Publications by authors named "Nunez-Cortes R"

The combination of moderate to vigorous physical activity with muscle-strengthening physical activity is increasingly recognized for its significant impact on cardiovascular health. This narrative review synthesizes current evidence to compare the cardiovascular benefits of combined physical activity versus singular forms, especially in primary prevention. The main focus is on hormonal, nervous, genetic, and molecular adaptations, critical mechanisms underlying the body's response to physical activity.

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  • This study investigates the prevalence of cardiovascular risk factors in children and adolescents during the COVID-19 pandemic using the Life's Essential 8 domains.
  • It analyzed 62 studies involving over 1.5 million participants from 42 countries, focusing on factors like diet, physical activity, and obesity.
  • The findings reveal significant prevalence rates of poor diet (26.69%), inadequate physical activity (70.81%), and other health issues, indicating a need for early prevention strategies to improve cardiovascular health.
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Background: There is a dearth of knowledge regarding the relationship between engaging in moderate and vigorous physical activity and long-term sickness absence (LTSA), particularly among various population subgroups such as individuals of different ages or body mass indices. We aimed to evaluate the prospective associations of moderate and vigorous leisure-time physical activity with the risk of LTSA in the general working population.

Methods: A prospective cohort study with a 2-year register follow-up was conducted, where 68,222 representative workers from Denmark completed a questionnaire about work environment, lifestyle, and health.

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Background: Pragmatic randomized controlled trials are getting more interest to improve trials' external validity. This study aimed to assess how pragmatic the design of the self-labelled pragmatic randomised controlled trials in the manual therapy field is.

Methods: We searched MEDLINE and the Cochrane Central Register of Controlled Trials for self-labelled pragmatic randomised controlled trials in the manual therapy field until January 2024 were included.

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Background & Aims: Questions remain whether higher handgrip strength confers additional health advantages beyond adherence to current physical activity guidelines. We aimed to evaluate prospective associations of joint objectively measured handgrip strength and physical activity with incident cardiovascular disease (CVD) and all-cause mortality.

Methods: We analysed the UK Biobank study in a cohort of participants who wore accelerometers for one week, with follow-up based on hospital records until 2022.

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Background: The worldwide prevalence of diabetes is increasing, particularly among older adults. Understanding the association between muscle strength and mortality in this population is crucial for developing targeted exercise recommendations.

Objectives: To assess the prospective association of muscle strength with mortality in older adults with diabetes.

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  • - The study examines the relationship between muscle strength and all-cause mortality in adults aged 90 years and older across Europe and Israel, using data from the SHARE study.
  • - Results indicate that both low and high levels of muscle strength are linked to increased mortality risk, suggesting a curvilinear relationship rather than a simple gradual one.
  • - A significant difference in handgrip strength was found between men and women, with men showing greater strength and associated varying hazard ratios related to muscle strength percentiles indicating differing mortality risks based on strength levels.
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Objective: To investigate the prospective dose-response association of accelerometer-measured moderate-to-vigorous physical activity (PA;MVPA) with all-cause mortality and cardiovascular disease (CVD) incidence.

Methods: This prospective cohort of 76,074 participants from the UK Biobank study contained one week of individual accelerometer-based PA data collected between June 1, 2013 and December 23, 2015. Using restricted cubic splines to allow for potential non-linearity, we examined dose-response associations of MVPA with all-cause mortality and incident CVD, respectively.

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  • The study aimed to find the best amount and short-term effects of kinesiotaping (KT) on pain and disability for pregnant women with lower back pain.
  • Researchers looked at information from several databases and included seven random controlled trials with 527 patients in their analysis.
  • They found that using KT for 5 to 10 days significantly helped reduce pain and disability, but there's still some uncertainty about how reliable the evidence is.
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Objective: The aging population of European countries highlights the need for extended working lives. This study aims to investigate facilitators and barriers for working beyond the statutory pension age (SPA).

Methods: Using data from waves 1, 2, 4-9 of the Survey of Health, Ageing and Retirement in Europe (SHARE) (2004-2022), we followed 9131 workers with a mean age of 56.

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The aims were (i) to determine the effects of Cognitive behavioral therapy for insomnia (CBT-I) on sleep disturbances, pain intensity and disability in patients with chronic musculoskeletal pain (CMP), and (ii) to determine the dose-response association between CBT-I dose (total minutes) and improvements in sleep disorders, pain intensity and disability in patients with CMP. A comprehensive search was conducted in PubMed/MEDLINE, Web of Science, CINAHL, and SCOPUS until December 17, 2023. Randomized clinical trials (RCTs) using CBT-I without co-interventions in people with CMP and sleep disorders were eligible.

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Introduction And Hypothesis: The objective was to evaluate the clinically beneficial effect of adding transvaginal monopolar non-ablative radiofrequency (RF) to pelvic floor muscle training (PFMT) on leakage severity, quality of life and urinary incontinence-related symptoms in women with stress urinary incontinence (SUI).

Methods: A double-blind randomised controlled trial was conducted, with a 6-week intervention and a 6-month follow-up. Participants were randomly assigned to the experimental group (PFMT plus RF; n = 18) or the control group (PFMT plus placebo; n = 20).

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  • The study investigates how nutritional status and comorbidity affect recovery after hip surgery in older adults, focusing on functionality, fall risk, and pain levels one month post-surgery.
  • Thirty-six patients aged 65 and older were assessed using various indexes pre-surgery and one month after discharge, with results indicating significant improvements in functional independence, fall risk, and pain intensity.
  • Findings suggest that patients with fewer comorbidities experienced better functional recovery, while those with better nutritional status had greater pain reduction after surgery.
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Introduction And Hypothesis: Self-efficacy for pelvic floor exercises, i.e. confidence in achieving pelvic floor contractions, may predict adherence to treatment.

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The aim of this study was to assess the moderator effect of the target concepts covered in the Pain science education (PSE) sessions, including both the total amount of target concepts and each individual target concept, on changes in pain intensity and disability in patients with chronic spinal pain (CSP). A systematic search of PubMed, Scopus, Embase, Web of Science and CENTRAL was conducted from inception to March 10, 2024. A random effects model was used for meta-regression analysis.

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  • This study investigates the impact of resistance training on muscle strength in adults with haemophilia, focusing on the exercise's duration and modality.
  • Seven studies were analyzed, revealing that both elastic resistance exercises and conventional training significantly enhance knee and elbow extensors' strength, with effect sizes indicating small to moderate benefits.
  • The findings suggest that resistance training for durations of 5-7 weeks or longer (≥8 weeks) effectively improves muscle strength in this population.
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Objective: (1) This trial will compare the clinical and psychosocial effectiveness of in-group and individually pain neuroscience education (PNE) in patients with chronic low back pain (CLBP). In addition, (2) the influence of social determinants of health on post-treatment results will be analyzed.

Methods: A three-arm randomized controlled trial will be conducted.

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Introduction: Regular assessment of motor impairments is crucial in people with haemophilic arthropathy (PwHA). This study aimed to determine if there are differences in 30-seconds sit-to-stand (30-STS) power and maximal voluntary isometric contraction (MVIC) of the knee extensors between PwHA and healthy control group (CG). The secondary aims were to investigate the correlation between 30-STS power and MVIC of knee extensors with clinical characteristics and to assess their effectiveness in identifying motor impairment in PwHA.

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Introduction: Activity wristbands have been shown to be effective in relation to self-monitoring activity levels and increasing exercise adherence. However, previous reports have been based on short-term follow-ups in people with haemophilia (PWH).

Aim: (1) To evaluate compliance with physical activity (PA) recommendations in PWH during a 1-year follow-up period using activity wristbands to record daily steps and intensity; (2) To determine the effect of PA self-monitoring on clinical outcomes.

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  • * Results showed that performing a cognitive task alongside physical exercises significantly increased muscle endurance, while the type of elbow exercise (flexion or extension) didn't impact results.
  • * Conclusions indicated that dual-tasking can enhance endurance, but the effectiveness relies on how difficult the participants perceive the cognitive tasks to be, suggesting the need for further research on this method's therapeutic benefits.
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Objective: (1) To identify the characteristics of PNE programs in terms of teaching-learning strategies, session modality, content delivery format, number of sessions, total minutes and instructional support material used in patients with chronic musculoskeletal pain, (2) to describe PNE adaptations for patients with different educational levels or cultural backgrounds, and (3) to describe the influence of the patient's educational level or cultural background on the effects of PNE.

Methods: The PRISMA guideline for scoping reviews was followed. Nine databases were systematically searched up to July 8, 2023.

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Introduction: Widespread pain may be related to psychosocial aspects in several musculoskeletal conditions, but the literature on carpal tunnel syndrome (CTS) is scarce.

Objective: To determine the relationship between pain extent and psychological factors (catastrophizing, kinesiophobia, anxiety symptoms, and depression) in people with CTS.

Methods: A cross-sectional study was conducted.

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Objectives: The aim of the present review was (1) to determine the effects of exercise based-interventions (EBIs) on pro-inflammatory and anti-inflammatory biomarkers in patients with fibromyalgia (FM), and (2) to determine the most effective type (acute or maintained) and modality (aerobic, resistance, etc.).

Methods: A systematic search was conducted in various electronic databases to identify all the relevant studies: Medline (PubMed), PEDro, EBSCO and Google Scholar.

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