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Kreppke JN, Cody R, Beck J, Brand S, Donath L, Eckert A, Imboden C, Hatzinger M, Holsboer-Trachsler E, Lang UE, Mans S, Mikoteit T, Oswald A, Rogausch A, Schweinfurth-Keck N, Zahner L, Gerber M, Faude O. Cardiorespiratory fitness, perceived fitness and autonomic function in in-patients with different depression severity compared with healthy controls. J Psychiatr Res 2024; 175:437-445. [PMID: 38797040 DOI: 10.1016/j.jpsychires.2024.05.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Revised: 03/26/2024] [Accepted: 05/20/2024] [Indexed: 05/29/2024]
Abstract
Over 300 million individuals worldwide suffer from major depressive disorder (MDD). Individuals with MDD are less physically active than healthy people which results in lower cardiorespiratory fitness (CRF) and less favorable perceived fitness compared with healthy controls. Additionally, individuals with MDD may show autonomic system dysfunction. The purpose of the present study was to evaluate the CRF, perceived fitness and autonomic function in in-patients with MDD of different severity compared with healthy controls. We used data from 212 in-patients (age: 40.7 ± 12.6 y, 53% female) with MDD and from 141 healthy controls (age: 36.7 ± 12.7 y, 58% female). We assessed CRF with the Åstrand-Rhyming test, self-reported perceived fitness and autonomic function by heart rate variability (HRV). In specific, we used resting heart rate, time- and frequency-based parameters for HRV. In-patients completed the Beck Depression Inventory-II (BDI-II) to self-assess the subjectively rated severity of depression. Based on these scores, participants were grouped into mild, moderate and severe MDD. The main finding was an inverse association between depression severity and CRF as well as perceived fitness compared with healthy controls. Resting heart rate was elevated with increasing depression severity. The time-based but not the frequency-based autonomic function parameters showed an inverse association with depression severity. The pattern of results suggests that among in-patients with major depressive disorder, those with particularly high self-assessed severity scores show a lower CRF, less favorable perceived fitness and partial autonomic dysfunction compared to healthy controls. To counteract these conditions, physical activity interventions may be effective.
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Affiliation(s)
- Jan-Niklas Kreppke
- Department for Sport, Exercise and Health, University of Basel, Basel, Switzerland.
| | - Robyn Cody
- Department for Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | | | - Serge Brand
- Department for Sport, Exercise and Health, University of Basel, Basel, Switzerland; Adult Psychiatric Clinics (UPKE), University of Basel, Basel, Switzerland; Substance Use Prevention Research Center and Sleep Disorder Research Center, Kermanshah University of Medical Sciences (KUMS), Kermanshah 6715847141, Iran; School of Medicine, Tehran University of Medical Sciences (TUMS), Tehran, Iran; Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah 6719851115, Iran
| | - Lars Donath
- German Sport University Cologne, Department of Intervention Research in Exercise Training, Cologne, Germany
| | - Anne Eckert
- Adult Psychiatric Clinics (UPKE), University of Basel, Basel, Switzerland
| | - Christian Imboden
- Private Clinic Wyss, Münchenbuchsee, Switzerland; University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland
| | - Martin Hatzinger
- Psychiatric Services, Solothurn, and Medical Faculty, University of Basel, Switzerland
| | | | - Undine E Lang
- Adult Psychiatric Clinics (UPKE), University of Basel, Basel, Switzerland
| | - Sarah Mans
- Private Clinic Wyss, Münchenbuchsee, Switzerland
| | - Thorsten Mikoteit
- Psychiatric Services, Solothurn, and Medical Faculty, University of Basel, Switzerland
| | - Anja Oswald
- Psychiatric Clinic Sonnenhalde, Riehen, Switzerland
| | | | | | - Lukas Zahner
- Department for Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Markus Gerber
- Department for Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Oliver Faude
- Department for Sport, Exercise and Health, University of Basel, Basel, Switzerland
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Carneiro-Barrera A, Amaro-Gahete FJ, Lucas JF, Sáez-Roca G, Martín-Carrasco C, Lavie CJ, Ruiz JR. Weight loss and lifestyle intervention for cardiorespiratory fitness in obstructive sleep apnea: The INTERAPNEA trial. PSYCHOLOGY OF SPORT AND EXERCISE 2024; 72:102614. [PMID: 38369267 DOI: 10.1016/j.psychsport.2024.102614] [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: 06/12/2023] [Revised: 01/04/2024] [Accepted: 02/15/2024] [Indexed: 02/20/2024]
Abstract
INTRODUCTION Although recent trials have shown benefits of weight loss and lifestyle interventions on obstructive sleep apnea (OSA) severity and comorbidities, the effect of these interventions on cardiorespiratory fitness (CRF) remains unknown. This study aimed to investigate the effects of an interdisciplinary weight loss and lifestyle intervention on CRF and self-reported physical fitness in adults with OSA. METHODS Eighty-nine men aged 18-65 years with moderate-to-severe OSA and a body mass index ≥25 kg/m2 were randomly assigned to a usual-care group or an 8-week interdisciplinary weight loss and lifestyle intervention. CRF was assessed through the 2-km walking test, and the International Fitness Scale (IFIS) was used to assess self-reported physical fitness. RESULTS As compared with usual-care, the intervention group had greater improvements at intervention endpoint in objective CRF (6% reduction in 2-km walking test total time, mean between-group difference, -1.7 min; 95% confidence interval, -2.3 to -1.1), and self-reported overall physical fitness (18% increase in IFIS total score, mean between-group difference, 2.3; 95% CI 1.2 to 3.3). At 6 months after intervention, the intervention group also had greater improvements in both 2-km walking test total time (10% reduction) and IFIS total score (22% increase), with mean between-group differences of -2.5 (CI 95%, -3.1 to -1.8) and 3.0 (CI 95%, 1.8 to 4.1), respectively. CONCLUSIONS An 8-week interdisciplinary weight loss and lifestyle intervention resulted in significant and sustainable improvements in CRF and self-reported physical fitness in men with overweight/obesity and moderate-to-severe OSA. STUDY REGISTRATION ClinicalTrials.gov registration (NCT03851653).
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Affiliation(s)
| | - Francisco J Amaro-Gahete
- CIBER de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Granada, Spain; Department of Physiology, Faculty of Medicine, University of Granada, Granada, Spain; Instituto de Investigación Biosanitaria, ibs.Granada, Granada 18012, Spain
| | - Jurado-Fasoli Lucas
- Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, 18010, Spain; EFFECTS-262 Research Group, Department of Medical Physiology, School of Medicine, University of Granada, Granada, 18010, Spain
| | - Germán Sáez-Roca
- Unidad de Trastornos Respiratorios del Sueño, Servicio de Neumología, Hospital Universitario Virgen de las Nieves, Granada, 18014, Spain
| | - Carlos Martín-Carrasco
- Unidad de Trastornos Respiratorios del Sueño, Servicio de Neumología, Hospital Universitario Virgen de las Nieves, Granada, 18014, Spain
| | - Carl J Lavie
- Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School, The University of Queensland School of Medicine, New Orleans 70121, LA, United States
| | - Jonatan R Ruiz
- CIBER de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Granada, Spain; Instituto de Investigación Biosanitaria, ibs.Granada, Granada 18012, Spain; Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, 18010, Spain
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Alvarez-Bueno C, Del Saz-Lara A, Cavero-Redondo I, Rodriguez-Gutierrez E, Gonzalez-Molinero M, Bizzozero-Peroni B, Pascual-Morena C, Lucas-Torres ML. Differences in quality of life and fitness level among men and women in the adulthood: a cross-sectional analysis. Arch Public Health 2024; 82:13. [PMID: 38287414 PMCID: PMC10823648 DOI: 10.1186/s13690-024-01244-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Accepted: 01/16/2024] [Indexed: 01/31/2024] Open
Abstract
BACKGROUND This study aimed to examine the associations between physical fitness components and health-related quality of life (HRQoL) among adults stratified by sex and age. In addition, we aimed to examine whether these associations change based on socioeconomic, clinical, and biochemical characteristics. METHODS A total of 297 participants aged 47.41 (standard deviation: 9.08) years from the "Validity of a Model of Accelerated Vascular Aging as a Cardiovascular Risk Index in Healthy Adults: the EVasCu cross-sectional study" were included in this analysis. HRQoL, physical fitness, socioeconomic status (SES), waist circumference, and blood pressure were measured. Additionally, blood samples were extracted to determine cholesterol, triglyceride, and glycated hemoglobin A1c (HbA1c) levels. Analyses of covariance (ANCOVAs) were estimated to test mean differences in physical and mental health-related health measures (HRQoL) between fitness categories (fixed factors) by sex and age categories. RESULTS The physical HRQoL was related to the levels of fitness parameters among women, independent of age, while for men, it was related to better levels of general fitness and cardiorespiratory fitness among men aged < 50 and men aged ≥ 50, respectively. In contrast, mental HRQoL was related to cardiorespiratory fitness only among women aged < 50 years; speed/agility and flexibility among men aged < 50 years; and general fitness, strength, and flexibility among men aged ≥ 50 years. These data did not change when SES, clinical variables, or biochemical determinations were included in the analyses, neither for the physical nor for the mental HRQoL. CONCLUSION Gender and age are important factors to be considered when analysing health indicators and influences in the population. In addition, SES, clinical characteristics, and biochemical parameters do not seem to influence the relationship between HRQoL and fitness.
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Affiliation(s)
- Celia Alvarez-Bueno
- Health and Social Research Center, Universidad de Castilla - La Mancha, Cuenca, Spain
- Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay
| | - Alicia Del Saz-Lara
- Health and Social Research Center, Universidad de Castilla - La Mancha, Cuenca, Spain.
| | - Ivan Cavero-Redondo
- Health and Social Research Center, Universidad de Castilla - La Mancha, Cuenca, Spain
- Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca, 7500912, Chile
| | | | | | - Bruno Bizzozero-Peroni
- Health and Social Research Center, Universidad de Castilla - La Mancha, Cuenca, Spain
- Department of Physical Education and Health, Higher Institute of Physical Education, Universidad de la República, Rivera, Uruguay
| | - Carlos Pascual-Morena
- Health and Social Research Center, Universidad de Castilla - La Mancha, Cuenca, Spain
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Ortiz-Comino L, Martín-Martín L, Galiano-Castillo N, Castro-Martín E, Fernández-Gualda MÁ, Lozano-Lozano M, Fernández-Lao C. The effects of myofascial induction therapy in survivors of head and neck cancer: a randomized, controlled clinical trial. Support Care Cancer 2023; 31:49. [PMID: 36526871 PMCID: PMC9758021 DOI: 10.1007/s00520-022-07482-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Accepted: 11/25/2022] [Indexed: 12/23/2022]
Abstract
PURPOSE We aim to evaluate the effects of myofascial induction therapy (MIT) on the sequelae suffered by the survivors of HNC (sHNC). METHODS We enrolled 46 sHNC in a randomized controlled trial (RCT), of whom 20 received a MIT protocol and 23 were placed on a waitlist while receiving the recommended treatment for 6 weeks. The MIT protocol included a total of 18 sessions, 3 days a week on alternate days for 6 weeks. Maximal mouth opening, the presence of temporomandibular dysfunction, cervical endurance, active range of motion (AROM), shoulder AROM, handgrip strength, and perceived physical fitness were assessed. RESULTS Maximal mouth opening, temporomandibular dysfunction, cervical endurance, and AROM, affected shoulder abduction and unaffected shoulder flexion and external rotation significantly improved (p < .05) after an MIT protocol, but only cervical AROM and affected shoulder abduction changes were clinically meaningful. No statistically significant changes were observed in the other shoulder AROM, handgrip strength, or physical fitness perception (p > .05). CONCLUSION A 6-week MIT protocol improves mouth opening, TMD, cervical function (endurance and AROM), affected shoulder abduction and unaffected shoulder flexion, and external rotation AROM in the sHNC. However, no changes were observed in most of the shoulder AROM, muscular strength, or perceived physical fitness. Future studies should perform longer follow-up designs, increase the sample size, and include multimodal treatments to address these sequelae in the sHNC.
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Affiliation(s)
- Lucía Ortiz-Comino
- Department of Physical Therapy. Health Sciences Faculty, University of Granada, Melilla, Spain
| | - Lydia Martín-Martín
- Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada, Spain ,Sport and Health Research Center (IMUDs), Granada, Spain ,Unit of Excellence On Exercise and Health (UCEES), University of Granada, Granada, Spain ,Instituto de Investigación Biosanitaria Ibs. GRANADA, Granada, Spain
| | - Noelia Galiano-Castillo
- Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada, Spain ,Sport and Health Research Center (IMUDs), Granada, Spain ,Unit of Excellence On Exercise and Health (UCEES), University of Granada, Granada, Spain ,Instituto de Investigación Biosanitaria Ibs. GRANADA, Granada, Spain
| | - Eduardo Castro-Martín
- Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada, Spain ,Sport and Health Research Center (IMUDs), Granada, Spain ,Unit of Excellence On Exercise and Health (UCEES), University of Granada, Granada, Spain ,Instituto de Investigación Biosanitaria Ibs. GRANADA, Granada, Spain
| | - Miguel Ángel Fernández-Gualda
- Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada, Spain ,Sport and Health Research Center (IMUDs), Granada, Spain ,Instituto de Investigación Biosanitaria Ibs. GRANADA, Granada, Spain
| | - Mario Lozano-Lozano
- Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada, Spain ,Sport and Health Research Center (IMUDs), Granada, Spain ,Unit of Excellence On Exercise and Health (UCEES), University of Granada, Granada, Spain ,Instituto de Investigación Biosanitaria Ibs. GRANADA, Granada, Spain
| | - Carolina Fernández-Lao
- Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada, Spain ,Sport and Health Research Center (IMUDs), Granada, Spain ,Unit of Excellence On Exercise and Health (UCEES), University of Granada, Granada, Spain ,Instituto de Investigación Biosanitaria Ibs. GRANADA, Granada, Spain
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Fernández-González M, Lozano-Lozano M, Martín-Martín L, Ortiz-Piña M, Martín-Matillas M, Ariza-Vega P. Is a telerehabilitation programme for older adults with hip fracture associated with burden of family caregivers who provide support? Digit Health 2023; 9:20552076231213574. [PMID: 38025098 PMCID: PMC10656811 DOI: 10.1177/20552076231213574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Accepted: 10/24/2023] [Indexed: 12/01/2023] Open
Abstract
Objective @ctivehip is a home-based multidisciplinary telerehabilitation programme for older adults with hip fracture, conducted with the assistance of their family caregivers. This programme was useful in improving their functional recovery. Nevertheless, we were concerned about how the programme might have affected caregivers, whose assistance was essential for supporting older adults in using new technologies and ensuring their safety during the exercises and activities at home. The aim of the present study was to compare the burden, psychological factors and physical fitness of the family caregivers of older adults who opted the @ctivehip telerehabilitation programme versus those family caregivers of older adults who received the face-to-face rehabilitation provided by the Andalusian Public Healthcare System (in Spain). Methods In this single-blinded, non-randomized clinical trial, participants were older adults with hip fracture and their family caregivers. The telerehabilitation group (n = 30) underwent a 12-week multidisciplinary telerehabilitation programme, and the comparative group (n = 32) received face-to-face rehabilitation. Caregivers outcomes measured were (i) the burden using the Zarit Burden Interview, (ii) the anxiety and depression with the Hospital Anxiety and Depression Scale (HADS), and (iii) the Physical Fitness with the International Fitness Scale (IFIS). Results There were not statistically significant differences on caregiver burden between family caregivers in the @ctivehip and the comparative group, although there was a trend towards lower values [[Mean (95%CI); 14.73 (9.09 to 20.37) vs 16.03 (10.63 to 21.43); p = 0.771] as well as for anxiety and depression [5.66 (3.21 to 8.78) vs 11.19 (8.52 to 13.86); p = 0.022]. Likewise achieved better, though not statistically significant, scores in physical fitness [19.37 (17.94 to 20.81) vs 17.15 (15.77 to 18.53); p = 0.055]. Conclusion Caregiver burden is not associated with telerehabilitation. In addition, telerehabilitation is associated with lower anxiety and depression levels among family caregivers who opt for this programme. Physical fitness is not related with telerehabilitation.
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Affiliation(s)
- María Fernández-González
- Department of Physical Therapy, Faculty of Health Sciences, University of Granada, Granada, Spain
| | - Mario Lozano-Lozano
- Department of Physical Therapy, Faculty of Health Sciences, University of Granada, Granada, Spain
- Instituto de Investigación Biosanitaria ibs.Granada, Granada, Spain
- “Cuídate” Support Unit for Oncology Patients, Sport and Health University Research Institute (iMUDS), Granada, Spain
| | - Lydia Martín-Martín
- Department of Physical Therapy, Faculty of Health Sciences, University of Granada, Granada, Spain
- Instituto de Investigación Biosanitaria ibs.Granada, Granada, Spain
- “Cuídate” Support Unit for Oncology Patients, Sport and Health University Research Institute (iMUDS), Granada, Spain
| | - Mariana Ortiz-Piña
- Department of Physical Therapy, Faculty of Health Sciences, University of Granada, Granada, Spain
| | - Miguel Martín-Matillas
- PROFITH (PROmoting FITness and Health through physical activity) Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain
| | - Patrocinio Ariza-Vega
- Department of Physical Therapy, Faculty of Health Sciences, University of Granada, Granada, Spain
- Instituto de Investigación Biosanitaria ibs.Granada, Granada, Spain
- PA-HELP “Physical Activity for HEaLth Promotion” Research Group, Department of Physical Education and Sports, Faculty of Sport Science, University of Granada, Granada, Spain
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Borrego-Balsalobre FJ, Cavas-García F, Díaz-Suárez A, Martínez-Moreno A. Physical Fitness Perception and Physical Education Enjoyment in 11- to 12-Year-Old Children. CHILDREN (BASEL, SWITZERLAND) 2022; 10:68. [PMID: 36670619 PMCID: PMC9856476 DOI: 10.3390/children10010068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 12/19/2022] [Accepted: 12/26/2022] [Indexed: 12/30/2022]
Abstract
Childhood motor competence plays a fundamental role in long-term adherence to physical activity. Enjoyment levels and self-perception of physical fitness increase motivation, commitment, and participation in physical activity. The objective of this study was to assess the body mass index (BMI), weight percentile, health status, physical fitness, and enjoyment levels of physical activity. A sample of 138 persons, of whom 67 were males and 71 females, with a mean BMI of 20.04 (2.35) answered the questionnaires Physical Activity Enjoyment Scale and the International Fitness Scale−self-report of physical fitness in young people. Tests were administered to measure functional fitness and anthropometric characteristics. Statistical analysis included calculation of Cronbach’s alpha, ANOVA and Pearson’s bivariate test correlations. The data indicate the reliability of the International Fitness Scale. No significant differences by gender were observed for the Physical Activity Enjoyment Scale. The BMI showed that significant positive correlations with 20 m sprint scores (p < 0.001, r = 0.367) and significant negative correlations with 6-minute lap scores (p < 0.001, r = −0.360) could be caused by an older physiological age. The overall physical fitness level of the children was medium-high, with most of the children enjoying physical education classes and slightly higher enjoyment values for males 40.88 (5.42) than females 40.31 (6.16).
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Affiliation(s)
| | | | - Arturo Díaz-Suárez
- Department of Physical Activity and Sport, CEI Campus Mare Nostrum, University of Murcia, 30100 Murcia, Spain
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Penagini F, Calcaterra V, Dilillo D, Vandoni M, Gianolio L, Gatti A, Rendo G, Giuriato M, Cococcioni L, De Silvestri A, Zuccotti G. Self-Perceived Physical Level and Fitness Performance in Children and Adolescents with Inflammatory Bowel Disease. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9091399. [PMID: 36138708 PMCID: PMC9497882 DOI: 10.3390/children9091399] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Revised: 09/13/2022] [Accepted: 09/13/2022] [Indexed: 01/18/2023]
Abstract
Background: Inflammatory bowel disease (IBD) patients show a higher risk of developing metabolic and cardiovascular diseases due to the presence of systemic low-grade chronic inflammation. Exercise can improve cardiovascular fitness and modulate the inflammatory processes. We evaluated the physical activity (PA) level and the fitness performance of children and adolescents with IBD. Patients and methods: We considered 54 pediatric patients with IBD (14.6 ± 2.2; 22 M), including CD (n = 27) UC (n = 24) and IBD unclassified (n = 3), and 70 healthy children. In all children, the Physical Activity Questionnaire (PAQ-C) and the International Fitness Enjoyment Scale were self-reported and recorded. Results: PAQ-C showed significant difference in PA levels in patients with IBD compared to controls (p < 0.001). A decrease in general fitness (p = 0.003), cardiorespiratory fitness (p = 0.002), strength (p = 0.01), speed agility (p = 0.003), and flexibility (p = 0.01) were also detected between patients and controls. Speed agility was related to age (p = 0.02) and BMI z-score (p = 0.01), and flexibility to BMI z-score (p = 0.05). We noted a correlation between PA levels and physician global assessment (p = 0.021) and activity disease severity (p = 0.025). Conclusions: A poorer PA level and poor physical competence were found in patients with IBD compared to healthy children and adolescents. Monitored exercise could provide multiple benefits at both physical and psychological levels.
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Affiliation(s)
- Francesca Penagini
- Pediatric Department, “Vittore Buzzi” Children’s Hospital, 20154 Milan, Italy
| | - Valeria Calcaterra
- Pediatric Department, “Vittore Buzzi” Children’s Hospital, 20154 Milan, Italy
- Department of Internal Medicine, University of Pavia, 27100 Pavia, Italy
| | - Dario Dilillo
- Pediatric Department, “Vittore Buzzi” Children’s Hospital, 20154 Milan, Italy
| | - Matteo Vandoni
- Laboratory of Adapted Motor Activity (LAMA), Department of Public health, Experimental Medicine and Forensic Science, University of Pavia, 27100 Pavia, Italy
| | - Laura Gianolio
- Pediatric Department, “Vittore Buzzi” Children’s Hospital, 20154 Milan, Italy
| | - Alessandro Gatti
- Laboratory of Adapted Motor Activity (LAMA), Department of Public health, Experimental Medicine and Forensic Science, University of Pavia, 27100 Pavia, Italy
| | - Giulia Rendo
- Pediatric Department, “Vittore Buzzi” Children’s Hospital, 20154 Milan, Italy
| | - Matteo Giuriato
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37100 Verona, Italy
- Faculty of Physical Culture, Unit of Molecular Biology, Department of Health and Natural Sciences, Gdansk University of Physical Education and Sport, 80070 Gdansk, Poland
| | - Lucia Cococcioni
- Pediatric Department, “Vittore Buzzi” Children’s Hospital, 20154 Milan, Italy
| | - Annalisa De Silvestri
- Biometry & Clinical Epidemiology, Scientific Direction, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy
| | - Gianvincenzo Zuccotti
- Pediatric Department, “Vittore Buzzi” Children’s Hospital, 20154 Milan, Italy
- Department of Biomedical and Clinical Science, University of Milano, 20157 Milano, Italy
- Correspondence:
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Espin A, García-García J, Latorre Erezuma U, Aiestaran M, Irazusta J, Rodriguez-Larrad A. Videoconference-Based Physical Performance Tests: Reliability and Feasibility Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19127109. [PMID: 35742358 PMCID: PMC9223237 DOI: 10.3390/ijerph19127109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 06/03/2022] [Accepted: 06/08/2022] [Indexed: 02/04/2023]
Abstract
Validated tools to evaluate physical performance remotely with real-time supervision are lacking. We assessed test−retest and inter-rater reliability, as well as the feasibility of carrying out the five-repetition sit-to-stand (5RSTS), kneeling push-up (KPU) and Shirado−Ito trunk flexor endurance (SIF) tests by 1:1 real-time videoconference. We also evaluated the correlation of these tests with measures of self-reported physical fitness, physical activity, health state and pain. A total of 96 healthy adults participated in the study (18−65 years). Relative and absolute reliabilities were assessed with the intraclass correlation coefficient (ICC) and standard error of measurement (SEM), respectively. Feasibility outcomes included testing duration, participant acceptability (1−5 Likert scale) and presence of adverse events. Self-reported measures were obtained with validated online questionnaires, and correlations were analyzed with Pearson’s partial correlation coefficients controlling for age. ICCs were excellent (>0.9), and SEMs were generally low (2.43−16.21%). The mean duration of all tests was <5 min, mean acceptability was ≥4.5, and adverse events were few. The KPU showed statistically significant correlations with various self-reported measures (p < 0.05). In conclusion, the 5RSTS, KPU and SIF were reliable and feasible when conducted by 1:1 real-time videoconference. This study provides a tool that could be logistically and economically advantageous.
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Affiliation(s)
- Ander Espin
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain; (A.E.); (J.G.-G.); (U.L.E.); (M.A.); (A.R.-L.)
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
| | - Julia García-García
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain; (A.E.); (J.G.-G.); (U.L.E.); (M.A.); (A.R.-L.)
| | - Unai Latorre Erezuma
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain; (A.E.); (J.G.-G.); (U.L.E.); (M.A.); (A.R.-L.)
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
| | - Maialen Aiestaran
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain; (A.E.); (J.G.-G.); (U.L.E.); (M.A.); (A.R.-L.)
| | - Jon Irazusta
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain; (A.E.); (J.G.-G.); (U.L.E.); (M.A.); (A.R.-L.)
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
- Correspondence:
| | - Ana Rodriguez-Larrad
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain; (A.E.); (J.G.-G.); (U.L.E.); (M.A.); (A.R.-L.)
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
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9
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Rojo-Ramos J, Gómez-Paniagua S, Carlos-Vivas J, Barrios-Fernandez S, Vega-Muñoz A, Mañanas-Iglesias C, Contreras-Barraza N, Adsuar JC. Associations between Body Image and Self-Perceived Physical Fitness in Future Spanish Teachers. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9060811. [PMID: 35740748 PMCID: PMC9222163 DOI: 10.3390/children9060811] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Revised: 05/24/2022] [Accepted: 05/28/2022] [Indexed: 05/13/2023]
Abstract
Body image is a complex construct related to how each person perceives their own body and how they value it. Physical fitness and physical activity are factors that can influence the perception of a better or worse body image. This study aimed to identify the potential associations between body image and physical fitness self-perception in future Spanish teachers, analysing possible sex-related differences. A total of 278 Spanish university students answered the Multidimensional Body Self Relations Questionnaire and the International Fitness Scale, having an average age of 22 years, of which 40% were men and 60% were women. Nonparametric techniques (Spearman's Rho test) were used as the data did not fit normality. The findings showed associations between body image and perceived physical fitness, confirming differences between the sexes. Correlations were found between the first three dimensions of the Multidimensional Body Self Relations and the International Fitness Scale, with sex-related differences being more significant in women than in men, and between the physical abilities self-assessed by the International Fitness Scale (except flexibility) and the dimensions of the Multidimensional Body Self Relations (except Dimension 4). Since body image influences well-being and conditions the time spent exercising, public health organisations and universities should design supports to improve master students' body image through physical activity programmes, education and sex-specific individualised attention.
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Affiliation(s)
- Jorge Rojo-Ramos
- Social Impact and Innovation in Health (InHEALTH) Research Group, Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (S.B.-F.); (C.M.-I.)
- Correspondence: (J.R.-R.); (S.G.-P.)
| | - Santiago Gómez-Paniagua
- BioẼrgon Research Group, University of Extremadura, 10003 Cáceres, Spain
- Correspondence: (J.R.-R.); (S.G.-P.)
| | - Jorge Carlos-Vivas
- Promoting a Healthy Society Research Group (PHeSO), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (J.C.-V.); (J.C.A.)
| | - Sabina Barrios-Fernandez
- Social Impact and Innovation in Health (InHEALTH) Research Group, Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (S.B.-F.); (C.M.-I.)
| | - Alejandro Vega-Muñoz
- Public Policy Observatory, Universidad Autónoma de Chile, Santiago 7500912, Chile;
| | - Carlos Mañanas-Iglesias
- Social Impact and Innovation in Health (InHEALTH) Research Group, Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (S.B.-F.); (C.M.-I.)
| | | | - José Carmelo Adsuar
- Promoting a Healthy Society Research Group (PHeSO), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (J.C.-V.); (J.C.A.)
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10
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Bao R, Chen S, Kastelic K, Drenowatz C, Li M, Zhang J, Wang L. Reliability of International Fitness Scale (IFIS) in Chinese Children and Adolescents. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9040531. [PMID: 35455575 PMCID: PMC9028806 DOI: 10.3390/children9040531] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 04/05/2022] [Accepted: 04/07/2022] [Indexed: 12/18/2022]
Abstract
Background and Objectives: It has previously been shown that the International Fitness Scale (IFIS) is a reliable and valid instrument when used in numerous regions and subgroups, but it remains to be determined whether the IFIS is a reliable instrument for use with Chinese children and adolescents. If the reliability of the IFIS can be verified, populational surveillance and monitoring of physical fitness (PF) can easily be conducted. This study aimed to test the reliability of the IFIS when used with Chinese children and adolescents. Methods: The convenience sampling method was used to recruit study participants. In total, 974 school-aged children and adolescents between 11 and 17 years of age were recruited from three cities in Southeast China: Shanghai, Nanjing and Wuxi. The study participants self-reported demographic data, including age (in years) and sex (boy or girl). The participants completed the questionnaire twice within a two-week interval. Results: A response rate of 95.9% resulted in a sample of 934 participants (13.7 ± 1.5 years, 47.4% girls) with valid data. On average, the participants were 13.7 ± 1.5 years of age. The test–retest weighted kappa coefficients for overall fitness, cardiorespiratory fitness, muscle fitness, speed and agility and flexibility were 0.52 (Std. errs. = 0.02), 0.51 (Std. errs. = 0.02), 0.60 (Std. errs. = 0.02), 0.55 (Std. errs. = 0.02) and 0.55 (Std. errs. = 0.02), respectively. Conclusions: The International Fitness Scale was found to have moderate reliability in the assessment of (self-reported) physical fitness in Chinese children and adolescents. In the future, the validity of the IFIS should be urgently tested in Chinese subgroup populations.
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Affiliation(s)
- Ran Bao
- Centre for Active Living and Learning, School of Education, The University of Newcastle, Newcastle 2308, Australia;
| | - Sitong Chen
- Institute for Health and Sport, Victoria University, Melbourne 8001, Australia;
| | - Kaja Kastelic
- Andrej Marušič Institute, University of Primorska, Muzejski Trg 2, 6000 Koper, Slovenia;
- InnoRenew CoE, Livade 6, 6310 Izola, Slovenia
| | - Clemens Drenowatz
- Division of Sport, Physical Activity and Health, University of Education Upper Austria, 4020 Linz, Austria;
| | - Minghui Li
- Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong SAR, China;
| | - Jialin Zhang
- School of Physical Education and Sport Science, Fujian Normal University, Fuzhou 350007, China;
| | - Lei Wang
- School of Physical Education and Sport Training, Shanghai University of Sport, Shanghai 200438, China
- Correspondence:
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11
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Independent and Combined Association of Lifestyle Behaviours and Physical Fitness with Body Weight Status in Schoolchildren. Nutrients 2022; 14:nu14061208. [PMID: 35334863 PMCID: PMC8953615 DOI: 10.3390/nu14061208] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Revised: 03/07/2022] [Accepted: 03/10/2022] [Indexed: 01/25/2023] Open
Abstract
(1) Background: Lifestyle behaviours and physical fitness play a critical role in the development of childhood obesity. It has been demonstrated in this study that self-reported physical fitness is representative of a healthy lifestyle and thus is associated with a lower incidence of overweight/obesity. The objective of this study was to analyse the independent and combined association of lifestyles (physical activity, screen time, diet and hours of sleep) and self-reported physical fitness with body weight in schoolchildren. (2) Methods: This study performed a descriptive and cross-sectional analysis. The study sample consisted of 864 schoolchildren between 8−9 years old from 26 schools of the province of Cádiz. To measure lifestyles and self-reported physical fitness, questionnaires were administered to both schoolchildren and families. To obtain the body weight status, the children were measured by body mass index (BMI). To verify the influence of lifestyles and self-reported physical fitness on the body weight status of schoolchildren, a combined score of lifestyles and self-reported physical fitness was calculated. (3) Results: Schoolchildren who followed healthier lifestyles and presented good physical fitness had a better body weight status (p < 0.001). Schoolchildren who had less healthful lifestyles and bad physical fitness had a 10.34 times higher risk of being overweight or obese (p = 0.004). (4) Conclusions: It has been shown that there is an independent and combined association between lifestyles and physical fitness on the body weight of the schoolchildren. We have suggested strategies to get children to adopt healthy lifestyles and good physical fitness to maintain a healthy body weight and prevent obesity.
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12
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Sánchez-López M, García-Hermoso A, Ortega FB, Moliner-Urdiales D, Labayen I, Castro-Piñero J, Benito PJ, Vicente-Rodríguez G, Sanchis-Moysi J, Cantallop J, Artero EG, Martínez-Vizcaíno V. Validity and Reliability of the International FItness Scale (IFIS) in preschool children. Eur J Sport Sci 2022; 23:818-828. [PMID: 35249452 DOI: 10.1080/17461391.2022.2049884] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
OBJECTIVES Examine the validity and reliability of parent-reported International FItness Scale (IFIS) in preschool-age children. METHOD A cross-sectional study of 3051 Spanish preschoolers (3-5 years). Fitness was measured by PREFIT fitness test battery and reported by parents using an adapted version of the IFIS. Waist circumference was evaluated, and the waist-to-height ratio (WHtR) was calculated. Seventy-six parents of randomly selected schoolchildren completed the IFIS twice (two weeks apart) for a reliability assessment. RESULTS ANCOVA, adjusted for sex, age and WHtR, showed that preschoolers who were scored by their parents as having average-to-very good fitness had better levels of measured physical fitness than those preschoolers who were classified as having "very poor/poor" fitness levels (18.1laps to 22.1laps vs 15.6laps for cardiorespiratory fitness; 6.6 kg to 7.5 kg vs 5.3 kg for muscular fitness-handgrip-; 71.7 cm to 76.4 cm vs 62.0 cm for muscular fitness-standing long jump-; 17.2s to 16.2s vs 18.2s for speed/agility; and 11.2s to 15.6s vs 8.7s for balance; p < 0.001). The weighted kappa for concordance between parent-reported fitness levels and objective assessment was poor (κ ≤0.18 for all fitness measures). Overall, the mean values of the abdominal adiposity indicators were significantly lower in high-level fitness categories reported by parents than in low-level fitness categories (p < 0.05). The test-retest reliability of IFIS items ranged from 0.46 to 0.62. CONCLUSIONS The reliability of the parent-reported IFIS are acceptable, but the concordance between parents reported and objectively measures fitness levels is poor, suggesting that parents' responses may not be able to correctly classify preschoolers according to their fitness level.
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Affiliation(s)
- Mairena Sánchez-López
- Universidad de Castilla-La Mancha, School of Education, Ciudad Real, Spain.,Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain
| | - Antonio García-Hermoso
- Navarrabiomed, IdiSNa, Pamplona, Navarra, Spain.,Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Facultad de Ciencias Médicas, Universidad de Santiago de Chile, USACH, Santiago, Chile
| | - Francisco B Ortega
- The PROFITH Research Group, Department of Physical Education and Sports, Faculty of Sports Sciences, University of Granada, Granada, Spain.,Department of Biosciences and Nutrition, Karolinska Institute, Huddinge, Sweden
| | | | - Idoia Labayen
- IS (IS-FOOD), Navarra's Health Research Institute (IdiSNA), Department of Health Sciences, Public University of Navarra, 31006 Pamplona, Navarra, Spain
| | - Jose Castro-Piñero
- GALENO research group, Department of Physical Education, School of Education, University of Cádiz, Puerto Real, Spain.,Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Cádiz, Spain
| | - Pedro J Benito
- LFE Research Group, Department of Health and Human Performance. Faculty of Physical Activity and Sport Science-INEF. Universidad Politécnica de Madrid
| | - Germán Vicente-Rodríguez
- GENUD (Growth, Exercise, NUtrition and Development) research group, Instituto Agroalimentario de Aragón -IA2-, Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Faculty of Health and Sport Science (FCSD), Department of Physiatry and Nursing, University of Zaragoza, Spain
| | - Joaquin Sanchis-Moysi
- Department of Physical Education and Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Canary Island, Spain
| | - Jaume Cantallop
- Grupo de Investigación en Ciencias de la Actividad Física y el Deporte (GICAFD). Departamento de Pedagogía y Didácticas Específicas (PDE). Facultad de Educación. Universitat de les Illes Balears (UIB)
| | - Enrique G Artero
- Department of Education, Faculty of Education Sciences, University of Almería, Almería, Spain.,SPORT Research Group (CTS-1024), CERNEP Research Center, University of Almería, Almería, Spain
| | - Vicente Martínez-Vizcaíno
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain.,Universidad Autónoma de Chile, Faculty of Medicine, Talca, Chile
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13
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Factors Influencing Quality of Life in Survivors of Head and Neck Cancer: A Preliminary Study. Semin Oncol Nurs 2022; 38:151256. [DOI: 10.1016/j.soncn.2022.151256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2021] [Revised: 02/08/2022] [Accepted: 02/16/2022] [Indexed: 11/19/2022]
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14
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Zúñiga-Moreno D, Amaro-Gahete FJ, Chillón P. Bicycle Touring 480 km in Seven Days: Effects on Body Composition and Physical Fitness-A Case Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19052550. [PMID: 35270243 PMCID: PMC8909636 DOI: 10.3390/ijerph19052550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Revised: 02/01/2022] [Accepted: 02/18/2022] [Indexed: 02/01/2023]
Abstract
Bicycle touring as a modality of physical activity that involves whole-body cardiorespiratory and metabolic functions could be a potential strategy to improve body composition and cardiorespiratory fitness. Therefore, the aim of the current study was to investigate the effects of 7-days bicycle touring activity on body composition and physical fitness. A total of 13 individuals (three women) participated in this quasi-experimental study. The participants were evaluated at baseline and were tracked for up to 12 days after the intervention. The intervention consisted of a 480 km bicycle touring route performed over 8 days. Body weight and body composition (i.e., fat mass and lean mass) were assessed using a bioelectrical impedance analyser. Physical fitness was measured using the International Fitness Scale questionnaire. We conducted a repeated-measures analysis of variance to determine changes in body weight and body composition and paired sample t-tests to analyse changes in physical fitness. Significant differences in fat mass were observed between the baseline and both post-intervention (p = 0.003) and re-test values (p = 0.031). Significant differences were also noted in lean mass between the baseline and post-intervention values (p = 0.003), whereas no significant changes were observed when compared the baseline and re-test values (p = 0.178). Significant differences were obtained in cardiorespiratory fitness when comparing the baseline with the post-intervention values (p = 0.016), whereas no significant differences were noted in general fitness, muscular strength, speed/agility, and flexibility (all p > 0.05). In conclusion, a 7-day bicycle touring intervention can significantly reduce fat mass and increase lean mass and cardiorespiratory fitness in healthy individuals.
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Affiliation(s)
- David Zúñiga-Moreno
- PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, 18071 Granada, Spain; (D.Z.-M.); (P.C.)
| | - Francisco J. Amaro-Gahete
- PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, 18071 Granada, Spain; (D.Z.-M.); (P.C.)
- EFFECTS-262 Research Group, Department of Physiology, Faculty of Medicine, University of Granada, 18016 Granada, Spain
- Correspondence:
| | - Palma Chillón
- PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, 18071 Granada, Spain; (D.Z.-M.); (P.C.)
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15
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Palacios-Cartagena RP, Parraca JA, Mendoza-Muñoz M, Pastor-Cisneros R, Muñoz-Bermejo L, Adsuar JC. Level of Physical Activity and Its Relationship to Self-Perceived Physical Fitness in Peruvian Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19031182. [PMID: 35162206 PMCID: PMC8834742 DOI: 10.3390/ijerph19031182] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 01/13/2022] [Accepted: 01/20/2022] [Indexed: 11/16/2022]
Abstract
BACKGROUND Physical activity and physical fitness play an important role in adolescence. Both are considered to be indicators of the current and future health status of young adults. The main objective of this article was to report the normative values of the Physical Activity Questionnaire for Adolescents (PAQ-A) and the International Fitness Scale (IFIS) instruments in Peruvian school adolescents. METHODS A sample of 1229 participants (622 girls and 607 boys) aged between 12 and 17 years was used. The type of study was descriptive-comparative. All measures used were obtained by means of self-administered instruments. The PAQ-A was used to assess the level of physical activity and the IFIS to assess the self-perceived physical fitness level of the adolescents. RESULTS It was observed that the PAQ-A questionnaire results obtained from the total sample was 2.34; significantly higher for boys (2.41) compared with girls (2.27). For the IFIS, the total score was 3.07, with boys obtaining 3.13 and girls 2.97. CONCLUSIONS It was concluded that there was a direct relationship between the level of PA and self-perceived PF in Peruvian adolescents. Furthermore, adolescent boys were more physically active than girls and they had a better self-perceived PF with the exception of flexibility. Finally, there was a higher weight category involved at the lower level of PA.
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Affiliation(s)
- Roxana Paola Palacios-Cartagena
- Promoting a Healthy Society Research Group (PHeSO), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (R.P.P.-C.); (M.M.-M.); (R.P.-C.); (J.C.A.)
| | - Jose A. Parraca
- Departamento de Desporto e Saúde, Escola de Saúde e Desenvolvimento Humano, Universidade de Évora, 7000-654 Évora, Portugal
- Comprehensive Health Research Centre (CHRC), Universidade de Évora, 7000-654 Évora, Portugal
- Correspondence:
| | - Maria Mendoza-Muñoz
- Promoting a Healthy Society Research Group (PHeSO), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (R.P.P.-C.); (M.M.-M.); (R.P.-C.); (J.C.A.)
| | - Raquel Pastor-Cisneros
- Promoting a Healthy Society Research Group (PHeSO), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (R.P.P.-C.); (M.M.-M.); (R.P.-C.); (J.C.A.)
| | - Laura Muñoz-Bermejo
- Social Impact and Innovation in Health (InHEALTH), University of Extremadura, 10003 Cáceres, Spain;
| | - Jose Carmelo Adsuar
- Promoting a Healthy Society Research Group (PHeSO), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain; (R.P.P.-C.); (M.M.-M.); (R.P.-C.); (J.C.A.)
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16
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Neumann RJ, Ahrens KF, Kollmann B, Goldbach N, Chmitorz A, Weichert D, Fiebach CJ, Wessa M, Kalisch R, Lieb K, Tüscher O, Plichta MM, Reif A, Matura S. The impact of physical fitness on resilience to modern life stress and the mediating role of general self-efficacy. Eur Arch Psychiatry Clin Neurosci 2022; 272:679-692. [PMID: 34622343 PMCID: PMC9095527 DOI: 10.1007/s00406-021-01338-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Accepted: 09/22/2021] [Indexed: 12/18/2022]
Abstract
Substantial evidence shows that physical activity and fitness play a protective role in the development of stress related disorders. However, the beneficial effects of fitness for resilience to modern life stress are not fully understood. Potentially protective effects may be attributed to enhanced resilience via underlying psychosocial mechanisms such as self-efficacy expectations. This study investigated whether physical activity and fitness contribute to prospectively measured resilience and examined the mediating effect of general self-efficacy. 431 initially healthy adults participated in fitness assessments as part of a longitudinal-prospective study, designed to identify mechanisms of resilience. Self-efficacy and habitual activity were assessed in parallel to cardiorespiratory and muscular fitness, which were determined by a submaximal step-test, hand strength and standing long jump test. Resilience was indexed by stressor reactivity: mental health problems in relation to reported life events and daily hassles, monitored quarterly for nine months. Hierarchical linear regression models and bootstrapped mediation analyses were applied. We could show that muscular and self-perceived fitness were positively associated with stress resilience. Extending this finding, the muscular fitness-resilience relationship was partly mediated by self-efficacy expectations. In this context, self-efficacy expectations may act as one underlying psychological mechanism, with complementary benefits for the promotion of mental health. While physical activity and cardiorespiratory fitness did not predict resilience prospectively, we found muscular and self-perceived fitness to be significant prognostic parameters for stress resilience. Although there is still more need to identify specific fitness parameters in light of stress resilience, our study underscores the general relevance of fitness for stress-related disorders prevention.
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Affiliation(s)
- R. J. Neumann
- grid.7839.50000 0004 1936 9721Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, Heinrich-Hoffmann-Str. 10, 60528 Frankfurt/Main, Germany
| | - K. F. Ahrens
- grid.7839.50000 0004 1936 9721Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, Heinrich-Hoffmann-Str. 10, 60528 Frankfurt/Main, Germany
| | - B. Kollmann
- grid.410607.4Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany ,grid.509458.50000 0004 8087 0005Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany
| | - N. Goldbach
- grid.7839.50000 0004 1936 9721Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, Heinrich-Hoffmann-Str. 10, 60528 Frankfurt/Main, Germany
| | - A. Chmitorz
- grid.448696.10000 0001 0338 9080Faculty of Social Work, Education and Nursing Sciences, Esslingen University of Applied Sciences, Esslingen, Germany
| | - D. Weichert
- grid.410607.4Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany ,grid.509458.50000 0004 8087 0005Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany
| | - C. J. Fiebach
- grid.7839.50000 0004 1936 9721Department of Psychology, Goethe University, Frankfurt, Frankfurt am Main Germany ,grid.7839.50000 0004 1936 9721Brain Imaging Center, Goethe University, Frankfurt am Main, Germany
| | - M. Wessa
- grid.509458.50000 0004 8087 0005Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany ,grid.5802.f0000 0001 1941 7111Department of Clinical Psychology and Neuropsychology, Institute for Psychology, Johannes Gutenberg University Mainz, Mainz, Germany
| | - R. Kalisch
- grid.509458.50000 0004 8087 0005Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany ,grid.410607.4Neuroimaging Center (NIC), Focus Program Translational Neuroscience (FTN), University Medical Center Mainz, Mainz, Germany
| | - K. Lieb
- grid.410607.4Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany ,grid.509458.50000 0004 8087 0005Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany
| | - O. Tüscher
- grid.410607.4Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany ,grid.509458.50000 0004 8087 0005Leibniz Institute for Resilience Research (LIR) gGmbH, Mainz, Germany
| | - M. M. Plichta
- grid.7839.50000 0004 1936 9721Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, Heinrich-Hoffmann-Str. 10, 60528 Frankfurt/Main, Germany
| | - A. Reif
- grid.7839.50000 0004 1936 9721Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, Heinrich-Hoffmann-Str. 10, 60528 Frankfurt/Main, Germany
| | - S. Matura
- grid.7839.50000 0004 1936 9721Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe-University, Heinrich-Hoffmann-Str. 10, 60528 Frankfurt/Main, Germany
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17
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Torres-Costoso A, Martínez-Vizcaíno V, Fernández-Rodríguez R, Sequí-Dominguez I, Reina-Gutiérrez S, Núñez de Arenas-Arroyo S, Garrido-Miguel M. Dietary Calcium Intake and Fat Mass in Spanish Young Adults: The Role of Muscle Strength. Nutrients 2021; 13:nu13124498. [PMID: 34960051 PMCID: PMC8705271 DOI: 10.3390/nu13124498] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 12/07/2021] [Accepted: 12/13/2021] [Indexed: 01/01/2023] Open
Abstract
Obesity is declared as a chronic multifaceted health problem, and young adults may be particularly vulnerable to weight gain. This study aims to identify the role of dietary calcium intake and the muscle strength index in handling excess of fat mass in young adults and to examine if the relationship between dietary calcium intake and fat mass percentage is mediated by muscle strength. A cross-sectional study including 355 Spanish college students (aged 21.05 ± 3.11) was performed during the 2017–2018 academic year. Pearson correlation coefficients were estimated to determine the relationship between dietary calcium intake, fat mass percentage, body mass index, muscle strength components, and total energy intake. ANCOVA models were used to analyze the differences in the muscle strength index by total dietary calcium intake categories, as well as the differences in % fat mass by total dietary calcium intake and muscle strength index categories, controlling for different sets of confounders. A mediator analysis was conducted to test if the relationship between dietary calcium intake and fat mass percentage was explained by muscle strength. Data on the fat mass percentage, dietary calcium intake, and muscle strength index as the sum of the standardized z-score of the standing long jump and z-score of handgrip/weight were collected. The muscle strength index was significantly better in young adults with higher dietary calcium intake. Moreover, the fat mass percentage was significantly lower in those with a higher dietary calcium intake and a better muscle strength index. Finally, the relationship between dietary calcium intake and fat mass percentage was fully mediated by muscle strength (z = −1.90; p < 0.05), explaining 33.33% of this relationship. This study suggests that both a major dietary calcium intake and muscle strength are associated with fat mass percentage. Moreover, muscle strength mediates the link between dietary calcium intake and fat mass percentage. Therefore, both high dietary calcium intake and exercise activities aimed at improving muscle strength levels may help to prevent the cardiometabolic risk associated with an excess of fat mass in young people.
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Affiliation(s)
- Ana Torres-Costoso
- Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, 45071 Toledo, Spain;
- Centro de Estudios Socio-Sanitarios, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain; (R.F.-R.); (I.S.-D.); (S.R.-G.); (S.N.d.A.-A.); (M.G.-M.)
| | - Vicente Martínez-Vizcaíno
- Centro de Estudios Socio-Sanitarios, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain; (R.F.-R.); (I.S.-D.); (S.R.-G.); (S.N.d.A.-A.); (M.G.-M.)
- Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca 3467987, Chile
- Correspondence: ; Tel.: +34-969179100
| | - Rubén Fernández-Rodríguez
- Centro de Estudios Socio-Sanitarios, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain; (R.F.-R.); (I.S.-D.); (S.R.-G.); (S.N.d.A.-A.); (M.G.-M.)
| | - Irene Sequí-Dominguez
- Centro de Estudios Socio-Sanitarios, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain; (R.F.-R.); (I.S.-D.); (S.R.-G.); (S.N.d.A.-A.); (M.G.-M.)
| | - Sara Reina-Gutiérrez
- Centro de Estudios Socio-Sanitarios, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain; (R.F.-R.); (I.S.-D.); (S.R.-G.); (S.N.d.A.-A.); (M.G.-M.)
| | - Sergio Núñez de Arenas-Arroyo
- Centro de Estudios Socio-Sanitarios, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain; (R.F.-R.); (I.S.-D.); (S.R.-G.); (S.N.d.A.-A.); (M.G.-M.)
| | - Miriam Garrido-Miguel
- Centro de Estudios Socio-Sanitarios, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain; (R.F.-R.); (I.S.-D.); (S.R.-G.); (S.N.d.A.-A.); (M.G.-M.)
- Facultad de Enfermería de Albacete, Universidad de Castilla-La Mancha, 02006 Ciudad Real, Spain
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18
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Self-reported (IFIS) versus measured physical fitness, and their associations to cardiometabolic risk factors in early pregnancy. Sci Rep 2021; 11:22719. [PMID: 34811456 PMCID: PMC8608964 DOI: 10.1038/s41598-021-02149-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Accepted: 11/09/2021] [Indexed: 11/18/2022] Open
Abstract
Physical fitness is a strong marker of health, but objective fitness measurements are not always feasible. The International FItness Scale (IFIS) for self-reported fitness is a simple-to-use tool with demonstrated validity and reliability; however, validation in pregnancy needs to be confirmed. Also, its association with cardiometabolic health in pregnant women is unknown. Hence, we examined (1) the validity of the IFIS with objectively measured fitness, and (2) the associations of self-reported versus objectively measured cardiorespiratory fitness (CRF) and muscular strength with cardiometabolic risk factors in early pregnancy. Women (n = 303) from the HealthyMoms trial were measured at gestational week 14 for: CRF (6-min walk test); upper-body muscular strength (handgrip strength test); self-reported fitness (IFIS), body composition (air-displacement plethysmography); blood pressure and metabolic parameters (lipids, glucose, insulin). Higher self-reported fitness was associated with better measured fitness (ANOVA overall p < 0.01 for all fitness types), indicating the usefulness of the IFIS in pregnancy. Furthermore, higher self-reported overall fitness and CRF were associated with lower cardiometabolic risk scores (ANOVA p < 0.001), with similar results shown for measured CRF (ANOVA p < 0.001). The findings suggest that IFIS could be useful to stratify pregnant women in appropriate fitness levels on a population-based level where objective measurement is not possible.
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19
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[The health benefits of physical activity]. REVUE DE L'INFIRMIÈRE 2021; 70:16-19. [PMID: 34752351 DOI: 10.1016/j.revinf.2021.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Five million deaths per year worldwide could be prevented if physical activity (PA) recommendations were followed. Scientific studies have shown with a high level of evidence that PA prevents and treats most chronic diseases. It also contributes to the prevention of the main risk factors for these diseases. In France, whatever the age group, physical activity is considered insufficient in relation to the recommendations of the World Health Organisation. However, over the last ten years, public policies have been moving in the direction of promoting physical activity.
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20
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Marín-Jiménez N, Castro-Piñero J, Rodríguez-Ayllón M, Marchán-Rubio A, Delgado-Fernández M, Aparicio VA. The favourable association of self-reported physical fitness with depression and anxiety during pregnancy. The GESTAFIT project. Eur J Sport Sci 2021; 22:1932-1940. [PMID: 34559596 DOI: 10.1080/17461391.2021.1986141] [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: 10/20/2022]
Abstract
We explored the association of self-reported physical fitness with depressive symptoms and anxiety levels during pregnancy. One hundred fifty-five pregnant women (32.9 ± 4.7 years old) participated in the study. Self-reported physical fitness was assessed with the International Fitness Scale, depressive symptoms and state anxiety levels with the Center for Epidemiological Studies-Depression Scale and the State Trait Anxiety Index, respectively, at the 16 and 34 weeks of gestation. In model 1 (adjusted for age and gestational weight gain), greater overall self-reported physical fitness was associated with fewer depressive symptoms at the 16 weeks (p = .004). Greater self-reported cardiorespiratory fitness and muscular strength were associated with lower anxiety levels at the 16 weeks (all, p > .05). Greater overall self-reported physical fitness, cardiorespiratory fitness and speed-agility were associated with lower anxiety levels at the 34 weeks (all, p > .05). These results were also confirmed in model 2 (additionally adjusted for the exercise intervention, sleep quality, educational level, working status and cohabitating), except for cardiorespiratory fitness and anxiety levels at the 16 weeks (p = .09). Greater self-reported physical fitness was associated with lower psychological ill-being during pregnancy. Specifically, at the 16 weeks, greater self-reported overall physical fitness was associated with fewer depressive symptoms, greater self-reported muscular strength with lower anxiety levels; greater self-reported overall physical fitness and speed-agility with lower anxiety levels at the 34 weeks and greater self-reported cardiorespiratory fitness with lower anxiety levels during the pregnancy. Screening of physical fitness may reduce the risk of depression and anxiety and generally improve pregnancy mental health-related quality of life.HighlightsMaternal depression and anxiety have prevalence rates between 8 and 36%.Physical fitness enhancement during pregnancy results in less depression and anxiety.Greater physical fitness may provide benefits for the mother mental health.Self-reported physical fitness screening during pregnancy may be useful in clinical settings.
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Affiliation(s)
- Nuria Marín-Jiménez
- Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada, Spain.,Sport and Health University Research Institute (iMUDS), Granada, Spain.,GALENO Research Group, Department of Physical Education. Faculty of Education Sciences, University of Cádiz, Puerto Real, Spain.,Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Cádiz, Spain
| | - José Castro-Piñero
- GALENO Research Group, Department of Physical Education. Faculty of Education Sciences, University of Cádiz, Puerto Real, Spain.,Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Cádiz, Spain
| | - María Rodríguez-Ayllón
- Department of Physical Education and Sports, Faculty of Sport Sciences, PROFITH "PROmoting FITness and Health Through Physical Activity" Research Group, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain
| | - Alba Marchán-Rubio
- Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada, Spain
| | - Manuel Delgado-Fernández
- Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada, Spain.,Sport and Health University Research Institute (iMUDS), Granada, Spain
| | - Virginia A Aparicio
- Sport and Health University Research Institute (iMUDS), Granada, Spain.,Department of Physiology, Institute of Nutrition and Food Technology (INYTA), Biomedical Research Centre (CIBM) and Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain
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21
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Ha L, Mizrahi D, Cohn RJ, Simar D, Wakefield CE, Signorelli C. Accuracy of perceived physical activity and fitness levels among childhood cancer survivors. Pediatr Blood Cancer 2021; 68:e29134. [PMID: 34133073 DOI: 10.1002/pbc.29134] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Revised: 04/11/2021] [Accepted: 05/07/2021] [Indexed: 11/07/2022]
Abstract
BACKGROUND Childhood cancer survivors do not engage in sufficient physical activity and have low fitness levels. Perceived physical activity and fitness levels may influence survivors' engagement in health behaviours. We aimed to investigate survivors' perceptions of physical activity and fitness levels and identify how accurate their perceptions were. We further explored survivors' attitudes toward physical activity, including perceived importance and desire to increase activity levels. PROCEDURE We recruited 116 childhood cancer survivors (8-18 years) and assessed their perceived physical activity levels using a questionnaire and the Godin's Leisure Score Index. Accuracy of their perceptions was established by comparing their perceived physical activity levels with the recommended guidelines. Survivors reported their perceived fitness levels using the International Fitness Scale. We compared survivors' perceptions with their performance on the 6-minute walk test using weighted Cohen's kappa to determine interrater agreement between perceived and objectively measured fitness. RESULTS Most survivors did not meet the physical activity guidelines (<420 min/week). One-third incorrectly perceived whether their self-reported physical activity levels were appropriate (84% underestimated, while 16% overestimated). Survivors had average fitness and were inaccurate at perceiving their fitness level. Survivors highly valued the importance of being able to do physical activity, and 89% reported a desire to increase their physical activity. CONCLUSIONS Our results reveal that many survivors are not accurate when perceiving their physical activity and fitness levels. Emphasising the need for objective fitness assessments, and patient education in clinical practice may support survivors to accurately perceive their physical activity and fitness levels, thus improving health behaviours.
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Affiliation(s)
- Lauren Ha
- School of Health Sciences, UNSW Medicine & Health, UNSW Sydney, Sydney, New South Wales, Australia.,Behavioural Sciences Unit, Sydney Children's Hospital, Randwick, New South Wales, Australia
| | - David Mizrahi
- Prince of Wales Clinical School, UNSW Medicine & Health, UNSW Sydney, Sydney, New South Wales, Australia
| | - Richard J Cohn
- Behavioural Sciences Unit, Sydney Children's Hospital, Randwick, New South Wales, Australia.,School of Women's and Children's Health, UNSW Medicine & Health, UNSW Sydney, Sydney, New South Wales, Australia
| | - David Simar
- School of Health Sciences, UNSW Medicine & Health, UNSW Sydney, Sydney, New South Wales, Australia
| | - Claire E Wakefield
- Behavioural Sciences Unit, Sydney Children's Hospital, Randwick, New South Wales, Australia.,School of Women's and Children's Health, UNSW Medicine & Health, UNSW Sydney, Sydney, New South Wales, Australia
| | - Christina Signorelli
- Behavioural Sciences Unit, Sydney Children's Hospital, Randwick, New South Wales, Australia.,School of Women's and Children's Health, UNSW Medicine & Health, UNSW Sydney, Sydney, New South Wales, Australia
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22
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Concurrent Validity and Reliability of a Novel Visual Analogue Fitness Perception Scale for Adolescents (FP VAS A). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18073457. [PMID: 33810455 PMCID: PMC8037782 DOI: 10.3390/ijerph18073457] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Revised: 03/23/2021] [Accepted: 03/24/2021] [Indexed: 01/17/2023]
Abstract
Introduction: Self-reported physical fitness (PF) provides an accurate measure of PF, specifically for young people. The Visual Analogue Scale (VAS) is one of the most used psychosocial measurement methods. The main arguments in favor of VAS are its ease of use and comprehension, particularly for less educated participants. There are some scales that assess self-perception of PF, but the VAS presented in this study covers a higher range of responses and a number of variables than other already validated measures. Aims: The aim was to determine the concurrent validity of the Visual Analogue Fitness Perception Scale for Adolescents (FP VAS A) (Sub-study 1) and check its reliability (Sub-study 2). Methods: Anthropometric and body composition measurements were performed, as well as PF tests (manual dynamometry, Course Navette, 4 × 10 m, and sit and reach). The International Fitness Scale (IFIS) and FP VAS A were used to assess self-reported PF. Results: Two sub-studies were carried out: in sub-study 1 a total of 67 students (26 males and 41 females aged 12–16 years) participated. The results showed a significant direct correlation between the level of PF and self-perception of PF (IFIS and FP VAS A), with the FP VAS A obtaining a higher correlation with PF (r = 0.444 to 0.666) than the IFIS and PF (r = 0.154 to 0.557). In sub-study 2 (test–retest of the FP VAS A), a total of 217 students (120 males and 97 females aged 12–17 years) participated. It showed a moderate reliability for all items; the intraclass correlation coefficient (ICC) was between 0.800 and 0.870, and kappa values ranged from 0.622 (endurance) to 0.458 (flexibility). In addition, Cronbach’s α for the total was 0.860. Conclusion: This study showed good validity and reliability for the FP VAS A in adolescents.
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23
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Petersen CB, Eriksen L, Dahl-Petersen IK, Aadahl M, Tolstrup JS. Self-rated physical fitness and measured cardiorespiratory fitness, muscular strength, and body composition. Scand J Med Sci Sports 2021; 31:1086-1095. [PMID: 33458890 DOI: 10.1111/sms.13918] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Revised: 12/17/2020] [Accepted: 01/04/2021] [Indexed: 12/21/2022]
Abstract
The purpose was to examine the correlation and association between a single-item question of self-rated physical fitness and objective measures of fitness and cardiometabolic risk factors in a large population-based study. Participants were 3441 men and women aged 18-85 years who filled in a questionnaire and participated in a clinical health examination in the Danish Health Examination Survey 2007-2008. Cardiorespiratory fitness was estimated by an indirect maximal exercise test. Muscle strength was measured by (a) sit-to-stand test, (b) handgrip strength, and (c) bent arm strength. Body mass index and fat percentage were used as measures for body composition. Associations were derived from regression analyses, correlations were calculated using Spearman's correlation test, and agreement was tested by kappa statistics. Within categories of self-rated physical fitness moving from lowest to highest, objectively measured cardiorespiratory fitness increased. Self-rated physical fitness was strongly correlated to cardiorespiratory fitness (rmen = 0.69 and rwomen = 0.65) and moderately correlated to the sit-to-stand test (rmen = 0.49 and rwomen = 0.48), bent arm strength (r = 0.45) and fat percentage (r = 0.46) among men, and handgrip strength among women (r =0.41). Mutually adjusted analysis showed a significant association between self-reported physical fitness and cardiorespiratory fitness for men and women and bent arm strength for women. The single-item question of physical fitness was correlated to cardiorespiratory fitness, muscle strength, and body composition. However, this study suggests that it mainly captures cardiorespiratory fitness. At the population level, the single-item question could be a useful tool to identify and monitor variation in fitness levels.
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Affiliation(s)
- Christina B Petersen
- National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
| | - Louise Eriksen
- National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
| | | | - Mette Aadahl
- Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Capital Region, Copenhagen, Denmark
| | - Janne S Tolstrup
- National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
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24
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Aragón-Martín R, Gómez-Sánchez MDM, Jiménez-Pavón D, Martínez-Nieto JM, Schwarz-Rodríguez M, Segundo-Iglesias C, Novalbos-Ruiz JP, Santi-Cano MJ, Castro-Piñero J, Lineros-González C, Hernán-García M, Rodríguez-Martín A. A Multimodal Intervention for Prevention of Overweight and Obesity in Schoolchildren. A Protocol Study "PREVIENE-CÁDIZ". INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:1622. [PMID: 33567730 PMCID: PMC7914756 DOI: 10.3390/ijerph18041622] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Revised: 02/03/2021] [Accepted: 02/03/2021] [Indexed: 01/22/2023]
Abstract
This paper describes the protocol for a study designed to address the high prevalence (40%) of childhood overweight and obesity in the province of Cádiz, Spain, as a reflection of what is happening worldwide. It is widely known that children who suffer from childhood obesity have a higher risk of developing chronic diseases in adulthood. This causes a decrease in the quality of life and an increase in health spending. In this context, it is necessary to intervene promoting healthy lifestyle habits from an early stage. The objective of this project will be to evaluate the effectiveness of a multimodal intervention (individual, school and family) called "PREVIENE-CÁDIZ" [CADIZ-PREVENT]. The intervention will be focused mainly on diet, physical activity, sedentary lifestyle and sleep, to prevent overweight and obesity in schoolchildren from 8 to 9 years old in the province of Cádiz. It will consist of a 10-session education program carried out in the classroom by the teachers. In addition, children will be assigned two workbooks, one to work on in class and the other at home with parents. A workshop aimed at parents will be included to help teach them how to obtain healthier lifestyle habits. The proposed study will involve a quasi-experimental design with a control group.
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Affiliation(s)
- Rubén Aragón-Martín
- Department of Biomedicine, Biotechnology and Public Health, Faculty of Nursing and Physiotherapy, University of Cádiz, 11009 Cádiz, Spain; (J.P.N.-R.); (A.R.-M.)
- European ITI Project PI-0007-2017, Andalusian Operational Program FEDER (European Regional Development Fund) 2014–2020, 11009 Cádiz, Spain; (D.J.-P.); (J.M.M.-N.); (M.S.-R.); (C.S.-I.); (M.J.S.-C.); (J.C.-P.); (C.L.-G.); (M.H.-G.)
- Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital, University of Cádiz, 11009 Cádiz, Spain
- MOVE-IT Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cádiz, 11003 Cádiz, Spain
| | - María del Mar Gómez-Sánchez
- Department of Biomedicine, Biotechnology and Public Health, Faculty of Nursing and Physiotherapy, University of Cádiz, 11009 Cádiz, Spain; (J.P.N.-R.); (A.R.-M.)
- European ITI Project PI-0007-2017, Andalusian Operational Program FEDER (European Regional Development Fund) 2014–2020, 11009 Cádiz, Spain; (D.J.-P.); (J.M.M.-N.); (M.S.-R.); (C.S.-I.); (M.J.S.-C.); (J.C.-P.); (C.L.-G.); (M.H.-G.)
- Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital, University of Cádiz, 11009 Cádiz, Spain
| | - David Jiménez-Pavón
- European ITI Project PI-0007-2017, Andalusian Operational Program FEDER (European Regional Development Fund) 2014–2020, 11009 Cádiz, Spain; (D.J.-P.); (J.M.M.-N.); (M.S.-R.); (C.S.-I.); (M.J.S.-C.); (J.C.-P.); (C.L.-G.); (M.H.-G.)
- Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital, University of Cádiz, 11009 Cádiz, Spain
- MOVE-IT Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cádiz, 11003 Cádiz, Spain
| | - José Manuel Martínez-Nieto
- European ITI Project PI-0007-2017, Andalusian Operational Program FEDER (European Regional Development Fund) 2014–2020, 11009 Cádiz, Spain; (D.J.-P.); (J.M.M.-N.); (M.S.-R.); (C.S.-I.); (M.J.S.-C.); (J.C.-P.); (C.L.-G.); (M.H.-G.)
- Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital, University of Cádiz, 11009 Cádiz, Spain
- Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Cádiz, 11009 Cádiz, Spain
| | - Mónica Schwarz-Rodríguez
- European ITI Project PI-0007-2017, Andalusian Operational Program FEDER (European Regional Development Fund) 2014–2020, 11009 Cádiz, Spain; (D.J.-P.); (J.M.M.-N.); (M.S.-R.); (C.S.-I.); (M.J.S.-C.); (J.C.-P.); (C.L.-G.); (M.H.-G.)
- Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital, University of Cádiz, 11009 Cádiz, Spain
- Salus Infirmorum Nursing School, University of Cádiz, 11001 Cádiz, Spain
| | - Carmen Segundo-Iglesias
- European ITI Project PI-0007-2017, Andalusian Operational Program FEDER (European Regional Development Fund) 2014–2020, 11009 Cádiz, Spain; (D.J.-P.); (J.M.M.-N.); (M.S.-R.); (C.S.-I.); (M.J.S.-C.); (J.C.-P.); (C.L.-G.); (M.H.-G.)
- Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital, University of Cádiz, 11009 Cádiz, Spain
- Salus Infirmorum Nursing School, University of Cádiz, 11001 Cádiz, Spain
| | - José Pedro Novalbos-Ruiz
- Department of Biomedicine, Biotechnology and Public Health, Faculty of Nursing and Physiotherapy, University of Cádiz, 11009 Cádiz, Spain; (J.P.N.-R.); (A.R.-M.)
- European ITI Project PI-0007-2017, Andalusian Operational Program FEDER (European Regional Development Fund) 2014–2020, 11009 Cádiz, Spain; (D.J.-P.); (J.M.M.-N.); (M.S.-R.); (C.S.-I.); (M.J.S.-C.); (J.C.-P.); (C.L.-G.); (M.H.-G.)
- Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital, University of Cádiz, 11009 Cádiz, Spain
| | - María José Santi-Cano
- European ITI Project PI-0007-2017, Andalusian Operational Program FEDER (European Regional Development Fund) 2014–2020, 11009 Cádiz, Spain; (D.J.-P.); (J.M.M.-N.); (M.S.-R.); (C.S.-I.); (M.J.S.-C.); (J.C.-P.); (C.L.-G.); (M.H.-G.)
- Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital, University of Cádiz, 11009 Cádiz, Spain
- Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Cádiz, 11009 Cádiz, Spain
| | - José Castro-Piñero
- European ITI Project PI-0007-2017, Andalusian Operational Program FEDER (European Regional Development Fund) 2014–2020, 11009 Cádiz, Spain; (D.J.-P.); (J.M.M.-N.); (M.S.-R.); (C.S.-I.); (M.J.S.-C.); (J.C.-P.); (C.L.-G.); (M.H.-G.)
- GALENO Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cádiz, 11003 Cádiz, Spain
| | - Carmen Lineros-González
- European ITI Project PI-0007-2017, Andalusian Operational Program FEDER (European Regional Development Fund) 2014–2020, 11009 Cádiz, Spain; (D.J.-P.); (J.M.M.-N.); (M.S.-R.); (C.S.-I.); (M.J.S.-C.); (J.C.-P.); (C.L.-G.); (M.H.-G.)
- Andalusian School of Public Health, 18080 Granada, Spain
| | - Mariano Hernán-García
- European ITI Project PI-0007-2017, Andalusian Operational Program FEDER (European Regional Development Fund) 2014–2020, 11009 Cádiz, Spain; (D.J.-P.); (J.M.M.-N.); (M.S.-R.); (C.S.-I.); (M.J.S.-C.); (J.C.-P.); (C.L.-G.); (M.H.-G.)
- Andalusian School of Public Health, 18080 Granada, Spain
- Andalusian Council of Childhood, 18001 Granada, Spain
| | - Amelia Rodríguez-Martín
- Department of Biomedicine, Biotechnology and Public Health, Faculty of Nursing and Physiotherapy, University of Cádiz, 11009 Cádiz, Spain; (J.P.N.-R.); (A.R.-M.)
- European ITI Project PI-0007-2017, Andalusian Operational Program FEDER (European Regional Development Fund) 2014–2020, 11009 Cádiz, Spain; (D.J.-P.); (J.M.M.-N.); (M.S.-R.); (C.S.-I.); (M.J.S.-C.); (J.C.-P.); (C.L.-G.); (M.H.-G.)
- Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital, University of Cádiz, 11009 Cádiz, Spain
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25
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Curtis RG, Ryan JC, Edney SM, Maher CA. Can Instagram be used to deliver an evidence-based exercise program for young women? A process evaluation. BMC Public Health 2020; 20:1506. [PMID: 33023559 PMCID: PMC7539409 DOI: 10.1186/s12889-020-09563-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Accepted: 09/17/2020] [Indexed: 11/10/2022] Open
Abstract
Background Instagram provides an opportunity to deliver low cost, accessible and appealing physical activity content. This study evaluated the feasibility of delivering an exercise program for young women using Instagram. Methods A single-group pre- and post-intervention trial examined the feasibility and preliminary efficacy of a 12-week Instagram-delivered program with young inactive women (n = 16; M = 23 years), which prescribed running and body weight exercises to complete three times per week. Daily Instagram posts delivered the exercises, video demonstrations and motivational content. Feasibility was evaluated by examining exposure (Instagram posts viewed per week), engagement (likes, comments and tags on Instagram posts; number of exercise sessions completed per week; retention, defined as completion of the online survey at weeks 6 and 12), and acceptability [whether the program increased participants’ motivation to exercise (1 = strongly disagree-5 = strongly agree); satisfaction with the program (1 = not satisfied-5 = very satisfied)]. Preliminary efficacy was evaluated by comparing baseline and 12-week self-reported physical activity (IPAQ short-form) and fitness (cardiorespiratory and muscle strength; 1 = very poor-5 = very good, International Fitness Scale) using the Exact sign test. Results On average, participants reported seeing six posts in their Instagram feed per week. Posts received an average of five likes (IQR = 3–6). A total of four comments and one tag were observed across all posts. On average, participants reported completing two exercise sessions per week. Retention was 88% at 6 weeks but dropped to 56% at 12 weeks. Participants reported increased motivation to exercise (Mdn = 4, IQR = 3–4) and were satisfied with the program (Mdn = 4, IQR = 3–4). Only self-reported cardiorespiratory fitness showed a meaningful, though nonsignificant, improvement (MdnΔ = 1, IQR = 0–1, p = .06). Conclusions Although Instagram has the potential to deliver a low cost, convenient exercise program for young women, additional research is needed to identify methods of improving engagement (interaction with the Instagram content, exercise sessions completed, and retention in the program). Future research could examine the use of behaviour change theory and provide information that enables participants to tailor the exercises to their interests and needs. Additionally, the use of objective assessments of physical activity and fitness among a larger participants sample is needed.
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Affiliation(s)
- Rachel G Curtis
- Alliance for Research in Exercise, Nutrition and Activity, UniSA Allied Health and Human Performance, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia.
| | - Jillian C Ryan
- Precision Health Future Science Platform, Commonwealth Scientific and Industrial Research Organisation, Adelaide, 5000, Australia
| | - Sarah M Edney
- Physical Activity & Nutrition Determinants in Asia, Saw Swee Hock School of Public Health, National University of Singapore, Singapore, 117549, Singapore
| | - Carol A Maher
- Alliance for Research in Exercise, Nutrition and Activity, UniSA Allied Health and Human Performance, University of South Australia, GPO Box 2471, Adelaide, South Australia, 5001, Australia
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Ruiz-Montero PJ, Chiva-Bartoll O, Baena-Extremera A, Hortigüela-Alcalá D. Gender, Physical Self-Perception and Overall Physical Fitness in Secondary School Students: A Multiple Mediation Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17186871. [PMID: 32962276 PMCID: PMC7559180 DOI: 10.3390/ijerph17186871] [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: 07/30/2020] [Revised: 09/15/2020] [Accepted: 09/16/2020] [Indexed: 01/03/2023]
Abstract
Background: Physical self-perception is often related with better physical fitness perception in adolescents. Moreover, it is an important social cognitive perspective to provide suitable mental health in this population. However, this relationship is unequal between boys and girls. The physical fitness is a marker of health in young population. The aims of the present study were the following: (1) to compare physical self-perception and self-reported overall physical fitness (OPF) between boys and girls (gender) and body mass index (BMI) status, and (2) to determine the mediating role of all physical self-perception subscales (except physical condition) and BMI status in the link between gender and OPF in adolescent students. Methods: This cross-sectional study consisted of 85 adolescent students of secondary school between 12 and 17 years of age; 41 were boys (Mage = 14.6, SD = 1.7) and 44 were girls (Mage = 14.4, SD = 1.6). Adolescent participants completed all clinical characteristics by body composition measures (age, body weight, body height, and BMI). Physical self-perception was assessed by the physical self-perception profile (PSPP) whereas the international fitness scale (IFIS) was used to predict the self-reported OPF of adolescents in the present study. Results: Gender (boys and girls) differed significantly in all PSPP subscales and OPF, whereas the BMI status (underweight = 19 students, normal weight = 53 students, overweight/obese = 13 students) showed significant differences in all clinical characteristics, physical condition (PSPP), and OPF. A multiple mediation analysis was performed using bias corrected bootstrap. This multiple mediation analysis revealed that all PSPP subscales were significant mediators between gender and OPF: attractive body (p = 0.013), sport competence (p = 0.009), physical strength (p = 0.002), and self-confidence (p = 0.002). The total direct effect of gender on OPF was significant (p = 0.002). Moreover, the multiple mediation estimated a completely standardized indirect of X on Y for attractive body (effect = 0.109), sport competence (effect = 0.066), physical strength (effect = 0.130), and self-confidence (effect = 0.193). Conclusions: These findings contribute to understanding the link between gender and OPF in adolescent students and the mediation of physical self-perception and OPF in this relationship. In addition, strategies focused to improve self-confidence and physical self-perception are necessary in female adolescent students, because boys showed better physical self-perception in all PSPP subscales. Girls are a risk group because they report low physical self-confidence with their respective insecurity feelings and psychological disorders. Thus, personal physical self-perception must be considered as an important social cognitive perspective to provide suitable mental health in children and adolescents.
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Affiliation(s)
- Pedro Jesús Ruiz-Montero
- Department of Physical Education and Sport, Faculty of Education and Sport Sciences, Campus of Melilla, University of Granada, 52071 Melilla, Spain;
| | - Oscar Chiva-Bartoll
- Department of Education and Specific Didactics, Faculty of Humanities and Social Sciences, Universitat Jaume I, 12071 Castellón, Spain
- Correspondence:
| | - Antonio Baena-Extremera
- Department of Education Sciences, Faculty of Education, Universitary Campus of Cartuja, University of Granada, s/n, 18071 Granada, Spain;
| | - David Hortigüela-Alcalá
- Department of Specific Didactics, Faculty of Education, University of Burgos, 09001 Burgos, Spain;
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Pereira DDA, Correia Júnior JL, Carvas Junior N, Freitas-Dias RD. Reliability of questionnaire The International Fitness Scale: a systematic review and meta-analysis. EINSTEIN-SAO PAULO 2020; 18:eRW5232. [PMID: 32725055 PMCID: PMC7394011 DOI: 10.31744/einstein_journal/2020rw5232] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Accepted: 11/29/2019] [Indexed: 11/21/2022] Open
Abstract
Objective To perform a systematic literature review and meta-analysis to investigate the reliability of The International Fitness Scale questionnaire for assessing overall physical fitness and related components. Methods PubMed®, BIREME, SciELO, EMBASE, SPORTDiscus, LILACS and Cochrane databases were searched using the following search terms: “The International Fitness Scale”, “International Fitness Scale” and “IFIS”. Article selection and data extraction were performed according to the following eligibility criteria: reliability and/or validity study of the measure tools of The International Fitness Scale; adoption of the The International Fitness Scale as a reference criterion (gold standard) and being an original article. Quality of the study was considered based on Assessment of Reliability Studies. Data analysis used Kappa coefficient of agreement, Cochran and the Higgins I2 test. Sensitivity analysis was conducted using the withdrawal model. Results A total of seven articles were included in the analysis. Test-retest reliability coefficients ranged from 0.40 to 0.99, with most studies achieving values ≥0.60, indicative of moderate to substantial reliability. Conclusion In spite of appropriate test-retest scores attributed to most reliability indicators, heterogeneity among the studies remained high. Therefore, further studies with low risk of bias are needed to support the reliability of the self-reported The International Fitness Scale.
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Affiliation(s)
- Débora de Almeida Pereira
- Graduate Program in Adolescent Medicine - Determinants of Health in Adolescents, Universidade de Pernambuco, Camaragibe, PE, Brazil
| | | | | | - Ricardo de Freitas-Dias
- Graduate Program in Adolescent Medicine - Determinants of Health in Adolescents, Universidade de Pernambuco, Camaragibe, PE, Brazil
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Doctor, ask your perimenopausal patient about her physical fitness; association of self-reported physical fitness with cardiometabolic and mental health in perimenopausal women: the FLAMENCO project. Menopause 2020; 26:1146-1153. [PMID: 31513090 DOI: 10.1097/gme.0000000000001384] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
OBJECTIVE The aim of this study was to explore the association of self-reported physical fitness (PF) and its components with cardiometabolic and mental health in perimenopausal women. METHODS These cross-sectional analyses included 191 participants (53 ± 4 y old) from the FLAMENCO project. Self-reported PF was assessed with the International Fitness Scale (IFIS). Body mass index (BMI), fat mass (FM), waist circumference (WC), systolic and diastolic blood pressure (DBP), high-density lipoprotein cholesterol (HDL-C), triglycerides, C-reactive protein (CRP), and glucose were measured. The Beck's Depression Inventory, State-Trait Anxiety Inventory, Pittsburgh Sleep Quality Index, Life Orientation Test Revised, and Positive and Negative Affect Schedule were used to assess mental health. RESULTS After adjusting for potential confounders, greater overall PF was associated with lower BMI, FM, WC (P < 0.001), DBP and CRP, and higher HDL-C (P < 0.05). Cardiorespiratory fitness (CRF), speed-agility, and flexibility were associated with lower BMI, WC, and FM (P < 0.001), and muscle strength (MS) with lower WC and FM (P < 0.05). In addition, CRF, MS, and speed-agility were associated with lower CRP (P < 0.01), and flexibility with enhanced triglycerides and HDL-C (P < 0.05). Overall PF and all its components were associated with lower depression, anxiety, and negative affect (P≤0.01), and greater positive affect (P≤0.05). Overall PF and MS were associated with better sleep quality (P < 0.05), and CRF, MS, and speed-agility with greater optimism (P≤0.05). Finally, overall PF showed evidence of significant association with less pharmaceutical expenditure (B = -7.2, β=-0.145, P = 0.08). CONCLUSIONS Self-reported PF was associated with better cardiometabolic and mental health in perimenopausal women. The IFIS might be proposed as an inexpensive, quick, and easy tool in clinical settings.
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Bueno-Antequera J, Mayolas-Pi C, Reverter-Masià J, López-Laval I, Oviedo-Caro MÁ, Munguía-Izquierdo D, Ruidíaz-Peña M, Legaz-Arrese A. Exercise Addiction and Its Relationship with Health Outcomes in Indoor Cycling Practitioners in Fitness Centers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17114159. [PMID: 32545197 PMCID: PMC7312881 DOI: 10.3390/ijerph17114159] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Revised: 05/31/2020] [Accepted: 06/05/2020] [Indexed: 12/21/2022]
Abstract
We studied the prevalence and possible association between exercise addiction and health in indoor cycling practitioners. In 1014 (492 women) adult indoor cyclists and 926 (597 women) controls with low levels of physical activity according to the short form of the International Physical Activity Questionnaire, we examined the risk of exercise addiction according to the Exercise Addiction Inventory and several health outcomes through a web-based experiment. The prevalence of a high risk of exercise addiction in cyclists was 13.3%, and it was higher in men than in women (16.5% vs. 10.0%, p = 0.002). Women cyclists with a high risk of exercise addiction had higher levels of physical activity (p < 0.001; effect size = −0.62, 95% CI: (−0.91, −0.32)) and anxiety symptom severity (p = 0.001; Effect Size (ES) = −0.59 (−0.89, −0.30)) than those with a low risk. For both sexes, cyclists with a low risk of exercise addiction had better social function, emotional role, and anxiety symptom severity compared with the controls (all p < 0.002; ES ranged from 0.25 to 0.47). Higher anxiety symptom severity and cardiorespiratory fitness were the main determinants of exercise addiction in cyclists (both p < 0.001). Our data suggest the importance of considering exercise addiction in indoor cyclists.
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Affiliation(s)
- Javier Bueno-Antequera
- Physical Performance and Sports Research Center, Department of Sports and Computer Science, Section of Physical Education and Sports, Faculty of Sports Sciences, Universidad Pablo de Olavide, ES-41013 Seville, Spain; (J.B.-A.); (D.M.-I.)
- Research Group in Development Movimiento Humano, Universidad de Zaragoza, ES-50009 Zaragoza, Spain; (C.M.-P.); (J.R.-M.); (I.L.-L.); (M.R.-P.); (A.L.-A.)
| | - Carmen Mayolas-Pi
- Research Group in Development Movimiento Humano, Universidad de Zaragoza, ES-50009 Zaragoza, Spain; (C.M.-P.); (J.R.-M.); (I.L.-L.); (M.R.-P.); (A.L.-A.)
- Department of Physiatry and Nursery, Section of Physical Education and Sports ES-28029, Faculty of Health and Sport Sciences, University of Zaragoza, ES-50009 Zaragoza, Spain
| | - Joaquin Reverter-Masià
- Research Group in Development Movimiento Humano, Universidad de Zaragoza, ES-50009 Zaragoza, Spain; (C.M.-P.); (J.R.-M.); (I.L.-L.); (M.R.-P.); (A.L.-A.)
- Section of Physical Education and Sports, Faculty of Education, Psychology and Social Work, University of Lleida, ES-25001 Lleida, Spain
| | - Isaac López-Laval
- Research Group in Development Movimiento Humano, Universidad de Zaragoza, ES-50009 Zaragoza, Spain; (C.M.-P.); (J.R.-M.); (I.L.-L.); (M.R.-P.); (A.L.-A.)
- Department of Physiatry and Nursery, Section of Physical Education and Sports ES-28029, Faculty of Health and Sport Sciences, University of Zaragoza, ES-50009 Zaragoza, Spain
| | - Miguel Ángel Oviedo-Caro
- Physical Performance and Sports Research Center, Department of Sports and Computer Science, Section of Physical Education and Sports, Faculty of Sports Sciences, Universidad Pablo de Olavide, ES-41013 Seville, Spain; (J.B.-A.); (D.M.-I.)
- Research Group in Development Movimiento Humano, Universidad de Zaragoza, ES-50009 Zaragoza, Spain; (C.M.-P.); (J.R.-M.); (I.L.-L.); (M.R.-P.); (A.L.-A.)
- Correspondence: ; Tel.: +34-954-977-589
| | - Diego Munguía-Izquierdo
- Physical Performance and Sports Research Center, Department of Sports and Computer Science, Section of Physical Education and Sports, Faculty of Sports Sciences, Universidad Pablo de Olavide, ES-41013 Seville, Spain; (J.B.-A.); (D.M.-I.)
- Research Group in Development Movimiento Humano, Universidad de Zaragoza, ES-50009 Zaragoza, Spain; (C.M.-P.); (J.R.-M.); (I.L.-L.); (M.R.-P.); (A.L.-A.)
- Biomedical Research Networking, Center on Frailty and Healthy Aging, ES-28029 Madrid, Spain
| | - Mercedes Ruidíaz-Peña
- Research Group in Development Movimiento Humano, Universidad de Zaragoza, ES-50009 Zaragoza, Spain; (C.M.-P.); (J.R.-M.); (I.L.-L.); (M.R.-P.); (A.L.-A.)
- Department of Physiatry and Nursery, Section of Physical Education and Sports ES-28029, Faculty of Health and Sport Sciences, University of Zaragoza, ES-50009 Zaragoza, Spain
| | - Alejandro Legaz-Arrese
- Research Group in Development Movimiento Humano, Universidad de Zaragoza, ES-50009 Zaragoza, Spain; (C.M.-P.); (J.R.-M.); (I.L.-L.); (M.R.-P.); (A.L.-A.)
- Department of Physiatry and Nursery, Section of Physical Education and Sports ES-28029, Faculty of Health and Sport Sciences, University of Zaragoza, ES-50009 Zaragoza, Spain
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Giuriato M, Lovecchio N, Fugiel J, Lopez Sanchez GF, Pihu M, Emeljanovas A. Enjoyment and self-reported physical competence according to Body Mass Index: international study in European primary school children. J Sports Med Phys Fitness 2020; 60:1049-1055. [DOI: 10.23736/s0022-4707.20.10550-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Physical Fitness, Body Composition, and Adherence to the Mediterranean Diet in Young Football Players: Influence of the 20 mSRT Score and Maturational Stage. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17093257. [PMID: 32392773 PMCID: PMC7246506 DOI: 10.3390/ijerph17093257] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Revised: 05/02/2020] [Accepted: 05/05/2020] [Indexed: 01/05/2023]
Abstract
This study aimed to analyze the differences in physical fitness variables, body composition, and adherence to the Mediterranean diet according to the cardiorespiratory fitness and the maturational stage in young football players. A total of 194 male football players (aged 8–16) from three football sport schools participated in this study. Data on cardiorespiratory fitness (the 20-m shuttle run test), anthropometric measurements, handgrip strength, respiratory capacity (forced spirometry), and adherence to the Mediterranean diet (KIDMED questionnaire) were collected. Players were divided into two groups depending on their maturational stage (prepubertal n = 127 and pubertal n = 67). The results show a direct relationship between low levels of cardiorespiratory fitness and body mass index, as well as body fat and leg fat. Similarly, players with lower cardiorespiratory fitness presented higher values of handgrip strength in the prepubertal state. On the other hand, improvements in respiratory values were observed in the pubertal state with the rest of the parameters when the cardiorespiratory fitness was increased. Therefore, the promotion of recreational football that encourage and develop cardiorespiratory fitness is a key factor and can be used as an effective sport activity to promote physical fitness and healthy habits in children and adolescents as well as within the population that is already physically active.
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Active and Fit Communities. Associations between Neighborhood Walkability and Health-Related Fitness in Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17041131. [PMID: 32053915 PMCID: PMC7068275 DOI: 10.3390/ijerph17041131] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/08/2020] [Revised: 02/07/2020] [Accepted: 02/08/2020] [Indexed: 12/16/2022]
Abstract
There are many health benefits of regular physical activity and improving physical fitness levels can reduce the risk of chronic disease. Accumulating evidence suggests the neighborhood built environment is important for supporting physical activity; however, few studies have investigated the contribution of the neighborhood built environment to fitness levels. We examined the associations between objectively-determined and self-reported neighborhood walkability and overall and specific components of perceived health-related fitness (cardiorespiratory, muscular strength, and flexibility) in a random sample of 592 adults from two areas of Calgary (Canada). Participants provided complete data to an online questionnaire capturing perceived cardiorespiratory fitness (CRF), muscular strength (MST), flexibility, moderate-to-vigorous intensity physical activity (MVPA), resistance training, and sociodemographic characteristics. The questionnaire also captured participant’s perceptions of their neighborhood’s walkability (Physical Activity Neighborhood Environment Scale; PANES) and the physical activity supportiveness of neighborhood parks (Park Perceptions Index; PPI). Objectively-measured neighborhood walkability was estimated using Walk Score®. The average (SD) age of participants was 46.6 (14.8) years and 67.2% were female. Participants, on average, participated in at least 30-minutes of MVPA on 3.4 (2.1) days/week and undertook resistance training 2.0 (1.8) days/week. Adjusting for covariates, Walk Score® was not associated with any fitness outcomes. Adjusting for covariates, the PANES index was positively associated (p < 0.05) with CRF, MST, flexibility, and overall fitness and the PPI was positively associated (p < 0.05) with all fitness outcomes except MST. Our findings provide novel preliminary evidence suggesting the neighborhood built environment may be important for supporting higher health-related fitness levels in adults.
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Romero-Gallardo L, Soriano-Maldonado A, Ocón-Hernández O, Acosta-Manzano P, Coll-Risco I, Borges-Cosic M, Ortega FB, Aparicio VA. International Fitness Scale-IFIS: Validity and association with health-related quality of life in pregnant women. Scand J Med Sci Sports 2019; 30:505-514. [PMID: 31650582 DOI: 10.1111/sms.13584] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Revised: 10/18/2019] [Accepted: 10/21/2019] [Indexed: 12/26/2022]
Abstract
This study aimed (a) to examine the construct validity of the International Fitness Scale (IFIS) to discriminate between different objectively measured physical fitness levels in pregnant women and (b) to assess the extent to which IFIS is able to discriminate between pregnant women with different levels of health-related quality of life (HRQoL). A total of 159 pregnant women were involved in the GESTAtion and FITness project: 106 pregnant women (mean age 32.7, SD 4.4 years) were included. Self-reported physical fitness-that is, cardiorespiratory fitness, muscular strength, flexibility, and overall fitness-was assessed with the IFIS. Physical fitness was objectively measured using the Bruce test, the handgrip strength test and the back-scratch test. The HRQoL was assessed with the 36-item Short Form Health Survey (SF-36). Higher self-reported physical fitness measured with IFIS was associated with higher objectively measured physical fitness (P < .05). There was a linear association so that higher self-reported physical fitness (ie, IFIS; regardless of the fitness component) was related to greater General Health dimension scores (P < .05). Moreover, higher self-reported physical fitness (all components except muscular strength) was associated with better Physical Functioning, lower Bodily Pain and higher Vitality scores (ie, SF-36 components). This linear trend was not seen for objectively measured physical fitness. The results of this study suggest that IFIS might be a useful tool for identifying pregnant women with low or very low physical fitness and with low quality of life health-related. Further research should elucidate whether IFIS can identify women with pregnancy complications before it can be implemented in clinical practice.
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Affiliation(s)
- Lidia Romero-Gallardo
- PA-HELP "Physical Activity for Health Promotion, CTS-1018" Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain.,Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain
| | - Alberto Soriano-Maldonado
- Department of Education, Faculty of Education Sciences, University of Almería, Almería, Spain.,SPORT Research Group (CTS-1024), CERNEP Research Center, University of Almería, Almería, Spain
| | - Olga Ocón-Hernández
- Service of Gynaeocology and Obstetrics, "San Cecilio" University Hospital, Granada, Spain
| | - Pedro Acosta-Manzano
- PA-HELP "Physical Activity for Health Promotion, CTS-1018" Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain.,Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain
| | - Irene Coll-Risco
- Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain.,Department of Physiology, "José Mataix Verdú" Institute of Nutrition and Food Technology (INYTA) and Biomedical Research Centre (CIBM), University of Granada, Spain
| | - Milkana Borges-Cosic
- PA-HELP "Physical Activity for Health Promotion, CTS-1018" Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain.,Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain
| | - Francisco B Ortega
- Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain.,PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada, Spain
| | - Virginia Ariadna Aparicio
- Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain.,Department of Physiology, "José Mataix Verdú" Institute of Nutrition and Food Technology (INYTA) and Biomedical Research Centre (CIBM), University of Granada, Spain
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Interdisciplinary Weight Loss and Lifestyle Intervention for Obstructive Sleep Apnoea in Adults: Rationale, Design and Methodology of the INTERAPNEA Study. Nutrients 2019; 11:nu11092227. [PMID: 31540168 PMCID: PMC6770131 DOI: 10.3390/nu11092227] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Revised: 09/09/2019] [Accepted: 09/11/2019] [Indexed: 12/12/2022] Open
Abstract
Obesity is a major risk factor for obstructive sleep apnoea (OSA), the most common sleep-disordered breathing related to neurocognitive and metabolic syndromes, type II diabetes, and cardiovascular diseases. Although strongly recommended for this condition, there are no studies on the effectiveness of an interdisciplinary weight loss and lifestyle intervention including nutrition, exercise, sleep hygiene, and smoking and alcohol cessation. INTERAPNEA is a randomised controlled trial with a two-arm parallel design aimed at determining the effects of an interdisciplinary tailored weight loss and lifestyle intervention on OSA outcomes. The study will include 84 males aged 18–65 with a body mass index of ≥25 kg/m2 and severe to moderate OSA randomly assigned to usual care (i.e., continuous positive airway pressure), or interdisciplinary weight loss and lifestyle intervention combined with usual care. Outcomes will be measured at baseline, intervention end-point, and six-month post-intervention, including apnoea-hypopnoea index (primary outcome), other neurophysical and cardiorespiratory polysomnographic outcomes, sleep quality, daily functioning and mood, body weight and composition, physical fitness, blood biomarkers, health-related quality of life, and cost-effectiveness. INTERAPNEA may serve to establish a cost-effective treatment not only for the improvement of OSA and its vast and severe comorbidities, but also for a potential remission of this condition.
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Štefan L, Paradžik P, Sporiš G. Sex and age correlations of reported and estimated physical fitness in adolescents. PLoS One 2019; 14:e0219217. [PMID: 31269061 PMCID: PMC6608955 DOI: 10.1371/journal.pone.0219217] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Accepted: 06/19/2019] [Indexed: 12/30/2022] Open
Abstract
The main purpose of the study was to explore sex and age specific correlations between self-reported and estimated physical fitness. In this cross-sectional study, we recruited 1 036 secondary-school students (55.3% girls). Self-reported physical fitness was assessed on a 10-point scale, with a higher score indicating better physical fitness. We measured waist circumference, sit-ups in 1 minute, standing long jump and sit-and-reach test and calculated z-scores to obtain objective physical fitness index. Boys performed better in sit-ups in 1 minute and standing long jump tests and had higher waist circumference values. Girls performed better in sit-and-reach test. Overall, boys had higher physical fitness z-score values, compared to girls. Younger boys had better physical fitness perception (r1st grade = 0.61, p<0.001), compared to older ones (r = 0.40–0.50, p<0.001). In girls, correlation coefficient was the highest in the 3rd grade (r = 0.46, p<0.001), followed by the 2ndgrade (r = 0.43, p<0.001), the 1stgrade (r = 0.41, p<0.001) and the 4th grade (r = 0.37, p<0.001). Our study shows moderate sex and age specific correlation between self-reported and estimated physical fitness in a large sample of adolescents.
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Affiliation(s)
- Lovro Štefan
- Department of General and Applied Kinesiology, Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia
- * E-mail:
| | | | - Goran Sporiš
- Department of General and Applied Kinesiology, Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia
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Mainous AG, Tanner RJ, Rahmanian KP, Jo A, Carek PJ. Effect of Sedentary Lifestyle on Cardiovascular Disease Risk Among Healthy Adults With Body Mass Indexes 18.5 to 29.9 kg/m 2. Am J Cardiol 2019; 123:764-768. [PMID: 30554650 DOI: 10.1016/j.amjcard.2018.11.043] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2018] [Revised: 11/20/2018] [Accepted: 11/26/2018] [Indexed: 11/19/2022]
Abstract
A substantial proportion of adults at healthy body mass index (BMI) are potentially at high risk for cardiovascular disease (CVD). The objective of this study is to determine if sedentary lifestyle characteristics in healthy weight adults increase their likelihood of being at high CVD risk to that of individuals who are overweight. Adults aged 40 to 79 years in the 2011 to 2016 National Health and Nutrition Examination Survey at a healthy BMI (18.5 to 24.9) and overweight BMI (25 to 29.9; unweighted n = 4,572; weighted n = 43,919,354) were analyzed. The American College of Cardiology/American Heart Association atherosclerotic CVD risk score was used to assess CVD risk. For individuals with a BMI 18.5 to 24.9, 29.6% had increased risk of a CVD event. In logistic regressions adjusted for age, race, gender, education, poverty/income ratio, insurance status, and number of visits to a healthcare provider in the past year, individuals with unhealthy sagittal abdominal diameter (odds ratio [OR] 2.44; 95% confidence interval [CI], 0.97 to 6.14), shortness of breath upon exertion (OR 1.35; 95% CI, 0.65 to 2.79), unhealthy waist circumference (OR 0.99; 95% CI, 0.60 to 1.61), and less than recommended levels of physical activity (OR 0.73; 95% CI, 0.43 to 1.23) were not significantly different than overweight adults in being at high risk for CVD events. Individuals with healthy characteristics and a BMI 18.5 to 24.9 were significantly less likely than overweight adults to be at high risk for CVD. In conclusion, the findings suggest that in individuals at a BMI 18.5 to 24.9, characteristics of a sedentary lifestyle increase the likelihood of being at high risk for CVD to that of overweight individuals.
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Affiliation(s)
- Arch G Mainous
- Department of Health Services Research Management, and Policy, University of Florida, Gainesville, Florida; Department of Community Health and Family Medicine, University of Florida, Gainesville, Florida.
| | - Rebecca J Tanner
- Department of Health Services Research Management, and Policy, University of Florida, Gainesville, Florida
| | - Kiarash P Rahmanian
- College of Medicine, University of North Carolina, Chapel Hill, North Carolina
| | - Ara Jo
- Department of Health Services Research Management, and Policy, University of Florida, Gainesville, Florida
| | - Peter J Carek
- Department of Community Health and Family Medicine, University of Florida, Gainesville, Florida
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Díez-Fernández A, Martínez-Vizcaíno V, Torres-Costoso A, Cañete García-Prieto J, Franquelo-Morales P, Sánchez-López M. Strength and cardiometabolic risk in young adults: The mediator role of aerobic fitness and waist circumference. Scand J Med Sci Sports 2018; 28:1801-1807. [DOI: 10.1111/sms.13077] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/15/2018] [Indexed: 12/28/2022]
Affiliation(s)
- A. Díez-Fernández
- Health and Social Research Centre; University of Castilla-La Mancha; Cuenca Spain
- Faculty of Nursing; University of Castilla-La Mancha; Cuenca Spain
| | - V. Martínez-Vizcaíno
- Health and Social Research Centre; University of Castilla-La Mancha; Cuenca Spain
- Faculty of Health Sciences; Autonomous University of Chile; Talca Chile
| | - A. Torres-Costoso
- Health and Social Research Centre; University of Castilla-La Mancha; Cuenca Spain
- School of Nursing and Physiotherapy; University of Castilla-La Mancha; Toledo Spain
| | | | - P. Franquelo-Morales
- Department of Emergency; Virgen de la Luz Hospital. Castilla-La Mancha Health System; Cuenca Spain
| | - M. Sánchez-López
- Health and Social Research Centre; University of Castilla-La Mancha; Cuenca Spain
- Faculty of Education; University of Castilla-La Mancha; Ciudad Real Spain
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Lätt E, Jürimäe J, Harro J, Loit HM, Mäestu J. Low fitness is associated with metabolic risk independently of central adiposity in a cohort of 18-year-olds. Scand J Med Sci Sports 2017; 28:1084-1091. [PMID: 29095535 DOI: 10.1111/sms.13002] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/25/2017] [Indexed: 11/28/2022]
Abstract
It is unclear whether cardiorespiratory fitness (CRF) remains associated with metabolic risk if controlled for central adiposity and other confounders; thus, the aim of this study was to investigate the independent effect of CRF on metabolic syndrome risk factors in relatively homogeneous age group of young adults. In this cross-sectional study, 828 participants performed CRF test on a cycle ergometer (Wmax kg ) and were categorized into sex-specific tertiles. Continuous metabolic syndrome risk score (MetS-score) was calculated as the sum of standardized scores of five metabolic syndrome risk factors: glucose, mean arterial pressure, low-density lipoprotein cholesterol, triglycerides, and total cholesterol/high-density lipoprotein cholesterol ratio. Low fitness group had higher values in all measured metabolic syndrome parameters, except for cholesterol parameters, compared to high fitness group. The unadjusted model indicated that CRF was negatively associated with clustered metabolic risk (β = -0.116, P = .001). After the adjustment of smoking habits, sports training participation, and waist circumference, the association between CRF and MetS-score slightly increased (β = -0.126; P < .001). Low CRF was associated with increased risk (OR = 2.58 (95% CI 1.50-4.41)) for higher MetS-score after adjustment for potential confounders and waist circumference. The results of our study indicate that being highly fit increases the likelihood of having lower MetS-score for approximately 2 and 2.5 times independently of central adiposity compared to average and low fitness, respectively. In conclusion, it is highly important to improve CRF through regular exercise, not focusing just on body composition in young adulthood in every weight status group.
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Affiliation(s)
- E Lätt
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - J Jürimäe
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - J Harro
- Department of Neuropsychopharmacology, Institute of Psychology, University of Tartu, Tartu, Estonia
| | - H-M Loit
- Center of Health and Behavioral Sciences, National Institute for Health Development, Tallinn, Estonia
| | - J Mäestu
- Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
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Cadenas-Sanchez C, Ruiz JR, Labayen I, Huybrechts I, Manios Y, González-Gross M, Breidenassel C, Kafatos A, De Henauw S, Vanhelst J, Widhalm K, Molnar D, Bueno G, Censi L, Plada M, Sjöström M, Moreno LA, Castillo MJ, Ortega FB. Prevalence of Metabolically Healthy but Overweight/Obese Phenotype and Its Association With Sedentary Time, Physical Activity, and Fitness. J Adolesc Health 2017; 61:107-114. [PMID: 28363717 DOI: 10.1016/j.jadohealth.2017.01.018] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2016] [Revised: 01/14/2017] [Accepted: 01/29/2017] [Indexed: 01/25/2023]
Abstract
PURPOSE Childhood obesity is one of the major concerns in the last years due to the association with future health problems and all-cause mortality. However, there is a subset of adolescents with overweight/obesity who present a metabolic healthy profile. Therefore, the aim of this study was to examine the prevalence of metabolically healthy but overweight/obese adolescents and whether sedentary time, physical activity, and fitness differ between metabolically healthy and nonmetabolically healthy phenotypes. METHODS A subsample of 237 European adolescents from the HEalthy Lifestyle in Europe by Nutrition in Adolescence study (n = 3,528, participation rate: 61.3%) with overweight/obesity were included. The study sample was not fully representative for the European adolescent population. Based on sex- and age-specific metabolic syndrome cutoff points for triglycerides, glucose, blood pressure, and high-density cholesterol participants were classified as metabolically healthy or nonmetabolically healthy. Sedentary time, physical activity, and fitness were assessed by accelerometry and the Alpha battery, respectively. RESULTS The prevalence of metabolically healthy status in adolescents with overweight and obesity was higher in girls (87%) than in boys (74%, p = .019), being similar when only obesity was considered. Sedentary time was lower in metabolically healthy overweight/obese than in nonmetabolically healthy participants (mean difference = 48.0 minutes, p = .012). Moderate and moderate-to-vigorous physical activity were higher (p's < .05) in metabolically healthy than in nonmetabolically healthy adolescents with overweight/obesity (mean difference = 7.9 min/day and 10.9 min/day, respectively). No significant differences were found in fitness. Overall, these results persisted when only adolescents with obesity were included in the analyses. CONCLUSIONS Metabolically healthy adolescents with overweight/obesity are less sedentary and more active than their nonmetabolically healthy peers with overweight/obesity, yet consistent differences in fitness were not observed.
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Affiliation(s)
- Cristina Cadenas-Sanchez
- Faculty of Sport Sciences, Department of Physical Education and Sports, PROFITH "PROmoting FITness and Health through physical activity" research group, University of Granada, Granada, Spain.
| | - Jonatan R Ruiz
- Faculty of Sport Sciences, Department of Physical Education and Sports, PROFITH "PROmoting FITness and Health through physical activity" research group, University of Granada, Granada, Spain; Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden
| | - Idoia Labayen
- Department of Nutrition and Food Science, University of the Basque Country, UPV/EHU, Vitoria, Spain
| | - Inge Huybrechts
- Department of Public Health, Ghent University, Ghent, Belgium; International Agency for Research on Cancer, Nutrition and Metabolism Section, Lyon, France
| | - Yannis Manios
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece
| | - Marcela González-Gross
- ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences-INEF, Technical University of Madrid, Madrid, Spain; CIBER: CB12/03/30038 Fisiopatología de la Obesidad y la Nutrición, CIBERobn, Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - Christina Breidenassel
- ImFINE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences-INEF, Technical University of Madrid, Madrid, Spain; Universität Bonn, Institut für Ernährungs- und Lebensmittelwissenschaften Ernährungsphysiologie, Rheinische Friedrich Wilhelms, Bonn, Germany
| | - Anthony Kafatos
- University of Crete School of Medicine, Department of Social Medicine, Preventive Medicine & Nutrition Unit, Heraklion, Crete, Greece
| | | | - Jeremy Vanhelst
- Univ. Lille, Inserm, CHU Lille, UMR995 - LIRIC - Lille Inflammation Research International Center, F-59000 Lille, France & Univ. Lille, Inserm, CHU Lille, CIC 1403 - Centre d'investigation clinique, F-59000 Lille, France
| | - Kurt Widhalm
- Department of Pediatrics, Paracelsus Medical University, Salzburg, Austria
| | - Denes Molnar
- Department of Pediatrics, Clinical Centre, University of Pécs, Pécs, Hungary
| | - Gloria Bueno
- CIBER: CB12/03/30038 Fisiopatología de la Obesidad y la Nutrición, CIBERobn, Instituto de Salud Carlos III (ISCIII), Madrid, Spain; Growth, Exercise, Nutrition and Development (GENUD) Research Group, University of Zaragoza, Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), University of Zaragoza, Zaragoza, Spain
| | - Laura Censi
- Council for Agricultural Research and Economics, Research Centre for Food and Nutrition, Rome, Italy
| | - María Plada
- University of Crete School of Medicine, Department of Social Medicine, Preventive Medicine & Nutrition Unit, Heraklion, Crete, Greece
| | - Michael Sjöström
- Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden
| | - Luis A Moreno
- CIBER: CB12/03/30038 Fisiopatología de la Obesidad y la Nutrición, CIBERobn, Instituto de Salud Carlos III (ISCIII), Madrid, Spain; Growth, Exercise, Nutrition and Development (GENUD) Research Group, University of Zaragoza, Zaragoza, Spain; Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), University of Zaragoza, Zaragoza, Spain
| | - Manuel J Castillo
- Department of Medical Physiology, School of Medicine, University of Granada, Granada, Spain
| | - Francisco B Ortega
- Faculty of Sport Sciences, Department of Physical Education and Sports, PROFITH "PROmoting FITness and Health through physical activity" research group, University of Granada, Granada, Spain; Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden
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Ramírez-Vélez R, Cruz-Salazar SM, Martínez M, Cadore EL, Alonso-Martinez AM, Correa-Bautista JE, Izquierdo M, Ortega FB, García-Hermoso A. Construct validity and test-retest reliability of the International Fitness Scale (IFIS) in Colombian children and adolescents aged 9-17.9 years: the FUPRECOL study. PeerJ 2017; 5:e3351. [PMID: 28560104 PMCID: PMC5444366 DOI: 10.7717/peerj.3351] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2017] [Accepted: 04/07/2017] [Indexed: 01/19/2023] Open
Abstract
Background There is a lack of instruments and studies written in Spanish evaluating physical fitness, impeding the determination of the current status of this important health indicator in the Latin population, especially in Colombia. The aim of the study was two-fold: to examine the validity of the International Fitness Scale (IFIS) with a population-based sample of schoolchildren from Bogota, Colombia and to examine the reliability of the IFIS with children and adolescents from Engativa, Colombia. Methods The sample comprised 1,873 Colombian youths (54.5% girls) aged 9–17.9 years. We measured their adiposity markers (waist-to-height ratio, skinfold thickness, percentage of body fat and body mass index), blood pressure, lipids profile, fasting glucose, and physical fitness level (self-reported and measured). A validated cardiometabolic risk index score was also used. An age- and sex-matched subsample of 229 schoolchildren who were not originally included in the sample completed the IFIS twice for reliability purposes. Results Our data suggest that both measured and self-reported overall physical fitness levels were inversely associated with percentage of body fat indicators and the cardiometabolic risk index score. Overall, schoolchildren who self-reported “good” or “very good” fitness had better measured fitness levels than those who reported “very poor/poor” fitness (all p < 0.001). The test-retest reliability of the IFIS items was also good, with an average weighted kappa of 0.811. Discussion Our findings suggest that self-reported fitness, as assessed by the IFIS, is a valid, reliable, and health-related measure. Furthermore, it can be a good alternative for future use in large studies with Latin schoolchildren from Colombia.
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Affiliation(s)
- Robinson Ramírez-Vélez
- Centro de Estudios en Medición de la Actividad Física (CEMA), Universidad del Rosario, Bogota, Cundinamarca, Colombia
| | - Sandra Milena Cruz-Salazar
- Centro de Estudios en Medición de la Actividad Física (CEMA), Universidad del Rosario, Bogota, Cundinamarca, Colombia
| | - Myriam Martínez
- Centro de Estudios en Medición de la Actividad Física (CEMA), Universidad del Rosario, Bogota, Cundinamarca, Colombia
| | - Eduardo L Cadore
- Exercise Research Laboratory, Physical Education School, Federal University of Rio Grande do Sul, Porto Alegre, Recife, Brazil.,Department of Health Sciences, Public University of Navarra, Pamplona, Navarra, Spain
| | | | - Jorge E Correa-Bautista
- Centro de Estudios en Medición de la Actividad Física (CEMA), Universidad del Rosario, Bogota, Cundinamarca, Colombia
| | - Mikel Izquierdo
- Department of Health Sciences, Public University of Navarra, Pamplona, Navarra, Spain
| | - Francisco B Ortega
- PROFITH "PROmoting FITness and Health Through Physical Activity" Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada, Andalucia, Spain.,Department of Biosciences and Nutrition at NOVUM, Karolinska Institute, Huddinge, Sweden
| | - Antonio García-Hermoso
- Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Facultad de Ciencias Médicas, Universidad de Santiago de Chile, Santiago, Chile
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Merellano-Navarro E, Collado-Mateo D, García-Rubio J, Gusi N, Olivares PR. Validity of the International Fitness Scale "IFIS" in older adults. Exp Gerontol 2017; 95:77-81. [PMID: 28476584 DOI: 10.1016/j.exger.2017.05.001] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Revised: 03/14/2017] [Accepted: 05/01/2017] [Indexed: 11/24/2022]
Abstract
OBJECTIVE To validate the "International Fitness Scale" (IFIS) in older adults. METHODS Firstly, cognitive interviews were performed to ensure that the questionnaire was comprehensive for older Chilean adults. After that, a transversal study of 401 institutionalized and non-institutionalized older adults from Maule region in Chile was conducted. A battery of validated fitness tests for this population was used in order to compare the responses obtained in the IFIS with the objectively measured fitness performance (back scratch, chair sit-and-reach, handgrip, 30-s chair stand, timed up-and-go and 6-min walking). RESULTS Indicated that IFIS presented a high compliance in the comprehension of the items which defined it, and it was able of categorizing older adults according to their measured physical fitness levels. The analysis of covariance ANCOVA adjusted by sex and age showed a concordance between IFIS and the score in physical fitness tests. CONCLUSION Based on the results of this study, IFIS questionnaire is a good alternative to assess physical fitness in older adults.
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Affiliation(s)
| | - Daniel Collado-Mateo
- Facultad de Ciencias del Deporte, Universidad de Extremadura, Campus Universitario, Av. de la Universidad, S/N, 10003 Cáceres, Spain
| | - Javier García-Rubio
- Facultad de Educación, Universidad Autónoma de Chile, Av. Pedro de Valdivia 431, Providencia, Región Metropolitana, Chile.
| | - Narcís Gusi
- Facultad de Ciencias del Deporte, Universidad de Extremadura, Campus Universitario, Av. de la Universidad, S/N, 10003 Cáceres, Spain
| | - Pedro R Olivares
- Instituto Superior de Educación Física, Universidad de la Republica, Centro Universitario de Rivera, Ituzaingó 667, Rivera, 40000, Uruguay; Instituto de Actividad Fisica y Salud, Universidad Autónoma de Chile, 5 y Medio Norte 1670, Talca, Chile.
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Abstract
A few studies have recently reported that higher cardiorespiratory fitness is associated with higher volumes of subcortical brain structures in children. It is, however, unknown how different fitness measures relate to shapes of subcortical brain nuclei. We aimed to examine the association of the main health-related physical fitness components with shapes of subcortical brain structures in a sample of forty-four Spanish children aged 9·7 (sd 0·2) years from the NUtraceuticals for a HEALthier life project. Cardiorespiratory fitness, muscular strength and speed agility were assessed using valid and reliable tests (ALPHA-fitness test battery). Shape of the subcortical brain structures was assessed by MRI, and its relationship with fitness was examined after controlling for a set of potential confounders using a partial correlation permutation approach. Our results showed that all physical fitness components studied were significantly related to the shapes of subcortical brain nuclei. These associations were both positive and negative, indicating that a higher level of fitness in childhood is related to both expansions and contractions in certain regions of the accumbens, amygdala, caudate, hippocampus, pallidum, putamen and thalamus. Cardiorespiratory fitness was mainly associated with expansions, whereas handgrip was mostly associated with contractions in the structures studied. Future randomised-controlled trials will confirm or contrast our findings, demonstrating whether changes in fitness modify the shapes of brain structures and the extent to which those changes influence cognitive function.
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Vojciechowski AS, Natal JZ, Gomes ARS, Rodrigues EV, Villegas ILP, Korelo RIG. Effects of exergame training on the health promotion of young adults. FISIOTERAPIA EM MOVIMENTO 2017. [DOI: 10.1590/1980-5918.030.001.ao06] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract Introduction: Training with exergames has been prescribed for health problems prevention, however, little is known about its influence on the self-perception of the physical condition and on the physical and motor skills (PMS). Objective: To investigate the effects of exergames (EXG) on the self-perception of the physical condition, level of physical activity and PMS in healthy young adults. Methods: Forty young adults, of both genders, were allocated by convenience into Control Group (CG, n = 20, 21.85 ± 0.62 years old), the individuals did not perform the physical training with exergames, and Intervention Group (IG, n = 20, 23.10 ± 0.61 years old), the subjects practiced exergames training (XBOX360 Kinect ®), in pairs, twice a week, for 12 weeks. Anthropometric measurements; self-perceived physical condition (International Fitness Scale-IFIS); International Physical Activity Questionnaire (IPAQ) and PMS (flexibility; abdominal endurance; upper limb strength and endurance, agility and velocity) were evaluated. Results: The IG presented better self-perception of the physical condition; increased physical activity level in the leisure domain and enhanced PMS after 12 weeks of intervention, compared to the CG. Conclusion: The EXG was efficient to improve skeletal muscle function, to contribute to physical exercise adherence and to promote physical health in active young adults.
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Mayolas-Pi C, Simón-Grima J, Peñarrubia-Lozano C, Munguía-Izquierdo D, Moliner-Urdiales D, Legaz-Arrese A. Exercise addiction risk and health in male and female amateur endurance cyclists. J Behav Addict 2017; 6:74-83. [PMID: 28358644 PMCID: PMC5573003 DOI: 10.1556/2006.6.2017.018] [Citation(s) in RCA: 43] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Background and aims To determine the relationship between the risk of exercise addiction (REA) and health status in amateur endurance cyclists. Methods In 859 (751 men and 108 women) cyclists and 718 inactive subjects (307 men and 411 women), we examined the REA (Exercise Addiction Inventory), training status (volume, frequency, experience, and performance), socioeconomic status, quality of life (QoL) (SF-12), quality of sleep (Pittsburgh Sleep Quality Index), anxiety and depression (Hospital Anxiety and Depression Scale), and cardiometabolic risk: body mass index, physical activity (International Physical Activity Questionnaire), physical condition (International Fitness Scale), adherence to the Mediterranean diet (Mediterranean Diet Adherence Screener), alcohol and tobacco consumption. Results In total, 17% of the cyclists showed evidence of REA and 83% showed low REA. REA occurred independent of age, sex, training, and socioeconomic status (all ps > .05). Regardless of REA, the cyclists displayed a better physical QoL and a lower cardiometabolic risk than the inactive subjects (all ps < .05). The cyclists with REA displayed worse values of mental QoL, quality of sleep, and anxiety than cyclists with low REA (all ps < .05). The REA group had better values of mental QoL and anxiety and similar values of quality of sleep than the inactive subjects. The differences in mental QoL between the REA and low REA groups were significantly greater in women (p = .013). There was no Addiction × Sex interaction in the other analyzed variables. Conclusion Our results suggest that an increased prevalence of REA limits the benefits that amateur endurance cycling has on mental health and quality of sleep.
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Affiliation(s)
- Carmen Mayolas-Pi
- Section of Physical Education and Sports,
University of Zaragoza, Zaragoza,
Spain,Corresponding author: Dra. Carmen Mayolas-Pi; Section
of Physical Education and Sports, University of Zaragoza, Calle Domingo Miral s/n,
50009 Zaragoza, Spain; Phone: +34 976761719; Fax: +34 976761720; E-mail:
| | - Javier Simón-Grima
- Section of Physical Education and Sports,
University of Zaragoza, Zaragoza,
Spain
| | | | - Diego Munguía-Izquierdo
- Department of Sports and Computer Science, Section of
Physical Education and Sports, University Pablo de
Olavide, Seville, Spain
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Gallart-Aragón T, Fernández-Lao C, Castro-Martín E, Cantarero-Villanueva I, Cózar-Ibáñez A, Arroyo-Morales M. Health-Related Fitness Improvements in Morbid Obese Patients After Laparoscopic Sleeve Gastrectomy: a Cohort Study. Obes Surg 2016; 27:1182-1188. [PMID: 27783365 DOI: 10.1007/s11695-016-2427-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE Laparoscopic sleeve gastrectomy (LSG) has demonstrated high long-term effectiveness and major advantages over other techniques. The objective of this study was to analyze changes in physical fitness parameters in morbidly obese patients during 6 months after LSG. METHODOLOGY We conducted a descriptive observational study with 6-month follow-up in 72 LSG patients, evaluating changes in body mass index (BMI), functional capacity (6-min walking test), hand grip strength (manual dynamometry), flexibility (fingertip-to-floor test), balance (Flamingo test), physical activity level (International Physical Activity Questionnaire, IPAQ), and perception of general physical fitness (International Fitness Scale [IFIS] questionnaire). RESULTS The ANOVA revealed significant improvements in BMI, functional capacity, flexibility, balance, and physical activity level (P < 0.001) at 6 months, with an improvement in the perception of physical fitness in most cases. No significant changes were found in dominant hand (P = 0.676) or non-dominant hand (P = 0.222) dynamometry. General physical fitness was positively correlated with BMI and distance in the 6-min test, and was negatively correlated with fingertip-to-floor distance. CONCLUSION Morbidly obese patients showed major improvements at 6 months after LSG in functional capacity, balance, mobility, and physical activity, with no change in grip strength. These improvements were related to a better self-perception of general physical fitness.
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Affiliation(s)
| | - Carolina Fernández-Lao
- Department of Physical Therapy, Instituto Biosanitario Granada (IBS.Granada), Instituto Mixto Universitario Deporte y Salud (iMUDS), University of Granada, Avda. Ilustración 60, 18071, Granada, Spain.
| | - Eduardo Castro-Martín
- Department of Physical Therapy, Instituto Mixto Deporte y Salud (iMUDS), University of Granada, Granada, Spain
| | - Irene Cantarero-Villanueva
- Department of Physical Therapy, Instituto Biosanitario Granada (IBS.Granada), Instituto Mixto Universitario Deporte y Salud (iMUDS), University of Granada, Avda. Ilustración 60, 18071, Granada, Spain
| | | | - Manuel Arroyo-Morales
- Department of Physical Therapy, Instituto Biosanitario Granada (IBS.Granada), Instituto Mixto Universitario Deporte y Salud (iMUDS), University of Granada, Avda. Ilustración 60, 18071, Granada, Spain
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Ramírez-Vélez R, Hernandez A, Castro K, Tordecilla-Sanders A, González-Ruíz K, Correa-Bautista JE, Izquierdo M, García-Hermoso A. High Intensity Interval- vs Resistance or Combined- Training for Improving Cardiometabolic Health in Overweight Adults (Cardiometabolic HIIT-RT Study): study protocol for a randomised controlled trial. Trials 2016; 17:298. [PMID: 27342073 PMCID: PMC4919882 DOI: 10.1186/s13063-016-1422-1] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2016] [Accepted: 06/02/2016] [Indexed: 12/27/2022] Open
Abstract
BACKGROUND Although evidence shows the positive health effects of physical activity, most of the adult population in Colombia are sedentary. It is, therefore, important to implement strategies that generate changes in lifestyle behaviours. This protocol describes a study in which we will compare the effects of 12 weeks of high-intensity interval training (HIIT), resistance training (RT) or combined training (HIIT + RT) on the improvement of body composition, endothelial function, blood pressure, blood lipids, and cardiorespiratory fitness in a cohort of sedentary, overweight adults (aged 30-50 years). METHODS/DESIGN Sixty sedentary, overweight adults attending primary care in Bogotá, Colombia will be included in a factorial randomised controlled trial. Participants will be randomly assigned to the following intervention groups: (1) non-exercise group: usual care with dietary support, (2) HIIT group: 4 × 4-min intervals at 85-95 % maximum heart rate (HRmax) (with the target zone maintained for at least 2 minutes), interspersed with a 4-min recovery period, at 65 % HRmax, (3) RT group: completing a resistance circuit (including upper and lower muscle groups) as many times as needed according to subject's weight until an expenditure of 500 kcal at 40-80 % of one-rep max (1RM) has been achieved, and (4) combined group: HIIT + RT. The primary end point for effectiveness is vascular function as measured by flow-mediated vasodilatation 1 week after the end of exercise training. DISCUSSION The results of this study will provide new information about the possible effect of the programme in improving the cardiometabolic health of overweight adults, making a more efficient use of an adult's resources over time. TRIAL REGISTRATION ClinicalTrials.gov ID: NCT02715063 . Registered on 8 March 2016.
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Affiliation(s)
- Robinson Ramírez-Vélez
- Centro de Estudios en Medición de la Actividad Física (CEMA), Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Cra. 24 No. 63C-69, Bogotá, D.C, Colombia.
| | - Alejandra Hernandez
- Centro de Estudios en Medición de la Actividad Física (CEMA), Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Cra. 24 No. 63C-69, Bogotá, D.C, Colombia
| | - Karem Castro
- Centro de Estudios en Medición de la Actividad Física (CEMA), Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Cra. 24 No. 63C-69, Bogotá, D.C, Colombia
| | - Alejandra Tordecilla-Sanders
- Centro de Estudios en Medición de la Actividad Física (CEMA), Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Cra. 24 No. 63C-69, Bogotá, D.C, Colombia
| | - Katherine González-Ruíz
- Centro de Estudios en Medición de la Actividad Física (CEMA), Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Cra. 24 No. 63C-69, Bogotá, D.C, Colombia
- Grupo de Ejercicio Físico y Deportes, Facultad de Salud, Programa de Fisioterapia, Universidad Manuela Beltrán, Bogotá, D.C, Colombia
| | - Jorge Enrique Correa-Bautista
- Centro de Estudios en Medición de la Actividad Física (CEMA), Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Cra. 24 No. 63C-69, Bogotá, D.C, Colombia
| | - Mikel Izquierdo
- Department of Health Sciences, Public University of Navarra, Pamplona, Navarra, Spain
| | - Antonio García-Hermoso
- Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile, USACH, Santiago, Chile
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Álvarez-Gallardo IC, Soriano-Maldonado A, Segura-Jiménez V, Carbonell-Baeza A, Estévez-López F, McVeigh JG, Delgado-Fernández M, Ortega FB. International FItness Scale (IFIS): Construct Validity and Reliability in Women With Fibromyalgia: The al-Ándalus Project. Arch Phys Med Rehabil 2016; 97:395-404. [DOI: 10.1016/j.apmr.2015.08.416] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2015] [Revised: 08/03/2015] [Accepted: 08/06/2015] [Indexed: 11/29/2022]
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Abstract
In this issue, Sacheck and Hall discussed the key findings from the Final Report “Fitness Measures and Health Outcomes in Youth” developed by an expert committee appointed by the Institute of Medicine in 2011 and published in 2012. The findings from this report are more valuable when interpreted together with those from the EU-funded ALPHA project (conducted from 2007 to 2010). The ALPHA project aimed to provide an evidence-based set of valid, reliable, feasible, and safe field-based fitness tests for the assessment of health-related physical fitness in youth to be used in public health monitoring in a comparable way within the European Union and around the globe. The ALPHA team conducted 4 reviews (3 of them systematic reviews) and 11 methodological studies, tested the battery in the school setting, and had several meetings with an international expert board to further discuss the development of the work. The evidence-based ALPHA fitness test battery was finally published in 2011. Several important methodological issues related to fitness assessment and its clinical value mainly derived from this project are discussed in the present article: the ALPHA-fitness test battery; Slaughter’s equations and normalization of fat indicators by height; absolute versus relative muscular strength; physical fitness reference data; health-related fitness cut-points; Self-reported fitness assessment: The International FItness Scale-IFIS; and fitness assessment in preschoolers: The PREFIT project.
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Affiliation(s)
- Francisco B. Ortega
- PROFITH “PROmoting FITness and Health Through Physical Activity” Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Spain (FBO, JRR)
| | - Jonatan R. Ruiz
- PROFITH “PROmoting FITness and Health Through Physical Activity” Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Spain (FBO, JRR)
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Slater ME, Steinberger J, Ross JA, Kelly AS, Chow EJ, Koves IH, Hoffmeister P, Sinaiko AR, Petryk A, Moran A, Lee J, Chow LS, Baker KS. Physical Activity, Fitness, and Cardiometabolic Risk Factors in Adult Survivors of Childhood Cancer with a History of Hematopoietic Cell Transplantation. Biol Blood Marrow Transplant 2015; 21:1278-83. [PMID: 25865649 PMCID: PMC4466057 DOI: 10.1016/j.bbmt.2015.04.007] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2015] [Accepted: 04/06/2015] [Indexed: 10/23/2022]
Abstract
Along with other childhood cancer survivors (CCS), hematopoietic cell transplantation (HCT) survivors are at high risk of treatment-related late effects, including cardiovascular disease and diabetes. Cardiometabolic risk factor abnormalities may be exacerbated by inadequate physical activity (PA). Relationships between PA and cardiometabolic risk factors have not been well described in CCS with HCT. PA (self reported), mobility (timed up and go test), endurance (6-minute walk test), handgrip strength, and cardiometabolic risk factors were measured in 119 HCT survivors and 66 sibling controls ages ≥18 years. Adjusted comparisons between HCT survivors and controls and between categories of low and high PA, mobility, endurance, and strength were performed with linear regression. Among HCT survivors, the high PA group had lower waist circumference (WC) (81.9 ± 2.5 versus 88.6 ± 3.1 cm ± standard error (SE), P = .009) than the low PA group, whereas the high endurance group had lower WC (77.8 ± 2.6 versus 87.8 ± 2.5 cm ± SE, P = .0001) and percent fat mass (33.6 ± 1.8 versus 39.4 ± 1.7% ± SE, P = .0008) and greater insulin sensitivity (IS) (10.9 ± 1.0 versus 7.42 ± 1.14 mg/kg/min ± SE via euglycemic insulin clamp, P = .001) than the low endurance group. Differences were greater in HCT survivors than in controls for WC between low and high PA groups, triglycerides between low and high mobility groups, and WC, systolic blood pressure, and IS between low and high endurance groups (all Pinteraction <.05). Higher endurance was associated with a more favorable cardiometabolic profile in HCT survivors, suggesting that interventions directed to increase endurance in survivors may reduce the risk of future cardiovascular disease.
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Affiliation(s)
- Megan E Slater
- Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
| | - Julia Steinberger
- Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
| | - Julie A Ross
- Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
| | - Aaron S Kelly
- Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
| | - Eric J Chow
- Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington; Center for Clinical and Translational Research, Seattle Children's Hospital, Seattle, Washington
| | - Ildiko H Koves
- Center for Clinical and Translational Research, Seattle Children's Hospital, Seattle, Washington
| | - Paul Hoffmeister
- Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington
| | - Alan R Sinaiko
- Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
| | - Anna Petryk
- Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
| | - Antoinette Moran
- Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
| | - Jill Lee
- Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
| | - Lisa S Chow
- Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
| | - K Scott Baker
- Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington; Center for Clinical and Translational Research, Seattle Children's Hospital, Seattle, Washington
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Obling KH, Hansen ALS, Overgaard K, Normann K, Sandbaek A, Maindal HT. Association between self-reported and objectively measured physical fitness level in a middle-aged population in primary care. Prev Med Rep 2015; 2:462-6. [PMID: 26844103 PMCID: PMC4721415 DOI: 10.1016/j.pmedr.2015.05.010] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Aim To investigate the association between self-reported physical fitness level obtained by a single-item question and objectively measured fitness level in 30- to 49-year-old men and women. Methods From the Danish ‘Check Your Health Preventive Program’ 2013–2014 fitness level was assessed in 2316 participants using the Aastrand test. Additionally, participants rated their physical fitness as high, good, average, fair or low. The association of self-reported- with objectively measured fitness level was analyzed by linear regression. Categories of self-reported- and objectively measured fitness level were cross-tabulated and agreement was quantified by Kappa statistics. Gender differences within categories were investigated by Poisson regression. Results Data from 996 men and 1017 women were analyzed (excluded, n = 303). In both men and women a higher self-reported fitness level was associated with a higher objectively measured fitness level (Rall = 0.42). Kappa agreement was 0.25. Poisson regression revealed that women rated their fitness level significantly lower than men (p < 0.001). Conclusion A single-item question is a cost-effective way of measuring physical fitness level, but the method has low association and fair agreement when compared to the Aastrand test. Men tend to overestimate physical fitness more than women, which should be accounted for if using the question in primary care settings. A higher self-reported fitness level was associated with a higher objectively measured fitness level. The agreement between self-reported- and objectively measured physical fitness level was fair. Both men and women overestimated physical fitness level although more pronounced in men.
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Affiliation(s)
- Kirstine H Obling
- Aarhus University, Department of Public Health, Section for Health Promotion and Health Services, Aarhus, Denmark
| | - Anne-Louise S Hansen
- Aarhus University, Department of Public Health, Section for General Practice, Aarhus, Denmark
| | - Kristian Overgaard
- Aarhus University, Department of Public Health, Section for Sport Science, Aarhus, Denmark
| | - Kasper Normann
- Aarhus University, Department of Public Health, Section for General Practice, Aarhus, Denmark
| | - Annelli Sandbaek
- Aarhus University, Department of Public Health, Section for General Practice, Aarhus, Denmark
| | - Helle T Maindal
- Aarhus University, Department of Public Health, Section for Health Promotion and Health Services, Aarhus, Denmark
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