Objective: To estimate the association strength of dietary behaviour and sedentary habits in relation to childhood obesity in Spain. Design: A matched case-control study was carried out using data collected by sentinel network paediatricians in general practices. Setting: Five Spanish autonomous communities. Subjects: Cases were 437 children (2-14 years old) with BMI .95th percentile according to Spanish reference tables. Controls were 751 children (2-14 years old; two paired per case) with BMI ,84th percentile. Data were collected in two phases: individual (questionnaires filled in by sentinel paediatricians) and family (self-administered questionnaires filled in a family environment). Crude OR and adjusted OR (ORc and adj OR) for the given variables were calculated using a simple and multiple conditional logistic regression analysis. Results: The factors with the greatest effect on obesity were family history of obesity: both parents (adj OR 5 11?2), mother but not father (adj OR 5 9?1), father but not mother (adj OR 5 6?1), siblings (adj OR 5 2?7); and eating between meals (adj OR 5 2?5) and consumption of sweets and soft drinks .2 times/week (adj OR 5 2?0). The highest protection effect was found for five meals per day (adj OR 5 0?5), the regular consumption of breakfast (adj OR 5 0?5) and for eating fruit for dessert (adj OR 5 0?6). Factors related to sedentary habits did not appear as noteworthy. Conclusions: We have determined the association between certain dietary behaviour and family history with childhood obesity in several Spanish regions.
Cognitive impairment is a frequent reason for consultations in primary care. Its prevalence is higher in women and increases exponentially with age. A number of sensitive, validated tools have been proven useful in screening for and confirming cognitive impairment. Using these tools in primary care settings enables early treatment of these patients.
From the social standpoint, administering chicken pox vaccine in conjunction with the mumps, measles, rubella vaccines show itself to be profitable. The profitability is modified both if a second dose of vaccine is added as well as if only the direct healthcare costs are analyzed.
Resumen
Objetivos: conocer la prevalencia de inicio de lactancia materna exclusiva en la comunidad de Castilla y León y los factores que influyen en su inicio y duración.Métodos Situación actual y factores que condicionan la lactancia materna en Castilla y León
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