Pons-Izquierdo, J.J. (Juan José)
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- Predicted vitamin D levels and risk of depression in the SUN Project: A prospective cohort study(Elsevier, 2024) Martinez-Gonzalez, M.A. (Miguel Ángel); Pons-Izquierdo, J.J. (Juan José); Bes-Rastrollo, M. (Maira); Silva-Sabiao, T. (Thaís) da; Cardoso-Carraro, J.C. (Julia Cristina); Sanchez-Villegas, A. (Almudena); Valer-Martínez, A. (Ana); Sayon-Orea, C. (Carmen)The current study aimed to investigate the association between predicted vitamin D status and depression in a prospective Spanish cohort of university graduates. The SUN Project is a dynamic cohort study designed to investigate multiple aspects of health and lifestyle. Participants were asked to complete a comprehensive questionnaire consisting of 556 items, that included a validated food-frequency questionnaire. Participants initially free of depression were classified as incident cases if they reported a medical diagnosis of depression during follow-up. Serum vitamin D levels were predicted by a previously validated equation. Vitamin D deficiency was defined as vitamin D levels below 20 ng/mL. Cox models were used to estimate adjusted hazard ratios (HR) and 95% confidence intervals (95% CI). We included 15,175 Spanish university graduates [mean (SD) age: 36.9 year (11.5)] followed-up for a median of 12.7 years. Among 192,976 person-years of follow-up, we identified 753 incident cases of depression. Participants with vitamin D deficiency had a 27% higher risk of depression as compared to those with vitamin D sufficiency (HR: 1.27, 95% CI: 1.09–1.48; p = 0.002) after adjusting for potential confounders. Furthermore, a significant effect modification by female sex was observed with higher depression risks associated with vitamin D deficiency in women than in men (p for interaction = 0.034). In educated middle-aged Spanish adults, we observed a direct association between vitamin D deficiency and the risk of depression, that was stronger among women.
- El papel dinamizador de la inmigración internacional en el crecimiento demográfico de los municipios de Navarra (1996-2006)(2015) Montoro-Gurich, C. (Carolina); Pons-Izquierdo, J.J. (Juan José); López-Hernández, D. (Dolores)En este texto se analiza el crecimiento de la población en Navarra atendiendo a los distintos factores explicativos, profundizando en los contrastes territoriales y cuantificando el impacto que la población inmigrante extranjera ha tenido a escala municipal en las tendencias de crecimiento demográfico.
- Medidas para reducir la exposición de los ciclistas a los principales contaminantes atmosféricos urbanos(Programa LIFE13 ENV/ES/000417, 2018) Sánchez-Blanco, C. (Cristina); Rivas, E. (Esther); García, H. (Héctor); Elvira, S. (Susana); Calvete, H. (Héctor); Santamaria-Elola, C. (Carolina); Oltra, C. (Christian); Martilli, A. (Alberto); Baquero-Martin, E. (Enrique); Martín-Porres, F. (Fernando); Pons-Izquierdo, J.J. (Juan José); Santiago, J.L. (José Luis); Bermejo, V. (Victoria); Llorente, E. (Eladio); Galicia-Paredes, D. (David); Serrano-Martínez, M. (Miriam); Sala, R. (Roser); Izquieta-Rojano, S. (Sheila); León-Anguiano, B. (Bienvenido); Lechón, Y. (Yolanda); González, I. (Ignacio); Lasheras, E. (Esther); Puig-i-Baguer, J. (Jordi); Moya, E. (Eloy); Alonso, R. (Rocío); Santamaria-Ulecia, J.M. (Jesús Miguel); Elustondo, D. (David); Ariño-Plana, A.H. (Arturo Hugo); López, S. (Sergi); Barnó, M. (Miguel)Recoge los principales resultados generados durante la realización del proyecto LIFE+RESPIRA, llevado a cabo en la ciudad de Pamplona (Navarra, España) por un equipo interdisciplinar constituido por más de 30 investigadores pertenecientes a la Universidad de Navarra, el Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT) y Gestión Ambiental de Navarra (GAN-NIK). El libro, que se ha publicado en castellano y en inglés, se ha dividido en 7 capítulos: 1. ¿Ciudades sostenibles? 2. Exposición de los ciudadanos a la contaminación atmosférica 3. Papel de la vegetación urbana en la calidad del aire 4. Modelos de alta resolución para evaluar la calidad del aire 5. Impactos de la contaminación urbana 6. Movilidad y sostenibilidad urbanas 7. Comunicación y educación ambiental. Este libro pretende ser una guía de utilidad para científicos, gestores y ciudadanos, aportando un conjunto de herramientas que permitan mejorar la calidad de vida de nuestras ciudades. Además, quiere rendir un homenaje a todos los voluntarios ciclistas que han participado en dicho proyecto y que son los verdaderos artífices del mismo, ya que gracias a su dedicación incondicional durante más de dos años, han proporcionado una cantidad ingente de datos sobre la calidad del aire de la ciudad de Pamplona.
- EAPC Atlas of Palliative Care in Europe 2019(EAPC Press, 2019) Mosoiu, D. (Daniela); Pons-Izquierdo, J.J. (Juan José); Garralda, E. (Eduardo); Hasselaar, J. (Jeroen); Centeno, C. (Carlos); Arias-Casais, N. (Natalia); Lima, L. (Liliana) de; Clark, D. (David); Rhee, J.Y. (John Y.); Ling, J. (Julie)
- Report on palliative care development in Benin based on WHO indicators(ATLANTES, WHO Collaborating Centre, Institute for Culture and Society, UNAV, 2023) Bastos, F.V. (Fernanda V.); Benitez, E. (Edgar); Pons-Izquierdo, J.J. (Juan José); Garralda, E. (Eduardo); Tripodoro, V.A. (Vilma A.); Centeno, C. (Carlos); Agbogandé, A. (Anthelme); Gnangnon, F. (Freddy); Montero, A. (Álvaro)Palliative care (PC) is increasingly seen as a global health issue. This report examines the current state of PC in Benin, Africa, and the challenges the country faces in providing accessible and effective PC to its citizens. It has been estimated that more than 62,000 Beninese people need PC every year. The report highlights the importance of PC and the efforts of organisations such as the World Health Assembly, the Lancet Commission and the Astana Declaration to encourage governments to integrate PC into their health plans and make it accessible to all. A two-day hybrid meeting was organised in Cotonou by the WHO Collaborating Centre ATLANTES with WHO-Geneva, WHO-AFRO and WHO-Benin to examine and adapt a set of indicators to cultural realities. The WHO chose Benin and involved stakeholders from the health system, secondary education, vocational training and higher education sectors, as well as the Benin PC Association. ATLANTES provided a data collection tool based on the WHO Conceptual Framework and a four-level rating system: early, intermediate, established and advanced stage. The report highlights the strengths and weaknesses of each indicator and provides a summary of the level of implementation in each area.
- River-city recreational interaction: a classification of urban riverfront parks and walks(Elsevier, 2021) Durán-Vian, F. (Francisco); Pons-Izquierdo, J.J. (Juan José); Serrano-Martínez, M. (Miriam)Since the seventies, cities all over the world are rediscovering their rivers. Recreational uses of the urban streams are becoming popular and public access to the waterfronts is being improved. This has led to the construction of a wide variety of public open spaces on the riverfront with different ways of interacting with the river ecosystem. In this research, we elaborate a classification of riverfront parks and walks based on two criteria: the position of the open space within the river corridor and the access possibilities from the open space to the water. To verify the applicability of the classification framework, seven Spanish urban rivers have been studied. Results derived from the classification process show that public recreational riverfronts can be categorized into three classes: floodplain, upland and raised spaces. Within the floodplain spaces, fluvial subclass can be distinguished from riparian subclass in that the former allows greater access to water. The case study confirms the viability of the classification system and it is useful to describe the open space classes. We found that, despite their spatial characteristics, design and use can be almost unlimited, there are patterns associated with each class. The methodology developed and its application (1) allows to know the amount of public spaces in the urban river corridor, (2) gives an organizing framework for understanding river-city recreational interactions and (3) facilitates the assessment of the ecological state of the riverbanks.
- Living at a geographically higher elevation is associated with lower risk of metabolic syndrome: prospective analysis of the SUN Cohort(Frontiers Media, 2017) Martinez, J.A. (José Alfredo); Martinez-Gonzalez, M.A. (Miguel Ángel); Lopez-Pascual, A. (Amaya); Perez-Cornago, A. (Aurora); Diaz-Gutierrez, J. (Jesús); Pons-Izquierdo, J.J. (Juan José); Bes-Rastrollo, M. (Maira); Gonzalez-Muniesa, P. (Pedro); Sayon-Orea, C. (Carmen)Living in a geographically higher altitude affects oxygen availability. The possible connection between environmental factors and the development of metabolic syndrome (MetS) feature is not fully understood, being the available epidemiological evidence still very limited. The aim of the present study was to evaluate the longitudinal association between altitude and incidence of MetS and each of its components in a prospective Spanish cohort, The Seguimiento Universidad de Navarra (SUN) project. Our study included 6860 highly educated subjects (university graduates) free from any MetS criteria at baseline. The altitude of residence was imputed with the postal code of each individual subject residence according to the data of the Spanish National Cartographic Institute and participants were categorized into tertiles. MetS was defined according to the harmonized definition. Cox proportional hazards models were used to assess the association between the altitude of residence and the risk of MetS during follow-up. After a median follow-up period of 10 years, 462 incident cases of MetS were identified. When adjusting for potential confounders, subjects in the highest category of altitude (>456m) exhibited a significantly lower risk of developing MetS compared to those in the lowes ttertile (<122m) of altitude of residence [Model2:Hazardratio=0.75(95%Confidenceinterval:0.58–0.97);pfortrend=0.029]. Living at geographically higher altitude was associated with alower risk of developing MetS in the SUN project. Our findings suggest that geographical elevation may be an important factor linked to metabolic diseases.
- CFD modelling of air quality in Pamplona City (Spain): Assessment, stations spatial representativeness and health impacts valuation(2019) Rivas, E. (Esther); Martín-Porres, F. (Fernando); Pons-Izquierdo, J.J. (Juan José); Santiago, J.L. (José Luis); Lechón, Y. (Yolanda); Santamaria-Ulecia, J.M. (Jesús Miguel); Ariño-Plana, A.H. (Arturo Hugo)A methodology based on CFD-RANS simulations (WA CFD-RANS, Weighted Averaged Computational Fluid Dynamic-Reynolds–Averaged Navier–Stokes simulations) which includes appropriate modifications, has been applied to compute the annual, seasonal, and hourly average concentration of NO 2 and NO X throughout the city of Pamplona (Spain) at pedestrian level during 2016. The results have been evaluated using measurements provided both by the city's network of air quality monitoring stations and by a network of mobile microsensors carried around by cyclists during their daily commutes, obtaining a maximum relative error lower than 30% when computing NO2 annual average concentrations. The model has taken into account the actual city layout in three dimensions, as well as the traffic emissions. The resulting air pollution maps provided information critical for studying the traffic-related health effects of NO2 and their associated external costs in the city of Pamplona and the spatial representativeness of the current network of air quality monitoring stations (it has not been carried out for an entire city to date). The developed method- ology can be applied to similar cities, providing useful information for the decision-makers.
- El envejecimiento de los barrios urbanos en España: una propuesta de medición(Comares, 2020) Montoro-Gurich, C. (Carolina); Pons-Izquierdo, J.J. (Juan José)El aspecto espacial del envejecimiento ha sido un tema pocas veces abordado por los expertos y casi nunca considerado como un factor relevante de segregación de la población urbana (Winkler y Klaas, 2012; Winkler, 2013). Sin embargo, las implicaciones que presenta la distribución espacial de la población por edades podrían ser de gran calado en términos sociales y económicos, afectando a la cohesión social (Hagestad y Uhlenberg, 2006) y al apoyo intergeneracional fuera de la esfera familiar, así como a la provisión de servicios sociales a nivel local (Binstock, 2010; Sabater et al., 2017). Además, según la Organización Mundial de la Salud, las relaciones intergeneracionales que se generan en el ámbito local redundan en el bienestar de las personas, porque potencian las relaciones de confianza y disminuyen el pensamiento estereotipado (World Health Organisation, 2007). Por otro lado, a partir de una cierta edad, cifrada en torno a los 80 años, la probabilidad de necesitar atención y cuidados aumenta sensiblemente, ya que empeora la situación física, psicológica o social hasta llegar a la dependencia (IMSERSO, 2014). El envejecimiento de las sociedades occidentales, en las que el volumen de personas por encima de los 80 años está creciendo de forma marcada, implica un aumento paralelo del volumen de personas que requerirá cuidados de larga duración (Eurostat, 2015) y estos servicios deben concentrarse, preferentemente, en aquellos lugares concretos en los que la población lo requiere.
- Extranjeros y rejuvenecimiento demográfico: cambios recientes en la estructura demográfica de los cascos históricos de las ciudades españolas(Universidad de Léon, 2009) Montoro-Gurich, C. (Carolina); Pons-Izquierdo, J.J. (Juan José); López-Hernández, D. (Dolores)La llegada de importantes contingentes de inmigración extranjera en los últimos quince años ha conllevado importantes trasformaciones en la sociedad española. Tal como ha sido puesto de manifiesto en diversos estudios, esta inmigración tiene un carácter eminentemente urbano. Sin embargo, para valorar el impacto demográfico de la inmigración extranjera en la ciudad es necesario realizar un estudio diferencial entre la situación de los cascos históricos y la del resto de la ciudad, no sólo por los marcados contastes que se dan en la presencia de extranjeros, sino también por las diferentes estructuras por edad de las poblaciones receptoras.