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Strumberger MA, Häberling I, Emery S, Albermann M, Baumgartner N, Pedrett C, Wild S, Contin-Waldvogel B, Walitza S, Berger G, Schmeck K, Cajochen C. Inverse association between slow-wave sleep and low-grade inflammation in children and adolescents with major depressive disorder. Sleep Med 2024; 119:103-113. [PMID: 38669833 DOI: 10.1016/j.sleep.2024.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2023] [Revised: 03/09/2024] [Accepted: 04/06/2024] [Indexed: 04/28/2024]
Abstract
OBJECTIVE To investigate the relationship between both self-reported and objective sleep variables and low-grade inflammation in children and adolescents with major depressive disorder (MDD) of moderate to severe symptom severity. METHODS In this cross-sectional study, we examined twenty-nine children and adolescents diagnosed with MDD and twenty-nine healthy controls (HC). Following a one-week actigraphy assessment, comprehensive sleep evaluations were conducted, including a one-night sleep EEG measurement and self-reported sleep data. Plasma high-sensitivity C-reactive protein (hsCRP) was employed as a marker to assess low-grade inflammation. RESULTS No significant difference in hsCRP levels was observed between participants with MDD and HC. Furthermore, after adjusting for sleep difficulties, hsCRP exhibited no correlation with the severity of depressive symptoms. In HC, levels of hsCRP were not linked to self-reported and objective sleep variables. In contrast, depressed participants showed a significant correlation between hsCRP levels and increased subjective insomnia severity (Insomnia Severity Index; r = 0.41, p < 0.05), increased time spent in the N2 sleep stage (r = 0.47, p < 0.01), and decreased time spent in slow-wave sleep (r = - 0.61, p < 0.001). Upon additional adjustments for body mass index, tobacco use and depression severity, only the inverse association between hsCRP and time spent in slow-wave sleep retained statistical significance. Moderation analysis indicated that group status (MDD vs. HC) significantly moderates the association between slow-wave sleep and hsCRP. CONCLUSION Our findings suggest that alterations in the architecture of slow-wave sleep may have a significant influence on modulating low-grade inflammatory processes in children and adolescents with MDD.
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Affiliation(s)
- Michael A Strumberger
- Research Department of Child and Adolescent Psychiatry, Psychiatric Hospital of the University of Basel, Wilhelm-Klein-Str. 27, 4002, Basel, Switzerland; Centre for Chronobiology, Psychiatric Hospital of the University of Basel, Wilhelm-Klein-Str. 27, 4002, Basel, Switzerland; Psychiatric Services Lucerne, Lucerne, Switzerland
| | - Isabelle Häberling
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital, University of Zurich, Neumünsterallee 9, 8032, Zurich, Switzerland
| | - Sophie Emery
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital, University of Zurich, Neumünsterallee 9, 8032, Zurich, Switzerland
| | - Mona Albermann
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital, University of Zurich, Neumünsterallee 9, 8032, Zurich, Switzerland
| | | | - Catrina Pedrett
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital, University of Zurich, Neumünsterallee 9, 8032, Zurich, Switzerland
| | - Salome Wild
- University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland; Graduate School for Health Sciences, University of Bern, Switzerland; Translational Research Center, University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland
| | | | - Susanne Walitza
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital, University of Zurich, Neumünsterallee 9, 8032, Zurich, Switzerland
| | - Gregor Berger
- Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital, University of Zurich, Neumünsterallee 9, 8032, Zurich, Switzerland
| | - Klaus Schmeck
- Department of Clinical Research, Medical Faculty, University of Basel, Basel, Switzerland
| | - Christian Cajochen
- Centre for Chronobiology, Psychiatric Hospital of the University of Basel, Wilhelm-Klein-Str. 27, 4002, Basel, Switzerland.
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Colapelle J, St-Pierre J, Erdstein J, Lands LC. Reduced exercise capacity for muscle mass in adolescents living with obesity. Pediatr Pulmonol 2024; 59:1227-1235. [PMID: 38294147 DOI: 10.1002/ppul.26890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Revised: 01/03/2024] [Accepted: 01/17/2024] [Indexed: 02/01/2024]
Abstract
BACKGROUND Adolescents living with obesity (AlwO) can have limited exercise capacity. Exercise capacity can be predicted by a 2-factor model comprising lung function and leg muscle function, but no study has looked at cycling leg muscle function and its contribution to cycling exercise capacity in AlwO. METHODS Twenty-two nonobese adolescents and 22 AlwO (BMI > 95 percentile) were studied. Anthropometry, body composition (dual-energy X-ray absorptiometry), spirometry, 30-s isokinetic work capacity, and maximal exercise (cycle ergometry) were measured. RESULTS AlwO had greater total body mass, lean body mass, and lean leg mass (LLM). Lung function trended higher in AlwO. Leg 30-s work did not differ in absolute terms or per allometrically scaled LLM. Peak oxygen consumption did not differ between the groups in absolute terms or as percent predicted values (79.59 ± 14.6 vs. 82.3 ± 11.2% predicted control versus ALwO) but was lower in AlwO when expressed per kg body mass, kg lean body mass, scaled lean body mass, and LLM. Peak oxygen consumption related to both lung function and 30-s work, with no observed group effect. 30-s leg work related to the scaled LLM, with a small group effect. There was some correlation between leg work and time spent in moderate to vigorous physical activity in AlwO (rs = 0.39, p = .07). CONCLUSION AlwO have larger LLM and preserved exercise capacity, when expressed as percentage of predicted, but not per allometrically scaled LLM. Increasing time spent in moderate to vigorous activity may benefit AlwO.
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Affiliation(s)
- Juliano Colapelle
- Experimental Medicine, McGill University Experimental Medicine, Montréal, Quebec, Canada
| | - Julie St-Pierre
- General Pediatrics, Maison de Santé Prévention Clinique 180, McGill University Health Centre, Montréal, Quebec, Canada
| | - Julius Erdstein
- Department of Pediatrics, McGill University Health Centre Adolescent Medicine, Montréal, Quebec, Canada
| | - Larry C Lands
- Department of Pediatrics, McGill University Health Centre Pediatric Respiratory Medicine, Montréal, Quebec, Canada
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Rivera-Ochoa M, López-Gil JF, Brazo-Sayavera J, Pantoja-Arévalo L, González-Gross M, Vizmanos-Lamotte B, Guadalupe-Grau A. Clustering Health Behaviors in Mexican Adolescents: The HELENA-MEX Study. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2024; 95:281-288. [PMID: 37369131 DOI: 10.1080/02701367.2023.2195458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Accepted: 03/13/2023] [Indexed: 06/29/2023]
Abstract
Purpose: The prevalence of excess weight within the adolescent population is rapidly increasing in Mexico, especially in areas with lower socioeconomic status. The present study aimed to identify lifestyle clustered patterns in adolescents and analyze the associations among these clusters and body composition. Method: A final sample of n=259 participants (13 to 17 years old, 58.7% girls), residents in rural and urban areas, were included. Hierarchical and k-means clusters analyses included moderate to vigorous physical activity (MVPA), cardiorespiratory fitness (CRF), handgrip strength, screen time, sleep time, and diet. The associations between cluster membership and body composition were analyzed through general linear models (ANCOVA), including sex, age, place of residence, and socioeconomic status as covariates. Results: Three different clusters were identified: Cluster 1, [Unhealthy] (low values in all lifestyle patterns), Cluster 2, [Low Physical Fitness] (low values in CRF and handgrip strength) and Cluster 3, [High Physical Activity and CRF] (highest values in CRF, handgrip strength and MVPA). Clusters 2 and 3 showed high values in screen time and industrialized food consumption. There were no differences in sleep between the 3 Clusters. ANCOVA analysis revealed that participants belonging to Cluster 3 showed significantly lower adiposity and a higher Fat Free Mass compared with the other two clusters (p < 0.05). Conclusion: Our findings suggest that a lifestyle characterized by high levels of physical activity and physical fitness and low consumption of industrialized food may be protective against the problem of obesity, which could be helpful to develop interventions to reduce excess weight in Mexican adolescents.
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Affiliation(s)
| | - José F López-Gil
- Hospital Universitario de Navarra (HUN), Universidad Pública de Navarra (UPNA), IdiSNA
- Harvard University T.H. Chan School of Public Health
- Universidad de Las Américas
| | | | | | | | | | - Amelia Guadalupe-Grau
- Universidad Politécnica de Madrid
- Instituto de Salud Carlos III, ISCIII
- Universidad Castilla-La Mancha
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Chmelík F, Frömel K, Groffik D, Mitáš J. Physical activity and life satisfaction among adolescents before and during the COVID-19 pandemic. Acta Psychol (Amst) 2023; 241:104081. [PMID: 37976920 DOI: 10.1016/j.actpsy.2023.104081] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Revised: 11/03/2023] [Accepted: 11/06/2023] [Indexed: 11/19/2023] Open
Abstract
The negative impact of the COVID-19 pandemic and distance education has significantly affected adolescents' lives. The restrictive policies negatively affected their physical and mental health and life satisfaction. It is therefore desirable to look for ways to eliminate similar negative impacts on adolescents in the future. This study aimed to identify the differences in the association between physical activity and life satisfaction in Polish adolescents before and during the pandemic. The study included 1541 participants (891 before the pandemic and 650 during the pandemic) aged 15-19 years. The International Physical Activity Questionnaire-Long Form questionnaire was used to assess physical activity, and the Bern Subjective Well-Being Questionnaire was used to evaluate life satisfaction. The objectivity of data collection and analysis before and during the pandemic was ensured by the web application the International Database for Research and Educational Support. During the pandemic, we found lower physical activity and life satisfaction in both boys and girls compared to before the pandemic. Girls with low and high physical activity levels showed significantly lower life satisfaction during the pandemic than they did before. Low life satisfaction was associated with lower physical activity, and high life satisfaction was associated with greater total physical activity. Both boys and girls with low and high life satisfaction achieved significantly fewer physical activity recommendations during the pandemic. High life satisfaction increased the likelihood of meeting the recommendations for physical activity before and during the pandemic. This study provides new insights into the differences and associations between life satisfaction and physical activity in adolescent boys and girls before and during the pandemic. It provides suggestions for the prevention of possible future restrictions in the school settings. Support for post-pandemic life satisfaction in adolescents should focus mainly on increasing vigorous physical activity and improving adolescent participation in organized physical activity settings.
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Affiliation(s)
- František Chmelík
- Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University Olomouc, Tř. Míru 117, 771 11 Olomouc, Czech Republic.
| | - Karel Frömel
- Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University Olomouc, Tř. Míru 117, 771 11 Olomouc, Czech Republic; Institute of Sport Science, The Jerzy Kukuczka Academy of Physical Education in Katowice, Mikołowska 72a, 40-065 Katowice, Poland.
| | - Dorota Groffik
- Institute of Sport Science, The Jerzy Kukuczka Academy of Physical Education in Katowice, Mikołowska 72a, 40-065 Katowice, Poland.
| | - Josef Mitáš
- Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University Olomouc, Tř. Míru 117, 771 11 Olomouc, Czech Republic.
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Kamdem F, Bika Léle EC, Hamadou B, Obe Meyong MAP, Fenkeu Kweban J, Moussa O, Mouliom S, Viché L, Ngoté H, Kenmegne C, Ndom Ebongue MS, Djibrilla S, Dzudié A. Prevalence and risk factors of pre-hypertension and high blood pressure among adolescents in Cameroonian schools. J Clin Hypertens (Greenwich) 2023; 25:845-852. [PMID: 37561361 PMCID: PMC10497023 DOI: 10.1111/jch.14711] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Revised: 07/19/2023] [Accepted: 08/01/2023] [Indexed: 08/11/2023]
Abstract
Blood pressure (BP) is the main driver of mortality with 12.8% of all deaths worldwide. Adolescents are not spared, precisely in Cameroon where they constitute more than half of its population. The objective of our work was to describe the prevalence and risk factors of pre-hypertension and high blood pressure (HBP) among adolescents in Cameroonian schools. Descriptive study over 5 months; from January to May 2019. The study population consisted of students from private and public schools in the city of Douala. Sociodemographic, anthropometric, and personal background data were collected. Physical activity (PA) was assessed using the short International Physical Activity Questionnaire (IPAQ). Multivariate logistic regression was used to determine factors associated with pre-hypertension and HBP. Differences were considered significant for p < .05. We recruited 771 students with an average age of 16 ± 1 years with female predominance (51.4%). The prevalences of pre-hypertension and HBP were 6.6% and 3%, respectively. Overweight/obesity (OR = 4.6; p < .0001), hyperglycemia [(OR = 4.06; p = .001)] physical inactivity (OR = 1.85; p = .019), and public institutions (OR = 1.87; p = .02) were associated with pre-hypertension. Similarly, overweight/obesity (OR = 2.99; p = .022), hyperglycemia (OR = 14.05; p < .0001), and physical inactivity (OR = 8.58; p < .0001) were correlated with HBP. Pre-hypertension and HBP are high in Cameroonian school adolescents and their risk factors are overweight/obesity, hyperglycemia, and physical inactivity.
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Affiliation(s)
- Felicite Kamdem
- Department of Internal MedicineDouala General HospitalDoualaCameroon
- Faculty of Medicine and Pharmaceutical SciencesUniversity of DoualaDoualaCameroon
| | - Elysée Claude Bika Léle
- Physiology and Medicine of Physical Activities and Sports UnitUniversity of DoualaDoualaCameroon
| | - Ba Hamadou
- Faculty of Medicine and Biomedical SciencesUniversity of Yaoundé IDoualaCameroon
| | | | | | - Oumarou Moussa
- Department of Internal MedicineDouala General HospitalDoualaCameroon
| | - Sidick Mouliom
- Department of Internal MedicineDouala General HospitalDoualaCameroon
- Faculty of Medicine and Pharmaceutical SciencesUniversity of DoualaDoualaCameroon
| | - Lade Viché
- Department of Internal MedicineDouala General HospitalDoualaCameroon
- Faculty of Medicine and Biomedical SciencesUniversity of N'GaoundéréDoualaCameroon
| | - Henri Ngoté
- Department of Internal MedicineDouala General HospitalDoualaCameroon
| | - Caroline Kenmegne
- Department of Internal MedicineDouala General HospitalDoualaCameroon
| | | | | | - Anastase Dzudié
- Department of Internal MedicineDouala General HospitalDoualaCameroon
- Physiology and Medicine of Physical Activities and Sports UnitUniversity of DoualaDoualaCameroon
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Meyer S, Lang C, Ludyga S, Grob A, Gerber M. "What If Others Think I Look Like…" The Moderating Role of Social Physique Anxiety and Sex in the Relationship between Physical Activity and Life Satisfaction in Swiss Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4441. [PMID: 36901450 PMCID: PMC10002265 DOI: 10.3390/ijerph20054441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Revised: 02/27/2023] [Accepted: 02/28/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Physical activity has been shown to have a positive effect on life satisfaction in adolescents. Despite these benefits, physical activity levels constantly drop during adolescence, suggesting potential interfering factors in this link. Since worries about physical appearance are an important issue at this age, this study aims to examine the relationship between physical activity and life satisfaction in adolescents and explores possible moderating effects of social physique anxiety and sex. METHODS We used data from a longitudinal study with N = 864 vocational students (mean age = 17.87 years, range: 16-25, 43% female) from Switzerland. To test our hypotheses, we used multiple hierarchical regression analyses as well as simple slope analyses. RESULTS We did not find a significant direct effect of physical activity on life satisfaction. However, we found a significant two-way interaction between physical activity and social physique anxiety. An additional significant three-way interaction occurred, indicating that a positive effect of physical activity on life satisfaction holds only for female adolescents with low social physique anxiety levels. CONCLUSIONS This study highlights the importance of developing a healthy relationship with one's body to fully benefit from physical activity, especially for female adolescents. Taken together, these results reveal important considerations for physical activity educators.
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Affiliation(s)
- Silvia Meyer
- Department of Psychology, University of Basel, Missionsstrasse 62, 4055 Basel, Switzerland
| | - Christin Lang
- Department of Sport, Exercise, and Health, University of Basel, Grosse Allee 6, 4052 Basel, Switzerland
| | - Sebastian Ludyga
- Department of Sport, Exercise, and Health, University of Basel, Grosse Allee 6, 4052 Basel, Switzerland
| | - Alexander Grob
- Department of Psychology, University of Basel, Missionsstrasse 62, 4055 Basel, Switzerland
| | - Markus Gerber
- Department of Sport, Exercise, and Health, University of Basel, Grosse Allee 6, 4052 Basel, Switzerland
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Kamdem F, Bika Léle EC, Mekoulou Ndongo J, Ba H, Obe Meyong MAP, Fenkeu Kweban J, Moussa O, Ngono Atéba G, Mouliom S, Viché L, Ngoté H, Kenmegne C, Ndom Ebongue MS, Djibrilla S, Dzudié A, Ménanga A. Cardiovascular risk factors among Cameroonian adolescents: Comparison between public and private schools and association with physical activity practice-a cross-sectional study. JRSM Cardiovasc Dis 2023; 12:20480040231210371. [PMID: 37900881 PMCID: PMC10612454 DOI: 10.1177/20480040231210371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2023] [Revised: 09/13/2023] [Accepted: 10/06/2023] [Indexed: 10/31/2023] Open
Abstract
Aim Cardiovascular diseases are the leading cause of death worldwide and physical activity (PA) practice is recommended as the most efficient preventive measure to curse their burden in sub-Saharan Africa. Our study aimed to compare cardiovascular risk factors (CVRFs) in adolescents in public and private schools in Cameroon and assess the impact of PA practice. Methods We conducted a cross-sectional study on students from private and public secondary schools in the city of Douala. Anthropometric parameters, blood glucose, and blood pressure (BP) were collected. PA was assessed using the short form of the International Physical Activity Questionnaire. Multivariate logistic regression was used to assess the influence of PA levels on different CVRFs. The differences were considered significant for p < .05. Results We recruited 771 participants, aged 16 ± 1years, 51.4% female, and 48.6% private school students. Prevalence of CVRFs was 38.4%; 11.5%; 5.6%; 5.4%, and 3% for overweight/obesity, abdominal obesity, smoking, glucose homeostasis abnormalities, and high BP (HBP) respectively. Around 41% of participants had low PA level (LPA). Abdominal obesity and LPA were more common among girls (p < .0001 both) and 1.3% of participants had more than four CVRF. In multivariate analysis, LPA was significantly associated with a higher odd of HBP (OR = 7.69; p < .0001). Conclusion The prevalence of various CVRF is high among Cameroonian adolescent schoolers. Public policies should focus on prevention programs through physical exercise and the reduction of smoking.
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Affiliation(s)
- Felicite Kamdem
- Department of Internal Medicine, Douala General Hospital, Douala, Cameroon
- Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon
| | | | - Jerson Mekoulou Ndongo
- Physiology and Medicine of Physical Activities and Sports Unit, University of Douala, Douala, Cameroon
| | - Hamadou Ba
- Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon
| | | | - Jaff Fenkeu Kweban
- Department of Internal Medicine, Douala General Hospital, Douala, Cameroon
| | - Oumarou Moussa
- Department of Internal Medicine, Douala General Hospital, Douala, Cameroon
| | - Glwadys Ngono Atéba
- Medical and Surgical Resuscitation Service, Douala General Hospital, Douala, Cameroon
| | - Sidick Mouliom
- Department of Internal Medicine, Douala General Hospital, Douala, Cameroon
- Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon
| | - Lade Viché
- Department of Internal Medicine, Douala General Hospital, Douala, Cameroon
- Faculty of Medicine and Biomedical Sciences, University of N'Gaoundéré, N'Gaoundéré, Cameroon
| | - Henri Ngoté
- Department of Internal Medicine, Douala General Hospital, Douala, Cameroon
| | - Caroline Kenmegne
- Department of Internal Medicine, Douala General Hospital, Douala, Cameroon
| | | | | | - Anastase Dzudié
- Department of Internal Medicine, Douala General Hospital, Douala, Cameroon
- Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon
| | - Alain Ménanga
- Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon
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Estivaleti JMO, Bergamo RR, Oliveira LCD, Beltran DCG, Silva Junior JPD, Santos MD, Matsudo VKR. Physical activity level measured by accelerometry and physical fitness of schoolchildren. REVISTA PAULISTA DE PEDIATRIA 2023; 41:e2021230. [PMID: 36102399 PMCID: PMC9462406 DOI: 10.1590/1984-0462/2023/41/2021230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Accepted: 10/14/2021] [Indexed: 11/22/2022]
Abstract
Objective: To describe and compare physical fitness variables according to compliance with the recommendations of physical activity, measured by accelerometry. Methods: The sample gathered 120 students, 57 boys and 63 girls aged 9 to 11 years. The variables analyzed were: weight, stature, BMI, skinfolds, waist circumference, agility, flexibility, speed and strength of upper and lower limbs, and abdominal strength. Physical activity was measured objectively using an accelerometer. The students were divided into two groups: “complies with recommendations” (≥60min/day) and “does not comply with recommendations” (<60min/day). To verify the normality of the data, the Kolmogorov-Smirnov test was used. The mean values of students who do or do not comply with the physical activity recommendation were compared using Student's t and U-Mann Whitney tests. The level of significance was set at p<0.05. Results: The students who followed the recommendation showed significantly lower values compared to those who did not for adiposity (sum of 7 skinfolds); body weight; body mass index (BMI) and abdominal strength. No significant differences were found in the variables of speed and agility, and the upper limbs’ strength was greater in subjects who did not comply with recommendations. Conclusions: Students who complied with physical activity recommendations had better body composition and more abdominal strength than those who did not.
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Affiliation(s)
| | - Raiany Rosa Bergamo
- Center for Studies of the Physical Fitness Research Laboratory of São Caetano do Sul, Brazil
| | - Luís Carlos de Oliveira
- Center for Studies of the Physical Fitness Research Laboratory of São Caetano do Sul, Brazil
| | | | | | - Maurício dos Santos
- Center for Studies of the Physical Fitness Research Laboratory of São Caetano do Sul, Brazil
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Frömel K, Groffik D, Valach P, ŠafáŘ M, MitአJ. The Impact of Distance Education during the COVID-19 Pandemic on Physical Activity and Well-Being of Czech and Polish Adolescents. THE JOURNAL OF SCHOOL HEALTH 2022; 92:1137-1147. [PMID: 35916129 PMCID: PMC9539205 DOI: 10.1111/josh.13232] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 05/04/2022] [Accepted: 07/08/2022] [Indexed: 05/04/2023]
Abstract
BACKGROUND The aim of this study was to identify the changes in the structure of weekly physical activity (PA) and well-being among adolescent boys and girls between habitual education (HE) and distance education (DE) during the pandemic in secondary schools. METHODS The research was carried out in 12 Czech and 18 Polish schools during 2019 to 2020 academic session for HE and 2020 to 2021 academic session for DE. The research involved 723 girls and 626 boys aged 15 to 18 years. The structure of the weekly PA was assessed using the International Physical Activity Questionnaire-Long Form, while well-being was assessed using the World Health Organization-5 Well-Being Index. RESULTS There was a statistically significant decrease of PA among boys in school PA, transportation PA, recreation PA, vigorous PA, moderate PA, walking, and overall weekly PA during the DE resulting from the pandemic. In girls, during DE, a decrease was observed in school PA, vigorous PA, and overall PA. During DE, a high level of well-being was reported by only 34.9% of girls (43.8% during HE) and 50% of boys (65.6% during HE). CONCLUSIONS The observed low PA and high incidence of depressive symptoms in adolescents in distance education during pandemic constraints are a challenge for schools to change in supporting physical activity, eliminating similar negative impacts on school life in the future.
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Affiliation(s)
- Karel Frömel
- Faculty of Physical CulturePalacký University Olomouc, třída Míru, 771 11, Olomouc, Czech Republic; Faculty of Physical Education, The Jerzy Kukuczka Academy of Physical Education in Katowice, Mikołowska 72a, 40‐065 Katowice, Poland.
| | - Dorota Groffik
- Faculty of Physical Education, The Jerzy Kukuczka Academy of Physical Education in Katowice, Mikołowska 72a, 40‐065KatowicePoland
| | - Petr Valach
- Faculty of EducationUniversity of West Bohemia, Univerzitní 2732/8301 00PilsenCzech Republic
| | - Michal ŠafáŘ
- Faculty of Physical CulturePalacký University Olomouc, třída Míru, 771 11, Olomouc, Czech Republic.
| | - Josef MitáŠ
- Faculty of Physical CulturePalacký University Olomouc, třída Míru, 771 11, Olomouc, Czech Republic.
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Frömel K, Mitáš J, Groffik D, Kudláček M, Háp P. Associations between preference and participation in team sports: Physical activity promotion among adolescents. Front Public Health 2022; 10:1024932. [PMID: 36523587 PMCID: PMC9744958 DOI: 10.3389/fpubh.2022.1024932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Accepted: 11/15/2022] [Indexed: 11/30/2022] Open
Abstract
Background The level of physical activity (PA) in adolescents is highly dependent on their PA preferences. PA preferences among adolescents are dominated by team PA, mostly team sports (TS). The aim of this study is to identify (a) the status and trends in the preferences of TS among Czech and Polish boys and girls in different educational and sports environments, and (b) the impact of the agreement between the preferred and simultaneously pursued TS on the structure of weekly PA and on the meeting of PA recommendations. Methods The research was carried out between 2009 and 2022 in the Czech Republic and Poland and included 2,939 boys and 4,427 girls aged 15-19 years. Preferences and participation in TS were identified using a PA preference questionnaire and weekly PA using the International Physical Activity Questionnaire-Long Form. Trends in TS preferences were analyzed over 27-year periods. The participants were divided into groups by agreement and disagreement between the preferred and pursued TS, and by agreement and disagreement between the preferences of TS and participation in organized TS. Results Throughout the 14-year study period, boys in both countries preferred soccer, whereas girls favored volleyball. Agreement between preferences and participation in TS increased vigorous PA in Czech and Polish boys and girls. The agreement between the preferences for TS and participation in organized TS had the most significant effect on increasing vigorous PA in Czech and Polish boys and girls and on total PA in boys in both countries. Those who preferred and participated in TS were more likely to meet PA recommendations. Conclusion Respecting the status and trends of TS preferences in supporting participation in TS increases adolescents' PA and their achievement of PA recommendations. Increasing active participation in organized TS among boys and girls may support regular PA and help eliminate the negative effects of the pandemic on adolescents' PA.
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Affiliation(s)
- Karel Frömel
- Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czechia,Institute of Sport Science, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
| | - Josef Mitáš
- Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czechia,*Correspondence: Josef Mitáš
| | - Dorota Groffik
- Institute of Sport Science, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
| | - Michal Kudláček
- Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czechia
| | - Pavel Háp
- Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czechia
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11
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Effect of the Intake of Lean Red-Meat from Beef-(Pirenaica Breed) versus Lean White-Meat on Body Composition, Fatty Acids Profile and Cardiovascular Risk Indicators: A Randomized Cross-Over Study in Healthy Young Adults. Nutrients 2022; 14:nu14183724. [PMID: 36145099 PMCID: PMC9502227 DOI: 10.3390/nu14183724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Revised: 08/25/2022] [Accepted: 08/26/2022] [Indexed: 11/23/2022] Open
Abstract
The main dietary guidelines recommended a restriction of total and saturated fat intake in the management of cardiovascular risk. These recommendations are overgeneralized, and all red meats should be limited and replaced by white meat. The aim is to assess the effect of the consumption of beef (from the Pirenaica breed) or chicken-based diets on body composition, fatty acid profile and cardiovascular (CV) risk indicators in healthy adults. A randomized cross-over study was carried out in three University accommodation halls. Participants consumed either the Pirenaica breed beef or chicken three times per week for 8-week periods with their usual diet. Body composition, clinical, biochemical and dietary variables were evaluated at baseline and at the end of each period. A validated diet questionnaire was used to assess nutrient intake and monitor compliance. Intervention and control group comparisons were done with the general linear regression model for repeated measures. Forty-seven healthy adults were included (51.6% males, mean age 19.9 ± 1.75 years). No significant differences were found in body composition, fatty acid profile or CV risk indicators from baseline in either diet group. Consumption of lean red meat (Pirenaica breed) or lean white meat (chicken) as part of the usual diet is associated with a similar response. Clinical Trial Registration: NCT 04832217 (accessed on 6 September 2022).
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12
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Julian V, Haschke F, Fearnbach N, Gomahr J, Pixner T, Furthner D, Weghuber D, Thivel D. Effects of Movement Behaviors on Overall Health and Appetite Control: Current Evidence and Perspectives in Children and Adolescents. Curr Obes Rep 2022; 11:10-22. [PMID: 35020189 PMCID: PMC9165266 DOI: 10.1007/s13679-021-00467-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/28/2021] [Indexed: 11/29/2022]
Abstract
PURPOSE OF REVIEW To present the definitions and recommendations for movement behaviors in children and adolescents, including physical activity (PA), sedentary behaviors (SB), and sleep, and to provide an overview regarding their impact on health and obesity outcomes from childhood to adulthood, as well as interactions with appetite control. RECENT FINDINGS PA represents a variable proportion of daily energy expenditure and one can be active with high SB or vice versa. Studies have described movements across the whole day on a continuum from sleep to SB to varying intensities of PA. More PA, less SB (e.g., less screen time) and longer sleep are positively associated with indicators of physical health (e.g., lower BMI, adiposity, cardiometabolic risk) and cognitive development (e.g., motor skills, academic achievement). However, less than 10% of children currently meet recommendations for all three movement behaviors. Movement behaviors, adiposity, and related cardiometabolic diseases in childhood track into adolescence and adulthood. Furthermore, low PA/high SB profiles are associated with increased energy intake. Recent studies investigating energy balance regulation showed that desirable movement behavior profiles are associated with better appetite control and improved eating habits. Early identification of behavioral phenotypes and a comprehensive approach addressing all key behaviors that directly affect energy balance will allow for individual strategies to prevent or treat obesity and its comorbidities. Investigating exercise as a potential "corrector" of impaired appetite control offers a promising weight management approach.
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Affiliation(s)
- Valérie Julian
- Department of Sport Medicine and Functional Explorations, University Teaching Hospital of Clermont-Ferrand, Diet and Musculoskeletal Health Team, Research Center in Human Nutrition, INRA, University of Clermont Auvergne, Clermont-Ferrand, France
- Obesity Research Unit, Paracelsus Medical University, Salzburg, Austria
| | - Ferdinand Haschke
- Department of Pediatrics, Paracelsus Medical University, Salzburg, Austria
| | - Nicole Fearnbach
- Pediatric Energy Balance Laboratory, Clinical Sciences Division, Pennington Biomedical Research Center, Baton Rouge, LA USA
| | - Julian Gomahr
- Obesity Research Unit, Paracelsus Medical University, Salzburg, Austria
- Department of Pediatrics, Paracelsus Medical University, Salzburg, Austria
| | - Thomas Pixner
- Obesity Research Unit, Paracelsus Medical University, Salzburg, Austria
- Department of Pediatrics and Adolescent Medicine, Salzkammergut-Klinikum, Vöcklabruck, Austria
| | - Dieter Furthner
- Obesity Research Unit, Paracelsus Medical University, Salzburg, Austria
- Department of Pediatrics and Adolescent Medicine, Salzkammergut-Klinikum, Vöcklabruck, Austria
| | - Daniel Weghuber
- Obesity Research Unit, Paracelsus Medical University, Salzburg, Austria
- Department of Pediatrics, Paracelsus Medical University, Salzburg, Austria
| | - David Thivel
- Laboratory AME2P, Research Center in Human Nutrition, University of Clermont Auvergne, Aubière, France
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13
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The Differences in Physical Activity Preferences and Practices among High versus Low Active Adolescents in Secondary Schools. SUSTAINABILITY 2022. [DOI: 10.3390/su14020891] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
This study aimed to (a) identify the differences in the preferred, practiced, and organized physical activity (PA) between high and low physically active Czech and Polish boys and girls and to (b) identify which types of PA are likely to be recommended by low active boys and girls. The research was carried out between 2010 and 2019 in the Czech Republic and Poland and included 6619 participants aged 15 to 19 years. The preferences and practices of the different types of PA and participation in organized PA were identified using a PA preference questionnaire and weekly PA was identified using the International Physical Activity Questionnaire-long form. Czech and Polish boys and girls who were low active preferred less physically demanding and more health-oriented PA compared with high active individuals. Power exercises and participation in organized PA are the most significant predictors of achieving at least 3 × 20 min of vigorous PA per week among low active individuals in both countries. Monitoring the trends in the preferred and practiced types of PA among boys and girls is crucial for the effective promotion of PA to low active boys and girls and positive changes in physical education and school health policy.
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14
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Impact of the COVID-19 Pandemic on Sedentary Time and Behaviour in Children and Adults: A Systematic Review and Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182111286. [PMID: 34769800 PMCID: PMC8583678 DOI: 10.3390/ijerph182111286] [Citation(s) in RCA: 84] [Impact Index Per Article: 28.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Revised: 09/20/2021] [Accepted: 09/27/2021] [Indexed: 01/19/2023]
Abstract
The aim of this meta-analysis was to quantify the change in sedentary time during the COVID-19 pandemic and its effect on health outcomes in the general population. One thousand six hundred and one articles published after 2019 were retrieved from five databases, of which 64 and 40 were included in the systematic review and meta-analysis, respectively. Studies were grouped according to population: children (<18 years), adults (18–64 years) and older adults (>65 years). Average sedentary time was calculated, with sub-analyses performed by country, behaviour type and health outcomes. Children were most affected, increasing their sedentary time by 159.5 ± 142.6 min day−1, followed by adults (+126.9 ± 42.2 min day−1) and older adults (+46.9 ± 22.0 min day−1). There were no sex differences in any age group. Screen time was the only consistently measured behaviour and accounted for 46.8% and 57.2% of total sedentary time in children and adults, respectively. Increases in sedentary time were negatively correlated with global mental health, depression, anxiety and quality of life, irrespective of age. Whilst lockdown negatively affected all age groups, children were more negatively affected than adults or older adults, highlighting this population as a key intervention target. As lockdowns ease worldwide, strategies should be employed to reduce time spent sedentary. Trial registration: PROSPERO (CRD42020208909).
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15
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Does Vigorous Physical Activity Contribute to Adolescent Life Satisfaction? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18052236. [PMID: 33668269 PMCID: PMC7956582 DOI: 10.3390/ijerph18052236] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Revised: 01/23/2021] [Accepted: 02/19/2021] [Indexed: 12/14/2022]
Abstract
Background: Physical and mental health are the basis of life satisfaction (LS), even during adolescence. The aim of this study was to identify the associations between LS and types of physical activity (PA) in Czech and Polish boys and girls. Methods: The research involved 933 girls and 663 boys aged 15–19 years. LS was diagnosed using the Bern Subjective Well-Being Questionnaire and the WHO-5 Well-Being Index. The International Physical Activity Questionnaire-long form (IPAQ-LF) questionnaire was used to identify the types of weekly PA. Results: Adolescents with the highest LS had more recreational, moderate, vigorous, and total weekly PA. The strongest associations between LS and PA were in the Czech and Polish boys and girls who participated in vigorous PA (VPA). The recommendations for VPA were fulfilled by 45% of Czech and 46% of Polish boys and 40% of Czech and 50% of Polish girls, with the highest LS. The most significant positive moderator between LS and PA was participation in organized PA. Boys with the highest LS were 1.94 times more likely to meet the weekly recommendation of VPA than boys with the lowest LS. Similarly, girls with the highest LS were 1.77 times more likely to meet these recommendations. Conclusions: Promoting both current subjective well-being and organized PA, with an emphasis on achieving the VPA recommendations, may support general LS and a healthy lifestyle in adolescents.
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Groffik D, Frömel K, Ziemba M, Mitáš J. The Association between Participation in Organized Physical Activity and the Structure of Weekly Physical Activity in Polish Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041408. [PMID: 33546302 PMCID: PMC7913523 DOI: 10.3390/ijerph18041408] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 01/31/2021] [Accepted: 02/01/2021] [Indexed: 12/01/2022]
Abstract
The main aim of the study was to determine the associations of participation in organized physical activity (OPA), and the structure of weekly physical activity (PA) with meeting the PA recommendations among Polish boys and girls. The research was conducted between 2012 and 2019 in the Silesian region of Poland among 3499 secondary school students. To determine the structure of PA (school, transportation, home, recreation, vigorous moderate, and walking), the International Physical Activity Questionnaire-Long Form (IPAQ-LF) questionnaire was used. Adolescents participating in OPA showed significantly more PA (p < 0.001) than non-participating adolescents. The strongest associations were observed between participation in OPA and vigorous PA. The weekly recommendation of vigorous PA was met by 61% of the students with three or more lessons of OPA per week, 29% of students with one or two lessons of OPA per week, and 24% of students not participating in OPA. Therefore, boys and girls with no OPA are at greatest risk of health issues. Schools, sports clubs, and leisure institutions should increase the participation of adolescents in OPA, especially non-participants. Comprehensive school PA programs should especially include those forms of OPA that respect health weaknesses, individual talents for specific types of PA, and preferred types of PA among adolescents.
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Affiliation(s)
- Dorota Groffik
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education, Mikolowska 72A, 40-065 Katowice, Poland; (D.G.); (K.F.); (M.Z.)
| | - Karel Frömel
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education, Mikolowska 72A, 40-065 Katowice, Poland; (D.G.); (K.F.); (M.Z.)
- Faculty of Physical Culture, Palacký University Olomouc, Tr. Miru 117, 77111 Olomouc, Czech Republic
| | - Mateusz Ziemba
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education, Mikolowska 72A, 40-065 Katowice, Poland; (D.G.); (K.F.); (M.Z.)
| | - Josef Mitáš
- Faculty of Physical Culture, Palacký University Olomouc, Tr. Miru 117, 77111 Olomouc, Czech Republic
- Correspondence: ; Tel.: +420-58-563-6745
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Welde B, Morseth B, Handegård BH, Lagestad P. Effect of Sex, Body Mass Index and Physical Activity Level on Peak Oxygen Uptake Among 14-19 Years Old Adolescents. Front Sports Act Living 2020; 2:78. [PMID: 33345069 PMCID: PMC7739671 DOI: 10.3389/fspor.2020.00078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2020] [Accepted: 05/26/2020] [Indexed: 11/25/2022] Open
Abstract
The aim was to describe longitudinal trends in peak oxygen uptake (VO2peak) among 14- to 19-year-old adolescents in Norway, and to examine effects of sex, body mass index (BMI), and physical activity (PA) level on VO2peak during adolescence. Of 124 invited students from two lower secondary schools in Norway, 116 eighth-grade students (61 boys and 55 girls; 14 years old at baseline) volunteered to participate. The study has a longitudinal design with 6 yearly repeated measures of body height and mass, VO2peak and PA level. VO2peak allometrically scaled to body mass raised to the power of 0.67 was measured using a walking or running incremental test on a treadmill, whereas PA level was self-reported. Among 696 possible observations, 555 (79.7%) were valid. Multiple linear regression and linear mixed model analyses were used to examine the associations between age, sex, BMI, PA level and VO2peak. VO2peak showed a non-linear pattern from age 14 to 19, with a distinct increase for boys peaking at age 17, while the results provide a flatter and more stable curve for girls. Sex, BMI and PA level together explained 43–71% of the variance in VO2peak at the different age levels. Sex and PA level contributed independently to explain a significant proportion of the variance in VO2peak at all measurement occasions, while BMI did not. Adjusted sex differences in VO2peak increased over time, from 26.5 ml·kg−0.67·min−1 at age 14 to 55.5 ml·kg−0.67·min−1 at age 19. The independent contribution from PA level to the variance in VO2peak increased from age 14 to 16 and then decreased. While PA level explained 32.5% of the total variance in VO2peak for 16-year-olds, this number was 14% in 19-year-olds. In conclusion, aerobic power showed a non-linear pattern during adolescence, peaking at age 17. Sex and PA level explained a large proportion of the variance in VO2peak, each of them being an independent contributor to VO2peak. Aerobic power is linked to improved health and seems to depend largely on sex and PA level in adolescents, emphasizing the importance of maintaining a sufficient PA level during adolescence.
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Affiliation(s)
- Boye Welde
- Faculty of Health Sciences, School of Sport Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Bente Morseth
- Faculty of Health Sciences, School of Sport Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Bjørn Helge Handegård
- RKBU Nord, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Pål Lagestad
- Department of Physical Education and Sport Science, Faculty of Teacher Education and Art, Nord University, Levanger, Norway
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18
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The longitudinal relationship between dietary intake, physical activity and muscle strength among adolescents. Br J Nutr 2020; 124:1207-1218. [PMID: 32624008 DOI: 10.1017/s0007114520002202] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
The longitudinal relationship between muscle strength, dietary intake and physical activity among adolescents is not well understood. We investigated the trend and longitudinal effects of dietary intakes and physical activity scores on muscle strength in adolescents. This prospective cohort study consisted of 436 adolescents (134 males; 302 females) aged 13 years at baseline (2012) who were followed up at the ages of 15 (2014) and 17 (2016) years, respectively. We measured muscle strength using a calibrated hand dynamometer, estimated dietary intake with a 7-d dietary history and physical activity scores with a validated physical activity questionnaire for older children. A generalised estimating equation was used to examine the effect of dietary intakes and physical activity on muscle strength changes. The analysis was performed separately by sex. The muscle strength for males and females had increased within the 5-year period. The dietary intakes (energy and macronutrients) also increased initially but plateaued after the age of 15 years for both sexes. Females recorded a significant declining trend in physical activity scores compared with males as they grew older. A significant positive longitudinal relationship was found between protein (β = 0·035; P = 0·016), carbohydrate intake (β = 0·002; P = 0·013) and muscle strength among males. However, no longitudinal relationship was found between dietary intake, physical activity and muscle strength among females. Higher protein and carbohydrate intake among males was associated with higher muscle strength but was not observed in females. Nutrition and physical activity focusing on strength building are required in early adolescence and need to be tailored to males and females accordingly.
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Ács P, Betlehem J, Oláh A, Bergier J, Melczer C, Prémusz V, Makai A. Measurement of public health benefits of physical activity: validity and reliability study of the international physical activity questionnaire in Hungary. BMC Public Health 2020; 20:1198. [PMID: 32799846 PMCID: PMC7429907 DOI: 10.1186/s12889-020-08508-9] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Accepted: 03/04/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND To ensure accurate measurement of the health benefits of habitual physical activity in large sample epidemiological studies, physical activity questionnaires (PAQs) are the most feasible methods. Therefore, the purpose of this study was the validation and cultural adaptation to the Hungarian population of the International Physical Activity Questionnaire (IPAQ-HL). METHODS A cross-sectional study among Hungarian healthy adults (age 21.375 ± 1.940 years, n = 120) was performed comparing measures of last 7 days IPAQ-HL self- administered questionnaire and obtained accelerometer (Actigraph GT3X) data for concurrent validity, reassessed by a random subsample (n = 33) to measure reliability. RESULTS Our results indicate acceptable criterion validity for total physical activity, moderate to vigorous physical activity (R = 0.387, p < 0.001; R = 0.331 p < 0.001 respectively) and moderate physical activity (R = 0.193, p = 0.034). The ICC scores revealed moderate to good correlations (ICC = 0.744-0.942, p < 0.001). Moderate Kaiser-Meyer-Olkin measure (0.531, p < 0.001) and good reproducibility for vigorous, moderate to vigorous and moderate activities was found for IPAQ-HL in the studied population. Nevertheless, like analogous self-reports in other languages, it overestimates the time spent on physical activity. CONCLUSIONS IPAQ-HL proved to be a reasonably valid measure for population prevalence epidemiological studies and is suggested for use to develop public health policy recommendations or to optimize public health interventions. However, the results on vigorous activity should be interpreted with caution, the questionnaire showed moderate validity for this particular intensity.
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Affiliation(s)
- Pongrác Ács
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - József Betlehem
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - András Oláh
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | - Józef Bergier
- Pope John Paul II. State School of Higher Education, Biała Podlaska, Poland
| | - Csaba Melczer
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary
| | | | - Alexandra Makai
- Faculty of Health Sciences, University of Pécs, Pécs, Hungary.
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20
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Mueller M, Chimenti R, Merkle S, Frey-Law L. Accelerometry analysis options produce large differences in lifestyle physical activity measurement. Physiol Meas 2020; 41:065006. [PMID: 32434175 DOI: 10.1088/1361-6579/ab94d4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Objective measurement of physical activity (PA) using accelerometers has become increasingly popular across recreational and clinical applications. However, the effects of multiple processing algorithms, filters, and corrections on PA measurement variability may be underappreciated. OBJECTIVE To examine how lifestyle PA estimates are impacted by multiple available scoring methods. APPROACH Wrist-worn accelerometers (ActiGraph GT3X+) were worn by 132 adults (87 F) having various activity levels for one week. Lifestyle PA was assessed across four PA domains: daily energy expenditure (EE); active EE; moderate-to-vigorous PA (MVPA); and steps using 1-5 algorithms per domain, with/without wrist correction and low-frequency-extension (LFE). Estimates were compared to self-report (International Physical Activity Questionnaire). MAIN RESULTS PA estimates differed between algorithms with variable but frequently large effect sizes (d = 0.08-1.88). The wrist correction reduced PA estimates across all domains (p < 0.05, d = 0.26-3.04) except step counts and one daily EE algorithm (d = 0.0). Conversely, the LFE increased step counts (d = 1.44, p < 0.05) but minimally affected all other outcomes (d = 0.08-0.20, p < 0.05). Correlations between objective and self-reported PA were small to moderate (ρ = 0.22-0.45) and decreased with the wrist correction. SIGNIFICANCE Measurement of PA using accelerometry is highly dependent on algorithm and filter selection; previously validated methods are therefore not interchangeable. Users should take caution when interpreting absolute PA estimates, and reporting standards should require detailed methodology disclosure to optimize comparisons across studies.
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Affiliation(s)
- Marissa Mueller
- Department of Physical Therapy & Rehabilitation Science, University of Iowa, Iowa City, IA, United States of America
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21
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Secular Trends in the Achievement of Physical Activity Guidelines: Indicator of Sustainability of Healthy Lifestyle in Czech Adolescents. SUSTAINABILITY 2020. [DOI: 10.3390/su12125183] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
(1) Background: The increasing socio-economic and educational demands on adolescents should be reflected in their lifestyles accordingly. The aim of the study was therefore to identify the trends in the achievement of physical activity (PA) guidelines by Czech adolescents through objective and subjective PA monitoring. (2) Methods: The research was carried out between 2010 and 2017 and involved 49 secondary schools, 2 higher vocational schools, and 8 universities in the Czech Republic. In total, the projects involved 1129 girls and 779 boys. PA monitoring was performed by Yamax SW-700 pedometers and IPAQ-long questionnaires. (3) Results: The results according to the average number of steps/day confirm a decrease in the amount of PA in boys and girls and in the achievement of the recommended 11,000 steps/day. However, the estimates of meeting the recommended weekly PA expressed as MET-min/week based on the IPAQ-long questionnaire are not so convincing about the decrease. (4) Conclusions: The combination of objective monitoring of weekly PA using wearables and subjective estimates of weekly PA using a questionnaire regarding the ease of application, appears to be a sufficient indicator of the status of and trend in PA and thus the sustainability of a healthy lifestyle in youths.
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22
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Frömel K, Groffik D, Mitáš J, Dygrýn J, Valach P, Šafář M. Active Travel of Czech and Polish Adolescents in Relation to Their Well-Being: Support for Physical Activity and Health. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E2001. [PMID: 32197391 PMCID: PMC7143245 DOI: 10.3390/ijerph17062001] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Revised: 03/15/2020] [Accepted: 03/16/2020] [Indexed: 12/28/2022]
Abstract
The adoption of active travel (AT) habits in adolescence, supported by positive emotions, increases the chances of a lifelong positive attitude towards AT. The aim of this study was to assess the associations between active travel and well-being (WB), and to estimate the share of AT in weekly physical activity (PA) and its contribution to meeting the weekly PA recommendations in adolescents. The International Physical Activity Questionnaire-long form and the WHO-5 questionnaire were used to assess the level of AT, weekly PA and well-being of 2805 adolescents from 36 Czech and 39 Polish schools. A higher rate of AT is only significantly associated with higher well-being in girls. However, meeting AT recommendations in combination with higher WB increased the likelihood of meeting the weekly PA recommendations in both girls and boys. AT accounts for 22.5% of weekly PA of Czech (Polish 24.2%) boys. Concerning girls, it accounts for 24.9% of weekly PA in the Czech Republic and 24.5% in Poland. Meeting AT recommendations should be part of comprehensive school-based PA programs. State, school and municipal policies in the Central European region should pay more attention to the improvement of WB and the built environment for AT in secondary school adolescents.
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Affiliation(s)
- Karel Frömel
- Faculty of Physical Culture, Palacký University Olomouc, 77111 Olomouc, Czech Republic; (K.F.); (J.D.); (M.Š.)
- Institute of Sport Science, The Jerzy Kukuczka Academy of Physical Education, 40-065 Katowice, Poland;
| | - Dorota Groffik
- Institute of Sport Science, The Jerzy Kukuczka Academy of Physical Education, 40-065 Katowice, Poland;
| | - Josef Mitáš
- Faculty of Physical Culture, Palacký University Olomouc, 77111 Olomouc, Czech Republic; (K.F.); (J.D.); (M.Š.)
| | - Jan Dygrýn
- Faculty of Physical Culture, Palacký University Olomouc, 77111 Olomouc, Czech Republic; (K.F.); (J.D.); (M.Š.)
| | - Petr Valach
- Faculty of Education, University of West Bohemia, 301 00 Plzeň, Czech Republic;
| | - Michal Šafář
- Faculty of Physical Culture, Palacký University Olomouc, 77111 Olomouc, Czech Republic; (K.F.); (J.D.); (M.Š.)
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Pegon C, Rochette E, Rouel N, Pereira B, Doré E, Isfan F, Grèze V, Merlin E, Kanold J, Duché P. Childhood Leukemia Survivors and Metabolic Response to Exercise: A Pilot Controlled Study. J Clin Med 2020; 9:jcm9020562. [PMID: 32092881 PMCID: PMC7073622 DOI: 10.3390/jcm9020562] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2020] [Revised: 02/07/2020] [Accepted: 02/16/2020] [Indexed: 02/07/2023] Open
Abstract
Background: Leukemia is the most common cancer in pediatrics, with many late effects such as higher risk of dyslipidemia, insulin resistance, obesity, and metabolic syndrome. The objective of this work was to investigate substrate oxidation during submaximal exercise in survivors of childhood acute leukemia. Methods: A total of 20 leukemia survivors and 20 healthy children were matched by sex, age, and Tanner stage. They all took a submaximal incremental exercise test to determine fat and carbohydrate oxidation rates. Results: Cardiorespiratory fitness was significantly lower in leukemia survivors, with lower relative VO2 peaks (p < 0.001), lower heart rate values (p = 0.02), and lower exercise power (p = 0.012), whereas rest metabolism and body mass index did not differ between the two groups. During exercise, upward of heart rate relative to VO2 peak was significantly higher (p < 0.001) in childhood leukemia survivors. We found lower carbohydrate and fat oxidation rates (p = 0.07) in leukemia survivors compared with healthy children, and also a significantly lower relative maximal fat oxidation rate (p = 0.014). Conclusion: Despite impaired physical fitness and metabolic response to exercise, childhood leukemia survivors remained sensitive to physical activity interventions, and could readily adapt to submaximal exercise intensity.
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Affiliation(s)
- Charline Pegon
- CHU Clermont-Ferrand, Pédiatrie, F-63000 Clermont-Ferrand, France; (C.P.); (N.R.); (E.D.); (F.I.); (V.G.); (E.M.); (J.K.)
| | - Emmanuelle Rochette
- CHU Clermont-Ferrand, Pédiatrie, F-63000 Clermont-Ferrand, France; (C.P.); (N.R.); (E.D.); (F.I.); (V.G.); (E.M.); (J.K.)
- Université Clermont Auvergne, INSERM, CIC 1405, Unité CRECHE, F-63000 Clermont-Ferrand, France
- Université de Toulon, Laboratoire IAPS, F-83041 Toulon, France;
- Correspondence: ; Tel.: +33-4-73-75-22-97; Fax: + 33-4-73-75-22-86
| | - Nadège Rouel
- CHU Clermont-Ferrand, Pédiatrie, F-63000 Clermont-Ferrand, France; (C.P.); (N.R.); (E.D.); (F.I.); (V.G.); (E.M.); (J.K.)
- Université Clermont Auvergne, INSERM, CIC 1405, Unité CRECHE, F-63000 Clermont-Ferrand, France
| | - Bruno Pereira
- CHU Clermont-Ferrand, Délégation de la Recherche Clinique et Innovations, F-63000 Clermont-Ferrand, France;
| | - Eric Doré
- CHU Clermont-Ferrand, Pédiatrie, F-63000 Clermont-Ferrand, France; (C.P.); (N.R.); (E.D.); (F.I.); (V.G.); (E.M.); (J.K.)
| | - Florentina Isfan
- CHU Clermont-Ferrand, Pédiatrie, F-63000 Clermont-Ferrand, France; (C.P.); (N.R.); (E.D.); (F.I.); (V.G.); (E.M.); (J.K.)
| | - Victoria Grèze
- CHU Clermont-Ferrand, Pédiatrie, F-63000 Clermont-Ferrand, France; (C.P.); (N.R.); (E.D.); (F.I.); (V.G.); (E.M.); (J.K.)
- Université Clermont Auvergne, INSERM, CIC 1405, Unité CRECHE, F-63000 Clermont-Ferrand, France
| | - Etienne Merlin
- CHU Clermont-Ferrand, Pédiatrie, F-63000 Clermont-Ferrand, France; (C.P.); (N.R.); (E.D.); (F.I.); (V.G.); (E.M.); (J.K.)
- Université Clermont Auvergne, INSERM, CIC 1405, Unité CRECHE, F-63000 Clermont-Ferrand, France
- Université Clermont Auvergne, INRA, UMR 1019 UNH, ECREIN, F-63000 Clermont-Ferrand, France
| | - Justyna Kanold
- CHU Clermont-Ferrand, Pédiatrie, F-63000 Clermont-Ferrand, France; (C.P.); (N.R.); (E.D.); (F.I.); (V.G.); (E.M.); (J.K.)
- Université Clermont Auvergne, INSERM, CIC 1405, Unité CRECHE, F-63000 Clermont-Ferrand, France
| | - Pascale Duché
- Université de Toulon, Laboratoire IAPS, F-83041 Toulon, France;
- Université Clermont Auvergne, Laboratoire des Adaptations Métaboliques en conditions Physiologiques et Physiopathologiques (AME2P), EA 3533, F-63000 Clermont-Ferrand, France
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Papalia H, Rochette E, Pereira B, Merlin E, Kanold J, Duché P. Metabolic response to exercise in childhood brain tumor survivors: A pilot controlled study. Pediatr Blood Cancer 2020; 67:e28053. [PMID: 31625676 DOI: 10.1002/pbc.28053] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Revised: 09/16/2019] [Accepted: 10/05/2019] [Indexed: 12/28/2022]
Abstract
BACKGROUND/OBJECTIVES Survival rates in children diagnosed with malignant brain tumors exceed 70%. A higher risk of dyslipidemia, central obesity, and insulin resistance has been reported among these children. We investigated substrate utilization during submaximal exercise. DESIGN/METHODS Ten brain tumor survivors and 10 healthy children were matched by sex, age, and Tanner stage. Participants completed a submaximal incremental exercise test to determine their fat and carbohydrate oxidation rates. RESULTS The relative oxygen volume (VO2 ) peak was significantly higher in the control group than in the survivors of childhood brain tumors (43.3 ± 11.9 and 32.4 ± 10.2 mL/kg /min, P = .04). At the same relative exercise intensity, there was no difference in the carbohydrate or lipid oxidation rate between the two groups, or in the maximal fat oxidation (MFO) rate, or in the heart rate or percentage of VO2 peak to reach MFO. Healthy children achieved MFO at significantly higher muscular power than did brain tumor survivors (47.9 ± 20.8 and 21.8 ± 9.6 W, P = .003). CONCLUSION Because child brain tumor survivors are less physically fit than healthy children, and substrate utilization during submaximal exercise is not different, physical activity should be promoted for child brain tumor survivors.
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Affiliation(s)
- Honoré Papalia
- Pédiatrie, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Emmanuelle Rochette
- Pédiatrie, CHU Clermont-Ferrand, Clermont-Ferrand, France.,Unité CRECHE, Université Clermont Auvergne, INSERM, CIC 1405, Clermont-Ferrand, France.,Laboratoire IAPS, Université de Toulon, Toulon, France
| | - Bruno Pereira
- Délégation de la Recherche Clinique et Innovations, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | - Etienne Merlin
- Pédiatrie, CHU Clermont-Ferrand, Clermont-Ferrand, France.,Unité CRECHE, Université Clermont Auvergne, INSERM, CIC 1405, Clermont-Ferrand, France.,Université Clermont Auvergne, INRA, UMR 1019 UNH, ECREIN, Clermont-Ferrand, France
| | - Justyna Kanold
- Pédiatrie, CHU Clermont-Ferrand, Clermont-Ferrand, France.,Unité CRECHE, Université Clermont Auvergne, INSERM, CIC 1405, Clermont-Ferrand, France
| | - Pascale Duché
- Laboratoire IAPS, Université de Toulon, Toulon, France.,Laboratoire des Adaptations Métaboliques en conditions Physiologiques et Physiopathologiques (AME2P), Université Clermont Auvergne, Clermont-Ferrand, France
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25
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Beneficial Effects of Regular Physical Activity on Exercise-Induced Analgesia in Adolescent Males. Pediatr Exerc Sci 2019; 31:425-431. [PMID: 31043128 DOI: 10.1123/pes.2018-0089] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2018] [Revised: 01/21/2019] [Accepted: 02/03/2019] [Indexed: 11/18/2022]
Abstract
PURPOSE To evaluate exercise-induced analgesia (EIA) effectiveness in healthy adolescent males and to investigate possible associations between EIA and physiological/psychological variables. METHODS Twenty-eight healthy adolescent males (14-17 y) participated in this study. EIA was evaluated by comparing perceptions of heat pain stimulations before and after an increasing maximal load test on a cycle ergometer (VO2max). RESULTS Pain intensity for mild and strong heat pain stimulations significantly decreased following physical exercise (mild: EIA = 28.6%; 95% confidence interval, 0.9-1.9; P < .001 and strong: EIA = 11.3%; 95% confidence interval, 0.3-1.4; P = .002). The number of physical activity hours per week was positively correlated with the effectiveness of EIA for mild and strong pain intensity (r = .41, P = .03 and r = .43, P = .02, respectively). CONCLUSIONS Intense physical exercise decreases perception of intensity of experimental heat pain in healthy adolescent males. The least physically active adolescents have reduced EIA effectiveness to experimental heat pain stimulations compared with physically active ones. Adolescents adopting an active lifestyle have more endogenous pain inhibition and could, therefore, potentially be less disposed to suffer from chronic pain later in life.
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26
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Hidding LM, Chinapaw MJM, van Poppel MNM, Mokkink LB, Altenburg TM. An Updated Systematic Review of Childhood Physical Activity Questionnaires. Sports Med 2019; 48:2797-2842. [PMID: 30298479 PMCID: PMC6244567 DOI: 10.1007/s40279-018-0987-0] [Citation(s) in RCA: 77] [Impact Index Per Article: 15.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Background and Objective This review is an update of a previous review published in 2010, and aims to summarize the available studies on the measurement properties of physical activity questionnaires for young people under the age of 18 years. Methods Systematic literature searches were carried out using the online PubMed, EMBASE, and SPORTDiscus databases up to 2018. Articles had to evaluate at least one of the measurement properties of a questionnaire measuring at least the duration or frequency of children’s physical activity, and be published in the English language. The standardized COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist was used for the quality assessment of the studies. Results This review yielded 87 articles on 89 different questionnaires. Within the 87 articles, 162 studies were conducted: 103 studies assessed construct validity, 50 assessed test–retest reliability, and nine assessed measurement error. Of these studies, 38% were of poor methodological quality and 49% of fair methodological quality. A questionnaire with acceptable validity was found only for adolescents, i.e., the Greek version of the 3-Day Physical Activity Record. Questionnaires with acceptable test–retest reliability were found in all age categories, i.e., preschoolers, children, and adolescents. Conclusion Unfortunately, no questionnaires were identified with conclusive evidence for both acceptable validity and reliability, partly due to the low methodological quality of the studies. This evidence is urgently needed, as current research and practice are using physical activity questionnaires of unknown validity and reliability. Therefore, recommendations for high-quality studies on measurement properties of physical activity questionnaires were formulated in the discussion. PROSPERO Registration Number CRD42016038695. Electronic supplementary material The online version of this article (10.1007/s40279-018-0987-0) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Lisan M Hidding
- Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
| | - Mai J M Chinapaw
- Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands
| | - Mireille N M van Poppel
- Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands
- Institute of Sport Science, University of Graz, Mozartgasse 14, 8010, Graz, Austria
| | - Lidwine B Mokkink
- Department of Epidemiology and Biostatistics, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands
| | - Teatske M Altenburg
- Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands
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Waller R, Smith A, Slater H, O’Sullivan P, Beales D, McVeigh J, Straker L. Associations of physical activity or sedentary behaviour with pain sensitivity in young adults of the Raine Study. Scand J Pain 2019; 19:679-691. [DOI: 10.1515/sjpain-2019-0038] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Accepted: 05/02/2019] [Indexed: 02/02/2023]
Abstract
Abstract
Background and aims
There is high level evidence for physical activity (PA) improving outcomes in persistent pain disorders and one of the mechanisms proposed is the effect of exercise on central nociceptive modulation. Although laboratory studies and small field intervention studies suggest associations between physical activity and pain sensitivity, the association of objectively measured, habitual PA and sedentary behaviour (SB) with pain sensitivity requires further investigation. Current evidence suggests PA typically lowers pain sensitivity in people without pain or with single-site pain, whereas PA is frequently associated with an increase in pain sensitivity for those with multisite pain. The aim of this study was to explore the relationships of PA and SB with pain sensitivity measured by pressure pain thresholds and cold pain thresholds, considering the presence of single-site and multisite pain and controlling for potential confounders.
Methods
Participants from the Western Australian Pregnancy Cohort (Raine) Study (n = 714) provided data at age 22-years. PA and SB were measured via accelerometry over a 7-day period. Pain sensitivity was measured using pressure pain threshold (4 sites) and cold pain threshold (wrist). Participants were grouped by number of pain areas into “No pain areas” (n = 438), “Single-site pain” (n = 113) and “Multisite pain” (n = 163) groups. The association of PA and SB variables with pain sensitivity was tested separately within each pain group by multivariable regression, adjusting for potential confounders.
Results
For those with “Single-site pain”, higher levels (>13 min/day) of moderate-vigorous PA in ≥10 min bouts was associated with more pressure pain sensitivity (p = 0.035). Those with “Multisite pain” displayed increased cold pain sensitivity with greater amounts of vigorous PA (p = 0.011). Those with “No pain areas” displayed increased cold pain sensitivity with decreasing breaks from sedentary time (p = 0.046).
Conclusions
This study was a comprehensive investigation of a community-based sample of young adults with “No pain areas”, “Single-site pain” and “Multisite pain” and suggests some associations of measures of PA and SB with pain sensitivity.
Implications
The findings suggest that the pattern of accumulation of PA and SB may be important to inform improved clinical management of musculoskeletal pain disorders. This study provides a baseline for follow-up studies using the Raine Study cohort. Future research should consider temporal influences of PA and SB on pain sensitivity, pain experience and consider using a broader range of pain sensitivity measures.
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Affiliation(s)
- Robert Waller
- School of Physiotherapy and Exercise Science , Curtin University , GPO Box 1987 , Perth , Western Australia 6845, Australia
| | - Anne Smith
- School of Physiotherapy and Exercise Science , Curtin University , Perth, Western Australia , Australia
| | - Helen Slater
- School of Physiotherapy and Exercise Science , Curtin University , Perth, Western Australia , Australia
| | - Peter O’Sullivan
- School of Physiotherapy and Exercise Science , Curtin University , Perth, Western Australia , Australia
| | - Darren Beales
- School of Physiotherapy and Exercise Science , Curtin University , Perth, Western Australia , Australia
| | - Joanne McVeigh
- School of Occupational Therapy, Social Work and Speech Pathology, Curtin University , Perth, Western Australia , Australia
- Exercise Laboratory, School of Physiology, University of Witwatersrand , Johannesburg , South Africa
| | - Leon Straker
- School of Physiotherapy and Exercise Science , Curtin University , Perth, Western Australia , Australia
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Rochette E, Bourdier P, Pereira B, Echaubard S, Borderon C, Caron N, Chausset A, Courteix D, Fel S, Kanold J, Paysal J, Ratel S, Rouel N, Sarret C, Terral D, Usclade A, Merlin E, Duché P. Impaired Muscular Fat Metabolism in Juvenile Idiopathic Arthritis in Inactive Disease. Front Physiol 2019; 10:528. [PMID: 31118902 PMCID: PMC6506786 DOI: 10.3389/fphys.2019.00528] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2018] [Accepted: 04/12/2019] [Indexed: 12/03/2022] Open
Abstract
Objectives: The objective of this study was to evaluate muscular metabolic function in children with inactive juvenile idiopathic arthritis (JIA). Methods: Fifteen children with inactive JIA and fifteen healthy controls were matched by sex, biological age, and Tanner stage. Participants completed a submaximal incremental exercise test to determine their fat and carbohydrate oxidation rates. Results: Between the two groups, heart rate values and carbohydrate oxidation rates were the same, regardless of the relative intensity of exercise. Lipid oxidation rates were lower in JIA patients, regardless of the percentage of VO2 peak (p < 0.05). Respiratory exchange ratios beyond 50% of VO2 peak were higher in patients with JIA (p < 0.05). Respective maximal fat oxidation rates (MFO) for controls and children with JIA were 218.7 ± 92.2 vs. 157.5 ± 65.9 mg ⋅ min-1 (p = 0.03) and 4.9 ± 1.9 vs. 3.4 ± 1.2 mg ⋅ min-1 ⋅ kg-1 (p = 0.04). There was no difference between the two groups in heart rate, percentage of VO2 peak, or power of exercise to achieve MFO. Controls reached their MFO at an exercise power significantly higher than did JIA subjects (42.8 ± 16.8 and 31.9 ± 9.8 W, p = 0.004). Conclusion: Children with JIA show metabolic disturbance during exercise, even when the disease is considered inactive. This disturbance is seen in a lower lipid oxidation rate during submaximal exercise.
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Affiliation(s)
- Emmanuelle Rochette
- Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France.,CIC 1405, Unité CRECHE, INSERM, Université Clermont Auvergne, Clermont-Ferrand, France.,Laboratoire des Adaptations Métaboliques en Conditions Physiologiques et Physiopathologiques, Université Clermont Auvergne, Clermont-Ferrand, France.,Centre de Recherche en Nutrition Humaine d'Auvergne, Clermont-Ferrand, France
| | - Pierre Bourdier
- Laboratoire des Adaptations Métaboliques en Conditions Physiologiques et Physiopathologiques, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Bruno Pereira
- Délégation à la Recherche Clinique et à l'Innovation, Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France
| | - Stéphane Echaubard
- Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France.,CIC 1405, Unité CRECHE, INSERM, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Corinne Borderon
- Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France
| | - Nicolas Caron
- Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France
| | - Aurélie Chausset
- Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France.,CIC 1405, Unité CRECHE, INSERM, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Daniel Courteix
- Laboratoire des Adaptations Métaboliques en Conditions Physiologiques et Physiopathologiques, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Solenne Fel
- Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France
| | - Justyna Kanold
- Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France.,CIC 1405, Unité CRECHE, INSERM, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Justine Paysal
- Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France
| | - Sébastien Ratel
- Laboratoire des Adaptations Métaboliques en Conditions Physiologiques et Physiopathologiques, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Nadège Rouel
- Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France.,CIC 1405, Unité CRECHE, INSERM, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Catherine Sarret
- Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France.,CIC 1405, Unité CRECHE, INSERM, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Daniel Terral
- Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France
| | - Alexandra Usclade
- Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France.,CIC 1405, Unité CRECHE, INSERM, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Etienne Merlin
- Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France.,CIC 1405, Unité CRECHE, INSERM, Université Clermont Auvergne, Clermont-Ferrand, France.,INRA, UMR 1019 UNH, ECREIN, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Pascale Duché
- Laboratoire des Adaptations Métaboliques en Conditions Physiologiques et Physiopathologiques, Université Clermont Auvergne, Clermont-Ferrand, France.,Centre de Recherche en Nutrition Humaine d'Auvergne, Clermont-Ferrand, France.,Laboratoire Impact de l'Activité Physique sur la Santé, Université de Toulon, Toulon, France
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Melo MCA, Garcia RF, de Araújo CFC, Rangel DM, de Bruin PFC, de Bruin VMS. Physical activity as prognostic factor for bipolar disorder: An 18-month prospective study. J Affect Disord 2019; 251:100-106. [PMID: 30921592 DOI: 10.1016/j.jad.2019.03.061] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2018] [Revised: 03/17/2019] [Accepted: 03/19/2019] [Indexed: 02/05/2023]
Abstract
INTRODUCTION Exercise is an adjuvant therapy indicated for various psychiatric disorders. However, prospective studies in patients with bipolar disorder (BD) are scarce and with uncertain conclusions. This study aims to evaluate physical activity as a prognostic factor for BD, analyzing relationship with levels of anxiety, functionality, sleep, mood episodes and hospitalizations. METHODS Three psychiatrists interviewed 80 BD outpatients in euthymia, referred from four different institutions in Brazil. In this moment, they evaluated the intensity of physical activities using the International Physical Activity Questionnaire (IPAQ) - short form. They reevaluated patients and reviewed medical records monthly for 18 months to identify mood episodes and psychiatric hospitalizations. RESULTS Thirty-eight patients (47.5%) were physically inactive (or sedentary) and 42 (52.5%) active. Physically active patients had lower Body Mass Index (p = 0.006), waist circumference (p = 0.002), lower levels of anxiety (p = 0.032) and less insomnia (p = 0.001). Sedentary individuals revealed poorer global functioning (p < 0.001) and in all domains: autonomy (p < 0.001), occupational functioning (p = 0.008), cognitive functioning (p = 0.013), capacity of managing the finances (p = 0.012), interpersonal relationships (p = 0.011) and leisure time (p = 0.001). Less activity was associated with more mood episodes (p = 0.042) and psychiatric hospitalizations (p = 0.043) over 18 months. CONCLUSION This study suggested physical activity as a good prognostic factor for BD during euthymia. This reinforces the need to encourage this practice in clinical settings. Future prospective surveys with longer duration using objective instruments are proposed.
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Affiliation(s)
- Matias Carvalho Aguiar Melo
- Department of Medical Sciences, Universidade Federal do Ceará, Brazil; Hospital de Saúde Mental Professor Frota Pinto, Brazil; Universidade de Fortaleza, Brazil.
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Nelson MC, Taylor K, Vella CA. Comparison of Self-Reported and Objectively Measured Sedentary Behavior and Physical Activity in Undergraduate Students. MEASUREMENT IN PHYSICAL EDUCATION AND EXERCISE SCIENCE 2019; 23:237-248. [PMID: 31903020 PMCID: PMC6941744 DOI: 10.1080/1091367x.2019.1610765] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
OBJECTIVE To investigate differences between estimates of sedentary behavior and physical activity (PA) from the International Physical Activity Questionnaire (IPAQ) and accelerometry in undergraduate students. PARTICIPANTS 91 students participated in the study. METHODS Sedentary behavior and PA were objectively measured by an accelerometer for 7 days and then self-reported with the IPAQ. Partial correlations were used to assess associations among PA variables and participant characteristics between the methods. Agreement was assessed via the Bland-Altman method. RESULTS Correlation coefficients between self-reported and objectively measured PA ranged from 0.21 to 0.38 (p≤0.05 for all). A higher proportion of students were classified as meeting PA guidelines via self-report compared to objective measurements. Bland-Altman plots revealed acceptable agreement between methods, however, bias was evident for all PA intensities. Sex and lean body mass impacted these differences. CONCLUSIONS Researchers should exercise caution when interpreting PA assessed via the IPAQ in undergraduate students.
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Affiliation(s)
- Megan C. Nelson
- University of Idaho, Department of Movement Sciences, Exercise Physiology Research Laboratory, Moscow, ID
| | - Katie Taylor
- University of Idaho, Department of Movement Sciences, Exercise Physiology Research Laboratory, Moscow, ID
- Eastern Washington University, Department of Physical Education, Health and Recreation, Cheney, WA
| | - Chantal A. Vella
- University of Idaho, Department of Movement Sciences, Exercise Physiology Research Laboratory, Moscow, ID
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Lang C, Brand S, Colledge F, Ludyga S, Pühse U, Gerber M. Adolescents' personal beliefs about sufficient physical activity are more closely related to sleep and psychological functioning than self-reported physical activity: A prospective study. JOURNAL OF SPORT AND HEALTH SCIENCE 2019; 8:280-288. [PMID: 31193298 PMCID: PMC6523817 DOI: 10.1016/j.jshs.2018.03.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/08/2017] [Revised: 11/15/2017] [Accepted: 01/22/2018] [Indexed: 05/31/2023]
Abstract
BACKGROUND Preliminary evidence among adults suggests that the ways in which individuals think about their physical activity (PA) behavior is more closely associated with their well-being than self-reported PA. This study therefore aimed to examine whether and how self-reported PA and personal beliefs about sufficient PA are associated with sleep and psychological functioning in a sample of Swiss adolescents, using both cross-sectional and prospective data. METHODS An overall sample of 864 vocational students (368 girls, 17.98 ± 1.36 years, mean ± SD) was followed prospectively over a 10-month period. At each measurement occasion, participants filled in a series of self-report questionnaires to assess their PA levels, their personal beliefs about whether or not they engage in sufficient PA, sleep (insomnia symptoms, sleep quality, sleep-onset latency, and number of awakenings), and psychological functioning (depressive symptoms, quality of life, perceived stress, and mental toughness). RESULTS Adolescents who believe that they are sufficiently physically active to maintain good health reported more restoring sleep. No differences in sleep were found between adolescents who meet PA recommendations vs. those who do not. Additionally, adolescents who believe that they were sufficiently physically active also reported better psychological functioning. This close relationship between adolescents' beliefs about their PA involvement and their sleep and psychological functioning was corroborated in the prospective analyses. CONCLUSION Cognitive factors should be studied more intensively when elucidating the relationship among PA, sleep, and psychological functioning in young people, particularly when aiming to develop new exercise interventions targeting psychological outcomes.
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Affiliation(s)
- Christin Lang
- School of Psychology, Flinders University, Adelaide, SA 5001, Australia
- Department of Sport, Exercise and Health, University of Basel, Basel 4052, Switzerland
| | - Serge Brand
- Department of Sport, Exercise and Health, University of Basel, Basel 4052, Switzerland
- Psychiatric Clinics (UPK), Center for Affective, Stress and Sleep Disorders (ZASS), University of Basel, Basel 4012, Switzerland
| | - Flora Colledge
- Department of Sport, Exercise and Health, University of Basel, Basel 4052, Switzerland
| | - Sebastian Ludyga
- Department of Sport, Exercise and Health, University of Basel, Basel 4052, Switzerland
| | - Uwe Pühse
- Department of Sport, Exercise and Health, University of Basel, Basel 4052, Switzerland
| | - Markus Gerber
- Department of Sport, Exercise and Health, University of Basel, Basel 4052, Switzerland
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Choi SM, Sum RKW, Leung EFL, Ng RSK. Relationship between perceived physical literacy and physical activity levels among Hong Kong adolescents. PLoS One 2018; 13:e0203105. [PMID: 30148876 PMCID: PMC6110504 DOI: 10.1371/journal.pone.0203105] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2017] [Accepted: 08/15/2018] [Indexed: 11/23/2022] Open
Abstract
This study explores the relationship between the perceived physical literacy (PL) and physical activity (PA) levels of Hong Kong adolescents by using a cross-sectional study design. A total of 1,945 adolescents aged between 12 and 18, (1,028 male and 917 female) with a mean age of 14.98 (±1.65 years), took part in this study. A Perceived Physical Literacy Instrument (PPLI) and an International Physical Activity Questionnaire for Adolescents (IPAQ-A) were distributed to the participants within the first 15 minutes of PE lessons at their schools. The correlation between perceived PL and PA levels was low but significant (r = 0.227, p < 0.01), as was the correlation between the attributes of PL and PA intensity and the domains of PA (r = 0.067–0.292, p < 0.01). A significant linear equation was computed (F (3, 1941) = 35.679, p < 0.01), with an R2 of 0.052. The metabolic equivalent (MET) minutes representing participants’ predicted PA levels were –5490 + 366.1 (sense of self and self-confidence) + 221.866 (self-expression and communication with others) + 287.748 (knowledge and understanding). Looking at individual factors, the correlation between perceived PL and PA levels showed no significant difference across gender (r male = 0.234; r female = 0.198) but showed a significant difference across grade level (r junior = 0.302; r senior = 0.197), school bands (r band 1 = 0.31; r band 2 = 0.263; r band 3 = 0.191) and socio-economic status (SES) (rlow = 0.225; rmedium = 0.35; rhigh = 0.191). The relationship between perceived PL and PA levels was significantly low but was closely related to the recreational PA, including individual factors such as gender, grade levels, school band and SES. Future studies could focus on school-based PA intervention programmes for perceived PL and the relationship between perceived PL and objective PA levels.
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Affiliation(s)
- Siu Ming Choi
- Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Shatin, NT, Hong Kong SAR, China
| | - Raymond Kim Wai Sum
- Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Shatin, NT, Hong Kong SAR, China
- * E-mail:
| | - Elean Fung Lin Leung
- Physical Education Unit, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China
| | - Robert Siu Kuen Ng
- Physical Education Unit, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China
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Hukkanen H, Husu P, Sievänen H, Tokola K, Vähä-Ypyä H, Valkeinen H, Mäki-Opas T, Suni JH, Vasankari T. Aerobic physical activity assessed with accelerometer, diary, questionnaire, and interview in a Finnish population sample. Scand J Med Sci Sports 2018; 28:2196-2206. [PMID: 29923623 DOI: 10.1111/sms.13244] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/12/2018] [Indexed: 10/28/2022]
Abstract
This study evaluates the agreement between different methods to assess moderate to vigorous physical activity (MVPA) in a large sample of Finnish adults. Methods were classified and examined pairwise (accelerometer vs diary; questionnaire vs interview). Proportion of participants meeting the aerobic health-enhancing physical activity (HEPA) recommendation was compared pairwise between all four methods. The present study of 1916 adults aged 18-75 years (mean age 50 years, 57% women) is a sub-sample of population-based Health 2011 Study conducted by the National Institute of Health and Welfare in Finland. Participants used accelerometer for 7 days and completed physical activity (PA) diary during the same period. PA questionnaire and interview were completed retrospectively to assess typical weekly PA over the past year. Agreement between the methods was analyzed with paired samples t-test and Bland-Altman plot. Kappa-test was used to compare the prevalence of meeting the HEPA recommendation. The accelerometer resulted in 13 minutes (P < 0.001) higher weekly total amount of MVPA compared to diary. According to Bland-Altman plot, the 95% limit of agreement was from +273 to -247 in weekly minutes. The comparison between questionnaire and interview showed non-significant mean difference of 3 minutes (P = 0.60) in weekly MVPA, but the Bland-Altman plot showing the 95% limit of agreement from +432 to -427 in weekly minutes. Agreement of meeting HEPA recommendation was moderate between questionnaire and interview (κ = 0.43) but poor (κ = 0.20-0.38) between other comparisons. The inter-method differences were large especially at the individual level. Thus the assessment of PA is strongly method-dependent and not interchangeable.
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Affiliation(s)
- Henna Hukkanen
- The UKK Institute for Health Promotion Research, Tampere, Finland
| | - Pauliina Husu
- The UKK Institute for Health Promotion Research, Tampere, Finland
| | - Harri Sievänen
- The UKK Institute for Health Promotion Research, Tampere, Finland
| | - Kari Tokola
- The UKK Institute for Health Promotion Research, Tampere, Finland
| | - Henri Vähä-Ypyä
- The UKK Institute for Health Promotion Research, Tampere, Finland
| | - Heli Valkeinen
- The National Institute for Health and Welfare (THL), Helsinki, Finland
| | - Tomi Mäki-Opas
- The National Institute for Health and Welfare (THL), Helsinki, Finland.,University of Eastern Finland, Kuopio, Finland
| | - Jaana H Suni
- The UKK Institute for Health Promotion Research, Tampere, Finland
| | - Tommi Vasankari
- The UKK Institute for Health Promotion Research, Tampere, Finland
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Mannocci A, Masala D, Mei D, Tribuzio AM, Villari P, LA Torre G. International Physical Activity Questionnaire for Adolescents (IPAQ A): reliability of an Italian version. Minerva Pediatr (Torino) 2018; 73:383-390. [PMID: 29381006 DOI: 10.23736/s2724-5276.16.04727-7] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Recently a new version of International Physical Activity Questionnaire was performed for adolescent (IPAQ-A), but there is no Italian version yet. The aim of the study is to examine the test-retest reliability of an Italian version of short IPAQ-A. METHODS A sample of 10- to 18-year-old children and adolescents was considered. The IPAQ questionnaires were administered twice, the second time two days after the first administration. Test-retest reliability and internal reliability of the questionnaire were determined using ICC and Cronbach's α, respectively. RESULTS Two hundred and seventy-seven questionnaires were collected. The response rate was 97% but 57% of the sample completed all the items in the questionnaire. Forty-three percent of the students have not completed all the items and its age distribution shown that 93.5% was in 10-13 years old. Overall internal reliability (Cronbach's α=0.84) and test-retest reliability for 16 out of 23 items (ICC>0.70) were high. CONCLUSIONS The study presents missing and unreasonably values. However, the study underlines pros and cons of the IPAQ-A: high reliability and feasibility to measure the physical activity especially in adolescent aged 14-18 years; the IPAQ-A needs of attention and it hasn't to leave it to the self-compilation but give support especially in the youngers.
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Affiliation(s)
- Alice Mannocci
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy - .,Faculty of Economics, Universitas Mercatorum, Rome, Italy -
| | - Daniele Masala
- Department of Medical and Surgical Sciences, University of Magna Graecia, Catanzaro, Italy
| | - Daniela Mei
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
| | - Anna M Tribuzio
- Free contributor of the L.A.P.A.SS., University of Cassino and Southern Lazio, Cassino, Frosinone, Italy
| | - Paolo Villari
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
| | - Giuseppe LA Torre
- Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy
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González-Gil EM, Cadenas-Sanchez C, Santabárbara J, Bueno-Lozano G, Iglesia I, González-Gross M, Molnar D, Gottrand F, De Henauw S, Kafatos A, Widhalm K, Manios Y, Siani A, Amaro-Gahete F, Rupérez AI, Cañada D, Censi L, Kersting M, Dallongeville J, Marcos A, Ortega FB, Moreno LA. Inflammation in metabolically healthy and metabolically abnormal adolescents: The HELENA study. Nutr Metab Cardiovasc Dis 2018; 28:77-83. [PMID: 29174028 DOI: 10.1016/j.numecd.2017.10.004] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Revised: 09/21/2017] [Accepted: 10/04/2017] [Indexed: 01/11/2023]
Abstract
BACKGROUND AND AIMS Inflammation may influence the cardio-metabolic profile which relates with the risk of chronic diseases. This study aimed to assess the inflammatory status by metabolic health (MH)/body mass index (BMI) category and to assess how inflammatory markers can predict the cardio-metabolic profile in European adolescents, considering BMI. METHODS AND RESULTS A total of 659 adolescents (295 boys) from a cross-sectional European study were included. Adolescents were classified by metabolic health based on age- and sex-specific cut-off points for glucose, blood pressure, triglycerides, high density cholesterol and BMI. C-reactive protein (CRP), tumor necrosis factor alpha (TNF-α), interleukin (IL-6), complement factors (C3, C4) and cell adhesion molecules were assessed. RESULTS Metabolically abnormal (MA) adolescents had higher values of C3 (p < 0.001) and C4 (p = 0.032) compared to those metabolically healthy (MHy). C3 concentrations significantly increased with the deterioration of the metabolic health and BMI (p < 0.001). Adolescents with higher values of CRP had higher probability of being in the overweight/obese-MH group than those allocated in other categories. Finally, high C3 and C4 concentrations increased the probability of having an unfavorable metabolic/BMI status. CONCLUSIONS Metabolic/BMI status and inflammatory biomarkers are associated, being the CRP, C3 and C4 the most related inflammatory markers with this condition. C3 and C4 were associated with the cardio-metabolic health consistently.
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Affiliation(s)
- E M González-Gil
- GENUD "Growth, Exercise, NUtrition and Development" Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Spain; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain.
| | - C Cadenas-Sanchez
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Spain
| | - J Santabárbara
- Department of Preventive Medicine and Public Health, University of Zaragoza, Zaragoza, Spain
| | - G Bueno-Lozano
- Service of Pediatrics, Hospital Clínico Universitario "Lozano Blesa", Zaragoza, Spain
| | - I Iglesia
- GENUD "Growth, Exercise, NUtrition and Development" Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Spain; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Spain; Red de Salud materno-infantil y del desarrollo (SAMID), Spain
| | - M González-Gross
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain; ImFine Research Group, Facultad de Ciencias de la Actividad Física y del Deporte-INEF, Universidad Politécnica de Madrid, Madrid, Spain
| | - D Molnar
- Department of Pediatrics, University of Pecs, Pecs, Hungary
| | - F Gottrand
- Univ Lille 2, INSERM U995, CHU-Lille, France
| | - S De Henauw
- Department of Public Health, Ghent University, Ghent, Belgium
| | - A Kafatos
- Preventive Medicine and Nutrition Unit, School of Medicine, University of Crete, Crete, Greece
| | - K Widhalm
- Department of Pediatrics, Division of Clinical Nutrition, Medical University of Vienna, Vienna, Austria
| | - Y Manios
- Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
| | - A Siani
- Unit of Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council, Avellino, Italy
| | - F Amaro-Gahete
- Department of Medical Physiology, School of Medicine, University of Granada, Granada, Spain
| | - A I Rupérez
- GENUD "Growth, Exercise, NUtrition and Development" Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Spain
| | - D Cañada
- ImFine Research Group, Facultad de Ciencias de la Actividad Física y del Deporte-INEF, Universidad Politécnica de Madrid, Madrid, Spain
| | - L Censi
- CREA (Council for Agricultural Research and Economics) - Research Center for Food and Nutrition, Rome, Italy
| | - M Kersting
- Research Institute of Child Nutrition, Rheinische Friedrich-Wilhelms-University Bonn, Dortmund, Germany
| | | | - A Marcos
- Immunonutrition Group, Institute of Food Science, Technology and Nutrition (ICTAN), Spanish National Research Council (CSIC), Madrid, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain
| | - F B Ortega
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Spain; Department of Biosciences and Nutrition, Karolinska Institutet, Sweden
| | - L A Moreno
- GENUD "Growth, Exercise, NUtrition and Development" Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Spain; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain
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Differences in cardiovascular fitness of Italian high-school adolescents according to different physical activity levels assessed by IPAQ-A: a cross-sectional study. SPORT SCIENCES FOR HEALTH 2017. [DOI: 10.1007/s11332-016-0326-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Poitras VJ, Gray CE, Borghese MM, Carson V, Chaput JP, Janssen I, Katzmarzyk PT, Pate RR, Connor Gorber S, Kho ME, Sampson M, Tremblay MS. Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth. Appl Physiol Nutr Metab 2017; 41:S197-239. [PMID: 27306431 DOI: 10.1139/apnm-2015-0663] [Citation(s) in RCA: 1071] [Impact Index Per Article: 153.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Moderate-to-vigorous physical activity (MVPA) is essential for disease prevention and health promotion. Emerging evidence suggests other intensities of physical activity (PA), including light-intensity activity (LPA), may also be important, but there has been no rigorous evaluation of the evidence. The purpose of this systematic review was to examine the relationships between objectively measured PA (total and all intensities) and health indicators in school-aged children and youth. Online databases were searched for peer-reviewed studies that met the a priori inclusion criteria: population (apparently healthy, aged 5-17 years), intervention/exposure/comparator (volumes, durations, frequencies, intensities, and patterns of objectively measured PA), and outcome (body composition, cardiometabolic biomarkers, physical fitness, behavioural conduct/pro-social behaviour, cognition/academic achievement, quality of life/well-being, harms, bone health, motor skill development, psychological distress, self-esteem). Heterogeneity among studies precluded meta-analyses; narrative synthesis was conducted. A total of 162 studies were included (204 171 participants from 31 countries). Overall, total PA was favourably associated with physical, psychological/social, and cognitive health indicators. Relationships were more consistent and robust for higher (e.g., MVPA) versus lower (e.g., LPA) intensity PA. All patterns of activity (sporadic, bouts, continuous) provided benefit. LPA was favourably associated with cardiometabolic biomarkers; data were scarce for other outcomes. These findings continue to support the importance of at least 60 min/day of MVPA for disease prevention and health promotion in children and youth, but also highlight the potential benefits of LPA and total PA. All intensities of PA should be considered in future work aimed at better elucidating the health benefits of PA in children and youth.
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Affiliation(s)
- Veronica Joan Poitras
- a Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
| | - Casey Ellen Gray
- a Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
| | - Michael M Borghese
- b School of Kinesiology and Health Studies, Queen's University, Kingston, ON K7L 3N6, Canada
| | - Valerie Carson
- c Faculty of Physical Education and Recreation, University of Alberta, Edmonton, AB T6G 2H9, Canada
| | - Jean-Philippe Chaput
- a Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
| | - Ian Janssen
- b School of Kinesiology and Health Studies, Queen's University, Kingston, ON K7L 3N6, Canada
| | | | - Russell R Pate
- e Department of Exercise Science, University of South Carolina, Columbia, SC 29208, USA
| | - Sarah Connor Gorber
- f Office of the Task Force on Preventive Health Care, Public Health Agency of Canada, Ottawa, ON K1A 0K9, Canada
| | - Michelle E Kho
- g School of Rehabilitation Science, McMaster University, Hamilton, ON L8S 1C7, Canada
| | - Margaret Sampson
- h Library and Media Services, Children's Hospital of Eastern Ontario, Ottawa, ON K1H 8L1, Canada
| | - Mark S Tremblay
- a Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
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Rääsk T, Mäestu J, Lätt E, Jürimäe J, Jürimäe T, Vainik U, Konstabel K. Comparison of IPAQ-SF and Two Other Physical Activity Questionnaires with Accelerometer in Adolescent Boys. PLoS One 2017; 12:e0169527. [PMID: 28056080 PMCID: PMC5215940 DOI: 10.1371/journal.pone.0169527] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2016] [Accepted: 12/19/2016] [Indexed: 11/30/2022] Open
Abstract
Self-report measures of physical activity (PA) are easy to use and popular but their reliability is often questioned. Therefore, the general aim of the present study was to investigate the association of PA questionnaires with accelerometer derived PA, in a sample of adolescent boys. In total, 191 pubertal boys (mean age 14.0 years) completed three self-report questionnaires and wore an accelerometer (ActiGraph GT1M) for 7 consecutive days. The PA questionnaires were: International Physical Activity Questionnaire-Short Form (IPAQ-SF), Tartu Physical Activity Questionnaire (TPAQ), and the Inactivity subscale from Domain-Specific Impulsivity (DSI) scale. All three questionnaires were significantly correlated with accelerometer derived MVPA: the correlations were 0.31 for the IPAQ-SF MVPA, 0.34 for the TPAQ MVPA and -0.29 for the DSI Inactivity scale. Nevertheless, none of the questionnaires can be used as a reliable individual-level estimate of MVPA in male adolescents. The boys underreported their MVPA in IPAQ-SF as compared to accelerometer-derived MVPA (respective averages 43 and 56 minutes); underreporting was more marked in active boys with average daily MVPA at least 60 minutes, and was not significant in less active boys. Conversely, MVPA index from TPAQ overestimated the MVPA in less active boys but underestimated it in more active boys. The sedentary time reported in IPAQ-SF was an underestimate as compared to accelerometer-derived sedentary time (averages 519 and 545 minutes, respectively).
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Affiliation(s)
- Triin Rääsk
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Jarek Mäestu
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Evelin Lätt
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Jaak Jürimäe
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Toivo Jürimäe
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Uku Vainik
- Department of Psychology, University of Tartu, Tartu, Estonia
| | - Kenn Konstabel
- Department of Psychology, University of Tartu, Tartu, Estonia
- National Institute for Health Development, Tallinn, Estonia
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Silva RPD, Sperandio EF, Matheus AC, Lauria VT, Almeida FRD, Almeida VRD, Gagliardi AR, Arantes RL, Romiti M, Dourado VZ. Use of combined method, accelerometer and international physical activity questionnaire, to determinate occurence of physical inactivity in adults. MOTRIZ: REVISTA DE EDUCACAO FISICA 2017. [DOI: 10.1590/s1980-6574201700020009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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40
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Perceived and objectively measured physical activity in high school students: is there any link between aerobic fitness, psychological responses and acute exercise? SPORT SCIENCES FOR HEALTH 2016. [DOI: 10.1007/s11332-016-0333-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Ling JCY, Mohamed MNA, Jalaludin MY, Rampal S, Zaharan NL, Mohamed Z. Determinants of High Fasting Insulin and Insulin Resistance Among Overweight/Obese Adolescents. Sci Rep 2016; 6:36270. [PMID: 27824069 PMCID: PMC5099955 DOI: 10.1038/srep36270] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2015] [Accepted: 10/13/2016] [Indexed: 01/21/2023] Open
Abstract
Hyperinsulinaemia is the earliest subclinical metabolic abnormality, which precedes insulin resistance in obese children. An investigation was conducted on the potential predictors of fasting insulin and insulin resistance among overweight/obese adolescents in a developing Asian country. A total of 173 overweight/obese (BMI > 85th percentile) multi-ethnic Malaysian adolescents aged 13 were recruited from 23 randomly selected schools in this cross-sectional study. Waist circumference (WC), body fat percentage (BF%), physical fitness score (PFS), fasting glucose and fasting insulin were measured. Insulin resistance was calculated using homeostasis model assessment of insulin resistance (HOMA-IR). Adjusted stepwise multiple regression analysis was performed to predict fasting insulin and HOMA-IR. Covariates included pubertal stage, socioeconomic status, nutritional and physical activity scores. One-third of our adolescents were insulin resistant, with girls having significantly higher fasting insulin and HOMA-IR than boys. Gender, pubertal stage, BMI, WC and BF% had significant, positive moderate correlations with fasting insulin and HOMA-IR while PFS was inversely correlated (p < 0.05). Fasting insulin was primarily predicted by gender-girls (Beta = 0.305, p < 0.0001), higher BMI (Beta = −0.254, p = 0.02) and greater WC (Beta = 0.242, p = 0.03). This study demonstrated that gender, BMI and WC are simple predictors of fasting insulin and insulin resistance in overweight/obese adolescents.
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Affiliation(s)
- Jerri Chiu Yun Ling
- Sports Medicine, Deans' Office, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia.,Sports Medicine Department, 11th Floor, South Tower, University Malaya Medical Centre, 59100 Kuala Lumpur, Malaysia
| | - Mohd Nahar Azmi Mohamed
- Sports Medicine, Deans' Office, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia.,Sports Medicine Department, 11th Floor, South Tower, University Malaya Medical Centre, 59100 Kuala Lumpur, Malaysia
| | | | - Sanjay Rampal
- Department of Social and Preventative Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia
| | - Nur Lisa Zaharan
- The Pharmacogenomics Laboratory, Department of Pharmacology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia
| | - Zahurin Mohamed
- The Pharmacogenomics Laboratory, Department of Pharmacology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia
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Neo JE, Binte Mohamed Salleh S, Toh YX, How KYL, Tee M, Mann K, Hopkins S, Thielecke F, Seal CJ, Brownlee IA. Whole-grain food consumption in Singaporean children aged 6-12 years. J Nutr Sci 2016; 5:e33. [PMID: 27547396 PMCID: PMC4976113 DOI: 10.1017/jns.2016.25] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2016] [Revised: 06/09/2016] [Accepted: 06/16/2016] [Indexed: 01/11/2023] Open
Abstract
Public health bodies in many countries are attempting to increase population-wide habitual consumption of whole grains. Limited data on dietary habits exist in Singaporean children. The present study therefore aimed to assess whole grain consumption patterns in Singaporean children and compare these with dietary intake, physical activity and health parameters. Dietary intake (assessed by duplicate, multipass, 24-h food recalls), physical activity (by questionnaire) and anthropometric measurements were collected from a cross-section of 561 Singaporean children aged 6-12 years. Intake of whole grains was evaluated using estimates of portion size and international food composition data. Only 38·3 % of participants reported consuming whole grains during the dietary data collection days. Median intake of whole grains in consumers was 15·3 (interquartile range 5·4-34·8) g/d. The most commonly consumed whole-grain food groups were rice (29·5 %), wholemeal bread (28·9 %) and ready-to-eat breakfast cereals (18·8 %). A significantly lower proportion of Malay children (seven out of fifty-eight; P < 0·0001) consumed whole grains than children of other ethnicities. Only 6 % of all children consumed the amount of whole grains most commonly associated with improved health outcomes (48 g/d). There was no relationship between whole grain consumption patterns and BMI, waist circumference or physical activity but higher whole grain intake was associated with increased fruit, vegetable and dairy product consumption (P < 0·001). These findings demonstrate that consumption of whole grain foods is low at a population level and infrequent in Singaporean children. Future drives to increase whole-grain food consumption in this population are likely to require input from multiple stakeholders.
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Affiliation(s)
- Jia En Neo
- Human Nutrition Research Centre, School of Agriculture, Food & Rural Development, Newcastle University, Singapore
| | - Saihah Binte Mohamed Salleh
- Human Nutrition Research Centre, School of Agriculture, Food & Rural Development, Newcastle University, Singapore
| | - Yun Xuan Toh
- Human Nutrition Research Centre, School of Agriculture, Food & Rural Development, Newcastle University, Singapore
| | - Kesslyn Yan Ling How
- Human Nutrition Research Centre, School of Agriculture, Food & Rural Development, Newcastle University, Singapore
| | - Mervin Tee
- Human Nutrition Research Centre, School of Agriculture, Food & Rural Development, Newcastle University, Singapore
| | - Kay Mann
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK
| | | | - Frank Thielecke
- Cereal Partners Worldwide, Lausanne, Switzerland
- Nestlé Research Centre, Vers-chez-les-Blanc, Lausanne, Switzerland
| | - Chris J. Seal
- Human Nutrition Research Centre, School of Agriculture, Food & Rural Development, Newcastle University, Newcastle upon Tyne, UK
| | - Iain A. Brownlee
- Human Nutrition Research Centre, School of Agriculture, Food & Rural Development, Newcastle University, Singapore
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Tancredi G, Lambiase C, Favoriti A, Ricupito F, Paoli S, Duse M, De Castro G, Zicari AM, Vitaliti G, Falsaperla R, Lubrano R. Cardiorespiratory fitness and sports activities in children and adolescents with solitary functioning kidney. Ital J Pediatr 2016; 42:43. [PMID: 27117183 PMCID: PMC4847270 DOI: 10.1186/s13052-016-0255-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2016] [Accepted: 04/17/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND An increasing number of children with chronic disease require a complete medical examination to be able to practice physical activity. Particularly children with solitary functioning kidney (SFK) need an accurate functional evaluation to perform sports activities safely. The aim of our study was to evaluate the influence of regular physical activity on the cardiorespiratory function of children with solitary functioning kidney. METHOD Twenty-nine patients with congenital SFK, mean age 13.9 ± 5.0 years, and 36 controls (C), mean age 13.8 ± 3.7 years, underwent a cardiorespiratory assessment with spirometry and maximal cardiopulmonary exercise testing. All subjects were divided in two groups: sedentary (S) and trained (T) patients, by means of a standardized questionnaire about their weekly physical activity. RESULTS We found that mean values of maximal oxygen consumption (VO2max) and exercise time (ET) were higher in T subjects than in S subjects. Particularly SFK-T presented mean values of VO2max similar to C-T and significantly higher than C-S (SFK-T: 44.7 ± 6.3 vs C-S: 37.8 ± 3.7 ml/min/kg; p < 0.0008). We also found significantly higher mean values of ET (minutes) in minutes in SFK-T than C-S subjects (SFK-T: 12.9 ± 1.6 vs C-S: 10.8 ± 2.5 min; p <0.02). CONCLUSION Our study showed that regular moderate/high level of physical activity improve aerobic capacity (VO2max) and exercise tolerance in congenital SFK patients without increasing the risks for cardiovascular accidents and accordingly sports activities should be strongly encouraged in SFK patients to maximize health benefits.
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Affiliation(s)
- Giancarlo Tancredi
- Pediatric Department, "Sapienza" University of Rome, Viale Regina Margherita 324, Rome, 00161, Italy.
| | - Caterina Lambiase
- Pediatric Department, "Sapienza" University of Rome, Viale Regina Margherita 324, Rome, 00161, Italy
| | - Alessandra Favoriti
- Pediatric Department, "Sapienza" University of Rome, Viale Regina Margherita 324, Rome, 00161, Italy
| | - Francesca Ricupito
- Pediatric Department, "Sapienza" University of Rome, Viale Regina Margherita 324, Rome, 00161, Italy
| | - Sara Paoli
- Pediatric Department, "Sapienza" University of Rome, Viale Regina Margherita 324, Rome, 00161, Italy
| | - Marzia Duse
- Pediatric Department, "Sapienza" University of Rome, Viale Regina Margherita 324, Rome, 00161, Italy
| | - Giovanna De Castro
- Pediatric Department, "Sapienza" University of Rome, Viale Regina Margherita 324, Rome, 00161, Italy
| | - Anna Maria Zicari
- Pediatric Department, "Sapienza" University of Rome, Viale Regina Margherita 324, Rome, 00161, Italy
| | - Giovanna Vitaliti
- Pediatric Department, "Sapienza" University of Rome, Viale Regina Margherita 324, Rome, 00161, Italy
| | - Raffaele Falsaperla
- General Pediatrics Operative Unit, Vittorio-Emanuele University Hospital, University of Catania, via S. Sofia, Catania, 78-95123, Italy
| | - Riccardo Lubrano
- Pediatric Department, "Sapienza" University of Rome, Viale Regina Margherita 324, Rome, 00161, Italy
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Brand S, Kalak N, Gerber M, Clough PJ, Lemola S, Sadeghi Bahmani D, Pühse U, Holsboer-Trachsler E. During early to mid adolescence, moderate to vigorous physical activity is associated with restoring sleep, psychological functioning, mental toughness and male gender. J Sports Sci 2016; 35:426-434. [PMID: 27033183 DOI: 10.1080/02640414.2016.1167936] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Numerous studies showed that regular physical activity (PA) is associated with both favourable and restorative sleep and improved psychological functioning (PF). However, there is little research on the topic covering the early to mid-adolescence period. Moreover, curiosity and exploratory behaviour (CEB) and mental toughness (MT) as a result of PA remains thus far uninvestigated, as do possible gender differences. The aim of the present study was to explore the associations between PA, subjective sleep (sS), PF, CEB, and MT during early to mid-adolescence. A total of 1361 participants (mean age = 13.37 years; range: 11-16 years; 51.2% female) took part in the study. They completed questionnaires covering PA, sS, PF, CEB, and MT. Greater PA was related to improved PF, better sS, and increased CEB and MT. Compared to male participants, females reported less PA, poorer sS, and had lower PF and MT scores. The present pattern of results suggests that during early and mid-adolescence greater PA was associated with more favourable sS and better PF, including CEB and MT, and that female participants reported lower scores in PA, sS, and PF. Accordingly, if PA has a favourable impact on sleep and psychological functioning, then data suggest that sports participation should be more tailored to increase motivation among female adolescents.
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Affiliation(s)
- Serge Brand
- a Center for Affective-, Stress- and Sleep Disorder , Psychiatric Clinics of the University of Basel , Basel , Switzerland.,b Department of Sport, Exercise and Health, Sport Science Section , University of Basel , Basel , Switzerland
| | - Nadeem Kalak
- a Center for Affective-, Stress- and Sleep Disorder , Psychiatric Clinics of the University of Basel , Basel , Switzerland
| | - Markus Gerber
- b Department of Sport, Exercise and Health, Sport Science Section , University of Basel , Basel , Switzerland
| | - Peter J Clough
- c Department of Psychology , Manchester Metropolitan University , Manchester , UK
| | - Sakari Lemola
- d Department of Psychology , University of Warwick , Coventry , UK
| | - Dena Sadeghi Bahmani
- a Center for Affective-, Stress- and Sleep Disorder , Psychiatric Clinics of the University of Basel , Basel , Switzerland
| | - Uwe Pühse
- b Department of Sport, Exercise and Health, Sport Science Section , University of Basel , Basel , Switzerland
| | - Edith Holsboer-Trachsler
- a Center for Affective-, Stress- and Sleep Disorder , Psychiatric Clinics of the University of Basel , Basel , Switzerland
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Smith MP, Berdel D, Nowak D, Heinrich J, Schulz H. Physical Activity Levels and Domains Assessed by Accelerometry in German Adolescents from GINIplus and LISAplus. PLoS One 2016; 11:e0152217. [PMID: 27010227 PMCID: PMC4806867 DOI: 10.1371/journal.pone.0152217] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2015] [Accepted: 03/10/2016] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Physical activity (PA) is a well-known and underused protective factor for numerous health outcomes, and interventions are hampered by lack of objective data. We combined accelerometers with diaries to estimate the contributions to total activity from different domains throughout the day and week in adolescents. METHODS Accelerometric and diary data from 1403 adolescents (45% male, mean age 15.6 ± 0.5 years) were combined to evaluate daily levels and domains of sedentary, light, and moderate-to-vigorous activity (MVPA) during a typical week. Freedson's cutoff points were applied to determine levels of activity. Total activity was broken down into school physical education (PE), school outside PE, transportation to school, sport, and other time. RESULTS About 2/3 of adolescents' time was spent sedentary, 1/3 in light activity, and about 5% in MVPA. Boys and girls averaged 46 (SD 22) and 38 (23) minutes MVPA per day. Adolescents were most active during leisure sport, spending about 30% of it in MVPA, followed by PE (about 20%) transport to school (14%) and either school class time or other time (3%). PE provided 5% of total MVPA, while leisure sport provided 16% and transportation to school 8%. School was the most sedentary part of the day with over 75% of time outside PE spent sedentary. CONCLUSIONS These German adolescents were typical of Europeans in showing low levels of physical activity, with significant contributions from leisure sport, transportation and school PE. Leisure sport was the most active part of the day, and participation did not vary significantly by sex, study center (region of Germany) or BMI. Transportation to school was frequent and thus accounted for a significant fraction of total MVPA. This indicates that even in a population with good access to dedicated sporting activities, frequent active transportation can add significantly to total MVPA.
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Affiliation(s)
- Maia P. Smith
- Institute of Epidemiology I, Helmholtz Zentrum München – German Research Center for Environmental Health, Neuherberg/Munich, Germany
- Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Ludwig-Maximilians-University, Munich, Germany
| | - Dietrich Berdel
- Research Institute, Department of Pediatrics, Marien-Hospital Wesel, Wesel, Germany
| | - Dennis Nowak
- Comprehensive Pneumology Center Munich (CPC-M), Member of the German Center for Lung Research, Munich, Germany
- Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Ludwig-Maximilians-University, Munich, Germany
| | - Joachim Heinrich
- Institute of Epidemiology I, Helmholtz Zentrum München – German Research Center for Environmental Health, Neuherberg/Munich, Germany
- Comprehensive Pneumology Center Munich (CPC-M), Member of the German Center for Lung Research, Munich, Germany
| | - Holger Schulz
- Institute of Epidemiology I, Helmholtz Zentrum München – German Research Center for Environmental Health, Neuherberg/Munich, Germany
- Comprehensive Pneumology Center Munich (CPC-M), Member of the German Center for Lung Research, Munich, Germany
- * E-mail:
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Oyeyemi AL, Ishaku CM, Oyekola J, Wakawa HD, Lawan A, Yakubu S, Oyeyemi AY. Patterns and Associated Factors of Physical Activity among Adolescents in Nigeria. PLoS One 2016; 11:e0150142. [PMID: 26901382 PMCID: PMC4762937 DOI: 10.1371/journal.pone.0150142] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2015] [Accepted: 02/09/2016] [Indexed: 12/22/2022] Open
Abstract
INTRODUCTION Understanding the context where adolescents' physical activity (PA) takes place could impact a more targeted approach to implement PA promotion and interventions in Africa. However, standardized data on adolescents' PA behaviour is lacking in Nigeria. We described PA patterns in the various domains (home, school, transport, leisure-time) and intensity categories (light-intensity PA, moderate- to vigorous- intensity physical activity [MVPA] and total PA), and their associations with sociodemographic factors and socioeconomic status (SES) among secondary school adolescents in Nigeria. METHODS A cross-sectional survey was conducted in a representative sample of 1006 secondary school adolescents (12-18 years, 50.4% girls) in Maiduguri, Nigeria. Self-reported PA was assessed with an adapted version of the Activity Questionnaire for Adolescents and Young Adults. Outcomes were weekly minutes (min/wk) of PA spent in the various domains and intensity categories. Multivariate ANOVA was used to examine associations of PA scores (domains and intensity levels) with adolescents' sociodemographic characteristics and SES, and track differences in PA scores between subgroups. RESULTS The total sample reported most PA at school (1525 min/wk), the least during active transportation (210 min/wk), and only 37% engaged in 60 min of MVPA daily. Boys reported significantly more leisure-time PA (P<0.001), active transportation (P<0.001), MVPA (P = 0.023) and total PA (P = 0.003) than girls, while girls reported more school-based PA (P = 0.009), home-based PA (P<0.001) and light-intensity PA (P<0.001) than boys. Moderate-intensity PA (P = 0.024) and total PA (P = 0.049) were significantly higher in younger age group than in older group. Household car ownership was associated with less active transportation (P = 0.009), less moderate-intensity PA (P = 0.048) and with more leisure-time PA (P = 0.013). High parental SES was associated with more leisure-time PA (P = 0.002), more MVPA (P = 0.047) and less active transportation (P<0.001). Adolescents of various weight status differed significantly in their leisure-time PA (P<0.001), moderate-intensity PA (P = 0.011) and total PA (P = 0.033). CONCLUSIONS The patterns and levels of physical activity among adolescents in Nigeria vary according to the adolescents' age, gender, weight status and SES. These findings have important public health implications for identifying subgroups of Nigerian adolescents that should be targeted for effective physical activity promoting interventions.
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Affiliation(s)
- Adewale L. Oyeyemi
- Department of Physiotherapy, College of Medical Sciences, University of Maiduguri, Maiduguri, Nigeria
- Physical Activity, Sport and Recreation Research Focus Area, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
- * E-mail:
| | - Cornelius M. Ishaku
- Department of Physiotherapy, College of Medical Sciences, University of Maiduguri, Maiduguri, Nigeria
| | - Jameela Oyekola
- Industrial Clinic, Nigerian National Petroleum Commission Kaduna Medical Area, Kaduna, Nigeria
| | - Hajara D. Wakawa
- Department of Physiotherapy, Federal Medical Center, Birnin Kebbi, Kebbi State, Nigeria
| | - Aliyu Lawan
- Department of Physiotherapy, College of Medical Sciences, University of Maiduguri, Maiduguri, Nigeria
| | - Safira Yakubu
- Department of Physiotherapy, College of Medical Sciences, University of Maiduguri, Maiduguri, Nigeria
| | - Adetoyeje Y. Oyeyemi
- Department of Physiotherapy, College of Medical Sciences, University of Maiduguri, Maiduguri, Nigeria
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Julian V, Thivel D, Pereira B, Costes F, Richard R, Duclos M. Improving Peripheral and Central Vascular Adjustments during Exercise through a Training Program in Adolescents with Obesity. Obes Facts 2016; 9:321-331. [PMID: 27701156 PMCID: PMC5644802 DOI: 10.1159/000447456] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2016] [Accepted: 06/01/2016] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE The effects of a training program (TP) on muscle microvascularization during exercise remained to be explored in adolescents with obesity. We hypothesized that a TP would lead to better microvascular adaptations to exercise in skeletal muscle. METHODS 15 inactive adolescents followed a 12-week TP where both peripheral (muscular microvascularization) and central (cardiac) adaptations to exercise (40 min exercise set at 70% V̇O2peak) were assessed before and after intervention. Microvascular adaptations were evaluated in the Musculus vastus lateralis with near-infrared spectroscopy, by measurement of muscular blood volume (IR-BV) and tissue oxygen saturation (IR-SO2). Central adaptations were evaluated using thoracic impedance. RESULTS The TP favored lower BMI (p < 0.001), lower total and abdominal fat (p < 0.001), and a trend for the decrease in insulin resistance index (p = 0.07). V̇O2peak relative to weight (p = 0.008) and maximum power output increased (p = 0.0003). A smaller initial drop in IR-BV and IR-SO2 (p < 0.001), a prompter return of these parameters to their base values, and a higher IR-BV and IR-SO2 all times taken together (p < 0.001) were observed after completing the TP. Concerning central adaptation, cardiac output decreased (p < 0.001). CONCLUSION We demonstrate for the first time by noninvasive techniques that a training program induces peripheral and central vascular adaptations to exercise in adolescents with obesity.
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Affiliation(s)
- Valérie Julian
- Department of Sport Medicine and Functional Explorations, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France
- Department of Pediatrics, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France
- *Dr. Valérie Julian, Department of Sport Medicine and Functional Explorations, University Hospital of Clermont-Ferrand, 58, rue Montalembert, 63000 Clermont-Ferrand, France,
| | - David Thivel
- AME2P Laboratory, Bat Bio B, Campus Universitaire des Cezeaux, Aubiere Cedex. France
| | - Bruno Pereira
- Biostatistics Unit (Department of Clinical Research and Innovation), University Hospital of Clermont-Ferrand, Clermont-Ferrand, France
| | - Frédéric Costes
- Department of Sport Medicine and Functional Explorations, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France
| | - Ruddy Richard
- Department of Sport Medicine and Functional Explorations, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France
| | - Martine Duclos
- Department of Sport Medicine and Functional Explorations, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France
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Fernandes L, Oliveira J, Soares-Miranda L, Rebelo A, Brito J. Regular Football Practice Improves Autonomic Cardiac Function in Male Children. Asian J Sports Med 2015; 6:e24037. [PMID: 26448848 PMCID: PMC4594136 DOI: 10.5812/asjsm.24037] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2013] [Revised: 03/03/2014] [Indexed: 01/08/2023] Open
Abstract
Background: The role of the autonomic nervous system (ANS) in the cardiovascular regulation is of primal importance. Since it has been associated with adverse conditions such as cardiac arrhythmias, sudden death, sleep disorders, hypertension and obesity. Objectives: The present study aimed to investigate the impact of recreational football practice on the autonomic cardiac function of male children, as measured by heart rate variability. Patients and Methods: Forty-seven male children aged 9 - 12 years were selected according to their engagement with football oriented practice outside school context. The children were divided into a football group (FG; n = 22) and a control group (CG; n = 25). The FG had regular football practices, with 2 weekly training sessions and occasional weekend matches. The CG was not engaged with any physical activity other than complementary school-based physical education classes. Data from physical activity, physical fitness, and heart rate variability measured in time and frequency domains were obtained. Results: The anthropometric and body composition characteristics were similar in both groups (P > 0.05). The groups were also similar in time spent daily on moderate-to-vigorous physical activities (FG vs. CG: 114 ± 64 vs. 87 ± 55 minutes; P > 0.05). However, the FG performed better (P < 0.05) in Yo-Yo intermittent endurance test (1394 ± 558 vs. 778 ± 408 m) and 15-m sprint test (3.06 ± 0.17 vs. 3.20 ± 0.23 s). Also, the FG presented enhanced autonomic function. Significant differences were detected (P < 0.05) between groups for low frequency normalized units (38.0 ± 15.2 vs. 47.3 ± 14.2 n.u (normalized units)), high frequency normalized units (62.1 ± 15.2 vs. 52.8 ± 14.2 n.u.), and LF:HF ratio (0.7 ± 0.4 vs. 1.1 ± 0.6 ms2). Conclusions: Children engaged with regular football practice presented enhanced physical fitness and autonomic function, by increasing vagal tone at rest.
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Affiliation(s)
- Luis Fernandes
- Centre of Research, Education, Innovation and Intervention in Sport, Faculty of Sport, University of Porto, Porto, Portugal
- Corresponding author: Luis Fernandes, Centre of Research, Education, Innovation and Intervention in Sport, Faculty of Sport, University of Porto, Porto, Portugal. Tel: +351-220425200, E-mail:
| | - Jose Oliveira
- Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, Portugal
| | - Luisa Soares-Miranda
- Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, Portugal
| | - Antonio Rebelo
- Centre of Research, Education, Innovation and Intervention in Sport, Faculty of Sport, University of Porto, Porto, Portugal
| | - Joao Brito
- Portuguese Football Federation, Health and Performance Unit, Lisbon, Portugal
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The relationship between physical activity and sleep from mid adolescence to early adulthood. A systematic review of methodological approaches and meta-analysis. Sleep Med Rev 2015; 28:32-45. [PMID: 26447947 DOI: 10.1016/j.smrv.2015.07.004] [Citation(s) in RCA: 105] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2014] [Revised: 07/03/2015] [Accepted: 07/13/2015] [Indexed: 11/21/2022]
Abstract
Physical activity (PA) is considered an effective, non-pharmacological approach to improve sleep. However, the accurate measurement of PA and sleep among adolescents is fraught with challenges. Additionally, comparing the results of different studies is often difficult due to the diversity of assessment tools, analyses and data reporting procedures used. While previous reviews have considered variables that may confound this relationship, this systematic review examines the variations in measurement methods. Based on this overview, a meta-analysis was performed to assess possible influences of the various approaches on effect sizes. Twenty-one studies were included in the systematic review, of which 12 were appropriate for meta-analysis. For this, four subgroups were formed: subjective PA and subjective sleep, objective PA and subjective sleep, subjective PA and objective sleep, and objective PA and objective sleep. The majority of studies used subjective measures, often with unknown reliability or validity. Few studies employed objective tools to measure sleep. The results suggest that adolescents with higher subjective and objective PA are more likely to experience good sleep subjectively and objectively. More studies employing subjective and objective measures for both PA and sleep are needed. Researchers should take into account several assessment factors unique to the adolescent population.
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Rääsk T, Lätt E, Jürimäe T, Mäestu J, Jürimäe J, Konstabel K. Association of Subjective Ratings to Objectively Assessed Physical Activity in Pubertal Boys with Differing BMI. Percept Mot Skills 2015; 121:245-59. [DOI: 10.2466/10.03.pms.121c13x7] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The associations between subjective ratings and objectively measured moderate-to-vigorous physical activity (MVPA) were examined in normal, and overweight and obese, pubertal boys and compared with their parents' reports. In total, 224 boys (M age = 12.2 yr.) completed the self-report questionnaire and wore an accelerometer for 7 consecutive days. Questionnaire-based indexes of physical activity (PA) were weakly associated with the accelerometer PA data. Correlations between subjective and objective assessments were significantly higher in overweight and obese groups. Parent reports predicted sedentary time better than boys' self-reports but no difference was found for MVPA. Future studies must consider that the source of rating, season, and weight status may be possible sources of confounding when using subjective assessments of PA.
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Affiliation(s)
- Triin Rääsk
- Faculty of Exercise and Sport Sciences, Centre of Behavioural, Social and Health Sciences, University of Tartu, Estonia
| | - Evelin Lätt
- Faculty of Exercise and Sport Sciences, Centre of Behavioural, Social and Health Sciences, University of Tartu, Estonia
| | - Toivo Jürimäe
- Faculty of Exercise and Sport Sciences, Centre of Behavioural, Social and Health Sciences, University of Tartu, Estonia
| | - Jarek Mäestu
- Faculty of Exercise and Sport Sciences, Centre of Behavioural, Social and Health Sciences, University of Tartu, Estonia
| | - Jaak Jürimäe
- Faculty of Exercise and Sport Sciences, Centre of Behavioural, Social and Health Sciences, University of Tartu, Estonia
| | - Kenn Konstabel
- National Institute for Health Development, Tallinn, Estonia
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