Examinando por Autor "Gutiérrez-Espinoza, Héctor"
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Ítem A majority of patients with shoulder stiffness following arthroscopic rotator cuff present pain sensitization 6 weeks after surgery. A prognosis study(Elsevier Inc., 2025-06) Gutiérrez-Espinoza, Héctor; Araya-Quintanilla, Felipe; Araya-Quintanilla F.; Celi-Lalama, Daniela; Valenzuela-Fuenzalida, Juan; Fuentes, JorgeIntroduction: There are no published studies that have investigated the occurrence of pain sensitization in patients with postoperative shoulder stiffness. The aim of this study was to describe the presence of pain sensitization and its association with risk factors in patients with shoulder stiffness following arthroscopic rotator cuff (RC) repair. Methods: From 2016 to 2020, a total of 115 patients with shoulder stiffness after RC repair were consecutive and prospectively recruited. All patients completed the Pain Sensitivity Questionnaire (PSQ). Additionally, sociodemographic, comorbidities, anthropometrics, clinical (Tampa Scale of Kinesiophobia [TSK]), and functional outcomes measures (Constant-Murley [CM], Disabilities of the Arm, Shoulder, and Hand [DASH] questionnaires, and Visual Analog Scale [VAS]) were analyzed as baseline predictors; measurements were assessed at 6 weeks after surgery. Results: A total of 75 patients (65.2%) showed pain sensitization. The results showed a positive association between higher values of PSQ-total and a high number of comorbidities (β = 3.5; p < 0.001), higher values of body mass index (β = 1.1; p = 0.04), longer duration of symptoms (β = 2.6; p < 0.001), high level of irritability (β = 4.1; p = 0.01), higher values on the TSK (β = 4.1; p < 0.001), lower scores on the CM (β = 1.4; p < 0.01), higher scores on the DASH (β = 1.9; p < 0.001), and higher values on the VAS (β = 4.2; p < 0.001). Conclusion: A high percentage of patients with shoulder stiffness following arthroscopic RC showed pain sensitization 6 weeks after surgery. Factors such as a high number of comorbidities, fear of movement, and pain intensity are predictors of pain sensitization in these patients. Knowledge and understanding of risk factors should be used in the decision-making process for identification of risk factors for chronic pain after arthroscopic RC repair to enable better care of patients. Level of Evidence: III.Ítem Associations between social networks, messaging apps, addictive behaviors, and sleep problems in adolescents: the EHDLA study(Frontiers Media SA, 2025-01) Navalón-González, María; Montenegro-Espinosa, José Adrián; Gutiérrez-Espinoza, Héctor; Olivares-Arancibia, Jorge; Yañéz-Sepúlveda, Rodrigo; Duclos-Bastías, Daniel; Garrido-Miguel, Miriam; Mesas, Arthur Eumann; López-Gil, José Francisco; Jiménez-López, EstelaThe current study aims to provide a comprehensive analysis of the relationships between social network (SN) use, messaging apps use, and addictive behaviors related to SNs, and sleep-related problems in a sample of Spanish adolescents. Methods: This was a cross-sectional study using data from the Eating Healthy and Daily Life Activities (EHDLA) project, which involved adolescents aged 12–17 years from three secondary schools in Valle de Ricote (Region of Murcia, Spain). A sample of 632 adolescents was studied. The use of SN (i.e., Facebook, Twitter, Instagram, Snapchat or TikTok) or messaging applications (i.e., WhatsApp) was assessed via a scale including one item for each SN, in which adolescents were asked what type of SN they used and the usage profile of each SN. The Short Social Networks Addiction Scale-6 Symptoms (SNAddS-6S) was used to determine SN addictive behaviors. Generalized linear regression analyses with a negative binomial distribution were performed to determine the associations of SN use or SN addictive behaviors with sleep-related problems. These analyses were adjusted for age, sex, body mass index, socioeconomic level, physical activity, sedentary behavior, and adherence to the Mediterranean diet. Results: Higher SN use was related to greater presence of sleep-related problems [prevalence ratio (PR) = 1.04; 95% confidence interval (CI) 1.01–1.07; p = 0.015]. Additionally, the higher the score on the addictive behaviors toward SN use scale was, the more sleep-related problems were identified (PR = 1.15; 95% Cl 1.09 to 1.21; p < 0.001). Specifically, only the use of Twitter was significantly associated with sleep-related problems (PR = 1.10; 95% Cl 1.01 to 1.21; p = 0.035). In terms of addictive behaviors related to SN use, mood modification, relapse, withdrawal, and conflict were significantly associated with sleep-related problems (mood modification: PR = 1.58; 95% CI 1.36 to 1.84; p < 0.001; relapse: PR = 1.24; 95% CI 1.07 to 1.43; p = 0.004; withdrawal: PR = 1.28; 95% CI 1.08 to 1.51; p = 0.004; conflict: PR = 1.19; 95% CI 1.01 to 1.39; p = 0.037). Conclusion: Our results suggest a relationship between SN use, SN addictive behaviors, and sleep-related problems in adolescents. These cross-sectional results should be confirmed in longitudinal and intervention studiesÍtem Correlación entre los Estilos de Aprendizaje Según el Modelo de Felder-Silverman y el Rendimiento Académico de la Asignatura de Morfología y Función en Estudiantes Universitarios(Universidad de la Frontera, 2023-10) Gutiérrez-Espinoza, Héctor; Araya-Quintanilla, Felipe; Valenzuela-Fuenzalida, Juan José; Nova, Pablo; Aviles-Walles, MaickelEl objetivo del estudio fue determinar la relación existente entre la tendencia predominante del estilo de aprendizaje, según el modelo de Felder-Silverman, evaluando el rendimiento académico parcial y final de los estudiantes que cursan la asignatura Morfología y Función I. Se realizó un estudio transversal en 231 estudiantes universitarios que ingresaron a las Facultades de Salud y Educación en el primer semestre del año 2019. Para poder evaluar el rendimiento, a los estudiantes se les aplicó el cuestionario de Índice de Estilos de Aprendizaje y se correlacionó con la nota de la prueba teórica 1, la evaluación práctica 1 y el promedio final de la asignatura. Los resultados muestran que el 53,4 % del total de estudiantes evaluados son visuales, para estos estudiantes el coeficiente de correlación de Spearman fue de -0,378 para prueba teórica (p<0,001), -0.467 para evaluación práctica (p<0,001) y -0.500 para el promedio final (p<0,001). Los estudiantes visuales tienen promedio de notas más altos en la prueba teórica y el promedio final comparado con los activos (p<0,05). Se concluyó que la tendencia predominante es el visual, para estos estudiantes existe una correlación inversa y estadísticamente significativa con el rendimiento académico. Además, presentan un promedio de notas significativamente más alto que las otras tendencias.Ítem Effectiveness of multicomponent treatment in patients with fibromyalgia: protocol for a systematic review and meta-analysis(BioMed Central Ltd, 2022-04) Araya-Quintanilla, Felipe; Gutiérrez-Espinoza, Héctor; Fuentes, Jorge; Prieto-Lafrentz, Fernanda; Pavez, Leonardo; Cristi-Montero, Carlos; Cavero-Redondo, Iván; Álvarez-Bueno, CeliaBackground: The purpose of this protocol is to provide a new systematic review with meta-analysis using the current methodology to compare the effectiveness of multicomponent treatment versus other interventions for patients with fibromyalgia. Methods: This protocol conforms to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) and the recommendations of the Cochrane Collaboration Handbook. An electronic search will be conducted in MEDLINE, EMBASE, Web of Science, Cochrane CENTRAL, LILACS, CINAHL, and PEDro, from inception until April 2022. There will be no language restrictions. The Cochrane Collaboration tool for assessing the risk of bias (RoB2) will be used. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) scale will be used to evaluate the strength of the evidence. The Hartung-Knapp-Sidik-Jonkman random effects or Mantel-Haenszel fixed effects methods will be used, depending on the heterogeneity, to compute a pooled estimate of the mean difference (MD) or standardized mean difference (SMD) and respective 95% confidence intervals for clinical outcomes. Discussion: This systematic review will synthesize evidence on the effectiveness of multicomponent treatment in patients with fibromyalgia and could add important evidence in the treatment of FM to improve clinical practice and decision-making/actions in this field. This new systematic review will try to show the effects of multicomponent treatment by type (endurance, resistance, stretching, or mind-body exercises [pilates or taichi]) and intensity (light, moderate, moderate-to-vigorous, vigorous) of exercise in patients with FM. The results will be disseminated by publication in a peer-reviewed journal. Ethics approval will not be needed because the data used for this systematic review will be obtained from individual trials and there will be no concerns about privacy. However, if we identify ethical issues during the development of the systematic review, these findings will be reported in the discussion of the study. Systematic review registration: PROSPERO CRD42020142082. © 2022, The Author(s).Ítem Interventions focused on Physical Activity and Nutrition to combat obesity in children and adolescents. A scoping review(Federacion Espanola de Docentes de Educacion Fisica, 0025) González-Carrera, Raúl; Montenegro-Espinosa, José b Send mail to Montenegro-Espinosa J.;; Gutiérrez-Espinoza, Héctor; Olivares-Arancibia, Jorge; Castillo-Paredes, Antonio; Yañéz-Sepúlveda, Rodrigo; Pérez-Soto, Juan JoséIntroduction: Childhood and adolescent obesity represents a concerning global epidemic, driven by physical inactivity, sedentary lifestyles, and inadequate eating habits. Objective: To analyse the effectiveness of interventions focusing on physical activity and nutrition in the prevention and treatment of childhood and adolescent obesity. Methodology: A search for scientific studies published up to January 2025 was conducted using PubMed, Web of Science, and Scopus databases. The keywords used were: Children OR Adolescent AND Obesity AND Exercise AND Nutrition AND Prevention. All articles that evaluated the effect of exercise and nutrition interventions focused on obesity prevention in children and adolescents were included. The search strategy yielded 491 studies, of which 8 met the eligibility criteria. Results: Evidence shows that most young people do not meet the World Health Organization (WHO) recommendation of 60 minutes of daily moderate to vigorous physical activity, which is directly related to sedentary behavior and excessive screen time, factors that contribute to the increasing prevalence of obesity. Interventions that combine nutritional education, increased physical activity, and reduced screen time show efficacy, although current programs often lack long-term sustainability. Conclusion: Comprehensive and sustained approaches involving schools, families, and communities within a health education model are needed. Thus, addressing overweight and obesity as a public health problem requires a multifaceted approach that includes improvements in nutrition, increased physical activity, and education to reduce sedentary behaviors. © 2025 Federacion Espanola de Docentes de Educacion Fisica. All rights reserved.Ítem Investigating the Relationship Between Ultra-Processed Food Consumption and Academic Performance in the Adolescent Population: The EHDLA Study(Multidisciplinary Digital Publishing Institute (MDPI), 2025-02) López-Gil, José Francisco; Cisneros-Vásquez, Emily; Olivares-Arancibia, Jorge; Yañéz-Sepúlveda, Rodrigo; Gutiérrez-Espinoza, HéctorBackground: Previous studies have tested the link between diet quality and academic performance in the young population. However, no study has analyzed the specific relationship between ultra-processed food (UPF) consumption and academic performance in adolescents. The aim of the present study was to test the link of UPF consumption with academic performance in a sample of adolescents from Spain. Methods: This secondary cross-sectional analysis utilized information from 788 youths aged 12–17 participating in the Eating Healthy and Daily Life Activities study. The sample comprised 44.7% boys and 55.3% girls, with a median age of 14.0 years (interquartile range [IQR]: 13.0 to 15.0). The UPF consumption was measured through a self-completed food frequency survey. Academic performance was determined using end-of-year academic records provided by each educational institution. To examine the relationships between these variables, generalized linear models were employed. The models were adjusted for factors including sex, age, socioeconomic status, conduct, physical activity, sleep duration, body mass index, and sedentary behavior. Results: Significant dose–response associations between UPF consumption and all the different academic performance indicators, showing that higher UPF consumption is consistently associated with poorer academic performance (p < 0.001 for all). Higher daily UPF servings were associated with lower adjusted marginal means for grade point average, language, maths, and English. Furthermore, adolescents in the highest UPF tertile had a grade point average of 5.6 compared to 6.6 in the lowest tertile, with similar patterns being observed for language (6.0 vs. 7.0), maths (5.2 vs. 6.2), and English (5.7 vs. 6.6). Conclusions: Our study identifies a negative association between UPF consumption and academic performance in adolescents, highlighting it as a modifiable factor that could impact academic outcomes. Adolescents with higher UPF consumption exhibited consistently lower grades across various academic indicators, emphasizing the importance of dietary quality during this critical developmental period.Ítem Investigating the Relationship Between Ultra-Processed Food Consumption and Academic Performance in the Adolescent Population: The EHDLA Study(Multidisciplinary Digital Publishing Institute (MDPI), 0025) López-Gil, José Francisco; Cisneros-Vásquez, Emily; Olivares-Arancibia, Jorge; Yañéz-Sepúlveda, Rodrigo; Gutiérrez-Espinoza, HéctorBackground: Previous studies have tested the link between diet quality and academic performance in the young population. However, no study has analyzed the specific relationship between ultra-processed food (UPF) consumption and academic performance in adolescents. The aim of the present study was to test the link of UPF consumption with academic performance in a sample of adolescents from Spain. Methods: This secondary cross-sectional analysis utilized information from 788 youths aged 12–17 participating in the Eating Healthy and Daily Life Activities study. The sample comprised 44.7% boys and 55.3% girls, with a median age of 14.0 years (interquartile range [IQR]: 13.0 to 15.0). The UPF consumption was measured through a self-completed food frequency survey. Academic performance was determined using end-of-year academic records provided by each educational institution. To examine the relationships between these variables, generalized linear models were employed. The models were adjusted for factors including sex, age, socioeconomic status, conduct, physical activity, sleep duration, body mass index, and sedentary behavior. Results: Significant dose–response associations between UPF consumption and all the different academic performance indicators, showing that higher UPF consumption is consistently associated with poorer academic performance (p < 0.001 for all). Higher daily UPF servings were associated with lower adjusted marginal means for grade point average, language, maths, and English. Furthermore, adolescents in the highest UPF tertile had a grade point average of 5.6 compared to 6.6 in the lowest tertile, with similar patterns being observed for language (6.0 vs. 7.0), maths (5.2 vs. 6.2), and English (5.7 vs. 6.6). Conclusions: Our study identifies a negative association between UPF consumption and academic performance in adolescents, highlighting it as a modifiable factor that could impact academic outcomes. Adolescents with higher UPF consumption exhibited consistently lower grades across various academic indicators, emphasizing the importance of dietary quality during this critical developmental period. © 2025 by the authors.Ítem The hidden clock: how chronotype is related to depression, anxiety, and stress in adolescents – insights from the EHDLA study(BioMed Central Ltd, 0025) Miño, Camila; Smith, Lee; Cristi-Montero, Carlos; Gutiérrez-Espinoza, Héctor; Olivares-Arancibia, Jorge; Yañéz-Sepúlveda, Rodrigo; Stubbs, Brendon; López-Gil, José FranciscoBackground: Depression, anxiety, and stress symptoms are common among adolescents; however, studies exploring their relationship with chronotype in European youth populations is scarce. This study aimed to evaluate the association between chronotype status and depression, anxiety, and stress symptoms in adolescents. Methods: A secondary analysis of the Eating Healthy and Daily Life Activities (EHDLA) cross-sectional study was performed in 703 adolescents (56.3% girls) between 12 and 17 years from the Valle de Ricote, Spain. Chronotype preference was assessed using the Morningness/Eveningness Scale in Children (MESC), while symptoms were evaluated using the Depression, Anxiety, and Stress Scale (DASS-21). A robust generalized linear regression model was used to evaluate the associations between chronotype prefernces and symptoms of depression, anxiety and stress in adolescents. Results: After adjusting for potential covariates (sex, age, socioeconomic status, body mass index, sleep duration, physical activity, sedentary behavior, and energy intake), the highest probability of having depression, anxiety, and stress was identified in those with an eveningness chronotype preference (depression: 27.4%, 95% confidence interval [CI] 17.5–40.1%; anxiety: 28.5%, 95% CI 18.6–41.0%; stress: 47.6%, 95% CI 34.1–61.5%). Conversely, the lowest probability was observed in adolescents with a morningness chronotype preference (depression: 11.9%, 95% CI 8.3–16.8%; anxiety: 15.4%, 95% CI 11.2–28.9%; stress: 19.5%, 95% CI 14.7–25.5%). Significant differences were found when comparing participants with the eveningness chronotype to those with a morningness or intermediate chronotype preference (p < 0.05 for all comparisons). Conclusions: Depression, anxiety, and stress symptoms were more likely in adolescents with an eveningness chronotype preference than in those with morningness or intermediate chronotypes. Chronotype preferences should be taken into account for developing interventions that promote better mental health and healthy sleep habits in adolescents. © The Author(s) 2025.Ítem The Role of Food Security in Mediterranean Diet Adherence Among Adolescents: Findings from the EHDLA Study(Multidisciplinary Digital Publishing Institute (MDPI), 2025-02) Aquino-Blanco, Andrea; Jiménez-López, Estela; Victoria-Montesinos, Desirée; Gutiérrez-Espinoza, Héctor; Olivares-Arancibia, Jorge; Yañéz-Sepúlveda, Rodrigo; Martín-Calvo, Nerea; López-Gil, José FranciscoFood insecurity is a growing public health concern, particularly among vulnerable groups such as adolescents, and it has been linked to poor nutritional outcomes and increased risk of chronic diseases. The Mediterranean diet (MedDiet) is recognized for its numerous health benefits, yet few studies have explored the association between food insecurity and adherence to the MedDiet among adolescents, especially in Mediterranean regions. Objective: This study aimed to investigate the association between food insecurity and adherence to the MedDiet in a sample of adolescents from Spain. Methods: Data were acquired from 2021–2022 school years from adolescents aged 12–17 years enrolled in different secondary schools in Valle de Ricote, Region of Murcia, Spain. Food security was assessed via the Spanish Child Food Security Survey Module (CFSSM-S), and adherence to the MedDiet was assessed via the Mediterranean Diet Quality Index for Children and Adolescents (KIDMED). A total of 836 participants were involved, and statistical analyses were conducted via linear regression models adjusted for lifestyle, anthropometric, and sociodemographic covariates. Results: After adjusting for potential confounders, the mean KIDMED score was 7.0 (95% confidence interval [CI] 6.7 to 7.2) in the food-security group, 6.8 (95% CI 6.3 to 7.3) in the low-security group, and 5.9 (95% CI 4.9 to 6.9) in the very-low-security group. Notable differences were observed between participants with food security and their counterparts with very low food security (p = 0.040). Compared with those with food security (57.2%, 95% CI 51.5% to 62.8%), a significantly greater likelihood of having nonoptimal adherence to the MedDiet was identified in adolescents with low food security (61.6%, 95% CI 50.4% to 71.8%) and in those with very low food security (77.4%, 95% CI 54.5% to 90.7%). We identified a significant difference only between adolescents with food security and their peers with very low food security (p = 0.036). Conclusions: The findings suggest that very low food security negatively impacts MedDiet adherence in adolescents. Compared with their food-secure peers, adolescents with very low food security showed significantly poorer diet quality. These results highlight the importance of addressing food insecurity through low-cost, high-nutrition programs aimed at improving healthy eating habits, particularly for children and adolescents living in low-food-security households. © 2025 by the authors.