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1.
Int J Behav Nutr Phys Act ; 21(1): 93, 2024 Aug 26.
Artigo em Inglês | MEDLINE | ID: mdl-39187858

RESUMO

BACKGROUND: Teachers are recognized as 'key agents' for the delivery of physical activity programs and policies in schools. The aim of our study was to develop and evaluate a tool to assess teachers' capability, opportunity, and motivation to deliver school-based physical activity interventions. METHODS: The development and evaluation of the Capability, Opportunity, and Motivation to deliver Physical Activity in School Scale (COM-PASS) involved three phases. In Phase 1, we invited academic experts to participate in a Delphi study to rate, provide recommendations, and achieve consensus on questionnaire items that were based on the Capability, Opportunity, and Motivation Behavior (COM-B) model. Each item was ranked on the degree to which it matched the content of the COM-B model, using a 5-point scale ranging from '1 = Poor match' to '5 = Excellent match'. In Phase 2, we interviewed primary and secondary school teachers using a 'think-aloud' approach to assess their understanding of the items. In Phase 3, teachers (n = 196) completed the COM-PASS to assess structural validity using confirmatory factor analysis (CFA). RESULTS: Thirty-eight academic experts from 14 countries completed three rounds of the Delphi study. In the first round, items had an average rating score of 4.04, in the second round 4.51, and in the third (final) round 4.78. The final tool included 14 items, which related to the six constructs of the COM-B model: physical capability, psychological capability, physical opportunity, social opportunity, reflective motivation, and automatic motivation. In Phase 2, ten teachers shared their interpretation of COM-PASS via a 20-min interview, which resulted in minor changes. In Phase 3, CFA of the 3-factor model (i.e., capability, opportunity, and motivation) revealed an adequate fit to the data (χ2 = 122.6, p < .001, CFI = .945, TLI = .924, RMSEA = .066). The internal consistencies of the three subscale scores were acceptable (i.e., capability: α = .75, opportunity: α = .75, motivation: α = .81). CONCLUSION: COM-PASS is a valid and reliable tool for assessing teachers' capability, opportunity, and motivation to deliver physical activity interventions in schools. Further studies examining additional psychometric properties of the COM-PASS are warranted.


Assuntos
Técnica Delphi , Exercício Físico , Motivação , Professores Escolares , Instituições Acadêmicas , Humanos , Exercício Físico/psicologia , Inquéritos e Questionários , Professores Escolares/psicologia , Feminino , Masculino , Promoção da Saúde/métodos , Serviços de Saúde Escolar , Adulto , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Comportamentos Relacionados com a Saúde , Análise Fatorial
2.
Nutr Metab Cardiovasc Dis ; 29(8): 783-792, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31248718

RESUMO

BACKGROUND AND AIMS: The long-term relations between excessive adiposity in early childhood and unfavourable cardiometabolic profiles in later ages are not yet completely understood. We aimed to assess the associations between birth weight (BW) and BMI from 6 months to 6 years of age, with biomarkers indicative of low-grade inflammation, insulin resistance and lipid profiles in adolescence. METHODS AND RESULTS: Retrospective school-based study with 415 Portuguese adolescents (220 girls), mean age of 14.08 ± 1.6 years old. Anthropometric data from birth to 6 years old was extracted from individual child health book records. Actual weight and height were measured and BMI calculated. Participants were classified at each time point as normal weight or overweight according to WHO reference values. Biomarkers were obtained from venous blood samples. Linear regressions were used to explore the associations between the biomarkers and early life anthropometric indicators. From 2 years onwards, BMI associated positively with the inflammatory score and HOMA-IR in adolescence. Children who were overweight/obese from 2 to 6 years of age presented significantly higher inflammatory score and HOMA-IR later in adolescence. TC/HDL ratio was also positively associated with BMI from the age of 5 years onwards. The associations between BMI and cardiometabolic outcomes remained positive in adolescence, with overweight adolescents presenting a higher inflammatory score, HOMA-IR and TC/HDL than normal weight adolescents. CONCLUSION: A high BMI from an early age was consistently associated with worse inflammatory and lipid profiles and insulin resistance in adolescence. No associations were found between BW and the same studied outcomes.


Assuntos
Glicemia/metabolismo , Índice de Massa Corporal , Mediadores da Inflamação/sangue , Inflamação/epidemiologia , Resistência à Insulina , Insulina/sangue , Lipídeos/sangue , Obesidade Infantil/epidemiologia , Adiposidade , Adolescente , Fatores Etários , Biomarcadores/sangue , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Inflamação/sangue , Inflamação/diagnóstico , Estudos Longitudinais , Masculino , Obesidade Infantil/diagnóstico , Obesidade Infantil/fisiopatologia , Portugal/epidemiologia , Estudos Retrospectivos , Medição de Risco , Fatores de Risco
3.
J Sports Sci ; 37(19): 2228-2235, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31164059

RESUMO

Little is known regarding the influence of asthma and exercise, and their interaction, on heart rate variability (HRV) in adolescents. Thirty-one adolescents with asthma (13.7±0.9 years; 21.9±3.9 kg·m-2; 19 boys, 12 girls) and thirty-three healthy adolescents (13.8±0.9 years; 20.3±3.2 kg·m-2; 16 boys, 17 girls) completed an incremental ramp test and three heavy-intensity constant-work-rate cycle tests. Thirteen adolescents (7 boys, 6 girls; 6 asthma, 7 control) completed six-months high-intensity interval training (HIIT) and were compared to age- and sex-matched controls. Standard time-domain, frequency-domain and non-linear indices of HRV were derived at baseline, three- and six-months. Asthma did not influence HRV at baseline or following HIIT. Total power, low frequency and normalised low frequency power, and sympathovagal balance increased at three-months in HIIT, subsequently declining towards baseline at six-months. Normalised high frequency power was reduced at three-months in both groups, which was sustained at six-months. No effects of HIIT were observed in the time-domain nor in the non-linear indices. HRV was not influenced by asthma, potentially because such derangements are a function of disease progression, severity or duration. HIIT may be associated with a short-term shift towards greater sympathetic predominance during exercise, perhaps caused by physiological overload and fatigue.


Assuntos
Asma/fisiopatologia , Exercício Físico/fisiologia , Frequência Cardíaca/fisiologia , Treinamento Intervalado de Alta Intensidade , Adolescente , Feminino , Humanos , Masculino , Sistema Nervoso Parassimpático/fisiopatologia
4.
J Asthma ; 55(8): 868-876, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-28853952

RESUMO

OBJECTIVE: To elicit the views of adolescents, with and without asthma, about exercise and asthma, and the perceived benefits of and barriers to participation. The adolescent views elicited would subsequently inform the design of a high-intensity exercise intervention to improve asthma control. METHODS: Fifty-four adolescents (age 13.1 ± 0.9 years; 26 with asthma) participated in twelve semi-structured group interviews. Questions were structured around knowledge, attitudes and beliefs towards asthma and its impact on exercise participation and lifestyle. The interviews were transcribed verbatim, thematically analysed and presented via diagrams of emergent themes. Ethical approval was granted by the institutional research ethics committee. RESULTS: Fear of an asthma attack emerged as the main barrier to exercise, with many adolescents with asthma withdrawing from exercise as a coping strategy; many healthy adolescents perceived this withdrawal as laziness or an excuse. Despite this, the majority (81%) of adolescents with asthma reported exercise to be their most enjoyable activity. Adolescents suggested incorporating mixed activities, such as team games (e.g., rounders, football, netball), for future interventions to ensure adherence. CONCLUSIONS: Whilst exercise is important in the management of asthma, the tendency of those with asthma to withdraw from exercise to avoid adverse events could be addressed through a games-based high-intensity exercise intervention. Furthermore, educating all adolescents on asthma could simultaneously reduce stigmatisation and enhance exercise engagement.


Assuntos
Adaptação Psicológica , Asma/psicologia , Exercício Físico/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Adolescente , Asma/reabilitação , Criança , Feminino , Humanos , Estilo de Vida , Masculino , Educação de Pacientes como Assunto , Percepção , Estigma Social , Reino Unido
5.
Int J Obes (Lond) ; 40(11): 1809-1812, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27478922

RESUMO

BACKGROUND: Sedentary behaviour (SB) is an important risk factor for a number of chronic diseases. Although gaps remain in our knowledge of the elements of SB most associated with reduced health outcomes, measuring SB is important, especially in less active patient populations where treatment-related changes may be seen first in changes in SB. METHODS: We review current published work in the measurement of SB to make recommendations for SB measurement in clinical studies. RESULTS: To help move our understanding of the area forward, we propose a set of derived measures of SB that can be easily understood and interpreted. CONCLUSION: Although there is more work required to determine and validate the most clinically relevant and sensitive measures of SB, there is enough understanding of how to measure SB to enable its inclusion in study protocols.


Assuntos
Acelerometria , Comportamentos Relacionados com a Saúde , Comportamento Sedentário , Acelerometria/estatística & dados numéricos , Exercício Físico , Humanos , Atividade Motora , Determinantes Sociais da Saúde , Reino Unido/epidemiologia
6.
BMC Public Health ; 16: 67, 2016 Jan 22.
Artigo em Inglês | MEDLINE | ID: mdl-26801090

RESUMO

BACKGROUND: Physical activity reduces cardiovascular mortality and morbidity. The World Health Organisation (WHO) recommends children engage in 60 min daily moderate-to-vigorous physical activity (MVPA). The effect of compliance with this recommendation on childhood cardiovascular risk has not been empirically tested. To evaluate whether achieving recommendations results in reduced composite-cardiovascular risk score (CCVR) in children, and to examine if vigorous PA (VPA) has independent risk-reduction effects. METHODS: PA was measured using accelerometry in 182 children (9-11 years). Subjects were grouped according to achievement of 60 min daily MVPA (active) or not (inactive). CCVR was calculated (sum of z-scores: DXA body fat %, blood pressure, VO2peak, flow mediated dilation, left ventricular diastolic function; CVR score ≥ 1SD indicated 'higher risk'). The cohort was further split into quintiles for VPA and odds ratios (OR) calculated for each quintile. RESULTS: Active children (92 (53 boys)) undertook more MVPA (38 ± 11 min, P < 0.001), had greater VO2peak (4.5 ± 0.8 ml/kg/min P < 0.001), and lower fat % (3.9 ± 1.1 %, P < 0.001) than inactive. No difference were observed between active and inactive for CCVR or OR (P > 0.05). CCVR in the lowest VPA quintile was significantly greater than the highest quintile (3.9 ± 0.6, P < 0.05), and the OR was 4.7 times higher. CONCLUSION: Achievement of current guidelines has positive effects on body composition and cardiorespiratory fitness, but not CCVR. Vigorous physical activity appears to have beneficial effects on CVD risk, independent of moderate PA, implying a more prescriptive approach may be needed for future VPA guidelines.


Assuntos
Doenças Cardiovasculares/epidemiologia , Exercício Físico , Guias como Assunto , Acelerometria , Pressão Sanguínea , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Razão de Chances , Aptidão Física , Fatores de Risco , Comportamento de Redução do Risco , Fatores de Tempo
7.
Percept Mot Skills ; 121(1): 260-83, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26270852

RESUMO

This cross-sectional study examined fundamental movement skill competency among deprived preschool children in Northwest England and explored sex differences. A total of 168 preschool children (ages 3-5 yr.) were included in the study. Twelve skills were assessed using the Children's Activity and Movement in Preschool Motor Skills Protocol and video analysis. Sex differences were explored at the subtest, skill, and component levels. Overall competence was found to be low among both sexes, although it was higher for locomotor skills than for object-control skills. Similar patterns were observed at the component level. Boys had significantly better object-control skills than girls, with greater competence observed for the kick and overarm throw, while girls were more competent at the run, hop, and gallop. The findings of low competency suggest that developmentally appropriate interventions should be implemented in preschool settings to promote movement skills, with targeted activities for boys and girls.


Assuntos
Desenvolvimento Infantil/fisiologia , Destreza Motora/fisiologia , Pré-Escolar , Inglaterra , Feminino , Humanos , Masculino
8.
Eur J Appl Physiol ; 114(2): 243-9, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24213885

RESUMO

PURPOSE: To assess the relationship between asthma, body mass index (BMI) and aerobic performance, as indicated by a shuttle test. METHODS: 20,577 participants (10,413 boys) from the SportsLinx serial cross-sectional study participated. Parental reports of asthma status and home postcode data were gathered from consent forms. Stature, sitting stature and body mass were measured and BMI, somatic maturity and indices of multiple deprivation scores (IMD) were derived. Performance on the 20 m multi-stage shuttle runs test (20mSRT) was used to estimate cardiorespiratory fitness (CRF). RESULTS: Asthma [F (1, 17,015) = 82.26, P < 0.01] and gender [F (1, 17,015) = 678.491, P < 0.001] significantly influenced 20mSRT. The addition of BMI, maturity and IMD to the model did not alter these significant effects. There was a significant interaction between 20mSRT and BMI [F (1, 16,723) = 132.80, P < 0.01], with a significant decrease in 20mSRT from the 50th BMI percentile upwards [t (16,699) = 36.88, P < 0.01]. Binary logistic regression revealed gender and 20mSRT to be significant predictors of asthma occurrence; BMI SDS just reached significance whilst maturity and IMD were not significant contributors to the model. CONCLUSIONS: This study demonstrates the negative influences of low CRF and high BMI on the risk of asthma occurrence in pre-pubertal children. Furthermore, it highlights the significant influence of BMI on CRF, revealing these effects to be manifest considerably below those BMI percentiles conventionally associated with being overweight or obese.


Assuntos
Asma/fisiopatologia , Índice de Massa Corporal , Exercício Físico , Resistência Física , Fatores Etários , Asma/epidemiologia , Estudos de Casos e Controles , Criança , Estudos de Coortes , Estudos Transversais , Feminino , Humanos , Masculino , Fatores Sexuais
9.
Acta Paediatr ; 103(5): e194-8, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24512112

RESUMO

AIM: The aim of this study was to investigate clustered cardiometabolic risk scores in healthy 10- to 12-year-olds using anthropometric characteristics, measurements of cardiorespiratory fitness (CRF) and physical activity and blood markers of metabolic disease. We also evaluated how including markers of liver cell injury would affect the clustered cardiometabolic risk assessment model. METHODS: This cross-sectional study focused on 99 children aged 10-12 years. The main outcome included assessing participants with increased and low cardiometabolic risk factors using a clustered risk score model that incorporated markers implicated in metabolic syndrome pathogenesis. Two clustered risk scores were calculated, one incorporating markers of liver cell injury. RESULTS: Children classified as 'increased risk' exhibited significantly lower CRF and higher body mass index Z-scores than their 'low-risk' peers. No significant differences in physical activity were observed. This trend remained unchanged when markers of liver injury were included in the clustered risk assessment model. CONCLUSION: The clustered risk score model is a scientifically robust method of cardiometabolic risk assessment, which reiterates the importance of weight reduction and CRF promotion in childhood. Our study did not show a significant contribution of liver injury markers, and further research is needed to evaluate their effect on cardiometabolic risk stratification in childhood.


Assuntos
Índice de Massa Corporal , Doenças Cardiovasculares/etiologia , Indicadores Básicos de Saúde , Hepatopatias/diagnóstico , Síndrome Metabólica/etiologia , Atividade Motora , Aptidão Física , Biomarcadores/sangue , Doenças Cardiovasculares/sangue , Doenças Cardiovasculares/diagnóstico , Criança , Estudos Transversais , Técnicas de Apoio para a Decisão , Feminino , Humanos , Hepatopatias/sangue , Hepatopatias/complicações , Masculino , Síndrome Metabólica/sangue , Síndrome Metabólica/diagnóstico , Medição de Risco , Fatores de Risco
10.
J Hum Nutr Diet ; 27(3): 236-41, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23647239

RESUMO

BACKGROUND: To investigate changes in intakes of 'negative' and 'positive' foods, fruit, vegetables, and salad in serial cohorts of 9-10-year-old children from 2000-2001 to 2010-2011. METHODS: For this serial, cross-sectional study, children in school year 5 (9-10 years of age) completed the SportsLinx Lifestyles Survey [n = 30,239 (15,336 boys and 14,903 girls)]. Changes in positive and negative food scores, and the proportion of boys and girls reportedly consuming fruit, vegetables and salad on the previous day to surveying, were investigated annually from 2000 to 2011. RESULTS: The consumption of negative foods declined and positive foods increased significantly compared to baseline. Positive changes in fruit, vegetables and salad consumption were observed over time, with the most recent cohort more likely to consume fruit, vegetables and salad compared to the 2000-2001 baseline. Girls displayed more favourable positive and negative food scores and were more likely to consume fruit, salad and vegetables across several study years compared to boys. CONCLUSIONS: The consumption of negative and positive foods, fruit, vegetables, and salad has improved over the last 10 years. In addition, girls appear to have better positive and negative food scores, and were more likely to consume fruit, vegetables and salad, across a number of study years or cohorts compared to boys. These encouraging findings suggest that children's food intake has improved since 2000. Furthermore, the data indicate that boys and girls may require separate or different healthy eating messages to further improve food intake.


Assuntos
Dieta/tendências , Frutas , Verduras , Criança , Fenômenos Fisiológicos da Nutrição Infantil , Estudos de Coortes , Estudos Transversais , Comportamento Alimentar , Feminino , Preferências Alimentares , Promoção da Saúde , Humanos , Lactuca , Masculino , Fatores Sexuais
11.
Int J Sports Med ; 35(13): 1090-4, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25009972

RESUMO

The aim of the study was to compare 3-year changes in physical performance between junior soccer players selected for an elite academy and age-matched controls. The 3-year changes in indicators of the physical performance were quantified in 12-16-year-old Premier League Academy (n=27) and non-academy soccer players (n=18). Data were analysed with an age-group×competitive level general linear model, covariate-adjusted for initial performance level and change in maturation. Covariate adjusted mean±SD changes were greater (standardised effect size>0.7) for the academy players in terms of countermovement jump (7.3±2.6 vs. 5.4±2.5 cm), 10 m sprint (- 0.15±0.05 vs. - 0.10±0.04 s), 20 m sprint (- 0.30±0.16 s vs. - 0.15±0.13 s), agility (- 0.19±0.01 s vs. - 0.08±0.08 s), repeated sprint (- 0.60±0.26 s vs. - 0.41±2.1 s) and intermittent endurance capacity (1 128±406 vs. 315±370 m). These data indicate that a 3-year programme of training in an elite soccer academy is associated with greater changes in physical performance indicators independently from the initial performance level of the child and change in maturation over the same period of time.


Assuntos
Desempenho Atlético/fisiologia , Educação Física e Treinamento/métodos , Maturidade Sexual , Futebol/fisiologia , Adolescente , Criança , Humanos , Destreza Motora/fisiologia , Resistência Física/fisiologia , Exercício Pliométrico , Fatores de Tempo
12.
Health Educ Res ; 28(6): 931-42, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24107857

RESUMO

Early childhood is a critical time for promoting physical activity. Few studies have investigated the effect of interventions in this population. The aim of this study was to investigate the effect of a school-based active play intervention on preschool children's sedentary time and physical activity. Preschool children were recruited from randomly selected preschools. Schools were randomly assigned to an intervention or comparison group. One teacher per intervention school received training from active play professionals in the delivery of a 6-week active play programme. Comparison schools continued their usual practice. Children wore a uni-axial accelerometer for 7 days at baseline, immediately after and at 6-month post-intervention. No significant intervention effects were observed for sedentary time or physical activity. However, sex and hours spent at school were significant predictors of physical activity. Children who spent fewer hours (half-day children) at school were significantly more active than their full-day counterparts. Physical activity during the intervention classes was high even though neither daily physical activity nor sedentary time changed. Notably children who spent more time at preschool were less active suggesting that preschool was not as conducive to physical activity engagement as other environments.


Assuntos
Promoção da Saúde/organização & administração , Atividade Motora , Serviços de Saúde Escolar/organização & administração , Comportamento Sedentário , Acelerometria , Antropometria , Pré-Escolar , Feminino , Humanos , Masculino , Avaliação de Programas e Projetos de Saúde , Inquéritos e Questionários
13.
Eur J Appl Physiol ; 112(2): 421-7, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21573774

RESUMO

Flow mediated dilation (FMD) is a surrogate marker of arterial function which can be improved by exercise training. To date, no study has assessed the magnitude of FMD changes in response to exercise training between groups of mono- (MZ) and di-zygotic (DZ) twins. The purpose of this study was therefore to compare FMD in MZ- and DZ twins before and after identical exercise training interventions. At baseline, FMD was assessed using high resolution Duplex ultrasound in 12 twin pairs (6 MZ pairs 13.5 ± 0.8 years, 6 DZ pairs 13.4 ± 0.8 years). Twins completed 8 weeks of exercise training (65-85% HR(max)), consisting of three 45-min sessions per week. Change (Δ) scores were entered into twin versus twin intraclass correlation analyses by group. Change in %body fat (r = 0.63, P = 0.05) was significantly correlated in the MZ, but not the DZ group (r = 0.31, P = 0.23). Change in FMD was also highly correlated in MZ (r = 0.74, P = 0.02) but not in the DZ group (r = 0.37, P = 0.18). Heritability of ΔFMD was estimated at 0.74. Exercise induced changes in FMD were similar within sets of monozygotic twins but not dizygotic twins. These data suggest that a significant portion of the arterial function response to exercise training may be genetically determined.


Assuntos
Composição Corporal/fisiologia , Artéria Braquial/fisiologia , Endotélio Vascular/fisiologia , Exercício Físico/fisiologia , Aptidão Física/fisiologia , Gêmeos Dizigóticos , Gêmeos Monozigóticos , Adaptação Fisiológica , Adolescente , Artéria Braquial/diagnóstico por imagem , Endotélio Vascular/diagnóstico por imagem , Feminino , Humanos , Masculino , Ultrassonografia
14.
Eur J Appl Physiol ; 112(2): 617-22, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21626406

RESUMO

Some evidence suggests that sedentary behaviour is independently associated with cardiovascular (CV) risk. Endothelial dysfunction is the earliest detectable manifestation of CVD and a strong independent predictor of CV events. No previous study has examined the relationship between sedentary behaviour and endothelial function. We assessed the basal association between conduit artery endothelial function and sedentary behaviour in children, along with the correlation between changes in sedentary behaviour and endothelial function. We studied 116 children (70♀: 10.7 ± 0.3; 46♂: 10.7 ± 0.3 years) on two occasions; in the summer (June) and late autumn (November). We assessed endothelial function via flow-mediated dilation (FMD) using high-resolution Doppler ultrasound. Sedentary behaviour (SB) was assessed using objective uni-axial accelerometry. At baseline, there were no significant differences between girls and boys for any measured variables with the exception of total physical activity time. FMD was not associated with sedentary behaviour in either group or in the cohort as a whole. Although FMD decreased (10.0 ± 4.3-7.9 ± 3.9%, P < 0.001) and SB increased (499.1 ± 103.5-559 ± 81.6 min/day, P < 0.001) between the seasons, no relationship existed between changes in these variables. Our data suggest that sedentary behaviour and changes in sedentary behaviour are not associated with endothelial function in children.


Assuntos
Artéria Braquial/diagnóstico por imagem , Artéria Braquial/fisiologia , Atividade Motora/fisiologia , Comportamento Sedentário , Criança , Feminino , Humanos , Masculino , Estatística como Assunto , Ultrassonografia , Vasoconstrição
15.
J Sports Med Phys Fitness ; 51(3): 393-400, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21904277

RESUMO

AIM: The aim of this study was to assess the effect of an aerobic training on glycemic control and lipid profile in diabetic children. METHODS: Thirty-three children with type 1 diabetes mellitus (T1DM) were equally divided in three groups. The control group (CG) did not perform any training intervention during the period of the investigation and the subjects were instructed to continue with their daily lifestyle patterns. The second group (G1) and the third group (G2) completed a six-month aerobic training programs. During the period of the investigation, G1 participated in one daily session (~60 min) of aerobic exercise twice weekly, while G2 performed in the form of daily session four times a week (~60 min). HbA1c and lipid profile were measured before training intervention, then after three and six months. RESULTS: The three-month periods was without significant changes of HbA1c in the two groups but significantly increased high-density lipoprotein cholesterol (HDL-C) in G1 (P<0.05). In G2, an increase of HDL-C was accompanied by a decrease of serum triglyceride (TG) (P<0.05). After six months, only HDL-C and TG levels were significantly lower in G1 (P<0.01), while in G2 HDL-C increased (68.8±5.7 mg/dL vs. 56.7 ±7.2 mg/dL; P<0.01), low-density lipoprotein cholesterol (LDL-C) (69.2±8.5 mg/dL vs. 81.6±11.8 mg/dL; P<0.01), TG concentrations decreased (60.7±6.9 mg/dL vs. 77.4±9.3 mg/dL; P<0.01) and HbA1c was significantly lower (6.8±1.1% vs. 8.2±1.5%; P<0.05), comparatively to those before training. CONCLUSION: However, the six-month periods showed that children exercising more than two times weekly significantly improved HbA1c and lipid profile. These results must encourage children with T1DM to regularly practice sporty activities for long periods.


Assuntos
HDL-Colesterol/metabolismo , LDL-Colesterol/metabolismo , Diabetes Mellitus Tipo 1/terapia , Terapia por Exercício/métodos , Hemoglobinas Glicadas/metabolismo , Triglicerídeos/metabolismo , Adolescente , Análise de Variância , Antropometria , Glicemia/análise , Estudos de Casos e Controles , Criança , Feminino , Humanos , Masculino , Inquéritos e Questionários , Resultado do Tratamento
16.
Eur J Appl Physiol ; 110(1): 171-6, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20440622

RESUMO

Flow-mediated dilation (FMD) assesses the health of the vascular endothelium. Despite widespread adoption of scaling practices in cardiac research, scaling for body size or composition has not been used for FMD. The present study investigated the relationships between brachial FMD and body composition in 129 children aged 9-10 (75 female symbol, 54 male symbol), and 50 men aged 16-49. Body composition variables (total, lean, fat mass in the whole body, arm, forearm) were assessed by dual-energy X-ray absorptiometry, FMD was measured in the brachial artery using high-resolution ultrasound. FMD was scaled using simple ratios (y/x) and allometric approaches (y/x ( b )) after log-log least squares linear regression produced allometric exponents (b). Size independence was confirmed via bivariate correlations (x:y/x; x:y/x ( b )). No relationships were evident between FMD and body composition variables in adults. Small correlations existed between FMD and measures of segmental fat mass in children (r = -0.18 to -0.19, p < 0.05), there were no significant relationships between FMD and measures of lean or total mass in children. For all significant relationships, b-exponents were different from 1 (CIs -0.36 to 0.07), suggesting ratio scaling approaches were flawed. This was confirmed when ratio scaling produced negative residual size correlations, whereas allometric scaling produced size-independent indices. Correlations between FMD and body composition were weak in children and insignificant in adults. As the results of this study are limited to the populations examined, our findings do not support the adoption of scaling procedures to correct FMD.


Assuntos
Antropometria , Composição Corporal , Artéria Braquial/fisiologia , Vasodilatação , Absorciometria de Fóton , Adiposidade , Adolescente , Adulto , Fatores Etários , Artéria Braquial/diagnóstico por imagem , Criança , Feminino , Humanos , Análise dos Mínimos Quadrados , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Modelos Biológicos , Fluxo Sanguíneo Regional , Ultrassonografia , Adulto Jovem
17.
J Hum Nutr Diet ; 23(3): 254-9, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20163512

RESUMO

BACKGROUND: The prevalence of obesity in children has increased substantially in recent years and, paediatric obesity and poor fitness are risk factors for disease. The present study aimed to assess changes in body mass index (BMI), the prevalence of obesity and changes in aerobic endurance over time in 9-10-year-old schoolchildren. METHODS: Participants were recruited by the SportsLinx project from primary schools across Liverpool. Height and weight data were used to calculate BMI. The prevalence of obesity and overweight were estimated using age- and sex-specific cut-off points. Performance on the 20-m multi-stage shuttle runs test (20 mMST) was used as a marker of aerobic endurance. Data were available for 13,418 (6572 boys, 6846 girls) 9-10-year-old children. Analysis of covariance was completed to assess year-on-year changes in BMI controlling for deprivation (IMD) and 20 mMST performance, and 20 mMST performance controlling for IMD and BMI. RESULTS: No significant changes in BMI from baseline were observed (P > 0.05). Obesity prevalence reduced in girls (2005 = 10.3%, 2008 = 8.52% in 2008). The data for boys showed no reductions in prevalence (2005 = 6.77%, 2008 = 7.87%). The most recent cohort for boys and two most recent cohorts for girls had lower levels of aerobic endurance than baseline (2004-2005) (P

Assuntos
Índice de Massa Corporal , Exercício Físico , Obesidade/epidemiologia , Sobrepeso/epidemiologia , Resistência Física , Aptidão Física , Análise de Variância , Criança , Inglaterra/epidemiologia , Feminino , Humanos , Masculino , Prevalência , Valores de Referência , Corrida , Fatores Sexuais , Aumento de Peso
18.
J Environ Qual ; 39(2): 460-71, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20176819

RESUMO

Agricultural wastewater treatment is important for protecting water quality in rural ecosystems, and constructed wetlands are an effective treatment option. During treatment, however, some C and N are converted to CH(4), N(2)O, respectively, which are potent greenhouse gases (GHGs). The objective of this study was to assess CH(4), N(2)O, and CO(2) emissions from surface flow (SF) and subsurface flow (SSF) constructed wetlands. Six constructed wetlands (three SF and three SSF; 6.6 m(2) each) were loaded with dairy wastewater in Truro, Nova Scotia, Canada. From August 2005 through September 2006, GHG fluxes were measured continuously using transparent steady-state chambers that encompassed the entire wetlands. Flux densities of all gases were significantly (p < 0.01) different between SF and SSF wetlands changed significantly with time. Overall, SF wetlands had significantly (p < 0.01) higher emissions of CH(4) N(2)O than SSF wetlands and therefore had 180% higher total GHG emissions. The ratio of N(2)O to CH(4) emissions (CO(2)-equivalent) was nearly 1:1 in both wetland types. Emissions of CH(4)-C as a percentage of C removal varied seasonally from 0.2 to 27% were 2 to 3x higher in SF than SSF wetlands. The ratio of N(2)O-N emitted to N removed was between 0.1 and 1.6%, and the difference between wetland types was inconsistent. Thus, N(2)O emissions had a similar contribution to N removal in both wetland types, but SSF wetlands emitted less CH(4) while removing more C from the wastewater than SF wetlands.


Assuntos
Ar/análise , Dióxido de Carbono/análise , Metano/análise , Óxido Nitroso/análise , Eliminação de Resíduos Líquidos , Poluição do Ar/análise , Carbono/isolamento & purificação , Indústria de Laticínios , Monitoramento Ambiental , Efeito Estufa , Nitrogênio/isolamento & purificação , Plantas , Esgotos , Temperatura , Fatores de Tempo , Áreas Alagadas
19.
Bull Environ Contam Toxicol ; 84(4): 413-7, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20352185

RESUMO

A 2 year tile drainage study of 39 fields in Nova Scotia, Canada was conducted. Weekly nitrate-nitrogen (NO(3)-N) concentrations were highest in spring and fall during high flow. Fields receiving poultry or swine manure had elevated drainage NO(3)-N and soil test phosphorus. Water quality guidelines for NO(3)-N (10 mg L(-1)) were exceeded on 90% of rotations (corn-grass or corn-grain) and 13% of long-term cover fields. A significant correlation between NO(3)-N and soil test P (r (2) = 0.42; p < 0.001) was found. The 10 mg L(-1) guideline was exceeded at 100% of fields with soil test phosphorus >200 mg kg(-1) and 60% overall.


Assuntos
Água Doce/análise , Nitratos/análise , Nitrogênio/análise , Fósforo/análise , Poluentes do Solo/análise , Solo/análise , Poluentes Químicos da Água/análise , Agricultura , Animais , Drenagem Sanitária , Esterco/análise , Nova Escócia
20.
Am J Physiol Heart Circ Physiol ; 297(6): H2182-7, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19837946

RESUMO

Arterial measurements are commonly undertaken to assess acute and chronic adaptations to exercise. Despite the widespread adoption of scaling practices in cardiac research, the relevance of scaling for body size and/or composition has not been addressed for arterial measures. We therefore investigated the relationships between brachial artery diameter and body composition in 129 children aged 9 to 10 yr (75 girls and 54 boys), and 50 men aged 16-49 yr. Body composition variables (total, lean, and fat mass in the whole body, arm, and forearm) were assessed by dual-energy X-ray absorptiometry, and brachial artery diameter was measured using high-resolution ultrasound. Bivariate correlations were performed, and arterial diameter was then scaled using simple ratios (y/x) and allometric approaches after log-log least squares linear regression and production of allometric exponents (b) and construction of power function ratios (y/xb). Size independence was checked via bivariate correlations (x:y/x; x:y/xb). As a result, significant correlations existed between brachial artery diameter and measures of body mass and lean mass in both cohorts (r=0.21-0.48, P<0.05). There were no significant relationships between diameter and fat mass. All b exponents were significantly different from 1 (0.08-0.50), suggesting that simple ratio scaling approaches were likely to be flawed. This was confirmed when ratio scaling produced negative residual size correlations, whereas allometric scaling produced size-independent indexes (r=0.00 to 0.03, P>0.05). In conclusion, when between- or within-group comparisons are performed under circumstances where it is important to control for differences in body size or composition, allometric scaling of artery diameter should be adopted rather than ratio scaling. Our data also suggest that scaling for lean or total mass may be more appropriate than scaling for indexes of fat mass.


Assuntos
Envelhecimento/fisiologia , Composição Corporal , Estatura , Peso Corporal , Artéria Braquial/anatomia & histologia , Absorciometria de Fóton , Adolescente , Adulto , Fatores Etários , Artéria Braquial/diagnóstico por imagem , Criança , Pesquisa Empírica , Feminino , Humanos , Análise dos Mínimos Quadrados , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Modelos Cardiovasculares , Ultrassonografia Doppler , Adulto Jovem
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