Karina de Jesus Diaz López
@uabc.mx
Facultad de Medicina y Psicología
Universidad Autónoma de Baja California
Profesora Investigadora de Tiempo Completo en la Facultad de Medicina y Psicología de la Universidad Autónoma de Baja California. Licenciada en Nutrición y Maestra y Doctora en Ciencias. Mi línea de investigación se asocia con los factores asociados al riesgo de cáncer de mama y a los riesgos asociados a la desnutrición en los pacientes con VIH.
EDUCATION
Licenciada en Nutrición.
Maestra en Ciencias.
Doctora en Ciencias.
RESEARCH INTERESTS
Nutrición y cáncer
Cáncer y bienestar emocional
Nutrición y VIH
Calidad de vida
FUTURE PROJECTS
Intervención de dieta y actividad física en mujeres sobrevivientes de cáncer de mama qy sus familias para el cambio hacia un estilo de vida saludable a través de la Entrevista Motivacional.
Applications Invited
Scopus Publications
Scholar Citations
Scholar h-index
Scholar i10-index
Scopus Publications
Karina de J. Diaz-Lopez and Graciela Caire-Juvera
Informa UK Limited
Survivors of breast cancer (BC) are at increased risk of chronic diseases due to factors such as low bone mineral density (BMD) and loss of muscle mass (MM) coupled with increased fat mass (FM). It is important to know that healthy behaviors can mitigate the risk of these complications. A narrative review was performed using PubMed and ScienceDirect to identify diet and physical activity (PA) interventions aimed at improving BMD, MM, and/or FM in female BC survivors. Data from 2000 to 2018 were used and 17 diet and/or PA interventions were identified. The duration of interventions was from 3 weeks until 24 months, the smallest sample was 26 women, and the largest was 223. The ranging age of participants was from 46 to 64 years. Studies with a longer duration, in-person modality and/or that used behavioral models showed better results. In BMD, the best results in spine were observed at 24 months in a face-to-face intervention (increase of 3.08%). Regarding MM, the greatest increase was at 26 weeks under Cognitive Behavioral Therapy (CBT) in person (43.8 ± 8.7 to 44.7 ± 8.4 kg, p = 0.04). This approach also showed the greatest decrease in FM from 36.7 to 31.2 kg in 4 months (p ≤ 0.01). Improving BMD and MM and preventing the increase of FM is a challenge for public health. More studies are needed to improve BMD among BC survivors and consider strategies that have yielded better results to promote healthy changes. Key teaching points Breast cancer survivors are at increased risk for low bone mineral density, loss of muscle mass, and increased fat mass due to the treatments received; the adoption of a healthy diet and physical activity can mitigate these complications. Of the 17 studies included, 8 used the face-to-face modality, 7 combined face-to-face with phone calls and two studies used only phone calls and email; studies that used the face-to-face modality showed better results. For bone mineral density, the best results were observed in spine at 24 months (increase of 3.08%) in a face-to-face intervention. The greatest increase in muscle mass (43.8 to 44.7 kg) was at 26 weeks in a physical activity intervention; the larger amount of fat mass loss was 5.5 kg in a diet and physical activity intervention. Both results were obtained using the Cognitive Behavioral Therapy (CBT) in person. Lifestyle interventions to maintain or improve bone mineral density, muscle mass and fat mass are effective at least for one of these three variables.
Karina de J. Diaz-Lopez and Graciela Caire-Juvera
Informa UK Limited
Survivors of breast cancer (BC) are at increased risk of chronic diseases due to factors such as low bone mineral density (BMD) and loss of muscle mass (MM) coupled with increased fat mass (FM). It is important to know that healthy behaviors can mitigate the risk of these complications. A narrative review was performed using PubMed and ScienceDirect to identify diet and physical activity (PA) interventions aimed at improving BMD, MM, and/or FM in female BC survivors. Data from 2000 to 2018 were used and 17 diet and/or PA interventions were identified. The duration of interventions was from 3 weeks until 24 months, the smallest sample was 26 women, and the largest was 223. The ranging age of participants was from 46 to 64 years. Studies with a longer duration, in-person modality and/or that used behavioral models showed better results. In BMD, the best results in spine were observed at 24 months in a face-to-face intervention (increase of 3.08%). Regarding MM, the greatest increase was at 26 weeks under Cognitive Behavioral Therapy (CBT) in person (43.8 ± 8.7 to 44.7 ± 8.4 kg, p = 0.04). This approach also showed the greatest decrease in FM from 36.7 to 31.2 kg in 4 months (p ≤ 0.01). Improving BMD and MM and preventing the increase of FM is a challenge for public health. More studies are needed to improve BMD among BC survivors and consider strategies that have yielded better results to promote healthy changes. Key teaching points Breast cancer survivors are at increased risk for low bone mineral density, loss of muscle mass, and increased fat mass due to the treatments received; the adoption of a healthy diet and physical activity can mitigate these complications. Of the 17 studies included, 8 used the face-to-face modality, 7 combined face-to-face with phone calls and two studies used only phone calls and email; studies that used the face-to-face modality showed better results. For bone mineral density, the best results were observed in spine at 24 months (increase of 3.08%) in a face-to-face intervention. The greatest increase in muscle mass (43.8 to 44.7 kg) was at 26 weeks in a physical activity intervention; the larger amount of fat mass loss was 5.5 kg in a diet and physical activity intervention. Both results were obtained using the Cognitive Behavioral Therapy (CBT) in person. Lifestyle interventions to maintain or improve bone mineral density, muscle mass and fat mass are effective at least for one of these three variables.
Victor Alexander Quintana López, Karina De Jesús Díaz López, and Graciela Caire Juvera
ARAN Ediciones
Introducción: las estrategias para mejorar la dieta y actividad física (AF) en estudios de intervención en sobrevivientes de cáncer de mama (CaMa) pueden aumentar la adherencia a estilos de vida saludables y mejorar algunas variables psicológicas como calidad de sueño, calidad de vida y ansiedad.Objetivo: analizar estudios sobre intervenciones en dieta y AF y su efecto en variables psicológicas en sobrevivientes de CaMa, evaluar los resultados obtenidos, metodología y estrategia utilizadas.Metodología: la búsqueda se realizó desde marzo de 2016 hasta diciembre de 2017 en PubMed y Metabuscador Google Schoolar. Se revisó la literatura existente de 2006 a 2017 sobre intervenciones de estilo de vida en sobrevivientes de cáncer de mama y su efecto en variables psicológicas. Se incluyeron publicaciones de acceso libre en inglés y español y se excluyeron aquellos que fueran resúmenes de congresos, de acceso restringido o protocolos de estudios. Para la identificación de artículos se utilizaron las siguientes palabras claves o su combinación: alimentación y cáncer de mama, actividad física y cáncer de mama, ansiedad, depresión, calidad de vida y variables psicológicas. De los artículos seleccionados se llevó a cabo un análisis cualitativo de la metodología utilizada, de la estrategia empleada para promover los cambios y de logros al final del programa.Resultados: se identificaron 16 estudios de intervención; el 100% obtuvo resultados positivos. La práctica de actividad física mejoró la calidad de vida y disminuyó la fatiga, la ansiedad y la depresión. En las intervenciones donde se hicieron cambios saludables en la alimentación, las sobrevivientes mejoraron su calidad de vida y la calidad de sueño y disminuyeron la fatiga y los síntomas depresivos.Conclusiones: son pocas las intervenciones para mejorar dieta y AF que consideran variables psicológicas en sobrevivientes de CaMa; aunque todas han obtenido resultados positivos, no se conoce si estos se mantienen a largo plazo.
RECENT SCHOLAR PUBLICATIONS
MOST CITED SCHOLAR PUBLICATIONS
Industry, Institute, or Organisation Collaboration
Centro de Investigación en Alimentación y Desarrollo A.C.
Facultad de Medicina Mexicali. Universidad Autónoma de Baja California.