Atencion Primaria最新文献

{"title":"The physical activity and sedentary behavior of pregnant women with gestational diabetes mellitus: A cross-sectional study","authors":"Yan Wang ,&nbsp;Yue Peng ,&nbsp;Yuyang Wang ,&nbsp;Yan Pu ,&nbsp;Biru Luo","doi":"10.1016/j.aprim.2025.103312","DOIUrl":"10.1016/j.aprim.2025.103312","url":null,"abstract":"<div><h3>Background</h3><div>Although physical activity is recommended as a measure for treatment and management of gestational diabetes mellitus (GDM), little is known about the status of sedentary behavior, barriers and enablers to exercise, and the needs for exercise guidance in pregnant women with GDM.</div></div><div><h3>Aim</h3><div>The objectives of this study were to investigate the status of physical activity, sedentary behaviors and needs for exercise guidance in pregnant women with GDM, and explore its barriers, enablers and determinants.</div></div><div><h3>Method</h3><div>A cross-sectional study was conducted. A self-designed questionnaire was used to collect the data of exercise, sedentary behavior and barriers/enablers to exercise. Pregnancy Physical Activity Questionnaire was used to evaluate the physical activity. A stepwise multivariate logistic regression was conducted to analyze the determinants of exercise among pregnant women with GDM.</div></div><div><h3>Findings</h3><div>A total of 371 questionnaires were collected. The exercise compliance rate was only 27.42%. 41% of pregnant women with GDM had sedentary time more than 6<!--> <!-->h per day. 50.9% of participants had sedentary lifestyle. The most common barriers and enablers to physical activity were pregnancy symptoms or discomfort (32.1%) and easier glycemic control (88.9%), respectively. Advanced age (≥<!--> <!-->35 years old), low capita monthly family income, and the number of sedentary-lifestyle days (<em>OR</em> <!-->=<!--> <!-->1.227, 95%CI 1.090–1.382, <em>P</em> <!-->=<!--> <!-->0.001) were the independent risk factors for failing to meet exercise standard among pregnant women.</div></div><div><h3>Discussion/Conclusion</h3><div>Health care providers should provide interventions based on reducing sedentary behavior and increasing moderate physical activity to minimize the potential health problems in pregnant women with GDM.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103312"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ansiedad y estrés en la paternidad: desafíos y oportunidades para los hombres","authors":"Aldo Medina Gamero","doi":"10.1016/j.aprim.2025.103382","DOIUrl":"10.1016/j.aprim.2025.103382","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103382"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health education experiences of older adults with chronic disease","authors":"Lina Trigos-Carrillo ,&nbsp;Diana Cristina Angarita-Rodriguez ,&nbsp;Maria Claudia Uribe-Ruiz ,&nbsp;Natalia Canchon-Bello ,&nbsp;Margareth Alfonso-Mora","doi":"10.1016/j.aprim.2025.103267","DOIUrl":"10.1016/j.aprim.2025.103267","url":null,"abstract":"<div><h3>Objective</h3><div>This study describes the health education experiences of older adults with chronic disease (CD).</div></div><div><h3>Design</h3><div>A qualitative study employing a phenomenological approach.</div></div><div><h3>Setting</h3><div>Municipalities of Central Region of Cundinamarca Colombia.</div></div><div><h3>Participants</h3><div>The study was conducted through face-to-face semi-structured interviews. A total of 40 older adults participated in the study.</div></div><div><h3>Methods</h3><div>Data were collected through interviews, which were then coded and analyzed using ATLAS.ti software.</div></div><div><h3>Results</h3><div>The analysis revealed three main themes: Older adults became aware of their CD through initial signs and symptoms and reflections on previous lifestyle habits. After diagnosis, they managed CD through new activities and routines including pharmacologic treatment, health check-ups, and regular clinical tests. Treatment adherence was influenced by personal experiences and the adoption of new lifestyle habits.</div></div><div><h3>Conclusions</h3><div>The changes experienced by older adults implied a learning process influenced by their individual history, experiences, and external factors like family support. The findings provide valuable insights for designing health education strategies aimed at improving the empowerment of older adults in their healthcare process.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103267"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Actividad física en la era digital: retos y oportunidades para la atención primaria","authors":"Francesc Alòs ,&nbsp;Montserrat Romaguera ,&nbsp;Francesc Xavier Cos Claramunt ,&nbsp;Francesc Orfila ,&nbsp;David Aldon Mínguez ,&nbsp;Anna Puig-Ribera","doi":"10.1016/j.aprim.2025.103301","DOIUrl":"10.1016/j.aprim.2025.103301","url":null,"abstract":"<div><div>Primary Care is undergoing a profound transformation driven by demographic, social, and technological changes. In this context, the integration of physical activity into clinical practice and the development of digital health strategies emerge as key approaches to addressing physical inactivity and sedentary behavior, particularly in situations of chronic conditions, aging, and frailty. This article analyzes how technologies such as mobile applications, wearable devices, and digital platforms can enable more personalized physical activity prescription, remote monitoring, and community connection. It reviews the opportunities offered by these tools, based on the WHO's 5<!--> <!-->A brief intervention model, as well as barriers such as the digital divide and care overload. The article emphasizes the need to align digital health initiatives with ethical principles, community engagement, and person-centered care, strengthening rather than replacing the human connection.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103301"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144243247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estudio de prevalencia de aneurisma de aorta abdominal en Atención Primaria","authors":"Melisa del Carmen Suárez Gil,&nbsp;Patricia Santana Rocamora,&nbsp;Ramón Miranda Cortina,&nbsp;Sara Suárez Perdomo,&nbsp;Paula Hernández Benítez,&nbsp;Cristina Sierra Farinelli","doi":"10.1016/j.aprim.2025.103357","DOIUrl":"10.1016/j.aprim.2025.103357","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;div&gt;To describe the percentage of abdominal aortic aneurysm (AAA) cases in the Maspalomas Basic Health Zone among males aged 65 to 75 years who are current or former smokers. Our secondary objectives were to define the distribution of known risk factors for AAA development in our sample and to facilitate early referral to the appropriate vascular surgery service. We also aim to describe the percentage of subaneurysm cases, offering ultrasound follow-up at our center.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;This is a cross-sectional, descriptive, observational prevalence study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;Primary care level at the Maspalomas Health Center.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Men aged 65-75 years diagnosed as current or former smokers from the list requested from the computerized registration system of the Maspalomas Basic Health Zone. The sample size was 200 patients, and no attrition occurred, as the next patient on the list was selected if no response was received after 3&lt;!--&gt; &lt;!--&gt;phone calls at different times or if exclusion criteria were met.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main measurements&lt;/h3&gt;&lt;div&gt;As main study variable, we collected the anteroposterior and transverse diameters of the abdominal aorta, as well as the longitudinal diameter in case of an aneurysm, according to the OTO criterion of placing the calliper in the area with the largest diameter. The presence or absence of atherosclerotic plaque (regardless of the finding of an aneurysm) and the morphology of the AAA, if present, were also recorded. Within the registry of data on affiliation and risk factors, we included: age, pack-year index, years as a smoker and years as an ex-smoker (less than 5 years, between 5 and 10 years, or more than 10 years). Other risk factors with a dichotomous «yes» or «no» response were: high blood pressure, diabetes mellitus, hypercholesterolemia, myocardial infarction, family history of abdominal aneurysm, personal history of aneurysm at another level, and presence of peripheral arterial disease, as well as the number of antihypertensive treatments.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Among male smokers or former smokers aged 65 to 75 years in our sample, 14 cases of AAA were identified, of which 8 were already known. This corresponds to a prevalence of 7% (95% confidence interval: 4,2-11,4%). Additionally, 6,5% (95% &lt;span&gt;C&lt;/span&gt;I: 3,8-10,8%) of the sample had a subaneurysmal aorta. Of the risk factors assessed, those with significant associations included a family history of AAA with a &lt;em&gt;P&lt;/em&gt; value of 0,002, a personal history of aneurysm at another level with a &lt;em&gt;P&lt;/em&gt; value of 0,010, symptoms of peripheral artery disease with a &lt;em&gt;P&lt;/em&gt; value of 0,022, and after grouping aneurysms and subaneurysmal aortas, a history of peripheral artery disease with a &lt;em&gt;P&lt;/em&gt; value of 0,033.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The prevalence of abdominal aortic aneurysm in our study among male smokers or form","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103357"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adherencia al tratamiento y personalidad resiliente en mayores de 65 años polimedicados","authors":"María Esther Cortes-Fernandez ,&nbsp;Eva Cortes-Fernandez ,&nbsp;Emilio García-Jimenez ,&nbsp;María José Zarzuelo","doi":"10.1016/j.aprim.2025.103343","DOIUrl":"10.1016/j.aprim.2025.103343","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103343"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144672264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efectividad clínica y microbiológica del tratamiento erradicador de Helicobacter pylori con terapia triple","authors":"Yasmin Ghandour Fawaz ,&nbsp;Nagore Rojo Ruiz ,&nbsp;Javier Díaz Núñez ,&nbsp;Alba Sariola Molins ,&nbsp;Saúl Barreales Soto ,&nbsp;Jordi Vilaseca Canals","doi":"10.1016/j.aprim.2025.103344","DOIUrl":"10.1016/j.aprim.2025.103344","url":null,"abstract":"<div><h3>Objective</h3><div>To estimate the eradication rate of <em>Helicobacter pylori</em> (HP) with triple therapy (amoxicillin 1<!--> <!-->g/12<!--> <!-->h, clarithromycin 500<!--> <!-->mg/12<!--> <!-->h, and omeprazole 20<!--> <!-->mg/12<!--> <!-->h/for 14 days) and to evaluate its clinical effectiveness in improving symptoms associated with HP infection. This is an observational, prospective, exposed cohort study.</div></div><div><h3>Desing</h3><div>Prospective observational cohort study of exposed groups.</div></div><div><h3>Setting</h3><div>Urban health area with follow-up in primary care.</div></div><div><h3>Participants</h3><div>A total of 125 patients (68% women, 32% men) with untreated HP infection or who had not received eradication treatment in the last year were included, with a mean age of 52.2 years (SD ±<!--> <!-->17.5).</div></div><div><h3>Interventions</h3><div>Three visits were conducted. During visit 1, informed consent was obtained, the main and secondary symptoms were recorded, and treatment was prescribed. In visit 2, after completing the treatment, adverse effects, adherence (Morisky-Green test), and clinical evolution were recorded. In visit 3, the eradication test result was verified.</div></div><div><h3>Main measurements</h3><div>Demographic, symptomatology, eradication, adherence, and adverse effects variables were collected.</div></div><div><h3>Results</h3><div>The eradication rate was 92% (95% CI: 85.90-95.60%). Of these, 93.90% (95% CI: 88-97%) showed improvement or resolution of their symptoms. Therapeutic adherence was 80.80% (95% CI: 73.02-86.74%). Adverse effects appeared in 41.60% of patients, of which 35.20% were digestive-related.</div></div><div><h3>Conclusions</h3><div>The study supports triple therapy as a first-line option for HP infection in primary care in our setting. The majority of patients experienced a progressive improvement in their symptoms.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103344"},"PeriodicalIF":1.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144750554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reattendances in primary care and their association with patient safety events: A cohort study in Spain","authors":"José Joaquín Mira ,&nbsp;Clara Pérez-Esteve ,&nbsp;Mercedes Guilabert ,&nbsp;Concepción Carratalá ,&nbsp;Virtudes Pérez-Jover","doi":"10.1016/j.aprim.2025.103298","DOIUrl":"10.1016/j.aprim.2025.103298","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the frequency of reattendances in PC and their association with adverse events, considering sex-based differences.</div></div><div><h3>Design</h3><div>A retrospective observational study.</div></div><div><h3>Site</h3><div>Five primary care centres in the Valencia Region (Spain).</div></div><div><h3>Participants</h3><div>Patients over 50 years old attended in between 2019 and 2024.</div></div><div><h3>Main measurements</h3><div>A review of 541 electronic health records of patients was conducted to identify reattendances occurring within 20 days after an index visit Associated AEs were assessed as well.</div></div><div><h3>Results</h3><div>A total of 2077 reattendances were recorded (0.77 per patient-year), with significantly higher frequency among men (1601 in men vs. 476 in women; <em>P</em> <!-->&lt;<!--> <!-->0.001). Eighty-five AEs were identified (annual incidence: 3.1; 95% CI: 2.5–3.8), with women experiencing an 18% higher incidence compared to men (OR<!--> <!-->=<!--> <!-->1.18; 95% CI: 1.13–1.24; <em>P</em> <!-->&lt;<!--> <!-->0.001). No significant sex-based differences were observed in the severity of harm (<em>P</em> <!-->=<!--> <!-->0.713). Reattendances were associated with AEs (OR<!--> <!-->=<!--> <!-->7.04; <em>P</em> <!-->&lt;<!--> <!-->0.001), as was cognitive impairment, measured using the Pfeiffer Index (OR<!--> <!-->=<!--> <!-->1.21; <em>P</em> <!-->=<!--> <!-->0.033). In contrast, low and medium PC utilization were associated with a lower probability of AEs (OR<!--> <!-->=<!--> <!-->0.22 and 0.45; <em>P</em> <!-->=<!--> <!-->0.003 and 0.043, respectively).</div></div><div><h3>Conclusions</h3><div>Reattendances in PC are frequent and significantly associated with the occurrence of preventable AEs. Sex-based differences and individual patient factors, such as cognitive status and care utilization patterns, should be considered in patient safety strategies.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103298"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factores determinantes del índice de masa corporal en profesionales de la salud de una región andina del Perú","authors":"Raquel Saraí Obregón Vilca,&nbsp;Ana Karina Condori Pilco,&nbsp;Efraín Velásquez Mamani,&nbsp;Lucy Puño-Quispe","doi":"10.1016/j.aprim.2025.103295","DOIUrl":"10.1016/j.aprim.2025.103295","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103295"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overdiagnosis of community-acquired pneumonia in primary care. Comparison across five European countries","authors":"Carl Llor ,&nbsp;Malene Plejdrup Hansen ,&nbsp;Jesper Lykkegaard ,&nbsp;Bent Håkan Lindberg","doi":"10.1016/j.aprim.2025.103273","DOIUrl":"10.1016/j.aprim.2025.103273","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103273"},"PeriodicalIF":1.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144261584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}