{"id":3013,"date":"2026-01-14T14:38:59","date_gmt":"2026-01-14T19:38:59","guid":{"rendered":"https:\/\/cimas.edu.ec\/?page_id=3013"},"modified":"2026-01-19T09:17:26","modified_gmt":"2026-01-19T14:17:26","slug":"proyecto-espina","status":"publish","type":"page","link":"https:\/\/cimas.edu.ec\/en\/proyecto-espina\/","title":{"rendered":"ESPINA RESEARCH STUDIO"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"3013\" class=\"elementor elementor-3013\">\n\t\t\t\t<div class=\"has_eae_slider elementor-element elementor-element-fd06d17 e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-eae-slider=\"9392\" data-id=\"fd06d17\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"has_eae_slider elementor-element elementor-element-c616991 e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-child\" data-eae-slider=\"37079\" data-id=\"c616991\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c49cdff elementor-widget elementor-widget-heading\" data-id=\"c49cdff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Study on Secondary Pesticide Exposure in Children and Adolescents \u2013 ESPINA<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-d53366f elementor-section-content-middle elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-eae-slider=\"66218\" data-id=\"d53366f\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-da45d1d\" data-eae-slider=\"20124\" data-id=\"da45d1d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5ca142a elementor-widget elementor-widget-heading\" data-id=\"5ca142a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u00bfWhat is it?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7a0ab9f elementor-widget elementor-widget-text-editor\" data-id=\"7a0ab9f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The Secondary Pesticide Exposure Study in Infants, Children, and Adolescents (ESPINA) is an ongoing longitudinal research project in Pedro Moncayo Canton, Ecuador, running from 2008 to 2026. Its goal is to assess how pesticide exposure affects participants\u2019 physiology, growth, development, and mental health.<\/p><p>Findings indicate that pesticides negatively impact physical, nutritional (increasing the prevalence of acute and chronic malnutrition), cognitive, and neurobehavioral development in children and adolescents, and elevate levels of depression and anxiety. Both short- and long-term effects have been evaluated.<\/p><p>The project is carried out with support from the U.S. National Institutes of Health and local and national authorities in Ecuador. Currently, more than 500 participants are involved, many of whom began in 2008 as children. The study has produced over twenty publications indexed in SCOPUS, with Dr. Jos\u00e9 Ricardo Su\u00e1rez L\u00f3pez, founding partner of Fundaci\u00f3n Cimas and collaborator at the University of California, San Diego, serving as principal investigator.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-e17e218\" data-eae-slider=\"90239\" data-id=\"e17e218\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ccd0cca elementor-widget elementor-widget-image-carousel\" data-id=\"ccd0cca\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;slides_to_show&quot;:&quot;1&quot;,&quot;navigation&quot;:&quot;none&quot;,&quot;autoplay_speed&quot;:2000,&quot;effect&quot;:&quot;fade&quot;,&quot;autoplay&quot;:&quot;yes&quot;,&quot;pause_on_hover&quot;:&quot;yes&quot;,&quot;pause_on_interaction&quot;:&quot;yes&quot;,&quot;infinite&quot;:&quot;yes&quot;,&quot;speed&quot;:500}\" data-widget_type=\"image-carousel.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-image-carousel-wrapper swiper\" role=\"region\" aria-roledescription=\"carousel\" aria-label=\"Carrusel de im\u00e1genes\" dir=\"ltr\">\n\t\t\t<div class=\"elementor-image-carousel swiper-wrapper\" aria-live=\"off\">\n\t\t\t\t\t\t\t\t<div class=\"swiper-slide\" role=\"group\" aria-roledescription=\"slide\" aria-label=\"1 of 3\"><figure class=\"swiper-slide-inner\"><img decoding=\"async\" class=\"swiper-slide-image\" src=\"https:\/\/cimas.edu.ec\/wp-content\/uploads\/2024\/02\/FUNDACION-CIMAS-ECUADOR-ESPINA-2.png\" alt=\"FUNDACI\u00d3N CIMAS ECUADOR - ESPINA (2)\" \/><\/figure><\/div><div class=\"swiper-slide\" role=\"group\" aria-roledescription=\"slide\" aria-label=\"2 of 3\"><figure class=\"swiper-slide-inner\"><img decoding=\"async\" class=\"swiper-slide-image\" src=\"https:\/\/cimas.edu.ec\/wp-content\/uploads\/2024\/02\/FUNDACION-CIMAS-ECUADOR-ESPINA-1.png\" alt=\"FUNDACI\u00d3N CIMAS ECUADOR - ESPINA (1)\" \/><\/figure><\/div><div class=\"swiper-slide\" role=\"group\" aria-roledescription=\"slide\" aria-label=\"3 of 3\"><figure class=\"swiper-slide-inner\"><img decoding=\"async\" class=\"swiper-slide-image\" src=\"https:\/\/cimas.edu.ec\/wp-content\/uploads\/2024\/02\/FUNDACION-CIMAS-ECUADOR-ESPINA-1.jpg\" alt=\"FUNDACI\u00d3N CIMAS ECUADOR - ESPINA (1)\" \/><\/figure><\/div>\t\t\t<\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-3c0d0cd elementor-section-content-top elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-eae-slider=\"41724\" data-id=\"3c0d0cd\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-c9fb4e7\" data-eae-slider=\"82691\" data-id=\"c9fb4e7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1ac08dd elementor-widget elementor-widget-heading\" data-id=\"1ac08dd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">PHASES:<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-07ab3ba elementor-widget elementor-widget-heading\" data-id=\"07ab3ba\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u00bfWho participates?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-bca70b4\" data-eae-slider=\"68612\" data-id=\"bca70b4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d3cf3ed elementor-vertical-align-top elementor-widget elementor-widget-image-box\" data-id=\"d3cf3ed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t\t<div class=\"elementor-image-box-wrapper\"><div class=\"elementor-image-box-content\"><h3 class=\"elementor-image-box-title\">Year 2008<\/h3><p class=\"elementor-image-box-description\">A total of 313 children aged 4 to 9 years from Pedro Moncayo Canton were selected to participate in this cohort study, maintaining an approximately balanced distribution between children living with flower plantation workers and those who did not live with them and had no direct pesticide exposure. A balanced distribution between males and females was also maintained.<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dfc7016 elementor-vertical-align-top elementor-widget elementor-widget-image-box\" data-id=\"dfc7016\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t\t<div class=\"elementor-image-box-wrapper\"><div class=\"elementor-image-box-content\"><h3 class=\"elementor-image-box-title\">Year 2016<\/h3><p class=\"elementor-image-box-description\">Two follow-up visits were conducted: April and July\u2013October. In April 2016, a second abbreviated examination was performed on 145 participants from the original visit and 185 newly recruited participants. In the third examination, from July to October 2016, 535 participants were assessed, of whom 404 had been examined in a previous visit and 131 were newly recruited. At that time, participants were aged 12 to 17 years.<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cdfa698 elementor-vertical-align-top elementor-widget elementor-widget-image-box\" data-id=\"cdfa698\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t\t<div class=\"elementor-image-box-wrapper\"><div class=\"elementor-image-box-content\"><h3 class=\"elementor-image-box-title\">Year 2022<\/h3><p class=\"elementor-image-box-description\">A new follow-up examination was conducted, inviting all participants from previous periods. A total of 505 participants from the canton were examined, aged 17 to 25 years.<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-80c5c6a elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-eae-slider=\"28623\" data-id=\"80c5c6a\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-b14bd6e\" data-eae-slider=\"19421\" data-id=\"b14bd6e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-85094d6 elementor-widget elementor-widget-heading\" data-id=\"85094d6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\u00bfWhat Do the Participant Examinations Consist Of?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fbafb59 elementor-widget elementor-widget-text-editor\" data-id=\"fbafb59\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span>A series of assessments have been conducted during the different study periods:<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-inner-section elementor-element elementor-element-6d52e62 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-eae-slider=\"31026\" data-id=\"6d52e62\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-f51ce6c\" data-eae-slider=\"90616\" data-id=\"f51ce6c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1306b11 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"1306b11\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-caret-right\" viewbox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 384.662V127.338c0-17.818 21.543-26.741 34.142-14.142l128.662 128.662c7.81 7.81 7.81 20.474 0 28.284L34.142 398.804C21.543 411.404 0 402.48 0 384.662z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Anthropometric measurements<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-caret-right\" viewbox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 384.662V127.338c0-17.818 21.543-26.741 34.142-14.142l128.662 128.662c7.81 7.81 7.81 20.474 0 28.284L34.142 398.804C21.543 411.404 0 402.48 0 384.662z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Neurobehavioral and cognitive development evaluations<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-caret-right\" viewbox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 384.662V127.338c0-17.818 21.543-26.741 34.142-14.142l128.662 128.662c7.81 7.81 7.81 20.474 0 28.284L34.142 398.804C21.543 411.404 0 402.48 0 384.662z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Collection of blood, urine, saliva, and hair samples<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-caret-right\" viewbox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 384.662V127.338c0-17.818 21.543-26.741 34.142-14.142l128.662 128.662c7.81 7.81 7.81 20.474 0 28.284L34.142 398.804C21.543 411.404 0 402.48 0 384.662z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Depression and anxiety assessments<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-caret-right\" viewbox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 384.662V127.338c0-17.818 21.543-26.741 34.142-14.142l128.662 128.662c7.81 7.81 7.81 20.474 0 28.284L34.142 398.804C21.543 411.404 0 402.48 0 384.662z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Quantification of acetylcholinesterase activity<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-caret-right\" viewbox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 384.662V127.338c0-17.818 21.543-26.741 34.142-14.142l128.662 128.662c7.81 7.81 7.81 20.474 0 28.284L34.142 398.804C21.543 411.404 0 402.48 0 384.662z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Quantification of acetylcholinesterase activity and other measures of pesticide exposure<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-7072072\" data-eae-slider=\"51888\" data-id=\"7072072\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-502dfe6 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"502dfe6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-caret-right\" viewbox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 384.662V127.338c0-17.818 21.543-26.741 34.142-14.142l128.662 128.662c7.81 7.81 7.81 20.474 0 28.284L34.142 398.804C21.543 411.404 0 402.48 0 384.662z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Tests to assess certain emotional states<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-caret-right\" viewbox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 384.662V127.338c0-17.818 21.543-26.741 34.142-14.142l128.662 128.662c7.81 7.81 7.81 20.474 0 28.284L34.142 398.804C21.543 411.404 0 402.48 0 384.662z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Liver and thyroid ultrasound<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-caret-right\" viewbox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 384.662V127.338c0-17.818 21.543-26.741 34.142-14.142l128.662 128.662c7.81 7.81 7.81 20.474 0 28.284L34.142 398.804C21.543 411.404 0 402.48 0 384.662z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Pulmonary function test (spirometry)<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-caret-right\" viewbox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 384.662V127.338c0-17.818 21.543-26.741 34.142-14.142l128.662 128.662c7.81 7.81 7.81 20.474 0 28.284L34.142 398.804C21.543 411.404 0 402.48 0 384.662z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">General demographic survey for the participant and their family<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-caret-right\" viewbox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 384.662V127.338c0-17.818 21.543-26.741 34.142-14.142l128.662 128.662c7.81 7.81 7.81 20.474 0 28.284L34.142 398.804C21.543 411.404 0 402.48 0 384.662z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Geospatial data collection of participants\u2019 homes and flower plantations<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4a2ad0d\" data-eae-slider=\"23735\" data-id=\"4a2ad0d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8179513 elementor-widget elementor-widget-image\" data-id=\"8179513\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1900\" height=\"1267\" src=\"https:\/\/cimas.edu.ec\/wp-content\/uploads\/2024\/02\/FUNDACION-CIMAS-ECUADOR-ESPINA-1.jpg\" class=\"attachment-full size-full wp-image-827\" alt=\"\" srcset=\"https:\/\/cimas.edu.ec\/wp-content\/uploads\/2024\/02\/FUNDACION-CIMAS-ECUADOR-ESPINA-1.jpg 1900w, https:\/\/cimas.edu.ec\/wp-content\/uploads\/2024\/02\/FUNDACION-CIMAS-ECUADOR-ESPINA-1-600x400.jpg 600w, https:\/\/cimas.edu.ec\/wp-content\/uploads\/2024\/02\/FUNDACION-CIMAS-ECUADOR-ESPINA-1-300x200.jpg 300w, https:\/\/cimas.edu.ec\/wp-content\/uploads\/2024\/02\/FUNDACION-CIMAS-ECUADOR-ESPINA-1-1024x683.jpg 1024w\" sizes=\"(max-width: 1900px) 100vw, 1900px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-b6d38c1 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-eae-slider=\"63572\" data-id=\"b6d38c1\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-6ab6adc\" data-eae-slider=\"8430\" data-id=\"6ab6adc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e853b26 elementor-widget elementor-widget-heading\" data-id=\"e853b26\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">New Follow-Up<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c99d9d elementor-widget elementor-widget-text-editor\" data-id=\"6c99d9d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>In 2022, during the examinations of participants in the ESPINA study, a complementary study called ESPINA-EMCT was launched. This new study involves each participant downloading an app on their mobile phone to complete a series of tests and surveys from the comfort of their own home. These assessments will be conducted 10 times through 2024.<\/p><p>Additionally, on 5 of these 10 occasions, participants will attend an in-person examination in Pedro Moncayo, which will include acetylcholinesterase tests, collection of urine, saliva, and hair samples, as well as measurements of weight and height. The goal of ESPINA-EMCT is to comprehensively assess the impacts of pesticides on participants\u2019 health.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-fb8adaf\" data-eae-slider=\"2176\" data-id=\"fb8adaf\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d53e428 elementor-button-info elementor-align-center elementor-widget elementor-widget-button\" data-id=\"d53e428\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/cgmh.ucsd.edu\/research\/research-project\/south-america\/exposure-to-pesticides-ecuador.html\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Learn More<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Estudio de Exposici\u00f3n Secundaria a Plaguicidas en Ni\u00f1os y Adolescentes ESPINA \u00bfQu\u00e9 es? El Estudio de la Exposici\u00f3n Secundaria a Plaguicidas en Infantes, Ni\u00f1os y Adolescentes (ESPINA) es una investigaci\u00f3n longitudinal en curso en el cant\u00f3n Pedro Moncayo, Ecuador, desde 2008 hasta 2026. Su objetivo es evaluar c\u00f3mo la exposici\u00f3n a pesticidas afecta la fisiolog\u00eda, el crecimiento, el desarrollo y la salud mental de los participantes. Los hallazgos indican que los plaguicidas impactan negativamente el desarrollo f\u00edsico, nutricional (incrementando la prevalencia de desnutrici\u00f3n aguda y cr\u00f3nica), cognitivo y neuro-comportamental de los ni\u00f1os y adolescentes, y elevan los niveles de depresi\u00f3n y ansiedad. Se han evaluado tanto los efectos a corto como a largo plazo. El proyecto se ha desarrollado con el apoyo de los Institutos Nacionales de Salud de los Estados Unidos y las autoridades locales y nacionales de Ecuador. Actualmente, m\u00e1s de 500 personas participan en el estudio, muchos de los cuales comenzaron en 2008 cuando eran ni\u00f1os. Los resultados han producido m\u00e1s de veinte publicaciones en SCOPUS, con el Dr. Jos\u00e9 Ricardo Su\u00e1rez L\u00f3pez, socio fundador de la Fundaci\u00f3n Cimas y colaborador de la Universidad de California San Diego, como investigador principal. FASES: \u00bfQui\u00e9nes participan? A\u00f1o 2008 Se seleccion\u00f3 a 313 ni\u00f1os y ni\u00f1as entre 4 y 9 a\u00f1os de edad del cant\u00f3n Pedro Moncayo para participar en este estudio de cohorte, manteniendo una distribuci\u00f3n aproximadamente equilibrada de aquellos que viv\u00edan con trabajadores de plantaciones flor\u00edcolas y aquellos que no viv\u00edan con los mismos y no ten\u00edan exposici\u00f3n directa a pesticidas. As\u00ed mismo, se mantuvo una distribuci\u00f3n equilibrada entre hombres y mujeres. A\u00f1o 2016 Realizamos dos visitas de seguimiento: abril y julio-octubre. En abril de 2016, realizamos un segundo examen abreviado de los participantes del estudio, 145 de los cuales eran de la visita original y 185 participantes adicionales reci\u00e9n reclutados. En el tercer examen, de julio a octubre de 2016, examinamos a 535 participantes, de los cuales 404 hab\u00edan sido examinados en una visita anterior y 131 de los cuales eran participantes reci\u00e9n reclutados. Para este a\u00f1o los participantes ten\u00edan edades entre 12 y 17 a\u00f1os. A\u00f1o 2022 Se realiz\u00f3 un nuevo examen de seguimiento, en donde se invit\u00f3 a todos los participantes de los periodos anteriores, luego de lo cual logramos examinar a un total de 505 participantes del cant\u00f3n, entre edades de 17 a 25 a\u00f1os. \u00bfEn qu\u00e9 consisten los ex\u00e1menes a los participantes? Se han \u00a0aplicado una serie de ex\u00e1menes en los distintos periodos: Medidas antropom\u00e9tricas Evaluaci\u00f3n del desarrollo neuroconductual y cognitivo Toma de muestras de sangre, orina, saliva y cabello Ex\u00e1menes de depresi\u00f3n, ansiedad Cuantificaci\u00f3n de la actividad de la acetilcolinesterasa La cuantificaci\u00f3n de la actividad de la acetilcolinesterasa y otras medidas de exposici\u00f3n a pesticidas Pruebas para ver ciertos estados emocionales Ecograf\u00eda hep\u00e1tica y de tiroides Prueba de funci\u00f3n pulmonar (espirometr\u00eda) Encuesta demogr\u00e1fica general para el participante y la familia Recolecci\u00f3n de informaci\u00f3n geoespacial de las viviendas de los participantes y las plantaciones flor\u00edcolas Nuevo seguimiento En el a\u00f1o 2022, durante los ex\u00e1menes a los participantes del estudio ESPINA, se inici\u00f3 un estudio complementario denominado ESPINA-EMCT. Este nuevo estudio implica que cada participante descargue una aplicaci\u00f3n en su celular para realizar una serie de pruebas y encuestas desde la comodidad de su hogar. Estas pruebas se realizar\u00e1n en 10 ocasiones hasta 2024. Adem\u00e1s, en 5 de esas 10 ocasiones, los participantes deber\u00e1n asistir a un examen presencial en Pedro Moncayo, que incluir\u00e1 pruebas de acetilcolinesterasa, recolecci\u00f3n de muestras de orina, saliva y cabello, y medici\u00f3n de peso y talla. El objetivo de ESPINA-EMCT es evaluar de manera exhaustiva los impactos de los plaguicidas en la salud de los\u00a0participantes. M\u00e1s informaci\u00f3n<\/p>","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-3013","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cimas.edu.ec\/en\/wp-json\/wp\/v2\/pages\/3013","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cimas.edu.ec\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cimas.edu.ec\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cimas.edu.ec\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cimas.edu.ec\/en\/wp-json\/wp\/v2\/comments?post=3013"}],"version-history":[{"count":9,"href":"https:\/\/cimas.edu.ec\/en\/wp-json\/wp\/v2\/pages\/3013\/revisions"}],"predecessor-version":[{"id":3225,"href":"https:\/\/cimas.edu.ec\/en\/wp-json\/wp\/v2\/pages\/3013\/revisions\/3225"}],"wp:attachment":[{"href":"https:\/\/cimas.edu.ec\/en\/wp-json\/wp\/v2\/media?parent=3013"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}