Physical activity in outdoor spaces, sleep quality and general health: a pilot feasibility study.

BACKGROUND: Physical activity and nature exposure provide health benefits. This study aimed to test the feasibility of an intervention designed to examine the effects of environmental quality on physical activity, sleep, and health status. METHODS: In this pilot feasibility study, we included 14 inactive adults from Limerick (Ireland) and Lahti (Finland), recruited using social media. The intervention was an 8-week self-guided programme of physical activity, in which participants were asked to select an outdoor route according to their convenience, engage in physical activity (walking or running) at least three times a week for at least 30 min/session, and record each session using a mobile app. Participants were provided with training sheets, self-adapted according to convenience, in an in-person meeting when detailed information was provided. Reminder messages were sent during the intervention. Time spent in moderate-to-vigorous physical activity (MVPA) was measured through an accelerometer over a 9-day measurement period (considering the 50th percentile: >P50, ≤P50). Sleep quality and general health status were self-reported. Measurements were taken in weeks 1 and 8. We analysed differences, between MVPA percentile groups and general sample, in change from week 1 to 8, using χ2 and paired t-tests, with significance at p values lower than 0·05. The study was approved by the ethics committee from the University of Limerick and Satakunta Universities. FINDINGS: 26 adults were enrolled in the study between Oct 3, 2022, and Feb 9, 2023, of whom 18 (69%) were women and eight (31%) were men, with a mean age of 46 years (SD 9·7). 14 (54%) of 26 adults completed the 8-week intervention, of whom 11 were women and three were men, with a mean age of 46 years (SD 10·79). On average, participants performed their training sessions 19 times (mean 19·2, SD 9·4). Mean time in MVPA decreased from 49·7 min (SD 27·0) at week 1 to 46·7 min (32·3) at week 8 (p=0·604); mean health status score increased from 66·43 (SD 26·63) to 68·57 (26·63; p=0·586); and the frequency of good sleepers increased from 50% to 64·3% (p=0·266). In both moments, participants classified in the higher MVPA percentile group (>P50) presented higher mean health status score and higher frequency of good sleepers then those in the lower percentile group (≤P50), although the differences were not significant. INTERPRETATION: Study limitations include the absence of a control group and the sample size. Although results were not significant, they were promising, since it might be an easy and low-cost strategy to increase physical activity with potential impact on public health. Lessons learned led to changes in the design, and a larger multicentre study will be carried out to understand the relationship of the variables in groups performing physical activity in green and "paved" spaces. FUNDING: European Union's Horizon 2020.

Physical (in)activity, and its predictors, among Brazilian adolescents: a multilevel analysis.

BACKGROUND: Physical activity is a multifactorial trait, determined by both individual and environmental characteristics, it seems relevant to understand the determinants related to youth guidelines accomplishment. The present study aimed to verify the differences between the Brazilian federative units regarding to the prevalence of youth physical activity guidelines accomplishment and to investigate the determinants related to the inter-individual differences in this accomplishment. METHODS: Sample comes from the 2015 Brazilian National School Health Survey (PeNSE), comprising 99,570 adolescents (51,527 girls, 13-17y), enrolled in 3039 schools. Adolescents reported the time they spend in moderate-to-vigorous physical activity daily, and they were categorized as active or inactive, if the guidelines were achieved, or not, respectively, and multilevel statistical analyses were used, including both child and school-level variables. Multilevel Binomial model was computed in the SuperMix software. RESULTS: The majority of the adolescents did not comply with the physical activity guidelines daily, where Bahian children complied the least, while those from Amazonas, Tocantins, and Mato Grosso do Sul complied the most. Boys (OR: 2.305; 95%CI: 2.277-2.334), older adolescents (OR: 1.044; 95%CI: 1.036-1.051), and those who spent more time in active travelling to/from school (OR: 1.001; 95%CI: 1.001-1.001) complied more the physical activity guidelines. At the school level, adolescents from larger schools (OR: 0.957; 95%CI: 0.928-0.986) tended to comply less with the guidelines. CONCLUSION: Significant differences between Brazilian federative units in youth daily physical activity guidelines compliance were observed, highlighting the role of individual but also environmental constraints in the Brazilian adolescents' engagement in physical activity.

Trends in Participation, Sex Differences and Age of Peak Performance in Time-Limited Ultramarathon Events: A Secular Analysis.

Background and Objectives: Increases in the number of participants in time-limited ultra-marathons have been reported. However, no information is available regarding the trends in participation, performance and age in 12 h and 24 h time-limited events. The aim of the study was to describe the trends in runners' participation, performance and age in 12 h and 24 h ultra-marathons for both sexes and to identify the age of peak performance, taking into account the ranking position and age categories. Materials and Methods: The sample comprised 210,455 runners in time-limited ultra-marathons (female 12 h = 23,706; female 24 h = 28,585; male 12 h = 61,594; male 24 h = 96,570) competing between 1876 and 2020 and aged 18 to 86 years. The age of peak performance was tested according to their ranking position (first−third; fourth−tenth and >tenth position) and taking into account their running speed in different age categories (<30 years; 31−40 years; 41−50 years; 51−60 years; >60 years), using the Kruskal−Wallis test, followed by the Bonferroni adjustment. Results: An increase in the number of participants and a decrease in running speed were observed across the years. For both events, the sex differences in performance decreased over time. The sex differences showed that male runners performed better than female runners, but the lowest differences in recent years were observed in the 24 h ultra-marathons. A positive trend in age across the years was found with an increase in mean age ("before 1989" = 40.33 ± 10.07 years; "1990−1999" = 44.16 ± 10.37 years; "2000−2009" = 45.99 ± 10.33 years; "2010−2020" = 45.62 ± 10.80 years). Male runners in 24 h races were the oldest (46.13 ± 10.83 years), while female runners in 12 h races were the youngest (43.46 ± 10.16 years). Athletes ranked first−third position were the youngest (female 12 h = 41.19 ± 8.87 years; female 24 h = 42.19 ± 8.50 years; male 12 h = 42.03 ± 9.40 years; male 24 h = 43.55 ± 9.03 years). When age categories were considered, the best performance was found for athletes aged between 41 and 50 years (female 12 h 6.48 ± 1.74 km/h; female 24 h 5.64 ± 1.68 km/h; male 12 h 7.19 ± 1.90 km/h; male 24 h 6.03 ± 1.78 km/h). Conclusion: A positive trend in participation in 12 h and 24 h ultra-marathons was shown across the years; however, athletes were becoming slower and older. The fastest athletes were the youngest ones, but when age intervals were considered, the age of peak performance was between 41 and 50 years.

The Sex Difference in 6-h Ultra-Marathon Running-The Worldwide Trends from 1982 to 2020.

Background and Objectives: The 6-h ultra-marathon is the shortest time-limited ultra-marathon race, but little has been investigated regarding this race format. Previously, only the age of peak performance in the context of longer time-limited ultra-marathons was determined. The purpose of this study was to investigate the trends in 6-h ultra-marathon races from 1982 to 2020 for female and male ultra-runners, the participation and performance by countries, the age of peak performance, and the differences in performance regarding countries. Materials and Methods: The sample included 23,203 female ultra-runners, aged 18-83 years, and 87,264 male ultra-runners, aged 18-85 years, who were finishers in a 6-h ultra-marathon held between 1982 and 2020. The age of peak performance was tested using the Kruskal-Wallis test, followed by the Bonferroni Correction. The difference in performance by countries was verified using a linear regression model with the fastest runners from Russia in women, and Tunisia in men, used as reference. Results: Over the years, the men-to-women ratio decreased. The mean age was 43.20 ± 9.30 years for female and 46.09 ± 10.17 years for male runners. Athletes in younger age groups were faster than athletes in older age groups. Most female and male participants originated from Germany. Women from Russia (10.01 ± 1.28 km/h) and men from Tunisia (12.16 ± 1.46 km/h) were the fastest. Conclusions: In summary, in 6-h ultra-marathons held between 1982 and 2020, the participation for both women and men increased, while the men-to-women ratio decreased. The mean age was higher in men compared to women. Most female and male runners originated from Germany, but the fastest women were from Russia, and the fastest men from Tunisia. Future studies need to investigate whether Russian women and Tunisian men are also the best in other distance-limited ultra-marathon races, such as 12-h and 24-h.

Fear of failure in Brazilian runners.

This study aims to investigate the fear or failure (FoF) in Brazilian runners of both sex, performance levels and age categories, as well as to verify the relationship between FoF and socioeconomic status (SES). Sample size as composed by 916. Age, sex, body height, body weight, SES, and running pace were self-reported. The Multidimensional Questionnaire of FoF was applied in an online platform. Running pace, and SES were categorized and processed through multivariate analysis and Spearman correlations, with the p-value set at 0.05. Female runners with better performance (2.13 ± 0.74) and younger (2.16 ± 0.80), as a well as male runners with worse performance (2.04 ± 0.69) and older (2.04 ± 0.89) presented the highest values of FoF. Among women, SES was negatively associated with FoF (r = -0.144; p = 0.006), while a positive association between running pace and SES was observed among men (r = 0.290; p < 0.001). Non-professional Brazilian runners presented low values of FoF.

No Trends in the Age of Peak Performance among the Best Half-Marathoners and Marathoners in the World between 1997-2020.

Background and Objectives: We examined the possible trend in the age of peak performance in elite endurance athletes according to sex, continent of athletes' national citizenship, and ranking position. Since performance is a multifactorial trait, this information can be used to guide the long-term training and to plan the strategies related to the selection process of athletes. Materials and methods: Information of 1852 professional athletes, classified as top 20 performance of each year in marathon and half-marathon events between 1997 and 2020 were considered. Analysis of variance was computed to test differences in age between sex, continent, and rank position. Results: A significant difference between groups in the mean age of peak performance was observed (F (3, 1884) = 42,31; p < 0.001). For both sexes, half-marathoners were younger than marathoners (male, 25.6 ± 3.6 years vs. 28.0 ± 3.9 years; female, 27.5 ± 4.4 years vs. 28.4 ± 4.1). Female half-marathoners in 2004 presented the highest mean age (31.1 ± 4.8 years) compared to their peers in the years 1997, 2001, 2018 and 2019; among male half-marathoners, those in 1999 presented the highest mean age when compared to 2011, 2018, and 2019. Differences between the continents of athletes' national citizenship were observed (F (4, 1884) = 62,85,601; p < 0,001). Asian runners presented the lowest mean age (26.5 ± 3.7 years), while their European peers presented the highest (31.1 ± 3.9 years). No significant interaction between sex and ranking position was verified. Differences were observed between sexes for categories "4th-10th positions" and "11th-20th" (F (1, 1879) = 23,114; p < 0.001). Conclusions: Over the last two decades, no clear trend was observed in the changes in the age of peak performance among endurance athletes of both sexes, but, in general, female half-marathoners tended to be significantly older than their male peers.

Sibling Similarity in Metabolic Syndrome: The Portuguese Sibling Study on Growth, Fitness, Lifestyle and Health.

This study aims to estimate sibling resemblance in metabolic syndrome (MS) markers, and to investigate the associations of biological and behavioral characteristics with MS. The sample comprises 679 biological siblings (363 females; 316 males) aged 9-20 years. MS markers included waist circumference (WC), high-density lipoprotein cholesterol (HDL-C), triglycerides (TRI), fasting glucose (GLU) and systolic blood pressure (SBP). Body mass index (BMI), biological maturation, muscular, and cardiorespiratory fitness were also assessed. Behavioral characteristics, including dietary intake and physical activity, were self-reported by questionnaire. Multilevel models were used, and sibling resemblance was estimated using the intraclass correlation (ρ). In general, same-sex siblings showed higher resemblance in MS markers than opposite-sex siblings. However, variability in sibling resemblance in MS markers was evident with the inclusion of covariates. Biological characteristics including age, BMI and maturity offset influenced all MS markers except for TRI. Importantly, behavioral characteristics diversely influenced MS markers: fruit and vegetables only influenced SBP, whereas physical activity affected HDL-C. Additionally, muscular fitness impacted significantly on MS Z-score, WC, SBP and GLU, whilst cardiorespiratory fitness only affected WC. In conclusion, biological and behavioral characteristics influenced the expression of MS markers. These results confirmed the importance of considering individual characteristics when designing individualized programs for diminishing the adverse effects of specific MS markers.

Biological and behavioral correlates of body weight status among rural Northeast Brazilian schoolchildren.

OBJECTIVES: The increase in the prevalence of overweight/obesity in youth is a public health problem worldwide; however, few studies have investigated its prevalence and correlates in children from the Brazilian Northeast region rural zone. The purpose of this study was (1) to estimate the prevalence of children's weight status according to sex, age, and birth weight categories; and (2) to investigate the links between biological and behavioral factors and weight categories. METHODS: The sample comprises 501 children (248 girls), aged 7-10 years, classified as low weight, normal weight, overweight, and obese using body mass index cut-points. Predicted variables included birth weight, percentage of body fat (%BF), fat free mass (FFM), physical fitness, and gross motor coordination. RESULTS: Data showed differences among weight groups for the predictor variables. Results of the logistic regression revealed that sex, age, %BF, FFM, physical fitness, and motor coordination seem to be relevant predictors of children's weight status, while no significant effect was observed for birth weight. CONCLUSION: Children with lower physical fitness levels as well as those with lower motor coordination quotient are more likely to be overweight and/or obese. No significant relationship was observed between birth weight and weight status in childhood. Strategies to reduce childhood obesity should consider biological, behavioral, and also environmental predictors.

Identifying the best body-weight-status index associated with metabolic risk in youth.

This study investigated the association of six different anthropometric markers with metabolic syndrome to find the most suited to predict children at risk. Sample comprises 1324 Portuguese youth (701 girls, 623 boys), aged 10-17 years. Six anthropometric markers were included: body mass index (BMI), BMI z-score, tri-ponderal index (TPI), waist circumference (WC), WC/height ratio (WC/H), and WC/H adjusted ratio (WC/Hadj ). A standardized metabolic risk score (zMR) was computed by summing of standardized values for fasting glucose, triglycerides, high-density lipoprotein cholesterol, and mean arterial blood pressure. The associations between zMR and anthropometric markers were assessed using univariate and multivariate analyses. Receiver operating characteristic (ROC) curve analysis was used to identify the optimal values that best predict metabolic risk of each anthropometric marker. Among the studied predictors, BMI z-score, followed by BMI and WC, was most highly associated with zMR, while WC/Hadj was the weakest predictor. ROC analyses showed significant AUCs for all markers, yet the discrimination was poor (AUCs from 0.60 to 0.68), with sensitivity ranging from 45.5% to 67.5% and specificity from 72.6% to 81.9%. The optimal cut-off values to predict metabolic risk were 1.62, 23.1 kg/m2 , 71.0 cm, 18.0 kg/m3 , 0.47, and 0.50, for BMI z-score, BMI, WC, TPI, WC/H, and WC/Hadj , respectively. BMI z-score, followed by BMI and WC, were the most relevant anthropometric markers to predict metabolic risk in youth, while WC/Hadj was the worst predictor. Results suggest that anthropometric markers should continue to be used as clinical tools to identify youth at risk.

Active and strong: physical activity, muscular strength, and metabolic risk in children.

OBJECTIVES: This study explored the associations among physical activity, muscular strength, and metabolic risk among children. METHODS: The sample included 378 Portuguese children (213 girls; 9-11 years). Moderate-to-vigorous physical activity was assessed by accelerometry and children were classified as active (≥60 min/day) or insufficiently active (<60 min/day). Static strength was expressed as the ratio of handgrip strength/body weight and used to classify children as having high (≥P50) or low (

Multilevel modelling of somatotype components: the Portuguese sibling study on growth, fitness, lifestyle and health.

BACKGROUND: Somatotype is a complex trait influenced by different genetic and environmental factors as well as by other covariates whose effects are still unclear. AIMS: To (1) estimate siblings' resemblance in their general somatotype; (2) identify sib-pair (brother-brother (BB), sister-sister (SS), brother-sister (BS)) similarities in individual somatotype components; (3) examine the degree to which between and within variances differ among sib-ships; and (4) investigate the effects of physical activity (PA) and family socioeconomic status (SES) on these relationships. SUBJECTS AND METHODS: The sample comprises 1058 Portuguese siblings (538 females) aged 9-20 years. Somatotype was calculated using the Health-Carter method, while PA and SES information was obtained by questionnaire. Multi-level modelling was done in SuperMix software. RESULTS: Older subjects showed the lowest values for endomorphy and mesomorphy, but the highest values for ectomorphy; and more physically active subjects showed the highest values for mesomorphy. In general, the familiality of somatotype was moderate (ρ = 0.35). Same-sex siblings had the strongest resemblance (endomorphy: ρSS > ρBB > ρBS; mesomorphy: ρBB = ρSS > ρBS; ectomorphy: ρBB > ρSS > ρBS). For the ectomorphy and mesomorphy components, BS pairs showed the highest between sib-ship variance, but the lowest within sib-ship variance; while for endomorphy BS showed the lowest between and within sib-ship variances. CONCLUSIONS: These results highlight the significant familial effects on somatotype and the complexity of the role of familial resemblance in explaining variance in somatotypes.

The Oporto mixed-longitudinal growth, health and performance study. Design, methods and baseline results.

BACKGROUND: Studies concerning child and adolescent growth, development, performance and health aimed at the multiple interactions amongst this complex set of variables are not common in the Portuguese speaking countries. AIM: The aim of this paper is to address the key ideas, methodology and design of the Oporto Growth, Health and Performance Study (OGHPS). SUBJECTS AND METHODS: The OGHPS is a multidisciplinary mixed-longitudinal study whose main purpose is to examine the multiple interactions among biological, environmental and lifestyle indicators that affect growth, development, health and performance of Portuguese adolescents aged 10-18 years old. RESULTS: This study briefly presents baseline results for growth, physical fitness and lifestyle behaviours for those participating in the cross-sectional sample (n ≈ 8000). Approximately 30% were over-fat or obese. On average, boys were more physically fit and active than girls. Few adolescents meet the guidelines for sleep duration (≈10%) and eating habits (16.2-24.8%), while 76-85% meet the recommended levels of moderate-to-vigorous physical activity. CONCLUSIONS: The OGHPS has an innovative approach due to its mixed-longitudinal design and the broad array of variables. Furthermore, subsequent analyses of the longitudinal data will enable a detailed exploration of important factors affecting the growth trajectories of health and performance variables and will also help to identify some of the most opportune times for interventions in terms of health behaviours.

Differences in motor performance between children and adolescents in Mozambique and Portugal: impact of allometric scaling.

BACKGROUND: Children from developed and developing countries have different anthropometric characteristics which may affect their motor performance (MP). AIM: To use the allometric approach to model the relationship between body size and MP in youth from two countries differing in socio-economic status-Portugal and Mozambique. SUBJECTS AND METHODS: A total of 2946 subjects, 1280 Mozambicans (688 girls) and 1666 Portuguese (826 girls), aged 10-15 years were sampled. Height and weight were measured and the reciprocal ponderal index (RPI) was computed. MP included handgrip strength, 1-mile run/walk, curl-ups and standing long jump tests. A multiplicative allometric model was adopted to adjust for body size differences across countries. RESULTS: Differences in MP between Mozambican and Portuguese children exist, invariably favouring the latter. The allometric models used to adjust MP for differences in body size identified the optimal body shape to be either the RPI or even more linear, i.e. approximately (height/mass(0.25)). Having adjusted the MP variables for differences in body size, the differences between Mozambican and Portuguese children were invariably reduced and, in the case of grip strength, reversed. CONCLUSION: These results reinforce the notion that significant differences exist in MP across countries, even after adjusting for differences in body size.

Sex-specific genetic effects in physical activity: results from a quantitative genetic analysis.

BACKGROUND: The objective of this study is to present a model to estimate sex-specific genetic effects on physical activity (PA) levels and sedentary behaviour (SB) using three generation families. METHODS: The sample consisted of 100 families covering three generations from Portugal. PA and SB were assessed via the International Physical Activity Questionnaire short form (IPAQ-SF). Sex-specific effects were assessed by genotype-by-sex interaction (GSI) models and sex-specific heritabilities. GSI effects and heterogeneity were tested in the residual environmental variance. SPSS 17 and SOLAR v. 4.1 were used in all computations. RESULTS: The genetic component for PA and SB domains varied from low to moderate (11% to 46%), when analyzing both genders combined. We found GSI effects for vigorous PA (p = 0.02) and time spent watching television (WT) (p < 0.001) that showed significantly higher additive genetic variance estimates in males. The heterogeneity in the residual environmental variance was significant for moderate PA (p = 0.02), vigorous PA (p = 0.006) and total PA (p = 0.001). Sex-specific heritability estimates were significantly higher in males only for WT, with a male-to-female difference in heritability of 42.5 (95% confidence interval: 6.4, 70.4). CONCLUSIONS: Low to moderate genetic effects on PA and SB traits were found. Results from the GSI model show that there are sex-specific effects in two phenotypes, VPA and WT with a stronger genetic influence in males.

Secular trends in physical fitness of Mozambican school-aged children and adolescents.

OBJECTIVE: This study presents information about secular trends in physical fitness (PF) levels among Mozambican youth. METHODS: The sample comprises 3,851 subjects (1,791 boys; 2,060 girls) aged 8-15 years who were evaluated at three time points (1992, 1999, 2012). PF tests included handgrip strength, 10 m × 5 m shuttle-run, sit-and-reach, and 1-mile run/walk. Biological maturity was assessed by sexual characteristics, and percentage body fat was predicted using triceps and subscapular skinfolds. ANCOVA (controlling for age, maturity status, and percentage body fat) was used to compare mean differences in PF tests among the three time points, by sex. RESULTS: Children in 1992 were more flexible than those from 2012; boys handgrip strength increased from 1992 to 2012, while girls decreased their handgrip strength; youth in 1992 were faster and more agile than their 2012 peers; and a decrease was observed in cardiorespiratory fitness between 1992 and 1999 and between 1992 and 2012 for both sexes. CONCLUSIONS: A negative secular trend among Mozambican children's PF was observed over the last two decades, suggesting that socio-political, educational, and economical changes occurring during this period had a relevant effect on their PF. This negative trend suggests that development of intervention programs/strategies to improve PF among youth is warranted.

Correlates of sedentary time in children: a multilevel modelling approach.

BACKGROUND: Sedentary behaviour (SB) has been implicated as a potential risk factor for chronic disease. Since children spend most of their awake time in schools, this study aimed to identify individual- and school-level correlates of sedentary time using a multilevel approach, and to determine if these correlates have a similar effect in normal weight (NW) and overweight/obese (O/O) children. METHODS: Sample comprised 686 Portuguese children aged 9-10 years from 23 schools that took part in the ISCOLE project. Actigraph GT3X + accelerometers were used 24 hours/day for 7 days to assess sedentary time (daily minutes <100 counts/min); BMI was computed and WHO cut-points were used to classify subjects as NW or O/O. Sex, BMI, number of siblings, family income, computer use on school days, and sleep time on school days were used as individual-level correlates. At the school level, school size (number of students), percentage of students involved in sports or physical activity (PA) clubs, school promotion of active transportation, and students' access to equipment outside school hours were used. All multilevel modelling analysis was done in SPSS, WINPEPI, and HLM. RESULTS: School-level correlates explain ≈ 6.0% of the total variance in sedentary time. Results (ß ± SE) showed that boys (-30.85 ± 5.23), children with more siblings (-8.56 ± 2.71) and those who sleep more (-17.78 ± 3.06) were less sedentary, while children with higher family income were more sedentary (4.32 ± 1.68). At the school level, no variable was significantly correlated with sedentary time. Among weight groups, variables related to sedentary time in NW were sex, sleep time and family income, while in O/O sex, number of siblings and sleep time were significant correlates. No school-level predictors were significantly associated in either of the weight groups. CONCLUSION: Notwithstanding the relevance of the school environment in the reduction of children's sedentary time, individual and family characteristics played a more relevant role than the school context in this study.

Clustering of body composition, blood pressure and physical activity in Portuguese families.

AIM: The purposes of this study were: (i) to identify familial resemblances in body fat, blood pressure (BP) and total physical activity (TPA); (ii) to estimate the magnitude of their genetic and environmental influences; and (iii) to investigate shared familial aggregation among these phenotypes. SUBJECTS AND METHODS: The sample comprised 260 nuclear families from Portugal. Body fat was assessed by bioelectrical impedance. BP was measured by an oscillometric device. TPA was estimated by the Baecke questionnaire. Familial correlation analyses were performed using Generalized Estimating Equations. Quantitative genetic modelling was used to estimate maximal heritability, genetic and environmental correlations. RESULTS: Familial intra-trait correlations ranged from 0.15-0.38. Genetic and common environmental factors explained from 30%--44% of fat mass depots and BP and 24% of TPA. Genetic correlations were significant between BP and the fat mass traits (p < 0.05). Environmental correlations were statistically significant between diastolic BP and total body fat, trunk fat and arm fat (p < 0.05) and TPA and other phenotypes. CONCLUSIONS: The results suggest familial resemblance in the variation of body fat, BP and TPA, showing partial pleiotropic effects in the variation in body fat phenotypes and BP. TPA only shares common environmental influences with BP and body fat traits.

Multi-level modelling of physical activity in nuclear families.

BACKGROUND: Few studies focus on the different dyadic relations among family members to study physical activity (PA) levels. AIM: The aim was to investigate predictors and sources of variance of PA levels in nuclear families using multi-level modelling. SUBJECTS AND METHODS: The sample consisted of 2661 Portuguese four-member nuclear families (10 644 subjects). PA was measured using a questionnaire and socioeconomic status (SES) was assessed by parental occupation. Height and weight were measured in children, while parents self-reported their values. RESULTS: The results showed that intra-generational similarities were higher than inter-generational, with correlation values of 0.26 and 0.10, respectively. SES was unrelated to any family members' PA level. Being male (ß = 0.26, t = 21.77), being older (ß = -0.36, t = -4.73) and greater BMI for mothers (ß = 0.02, t = 2.55) had effects on individuals' PA. CONCLUSION: These results suggest a strong dyadic resemblance in PA, showed different effects of gender, age and BMI on individuals' PA and demonstrated that multi-level modelling is a useful strategy to study PA in families.

Physical activity, fitness and the metabolic syndrome in rural youths from Mozambique.

BACKGROUND: Except for North America and Europe, few studies have reported the association among physical activity (PA), cardiorespiratory fitness (CRF) and metabolic syndrome (MetS) in youths, especially for rural African youth. AIM: The aims of this study were to determine the prevalence of PA levels, CRF, MetS and its indicators, and examine the association between these variables in a school-aged sample of youth from rural Mozambique. SUBJECTS AND METHODS: The sample included 209 children and adolescents aged 7-15 years old from Calanga, a rural community in Mozambique. PA was estimated with a culturally-specific questionnaire. CRF was determined by 1-mile run test. Indicators of the MetS included fasting glucose, triglycerides, total cholesterol, blood pressure and body mass index. A continuous metabolic risk score was computed. RESULTS: Results showed high levels of PA and CRF and a low prevalence of MetS ( < 2%) among children and adolescents from Calanga. However, there was a moderately high prevalence of elevated blood pressure (81.8%) and triglycerides (18.7%), respectively. There were no significant associations between PA, CRF and MetS. CONCLUSION: Youths from Calanga are physically active and possess high CRF and their lifestyle may be a protective effect against MetS.

Mental Health in Ultra-Endurance Runners: A Systematic Review.

BACKGROUND: Among ultra-endurance runners (UER), the mental, behavioral, and physical demands of training/competition can result in maladaptive outcomes. Mental health issues are common in athletes and can impact psychology, physical health, and performance. OBJECTIVE: To synthesize information regarding the incidence/prevalence and factors associated with mental health issues among UER. METHODS: Systematic searches were performed in PubMed, SPORTDiscus, Scopus, Cochrane databases, CINAHL, Web of Science, and Medline Ovid using key terms related to UER (e.g., trail running, road running) and psychological issues (e.g., exercise addiction, depression). Inclusion criteria included original articles published in peer-reviewed journals in English, using qualitative or quantitative approaches. We considered papers reporting incidence/prevalence and associated factors with mental health outcomes in UER of both sexes, all ages, and levels of competition (e.g., elite, nonprofessional runners). The Joanna Briggs Institute Analytical Cross-Sectional Studies critical appraisal tool was used for quality assessment. RESULTS: A total of 282 studies were identified, and 11 studies were included in the final selection. A total of 3670 UER were included in the studies. The prevalence of mental health issues among UER ranged between 32.0% and 62.5% for eating disorders, from 11.5% to 18.2% for exercise addiction, 18.6% for depressive symptoms, and 24.5% for sleep disturbance. Exercise addiction was not related to weekly volume, but a strong relationship with exercise in an unstructured space, age, and body mass index was shown. CONCLUSION: Mental health issues among UER are common, especially eating disorders, exercise addiction, sleep disturbances, and depressive symptoms. Further high-quality studies are needed to examine underlying factors and find preventative strategies to protect UER. REGISTRATION: The protocol of this systematic review was registered at the PROSPERO-CRD42022338743.