Muscular fitness as a mediator of quality cardiopulmonary resuscitation
Abstract Background It has been hypothesized that body mass index (BMI) and muscle strength (MS) of the rescuers are predictors of adequate external chest compressions (ECC). The aims of this study were: a) to analyse, in college students, the relationship between BMI and MS with adequate ECC parame...
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| Veröffentlicht in: | The American journal of emergency medicine 2016-09, Vol.34 (9), p.1845-1849 |
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| creator | López-González, A., PhD Sánchez-López, M., PhD Garcia-Hermoso, A., PhD López-Tendero, J., MSci Rabanales-Sotos, J., PhD Martínez-Vizcaíno, V., MD, PhD |
| description | Abstract Background It has been hypothesized that body mass index (BMI) and muscle strength (MS) of the rescuers are predictors of adequate external chest compressions (ECC). The aims of this study were: a) to analyse, in college students, the relationship between BMI and MS with adequate ECC parameters; and b) to examine whether the association between BMI and adequate ECC parameters is mediated by MS. Methods A cross-sectional analysis of the evaluation of a CPR performance test involving students (n = 63). We determined BMI and MS. After previous training, participants performed cardiopulmonary resuscitation on a mannequin for 20 minutes. PROCESS macro developed by Preacher and Hayes was used to assess whether the association between BMI and ECC was mediated by MS. Results Underweight subjects achieved lower results than those with normal weight and overweight/obese in several dependent variables including: correct compression depth (P < .001) and adequate ECC (P < .001). This differences remained after adjusting for muscle strength except for the compression rate (P = .053). Moreover, participants in the low MS quartile were lower in both correct compression depth (P = .001) and adequate ECC (P < .001) than participants in the medium/high quartile after adjusting for confounding variables. The effect of BMI on adequate ECC was partially mediated by MS. Similar results were obtained in the analysis of the mediator role of MS in the relationship between BMI and correct compression depth. Conclusions The ability to provide adequate ECC is influenced by the rescuer's MS. Rescuers should be advised to exercise arm strength to improve the quality of CPR. |
| doi_str_mv | 10.1016/j.ajem.2016.06.058 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1814135111</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0735675716302741</els_id><sourcerecordid>1814135111</sourcerecordid><originalsourceid>FETCH-LOGICAL-c439t-42c2d057403169e233774808720a07f4bb6d810d3f9d29ddce3de40d35bed1273</originalsourceid><addsrcrecordid>eNp9kV-L1TAQxYMo7nX1C_ggBV986XUmf5oWRJBFV2HFB_U55CZTSG2bu0kr3G9v6l0V9kEYSAbOOcz8hrHnCHsEbF4PezvQtOflv4dSqn3AdqgEr1vU-JDtQAtVN1rpC_Yk5wEAUSr5mF1wLaSErtux689rdutoU9WHZaacK1uqmsgHu8RUxb66Xe0YllPlbPIhHtdxirNNpypRLt6w2CXE-Sl71Nsx07O795J9__D-29XH-ubL9aerdze1k6Jbaskd96C0BIFNR1wIrWULreZgQffycGh8i-BF33neee9IeJKlVwfyWMa-ZK_OuccUb1fKi5lCdjSOdqa4ZoMtShQKEYv05T3pENc0l-l-qwBVJ7dAfla5FHNO1JtjClPZzyCYDbMZzIbZbJgNlFJtMb24i14PBdVfyx-uRfDmLKDC4megZAopml3Bmsgtxsfw__y39-xuDHNwdvxBJ8r_9jCZGzBft0Nvd8ZGANcFwC9KvaH3</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1814015947</pqid></control><display><type>article</type><title>Muscular fitness as a mediator of quality cardiopulmonary resuscitation</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><source>ProQuest Central UK/Ireland</source><creator>López-González, A., PhD ; Sánchez-López, M., PhD ; Garcia-Hermoso, A., PhD ; López-Tendero, J., MSci ; Rabanales-Sotos, J., PhD ; Martínez-Vizcaíno, V., MD, PhD</creator><creatorcontrib>López-González, A., PhD ; Sánchez-López, M., PhD ; Garcia-Hermoso, A., PhD ; López-Tendero, J., MSci ; Rabanales-Sotos, J., PhD ; Martínez-Vizcaíno, V., MD, PhD</creatorcontrib><description>Abstract Background It has been hypothesized that body mass index (BMI) and muscle strength (MS) of the rescuers are predictors of adequate external chest compressions (ECC). The aims of this study were: a) to analyse, in college students, the relationship between BMI and MS with adequate ECC parameters; and b) to examine whether the association between BMI and adequate ECC parameters is mediated by MS. Methods A cross-sectional analysis of the evaluation of a CPR performance test involving students (n = 63). We determined BMI and MS. After previous training, participants performed cardiopulmonary resuscitation on a mannequin for 20 minutes. PROCESS macro developed by Preacher and Hayes was used to assess whether the association between BMI and ECC was mediated by MS. Results Underweight subjects achieved lower results than those with normal weight and overweight/obese in several dependent variables including: correct compression depth (P < .001) and adequate ECC (P < .001). This differences remained after adjusting for muscle strength except for the compression rate (P = .053). Moreover, participants in the low MS quartile were lower in both correct compression depth (P = .001) and adequate ECC (P < .001) than participants in the medium/high quartile after adjusting for confounding variables. The effect of BMI on adequate ECC was partially mediated by MS. Similar results were obtained in the analysis of the mediator role of MS in the relationship between BMI and correct compression depth. Conclusions The ability to provide adequate ECC is influenced by the rescuer's MS. Rescuers should be advised to exercise arm strength to improve the quality of CPR.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2016.06.058</identifier><identifier>PMID: 27344099</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Age ; Body Mass Index ; Cardiopulmonary resuscitation ; Cardiopulmonary Resuscitation - standards ; Conflicts of interest ; CPR ; Cross-Sectional Studies ; Data models ; Emergency ; Emergency medical care ; Female ; Fitness equipment ; Heart Massage - standards ; Hospitals ; Humans ; International organizations ; Male ; Manikins ; Mediation ; Mens health ; Muscle Strength ; Obesity ; Physical Fitness ; Quality ; Students ; Universities ; Variables ; Ventilation ; Young Adult</subject><ispartof>The American journal of emergency medicine, 2016-09, Vol.34 (9), p.1845-1849</ispartof><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-42c2d057403169e233774808720a07f4bb6d810d3f9d29ddce3de40d35bed1273</citedby><cites>FETCH-LOGICAL-c439t-42c2d057403169e233774808720a07f4bb6d810d3f9d29ddce3de40d35bed1273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1814015947?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,778,782,3539,27911,27912,45982,64370,64372,64374,72224</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27344099$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>López-González, A., PhD</creatorcontrib><creatorcontrib>Sánchez-López, M., PhD</creatorcontrib><creatorcontrib>Garcia-Hermoso, A., PhD</creatorcontrib><creatorcontrib>López-Tendero, J., MSci</creatorcontrib><creatorcontrib>Rabanales-Sotos, J., PhD</creatorcontrib><creatorcontrib>Martínez-Vizcaíno, V., MD, PhD</creatorcontrib><title>Muscular fitness as a mediator of quality cardiopulmonary resuscitation</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>Abstract Background It has been hypothesized that body mass index (BMI) and muscle strength (MS) of the rescuers are predictors of adequate external chest compressions (ECC). The aims of this study were: a) to analyse, in college students, the relationship between BMI and MS with adequate ECC parameters; and b) to examine whether the association between BMI and adequate ECC parameters is mediated by MS. Methods A cross-sectional analysis of the evaluation of a CPR performance test involving students (n = 63). We determined BMI and MS. After previous training, participants performed cardiopulmonary resuscitation on a mannequin for 20 minutes. PROCESS macro developed by Preacher and Hayes was used to assess whether the association between BMI and ECC was mediated by MS. Results Underweight subjects achieved lower results than those with normal weight and overweight/obese in several dependent variables including: correct compression depth (P < .001) and adequate ECC (P < .001). This differences remained after adjusting for muscle strength except for the compression rate (P = .053). Moreover, participants in the low MS quartile were lower in both correct compression depth (P = .001) and adequate ECC (P < .001) than participants in the medium/high quartile after adjusting for confounding variables. The effect of BMI on adequate ECC was partially mediated by MS. Similar results were obtained in the analysis of the mediator role of MS in the relationship between BMI and correct compression depth. Conclusions The ability to provide adequate ECC is influenced by the rescuer's MS. Rescuers should be advised to exercise arm strength to improve the quality of CPR.</description><subject>Adult</subject><subject>Age</subject><subject>Body Mass Index</subject><subject>Cardiopulmonary resuscitation</subject><subject>Cardiopulmonary Resuscitation - standards</subject><subject>Conflicts of interest</subject><subject>CPR</subject><subject>Cross-Sectional Studies</subject><subject>Data models</subject><subject>Emergency</subject><subject>Emergency medical care</subject><subject>Female</subject><subject>Fitness equipment</subject><subject>Heart Massage - standards</subject><subject>Hospitals</subject><subject>Humans</subject><subject>International organizations</subject><subject>Male</subject><subject>Manikins</subject><subject>Mediation</subject><subject>Mens health</subject><subject>Muscle Strength</subject><subject>Obesity</subject><subject>Physical Fitness</subject><subject>Quality</subject><subject>Students</subject><subject>Universities</subject><subject>Variables</subject><subject>Ventilation</subject><subject>Young Adult</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kV-L1TAQxYMo7nX1C_ggBV986XUmf5oWRJBFV2HFB_U55CZTSG2bu0kr3G9v6l0V9kEYSAbOOcz8hrHnCHsEbF4PezvQtOflv4dSqn3AdqgEr1vU-JDtQAtVN1rpC_Yk5wEAUSr5mF1wLaSErtux689rdutoU9WHZaacK1uqmsgHu8RUxb66Xe0YllPlbPIhHtdxirNNpypRLt6w2CXE-Sl71Nsx07O795J9__D-29XH-ubL9aerdze1k6Jbaskd96C0BIFNR1wIrWULreZgQffycGh8i-BF33neee9IeJKlVwfyWMa-ZK_OuccUb1fKi5lCdjSOdqa4ZoMtShQKEYv05T3pENc0l-l-qwBVJ7dAfla5FHNO1JtjClPZzyCYDbMZzIbZbJgNlFJtMb24i14PBdVfyx-uRfDmLKDC4megZAopml3Bmsgtxsfw__y39-xuDHNwdvxBJ8r_9jCZGzBft0Nvd8ZGANcFwC9KvaH3</recordid><startdate>20160901</startdate><enddate>20160901</enddate><creator>López-González, A., PhD</creator><creator>Sánchez-López, M., PhD</creator><creator>Garcia-Hermoso, A., PhD</creator><creator>López-Tendero, J., MSci</creator><creator>Rabanales-Sotos, J., PhD</creator><creator>Martínez-Vizcaíno, V., MD, PhD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20160901</creationdate><title>Muscular fitness as a mediator of quality cardiopulmonary resuscitation</title><author>López-González, A., PhD ; Sánchez-López, M., PhD ; Garcia-Hermoso, A., PhD ; López-Tendero, J., MSci ; Rabanales-Sotos, J., PhD ; Martínez-Vizcaíno, V., MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-42c2d057403169e233774808720a07f4bb6d810d3f9d29ddce3de40d35bed1273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Age</topic><topic>Body Mass Index</topic><topic>Cardiopulmonary resuscitation</topic><topic>Cardiopulmonary Resuscitation - standards</topic><topic>Conflicts of interest</topic><topic>CPR</topic><topic>Cross-Sectional Studies</topic><topic>Data models</topic><topic>Emergency</topic><topic>Emergency medical care</topic><topic>Female</topic><topic>Fitness equipment</topic><topic>Heart Massage - standards</topic><topic>Hospitals</topic><topic>Humans</topic><topic>International organizations</topic><topic>Male</topic><topic>Manikins</topic><topic>Mediation</topic><topic>Mens health</topic><topic>Muscle Strength</topic><topic>Obesity</topic><topic>Physical Fitness</topic><topic>Quality</topic><topic>Students</topic><topic>Universities</topic><topic>Variables</topic><topic>Ventilation</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>López-González, A., PhD</creatorcontrib><creatorcontrib>Sánchez-López, M., PhD</creatorcontrib><creatorcontrib>Garcia-Hermoso, A., PhD</creatorcontrib><creatorcontrib>López-Tendero, J., MSci</creatorcontrib><creatorcontrib>Rabanales-Sotos, J., PhD</creatorcontrib><creatorcontrib>Martínez-Vizcaíno, V., MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>López-González, A., PhD</au><au>Sánchez-López, M., PhD</au><au>Garcia-Hermoso, A., PhD</au><au>López-Tendero, J., MSci</au><au>Rabanales-Sotos, J., PhD</au><au>Martínez-Vizcaíno, V., MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Muscular fitness as a mediator of quality cardiopulmonary resuscitation</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2016-09-01</date><risdate>2016</risdate><volume>34</volume><issue>9</issue><spage>1845</spage><epage>1849</epage><pages>1845-1849</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><abstract>Abstract Background It has been hypothesized that body mass index (BMI) and muscle strength (MS) of the rescuers are predictors of adequate external chest compressions (ECC). The aims of this study were: a) to analyse, in college students, the relationship between BMI and MS with adequate ECC parameters; and b) to examine whether the association between BMI and adequate ECC parameters is mediated by MS. Methods A cross-sectional analysis of the evaluation of a CPR performance test involving students (n = 63). We determined BMI and MS. After previous training, participants performed cardiopulmonary resuscitation on a mannequin for 20 minutes. PROCESS macro developed by Preacher and Hayes was used to assess whether the association between BMI and ECC was mediated by MS. Results Underweight subjects achieved lower results than those with normal weight and overweight/obese in several dependent variables including: correct compression depth (P < .001) and adequate ECC (P < .001). This differences remained after adjusting for muscle strength except for the compression rate (P = .053). Moreover, participants in the low MS quartile were lower in both correct compression depth (P = .001) and adequate ECC (P < .001) than participants in the medium/high quartile after adjusting for confounding variables. The effect of BMI on adequate ECC was partially mediated by MS. Similar results were obtained in the analysis of the mediator role of MS in the relationship between BMI and correct compression depth. Conclusions The ability to provide adequate ECC is influenced by the rescuer's MS. Rescuers should be advised to exercise arm strength to improve the quality of CPR.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27344099</pmid><doi>10.1016/j.ajem.2016.06.058</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Age Body Mass Index Cardiopulmonary resuscitation Cardiopulmonary Resuscitation - standards Conflicts of interest CPR Cross-Sectional Studies Data models Emergency Emergency medical care Female Fitness equipment Heart Massage - standards Hospitals Humans International organizations Male Manikins Mediation Mens health Muscle Strength Obesity Physical Fitness Quality Students Universities Variables Ventilation Young Adult |
| title | Muscular fitness as a mediator of quality cardiopulmonary resuscitation |
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