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Feasibility and Effectiveness of ‘Gaining Health & Wellbeing from Birth to Three’ Positive Parenting Programme
(Colegio Oficial de la Psicología de Madrid, 2021) Callejas Castro, Enrique; Byrne, Sonia; Rodrigo López, María José; Universidad de Extremadura. Departamento de Psicología y Antropología; Universidad de La Laguna
Parental promotion of an adequate environment during early childhood results in healthy child development. This study evaluated the feasibility and effectiveness of the positive parenting programme, ‘Gaining health and wellbeing from birth to three’ (GH&W), as a universal prevention strategy. Participants were 87 parents with children < 36 months old attending 20 primary care centres. Centres were randomly assigned to three GH&W intervention levels: online course (level 1), online course plus group workshops (level 2), and online course plus group workshops plus individual support at medical check-ups (level 3), delivered by healthcare professionals. As for feasibility, participants in levels 2 and 3 reported higher utility and satisfaction with the online course than participants in level 1. Pretest-posttest comparisons and cluster analysis showed that participants in level 3 achieved the best results and were associated with a consolidated cluster characterised by improvements in health promotion activities, parental self-regulation, and satisfaction with the service, whereas participants in levels 1 and 2 showed fewer improvements and were associated with initial and transitional clusters. The GH&W programme improves the universal reach of web-based courses and efficiently activates the contribution of the primary care system to the support network for healthy child development and wellbeing.
Optimal Control of all Modifiable Vascular Risk Factors Among Patients With Atherosclerotic Disease. A Real-Life Study
(Elsevier, 2023) Escudero Sánchez, Guillermo; Rico Martín, Sergio; Sánchez Bacaicoa, Carmen; Costo Muriel, Clara; Galán González, Javier; Calderón García, Julián Fernando; Pedrera Zamorano, Juan Diego; Sánchez Muñoz-Torrero, Juan Francisco; Universidad de Extremadura. Departamento de Enfermería; Hospital Virgen del Puerto (Plasencia, Cáceres)
; Hospital de Menorca
; Hospital Comarcal de la Axarquía. Málaga; Hospital San Pedro Alcántara. Cáceres
The effects of maintaining all classical, vascular risk factors on target among patients with stabilized atherosclerotic cardiovascular disease (ASCVD) are uncertain. Factores de Riesgo y ENfermedad Arterial (FRENA) was a prospective registry of consecutive outpatients with coronary, cerebrovascular, or peripheral artery disease. We analyzed the incidence of recurrent events and mortality according to sustained, optimal control of principal risk factors including the following: LDL cholesterol, glucose, blood pressure, and smoking. As of December 2018, 4285 stable outpatients were eligible for this study. Over a median follow-up of 21 months, 664 (15%) maintained all risk factors on target (Group 1), while 3621 (85%) did not (Group 2). During follow-up, no differences in recurrent major adverse cardiovascular events (MACEs) or death were observed between groups. On multivariable analysis, patients with previous known dyslipidemia (hazard ratio [HR]: 95% confidence interval (95% CI): ([HR]: 1.20 [95% CI, 1.03-1.40]), polyvascular disease ([HR]: 1.98 [95% CI, 1.69-2.32]), insulin therapy ([HR]: 1.56 [95% CI, 1.24-1.95]) and associated conditions ([HR]: 1.47 [95% CI, 1.24-1.74]) were associated with a higher risk for subsequent MACE. The presence of associated medical conditions was also strongly associated with all-cause death ([HR]: 3.49 [95% CI, 2.35-5.19]). Only a minority of patients with atherosclerotic cardiovascular disease achieved sustained optimal control for all principal risk factors although without discernible clinical, therapeutic benefit. The findings of the present study provide some insights into what factors may be used to guide physicians in adapting intensive, multifactorial therapy to the individual patient in clinical practice.
A Bibliometric Review of Willingness to Pay for and Consume Sustainably Produced Beers
(MDPI, 2025) Salgado Valverde, Iris; Pache Durán, María; Muñoz Muñoz, Elena; Díaz Caro, Carlos; Universidad de Extremadura. Departamento de Economía Financiera y Contabilidad; Universidad de Extremadura. Departamento de Dirección de Empresas y Sociología
This study conducts a systematic literature review and bibliometric analysis of scientific publications examining the relationship between consumer behaviour toward sustainably produced beer and the consumption and production context of their countries. Based on a sample of 112 articles (1991–2025) indexed in the Web of Science database, the main research lines, influential authors, applied methodologies, and emerging trends are identified. The analysis shows a growing interest in understanding how sustainable beer attributes influence consumer purchasing decisions, alongside notable thematic and methodological dispersion. Using tools such as VOSviewer 1.16.19 and SciMAT 1.1.06, the study maps the driving themes in the field, highlighting the centrality of concepts such as preferences and consumer behaviour. The results reveal both recent advances and existing gaps in the literature, especially with regard to beer in comparison to other beverages. This work contributes to the existing body of research and proposes future directions to enhance sustainability in the brewing sector from a consumer perspective, adding value to the beer industry and paving the way for more sustainable consumption.
Effects of "Ganoderma lucidum" and "Ceratonia siliqua" on blood glucose, lipid profile, and body composition in women with fibromyalgia
(Arán Ediciones, 2021) Pazzi, Francesco; Adsuar Sala, José Carmelo; Domínguez Muñoz, Francisco Javier; García Gordillo, Miguel Ángel; Gusi Fuertes, Narcís; Collado Mateo, Daniel; Universidad de Extremadura. Departamento de Didáctica de la Expresión Musical, Plástica y Corporal; Universidad de Extremadura. Grupo de Investigación Health, Economy, Motricity and Education (HEME); Universidad de Extremadura. Grupo de Investigación Actividad Física, Calidad de Vida y Salud (AFYCAV); Universidad Autónoma de Chile; Universidad Rey Juan Carlos
Introducción: la fibromialgia (FM) es una afección reumática crónica que está relacionada con altos niveles de colesterol, altos valores de presión diastólica, una mayor relación cintura-cadera y un mayor índice de masa corporal.
Objetivos: el objetivo de este estudio fue evaluar los efectos de “Ganoderma lucidum” (GL) y “Ceratonia siliqua” (CS) sobre los parámetros sanguíneos y antropométricos de mujeres con fibromialgia.
Métodos: se realizó un ensayo piloto aleatorizado con doble ciego. Un grupo tomó 6 g/día de carpóforos micromolidos de GL durante 6 semanas, mientras que el segundo grupo tomó la misma dosis de harina de CS. Se evaluaron los niveles de glucosa, colesterol y triglicéridos, el peso, la masa grasa, la masa muscular, la relación cintura-cadera y la presión arterial.
Resultados: los resultados no han evidenciado ninguna diferencia estadísticamente significativa entre el GL y la CS en ninguna de las medidas analizadas, aunque hubo tendencia de la CS a reducir los niveles de glucosa y aumentar la relación cintura-cadera.
Conclusiones: los resultados obtenidos indican que la suplementación de la dieta con GL y CS no tiene efectos positivos sobre los parámetros sanguíneos y antropométricos analizados en las mujeres con fibromialgia. Debido a las limitaciones del estudio, será necesario confirmar estos datos con ulteriores investigaciones.
Nutritional intervention in chronic heart failure patients: A randomized controlled clinical trial
(Elsevier, 2024) Ortiz Cortes, Carolina; Rey Sánchez, Purificación; Gómez Barrado, José Javier; Bover Freire, Ramón; Paredes Galán, Emilio; Calderón García, Julián Fernando; Esteban Fernández, Alberto; Rico Martín, Sergio; Rey Sánchez, Purificación; Universidad de Extremadura. Departamento de Enfermería; Hospital Universitario Fundación Alcorcón; Hospital San Pedro de Alcántara. Cáceres
; Hospital Clínico San Carlos. Madrid
; Hospital Universitario Severo Ochoa. Madrid
Abstract
Background and objectives: Malnutrition is common in patients with heart failure (HF) and is associated with poor prognosis. We evaluated the prognostic and clinical impact of a nutritional intervention in malnourished patients with chronic HF.
Methods: A randomized controlled clinical trial was carried out in patients with chronic HF who were malnourished or at risk. Participants were randomized to receive an individualized nutritional intervention or conventional management. The primary endpoint was a composite of all-cause mortality or time-to-first HF hospitalizations at the 12-month follow-up. The secondary endpoints were changes in nutritional status and functional capacity.
Results: We screened 225 patients, 86 of whom had some degree of malnutrition and were randomized. At 12 months, the primary outcome occurred in 10 patients (23.8%) in the intervention group and in 22 patients (50.0%) in the control group (HR=0.39; 95% CI, 0.19-0.83). This effect was mainly related to a lower risk of hospitalization for HF in the intervention group: 8 patients (19.0%) versus 18 patients (40.9%) in the control group (HR=0.39; 95% CI=0.17-0.89). We observed an improvement in nutritional status and functional capacity in the intervention group versus the control group.
Conclusions: In patients with chronic HF and some degree of malnutrition, individualized nutritional intervention may reduce the risk of all-cause mortality or HF hospitalisations and improve nutritional status and functional capacity. These results underline the need for further randomized controlled trials with this approach to confirm the potential prognostic benefit.