Research
Grapp-CAIB generates valid knowledge of the effectiveness and efficiency of innovative interventions in prevention and health promotion.
Mission
The mission of the Grapp-CAIB is to generate valid knowledge of the efficacy, effectiveness and efficiency of innovative interventions in prevention and health promotion and to transfer it to citizens and professionals, especially those in primary care, public health and health service managers.
The research conducted in cancer, cardiovascular risk factors, and other aspects of prevention and promotion is highly applied: the knowledge generated is transferred to public health or primary care clinics.
Main research lines
1. Determinants of health, healthy lifestyles and promotion of healthy habits.
Through this line of research we aim to study how interventions based on the promotion of healthy lifestyles can contribute to reversing, treating and preventing chronic diseases. This is a line in which a multidisciplinary group works that includes different health professionals and experts in areas such as nutrition, psychology and physical activity.
2. Health and patient safety services.
Health services research is a multidisciplinary scientific field that examines how the population gains access to health professionals and health care services, how much health services cost, and what happens to patients as a result of the provision of these services. Our group focuses specifically on the areas of healthcare quality, patient safety, patient-centered care, and the development and evaluation of digital health-based interventions for the prevention and management of chronic diseases.
3. Epidemiology for cardiovascular risk reduction.
Cardiovascular diseases remain the leading cause of death worldwide. Our research group carries out projects aimed at obtaining greater knowledge about the incidence and prevalence of cardiovascular risk factors, as well as the various forms of cardiovascular disease in different countries and regions.
4. Cancer: epidemiology, prevention and treatment.
Through this line of research we study how primary care services aimed at cancer prevention, as well as its treatment, surveillance and palliative care, can be improved.
5. Clinical research in primary care.
The clinical research carried out by our group in the field of primary care aims to generate new knowledge that helps in the diagnosis, treatment and prevention of diseases in humans.
6. Nursing care.
The objective of this line is to develop and promote nursing actions for the promotion and coordination of multidisciplinary and translational research in care, fostering the link between practice and research, and enabling the implementation of safe and high-quality care that improves patient health. This line is part of the Spanish Center for Evidence-Based Health Care (CECBE), which is part of the Joanna Briggs International Collaboration of the research unit Investén-isciii of the Carlos III Health Institute.
7. Childhood and environment.
The objective of this line of research is to study the role of the most important environmental pollutants in air, water, and diet during pregnancy and early life, and their effects on child growth and development.


Projects
Projects led by GRAPP-caIB in the last 3 years.
Promoting the transfer of DiabeText, a digital tool integrated with the clinical history to improve the health and quality of life of people with diabetes
PI: Ignacio Ricci Cabello
Funding: 149,500
Duration: 2023-2024
Contract/project file: PDC2022-133257-I00
Collaborating researchers: Claudio Mirasso Santos, Aina Yáñez Juan, Miquel Bennasar Veny, Esperança Amengual Alcover, Jordi Llabrés Bordoy, Elena Gervilla García, Silvia Ortín González, Escarlata Angullo Martínez, Carlos Enrique Herrero, María Asunción Boronat Moreiro, Sofía Mira Martínez, María Zaforteza Dezcallar, María Jesús Serrano Ripoll, María Antònia Fiol de Roque, Rocío Zamanillo Campos.
Methodological Support for the Performance of Literature Reviews within Evidence-based Scientific Assessments. PI Baleares: Ignacio Ricci Cabello
Funding: 4,000,000€
Duration: 2022-2026
Contract/project file: OC/EFSA/MESE/2022/03
Collaborating researchers: María Adoración Romaguera, Miquel Bennasar Veny
Multimorbilidad en el Sistema Nacional de Salud: Caracterización poblacional e impacto de sus patrones y trayectorias en personas mayores (Proyecto MM-SNS) IP: Angélica Miguélez Chamorro Financiación: 33.880,00 € Duración: 2023-2025 Expediente contrato/proyecto: PI22/01684 Investigadores colaboradores: Bernardino Oliva Fanlo, Patricia Lorente Montalvo, Miguel Bennasar Veny, Joan Llobera Cànaves, Aina Maria Yañez Juan, Maria Antònia Fiol de Roque, Estefania Serratusell Sabater
Audit & Feedback Intervention to Reduce Inappropriate Medication Prescription in Patients Aged 65 and Over in Primary Care. AIM Study: Multicenter Clinical Trial. PI: Alfonso Leiva Rus
Funding: 75,020.00 €
Duration: 2023-2025
Contract/project file: PI22/01669
Collaborating researchers: Catalina Vicens Caldentey, Aina Maria Yañez Juan, Mónica Martínez Cengotitabengoa, Ermengol Sempere Verdú, Marta Llarena Fernández, Rita Sainz de Rozas Aparicio, Itxasne Lekue Alkorta, Alba Gallego Royo, Isabel Maria Socias Buades, Agustín González Vicens, Francesc Company Bezares, Maria Lluisa Sastre Martorell, Sebastián Jaume Gayà, Cruz Belén Bartolomé Moreno, Ferrán Bejarano Romero
Audit & Feedback Intervention to Reduce Antibiotic Prescription in Primary Care (AFA Study).
PI: Laura Gallardo Alfaro (PI), Aina Soler Mieras (Co-PI)
Funding Agency: Research Projects in Health. Carlos III Health Institute
Funding: 38,720.00 €
Duration: 2023-2025
Contract/project file: PI22/01742
Collaborating researchers: Rafael Torres García, Antònia Roca Casas, Isabel Maria Socias Buades, Kaoutar Ziani Akrirout, Sofía Mira Martínez, Francesc Company Bezares.
Evaluation of SINERGIAPS, an intervention aimed at improving patient safety in healthcare centers in Spain based on the perceptions and experiences of the patients themselves.
PI: Ignacio Ricci Cabello
Funding Agency: Research Projects in Health. Carlos III Health Institute
Funding: 119,790.00 €
Duration: 2023-2025
Contract/project file: PI22/01521
Collaborating researchers: José María Valderas, Antonio Olry de Labry Lima, Maria Antonia Fiol de Roque, Sara Guerrero, María Costa Marín, Clara González Formoso, Fernando Isidro Lago, Sofía Mira Martínez
IMPaCT Cohort. Predictive Medicine Program. Precision Medicine Infrastructure associated with Science and Technology (IMPaCT).
PI Baleares: Joan Llobera Cànaves (PI), Xènia Chela Álvarez (technical coordinator)
Funding Agency: Carlos III Health Institute
Funding: 233,909.94 €
Duration: 2021-2024
Contract/project file: IMP/00021
Collaborating researchers Baleares: Antònia Salvà Fiol, Noemí Pérez García, Eugenia Carandell Jäger, Antònia Roca Casas, Joana Maria Taltavull Aparicio, Oana Bulilete, Joana Ripoll Amengual, Jerònia Miralles Xamena, Caterina Vicens Caldentey
Public Health and Precision Preventive Medicine combining physical examination, lifestyle habits, and genomic information: monitoring the obesity pandemic through the extension of the IMPaCT Cohort (Obes-IMPaCT).
Funding Agency: Carlos III Health Institute
Duration: 2024-2026
Contract/project file: PMP22/00003
Collaborating researchers Baleares: Joan Llobera Cànaves, José Ignacio Ramírez Manent, Catalina Villalonga Munar
Validation of lung ultrasound, performed by family doctors, as an initial imaging test to diagnose pneumonia in COVID-19 patients.
PI: José Ignacio Ramírez Manent
Funding agency: Health research projects. Carlos III Health Institute.
Funding: 37,510€
Duration: 2022-2024
Contract/project file: PI21/01521
Collaborating researchers: Antonia Roca Casas, Ignacio Ramírez Manent, Magdalena Esteva Cantó, Miguel Román Rodríguez, José Corcoll Reixach, Antonio Albaladejo Dávalos, Cristina Gadea Ruíz, Álvaro Moran Bayón.
How can potentially inappropriate prescriptions in Primary Care be effectively reduced? Exploratory study for the design of an evidence-based intervention.
PI: María Antònia Fiol de Roque
Funding agency: Illes Balears Health Research Institute (IdISBa). IMPETUS 2021 intramural call.
Funding: 10,000€
Duration: 2022-2023
Contract/project file: IMP21/02
Collaborating researchers: Ignacio Ricci Cabello, Aina Soler Mieras, Maria Jesús Serrano-Ripoll, David Medina Bombardó, Elena Gervilla.
Clinical effectiveness and bacteriological eradication of 4 short antibiotic regimens in lower urinary tract infections in adult women (SCOUT Study).
PI: Alfonso Leiva Rus
Funding agency: Health research projects. Carlos III Health Institute.
Funding: 82,500€
Duration: 2 years (January 2021 – December 2022)
Contract/project file: ICI20/00128
Collaborating researchers: Antonia Roca Casas, José Ignacio Ramírez Manent , Joan Llobera Canaves, Antonio Ballester Camps, Catalina Vicens Caldentey, Aina MariaYañez Juan, Ignacio Ricci Cabello, Aina Soler Mieras, Eva Alcoceba Cruixent, Maria Consuelo Corrionero Soto, Joana Ripoll Amengual
Development and evaluation of the effectiveness, cost-effectiveness, and implementation of a low-intensity, multicomponent digital intervention to prevent type 2 diabetes mellitus within primary care: PREDIABETEXT study.
PI:Ignacio Ricci Cabello (IP), Escarlata Angullo Martínez (Co-PI)
Funding agency: Illes Balears Health Research Institute (IdISBa) – Sinergias 2020 intramural call
Funding: 20,000€
Duration: 2 years (January 2021 – December 2022)
Contract/project file: SYN20/04
Collaborating researchers: Maria Jesús Serrano Ripoll, Maria Antonia Fiol de Roque, Joan Llobera Canaves, Alfonso Leiva Rus, Oana, BulileteBulilete, JadwigaKonieczna, Elena Gervilla, Miquel Roca Bennasar, Margalida Gili Planas, Mauro García-Toro, Miquel Bennasar Veny, Aina MariaYañez Juan, Aina Galmés Panadés, Maria Adoración Romaguera Bosch, Rafa Jiménez López, Catalina Vicens Caldentey, Rocío Gómez Juanes, Clara Vidal Thomás, Juan José Montaño Moreno
Project for the evaluation and update of indicators for the main comorbidities and complications of type 2 diabetes mellitus: the case of heart failure.
PI: Ignacio Ricci Cabello (IP), Rocío Zamanillo Campos (Co-PI)
Funding agency: Astrazeneca
Funding: 20,000€
Duration: 1 year (January 2021 – December 2021)
Contract/project file: PSID/INDICA
Effectiveness and cost-utility of cognitive-behavioral intervention in primary care nurses’ and doctors’ consultations for the treatment of persistent insomnia.
PI: Susana González, Isabel Torrens (coPIs)
Funding agency: Health research projects. Carlos III Health Institute.
Funding: 26,620€
Duration: 2019 – 2021
Contract/project file: PI19/00029
Collaborating researchers: Jerónima Miralles, Clara Vidal, Rosa Pizá, Apol•lonia Esteva, Marta Pisà, Patricia Lorente, Catalina Vicens
Cohorte DESVELA. Análisis del papel de las aptitudes personales como determinantes de la incidencia de morbilidad, estilos de vida, calidad de vida, uso de servicios y mortalidad.
PI: Joan Llobera
Funding agency: Health research projects. Carlos III Health Institute.
Funding: 27,890.50€
Duration: 2019-2022
Contract/project file: PI19/01868
Collaborating researchers: David Medina, Jose María Coll, Matías Torrent, Catalina Vicens, Joana Ripoll, Clara Vidal, Oana Bulilete.
Development, evaluation, and large-scale implementation of PSICOVIDAPP, a psychoeducational intervention through a mobile application to mitigate mental health issues in healthcare professionals responding to the COVID-19 pandemic.
PI: Mauro García Toro (PI), Ignacio Ricci Cabello (Co-PI)
Funding Agency: 2020 Spanish Foundation of Psychiatry and Mental Health Grants.
Funding: 41,000€
Duration: 14 months (October 2020 – December 2021)
Contract/project file: SEP20/01
Collaborating researchers: Miquel Bennasar Veny, Maria Antonia Fiol de Roque, Elena Gervilla García, Rafael Jiménez López, Alfonso Leiva Rus, Joan Llobera Canaves, Joan Salvà Coll, Maria Jesús Serrano Ripoll, Rocío Zamanillo Campos, Aina Maria Yáñez Juan, Carolina Sitges, Javier García Campayo, Maria Esther García Buades, Guadalupe Pastor Moreno, Isabel Ruíz Pérez, Pablo Alonso Coello
Retrospective cohort study to assess the prognostic impact of exposure to COVID-19 risk drugs.
PI:Aina Soler Mieras
Funding agency: Illes Balears Health Research Institute (IdISBa) – Extraordinary call for expressions of interest for research projects in response to the COVID-19 pandemic.
Funding: 9,600€
Duration: 2020 – 2021
Contract/project file: COVID-19/26
Collaborating researchers: Amaia Alcorta Lorenzo, Ana Aretio, Gemma Arrufat, Guillem Marc Campins Adrover, Francesc Company Bezares, Barbara Ferrer Jaillard, Angel García Álvarez, Aurelia Iglesias Iglesias, Olatz Pérez Rodríguez, Francisca Ramis Riera, Marta Rovira Vila, Mª Luisa Sastre Martorell, Raquel Seco Melantuche, Ana Vanrell Ballestero, Magdalena Esteva Cantó.
Evolution of seroprevalence against SARS-CoV-2 in the healthy adult population of the Balearic Islands.
PI: Joan Llobera Canaves and Antonio Gayà Oliver.
Funding agency: Illes Balears Health Research Institute (IdISBa) – Extraordinary call for expressions of interest for research projects in response to the COVID-19 pandemic.
Funding: 42,680€
Duration: 2020 – 2021
Contract/project file: COVID-19/10
Collaborating researchers: Oana Bulilete, Javier Calvo Benito, Enrique Girona Llobera, Alfonso Leiva Rus, Antonio Oliver Palomo, Maties Torrent Quetglas.
Effectiveness of an intervention based on the use of mobile technology for the prevention of mental health issues in healthcare professionals on the frontlines of patient care for COVID-19.
PI: Ignacio Ricci Cabello and Maria Jesús Serrano Ripoll
Funding agency: Illes Balears Health Research Institute (IdISBa) – Extraordinary call for expressions of interest for research projects in response to the COVID-19 pandemic.
Funding: 48,500€
Duration: 18 months (2020 May – 2021 November)
Contract/project file: COVID-19/06
Collaborating researchers: Miquel Bennasar Veny, Maria Antonia Fiol de Roque, Mauro García Toro, Elena Gervilla García, Rafael Jiménez López, Alfonso Leiva Rus, Joan Llobera Canaves, Joan Salvà Coll, Maria Jesús Serrano Ripoll, Rocío Zamanillo Campos, Aina Maria Yáñez Juan, Carolina Sitges, Javier García Campayo, Maria Esther García Buades, Guadalupe Pastor Moreno, Isabel Ruíz Pérez, Pablo Alonso Coello
Impact of COVID-19 lockdown on lifestyle and emotional well-being of the adult population in the Balearic Islands (COVID-19/23) Research projects on SARS-CoV-2 and COVID-19. GOIB-IdISBa. Principal investigator: Joana Ripoll Amengual. Duration: 2020 – 2021.
Promoting adherence to antidiabetic medication in patients with type 2 diabetes through a mobile technology system integrated with computerized medical records (RTI2018-096935-A-I00) R+D+i Projects “Retos investigación”. Ministry of Science, Innovation and Universities. Principal Investigator: Ignacio Ricci Cabello. Duration: 2019 – 2022.
Prevention of depression in the workplace through a personalized intervention based on risk algorithms, ICT, and decision support systems: randomized controlled trial (PI18/01306)
Health research projects. Carlos III Health Institute. Principal investigator: Alfonso Leiva Rus. Duration: 2019 – 2021.
Cancer diagnosis in primary care: the value of the family doctor’s intuition GUT FEELINGS (PI18/01462) Health research projects. Carlos III Health Institute. Principal investigators: Magdalena Esteva Cantó and Bernardino Oliva Fanlo. Duration: 2019 – 2021.
Information and research needs in breast cancer from the perspective of patients and professionals. V Edition Scholarship of the Fundación DISA Biomedical Research Awards 2019. Principal investigator: Beatriz León Salas (FISSC). Co-principal investigator: Magdalena Esteva Cantó. Duration: 2019 – 2020.
Design of an intervention for the prevention of depression in patients with subclinical symptoms through the promotion of healthy lifestyles using a smartphone application (App): a formative study (PI005_20) VII Research Projects Grants AP Mallorca 2020. GAP Mallorca. Principal investigator: Mª Jesús Serrano Ripoll. Duration: 2020 – 2021.
Project for the evaluation and update of indicators for the main comorbidities and complications of type 2 diabetes mellitus: the case of heart failure (PSID/INDICA) AstraZeneca. Principal investigator: Ignacio Ricci Cabello. Duration: 2020 – 2021.
Translation into Catalan and psychometric validation of the questionnaire “Patient Reported Experiences and Outcomes of Safety in Primary Care” PREOS-PC (INAP/SERRANO) VI Research Projects Grants AP Mallorca 2019. GAP Mallorca. Principal investigator: Mª Jesús Serrano Ripoll. Duration: 2019 – 2020.
Evaluation of the implementation of clinical ultrasound in the Primary Care area of Mallorca (INAP/BULILETE) VI Research Projects Grants AP Mallorca 2019. GAP Mallorca. Principal investigator: Oana Bulilete. Duration: 2019 – 2020.
Effectiveness of medication self-management, self-monitoring of blood pressure, diet, and physical exercise in reducing blood pressure in difficult-to-control patients (AMADEF) (PI17/02108) Health research projects. Carlos III Health Institute. Principal investigators: Fabián Unda Villafuerte and Fernando Rigo Carratalà. Duration: 2018 – 2022.
Development and Evaluation of an Intervention based on the Provision of Patient Feedback to Improve Patient Safety in Spanish Primary Care Centres (CP17/00017) Miguel Servet Type I Contract. Carlos III Health Institute. Principal investigator: Ignacio Ricci Cabello. Duration: 2018 – 2021.
Housekeeping staff and health (ITS 17-096) II Call for grants from the sustainable tourism tax. GOIB. Principal investigator: Joan Llobera Cànaves. Duration: 2018 – 2021.
Effectiveness of the Otago exercise program applied in a group versus individual format on the likelihood of falls in non-institutionalized individuals aged 65-80 years (PI16/01316) Health research projects. Carlos III Health Institute. Principal investigator: Jerónima Miralles Xamena. Duration: 2017 – 2021.
Pragmatic, open-label, evaluator-blinded, randomized clinical trial to assess the efficacy of maintaining pharmacological treatment in patients with advanced dementia (PI16/00720) Health research projects. Carlos III Health Institute. Principal investigator: Aina Soler Mieras. Duration: 2017 – 2021.
Effectiveness of the use of information and communication technologies in increasing physical activity and weight loss in obese and sedentary individuals. RCT. EVIDENT III Study (PI16/00421). Health research projects. Carlos III Health Institute. Principal investigator: José Ignacio Ramírez Manent. Duration: 2017 – 2021.
Research on the socio-health effects of COVID-19 among the migrant population: the example of Son Gotleu (Palma). II Call for research on social impact applied to sustainable human development in the context of COVID-19. Office of Development Cooperation and Solidarity, UIB. Principal investigator: Mª de Lluc Bauzà Amengual. Duration: 2021.
Scientific publications

2025
- 1.Gordito Soler M, López-González Ángel A, Tárraga López PJ, Martínez-Almoyna Rifá E, Martorell Sánchez C, Vicente-Herrero MT, Paublini H, Ramírez-Manent JI. Association of Sociodemographic Variables and Healthy Habits with Body and Visceral Fat Values in Spanish Workers. Medicina (Kaunas, Lithuania) [Internet]. Switzerland; 2025 Jan.;61(1):150-. https://pubmed.ncbi.nlm.nih.gov/39859131Background and Objectives: The accumulation of fat in the body, especially visceral fat, is associated with various cardiometabolic conditions such as diabetes mellitus and fatty liver. The reasons for the accumulation of this fat are diverse. Some studies, also in the working population, have shown a clear association between sociodemographic variables and health habits with scales that assess overweight and obesity. This study aims to determine how certain sociodemographic variables, such as age, gender, and socioeconomic level, as well as certain healthy habits like physical activity and tobacco consumption, affect the levels of body and visceral fat. Materials and Methods: We conducted a descriptive and cross-sectional study involving 8590 Spanish workers. The percentage of body and visceral fat was measured using a bioimpedance analysis with a Tanita DC 430MA device. Results: Both the average values and the prevalence of elevated body and visceral fat increase with age and decrease with social class and lower levels of physical activity. These values are higher in smokers. A multivariate analysis shows that the variables most influential in increasing the risk of high levels of both body and visceral fat are age and low levels of physical activity. Conclusions: The profile of a person at high risk of having elevated body and visceral fat levels is an older male with a low socioeconomic status who smokes and leads a sedentary lifestyle.
@article{gorditosoler2025association,
abstract = {Background and Objectives: The accumulation of fat in the body, especially visceral fat, is associated with various cardiometabolic conditions such as diabetes mellitus and fatty liver. The reasons for the accumulation of this fat are diverse. Some studies, also in the working population, have shown a clear association between sociodemographic variables and health habits with scales that assess overweight and obesity. This study aims to determine how certain sociodemographic variables, such as age, gender, and socioeconomic level, as well as certain healthy habits like physical activity and tobacco consumption, affect the levels of body and visceral fat. Materials and Methods: We conducted a descriptive and cross-sectional study involving 8590 Spanish workers. The percentage of body and visceral fat was measured using a bioimpedance analysis with a Tanita DC 430MA device. Results: Both the average values and the prevalence of elevated body and visceral fat increase with age and decrease with social class and lower levels of physical activity. These values are higher in smokers. A multivariate analysis shows that the variables most influential in increasing the risk of high levels of both body and visceral fat are age and low levels of physical activity. Conclusions: The profile of a person at high risk of having elevated body and visceral fat levels is an older male with a low socioeconomic status who smokes and leads a sedentary lifestyle.},
address = {Switzerland},
author = {Gordito Soler, María and López-González, Ángel Arturo and Tárraga López, Pedro Juan and Martínez-Almoyna Rifá, Emilio and Martorell Sánchez, Cristina and Vicente-Herrero, María Teófila and Paublini, Hernan and Ramírez-Manent, José Ignacio},
journal = {Medicina (Kaunas, Lithuania)},
keywords = {grapp-caib},
month = {jan},
number = 1,
pages = {150--},
title = {Association of Sociodemographic Variables and Healthy Habits with Body and Visceral Fat Values in Spanish Workers},
volume = 61,
year = 2025
}%0 Journal Article
%1 gorditosoler2025association
%A Gordito Soler, María
%A López-González, Ángel Arturo
%A Tárraga López, Pedro Juan
%A Martínez-Almoyna Rifá, Emilio
%A Martorell Sánchez, Cristina
%A Vicente-Herrero, María Teófila
%A Paublini, Hernan
%A Ramírez-Manent, José Ignacio
%C Switzerland
%D 2025
%J Medicina (Kaunas, Lithuania)
%N 1
%P 150--
%R 10.3390/medicina61010150
%T Association of Sociodemographic Variables and Healthy Habits with Body and Visceral Fat Values in Spanish Workers
%U https://pubmed.ncbi.nlm.nih.gov/39859131
%V 61
%X Background and Objectives: The accumulation of fat in the body, especially visceral fat, is associated with various cardiometabolic conditions such as diabetes mellitus and fatty liver. The reasons for the accumulation of this fat are diverse. Some studies, also in the working population, have shown a clear association between sociodemographic variables and health habits with scales that assess overweight and obesity. This study aims to determine how certain sociodemographic variables, such as age, gender, and socioeconomic level, as well as certain healthy habits like physical activity and tobacco consumption, affect the levels of body and visceral fat. Materials and Methods: We conducted a descriptive and cross-sectional study involving 8590 Spanish workers. The percentage of body and visceral fat was measured using a bioimpedance analysis with a Tanita DC 430MA device. Results: Both the average values and the prevalence of elevated body and visceral fat increase with age and decrease with social class and lower levels of physical activity. These values are higher in smokers. A multivariate analysis shows that the variables most influential in increasing the risk of high levels of both body and visceral fat are age and low levels of physical activity. Conclusions: The profile of a person at high risk of having elevated body and visceral fat levels is an older male with a low socioeconomic status who smokes and leads a sedentary lifestyle. - 1.López-González Ángel A, Martínez-Almoyna Rifá E, Oliveira HP, Sánchez CM, Tárraga López PJ, Ramírez-Manent JI. Association Between Sociodemographic Variables, Healthy Habits, and Stress with Risk Scales for Liver Disease Associated with Metabolic Dysfunction. Life (Basel, Switzerland) [Internet]. Switzerland; 2025 Jan.;15(1):116-. https://pubmed.ncbi.nlm.nih.gov/39860055Metabolic dysfunction-associated fatty liver disease (MAFLD) is the most common cause of chronic liver disease worldwide, with a multifactorial etiology. This study aims to evaluate the associations between various sociodemographic variables, healthy habits, and stress with risk scale values for MAFLD. MATERIALS AND METHODS: A descriptive, cross-sectional study was conducted on 16,708 Spanish workers to assess how sociodemographic variables (age, gender, and socioeconomic status), healthy habits (smoking, Mediterranean diet adherence, and physical activity), and stress correlate with values from three MAFLD risk scales: fatty liver index (FLI), hepatic steatosis index (HSI), and lipid accumulation product (LAP). RESULTS: All analyzed variables were associated with the values of the three MAFLD risk scales. Among them, the variables showing the strongest associations (represented by odds ratio values) were age and physical activity. CONCLUSIONS: The profile of an individual at higher risk of elevated MAFLD risk scale values is a male, aged 50 or older, belonging to lower socioeconomic levels (manual laborers), a smoker, sedentary, with low adherence to the Mediterranean diet, and with high stress scale scores.
@article{lopezgonzalez2025association,
abstract = {Metabolic dysfunction-associated fatty liver disease (MAFLD) is the most common cause of chronic liver disease worldwide, with a multifactorial etiology. This study aims to evaluate the associations between various sociodemographic variables, healthy habits, and stress with risk scale values for MAFLD. MATERIALS AND METHODS: A descriptive, cross-sectional study was conducted on 16,708 Spanish workers to assess how sociodemographic variables (age, gender, and socioeconomic status), healthy habits (smoking, Mediterranean diet adherence, and physical activity), and stress correlate with values from three MAFLD risk scales: fatty liver index (FLI), hepatic steatosis index (HSI), and lipid accumulation product (LAP). RESULTS: All analyzed variables were associated with the values of the three MAFLD risk scales. Among them, the variables showing the strongest associations (represented by odds ratio values) were age and physical activity. CONCLUSIONS: The profile of an individual at higher risk of elevated MAFLD risk scale values is a male, aged 50 or older, belonging to lower socioeconomic levels (manual laborers), a smoker, sedentary, with low adherence to the Mediterranean diet, and with high stress scale scores.},
address = {Switzerland},
author = {López-González, Ángel Arturo and Martínez-Almoyna Rifá, Emilio and Oliveira, Hernán Paublini and Sánchez, Cristina Martorell and Tárraga López, Pedro Juan and Ramírez-Manent, José Ignacio},
journal = {Life (Basel, Switzerland)},
keywords = {grapp-caib},
month = {jan},
number = 1,
pages = {116--},
title = {Association Between Sociodemographic Variables, Healthy Habits, and Stress with Risk Scales for Liver Disease Associated with Metabolic Dysfunction},
volume = 15,
year = 2025
}%0 Journal Article
%1 lopezgonzalez2025association
%A López-González, Ángel Arturo
%A Martínez-Almoyna Rifá, Emilio
%A Oliveira, Hernán Paublini
%A Sánchez, Cristina Martorell
%A Tárraga López, Pedro Juan
%A Ramírez-Manent, José Ignacio
%C Switzerland
%D 2025
%J Life (Basel, Switzerland)
%N 1
%P 116--
%R 10.3390/life15010116
%T Association Between Sociodemographic Variables, Healthy Habits, and Stress with Risk Scales for Liver Disease Associated with Metabolic Dysfunction
%U https://pubmed.ncbi.nlm.nih.gov/39860055
%V 15
%X Metabolic dysfunction-associated fatty liver disease (MAFLD) is the most common cause of chronic liver disease worldwide, with a multifactorial etiology. This study aims to evaluate the associations between various sociodemographic variables, healthy habits, and stress with risk scale values for MAFLD. MATERIALS AND METHODS: A descriptive, cross-sectional study was conducted on 16,708 Spanish workers to assess how sociodemographic variables (age, gender, and socioeconomic status), healthy habits (smoking, Mediterranean diet adherence, and physical activity), and stress correlate with values from three MAFLD risk scales: fatty liver index (FLI), hepatic steatosis index (HSI), and lipid accumulation product (LAP). RESULTS: All analyzed variables were associated with the values of the three MAFLD risk scales. Among them, the variables showing the strongest associations (represented by odds ratio values) were age and physical activity. CONCLUSIONS: The profile of an individual at higher risk of elevated MAFLD risk scale values is a male, aged 50 or older, belonging to lower socioeconomic levels (manual laborers), a smoker, sedentary, with low adherence to the Mediterranean diet, and with high stress scale scores. - 1.López-González Ángel A, Martínez-Almoyna Rifá E, Paublini Oliveira H, Martorell Sánchez C, Tárraga López PJ, Ramírez-Manent JI. Association between sociodemographic variables, healthy habits and stress with diabesity. Clinica e investigacion en arteriosclerosis : publicacion oficial de la Sociedad Espanola de Arteriosclerosis [Internet]. Spain; 2025 Jan.;:500754-. https://pubmed.ncbi.nlm.nih.gov/39824668INTRODUCTION: Diabesity is a pathological condition that combines obesity and type 2 diabetes in the same individual. Due to the current rise in both conditions, the prevalence of diabesity is increasing worldwide. Its etiology is known to be multifactorial; therefore, the aim of this study is to understand how diabesity is associated with various sociodemographic variables, healthy habits, and stress. MATERIALS AND METHODS: A descriptive, cross-sectional study was conducted on 24,224 Spanish workers to evaluate the association between diabesity and various factors such as age, gender, socioeconomic status, smoking, alcohol consumption, physical activity, adherence to the Mediterranean diet, and stress. The criteria used to define diabesity included body mass index (BMI), body fat (BF), and visceral fat (VF). RESULTS: All the aforementioned variables were found to be associated with diabesity. The highest odds ratios (OR) were observed for age, with values ranging from 5.57 (95% CI: 4.48-6.67) when BF was used as the diabesity criterion to 6.89 (95% CI: 5.60-8.19) when VF was the criterion. Similarly, elevated ORs were observed for male gender, with ORs of 6.77 (95% CI: 5.31-8.24) for VF and 3.34 (95% CI: 2.77-3.94) for BF. CONCLUSIONS: In our study, the profile of a person at highest risk of diabesity is a man over 50 years old from a lower socioeconomic status, who is a smoker, regular alcohol consumer, sedentary, with low adherence to the Mediterranean diet, and experiencing high stress levels.
@article{lopezgonzalez2025association,
abstract = {INTRODUCTION: Diabesity is a pathological condition that combines obesity and type 2 diabetes in the same individual. Due to the current rise in both conditions, the prevalence of diabesity is increasing worldwide. Its etiology is known to be multifactorial; therefore, the aim of this study is to understand how diabesity is associated with various sociodemographic variables, healthy habits, and stress. MATERIALS AND METHODS: A descriptive, cross-sectional study was conducted on 24,224 Spanish workers to evaluate the association between diabesity and various factors such as age, gender, socioeconomic status, smoking, alcohol consumption, physical activity, adherence to the Mediterranean diet, and stress. The criteria used to define diabesity included body mass index (BMI), body fat (BF), and visceral fat (VF). RESULTS: All the aforementioned variables were found to be associated with diabesity. The highest odds ratios (OR) were observed for age, with values ranging from 5.57 (95% CI: 4.48-6.67) when BF was used as the diabesity criterion to 6.89 (95% CI: 5.60-8.19) when VF was the criterion. Similarly, elevated ORs were observed for male gender, with ORs of 6.77 (95% CI: 5.31-8.24) for VF and 3.34 (95% CI: 2.77-3.94) for BF. CONCLUSIONS: In our study, the profile of a person at highest risk of diabesity is a man over 50 years old from a lower socioeconomic status, who is a smoker, regular alcohol consumer, sedentary, with low adherence to the Mediterranean diet, and experiencing high stress levels.},
address = {Spain},
author = {López-González, Ángel Arturo and Martínez-Almoyna Rifá, Emilio and Paublini Oliveira, Hernán and Martorell Sánchez, Cristina and Tárraga López, Pedro Juan and Ramírez-Manent, José Ignacio},
journal = {Clinica e investigacion en arteriosclerosis : publicacion oficial de la Sociedad Espanola de Arteriosclerosis},
keywords = {grapp-caib},
month = {jan},
pages = {500754--500754},
title = {Association between sociodemographic variables, healthy habits and stress with diabesity},
year = 2025
}%0 Journal Article
%1 lopezgonzalez2025association
%A López-González, Ángel Arturo
%A Martínez-Almoyna Rifá, Emilio
%A Paublini Oliveira, Hernán
%A Martorell Sánchez, Cristina
%A Tárraga López, Pedro Juan
%A Ramírez-Manent, José Ignacio
%C Spain
%D 2025
%J Clinica e investigacion en arteriosclerosis : publicacion oficial de la Sociedad Espanola de Arteriosclerosis
%P 500754--500754
%R 10.1016/j.arteri.2024.500754
%T Association between sociodemographic variables, healthy habits and stress with diabesity
%U https://pubmed.ncbi.nlm.nih.gov/39824668
%X INTRODUCTION: Diabesity is a pathological condition that combines obesity and type 2 diabetes in the same individual. Due to the current rise in both conditions, the prevalence of diabesity is increasing worldwide. Its etiology is known to be multifactorial; therefore, the aim of this study is to understand how diabesity is associated with various sociodemographic variables, healthy habits, and stress. MATERIALS AND METHODS: A descriptive, cross-sectional study was conducted on 24,224 Spanish workers to evaluate the association between diabesity and various factors such as age, gender, socioeconomic status, smoking, alcohol consumption, physical activity, adherence to the Mediterranean diet, and stress. The criteria used to define diabesity included body mass index (BMI), body fat (BF), and visceral fat (VF). RESULTS: All the aforementioned variables were found to be associated with diabesity. The highest odds ratios (OR) were observed for age, with values ranging from 5.57 (95% CI: 4.48-6.67) when BF was used as the diabesity criterion to 6.89 (95% CI: 5.60-8.19) when VF was the criterion. Similarly, elevated ORs were observed for male gender, with ORs of 6.77 (95% CI: 5.31-8.24) for VF and 3.34 (95% CI: 2.77-3.94) for BF. CONCLUSIONS: In our study, the profile of a person at highest risk of diabesity is a man over 50 years old from a lower socioeconomic status, who is a smoker, regular alcohol consumer, sedentary, with low adherence to the Mediterranean diet, and experiencing high stress levels. - 1.Bescos R, Gallardo-Alfaro L, Ashor A, Rizzolo-Brime L, Siervo M, Casas-Agustench P. Nitrate and nitrite bioavailability in plasma and saliva: Their association with blood pressure - A systematic review and meta-analysis. Free radical biology & medicine [Internet]. United States; 2025 Jan.;226:70-83. https://pubmed.ncbi.nlm.nih.gov/39522567In this study, we conducted a systematic review and meta-analysis to determine plasma and salivary nitrate (NO(3)(-)) and nitrite (NO(2)(-)) concentrations under resting and fasting conditions in different type of individuals and their association with blood pressure levels. A total of 77 studies, involving 1918 individuals aged 19-74 years (males = 906; females = 1012), which measured plasma and/or salivary NO(3)(-) and NO(2)(-) using the chemiluminescence technique, were included. Mean plasma NO(3)(-) and NO(2)(-) concentrations were 33.9 μmol/L and 158.3 nmol/L, respectively. Subgroup analyses revealed lower plasma NO(3)(-) and NO(2)(-) concentrations in individuals with cardiometabolic risk (NO(3)(-): 21.2 μmol/L; 95 % CI, 13.4-29.0; NO(2)(-): 122.8 nmol/L; 95 % CI, 75.3-138.9) compared to healthy (NO(3)(-): 33.9 μmol/L; 95 % CI, 29.9-37.9; NO(2)(-): 159.5 nmol/L; 95 % CI, 131.8-187.1; P < 0.01) and trained individuals (NO(3)(-): 43.0 μmol/L; 95 % CI, 13.2-72.9; NO(2)(-): 199.3 nmol/L; 95 % CI, 117.6-281; P < 0.01). Mean salivary NO(3)(-) and NO(2)(-) concentrations were 546.2 μmol/L and 197.8 μmol/L, respectively. Salivary NO(3)(-), but no NO(2)(-), concentrations were higher in individuals with cardiometabolic risk (680.0 μmol/L; 95 % CI, 510.2-849.8; P = 0.001) compared to healthy individuals (535.9 μmol/L; 95 % CI, 384.2-687.6). A significant positive association (coefficient, 15.4 [95 % CI, 0.255 to 30.5], P = 0.046) was observed between salivary NO(3)(-) and diastolic blood pressure (DBP). These findings suggest that the health status is positively associated with plasma NO(3)(-) and NO(2)(-) concentrations, but the circulatory levels of these anions are not associated with blood pressure. Only salivary NO(3)(-) showed a significant positive association with DBP.
@article{bescos2025nitrate,
abstract = {In this study, we conducted a systematic review and meta-analysis to determine plasma and salivary nitrate (NO(3)(-)) and nitrite (NO(2)(-)) concentrations under resting and fasting conditions in different type of individuals and their association with blood pressure levels. A total of 77 studies, involving 1918 individuals aged 19-74 years (males = 906; females = 1012), which measured plasma and/or salivary NO(3)(-) and NO(2)(-) using the chemiluminescence technique, were included. Mean plasma NO(3)(-) and NO(2)(-) concentrations were 33.9 μmol/L and 158.3 nmol/L, respectively. Subgroup analyses revealed lower plasma NO(3)(-) and NO(2)(-) concentrations in individuals with cardiometabolic risk (NO(3)(-): 21.2 μmol/L; 95 % CI, 13.4-29.0; NO(2)(-): 122.8 nmol/L; 95 % CI, 75.3-138.9) compared to healthy (NO(3)(-): 33.9 μmol/L; 95 % CI, 29.9-37.9; NO(2)(-): 159.5 nmol/L; 95 % CI, 131.8-187.1; P < 0.01) and trained individuals (NO(3)(-): 43.0 μmol/L; 95 % CI, 13.2-72.9; NO(2)(-): 199.3 nmol/L; 95 % CI, 117.6-281; P < 0.01). Mean salivary NO(3)(-) and NO(2)(-) concentrations were 546.2 μmol/L and 197.8 μmol/L, respectively. Salivary NO(3)(-), but no NO(2)(-), concentrations were higher in individuals with cardiometabolic risk (680.0 μmol/L; 95 % CI, 510.2-849.8; P = 0.001) compared to healthy individuals (535.9 μmol/L; 95 % CI, 384.2-687.6). A significant positive association (coefficient, 15.4 [95 % CI, 0.255 to 30.5], P = 0.046) was observed between salivary NO(3)(-) and diastolic blood pressure (DBP). These findings suggest that the health status is positively associated with plasma NO(3)(-) and NO(2)(-) concentrations, but the circulatory levels of these anions are not associated with blood pressure. Only salivary NO(3)(-) showed a significant positive association with DBP.},
address = {United States},
author = {Bescos, Raul and Gallardo-Alfaro, Laura and Ashor, Ammar and Rizzolo-Brime, Lucia and Siervo, Mario and Casas-Agustench, Patricia},
journal = {Free radical biology & medicine},
keywords = {grapp-caib},
month = {jan},
pages = {70--83},
title = {Nitrate and nitrite bioavailability in plasma and saliva: Their association with blood pressure - A systematic review and meta-analysis},
volume = 226,
year = 2025
}%0 Journal Article
%1 bescos2025nitrate
%A Bescos, Raul
%A Gallardo-Alfaro, Laura
%A Ashor, Ammar
%A Rizzolo-Brime, Lucia
%A Siervo, Mario
%A Casas-Agustench, Patricia
%C United States
%D 2025
%J Free radical biology & medicine
%P 70--83
%R 10.1016/j.freeradbiomed.2024.11.010
%T Nitrate and nitrite bioavailability in plasma and saliva: Their association with blood pressure - A systematic review and meta-analysis
%U https://pubmed.ncbi.nlm.nih.gov/39522567
%V 226
%X In this study, we conducted a systematic review and meta-analysis to determine plasma and salivary nitrate (NO(3)(-)) and nitrite (NO(2)(-)) concentrations under resting and fasting conditions in different type of individuals and their association with blood pressure levels. A total of 77 studies, involving 1918 individuals aged 19-74 years (males = 906; females = 1012), which measured plasma and/or salivary NO(3)(-) and NO(2)(-) using the chemiluminescence technique, were included. Mean plasma NO(3)(-) and NO(2)(-) concentrations were 33.9 μmol/L and 158.3 nmol/L, respectively. Subgroup analyses revealed lower plasma NO(3)(-) and NO(2)(-) concentrations in individuals with cardiometabolic risk (NO(3)(-): 21.2 μmol/L; 95 % CI, 13.4-29.0; NO(2)(-): 122.8 nmol/L; 95 % CI, 75.3-138.9) compared to healthy (NO(3)(-): 33.9 μmol/L; 95 % CI, 29.9-37.9; NO(2)(-): 159.5 nmol/L; 95 % CI, 131.8-187.1; P < 0.01) and trained individuals (NO(3)(-): 43.0 μmol/L; 95 % CI, 13.2-72.9; NO(2)(-): 199.3 nmol/L; 95 % CI, 117.6-281; P < 0.01). Mean salivary NO(3)(-) and NO(2)(-) concentrations were 546.2 μmol/L and 197.8 μmol/L, respectively. Salivary NO(3)(-), but no NO(2)(-), concentrations were higher in individuals with cardiometabolic risk (680.0 μmol/L; 95 % CI, 510.2-849.8; P = 0.001) compared to healthy individuals (535.9 μmol/L; 95 % CI, 384.2-687.6). A significant positive association (coefficient, 15.4 [95 % CI, 0.255 to 30.5], P = 0.046) was observed between salivary NO(3)(-) and diastolic blood pressure (DBP). These findings suggest that the health status is positively associated with plasma NO(3)(-) and NO(2)(-) concentrations, but the circulatory levels of these anions are not associated with blood pressure. Only salivary NO(3)(-) showed a significant positive association with DBP. - 1.Tárraga Marcos PJ, López-González Ángel A, Martínez-Almoyna Rifá E, Paublini Oliveira H, Martorell Sánchez C, Tárraga López PJ, Ramírez-Manent JI. The Prevalence of Metabolic Syndrome and Hypertriglyceridemic Waist Based on Sociodemographic Variables and Healthy Habits in Healthcare Workers: A Retrospective Study. Life (Basel, Switzerland) [Internet]. Switzerland; 2025 Jan.;15(1):81-. https://pubmed.ncbi.nlm.nih.gov/39860021Introduction: Metabolic syndrome (MetS) and hypertriglyceridemic waist (HTW) are two multifactorial pathological conditions that have been increasing in prevalence worldwide. The objective of this study was to evaluate how various sociodemographic variables and healthy habits are associated with the presence or absence of MetS and HTW. Methodology: This study employed a mixed-methods approach, consisting of a retrospective longitudinal study and a cross-sectional descriptive study, analyzing 44,939 healthcare workers with MS and HTW across four professional categories to evaluate the relationship between age, sex, smoking, physical activity, and adherence to the Mediterranean diet using three diagnostic criteria. Descriptive analysis included categorical and quantitative variables, which were assessed through frequencies, Student's t-test, chi-square, and binary logistic regression models. Logistic regression and Cohen's kappa were used to evaluate associations and concordances. Age, sex, and lack of physical activity showed the strongest associations with MetS (OR: 2.65-2.84). The results highlight the importance of physical activity and other factors in metabolic prevention. Results: Age, sex, and physical activity were the variables most strongly associated with MetS and HTW across the three evaluated diagnostic criteria. The odds ratios revealed significant values: age (9.07-13.71 for MetS and 13.42 for HTW), sex (2.82-3.31 for MetS and 3.72 for HTW), and physical activity (2.65-2.84 for MetS and 2.40 for HTW). Conclusions: The risk of developing MetS and HTW among healthcare personnel is influenced by lifestyle habits, sex, and age, with the highest ORs observed in nursing assistants and orderlies. Future research that delves deeper into the causal relationship between lifestyle factors and the severity of MetS and HTW in healthcare personnel will improve understanding and facilitate the development of preventive activities to reduce their incidence.
@article{tarragamarcos2025prevalence,
abstract = {Introduction: Metabolic syndrome (MetS) and hypertriglyceridemic waist (HTW) are two multifactorial pathological conditions that have been increasing in prevalence worldwide. The objective of this study was to evaluate how various sociodemographic variables and healthy habits are associated with the presence or absence of MetS and HTW. Methodology: This study employed a mixed-methods approach, consisting of a retrospective longitudinal study and a cross-sectional descriptive study, analyzing 44,939 healthcare workers with MS and HTW across four professional categories to evaluate the relationship between age, sex, smoking, physical activity, and adherence to the Mediterranean diet using three diagnostic criteria. Descriptive analysis included categorical and quantitative variables, which were assessed through frequencies, Student's t-test, chi-square, and binary logistic regression models. Logistic regression and Cohen's kappa were used to evaluate associations and concordances. Age, sex, and lack of physical activity showed the strongest associations with MetS (OR: 2.65-2.84). The results highlight the importance of physical activity and other factors in metabolic prevention. Results: Age, sex, and physical activity were the variables most strongly associated with MetS and HTW across the three evaluated diagnostic criteria. The odds ratios revealed significant values: age (9.07-13.71 for MetS and 13.42 for HTW), sex (2.82-3.31 for MetS and 3.72 for HTW), and physical activity (2.65-2.84 for MetS and 2.40 for HTW). Conclusions: The risk of developing MetS and HTW among healthcare personnel is influenced by lifestyle habits, sex, and age, with the highest ORs observed in nursing assistants and orderlies. Future research that delves deeper into the causal relationship between lifestyle factors and the severity of MetS and HTW in healthcare personnel will improve understanding and facilitate the development of preventive activities to reduce their incidence.},
address = {Switzerland},
author = {Tárraga Marcos, Pedro Javier and López-González, Ángel Arturo and Martínez-Almoyna Rifá, Emilio and Paublini Oliveira, Hernán and Martorell Sánchez, Cristina and Tárraga López, Pedro Juan and Ramírez-Manent, José Ignacio},
journal = {Life (Basel, Switzerland)},
keywords = {grapp-caib},
month = {jan},
number = 1,
pages = {81--},
title = {The Prevalence of Metabolic Syndrome and Hypertriglyceridemic Waist Based on Sociodemographic Variables and Healthy Habits in Healthcare Workers: A Retrospective Study},
volume = 15,
year = 2025
}%0 Journal Article
%1 tarragamarcos2025prevalence
%A Tárraga Marcos, Pedro Javier
%A López-González, Ángel Arturo
%A Martínez-Almoyna Rifá, Emilio
%A Paublini Oliveira, Hernán
%A Martorell Sánchez, Cristina
%A Tárraga López, Pedro Juan
%A Ramírez-Manent, José Ignacio
%C Switzerland
%D 2025
%J Life (Basel, Switzerland)
%N 1
%P 81--
%R 10.3390/life15010081
%T The Prevalence of Metabolic Syndrome and Hypertriglyceridemic Waist Based on Sociodemographic Variables and Healthy Habits in Healthcare Workers: A Retrospective Study
%U https://pubmed.ncbi.nlm.nih.gov/39860021
%V 15
%X Introduction: Metabolic syndrome (MetS) and hypertriglyceridemic waist (HTW) are two multifactorial pathological conditions that have been increasing in prevalence worldwide. The objective of this study was to evaluate how various sociodemographic variables and healthy habits are associated with the presence or absence of MetS and HTW. Methodology: This study employed a mixed-methods approach, consisting of a retrospective longitudinal study and a cross-sectional descriptive study, analyzing 44,939 healthcare workers with MS and HTW across four professional categories to evaluate the relationship between age, sex, smoking, physical activity, and adherence to the Mediterranean diet using three diagnostic criteria. Descriptive analysis included categorical and quantitative variables, which were assessed through frequencies, Student's t-test, chi-square, and binary logistic regression models. Logistic regression and Cohen's kappa were used to evaluate associations and concordances. Age, sex, and lack of physical activity showed the strongest associations with MetS (OR: 2.65-2.84). The results highlight the importance of physical activity and other factors in metabolic prevention. Results: Age, sex, and physical activity were the variables most strongly associated with MetS and HTW across the three evaluated diagnostic criteria. The odds ratios revealed significant values: age (9.07-13.71 for MetS and 13.42 for HTW), sex (2.82-3.31 for MetS and 3.72 for HTW), and physical activity (2.65-2.84 for MetS and 2.40 for HTW). Conclusions: The risk of developing MetS and HTW among healthcare personnel is influenced by lifestyle habits, sex, and age, with the highest ORs observed in nursing assistants and orderlies. Future research that delves deeper into the causal relationship between lifestyle factors and the severity of MetS and HTW in healthcare personnel will improve understanding and facilitate the development of preventive activities to reduce their incidence.
2024
- 1.Fiol deRoque MA, Serrano-Ripoll MJ, Mira-Martínez S, Pastor-Moreno G, Sitges C, García-Buades ME, Gervilla E, Garcia-Toro M, Zamanillo-Campos R, Ricci-Cabello I. Process evaluation of PsyCovidApp, a digital tool for mobile devices aimed at protecting the mental health of healthcare professionals during the COVID-19 pandemic: a mixed method study. Frontiers in psychology [Internet]. Switzerland; 2024 Mar.;15:1378372-. https://pubmed.ncbi.nlm.nih.gov/38577118INTRODUCTION: PsyCovidApp, a digital intervention aimed at safeguarding the mental health of healthcare workers during the COVID-19 pandemic, demonstrated in a randomized clinical trial to yield significant improvements solely among healthcare workers undergoing psychotherapy or receiving psychotropic medication. OBJECTIVES: (1) To identify contextual factors and mechanisms of action that influenced the impact of PsyCovidApp during the aforementioned trial; (2) To pinpoint enhancements for optimizing its efficacy. MATERIALS AND METHODS: For the first objective, a process evaluation was conducted, amalgamating quantitative techniques (surveying 216 healthcare professionals who had utilized PsyCovidApp during the trial) and qualitative methods (in-depth interviews with 16 healthcare workers). The second objective involved a panel of seven experts, utilizing the RAND-UCLA methodology. RESULTS: The quantitative study (response rate = 40%) revealed that 22% of respondents had not fully accessed the content of PsyCovidApp. The average usage time was 22.7 min/day, being higher (p < 0.05) among consumers of psychotropic medications. Contents related to relaxation and mindfulness were most highly rated. Acceptability and usefulness scores ranged between 7.3-7.5/10 points, with higher ratings (p < 0.05) among women and older healthcare workers. The qualitative study uncovered that the primary barriers to using PsyCovidApp were workload, lack of time, and exhaustion. Its primary mechanisms of action included emotion identification, mental health regulation (e.g., insomnia, intense emotions), and learning of techniques and skills. The expert panel reached a consensus on 29 proposals to optimize PsyCovidApp. CONCLUSION: The knowledge derived from this study could inform the design and implementation of future similar digital tools.
@article{fiolderoque2024process,
abstract = {INTRODUCTION: PsyCovidApp, a digital intervention aimed at safeguarding the mental health of healthcare workers during the COVID-19 pandemic, demonstrated in a randomized clinical trial to yield significant improvements solely among healthcare workers undergoing psychotherapy or receiving psychotropic medication. OBJECTIVES: (1) To identify contextual factors and mechanisms of action that influenced the impact of PsyCovidApp during the aforementioned trial; (2) To pinpoint enhancements for optimizing its efficacy. MATERIALS AND METHODS: For the first objective, a process evaluation was conducted, amalgamating quantitative techniques (surveying 216 healthcare professionals who had utilized PsyCovidApp during the trial) and qualitative methods (in-depth interviews with 16 healthcare workers). The second objective involved a panel of seven experts, utilizing the RAND-UCLA methodology. RESULTS: The quantitative study (response rate = 40%) revealed that 22% of respondents had not fully accessed the content of PsyCovidApp. The average usage time was 22.7 min/day, being higher (p < 0.05) among consumers of psychotropic medications. Contents related to relaxation and mindfulness were most highly rated. Acceptability and usefulness scores ranged between 7.3-7.5/10 points, with higher ratings (p < 0.05) among women and older healthcare workers. The qualitative study uncovered that the primary barriers to using PsyCovidApp were workload, lack of time, and exhaustion. Its primary mechanisms of action included emotion identification, mental health regulation (e.g., insomnia, intense emotions), and learning of techniques and skills. The expert panel reached a consensus on 29 proposals to optimize PsyCovidApp. CONCLUSION: The knowledge derived from this study could inform the design and implementation of future similar digital tools.},
address = {Switzerland},
author = {Fiol deRoque, Maria A and Serrano-Ripoll, Maria J and Mira-Martínez, Sofia and Pastor-Moreno, Guadalupe and Sitges, Carolina and García-Buades, M Esther and Gervilla, Elena and Garcia-Toro, Mauro and Zamanillo-Campos, Rocío and Ricci-Cabello, Ignacio},
journal = {Frontiers in psychology},
keywords = {grapp-caib},
month = {mar},
pages = {1378372--1378372},
title = {Process evaluation of PsyCovidApp, a digital tool for mobile devices aimed at protecting the mental health of healthcare professionals during the COVID-19 pandemic: a mixed method study},
volume = 15,
year = 2024
}%0 Journal Article
%1 fiolderoque2024process
%A Fiol deRoque, Maria A
%A Serrano-Ripoll, Maria J
%A Mira-Martínez, Sofia
%A Pastor-Moreno, Guadalupe
%A Sitges, Carolina
%A García-Buades, M Esther
%A Gervilla, Elena
%A Garcia-Toro, Mauro
%A Zamanillo-Campos, Rocío
%A Ricci-Cabello, Ignacio
%C Switzerland
%D 2024
%J Frontiers in psychology
%P 1378372--1378372
%R 10.3389/fpsyg.2024.1378372
%T Process evaluation of PsyCovidApp, a digital tool for mobile devices aimed at protecting the mental health of healthcare professionals during the COVID-19 pandemic: a mixed method study
%U https://pubmed.ncbi.nlm.nih.gov/38577118
%V 15
%X INTRODUCTION: PsyCovidApp, a digital intervention aimed at safeguarding the mental health of healthcare workers during the COVID-19 pandemic, demonstrated in a randomized clinical trial to yield significant improvements solely among healthcare workers undergoing psychotherapy or receiving psychotropic medication. OBJECTIVES: (1) To identify contextual factors and mechanisms of action that influenced the impact of PsyCovidApp during the aforementioned trial; (2) To pinpoint enhancements for optimizing its efficacy. MATERIALS AND METHODS: For the first objective, a process evaluation was conducted, amalgamating quantitative techniques (surveying 216 healthcare professionals who had utilized PsyCovidApp during the trial) and qualitative methods (in-depth interviews with 16 healthcare workers). The second objective involved a panel of seven experts, utilizing the RAND-UCLA methodology. RESULTS: The quantitative study (response rate = 40%) revealed that 22% of respondents had not fully accessed the content of PsyCovidApp. The average usage time was 22.7 min/day, being higher (p < 0.05) among consumers of psychotropic medications. Contents related to relaxation and mindfulness were most highly rated. Acceptability and usefulness scores ranged between 7.3-7.5/10 points, with higher ratings (p < 0.05) among women and older healthcare workers. The qualitative study uncovered that the primary barriers to using PsyCovidApp were workload, lack of time, and exhaustion. Its primary mechanisms of action included emotion identification, mental health regulation (e.g., insomnia, intense emotions), and learning of techniques and skills. The expert panel reached a consensus on 29 proposals to optimize PsyCovidApp. CONCLUSION: The knowledge derived from this study could inform the design and implementation of future similar digital tools.