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1.
Rev Paul Pediatr ; 39: e2019343, 2021.
Artigo em Português, Inglês | MEDLINE | ID: mdl-32876307

RESUMO

OBJECTIVE: Adolescent's ideal cardiovascular health index (ICVH) seems to be an important indicator of youth's lifestyles and cardiometabolic health with potential positive consequences for their Health-Related Quality of Life (HRQoL). The purpose of this study was to examine the associations between the ICVH index and HRQoL in adolescents. METHODS: This was a cross-sectional study based on secondary analyses from the LabMed Physical Activity Study (n=407 adolescents, 53% girls). ICVH, as defined by the American Heart Association, was determined as meeting ideal behaviors (physical activity, body mass index, smoking status, and diet intake) and health factors (blood pressure, total glucose, and cholesterol). HRQoL was measured with the Kidscreen-10 self-report questionnaire. RESULTS: Analysis of covariance (ANCOVA) showed a significant association between the accumulation of ideal cardiovascular health metrics and HRQoL (F(4,403)=4.160; p=0.003). In addition, the higher the number of ideal health behaviors accumulated, the higher the mean values of HRQoL (p-value for trend=0.001), after adjustments for age, sex, socioeconomic status and pubertal stage. CONCLUSIONS: ICVH index was positively associated with HRQoL in adolescents. Ideal health behaviors metrics seem to have a stronger association with HRQoL than the ideal health factors metrics in adolescents.

2.
PLoS One ; 15(11): e0242016, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33156854

RESUMO

OBJECTIVE: The present study aimed (1) to examine the association between circulating inflammatory biomarkers and academic performance in adolescents, and (2) to identify the ability of circulating inflammatory biomarkers to predict low academic performance. METHODS: A total of 244 adolescents (13.9±0.3 years, 112 girls) from the DADOS study were included in the analysis. Four inflammatory biomarkers were quantified: white blood cell (WBC) count, interleukin-6, tumor necrosis factor-α (TNF-α), and C-reactive protein (CRP). Academic performance was assessed through academic grades and the Spanish version of the Science Research Associates Test of Educational Abilities. RESULTS: TNF-α was inversely associated with math, Spanish and grade point average (ß ranging from -0.166 to -0.124; all p<0.05), while CRP was inversely associated with verbal ability (ß = -0.128; p<0.05). Overall, receiver operating characteristic (ROC) curves analyses showed discriminatory ability of WBC and TNF-α in identifying low academic performance (all p<0.05). Moreover, logistic regression analyses indicated that students with levels of WBC and TNF-α above the ROC cut-offs values showed between 78% to 87% increased likelihood of lower academic performance (p<0.05). CONCLUSIONS: Our findings suggested that some circulating inflammatory biomarkers were associated with academic performance in adolescents. Further larger longitudinal and interventional studies are needed to clarify the short-term and long-term relationship between inflammation and academic performance in youths.

3.
Eur J Clin Invest ; : e13430, 2020 Oct 12.
Artigo em Inglês | MEDLINE | ID: mdl-33047322

RESUMO

BACKGROUND: The aim of this prospective cohort study was to examine whether the association between the cardiorespiratory fitness (CRF) at baseline and blood pressure (BP) at follow-up is mediated by adiposity in adolescents. MATERIALS AND METHODS: The sample comprised 734 adolescents (349 girls) aged 12-18 years from the LabMed Physical Activity Cohort Study. The variables of interest were measured in 2011 (baseline) and in 2013 (2-year follow-up). CRF was assessed by the 20-m shuttle run test. Body mass index, waist circumference, body fat percentage, pubertal status and resting BP were assessed according to standard procedures. Boot-strapped mediation procedures were performed, and indirect effects (IE) with confidence intervals (CI) not including zero were considered statistically significant. RESULTS: After adjusting for potential confounders, body mass index acted as a mediator of the relationship between CRF and systolic BP (IE = -0. 023; CI = -0.039; -0.009), pulse pressure (IE = -0.023; CI = -0.034; -0.012) and rate product pressure (IE = -2.839; CI = -5.329; -0.340). Similar results were obtained for waist circumference as mediator for systolic BP (IE = -0.019; CI = -0.033; -0.005), pulse pressure (IE = -0.017; CI = -0.028; -0.007) and rate product pressure (IE = -3.793; CI = -6.097; -1.689). Likewise, body fat percentage mediated the association for: systolic BP (IE = -0.029; CI = -0.048; -0.010), pulse pressure (IE = -0.027; CI = -0.041; -0.013) and rate product pressure (IE = -4.280; CI = -7.488; -1.264). CONCLUSIONS: Adiposity mediated the association between CRF and BP in adolescents. Therefore, both optimal CRF and adiposity levels are important to maintain normal BP ranges throughout adolescence.

4.
Am J Hum Biol ; : e23519, 2020 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-33075173

RESUMO

BACKGROUND: The importance of movement behaviors for health is well known, although few studies have examined the adherence to movement guidelines in low-income preschoolers from a middle-income country, as Brazil. This study reports the proportion of preschoolers meeting the 24-hour movement guidelines and investigates its associations with demographic correlates in Brazilian low-income preschoolers. METHODS: Two hundred and seventy preschoolers (132 boys, means age = 3.97 ± 0.80) provided physical activity (PA) data (Actigraph wGT3X). Sleep duration, screen time, and social correlates were parent-reported. Preschoolers were classified as compliant/not compliant with the 24-hour movement guidelines. Relationships between compliance with movement behaviors guidelines and demographic correlates were calculated using a network analysis (Mplus 8.0; Rstudio). RESULTS: Preschoolers were active (273.52 ± 62.08 minutes/day of total PA), though moderate-to-vigorous physical activity (MVPA) time was below the guideline (58.68 ± 22.51 minutes/day); spent more than the recommended 60 minutes/day on screen time (169.91 ± 97.07 minutes/day); and slept less than 10 hours per night (9.44 ± 1.12 hours/day). Only 3% of the sample complied with the guidelines. PA showed the highest compliance (43%), compared to sleep duration (35%) and screen time (15%). Male sex was related to adherence to MVPA recommendations, while female sex, with adherence to total PA recommendations. Child's primary caregiver was the most important centrality indicator in the network. CONCLUSION: Only 3% of the assessed preschoolers are compliant with the 24-hour movement behaviors guidelines. Strategies to promote adherence to movement behaviors among low-income preschoolers should consider child's primary caregivers to support movement behaviors.

5.
J Phys Act Health ; : 1-9, 2020 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-33075746

RESUMO

BACKGROUND: To explore the associations between birth weight and body mass index (BMI) from 6 months to 6 years of age, with cardiorespiratory fitness (CRF), physical activity, and sedentary time in adolescence. METHODS: Retrospective school-based study with 539 adolescents (292 girls), mean age of 13.94 (1.62) years. Anthropometric data from birth up to 6 years were extracted from individual child health booklets. CRF was estimated by 20-m shuttle run test. Physical activity and sedentary time were assessed with accelerometers. RESULTS: Birth weight was not associated with any outcome measured in adolescence. From the age of 6 months onwards in girls, and from 3 years in boys, BMI associated inversely with CRF in adolescence. In girls, BMI (at 12 mo and at 3 y of age) associated positively with sedentary time in adolescence, but not with physical activity. In boys, positive associations between BMI at the ages of 3, 5, and 6 years old and time spent in some intensities of physical activity in adolescence were found. CONCLUSIONS: BMI during the early years was negatively associated with CRF in adolescence, in a consistent way, for both genders, but with physical activity and sedentary time the associations were scarce and inconsistent, depending on the gender.

6.
Paediatr Int Child Health ; : 1-10, 2020 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-33112727

RESUMO

BACKGROUND: There is a lack of clarity as to which obesity parameters may be more important in the association between cardiorespiratory fitness (CRF) and cardiometabolic risk factors (CMRF). AIM: To verify the mediating role of different obesity parameters on the association between CRF and CMRF in normal weight and overweight/obese children and adolescents. METHODS: This cross-sectional study comprised 999 children and adolescents (534 boys) aged 7-14 years from the south of Brazil. Body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR) and percentage of body fat were assessed. Participants were classified as normal weight, overweight and obese according to BMI. CRF was evaluated by the 6-minute run/walk test. . A continuous CMRF score was calculated by summing the Z-scores of the following variables: systolic and diastolic blood pressure, glucose, total cholesterol, high-density lipoprotein cholesterol and triglycerides. Data analysis was performed using partial correlation and linear regression models. RESULTS: BMI, WC, WHtR and percentage of body fat mediated the relationship between CRF and CMRF in overweight/obese boys and girls but not those of normal weight. Additionally, the percentage of the influence of each obesity parameter was 20% for BMI and WC, 16% for percentage of body fat and 18% for WHtR in girls. For boys, the mediation effect was 25% for BMI, 26% for WC, 28% for percentage of body fat and 25% for WHtR. CONCLUSION: Adiposity plays a central role in CMRF; therefore, maintaining an adequate weight status should be an important objective of health-promoting programmes in early age.Abbreviations: CMRF, cardiometabolic risk factors; CRF, cardiorespiratory fitness; BMI. body mass index; HDL-c, high-density lipoprotein cholesterol, PROCESS PROESP-Br, Projeto Esporte Brasil; SPSS, Package for Social Sciences; TC, total cholesterol; TG, triglycerides; WC, waist circumference; WHtR, waist-to-height ratio; %BF, percentage of body fat.

7.
Nutr Metab Cardiovasc Dis ; 30(12): 2296-2302, 2020 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-32912795

RESUMO

BACKGROUND AND AIMS: Several cross-sectional, but few prospective, studies suggest that inflammation may be involved in the development of high blood pressure. We examined markers of inflammation for their associations with blood pressure levels over a two-year period in healthy adolescents. METHODS AND RESULTS: The sample comprised 406 adolescents (209 girls) aged 12-18 years in the LabMed Physical Activity Study were followed-up for 2 years. Anthropometric (weigh, height, BMI), markers of inflammation (high sensitivity C-reactive protein, complement factors C3 and C4, fibrinogen, leptin and adiponectin) and ambulatory blood pressure (BP) were collected. Socioeconomic status, pubertal development, adherence to Mediterranean diet and cardiorespiratory fitness were measured for adjustment for potential confounders. Adjusted linear regression models revealed a significant association of Leptin/Adiponectin (L/A) Ratio (baseline) with systolic BP (ß = 0.120; p < 0.034) and with diastolic BP (ß = 0.125; p < 0.036) at follow-up (full adjusted model). Leptin was associated with systolic BP at follow-up (ß = 0.102; p < 0.038) after adjustment for systolic BP at baseline, height, pubertal stage, socioeconomic status, adherence to Mediterranean diet, cardiorespiratory fitness, however, not independently of BMI. CONCLUSION: L/A ratio was positively associated with systolic BP and diastolic BP even after adjusting confounding variables. Therefore, a higher misbalance between leptin and adiponectin (higher L/A ratio) early adolescence may exert a negative effect BP levels in late adolescence regardless of several confounders factors.

8.
Sci Rep ; 10(1): 15510, 2020 09 23.
Artigo em Inglês | MEDLINE | ID: mdl-32968194

RESUMO

This study aimed to analyze the relationship of physical activity in different domains with cardiac autonomic modulation in adults. A sample of 252 adults was randomly selected, with mean age of 42.1 (± 16.5) years, being 58% of women. Cardiac autonomic modulation was assessed through indexes of heart rate variability in time (SDNN, RMSSD) and frequency (LF, HF) domains for linear method, and by Poincaré plot for non-linear method (SD1, SD2 components). Domains of PA (occupation, sport, leisure time/commuting, and total) were assessed by Baecke's questionnaire. Variables of age, gender, socioeconomic status (questionnaire) and body mass index (objectively measures) were covariates. Occupational PA was positively related to LF (ß = 2.39, 95% CI 0.24; 4.54), sports PA was positively related to SDNN (ß = 3.26, 95% CI 0.18; 7.05), RMSSD (ß = 4.07, 95% CI 0.31; 7.85), and SD1 (ß = 2.85, 95% CI 0.11; 5.81), and leisure time/commuting PA was positively related to SDNN (ß = 3.36, 95% CI 0.28; 6.70) and RMSSD (ß = 3.53, 95% CI 0.46; 7.52) indexes. Total PA was related to RMSSD (ß = 1.70, 95% CI 0.04; 3.72). Sports, leisure time/commuting, and total PA were related to higher parasympathetic modulation, while occupational PA was related to higher sympathetic modulation to the heart in adults.

9.
Rev. bras. ativ. fís. saúde ; 25: 1-6, set. 2020.
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1121577

RESUMO

Social isolation is a strategy to avoid contracting and spreading the coronavirus. This study aimed to evaluate physical activities (PA) performed indoors and other habits among adolescents during social isolation due to the coronavirus pandemic (COVID-19). A cross-sectional study including 342 adolescents, aged 12 to 17 years, all students from a public school who regularly participated in sports activities during the school day. An online questionnaire was sent to the students via a web link with 18 questions about eating habits, sleep, virus protection and PA. The average age of the students was 15 ± 1.36 years, 41.5% of them live with three people at home, 77.5% live in houses, 95% answered that they were following the recommended care for COVID-19. Two thirds of the family members worked outside their homes and 65.2% of them were working in direct exposure to COVID-19 (essential services). More than half (53.2%) of adolescents eat up to three meals a day and 80% meet the recommended hours of rest per night. Most of the day was on social networks and only 27% met the recommendations for PA; 29.8% reported weight gain and among them, 54.9% reported exercising at times and 27.4% no exercise at all (p < 0.001). We concluded that despite recommendations, there were reduction in daily PA and increase in screen time among adolescents during social isolation due to COVID-19. There is an urgent need to review strategies to encourage adolescents to maintain indoor PA in addition to a healthier habit


O isolamento social é estratégia para evitar o contágio e transmissão do coronavírus. Este estudo teve como objetivo avaliar as atividades físicas (AF) realizadas em ambientes fechados e hábitos de saúde entre adolescentes durante o isolamento social devido à pandemia de COVID-19 (COVID-19). Estudo transversal com 342 adolescentes, de 12 a 17 anos de idade, estudantes de escola pública e participantes de atividades esportivas escolares. Um questionário on-line foi enviado para os estudantes com 18 perguntas sobre hábitos alimentares, sono, comportamentos de proteção ao COVID-19 e AF. A idade média dos estudantes foi de 15 ± 1,36 anos, 41,5% vivem com três pessoas, 77,5% moram em casas, 95% responderam que estão tomando as medidas de proteção recomendadas. Dois terços dos familiares trabalham fora de casa sendo que 65,2% deles em exposição direta ao COVID-19 (serviços essenciais). Mais da metade (53,2%) dos adolescentes fazem até três refeições por dia e 80% cumprem as horas de descanso recomendadas por noite. A maior parte do dia é usada em redes sociais e penas 27% atenderam às recomendações para AF e 29,8% relataram ganho de peso. Entre os adolescentes que relataram ganho de peso, 54,9% relataram fazer exercícios às vezes e 27,4% não fazem nenhum exercício (p < 0,001). Concluímos que, apesar das recomendações, houve redução nas AF diárias e aumento no tempo de tela entre adolescentes durante o período de isolamento social. Faz-se necessária reavaliação das maneiras de incentivar os adolescentes a manter a AF em ambientes fechados e hábitos de saúde mais saudáveis

10.
Artigo em Inglês | MEDLINE | ID: mdl-32731646

RESUMO

The present study aimed to analyze the compliance with the 24-h movement guidelines and its association with fundamental motor skills (FMS) in early childhood, considering sex and Body Mass Index (BMI) in a network perspective. Two hundred and twelve preschoolers (109 boys, 4.45 ± 0.78 years old) provided physical activity (PA), sleep duration, screen time, fundamental motor skills (FMS) and BMI data. Relationships between compliance with movement behaviors guidelines, FMS, sex and BMI were calculated using a network analysis. Only two percent of the entire sample complied with the overall 24-h movement behaviors recommendations; while the emerged network in the present study emphasized ball skills as the most critical centrality variable, according to age, reinforcing the importance of ball skills for the engagement and maintenance of PA in children. The present study presents a novel statistical and theoretical perspective that permits hitherto unseen insight into the associations between movement behavior, FMS and their correlates, that appropriately consider the inherent, multifaceted, complexity of these relationships.


Assuntos
Exercício Físico , Tempo de Tela , Índice de Massa Corporal , Pré-Escolar , Feminino , Humanos , Masculino , Destreza Motora , Movimento
11.
Nutr. hosp ; 37(4): 776-785, jul.-ago. 2020. tab, graf
Artigo em Inglês | IBECS-Express | IBECS | ID: ibc-FGT-5401

RESUMO

INTRODUCTION: sarcopenia is a disease characterized by reduced musculoskeletal tissue and muscle strength. The estimation of appendicular lean soft tissue by DXA (ALSTDXA) is one of the criteria for the diagnosis of sarcopenia. However, this method is expensive and not readily avaiable in clinical practice. Anthropometric equations are low-cost and able to accurate predict ALST, but such equations have not been validated for male Brazilian older adults between the ages of 60 to 79 years. To this end, this study sought to validate the existing predictive anthropometric equations for ALST, and to verify its accuracy for the diagnosis of sarcopenia in male Brazilian older adults. METHODS: this cross-sectional study recruited and enrolled 25 male older adults (69.3 ± 5.60 years). ALSTDXA and anthropometric measures were determined. ALST estimations with 13 equations were compared to ALSTDXA. The validity of the equations was established when: p > 0.05 (paired t-test); standard error of the estimate (SEE) < 3.5 kg; and coefficient of determination r² > 0.70. RESULTS: two Indian equations met the criteria (Kulkarini 1: 22.19 ± 3.41 kg; p = 0.134; r² = 0.78; EPE = 1.3 kg. Kulkarini 3: 22.14 ± 3.52 kg; p = 0.135; r² = 0.82; SEE = 1.2 kg). However, these equations presented an average bias (Bland-Altman: 0.54 and 0.48 kg) and 'false negative' classification for the ALST index. Thus, three explanatory equations were developed. The most accurate equation demonstrated a high level of agreement (r2 adj = 0.87) and validity (r²PRESS = 0.83), a low predictive error (SEEPRESS = 1.53 kg), and an adequate ALST classification. CONCLUSION: anthropometric models for predicting ALST are valid alternatives for the diagnosis and monitoring of sarcopenia in older adults; however, population specificity affects predictive validity, with risks of false positive/negative misclassification


INTRODUCCIÓN: la sarcopenia es una enfermedad caracterizada por una reducción del tejido musculoesquelético y la fuerza muscular. Uno de los criterios utilizados para su diagnóstico es la determinación de tejido blando magro apendicular por DXA (TBMADXA), método costoso que no siempre está disponible en la práctica clínica. Las ecuaciones antropométricas suponen un bajo coste y predicen bien el TBMA, pero con una validez desconocida para los varones brasileños de 60 a 79 años. Por lo tanto, nuestro objetivo fue validar las ecuaciones antropométricas existentes predictivas del TBMA y verificar su precisión para el diagnóstico de sarcopenia en varones brasileños de edad avanzada. MÉTODOS: participaron en este estudio transversal 25 hombres de edad avanzada (69,3 ± 5,60 años). Se determinaron el TBMADXA y las medidas antropométricas. Las ecuaciones predictivas del TBMA se compararon con el TBMADXA. La validez de las ecuaciones en las comparaciones se confirmó cuando: p > 0,05 (prueba de la "t" pareada); error estándar estimado (EEE) < 3,5 kg; coeficiente de determinación r² > 0,70. RESULTADOS: dos ecuaciones indias cumplieron los criterios (Kulkarini 1: 22,19 ± 3,41 kg; p = 0,134; r² = 0,78; EEE = 1,3 kg. Kulkarini 3: 22,14 ± 3,52 kg; p = 0,135; r² = 0,82; EEE = 1,2 kg). Sin embargo, presentaron sesgo promedio (Bland-Altman: 0,54 y 0,48 kg) y clasificación de 'falso negativo' para el índice de TBMA. Por lo tanto, se crearon tres ecuaciones explicativas. La ecuación más precisa mostró un alto acuerdo (r2 adj = 0,87), uma alta validez (r²PRESS = 0,83), um bajo error predictivo (EEEPRESS = 1,53 kg) y uma clasificación del TBMA adecuada. CONCLUSIÓN: los modelos antropométricos para predecir el TBMA son alternativas válidas para el diagnóstico y el seguimiento de la sarcopenia en los ancianos. Pero la especificidad de la población afecta a su validez predictiva, con riesgos de incorrección por clasificación falsa positiva/negativa

12.
Environ Health Prev Med ; 25(1): 42, 2020 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-32825824

RESUMO

OBJECTIVE: To verify the association between sleep duration and television time with cardiometabolic risk and the moderating role of age, gender, and skin color/ethnicity in this relationship among adolescents. METHODS: Cross-sectional study with 1411 adolescents (800 girls) aged 10 to 17 years. Television time, sleep duration, age, gender, and skin color/ethnicity were obtained by self-reported questionnaire. Cardiometabolic risk was evaluated using the continuous metabolic risk score, by the sum of the standard z-score values for each risk factor: high-density lipoprotein cholesterol, triglycerides, glycemia, cardiorespiratory fitness, systolic blood pressure, and waist circumference. Generalized linear regression models were used. RESULTS: There was an association between television time and cardiometabolic risk (ß, 0.002; 95% CI, 0.001; 0.003). Short sleep duration (ß, 0.422; 95% CI, 0.012; 0.833) was positively associated with cardiometabolic risk. Additionally, age moderated the relationship between television time and cardiometabolic risk (ß, - 0.009; 95% CI, - 0.002; - 0.001), suggesting that this relationship was stronger at ages 11 and 13 years (ß, 0.004; 95% CI, 0.001; 0.006) compared to 13 to 15 years (ß, 0.002; 95% CI, 0.001; 0.004). No association was found in older adolescents (ß, 0.001; 95% CI, - 0.002; 0.002). CONCLUSIONS: Television time and sleep duration are associated with cardiometabolic risk; adolescents with short sleep have higher cardiometabolic risk. In addition, age plays a moderating role in the relationship between TV time and cardiometabolic risk, indicating that in younger adolescents the relationship is stronger compared to older ones.


Assuntos
Doenças Cardiovasculares/epidemiologia , Síndrome Metabólica/epidemiologia , Comportamento Sedentário , Sono , Televisão/estatística & dados numéricos , Fatores Etários , Brasil/epidemiologia , Doenças Cardiovasculares/etnologia , Doenças Cardiovasculares/etiologia , Estudos Transversais , Síndrome Metabólica/etnologia , Síndrome Metabólica/etiologia , Prevalência , Fatores de Risco , Comportamento Sedentário/etnologia , Fatores Sexuais
13.
Rev Saude Publica ; 54: 78, 2020.
Artigo em Português, Inglês | MEDLINE | ID: mdl-32785415

RESUMO

OBJECTIVE: To verify the prevalence and factors associated with active transportation to school (ATS) among Brazilian adolescents attending public schools. METHODS: Crossectional study with a representative sample of 1,984 adolescents (55.9% girls). Sociodemographic variables included were: gender, age, parental schooling, and socioeconomic status. Psychosocial factors included were: social support from parents and friends for physical activity. Walking, cycling, or skateboarding to school were considered models of active transportation. Binary logistic regression models verified sociodemographic and psychosocial factors association with ATS, adopting p < 0.05. RESULTS: The prevalence of active transportation to school was 37.7% (16.2% boys and 21.5% girls). For boys, ATS was associated with: social support from parents in practicing physical activity together as a family (OR = 1.57; 95%CI 1.09-2.25), giving them rides (OR = 1.56; 95%CI 1.04-2.32), and remarking their good performance on it (OR = 1.73; CI95 1.08-2.76); as well as the social support from friends in practicing physical activity together (OR = 2.23; 95%CI 1.35-3.69). For girls, the likelihood of using ATS increased with age (OR = 1.43; 95%CI 1.06-1.92) and having friends who practice physical activity together with them (OR = 1.48, 95%CI 1.04-2.10). CONCLUSION: Age and social support for physical activity were associated with ATS. Parents who practice together, give rides, and remark on physical activities increase the likelihood of adolescent boys using ATS. Social support from friends to physical activity increased the likelihood of both genders using ATS.


Assuntos
Instituições Acadêmicas , Transportes/estatística & dados numéricos , Adolescente , Brasil , Estudos Transversais , Feminino , Humanos , Masculino , Prevalência , Fatores Socioeconômicos
14.
J Sports Sci ; 38(22): 2588-2596, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32715946

RESUMO

This study aimed to develop new prediction models from directly determined peak of oxygen uptake (VO2peak) in adolescents using 20-metre shuttle run test (20 m-SR) and to compare the new models with previously published equations. This study included 148 adolescents (43% girls), aged 13.37 ± 1.84 years old. Adolescents were randomly assigned to validation (n = 91) and cross-validation (n = 57) groups. VO2peak was measured using a gas analyser in both maximal exercise tests in the laboratory as well as by 20 m-SR. The multiple linear regression method was applied to develop the models using BMI, BMI-z score and body fat percentage (%FM). The proposed models presented better predictive performance (R2 = 75.6% to 78.9%) and a lower absolute percentage error (%error = 10.51 to 11.78%) than the previously published equations (R2 = 38.8% to 69.1%; %error = 13.13% to 21.54%). The Model with BMI-z was the best fit equation in girls, and the model with BMI-z and %FM in boys. Therefore, it is recommended that the equations developed in the present study be used in future research and projects in the school environment to estimate VO2peak in adolescents by the 20 m-SR test.

15.
J Sports Med Phys Fitness ; 60(12): 1567-1575, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32614155

RESUMO

BACKGROUND: The aim of this study was to verify the moderator role of physical fitness in the relationship between adiposity and cardiometabolic risk factors in normal weight and overweight/obese children and adolescents. METHODS: Cross-sectional study comprising 2482 children and adolescents, aged 7-17 years. Physical fitness was evaluated according the procedures of Projeto Esporte Brazil, and waist circumference (WC) with an inelastic tape. Cardiometabolic risk score was defined by the z-score sum of glucose, total cholesterol, high-density lipoprotein cholesterol and low-density lipoprotein cholesterol. Moderation analysis was done through linear regression models. RESULTS: Significant interaction term for cardiorespiratory fitness (CRF)×WC with cardiometabolic risk factors (P<0.001), as well as for lower limbs strength (LLS)×WC (P<0.001) and agility × WC (P=0.01) in normal weight girls. For normal weight boys it was found a significant interaction term for CRF×WC with cardiometabolic risk factor (P=0.007), and also for agility × WC (P=0.003), while overweight/obese boys showed a significant interaction term only for agility × WC with cardiometabolic risk factor (P=0.001). CONCLUSIONS: CRF, LLS and agility are moderators in the relationship between WC and cardiometabolic risk factors in normal weight girls, while CRF and agility were moderators for normal weight boys and only agility for overweight/obese boys.

16.
Nutr Hosp ; 37(4): 776-785, 2020 Aug 27.
Artigo em Inglês | MEDLINE | ID: mdl-32686457

RESUMO

Introduction: Introduction: the estimation of appendicular lean soft tissue by DXA (ALSTDXA) is one of the criteria for the diagnosis of sarcopenia. However, this method is expensive and not readily avaiable in clinical practice. Anthropometric equations are low-cost and able to accurate predict ALST, but such equations have not been validated for male Brazilian older adults between the ages of 60 to 79 years. To this end, this study sought to validate the existing predictive anthropometric equations for ALST, and to verify its accuracy for the diagnosis of sarcopenia in male Brazilian older adults. Methods: this cross-sectional study recruited and enrolled 25 male older adults (69.3 ± 5.60 years). ALSTDXA and anthropometric measures were determined. ALST estimations with 13 equations were compared to ALSTDXA. The validity of the equations was established when: p > 0.05 (paired t-test); standard error of the estimate (SEE) < 3.5 kg; and coefficient of determination r² > 0.70. Results: two Indian equations met the criteria (Kulkarini 1: 22.19 ± 3.41 kg; p = 0.134; r² = 0.78; EPE = 1.3 kg. Kulkarini 3: 22.14 ± 3.52 kg; p = 0.135; r² = 0.82; SEE = 1.2 kg). However, these equations presented an average bias (Bland-Altman: 0.54 and 0.48 kg) and 'false negative' classification for the ALST index. Thus, three explanatory equations were developed. The most accurate equation demonstrated a high level of agreement (r2adj = 0.87) and validity (r²PRESS = 0.83), a low predictive error (SEEPRESS = 1.53 kg), and an adequate ALST classification. Conclusion: anthropometric models for predicting ALST are valid alternatives for the diagnosis and monitoring of sarcopenia in older adults; however, population specificity affects predictive validity, with risks of false positive/negative misclassification.

17.
Pediatr Int ; 2020 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-32609931

RESUMO

BACKGROUND: Affect and physical fitness play an important role in psychological and physical health, however, the association between those variables in youth remains still unknown. The aim of the present study was to examine the influence of physical fitness on positive and negative affect in Spanish children and adolescents. METHOD: 1490 healthy Spanish youths were recruited for the present study 542 children (n=272 girls; mean age 9.6 years) and 948 adolescents (n=454 girls; mean age 14.1 years) with complete baseline data on health related fitness tests (20-m shuttle run test, 4x10-m test, muscular fitness index and physical fitness index), and positive and negative affect (Positive and Negative Affect Schedule, PANASN). RESULTS: Higher performance on physical fitness components was associated with positive affect (ß= -0.176-0.118, all p<0.05). There was no association between all physical fitness components and negative affect (ß= -0.100-0.15, all p>0.05). There were differences on positive affect between the lowest and the highest quartile of physical fitness index in boys (p=0.037, Cohen's d 0.60) and girls (p=0.004, Cohen's d 0.69), and between the lowest and the highest quartile of muscular fitness index in girls (p<0.001, Cohen's d 0.76). CONCLUSIONS: Promoting physical activity during the school years, which involves strength exercises to increase muscular fitness, could improve positive affect levels and thus the psychological health.

18.
Eur J Sport Sci ; : 1-9, 2020 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-32654601

RESUMO

Adherence to healthy behaviours promotes several health benefits in preschool children, including executive function (EF). Recently, the predictive power of the 24-hour movement behaviour (24 h MB) composition on health outcomes has been evidenced; however, its relationship with EF in preschoolers is unknown. Thus, the present study had two objectives: (1) to analyse the associations between the 24 h MB composition and EF of preschoolers; and (2) to investigate the theoretical changes in EF when time in different movement behaviours is reallocated. This cross-sectional study was carried out with 123 preschoolers (3-5 years old) of low socioeconomic status. Physical activity (PA) and sedentary behaviour were assessed using an accelerometer for 7 days, sleep time was obtained through interviews with parents, and EF was measured using the Early Tool Box battery. To verify the association between 24 h MB and EF, compositional data analysis was used, and for time reallocation, compositional isotemporal substitution analysis was utilized. It was observed that the 24 h MB composition was positively associated with EF (p < .0001; R² = 0.34), and that reallocating 5, 10, 15 or 20 min of the time spent on sleep and light PA to moderate-to-vigorous PA, respectively, was associated with significant improvements in EF (p < .05). These findings provide hitherto unseen insight into the relationship between 24 h MB and EF in preschool children, and warrants consideration for researchers and practitioners seeking to improve EF and PA in preschool children. Highlights This study analyzed the associations between the 24-hour movement composition behaviours and executive function in preschoolers, and investigated predicted executive function changes when time in different behaviours is reallocated. When analyzed as a continuum, the 24-hour movement behaviour predicted children's executive function. The substitution of 5, 10, 15 or 20 minutes from light physical activity to moderate-to-vigorous physical activity was positively associated with preschooler's executive function.

19.
Am J Hum Biol ; : e23466, 2020 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-32662536

RESUMO

OBJECTIVE: To qualify a 3C approach model of dual-energy X-ray absorptiometry (DXA) to estimate multicomponent resting energy expenditure (REE) referenced by indirect calorimetry (IC). METHODS: A sample of 155 college students, of both sexes (18-30 years old) was evaluated. Anthropometric measures, REE by IC, and whole-body DXA-scans were performed. The REE for each body component was determined after transforming the components from the molecular (DXA) to the organ tissue level. Bland-Altman and proportional bias analyses were used to verify agreement between REE measured (REEIC ) and estimated (REEDXA ). RESULTS: Statistically significant differences were found for all sex comparisons (P < .001), except for age (P = .950). Differences from the final sex-specific models' were not found between REEIC and REEDXA (P > .05). Men also presented greater expenditure (P < .001) in each component, except for adipose tissue. The plots confirmed the validity of the model for both sexes, with low difference values between the measured and estimated REE. The mean of the differences of REEIC and REEDXA showed heteroscedasticity of the data for men (P = .004). The same error tendency was not evident for women (P = .333). CONCLUSIONS: This 3C model, estimating REE from a multicomponent approach, allows a new application of DXA as tool for understanding intraindividual differences in terms of the mass of metabolically active tissue. Sex and populational differences should be taken in account. Consequently, we present qualified sex-specific DXA models that can be applied in different contexts such as health and sports, besides considering interpersonal differences in terms of energy expenditure.

20.
Cad Saude Publica ; 36(5): e00102719, 2020.
Artigo em Português | MEDLINE | ID: mdl-32490916

RESUMO

The study aimed to analyze the interaction of sociodemographic factors in the association between psychosocial factors and active commuting to school. This was a cross-sectional study in 2018 with a sample of 1,984 students. The target sociodemographic factors were sex, age, parents' schooling, and socioeconomic status. Social support and self-efficacy were measured with questionnaires. Active commuting to school was defined as walking, bicycling, or skateboarding to and from school. Binary logistic regression was used to verify the association between psychosocial factors and active commuting to school. Then, interaction terms with the sociodemographic variables (age, father's schooling, mother's schooling, socioeconomic status) were included in the relationship between psychosocial factors and active commuting to school. The sample consisted of 1,984 adolescents (55.9% females). Of these, 748 (37.7% of the sample) reported active commuting to school during a normal week. Analyses of interaction showed that high levels of schooling and high socioeconomic status were negatively associated with active commuting to school. Low socioeconomic status and low schooling were positively associated with such commuting. The peer social support scale showed more significant variables than the other scales. The results indicate that sociodemographic factors (parents' schooling and socioeconomic status) moderate the association between psychosocial factors and active commuting to school.


Assuntos
Instituições Acadêmicas , Transportes , Adolescente , Ciclismo , Brasil , Estudos Transversais , Feminino , Humanos , Masculino , Fatores Socioeconômicos , Inquéritos e Questionários , Caminhada
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