Robinson Ramírez-Vélez

Public University of Navarre | UPNA · Department of Health Sciences

We hypothesized that non-hospitalized patients with long COVID would benefit from structured exercise. In a randomized cross-over trial, we assessed the effects of a 6-week personalized PRT intervention, with a 5-day washout period between arms on cardiopulmonary fitness, muscular strength, long COVID symptoms, QoL, and emotional distress.

O objetivo do presente estudo foi descrever a prevalência de participação em aulas de Educação Física (EF) entre adolescentes sul americanos de acordo com correlatos sociodemográficos. Foram utilizados dados de 11 países sul-americanos, compreendendo 173.288 adolescentes (>11 a 19 anos). A participação em aulas de EF foi autorrelatada (0, 1, 2 e ≥3...

Evidence-based practice (EBP) refers to the integration of scientific evidence into the clinical setting. This study aimed to determine whether Latin American physiotherapists use EBP, analyze the associated factors, barriers, and facilitators, and examine the relationships between these elements in clinical practice. To conduct this cross-sectiona...

Background: Fibromyalgia (FM) is a chronic musculoskeletal condition typically characterized by chronic pain, sleep disturbances, chronic fatigue, and cognitive problems. The present study aims to examine the efficacy of a pain neuroscience education program (PNE) in improving executive functions and pain intensity in patients with FM and compare t...

Background Multicomponent treatment is commonly used. However, there are no studies that included graded motor imagery and therapeutic neuroscience education to multicomponent treatment for patients with fibromyalgia This study aims to compare the short-term effects (at 12 weeks) of a multicomponent treatment combined with graded motor imagery and...

Background Hospitalization exacerbates sarcopenia and physical dysfunction in older adults. Whether tailored inpatient exercise prevents acute sarcopenia is unknown. This study aimed to examine the effect of a multicomponent exercise programme on muscle and physical function in hospitalized older adults. We hypothesized that participation in a brie...

Background The use of acupuncture is related to patients’ expectations, and the therapeutic interaction effect remains a topic of debate in the literature. Accordingly, it is still unclear whether acupuncture can generate positive clinical effects in patients with fibromyalgia (FM). Objective To determine the effectiveness of acupuncture versus pl...

Objective: This work aimed to translate and culturally adapt the system usability scale for gamified e-learning courses (SUS-G scale) for Spanish population and evaluate its factor structure. Methods: A single-measure, cross-sectional study was conducted in two phases. In the first phase, the SUS-G scale was translated and culturally adapted. In t...

Background & aims: The utilization of non-invasive techniques for liver fibrosis and steatosis assessment has gained acceptance as a viable substitute for liver biopsy in clinical practice. This study aimed to establish normative data for the controlled attenuation parameter (CAP) and liver stiffness measurement (LSM) by age and gender, as well as...

Background and Objectives Exercise may reverse functional decline in hospitalized older adults, but the optimal duration is unclear. This study examined the potential relationship between in-hospital multicomponent exercise program duration and changes in physical function, cognition, and muscle function to maximize exercise-related health benefits...

Background To evaluate the progression of physical fitness (PF), basic motor competence (BMC), and executive function (EF) over one year in children aged 4–5 years at a health center. Methods In this longitudinal analysis, children’s BMC was evaluated using the MOBAK KG test for object and self-movement. The PREFIT Battery gauged PF through handgr...

BACKGROUND Physical activity (PA) plays a crucial role in the early development of children and has a significant impact on various aspects of health. OBJECTIVE This study evaluated a 12-week supervised, multicomponent gamified exercise program aimed at increasing PA adherence in 5-year-old preschoolers, in accordance with the 24-hour movement beh...

Numerous studies have documented disparities in Physical Fitness (PF) between boys and girls. This cross-sectional study investigates if echo-intensity (EI) explains the relationship between sex and PF among children. The study cohort consisted of 497 children aged 4.0–10.9, including 288 boys and 209 girls. Anthropometric measures, including heigh...

Postoperative delirium (POD) is a common neuropsychiatric complication in geriatric inpatients after hip fracture surgery and its occurrence is associated with poor outcomes. The purpose of this study was to investigate the relationship between preoperative biomarkers in serum and cerebrospinal fluid (CSF) and the development of POD in older hip fr...

Aims The aim of this study was to determine the global incidence of type 1 diabetes mellitus (T1DM) in children and adolescents under 20 years of age from 2000 to 2022. Materials and Methods Two reviewers searched three electronic databases (PubMed, Web of Science, and CINAHL) for studies published between January 2000 and November 2022. Pooled es...

Osteoporosis is a skeletal disease that can increase the risk of fractures, leading to adverse health and socioeconomic consequences. However, current clinical methods have limitations in accurately estimating fracture risk, particularly in older adults. Thus, new technologies are necessary to improve the accuracy of fracture risk estimation. In th...

Importance Although benefits have been reported for most exercise modalities, the most effective exercise approaches for reducing insulin resistance in children and adolescents with excess weight and the optimal exercise dose remain unknown. Objective To compare exercise training modalities and their association with changes in insulin resistance...

Cancer mostly affects older adults, causing a wide variety of diagnostic and therapeutic dilemmas. One of the most important moments in cancer patients is the hospitalization period, in which older patients usually remain bedridden for many hours and this may lead to the appearance of sarcopenia and disability. We present the research protocol for...

Introduction: lack of physical activity and sedentary lifestyles in children are associated with increased adiposity, low cardiovascular fitness, and risk of cardiovascular disease. However, meeting physical activity recommendations is associated with improvements in mental health, decreased anxiety and depression, and better health habits. Objecti...

Objectives Current evidence on the clinical effectiveness about the different types of exercises in the subacromial impingement syndrome (SIS) remains controversial. This study aims to compare the short-term (at 5 weeks) effects of a specific exercise programme with a general exercise programme on shoulder function in adults with SIS. Methods In t...

Purpose: Hip fracture is a public health problem worldwide. Traditional prognostic models do not include blood biomarkers, such as those obtained by proteomics. This study aimed to investigate the relationships between serum inflammatory biomarkers and frailty in older adults with hip fracture as well as adverse outcomes at one and three months af...

Background Evidence suggests that movement patterns, including physical activity, sedentary behavior, and sleep duration, throughout a 24-h period, have a significant impact on biological processes and health outcomes for both young and adult populations. However, 80% of adolescents worldwide are not sufficiently active, and many children do not me...

Background Basic motor competencies (BMC) play a vital role in child development and are a primary focus of physical education. However, there is a lack of research on BMC in preschool-aged children, making this study particularly significant. The present study aims to examine the relationship between BMC and physical fitness components in Spanish...

Quantitative diagnostic ultrasound has been proposed as a way to characterize muscle structure, but there is a lack of normative data for children. This study aims to establish age-specific normal ranges for echo-intensity (EI), cross-sectional area (CSA), muscular thickness (MT), and subcutaneous adipose thickness (SAT) values of the rectus femori...

Physical inactivity is one of the main public health problems worldwide. Public awareness of the benefits of physical activity has increased, and advances have been made in the field of physical activity epidemiology. Findings also show that the prevalence of physical activity at the WHO-recommended level (≥150 min of moderate-intensity or 75 min o...

Background: The World Health Organization proposed the concept of intrinsic capacity (IC; the composite of all the physical and mental capacities of the individual) as central for healthy ageing. However, little research has investigated the interaction and joint associations of IC with cardiovascular disease (CVD) incidence and CVD mortality in m...

Background: The inclusion of electrocardiogram (ECG) in medical examinations for sports practice serves as a valuable tool for identifying potential life-threatening conditions during physical exercise. However, its applicability in young individuals remains a subject of controversy, primarily due to relatively high rates of false positives and th...

Background: To estimate the prevalence of different physical activity (PA) domains and sitting time (ST), and to analyze the association with sociodemographic indicators. Methods: Data from the most recent nationally representative survey from each of the South American countries, comprising 155,790 adults (18-64 y), were used. Data on leisure-t...

Objective: Hip fracture is a public health problem worldwide. Traditional prognostic models do not include blood biomarkers, such as those obtained by proteomics. In this prospective cohort study, we aimed to explore the role of a targeted proteomic approach in better characterizing frailty in older adults with hip fractures. Moreover, we sought to...

The World Health Organization (WHO) introduced a framework for healthy aging in 2015 that emphasizes functional ability instead of absence of disease. Healthy ageing is defined as "the process of building and maintaining the functional ability that enables well-being". This framework considers an individual's intrinsic capacity (IC), environment, a...

The aim of the present study was two‐fold: first, to determine the meeting all three 24‐h movement guidelines in Colombian preschool‐aged children, and second, to explore the associations between different socio‐ecological correlates and the meeting of these guidelines. This was a cross‐sectional study of data from the Encuesta Nacional de Situació...

There is evidence supporting that acute sprint interval training (SIT) might improve metabolic responses to postprandial glucose, but results are inconclusive. The aim of the present study was to explore the effects of acute SIT on metabolic response and substrate utilization in individuals with overweight/obesity after an oral 75-gram glucose chal...

Exercise intolerance remains a major unmet medical need in patients with heart failure (HF). Skeletal myopathy is currently considered as the major limiting factor for exercise capacity in HF patients. On the other hand, emerging evidence suggest that physical exercise can decrease morbidity and mortality in HF patients. Therefore, mechanistic insi...

To determine the association between adherence to the 24-h movement guidelines during adolescence with obesity at adulthood 14 years later in a nationally representative cohort. We analyzed data from 6984 individuals who participated in Waves I (1994–1995) and IV (2008–2009) of the National Longitudinal Study of Adolescent Health (Add Health) in th...

Understanding the impact of COVID-19 on muscle strength may help to elucidate the organ systems that contribute to acute and chronic COVID-19 sequelae. We questioned whether patients with postdischarge symptoms after COVID-19 had compromised muscle strength compared with a control group, and if this potential relationship was mediated by the lower...

Objective To estimate the global prevalence of meeting the WHO guidelines for both aerobic and muscle-strengthening activities (MSA) in populations aged ≥5 years, and whenever possible to explore this prevalence according to sociodemographic and lifestyle factors. Design A systematic review and meta-analysis. Data sources Five databases were syst...

In the absence of medical contraindications, physical activity (PA) can offer health maternal and fetal health outcomes during pregnancy. However, most pregnant women may not consider PA to be feasible, suitable and safe. Hence, it is essential to determine the prevalence of pregnant women who meet the PA recommendations and the possible factors as...

Objective: physical fitness is one of the most relevant predictors of an individual's mental health status. However, few studies have described the relationship between physical fitness and depressive symptoms in students from Latin America. The aim of this study was to verify the association between physical fitness and self-reporting of depressi...

Background This study investigates the effects of exercise training on exerkines in patients with type 2 diabetes mellitus (T2DM) to determine the optimal exercise prescription. Methods A systematic search for relevant studies was performed in 3 databases. Randomized controlled trials (RCTs) investigating the effects of exercise training on at lea...

Background The 24-h movement guidelines for youth and adults recommend the specific duration of physical activity, sedentary time, and sleep duration to ensure optimal health, but little is known about its relationship to mental health indicators. The aim of the study was to explore the association between 24-h movement guidelines in adolescence an...

Background: The presence of persistent coronavirus disease 2019 (COVID-19) might be associated with significant levels of psychological distress that would meet the threshold for clinical relevance. The Center for Epidemiologic Studies Depression Scale (CES-D) version 10 has been widely used in assessing psychological distress among general and cl...

Background The most common complication in the surgery for rotator cuff (RC) tears is postoperative shoulder stiffness. The evidence for the postoperative treatment of this condition is scarce. This study assessed the effects of a postoperative program at the onset of shoulder stiffness following arthroscopic RC repair. Methods A single-group pre-...

El objetivo del presente estudio es examinar en un contexto en el que todavía no se ha valorado la influencia de la enfermedad coronavírica de 2019 (COVID-19) persistente en parámetros de eficiencia ventilatoria y de capacidad de ejercicio, en comparación con un grupo de pacientes sin antecedentes de COVID-19.

Background The measurement of physical fitness has a history that dates back nearly 200 years. Recently, there has been an increase in international research and surveillance on physical fitness creating a need for setting international priorities that could help guide future efforts. Objective This study aimed to produce a list of the top 10 inte...

Objective To quantify the association between physical activity and risk of SARS-CoV-2 infection, COVID-19-associated hospitalisation, severe illness and death due to COVID-19 in adults. Design A systematic review and meta-analysis. Data sources Three databases were systematically searched through March 2022. Eligibility criteria for selecting s...

Background Physical exercise induces a coordinated response of multiple organ systems, including the immune system. In fact, it has been proposed that physical exercise may modulate the immune system. However, the potential effect of an exercise program on COVID-19 survivors has not been investigated. Thus, the aim of this study is to evaluate the...

Background: Scientific literature suggests poor glycemic control in youth with type 1 diabetes (T1D) and physical inactivity, sedentary behavior and low physical fitness levels, although results are not entirely consistent. Objective To meta-analyze the association between glycated hemoglobin and physical activity, sedentary behavior, and physical...

Background The aim of the present study was to determine the association between adherence to the 24-h movement guidelines during middle adolescence and glucose outcomes (glycated hemoglobin (HbA1c) and fasting glucose) and type 2 diabetes mellitus (T2DM) in adulthood, 14 and 22 years later. Methods We analyzed data from apparently healthy adolesc...

Abstract Recently, a valid method to assess lower-body muscle power based on a sit-to-stand field test (STS) has been published. Our study aimed to describe lower-body muscle power in older individuals aged ≥ 60 years and examine the relationship of muscle weakness with adverse events according to gender- and age-specific muscle weakness cut-off po...

Context-specific information, including differences in geographical areas, such as distinct altitudes, can be important to explain variations in physical growth. We aimed to compare the estimation of maximum growth velocity and pubertal growth-spurt parameters of children and adolescents living at low and moderate altitudes in Colombia. A cross-sec...

Objectives: To investigate concerns surrounding the benefits of antiresorptive drugs in older adults, a systematic review was carried out to evaluate the efficacy of these treatments in the prevention of osteoporotic hip fractures in older adults. Design: a systematic review and meta-analysis of randomized clinical trials. Setting and participa...

Objective: physical fitness (particularly the muscular strength component) is one of the most powerful markers of health. However, few studies have described the relationship of the higher adiposity phenotype with muscular strength in Latino schoolchildren. The aim of the present study was to determine the association between levels of handgrip st...

OBJETIVOS Dada la complejidad clínica, funcional, cognitiva y social de los pacientes ancianos diagnosticados de fractura de cadera, una intervención mediante un programa multidisciplinar y multicomponente consistente en ejercicio físico con tele-rehabilitación, valoración nutricional y de otras variables relacionadas con la valoración geriátrica i...

The aim of the study is to evaluate whether exercise interventions are associated with improved glycaemic control in children and adolescents with type 1 diabetes mellitus (T1DM), and to examine its relationship with the characteristics of the intervention (i.e. type, intensity, length, and duration of the sessions). Eligible criteria were randomis...

Background To identify the prevalence and sociodemographic correlates of different domains of physical activity (PA) and higher sitting time among South American adolescents. Methods Data from national surveys of 11 South American countries were analyzed, and comprised information on 166,901 adolescents. PA (≥ 60 min/day of moderate-vigorous PA),...

Background/Objectives: Muscle ultrasound is a convenient technique to visualize normal and pathological muscle tissue as it is non-invasive and real-time. This technique is related to several physical performance parameters and body composition components in adults; however, this relationship remains unexplored in early aged. We aimed to evaluate t...

It is known that muscle strength is associated with adverse health outcomes associated with cancer-related symptoms. The purpose of this study was to investigate the association between handgrip strength and cancer in frail oldest old. In this prospective cohort study, 81 nonagenarians and centenarians were included [mean age (SD): 94.2 (3.8) years...

Background The coronavirus disease 2019 (COVID‐19) pandemic could have provoked undesirable harmful effects on movement behaviours among children. Objective To compare levels of physical activity (PA), sedentary behaviour (SB), and sleep time in children prior to and during the COVID‐19 pandemic (after the lockdown) and to determine the associatio...

Background We aimed to investigate time trends and inequalities of different physical activity (PA) domains and sitting time (ST) in adults from South American countries. Methods We included cross-sectional data of nationally representative surveys on adults (n = 597 843) from nine South American countries (Argentina, Bolivia, Brazil, Chile, Colom...