Ejercicio físico postvacunal en Atención Primaria: brecha entre  evidencia y práctica clínica

Mª del Pilar Trigueros Aguado

Mª del Pilar Trigueros Aguado C.S. de Paredes de Nava. Palencia, España https://orcid.org/0009-0004-8919-6755

Palabras clave: Vacunación, Ejercicio físico, Inteligencia artificial, Alfabetización en salud, Atención primaria de salud

Key-words: Vaccination, Physical exercise, Artificial intelligence, Health literacy, Primary health care

Resumen

Objetivo principal: Evaluar los conocimientos y actitudes de los profesionales de Atención Primaria sobre ejercicio postvacunal y diseñar una herramienta de alfabetización en salud mediante inteligencia artificial. Metodología: Estudio observacional, descriptivo y transversal con enfoque mixto, mediante encuesta a profesionales de Atención Primaria de Castilla y León, revisión integrativa de la evidencia asistida por inteligencia artificial y diseño de intervención educativa. Resultados principales: El 69,9% de los participantes carecía de formación específica y el 20,3% desaconsejaba el ejercicio, contrastando con la evidencia disponible. El 82% valoró positivamente la inteligencia artificial como herramienta de apoyo, y el 96% expresó necesidad de materiales educativos estandarizados. Predominó la participación de enfermería y del ámbito rural. Conclusión principal: Se identifica una brecha entre evidencia y práctica. La inteligencia artificial, bajo liderazgo enfermero, facilita la actualización de conocimientos y el desarrollo de recursos que responden a la demanda de estandarización en cuidados comunitarios.

Abstract

Objective: To assess Primary Care professionals' knowledge and attitudes regarding post-vaccination exercise and to design a health literacy tool using artificial intelligence. Methods: Observational, descriptive and cross-sectional study with a mixed-methods approach, using a survey of Primary Care professionals in Castile and León (Spain), an integrative evidence review assisted by artificial intelligence, and the design of an educational intervention. Results: 69.9% of participants lacked specific training, and 20.3% discouraged exercise, contrasting with available evidence. 82% positively valued artificial intelligence a support tool, and 96% expressed the need for standardized educational materials. Nursing professionals and rural settings predominated among participants. Conclusions: A gap between evidence and practice was identified. Under nursing leadership, artificial intelligence supports knowledge updating and the development of educational resources, addressing the demand for standardization in community care.

Bibliografía

Hallam, J; Jones, T. C; Alley, J; Kohut, M. Exercise after influenza or COVID-19 vaccination increases serum antibody without an increase in side effects. Brain, Behavior, and Immunity 2022;102:59-69. https://doi.org/10.1016/j.bbi.2022.02.005

Edwards, Kate M; Burns, Victoria E; Reynolds, Tracy; Carroll, Douglas; Drayson, Mark; Ring, Christopher. Acute stress exposure prior to influenza vaccination enhances antibody response in women. Brain, Behavior, and Immunity 2006;20(2):159-168. https://doi.org/10.1016/j.bbi.2005.07.001

Edwards, Kate M; Burns, Victoria E; Allen, Louise M; McPhee, Jamie S; et al. Eccentric exercise as an adjuvant to influenza vaccination in humans. Brain, Behavior, and Immunity 2007;21(2):209-217. https://doi.org/10.1016/j.bbi.2006.04.158

Engindeniz, Z; Engindeniz, F. T; Ozdemir, A. Evaluation of deltoid exercises on injection site and arm pain after BNT162b2 COVID-19 vaccination: a randomized controlled study. Social Science Research Network 2022. https://doi.org/10.2139/ssrn.4204602

Barni, L; Carrasco-Vega, E; Olivieri, M; Galán-Mercant, A; et al. Does physical exercise enhance the immune response after vaccination? A systematic review for clinical indications of COVID-19 vaccine. International Journal of Environmental Research and Public Health 2023;20(6):5183. https://doi.org/10.3390/ijerph20065183

Bohn-Goldbaum E; Owen KB; Lee V. Y. J; Booy R; Edwards K. M. Physical activity and acute exercise benefit influenza vaccination response: a systematic review with individual participant data meta-analysis. PLoS ONE 2022;17(6):e0268625. https://doi.org/10.1371/journal.pone.0268625

Kohut, Marian L; Arntson, Barbara A; Lee, Wanglok; Rozeboom, Kayla; et al. Moderate exercise improves antibody response to influenza immunization in older adults. Vaccine 2004;22(17-18): 2298-2306. https://doi.org/10.1016/j.vaccine.2003.11.023

Grande, A. J; Reid, H; Thomas, E; Nunan, D; Foster, C. Exercise prior to influenza vaccination for limiting influenza incidence and its related complications in adults. Cochrane Database of Systematic Reviews 2016;8:CD011857. https://doi.org/10.1002/14651858.CD011857.pub2

Wong, Glenn Choon Lim; Narang, Viping; Lu, Yanxia; Camous, Xavier; et al. Hallmarks of improved immune responses to vaccination in physically active elderly women. Exercise Immunology Review 2019;25:20-33. https://pubmed.ncbi.nlm.nih.gov/30753128/

Gualano, B; Lemes, I. R; Silva, R. P; Pinto, A. J; et al. Association between physical activity and immunogenicity of an inactivated virus vaccine against SARS-CoV-2 in patients with autoimmune rheumatic diseases. Brain, Behavior, and Immunity. 2022;101:49-56. https://doi.org/10.1016/j.bbi.2021.12.016

Gualano, B; Lemes, Í. R; da Silva, R. P; Pinto, A. J; et al. Physical activity and antibody persistence 6 months after the second dose of CoronaVac in immunocompromised patients. Scandinavian Journal of Medicine & Science in Sports 2022;32(10):1510-1515. https://doi.org/10.1111/sms.14213

Fernández-de-Maya, J; Pons-Riverola, A. Variabilidad de la práctica clínica. Situación actual y retos para el futuro. Enfermería Clínica 2010;20(2):114-118. http://doi.org/10.1016/j.enfcli.2009.12.004

Alper, Brian S; Hand, Jason A; Elliott, Susan G; Kinkade, Scott; et al. How much effort is needed to keep up with the literature relevant for primary care? Journal of the Medical Library Association 2004;92(4):429-437. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC521514/

Balas, E. A; Boren, S. A. Managing clinical knowledge for health care improvement. Yearbook of Medical Informatics 2000;1:65-70.

Salazar-Villegas, B. Implementación de tecnologías de la información en la atención primaria de salud. Innova Science Journal 2024;2(2):15-31. https://doi.org/10.63618/omd/isj/v2/n2/35

Puchades, R; Ramos-Ruperto, L. Artificial intelligence in clinical practice: quality and evidence. Revista Clínica Española English Edition 2025;225(1):23-27. https://doi.org/10.1016/j.rceng.2024.11.001

Ministerio de Sanidad. Estrategia de Inteligencia Artificial para el Sistema Nacional de Salud SNS 2025-2030. Gobierno de España 2025. https://www.sanidad.gob.es/areas/saludDigital/doc/eIASNS_v13.pdf

Utzet, M; Martin, U. Las encuestas online y la falsa ilusión de la n grande. A propósito de una encuesta sobre la eutanasia en profesionales médicos. Gaceta sanitaria 2020;34(5):518 520.

Aerny Perreten, N; Domínguez Berjón, MF; Astray Mochales, J; Esteban Vasallo, MD, Blanco Ancos, LM; López Pérez, MA. Tasas de respuesta a tres estudios de opinión realizados mediante cuestionarios en línea en el ámbito sanitario. Gaceta sanitaria 2012;26(5):477 479.

MacKay, S. C; Smith, A; Kyle, R. G; Beattie, M. What influences nurses decisions to work in rural and remote settings? a systematic review and meta-synthesis of qualitative research. Rural and Remote Health 2021;21:6335. https://doi.org/10.22605/RRH6335

Ejercicio físico postvacunal en Atención Primaria: brecha entre evidencia y práctica clínica

Post-vaccination physical exercise in Primary Care: gap between evidence and clinical practice

Resumen

Abstract

Bibliografía