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talized patients due to the COVID-19 pandemic. Conclusions the 9 ERs reviewed agree on the importance of nutritional management in critical and non-critical hospitalized patients with COVID-19, as well as on the early detection of nutritional risk, the intervention, and subsequent follow-up. Even so, each published document has its own particularities and puts a special stress on some specific aspect.
Background older adults suffer from diseases that can affect their functional, psychological and social parameters. The Comprehensive Geriatric Assessment (CGA) is used as an evaluation tool for these parameters through the use of validated, simple and easy-to-apply instruments. Objective to report the health status of older adults who attend a primary care center in an urban-marginal area of Guayaquil (Ecuador) through CGA, as a first step in order to establish a coordinated care plan in the areas studied. Material and Methods a cross-sectional assessment of 196 aged subjects with a median age of 70.9 years (83 % females) who attended a Primary Care Community Health Center in Guayaquil. Nutritional, social, demographic, functional, and cognitive variables were assessed. Results participants had a mean age of 70.9 ± 7.1 years. Demographic variables 73 % were Afro-Ecuadorian, 69 % had basic education, and 57 % performed no physical activity. Clinical assessment 47.4 % presented with vision impairment, and 37s in marginal urban populations as a first step to improve health status for this older population, which in recent years is growing significantly in developing countries such as Ecuador.
Introduction the anthropometric characteristics of international stand-up paddle (SUP) boarders are relevant aspects when it comes to their performance. However, very little research has been carried out within this sport, almost none regarding the body composition and anthropometric characteristics of SUP practitioners. Therefore, the aim of this research will be to describe the anthropometric profile of international SUP boarders. Material and methods a cross-sectional design in thirty-one international SUP boarders (34.2 ± 12.4 years). Height, body mass, 8 skinfolds, 2 bone diameters, and 5 perimeters were measured, and corrected perimeters were calculated by the same two level-2 internationally certified anthropometrists. Anthropometric measurements were taken following the International Society of Advancement of Kinanthropometry (ISAK) protocol. Body fat mass (FM) was calculated using Carter, Faulkner, Yuhasz, and Withers equations, whereas muscle mass (MM) was estimated using the Lee 2000 equation. Sos calculated by applying the Heath and Carter equation. Bioimpedance (BIA) measurements were also recorded. Results international SUP athletes had a body mass of 74.6 (6.6) kg, a body fat percentage of 7.6 % (2.1 %) (Carter), 11.3 % (3.5 %) (Faulkner), 7.6 % (2.1 %) (Yuhasz), and 9.0 % (3.6 %) (Whiters), and skinfold sums of 48.2 (20.6) mm for 6, and 57.8 (22.2) mm for 8 skinfolds. Muscle mass was 47.3 % (2.6 %) and somatotype was ecto-mesomorphic with values of 1.9 (0.9) for endomorphy, 5.4 (1.0) for mesomorphy, and 2.4 (0.9) for ectomorphy. BIA results for FM were 11.7 % (4.4 %), and for MM were 50.0 % (2.9 %). Conclusion these results suggest that a low body fat percentage and high muscle mass are representative characteristics of international stand-up paddlers, as well as a balanced mesomorphic somatotype. According to these, a low skindfold sum and high arm muscle mass may represent key factors for performance in this sport because of their relation to acceleration and stroke force.
IIntroduction maternal employment after childbirth is associated with abandonment of breastfeeding; however, lactation rooms in the workplace increase the practice of breastfeeding. Objective to compare the frequency and duration of breastfeeding among working mothers based on the presence of lactation rooms in their workplaces. Methods we included mothers from different institutions whose infants were between 6 and 35 months (n = 158), and an ad hoc questionnaire was applied to assess breastfeeding, exclusive breastfeeding (EBF), partial breastfeeding (PBF), and use of human milk substitutes (HMS). Two groups were compared working mothers with a lactation room at their workplace (n = 76) versus working mothers without this resource (n = 82). Results breastfeeding duration (7.5 vs. 5.0 months, p < 0.001) and EBF (3.0 vs. 1.2 months, p = 0.005) were higher in mothers who had a lactation room. HMS use was shorter in mothers who had a lactation room (2.5 vs. 10.0 months, p = 0.001). There were more working with a lactation room at their workplace (n = 76) versus working mothers without this resource (n = 82). Results breastfeeding duration (7.5 vs. BI-3406 inhibitor 5.0 months, p less then 0.001) and EBF (3.0 vs. 1.2 months, p = 0.005) were higher in mothers who had a lactation room. HMS use was shorter in mothers who had a lactation room (2.5 vs. 10.0 months, p = 0.001). There were more working mothers who breastfed for more than six months (75.0 % vs. 48.8 %) [OR = 3.15 (95 % CI, 1.60-6.19), p = 0.001] and 12 months (31.6 % vs. 14.6 %) [OR = 2.69 (95 % CI, 1.23-5.87), p = 0.014] when lactation rooms were available in their workplaces. Conclusion the presence of a lactation room in the workplace was associated with a higher frequency and duration of breastfeeding.
Water is an essential nutrient for life and the most abundant component in the human body. However, its dietary recommendations or clinical management guidelines do not receive as much attention as they deserve. In addition, there are some obstacles to establishing optimal values, both for the amount of water the body must contain and for water ingestion. Water intake and elimination depend on unsteady factors that are difficult to measure and, at the same time, compensated by the body's ability to regulate homeostasis. Since scientific evidence is lacking for establishing recommendations, "adequate intakes" (to maintain an adequate hydration state) have been estimated using data on water intake from groups of healthy people. The European Food Safety Authority (EFSA) also considers desirable the use of urine osmolarity to estimate the adequacy of water intake in adults. Clinical studies have generally shown the benefits of adequate hydration and the damage caused by water imbalance, whether quantitative (dehydration and overhydration) or qualitative (extracellular and intracellular water).
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