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Neta ADCPDA, Farias Júnior JCD, Ferreira FELDL, Aznar LAM, Marchioni DML. Association between sedentary behavior, diet and nutritional status in adolescents: baseline results from the LONCAAFS Study. CIENCIA & SAUDE COLETIVA 2024; 29:e17082022. [PMID: 38655956 DOI: 10.1590/1413-81232024294.17082022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2022] [Accepted: 06/27/2023] [Indexed: 04/26/2024] Open
Abstract
The aim of the present study was to analyze the relationship between time spent engaged in sedentary behaviors, type of diet, and overweight in adolescents. A cross-sectional study using data from the Longitudinal Study on Sedentary Behavior, Physical Activity, Eating Habits, and Health of Adolescents - LONCAAFS Study. A total of 1,438 adolescents (10 to 14 years old) from public schools in the city of João Pessoa, Brazil, participated in the study. To evaluate the combined effects of excessive time in sedentary behavior and consumption from two food groups: Convenience and Prudent on overweight, we performed multiple logistic regression analyses, adjusted for energy, level of physical activity, sex, and age. Excessive time in sedentary behavior increased the chance of adolescents being overweight by 37% (OR = 1.37; 95%CI: 1.04-1.80). This chance increased to 43% when the adolescents were simultaneously engaged in excessive sedentary behavior and had high consumption of the Convenience food group (OR = 1.43; 95%CI: 1.05-1.94) and increased to 39% on those who engaged in excessive sedentary behavior and had low consumption of foods from the Prudent (OR = 1.39; 95%CI: 1.04-1.84). Excessive sedentary behavior is associated with being overweight and the chance increases with the consumption of convenient foods.
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Affiliation(s)
| | | | | | - Luis Alberto Moreno Aznar
- Center for Biomedical Research and Physiopathology in Obesity and Nutrition (CIBERObn), University of Zaragoza. Zaragoza Spain
| | - Dirce Maria Lobo Marchioni
- Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo. Av. Dr. Arnaldo 715. 01246-904 São Paulo SP Brasil.
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Bezerra T, Esteban-Cornejo I, Goulart N, Mota J, Souza Filho A, Clark CCT, Bandeira P, de Lucena Martins CM. Are there associations between sedentary time inside and outside preschools with preschoolers' executive function? Child Neuropsychol 2024:1-12. [PMID: 38282420 DOI: 10.1080/09297049.2024.2310101] [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: 06/14/2023] [Accepted: 01/19/2024] [Indexed: 01/30/2024]
Abstract
Preschool children spend a large part of their day at school, and a large part of that time they spend in sedentary time. Although sedentary time negatively affects regions of the brain responsible for cognition, it is believed that the type of sedentary time performed can favor executive functions' performance. The present study explored the associations between sedentary time inside and outside preschools with executive function (EF) tasks in preschoolers. Seventy-three preschool children (60% girls; 55.0 ± 9.1 months of age) were objectively assessed for sedentary time and physical activity (PA) using accelerometers (wGT3X). EF was evaluated using the Go/No-Go paradigm through the Early Years Toolbox - YET. Go's inverse efficiency (IE) and the No-Go accuracy were analyzed. To establish possible associations between EF and sedentary time, a structural equation model was conducted after adjustments for sex, age, body mass index, and moderate-to-vigorous PA. A significant and positive association between sedentary time on weekend days and IE (b = 0.61; p < .001) was observed. The general model explained 52% of the variation in IE and 2.1% in the accuracy of No-Go. The sedentary time on weekend days seems to be related to worse EI. This result emphasizes a context-dependent association between time being sedentary and preschoolers' EF. Further investigations should focus on exploring the type of sedentary behavior children are engaged in different contexts.
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Affiliation(s)
- Thaynã Bezerra
- Department of Physical Education, Regional University of Cariri, Crato, Brazil
- Department of Medicine, Paraiso Faculty, Araripina, Brazil
| | | | - Natalia Goulart
- Department of Physical Education, Federal University of Paraiba, João Pessoa, Brazil
- Department of Physical Education, Federal University of Vale do São Francisco, Petrolina, Brazil
| | - Jorge Mota
- Research Centre of Physical Activity, Health and Leisure, Faculty of Sport Sciences, University of Porto, Porto, Portugal
| | | | - Cain C T Clark
- School of Health Life Sciences, Coventry University, Coventry, UK
| | - Paulo Bandeira
- Department of Physical Education, Regional University of Cariri, Crato, Brazil
| | - Clarice Maria de Lucena Martins
- Department of Physical Education, Federal University of Paraiba, João Pessoa, Brazil
- Research Centre of Physical Activity, Health and Leisure, Faculty of Sport Sciences, University of Porto, Porto, Portugal
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Dos Santos EA, Cavalheiro LAM, Rodrigues D, Machado-Rodrigues A, Silva MR, Nogueira H, Padez C. Is more prolonged sun exposure associated with healthier life habits and obesity indicators in Portuguese children? Am J Hum Biol 2023; 35:e23918. [PMID: 37228007 DOI: 10.1002/ajhb.23918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 04/12/2023] [Accepted: 05/08/2023] [Indexed: 05/27/2023] Open
Abstract
OBJECTIVES Sun exposure seems to have an indirect effect on the development of obesity through vitamin D synthesis in the skin, the primary source of this vitamin. The present study aimed to investigate associations among sun exposure time, obesity indicators, and lifestyle habits in children. METHODS A total of 4755 children (3-10 years; 49.86% boys) from the north, center and south-central Portugal were included in the present study. During 2016/2017 children's sun exposure time, screen time, time devoted to the practice of physical activity and active play were collected through standard questionnaires answered by parents. Statistical analyses were conducted to investigate differences among sun exposure time according to the sex, age, obesity indicators and lifestyle habits. RESULTS Linear regression analysis showed that sun exposure time presented a negative association with Body Mass Index (β = -0.09, 95% CI: -0.18; -0.003; p = .042), body fat % (β = -0.31, 95%; CI: -0.54; -0.07; p = .010), computer time (β = -0.08, 95% CI: -0.12; - 0.05; p < .0001) and a positive association with active play time (β = 0.22, 95% CI: 0.17; 0.27; p < .0001) and total time of physical activity practice (β = 10.01, 95% CI: 4.52; 15.20; p < .0001). CONCLUSIONS The results reinforce the need for future guidance on the ideal sun exposure time, especially in children, who are at risk for vitamin D deficiency. Standardization of criteria for classifying optimal sun exposure time in this age group, considering the parameters that affect vitamin D status, such as age and seasonality, should be considered when planning future guidelines.
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Affiliation(s)
- Elizabete A Dos Santos
- Nutrition Department, School of Public Health, University of São Paulo, São Paulo, Brazil
| | | | - Daniela Rodrigues
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal
| | | | - Maria-Raquel Silva
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal
- Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal
- Comprehensive Health Research Centre-Group of Sleep, Chronobiology and Sleep Disorders-Nova Medical School, University of Lisbon, Lisbon, Portugal
| | - Helena Nogueira
- Research Centre for Anthropology and Health, Department of Geography and Tourism, University of Coimbra, Coimbra, Portugal
| | - Cristina Padez
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal
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Reuter ÉM, Reuter CP, de Castro Silveira JF, Sehn AP, Todendi PF, de Moura Valim AR, Brazo-Sayavera J, de Mello ED. The genetic predisposition increases the chances of schoolchildren maintaining higher adiposity levels after three years. BMC Pediatr 2023; 23:57. [PMID: 36737715 PMCID: PMC9896808 DOI: 10.1186/s12887-023-03846-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Accepted: 01/12/2023] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND The behavior of anthropometrics and the relationship with genetic factors through a long-term perspective should be better explored. This study aims to verify the odds of maintaining the nutritional status classification after three years, according to the rs9939609 polymorphism (FTO gene). METHODS It was a retrospective longitudinal study with 355 schoolchildren (7-17 years). Body mass index, body-fat percentage (BF%), and waist circumference (WC) were measured at baseline and follow-up. The FTO gene was evaluated from blood collection and genotyping performed by real-time polymerase chain reaction. Odds ratios and 95% confidence intervals were calculated. RESULTS For those homozygous with the A allele, the odds of being at less favorable classification at follow-up were 2.29 (1.24; 4.22) and 4.05 (2.08; 7.86) times higher than expected for BF% and WC, respectively, whereas the odds of being in the more favorable classification at follow-up were 0.34 (0.12; 0.93) and 0.11 (0.01; 0.78) for BF% and WC, respectively. The odds of being at less favorable classification were higher for AA carriers with less favorable classification at baseline for BF% and WC compared to AT and TT carriers. CONCLUSIONS Schoolchildren with a genetic predisposition to obesity and unfavorable anthropometric profile at baseline had more chances of maintaining their nutritional status after three years of follow-up.
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Affiliation(s)
- Éboni Marília Reuter
- Department of Health Sciences, University of Santa Cruz do Sul (UNISC), Av. Independência, 2293; Bairro Universitário, Santa Cruz do Sul, Rio Grande do Sul, 96816-501, Brazil.
| | - Cézane Priscila Reuter
- grid.442060.40000 0001 1516 2975Department of Health Sciences, University of Santa Cruz do Sul (UNISC), Av. Independência, 2293; Bairro Universitário, Santa Cruz do Sul, Rio Grande do Sul 96816-501 Brazil ,grid.442060.40000 0001 1516 2975Graduate Program in Health Promotion, University of Santa Cruz do Sul, Santa Cruz do Sul, Brazil
| | - João Francisco de Castro Silveira
- grid.442060.40000 0001 1516 2975Graduate Program in Health Promotion, University of Santa Cruz do Sul, Santa Cruz do Sul, Brazil ,grid.8532.c0000 0001 2200 7498Graduate Program in Human Movement Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Ana Paula Sehn
- grid.442060.40000 0001 1516 2975Graduate Program in Health Promotion, University of Santa Cruz do Sul, Santa Cruz do Sul, Brazil
| | - Pâmela Ferreira Todendi
- grid.8532.c0000 0001 2200 7498Graduate Program in Medical Sciences – Endocrinology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Andréia Rosane de Moura Valim
- grid.442060.40000 0001 1516 2975Graduate Program in Health Promotion, University of Santa Cruz do Sul, Santa Cruz do Sul, Brazil ,grid.442060.40000 0001 1516 2975Department of Life Sciences, University of Santa Cruz do Sul, Santa Cruz do Sul, Brazil
| | - Javier Brazo-Sayavera
- grid.11630.350000000121657640Centro Universitario Regional Noreste, Universidad de La República, Rivera, Uruguay ,grid.15449.3d0000 0001 2200 2355Department of Sports and Computer Science, Universidad Pablo de Olavide, Seville, Spain
| | - Elza Daniel de Mello
- grid.8532.c0000 0001 2200 7498Graduate Program in Child & Adolescent Health, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
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Silva Filho RCDS, Sasaki JE, Gordia AP, Andaki ACR. Effects of a Physical Exercise Program and Health Advice on Sedentary Behavior of Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1064. [PMID: 36673819 PMCID: PMC9859598 DOI: 10.3390/ijerph20021064] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 06/29/2022] [Accepted: 07/07/2022] [Indexed: 06/17/2023]
Abstract
Sedentary behavior (SB) is a risk factor for chronic non-communicable diseases. This study aimed to assess the effects of an extracurricular physical exercise program and health advice on SB in adolescents. This was a non-randomized experimental study involving 19 adolescents divided into an intervention group (IG) and a control group (CG), aged 13-16 years from a public school in a Brazilian municipality. SB was measured using self-reports and accelerometers. The intervention included physical exercise and health advice. Repeated measures analysis of variance with a significance level of α = 5% was used. There was a time*group interaction for the subscapular fold ((pre IG = 16.30 mm vs. CG = 13.44 mm, post IG = 14.00 mm vs. CG = 15.89 mm) p = 0.001), and VO2MAX ((pre IG = 32.75 mL/kg/min vs. CG = 30.66 mL/kg/min, post IG = 35.76 mL/kg/min vs. CG = 29.28 mL/kg/min) p = 0.008). The accelerometer showed significant differences between groups in the total SB ((pre IG = 647.49 min/day vs. CG = 535.24 min/day, post IG = 614.02 min/day vs. CG = 586.97 min/day) p = 0.045), with a significant decrease in the IG. In conclusion, an extracurricular physical exercise program and health advice was effective in reducing SB in adolescents.
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Affiliation(s)
| | - Jeffer Eidi Sasaki
- Postgraduate Program in Physical Education, Federal University of Triângulo Mineiro, Uberaba 38061-500, MG, Brazil
| | - Alex Pinheiro Gordia
- Teachers Training Center, Federal University of Recôncavo da Bahia, Amargosa 45300-000, BA, Brazil
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Guerra PH, Martelo R, da Silva MN, de Andrade GF, Christofaro DGD, Loch MR. Screen time and low back pain in children and adolescents: a systematic review of Brazilian studies. REVISTA PAULISTA DE PEDIATRIA : ORGAO OFICIAL DA SOCIEDADE DE PEDIATRIA DE SAO PAULO 2023; 41:e2021342. [PMID: 37042940 PMCID: PMC10088468 DOI: 10.1590/1984-0462/2023/41/2021342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Accepted: 05/06/2022] [Indexed: 04/13/2023]
Abstract
OBJECTIVE To identify and summarize the possible associations between screen time and low back pain in children and adolescents. DATA SOURCE Systematic searches were performed in five electronic databases (Lilacs, Scielo, Scopus, PubMed and Web of Science) on 01/25/2021, complemented by manual searches in reference lists and on Google Scholar, looking for original scientific articles that included Brazilian observational studies; whose samples had children and/or adolescents aged between 6 and 19 years, without specific clinical conditions, and that presented analyses of associations between indicators of screen time and nonspecific low back pain, based on regression models. DATA SYNTHESIS Nine cross-sectional studies whose samples had adolescents were included. Of the 18 analyses identified, nine reported risk relationships between the variables of interest. More specifically, risk associations were found in two studies that evaluated adolescents exposed to at least three hours using cell phone or tablet, and watching television per day. Also, instruments, cut-off points adopted, and screen equipment evaluated were diverse. CONCLUSIONS Even though most of the risk associations were borderline from the statistical point of view, we found a higher frequency of risk associations between screen time and non-specific low back pain in adolescents exposed to screen time for at least three hours a day. In addition, further longitudinal studies with samples composed of children should be conducted across the country.
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Affiliation(s)
| | - Raquel Martelo
- Universidade Federal da Fronteira Sul, Chapecó, SC, Brazil
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Oliveira GA, Marcelino AC, Tristão Parra M, Nascimento-Ferreira MV, De Moraes ACF. Validity and Reliability of Questionnaires That Assess Barriers and Facilitators of Sedentary Behavior in the Pediatric Population: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16834. [PMID: 36554715 PMCID: PMC9778761 DOI: 10.3390/ijerph192416834] [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: 10/31/2022] [Revised: 12/08/2022] [Accepted: 12/10/2022] [Indexed: 06/17/2023]
Abstract
We systematically reviewed the literature about the validity and reliability of barriers and facilitators of sedentary behavior questionnaires for children and adolescents, considering accelerometers as the reference method. We included studies that assessed the agreement between the barriers and facilitators of sedentary behavior through a questionnaire and an objective measure (e.g., accelerometry). We searched four electronic databases (MEDLINE/PubMed, CINAHL, Web of Science, and SCOPUS): these databases were searched for records from inception to 5 March 2021, and updated to November 2022. The search strategy used the following descriptors: children and adolescents; barriers or facilitators; questionnaires; accelerometers; and validation or reliability coefficient. Studies identified in the search were selected independently by two reviewers. The inclusion criteria were: (i) population of children and adolescents, (ii) original studies, (iii) subjective and objective measurement methods, (iv) studies that report validity or reliability, and (v) population without specific diseases. Seven studies were eligible for our review. The main exclusion reasons were studies that did not report validity or reliability coefficients (56.6%) and non-original studies (14.5%). The participants' ages in the primary studies ranged from 2 to 18 years. Cronbach's alpha coefficient was the most reported reliability assessment among the eligible articles, while Pearson and Spearman's coefficients were prevalent for validity. The reliability of self-report questionnaires for assessing sedentary behavior ranged from r = 0.3 to 1.0. The validity of the accelerometers ranged from r = -0.1 to 0.9. Family environment was the main factor associated with sedentary behavior. Our findings suggest that questionnaires assessing the barriers and facilitators of sedentary behavior are weak to moderate. PROSPERO Registration (CRD42021233945).
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Affiliation(s)
- Guilherme Augusto Oliveira
- Department of Epidemiology, School of Public Health, University of Sao Paulo, Sao Paulo 01246-904, Brazil
| | - Andressa Costa Marcelino
- Department of Epidemiology, School of Public Health, University of Sao Paulo, Sao Paulo 01246-904, Brazil
- Undergraduate Course in Nutrition, Ninth of July University, Sao Paulo 01504-001, Brazil
| | - Maíra Tristão Parra
- Hebert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, CA 92093, USA
| | | | - Augusto César 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 78701, USA
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Association between Pulmonary Function and Body Composition in Children and Adolescents with and without Obesity. J Clin Med 2022; 11:jcm11247410. [PMID: 36556026 PMCID: PMC9782625 DOI: 10.3390/jcm11247410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Revised: 11/28/2022] [Accepted: 12/01/2022] [Indexed: 12/24/2022] Open
Abstract
Lung function in children and adolescents with obesity must consider the coexistence of two complex and related phenomena: obesity and growth. The assessment of body composition can identify changes in respiratory dynamics arising, exclusively or jointly, from adiposity and lean body mass. This study aimed to compare pulmonary function and the dysanapsis indices of children and adolescents without asthma, with and without obesity, considering body composition, pubertal development, and physical activity practice. We performed a cross-sectional study with 69 participants, 41 (59.42%) of whom have obesity. All participants carried out spirometry and the assessment of, respectively, body composition by dual-energy X-ray absorptiometry, vital signs, pubertal development, and physical activity practice. In our data, the group with obesity had higher values of forced vital capacity (FVC) and lower values of the ratio between forced expiratory volume in one second and FVC (FEV1/FVC). Analyzing the entire sample, we found a positive correlation between FVC and a negative correlation between FEV1/FVC with fat mass markers. At the same time, inspiratory capacity, expiratory reserve volume, and peak expiratory flow were correlated with lean body mass markers. In addition, participants with obesity presented a lower dysanapsis index. In conclusion, children and adolescents with obesity showed increased FVC and reduced FEV1/FVC. Our findings are possibly related to the increase in fat mass, not to lean body mass. We hypothesize that these findings are associated with the dysanaptic growth pattern, which is higher in obesity, evidenced by the reduction of the dysanapsis index.
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Relationship of Objectively Measured Physical Activity, Sedentary Behavior and Sleep Time with Cardiovascular and Mtabolic Outcomes in Adolescents (A Pilot Study): ABCD Growth Study. Matern Child Health J 2022; 26:2293-2299. [PMID: 36125671 DOI: 10.1007/s10995-022-03471-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/17/2022] [Indexed: 10/14/2022]
Abstract
STUDY OBJECTIVE Different behaviors are considered important factors that may influence a healthy lifestyle. Given this fact, we aim to analyze the relationship between moderate-vigorous physical activity (MVPA), sleep time, and sedentary time, with cardiometabolic outcomes in adolescents. METHODS Cross-sectional study, with 152 eutrophic and healthy adolescents. The behavioral variables were collected objectively and the arterial thickness was measured through ultrasound. Blood variables (LDL, TG, HDL, glucose, and insulin) were collected in a private laboratory. To analyze the data, the Student t test and Kruskal-Wallis test were used to compare the groups. All analyses adopted p < 0.05. RESULTS Girls who demonstrated better combined behaviors, presented significant results for TG (p = 0.045), BP (p = 0.016), and cardiovascular score (p = 0.049) when compared to their peers. Furthermore, the practice of physical activity combined with sufficient sleep time was associated with lower values of arterial thickening (p = 0.017). CONCLUSIONS In view of the results presented, it is possible to state that the aggregation of behaviors was more consistent in females and that the practice of physical activity and adequate sleep time can reflect on cardiovascular health.
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Torres W, Maillane-Vanegas S, Urban JB, Fernandes RA. Impact of sports participation on cardiovascular health markers of children and adolescents: Systematic review and meta-analysis. World J Clin Pediatr 2022; 11:375-384. [PMID: 36052113 PMCID: PMC9331402 DOI: 10.5409/wjcp.v11.i4.375] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Revised: 12/17/2021] [Accepted: 05/28/2022] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Cardiovascular diseases have a high prevalence in adults and their development begins in the first decades of life. On the other hand, sports participation in childhood and adolescence provides benefits which can delay the onset of these diseases.
AIM To synthesize the available literature on the impact of sports participation on cardiovascular outcomes in children and adolescents.
METHODS This systematic review was conducted on studies of children and adolescents (aged 8-18 years) who regularly practiced a sport and had reported cardiovascular outcomes (blood pressure and intima-media thickness) recorded. The Medline/PubMed, SciELO, Reference Citation Analysis (https://www.referencecitationanalysis.com/) and Bireme databases were searched.
RESULTS In total, 3314 publications for blood pressure and 122 publications for intima-media thickness were identified in the databases. After exclusions (e.g., duplicate articles, animal studies and those that did not meet the inclusion criteria), four publications for blood pressure (449 adolescents) and two publications for intima-media thickness were included (402 adolescents). For blood pressure, all publications were longitudinal in design (follow-up ranging from 12 wk to 12 mo) and involved adolescents aged from 8 years to 18 years of age. For intima-media thickness, both publications were longitudinal in design and involved adolescents aged from 11 years to 18 years of age.
CONCLUSION Sports participation seems to promote benefits to cardiovascular structure and function in adolescents. However, studies with adolescents are scarce and further research is needed to understand this phenomenon.
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Affiliation(s)
- Wesley Torres
- Department of Physical Education, Sao Paulo State University-UNESP, Presidente Prudente 19060900, Sao Paulo, Brazil
| | - Santiago Maillane-Vanegas
- Department of Physical Education, Sao Paulo State University-UNESP, Presidente Prudente 19060900, Sao Paulo, Brazil
| | - Jacqueline Bexiga Urban
- Department of Physical Education, Sao Paulo State University-UNESP, Presidente Prudente 19060900, Sao Paulo, Brazil
| | - Romulo Araujo Fernandes
- Department of Physical Education, Sao Paulo State University-UNESP, Presidente Prudente 19060900, Sao Paulo, Brazil
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Zhang J, Yang SX, Wang L, Han LH, Wu XY. The influence of sedentary behaviour on mental health among children and adolescents: A systematic review and meta-analysis of longitudinal studies. J Affect Disord 2022; 306:90-114. [PMID: 35304232 DOI: 10.1016/j.jad.2022.03.018] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2021] [Revised: 12/12/2021] [Accepted: 03/10/2022] [Indexed: 02/05/2023]
Abstract
BACKGROUND Systematic reviews that have examined associations between sedentary behaviour (SB) and mental health among children and adolescents are mainly based on cross-sectional investigations. There is a lack of evidence for a prospective relationship between SB and mental health in children and adolescents. This systematic review synthesized longitudinal studies that examined prospective associations between SB and mental health among children and adolescents. METHODS We conducted computer searches for English language literature from electronic databases of PubMed, Embase, PsycInfo and Google scholar, and manually screened the references of existing relevant studies to select studies for the synthesis. We included observational longitudinal studies that assessed the association between SB and mental health among children and adolescents. This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. RESULTS In total, 58 longitudinal studies met the inclusion criteria and were synthesized in the review. We found that higher SB among children and adolescents was associated with increased depression, anxiety and other mental health problems later in life. A dose-response association between SB and mental health was observed, suggesting that children and adolescents who spend more time on SB may have a higher risk of developing poorer mental health later. CONCLUSIONS The findings in the present study suggest that intervention programs targeting reducing SB may benefit to the prevention of poor mental health among children and adolescents. Future intervention studies especially randomized controlled trials are needed to elucidate a causal relationship between SB and mental health among children and adolescents.
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Affiliation(s)
- Jing Zhang
- Weifang Medical University, Weifang, Shandong, China; Weifang Municipal Center for Disease Control and Prevention, Weifang, Shandong, China
| | | | - Liang Wang
- Weihai Municipal Hospital, Cheeloo College of Medicine, Shandong University, China
| | - Li Hui Han
- The Affiliated Weihai Second Municipal Hospital of Qingdao University, Shandong, China
| | - Xiu Yun Wu
- Weifang Medical University, Weifang, Shandong, China.
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Tozo TA, Pereira BO, Menezes FJD, Montenegro CM, Moreira CMM, Leite N. Family History of Hypertension: Impact on Blood Pressure, Anthropometric Measurements and Physical Activity Level in Schoolchildren. INTERNATIONAL JOURNAL OF CARDIOVASCULAR SCIENCES 2022. [DOI: 10.36660/ijcs.20200346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Sousa TFD, Carvalho FO, Silva EDS, Mussi FC, Fonseca SCF, Silva DCGD, Souza ALD, Barros GR, Fonseca SA. What are the characteristics that influence the sitting time in university students? REVISTA BRASILEIRA DE CINEANTROPOMETRIA E DESEMPENHO HUMANO 2022. [DOI: 10.1590/1980-0037.2022v24e84369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract The objective was to estimate the relationship between sociodemographic characteristics, link with the university, behavioral, biological, and self-rated related to health, with time sitting in university students at federal institutions in the state of Bahia, Brazil. This cross-sectional study was carried out with university students from six institutions (Federal University “Recôncavo da Bahia”, Federal University of “Bahia”, Federal University of “Oeste da Bahia”, University of International Integration of Afro-Brazilian Lusophony, Federal University of “Vale do São Francisco” and Federal University of “Sul da Bahia”) in the state from Bahia in 2019. Time sitting in hours per day was investigated and relation sociodemographic, link with the university, behavioral, biological, self-rated of stress and health variables. Path analysis was used to apply multivariate linear regression. The significance status was 5%. A total of 1,217 university students participated of the study. The final model accounts for 6% of sitting time. Self-rated health as positive (β: -0.117; p: <0.001), increasing age (β: -0.115; p: <0.001) and physical activity practice (β: -0.113; p: <0.001) contributed to the decrease in sitting time. The increase in the amount of inadequate eating habits (β: 0.063; p: 0.032) favored the increase in sitting time. The adjustment indices were satisfactory. Concluded that self-rated health as positive, advancing age and physical activities practice were determinants of reduced sitting time, on the other hand, irregular eating behaviors favored sedentary behavior.
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Canuto MDDP, Silva AVL, Martins JV, Fonseca MDM, Guimarães NS, Soares ADN, Gomes JMG. Abdominal obesity-related risk factors in children from public schools of Barbacena, Minas Gerais, Brazil. REVISTA PAULISTA DE PEDIATRIA 2021; 40:e2020354. [PMID: 34614135 PMCID: PMC8543830 DOI: 10.1590/1984-0462/2022/40/2020354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Accepted: 01/17/2021] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To evaluate the sociodemographic and lifestyle factors associated with abdominal obesity in children from public schools in Barbacena, state of Minas Gerais, Brazil. METHODS This is a cross-sectional study conducted on 326 students aged 7 to 9 years from public schools in the urban area of the city. Anthropometric data included body weight, height, body mass index according to age, waist circumference, and waist-to-height ratio. Food consumption was evaluated using the Previous Day Food Questionnaire. Abdominal obesity was assessed based on waist circumference and waist-to-height ratio. The bivariate and multivariate analyses were performed by logistic regression, estimating the crude and adjusted odds ratio (OR), with 95% confidence interval. RESULTS The prevalence of overweight was 30.7%; whereas the prevalence of abdominal obesity was 9.2 and 12.6% according to waist circumference and waist-to-height ratio, respectively. Boys (OR 2.76; 95%CI 1.22-6.25) and children from central schools (OR 2.73; 95%CI 1.08-6.80) presented an increased chance of abdominal obesity according to waist circumference. Abdominal obesity according to waist-to-height ratio was associated with the central location of the schools (OR 2.18; 95%CI 1.02-4.63) and the habit of skipping supper (OR 2.01; 95%CI 1.00-4.09). CONCLUSIONS The findings showed that being a boy, studying in a central school, and skipping supper were the main risk factors associated with abdominal obesity.
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Affiliation(s)
| | - Adriele Vidal Lucas Silva
- Instituto Federal de Educação, Ciência e Tecnologia do Sudeste de Minas Gerais, Campus Barbacena, Barbacena, MG, Brazil
| | - João Victor Martins
- Instituto Federal de Educação, Ciência e Tecnologia do Sudeste de Minas Gerais, Campus Barbacena, Barbacena, MG, Brazil
| | - Marlene de Melo Fonseca
- Instituto Federal de Educação, Ciência e Tecnologia do Sudeste de Minas Gerais, Campus Barbacena, Barbacena, MG, Brazil
| | | | | | - Júnia Maria Geraldo Gomes
- Instituto Federal de Educação, Ciência e Tecnologia do Sudeste de Minas Gerais, Campus Barbacena, Barbacena, MG, Brazil
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Brand C, Sehn AP, Todendi PF, de Moura Valim AR, Mattevi VS, García-Hermoso A, Reis Gaya A, Reuter CP. The genetic predisposition to obesity has no influence on waist circumference when screen time and sleep duration are adequate in children and adolescents. Eur J Sport Sci 2021; 22:1757-1764. [PMID: 34365898 DOI: 10.1080/17461391.2021.1964609] [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
The aim of the present study was to verify whether the amount of sleep duration, screen time, and physical activity moderate the relationship between FTO rs9939609 polymorphism and waist circumference (WC) in children and adolescents. This is a cross-sectional study conducted with 1338 children and adolescents, aged between 6 and 17 years. Lifestyle habits were assessed through self-reported questionnaire. WC was measured on the narrowest part of the trunk between the last rib and the iliac crest. FTO rs9939609 polymorphism was genotyped by real time polymerase chain reaction. The PROCESS macro for the SPSS was used for moderation analyses, through multiple linear regression models. Results indicated significant interactions were found between sleep duration and screen time X FTO rs9939609, showing that these lifestyle behaviours are moderators in the relationship between a genetic predisposition for obesity and higher WC. For physical activity, there was no significant interaction. Therefore, sleeping more than 564 min a day (i.e. 9.4 h) and spending no more than 233 min in front of screen may counteract the genetic predisposition to obesity in children and adolescents.
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Affiliation(s)
- Caroline Brand
- Graduate Program in Health Promotion, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, Brazil
| | - Ana Paula Sehn
- Graduate Program in Health Promotion, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, Brazil
| | - Pâmela Ferreira Todendi
- Graduate Program in Endocrinology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Vanessa Suñé Mattevi
- Graduate Program in Biosciences, Federal University of Health Sciences of Porto Alegre - UFCSPA, Porto Alegre, Brazil
| | - Antônio García-Hermoso
- Navarrabiomed, Complejo Hospitalario de Navarra (CHN), Universidad Pública de Navarra (UPNA), IdiSNA, Pamplona, Spain.,Escuela de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile (USACH), Santiago, Chile
| | - Anelise Reis Gaya
- School of Physical Education, Physiotherapy and Dance, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Cézane Priscila Reuter
- Graduate Program in Health Promotion, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, Brazil
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Miranda VPN, Coimbra DR, Bastos RR, Miranda Júnior MV, Amorim PRDS. Use of latent class analysis as a method of assessing the physical activity level, sedentary behavior and nutritional habit in the adolescents' lifestyle: A scoping review. PLoS One 2021; 16:e0256069. [PMID: 34411143 PMCID: PMC8376087 DOI: 10.1371/journal.pone.0256069] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2020] [Accepted: 07/29/2021] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Currently, adolescents' lifestyle is commonly characterized by physical inactivity, sedentary behavior, and inappropriate eating habits in general. A person-oriented approach as Latent Class Analysis (LCA) can offer more insight than a variable-centered approach when investigating lifestyle practices, habits, and behaviors of adolescent population. OBJECTIVE The aim of the present study was to assess which variables are mostly used to represent the physical activity level, sedentary behavior SB) and nutritional habit in the adolescents' lifestyle in studies that used the LCA. DESIGN Scoping review. METHODS The study was a performed in accordance with the proposed criteria for systematic reviews and meta-analyses-Preferred Reporting Items for Systematic Reviews and Meta-Analyses and registered in PROSPERO (CRD42018108444). The original articles were searched in MEDLINE/PubMed, Scopus, ScienceDirect, Web of Science, PsycINFO, and SPORTdiscus. The Quality Assessment Tool analyzed the risk of bias of the included studies. RESULTS 30 original articles were selected. The physical activity level (28 studies), SB and nutritional habits (18 studies) were the most common variable used to evaluate the adolescent's lifestyle by LCA model. Specifically, physical inactivity and high SB were the manifest variables with higher frequency in the negative latent classes (LCs) in adolescent girls. On the other hand, physical exercises and sports were activities more commonly labeled as positive LCs. CONCLUSIONS The LCA models of the most of selected studies showed that physical inactivity, high SB were the most common in the LCs with negative characteristics of the adolescents' lifestyle. Better understanding the results of analyzes of clusters of multivariate behaviors such as the LCA can help to create more effective strategies that can make the lifestyle of adolescents healthier.
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Affiliation(s)
- Valter Paulo Neves Miranda
- Department of Physical Education, Federal University of Viçosa, Minas Gerais, Brazil
- Department of Sports Science and Clinic Hospital (EBSERH), Federal University of Triângulo Mineiro, Uberaba, Minas Gerais, Brazil
| | - Danilo Reis Coimbra
- Department of Physical Education, Federal University of Juiz de Fora / Campus Governador Valadares, Governador Valadares, Minas Gerais, Brazil
| | - Ronaldo Rocha Bastos
- Department of Statistics, Geo-Referenced Information Lab (LINGE), Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil
| | - Márcio Vidigal Miranda Júnior
- School of Physical Education, Physiotherapy and Occupational Therapy, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
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17
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Students' Physical Activity Profiles According to Children's Age and Parental Educational Level. CHILDREN-BASEL 2021; 8:children8060516. [PMID: 34207023 PMCID: PMC8234853 DOI: 10.3390/children8060516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 06/07/2021] [Accepted: 06/12/2021] [Indexed: 11/22/2022]
Abstract
The aim of this study was to identify different profiles of physical activity (PA) behaviors according to the school student’s age stage and their parents’ or guardians education level. Seven hundred twenty-seven students and parents of different educational stages were invited to take part in this study. The participants included, Preschool (1 to 5 years old), Primary School (6 to 11 years old), Secondary School (12 to 15 years old), and High School (16 to 18 years old). A questionnaire to assess the educational level of parents (low, intermediate, and high) and their child’s PA level and sedentary behaviors across various age stages was administered. The results showed a number of different physical activity profiles for preschool (4), primary (6), secondary (7) and high school (2) students. Primary and secondary school children’s behavioral profiles were reported to differ significantly between both physical activity levels and sedentary behaviors, while preschool students’ behavioral profiles only differed between sedentary behaviors. Higher parental education was most prevalent in clusters with significantly higher levels of PA in primary and secondary students, while there were equivocal trends for parental education level influencing behavioral profiles of high school students. These findings suggest there is some association between the behavioral profiles of student’s physical activity and sedentary behavior, and parental education level, most noticeably during the early to middle age stages.
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18
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Cairo SMC, Teixeira CSS, da Silva TO, da Silva EKP, Martins PC, Bezerra VM, de Medeiros DS. Overweight in Rural Quilombola and Non-quilombola Adolescents From the Northeast of Brazil. Front Nutr 2021; 7:593929. [PMID: 33634159 PMCID: PMC7900433 DOI: 10.3389/fnut.2020.593929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Accepted: 12/29/2020] [Indexed: 11/26/2022] Open
Abstract
Introduction: Overweight is an emerging problem among children and adolescents that leads to the development of several morbidities and health risks. Overweight occurs differently in different populations, especially in vulnerable groups like the rural and quilombola communities (an African-descendant population). This study aimed to estimate the prevalence of overweight and to investigate the possible associated factors in rural adolescents living in both quilombola and non-quilombola communities in Northeast Brazil. Methods: This study is a population-based cross-sectional study with a household approach carried out in 2015 with 390 adolescents (age 10–19 years) living in rural quilombola and non-quilombola communities. The nutritional status was gauged using z-scores calculated for body mass index (BMI) and varies with gender and age. Prevalence ratios (PRs) and 95% confidence intervals (95% CIs) were used to establish associations between the results and explained variables. The multivariate analysis followed a model with a hierarchical entry of covariables controlled by gender and age. Results: The study showed that 18.5% of rural adolescents were overweight, of which 17.9% were quilombolas and 19.0% were non-quilombolas. A significant difference in overweight between the samples was not found. In the multivariate-adjusted model, age ≥16 years (PR: 0.51; 95% CI: 0.28–0.95), the habit of having regular breakfast (PR: 0.58; 95% CI: 0.35–0.98), and process of attending school (PR: 0.35; 95% CI: 0.17–0.71) were associated with a lower prevalence of overweight. Stationary screen time, in contrast, was associated with a higher prevalence (PR: 1.61; 95% CI: 1.05–2.46). The process of attending school was associated with a lower prevalence of overweight (PR: 0.26; 95% CI: 0.09–0.69), even for the quilombolas. Conclusions: A low prevalence of overweight was identified in rural adolescents. Overweight was significantly associated with the habit of having regular breakfast, older age, stationary screen time, and the process of attending school. The results reveal that school is a potential space for health promotion interventions, specifically in the most vulnerable rural regions, such as the quilombola communities. Besides, the study emphasizes the importance of adopting a healthy lifestyle early in life, including cultivating the habit of having regular breakfast and reducing stationary screen time.
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Affiliation(s)
- Stefanie M C Cairo
- Program of Post-Graduation in Collective Health, Multidisciplinary Institute of Health, Federal University of Bahia, Vitória da Conquista, Brazil
| | - Camila S S Teixeira
- Program of Post-Graduation in Public Health, Institute of Collective Health, Federal University of Bahia, Salvador, Brazil
| | - Tainan O da Silva
- Program of Post-Graduation in Collective Health, Multidisciplinary Institute of Health, Federal University of Bahia, Vitória da Conquista, Brazil
| | - Etna K P da Silva
- Program of Post-Graduation in Public Health, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Poliana C Martins
- Program of Post-Graduation in Collective Health, Multidisciplinary Institute of Health, Federal University of Bahia, Vitória da Conquista, Brazil
| | - Vanessa M Bezerra
- Program of Post-Graduation in Collective Health, Multidisciplinary Institute of Health, Federal University of Bahia, Vitória da Conquista, Brazil
| | - Danielle S de Medeiros
- Program of Post-Graduation in Collective Health, Multidisciplinary Institute of Health, Federal University of Bahia, Vitória da Conquista, Brazil
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Sehn AP, Gaya AR, Brand C, Dias AF, Kelishadi R, Franke SIR, Renner JDP, Reuter CP. Combination of sleep duration, TV time and body mass index is associated with cardiometabolic risk moderated by age in youth. J Pediatr Endocrinol Metab 2021; 34:51-58. [PMID: 33581702 DOI: 10.1515/jpem-2020-0399] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Accepted: 10/16/2020] [Indexed: 12/14/2022]
Abstract
OBJECTIVES The combination of sleep duration, television (TV) time and body mass index (BMI) may be related to the alteration of cardiometabolic risk. However, there are few studies that use these variables grouped, and showing the moderating role of age. This study aimed to verify if the combination of sleep duration, TV time and BMI is associated with cardiometabolic risk and the moderating role of age in this relationship in youth. METHODS Cross-sectional study conducted with 1411 adolescents (611 male), aged 10-17 years. Sleep duration, TV time and BMI were assessed and grouped into eight categories. Cardiometabolic risk was assessed by a continuous metabolic risk score, including the following variables: low HDL-cholesterol, elevated triglycerides, dysglycemia, high systolic blood pressure, high waist circumference and low cardiorespiratory fitness. Generalized linear models were used to test moderation of age in the relationship between the eight categories of sleep duration/television time/BMI with cardiometabolic risk. RESULTS Cardiometabolic risk factor showed association with all overweight or obesity independent of sleep time and TV time. Age moderated the relationship between sleep duration/television time/BMI with cardiometabolic risk. This association was stronger in younger adolescents (11 and 13 years), indicating that individuals with inadequate sleep, prolonged TV time and overweight/obesity present higher cardiometabolic risk values when compared to 15-year-old adolescents. CONCLUSION Overweight/obesity, independently of sleep duration and TV time, is the main risk factor for cardiometabolic disorders in adolescence. When moderated by age, younger adolescents that presented the combination of risk factors had higher cardiometabolic risk.
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Affiliation(s)
- Ana P Sehn
- Graduate Program in Health Promotion, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
| | - Anelise R Gaya
- Graduate Program in Human Movement Sciences, Physical Education, Physiotherapy and Dance School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
| | - Caroline Brand
- Graduate Program in Health Promotion, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
| | - Arieli F Dias
- Graduate Program in Human Movement Sciences, Physical Education, Physiotherapy and Dance School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
| | - Roya Kelishadi
- Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Silvia I R Franke
- Graduate Program in Health Promotion, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
| | - Jane D P Renner
- Graduate Program in Health Promotion, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
| | - Cézane P Reuter
- Graduate Program in Health Promotion, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil.,Department of Health Sciences and Graduate Program in Health Promotion,University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
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20
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Alves MDDJ, Santos JRD, Silva DDS, Sampaio RAC, Ribas MCDS, Silva RJDS. Physical activity level in overweight adolescents at school: a systematic review. REVISTA BRASILEIRA DE CINEANTROPOMETRIA E DESEMPENHO HUMANO 2021. [DOI: 10.1590/1980-0037.2021v23e82375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract – The objective of this systematic review was to identify the association between overweight/obesity and level of physical activity in Brazilian children and adolescents in the school setting. For search strategy, the main reference databases (PubMed, LILACS, SciELO, SPORTDiscus, Web of Science, ERIC) were used. Baseline searches resulted in 3,265 potentially relevant titles (2,775 titles after removal of duplicate studies); 21 studies met all inclusion criteria and were included for analysis. Studies were carried out from 2007 to 2019; 47.6% of them were conducted in Southern Brazil, and only one study had nationwide approach. Prevalence from 5.4% to 21% was identified for overweight, 3.5% to 16.9% for obesity and 11.8% to 40.1% for overweight + obesity. According to results, 64.3% of overweight, 69.8% of obese and 37.7% of young overweight people were considered insufficiently active. The non-standardization of instruments to assess levels of physical activity and the lack of information regarding other Brazilian regions were classified as important limitations. The results reinforce the increase in the prevalence of overweight in Brazilian children and adolescents, and the high prevalence of physical inactivity among them. For every ten overweight children/adolescents, six are reported to be insufficiently active.
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21
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Martins CMDL, Bandeira PFR, Lemos NBAG, Bezerra TA, Clark CCT, Mota J, Duncan MJ. A Network Perspective on the Relationship between Screen Time, Executive Function, and Fundamental Motor Skills among Preschoolers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E8861. [PMID: 33260528 PMCID: PMC7730191 DOI: 10.3390/ijerph17238861] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Revised: 11/20/2020] [Accepted: 11/25/2020] [Indexed: 12/26/2022]
Abstract
The present study aimed to analyze the dynamic and nonlinear association between screen time, executive function (EF), and fundamental motor skills (FMS) in preschoolers, considering sex and body mass index (BMI) from a network perspective. Forty-two preschoolers (24 boys, 3.91 ± 0.77 years old) provided screen time, EF, FMS, and BMI data. EF was measured using the Go/No Go task, and accuracy of Go (sustain attention), reaction time of Go, and accuracy of No Go (inhibitory control) were considered. Relationships between screen time, EF, FMS, sex, and BMI were explored using a network analysis. The emerged network highlights that screen time is intensely associated with the other variables in the network, while the accuracy of Go has the greater connectivity with other nodes in the network (2.27), being the most sensitive to potential intervention changes. Moreover, sex (1.74), screen time (0.93), and accuracy of Go (0.71) showed the greatest closeness. This study showed that in the emerged network, independent of sex, screen exposure affects the accuracy on Go task, and these components affect the variables in the network, as motor abilities and tasks involved in inhibitory control.
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Affiliation(s)
| | | | | | - Thaynã Alves Bezerra
- Department of Physical Education, Federal University of Paraiba, João Pessoa-PB 58000-000, Brazil; (C.M.d.L.M.); (T.A.B.)
| | - Cain Craig Truman Clark
- Faculty of Health and Life Sciences, Coventry University, Priory Street, Coventry CV1 5FB, UK; (C.C.T.C.); (M.J.D.)
| | - Jorge Mota
- Centre of Physical Activity, Health and Leisure, Faculty of Sport Sciences, University of Porto, 4500 Porto, Portugal;
| | - Michael Joseph Duncan
- Faculty of Health and Life Sciences, Coventry University, Priory Street, Coventry CV1 5FB, UK; (C.C.T.C.); (M.J.D.)
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22
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Ponce-Blandón JA, Deitos-Vasquez ME, Romero-Castillo R, da Rosa-Viana D, Robles-Romero JM, Mendes-Lipinski J. Sedentary Behaviors of a School Population in Brazil and Related Factors. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E6966. [PMID: 32977634 PMCID: PMC7579517 DOI: 10.3390/ijerph17196966] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Revised: 09/14/2020] [Accepted: 09/16/2020] [Indexed: 02/06/2023]
Abstract
Background. Overweight and obesity arise from a complex range of genetic, environmental, behavioral, educational, and socioeconomic factors. The present study explored the sedentary practices and some life habits related to health among children from the school population of Uruguaiana (Rio Grande do Sul, Brazil). Methods: A cross-sectional descriptive study was conducted to characterize the life habits of the school boys and girls from fourth grade (9-10 years old). Results: A total of 470 fourth-grade boys and girls (9-10 years old) participated in the study. As regards the variables linked to habits, 24% of the boys and girls answered they had not had breakfast the day they completed the questionnaire and 51.8% stated they did not have breakfast any given day of the week. Regarding sedentary habits, 25.3% of children watched TV or played video games five or more hours a day and 9% rarely played sports with their parents or caregivers. Statistical significance was recorded between "number of hours watching TV and playing video games" and "playing sports with parents or caregivers" (p < 0.05). Conclusions: Association between the times spent watching TV or playing video games and the practice of physical exercise in the family proves once again the importance of the family in education for the health of children. The school provides direct access to schoolchildren and their parents to launch numerous health education programs.
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Affiliation(s)
- José Antonio Ponce-Blandón
- Centro Universitario de Enfermería de Cruz Roja, Universidad de Sevilla, 41009 Sevilla, Spain; (J.A.P.-B.); (J.M.R.-R.)
| | - María Eduarda Deitos-Vasquez
- Departamento de Enfermagem, Universidade Federal do Pampa, Uruguaiana 1650, Bagé, Brazil; (M.E.D.-V.); (J.M.-L.)
| | - Rocío Romero-Castillo
- Centro Universitario de Enfermería de Cruz Roja, Universidad de Sevilla, 41009 Sevilla, Spain; (J.A.P.-B.); (J.M.R.-R.)
| | - Diogo da Rosa-Viana
- Departamento de Enfermagem, Universidade Federal Rio Grande do Sul (UFRGS), Porto Alegre 90040-000, Brazil;
| | - José Miguel Robles-Romero
- Centro Universitario de Enfermería de Cruz Roja, Universidad de Sevilla, 41009 Sevilla, Spain; (J.A.P.-B.); (J.M.R.-R.)
| | - Jussara Mendes-Lipinski
- Departamento de Enfermagem, Universidade Federal do Pampa, Uruguaiana 1650, Bagé, Brazil; (M.E.D.-V.); (J.M.-L.)
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Sehn AP, Gaya AR, Dias AF, Brand C, Mota J, Pfeiffer KA, Sayavera JB, Renner JDP, Reuter CP. Relationship between sleep duration and TV time with cardiometabolic risk in adolescents. Environ Health Prev Med 2020; 25:42. [PMID: 32825824 PMCID: PMC7442988 DOI: 10.1186/s12199-020-00880-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Accepted: 08/06/2020] [Indexed: 12/17/2022] Open
Abstract
Objective To verify the association between sleep duration and television time with cardiometabolic risk and the moderating role of age, gender, and skin color/ethnicity in this relationship among adolescents. Methods Cross-sectional study with 1411 adolescents (800 girls) aged 10 to 17 years. Television time, sleep duration, age, gender, and skin color/ethnicity were obtained by self-reported questionnaire. Cardiometabolic risk was evaluated using the continuous metabolic risk score, by the sum of the standard z-score values for each risk factor: high-density lipoprotein cholesterol, triglycerides, glycemia, cardiorespiratory fitness, systolic blood pressure, and waist circumference. Generalized linear regression models were used. Results There was an association between television time and cardiometabolic risk (β, 0.002; 95% CI, 0.001; 0.003). Short sleep duration (β, 0.422; 95% CI, 0.012; 0.833) was positively associated with cardiometabolic risk. Additionally, age moderated the relationship between television time and cardiometabolic risk (β, − 0.009; 95% CI, − 0.002; − 0.001), suggesting that this relationship was stronger at ages 11 and 13 years (β, 0.004; 95% CI, 0.001; 0.006) compared to 13 to 15 years (β, 0.002; 95% CI, 0.001; 0.004). No association was found in older adolescents (β, 0.001; 95% CI, − 0.002; 0.002). Conclusions Television time and sleep duration are associated with cardiometabolic risk; adolescents with short sleep have higher cardiometabolic risk. In addition, age plays a moderating role in the relationship between TV time and cardiometabolic risk, indicating that in younger adolescents the relationship is stronger compared to older ones.
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Affiliation(s)
- Ana Paula Sehn
- Graduate Program in Health Promotion, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
| | - Anelise Reis Gaya
- Graduate Program in Human Movement Sciences, Physical Education, Physiotherapy and Dance School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
| | - Arieli Fernandes Dias
- Graduate Program in Human Movement Sciences, Physical Education, Physiotherapy and Dance School, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
| | - Caroline Brand
- Graduate Program in Health Promotion, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
| | - Jorge Mota
- Research Center on Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal
| | | | | | - Jane Dagmar Pollo Renner
- Graduate Program in Health Promotion, Department of Life Sciences, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
| | - Cézane Priscila Reuter
- Graduate Program in Health Promotion, Department of Health Sciences, University of Santa Cruz do Sul (UNISC), Av. Independência, 2293, Santa Cruz do Sul, RS, 96815-900, Brazil.
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Parajára MDC, de Castro BM, Coelho DB, Meireles AL. Are neighborhood characteristics associated with sedentary behavior in adolescents? A systematic review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2020; 30:388-408. [PMID: 30929461 DOI: 10.1080/09603123.2019.1597833] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/03/2018] [Accepted: 03/13/2019] [Indexed: 06/09/2023]
Abstract
Sedentary behavior (SB) has emerged as a potential risk factor for chronic diseases. SB includes activities requiring low energy expenditure (≤1.5 metabolic equivalents) performed in a sitting or reclining posture. Our study aimed to gather evidence on the association between SB outcomes in adolescents (10-19 years) and neighborhood characteristics. This systematic review (PROSPERO registration number: CRD42018076877) examined studies indexed in PubMed Central®, LILACS, ScienceDirect, and SPORTDiscus databases. Sixteen articles were included. Insecurity during daytime hours, crime incidence, physical and social disorders, a higher neighborhood socioeconomic level, and time spent with peers were associated with higher levels of SB. Traffic, availability of a favorable environment for physical activity, and higher residential density were associated with lower levels of SB. Despite great variability in the SB cutoff points and methodology used for evaluating SB and neighborhood characteristics among studies, the evidence suggests that adolescent SB might be influenced by neighborhood characteristics.
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Affiliation(s)
- Magda do Carmo Parajára
- Postgraduate Program in Health and Nutrition, Federal University of Ouro Preto , Ouro Preto, Brazil
| | | | - Daniel Barbosa Coelho
- Postgraduate Program in Health and Nutrition, Federal University of Ouro Preto , Ouro Preto, Brazil
- Sports Center, Federal University of Ouro Preto , Ouro Preto, Brazil
| | - Adriana Lúcia Meireles
- Postgraduate Program in Health and Nutrition, Federal University of Ouro Preto , Ouro Preto, Brazil
- Department of Clinical and Social Nutrition, School of Nutrition, Federal University of Ouro Preto , Ouro Preto, Brazil
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Ribeiro EHC, Guerra PH, Oliveira ACD, Silva KSD, Santos P, Santos R, Okely A, Florindo AA. Latin American interventions in children and adolescents' sedentary behavior: a systematic review. Rev Saude Publica 2020; 54:59. [PMID: 32491109 PMCID: PMC7263802 DOI: 10.11606/s1518-8787.2020054001977] [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: 08/17/2019] [Accepted: 11/11/2019] [Indexed: 02/01/2023] Open
Abstract
OBJECTIVE To identify and evaluate the effects of community-based interventions on the sedentary behavior (SB) of Latin American children and adolescents. METHODS A systematic review on community-based trials to reduce and/or control SB in Latin American countries (Prospero: CRD42017072157). Five databases (PubMed, Web of Science, Scopus, SciELO and Lilacs) and a reference lists were searched. RESULTS Ten intervention studies met the eligibility criteria and composed the descriptive synthesis. These studies were conducted in Brazil (n=5), Mexico (n=3), Ecuador (n=1) and Colombia (n=1). Most interventions were implemented in schools (n=8) by educational components, such as meetings, lessons, and seminars, on health-related subjects (n=6). Only two studies adopted specific strategies to reduce/control SB; others focused on increasing physical activity and/or improving diet. Only one study used an accelerometer to measure SB. Seven studies investigated recreational screen time. Eight studies showed statistically significant effects on SB reduction (80%). CONCLUSIONS Latin America community-based interventions reduced children and adolescents' SB. Further studies should: define SB as a primary outcome and implement strategies to reduce such behaviour; focus in different SBs and settings, other than recreational screen time or at-home sitting time; and use objective tools together with questionnaires to measure sedentary behaviour in.
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Affiliation(s)
| | - Paulo Henrique Guerra
- Grupo de Estudos e Pesquisas Epidemiológicas em Atividade Física e Saúde, Universidade de São Paulo, São Paulo, SP, Brasil
| | - Ana Carolina de Oliveira
- Grupo de Estudos e Pesquisas Epidemiológicas em Atividade Física e Saúde, Universidade de São Paulo, São Paulo, SP, Brasil
| | - Kelly Samara da Silva
- Núcleo de Pesquisa em Atividade Física e Saúde, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil
| | - Priscila Santos
- Núcleo de Pesquisa em Atividade Física e Saúde, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil
| | - Rute Santos
- Centro de Investigação em Actividade Física, Saúde e Lazer, Universidade do Porto, Porto, Portugal
| | | | - Alex Antonio Florindo
- Grupo de Estudos e Pesquisas Epidemiológicas em Atividade Física e Saúde, Universidade de São Paulo, São Paulo, SP, Brasil
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Influence of the Parental Educational Level on Physical Activity in Schoolchildren. SUSTAINABILITY 2020. [DOI: 10.3390/su12093920] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The factors influencing physical activity participation in children are varied, although there is evidence that the educational level of parents may be one important factor. The aim of this study is to analyze the influence of parental education on the level of physical activity and the sedentary behavior of their children. The parents of 727 students, separated based on school group (preschool: n = 179; primary: n = 284; secondary: n = 230; high: n = 34), were invited to complete a series of questionnaires assessing their educational level (low, intermediate, and high) and their child’s level of physical activity and sedentary behavior. Primary school students with high- and intermediate-educated parents were found to engage in significantly more physical activity per week and spent more time engaged in homework than children with lower-educated parents. Secondary school students with higher-educated parents were found to spend significantly less time engaged in sedentary behavior than children with lower- or intermediate-educated parents, and high schoolers with higher-educated parents engaged in less tablet time than children with lower-educated parents. Multiple linear regression demonstrated that greater physical activity was precipitated by certain sedentary behaviors in children with more educated parents, such as total time watching TV (primary school), doing homework (secondary school), and total time using a tablet/similar (high school), which increased total time engaged in physical activity. These findings suggest that more educated parents may implement structured time for their children to engage in a balance of physical activity and sedentary behaviors.
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Silva RMA, Andrade ACDS, Caiaffa WT, de Medeiros DS, Bezerra VM. National Adolescent School-based Health Survey - PeNSE 2015: Sedentary behavior and its correlates. PLoS One 2020; 15:e0228373. [PMID: 31999792 PMCID: PMC6991995 DOI: 10.1371/journal.pone.0228373] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Accepted: 01/15/2020] [Indexed: 01/08/2023] Open
Abstract
OBJECTIVE To investigate the association between sedentary behavior (SB) and sociodemographic, social support, behavioral, and health variables among Brazilian adolescents. METHODS The 2015 National Adolescent School-based Health Survey (PeNSE) was a cross-sectional study consisting of 102,072 Brazilian ninth-graders (mainly aged 13-15 years). SB was defined as the time (in hours) watching television, using a computer, playing video games, talking to friends, or doing other activities in a sitting position. For analysis purposes, SB was categorized into different cut-offs as per the sample distribution quartiles: >2 versus <2 (25th percentile); >4 versus <4 (50th 26 percentile) and >6 versus <6 (75th 27 percentile). We employed Poisson univariate and multivariate regression analyses with robust variance and hierarchical entry of variables for each cut-off point. RESULTS The prevalence rates of each SB cut-off point were 68.15% (CI: 67.44-68.86), 44.15% (CI: 43.40-44.90) and 24.97% (CI:24.37-25.57) for >2, >4 and >6 hours, respectively. The following characteristics were positively and significantly associated with each SB cut-off point in the final models: females, current employment, higher household economic status and higher maternal schooling, lower levels of parents checking homework, tobacco and alcohol use, soft drink and fruit consumption, and regular, poor or very poor self-assessed health status. Conversely, students who self-declared brown were less likely to be classified as a SB cut-off point. Significant associations with age, report of close friends, and physical activity varied by different SB cut-off points. CONCLUSION Understanding the SB correlates in their different dimensions contributes to the identification of subgroups of adolescents with higher SB prevalence, which is crucial in the development and improvement of public policies. The demographic and behavioral characterization of these groups can guide the development of future intervention strategies, considering the school and family contexts of these adolescents.
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Affiliation(s)
- Roberta Mendes Abreu Silva
- Multidisciplinary Institute in Health, Anísio Teixeira Campus, Federal University of Bahia, Vitória da Conquista, Bahia, Brazil
| | - Amanda Cristina de Souza Andrade
- Federal University of de Mato Grosso, Cuiabá, Mato Grosso, Brazil
- Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Observatory for Urban Health in Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil
| | - Waleska Teixeira Caiaffa
- Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Observatory for Urban Health in Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil
| | - Danielle Souto de Medeiros
- Multidisciplinary Institute in Health, Anísio Teixeira Campus, Federal University of Bahia, Vitória da Conquista, Bahia, Brazil
| | - Vanessa Moraes Bezerra
- Multidisciplinary Institute in Health, Anísio Teixeira Campus, Federal University of Bahia, Vitória da Conquista, Bahia, Brazil
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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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Santos NFD, Lira PICD, Tavares FCDLP, Leal VDS, Oliveira JS, Pessoa JT, Cabral PC, Costa EC. OVERWEIGHT IN ADOLESCENTS: FOOD INSECURITY AND MULTIFACTORIALITY IN SEMIARID REGIONS OF PERNAMBUCO. ACTA ACUST UNITED AC 2019; 38:e2018177. [PMID: 31778411 PMCID: PMC6909229 DOI: 10.1590/1984-0462/2020/38/2018177] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Accepted: 11/09/2018] [Indexed: 11/21/2022]
Abstract
Objective: To investigate context of overweight adolescents from the semiarid and rural areas of Pernambuco, considering the multifactorial nature of the determinants of being overweight, and the food and nutritional insecurity conditions of the region. Methods: A population based cross-sectional study was conducted from September to October 2015. The nutritional status of adolescents was assessed by body mass index (BMI) and classified by the BMI/Age indicator, according to sex. To analyze the factors associated with being overweight, the variables were grouped into: socioeconomic, demographic, environmental, lifestyle, psychological, biological and food and nutritional security. Poisson regression was used to verify the association between being overweight and independent variables. Results: The prevalence of excessive weight found was 20.1%, namely: 13.4% overweight and 6.7% obese. After adjusting for the confounding variables, the variables: occupancy situation (rented house), alcohol consumption, food security and light food insecurity, body perception (overweight and obese) and age range (10 to 14 years), were associated with being overweight. High food and nutritional insecurity was identified in 80.4% of the population. The moderate and severe forms were more frequent, and precarious social conditions were still prevalent in the region. Conclusions: The prevalence of being overweight was high, exceeding the expected for a population with better living conditions. The determinants of being overweight were: alcohol consumption, occupancy situation, self-perceived weight, age and food security/mild food insecurity.
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Guerra PH, Barbosa Filho VC, Almeida A, Silva LDS, Pinto MTV, Leonel RM, Ribeiro EHC, Florindo AA. SYSTEMATIC REVIEW OF PHYSICAL ACTIVITY AND SEDENTARY BEHAVIOR INDICATORS IN SOUTH-AMERICAN PRESCHOOL CHILDREN. ACTA ACUST UNITED AC 2019; 38:e2018112. [PMID: 31778405 PMCID: PMC6909227 DOI: 10.1590/1984-0462/2020/38/2018112] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2018] [Accepted: 07/11/2018] [Indexed: 11/24/2022]
Abstract
Objective: To summarize indicators and describe in detail the methods used to physical activity and sedentary behavior measurement in South American preschool children. Data source: In 2017, we searched for articles on researches carried out in South American countries, which presented physical activity and/or sedentary behavior indicators in children aged two to six years. These searches were conducted in Spanish, English, and Portuguese in four electronic databases (LILACS, PubMed, SciELO, and Web of Science), Google Scholar, and in reference lists. Data summary: Out of 416 articles initially assessed, 13 composed the descriptive summary. Samples from Argentina, Brazil, and Chile were included. Three articles provided accelerometer-based estimates of moderate physical activity: 32, 70.1, and 71.3 minutes per day. The mean total sedentary behavior was 468.3 and 562.9 minutes per day and, considering the cut-off point of 2 hours per day of screen time, we found the following prevalence rates: 39.4, 40.3, and 100%. The studies adopted a wide number of instruments and strategies to evaluate those behaviors. Conclusions: Although the summary has pointed to high exposure to sedentary behavior in preschool children, with particular focus on screen time, it is essential to broaden the discussion and approximate the methods used to assess physical activity and sedentary behavior, making the evidence more comparable and strong, so as to elaborate preventive strategies and actions.
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Pfeiffer KA, Robbins LB, Ling J, Sharma DB, Dalimonte-Merckling DM, Voskuil VR, Kaciroti N, Resnicow K. Effects of the Girls on the Move randomized trial on adiposity and aerobic performance (secondary outcomes) in low-income adolescent girls. Pediatr Obes 2019; 14:e12559. [PMID: 31267695 PMCID: PMC6982403 DOI: 10.1111/ijpo.12559] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2018] [Revised: 05/14/2019] [Accepted: 05/20/2019] [Indexed: 11/30/2022]
Abstract
BACKGROUND Limited, mixed evidence exists regarding the effectiveness of physical activity interventions on adiposity and aerobic performance in adolescent underrepresented populations. OBJECTIVE To examine effects of Girls on the Move on body mass index z-scores (BMI-z), percent (%) body fat, and aerobic performance in fifth- to eighth-grade underrepresented girls. METHODS A group randomized trial, involving 12 intervention and 12 control schools in low-income areas, was conducted. Participants (n = 1519) were low-active girls. The 17-week intervention included (a) a physical activity club, (b) two motivational interviewing sessions, and (c) one Internet-based session. BMI-z was determined from measured height and weight; % body fat was assessed using bioelectric impedance. Aerobic performance was assessed using a shuttle run. Demographics, physical activity (accelerometer), and pubertal development were assessed. Linear mixed models, adjusting for baseline, were used to examine group differences in postintervention. RESULTS No significant between-group differences in BMI-z existed at postintervention, but % body fat increased less among intervention than control group girls (Mchange = 0.43% vs 0.73%). Aerobic performance decreased less in intervention vs control (Mchange = -0.39 vs -0.57). CONCLUSIONS Although the intervention positively impacted % body fat and aerobic performance in underrepresented girls, more research is necessary to determine optimal implementation for yielding greater effects.
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Affiliation(s)
- Karin A. Pfeiffer
- Department of Kinesiology, Michigan State University, East Lansing, MI, USA
| | | | - Jiying Ling
- College of Nursing, Michigan State University, East Lansing, MI, USA
| | - Dhruv B. Sharma
- Center for Statistical Training and Consulting, Michigan State University, East Lansing, MI, USA
| | | | | | - Niko Kaciroti
- University of Michigan Center for Growth and Development, Department of Biostatistics, and Center for Computational Medicine and Bioinformatics
| | - Kenneth Resnicow
- School of Public Health, University of Michigan, Ann Arbor, MI, USA
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Custódio IG, Hino AAF, Rodriguez CC, Camargo EMD, Reis RS. EXERGAMES IN ADOLESCENTS: ASSOCIATED FACTORS AND POSSIBLE REDUCTION IN SEDENTARY TIME. ACTA ACUST UNITED AC 2019; 37:442-449. [PMID: 31621789 PMCID: PMC6821487 DOI: 10.1590/1984-0462/;2019;37;4;00019] [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: 01/07/2018] [Accepted: 05/26/2018] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To describe the use of exergames, associated factors and to quantify the time attributed to the use of exergames within the time spent on video games in a sample of adolescents from Curitiba, Paraná, Brazil. METHODS This was a cross-sectional study that evaluated frequency and weekly volume of physical activities using the Physical Activity Questionnaire for Adolescents. Weekly frequency and daily time of use of exergames and videogames were self-reported. Mann-Whitney and Kruskal Wallis tests were used to compare the time spent playing exergames, and Poisson regression was used to test the associations (p<0.05). RESULTS 495 adolescents were interviewed (51.3% girls), predominantly aged between 12 and 13 years (41.3%), under/normal weight (60.4%), medium socioeconomic status (39.8 %) and from public schools (69.3%). Most of the participants did not have video games in their bedroom (74.3%) and did not reach recommended levels of physical activity (55.5%). One in five adolescents used exergames (16.4%). Age (RP: 0.54; 95%CI 0.30-0.97, p=0.039) and having a console in the bedroom (RP: 1.89; 95%CI 1.27- 2.81, p=0.002) were associated with exergame use. Male sex (X_: 195.0; AIQ: 486.3; p=0.024) practice of leisure time physical activity (X_: 160.0; AIQ: 350.0; p=0.048) were associated with weekly volume of exergame use. CONCLUSIONS Overall, less than two out of ten adolescents used exergames, and the use was higher among young adolescents and those who had a console in their bedrooms. Volume of use was higher among boys and those performing more than five hours of leisure time physical activity per week. In addition, a considerable part of the time devoted to the use of video games, was in fact, destined to the use of exergames.
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Affiliation(s)
| | | | | | | | - Rodrigo Siqueira Reis
- Washington University in St. Louis, Brown School, Saint Louis, Missouri, United States of America
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Prevalence of excessive screen time and TV viewing among Brazilian adolescents: a systematic review and meta-analysis. J Pediatr (Rio J) 2019; 95:155-165. [PMID: 29859903 DOI: 10.1016/j.jped.2018.04.011] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Accepted: 04/16/2018] [Indexed: 11/20/2022] Open
Abstract
PURPOSE To evaluate the prevalence of excessive screen-based behaviors among Brazilian adolescents through a systematic review with meta-analysis. DATA SOURCE Systematic review and meta-analysis were recorded in the International Prospective Register of Ongoing Systematic Reviews (PROSPERO-CRD 2017 CRD42017074432). This review included observational studies (cohort or cross-sectional) that evaluated the prevalence of excessive screen time (i.e. combinations involving different screen-based behaviors) or TV viewing (≥2h/day or >2h/day in front of screen) through indirect or direct methods in adolescents aged between 10 and 19 years. The research strategy included the following databases: MEDLINE, LILACS, SciELO and ADOLEC. The search strategy included terms for "screen time", "Brazil", and "prevalence". Random effect models were used to estimate the prevalence of excessive screen time in different categories. DATA SUMMARY Twenty-eight out of 775 studies identified in the search met the inclusion criteria. The prevalence of excessive screen time and TV viewing was 70.9% (95% CI: 65.5-76.1) and 58.8% (95% CI: 49.4-68.0), respectively. There was no difference between sexes in both analyses. The majority of studies included showed a low risk of bias. CONCLUSIONS The prevalence of excessive screen time and TV viewing was high among Brazilian adolescents. Intervention are needed to reduce the excessive screen time among adolescents.
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Schaan CW, Cureau FV, Sbaraini M, Sparrenberger K, Kohl III HW, Schaan BD. Prevalence of excessive screen time and TV viewing among Brazilian adolescents: a systematic review and meta‐analysis. JORNAL DE PEDIATRIA (VERSÃO EM PORTUGUÊS) 2019. [DOI: 10.1016/j.jpedp.2018.06.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Straatmann VS, Almquist YB, Oliveira AJ, Veiga GV, Rostila M, Lopes CS. Stability and bidirectional relationship between physical activity and sedentary behaviours in Brazilian adolescents: Longitudinal findings from a school cohort study. PLoS One 2019; 14:e0211470. [PMID: 30682158 PMCID: PMC6347236 DOI: 10.1371/journal.pone.0211470] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2018] [Accepted: 01/15/2019] [Indexed: 11/24/2022] Open
Abstract
Purpose We investigated the stability, correlations and bidirectional relationship of light physical activities (PA), moderate and vigorous PA (MVPA), television viewing (TV) and video game/computer use (VG) in Brazilian adolescents. Methods Adolescent Nutritional Assessment Longitudinal Study-ELANA is a middle school cohort study conducted in Rio de Janeiro-Brazil in 2010–2012. Self-reported data on PA (International Physical Activity Questionnaire- IPAQ) and screen activities were obtained from 810 adolescents (mean ages of 10.9 years old (SD 0.78) for girls; 11 years old (SD 0.85) for boys) to perform autoregressive cross-lagged structural equation models in two time points for PA and three time points for screen activities. Results There was no significant stability of light PA and MVPA for boys and girls. Moderate stability of screen activities were found for both genders, with a significant coefficient of TV for boys (T1-T2:0.29; T2-T3:0.27 p<0.001); and VG for boys (T1-T2:0.33; T2-T3:0.35 p<0.001) and girls (T1-T2: 0.26; T2-T3:0.37 p<0.01). Significant lagged effects were obtained only among girls: light PA had effect on VG (-0.10 p<0.01), as well as in the opposite direction of TV on light PA (-0.03 p<0.01) and TV on MVPA (-0.11 p<0.01). Conclusion The light PA, MVPA and screen activities (among girls) did not demonstrate stability over time. A warning scenario was suggested by the stability of high amounts of screen activities among boys over time. Screen activities had bidirectional association with light PA and MVPA among girls over time.
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Affiliation(s)
- Viviane S. Straatmann
- Department of Public Health and Policy, University of Liverpool, Liverpool, United Kingdom
- Aging Research Center, Karolinska Institute, Stockholm, Sweden
- * E-mail:
| | - Ylva B. Almquist
- Department of Public Health Sciences, Stockholm University, Stockholm, Sweden
| | - Aldair J. Oliveira
- Laboratory of Social Dimensions Applied to Physical Activity and Sport (LABSAFE), UFRRJ, Seropédica, Brazil
| | - Gloria V. Veiga
- Institute of Nutrition Josue de Castro, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - Mikael Rostila
- Department of Public Health Sciences, Stockholm University, Stockholm, Sweden
| | - Claudia S. Lopes
- Institute of Social Medicine, State University of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
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Werneck AO, Vancampfort D, Oyeyemi AL, Stubbs B, Silva DR. Associations between TV viewing, sitting time, physical activity and insomnia among 100,839 Brazilian adolescents. Psychiatry Res 2018; 269:700-706. [PMID: 30273895 DOI: 10.1016/j.psychres.2018.08.101] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2018] [Revised: 07/10/2018] [Accepted: 08/24/2018] [Indexed: 12/27/2022]
Abstract
Our aim was to examine the relationship between insomnia and levels of physical activity (PA) and time spent sitting and TV viewing among Brazilian adolescents. Data from the Brazilian Scholar Health Survey, a nationally representative survey of 9th grade adolescents [mean: 14.28 years (range: 11-18 years)] conducted in 2015 (n = 100,839) were used. Self-reported insomnia, TV viewing, sitting time and total PA (adapted International PA Questionnaire) were collected. Chronological age, race, type of city (capital or interior) country region, goodies ingestion and ultra-processed foods ingestion were covariates. Logistic regression analyses were conducted to assess the associations. A higher sitting time and TV viewing (≥8 h/day) was associated with a higher risk of insomnia among boys [sitting time: OR = 2.39 (95%CI = 1.88-3.04); TV:OR = 2.49(95%CI = 1.92-3.22) and girls [sitting time: OR = 2.17(95%CI = 1.84-2.57; TV:OR = 1.72(95%CI = 1.44-2.04)]. More than 4 h of sitting time per day was associated with higher risk of insomnia in adolescents who comply [boys: OR = 1.43(95%CI = 1.19-1.73); girls: OR = 1.66(95%CI = 1.41-1.94)] and who do not comply with the 300 min/week of physical activity recommendation [boys = OR = 1.35(95%CI = 1.13-1.60); girls: OR = 1.38(95%CI = 1.20-1.57)]. Our data suggest that higher levels of TV viewing or sitting are associated with sleep difficulties in this large cohort of adolescents, irrespective of their physical activity behavior.
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Affiliation(s)
- André O Werneck
- Study and Research Group in Metabolism, Nutrition, and Exercise (GEPEMENE), State University of Londrina, Rodovia Celso Garcia Cid, km 380, 86057-970 Londrina, Parana, Brazil.
| | - Davy Vancampfort
- Department of Rehabilitation Sciences, KU Leuven - University of Leuven, Leuven, Belgium
| | - Adewale L Oyeyemi
- Department of Physiotherapy, College of Medical Sciences, University of Maiduguri, Maiduguri, Borno State, Nigeria
| | - Brendon Stubbs
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London SE5 8AF, UK; South London and Maudsley NHS Foundation Trust, London, UK
| | - Danilo R Silva
- Departament of Physical Education, Federal University of Sergipe - UFS, São Cristóvão, Brazil
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Schaan CW, Cureau FV, Bloch KV, de Carvalho KMB, Ekelund U, Schaan BD. Prevalence and correlates of screen time among Brazilian adolescents: findings from a country-wide survey. Appl Physiol Nutr Metab 2018; 43:684-690. [DOI: 10.1139/apnm-2017-0630] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
The purpose of this study was to evaluate the distribution, prevalence, and correlates of excessive screen time (>2 h/day) among Brazilian adolescents. The Study of Cardiovascular Risks in Adolescents (ERICA) is a national, school-based, cross-sectional multicenter study. Information about time spent in front of screens was assessed by questionnaire. Poisson regression models were used to examine the associations between following correlates (region, sex, age, skin color, income, Internet access, and number of TVs at home) and excessive screen time. A total of 66 706 Brazilian adolescents (aged 12–17 years) were included. The overall mean time in front of screens was 3.25 h/day (95% confidence interval (95%CI): 3.20–3.31) and the prevalence of excessive screen time was 57.3% (95%CI: 55.9–58.6). Moreover, excessive screen time also differs across Brazilian regions, being higher in Southeast and South, respectively. In adjusted models stratified by region, the socioeconomic status was associated with excessive screen time in North, Northeast, and Midwest. In all regions, having a computer with Internet access was associated with higher prevalence of excessive screen time. In conclusion, prevalence of excessive screen time in Brazilian adolescents is high. It presents regional variations and facility for Internet access.
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Affiliation(s)
- Camila Wohlgemuth Schaan
- Post-graduate Program in Endocrinology, Universidade Federal do Rio Grande do Sul – Hospital de Clínicas de Porto Alegre. 2350, Ramiro Barcelos Street, building 21. Porto Alegre 90035-003, RS, Brazil
| | - Felipe Vogt Cureau
- Post-graduate Program in Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre 90035-003, Brazil
| | - Katia Vergetti Bloch
- Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-598, Brazil
| | | | - Ulf Ekelund
- Department of Sports Medicine, Norwegian School of Sports Science, Ullevål Stadion, 0806, Oslo, Norway
| | - Beatriz D. Schaan
- Post-graduate Program in Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre 90035-003, Brazil and Endocrine Division, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre 90035-903, Brazil
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Physical activity but not sedentary time is associated with vitamin D status in adolescents: study of cardiovascular risk in adolescents (ERICA). Eur J Clin Nutr 2018; 73:432-440. [PMID: 29789711 DOI: 10.1038/s41430-018-0192-0] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Revised: 04/01/2018] [Accepted: 04/22/2018] [Indexed: 01/22/2023]
Abstract
BACKGROUND/OBJECTIVES The association between active lifestyle components and vitamin D status in adolescents remains relatively unexplored. We aimed to investigate independent and joint associations of moderate-to-vigorous physical activity (MVPA) and screen time with serum 25-hydroxyvitamin D [25(OH)D] concentrations in adolescents. METHODS This multicenter cross-sectional study involved 1152 Brazilian adolescents (age 12-17 years). Serum 25(OH)D was measured in a single laboratory and categorized as ≤20, 21-29, or ≥30 ng/mL. Demographic and lifestyle characteristics were assessed by self-reports. Ordered logistic regression was used to investigate potential associations of being physically active (MVPA ≥ 300 min/week) and excessive screen time (>2 h/day) with serum 25(OH)D concentrations. RESULTS The prevalence of higher serum 25(OH)D concentrations (≥30 ng/mL) was 36.4%. In adjusted models, being physically active was associated with higher serum 25(OH)D concentrations only in boys [proportional odds ratio (POR) = 2.04, 95% CI 1.42-2.93], while excessive screen time was not associated with serum 25(OH)D. Adolescents who were physically active and limited their screen time had higher odds of a higher serum 25(OH)D concentration, but the association was significant only for boys (POR = 2.11, 95% CI 1.19-3.74). CONCLUSIONS MVPA may play an important role in increasing serum 25(OH)D concentrations in adolescence, especially for boys, regardless of screen time.
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Temporal Trends of Physical Activity and Sedentary Behavior Simultaneity in Brazilian Students. J Phys Act Health 2018; 15:331-337. [PMID: 29421970 DOI: 10.1123/jpah.2016-0700] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
OBJECTIVE To evaluate trends in physical activity and sedentary behavior simultaneity among Brazilian students from 2009 to 2015 and its association with independent variables. METHODS This study presents a panel of 3 cross-sectional studies carried out in 2009, 2012, and 2015 (Pesquisa Nacional de Saúde do Escolar-PeNSE). The population was comprised of ninth-grade public and private schools students from Brazilian capitals. Physical activity and sedentary behavior variables were combined to create the outcome of simultaneity of these risk factors. RESULTS A large proportion of students were simultaneously inactive and sedentary in the 3 surveys. However, it was possible to observe a downward trend (2009: 56.4%; 95% confidence interval, 55.7-57.1; 2012: 53.7%; 95% confidence interval, 53.0-54.4; 2015: 51.9%; 95% confidence interval, 51.2-52.7). In 2015, estimates of physical inactivity and sedentary behavior simultaneity were greater than 48% for 20 out of 27 of the Brazilian states. Significant declining trends were observed among mideast residents, females, nonwhite, and those attending private schools. Only around 5%-7% of the adolescents were both active and nonsedentary in the 3 surveys. CONCLUSION Despite of a slight decreasing trend in the proportion of Brazilian students simultaneously inactive and sedentary throughout the period, the prevalence remained elevated across the surveys.
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Factor Structure of Responses to the Portuguese Version of Questions About Screen Time-Based Sedentary Behavior Among Adolescents. J Phys Act Health 2018; 15:263-268. [PMID: 29202643 DOI: 10.1123/jpah.2016-0382] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND This study aimed to examine the factor structure of responses to the Portuguese version of questions related to screen time-based sedentary behavior among adolescents. METHODS This cross-sectional study with a sample of 1083 adolescents aged 14-19 years was conducted in Brazil. The sample was randomly divided into 2 groups for an exploratory factor analysis and for a confirmatory factor analysis. Screen time was investigated by a Portuguese version of questions about time sitting in front of television, computer, and video games on weekdays and weekends. RESULTS Scree plots showed 2 factors with eigenvalues above 1. One factor was formed by items about television and computer use, and the other factor was formed by items about video game use. The exploratory factor analysis with 2 factors resulted in factor loadings above .60. A second model with 1 factor was estimated and resulted in factor loadings above .55. A confirmatory factor analysis was estimated based on the 2-factor exploratory factor analysis and goodness-of-fit statistics were adequate. Confirmatory factor analysis with 1 factor had goodness-of-fit statistics adequate. CONCLUSIONS The Portuguese language version of self-report screen time had 2 possible factor solutions, and items demonstrated good factor structure with reasonable reliability making it suitable for use in the future studies.
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Ulbricht L, de Campos MF, Esmanhoto E, Ripka WL. Prevalence of excessive body fat among adolescents of a south Brazilian metropolitan region and State capital, associated risk factors, and consequences. BMC Public Health 2018; 18:312. [PMID: 29499687 PMCID: PMC5834854 DOI: 10.1186/s12889-018-5216-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2017] [Accepted: 02/26/2018] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND The prevalence of overweight/obesity has become a major concern for public health in developing countries. Risk factors need to be well documented so that these countries develop public policies to fight the problem. Thus, the objective of this study is to determine the prevalence of excess fat among adolescents of a South Brazilian State Capital associated with risk factors and their consequences. METHODS This study was conducted between 2014 and 2016 with adolescents aged 11-18 years. The following body composition measurements were collected: body mass, height, waist circumference, fat mass and bone mineral density (this latter through dual energy X-ray absorptiometry). Biochemical data as glucose, total cholesterol, and triglycerides were also collected. Finally, socioeconomic questionnaires were applied, as well as questionnaires regarding: the education level of guardians, active transportation, time spent with sedentary activities and physical activities. Odds ratios and chi-square test were applied in statistical analysis. RESULTS Data from 675 adolescents, from which 70% were males, were analyzed. The mean age was 14.7 ± 1.8 years. The prevalence of excess fat was 18.2% in boys and 92.1% in girls. As for sedentary lifestyle and physical inactivity, having one of these factors increased the risk of being overweight by 7.9 times for boys and 3.0 times for girls. In boys, there was a significant association between excess fat and waist circumference (p = 0.000; OR = 13.5; CI = 7.0-25.9), physical activity level (p = 0.000; OR = 4.0; CI = 2.5-6.5), triglycerides (p = 0.019; OR = 2.2; CI = 1.1-4.2) and total cholesterol (p = 0.000; OR = 2.6; CI = 1.6-4.5). In girls, there was an association between having excess fat and an increase in total cholesterol (p = 0.000; OR = 8.0; CI = 2.6-24.4). CONCLUSIONS The high prevalence of excess fat was greater than what was described by some studies conducted in developed countries. This reality demonstrates the need to implement public policies that can directly promote the reduction of sedentary habits and reinforce the importance of adopting an active lifestyle.
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Affiliation(s)
- Leandra Ulbricht
- Graduate Program in Biomedical Engineering, Federal University of Technology – Paraná, Av. Sete de Setembro, 3165 – Rebouças – CEP, Curitiba, PR 80230-901 Brazil
| | - Mariane Ferreira de Campos
- Graduate Program in Biomedical Engineering, Federal University of Technology – Paraná, Av. Sete de Setembro, 3165 – Rebouças – CEP, Curitiba, PR 80230-901 Brazil
| | - Eduardo Esmanhoto
- Graduate Program in Biomedical Engineering, Federal University of Technology – Paraná, Av. Sete de Setembro, 3165 – Rebouças – CEP, Curitiba, PR 80230-901 Brazil
| | - Wagner Luis Ripka
- Graduate Program in Biomedical Engineering, Federal University of Technology – Paraná, Av. Sete de Setembro, 3165 – Rebouças – CEP, Curitiba, PR 80230-901 Brazil
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da Silva BGC, Menezes AMB, Wehrmeister FC, Barros FC, Pratt M. Screen-based sedentary behavior during adolescence and pulmonary function in a birth cohort. Int J Behav Nutr Phys Act 2017. [PMID: 28645330 PMCID: PMC5481971 DOI: 10.1186/s12966-017-0536-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Background Adolescents spend many hours in sitting activities as television viewing, video game playing and computer use. The relationship between sedentary behavior and respiratory health remains poorly elucidated. To date there have been no studies evaluating the relationship between sedentary behavior and pulmonary function in young populations. The purpose of this study is to examine the association between the trajectory of screen-based sedentary behavior from 11 to 18 years and pulmonary function at 18 years in a Brazilian birth cohort. Methods Data from a longitudinal prospective study conducted among the participants of the 1993 Pelotas (Brazil) Birth Cohort. Time spent on television, video games, and computers during a weekday was self-reported at ages 11, 15 and 18 years. For each age, sedentary behavior was defined as the sum of time spent on these screen-based activities. To evaluate the sedentary behavior trajectory during adolescence group-based trajectory modeling was used. Outcome variables were three pulmonary function parameters: forced expiratory volume in one second (FEV1), forced vital capacity (FVC), and peak expiratory flow (PEF), evaluated by spirometry, at 18 years expressed as z-scores. Crude and adjusted linear regressions, stratified by sex, were performed. Results The three-group trajectory of sedentary behavior was the best fitting model. The trajectory groups were: always high (representing 38.8% of the individuals), always moderate (54.1%), and always low (7.1%). In the adjusted analyses, boys in the always-low group for sedentary behavior had higher FVC at 18 years (β = 0.177; 95% CI:0.027;0.327; p = 0.021) than boys in the always-high group. There were no differences for other pulmonary function parameters in boys. No significant association was found for girls. Conclusion The trajectory of screen-based sedentary behavior throughout adolescence was not consistent associated with pulmonary function at 18 years. Electronic supplementary material The online version of this article (doi:10.1186/s12966-017-0536-5) contains supplementary material, which is available to authorized users.
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Affiliation(s)
| | - Ana M B Menezes
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil
| | - Fernando C Wehrmeister
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil
| | - Fernando C Barros
- Postgraduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, RS, Brazil
| | - Michael Pratt
- Institute of Public Health, Department of Family Medicine and Public Health, School of Medicine, University of California, San Diego, CA, USA
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Santos A, Silva-Santos S, Andaki A, Mendes EL, Vale S, Mota J. Screen time between Portuguese and Brazilian children: a cross-cultural study. MOTRIZ: REVISTA DE EDUCACAO FISICA 2017. [DOI: 10.1590/s1980-6574201700020006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
| | | | - Alynne Andaki
- Universidade do Porto, Portugal; Universidade Federal do Triângulo Mineiro, Brazil
| | - Edmar Lacerda Mendes
- Universidade do Porto, Portugal; Universidade Federal do Triângulo Mineiro, Brazil
| | - Susana Vale
- Universidade do Porto, Portugal; Instituto Politécnico do Porto, Portugal
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