LEPPE ZAMORA, JAIME ESTEBAN
Preferred name
LEPPE ZAMORA, JAIME ESTEBAN
Main Affiliation
Email
jleppe@udd.cl
ORCID
0000-0002-8663-1182
Scopus Author ID
56875386300
43 results
Now showing 1 - 10 of 43
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Item type:Publication, Barriers To The Practice Of Physical Activity Among Adults According To Socioeconomic Status In Chile(2020); Sandra Mahecha-Matsudo8 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Effects of 24-hours/day versus business hours physical therapy intervention in adult intensive care unit patients: a systematic review(2018)3 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Results From Chile’s 2016 Report Card on Physical Activity for Children and Youth(2016)7Scopus© Citations 37 - Some of the metrics are blocked by yourconsent settings
Item type:Product, Dataset - Quality of life in chronic musculoskeletal symptomatic Chilean population: secondary analysis of National Health Survey 2009-2010(ZENODO, 2020); 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Study protocol and rationale of “the UP project”: evaluating the effectiveness of active breaks on health indicators in desk-based workers(2024)12Scopus© Citations 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Higher physical activity levels are associated with lower prevalence of cardiovascular risk factors in Chile(2015)20Scopus© Citations 39 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Six-month post-intensive care outcomes during high and low bed occupancy due to the COVID-19 pandemic: A multicenter prospective cohort study(2023); ; ; Felipe Muñoz-Muñoz<jats:sec id="sec001"> <jats:title>Introduction</jats:title> <jats:p>The COVID-19 pandemic can be seen as a natural experiment to test how bed occupancy affects post-intensive care unit (ICU) patient’s functional outcomes. To compare by bed occupancy the frequency of mental, physical, and cognitive impairments in patients admitted to ICU during the COVID-19 pandemic.</jats:p> </jats:sec> <jats:sec id="sec002"> <jats:title>Methods</jats:title> <jats:p>Prospective cohort of adults mechanically ventilated >48 hours in 19 ICUs from seven Chilean public and private hospitals. Ninety percent of nationwide beds occupied was the cut-off for low versus high bed occupancy. At ICU discharge, 3- and 6-month follow-up, we assessed disability using the World Health Organization Disability Assessment Schedule 2.0. Quality of life, mental, physical, and cognitive outcomes were also evaluated following the core outcome set for acute respiratory failure.</jats:p> </jats:sec> <jats:sec id="sec003"> <jats:title>Results</jats:title> <jats:p>We enrolled 252 participants, 103 (41%) during low and 149 (59%) during high bed occupancy. Patients treated during high occupancy were younger (P<jats:sub>50</jats:sub> [P<jats:sub>25</jats:sub>-P<jats:sub>75</jats:sub>]: 55 [44–63] vs 61 [51–71]; p<0.001), more likely to be admitted due to COVID-19 (126 [85%] vs 65 [63%]; p<0.001), and have higher education qualification (94 [63%] vs 48 [47%]; p = 0.03). No differences were found in the frequency of at least one mental, physical or cognitive impairment by bed occupancy at ICU discharge (low vs high: 93% vs 91%; p = 0.6), 3-month (74% vs 63%; p = 0.2) and 6-month (57% vs 57%; p = 0.9) follow-up.</jats:p> </jats:sec> <jats:sec id="sec004"> <jats:title>Conclusions</jats:title> <jats:p>There were no differences in post-ICU outcomes between high and low bed occupancy. Most patients (>90%) had at least one mental, physical or cognitive impairment at ICU discharge, which remained high at 6-month follow-up (57%).</jats:p> </jats:sec> <jats:sec id="sec005"> <jats:title>Clinical trial registration</jats:title> <jats:p><jats:ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="https://clinicaltrials.gov/ct2/show/NCT04979897" xlink:type="simple">NCT04979897</jats:ext-link> (clinicaltrials.gov).</jats:p> </jats:sec>3Scopus© Citations 3 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Reliability of a pressure pain threshold protocol: secondary analysis of a longitudinal trial with cluster randomization<jats:sec> <jats:title>Background</jats:title> <jats:p>Pressure Pain Threshold (PPT) measurement is a useful method for assessing pain sensitivity when applied with a standardized protocol. However, little is known about the longitudinal stability of reliability estimates when PPT protocols are embedded in randomized controlled trials. This study aimed to estimate the relative and absolute reliability of a PPT algometry protocol in office workers across multiple time points within a six-month pragmatic randomized controlled trial.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>A secondary analysis was conducted from a cluster randomized controlled trial with office workers, where a standardized PPT protocol was applied to the neck, forearm, and lower leg. Measurements were taken bilaterally with three repetitions per site. Measurement reliability was assessed with a two-way mixed-effects intraclass correlation (ICC) model for absolute agreement (3, k), along with the Standard Error of Measurement (SEM) and Minimal Detectable Change (MDC), calculated at baseline, three, and six months, for both intervention and control groups.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p> ICC values ranged from 0.84 to 0.95, indicating good to excellent reliability across all time points and body regions. SEM ranged from 0.23 kg/cm <jats:sup>2</jats:sup> to 0.51 kg/cm <jats:sup>2</jats:sup> , and MDC from 0.52 kg/cm <jats:sup>2</jats:sup> to 1.15 kg/cm <jats:sup>2</jats:sup> . These values remained consistent across follow-up periods in both groups, despite expected variability due to the intervention. </jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>The PPT protocol demonstrated high measurement reliability and stable properties over time for each anatomic region and both groups, supporting its use in longitudinal assessments of pain sensitivity in occupational and clinical settings.</jats:p> </jats:sec>1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Hypoglycemia and glycemic variability of people with type 1 diabetes with lower and higher physical activity loads in free-living conditions using continuous subcutaneous insulin infusion with predictive low-glucose suspend system(2023); María Teresa Onetto<jats:sec><jats:title>Introduction</jats:title><jats:p>Maintaining glycemic control during and after physical activity (PA) is a major challenge in type 1 diabetes (T1D). This study compared the glycemic variability and exercise-related diabetic management strategies of adults with T1D achieving higher and lower PA loads in nighttime–daytime and active– sedentary behavior hours in free-living conditions.</jats:p></jats:sec><jats:sec><jats:title>Research design and methods</jats:title><jats:p>Active adults (n=28) with T1D (ages: 35±10 years; diabetes duration: 21±11 years; body mass index: 24.8±3.4 kg/m<jats:sup>2</jats:sup>; glycated hemoglobin A1c: 6.9±0.6%) on continuous subcutaneous insulin delivery system with predictive low glucose suspend system and glucose monitoring, performed different types, duration and intensity of PA under free-living conditions, tracked by accelerometer over 14 days. Participants were equally divided into lower load (LL) and higher load (HL) by median of daily counts per minute (61122). Glycemic variability was studied monitoring predefined time in glycemic ranges (time in range (TIR), time above range (TAR) and time below range (TBR)), coefficient of variation (CV) and mean amplitude of glycemic excursions (MAGE). Parameters were studied in defined hours timeframes (nighttime–daytime and active–sedentary behavior). Self-reported diabetes management strategies were analysed during and post-PA.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Higher glycemic variability (CV) was observed in sedentary hours compared with active hours in the LL group (p≤0.05). HL group showed an increment in glycemic variability (MAGE) during nighttime versus daytime (p≤0.05). There were no differences in TIR and TAR across all timeframes between HL and LL groups. The HL group had significantly more TBR during night hours than the LL group (p≤0.05). Both groups showed TBR above recommended values. All participants used fewer post-PA management strategies than during PA (p≤0.05).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Active people with T1D are able to maintain glycemic variability, TIR and TAR within recommended values regardless of PA loads. However, the high prevalence of TBR and the less use of post-PA management strategies highlights the potential need to increase awareness on actions to avoid glycemic excursions and hypoglycemia after exercise completion.</jats:p></jats:sec>2Scopus© Citations 6 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, DETECTING SPORTING TALENTS WITH Z-STRATEGY - CROSS SECTIONAL STUDY(2020); Scopus© Citations 4 2