Francisco José Rivera de los Santos

ANÁLISIS DEL MODELO SALUTOGÉNICO EN ESPAÑA: APLICACIÓN EN SALUD PÚBLICA E IMPLICACIONES PARA EL MODELO DE ACTIVOS EN SALUD

This article seeks to provide an in depth review about one of the most revolutionary and influential methods used in understanding the variables and processes that explain human health. Based on a new vision in the analysis of the consequences of the Nazi Holocaust, a doctor-sociologist--Aaron Antonovsky--managed to influence medicine and behavioral science by facilitating the keys for the optimal development of public health today. Despite the fact that this theory began appearing in the 1970s in the 20th century, its real development and expansion have been seen in recent years. In fact, in Spain, there is little scientific literature that analyses the theoretic keys of the model in depth. This work seek to cover this gap; to achieve this objective, it first presents how the construct of salutogenesis arose, the social-cultural context that promoted it, as well as the importance public health acquires today. This is the aim of this work, which analyses the theoretical bases of the salutogenesis model, with specific emphasis on its background and precursors, as well as its inception, development and current expansion.This article seeks to provide an in depth review about one of the most revolutionary and influential methods used in understanding the variables and processes that explain human health. Based on a new vision in the analysis of the consequences of the Nazi Holocaust, a doctor-sociologist--Aaron Antonovsky--managed to influence medicine and behavioral science by facilitating the keys for the optimal development of public health today. Despite the fact that this theory began appearing in the 1970s in the 20th century, its real development and expansion have been seen in recent years. In fact, in Spain, there is little scientific literature that analyses the theoretic keys of the model in depth. This work seek to cover this gap; to achieve this objective, it first presents how the construct of salutogenesis arose, the social-cultural context that promoted it, as well as the importance public health acquires today. This is the aim of this work, which analyses the theoretical bases of the salutogenesis model, with specific emphasis on its background and precursors, as well as its inception, development and current expansion.Este articulo tiene el objetivo de tratar en profundidad uno de los modelos mas revolucionarios e influyentes para la comprension de las variables y procesos que explican la salud humana. A partir de una nueva vision en el analisis de las consecuencias del holocausto nazi, un medico-sociologo -Aaron Antonovsky-, consiguio influir en la medicina y la ciencia del comportamiento, facilitando las claves para el optimo desarrollo de la salud publica actual. A pesar de que esta teoria empezo a forjarse en los anos 70 del siglo XX, su desarrollo real y su expansion estan sucediendo en los ultimos anos. De hecho, en Espana existe muy poca literatura con base cientifica que analice con detalle las claves teoricas del modelo. Este trabajo trata de cubrir esa carencia y, para ello, y en primer lugar, expone como surgio el constructo salutogenesis, el contexto sociocultural que lo impulso, asi como la importancia que adquiere en la salud publica actual. Con este objetivo, en estas paginas se analizan las bases teoricas del modelo salutogenico, con especial enfasis en sus antecedentes y precursores, asi como en sus inicios, desarrollo y expansion actual.

Beneficios del contexto asociativo en las actividades de tiempo libre de los adolescentes españoles

ResumenAnte la escasez de estudios que aborden las claves para la salud de la practica de actividades de tiempo libre durante la adolescencia se plantea necesario analizar en profundidad esta cuestion. Esta investigacion forma parte del estudio Health Behaviour in School-aged Children (HBSC-2006). Los datos que se presentan constituyen una muestra de 22811 adolescentes espanoles de 11 a 18 anos. Realizando pruebas de significacion, tamanos de efecto, analisis de cluster y pruebas de residuos estandarizados corregidos se obtiene informacion relevante acerca de los beneficios para la salud del tiempo libre realizado dentro de una asociacion, asi como de las implicaciones practicas para su promocion, centradas en las diferencias por edad, sexo y comunidad autonoma.Resumen Ante la escasez de estudios que aborden las claves para la salud de la práctica de actividades de tiempo libre durante la adolescencia se plantea necesario analizar en profundidad esta cuestión. Esta investigación forma parte del estudio Health Behaviour in School-aged Children (HBSC-2006). Los datos que se presentan constituyen una muestra de 22811 adolescentes españoles de 11 a 18 años. Realizando pruebas de significación, tamaños de efecto, análisis de clúster y pruebas de residuos estandarizados corregidos se obtiene información relevante acerca de los beneficios para la salud del tiempo libre realizado dentro de una asociación, así como de las implicaciones prácticas para su promoción, centradas en las diferencias por edad, sexo y comunidad autónoma.

Salutogenic Model Analysis in Spain: Application in Public Health and Implications for Asset Health Model

This article seeks to provide an in depth review about one of the most revolutionary and influential methods used in understanding the variables and processes that explain human health. Based on a new vision in the analysis of the consequences of the Nazi Holocaust, a doctor-sociologist--Aaron Antonovsky--managed to influence medicine and behavioral science by facilitating the keys for the optimal development of public health today. Despite the fact that this theory began appearing in the 1970s in the 20th century, its real development and expansion have been seen in recent years. In fact, in Spain, there is little scientific literature that analyses the theoretic keys of the model in depth. This work seek to cover this gap; to achieve this objective, it first presents how the construct of salutogenesis arose, the social-cultural context that promoted it, as well as the importance public health acquires today. This is the aim of this work, which analyses the theoretical bases of the salutogenesis model, with specific emphasis on its background and precursors, as well as its inception, development and current expansion.This article seeks to provide an in depth review about one of the most revolutionary and influential methods used in understanding the variables and processes that explain human health. Based on a new vision in the analysis of the consequences of the Nazi Holocaust, a doctor-sociologist--Aaron Antonovsky--managed to influence medicine and behavioral science by facilitating the keys for the optimal development of public health today. Despite the fact that this theory began appearing in the 1970s in the 20th century, its real development and expansion have been seen in recent years. In fact, in Spain, there is little scientific literature that analyses the theoretic keys of the model in depth. This work seek to cover this gap; to achieve this objective, it first presents how the construct of salutogenesis arose, the social-cultural context that promoted it, as well as the importance public health acquires today. This is the aim of this work, which analyses the theoretical bases of the salutogenesis model, with specific emphasis on its background and precursors, as well as its inception, development and current expansion.Este articulo tiene el objetivo de tratar en profundidad uno de los modelos mas revolucionarios e influyentes para la comprension de las variables y procesos que explican la salud humana. A partir de una nueva vision en el analisis de las consecuencias del holocausto nazi, un medico-sociologo -Aaron Antonovsky-, consiguio influir en la medicina y la ciencia del comportamiento, facilitando las claves para el optimo desarrollo de la salud publica actual. A pesar de que esta teoria empezo a forjarse en los anos 70 del siglo XX, su desarrollo real y su expansion estan sucediendo en los ultimos anos. De hecho, en Espana existe muy poca literatura con base cientifica que analice con detalle las claves teoricas del modelo. Este trabajo trata de cubrir esa carencia y, para ello, y en primer lugar, expone como surgio el constructo salutogenesis, el contexto sociocultural que lo impulso, asi como la importancia que adquiere en la salud publica actual. Con este objetivo, en estas paginas se analizan las bases teoricas del modelo salutogenico, con especial enfasis en sus antecedentes y precursores, asi como en sus inicios, desarrollo y expansion actual.

Influence of body mass index and type of low-level exercise on the side effect profile of regadenoson

PurposeRegadenoson, an A2A adenosine receptor pharmacologic stress agent for radionuclide myocardial perfusion imaging (MPI), is administered as a single, fixed dose. We studied the side effect profile of regadenoson combined with two types of low-level exercise, according to body mass index (BMI).MethodsThree hundred and fifty-six patients (46.1% men, mean age 67.7±10.7 years, range 31–90 years) underwent regadenoson stress testing combined with low-level exercise. Subjects were classified according to BMI as normal, overweight, or obese, and the type of low-level exercise performed as walking on the treadmill (TE group, n=190) or forcefully swinging legs while sitting (SS group, n=166). Patients’ demographics, medical history, clinical symptoms during stress, changes in ECG, oxygen saturation (SatO2), systolic blood pressure (SBP), and heart rate (HR) were evaluated.ResultsGroups were comparable (p=ns) with regard to cardiovascular risks factors. The incidence of side effects was similar across BMI (p=ns), although the TE patients showed improved profiles over those with SS exercise, with a significantly lower incidence of flushing, dizziness and nausea/gastrointestinal discomfort (12.9% vs. 28.4%; 19.9% vs. 33.4%; 11.4% vs. 19.2%, respectively; all p<0.05).Regarding the hemodynamic response, we did not observe significant changes in SBP and HR after regadenoson administration across BMI categories. Comparing the TE and SS groups, no significant changes were observed in SBP, but there was a higher increase in HR in the TE group (p<0.05).ConclusionsRegadenoson in combination with low-level exercise is safe and well tolerated over a wide range of BMI, with TE exercise showing a better side effect profile than SS.