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Quiles NN, Uher D, Balachandran A, Ortiz A, Garber C. Criterion Validity and Reliability of 2 Brief Physical Activity Questionnaires in Ethnically Diverse Adults. J Phys Act Health 2024:1-7. [PMID: 38849119 DOI: 10.1123/jpah.2023-0697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2023] [Revised: 03/23/2024] [Accepted: 04/03/2024] [Indexed: 06/09/2024]
Abstract
PURPOSE The study compares moderate- to vigorous-intensity physical activity (MVPA) as evaluated by the Exercise Vital Signs (EVS) and Physical Activity Vital Signs (PAVS) questionnaires to accelerometry, and evaluates the reliability of the questionnaires in ethnically diverse adults. METHODS Ninety-nine participants (mean age 38.1 y; 49.5% women; Hispanics 43.8%; European American 18.8%; African American 14.6%) were included in the analyses. Participants wore an accelerometer at the hip for at least 7 days and completed the EVS and PAVS questionnaires at the beginning (T1) and at the end (T2) of the 7 days. Associations between the questionnaires and accelerometry were examined using Spearman rho. The reliability of the questionnaires was evaluated using intraclass correlation coefficient. Sensitivity and specificity were also calculated. RESULTS Weak positive correlations were observed between the accelerometer MVPA and the EVS MVPA at T2 (ρ = .263, P = .013), and the PAVS MVPA at T2 (ρ = .327, P = .003). The sensitivity of the EVS and PAVS was 73.2% and 82.6%, respectively. The specificity for each questionnaire was 35.3%. The reliability for the EVS questionnaire (intraclass correlation coefficient = .855; 95% CI, .791-.901; P < .001) was good, while the reliability of the PAVS questionnaire (intraclass correlation coefficient = .652; 95% CI, .511-.758; P < .001) was moderate. CONCLUSION Caution should be used when utilizing the EVS and PAVS questionnaires in ethnically diverse adults.
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Affiliation(s)
- Norberto N Quiles
- Department of Family, Nutrition and Exercise Sciences, Queens College of the City University of New York (NY), Queens, NY, USA
| | - David Uher
- Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY, USA
| | - Anoop Balachandran
- Department of Family, Nutrition and Exercise Sciences, Queens College of the City University of New York (NY), Queens, NY, USA
| | - Alexis Ortiz
- Physical Therapy Program, Allen College, Waterloo, IA, USA
- Population Health Sciences, UT Health San Antonio, San Antonio, TX, USA
| | - Carol Garber
- Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY, USA
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FitzGerald TL, Cameron KL, Albesher RA, Mentiplay BF, Mainzer RM, Burnett AC, Treyvaud K, Clark RA, Anderson PJ, Cheong JL, Doyle LW, Spittle AJ. Associations between physical activity and development in preschool-aged children born <30 weeks' gestation: a cohort study. Arch Dis Child Fetal Neonatal Ed 2024:fetalneonatal-2023-326045. [PMID: 38408793 DOI: 10.1136/archdischild-2023-326045] [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: 07/04/2023] [Accepted: 02/13/2024] [Indexed: 02/28/2024]
Abstract
OBJECTIVE To investigate the effect of physical activity (PA) on development (motor, cognitive, social-emotional) in children 4-5 years old born <30 weeks' gestation, and to describe subgroups of children at risk of low PA in this cohort. DESIGN Longitudinal cohort study. PATIENTS 123 children born <30 weeks were recruited at birth and assessed between 4 and 5 years' corrected age. MAIN OUTCOME MEASURES Development was assessed using the Movement Assessment Battery for Children, Second Edition (MABC-2), Little Developmental Coordination Disorder Questionnaire (L-DCDQ), Wechsler Preschool and Primary Scale of Intelligence (Fourth Edition; WPPSI-IV), and Strengths and Difficulties Questionnaire (SDQ). To measure PA, children wore an accelerometer and parents completed a diary for 7 days. Effects of PA on developmental outcomes, and associations between perinatal risk factors and PA, were estimated using linear regression. RESULTS More accelerometer-measured PA was associated with better MABC-2 aiming and catching scores (average standard score increase per hour increase in PA: 0.54, 95% CI 0.11, 0.96; p=0.013), and lower WPPSI-IV processing speed index scores (average composite score decrease per hour increase in PA: -2.36, 95% CI -4.19 to -0.53; p=0.012). Higher accelerometer-measured PA was associated with better SDQ prosocial scores. Major brain injury in the neonatal period was associated with less moderate-vigorous and less unstructured PA at 4-5 years. CONCLUSIONS Higher levels of PA are associated with aspects of motor, cognitive and social-emotional skill development in children 4-5 years old born <30 weeks. Those with major brain injury in the neonatal period may be more vulnerable to low PA at preschool age.
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Affiliation(s)
- Tara L FitzGerald
- Department of Physiotherapy, The University of Melbourne, Carlton, Victoria, Australia
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Parkville, Victoria, Australia
| | - Kate L Cameron
- Department of Physiotherapy, The University of Melbourne, Carlton, Victoria, Australia
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Parkville, Victoria, Australia
| | - Reem A Albesher
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Parkville, Victoria, Australia
- Department of Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Benjamin F Mentiplay
- La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia
| | - Rheanna M Mainzer
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Parkville, Victoria, Australia
- Clinical Epidemiology and Biostatistics Unit, Murdoch Children's Research Institute, Parkville, Victoria, Australia
| | - Alice C Burnett
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Parkville, Victoria, Australia
- Neonatal Research, The Royal Women's Hospital, Parkville, Victoria, Australia
| | - Karli Treyvaud
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Parkville, Victoria, Australia
- Department of Psychology, Counselling and Therapy, La Trobe University, Melbourne, Victoria, Australia
| | - Ross A Clark
- School of Health, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
| | - Peter J Anderson
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Parkville, Victoria, Australia
- Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia
| | - Jeanie Ly Cheong
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Parkville, Victoria, Australia
- Neonatal Research, The Royal Women's Hospital, Parkville, Victoria, Australia
| | - Lex W Doyle
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Parkville, Victoria, Australia
- Neonatal Research, The Royal Women's Hospital, Parkville, Victoria, Australia
| | - Alicia J Spittle
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Parkville, Victoria, Australia
- Neonatal Research, The Royal Women's Hospital, Parkville, Victoria, Australia
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Oliveira LFD, Santos EAD, Franco AM, Marin KA, Nascimento-Ferreira MV. Assessment of the validity of a sedentary behavior questionnaire among university students from low-income regions. NUTR HOSP 2023; 40:771-777. [PMID: 37073740 DOI: 10.20960/nh.04430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/20/2023] Open
Abstract
Introduction Introduction: to reduce the prevalence of overweight and obesity, lifestyle interventions, particularly in nutritional education programs, should be prioritized among university students. Monitoring sedentary behavior is an important step toward preventing and controlling obesity. Therefore, we assessed the reliability and validity of an online questionnaire on sedentary behavior among university students from low-income regions. Methods: this cross-sectional methodological feasibility study evaluated the psychometric properties of the South American Youth/Child Cardiovascular and Environmental (SAYCARE) questionnaire. We administered this questionnaire in an online format to 195 and 117 university students (aged between 17 and 53 years) to assess its validity and reliability, respectively. The questionnaire measures the daily time spent watching TV, playing electronic games, using a computer, studying and passive commuting on weekdays and weekends. The questionnaire involved two stages (Q1 and Q2) separated by an interval of 2 weeks. Reliability was assessed using Spearman's correlation analysis. The structural validity of the construct was evaluated by exploratory factor analysis. Results: all variables showed acceptable reliability (Spearman's rho > 0.30 and p < 0.05). Regarding construct structural validity, the exploratory factor analysis identified 4 factors (variance explained: 71.4 %) and did not exclude any items. Conclusion: the online SAYCARE questionnaire exhibited acceptable reliability and structural validity for assessing sedentary behavior among university students from low-income regions.
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Affiliation(s)
- Luiz Fernando de Oliveira
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group. Universidade Federal do Tocantins
| | | | - Alaiana Marinho Franco
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group. Universidade Federal do Tocantins
| | - Kliver Antonio Marin
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group. Universidade Federal do Tocantins
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de Carvalho MV, Cardoso AGDA, Feuerstein SC, de Sousa RR, Collese TS, Torres-Leal FL, Nascimento-Ferreira MV, De Moraes ACF. Reliability and validity of the dutch eating behavior questionnaire in an online format for university students from low-income regions in a pandemic context: A 24 hour MESYN study. FRONTIERS IN EPIDEMIOLOGY 2023; 2:1036631. [PMID: 38455304 PMCID: PMC10911036 DOI: 10.3389/fepid.2022.1036631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Accepted: 11/30/2022] [Indexed: 03/09/2024]
Abstract
Objective To test the reliability and validity of the Dutch Eating Behavior Questionnaire (DEBQ) in an online format in university students from low-income regions. Methods We applied the questionnaire to a sample of 195 and 117 university students from a low-income region (Gini index of 0.56) to study validity and reliability, respectively. The DEBQ consists of 33 items on eating behavior in three dimensions/factors: emotional eating, restrained eating and external eating. The questionnaire was administered twice at 2-week intervals. We tested the reliability via temporal stability and internal consistency and construct validity via exploratory and confirmatory factor analysis. Results For reliability, we identified an acceptable Spearman correlation coefficient (rho > 0.30 and p < 0.05) and Cronbach's alpha (α ≥ 0.70) for all DEBQ items. In the exploratory analysis, we identified 6 factors representing a mix of original and additional factors, with an explained variance of 69.1%. In the confirmatory analysis with structural equation modeling, we observed better global model adjustment for the 6-factor model with the Tucker-Lewis index and comparative fit index closer to one, as well as root mean square error of approximation closer to zero than the original (3-factor) model. Using generalized structural equation modeling, we also observed a better fit in latent class modeling for the 6-factor model (AIC: 16990.67; BIC. 17874.38) than for the 3-factor model (AIC: 17904.09; BIC: 18342.67). Conclusion The online format of the DEBQ has acceptable reliability and validity for measuring eating behavior in university students from low-income regions.
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Affiliation(s)
- Millena Vaz de Carvalho
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema do Tocantins, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Antonio Gibran de Almeida Cardoso
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema do Tocantins, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | | | - Rosana Rodrigues de Sousa
- Metabolic Diseases, Exercise and Nutrition Research Group (DOMEN), Department of Biophysics and Physiology, Centre for Health Sciences, Federal University of Piaui, Teresina, Brazil
| | - Tatiana Sadalla Collese
- School of Public Health, University of São Paulo, São Paulo, Brazil
- São Camilo University Center, São Paulo, São Paulo, Brazil
| | - Francisco Leonardo Torres-Leal
- Metabolic Diseases, Exercise and Nutrition Research Group (DOMEN), Department of Biophysics and Physiology, Centre for Health Sciences, Federal University of Piaui, Teresina, Brazil
| | - Marcus Vinicius Nascimento-Ferreira
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema do Tocantins, Brazil
- Youth/Child Cardiovascular Risk and Environmental (YCARE) Research Group, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, Brazil
| | - Augusto Cesar Ferreira De Moraes
- The University of Texas Health Science Center at Houston, School of Public Health Austin Campus, Department of Epidemiology, Human Genetics, and Environmental Science, Michael & Susan Dell Center for Healthy Living, Austin, TX, United States
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Azevedo-Garcia LG, Torres-Leal FL, Aristizabal JC, Berg G, Carvalho HB, De Moraes ACF. Reliability and Validity Estimate of the Pro-Inflammatory/Anti-Inflammatory Food Intake Score in South American Pediatric Population: SAYCARE Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1038. [PMID: 36673794 PMCID: PMC9859242 DOI: 10.3390/ijerph20021038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Revised: 12/19/2022] [Accepted: 01/03/2023] [Indexed: 06/17/2023]
Abstract
Chronic low-grade inflammation may be associated with the development of chronic non-communicable diseases in young populations, often lasting to adulthood. Studies show that the diet is related to chronic inflammation. The Pro-inflammatory/Anti-inflammatory Food Intake Score (PAIFIS) is an indicator that measures the inflammatory potential of the diet, with the help of validated tools that assess food consumption. The validation of tools that assess inflammatory dietary patterns in young populations to produce valid and reliable results is essential to guide disease prevention strategies for adulthood. METHODS This study aimed to estimate the Pro-inflammatory/Anti-inflammatory Food Intake Score (PAIFIS) in children and adolescents in South America and to test its reliability and validity using a food frequency questionnaire (FFQ) and an inflammatory biomarker. This work consists of a validation study in a sample of children and adolescents conducted in South America (SAYCARE Study). The habitual consumption of food contributing to calculating the PAIFIS was obtained through an FFQ and 24 h Dietary Recall (24HDR). Reliability was tested using the FFQ (FFQ1 × FFQ2), using Spearman's correlation coefficient to estimate the agreement between measurements. The validity of the PAIFIS was tested using 24HDR and the inflammatory biomarker C-reactive protein (CRP) using Spearman's correlation and multilevel linear regression. RESULTS For children and adolescents, pro- and anti-inflammatory food groups showed Spearman's correlation coefficients ranging from 0.31 to 0.66, convergent validity ranging from 0.09 to 0.40, and criterion validity for a reliability range from -0.03 to 0.18. The PAIFIS showed Spearman's correlation coefficients for reliability ranging from 0.61 to 0.69, convergent validity from 0.16 to 0.23, and criterion validity from -0.03 to 0.24. CONCLUSION The PAIFIS showed acceptable reliability, weak convergent validity, and weak criterion validity in children and adolescents.
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Affiliation(s)
- Lívia Gabriele Azevedo-Garcia
- YCARE (Youth/Child and Cardiovascular Risk and Environmental) Research Group, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo 01246-903, Brazil
| | - Francisco Leonardo Torres-Leal
- Metabolic Diseases, Exercise and Nutrition (DOMEN) Research Group, Federal University of Piauí, Teresina 64049-550, Brazil
| | - Juan Carlos Aristizabal
- Grupo de Investigación en Fisiología y Bioquímica (PHYSIS), Universidad de Antioquia, Medellín 050010, Colombia
| | - Gabriela Berg
- Departamento de Bioquímica Clínica, Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Cátedra de Bioquímica Clínica I, Junín 956, Buenos Aires C1113AAD, Argentina
- Facultad de Farmacia y Bioquímica, Instituto de Fisiopatología y Bioquímica Clínica (INFIBIOC), Universidad de Buenos Aires, Buenos Aires C1120AAF, Argentina
- Faculty of Pharmacy and Biochemistry, University of Buenos Aires, Junín 956, Buenos Aires C1113AAD, Argentina
| | - Heráclito B. Carvalho
- YCARE (Youth/Child and Cardiovascular Risk and Environmental) Research Group, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo 01246-903, Brazil
| | - Augusto César Ferreira De Moraes
- The University of Texas Health Science Center at Houston, School of Public Health Austin Campus, Michael & Susan Dell Center for Healthy Living, Austin, TX 78701, USA
- Graduate Program in Public Health, Graduate Program in Epidemiology, School of Public Health, University of Sao Paulo, Sao Paulo 01246-904, Brazil
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Nascimento-Ferreira MV, Rosa ACA, Azevedo JC, Santos ARDA, De Araujo-Moura K, Ferreira KA. Psychometric Properties of the Online International Physical Activity Questionnaire in College Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph192215380. [PMID: 36430099 PMCID: PMC9690787 DOI: 10.3390/ijerph192215380] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 11/13/2022] [Accepted: 11/15/2022] [Indexed: 05/29/2023]
Abstract
INTRODUCTION Due to the restrictions imposed to control the COVID-19 pandemic, there has been an increase in studies based on online surveys. However, there are important concerns about the validity and generalizability of results from online surveys. Thus, we aimed to test the reliability and validity of the online version of the International Physical Activity Questionnaire short form (IPAQ-SF) among college students from low-income regions. METHODS This was a methodological feasibility study with a random stratified sample from a college located in the state of Maranhão in the city of Imperatriz (Brazil). The sample consisted of 195 college students (at least 17 years of age) to evaluate the validity and 117 students to evaluate the reliability. All data were collected in a self-reported online format (via Google Forms) twice, with an interval of 2 weeks. We used Spearman's correlation analysis for the reliability study. Additionally, we applied exploratory and confirmatory factor analysis to evaluate the structural validity. RESULTS The questionnaire showed acceptable (rho > 0.30) and significant (p < 0.05) reliability, except for the question about the duration of sitting time on a weekend day. When assessing the construct validity (exploratory analysis), we identified a single factor that explained 88.8% of the variance. The 1-factor model showed acceptable model fit (SRMR = 0.039; CFI = 0.96; TLI = 0.90) in confirmatory analysis. CONCLUSIONS The online version of the IPAQ-SF has acceptable reliability among college students from low-income regions and maintains the structure of the construct regarding to physical activity.
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Affiliation(s)
- Marcus Vinicius Nascimento-Ferreira
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema do Tocantins 77650-000, Brazil
- Youth/Child Cardiovascular Risk and Environmental (YCARE) Research Group, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo 01246-903, Brazil
| | - Ana Clara Arrais Rosa
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema do Tocantins 77650-000, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz 65907-070, Brazil
| | - Jacyara Cristina Azevedo
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema do Tocantins 77650-000, Brazil
| | - Armando Rodrigues de Alencar Santos
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema do Tocantins 77650-000, Brazil
| | - Keisyanne De Araujo-Moura
- Youth/Child Cardiovascular Risk and Environmental (YCARE) Research Group, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo 01246-903, Brazil
| | - Kelber Abrão Ferreira
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema do Tocantins 77650-000, Brazil
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De Moraes ACF, Nascimento-Ferreira MV, González-Zapata LI, Carvalho HB. Can Food and Beverage Advertising Questionnaire Predict Overweight and Obesity in Children and Adolescents from Low- and Middle-Income Countries? Child Obes 2022; 18:476-484. [PMID: 35475760 DOI: 10.1089/chi.2021.0269] [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] [Indexed: 11/13/2022]
Abstract
Background: Information about the reliability and validity of questionnaires in low- and middle-income countries remains scarce. Objective: To test the reliability and predictive validity of a food and beverage marketing/advertising questionnaire for South American children and adolescents. Methods: A sample of 330 children (3-10 years old) and 215 adolescents (11-18 years old) was included from seven South American cities: Buenos Aires, Lima, Medellín, Montevideo, Santiago, Sao Paulo, and Teresina. The questionnaire consisted of seven questions about food and beverage marketing/advertising and decision influence. We assessed the reliability using temporal stability (2-week interval) and internal consistency. We assessed the predictive validity based on the risk of excess weight. Results: In children, reliability agreement from κ coefficients ranged from 63.7% to 86.3%, and Cronbach's α (internal consistency estimate) ranged from 0.14 to 0.75. In adolescents, the reliability agreement ranged from 78.9% to 85.7%, and Cronbach's α ranged from 0.14 to 0.76. Exploratory factor analysis revealed two factors for both age groups. The predictive probabilities for excess weight ranged from 22.3% to 61.1% in children and from 24.9% to 64.1% in adolescents. Conclusions: The screen/marketing media questionnaire is a reliable and valid measure for the pediatric population from low- and middle-income countries. This subjective tool provides a feasible screening measure for the influence of advertising on children and adolescents at risk of overweight and obesity.
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Affiliation(s)
- Augusto César F De Moraes
- Department of Epidemiology, Human Genetics, and Environmental Science, Michael and Susan Dell Center for Healthy Living. UTHealth
- The University of Texas Health Science Center at Houston, School of Public Health Austin Campus, Austin, TX, USA.,Department of Epidemiology, School of Public Health, University of Sao Paulo, Sao Paulo, Brazil.,YCARE (Youth/Child and cArdiovascular Risk and Environmental) Research Group, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil
| | - Marcus V Nascimento-Ferreira
- YCARE (Youth/Child and cArdiovascular Risk and Environmental) Research Group, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.,HEALth, pHYsical activity and Behavior ReseArch (HEALTHY-BRA) Group, Graduate Program in Science and Health Education (PPGECS), Federal University of Tocantins, Campus Miracema, Miracema, TO, Brazil
| | - Laura I González-Zapata
- School of Nutrition, and Dietetics, Social and Economic Determinants of Health and Nutrition Research Group, University of Antioquia, Medellín, Colombia
| | - Heráclito Barbosa Carvalho
- YCARE (Youth/Child and cArdiovascular Risk and Environmental) Research Group, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil
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Nascimento-Ferreira MV, Marin KA, Abrão Ferreira RK, Oliveira LF, Bandeira AC, Silva Sousa P, Miranda de Sousa J, de Almeida Cardoso AG, Conceição da Silva LC, Rosa ACA, de Carvalho MV, Pereira de Carvalho Silva IS, Franco AM, Torres-Leal FL, Barbosa de Carvalho H, Ferreira de Moraes AC. 24 h movement behavior and metabolic syndrome study protocol: A prospective cohort study on lifestyle and risk of developing metabolic syndrome in undergraduate students from low-income regions during a pandemic. FRONTIERS IN EPIDEMIOLOGY 2022; 2:1010832. [PMID: 38455302 PMCID: PMC10910976 DOI: 10.3389/fepid.2022.1010832] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Accepted: 09/07/2022] [Indexed: 03/09/2024]
Abstract
Introduction Obesity and its comorbidities are increasingly prevalent in Latin America, with a more rapid growth in individuals with lower income. The composition of movement behaviors within a 24 h period may have important implications for obesity, metabolic and mental health in cross-sectional data. However, a longitudinal study is needed to confirm the findings from the primarily cross-sectional evidence. The COVID-19 pandemic has been associated with cardiometabolic outcomes and has impeded healthy behavior. Objectives The first objective is to evaluate the time elapsed since the diagnosis of not meeting 24 h movement guidelines and the potential subsequent onset of metabolic syndrome in undergraduate students from low-income regions within 4 years of follow up. The second objective is to test the association between 24 h movement, mental wellbeing, eating behaviors, and abdominal obesity in the period of this pandemic. Methods The 24 h movement behavior and metabolic syndrome (24 h-MESYN) study is a multicentre cohort study that will include participants from two Brazilian cities within the 2022-2025 period to asses the first objective, and also a nested case-control study at the baseline will be carried out to evaluate the second objective. Previously, we conducted a feasibility study in the academic year of 2021 to assessing the psychometric properties of subjective tools, refine our study protocol, and adjust the epidemiological conditions of the cohort's subsequent phases (like as prevalence of exposure of interest, sampling process, and study adherence). Statistical tests as Cohen's kappa agreement; factorial analysis; logistic, Poisson and linear regression; and Kaplan-Meier analysis will be performed, in accordance with the objectives.
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Affiliation(s)
- Marcus Vinicius Nascimento-Ferreira
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Youth/Child Cardiovascular Risk and Environmental (YCARE) Research Group, Faculdade de Medicina, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - Kliver Antonio Marin
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
| | - Ruhena Kelber Abrão Ferreira
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
| | - Luiz Fernando Oliveira
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Ana Caroline Bandeira
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Paula Silva Sousa
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Josilene Miranda de Sousa
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Antonio Gibran de Almeida Cardoso
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Lorrane Cristine Conceição da Silva
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Ana Clara Arrais Rosa
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Millena Vaz de Carvalho
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Ithamara Sthefanny Pereira de Carvalho Silva
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Alaiana Marinho Franco
- Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema, Brazil
- Instituto de Ensino Superior do Sul do Maranhão (IESMA/UNISULMA), Imperatriz, Brazil
| | - Francisco Leonardo Torres-Leal
- Metabolic Diseases, Exercise and Nutrition Research Group (DOMEN), Department of Biophysics and Physiology, Centre for Health Sciences, Federal University of Piaui, Teresina, Brazil
| | - Heráclito Barbosa de Carvalho
- Youth/Child Cardiovascular Risk and Environmental (YCARE) Research Group, Faculdade de Medicina, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - Augusto César Ferreira de Moraes
- Michael & Susan Dell Center for Healthy Living, Department of Epidemiology, Human Genetics and Environmental Science, The University of Texas Health Science Center, Houston School of Public Health (UTHealth School of Public Health), Austin Campus, Austin, TX, United States
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9
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Associations between Objectively Determined Physical Activity and Cardiometabolic Health in Adult Women: A Systematic Review and Meta-Analysis. BIOLOGY 2022; 11:biology11060925. [PMID: 35741446 PMCID: PMC9220764 DOI: 10.3390/biology11060925] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 06/14/2022] [Accepted: 06/15/2022] [Indexed: 11/17/2022]
Abstract
The purpose of this systematic review and meta-analysis was to qualitatively synthesize and quantitatively assess the evidence of the relationship between objectively determined volumes of physical activity (PA) and cardiometabolic health in women. Four databases (PubMed, Web of Science, Scopus, and the Cochrane library) were searched and, finally, 24 eligible studies were included, with a total of 2105 women from eight countries. A correlational meta-analysis shows that moderate-to-vigorous intensity physical activity (MVPA) was favorably associated with high-density lipoprotein (r = 0.16; 95% CI: 0.06, 0.25; p = 0.002); however, there was limited evidence for the effects of most of the other cardiometabolic biomarkers recorded from steps, total physical activity, light- and moderate-intensity physical activity and MVPA. It is most compelling and consistent that being more physically active is beneficial to the metabolic syndrome. Overall, PA levels are low in adult women, suggesting that increasing the total volume of PA is more important than emphasizing the intensity and duration of PA. The findings also indicate that, according to the confounding effects of body composition and cardiorespiratory fitness, meeting the minimal level of 150 min of moderate-intensity physical activity recommended is not enough to obtain a significant improvement in cardiometabolic indicators. Nonetheless, the high heterogeneity between studies inhibits robust conclusions.
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10
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Relationship between Objectively and Subjectively Measured Physical Activity in Adolescents during and after COVID-19 Restrictions. Behav Sci (Basel) 2021; 11:bs11120177. [PMID: 34940112 PMCID: PMC8698612 DOI: 10.3390/bs11120177] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 12/03/2021] [Accepted: 12/08/2021] [Indexed: 11/24/2022] Open
Abstract
Background: Studying the relationship between subjectively and objectively measured physical activity (PA) can provide viable information on youths’ behaviors. However, the restrictions due to COVID-19 pandemic, which reduced children’s possibilities to be active, may negatively affect it. The aim of this study was to assess the relationship between subjectively and objectively measured PA levels (light, moderate, vigorous, and moderate-to-vigorous) during COVID-19-based restrictions and after they were lifted, and to determine whether such relationships changed in these two periods. Methods: A total of 26 adolescents (58% girls; mean age = 12.4 ± 0.5) wore accelerometers during public restrictions and after they were removed. Participants also completed the International Physical Activity Questionnaire during the same periods. Results: High significant correlations were found at all levels of PA (r = 0.767–0.968) in both time periods, except for moderate PA during restrictions. Comparing the two periods, significantly higher correlations were found for moderate PA (p < 0.001) and moderate-to-vigorous PA (p = 0.003) after restrictions were lifted. Conclusions: In this highly active cohort of adolescents, results emphasize the potential threat of lockdown conditions for youths’ ability to accurately perceive their behaviors, with possible detrimental consequences on the short- and long-term health.
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11
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Saraiva Leão Borges LP, Ries DC, Sousa AG, Da Costa THM. Comparison and calibration of 24-hour physical activity recall in adult population. Eur J Sport Sci 2021; 22:289-296. [PMID: 33327887 DOI: 10.1080/17461391.2020.1866077] [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: 10/22/2022]
Abstract
AbstractThis study compared and calibrated metabolic equivalents (METs) per day from 24-hour physical activity recall (24hPAR) with accelerometry. A sub-sample of 74 adults of both sexes, residents of Brasília, Brazil, from a larger study had same day measurements of accelerometry and 24hPAR data. METs values were assessed by accelerometry (7 consecutive days of use) and by 24hPAR (minimum of one and maximum of 2 per person). A script was written in the R statistical software to analyse the recall and accelerometer data. The script ran a simple linear regression to visualize the relationship between total METs/day for the two methods and to execute the recall measurement error correction. Most of participants were female (54.1%), with at least university graduate (94.6%) and mean age of 34.8 years (±11.83). The correlation coefficient obtained between 24hPAR and accelerometer was r = 0.55, considered moderate and significant (p < 0.001). A majority of the participants (77%) underestimated METs values compared to accelerometry when answering the questionnaire. Calibration of 24hPAR allowed us to approximate MET values to the accelerometer. The calibration equation to correct total METs/day for measurement error is (total 24hPAR METs/day - 10.6)/0.619. The 24hPAR is a decent tool to assess PA level in large adults' samples. However, compared with accelerometer, it underestimates METs values, which can be corrected with the use of the calibration equation provided in this study.
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Affiliation(s)
- Lara P Saraiva Leão Borges
- Human Nutrition Graduate Course, Faculty of Health Science, University of Brasilia, Brasilia, Brazil.,Department of Nutrition, School of Health Science, University of Brasilia, Brasilia, Brazil
| | - Daniel C Ries
- Statistical Sciences Group, Sandia National Laboratories, Albuquerque, NM, USA
| | - Alessandra Gaspar Sousa
- Human Nutrition Graduate Course, Faculty of Health Science, University of Brasilia, Brasilia, Brazil
| | - Teresa Helena Macedo Da Costa
- Department of Nutrition, School of Health Science, University of Brasilia, Brasilia, Brazil.,University of Oxford, Oxford, UK.,Medical Research Council, Human Nutrition Research, Cambridge, UK.,Sabbatical at Iowa State University, Ames, IA, USA
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12
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Roever L, Liu T, Tse G, Biondi-Zoccai G. Subjective assessment of functional capacity to predict postoperative myocardial injury and death: Hope or hype? Eur J Prev Cardiol 2020; 28:260-261. [PMID: 33611435 DOI: 10.1177/2047487320912624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- Leonardo Roever
- Federal University of Uberlândia, Department of Clinical Research, Brazil
| | - Tong Liu
- Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular disease, Department of Cardiology, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, P.R. China
| | - Gary Tse
- Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular disease, Department of Cardiology, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, P.R. China.,Xiamen Cardiovascular Hospital, P.R. China
| | - Giuseppe Biondi-Zoccai
- Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy.,Mediterranea Cardiocentro, Napoli, Italy
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13
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Lines RLJ, Ntoumanis N, Thøgersen-Ntoumani C, McVeigh JA, Ducker KJ, Fletcher D, Gucciardi DF. Cross-sectional and longitudinal comparisons of self-reported and device-assessed physical activity and sedentary behaviour. J Sci Med Sport 2020; 23:831-835. [PMID: 32312612 DOI: 10.1016/j.jsams.2020.03.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2019] [Revised: 02/04/2020] [Accepted: 03/08/2020] [Indexed: 01/21/2023]
Abstract
OBJECTIVES To examine the longitudinal associations and differences between self-reported and device-assessed physical activity (PA) and sedentary behaviour (SB), using a multifaceted statistical approach. DESIGN Longitudinal measurement burst. METHODS In total, 52 university students (78% female) aged 18-38 years (mean=21.94±4.57 years) participated. The study consisted of three blocks of six days of measurement, during which participants wore an accelerometer on their wrist for the entire block, and self-reported their PA over the 6 days at the end of each block. RESULTS Meaningful latent differences between methods were observed for moderate PA and SB across all three assessment periods, such that participants underreported the time spent in each activity. Bland-Altman plots revealed a positive mean difference for vigorous PA, with over-reporting increasing as mean levels increased. Negative mean differences were observed for all other intensities. Underreporting of moderate PA increased as the mean level increased, whereas for light PA and SB, underreporting decreased at high levels. Repeated measures correlations revealed a meaningful association for vigorous PA only, suggesting that as self-reported minutes increase so too do device-measured minutes. CONCLUSIONS We found evidence of cross-sectional and longitudinal differences and weak associations between self-reported and device-assessed PA and SB. Future work is needed to enhance the quality of self-reported methods to assess PA and SB (e.g., face and content validity), and consider improvements to the processing of device-based data.
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Affiliation(s)
- Robin L J Lines
- School of Physiotherapy and Exercise Science, Curtin University, Australia; Physical Activity and Well-Being Research Group, Curtin University, Australia.
| | - Nikos Ntoumanis
- Physical Activity and Well-Being Research Group, Curtin University, Australia; School of Psychology, Curtin University, Australia
| | - Cecilie Thøgersen-Ntoumani
- Physical Activity and Well-Being Research Group, Curtin University, Australia; School of Psychology, Curtin University, Australia
| | - Joanne A McVeigh
- Physical Activity and Well-Being Research Group, Curtin University, Australia; School of Occupational Therapy, Social Work, and Speech Pathology, Curtin University, Australia; Movement Physiology Laboratory, School of Physiology, University of Witwatersrand, South Africa
| | - Kagan J Ducker
- School of Physiotherapy and Exercise Science, Curtin University, Australia
| | - David Fletcher
- School of Sport, Exercise and Health Sciences, Loughborough University, United Kingdom
| | - Daniel F Gucciardi
- School of Physiotherapy and Exercise Science, Curtin University, Australia; Physical Activity and Well-Being Research Group, Curtin University, Australia
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14
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Model of goal directed behavior for limiting Latino preschoolers' television viewing: validity and reliability. BMC Public Health 2020; 20:185. [PMID: 32024491 PMCID: PMC7003399 DOI: 10.1186/s12889-020-8268-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Accepted: 01/24/2020] [Indexed: 12/02/2022] Open
Abstract
Background Accurately measuring parents’ attitudes and beliefs regarding limiting their children’s TV viewing is important to inform the design and evaluation of effective interventions. This manuscript assesses the internal consistency reliability, test-retest reliability, convergent validity, and construct validity of the Model of Goal Directed Behavior (MGDB) scales among parents of Latino preschoolers to characterize Latino parents’ attitudes and beliefs toward limiting their preschoolers’ TV viewing. Method Participants included parents of Latino preschoolers in the United States, 3–5 years old (n = 186). Parents completed a socio-demographic survey and the 105-item MGDB questionnaire (Attitudes, Perceived Positive/Negative Behavioral Control, Subjective Norms, Positive and Negative Anticipated Emotions, Habits, Self-Efficacy, Desires, and Intentions surrounding their child’s TV viewing) which was used to measure internal consistency reliability and construct validity. A subsample of participants completed the questionnaire twice to measure test-retest reliability. Further, parents completed a 7-day TV viewing diary for their preschooler, and a TV parenting practices questionnaire as measures of convergent validity. Results Internal consistency reliability was generally acceptable for the MGDB scales (Cronbach’s alphas> 0.7), except for the Desires scale, which was revealed to have two factors and the Attitudes and Perceived Behavioral Control scales. Test-retest reliability over 2 months had negligible to moderate correlations (r’s = 0.28 to 0.61). Two structural equation models were conducted. One yielded acceptable model fit (x2 (97) = 113.65, p = .119) and the other had questionable model fit (x2 (97) = 125.39; p = .028). Testing convergent validity, only two MGDB scales (Habits and Self-Efficacy) were positively correlated with the TV parenting practices questionnaire (r’s = 0.33 to 0.51), and none were meaningfully correlated with preschoolers’ mean daily TV viewing. Conclusions Initial reliability and validity for some of the MGDB scales appear acceptable among parents of Latino preschoolers. Refinement of the instrument and testing among larger samples is necessary to fully evaluate psychometric properties. This instrument may be useful for characterizing Latino parents’ attitudes and beliefs toward limiting their preschoolers’ TV viewing and informing future TV reduction interventions. Trial registration Clinical Trials NCT01216306 Registered October 6, 2010.
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15
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De Moraes ACF, Nascimento-Ferreira MV, Forjaz CLDM, Aristizabal JC, Azzaretti L, Nascimento Junior WV, Miguel-Berges ML, Skapino E, Delgado C, Moreno LA, Carvalho HB. Reliability and validity of a sedentary behavior questionnaire for South American pediatric population: SAYCARE study. BMC Med Res Methodol 2020; 20:5. [PMID: 31924168 PMCID: PMC6954524 DOI: 10.1186/s12874-019-0893-7] [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: 02/20/2018] [Accepted: 12/23/2019] [Indexed: 12/14/2022] Open
Abstract
Background Multicenter studies from Europe and the United States have developed specifically standardized questionnaires for assessing and comparing sedentary behavior, but they cannot be directly applied for South American countries. The aim of this study was to assess the reliability and validity of the South American Youth Cardiovascular and Environmental (SAYCARE) sedentary behavior questionnaire. Methods Children and adolescents from seven South American cities were involved in the test-retest reliability (children: n = 55; adolescents: n = 106) and concurrent validity (children: n = 93; adolescents: n = 94) studies. The SAYCARE sedentary behavior questionnaire was administered twice with two-week interval and the behaviors were parent-reported for children and self-reported for adolescents. Questions included time spent watching television, using a computer, playing console games, passive playing (only in children) and studying (only in adolescents) over the past week. Accelerometer was used for at least 3 days, including at least one weekend day. We compared values of sedentary time, using accelerometers, by quartiles of reported sedentary behavior time and their sum. Results The reliability of sedentary behavior time was moderate for children (rho ≥0.45 and k ≥ 0.40) and adolescents (rho ≥0.30). Comparisons between the questionnaire and accelerometer showed a low overall agreement, with the questionnaire systematically underreporting sedentary time in children (at least, − 332.6 ± 138.5 min/day) and adolescents (at least, − 399.7 ± 105.0 min/day). Conclusion The SAYCARE sedentary behavior questionnaire has acceptable reliability in children and adolescents. However, the findings of current study indicate that SAYCARE questionnaire is not surrogate of total sedentary time.
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Affiliation(s)
- Augusto César Ferreira De Moraes
- Department of Epidemiology, School of Public Health, University of Sao Paulo, São Paulo, Brazil.,YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, Brazil
| | - Marcus Vinícius Nascimento-Ferreira
- YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, Brazil. .,Growth, Exercise, NUtrition and Development (GENUD) Research Group, Instituto Agroalimentario de Aragon (IA2), Instituto de Investigacion Sanitaria Aragon (IIS Aragon), Centro de Investigacion Biomedica en Red de Fisiopatologıa de la Obesidad y Nutricion (CIBERObn), University of Zaragoza, Zaragoza, Spain.
| | | | - Juan Carlos Aristizabal
- Grupo de Investigación en Fisiología y Bioquímica (PHYSIS), Universidad de Antioquia, Medellín, Colombia
| | - Leticia Azzaretti
- Escuela de Nutrición, Facultad de Medicina, Universidad de Buenos Aires, Buenos Aires, Argentina
| | | | - Maria L Miguel-Berges
- Growth, Exercise, NUtrition and Development (GENUD) Research Group, Instituto Agroalimentario de Aragon (IA2), Instituto de Investigacion Sanitaria Aragon (IIS Aragon), Centro de Investigacion Biomedica en Red de Fisiopatologıa de la Obesidad y Nutricion (CIBERObn), University of Zaragoza, Zaragoza, Spain
| | | | - Carlos Delgado
- Universidad Nacional Mayor de San Marcos (UNMSM), School of Medicine, Department of Pediatrics and Instituto Nacional de Salud del Niño (INSN), Neonatal Unit, Lima, Peru
| | - Luis A Moreno
- Growth, Exercise, NUtrition and Development (GENUD) Research Group, Instituto Agroalimentario de Aragon (IA2), Instituto de Investigacion Sanitaria Aragon (IIS Aragon), Centro de Investigacion Biomedica en Red de Fisiopatologıa de la Obesidad y Nutricion (CIBERObn), University of Zaragoza, Zaragoza, Spain
| | - Heráclito Barbosa Carvalho
- YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, Brazil
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16
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Spiegler J, Eves R, Mendonça M, Wolke D. Association of physical activity and cardiorespiratory function or BMI and body composition in preterm-born individuals: a systematic review. Acta Paediatr 2019; 108:1205-1214. [PMID: 30664798 DOI: 10.1111/apa.14726] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2018] [Revised: 01/17/2019] [Accepted: 01/18/2019] [Indexed: 12/01/2022]
Abstract
AIM To evaluate the association of physical activity (PA) and forced expiratory volume in one second (FEV1), peak oxygen consumption (pVO2), body mass index (BMI) and body composition in preterm-born individuals. METHODS Cochrane Library, EMBASE, MEDLINE, AMED, ERIC, Web of Science and PsycInfo were searched with no restriction on language and date of publication from inception to January 2018. Data were extracted comparing preterm-born individuals with different frequencies of PA and the outcome of interest. RESULTS One randomized controlled, two longitudinal and thirteen cross-sectional studies comprising 1922 preterm-born individuals aged 5-25 were included. Assessment varied from a PA program to accelerometer data, interviews and self-report questionnaires. In preterm-born children, more PA was associated with better cardiorespiratory function in those groups with impaired lung function or with lower BMI in those groups with increased risk factors, but no association was found in unimpaired children. In preterm-born adults, more PA was associated with higher pVO2 and lower BMI. CONCLUSION Only tentative conclusions can be drawn, especially regarding differences of the association of PA between preterm- and term-born populations. Further studies are needed to analyse the association of PA in preterm-born individuals with reduced cardiorespiratory function.
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Affiliation(s)
- Juliane Spiegler
- Department of Psychology and Division of Mental Health & Wellbeing University of Warwick Coventry UK
- Department of Paediatrics University of Lübeck Lübeck Germany
| | - Robert Eves
- Department of Psychology and Division of Mental Health & Wellbeing University of Warwick Coventry UK
| | - Marina Mendonça
- Department of Psychology and Division of Mental Health & Wellbeing University of Warwick Coventry UK
| | - Dieter Wolke
- Department of Psychology and Division of Mental Health & Wellbeing University of Warwick Coventry UK
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17
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Is Self-Reported Physical Fitness Useful for Estimating Fitness Levels in Children and Adolescents? A Reliability and Validity Study. ACTA ACUST UNITED AC 2019; 55:medicina55060286. [PMID: 31216737 PMCID: PMC6631242 DOI: 10.3390/medicina55060286] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2018] [Revised: 04/03/2019] [Accepted: 06/13/2019] [Indexed: 12/16/2022]
Abstract
Background and objective: The assessment of physical fitness has become a necessary issue in epidemiological studies, since a reduction in fitness is directly associated with early mortality. Therefore, the development of simple, accurate, and inexpensive methods is necessary to measure physical fitness. This study aimed to determine the reliability and validity of the criteria and constructs of the International Fitness Scale (IFIS), Portuguese version, in Brazilian pediatric populations. Methods: A total of 190 children aged 3-10 years and 110 adolescents aged 11-17 years were enrolled in an observational study of reliability and validity. For reliability, the participants completed a questionnaire twice (with an interval of 15 days). To test the criterion validity, we analyzed the agreement between the questionnaire and physical tests (20-m shuttle run test, handgrip strength, standing long jump tests, 4 × 10-m shuttle run test, and back-saver sit and reach test), and the construct validity was estimated by agreement between the questionnaire and high blood pressure. The reliability was analyzed by kappa coefficients. The agreement between the testing and retesting of the questionnaire was evaluated by kappa coefficients. We applied a 2 × 2 table to estimate the specificity, sensitivity, and accuracy of the questionnaire. Results: The mean age of the children was 6.7 years (n = 190), and for the adolescents it was 14.6 years (n = 110). The questionnaire reliability showed an almost perfect score (κ ≥ 0.93 in children and κ ≥ 0.88 in adolescents). The questionnaire showed moderate criterion validity (κ ≥ 0.40 in children and adolescents) as well as moderate construct validity (κ ≥ 0.40) in the components of general conditioning, cardiorespiratory capacity, muscular strength, and speed/agility in children and in the components of cardiorespiratory capacity, muscle strength, and speed/agility in adolescents. The questionnaire was a sensitive method for measuring physical fitness. Conclusions: The Portuguese version of the IFIS is a reliable and valid method for measuring physical fitness in pediatric populations.
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18
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Spiegler J, Mendonca M, Wolke D. Prospective Study of Physical Activity of Preterm Born Children from Age 5 to 14 Years. J Pediatr 2019; 208:66-73.e7. [PMID: 30879733 DOI: 10.1016/j.jpeds.2018.12.013] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Revised: 11/12/2018] [Accepted: 12/05/2018] [Indexed: 12/16/2022]
Abstract
OBJECTIVE To investigate whether level of prematurity (very, moderate, late preterm, vs full term) is associated with physical activity from childhood to adolescence and to identify factors in childhood that predict moderate-vigorous physical activity in early adolescence. STUDY DESIGN Parents reported on physical activity at the age 5, 7, and 11 years (n = 12 222-14 639) and adolescents self-reported on moderate-vigorous physical activity at 14 years (n = 10 974). At age 14 years, a subgroup was also assessed by wrist accelerometer (n = 4046). RESULTS Prematurity was associated with a small or no difference in physical activity at each time point. At age 14 years, moderate-vigorous physical activity in self-report and accelerometer was higher in male adolescents, those of white ethnicity, or higher parental education, having been taken to live sport events at age 5 or 7 years or having taken part in organized physical activity at 5 or 7 years. CONCLUSIONS In this representative national cohort study in the United Kingdom, preterm birth was not found to be associated with physical activity between 5 and 14 years. Organized physical activity and watching sport events early in life may increase moderate to vigorous physical activity in adolescents.
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Affiliation(s)
- Juliane Spiegler
- Department of Psychology and Division of Mental Health and Well-Being, University of Warwick, Coventry, United Kingdom; Department of Pediatrics, University of Lübeck, Lübeck, Germany.
| | - Marina Mendonca
- Department of Psychology and Division of Mental Health and Well-Being, University of Warwick, Coventry, United Kingdom
| | - Dieter Wolke
- Department of Psychology and Division of Mental Health and Well-Being, University of Warwick, Coventry, United Kingdom
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19
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Mo D, Xiang M, Luo M, Dong Y, Fang Y, Zhang S, Zhang Z, Liang H. Using Gamification and Social Incentives to Increase Physical Activity and Related Social Cognition among Undergraduate Students in Shanghai, China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E858. [PMID: 30857261 PMCID: PMC6427787 DOI: 10.3390/ijerph16050858] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/17/2019] [Revised: 03/02/2019] [Accepted: 03/04/2019] [Indexed: 12/18/2022]
Abstract
Gamification and social incentives are promising strategies to increase the effectiveness of web-based physical activity (PA) interventions by improving engagement. In this study, we designed a PA intervention integrating gamification and social incentives based on the most popular social networking service in China, WeChat. A controlled trial involving 52 Chinese undergraduate students was implemented to evaluate the effectiveness of the intervention. Subjects in the intervention group received a 7-week intervention. PA behavior and related social cognitive variables according to the theory of planned behavior were measured at the baseline and after the intervention. Daily physical activity duration was measured during the intervention. The results showed that PA-related subjective norms, perceived behavior control, and intention, as well as self-reported vigorous physical activity and moderate physical activity in the intervention group, were increased after the intervention, compared with the control group (p <0.05). During the intervention, perceived daily physical activity duration in the intervention group was on the rise, while it declined in the control group (p <0.001). The findings indicate that WeChat-based intervention integrating gamification and social incentives could effectively increase subjectively measured PA and related social cognition among Chinese undergraduate students and that it is a promising way to ameliorate the problem of insufficient PA among youths.
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Affiliation(s)
- Dandan Mo
- School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China.
| | - Mi Xiang
- School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China.
| | - Mengyun Luo
- School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China.
- School of Public Health, and Charles Perkins Centre, University of Sydney, Sydney, NSW 2006, Australia.
| | - Yuanyuan Dong
- School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China.
- Child Health Advocacy Institute, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai 200127, China.
| | - Yue Fang
- School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China.
| | | | - Zhiruo Zhang
- School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China.
| | - Huigang Liang
- College of Business, East Carolina University, Greenville, NC 27858, USA.
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20
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Collese TS, Vatavuk-Serrati G, Nascimento-Ferreira MV, De Moraes ACF, Carvalho HB. What is the Validity of Questionnaires Assessing Fruit and Vegetable Consumption in Children when Compared with Blood Biomarkers? A Meta-Analysis. Nutrients 2018; 10:nu10101396. [PMID: 30275419 PMCID: PMC6212808 DOI: 10.3390/nu10101396] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Revised: 09/17/2018] [Accepted: 09/20/2018] [Indexed: 01/04/2023] Open
Abstract
Fruit and vegetable consumption has been associated with improved health outcomes in children. As an extensive number of questionnaires are currently used to assess fruit and vegetable consumption, we performed a systematic review of the criterion validity of questionnaires used to estimate fruit and vegetable consumption in children, considering blood biomarkers as the reference method. Five electronic databases (MEDLINE, CINAHL, Scopus, PsycINFO, Web of Science) were searched from database inception to 23 July 2018. The search strategy used the following sets of descriptors: children; fruits and vegetables; dietary questionnaires; blood biomarkers; and validation coefficient. The search terms were adapted for use with other databases in combination with database-specific filters. Potentially eligible articles were selected independently by two reviewers, separately, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Two articles meeting the inclusion criteria were included. The main reason for study exclusion was the sample age range, which included adolescents. The pooled correlation coefficient was 0.32 (95% confidence interval: 0.24–0.40).This review provided insights into assessment methods of fruit and vegetable consumption in children. Although further studies are required, questionnaires for assessing fruit and vegetable consumption have fair criterion validity in children.
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Affiliation(s)
- Tatiana S Collese
- YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Department of Preventive Medicine, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP 01246-903, Brazil.
| | - Gabriela Vatavuk-Serrati
- YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Department of Preventive Medicine, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP 01246-903, Brazil.
| | - Marcus Vinicius Nascimento-Ferreira
- YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Department of Preventive Medicine, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP 01246-903, Brazil.
| | - Augusto César Ferreira De Moraes
- YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Department of Preventive Medicine, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP 01246-903, Brazil.
| | - Heráclito Barbosa Carvalho
- YCARE (Youth/Child cArdiovascular Risk and Environmental) Research Group, Department of Preventive Medicine, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP 01246-903, Brazil.
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