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Item type: Ítem , Access status: Acceso Abierto , Antropometría y composición corporal en personas mayores de 60 años: evaluación con bioimpedancia multifrecuencia en parroquias rurales ecuatorianas 2025-2026(Universidad Católica de Cuenca., 2026) Campoverde Peñaranda, Ana Emilia; Robles Avila, Wilson OrlandoWith the aging of the rural population in Ecuador, this population is exposed to malnutrition, sarcopenia, and functional decline, associated with difficulty accessing health services and poor socioeconomic conditions. Electrical bioimpedance (BIA) allows estimating body composition; the Mini Nutritional Assessment (MNA) establishes the nutritional risk of older adults. To examine the association between body composition, nutritional status, functionality, and chronic diseases in older adults from three rural parishes of Cuenca, Ecuador. Cross-sectional study in 302 older adults, with a mean age of 74.3 ± 7.6 years. Two body composition profiles were established using the k-means technique in cluster analysis. Comparison tests, Spearman correlations, and ROC were used for associations and predictive capacity. 56.5% presented risk of malnutrition according to the MNA. Body composition showed no significant correlations with the MNA or discriminative capacity for predicting nutritional risk (AUC: 0.479–0.540). Nutritional risk was significantly associated with worse balance and gait, as well as with greater risk of falls and functional dependence. BMI and fat mass were associated with hypertension and diabetes, while lower lean mass and skeletal muscle were associated with greater functional dependence. In this Andean rural population, BIA allowed identification of overweight, obesity, and associations with cardiometabolic diseases, although it should not be considered an adequate isolated indicator of malnutrition risk. Comprehensive geriatric assessment, and especially functional status and fall risk, should accompany nutritional screening in primary rural care to guide preventive decisions and improve appropriate clinical follow-up. Keywords: older adults; electrical bioimpedance; nutritional status; functional capacity; risk of falls; rural area; Ecuador.Item type: Ítem , Access status: Acceso Abierto , Factores de riesgo para desarrollar hipertensión arterial en adultos de la zona urbana del cantón Cañar - Ecuador, en el periodo marzo - agosto 2025(Universidad Católica de Cuenca., 2026) Jimenes Rodríguez , Mabel Alejandra; Loja Aguayza, Marco AguayzaBackground: Hypertension (HTN) is one of the leading causes of cardiovascular morbidity and mortality and affects approximately 30–40% of adults in Ecuador. Therefore, the early identification of modifiable risk factors (physical inactivity, obesity, dietary habits, and alcohol and tobacco use) and non-modifiable risk factors (age and family history) is a public health priority. Objective: To determine the risk factors associated with the development of HTN in adults in the urban area of the Canton of Cañar from March to August 2025. Methodology: An observational, descriptive, cross-sectional, and correlational study was conducted among 369 adults aged 19–64 years, selected through stratified sampling. A structured questionnaire was administered, and the data were analyzed using descriptive statistics, the chi-square test, and Spearman's rank correlation. Results: HTN was significantly associated with family history (p = 0.007), alcohol consumption (χ² = 65.1; p < 0.001), and frequent consumption of ultra-processed foods (χ² = 6.24; p < 0.001), whereas physical activity showed a protective effect (p = 0.005). No significant association was found with tobacco use. Conclusions: In the urban adult population of Cañar, HTN is primarily associated with family history, an inadequate diet, physical inactivity, and alcohol consumption, highlighting the need for health education programs and the promotion of healthy lifestyles focused on these factors. Keywords: adult, epidemiology, lifestyle, risk factors, hypertensionItem type: Ítem , Access status: Acceso Abierto , Marketing inclusivo para representar audiencias diversas en campañas digitales de la educación superior en Quito(Universidad Católica de Cuenca, 2026) Jaya Chuqui, Jonathan EstuardoItem type: Ítem , Access status: Acceso Abierto , Proyecto de Titulación embargado con fines de publicación de impacto.(Universidad Católica de Cuenca., 2026) Bueno Buele, Johanna ElizabethItem type: Ítem , Access status: Acceso Abierto , Estilos de vida y síntomas depresivos en adultos mayores en parroquias rurales ecuatoriana 2025-2026(Universidad Católica de Cuenca., 2026) Bueno Tacuri , Adriana Abigail; Quizhpi Peralta, Mariuxi CarolinaDepressive symptoms represent a priority public health concern among older adults. In Ecuador, evidence regarding their prevalence and the role of lifestyle factors in rural settings remains limited. To estimate the prevalence of depressive symptoms and assess their association with lifestyle factors among older adults living in rural parishes of Cuenca Canton. A cross-sectional study was conducted among 302 older adults (≥65 years) residing in the rural parishes of Sinincay, Ricaurte, and El Valle. Depressive symptoms were assessed using the 15-item Geriatric Depression Scale (GDS-15), while lifestyle was evaluated using the Health-Promoting Lifestyle Profile (PEPS-I). Multivariable logistic regression was performed to identify independent factors associated with depressive symptoms. Overall, 43.0% of participants presented depressive symptoms. The mean PEPS-I score was significantly lower among participants with depressive symptoms than among those without them (130.6 ± 28.5 vs. 140.0 ± 26.9; p = 0.002). The interpersonal support, self-actualization, and stress management subscales showed the largest differences between groups (p < 0.001). In the adjusted model, an unhealthy lifestyle (OR: 2.25; 95% CI: 1.23–4.11), low income (OR: 2.26; 95% CI: 1.35–3.79), and chronic disease (OR: 2.08; 95% CI: 1.26–3.46) were significantly associated with depressive symptoms. Depressive symptoms affected nearly half of the older adults studied. An unhealthy lifestyle was associated with approximately twice the odds of depressive symptoms, independently of sociodemographic and clinical factors. These findings highlight the need for community-based interventions focused on strengthening healthy lifestyle behaviors, social support networks, and coping strategies for managing the emotional challenges experienced in later life. Keywords: Depressive symptoms; older adults; PEPS-I; lifestyle; rural areas; Ecuador; GDS-15, chronic disease.
