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Pärn T, Grau Ruiz R, Kunovac Kallak T, Ruiz JR, Davey E, Hreinsson J, Wånggren K, Salumets A, Sjöström M, Stavreus-Evers A, Ortega FB, Altmäe S. Physical activity, fatness, educational level and snuff consumption as determinants of semen quality: findings of the ActiART study. Reprod Biomed Online 2015; 31:108-19. [PMID: 25999214 DOI: 10.1016/j.rbmo.2015.03.004] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2014] [Revised: 03/06/2015] [Accepted: 03/10/2015] [Indexed: 12/15/2022]
Abstract
In this study, the association between physical activity and other potential determinants, objectively measured by accelerometry, was examined. Sixty-two men attending an infertility clinic participated in the study. Obese men (body mass index ≥ 30) and those with a waist circumference 102 cm or more had lower semen volume than the other men (P < 0.05). Higher values in sperm parameters were observed in participants who completed university studies and those who did not consume snuff, compared with the other participants (P < 0.05). Finally, men who spent an average number of 10 min-bouts of moderate-to-vigorous physical activity had significantly better semen quality than those who engaged in low or high numbers of bouts of activity (P < 0.05). No associations were found for sedentary or moderate-to-vigorous physical activity time when it was not sustained over 10 min, i.e. not in bouts. Men who have average levels of physical activity over sustained periods of 10 min are likely to have better semen quality than men who engage in low or high levels of such activity. Similarly, high levels of total and central adiposity, low educational level and snuff consumption are negatively related to semen quality.
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Affiliation(s)
- Triin Pärn
- Department of Biosciences and Nutrition, Karolinska Institutet, Hälsovägen 7-9, NOVUM Huddinge, 14183 Stockholm, Sweden
| | - Raúl Grau Ruiz
- PROFITH "PROmoting FITness and Health through physical activity" research group, Department of Physical Education and Sports, School of Sport Sciences, Carretera Alfacar s/n, University of Granada, 18071 Granada, Spain
| | - Theodora Kunovac Kallak
- Department of Women's and Children's Health, Uppsala University, Akademiska Sjukhuset, 751 85 Uppsala, Sweden
| | - Jonatan R Ruiz
- Department of Biosciences and Nutrition, Karolinska Institutet, Hälsovägen 7-9, NOVUM Huddinge, 14183 Stockholm, Sweden; PROFITH "PROmoting FITness and Health through physical activity" research group, Department of Physical Education and Sports, School of Sport Sciences, Carretera Alfacar s/n, University of Granada, 18071 Granada, Spain
| | - Eva Davey
- Department of Women's and Children's Health, Uppsala University, Akademiska Sjukhuset, 751 85 Uppsala, Sweden
| | - Julius Hreinsson
- Department of Women's and Children's Health, Uppsala University, Akademiska Sjukhuset, 751 85 Uppsala, Sweden
| | - Kjell Wånggren
- Department of Women's and Children's Health, Uppsala University, Akademiska Sjukhuset, 751 85 Uppsala, Sweden
| | - Andres Salumets
- Competence Centre on Health Technologies, Tiigi 61b, 50410 Tartu, Estonia; Women's Clinic, University of Tartu, Puusepa 8, 51014 Tartu, Estonia
| | - Michael Sjöström
- Department of Biosciences and Nutrition, Karolinska Institutet, Hälsovägen 7-9, NOVUM Huddinge, 14183 Stockholm, Sweden
| | - Anneli Stavreus-Evers
- Department of Women's and Children's Health, Uppsala University, Akademiska Sjukhuset, 751 85 Uppsala, Sweden
| | - Francisco B Ortega
- Department of Biosciences and Nutrition, Karolinska Institutet, Hälsovägen 7-9, NOVUM Huddinge, 14183 Stockholm, Sweden; PROFITH "PROmoting FITness and Health through physical activity" research group, Department of Physical Education and Sports, School of Sport Sciences, Carretera Alfacar s/n, University of Granada, 18071 Granada, Spain
| | - Signe Altmäe
- Competence Centre on Health Technologies, Tiigi 61b, 50410 Tartu, Estonia; Department of Paediatrics, School of Medicine, University of Granada, Avda. de Madrid, 11, 18012 Granada, Spain.
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Holtermann A, Marott JL, Gyntelberg F, Søgaard K, Mortensen OS, Prescott E, Schnohr P. Self-reported cardiorespiratory fitness: prediction and classification of risk of cardiovascular disease mortality and longevity--a prospective investigation in the Copenhagen City Heart Study. J Am Heart Assoc 2015; 4:e001495. [PMID: 25628408 PMCID: PMC4330073 DOI: 10.1161/jaha.114.001495] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Background The predictive value and improved risk classification of self‐reported cardiorespiratory fitness (SRCF), when added to traditional risk factors on cardiovascular disease (CVD) and longevity, are unknown. Methods and Results A total of 3843 males and 5093 females from the Copenhagen City Heart Study without CVD in 1991–1994 were analyzed using multivariate Cox hazards regression to assess the predictive value and survival benefit for CVD and all‐cause mortality from SRCF. The category‐free net reclassification improvement from SRCF was calculated at 15‐year follow‐up on CVD and all‐cause mortality. Overall, 1693 individuals died from CVD. In the fully adjusted Cox model, those reporting the same (hazard ratio [HR], 1.17; 95% confidence interval [CI], 1.04 to 1.32) and lower (HR, 1.91; 95% CI, 1.62 to 2.24) SRCF than peers had an increased risk of CVD mortality, compared with individuals with higher SRCF. Compared with individuals with higher SRCF, those with the same and lower SRCF had 1.8 (95% CI, 1.0 to 2.5) and 5.1 (95% CI, 4.1 to 6.2) years lower life expectancy, respectively. Individuals with lower SRCF had a significantly increased risk of CVD mortality, compared with individuals with higher SRCF, within each strata of leisure time physical activity and self‐rated health, and SRCF significantly predicted CVD mortality independently of self‐rated health and walking pace. A net reclassification improvement of 30.5% (95% CI, 22.1% to 38.9%) for CVD mortality was found when adding SRCF to traditional risk factors. Comparable findings were found for all‐cause mortality. Conclusions SRCF has independent predictive value, is related to a considerable survival benefit, and improves risk classification when added to traditional risk factors of CVD and all‐cause mortality. SRCF might prove useful in improved risk stratification in primary prevention.
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Affiliation(s)
- Andreas Holtermann
- The National Research Center for the Working Environment, Copenhagen, Denmark (A.H., O.S.M.)
| | - Jacob Louis Marott
- The Copenhagen City Heart Study, Frederiksberg Hospital, Copenhagen, Denmark (J.L.M., E.P., P.S.)
| | - Finn Gyntelberg
- The Copenhagen Male Study, Epidemiological Research Unit, Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark (F.G., O.S.M.)
| | - Karen Søgaard
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark (K.)
| | - Ole Steen Mortensen
- The National Research Center for the Working Environment, Copenhagen, Denmark (A.H., O.S.M.) The Copenhagen Male Study, Epidemiological Research Unit, Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark (F.G., O.S.M.)
| | - Eva Prescott
- The Copenhagen City Heart Study, Frederiksberg Hospital, Copenhagen, Denmark (J.L.M., E.P., P.S.) Department of Cardiology, Bispebjerg University Hospital, Copenhagen, Denmark (E.P.)
| | - Peter Schnohr
- The Copenhagen City Heart Study, Frederiksberg Hospital, Copenhagen, Denmark (J.L.M., E.P., P.S.)
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Sánchez-Jiménez A, Cantarero-Villanueva I, Delgado-García G, Molina-Barea R, Fernández-Lao C, Galiano-Castillo N, Arroyo-Morales M. Physical impairments and quality of life of colorectal cancer survivors: a case-control study. Eur J Cancer Care (Engl) 2014; 24:642-9. [DOI: 10.1111/ecc.12218] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/13/2014] [Indexed: 11/29/2022]
Affiliation(s)
- A. Sánchez-Jiménez
- Physical Therapy Department; Instituto Investigación Biosanitario (IBS) University of Granada; Granada Spain
| | - I. Cantarero-Villanueva
- Physical Therapy Department; Instituto Investigación Biosanitaria (IBS.Granada); Instituto Mixto Universitario Deporte y Salud (iMIUDS); University of Granada; Granada Spain
| | - G. Delgado-García
- Physical Therapy Department; Instituto Investigación Biosanitario (IBS) University of Granada; Granada Spain
| | - R. Molina-Barea
- Department of General and Digestive Surgery; San Cecilio University Hospital; Granada Spain
| | - C. Fernández-Lao
- Physical Therapy Department; Instituto Investigación Biosanitaria (IBS.Granada); Instituto Mixto Universitario Deporte y Salud (iMIUDS); University of Granada; Granada Spain
| | - N. Galiano-Castillo
- Physical Therapy Department; Instituto Investigación Biosanitario (IBS) University of Granada; Granada Spain
| | - M. Arroyo-Morales
- Physical Therapy Department; Instituto Investigación Biosanitaria (IBS.Granada); Instituto Mixto Universitario Deporte y Salud (iMIUDS); University of Granada; Granada Spain
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Sánchez-López M, Martínez-Vizcaíno V, García-Hermoso A, Jiménez-Pavón D, Ortega FB. Construct validity and test-retest reliability of the International Fitness Scale (IFIS) in Spanish children aged 9-12 years. Scand J Med Sci Sports 2014; 25:543-51. [DOI: 10.1111/sms.12267] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/15/2014] [Indexed: 11/29/2022]
Affiliation(s)
- M. Sánchez-López
- Social and Health Care Research Centre; University of Castilla-La Mancha; Cuenca Spain
- School of Education; University of Castilla-La Mancha; Ciudad Real Spain
| | - V. Martínez-Vizcaíno
- Social and Health Care Research Centre; University of Castilla-La Mancha; Cuenca Spain
| | - A. García-Hermoso
- Facultad de Ciencias de la Salud; Universidad Autónoma de Chile; Talca Chile
| | - D. Jiménez-Pavón
- Department of Physical Education; School of Education; University of Cadiz; Puerto Real Spain
| | - F. B. Ortega
- PROFITH “PROmoting FITness and Health through physical activity” research group; Department of Physical Education and Sports; Faculty of Sport Sciences; University of Granada; Granada Spain
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Galiano-Castillo N, Ariza-García A, Cantarero-Villanueva I, Fernández-Lao C, Díaz-Rodríguez L, Legerén-Alvarez M, Sánchez-Salado C, Del-Moral-Avila R, Arroyo-Morales M. Telehealth system (e-CUIDATE) to improve quality of life in breast cancer survivors: rationale and study protocol for a randomized clinical trial. Trials 2013; 14:187. [PMID: 23799886 PMCID: PMC3704734 DOI: 10.1186/1745-6215-14-187] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2013] [Accepted: 06/04/2013] [Indexed: 01/13/2023] Open
Abstract
Background Breast cancer survivors suffer physical impairment after oncology treatment. This impairment reduces quality of life (QoL) and increase the prevalence of handicaps associated to unhealthy lifestyle (for example, decreased aerobic capacity and strength, weight gain, and fatigue). Recent work has shown that exercise adapted to individual characteristics of patients is related to improved overall and disease-free survival. Nowadays, technological support using telerehabilitation systems is a promising strategy with great advantage of a quick and efficient contact with the health professional. It is not known the role of telerehabilitation through therapeutic exercise as a support tool to implement an active lifestyle which has been shown as an effective resource to improve fitness and reduce musculoskeletal disorders of these women. Methods / Design This study will use a two-arm, assessor blinded, parallel randomized controlled trial design. People will be eligible if: their diagnosis is of stages I, II, or IIIA breast cancer; they are without chronic disease or orthopedic issues that would interfere with ability to participate in a physical activity program; they had access to the Internet and basic knowledge of computer use or living with a relative who has this knowledge; they had completed adjuvant therapy except for hormone therapy and not have a history of cancer recurrence; and they have an interest in improving lifestyle. Participants will be randomized into e-CUIDATE or usual care groups. E-CUIDATE give participants access to a range of contents: planning exercise arranged in series with breathing exercises, mobility, strength, and stretching. All of these exercises will be assigned to women in the telerehabilitation group according to perceived needs. The control group will be asked to maintain their usual routine. Study endpoints will be assessed after 8 weeks (immediate effects) and after 6 months. The primary outcome will be QoL measured by The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 version 3.0 and breast module called The European Organization for Research and Treatment of Cancer Breast Cancer-Specific Quality of Life questionnaire. The secondary outcomes: pain (algometry, Visual Analogue Scale, Brief Pain Inventory short form); body composition; physical measurement (abdominal test, handgrip strength, back muscle strength, and multiple sit-to-stand test); cardiorespiratory fitness (International Fitness Scale, 6-minute walk test, International Physical Activity Questionnaire-Short Form); fatigue (Piper Fatigue Scale and Borg Fatigue Scale); anxiety and depression (Hospital Anxiety and Depression Scale); cognitive function (Trail Making Test and Auditory Consonant Trigram); accelerometry; lymphedema; and anthropometric perimeters. Discussion This study investigates the feasibility and effectiveness of a telerehabilitation system during adjuvant treatment of patients with breast cancer. If this treatment option is effective, telehealth systems could offer a choice of supportive care to cancer patients during the survivorship phase. Trial registration ClinicalTrials.gov Identifier: NCT01801527
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