1
|
Dericioglu D, Methven L, Clegg ME. Understanding age-related changes: exploring the interplay of protein intake, physical activity and appetite in the ageing population. Proc Nutr Soc 2024:1-13. [PMID: 38557431 DOI: 10.1017/s0029665124002192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
Globally, we are currently facing a rapid demographic shift leading to an increase in the proportion of older adults within the population. This raises concerns about the potential increase in age-related diseases and their impact on our ability to provide adequate health and end-of-life care. To apply appropriate interventions, understanding the changes that happen with ageing becomes essential. Ageing is often accompanied by a decrease in appetite and physical activity, which may lead to malnutrition, resulting in decreased muscle mass, physical capabilities and independence. To preserve muscle mass, older adults are advised to increase protein intake and physical activity. However, protein's high satiating effect may cause reduced energy intake. Physical activity is also advised to maintain or enhance older adult's appetite. This review paper aims to discuss appetite-related changes that occur with ageing and their consequences. In particular, it will focus on investigating the relationship between protein intake and physical activity and their impact on appetite and energy intake in the ageing population. Recent studies suggest that physical activity might contribute to maintaining or enhancing appetite in older adults. Nevertheless, establishing a definitive consensus on the satiating effect of protein in ageing remains a work in progress, despite some promising results in the existing literature.
Collapse
Affiliation(s)
- Dilara Dericioglu
- Hugh Sinclair Unit of Human Nutrition, Department of Food and Nutritional Sciences, University of Reading, Whiteknights, ReadingRG6 6DZ, UK
- Institute of Food, Nutrition and Health, University of Reading, Whiteknights, Reading RG6 6EU, UK
| | - Lisa Methven
- Institute of Food, Nutrition and Health, University of Reading, Whiteknights, Reading RG6 6EU, UK
- Food Research Group, Department of Food and Nutritional Sciences, University of Reading,Whiteknights, Reading RG6 6DZ, UK
| | - Miriam E Clegg
- Hugh Sinclair Unit of Human Nutrition, Department of Food and Nutritional Sciences, University of Reading, Whiteknights, ReadingRG6 6DZ, UK
- Institute of Food, Nutrition and Health, University of Reading, Whiteknights, Reading RG6 6EU, UK
- School of Food and Nutritional Sciences, University College Cork, Cork, Ireland
| |
Collapse
|
2
|
Rajabi H, Sabouri M, Hatami E. Associations between physical activity levels with nutritional status, physical fitness and biochemical indicators in older adults. Clin Nutr ESPEN 2021; 45:389-398. [PMID: 34620345 DOI: 10.1016/j.clnesp.2021.07.014] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 07/07/2021] [Accepted: 07/13/2021] [Indexed: 01/26/2023]
Abstract
BACKGROUND & AIMS A sedentary lifestyle is one of the major health concerns of all societies that is associated by an increased risk of cardiovascular diseases. In this regard, we compared the anthropometric parameters, physical fitness (PF), lipid profile, and nutritional status of older adults with different levels of physical activity (PA). METHODS In this cross sectional study, 220 older people (age: 67.39 ± 2.08 yrs) according to their PA levels had been categorized at high (n = 72), moderate (78) and low (n = 70) PA groups. The International Physical Activity Questionnaires and food frequency questionnaire has been used to determine the PA and nutritional status, respectively. Waist and hip circumference, height, weight, and body mass index of subjects were measured and calculated. Both lower and upper body strength, flexibility, static and dynamic balance, and endurance performance factors were used to determine the level of PF. To assess blood biochemical factors, subjects were asked to visit the laboratory after 12 h of fasting. RESULTS The results showed waist circumference, hip circumference, and body fat percent were significantly lower in the high PA group compared to the low PA group in both males and females (P ≤ 0.05). Upper body strength, lower body strength, static balance, dynamic balance flexibility and endurance were significantly better in the high PA group compared to the low PA group in both males and females (P ≤ 0.05). Moreover, triglyceride was significantly lower in the high PA group compared to the low PA group in both males and females (P ≤ 0.05). According to the post hoc results, high-density lipoprotein, low-density lipoprotein and fasting glucose were significantly better in the high PA group compared to the low PA group in both males and females (P ≤ 0.05). All participants regardless PA levels showed insufficient consumption of zinc, calcium, vitamin E, and vitamin D (P ≤ 0.05). On the other hand, carbohydrate, sodium, iron, vitamin C and niacin intake significantly above recommended dietary allowance (P ≤ 0.05). CONCLUSIONS The results of the current work showed that a higher level of PA improved anthropometric indicators, PF, and lipid profile in Iranian older adults. Moreover, older nutrition should be monitor to maintain their physical health and to prevent them from developing chronic diseases and their malnutrition complications.
Collapse
Affiliation(s)
- Hamid Rajabi
- Department of Exercise Physiology, Kharazmi University, Karaj, Iran
| | - Mostafa Sabouri
- Department of Exercise Physiology & Health Sciences, University of Tehran, Tehran, Iran.
| | - Elaheh Hatami
- Department of Exercise Physiology, Sport Sciences Research Institute, Tehran, Iran.
| |
Collapse
|
3
|
Kim SW, Park HY, Jung H, Lee J, Lim K. Estimation of Health-Related Physical Fitness Using Multiple Linear Regression in Korean Adults: National Fitness Award 2015-2019. Front Physiol 2021; 12:668055. [PMID: 34054580 PMCID: PMC8155701 DOI: 10.3389/fphys.2021.668055] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Accepted: 04/16/2021] [Indexed: 12/19/2022] Open
Abstract
Continuous health care and the measurement of health-related physical fitness (HRPF) is necessary for prevention against chronic diseases; however, HRPF measurements including laboratory methods may not be practical for large populations owing to constraints such as time, cost, and the requirement for qualified technicians. This study aimed to develop a multiple linear regression model to estimate the HRPF of Korean adults, using easy-to-measure dependent variables, such as gender, age, body mass index, and percent body fat. The National Fitness Award datasets of South Korea were used in this analysis. The participants were aged 19-64 years, including 319,643 male and 147,600 females. HRPF included hand grip strength (HGS), flexibility (sit and reach), muscular endurance (sit-ups), and cardiorespiratory fitness (estimated VO2max ). An estimation multiple linear regression model was developed using the stepwise technique. The outlier data in the multiple regression model was identified and removed when the absolute value of the studentized residual was ≥2. In the regression model, the coefficient of determination for HGS (adjusted R 2: 0.870, P < 0.001), muscular endurance (adjusted R 2: 0.751, P < 0.001), and cardiorespiratory fitness (adjusted R 2: 0.885, P < 0.001) were significantly high. However, the coefficient of determination for flexibility was low (adjusted R 2: 0.298, P < 0.001). Our findings suggest that easy-to-measure dependent variables can predict HGS, muscular endurance, and cardiorespiratory fitness in adults. The prediction equation will allow coaches, athletes, healthcare professionals, researchers, and the general public to better estimate the expected HRPF.
Collapse
Affiliation(s)
- Sung-Woo Kim
- Physical Activity and Performance Institute, Konkuk University, Seoul City, South Korea
| | - Hun-Young Park
- Physical Activity and Performance Institute, Konkuk University, Seoul City, South Korea.,Department of Sports Medicine and Science, Graduate School, Konkuk University, Seoul City, South Korea
| | - Hoeryong Jung
- Department of Mechanical Engineering, Konkuk University, Seoul City, South Korea
| | - Jinkue Lee
- Department of Mechanical Engineering, Konkuk University, Seoul City, South Korea
| | - Kiwon Lim
- Physical Activity and Performance Institute, Konkuk University, Seoul City, South Korea.,Department of Sports Medicine and Science, Graduate School, Konkuk University, Seoul City, South Korea.,Department of Physical Education, Konkuk University, Seoul City, South Korea
| |
Collapse
|
4
|
Girotto E, Loch MR, Mesas AE, González AD, Guidoni CM, Andrade SMD. [Unhealthy eating habits and associated risk factors among truck drivers]. CIENCIA & SAUDE COLETIVA 2020; 25:1011-1023. [PMID: 32159670 DOI: 10.1590/1413-81232020253.11402018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2017] [Accepted: 07/05/2018] [Indexed: 12/24/2022] Open
Abstract
The scope of this article is to identify risk factors associated with unhealthy eating habits among truck drivers. It involved a cross-sectional study carried out with truck drivers individually interviewed at the Port of Paranaguá in the State of Paraná, Brazil. Information was obtained on the consumption of fruit, vegetables, fried salted food, sweetened beverages, and the removal of visible fat from red meat and of skin from chicken meat. Hierarchical Poisson regression models were applied to identify factors associated with unhealthy eating habits. Of those interviewed (n = 670), 53.1% had four or more unhealthy eating habits. This condition was associated with age less than 40 years (prevalence ratio, PR = 1.49; 95% confidence interval, CI = 1.28-1.73), moderate, low or very low ability to exercise the profession (PR 1.28; 95% CI 1.08-1.52), not taking physical exercise in free time (PR = 1.66; 95%CI = 1.38- 2.00), overall self-reported eating habits as poor or very poor (RP = 1.25; IC95% = 1.05-1.49) and body mass index < 25 Kg/m2 (PR = 1.22; 95% CI = 1.05-1.43). More than half of the truck drivers revealed unhealthy eating habits, highlighting the need for strategies to rectify these habits.
Collapse
Affiliation(s)
- Edmarlon Girotto
- Departamento de Ciências Farmacêuticas, Universidade Estadual de Londrina (UEL). Av. Robert Kock 60, Operária. 86038-350, Londrina, PR, Brasil.
| | | | | | | | - Camilo Molino Guidoni
- Departamento de Ciências Farmacêuticas, Universidade Estadual de Londrina (UEL). Av. Robert Kock 60, Operária. 86038-350, Londrina, PR, Brasil.
| | | |
Collapse
|
5
|
Silva A, Fragoso I, Barrigas C, Teles J. Portuguese adolescents diet quality, lifestyle variables and body composition, in relation to precise measures of maturity. MEDITERRANEAN JOURNAL OF NUTRITION AND METABOLISM 2020. [DOI: 10.3233/mnm-190346] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- A.L. Silva
- Laboratory of Physiology and Biochemistry Exercise, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal
| | - I. Fragoso
- Department of Sports and Health, Laboratory of Physiology and Biochemistry Exercise, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal
| | - C. Barrigas
- Laboratory of Physiology and Biochemistry Exercise, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal
| | - J. Teles
- Mathematics Unit, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal
| |
Collapse
|
6
|
Duarte APP, Rodrigues PRM, Ferreira MG, Cunha DB, Moreira NF, Sichieri R, Muraro AP. Socio-economic and demographic characteristics associated with risk behaviour patterns for chronic non-communicable diseases in Brazil: data from the National Health Survey, 2013. Public Health Nutr 2019; 22:2083-2091. [PMID: 30859926 PMCID: PMC10260586 DOI: 10.1017/s136898001900034x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2018] [Revised: 11/19/2018] [Accepted: 01/16/2019] [Indexed: 01/06/2023]
Abstract
OBJECTIVE To identify risk behaviour patterns for chronic non-communicable diseases (NCD) in the Brazilian population and to investigate associated socio-economic and demographic factors. DESIGN Factor analysis was used to identify patterns considering the following risk behaviours: consumption of soft drinks/artificial juice, sweet foods, red meat with apparent fat, chicken skin; inadequate consumption of fruits and vegetables; alcohol abuse; smoking; absence of physical activity during leisure time; and time spent watching television. The χ 2 test was used to compare ratios. All analyses accounted for weighting factors and the study's complex sampling design effect. The socio-economic and demographic variables evaluated were gender, age, schooling level and macro region of residence. SETTING National Health Survey, a household survey with national representation, conducted in 2013 in Brazil.ParticipantsIndividuals (n 60202) aged 18 years or over. RESULTS Four risk behaviour patterns were identified: 'Physical inactivity in leisure time and Inadequate consumption of fruits and vegetables', 'Saturated fat', 'Alcohol and Smoking' and 'Sedentary behaviour and Sugar', explaining 52·01 % of the total variance. Overall, greater adherence to 'Saturated fat' and 'Alcohol and Smoking' patterns was observed among men and those with lower education level. The 'Sedentary behaviour and Sugar' and 'Physical inactivity in leisure time and Inadequate consumption of fruits and vegetables' patterns had greater adherence among younger individuals, and the first was associated with higher education whereas the second with less education among individuals residing in the North and Northeast regions. CONCLUSIONS Risk behaviour patterns for NCD were heterogeneous, reflecting the socio-economic and demographic differences in Brazil.
Collapse
Affiliation(s)
- Ana Paula P Duarte
- Department of Food and Nutrition, Federal University of Mato Grosso, Cuiabá, MG, Brazil
| | | | | | - Diana Barbosa Cunha
- Department of Social Medicine, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Naiara Ferraz Moreira
- Faculty of Health Sciences, Federal University of Grande Dourados, Dourados, MS, Brazil
| | - Rosely Sichieri
- Department of Epidemiology, Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil
| | - Ana Paula Muraro
- Institut of Public Health, Department of Public Health, Federal University of Mato Grosso, Av. Fernando Corrêa da Costa 2367, Bairro Boa Esperança, Bloco: CCBS III, Cuiabá, MT 78060-900, Brazil
| |
Collapse
|
7
|
Jezewska-Zychowicz M, Gębski J, Guzek D, Świątkowska M, Stangierska D, Plichta M, Wasilewska M. The Associations between Dietary Patterns and Sedentary Behaviors in Polish Adults (LifeStyle Study). Nutrients 2018; 10:E1004. [PMID: 30071656 PMCID: PMC6115718 DOI: 10.3390/nu10081004] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2018] [Revised: 07/24/2018] [Accepted: 07/30/2018] [Indexed: 12/28/2022] Open
Abstract
Sedentary behavior, a low physical activity level, and unhealthy dietary patterns are risk factors for major chronic diseases, including obesity. The aim of this study was to assess the associations of dietary patterns (DPs) with sedentary behaviors (SB) and self-reported physical activity (PA). The data was collected in November 2016 through a cross-sectional quantitative survey amongst 1007 Polish adults. Principal components analysis (PCA) was conducted to derive DPs. Logistic regression analysis was used to verify associations between PA and SD (independent variables), and DPs (dependent variables). Five DPs ('Fast foods & sweets'-FF&S; 'Meat & meat products'-M&MP; 'Fruit & vegetable'-F&V; 'Wholemeal food'-WF; 'Fruit & vegetable juices'-F&VJ) were identified. Representing M&MP independently increased the chance of watching TV at least once a day (by 73%). There was no such relationship between the FF&S and sedentary behaviors. Being in the upper tertiles of pro-health DPs increased the chance of reading books (by 177%-F&V, 149%-WF, 54%-F&VJ) and watching TV (by 71%-F&V). On the other hand, belonging to the upper tertile of WF reduced the chance of using the computer for more than 4 h a day. Belonging to the upper tertile of healthy DPs (WF and F&VJ) increased the chances of moderate or high physical activity, both at work/school and during leisure time. Within F&V, there was a lower chance of moderate or high physical activity at work/school. Being in the upper tertile of unhealthy DPs (FF&S and M&MP) did not show any significant association with physical activity. The study indicated the associations between both healthy and unhealthy DPs and some sedentary behaviors. Association between F&V and watching TV and reading books/newspapers should be recognized as potentially efficient in education. Association between M&MP and watching television can be indicative of the mutual overlap of a negative lifestyle resulting in the development of overweight and obesity, especially since the extent of occurrence of sedentary behaviors is high.
Collapse
Affiliation(s)
- Marzena Jezewska-Zychowicz
- Department of Organization and Consumption Economics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences (SGGW-WULS), 159C Nowoursynowska Street, 02-787 Warsaw, Poland.
| | - Jerzy Gębski
- Department of Organization and Consumption Economics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences (SGGW-WULS), 159C Nowoursynowska Street, 02-787 Warsaw, Poland.
| | - Dominika Guzek
- Department of Organization and Consumption Economics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences (SGGW-WULS), 159C Nowoursynowska Street, 02-787 Warsaw, Poland.
| | - Monika Świątkowska
- Department of Organization and Consumption Economics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences (SGGW-WULS), 159C Nowoursynowska Street, 02-787 Warsaw, Poland.
| | - Dagmara Stangierska
- Section of Horticultural Economic, Faculty of Horticulture, Biotechnology and Landscape Architecture, Warsaw University of Life Sciences (SGGW-WULS), 159C Nowoursynowska Street, 02-787 Warsaw, Poland.
| | - Marta Plichta
- Department of Organization and Consumption Economics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences (SGGW-WULS), 159C Nowoursynowska Street, 02-787 Warsaw, Poland.
| | - Milena Wasilewska
- Department of Organization and Consumption Economics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences (SGGW-WULS), 159C Nowoursynowska Street, 02-787 Warsaw, Poland.
| |
Collapse
|
8
|
Aparicio-Ugarriza R, Luzardo-Socorro R, Palacios G, Bibiloni MM, Argelich E, Tur JA, González-Gross M. What is the relationship between physical fitness level and macro- and micronutrient intake in Spanish older adults? Eur J Nutr 2018; 58:1579-1590. [DOI: 10.1007/s00394-018-1696-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2017] [Accepted: 04/24/2018] [Indexed: 02/02/2023]
|
9
|
Abstract
AbstractObjectiveTo retrospectively investigate the association between short stature and increased sitting height ratio (SHR) – indicators of stunting – and obesity markers in adults.DesignCross-sectional evaluation of the EPIPorto cohort. Weight, height, sitting height and waist circumference were measured. Obesity was assessed for men and women through BMI and waist-to-height ratio (WHtR). Short stature (women, <152 cm; men, <164 cm) and high SHR (women, ≥54·05 %; men, ≥53·25 %) were taken as stunting measures. OR with 95 % CI were computed using logistic regression models.SettingRepresentative sample of adults from EPIPorto, an adult cohort study from Porto, Portugal.SubjectsA sample of 1682 adults, aged 18–86 years, was analysed.ResultsHigher obesity prevalence was found among women (BMI≥30·0 kg/m2: 25·5v.13·3 %,P<0·001) and a higher proportion of men presented abdominal obesity (WHtR≥0·5: 80·1v.71·1 %,P<0·001). A positive association was found between short stature and obesity measures for women (multivariate-adjusted OR; 95 % CI: 1·75; 1·17, 2·62 for BMI≥30·0 kg/m2; 1·89; 1·24, 2·87 for WHtR≥0·5). Increased SHR was associated with higher likelihood of having BMI≥30·0 kg/m2in both sexes (multivariate-adjusted OR; 95 % CI: 2·10; 1·40, 3·16 for women; 1·92; 1·07, 3·43 for men) but not with WHtR≥0·5.ConclusionsDifferent growth markers are associated with obesity in adults. However, this association depends on the population and anthropometric measures used: short stature is associated with a higher risk of presenting excessive weight in women but not in men; SHR is more sensitive to detect this effect in both sexes.
Collapse
|
10
|
Heydenreich J, Melzer K, Flury C, Kayser B. Low Energy Turnover of Physically Inactive Participants as a Determinant of Insufficient Mineral and Vitamin Intake in NHANES. Nutrients 2017; 9:E754. [PMID: 28708118 PMCID: PMC5537868 DOI: 10.3390/nu9070754] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2017] [Revised: 06/23/2017] [Accepted: 07/11/2017] [Indexed: 01/08/2023] Open
Abstract
Micronutrient requirements do not scale linearly with physical activity-related energy expenditure (AEE). Inactive persons may have insufficient micronutrient intake because of low energy intake (EI). We extracted data from NHANES 2003-2006 on 4015 adults (53 ± 18 years (mean ± SD), 29 ± 6 kg/m², 48% women) with valid physical activity (accelerometry) and food intake (2 × 24 h-dietary recall) measures. Total energy expenditure (TEE) was estimated by summing the basal metabolic rate (BMR, Harris-Benedict), AEE, and 10% of TEE for the thermic effect of food, to calculate the physical activity levels (PAL = TEE/BMR). Energy intake (EI) was scaled to match TEE assuming energy balance. Adjusted food intake was then analyzed for energy and micronutrient content and compared to estimated average requirements. The NHANES population was physically insufficiently active. There were 2440 inactive (PAL < 1.4), 1469 lightly to moderately active (PAL1.4 < 1.7), 94 sufficiently active (PAL1.7 < 2.0), and 12 very active participants (PAL ≥ 2.0). The inactive vs. active had significantly lower intake for all micronutrients apart from vitamin A, B12, C, K, and copper (p < 0.05). The inactive participants had insufficient intake for 6/19 micronutrients, while the active participants had insufficient intake for 5/19 (p < 0.05) micronutrients. Multiple linear regression indicated a lower risk for insufficient micronutrient intake for participants with higher PAL and BMI (p < 0.001). Symmetrical up-scaling of PAL and EI to recommended physical activity levels reduced the frequency of micronutrient insufficiencies. It follows that prevalence of insufficient micronutrient intake from food in NHANES might be partly determined by low energy turnover from insufficient PAL.
Collapse
Affiliation(s)
- Juliane Heydenreich
- Swiss Federal Institute of Sport, 2532 Magglingen, Switzerland.
- Institute of Sports Sciences (ISSUL), University of Lausanne, 1015 Lausanne, Switzerland.
| | - Katarina Melzer
- Swiss Federal Institute of Sport, 2532 Magglingen, Switzerland.
| | - Céline Flury
- Institute of Sports Sciences (ISSUL), University of Lausanne, 1015 Lausanne, Switzerland.
| | - Bengt Kayser
- Institute of Sports Sciences (ISSUL), University of Lausanne, 1015 Lausanne, Switzerland.
| |
Collapse
|
11
|
Damiani TF, Pereira LP, Ferreira MG. Consumo de frutas, legumes e verduras na Região Centro-Oeste do Brasil: prevalência e fatores associados. CIENCIA & SAUDE COLETIVA 2017. [DOI: 10.1590/1413-81232017222.12202015] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Estudo transversal, baseado em dados do sistema de monitoramento por inquérito telefônico – VIGITEL, com o objetivo de estimar a prevalência e os fatores associados ao consumo recomendado de frutas, legumes e verduras (FLV) em 6696 indivíduos com idade ≥ 18 anos, de ambos os sexos, residentes na Região Centro-Oeste do Brasil, em 2012. O consumo recomendado foi a variável dependente e variáveis sociodemográficas, comportamentais e relacionadas à saúde foram as independentes. A prevalência do consumo recomendado de FLV foi de 26,3%, sendo maior entre as mulheres (RPaj = 1,44; IC95% = 1,29–1,62). A regressão de Poisson entre o desfecho e as variáveis independentes mostrou maior prevalência do consumo recomendado entre as mulheres residentes no Distrito Federal, casadas e que consideravam seu estado de saúde como bom/muito bom. Em ambos os sexos, observou-se associação direta do desfecho com a escolaridade, idade e prática de atividade física e associação inversa com o consumo de alimentos não saudáveis. Devido à baixa prevalência do consumo recomendado de FLV na população da Região Centro-Oeste do Brasil no ano de 2012, propõe-se que as estratégias de intervenção para melhorar o consumo desses alimentos sejam feitas de forma globalizada.
Collapse
|
12
|
Relationship between domain-specific physical activity and different body composition measures in a working population. J Occup Environ Med 2014; 56:1074-81. [PMID: 25285830 DOI: 10.1097/jom.0000000000000224] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
OBJECTIVE With respect to the overweight epidemic, this study aimed to investigate the association between domain-specific physical activity and body composition measures in Swiss male employees. METHODS A total of 192 healthy male adults in full-time employment were investigated. Height, weight, and waist circumference were measured and body mass index was calculated. Relative fat mass and relative muscle mass were determined by bioelectric impedance analysis. Physical activity was assessed by the validated International Physical Activity Questionnaire. RESULTS In multiple linear regressions, leisure-time activity showed an inverse association with waist circumference and relative fat mass and a positive correlation with relative muscle mass. Work activity was positively related to waist circumference and body mass index. CONCLUSIONS This study shows that leisure-time activity may be the most effective physical activity domain for body composition. Work activity does not seem to be protective against overweight.
Collapse
|
13
|
Monfort-Pires M, Salvador EP, Folchetti LD, Siqueira-Catania A, Barros CR, Ferreira SRG. Diet quality is associated with leisure-time physical activity in individuals at cardiometabolic risk. J Am Coll Nutr 2014; 33:297-305. [PMID: 24960445 DOI: 10.1080/07315724.2013.874928] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
OBJECTIVES We investigated whether diet quality was associated with leisure-time physical activity (LTPA) and television viewing and the associations of these variables with traditional cardiovascular risk factors and novel biomarkers in individuals at cardiometabolic risk. METHODS A total of 193 prediabetic adults (63.7% women, mean age 54.1 years), screened for a diabetes prevention program in Brazil, participated in this cross-sectional study. Clinical data and blood samples were collected for several determinations. Twenty-four-hour recalls were used to calculate the Healthy Eating Index (HEI) adapted to Brazilian dietary habits and the International Physical Activity Questionnaire to assess physical activity level. Analysis of covariance with adjustments for age and body mass index (BMI) was employed to test associations across categories of LTPA and television viewing. RESULTS Stratifying according to LTPA categories, the most active subset (≥150 minutes/week) showed better HEI scores after adjustments (64.6 ± 11.0, 65.1 ± 10.3, and 68.6 ± 10.8, p = 0.02) and significant higher values of dark green and orange vegetables but not of whole grains (p = 0.06). Active individuals had lower BMI, waist circumference, inflammatory markers, and better insulin sensitivity (p < 0.05). Individuals at the highest category of television viewing had higher age-adjusted BMI (32.0 ± 6.2, 30.7 ± 6.0, and 28.8 ± 4.7 hours/week; p = 0.01) than the others. Time watching television was inversely associated with homeostasis model assessment (HOMA-IR) and C-reactive protein (CRP; p < 0.01) after adjustments but not with lipids and HEI score. Comparisons of individuals with healthy habits (better diet and higher physical activity [PA]), with those with unhealthy habits revealing better anthropometric and cardiometabolic profiles in the former group. CONCLUSION Diet quality assessed by the HEI adapted for Brazilian eating habits attained significance in differentiating more active from inactive at-risk individuals during leisure time. Time watching television, as a surrogate of sedentary behavior, is not useful to detect unhealthy diet quality. LTPA is indicative of better cardiometabolic profile reflected by lipid and inflammatory markers and index of insulin resistance.
Collapse
Affiliation(s)
- Milena Monfort-Pires
- a Department of Nutrition, School of Public Health , University of São Paulo , BRAZIL
| | | | | | | | | | | |
Collapse
|
14
|
Donnelly JE, Herrmann SD, Lambourne K, Szabo AN, Honas JJ, Washburn RA. Does increased exercise or physical activity alter ad-libitum daily energy intake or macronutrient composition in healthy adults? A systematic review. PLoS One 2014; 9:e83498. [PMID: 24454704 PMCID: PMC3893086 DOI: 10.1371/journal.pone.0083498] [Citation(s) in RCA: 87] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2013] [Accepted: 11/04/2013] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND The magnitude of the negative energy balance induced by exercise may be reduced due to compensatory increases in energy intake. OBJECTIVE TO ADDRESS THE QUESTION: Does increased exercise or physical activity alter ad-libitum daily energy intake or macronutrient composition in healthy adults? DATA SOURCES PubMed and Embase were searched (January 1990-January 2013) for studies that presented data on energy and/or macronutrient intake by level of exercise, physical activity or change in response to exercise. Ninety-nine articles (103 studies) were included. STUDY ELIGIBILITY CRITERIA Primary source articles published in English in peer-reviewed journals. Articles that presented data on energy and/or macronutrient intake by level of exercise or physical activity or changes in energy or macronutrient intake in response to acute exercise or exercise training in healthy (non-athlete) adults (mean age 18-64 years). STUDY APPRAISAL AND SYNTHESIS METHODS Articles were grouped by study design: cross-sectional, acute/short term, non-randomized, and randomized trials. Considerable heterogeneity existed within study groups for several important study parameters, therefore a meta-analysis was considered inappropriate. Results were synthesized and presented by study design. RESULTS No effect of physical activity, exercise or exercise training on energy intake was shown in 59% of cross-sectional studies (n = 17), 69% of acute (n = 40), 50% of short-term (n = 10), 92% of non-randomized (n = 12) and 75% of randomized trials (n = 24). Ninety-four percent of acute, 57% of short-term, 100% of non-randomized and 74% of randomized trials found no effect of exercise on macronutrient intake. Forty-six percent of cross-sectional trials found lower fat intake with increased physical activity. LIMITATIONS The literature is limited by the lack of adequately powered trials of sufficient duration, which have prescribed and measured exercise energy expenditure, or employed adequate assessment methods for energy and macronutrient intake. CONCLUSIONS We found no consistent evidence that increased physical activity or exercise effects energy or macronutrient intake.
Collapse
Affiliation(s)
- Joseph E. Donnelly
- Cardiovascular Research Institute, Center for Physical Activity and Weight Management, University of Kansas Medical Center, Kansas City, Kansas, United States of America
- * E-mail:
| | - Stephen D. Herrmann
- Cardiovascular Research Institute, Center for Physical Activity and Weight Management, University of Kansas Medical Center, Kansas City, Kansas, United States of America
| | - Kate Lambourne
- Cardiovascular Research Institute, Center for Physical Activity and Weight Management, University of Kansas Medical Center, Kansas City, Kansas, United States of America
| | - Amanda N. Szabo
- Cardiovascular Research Institute, Center for Physical Activity and Weight Management, University of Kansas Medical Center, Kansas City, Kansas, United States of America
| | - Jeffery J. Honas
- Cardiovascular Research Institute, Center for Physical Activity and Weight Management, University of Kansas Medical Center, Kansas City, Kansas, United States of America
| | - Richard A. Washburn
- Cardiovascular Research Institute, Center for Physical Activity and Weight Management, University of Kansas Medical Center, Kansas City, Kansas, United States of America
| |
Collapse
|
15
|
Graff SK, Alves BC, Toscani MK, Spritzer PM. Benefits of pedometer-measured habitual physical activity in healthy women. Appl Physiol Nutr Metab 2012; 37:149-56. [DOI: 10.1139/h11-145] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This cross-sectional study aimed at (i) characterizing pedometer-determined physical activity and (ii) examining its associations with dietary intake and anthropometric and metabolic profile in healthy women. Anthropometric and metabolic profile was evaluated in 68 healthy women of reproductive age. Habitual physical activity was assessed using a pedometer for 6 consecutive days, including weekends. Participants were stratified into active and inactive according to the mean steps·day–1(≥6000 and <6000, respectively). Food consumption was evaluated by 24-h recall in a subsample of 35 participants. Thirty-eight women were defined as active and had significantly lower body mass index (BMI), fat percentage, waist circumference, sum of skinfold thickness, insulin, and HOMA than the sedentary group. Mean BMI was 27 kg·m–2(overweight) in active participants and 31 kg·m–2(class I obesity) in inactive participants. Active women consumed more carbohydrates (55.5% ± 9.4% vs. 46.3% ± 7.6%) and calories (2138 ± 679 vs. 1664 ± 558 kcal), and less protein (15.4% ± 4.2% vs. 19.9% ± 5.8%) and lipids (29.0% ± 7.2% vs. 33.8% ± 6.2%) than inactive individuals (p < 0.05). Fiber, cholesterol, and fatty acid intake was similar in both groups. The number of steps was lower on Sunday than on weekdays for the overall group. Using a pedometer for 3 days was sufficient to determine habitual physical activity (sensitivity: 94%; specificity 91% vs. 6 days of pedometer use). In the present study, nonstructured physical activity was associated with more adequate dietary consumption and contributed toward a healthier anthropometric and metabolic profile in young women, despite the high prevalence of overweight.
Collapse
Affiliation(s)
- Scheila Karen Graff
- Gynecological Endocrinology Unit, Division of Endocrinology, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
- National Institute of Hormones and Women’s Health, CNPq, Porto Alegre, Brazil
| | - Bruna Cherubini Alves
- Gynecological Endocrinology Unit, Division of Endocrinology, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
- Laboratory of Molecular Endocrinology, Department of Physiology, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Mariana Kirjner Toscani
- Gynecological Endocrinology Unit, Division of Endocrinology, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
- National Institute of Hormones and Women’s Health, CNPq, Porto Alegre, Brazil
| | - Poli Mara Spritzer
- Gynecological Endocrinology Unit, Division of Endocrinology, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
- National Institute of Hormones and Women’s Health, CNPq, Porto Alegre, Brazil
- Laboratory of Molecular Endocrinology, Department of Physiology, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| |
Collapse
|
16
|
Associations between dietary patterns, physical activity (leisure-time and occupational) and television viewing in middle-aged French adults. Br J Nutr 2011; 105:902-10. [DOI: 10.1017/s000711451000440x] [Citation(s) in RCA: 68] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Diet and physical activity are considered to be major components of a healthy lifestyle. However, few studies have examined in detail the relationships between specific types of physical activity, sedentary behaviour and diet in adults. The objective of the present study was to assess differential relationships between dietary patterns, leisure-time and occupational physical activities and time spent watching television (TV), as an indicator of sedentary behaviour, in middle-aged French subjects. We performed a cross-sectional analysis using data from 1359 participants in the SUpplémentation en VItamines et Minéraux AntioXydants study, who completed a detailed physical activity questionnaire and at least six 24 h dietary records. Sex-specific dietary patterns were derived using factor analysis; their relationships with leisure-time and occupational physical activities and TV viewing were assessed using ANCOVA, after adjustment for age, educational level and smoking status. Three dietary patterns were identified in each sex. After adjustment for potential confounders, leisure-time physical activity was positively associated with a ‘healthy’ food pattern in both men (P for trend < 0·01) and women (P for trend < 0·03) and negatively associated with an ‘alcohol/meat’ pattern in men (P for trend < 0·01). TV viewing was positively associated with a ‘convenience’ pattern in men and with a ‘alcohol-appetiser’ pattern in women. In conclusion, identification of relationships between dietary patterns, physical activity and sedentary behaviour can enable identification of different types of lifestyle and should help to target at-risk groups in nutrition prevention programmes.
Collapse
|
17
|
Knight KH, Buchholz AC, Martin Ginis KA, Goy RE. Leisure-time physical activity and diet quality are not associated in people with chronic spinal cord injury. Spinal Cord 2010; 49:381-5. [PMID: 20714337 DOI: 10.1038/sc.2010.103] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
STUDY DESIGN Cross-sectional. OBJECTIVE To determine the association between leisure-time physical activity (LTPA) and adherence to Eating Well with Canada's Food Guide (CFG) in community-dwelling adults with chronic Spinal Cord Injury (SCI). SETTING Ontario, Canada. METHODS Participants were recruited as part of the Study of Health and Activity in People with SCI (SHAPE-SCI). Dietary data were collected using 24-h recalls and analysed for adherence to CFG recommendations by age group and gender. LTPA was assessed using the Physical Activity Recall Assessment for Persons with SCI. Statistical analysis comprised correlations, multiple regression and χ(2). RESULTS We studied 75 adults (n=61 M; 42.4±11.8 years; 25.5±5.2 kg m(-2)) with chronic (≥1-year post-injury) SCI. Of these, 37% of participants were inactive, 29% were low-active and 33% were high-active. Fewer than 5% of participants were 100% adherent with CFG; 85% were adherent to ≤50%. Activity level and overall adherence to CFG were not correlated (r=-0.052, P=0.666). Although there were no associations between LTPA and vegetables and fruit, grain products, milk and alternatives, or other foods (all P>0.05), high activity was associated with consuming less than the minimum number of recommended servings of meat and alternatives (φ=-0.258, P=0.026). CONCLUSION Clinicians need to be aware of the poor diet quality, and low levels of physical activity, of people with chronic SCI. They should not assume that those who are more active consume better quality diets than those who are low active or inactive. SPONSORSHIP Canadian Institutes of Health Research.
Collapse
Affiliation(s)
- K H Knight
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, Ontario, Canada
| | | | | | | | | |
Collapse
|
18
|
Neutzling MB, Rombaldi AJ, Azevedo MR, Hallal PC. Fatores associados ao consumo de frutas, legumes e verduras em adultos de uma cidade no Sul do Brasil. CAD SAUDE PUBLICA 2009; 25:2365-74. [DOI: 10.1590/s0102-311x2009001100007] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2009] [Accepted: 07/29/2009] [Indexed: 11/21/2022] Open
Abstract
O objetivo deste estudo foi descrever a freqüência de consumo de frutas, legumes e verduras por adultos de 20 a 69 anos de Pelotas, Rio Grande do Sul, Brasil, e analisar fatores associados. Foi realizado em 2006 um estudo transversal de base populacional, incluindo 972 adultos. A freqüência do consumo de frutas, legumes e verduras foi medida por meio de três perguntas referentes ao consumo habitual destes no ano anterior. O desfecho foi o consumo regular de frutas, legumes e verduras. Cerca de 1/5 da população adulta (20,9%) consumia regularmente frutas, legumes e verduras. Indivíduos do sexo feminino, com 60 anos ou mais, das classes A e B, ex-fumantes e não sedentários apresentaram maior prevalência de consumo de frutas e legumes e verduras. A freqüência do consumo de frutas, legumes e verduras na população adulta residente no Município de Pelotas está aquém das recomendações atuais do Ministério da Saúde, em especial entre os homens mais jovens, de menor nível sócio-econômico e que não praticam atividade física no lazer. Políticas públicas que estimulem uma alimentação saudável são urgentemente necessárias.
Collapse
|