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546,196 artículos

Año: 2017
ISSN: 1606-7916, 0036-3634
Foley, John T; Lloyd, Meghann; Turner, Lesley; Temple, Viviene A
Instituto Nacional de Salud Pública
Objectives. To examine both body mass index (BMI) status and waist circunference (WC) in a large international sample of adult Special Olympics participants from Latin America. It also explored the association of age and sex with obesity in this population. Materials and methods. BMI and WC records from a total of 4 174 (2 683 male and 1 491 female) participant records from the Special Olympics International Health Promotion database were examined. Results. The prevalence of overweight and obesity was quite high (i.e. >40%), but generally lower than studies involving adults with intellectual disabilities from Europe and the USA. Chi-square analyses revealed that both increasing age and being female significantly predicted levels of overweight, obesity, and WC. Conclusions. These results suggest that efforts need to be made to prevent and reduce rates of overweight and obesity among Latin American Special Olympics participants,particularly women.   
Año: 2017
ISSN: 1606-7916, 0036-3634
Bernal-Celestino, Rubén José; León-Hurtado, Daniel; Martínez-Leal, Rafael
Instituto Nacional de Salud Pública
Objective. People with intellectual developmental disorders (IDD) have worse health statuses in comparison with general population. The objective of this paper is to compare access and hospital morbimortality in people with IDD and general population. Material and methods. We conducted aretrospective cross-sectional analytical study and analyzed data on admissions and discharges between IDD patients and the rest of them, in Ciudad Real, España. Results. Out of 51 325 hospital admissions, 441 (0.9%) belonged to the group of persons with IDD. The IDD group had fewer programmed hospitalization than the general population and fewer surgical interventions. They presented more admissions for mental disorders and respiratory system diseases. Conclusions.The data presented confirm TDI population have different patterns of disease. Furthermore, this study reveal potential difficulties in access to health care in this population. 
Año: 2017
ISSN: 1606-7916, 0036-3634
Folch-Mas, Anabel; Cortés-Ruiz, María José; Vicens-Calderón, Paloma; Martínez-Leal, Rafael
Instituto Nacional de Salud Pública
Objective. To better understand the health profiles of people with intellectual disability (ID), focusing on the variables that are associated with a poorer health status. Materials and methods. Data were collected from the Survey on Disability, Personal Autonomy and Dependency (EDAD 2008) of the Spanish National Statistics Institute (INE). The health data of 2 840 subjects with IDD were analyzed in order to verify the impact of different variables on their health profiles. Results. People with severe and profound levels of IDD presented a higher number of medical diagnoses.At residence centers there was a larger proportion of individuals with a higher prevalence of chronic diseases and more severe conditions; age also was an important factor. Conclusion. The health profiles of individuals with IDD differ depending on the severity level of their IDD and their degree of institutionalization. Further research is needed to provide better health care for people with IDD.
Año: 2017
ISSN: 1606-7916, 0036-3634
Ríos-Blancas, María Jesús; Cahuana-Hurtado, Lucero; Lamadrid- Figueroa, Héctor; Lozano, Rafael
Instituto Nacional de Salud Pública
Objective. To estimate the effective coverage (EC) of treatment of hypertension (HT) in Mexican adults in 2012 and compared with those reported in 2006. Materials and methods. The National Health and Nutrition Survey 2012 was analyzed. The EC has three dimensions: health need as prevalence of HT, utilization of health services when the need is real and quality as recovering health after the treatment. The EC of treatment of HT was estimated using instrumental variables. Results. In 2012, the EC national of treatment of HT was 28.3% (95%CI 26.5-30.1), ranging from Michoacan with 19.3% (15.3-23.4) to State of Mexico with 39.7% in (25.3- 54.0). From 2006 to 2012 the national EC increased 22.5%. Conclusion. The EC treatment of hypertension is low and heterogeneous. The use of synthetic indicators should be a daily exercise of measurement, because report summarizes the performance of state health systems.
Año: 2017
ISSN: 1606-7916, 0036-3634
Frey, Georgia C; Temple, Viviene A; Stanish, Heidi I
Instituto Nacional de Salud Pública
Objective. To describe interventions designed to promote physical activity for youth with intellectual disabilities. Materials and methods. A systematic review of nine databases until January 31, 2015 identified 213 citations. The inclusion criteria were: a) the study sample consisted of youth with intellectual disabilities, b) the study implemented an intervention to initiate, increase, or maintain physical activity, and c) quantitative or qualitative data were used to report the effectiveness of the intervention. Eleven articles from the 213 citations met this criterion. Results. Nine studies reported significant increases in physical activity behavior. Conclusions. Conclusions cannot be made regarding intervention components that impacted outcome variables, if the observed effects were specifically due to the intervention or if interventions could be maintained long-term. To advance the knowledge base in this area, a concerted effort should be made to increase rigor in study conceptualization and research design.
Año: 2017
ISSN: 1606-7916, 0036-3634
Caux, Chantal; Lecomte, Jocelin
Instituto Nacional de Salud Pública
 Persons with an intellectual disability (ID) who interact with the Quebec health and social services system are faced with major decisions regarding the care they are offered. As consent to care derives from the fundamental right of all persons to personal inviolability and to autonomous decision making, they therefore have the right to accept or refuse any and all health and psychosocial care proposed. However, as free and informed consent to care must be given by an able person, the situation becomes somewhat more complicated whereas persons with ID are concerned. This article presents reflections on the challenges and issues relative to these persons’consent to health and psychosocial care.
Año: 2017
ISSN: 1606-7916, 0036-3634
B Ahluwalia, Indu; A Arrazola, René; Graffunder, Corinne
Instituto Nacional de Salud Pública
Nearly six million people worldwide die from tobacco-attributable causes every year, making tobacco the leading cause of preventable disease and death. If current trends continue, tobacco use is expected to result in one billion deaths by the end of the century, most of these in low- and middle-income countries. Cigarette smoking is the most common form of tobacco use in most countries, and the majority of adult smokers try their first cigarette before the age of 18...
Año: 2017
ISSN: 1606-7916, 0036-3634
da Costa e Silva, Vera Luiza
Instituto Nacional de Salud Pública
The WHO Framework Convention on Tobacco Control (WHO FCTC) is the United Nations tobacco control treaty, fostering public health in previously neglected areas. 179 countries as well as the European Union are WHO FCTC Parties, and it comprises both the Northern and Southern hemispheres. Intergovernmental and non-governmental organizations are active observers. It is a powerful alliance for a serious problem – the huge global epidemic caused by tobacco...
Año: 2017
ISSN: 1606-7916, 0036-3634
Saturno-Hernández, Pedro Jesús; Martínez-Nicolás, Ismael; Poblano-Verástegui, Ofelia; Vértiz-Ramírez, Jesús de Jesús; Suárez-Ortíz, Erasto Cosme; Magaña-Izquierdo, Manuel; Kawa-Karasik, Simón
Instituto Nacional de Salud Pública
 Objective. To select, pilot test and implement a set of indi­cators for tertiary public hospitals. Materials and meth­ods. Quali-quantitative study in four stages: identification of indicators used internationally; selection and prioritization by utility, feasibility and reliability; exploration of the quality of sources of information in six hospitals; pilot feasibility and reliability, and follow-up measurement. Results. From 143 indicators, 64 were selected and eight were prioritized. The scan revealed sources of information deficient. In the pilot, three indicators were feasible with reliability limited. Has conducted workshops to improve records and sources of information; nine hospitals reported measurements of a quarter. Conclusions. Eight priority indicators could not be measured immediately due to limitations in the data sources for its construction. It is necessary to improve mechanisms of registration and processing of data in this group of hospital.
Año: 2017
ISSN: 1606-7916, 0036-3634
Garza-Montoya, Beatriz Gabriela; Ramos-Tovar, María Elena
Instituto Nacional de Salud Pública
Objetivo. Analizar la proporción del gasto y de su frecuencia en alimentos y bebidas consumidos dentro y fuera del hogar, en los ámbitos nacional y regional en México entre 1984 y 2014. Material y métodos. Se analizaron datos de la Encuesta Nacional de Ingresos y Gastos de los Hogares (ENIGH) 1984, 1994, 2005 y 2014 sobre el gasto monetario de los hogares en alimentos y bebidas. Se utilizaron estadísticas descriptivas tales como porcentajes, tasas de crecimiento y tablas de contingencia. Resultados. Se encontraron cambios en patrones del gasto alimentario a nivel nacional y regional. Aumentó la proporción del gasto y de su frecuencia en bebidas no alcohólicas, alimentos preparados, comidas fue­ra de casa y cereales. Disminuyó la proporción del gasto y de su frecuencia en aceites y grasas, frutas, vegetales y azúcares y mieles. Conclusiones. Los cambios detectados pueden estar relacionados con transformaciones políticas, económi­cas, sociales y culturales manifestadas en las últimas décadas.

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