Articles publicats (Grup de Recerca en Educació per a la Salut (GREpS))

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    Open Access
    Parents’ Diet Quality and Physical Activity Are Associated with Lifestyle in Spanish Children and Adolescents: The PASOS Study
    (MDPI, 2023-08-17) Monserrat Mesquida, Margalida; Ródenas-Munar, Marina; Gómez Santos, Santiago Felipe; Wärnberg, Julia; Medrano, María; González-Gross, Marcela; Gusi, Narcis; Aznar, Susana; Marín-Cascales, Elena; González-Valeiro, Miguel; Serra-Majem, Lluis; Pulgar, Susana; Segú, Marta; Fitó, Montserrat; Según, G.; Benavente-Marín , Juan C.; Labayen, Idoia; Zapico, Augusto G.; Sánchez-Gómez, Jesús; Jiménez-Zazo, Fabio; Alcaraz, Pedro E.; Sevilla-Sánchez, Marta; Herrera-Ramos, Estefanía; Schröder, Helmut; Tur, Josep A.; Bouzas, Cristina
    Background: Non-communicable chronic diseases are associated with a low-quality diet, low physical activity, and sedentary behavior. Objective: To assess how parents’ diet and physical activity habits were associated with their offsprings’ lifestyles. Study design: A cross-sectional analysis of 8–16-year-old children and adolescents (n = 2539; 51.9% girls) was carried out within the frame of the first edition of the Physical Activity, Sedentarism, Lifestyles, and Obesity in Spanish Youth study (PASOS-2019). Data on adherence to the Mediterranean Diet (MedDiet), daily moderate–vigorous physical activity (MVPA), and screen time per day (television, computer, video games, and mobile phone) were collected from children and adolescents, and data on parents’ diet quality and physical activity were compiled. Logistic regression models were used to assess the association between parents’ lifestyles and those of children and adolescents. Results: High diet quality of parents was associated with higher adherence to the MedDiet of children and adolescents, as well as high consumption of fruit, vegetables, fish, nuts, and legumes. The high physical activity level of parents was associated with the low consumption of fast foods, sweets, and candies in children and adolescents. Children with high levels of physical activity were those whose parents showed better diet quality and physical activity levels. Conclusions: Parents’ high diet quality and physical activity were associated with healthy lifestyles, higher adherence to the MedDiet, and physical activity of their offspring, mainly in adolescents.
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    Open Access
    Advertising, obesity and child health: the case of Spain
    (BMJ, 2022) Gómez Santos, Santiago Felipe; Rajmil, L.
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    Open Access
    Study protocol of a population-based cohort investigating Physical Activity, Sedentarism, lifestyles and Obesity in Spanish youth: the PASOS study
    (BMJ, 2020) Gómez Santos, Santiago Felipe; Homs, Clara; Wärnberg, Julia; Medrano, Maria; González-Gross, Marcela; Gusi, Narcis; Aznar, Susana; Cascales, Elena Marín; González-Valeiro, Miguel; Serra-Majem, Lluis; Terrados, Nicolás; Tur, Josep A.; Segú, Marta; Lassale, Camille; Benavente-Marín, Juan C.; Labayen, Idoia; García Zapico, Augusto; Sánchez-Gómez, Jesús; Jiménez-Zazo, Fabio; Alcaraz, Pedro Emilio; Sevilla-Sánchez, Marta; Herrera-Ramos, Estefanía ; Pulgar, Susana; Bibiloni, Maria Del Mar; Sancho, Olga; Schröder, Helmut
    Introduction Physical activity (PA) is essential to healthy mental and physical development in early life. However, the prevalence of physical inactivity, which is considered a key modifiable driver of childhood obesity, has reached alarming levels among European youth. There is a need to update the data for Spain, in order to establish if current measures are effective or new approaches are needed. Methods and analysis We present the protocol for Physical Activity, Sedentarism, lifestyles and Obesity in Spanish youth (PASOS). This observational, nationally representative, multicentre study aims to determine the PA levels, sedentary behaviours and prevalence of physical inactivity (defined as <60min of moderate to vigorous PA per day) in a representative sample of Spanish children and adolescents. The PASOS study has recruited a representative random sample of children and adolescents aged 8–16 years from 242 educational centres in the 17 ‘autonomous regions’ into which Spain is divided. The aim is to include a total of 4508 youth participants and their families. Weight, height and waist circumference will be measured by standardised procedures. Adherence to the Mediterranean diet, quality of life, sleep duration, PA and sedentary behaviour are being measured by validated questionnaires. PA is measured by the Physical Activity Unit 7-item Screener. A representative subsample (10% of participants) was randomly selected to wear accelerometers for 9 days to obtain objective data on PA. Parents are asked about their educational level, time spent doing PA, diet quality, self-perceived stress, smoking habit, weight, height, their child’s birth weight and if the child was breast fed.
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    Open Access
    The attitudes of mental health nurses that support a positive therapeutic relationship: The perspective of people diagnosed with BPD
    (John Wiley & Sons, 2021-05-03) Romeu Labayen, Maria; Tort Nasarre, Glòria; Rigol Cuadra, Assumpta; Giralt Palou, Rosa; Galbany Estragués, Paola
    Introduction: The therapeutic relationship between mental health nurses and people diagnosed with borderline personality disorder (BPD) is essential to successful treat-ment, and nurses’ attitudes are a key component of this relationship. Some nurses develop positive therapeutic relationships with people diagnosed with BPD, while others have negative emotional reactions which in turn limit their ability to develop a positive therapeutic relationship. There is a gap in the literature with respect to how people diagnosed with BPD perceive the attitudes of mental health nurses that foster a positive therapeutic relationship.Aim: To describe how people diagnosed with BPD who have experienced an improve-ment perceive the role of the attitudes of mental health nurses in building a positive therapeutic relationship.Method: Qualitative descriptive design with 12 interviews; thematic content analysis.Results: Participants identified five attitudes of mental health nurses as contribut-ing to a positive therapeutic relationship: confidence in their ability to recover, non- judgement, humour, availability and humanity.Discussion: Nurses’ attitudes are key to the therapeutic relationship. It may be pos-sible for nurses to improve their attitudes towards patients diagnosed with BPD through self- reflection.Implications for practice: Mental health nurses should incorporate methods that ex-plore attitudes and attitudinal development of the workforce.
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    Open Access
    Association of eating behaviors, lifestyle, and maternal education with adherence to the Mediterranean diet in Spanish children
    (Elsevier, 2018-11) Bawaked, Rowaedh Ahmed; Gómez Santos, Santiago Felipe; Homs, Clara; Casas Esteve, Rafael; Cardenas, Gabriela; Fitó Colomer, Montserrat; Schröder, Helmut
    Background The Mediterranean diet serves as a proxy of a high-quality diet. Although several factors are known to affect a child's ability to follow a high-quality diet, no prospective data are available on factors that influence adherence to a Mediterranean diet among children. Our objective was to investigate the association of Mediterranean diet adherence with eating behaviors, lifestyle habits, and maternal education in a prospective cohort of children. Methods The present prospective cohort analysis included 1639 children aged 8–10 years. The study was carried out during two academic years, 2012/2014, with an average follow-up of 15 months. Eating behaviors, physical activity, and adherence to Mediterranean diet were estimated by the Dutch Eating Behavior Questionnaire for Children, the Physical Activity Questionnaire for Children, and the KIDMED index, respectively. Results Multivariate linear regression analysis adjusted for sex, age, maternal education, baseline adherence to the Mediterranean diet, and intervention group revealed a significant (p < 0.01) inverse association of external eating and screen time with adherence to the Mediterranean diet at follow-up (mean of 15 months). The opposite association was found for meal frequency and physical activity (p < 0.02). A high level of maternal education increased the odds of a child's high adherence to the Mediterranean diet (OR = 1.56 CI 1.13; 2.14) compared to peers whose mothers had only a primary education. Conclusions Screen time, physical activity, meal frequency, and external eating predict adherence to the Mediterranean diet independently of baseline diet quality. Maternal education level is an important prospective determinant for the adherence to the Mediterranean diet.