Publications by authors named "Antonio Moreno Llamas"

Objective: To describe the prevalence of sedentarism and physical inactivity according to sex, age, and socioeconomic level in the Basque Country.

Method: A cross-sectional study was conducted based on the 2018 Basque Autonomous Community Health Survey (n=7814 adults). Crude prevalences of sedentarism and physical inactivity, overall and by age group, were calculated, as well as the existence of a socioeconomic pattern was assessed through robust Poisson regression models.

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Background: Socioeconomic inequalities significantly impact the accessibility of resources necessary for physical activity, thereby influencing overall physical activity levels and contributing to broader health disparities. Nevertheless, evidence is lacking on quantifying the increase of people who would be physically active through reducing inequalities by a higher socioeconomic position.

Methods: We conducted secondary data analysis on the 2017 cross-sectional survey of the European Union's population aged ≥18 years (n = 27,538).

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Body mass index (BMI) has increased in Sweden, disproportionally for socially disadvantaged groups, including women, low-educated, and immigrants, who may also face economic constraints, physical inactivity, and poor-quality diets. Intersectional public health research aims to unravel such complex social inequalities, but the intersectional transmission of inequalities to BMI remains unexplored. We aimed to examine intersectional inequalities in BMI mediated by economic strain and health-related lifestyle in the Swedish population.

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The 2008 economic recession may have affected health-related indicators differently depending on the living environment. We analyze health-related indicators in Spain using data from four Spanish health surveys (2006, 2011, 2014, and 2017, 95 924 individuals aged ≥16 years). In 2006-2011, physical activity decreased among men and women, while in 2006-2017, physical activity only decreased among urban women.

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Urban-rural disparities in resources, services and facilities not only impact daily living conditions but also contribute to inequalities in physical activity, which may be associated with variations in basic public resources between urban and rural areas. This study aims to examine the evolution of perceived opportunities for physical activity in European urban and rural environments from 2002 to 2017 and their association with an active lifestyle. Data from four waves (2002, 2005, 2013 and 2017) of cross-sectional Eurobarometer surveys were collected (n = 101 373), and multilevel binomial logistic regressions were conducted.

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Article Synopsis
  • Misinformation about vaccines negatively affects uptake, prompting the EU to implement strategies to counter misinformation during the Covid-19 pandemic.
  • A survey of over 23,000 individuals from 27 EU countries identified four main sources of vaccine information, revealing that those who trusted national authorities and health professionals had more positive beliefs about vaccine safety and greater intent to vaccinate.
  • The study underscores the importance of reliable information sources in shaping public perception and satisfaction with vaccination strategies, offering insights for managing misinformation in future health crises.
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  • The study analyzed data from over 33,000 individuals aged 18 and older, exploring the impact of beer consumption on health outcomes using the 2012 and 2017 National Health Surveys.
  • Results showed that occasional and moderate beer drinkers reported better mental and emotional health, social support, and fewer physical limitations compared to those who abstained from alcohol.
  • Conversely, former drinkers experienced worse health indicators than abstainers, indicating a J-shaped relationship where moderate beer consumption is associated with improved health outcomes.
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  • - The study investigates the link between socioeconomic status (SES) and both physical activity (PA) and sedentary behavior (SB), revealing that lower SES correlates with less PA, but the relationship with SB is less clear.
  • - Using data from the Eurobarometer 2017, the research finds that individuals with higher SES report more PA; however, they also tend to have longer sitting times despite their higher educational levels and occupations.
  • - The results show significant socioeconomic inequalities in vigorous and moderate activities, with greater disparities in lower SES groups compared to higher ones, highlighting that higher SES groups may have paradoxically more active lifestyles alongside increased sedentary time.
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  • The study examines the link between socioeconomic status (SES) and obesity, suggesting that SES impacts health-related lifestyles such as diet and exercise.
  • Data from Spanish health surveys reveals that higher SES is associated with lower obesity rates and healthier lifestyle choices in both men and women.
  • The findings indicate that while SES influences obesity through lifestyle clustering, other factors also play a role in this complex relationship, especially in men.
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  • - People with lower socioeconomic status (SES) generally have a worse health-related quality of life (HRQoL), and this study investigates how physical activity (PA) influences that relationship.
  • - The research involved 381 adults from Madeira and used mediation analysis to assess how SES affects HRQoL through various PA domains, with HRQoL measured by scores from the SF-12 questionnaire.
  • - Findings indicate that higher educational levels improved HRQoL, while sports PA played a significant role in mitigating the negative impact of low SES on HRQoL, reducing the socioeconomic gradient for both physical and mental health scores.
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  • * Researchers analyzed data from three sources, including the World Health Organization and Olympic sport participation, covering millions of individuals across multiple countries to gauge the impact of gender inequality on PA.
  • * Results indicate that lower gender inequality leads to increased physical activity for both women and men, suggesting that improving women's living conditions could enhance their involvement in physical activities and sports.
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Here we evaluate the time trends of urban-rural differences in physical activity in the European Union between 2002 and 2017 and the contribution of urbanization on total physical activity changes, using four Eurobarometer surveys (n = 101,373). Trajectories of urban-rural differences in physical activity varied considerably among EU-28 countries. Hierarchical linear regression models revealed that inactivity increased in both urban and rural settings, although it was higher in the latter.

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Article Synopsis
  • - The text explores how social determinants, specifically educational attainment and occupational social class, impact health outcomes, highlighting the concept of the social gradient of health.
  • - Researchers analyzed data from four large Spanish surveys to identify clusters of health-related lifestyle behaviors based on sociodemographic factors, incorporating both education and social class.
  • - Findings reveal that higher education and social class correlate with healthier lifestyles; women's unhealthy behaviors tend to cluster with less education, while education significantly influences health behaviors regardless of social class.
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  • Physical activity is linked to better overall well-being in people with musculoskeletal diseases, highlighting its importance in health management.
  • The study utilized data from the 2014 European Health Survey for Spain, examining how factors like diet, substance use, and health indicators impact physical activity among this population.
  • Findings suggest that healthier eating habits, like increased fruit and vegetable intake and moderate alcohol consumption, are associated with higher physical activity levels, while smoking is more prevalent among inactive individuals.
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  • The study aimed to analyze how social stratification affects physical activity levels and barriers among Europeans.
  • Data was collected from a 2017 Eurobarometer survey involving over 28,000 individuals aged 15 and older.
  • Results showed that lower social classes had a significantly higher inactivity prevalence and faced more barriers to physical activity compared to higher social classes, suggesting the need for targeted public health strategies.
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  • The study investigates how economic recessions have a long-term impact on health-related lifestyles and medical attendance among different socioeconomic groups in Spain, using data from the Spanish National Health Survey across three years: 2006, 2012, and 2017.
  • Findings indicate that, during the recession, there was a noticeable increase in good self-perceived health across all groups, but socioeconomic disparities in smoking, physical activity, and diet also widened between high and low groups.
  • The research highlights significant increases in women's gynaecological attendance, particularly for cytology tests, across socioeconomic groups, underscoring the need for targeted health policies to address ongoing health inequalities following economic downturns.
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  • A variety of self-reported methods are used to measure physical activity (PA), but simpler questions could be more effective in clinical and public health settings.
  • A study involving 55,950 participants assessed the effectiveness of a single brief question against the longer International Physical Activity Questionnaire to determine PA compliance.
  • Results showed that those who are more active daily met the recommended PA guidelines, while less frequent exercisers did not, suggesting that a single-question approach can still accurately gauge adherence to PA guidelines.
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  • Smoking rates in Spain decreased by 3.13% from 2009 to 2012 and by 4.81% from 2009 to 2017, influenced by legal restrictions on tobacco use.
  • The study found that smokers had higher odds of presenting multiple health-related risk factors, such as poor self-perceived health, unhealthy weight, and low physical activity, with the odds increasing each survey year.
  • The overall conclusion is that while smoking prevalence is declining, smokers continue to lead unhealthier lifestyles compared to non-smokers or former smokers.
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