Atencion PrimariaPub Date : 2025-06-28DOI: 10.1016/j.aprim.2025.103308
Antoni Morral , Jonathan Cazorla , Francesc Alòs , Jordi Puig-Torregrosa , Marta Buela Castell , Montserrat Romaguera
{"title":"Prescripción de actividad física y ejercicio físico en atención primaria: situación actual y retos de implementación","authors":"Antoni Morral , Jonathan Cazorla , Francesc Alòs , Jordi Puig-Torregrosa , Marta Buela Castell , Montserrat Romaguera","doi":"10.1016/j.aprim.2025.103308","DOIUrl":"10.1016/j.aprim.2025.103308","url":null,"abstract":"<div><div>This article analyzes the current state of physical activity prescription in primary care, identifying structural, professional, and social barriers that hinder its clinical implementation. Although evidence on the benefits of physical exercise in preventing and treating multiple pathologies is strong, its integration into the daily practice of primary care teams remains limited. The article reviews key definitions, international guidelines, factors influencing therapeutic adherence, and clinical cases such as cancer, sarcopenia, and chronic pain. Opportunities to improve effective physical activity prescription in primary care are identified, including interdisciplinary strategies, technological tools, clinical guidelines, and ongoing professional training. Physical activity prescription must evolve from a generic recommendation to a structured, individualized, and sustained intervention aligned with population health goals and the 2030 Agenda. Transforming this practice is an urgent need to address the growing impact of sedentary lifestyles in our society.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 9","pages":"Article 103308"},"PeriodicalIF":1.8,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501245","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}
Atencion PrimariaPub Date : 2025-06-27DOI: 10.1016/j.aprim.2025.103324
Israel Macías-Toronjo , Juan Jesús García-Iglesias , Juan Gómez-Salgado , Daniel López-López , Javier Fagundo-Rivera , Carlos Ruiz-Frutos
{"title":"Actividad física para el abordaje del dolor en trastornos musculoesqueléticos en trabajadores. Una revisión sistemática de ensayos controlados aleatorizados","authors":"Israel Macías-Toronjo , Juan Jesús García-Iglesias , Juan Gómez-Salgado , Daniel López-López , Javier Fagundo-Rivera , Carlos Ruiz-Frutos","doi":"10.1016/j.aprim.2025.103324","DOIUrl":"10.1016/j.aprim.2025.103324","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to evaluate the effectiveness of specific exercise programs on pain and the occurrence of musculoskeletal disorders in a workplace setting through the assessment of randomized controlled trials.</div></div><div><h3>Design</h3><div>A systematic review was conducted following the PRISMA format.</div></div><div><h3>Data Sources</h3><div>Electronic databases including PubMed, Scopus, Web of Science, and ScienceDirect were searched between November 2024 and January 2025.</div></div><div><h3>Study Selection</h3><div>A total of 24 studies were included in this review, assessed for methodological quality using critical appraisal tools from the Joanna Briggs Institute (JBI).</div></div><div><h3>Data Extraction</h3><div>Specific physical activity targeting the cervical area, shoulders, and upper limbs was found to be effective in preventing pain and the occurrence of musculoskeletal disorders in workplace contexts, particularly with strength and toning programs. Additionally, specific exercise programs targeting the lumbar region may have a positive preventive effect and could help manage symptoms in workers with non-specific low back pain. Global programs aimed at preventing musculoskeletal disorders generally showed good results for managing musculoskeletal pain.</div></div><div><h3>Results</h3><div>The inclusion of specific exercise and physical activity programs in exposed populations has positive outcomes on pain and the occurrence of musculoskeletal disorders.</div></div><div><h3>Conclusions</h3><div>Overall, the findings suggest that implementing targeted exercise programs can significantly benefit workers by reducing pain and preventing musculoskeletal issues.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 11","pages":"Article 103324"},"PeriodicalIF":1.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144489624","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}
Atencion PrimariaPub Date : 2025-06-26DOI: 10.1016/j.aprim.2025.103292
Marta Ballesteros Merino, Rosalina Martínez López, Laura Navarro Casado
{"title":"Factores que interfieren en el resultado de la HbA1c","authors":"Marta Ballesteros Merino, Rosalina Martínez López, Laura Navarro Casado","doi":"10.1016/j.aprim.2025.103292","DOIUrl":"10.1016/j.aprim.2025.103292","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103292"},"PeriodicalIF":1.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144490452","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}
Atencion PrimariaPub Date : 2025-06-25DOI: 10.1016/j.aprim.2025.103322
Víctor Manuel González-Rodríguez , Marta Holguín-Mendo
{"title":"Tiene que haber una salida para tanto dolor. Ayudar a morir en Atención Primaria","authors":"Víctor Manuel González-Rodríguez , Marta Holguín-Mendo","doi":"10.1016/j.aprim.2025.103322","DOIUrl":"10.1016/j.aprim.2025.103322","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 11","pages":"Article 103322"},"PeriodicalIF":1.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471515","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}
Atencion PrimariaPub Date : 2025-06-25DOI: 10.1016/j.aprim.2025.103323
Èlia Sheng Pàmies Ramos , Jordi Delás Amat
{"title":"Burnout en médicos de familia: el problema estructural aún sin respuesta","authors":"Èlia Sheng Pàmies Ramos , Jordi Delás Amat","doi":"10.1016/j.aprim.2025.103323","DOIUrl":"10.1016/j.aprim.2025.103323","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 11","pages":"Article 103323"},"PeriodicalIF":1.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144472248","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}
Atencion PrimariaPub Date : 2025-06-24DOI: 10.1016/j.aprim.2025.103296
María del Pino Pérez García , Luz de Myotanh Vázquez Canales , integrantes del Grupo de Trabajo de Salud Mental semFYC
{"title":"Lo que la Organización Mundial de la Salud nos enseña sobre la salud mental en atención primaria","authors":"María del Pino Pérez García , Luz de Myotanh Vázquez Canales , integrantes del Grupo de Trabajo de Salud Mental semFYC","doi":"10.1016/j.aprim.2025.103296","DOIUrl":"10.1016/j.aprim.2025.103296","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103296"},"PeriodicalIF":1.8,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144366509","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}
Atencion PrimariaPub Date : 2025-06-23DOI: 10.1016/j.aprim.2025.103311
Iris Alarcón Belmonte , Ana I. Jiménez Lozano , Consuelo Sánchez Collado , Venus Forero Chaves , Antonio Cabrera Majada , Rocío García-Gutiérrez Gómez
{"title":"Abordaje de los determinantes digitales de salud: principales ventajas y retos de la salud digital en el mundo actual","authors":"Iris Alarcón Belmonte , Ana I. Jiménez Lozano , Consuelo Sánchez Collado , Venus Forero Chaves , Antonio Cabrera Majada , Rocío García-Gutiérrez Gómez","doi":"10.1016/j.aprim.2025.103311","DOIUrl":"10.1016/j.aprim.2025.103311","url":null,"abstract":"<div><div>The unequal distribution of social and digital determinants of health generates axes of inequity that may affect both the general population and healthcare professionals in their practice. This article explores specific social determinants that influence the use of digital health services. Regarding healthcare professionals, available evidence is limited. This study presents the perceptions and reflections of a focus group of family physicians on the use of digital tools. The participants expressed concern about inequities in access among patients, as well as difficulties related to access, use, and quality of use of these tools. Many of these issues could be addressed through professional training strategies and the availability of secure and high-speed internet connections in healthcare centers.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 10","pages":"Article 103311"},"PeriodicalIF":1.8,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338360","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}
Atencion PrimariaPub Date : 2025-06-21DOI: 10.1016/j.aprim.2025.103276
Manuel Medina Peralta , Marta Torres , David Guananga , Violeta Poltorak , Sergi Sánchez-Coll , Mireia Espallargues
{"title":"Morbilidad y uso de recursos de las personas incluidas en el programa de atención domiciliaria de la atención primaria","authors":"Manuel Medina Peralta , Marta Torres , David Guananga , Violeta Poltorak , Sergi Sánchez-Coll , Mireia Espallargues","doi":"10.1016/j.aprim.2025.103276","DOIUrl":"10.1016/j.aprim.2025.103276","url":null,"abstract":"<div><h3>Objective</h3><div>To describe health status and health care services of the people included in home care program (HC) through secondary use of data from the public system.</div></div><div><h3>Design</h3><div>Observational population-based study.</div></div><div><h3>Location</h3><div>Primary health care in Catalonia (2022).</div></div><div><h3>Participants</h3><div>All people over 65 years of age included in HC matched 1:1 with people not attended in HC by age, sex, socioeconomic level and primary care team (45,578 persons per group, 70.5% women and mean age 86.8 years).</div></div><div><h3>Interventions</h3><div>People receiving HC.</div></div><div><h3>Main measurements</h3><div>Morbidity, healthcare use and events (hospital admissions, mortality).</div></div><div><h3>Results</h3><div>53.6% of people in HC had a diagnosis of complex chronic patient and 5.7% of advanced chronic disease, compared to 1.1% and 0.05% in the non-HC population. There were more people in HC with heart failure, dementia, stroke, auricular fibrillation and COPD, with higher drug use and pharmaceutical expenditure (€1,446 vs. €732, ratio 1.98, 95%<span>C</span>I 1.95-2.00). Mortality was 20% in HC and 6% in the non-HC population (ratio 3.3, 95%CI 3.17-3.44). A stratified analysis by age showed a higher complexity, morbidity and events in people between 65 and 80 years of age with respect to those over 80 years of age in HC.</div></div><div><h3>Conclusions</h3><div>The results, which show increased morbidity and complexity in HC, especially in people under 80 years of age, may be useful to better identify care needs of these people and program planning.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 11","pages":"Article 103276"},"PeriodicalIF":1.8,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330696","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}
Atencion PrimariaPub Date : 2025-06-20DOI: 10.1016/j.aprim.2025.103316
Bárbara Marco-Gómez , José Luis de la Fuente Madero , Clara Severo-Sánchez , Alba Gállego-Royo , Candela Pérez-Álvarez , Inés Sebastián-Sánchez
{"title":"Atención a la salud mental en el Sistema Nacional de Salud: una mirada interniveles al Plan de Acción 2025-2027","authors":"Bárbara Marco-Gómez , José Luis de la Fuente Madero , Clara Severo-Sánchez , Alba Gállego-Royo , Candela Pérez-Álvarez , Inés Sebastián-Sánchez","doi":"10.1016/j.aprim.2025.103316","DOIUrl":"10.1016/j.aprim.2025.103316","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103316"},"PeriodicalIF":1.8,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322296","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}
Atencion PrimariaPub Date : 2025-06-17DOI: 10.1016/j.aprim.2025.103319
Cristina Pizarro Sánchez, Jordi Delás Amat
{"title":"Antidepresivos a largo plazo: ¿tratamiento adecuado o desafío para la salud pública?","authors":"Cristina Pizarro Sánchez, Jordi Delás Amat","doi":"10.1016/j.aprim.2025.103319","DOIUrl":"10.1016/j.aprim.2025.103319","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103319"},"PeriodicalIF":1.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144296792","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}