations. The Menopause Rating Scale (MRS) was used to evaluate the severity of menopausal symptoms, while the Falls Efficacy Scale-International and Activities-specific Balance Confidence Scale-16 items were used to assess balance confidence and fear of falling, respectively. Anxiety and depression (evaluated by the Hospital Anxiety and Depression Scale), age, time since the onset of menopause, body mass index (BMI), history of falls, osteoporosis, smoking habit, physical activity level, and nocturia were considered as potential confounders. Independent associations were analyzed after adjusting for potential confounding variables. Student’s t test, bivariate correlations and multivariate linear regression analysis were performed. Results: A total of 363 women (66.21 ± 9.00 years) participated in the study, 192 from Portugal and 171 from Spain. Linear regression analysis indicates that more severe menopausal symptoms at a somato-vegetative level (beta coefficient (β) = -0.25; 95% confidence interval (95% CI):-2.09 to -0.81; p = <0.001), a higher BMI (β = -0.16; 95% CI:-1.22 to -0.22; p = 0.005), and osteoporosis (β = 0.14; 95% CI: 1.36 to 10.08; p = 0.010) were associated with lower balance confidence values. On the other hand, a higher score in the MRS somato-vegetative domain (β = 0.22; 95% CI: 0.27 to 0.79; p = <0.001), depression (β = 0.36; 95% CI: 0.59 to 1.08; p = <0.001), and years after the menopause onset (β = 0.15; 95% CI: 0.04 to 0.22; p = 0.006) were linked to increased fear of falling. Conclusions: The findings of our study show that, after taking into account possible confounders, increased severity of menopausal symptoms at a somatic level was associated with heightened fear of falling and diminished balance confidence.Ítem Efectos de un programa de rehabilitación vestibular domiciliaria en pacientes con inestabilidad y alteraciones vestibulares unilaterales. Fiabilidad y validez de la versión española del cuestionario ABC(Jaén : Universidad de Jaén, 2016-10-07) Montilla-Ibáñez, María-de-Alharilla; Hita-Contreras, Fidel; Martínez-Amat, Antoio; Universidad de Jaén. Departamento de Ciencieas de la Salud[ES]En esta tesis doctoral se llevaron a cabo dos estudios. Primero se realizó la validación de la versión en español del cuestionario ABC, concluyendo que es un instrumento válido y fiable para la determinación de la confianza sobre el equilibrio en la realización de actividades de la vida diaria y su aplicación en investigaciones médicas y en la práctica clínica. El segundo estudio fue un ensayo clínico aleatorizado controlado realizado en pacientes con alteraciones vestibulares periféricas unilaterales para comprobar los efectos de un programa de rehabilitación vestibular domiciliaria basado en los ejercicios de Cawthorne-Cooksey de 4 semanas de duración. Los resultados reflejaron que el grupo experimental, comparado con el grupo control, mostró una mejoría significativa respecto al impacto del vértigo sobre la calidad de vida y las actividades cotidianas, así como sobre control postural y en la confianza en su equilibrio para la realización de tareas habituales.Ítem Efectos de un programa de alta intensidad por intervalos en mujeres postmenopáusicas no institucionalizadas con riesgo de padecer sarcopenia(2024-01-23) Alzar-Teruel, María; Hita-Contreras, Fidel; Aibar-Almazán, Agustín; Universidad de Jaén. Departamento de Ciencias de la SaludEsta tesis tiene los siguientes objetivos: -Revisar las publicaciones sobre los efectos del ejercicio de alta intensidad por intervalos sobre la fuerza muscular y la obesidad, observándose la eficacia del HIIT para mejorar dichos parámetros en adultos mayores y de mediana edad. -Conocer las asociaciones entre el cuestionario SARC-F y las variables asociadas con la salud física y mental, concluyéndose que el SARC-F es un predictor independiente del riesgo de caídas en mujeres postmenopáusicas de mediana edad y mayores que viven en la comunidad. -Estudiar los efectos de un programa de alta intensidad por intervalos sobre diferentes indicadores de salud en mujeres postmenopáusicas con riesgo de sarcopenia, observándose que mejora significativamente el porcentaje de grasa corporal, el dominio físico del cuestionario SF-36, la calidad del sueño, mediante la puntuación total del PSQI y los síntomas depresivos. También mejora la confianza en el equilibrio, el miedo a caerse y la ansiedad, pero no significativamente. This thesis has the following objectives: Review the publications the effects of of high-intensity interval training (HIIT) on muscle strength and obesity, observing the effectiveness of HIIT to improve these parameters in older and middle-aged adults. Study he associations between the SARC-F questionnaire and the variables associated with physical and mental health. It was observed that the SARC-F is an independent predictor of the risk of falls in middle-aged and older postmenopausal women living in the community. Study the effects of HIIT on different health indicators in postmenopausal women at risk of sarcopenia. The HIIT significantly improves the percentage of body fat, the physical domain of the SF-36 questionnaire, the quality of sleep, through the PSQI total score, and depressive symptoms. It also improves confidence in balance, fear of falling and anxiety, but not significantly.Ítem Effects of a Yoga Program Combined with a Mediterranean Diet on Nutritional Status and Functional Capacity in Community-Dwelling Older Adults: A Randomized Controlled Clinical Trial(MDPI, 2024-04-24) Carcelén-Fraile, María del C.; Martín-Baute, María R.; Ledesma-Cerrato, María I.; Castellote-Caballero, Yolanda; González-Martín, Ana M.; Hita-Contreras, Fidel; Cano-Sánchez, Javier; Aibar-Almazán, AgustínBackground: With the aging population, effective interventions are needed to enhance the health of older adults. This study investigated the combined effects of yoga and the Mediterranean diet on various health outcomes in community-dwelling older adults. Methods: The study employed a randomized controlled trial design with a total of 116 older adults randomized to an experimental group (n = 57) that underwent a combined yoga and Mediterranean diet program and a control group (n = 59) that did not receive any intervention. Nutritional status was assessed using the Mini Nutritional Assessment, flexibility with the Back Scratch Test and the Chair Sit-and-Reach Test, balance, gait, and fall risk with the Tinetti Scale, and muscle strength with a dynamometer and the 30 s Chair Stand Test. Results: Regarding nutritional status, there were significant differences between the experimental group and the control group (Cohen’s d = 0.02). The participants in the experimental group showed greater balance (11.12 ± 3.01 vs. 10.03 ± 2.35, Cohen’s d = 0.41 and gait (7.63 ± 1.96 vs. 6.69 ± 2.50, Cohen’s d = 0.44) with respect to the control group. In terms of flexibility, the experimental group showed statistically significant improvements in the right arm (Cohen’s d = 0.43), left arm (Cohen’s d = 0.64), right perineum (Cohen’s d = 0.42), and left leg (Cohen’s d = 0.37) Finally, in terms of strength, participants in the experimental group experienced statistically significant improvements in grip strength and lower body strength (Cohen’s d = 0.39 and 0.81, respectively). Conclusions: The study highlights the potential benefits of a 12-week intervention combining yoga with a Mediterranean diet to improve the health and functional capacities of community-dwelling older adults.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 Estudio de la relación entre la densidad mineral ósea y la composición corporal con el equilibrio postural, el riesgo de caídas y la calidad de vida en mujeres postmenopáusicas. Validación del cuestionario de calidad de vida QUALEFFO-31(Jaén : Universidad de Jaén, 2014-12-19) González-Matarín, Pedro-José; Hita-Contreras, Fidel; Martínez-Amat, Antonio; Universidad de Jaén. Departamento de Ciencias de la Salud[ES] Las caídas son una de las principales causas de fracturas y alteraciones de calidad de vida en las personas mayores. La menopausia está relacionada con una pérdida de densidad mineral ósea (DMO) y alteraciones en la morfología corporal. En este trabajo hemos obtenido la versión española del cuestionario de calidad de vida QUALEFFO-31 y hemos comprobado sus propiedades psicométricas. También hemos podido concluir que, en mujeres postmenopáusicas españolas entre 50-65 años, la DMO baja se asocia a peor equilibrio postural en la prueba de Romberg-ojos abiertos y a mayor miedo a caerse, mientras que las mujeres con normopeso y distribución de grasa ginecoide presentan mejor equilibrio con ojos cerrados que las que tienen sobrepeso u obesidad y distribución uniforme o androide respectivamente. Finalmente, las mujeres con DMO baja y con obesidad presentan peor calidad de vida (QUALEFFO-31) mientras que no hay diferencias significativas respecto a la distribución de grasa corporalÍtem Impact of Psychological Distress and Sleep Quality on Balance Confidence, Muscle Strength, and Functional Balance in Community-Dwelling Middle-Aged and Older People(MDPI, 2020-09-22) Fábrega-Cuadros, Raquel; Aibar-Almazán, Agustín; Martínez-Amat, Antonio; Hita-Contreras, FidelThe objective was to evaluate the associations of psychological distress and sleep quality with balance confidence, muscle strength, and functional balance among community-dwelling middle-aged and older people. An analytical cross-sectional study was conducted (n = 304). Balance confidence (Activities-specific Balance Confidence scale, ABC), muscle strength (hand grip dynamometer), and functional balance (Timed Up-and-Go test) were assessed. Psychological distress and sleep quality were evaluated by the Hospital Anxiety and Depression Scale and the Pittsburgh Sleep Quality Index, respectively. Age, sex, physical activity level, nutritional status, and fatigue were included as possible confounders. Multivariate linear and logistic regressions were performed. Higher values of anxiety (OR = 1.10), fatigue (OR = 1.04), and older age (OR = 1.08) were associated with an increased risk of falling (ABC < 67%). Greater muscle strength was associated with male sex and improved nutritional status (adjusted R2 = 0.39). On the other hand, being older and using sleeping medication were linked to poorer functional balance (adjusted R2 = 0.115). In conclusion, greater anxiety levels and the use of sleep medication were linked to a high risk of falling and poorer functional balance, respectively. No associations were found between muscle strength and sleep quality, anxiety, or depression.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.Ítem Time course and predictors of persistent cancer-related fatigue in long-term breast cancer survivors: a prospective observational study(SPRINGER, 2022-12-15) Álvarez-Salvago, Francisco; Jiménez-García, José D.; Martínez-Amat, Antonio; Hita-Contreras, Fidel; Aibar-Almazán, AgustínPurpose: The present study investigated whether the level of cancer-related fatigue (CRF) after finishing oncology treatment was related to higher levels of persistent CRF and its relationship with both functional and psychological disturbances. Second, to identify potential predictors of persistent CRF. Methods: Eighty BC survivors were classified into non-fatigued (≤ 3.9) or fatigued (≥ 4), according to their Piper Fatigue Scale total score after finishing oncology treatment. The time course of fatigue and the impact on its domains, pain, mood state, perceived physical fitness, the level of physical activity, and quality of life were assessed at ≥ 5 years. Results: Women classified as fatigued after finishing oncology treatment had not only a higher prevalence of persistent CRF (41.2%) at the reassessment, but also greater levels of pain (P = .006 to .048) and mood disturbances (P = .007 to .015), and lower levels of physical fitness condition (P = .002 to .039) and quality of life (P < .001 to < .05) over time. Regression analyses revealed that "sadness/depression," "global health status," "physical activity level," and "type of treatment" were significant predictors of persistent CRF (r2 = .692). Conclusion: Higher levels of CRF implied greater levels of persistent CRF and a lower functional and psychological profile over time. 69.2% of of persistent CRF was explained.