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Bezrati I, Hammami R, Ceylan Hİ, Govindasamy K, Fradj MKB, Feki M, Mansour AB, Parpa K. Poor Eating Habits and Low Physical Activity Contribute to Weight Excess and Increase Cardiometabolic Risk in Adolescents Practicing Soccer as a Recreational Sport. CHILDREN (BASEL, SWITZERLAND) 2024; 11:857. [PMID: 39062306 PMCID: PMC11275476 DOI: 10.3390/children11070857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/27/2024] [Revised: 07/11/2024] [Accepted: 07/12/2024] [Indexed: 07/28/2024]
Abstract
BACKGROUND Monitoring anthropometry, dietary intake, and physical activity (PA) is essential to prevent/counteract childhood obesity. This study examined dietary intake, PA, and anthropometric characteristics in young boys practicing soccer as a recreational sport. METHODS A cross-sectional study included 226 boys aged 8 to 13 years participating in soccer as a recreational activity in football academies located in Tunis, Tunisia. Anthropometric measures allowed the calculation of body mass index, fat mass, and peak height velocity as markers of biological maturity. A three-day food record and a food frequency questionnaire estimated nutrient intake and eating habits. The International Physical Activity Questionnaire (IPAQ) was used to estimate the PA level of the participants. RESULTS It was found that a high percentage of the children had excess weight (54%) and excess fat mass (47%). The total energy, carbohydrate, and saturated fat intake of the children exceeded the recommended levels by approximately 10%, 15%, and 30%, respectively. However, the intake of unsaturated fat was below the estimated requirements, particularly in obese children. In addition to the unbalanced macronutrient intake, the children also showed an insufficient intake of many essential micronutrients. Around 60% to 70% of the children in all three groups had a low intake of magnesium, n-3 polyunsaturated fatty acids (PUFA), and vitamins B9, B12, and D. Moreover, 20% to 35% of the children in the three groups had an insufficient intake of vitamins A and C. Insufficient vitamin E intake was found in 63% of obese children and 35% of non-obese children. It was observed that the PA level was lower in the overweight/obese group compared to the normal-weight group (p < 0.005). More than three-quarters of overweight/obese children had low PA levels, about 20% were moderately active, and only 1 to 2% were highly active. Conversely, normal-weight children showed moderate to high PA levels. CONCLUSIONS Poor eating behavior, an unbalanced diet, and a low PA level are prevalent in Tunisian boys practicing recreational sports. Such a combination is responsible for a disparity between energy intake and expenditure, contributing to weight excess and increased cardiometabolic risk. The study findings provide meaningful information for practitioners and authorities on applying a balanced diet and adequate PA to prevent and fight against obesity and improve cardiometabolic health in youth.
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Affiliation(s)
- Ikram Bezrati
- Laboratory of Biochemistry, Faculty of Medicine of Tunis, Rabta Hospital, University of Tunis El Manar, LR99ES11, Tunis 1007, Tunisia; (I.B.); (M.K.B.F.); (M.F.); (A.B.M.)
- Tunisian Research Laboratory ‘Sports Performance Optimization’, National Center of Medicine and Science in Sports (CNMSS-LR09SEP01), Tunis 1003, Tunisia;
| | - Raouf Hammami
- Tunisian Research Laboratory ‘Sports Performance Optimization’, National Center of Medicine and Science in Sports (CNMSS-LR09SEP01), Tunis 1003, Tunisia;
- Higher Institute of Sport and Physical Education of Ksar-Said, Manouba University, Tunis 2010, Tunisia
| | - Halil İbrahim Ceylan
- Department of Physical Education of Sports Teaching, Faculty of Sports Sciences, Atatürk University, Erzurum 25100, Türkiye
| | - Karuppasamy Govindasamy
- Department of Physical Education and Sports Sciences, Faculty of Science and Humanities, SRM Institute of Science and Technology, Kattankulathur 603203, Tamil Nadu, India;
| | - Mohamed K. Ben Fradj
- Laboratory of Biochemistry, Faculty of Medicine of Tunis, Rabta Hospital, University of Tunis El Manar, LR99ES11, Tunis 1007, Tunisia; (I.B.); (M.K.B.F.); (M.F.); (A.B.M.)
| | - Moncef Feki
- Laboratory of Biochemistry, Faculty of Medicine of Tunis, Rabta Hospital, University of Tunis El Manar, LR99ES11, Tunis 1007, Tunisia; (I.B.); (M.K.B.F.); (M.F.); (A.B.M.)
| | - Abderraouf Ben Mansour
- Laboratory of Biochemistry, Faculty of Medicine of Tunis, Rabta Hospital, University of Tunis El Manar, LR99ES11, Tunis 1007, Tunisia; (I.B.); (M.K.B.F.); (M.F.); (A.B.M.)
| | - Koulla Parpa
- Faculty of Sport and Exercise Science, UCLan University of Cyprus, Pyla 7080, Cyprus;
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Wang Z, Huang B, Ding Y, Cao F, Li F, Li PF. Association between life's essential 8 and metabolic dysfunction-associated steatotic liver disease among US adults. Arch Public Health 2024; 82:101. [PMID: 38970079 PMCID: PMC11225315 DOI: 10.1186/s13690-024-01331-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2024] [Accepted: 06/27/2024] [Indexed: 07/07/2024] Open
Abstract
BACKGROUND Metabolic dysfunction-associated steatotic liver disease(MASLD) is the most common cause of chronic liver disease. Clinical evidences have demonstrated the link between MASLD and the increased risk of cardiovascular disease (CVD) development. We aimed to investigate the relationship between Life's Essential 8 (LE8), an enhanced approach to assessing cardiovascular health(CVH), and MASLD. METHODS Data were extracted from the National Health and Nutrition Examination Survey (NHANES) in 2017-2020 cycles. MASLD was assessed by the latest diagnostic criteria. LE8 scores (range 0-100) were obtained from measurements based on American Heart Association definitions, divided into health factor and health behavior scores. Multivariable logistic and restricted cubic spline models were used to assess the associations. RESULTS 5646 participants were included based on the inclusion and exclusion criteria, 2616 (46.33%) participants were diagnosed with MASLD. After adjusting for confounding variables, higher LE8 scores were associated with a lower risk of MASLD (OR = 0.19, 95%CI 0.17-0.21; P < 0.001), similar associations were also observed between health behavior and health factor scores with MASLD. Subgroup analyses illustrated that the negative association between LE8 score and MASLD was stronger among younger, non - Hispanic White, and never married participants. CONCLUSIONS In this nationally representative sample of U.S. adults, LE8 scores, health behavior scores, and health factor scores were negatively associated with the prevalence of MASLD in non-linear fashions. Subjects maintaining ideal health factors and health behaviors are less likely to develop MASLD. Public health policies are needed to advocate healthy behaviors and factors.
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Affiliation(s)
- Zheng Wang
- Department of General Surgery, Xuanwu Hospital, Capital Medical University, No.45 Changchun Street, Xicheng District, Beijing, 100053, China
| | - Bohan Huang
- Department of General Surgery, Xuanwu Hospital, Capital Medical University, No.45 Changchun Street, Xicheng District, Beijing, 100053, China
| | - Yixuan Ding
- Department of General Surgery, Xuanwu Hospital, Capital Medical University, No.45 Changchun Street, Xicheng District, Beijing, 100053, China
| | - Feng Cao
- Department of General Surgery, Xuanwu Hospital, Capital Medical University, No.45 Changchun Street, Xicheng District, Beijing, 100053, China
| | - Fei Li
- Department of General Surgery, Xuanwu Hospital, Capital Medical University, No.45 Changchun Street, Xicheng District, Beijing, 100053, China.
| | - Prof Fei Li
- Department of General Surgery, Xuanwu Hospital, Capital Medical University, No.45 Changchun Street, Xicheng District, Beijing, 100053, China
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Yang L, Liu X, Liu Y, Zheng W, Wang W, Yan S. Altered gait patterns during arch important development period in children with persistent obesity: An experimental longitudinal study. Gait Posture 2024; 111:143-149. [PMID: 38703442 DOI: 10.1016/j.gaitpost.2024.04.026] [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: 02/03/2024] [Revised: 03/29/2024] [Accepted: 04/24/2024] [Indexed: 05/06/2024]
Abstract
BACKGROUND Obesity can cause structural changes and functional adjustments in growing children's feet. However, there is a lack of continuous observation of changes in feet in children with persistent obesity during important developmental periods. This makes it challenging to provide precise preventive measures. OBJECTIVE This study aimed to investigate the effects of persistent obesity on gait patterns in children at an important stage in the formation of a robust foot arch. METHODS The Footscan® plantar pressure system was used for 3 checks over two years. A total of 372 children aged 7-8 years participated in the study, and gait data from 33 children who maintained normal weight and 26 children with persistent obesity were finally selected. Repeated measures ANOVA or Friedman's test were used for longitudinal comparisons. Independent-Sample t-tests or the Mann-Whitney-Wilcoxon tests were used for cross-sectional comparisons. RESULTS During the important period of development, children with persistent obesity did not exhibit a significant decrease in the arch index and had significantly higher values than the normal group in the third check. The persistently obese children showed increased load accumulation in the lateral rearfoot, first metatarsophalangeal joints, and the great toe regions. Children with persistent obesity had significantly greater medial-lateral displacements in the initial contact phase and forefoot contact phase than normal children in the first check. These differences diminished between the second and third checks. SIGNIFICANCE Persistent obesity during an important period of foot development leads to slow or abnormal development of arch structure and affects foot loading patterns with heel inverted and forefoot everted. Additionally, the development of gait stability is not limited by persistent obesity.
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Affiliation(s)
- Luming Yang
- National Engineering Laboratory for Clean Technology of Leather Manufacture, Sichuan University, Chengdu, China
| | - Xinye Liu
- National Engineering Laboratory for Clean Technology of Leather Manufacture, Sichuan University, Chengdu, China
| | - Yuan Liu
- National Engineering Laboratory for Clean Technology of Leather Manufacture, Sichuan University, Chengdu, China
| | - Wenxiao Zheng
- Jihua 3515 Leather and Leather Shoe Co., Ltd., Luohe, China
| | - Wei Wang
- National Engineering Laboratory for Clean Technology of Leather Manufacture, Sichuan University, Chengdu, China
| | - Shiyang Yan
- National Engineering Laboratory for Clean Technology of Leather Manufacture, Sichuan University, Chengdu, China; Zhejiang Red Dragonfly Footwear Co., Ltd, Wenzhou, China.
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Wysocka-Mincewicz M, Szczerbik E, Mazur M, Grabik M, Kalinowska M, Syczewska M. Foot Plantar Pressure Abnormalities in Near Adulthood Patients with Type 1 Diabetes. Biomedicines 2023; 11:2901. [PMID: 38001902 PMCID: PMC10668972 DOI: 10.3390/biomedicines11112901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Revised: 10/14/2023] [Accepted: 10/19/2023] [Indexed: 11/26/2023] Open
Abstract
Increased ulcer risk diminishes the quality of life in diabetes. This study assessed abnormalities in foot plantar pressure distribution in adolescents with T1D to detect early signs of ulcer risk. A total of 102 T1D patients, without diabetic neuropathy, were included (mean age 17.8 years, mean diabetes duration 7.4 year). Pedography was captured using Novel emed. Data from the study group were compared with reference data. The study revealed a statistically significant reduced foot contact area in both feet in the entire foot and under the head of the fifth metatarsal bone and the second toe. In both feet, the peak pressure was increased under the entire foot, hindfoot, midfoot, first metatarsal head, big toe, and second toe. There was no statistically significant difference in peak pressure. The mean plantar pressure rating was statistically significantly increased in both feet across the entire sole, in the hindfoot, midfoot, and first metatarsal head. T1D patients of age near adulthood without neuropathy have increased values in mean pressure and reduced contact area, pointing to the need of monitoring and preventive measures. These results point to the need of further research and analysis which should include various risk factor such as foot anatomy, body posture, or certain metabolic factors.
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Affiliation(s)
- Marta Wysocka-Mincewicz
- Clinic of Endocrinology and Diabetology, Children’s Memorial Health Institute, 04-730 Warsaw, Poland; (M.M.); (M.G.)
| | - Ewa Szczerbik
- Kinesiology Lab, Children’s Memorial Health Institute, 04-730 Warsaw, Poland; (E.S.); (M.K.); (M.S.)
| | - Maria Mazur
- Clinic of Endocrinology and Diabetology, Children’s Memorial Health Institute, 04-730 Warsaw, Poland; (M.M.); (M.G.)
| | - Magdalena Grabik
- Clinic of Endocrinology and Diabetology, Children’s Memorial Health Institute, 04-730 Warsaw, Poland; (M.M.); (M.G.)
| | - Małgorzata Kalinowska
- Kinesiology Lab, Children’s Memorial Health Institute, 04-730 Warsaw, Poland; (E.S.); (M.K.); (M.S.)
| | - Małgorzata Syczewska
- Kinesiology Lab, Children’s Memorial Health Institute, 04-730 Warsaw, Poland; (E.S.); (M.K.); (M.S.)
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Molina-García C, Jiménez-García JD, Velázquez-Díaz D, Ramos-Petersen L, López-Del-Amo-Lorente A, Martínez-Sebastián C, Álvarez-Salvago F. Overweight and Obesity: Its Impact on Foot Type, Flexibility, Foot Strength, Plantar Pressure and Stability in Children from 5 to 10 Years of Age: Descriptive Observational Study. CHILDREN (BASEL, SWITZERLAND) 2023; 10:children10040696. [PMID: 37189945 DOI: 10.3390/children10040696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 03/14/2023] [Accepted: 03/16/2023] [Indexed: 05/17/2023]
Abstract
BACKGROUND Overweight (OW) and childhood obesity (OB) may cause foot problems and affect one's ability to perform physical activities. The study aimed to analyze the differences in descriptive characteristics, foot type, laxity, foot strength, and baropodometric variables by body mass status and age groups in children and, secondly, to analyze the associations of the BMI with different physical variables by age groups in children. METHODS A descriptive observational study involving 196 children aged 5-10 years was conducted. The variables used were: type of foot, flexibility, foot strength and baropodometric analysis of plantar pressures, and stability by pressure platform. RESULTS Most of the foot strength variables showed significant differences between the normal weight (NW), OW and OB groups in children aged between 5 and 8. The OW and OB groups showed the highest level of foot strength. In addition, the linear regression analyses showed, in children aged 5 to 8 years, a positive association between BMI and foot strength (the higher the BMI, the greater the strength) and negative association between BMI and stability (lower BMI, greater instability). CONCLUSIONS Children from 5 to 8 years of age with OW and OB show greater levels of foot strength, and OW and OB children from 7 to 8 years are more stable in terms of static stabilometrics. Furthermore, between 5 and 8 years, having OW and OB implies having more strength and static stability.
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Affiliation(s)
- Cristina Molina-García
- Health Sciences PhD Program, Universidad Católica de Murcia UCAM, Campus de los Jerónimos n°135, 30107 Murcia, Spain
| | | | - Daniel Velázquez-Díaz
- AdventHealth Research Institute, Neuroscience Institute, Orlando, FL 32803, USA
- ExPhy Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cadiz, 11519 Cadiz, Spain
| | | | - Andrés López-Del-Amo-Lorente
- Health Sciences PhD Program, Universidad Católica de Murcia UCAM, Campus de los Jerónimos n°135, 30107 Murcia, Spain
| | | | - Francisco Álvarez-Salvago
- Department of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaen, Spain
- Department of Physiotherapy, Faculty of Health Sciences, European University of Valencia, 46010 Valencia, Spain
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Ozturk B, Celik Y. New Distinct Component Patterns for Plantar Pressure Variables by Using Principal Component Analysis. J Am Podiatr Med Assoc 2022; 112:21-048. [PMID: 35298413 DOI: 10.7547/21-048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND It is important to determine the plantar pressure distribution of schoolchildren by applying static and dynamic foot analyses using a pedobarography device. However, it is difficult to obtain clear interpretations from results that can be explained by a large number of plantar pressure variables. The aim of this study was to use principal component analysis (PCA) to predict the main components for reducing the size of big data sets, provide a practical overview, and minimize information loss on the subject of plantar pressure assessment in youths. METHODS In total, 112 schoolchildren were included in the study (mean ± SD: age, 10.58 ± 1.27 years; body mass index, 18.86 ± 4.33). During the research, a pedobarography device was used to obtain plantar pressure data. Each foot was divided into six anatomical regions and evaluated. Global and regional plantar pressure distributions, load and surface areas, pressure-time integrals, weight ratios, and geometric foot properties were calculated. RESULTS The PCA yielded ten principal components that together account for 81.88% of the variation in the data set and represent new and distinct patterns. Thus, 137 variables affecting the subject were reduced to ten components. CONCLUSIONS The numerous variables that affect static and dynamic plantar pressure distributions can be reduced to ten components by PCA, making the research results more concise and understandable.
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Affiliation(s)
- Basar Ozturk
- *Physiotherapy and Rehabilitation Department, Biruni University Faculty of Health Sciences, Topkapi, Istanbul, Turkey
| | - Yusuf Celik
- †Department of Biostatistics and Medical Informatics, Biruni University Medical Faculty, Topkapi, Istanbul, Turkey
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MOCANU GD, IORDAN DA, MOCANU MD, COJOCARU M, NECHIFOR Alexandru. INVESTIGATION OF PLANTAR PRESSURE AND PLANTAR IMBALANCES IN THE STATIC PHASE OF KARATE DO ATHLETES. BALNEO AND PRM RESEARCH JOURNAL 2021. [DOI: 10.12680/balneo.2021.433] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
The study aims to investigate the parameters offered by the baropodometric examination on a group of athletes practicing the martial art Karate Do (20 subjects, 16 girls and 4 boys, average age 13.55 ± 2.74, height 163 cm ± 8.47 , weight 54.50 kg ± 8.84, BMI (body index mass) of 20.46 ± 2.90 and seniority in sports activity of 5.27 years ± 2.74). The purpose of the research is to determine the changes related to the value of the plantar surfaces, the pressures for the dominant and non-dominant lower segments, the positioning of the pressure center in relation to the support polygon and the imbalances in the sole of the foot. The testing was performed using the FreeMed baropodometric platform and the FreeStep by Sensor Medica software, in the last week of February 2021, at the Research Center for Human Performance within the Faculty of Physical Education and Sports, “Dunărea de Jos” University from Galați. Results: Placing the maximum pressure point / P.max in the forefoot area is an exception, only one case being reported with this distribution, the rest having P.max located at the rearfoot level. Comparison of the averages between the variables recorded for the left foot vs. the right foot highlights higher values of the dominant / right foot, but these differences are significant only for the values of the plantar pressure in the forefoot area and for the total load on the entire plantar surface / total load (p <.05). The comparison between the averages of the surfaces and the loads of each separate foot (for the forefoot and rearfoot areas) highlights major differences only for the values of the contact surfaces, the forefoot area being significantly larger than the rearfoot area (p <.05). Close average values with small and insignificant differences are reported for each foot between the forefoot and rearfoot areas when comparing the body pressure / load percent and weight ratio percent, indicating a balanced pressure distribution between the front and back area for each leg. The investigation was also useful by detecting the existing imbalances at the plantar level, for one or both legs, being also reported cases of hollow, flat and mixed foot. These plantar disturbances can negatively affect all the overlying / upper joints, but especially the body posture, thus being able to cause pain in the lumbar region, limiting the performance activity and causing even the withdrawal of the athletes. We recommend that after identifying the syndromes at the ankle joint, to implement personalized plantar supports, which should be introduced in sports shoes in order to balance the architecture of the foot sole.
Keywords: karate do, plantar pressures, baropodometric analysis, load, rearfoot, forefoot, maximum pressure,
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Affiliation(s)
- George-Dănuț MOCANU
- “Dunărea de Jos” University, Faculty of Physical Education and Sports, 63-65 Gării Street, Galați, România
| | - Daniel-Andrei IORDAN
- “Dunărea de Jos” University, Faculty of Physical Education and Sports, 63-65 Gării Street, Galați, România
| | - Mircea-Dan MOCANU
- “Dunărea de Jos” University, Faculty of Physical Education and Sports, 63-65 Gării Street, Galați, România
| | - Marius COJOCARU
- “Dunărea de Jos” University, Faculty of Physical Education and Sports, 63-65 Gării Street, Galați, România
| | - NECHIFOR Alexandru
- “Dunărea de Jos” University, Faculty of Medicine and Pharmcy, 35 Al. I. Cuza Street, Galați, România
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