Biomedical subjects

M Rosell Murphy

Publications and source records attributed to M Rosell Murphy.

2 recordsLinked to original sources

PubMed2004

[Evolution of tobacco habits during pregnancy and postpartum period].

OBJECTIVE: To describe how smoking evolved during pregnancy and a long postpartum period, with analysis of the factors associated with giving up tobacco. DESIGN: Retrospective, descriptive study. SETTING: Badia del Vallès Primary Care Centre (Barcelona). PARTICIPANTS: Women with pregnancies coming to term over a 3-year period (n=309, 68% of the target population). MAIN MEASUREMENTS: Tobacco dependency before pregnancy. Giving up during pregnancy and related factors (social and personal, nature of tobacco habit, health beliefs). Backsliding after birth. RESULTS: 50% smoked before pregnancy. 46% of these gave up smoking during pregnancy and 44% cut down. In primigravidae, there was greater risk of their continuing to smoke, the greater their previous tobacco consumption was (OR=5.3 if > or =20 cigarettes a day and OR=4.7 for 10-19 cigarettes a day) or if they did not believe in the effect of tobacco on the baby's health (OR=3.9). In women pregnant for the second time or more, it was associated with not giving up tobacco in previous pregnancies (OR=43.8) and with their partner's tobacco habit (OR=7.2). In the 2 years after birth 80% of those who gave up relapsed. CONCLUSIONS: In our milieu a high prevalence of smokers before pregnancy coexists with a high rate of giving up during pregnancy. In all, 1 in every 4 women smokes during pregnancy. Giving up tobacco was related to factors such as dependency, motivation, environment and prior experience.

Adolescent↗

PubMed1998

[Evaluation of a supervised physical exercise program in primary care].

OBJECTIVE: To compare self-perception of health with physical parameters in a population group with chronic illnesses when conducting a group intervention of supervised physical exercise. DESIGN: Intervention study with test-retest evaluation. SETTING: Serraparera Primary Care Centre (PCC) in the town of Cerdanyola del Vallès (24,735 inhabitants). PATIENTS: Patients between 30 and 65 with a chronic illness and attended at the PCC (n = 87). INTERVENTION: A seven-month programme, based on regular supervised physical exercise, three times a week for an hour, supplemented by organised monthly walks on varying routes. MEASUREMENTS AND MAIN RESULTS: Blood pressure, BMI, flexibility, sub-maximum and at-rest heart rates were measured, and the Nottingham Health Profile (NHP) self-perception test conducted. 87 patients began the programme and 51 reached the end. The following was observed in the 51: self-perception of overall improvement in health on the NHP of 9.51 points (CI 95%, 5.73-13.23); lowering of blood pressure, systolic 4.8 mmHg (CI 2.47-7.13) and diastolic 4.78 (CI 3.16-6.46); sub-maximum heart rate, with an average difference of 7.65 pulses per minute; and at-rest heart rate, with a difference of 4.61 ppm. Flexibility increased by 1.37 (CI 1.05-1.69). There was no significant reduction in BMI. CONCLUSIONS: Patients with chronic illnesses experienced a notable improvement in the control of their pathology and vital constants. There was also a significant difference detected in patients' perception of their own health.

Adult↗