<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2174-5145</journal-id>
<journal-title><![CDATA[Revista Española de Nutrición Humana y Dietética]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Esp Nutr Hum Diet]]></abbrev-journal-title>
<issn>2174-5145</issn>
<publisher>
<publisher-name><![CDATA[Academia Española de Nutrición y Dietética]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2174-51452017000200009</article-id>
<article-id pub-id-type="doi">10.14306/renhyd.21.2.355</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Alternativa eficaz al tratamiento farmacológico sobre el estreñimiento en ancianos institucionalizados: Estudio Libera]]></article-title>
<article-title xml:lang="en"><![CDATA[Effective alternative to constipation medication in nursing home residents: Libera Study]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sobrón Monge]]></surname>
<given-names><![CDATA[Ismael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Imaz González]]></surname>
<given-names><![CDATA[Consuelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lacarra Jiménez]]></surname>
<given-names><![CDATA[Estela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barbosa Robledo]]></surname>
<given-names><![CDATA[Abigail]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Gómez]]></surname>
<given-names><![CDATA[Bernardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez García]]></surname>
<given-names><![CDATA[Victoria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barcons Vilardell]]></surname>
<given-names><![CDATA[Núria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Residencia ORPEA  ]]></institution>
<addr-line><![CDATA[Logroño ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Grupo ORPEA Ibérica Dirección Médica ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Nestlé Health Science Departamento Médico ]]></institution>
<addr-line><![CDATA[Barcelona ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>21</volume>
<numero>2</numero>
<fpage>164</fpage>
<lpage>173</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2174-51452017000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2174-51452017000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2174-51452017000200009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El objetivo del presente estudio es conocer el impacto de la administración de un postre rico en fibra y sorbitol en la evolución de la pauta de laxantes en ancianos institucionalizados con estreñimiento.  Material y Métodos:  Estudio unicéntrico, intervencional, prospectivo, en ancianos con diagnóstico de estreñimiento tratados con laxantes de una residencia geriátrica, en el que cada paciente es su propio comparador. Se administró un postre con alto contenido en fibra y sorbitol (Resource® Puré de Frutas rico en fibra), durante 7 semanas. La variable principal fue la diferencia de días de tratamiento farmacológico con laxantes entre la semana previa al inicio y la última semana del estudio.  Resultados: Se estudiaron 40 pacientes. Mediana de edad de 88,5 años (rango: 72-101). Después de 7 semanas requirieron una media semanal de 3,5 días menos de tratamiento con laxantes. El número de pacientes con tratamiento farmacológico se redujo en un 40%. Las deposiciones semanales aumentaron en una media de 2. Disminuyeron las molestias gastrointestinales. La intervención no modificó la ingesta previa. La adherencia a la pauta prescrita fue superior al 94%. La reducción del nº de días con tratamiento laxante se asoció a: tomar 5 o más unidades del postre a la semana, ser mayor de 85 años, tener mala salud bucodental y no tener malnutrición ni trastornos de la dieta.  Conclusiones: La administración de un postre rico en fibra y sorbitol puede constituir una alternativa efectiva y segura frente al tratamiento farmacológico con laxantes en población anciana con estreñimiento institucionalizada y podría ayudar a reducir la polimedicación en estos pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The aim of this study is to ascertain the impact of administering a dessert rich in fibre and sorbitol on the prescription of laxatives in nursing home residents with constipation.  Material and Methods: Single-centre, interventional prospective study in elderly nursing home residents diagnosed with constipation and treated with laxatives, in which each patient is his/her own comparator. A dessert rich in fibre and sorbitol (high-fibre Resource® Fruit Purée) was given for 7 weeks. The main variable was the difference in days of pharmacological treatment with laxatives between the week before the start of the study and the last week of the study.  Results: 40 patients were studied with a median age of 88.5 years (range: 72-101). After 7 weeks, the residents required a mean of 3.5 fewer days per week of treatment with laxatives. Patients receiving pharmacological medication decreased by 40%. Weekly bowel movements increased by a mean of 2 while gastrointestinal discomfort decreased. The intervention did not change previous intake. Adherence to the prescribed regimen was over 94%. A decrease in the number of days with laxative therapy was associated with: consuming 5 or more desserts a week, being over 85, having poor oral health and not suffering from malnutrition or food disorders.  Conclusions: Dispensing a dessert rich in fibre and sorbitol may be an effective and safe alternative to laxatives in elderly nursing home residents with constipation, and may help to reduce polymedication in these patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Estreñimiento]]></kwd>
<kwd lng="es"><![CDATA[Fibras de la Dieta]]></kwd>
<kwd lng="es"><![CDATA[Sorbitol]]></kwd>
<kwd lng="es"><![CDATA[Laxativos]]></kwd>
<kwd lng="es"><![CDATA[Anciano]]></kwd>
<kwd lng="es"><![CDATA[Casas de Salud]]></kwd>
<kwd lng="en"><![CDATA[Constipation]]></kwd>
<kwd lng="en"><![CDATA[Dietary Fiber]]></kwd>
<kwd lng="en"><![CDATA[Sorbitol]]></kwd>
<kwd lng="en"><![CDATA[Laxatives]]></kwd>
<kwd lng="en"><![CDATA[Aged]]></kwd>
<kwd lng="en"><![CDATA[Nursing Homes.]]></kwd>
</kwd-group>
</article-meta>
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