M J Aguilar Cordero

Hospital Universitario San Cecilio, Granata, Andalusia, Spain

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Publications (45)42.11 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: Salivary cortisol is a steroid hormone that is produced in the hypothalamic-pituitary-adrenal axis and secreted into saliva when persons are under stress. High levels of cortisol in saliva can be produced by many different factors, including obesity and certain psychological disorders. The articles selected for inclusion in this review were identified using Google Scholar and Medline, and this search obtained a total of 57 items. The validity of these studies was established according to the degree of evidence presented, by citations and by their applicability to the healthcare context in Spain. Specifically, this review takes into consideration studies of salivary cortisol and stress in children and adults, and those examining the relation between high levels of salivary cortisol and other disorders such as anxiety, attention-deficit/hyperactivity disorder, social phobia or emotional deprivation. These studies show that salivary cortisol is a clear indicator of stress in both children and adults. High levels of this hormone in saliva are associated with the following main consequences: reduced immune function, affecting healing and thus prolonging recovery time; delayed growth in children; increased blood pressure and heart rate in both children and adults.
    Nutricion hospitalaria. 01/2014; 29(n05):960-968.
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    ABSTRACT: Obesity treatment has been the subject of much controversy; various authors have recommended the application of a comprehensive treatment programme, and in the light of this previous research, we consider the question of what is the most effective programme of physical activity to reduce overweight and obesity in children and adolescents.
    Nutrición hospitalaria. 01/2014; 30(4):727-40.
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    ABSTRACT: Regular physical activity is known to be very beneficial to health. While it is important at all stages of life, during pregnancy doubts may arise about the suitability of physical exercise, as well as the type of activity, its frequency, intensity and duration.
    Nutrición hospitalaria. 01/2014; 30(4):719-26.
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    ABSTRACT: Introducción: El ejercicio intenso provoca un daño muscular inflamatorio que, en sujetos sedentarios provoca un aumento del riesgo cardiovascular. El Phlebodium decumanum (PD) ha evidenciado efectos inmunomoduladores protectores frente a ese daño en los deportistas. Para conocer los efectos del PD en una población sedentaria frente al ejercicio excéntrico, y como modelo del daño muscular inflamatorio. Metodología: Se llevó a cabo un estudio experimental, doble ciego, multigrupo, randomizado, con un grupo experimental (n = 17) al que se le administró una formulación de PD (3,6 g/sujeto distribuidos en 9 dosis de 400 mg desde el 3.er día pretest), y un grupo control (n = 16) que tomó sustancia placebo. Se realizaron dos ergoespirometrías en tapiz rodante a cada participante: una previa al estudio (protocolo de Bruce modificado) para descartar signos de isquemia durante el esfuerzo y valorar el VO2max; la segunda, aplicando un protocolo excéntrico (14% de desnivel descendente), durante 10 minutos en estado estable a una intensidad entre 70-80% del VO2max individual, como protocolo experimental. Se efectuaron comparaciones intragrupo e intergrupo del porcentaje de cambio pre-postesfuerzo en variables sanguíneas y de funcionalidad muscular. Resultados: El estudio evidencia aumentos significativos de enzimas musculares MG, CPK y LDH en los dos grupos de estudio, sin cambios para la TncI, siendo significativamente menores en el grupo al que se le administró PD. Se observaron reducciones significativas de los test funcionales SJ, CMJ en ambos grupos, lo que mostró un apreciable menor descenso en el grupo PD. Se apreció una reducción del índice elástico y de la dinamomentría manual solo en el grupo control, aunque las diferencias con el grupo PD no alcanzaron una significación estadística. Conclusiones: El protocolo del ejercicio excéntrico en el presente estudio ha inducido daños musculoesqueléticos y en la funcionalidad muscular, que han resultado significativamente menores en el grupo PD, al mostrar los efectos protectores del Phlebodium Decumanum en tratamientos cortos, frente al daño muscular también en el esfuerzo agudo.
    Nutricion hospitalaria. 01/2014; 29(n06):1408-1418.
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    ABSTRACT: Introduction: The accelerometer is shown as one of the most accurate techniques in recording and saving the amount and level of physical activity, by each person in a given period of time. Aims: This review aims to describe and analyze the main items that use this method to assess physical activity. Methods: The review articles were identified through the following specialized Internet browser: SCOPUS, PUBMED, GOOGLE SCHOLAR, those were selected for inclusion with a total of 56 items. The validity of the articles was given by the degree of evidence demonstrated by describing the recommendations and the applicability to our context. This review has considered studies evaluating physical activity through accelerometers. Results: The results show that this method can be used in ages 3 to 90 years. It can also be used in subjects with overweight/obesity, articulation injuries, Down syndrome (just children), autism and people with psychological problems. Studies in pregnant women show satisfactory results. Conclusion: The literature reviewed provides the accelerometer as a reliable and effective method to assess physical activity.
    Nutricion hospitalaria. 01/2014; 29(n06):1250-1261.
  • Nutrición Hospitalaria. 06/2013; 28(3):701-704.
  • Nutrición Hospitalaria. 06/2013; 28(3):705-708.
  • Nutrición Hospitalaria. 06/2013; 28(3):920-926.
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    ABSTRACT: The sleep apnea-hypopnea syndrome (SAHS) is a disorder that currently affects a large number of children and adolescents. The aim of this review is to assess the factors causing this condition and the risk of suffering another disease associated with SAHS. The 50 articles selected for inclusion in this review were identified through GOOGLE SCHOLAR. The validity of the items was established by the degree of evidence obtained, by recommendations made in this respect and by the applicability to the situation observed. The review considers studies of SAHS in children and adolescents, taking into account those relating this disorder with obesity, hypertension, physical activity and other variables. The studies reviewed show that SAHS is associated with childhood obesity and that it increases the risk of cerebro-cardiovascular disease. It is also shown that SAHS decreases children's and adolescents' physical capacity and quality of life. Psychological aspects are also affected, impacting on academic performance, which is poorer than in healthy children. Therefore, early paediatric diagnosis of SAHS is important in order to prevent associated disorders.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 01/2013; 28(n06):1781-1791. · 1.31 Impact Factor
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    ABSTRACT: Introduction: Broadly speaking, attitude can be defined as one of the basic elements in personality development, which shapes a person's behavior. Objetive: To determine the attitude of nursing professionals to pain in children. Material: The universe of subjects consisted of 121 male and female nurses who worked in pediatric services at secondary-level health facilities in the province of Cienfuegos (Cuba). Method: A descriptive observational study was performed in the pediatric services of these health centers. The subjects were given a questionnaire to identify their attitude towards pain in children. This attitude was related to the variables, work experience and continuing education. The differences between response frequencies of the groups of participants were analyzed by means of the chi square test. Mean values were compared by using the Anova t-test for independent groups. The value regarded as statistically significant was p < 0.05. Results: The results obtained showed that 71.1% of the participants have a negative attitude towards pediatric pain, and that this attitude is significantly related to their training. Conclusions: As nurses received more training, their attitude towards pain in children was found to be more tolerant and positive.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 12/2012; 27(6):2066-2071. · 1.31 Impact Factor
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    ABSTRACT: Introduction: Broadly speaking, attitude can be defined as one of the basic elements in personality development, which shapes a person's behavior. Objetive: To determine the attitude of nursing professionals to pain in children. Material: The universe of subjects consisted of 121 male and female nurses who worked in pediatric services at secondary-level health facilities in the province of Cienfuegos (Cuba). Method: A descriptive observational study was performed in the pediatric services of these health centers. The subjects were given a questionnaire to identify their attitude towards pain in children. This attitude was related to the variables, work experience and continuing education. The differences between response frequencies of the groups of participants were analyzed by means of the chi square test. Mean values were compared by using the Anova t-test for independent groups. The value regarded as statistically significant was p < 0.05. Results: The results obtained showed that 71.1% of the participants have a negative attitude towards pediatric pain, and that this attitude is significantly related to their training. Conclusions: As nurses received more training, their attitude towards pain in children was found to be more tolerant and positive.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 12/2012; 27(6):2066-71. · 1.31 Impact Factor
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    ABSTRACT: In addition to its important role in the initiation of breastfeeding, early skin-to-skin contact benefits both mothers and their babies. Objective: To inform all mothers of premature babies about the importance of skin-to-skin contact and breast-feeding in order to foment a closer bond between mother and child (development-centered care). Materials and method: A prospective cohort study was conducted in various hospitals on the West Bank in Palestine during 2008-2011. The universe was made up of an estimated average of 2,500 childbirths per year in each hospital. All of the subjects in the sample population of n = 252 babies had a gestational age of less than 37 GWs, and had weighed less than 2,500 grams at birth. For health reasons, they were hospitalized in neonatal care units. Results: The results obtained showed that in Palestine, young women tend to breastfeed their babies and have skin-to-skin contact with them more often than older mothers. Once the new mothers were informed of the advantages of these practices, they showed greater interest in learning how to care for their babies in the neonatal care units. Conclusions: Breastfeeding premature babies as well as having skin-to-skin contact with them was made possible by informing and teaching new mothers about the advantages of this type of infant care. This research has had widespread impact and has been very well received by the female population in the country. This is the first study of its kind to be carried out in Palestine.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 12/2012; 27(6):1940-1944. · 1.31 Impact Factor
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    ABSTRACT: In addition to its important role in the initiation of breastfeeding, early skin-to-skin contact benefits both mothers and their babies. Objective: To inform all mothers of premature babies about the importance of skin-to-skin contact and breast-feeding in order to foment a closer bond between mother and child (development-centered care). Materials and method: A prospective cohort study was conducted in various hospitals on the West Bank in Palestine during 2008-2011. The universe was made up of an estimated average of 2,500 childbirths per year in each hospital. All of the subjects in the sample population of n = 252 babies had a gestational age of less than 37 GWs, and had weighed less than 2,500 grams at birth. For health reasons, they were hospitalized in neonatal care units. Results: The results obtained showed that in Palestine, young women tend to breastfeed their babies and have skin-to-skin contact with them more often than older mothers. Once the new mothers were informed of the advantages of these practices, they showed greater interest in learning how to care for their babies in the neonatal care units. Conclusions: Breastfeeding premature babies as well as having skin-to-skin contact with them was made possible by informing and teaching new mothers about the advantages of this type of infant care. This research has had widespread impact and has been very well received by the female population in the country. This is the first study of its kind to be carried out in Palestine.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 12/2012; 27(6):1940-4. · 1.31 Impact Factor
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    ABSTRACT: During pregnancy, the prolonged stress and worry felt by mothers can alter the development and function of the right brain hemisphere. For this reason, importance is given to prenatal stimulation programs for pregnant women. Objectives: To determine the perinatal results in the moment of childbirth in mothers who had participated in prenatal stimulation programs. Material. An experimental study was conducted in five health districts in the town of Cienfuegos (Cuba) with a view to identifying the perinatal results at the moment of childbirth in women that had participated in prenatal stimulation programs. Methodology: The study consisted of an intentional sampling of all of the subjects (n = 200 women who were 20-28 weeks pregnant). The variables studied were the following: duration of labor, baby's birth weight, Apgar score at birth, type of childbirth, and opinion of the subjects about the prenatal stimulation program. Results: Of the population sample, 36% of the subjects gave birth in less than six hours; 67.5% had babies weighing 2,500-3,000 grams; and 96.5% had babies whose Apgar scores were between 8 and 9. Finally, 68.5% of the subjects had natural childbirths and 96% were satisfied with the prenatal stimulation program. Conclusions. The results obtained showed that these new prenatal stimulation programs were well received by the subjects in this study.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 12/2012; 27(6):2102-8. · 1.31 Impact Factor
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    ABSTRACT: Overweight, obesity, and breast cancer are three pathologies that are endemic in the world today and which have a great impact on society. Many research studies are currently trying to discover possible associations between these factors and to specify the links between them. Objective: To verify whether there is a direct connection between overweight/obesity in women with breast cancer and its relation to age of diagnosis. Materials and methods: The sample population in this study was composed of 118 women (32-76 years of age) who had been diagnosed and treated for breast cancer in 2009-2011 at the Centro Oncológico Estatal ISSEMyM [National Cancer Institute of Mexico]. An observational, descriptive, and transversal study was performed in which a random sample of n = 60 women was divided into two groups. The first group was composed of women with breast cancer, but who were of normal weight. The second group was composed of women with breast cancer, but who were either overweight or obese. In both groups, the Patient-Generated Subjective Global Assessment (PG-SGA) was applied, and the BMI (weight and height) was determined as well as waist circumference. Results: A statistically significant relation was found between age of diagnosis and weight (normal/overweight/obese) of the subjects (p < 0.05). Conclusions: The results obtained show that overweight and obesity are directly linked to breast cancer and age of diagnosis. Breast cancer was diagnosed earlier in women of normal weight.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 10/2012; 27(5):1643-7. · 1.31 Impact Factor
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    ABSTRACT: The objective of this study was to first determine the nutritional state of a sample population of school children, and then analyze the distribution pattern of their subcutaneous fat layer. The sample was composed of 977 school children from the city and province of Granada (Spain). All of the children (524 girls and 452 boys) were 9-17 years of age. To study their nutritional state and the distribution of the subcutaneous fat layer, they were given a complete anthropometric evaluation, which included measuring their weight, height, body mass index, skin folds, and body perimeters. The results obtained showed a 23.01% prevalence of overweight in the female subjects and 20.81% in the male subjects. Furthermore, the female subjects had an obesity prevalence of 12.70% in comparison to the male subjects, whose obesity prevalence was 4.98%. The distribution pattern of subcutaneous fat was found to be mainly located in the central part of body. The high percentage of overweight and obesity along with the development of a central fat distribution pattern (neck, chest, and abdomen) in these school children is clear evidence of potential cardiovascular risk.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 10/2012; 27(5):1496-504. · 1.31 Impact Factor
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    ABSTRACT: The objective of this study was to first determine the nutritional state of a sample population of school children, and then analyze the distribution pattern of their subcutaneous fat layer. The sample was composed of 977 school children from the city and province of Granada (Spain). All of the children (524 girls and 452 boys) were 9-17 years of age. To study their nutritional state and the distribution of the subcutaneous fat layer, they were given a complete anthropometric evaluation, which included measuring their weight, height, body mass index, skin folds, and body perimeters. The results obtained showed a 23.01% prevalence of overweight in the female subjects and 20.81% in the male subjects. Furthermore, the female subjects had an obesity prevalence of 12.70% in comparison to the male subjects, whose obesity prevalence was 4.98%. The distribution pattern of subcutaneous fat was found to be mainly located in the central part of body. The high percentage of overweight and obesity along with the development of a central fat distribution pattern (neck, chest, and abdomen) in these school children is clear evidence of potential cardiovascular risk.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 10/2012; 27(5):1496-1504. · 1.31 Impact Factor
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    ABSTRACT: Introduction: Breast cancer is one of the most frequent diseases in women today, and its social impact is devastating. The risk factors focused on in recent research are mainly hormonal, genetic, and environmental though toxic habits, overweight, and obesity have also been studied. In contrast, protective factors against breast cancer include breastfeeding and daily exercise. Objective: To ascertain the risk factors for the women with breast cancer in our study sample. Material and methods: A study of cases and controls was performed on 115 women diagnosed with breast cancer and on 115 healthy women, who had been patients at the National Cancer Institute ISSEMYM in Mexico from January to December 2011. Information was collected from the women in the sample pertaining to their family history of cancer, personal background, life style, and body mass index (BMI). Breast cancer risk was estimated with multivariate logistic regression models and the chi-square test. Results: It was found that there was a greater risk of breast cancer in overweight or obese women who did not do any physical exercise and either who had breastfed their children for a very short time or who had not breastfed them at all. No significant differences were found between breast cancer and toxic habits. Conclusions: The results of our study found a direct relation between breast cancer and overweight, obesity, and physical inactivity. Breastfeeding during the first months of the babyís life was found to be a protective factor against breast cancer.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 10/2012; 27(5):1631-6. · 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: Spain has become the country in the European Union with the fourth highest number of overweight and obese children. This condition directly affects physical health as well as mental health. The objective of this research study was to evaluate motivational aspects in one group of obese or overweight adolescents and another group of normal-weight adolescents. For this purpose a descriptive observational study was carried out in an educational institution in Guadix (Granada). The universe was composed of 200 children of ages 10 to 14. A sample of 24 children was selected by means of proportional random sampling with an error of 0.19, and was divided into the following groups (i) 12 normal-weight children; (ii) 12 obese children. Motivation was measured by means of the School Motivation Analysis Test (SMAT), a multidimensional measuring instrument based on Cattell's dynamic model of motivation and emotions. Our study evaluated five motivational parameters: TAO (total autism-optimism), TGI (total general information), TIN (total integration), TPI (total personal interest), and TCO (total conflict). Our results showed that for each of the SMAT variables, the overweight and obese children obtained an average value of 4.5 in contrast to the normal-weight children, who obtained an average value of 5.9. This indicates that overweight and obese children have low motivational states and a higher level of frustration. They also tend to distort reality by alleging the existence of obstacles that prevent them from achieving their goals.
    Nutricion hospitalaria: organo oficial de la Sociedad Espanola de Nutricion Parenteral y Enteral 08/2012; 27(4):1166-1169. · 1.31 Impact Factor