Examinando por Autor "Mendizabal Gallastegui, Nere"

Mostrando 1 - 6 de 6
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    Association between PhA and physical performance variables in cancer patients
    (MDPI, 2023-01-09) Gutiérrez Santamaría, Borja; Martínez de Aguirre Betolaza, Aitor; García Álvarez, Arturo; Arietaleanizbeaskoa, María Soledad ; Mendizabal Gallastegui, Nere ; Grandes Odriozola, Gonzalo; Castañeda Babarro, Arkaitz ; Coca Núñez, Aitor
    Maintaining the physical performance of cancer patients is increasingly considered due to the growing number of cancer patients and the aggressiveness of the treatments. For this reason, bioimpedance is now being used to record patients’ body composition by obtaining the phase angle (PhA). Although there is a direct relationship between PhA, age, sex and disease prognosis, it has not been measured as an analysis of physical performance in oncology patients and is a valid tool in the follow-up of cancer patients. For this purpose, 311 patients were evaluated, and both bioelectrical impedance analysis (BIA) and physical performance measurements were performed. The modification of the results concerning PhA was found to be highly relational, as a variation in one of the variables affected the other. It was concluded that each degree increase in PhA modified −22.57 s [−27.58; −17.53] in 400-m walking test (400 mWT); 13.25 kg [10.13; 16.35] in upper-body strength (UBS); 6.3 [4.95; 7.65] in lower-body strength (LBS); 1.55 mL/kg/min [0.98; 2.12] in VO2peak; 6.53 Watts [3.83; 9.20] in ventilatory threshold 1 (VT1); 10.36 Watts [7.02; 13.64] in ventilatory threshold 2 (VT2). It was also noted that age was a factor that affected the relationship between PhA and 400 mWT; the older the age, the higher the relationship. PhA data has been shown to be highly correlated with physical performance. This is of great importance in clinical practice because a cancer patient’s physical performance levels can be assessed during treatment.
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    Condición física y calidad de vida de personas con patologías crónicas graves: programa de ejercicio EfiKroniK
    (Federación Española de Asociaciones de Docentes de Educación Física (FEADEF), 2023-09-15) Domínguez Martínez, Silvia; Arietaleanizbeaskoa, María Soledad ; Gil Rey, Erreka; García Álvarez, Arturo ; Mendizabal Gallastegui, Nere; Coca Núñez, Aitor; Grandes Odriozola, Gonzalo
    El objetivo del estudio es describir las características clínicas, de condición física y calidad de vida de una serie de casos compuesta por 162 pacientes crónicos diagnosticados de patologías hematológicas, trastorno mental o cáncer sólido en estadio IV, incluidos en el ensayo clínico EfiKroniK. Se recogieron datos sociodemográficos y clínicos además de realizar diferentes test para medir la condición física (test 400 metros, test de prensión manual y test de sentarse y levantarse cinco veces) y la calidad de vida general (SF-36, Golberg y Duke) y específica (PANSS y EORT QLQ-C30). Al analizar los resultados encontramos que tanto la condición física (262 segundos en el test de los 400 m, Intervalo de Confianza al 95% [IC95%] = 253 – 271; y 34kg en el test de prensión manual, IC95%=13 – 15) como la calidad de vida (41 puntos en el componente resumen de salud física del SF-36; IC95% = 39 – 42) son netamente inferiores a las de la población general, con diferencias significativas (p<0,05) entre grupos de patología. Las personas con enfermedades crónicas presentan un deterioro en su condición física y calidad de vida que deben tenerse en cuenta para prescribirles planes de ejercicio físico (CEIC de Euskadi, PI2014127)
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    Differences in Functional Capacity between Oncologic and Non-Oncologic Populations: Reference Values
    (Multidisciplinary Digital Publishing Institute (MDPI), 2024-01-25) Mojas Ereño, Egoitz; Santisteban Leguina, Aitor; Muñoz Pérez, Iker; Larrinaga Undabarrena, Arkaitz; Arietaleanizbeaskoa, María Soledad; Mendizabal Gallastegui, Nere; Gonzalo Grandes Odriozola ; Cacicedo, Jon; Río de Frutos, Xabier
    This study is focused on the fact that in the context of increasing global aging and cancer diagnoses, additional challenges arise in clinical care. Adequate functionality and body composition are key to coping with antineoplastic treatment, which can lead to better treatment tolerance, survival, and quality of life. This is a cross-sectional comparative study focused on the assessment and comparison of body composition and functionality between cancer patients and a reference population, with the aim of establishing meaningful baseline values. Techniques such as manual dynamometry, the Five-Times Sit-to-Stand test, and bioimpedance were used to collect data from 374 oncologic patients and 1244 reference individuals. The results reveal significant disparities in functionality and body composition among participants, and provide age group-specific adjusted baseline values for those diagnosed with cancer. These findings may have crucial clinical implications for applying particular cut-off points designed for this population group, which makes the assessment process faster and more accurate, enhances the capacity of medical personnel to act quickly, and improves the management of frailty in cancer patients.
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    Implementing exercise in standard cancer care (bizi orain hybrid exercise program): protocol for a randomized controlled trial
    (JMIR Publications Inc., 2021-08-01) Arietaleanizbeaskoa, María Soledad; Gil Rey, Erreka ; Mendizabal Gallastegui, Nere ; García Álvarez, Arturo ; de la Fuente, Ibon; Domínguez Martínez, Silvia; Pablo, Susana; Coca Núñez, Aitor; Gutiérrez Santamaría, Borja; Grandes Odriozola, Gonzalo
    Background: Despite the established benefits of regular exercise for patients with cancer to counteract the deleterious effects of the disease itself and treatment-related adverse effects, most of them do not engage in sufficient levels of physical activity and there is a paucity of data on the integration of efficacious exercise programs that are accessible and generalizable to a large proportion of patients with cancer into routine cancer care. Objective: We intend to examine the effects attributable to the implementation of a community-based exercise program on cardiorespiratory functional capacity and quality of life for patients with cancer. Methods: This will be a hybrid study. In the first experimental phase, patients diagnosed with any type of cancer will be randomized into two parallel groups. One group immediately performs Bizi Orain, a 3-month supervised exercise program (3 times a week), in addition to behavioral counseling in a primary health care setting; the other is a reference group that starts the exercise program 3 months later (delayed treatment). In the second observational phase, the entire cohort of participants will be followed-up for 5 years. Any person diagnosed with cancer in the previous 2 years is eligible for the program. The program evaluation involves the uptake, safety, adherence, and effectiveness assessed after completion of the program and with follow-ups at 3, 6, 12, 24, 36, 48, and 60 months. The primary outcomes of the experimental study, to be compared between groups, are improved physical function and quality of life, whereas overall survival is the main objective of the prospective study. To analyze the association between changes in physical activity levels and overall survival, longitudinal mixed-effects models will be used for repeated follow-up measures. Results: A total of 265 patients have been enrolled into the study since January 2019, with 42 patients from the hematology service and 223 from the oncology service. Conclusions: Bizi Orain is the first population-based exercise program in Spain that will offer more insight into the implementation of feasible, generalizable, and sustainable supportive care services involving structured exercise to extend survival of patients with cancer, improve their physical function and quality of life, and reverse the adverse effects of their disease and related treatments, thereby reducing the clinical burden. Trial Registration: ClinicalTrials.gov NCT03819595; http://clinicaltrials.gov/ct2/show/NCT03819595 International Registered Report Identifier (IRRID): DERR1-10.2196/24835.
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    Physiological and mental health changes in cancer patients during the COVID-19 state of emergency
    (Springer-Verlag Italia s.r.l., 2023-03) Gutiérrez Santamaría, Borja; Castañeda Babarro, Arkaitz ; Arietaleanizbeaskoa, María Soledad; Mendizabal Gallastegui, Nere; Grandes Odriozola, Gonzalo; Coca Núñez, Aitor
    Backgrounds: Due to the COVID-19 pandemic that we are currently facing, many governments across the world have declared a state of emergency and even confinements. This stressful situation, in addition to prolonged stays at home, may imply a radical change in lifestyle behavior and physical activity (PA). The aim of this study is to evaluate the physiological and psychological effects in cancer patients who changed their PA habits during the COVID-19 state of emergency in Spain. Methods: Thirty-three participants were evaluated pre- and post-state of emergency. A series of questionnaires was used to assess cancer-specific quality of life. Results : The most relevant results revealed significantly lower walking time (p < 0.001) and sitting time (p = 0.014). Upper and lower body strength also decreased significantly (p = 0.009 and 0.012, respectively) and oxygen consumption (VO2 peak) (p = 0.023). None of the parameters analysed showed significant differences for psychological aspects (QLQ-C-30 and SF-36) and body composition. Conclusion: Lower physical activity leads to negative physiological adaptation, particularly affecting cardiovascular and strength levels. While it is important to maintain the general population’s amount and intensity of exercise, this particularly vulnerable group’s physical capacity is vital to their health and well-being.
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    Plataforma en la nube para la gestión de datos de salud y ejercicio físico en pacientes oncológicos
    (Consejo general de Colegios Oficiales de licenciados en Educación Física y en Ciencias de la Actividad Física y del Deporte de España, 2024) Mojas Ereño, Egoitz; Gutiérrez Santamaría, Borja; Río de Frutos, Xabier; Méndez Zorrilla, Amaia; Badiola Bengoa, Aritz; Arietaleanizbeaskoa, María Soledad; Mendizabal Gallastegui, Nere; Grandes Odriozola, Gonzalo; Castañeda Babarro, Arkaitz; Coca Núñez, Aitor
    Actualmente, los trabajadores sanitarios utilizan sistemas inteligentes para predecir y generar información médica relevante para la salud, lo que implica al menos cinco terabytes de datos en entornos hospitalarios basados en la nube. El compromiso y la adherencia al ejercicio en adultos mayores o con enfermedades crónicas suelen ser bajos; por lo tanto, la integración de programas de ejercicio basados en la tecnología puede tener un efecto positivo en la adherencia y la educación, ayudando a personalizar el ejercicio a través de la intercomunicación entre los profesionales involucrados con el paciente. El uso de sistemas basados en la nube puede mejorar la comunicación entre los profesionales, así como la difusión y el intercambio de información, lo que a su vez puede mejorar la forma en que se relacionan con los pacientes. Planteamiento y objetivo: el objetivo de este estudio fue diseñar, desarrollar y probar una plataforma basada en la nube para gestionar datos relacionados con la salud y un programa de ejercicio físico para pacientes con cáncer y observar su rendimiento. Conclusión: este estudio concluye que la plataforma en la nube implementada puede ser una herramienta útil y fácil de usar, que ayuda a ofrecer intervenciones individualizadas de ejercicio físico a pacientes con cáncer, educándoles en el ejercicio físico como parte de su recuperación.