Judit Álvarez Ferre

Hospital Universitario Clinica San Rafael, Μπογκοτά, Bogota D.C., Colombia

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Publications (44)30.32 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: Many studies have analyzed the possible association between the development of obesity and hormone levels, as well as their relation with the early development of breast cancer. As part of this study, we performed a retrospective collection of data from the clinical histories of 524 women in Granada (Spain), who had been diagnosed with breast cancer. The objectives were to verify an association between the nutritional state of the women and their age at breast cancer diagnosis as well as a possible relation between their nutritional state and seric levels of estrogens. The results obtained in this study show that obesity and the levels of certain hormones, such as estrogens, are closely associated with the early development of breast cancer.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 08/2012; 27(4):1156-9. · 1.31 Impact Factor
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    ABSTRACT: Recent studies show an alarming increase in levels of overweight and obesity among children and adolescents. The main objectives of this research were the following: (i) to carry out an anthropometric evaluation of the nutritional status and body composition of school children in the city and province of Granada; (ii) to compare the nutritional status of this population sample with national and international reference standards. The results obtained in this study showed that the general prevalence of overweight in both sexes was 22.03% and that 9.12% of the children were obese. Statistically significant differences were found between the variable, weight for age and sex (p < 0.05) and the variable, height for age and sex (p < 0.05). Regarding the body mass index, no statistically significant differences were found for the variable, sex (p = 0.182). This contrasted with the variable, age, which did show statistically significant differences (p < 0.05). As a conclusion, the results of our study highlighted the fact that these anthropometric values were much higher than national and international reference standards.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 08/2012; 27(4):1106-1113. · 1.31 Impact Factor
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    ABSTRACT: Recent studies show an alarming increase in levels of overweight and obesity among children and adolescents. The main objectives of this research were the following: (i) to carry out an anthropometric evaluation of the nutritional status and body composition of school children in the city and province of Granada; (ii) to compare the nutritional status of this population sample with national and international reference standards. The results obtained in this study showed that the general prevalence of overweight in both sexes was 22.03% and that 9.12% of the children were obese. Statistically significant differences were found between the variable, weight for age and sex (p < 0.05) and the variable, height for age and sex (p < 0.05). Regarding the body mass index, no statistically significant differences were found for the variable, sex (p = 0.182). This contrasted with the variable, age, which did show statistically significant differences (p < 0.05). As a conclusion, the results of our study highlighted the fact that these anthropometric values were much higher than national and international reference standards.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 08/2012; 27(4):1106-13. · 1.31 Impact Factor
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    ABSTRACT: There is a general consensus that obesity is an eminently inflammatory process. This is justified by alterations observed in obese patients, which affect the secretion of certain cytokines such as ceruloplasmin, leptin, adiponectin, and interleukin-6 (IL-6), among others. In a parallel way, other research has also pointed out alterations in the composition of fatty acids in the erythrocyte membrane of overweight adults. The results obtained in our study confirm the existence of a significant correlation between the serum levels of some of the cytokines studied and the nutritional state of the sample studied. This means that for the population of children evaluated in our study, the serum concentrations of these biomolecules can be an important tool for the prediction of cardiovascular risk when they become adults. Furthermore significant differences were found regarding the composition of saturated fatty acids in the erythrocyte membrane.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 02/2012; 27(1):161-164. · 1.31 Impact Factor
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    ABSTRACT: The World Health Organization (WHO) regards obesity as one of the most serious public health problems in the world that can affect young children and adolescents. Accordingly, a major priority is to find ways to more effectively study and analyze the various methods used to diagnose and evaluate the nutritional state of the pediatric and adolescent population. The nutritional indicators currently employed for this purpose are the body mass index and body-fat percentage. However, there is a certain controversy related to the body-fat percentage since it tends to overestimate overweight and obesity. The main objectives of this study were the following: (i) to determine the prevalence of overweight and obesity in a population of primary and secondary school children between 9-17 years of age at 13 educational centers in the city and province of Granada; (ii) to verify possible differences regarding the accuracy of the body mass index and the body-fat percentage in the diagnosis of overweight and obesity.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 02/2012; 27(1):185-91. · 1.31 Impact Factor
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    ABSTRACT: The World Health Organization (WHO) regards obesity as one of the most serious public health problems in the world that can affect young children and adolescents. Accordingly, a major priority is to find ways to more effectively study and analyze the various methods used to diagnose and evaluate the nutritional state of the pediatric and adolescent population. The nutritional indicators currently employed for this purpose are the body mass index and body-fat percentage. However, there is a certain controversy related to the body-fat percentage since it tends to overestimate overweight and obesity. The main objectives of this study were the following: (i) to determine the prevalence of overweight and obesity in a population of primary and secondary school children between 9-17 years of age at 13 educational centers in the city and province of Granada; (ii) to verify possible differences regarding the accuracy of the body mass index and the body-fat percentage in the diagnosis of overweight and obesity.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 02/2012; 27(1):185-191. · 1.31 Impact Factor
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    ABSTRACT: According to recent research, eating behaviour should be understand as a cyclical and interactive process in which parental eating habits cause children to develop specific eating strategies as well as their own eating habits. Needless to say, this interactive process is reflected and has a direct impact on the nutritional indicators of the children in a family. The objectives of this study were the following: (i) to verify the existence of a significant association between the educational level of parents and the nutritional state of children in the same family; (ii) to discover if there is a direct relation between the nutritional state of children and the person that decides the menu and/or prepares family meals; (iii) to determine if there is a link between the nutritional state of children and the time that they spend on sedentary leisure activities. The sample population was composed of 718 school children and adolescents, 9-17 years of age, who A descriptive, transversal, and multicentric study was performed that evaluated the nutritional state of the entire sample by using anthropometric techniques to assess weight, height, and body mass index.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 02/2012; 27(1):177-184. · 1.31 Impact Factor
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    ABSTRACT: There is a general consensus that obesity is an eminently inflammatory process. This is justified by alterations observed in obese patients, which affect the secretion of certain cytokines such as ceruloplasmin, leptin, adiponectin, and interleukin-6 (IL-6), among others. In a parallel way, other research has also pointed out alterations in the composition of fatty acids in the erythrocyte membrane of overweight adults. The results obtained in our study confirm the existence of a significant correlation between the serum levels of some of the cytokines studied and the nutritional state of the sample studied. This means that for the population of children evaluated in our study, the serum concentrations of these biomolecules can be an important tool for the prediction of cardiovascular risk when they become adults. Furthermore significant differences were found regarding the composition of saturated fatty acids in the erythrocyte membrane.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 02/2012; 27(1):161-4. · 1.31 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: According to recent research, eating behaviour should be understand as a cyclical and interactive process in which parental eating habits cause children to develop specific eating strategies as well as their own eating habits. Needless to say, this interactive process is reflected and has a direct impact on the nutritional indicators of the children in a family. The objectives of this study were the following: (i) to verify the existence of a significant association between the educational level of parents and the nutritional state of children in the same family; (ii) to discover if there is a direct relation between the nutritional state of children and the person that decides the menu and/or prepares family meals; (iii) to determine if there is a link between the nutritional state of children and the time that they spend on sedentary leisure activities. The sample population was composed of 718 school children and adolescents, 9-17 years of age, who A descriptive, transversal, and multicentric study was performed that evaluated the nutritional state of the entire sample by using anthropometric techniques to assess weight, height, and body mass index.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 02/2012; 27(1):177-84. · 1.31 Impact Factor
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    ABSTRACT: The establishment of affective ties between mother and child is a universal phenomenon in all cultures. However, this process can be disrupted by contextual factors of the mother and her newborn child. The arrival of a baby is generally a joyful event in all families. Nevertheless, this situation can change when the newborn baby is not regarded as normal. This can sometimes cause a breach in the affective ties within the family, mainly between the parents and their child. Situations of this type are intensified when parents refuse to accept their Down's syndrome baby from the very beginning. Nursing professionals prepare strategies help in the emotional bonding from the time of diagnosis, and in the period immediately after childbirth. In this respect, nurses have a crucial role as information providers for the family. More specifically, they give parents emotional support and tell them about the importance of skin to skin contact, as well as the advantages of breastfeeding. The emotional process that the family is going through must be respected, especially the parents since they are responsible for the integration of the baby into the family unit. The objective of this research was to establish a standard nursing intervention protocol that helps to establish affective ties and bonding between the Down's syndrome baby and the family.
    SD Revista Medica Internacional sobre el Sindrome de Down 01/2012; 16(1):11–16.
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    ABSTRACT: The establishment of affective ties between mother and child is a universal phenomenon in all cultures. However, this process can be disrupted by contextual factors of the mother and her newborn child. The arrival of a baby is generally a joyful event in all families. Nevertheless, this situation can change when the newborn baby is not regarded as normal. This can sometimes cause a breach in the affective ties within the family, mainly between the parents and their child. Situations of this type are intensified when parents refuse to accept their Down's syndrome baby from the very beginning. Nursing professionals prepare strategies help in the emotional bonding from the time of diagnosis, and in the period immediately after childbirth. In this respect, nurses have a crucial role as information providers for the family. More specifically, they give parents emotional support and tell them about the importance of skin to skin contact, as well as the advantages of breastfeeding. The emotional process that the family is going through must be respected, especially the parents since they are responsible for the integration of the baby into the family unit. The objective of this research was to establish a standard nursing intervention protocol that helps to establish affective ties and bonding between the Down's syndrome baby and the family.ResumenEl establecimiento del vínculo afectivo entre madre e hijo representa un hecho universal en todas las culturas. A pesar de ello, su equilibrio puede verse perturbado por factores tanto ambientales, como de la madre o del recién nacido. La llegada de un recién nacido supone un acontecimiento familiar de alegría. Sin embargo, esta situación puede verse alterada cuando el recién nacido presenta alguna diferencia respecto a la normalidad, resultando en ocasiones en una ruptura en el proceso de vinculación afectiva en la familia, principalmente entre los padres y el bebé. Este tipo de situaciones se intensifican cuando los padres no aceptan en los primeros días a su bebé con síndrome de Down. Los profesionales de enfermería elaboramos estrategias para facilitar el vínculo desde el momento del diagnóstico y en los primeros días posparto. La enfermera tendrá un papel esencial en la información a la familia. Debemos dar apoyo emocional e informar sobre el contacto piel con piel y las ventajas de la lactancia materna. Las posibilidades futuras de estos niños dependerán del nivel de estimulación y la aceptación de los padres. Debemos respetar las etapas emocionales por las que atraviesa la familia, especialmente los padres, pues de ellos dependerá la integración correcta del bebé. El objetivo de este trabajo fue establecer un protocolo de actuación de enfermería estandarizado para favorecer el vínculo afectivo entre el recién nacido con síndrome de Down y su familia.
    International Medical Review on Down Syndrome. 01/2012; 16(1):11–16.
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    ABSTRACT: Several authors have found correlations between anthropometric parameters and blood pressure levels in overweight and obese subjects. This paper is an update on the potential of these parameters as a tool for predicting cardiovascular risk. to estimate the prevalence of overweight and obesity. Second verify the existence of a significant correlation between the main anthropometric indicators and the blood pressure levels. The population consisted of 977 children and adolescents between 9 and 17 years of age belonging to 13 schools in the province of Granada and city. anthropometric evaluation in which they were assessed six skinfolds, waist circumference, hip and determination of blood pressure in three consecutive occasions. The anthropometric assessment phase began in March 2008 lasted until April 2009. We found that the prevalence of overweight in girls varied between 18.3% and 32.2%. For its part, the prevalence among boys was between 10.9% and 26.1%. Regarding the prevalence of obesity, the girls had similar rates between 4.5% and 15.1%. Among boys the prevalence of obesity was similar, and found rates between 4.7% and 12.6%. Of all the parameters measured, body mass index and waist circumference were the anthropometric indicators that showed a better correlation to blood pressure. BMI and WC are useful anthropometric indicators to predict cardiovascular risk in non adults.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 10/2011; 26(5):1004-10. · 1.31 Impact Factor
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    ABSTRACT: Introduction: Several authors have found correlations between anthropometric parameters and blood pressure levels in overweight and obese subjects. This paper is an update on the potential of these parameters as a tool for predicting cardiovascular risk. Aims: to estimate the prevalence of overweight and obesity. Second verify the existence of a significant correlation between the main anthropometric indicators and the blood pressure levels. Sample: The population consisted of 977 children and adolescents between 9 and 17 years of age belonging to 13 schools in the province of Granada and city. Methodology: anthropometric evaluation in which they were assessed six skinfolds, waist circumference, hip and determination of blood pressure in three consecutive occasions. The anthropometric assessment phase began in March 2008 lasted until April 2009. Results: We found that the prevalence of overweight in girls varied between 18.3% and 32.2%. For its part, the prevalence among boys was between 10.9% and 26.1%. Regarding the prevalence of obesity, the girls had similar rates between 4.5% and 15.1%. Among boys the prevalence of obesity was similar, and found rates between 4.7% and 12.6%. Of all the parameters measured, body mass index and waist circumference were the anthropometric indicators that showed a better correlation to blood pressure. Conclusions: BMI and WC are useful anthropometric indicators to predict cardiovascular risk in non adults.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 10/2011; 26(5):1004-1010. · 1.31 Impact Factor
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    ABSTRACT: Numerous studies have focused on establishing a relation between the serum values of biomolecules such as leptin, ceruloplasmin, and lipoprotein (a), and the nutritional state and levels of diastolic and systolic blood pressure in subjects with problems of overweight or obesity. However, in many cases, the results obtained have not been conclusive. The results of our study confirm the existence of a statistically significant association between the serum levels of these biomolecules, the nutritional state of the subjects, and levels of diastolic and systolic blood pressure. For the population of overweight and obese adolescents studied, the evaluation of the serum concentrations of these biomolecules was found to be an important instrument that could be used to identify those subjects with an elevated risk of suffering cardiovascular disorders basically derived from a hypertensive status.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 10/2011; 26(5):1130-1133. · 1.31 Impact Factor
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    ABSTRACT: Numerous studies have focused on establishing a relation between the serum values of biomolecules such as leptin, ceruloplasmin, and lipoprotein (a), and the nutritional state and levels of diastolic and systolic blood pressure in subjects with problems of overweight or obesity. However, in many cases, the results obtained have not been conclusive. The results of our study confirm the existence of a statistically significant association between the serum levels of these biomolecules, the nutritional state of the subjects, and levels of diastolic and systolic blood pressure. For the population of overweight and obese adolescents studied, the evaluation of the serum concentrations of these biomolecules was found to be an important instrument that could be used to identify those subjects with an elevated risk of suffering cardiovascular disorders basically derived from a hypertensive status.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 10/2011; 26(5):1130-3. · 1.31 Impact Factor
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    International Journal of Morphology 09/2011; 29(3):1022-1027. · 0.21 Impact Factor
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    ABSTRACT: Obesity and breast cancer are two very frequent pathologies in the world today, which have a strong impact on society. Various research studies have tried linking the two. For this purpose, data was collected from the medical histories of 524 women who had been diagnosed and treated for breast cancer from January 2009 to September 2010. The objectives of the study were to find and verify a possible association between the nutritional state of these women and their age when they were diagnosed with the tumour (p < 0.0001) as well as a statistically significant association (p < 0.0001) between the age of the first menstruation and the nutritional state of the patients. The results obtained showed that obesity was closely related to breast cancer.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 08/2011; 26(4):899-903. · 1.31 Impact Factor
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    [Show abstract] [Hide abstract]
    ABSTRACT: Obesity and breast cancer are two very frequent pathologies in the world today, which have a strong impact on society. Various research studies have tried linking the two. For this purpose, data was collected from the medical histories of 524 women who had been diagnosed and treated for breast cancer from January 2009 to September 2010. The objectives of the study were to find and verify a possible association between the nutritional state of these women and their age when they were diagnosed with the tumour (p < 0.0001) as well as a statistically significant association (p < 0.0001) between the age of the first menstruation and the nutritional state of the patients. The results obtained showed that obesity was closely related to breast cancer.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 08/2011; 26(4):899-903. · 1.31 Impact Factor
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    ABSTRACT: Chromosomal disorders are not usually associated with specific alterations of the skin, with Down's syndrome being an exception, because the skin of the newborn with this syndrome is soft, thin and delicate. It subsequently becomes coarser, drier and rougher, and generalised xerosis associated with keratosis pilaris is common. In the case of mucous membranes, macroglossia and scrotal tongue with protrusion and cleft lip are very common features. Premature aging of the skin and photosensitivity are common features in these patients. The following are among the most significant skin disorders: cutis marmorata, xerosis, palmoplantar hyperkeratosis, cheilitis, seborrhoeic dermatitis, folliculitis, tinea pedis, onychomycosis, crusted scabies (Norwegian scabies), atopic dermatitis, alopecia areata, vitiligo, psoriasis (severe form), pityriasis rubra pilaris, syringoma, elastosis perforans serpiginosa and cutis verticis gyrata. The aim of this study was to carry out a review of existing literature on major dermatological processes and their prevalence in the paediatric patient with Down's syndrome.ResumenLos desórdenes cromosómicos normalmente no se encuentran asociados a alteraciones específicas de la piel, pero hay una excepción en el caso del síndrome de Down, ya que la piel del recién nacido con este síndrome es suave, delgada, delicada. Posteriormente se torna más gruesa, seca y áspera, y es común la presencia de xerosis generalizada asociada a queratosis pilar. En el caso de las mucosas, la macroglosia y la lengua escrotal, con protrusión y fisura del labio inferior, resultan rasgos muy frecuentes. El envejecimiento temprano de la piel y la fotosensibilidad son características habituales en estos pacientes. Entre las alteraciones de la piel más considerables encontramos cutis marmorata, xerosis, hiperqueratosis palmoplantar, queilitis, dermatitis seborreica, foliculitis, tinea pedis, onicomicosis, sarna costrosa (sarna noruega), dermatitis atópica, alopecia areata, vitíligo, psoriasis (forma grave), pitiriasis rubra pilaris, siringoma, elastosis perforante serpiginosa y cutis verticis girata. El objetivo de este trabajo ha sido llevar a cabo una revisión de la bibliografía existente sobre los principales procesos dermatológicos y su prevalencia en el paciente pediátrico con síndrome de Down.
    International Medical Review on Down Syndrome. 07/2011; 15(2):23–25.
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    ABSTRACT: Chromosomal disorders are not usually associated with specific alterations of the skin, with Down's syndrome being an exception, because the skin of the newborn with this syndrome is soft, thin and delicate. It subsequently becomes coarser, drier and rougher, and generalised xerosis associated with keratosis pilaris is common. In the case of mucous membranes, macroglossia and scrotal tongue with protrusion and cleft lip are very common features. Premature aging of the skin and photosensitivity are common features in these patients. The following are among the most significant skin disorders: cutis marmorata, xerosis, palmoplantar hyperkeratosis, cheilitis, seborrhoeic dermatitis, folliculitis, tinea pedis, onychomycosis, crusted scabies (Norwegian scabies), atopic dermatitis, alopecia areata, vitiligo, psoriasis (severe form), pityriasis rubra pilaris, syringoma, elastosis perforans serpiginosa and cutis verticis gyrata. The aim of this study was to carry out a review of existing literature on major dermatological processes and their prevalence in the paediatric patient with Down's syndrome.
    World Pumps 07/2011; 15(2):23-25.