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Tzourio C, Udoji N, Ueda P, Ugel E, Ukoli FAM, Ulmer H, Unal B, Usupova Z, Uusitalo HMT, Uysal N, Vaitkeviciute J, Valdivia G, Vale S, Valvi D, van Dam RM, van den Born BJ, Van der Heyden J, van der Schouw YT, Van Herck K, Van Lippevelde W, Van Minh H, Van Schoor NM, van Valkengoed IGM, Vanderschueren D, Vanuzzo D, Varbo A, Varela-Moreiras G, Vargas LN, Varona-Pérez P, Vasan SK, Vasques DG, Vatasescu R, Vega T, Veidebaum T, Velasquez-Melendez G, Velika B, Verloigne M, Veronesi G, Verschuren WMM, Victora CG, Viegi G, Viet L, Vik FN, Vilar M, Villalpando S, Vioque J, Viriyautsahakul N, Virtanen JK, Visser M, Visvikis-Siest S, Viswanathan B, Vladulescu M, Vlasoff T, Vocanec D, Vollenweider P, Völzke H, Vourli G, Voutilainen A, Vrijheid M, Vrijkotte TGM, Vuletić S, Wade AN, Waldhör T, Walton J, Wambiya EOA, Wan Bebakar WM, Wan Mohamud WN, Wanderley Júnior RDS, Wang C, Wang H, Wang MD, Wang N, Wang Q, Wang X, Wang YX, Wang YW, Wannamethee SG, Wareham N, Wartha O, Weber A, Wedderkopp N, Weghuber D, Wei W, Weres A, Werner B, Westbury LD, Whincup PH, Wichstrøm L, Wickramasinghe K, Widhalm K, Widyahening IS, Więcek A, Wild PS, Wilks RJ, Willeit J, Willeit P, Williams J, Wilsgaard T, Wirth JP, Wojtyniak B, Woldeyohannes M, Wolf K, Wong-McClure RA, Wong A, Wong EB, Wong JE, Wong TY, Woo J, Woodward M, Wu FC, Wu HY, Wu J, Wu LJ, Wu S, Wyszyńska J, Xu H, Xu L, Yaacob NA, Yamborisut U, Yan L, Yan W, Yang L, Yang X, Yang Y, Yardim N, Yasuharu T, Yépez García M, Yiallouros PK, Yngve A, Yoosefi M, Yoshihara A, Yotov Y, You QS, You SL, Younger-Coleman NO, Yu YL, Yu Y, Yusof SM, Yusoff AF, Zaccagni L, Zafiropulos V, Zainuddin AA, Zakavi SR, Zamani F, Zambon S, Zampelas A, Zamrazilová H, Zapata ME, Zargar AH, Zaw KK, Zayed AA, Zdrojewski T, Żegleń M, Zejglicova K, Zeljkovic Vrkic T, Zeng Y, Zentai A, Zhang B, Zhang L, Zhang ZY, Zhao D, Zhao MH, Zhao W, Zhecheva YV, Zhen S, Zheng W, Zheng Y, Zholdin B, Zhou M, Zhu D, Zimmet P, Zins M, Zitt E, Zocalo Y, Zoghlami N, Zuñiga Cisneros J, Zuziak M, Ezzati M. Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults. Lancet 2024; 403:1027-1050. [PMID: 38432237 PMCID: PMC7615769 DOI: 10.1016/s0140-6736(23)02750-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 11/22/2023] [Accepted: 12/05/2023] [Indexed: 03/05/2024]
Abstract
BACKGROUND Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. METHODS We used data from 3663 population-based studies with 222 million participants that measured height and weight in representative samples of the general population. We used a Bayesian hierarchical model to estimate trends in the prevalence of different BMI categories, separately for adults (age ≥20 years) and school-aged children and adolescents (age 5-19 years), from 1990 to 2022 for 200 countries and territories. For adults, we report the individual and combined prevalence of underweight (BMI <18·5 kg/m2) and obesity (BMI ≥30 kg/m2). For school-aged children and adolescents, we report thinness (BMI <2 SD below the median of the WHO growth reference) and obesity (BMI >2 SD above the median). FINDINGS From 1990 to 2022, the combined prevalence of underweight and obesity in adults decreased in 11 countries (6%) for women and 17 (9%) for men with a posterior probability of at least 0·80 that the observed changes were true decreases. The combined prevalence increased in 162 countries (81%) for women and 140 countries (70%) for men with a posterior probability of at least 0·80. In 2022, the combined prevalence of underweight and obesity was highest in island nations in the Caribbean and Polynesia and Micronesia, and countries in the Middle East and north Africa. Obesity prevalence was higher than underweight with posterior probability of at least 0·80 in 177 countries (89%) for women and 145 (73%) for men in 2022, whereas the converse was true in 16 countries (8%) for women, and 39 (20%) for men. From 1990 to 2022, the combined prevalence of thinness and obesity decreased among girls in five countries (3%) and among boys in 15 countries (8%) with a posterior probability of at least 0·80, and increased among girls in 140 countries (70%) and boys in 137 countries (69%) with a posterior probability of at least 0·80. The countries with highest combined prevalence of thinness and obesity in school-aged children and adolescents in 2022 were in Polynesia and Micronesia and the Caribbean for both sexes, and Chile and Qatar for boys. Combined prevalence was also high in some countries in south Asia, such as India and Pakistan, where thinness remained prevalent despite having declined. In 2022, obesity in school-aged children and adolescents was more prevalent than thinness with a posterior probability of at least 0·80 among girls in 133 countries (67%) and boys in 125 countries (63%), whereas the converse was true in 35 countries (18%) and 42 countries (21%), respectively. In almost all countries for both adults and school-aged children and adolescents, the increases in double burden were driven by increases in obesity, and decreases in double burden by declining underweight or thinness. INTERPRETATION The combined burden of underweight and obesity has increased in most countries, driven by an increase in obesity, while underweight and thinness remain prevalent in south Asia and parts of Africa. A healthy nutrition transition that enhances access to nutritious foods is needed to address the remaining burden of underweight while curbing and reversing the increase in obesity. FUNDING UK Medical Research Council, UK Research and Innovation (Research England), UK Research and Innovation (Innovate UK), and European Union.
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Rodrigues D, Machado-Rodrigues A, Gama A, Nogueira H, G Silva MR, Padez C. Parental Perception of Their Child's Weight Status in Portugal: An Observational Study. ACTA MEDICA PORT 2024; 37:20-26. [PMID: 37363935 DOI: 10.20344/amp.19510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Accepted: 05/10/2023] [Indexed: 06/28/2023]
Abstract
INTRODUCTION Parental perceptions of a child's weight status may influence family readiness to foster healthy behaviors. Our aim was to observe parental perceptions of their child's weight status in two time periods and in multiple population subgroups. METHODS Data were collected in two national projects, 2009 - 2010 (n = 6577) and 2016 - 2017 (n = 7594), in public and private kindergartens and primary schools in Portugal (children aged three to 10 years old). Parents filled out a questionnaire regarding their perception of their child's weight status, namely: 1) too thin, 2) thin, 3) normal weight, 4) with some excess weight, or 5) with a lot of excess weight. Children's height and weight were objectively collected, and the International Obesity Task Force cut-offs were used to classify overweight and obesity. Accurate and misclassification levels were calculated for children according to their sex, age, as well as child and parental weight status, while considering differences within and between the two time periods. RESULTS Overall, accuracy in parental perception of their child's weight was higher in 2016 - 2017 than in 2009 - 2010, regardless of children's sex, age, parental weight status, and education (65.7% and 60.5%, respectively). However, the ability of parents to detect obesity was ~ 50% lower in 2016 - 2017 compared with 2009 - 2010. CONCLUSION Even though parental perception of their child's weight was better in 2016 - 2017 than in 2009 - 2010 , the inverse result was found among children with obesity. Strategies are needed to encourage parents to improve their perception of the appropriate weight for their child.
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Affiliation(s)
- Daniela Rodrigues
- Research Centre for Anthropology and Health (CIAS). University of Coimbra. Coimbra; Department of Life Sciences. University of Coimbra. Coimbra. Portugal
| | - Aristides Machado-Rodrigues
- Research Centre for Anthropology and Health (CIAS). University of Coimbra. Coimbra; High School of Education. Polytechnic Institute of Viseu. Viseu; Faculty of Sport Sciences and Physical Education. University of Coimbra. Coimbra. Portugal
| | - Augusta Gama
- Research Centre for Anthropology and Health (CIAS). University of Coimbra. Coimbra; Department of Animal Biology. University of Lisbon. Lisbon. Portugal
| | - Helena Nogueira
- Research Centre for Anthropology and Health (CIAS). University of Coimbra. Coimbra; Faculty of Arts and Humanities. University of Coimbra. Coimbra. Portugal
| | - Maria-Raquel G Silva
- Research Centre for Anthropology and Health (CIAS). University of Coimbra. Coimbra; Faculty of Health Sciences. University Fernando Pessoa. Porto. Portugal
| | - Cristina Padez
- Research Centre for Anthropology and Health (CIAS). University of Coimbra. Coimbra; Department of Life Sciences. University of Coimbra. Coimbra. 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] [What about the content of this article? (0)] [Affiliation(s)] [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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Rodrigues D, Machado-Rodrigues AM, Gama A, Silva MRG, Nogueira H, Padez C. Body size, form, composition, and a healthy lifestyle associates with health-related quality of life among Portuguese children. Am J Hum Biol 2023; 35:e23902. [PMID: 36989416 DOI: 10.1002/ajhb.23902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Revised: 03/17/2023] [Accepted: 03/20/2023] [Indexed: 03/31/2023] Open
Abstract
OBJECTIVES This study aimed to describe the relationship between body size, form, and composition, and children's lifestyle on health-related quality of life (HRQoL). METHODS This cross-sectional study comprised 1333 children (9.05 ± 0.75 years; 683 females) living in mainland Portugal. Objective anthropometric measures were collected. Parents answered a standardized questionnaire related with children's lifestyle (e.g., sport participation, screen- and sleep-time) and family socioeconomic status (e.g., parental education). HRQoL was measured using the Portuguese version of the KIDSCREEN-27. Scores were categorized into low and high using a sex-specific normative cut-off from European children. A healthier score was created including positive scores for body weight, abdominal obesity, sport participation, sleep- and screen-time. RESULTS Body size, form and composition were correlated with children's physical wellbeing. However, sex differences were found in which parameters were associated with wellbeing. Among boys, the body mass index, waist circumference, waist-to-height ratio, subscapular and suprailiac skinfold were most correlated with wellbeing, while waist circumference and subscapular skinfold showed the strongest correlations for girls. Sleep duration and sport participation revealed a significant relationship with girls' HRQoL. A logistic regression analysis (adjusted for parental education) revealed that boys scoring 4 or 5 in the healthier index had an increased likelihood of high HRQoL level compared to those fulfilling none. CONCLUSIONS Future programs aimed at reducing obesity, particularly central obesity, and incorporating multiple health indicators and behaviors, such as sport participation and sleep duration may help improve children's health and wellbeing.
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Affiliation(s)
- Daniela Rodrigues
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, 3000-456, Coimbra, Portugal
- Department of Life Sciences, Faculty of Sciences and Technology (FCTUC), University of Coimbra, 3000-456, Coimbra, Portugal
| | - Aristides M Machado-Rodrigues
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, 3000-456, Coimbra, Portugal
- High School of Education, Polytechnic Institute of Viseu, 3500-155, Viseu, Portugal
| | - Augusta Gama
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, 3000-456, Coimbra, Portugal
- Department of Animal Biology, Faculty of Sciences, University of Lisbon, 1749-016, Lisbon, Portugal
| | - Maria-Raquel G Silva
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, 3000-456, Coimbra, Portugal
- Faculty of Health Sciences, University Fernando Pessoa, 4200-150, Porto, Portugal
| | - Helena Nogueira
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, 3000-456, Coimbra, Portugal
- Faculty of Arts and Humanities, University of Coimbra, 3000-370, Coimbra, Portugal
| | - Cristina Padez
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, 3000-456, Coimbra, Portugal
- Department of Life Sciences, Faculty of Sciences and Technology (FCTUC), University of Coimbra, 3000-456, Coimbra, Portugal
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Machado-Rodrigues AM, Rodrigues D, Gama A, Nogueira H, Silva MRG, Mascarenhas LP, Padez C. Tri-axial accelerometer-assessed physical activity and its association with weight status in a sample of elementary-school children. Obes Res Clin Pract 2023:S1871-403X(23)00027-3. [PMID: 37087316 DOI: 10.1016/j.orcp.2023.04.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 03/26/2023] [Accepted: 04/11/2023] [Indexed: 04/24/2023]
Abstract
BACKGROUND AND AIMS Objective assessment of physical activity (PA) using accelerometers and pedometers has become more accurate and common practice in the study of childhood overweight. The study aimed: i) to compare PA levels and body shape of boys and girls, and assess compliance of active children with the PA recommendation; ii) to analyse associations between the risk of overweight and the moderate-to-vigorous physical activity (MVPA) in children. METHODS The sample comprised 395 children (198 girls) aged 6-10 years. Height and weight were measured, and BMI was calculated subsequently. A tri-axial accelerometer was used to obtain seven consecutive days of MVPA, as well as the weekly time being sedentary. Logistic regression analysis was used to examine the afore-mentioned relationship among the risk of obesity and MVPA, controlling for confounders. RESULTS After controlling for wearing time, boys spent significantly more minutes in the moderate-to-vigorous portion of PA than their female counterparts. About 47% of boys were active on week days by achieve the mean value of 60 min/day of MVPA; corresponding percentage for the weekend was just 32%. Among girls, only 22% were active on week days and 29% at the weekend. MVPA was not significantly associated with the risk of being overweight nor in female neither in male children. The final regression model revealed that girls of mothers with high educational level were less likely to be classified as overweight girls. CONCLUSIONS Findings revealed no significantly relation between MVPA and obesity risk among Portuguese children. Future research should extend similar design to other lifestyle features of children to clarify potential predictors of being overweight at early ages.
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Affiliation(s)
- Aristides M Machado-Rodrigues
- Research Centre for Anthropology and Health, University of Coimbra, Portugal; Faculty of Sport Sciences and Physical Education, University of Coimbra, Portugal.
| | - Daniela Rodrigues
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
| | - Augusta Gama
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
| | - Helena Nogueira
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
| | - Maria-Raquel G Silva
- Research Centre for Anthropology and Health, University of Coimbra, Portugal; Department of Nutrition, Fernando Pessoa University, Porto, Portugal; Comprehensive Health Research Centre-Group of Sleep, University of Lisbon, Portugal
| | - Luís P Mascarenhas
- UniCentro, Department of Physical Education, Midwestern Paraná State University, Brazil
| | - Cristina Padez
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
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Rodrigues D, Machado-Rodrigues AM, Nogueira H, Gama A, Silva MRG, Bogin B, Padez C. Stress exposure in specific growth periods associates with children's weight, height, and body mass index. Am J Biol Anthropol 2023. [PMID: 37010033 DOI: 10.1002/ajpa.24744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 01/25/2023] [Accepted: 03/22/2023] [Indexed: 04/04/2023]
Abstract
OBJECTIVES We investigate associations between children exposure to stressful events, considering: (1) the period in which the event took place, (2) the type of event, and (3) the cumulative effect of the events on children's weight, height and body mass index (BMI). METHODS A total of 8429 Portuguese children (3349 exposed to at least one stressful event during their lifetime; 50.2% males; mean age = 7.21 ± 1.85 years) were included in the analysis. The occurrence of stressful (i.e., adverse) events was reported in a parental questionnaire; children's weight and height were objectively measured. RESULTS When the stress event took place in the first 2 years of life, compared with during pregnancy or after the 2 years, children were shorter; but the association was weak and only significant for boys. After adjustment for child's birthweight, gestational age, breastfeeding duration, number of siblings, and father's education, the experience of 3+ stressful events (vs. 1 or 2) was associated with higher weight and height in boys. No interaction effect was found between stress and BMI. DISCUSSION We found some evidence of associations between exposure to stressful events and physical growth of boys. We highlight the complex relationship between exposure to stressful experiences and children's physical growth, particularly the different effects of specific characteristics of the stress event and the sex differences.
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Affiliation(s)
- Daniela Rodrigues
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
- Department of Life Sciences, University of Coimbra, Coimbra, Portugal
| | - Aristides M Machado-Rodrigues
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
- High School of Education, Polytechnic Institute of Viseu, Viseu, Portugal
- Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal
| | - Helena Nogueira
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
- Faculty of Arts and Humanities, University of Coimbra, Coimbra, Portugal
| | - Augusta Gama
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
- Department of Animal Biology, Faculty of Sciences, University of Lisbon, Lisbon, Portugal
| | - Maria-Raquel G Silva
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
- Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal
| | - Barry Bogin
- UCSD/Salk Center for Academic Research and Training in Anthropogeny (CARTA), San Diego, California, USA
- School of Sport, Exercise & Health Sciences, Loughborough University, Loughborough, UK
| | - Cristina Padez
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
- Department of Life Sciences, University of Coimbra, Coimbra, Portugal
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Silva MR, Rodrigues D, Machado-Rodrigues A, Nogueira H, Gama A, Padez C. Household Food Insecurity In Portuguese Children. Clin Nutr ESPEN 2023. [DOI: 10.1016/j.clnesp.2022.09.207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023]
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Mishra A, Zhou B, Rodriguez-Martinez A, Bixby H, Singleton RK, Carrillo-Larco RM, Sheffer KE, Paciorek CJ, Bennett JE, Lhoste V, Iurilli MLC, Di Cesare M, Bentham J, Phelps NH, Sophiea MK, Stevens GA, Danaei G, Cowan MJ, Savin S, Riley LM, Gregg EW, Aekplakorn W, Ahmad NA, Baker JL, Chirita-Emandi A, Farzadfar F, Fink G, Heinen M, Ikeda N, Kengne AP, Khang YH, Laatikainen T, Laxmaiah A, Ma J, Monroy-Valle M, Mridha MK, Padez CP, Reynolds A, Sorić M, Starc G, Wirth JP, Abarca-Gómez L, Abdeen ZA, Abdrakhmanova S, Ghaffar SA, Abdul Rahim HF, Abdurrahmonova Z, Abu-Rmeileh NM, Garba JA, Acosta-Cazares B, Adam I, Adamczyk M, Adams RJ, Adu-Afarwuah S, Afsana K, Afzal S, Agbor VN, Agdeppa IA, Aghazadeh-Attari J, Aguenaou H, Aguilar-Salinas CA, Agyemang C, Ahmad MH, Ahmadi A, Ahmadi N, Ahmadi N, Ahmed I, Ahmed SH, Ahrens W, Aitmurzaeva G, Ajlouni K, Al-Hazzaa HM, Al-Lahou B, Al-Raddadi R, Al Hourani HM, Al Qaoud NM, Alarouj M, AlBuhairan F, AlDhukair S, Aldwairji MA, Alexius S, Ali MM, Alkandari A, Alkerwi A, Alkhatib BM, Allin K, Alvarez-Pedrerol M, Aly E, Amarapurkar DN, Etxezarreta PA, Amoah J, Amougou N, Amouyel P, Andersen LB, Anderssen SA, Androutsos O, Ängquist L, Anjana RM, Ansari-Moghaddam A, Anufrieva E, Aounallah-Skhiri H, Araújo J, Ariansen I, Aris T, Arku RE, Arlappa N, Aryal KK, Aseffa N, Aspelund T, Assah FK, Assembekov B, Assunção MCF, Aung MS, Auvinen J, Avdičová M, Avi S, Azevedo A, Azimi-Nezhad M, Azizi F, Azmin M, Babu BV, Jørgensen MB, Baharudin A, Bahijri S, Bakacs M, Balakrishna N, Balanova Y, Bamoshmoosh M, Banach M, Banegas JR, Baran J, Baran R, Barbagallo CM, Filho VB, Barceló A, Baretić M, Barkat A, Barnoya J, Barrera L, Barreto M, Barros AJD, Barros MVG, Bartosiewicz A, Basit A, Bastos JLD, Bata I, Batieha AM, Batista AP, Batista RL, Battakova Z, Baur LA, Bayauli PM, Beaglehole R, Bel-Serrat S, Belavendra A, Ben Romdhane H, Benedics J, Benet M, Rolandi GEB, Bere E, Bergh IH, Berhane Y, Berkinbayev S, Bernabe-Ortiz A, Bernotiene G, 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EP, Jérome CS, Soto-Rojas VE, Soumaré A, Sousa-Poza A, Sovic S, Sparboe-Nilsen B, Sparrenberger K, Spencer PR, Spinelli A, Spiroski I, Staessen JA, Stamm H, Staub K, Stavreski B, Steene-Johannessen J, Stehle P, Stein AD, Stergiou GS, Stessman J, Stevanović R, Stieber J, Stöckl D, Stokwiszewski J, Stoyanova E, Stratton G, Stronks K, Strufaldi MW, Sturua L, Suárez-Medina R, Suka M, Sun CA, Sun L, Sundström J, Sung YT, Sunyer J, Suriyawongpaisal P, Sweis NWG, Swinburn BA, Sy RG, Sylva RC, Szklo M, Szponar L, Tabone L, Tai ES, Tambalis KD, Tammesoo ML, Tamosiunas A, Tan EJ, Tang X, Tanrygulyyeva M, Tanser F, Tao Y, Tarawneh MR, Tarp J, Tarqui-Mamani CB, Braunerová RT, Taylor A, Taylor J, Tchibindat F, Te Velde S, Tebar WR, Tell GS, Tello T, Tham YC, Thankappan KR, Theobald H, Theodoridis X, Thomas N, Thorand B, Thuesen BH, Tichá Ľ, Timmermans EJ, Tjandrarini DH, Tjonneland A, Tolonen HK, Tolstrup JS, Topbas M, Topór-Mądry R, Torheim LE, Tormo MJ, Tornaritis MJ, Torrent M, Torres-Collado L, Toselli S, Touloumi G, Traissac P, Tran TTH, Tremblay MS, Triantafyllou A, Trichopoulos D, Trichopoulou A, Trinh OTH, Trivedi A, Tsao YH, Tshepo L, Tsigga M, Tsintavis P, Tsugane S, Tuitele J, Tuliakova AM, Tulloch-Reid MK, Tullu F, Tuomainen TP, Tuomilehto J, Turley ML, Twig G, Tynelius P, Tzala E, Tzotzas T, Tzourio C, Ueda P, Ugel E, Ukoli FAM, Ulmer H, Unal B, Usupova Z, Uusitalo HMT, Uysal N, Vaitkeviciute J, Valdivia G, Vale S, Valvi D, van Dam RM, van den Born BJ, Van der Heyden J, van der Schouw YT, Van Herck K, Van Lippevelde W, Van Minh H, Van Schoor NM, van Valkengoed IGM, Vanderschueren D, Vanuzzo D, Varbo A, Varela-Moreiras G, Vargas LN, Varona-Pérez P, Vasan SK, Vasques DG, Vega T, Veidebaum T, Velasquez-Melendez G, Velika B, Verloigne M, Veronesi G, Verschuren WMM, Victora CG, Viegi G, Viet L, Vik FN, Vilar M, Villalpando S, Vioque J, Virtanen JK, Visvikis-Siest S, Viswanathan B, Vladulescu M, Vlasoff T, Vocanec D, Vollenweider P, Völzke H, Voutilainen A, Vrijheid M, Vrijkotte TGM, Wade AN, Waldhör T, Walton J, Wambiya EOA, Bebakar WMW, Mohamud WNW, de Souza Wanderley Júnior R, Wang MD, Wang N, Wang Q, Wang X, Wang YX, Wang YW, Wannamethee SG, Wareham N, Weber A, Webster-Kerr K, Wedderkopp N, Weghuber D, Wei W, Weres A, Werner B, Westbury LD, Whincup PH, Wickramasinghe K, Widhalm K, Widyahening IS, Więcek A, Wild PS, Wilks RJ, Willeit J, Willeit P, Williams J, Wilsgaard T, Wojciech R, Wojtyniak B, Wolf K, Wong-McClure RA, Wong A, Wong EB, Wong JE, Wong TY, Woo J, Woodward M, Wu FC, Wu HY, Wu J, Wu LJ, Wu S, Wyszyńska J, Xu H, Xu L, Yaacob NA, Yamborisut U, Yan W, Yang L, Yang X, Yang Y, Yardim N, Yasuharu T, García MY, Yiallouros PK, Yngve A, Yoosefi M, Yoshihara A, You QS, You SL, Younger-Coleman NO, Yu YL, Yu Y, Yusof SM, Yusoff AF, Zaccagni L, Zafiropulos V, Zainuddin AA, Zakavi SR, Zamani F, Zambon S, Zampelas A, Zamrazilová H, Zapata ME, Zargar AH, Zaw KK, Zayed AA, Zdrojewski T, Żegleń M, Zejglicova K, Vrkic TZ, Zeng Y, Zhang L, Zhang ZY, Zhao D, Zhao MH, Zhao W, Zhecheva YV, Zhen S, Zheng W, Zheng Y, Zholdin B, Zhou M, Zhu D, Zins M, Zitt E, Zocalo Y, Zoghlami N, Cisneros JZ, Zuziak M, Bhutta ZA, Black RE, Ezzati M. Diminishing benefits of urban living for children and adolescents' growth and development. Nature 2023; 615:874-883. [PMID: 36991188 PMCID: PMC10060164 DOI: 10.1038/s41586-023-05772-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Accepted: 01/30/2023] [Indexed: 03/31/2023]
Abstract
Optimal growth and development in childhood and adolescence is crucial for lifelong health and well-being1-6. Here we used data from 2,325 population-based studies, with measurements of height and weight from 71 million participants, to report the height and body-mass index (BMI) of children and adolescents aged 5-19 years on the basis of rural and urban place of residence in 200 countries and territories from 1990 to 2020. In 1990, children and adolescents residing in cities were taller than their rural counterparts in all but a few high-income countries. By 2020, the urban height advantage became smaller in most countries, and in many high-income western countries it reversed into a small urban-based disadvantage. The exception was for boys in most countries in sub-Saharan Africa and in some countries in Oceania, south Asia and the region of central Asia, Middle East and north Africa. In these countries, successive cohorts of boys from rural places either did not gain height or possibly became shorter, and hence fell further behind their urban peers. The difference between the age-standardized mean BMI of children in urban and rural areas was <1.1 kg m-2 in the vast majority of countries. Within this small range, BMI increased slightly more in cities than in rural areas, except in south Asia, sub-Saharan Africa and some countries in central and eastern Europe. Our results show that in much of the world, the growth and developmental advantages of living in cities have diminished in the twenty-first century, whereas in much of sub-Saharan Africa they have amplified.
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Rodrigues D, Machado-Rodrigues A, Gama A, Nogueira H, Silva MRG, Padez C. The Portuguese economic crisis is associated with socioeconomic and sex disparities on children's health-related behaviors and obesity: A cross-sectional study. Am J Hum Biol 2022; 34:e23796. [PMID: 36070351 DOI: 10.1002/ajhb.23796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Revised: 07/25/2022] [Accepted: 07/26/2022] [Indexed: 01/25/2023] Open
Abstract
OBJECTIVES Our objective was to examine the relationship between the 2008 and 2015 economic crisis and children's physical activity (PA) outcomes, eating behaviors and obesity prevalence, while considering sex inequalities and familial socioeconomic status. METHOD This is a cross-sectional study, including data collected in 2016/2017 among 5134 children aged 6-11 years (mean age: 8.11 ± 1.24; 50.0% boys). Children's height, weight, and waist circumference were objectively measured. Children's sleep- and screen-time, participation in organized sports, and specific dietary habits were reported parental-reported using a standardized questionnaire. An economic crisis impact score, with data from 10 indicators of economic needs in the family, was used to characterize the crisis' impact. RESULTS First, the prevalence of overweight and obesity was higher in children whose families had a higher impact of the crisis. Second, children's intake of fruit and high-fat food, screen-time, sleep-time, and participation in organized sports differed according to the level of impact of the economic crisis. Third, the association between health-related behaviors and the impact of the economic crisis was stronger for girls compared to boys. CONCLUSION Our findings give us an indication of how economic crises may drive changes in health outcomes.
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Affiliation(s)
- Daniela Rodrigues
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Department of Life Sciences, University of Coimbra, Coimbra, Portugal
| | - Aristides Machado-Rodrigues
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Polytechnic Institute of Viseu, High School of Education, Viseu, Portugal
| | - Augusta Gama
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Department of Animal Biology, University of Lisbon, Lisbon, Portugal
| | - Helena Nogueira
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Department of Geography and Tourism, University of Coimbra, Coimbra, Portugal
| | - Maria-Raquel G Silva
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal
| | - Cristina Padez
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Department of Life Sciences, University of Coimbra, Coimbra, Portugal
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Rodrigues D, Machado‐Rodrigues AM, Nogueira H, Gama A, Silva M, Padez C. Repeated cross-sectional studies found sex inequalities in childhood obesity by socio-economic vulnerability. Acta Paediatr 2022; 111:1612-1614. [PMID: 35445446 DOI: 10.1111/apa.16365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 04/07/2022] [Accepted: 04/19/2022] [Indexed: 11/27/2022]
Affiliation(s)
- Daniela Rodrigues
- Research Centre for Anthropology and Health University of Coimbra Coimbra Portugal
- Department of Life Sciences University of Portugal Coimbra Portugal
| | - Aristides M. Machado‐Rodrigues
- Research Centre for Anthropology and Health University of Coimbra Coimbra Portugal
- High School of Education Polytechnic Institute of Viseu Viseu Portugal
| | - Helena Nogueira
- Research Centre for Anthropology and Health University of Coimbra Coimbra Portugal
| | - Augusta Gama
- Research Centre for Anthropology and Health University of Coimbra Coimbra Portugal
- Department of Animal Biology Faculty of Sciences of the University of Lisbon Lisbon Portugal
| | - Maria‐Raquel Silva
- Research Centre for Anthropology and Health University of Coimbra Coimbra Portugal
- Faculty of Health Sciences University Fernando Pessoa Porto Portugal
| | - Cristina Padez
- Research Centre for Anthropology and Health University of Coimbra Coimbra Portugal
- Department of Life Sciences University of Portugal Coimbra Portugal
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Silva MRG, Machado-Rodrigues AM, Rodrigues D, Nogueira H, Rosado-Marques V, Gama A, Padez C. Household Food Security and Associated Factors among Portuguese Children. Ecol Food Nutr 2021; 61:407-421. [PMID: 34936530 DOI: 10.1080/03670244.2021.2018311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
This study investigated the household food insecurity (HFI) among Portuguese children following the last world financial crisis. A cross-sectional study was conducted on 4737 Portuguese children (3-11 yrs). Socio-demographics, food insecurity, and household geographic location were assessed via questionnaire. Nutritional status was measured. Following the economic crisis, 14.2% of school children and 12.0% of preschool children experienced HFI. Preschool children having parents with low and medium parental education (paternal: OR = 4.4; 95% CI 2.7-7.1 and OR = 2.4; 95% CI 1.5-3.6; maternal: OR = 2.2; 95% CI 1.4-3.5 and OR = 1.6; 95% CI 1.1-2.3), living in the south (OR = 1.4; 95% CI 1.0-2.0) and being overweight/obese (OR = 1.1; 95% CI 0.7-1.3) were more likely to experience HFI than food secure household peers. Higher OR of belonging to a food insecure household were observed in school-aged children with low and medium parental education (paternal: OR = 2.9; 95% CI 1.9-4.6 and OR = 1.7; 95% CI 1.1-2.5; maternal: OR = 2.5; 95% CI 1.6-3.9 and OR = 2.3; 95% CI 1.6-3.3), living in Coimbra (OR = 1.7; 95% CI 1.1-2.6) and being overweight/obese (OR = 1.3; 95% CI 0.8-1.5) compared to food secure household peers. Data are instructive and support the need to increase awareness of HFI, reduce its incidence in overweight/obese children from low socio-economic status families and specific geographic areas, and increase food availability based on local ecology.
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Affiliation(s)
- Maria-Raquel G Silva
- CIAS - Research Centre for Anthropology and Health - Human Biology, Health and Society, University of Coimbra, Coimbra, Portugal.,Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal.,CHRC - Comprehensive Health Research Centre-Group of Sleep, Chronobiology and Sleep Disorders-Nova Medical School, University of Lisbon, Lisbon, Portugal
| | - Aristides M Machado-Rodrigues
- CIAS - Research Centre for Anthropology and Health - Human Biology, Health and Society, University of Coimbra, Coimbra, Portugal.,High School of Education, Polytechnic Institute of Viseu, Viseu, Portugal
| | - Daniela Rodrigues
- CIAS - Research Centre for Anthropology and Health - Human Biology, Health and Society, University of Coimbra, Coimbra, Portugal.,Department of Life Sciences, University of Portugal, Coimbra, Portugal
| | - Helena Nogueira
- CIAS - Research Centre for Anthropology and Health - Human Biology, Health and Society, University of Coimbra, Coimbra, Portugal
| | - Vítor Rosado-Marques
- CIAS - Research Centre for Anthropology and Health - Human Biology, Health and Society, University of Coimbra, Coimbra, Portugal.,Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal
| | - Augusta Gama
- CIAS - Research Centre for Anthropology and Health - Human Biology, Health and Society, University of Coimbra, Coimbra, Portugal.,Department of Animal Biology, Faculty of Sciences of the University of Lisbon, Portugal
| | - Cristina Padez
- CIAS - Research Centre for Anthropology and Health - Human Biology, Health and Society, University of Coimbra, Coimbra, Portugal.,Department of Life Sciences, University of Portugal, Coimbra, Portugal
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Machado-Rodrigues AM, Rodrigues D, Gama A, Nogueira H, Silva MRG, Mascarenhas LP, Padez C. Objectively measured sedentary time and physical activity levels in a sample of pre-school children: amounts and obesity risk. Minerva Pediatr (Torino) 2021:S2724-5276.21.06584-8. [PMID: 34859649 DOI: 10.23736/s2724-5276.21.06584-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE Sedentary behaviours, even at an early age, are associated with potential health risks such as obesity, some cardio metabolic risk factors, poorer mental health, and lower levels physical fitness. The aim of this study was twofold: i) to compare objectively measured sedentary time and physical activity (PA) levels in its different intensity portions between boys and girls; ii) to analyse associations among the risk of overweight and moderate-to-vigorous physical activity (MVPA) in pre-school children. METHODS The present cross-sectional study comprised a sample of 134 children (70 males) aged 3-5 years. Height and weight were measured, and BMI was calculated. A tri-axial accelerometer was used to obtain seven consecutive days of MVPA, as well as the weekly time being sedentary. The t-test was used to analyse the effect of the sex on body size, sedentary behaviour, and PA levels; furthermore, logistic regression analysis was used to examine the afore-mentioned relationship among the risk of obesity and MVPA, controlling for sex, age, and sedentary behaviour. RESULTS About 16.0% of the sample is overweight or obese (boys 12.2%, girls 20.0%). Boys spent significantly more minutes/day in the moderate-to-vigorous portion of PA than their female counterparts on the week days (boys: 90.9±21.8 min/day; girls: 77.6±21.7 min/day) and in the total measured days (boys: 89.5±20.4 min/day; girls: 77.7±21.6 min/day). MVPA was inversely associated with the risk of being overweight in pre-school children after adjustment for potential confounders; children with higher levels of MVPA have less likely to be classified as overweight and/or obese than less active children (95% CI 0.96 to 0.99, p<0.05). CONCLUSIONS Findings of this study revealed males significantly more active than females. Objectively measured MVPA was independent and inversely associated with increased risk of overweight in pre-school children. Future interventions for improving weight health in paediatrics should enhance MVPA at early ages.
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Affiliation(s)
- Aristides M Machado-Rodrigues
- Department of Life Sciences, Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal -
| | - Daniela Rodrigues
- Department of Life Sciences, Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
| | - Augusta Gama
- Department of Life Sciences, Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
| | - Helena Nogueira
- Department of Life Sciences, Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
| | - Maria-Raquel G Silva
- Department of Life Sciences, Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
| | - Luis P Mascarenhas
- UniCentro, Department of Physical Education, Midwestern Paraná State University, Curitiba, Brazil
| | - Cristina Padez
- Department of Life Sciences, Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
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Silva MR, Rosado-Marques V, Nogueira H, Rodrigues D, Machado-Rodrigues A, Gama A, Padez C. Household food insecurity in portuguese young children after the financial crisis. Clin Nutr ESPEN 2021. [DOI: 10.1016/j.clnesp.2021.09.155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Rodrigues D, Carmo A, Gama A, Machado-Rodrigues AM, Nogueira H, Rosado-Marques V, Silva MR, Padez C. The Great Recession weighted on Portuguese children: A structural equation modeling approach considering eating patterns. Am J Hum Biol 2021; 34:e23692. [PMID: 34669227 DOI: 10.1002/ajhb.23692] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Revised: 10/07/2021] [Accepted: 10/08/2021] [Indexed: 01/06/2023] Open
Abstract
OBJECTIVES Further evidence on how the Great Recession was associated with childhood obesity is needed, particularly when the world is facing a new and severe economic downturn caused by the COVID-19 pandemic. This study explores: (1) the direct association of the 2008's economic crisis with eating patterns and body mass index (BMI), among children, independently of their socioeconomic status (SES), and (2) the indirect association between the crisis and children's BMI, by using eating patterns as mediators. METHODS A sample of children (n = 8472, mean age: 7.17 years old, 50.8% male) was recruited in schools from the cities of Porto, Coimbra and Lisbon, Portugal. Children's height and weight were objectively measured; BMI was calculated. Other data were collected by a parental questionnaire. A structural equation modeling studied the associations between the economic crisis impact, eating patterns, and BMI; model was adjusted for SES. RESULTS Children in families that reported a greater impact of the economic crisis showed higher consumption of unhealthy food items and lower consumption of healthy foods, regardless of SES. Indirectly, children whose parents scored higher in the economic crisis impact had higher BMI mediated by a higher consumption of cakes/chocolates and lower intake of vegetables/salads. CONCLUSIONS The economic crisis was associated with higher BMI and unhealthy eating patterns. Efforts to promote healthy diets and weight are needed at a population level rather than for specific social classes, particularly in the face of a new economic crisis caused by the COVID-19 pandemic.
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Affiliation(s)
- Daniela Rodrigues
- CIAS-Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Department of Life Sciences, University of Coimbra, Coimbra, Portugal
| | - Ariene Carmo
- Department of Nutrition, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Augusta Gama
- CIAS-Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Department of Animal Biology, Faculty of Sciences of the University of Lisbon, Lisbon, Portugal
| | - Aristides M Machado-Rodrigues
- CIAS-Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,High School of Education, Polytechnic Institute of Viseu, Viseu, Portugal
| | - Helena Nogueira
- CIAS-Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
| | - Vítor Rosado-Marques
- CIAS-Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal
| | - Maria-Raquel Silva
- CIAS-Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal
| | - Cristina Padez
- CIAS-Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Department of Life Sciences, University of Coimbra, Coimbra, Portugal
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Machado-Rodrigues AM, Rodrigues D, Gama A, Nogueira H, Mascarenhas LP, Padez C. Sleep duration, risk of obesity, and parental perceptions of residential neighborhood environments in 6-9 years-old children. Am J Hum Biol 2021; 34:e23668. [PMID: 34410021 DOI: 10.1002/ajhb.23668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Revised: 07/22/2021] [Accepted: 08/01/2021] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES The present study aimed to analyze the association between healthy sleep duration of children and the parental perception of the social/built environment. METHODS A cross-sectional study was done and a sample of 8273 children (4183 females) aged 6-9 years was observed. Height (cm) and weight (Kg) were measured, and the body mass index (BMI) was calculated. Participants were classified as normal weight or overweight/obese. Sleep habits, sedentary behaviors (i.e., TV viewing) and environmental variables were assessed by questionnaire. Logistic regressions were used, with adjustments for age, sex, BMI, and sedentary time. RESULTS Children whose parents reported a positive perception of the built environment in the residential area were 1.21 times more likely to have regular sleep habits during weekdays. Furthermore, children whose parents reported a negative perception of the social environment and safety were 81% more likely to have irregular sleep habits during the weekdays. CONCLUSIONS The present study revealed a positive association between regular sleep during the weekdays and the parental perception of the social/built environment (land use and urban design).
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Affiliation(s)
- Aristides M Machado-Rodrigues
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,High School of Education, Ci&DEI, Polytechnic Institute of Viseu, Viseu, Portugal
| | - Daniela Rodrigues
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
| | - Augusta Gama
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
| | - Helena Nogueira
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
| | - Luís P Mascarenhas
- UniCentro, Department of Physical Education, Midwestern Paraná State University, Curitiba, Brazil
| | - Cristina Padez
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
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Rodrigues D, Gama A, Machado-Rodrigues AM, Nogueira H, Rosado-Marques V, Silva MRG, Padez C. Home vs. bedroom media devices: socioeconomic disparities and association with childhood screen- and sleep-time. Sleep Med 2021; 83:230-234. [PMID: 34049041 DOI: 10.1016/j.sleep.2021.04.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Revised: 04/07/2021] [Accepted: 04/10/2021] [Indexed: 10/21/2022]
Abstract
BACKGROUND The literature has shown a widespread use of portable electronic devices among children over the last years. This study aimed to identify the availability of different media devices at home versus in children's bedroom according to the socioeconomic status (SES), and analyze the association between that availability and children's screen- and sleep-time on week and weekend days. METHODS Data from 3 to 10 year-old children (n = 8430) from a cross-sectional study conducted in Portugal (2016/17) was used. Screen- and sleep-time, availability of media devices, father and mother education (as a proxy measured of SES) were assessed via questionnaire. RESULTS Available devices at home were significantly more common among high-SES families; while media devices in the bedroom were more frequent in low-SES families (p < 0.001). In preschool and elementary school-aged children, media devices in the bedroom were associated with increase screen-time and shorter sleep per day. Also, mobile devices in the bedroom were shown to exert similar, or even more, influence on children's screen- and sleep-time as television. CONCLUSIONS Further research is needed to explore the pathways by which different electronic media negatively impacts on children's sleep and screen-time and to develop effective strategies to minimize device access at bedtime.
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Affiliation(s)
- Daniela Rodrigues
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Ed. São Bento, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal; Department of Life Sciences, University of Coimbra, Ed. São Bento, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal.
| | - Augusta Gama
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Ed. São Bento, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal; Department of Animal Biology, Faculty of Sciences of the University of Lisbon, Campo Grande, 1749-016, Lisbon, Portugal
| | - Aristides M Machado-Rodrigues
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Ed. São Bento, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal; High School of Education, Polytechnic Institute of Viseu, Campus Politécnico Santa Maria, 3504-510, Viseu, Portugal
| | - Helena Nogueira
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Ed. São Bento, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal
| | - Vítor Rosado-Marques
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Ed. São Bento, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal; Faculty of Human Kinetics, University of Lisbon, Estr. da Costa, 1495-751, Cruz Quebrada, Lisbon, Portugal
| | - Maria-Raquel G Silva
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Ed. São Bento, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal; Faculty of Health Sciences, University Fernando Pessoa, Praça de 9 de Abril 349, 4249-004, Porto, Portugal
| | - Cristina Padez
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Ed. São Bento, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal; Department of Life Sciences, University of Coimbra, Ed. São Bento, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal
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Pereira M, Padez C, Nogueira H. Municipal health promotion programs: is childhood obesity a concern at local level in Portugal? Health Promot Int 2021; 37:6220448. [PMID: 33842966 DOI: 10.1093/heapro/daab044] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Health promotion programs, targeted at distinct health outcomes such as childhood obesity, at local level are increasingly used worldwide. Therefore, there is a need to better understand the role of local governments (municipalities) as key public health promoters namely in the prevention of obesity in children. We aimed to provide some input regarding this issue in Portugal. First, we identified health-enhancing programs promoted by Portuguese municipalities in which children could participate. Then, we conducted a document analysis to provide clues about how municipalities conceptualized child health by retrieving information on which topics the programs were focused in, or acted upon, and identifying which socio-ecological model levels were addressed (or not) by each program. The 77 identified programs were promoted by 30 of the 308 Portuguese municipalities and only 11 programs addressed childhood obesity. Most programs focused in the individual health determinants and provided limited information which disabled its deeper analysis. Portuguese municipalities seem to disregard their potential as public health promoters. Childhood obesity is a major public health concern at national (and global) level but the same does not emerge locally. Municipalities are the closest government entities to the population, and it is their responsibility to ensure the population's quality of life, by addressing the social determinants and the physical environments. Therefore, municipalities should acknowledge health in their actions and delineate health improvement programs considering current evidence, specifically in the case of childhood obesity prevention that besides being a health problem in itself, is a risk factor for non-communicable diseases.
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Affiliation(s)
- Margarida Pereira
- Department of Life Sciences, Research Centre for Anthropology and Health, University of Coimbra, Calçada Martim de Freitas, Edifício de São Bento, 3000-456 Coimbra, Portugal
| | - Cristina Padez
- Department of Life Sciences, Research Centre for Anthropology and Health, University of Coimbra, Calçada Martim de Freitas, Edifício de São Bento, 3000-456 Coimbra, Portugal
| | - Helena Nogueira
- Department of Life Sciences, Research Centre for Anthropology and Health, University of Coimbra, Calçada Martim de Freitas, Edifício de São Bento, 3000-456 Coimbra, Portugal
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Rodrigues D, Gama A, Machado-Rodrigues AM, Nogueira H, Silva MRG, Rosado-Marques V, Stamatakis E, Jago R, Padez C. Screen media use by Portuguese children in 2009 and 2016: a repeated cross-sectional study. Ann Hum Biol 2021; 48:1-7. [PMID: 33455468 DOI: 10.1080/03014460.2021.1876921] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND Few studies have examined how access to mobile media is disrupting more traditional forms of media use. AIM To examine screen-time in 2009/10 and 2016/17 among children aged 3-6 years and assess potential socio-economic determinants of adherence to screen-time recommendations. SUBJECTS AND METHODS Two independent cross-sectional studies included 6874 Portuguese children. Screen-time (including television, computer, tablet, and smartphone) and proxy measures to calculate socioeconomic position (SEP) were parent-reported using a standardised questionnaire. Screen-time and adherence to screen-time recommendations were calculated for both periods. Determinants of excessive screen-time were identified using adjusted logistic regression models. RESULTS In 2009/10 screen-time averaged 107 min/day for pre-school children and 149 min/day for school-aged children. In 2016/17 values were 142 min/day and 173 min/day, respectively. Screen-time allocated to television was the highest, independently of children's age. In 2016/17, mobile media use was common among pre-school (37 min/day) and school-aged children (43 min/day). Exceeding the recommended screen-time was more prevalent in boys than girls (adjusted odds ratio (aOR) between 1.02 and 1.59) and in children whose parents had lower education levels or were unemployed (aOR between 1.00 and 2.23). CONCLUSION Screen-time was high among pre-school children, emphasising the need for earlier interventions, particularly among those from lower-SEP who had higher risk of exceeding the screen-time recommendations.
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Affiliation(s)
- Daniela Rodrigues
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Department of Life Sciences, University of Coimbra, Coimbra, Portugal
| | - Augusta Gama
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Department of Animal Biology, Faculty of Sciences of the University of Lisbon, Lisbon, Portugal
| | - Aristides M Machado-Rodrigues
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,High School of Education, Polytechnic Institute of Viseu, Viseu, Portugal
| | - Helena Nogueira
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
| | - Maria-Raquel G Silva
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal
| | - Vítor Rosado-Marques
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal
| | - Emmanuel Stamatakis
- School of Public Health, Faculty of Medicine and Health, Charles Perkins Centre, The University of Sydney, Sydney, Australia
| | - Russ Jago
- School for Policy Studies, Centre for Exercise, Nutrition & Health Sciences, University of Bristol, Bristol, UK
| | - Cristina Padez
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Department of Life Sciences, University of Coimbra, Coimbra, Portugal
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Velika B, Veronesi G, Verschuren WMM, Victora CG, Viegi G, Viet L, Villalpando S, Vineis P, Vioque J, Virtanen JK, Visser M, Visvikis-Siest S, Viswanathan B, Vladulescu M, Vlasoff T, Vocanec D, Vollenweider P, Völzke H, Voutilainen A, Voutilainen S, Vrijheid M, Vrijkotte TGM, Wade AN, Wagner A, Waldhör T, Walton J, Wambiya EOA, Bebakar WMW, Mohamud WNW, de Souza Wanderley Júnior R, Wang MD, Wang N, Wang Q, Wang X, Wang YX, Wang YW, Wannamethee SG, Wareham N, Weber A, Wedderkopp N, Weerasekera D, Weghuber D, Wei W, Weres A, Werner B, Whincup PH, Widhalm K, Widyahening IS, Wiecek A, Wilks RJ, Willeit J, Willeit P, Williams J, Wilsgaard T, Wojtyniak B, Wong-McClure RA, Wong A, Wong JE, Wong TY, Woo J, Woodward M, Wu FC, Wu J, Wu LJ, Wu S, Xu H, Xu L, Yaacob NA, Yamborisut U, Yan W, Yang L, Yang X, Yang Y, Yardim N, Yaseri M, Yasuharu T, Ye X, Yiallouros PK, Yoosefi M, Yoshihara A, You QS, You SL, Younger-Coleman NO, Md Yusof S, Yusoff AF, Zaccagni L, Zafiropulos V, Zainuddin AA, Zakavi SR, Zamani F, Zambon S, Zampelas A, Zamrazilová H, Zapata ME, Zargar AH, Ko Zaw K, Zdrojewski T, Zejglicova K, Vrkic TZ, Zeng Y, Zhang L, Zhang ZY, Zhao D, Zhao MH, Zhao W, Zhen S, Zheng W, Zheng Y, Zholdin B, Zhou M, Zhu D, Zins M, Zitt E, Zocalo Y, Cisneros JZ, Zuziak M, Ezzati M, Filippi S. Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight. eLife 2021; 10:e60060. [PMID: 33685583 PMCID: PMC7943191 DOI: 10.7554/elife.60060] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Accepted: 01/07/2021] [Indexed: 02/05/2023] Open
Abstract
From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Nayu Ikeda
- National Institutes of Biomedical Innovation, Health and Nutrition
| | | | | | | | - Jing Liu
- Capital Medical University Beijing An Zhen Hospital
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- University of Copenhagen
- Copenhagen University Hospital
| | | | | | | | | | | | | | - Ali Ahmadi
- Shahrekord University of Medical Sciences
| | | | | | | | | | - Kamel Ajlouni
- National Center for Diabetes, Endocrinology and Genetics
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- World Health Organization Regional Office for the Eastern Mediterranean
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- Research Center for Social Determinants of Health
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- Institute of Public Health of the University of Porto
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- Tel-Aviv University
- Hebrew University of Jerusalem
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Abdul Basit
- Baqai Institute of Diabetology and Endocrinology
| | | | | | | | | | | | | | | | | | | | | | | | - Judith Benedics
- Federal Ministry of Social Affairs, Health, Care and Consumer Protection
| | | | | | | | | | | | | | | | | | | | | | | | - Hongsheng Bi
- Shandong University of Traditional Chinese Medicine
| | - Yufang Bi
- Shanghai Jiao-Tong University School of Medicine
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - João Breda
- World Health Organization Regional Office for Europe
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- Council for Agricultural Research and Economics
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- The Gertner Institute for Epidemiology and Health Policy Research
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- Canadian Fitness and Lifestyle Research Institute
| | | | | | | | | | | | | | | | | | | | | | | | | | | | - Rachel Dankner
- The Gertner Institute for Epidemiology and Health Policy Research
| | | | | | | | - Luc Dauchet
- University of Lille
- Lille University Hospital
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Jia Li Duan
- Beijing Center for Disease Prevention and Control
| | | | | | | | | | | | | | - Anar Dushpanova
- Scuola Superiore Sant'Anna
- Al-Farabi Kazakh National University
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Günther Fink
- Swiss Tropical and Public Health Institute
- University of Basel
| | | | | | | | - Heba M Fouad
- World Health Organization Regional Office for the Eastern Mediterranean
| | | | | | | | | | | | | | | | | | | | | | | | - Mihai Gafencu
- Victor Babes University of Medicine and Pharmacy Timisoara
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Marcel Goldberg
- Institut National de la Santé et de la Recherche Médicale
- Paris University
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Yin Guo
- Capital Medical University Beijing Tongren Hospital
| | | | - Rajeev Gupta
- Eternal Heart Care Centre and Research Institute
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- Beijing Institute of Ophthalmology
| | | | | | | | | | | | | | - Yuan He
- National Research Institute for Health and Family Planning
| | - Yuna He
- Chinese Center for Disease Control and Prevention
| | | | | | | | | | | | - Ana Henriques
- Institute of Public Health of the University of Porto
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- Institute of Molecular and Clinical Ophthalmology Basel
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- French National Research Institute for Sustainable Development
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- Johns Hopkins Bloomberg School of Public Health
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- Research Institute for Primordial Prevention of Non-communicable Disease
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- PASs Hirszfeld Institute of Immunology and Experimental Therapy
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- French National Research Institute for Sustainable Development
| | - Vera Lanska
- Institute for Clinical and Experimental Medicine
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- University of Chinese Academy of Sciences
| | | | | | | | | | | | - Lijuan Liu
- Capital Medical University Beijing Tongren Hospital
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- National Research Institute for Health and Family Planning
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- Institute of Neuroscience of the National Research Council
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- French National Research Institute for Sustainable Development
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- Finnish Institute for Health and Welfare
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Jaume Marrugat
- CIBERCV
- Institut Hospital del Mar d'Investigacions Mèdiques
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Jie Mi
- Capital Institute of Pediatrics
| | | | | | | | | | | | | | - GK Mini
- Women’s Social and Health Studies Foundation
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Marie Moitry
- University of Strasbourg
- Strasbourg University Hospital
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Jorge Motta
- Instituto Conmemorativo Gorgas de Estudios de la Salud
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Jana Námešná
- Banska Bystrica Regional Authority of Public Health
| | | | | | | | | | | | | | | | | | | | - Keiu Nelis
- National Institute for Health Development
| | - Liis Nelis
- National Institute for Health Development
| | | | | | | | | | | | | | | | - Yury P Nikitin
- SB RAS Federal Research Center Institute of Cytology and Genetics
| | - Guang Ning
- Shanghai Jiao-Tong University School of Medicine
| | | | | | - Marianna Noale
- Institute of Neuroscience of the National Research Council
| | | | | | | | | | | | | | | | | | | | - Eha Nurk
- National Institute for Health Development
| | | | | | | | | | | | | | - Kyungwon Oh
- Korea Centers for Disease Control and Prevention
| | | | - Claes Ohlsson
- University of Gothenburg
- Sahlgrenska University Hospital
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Domenico Palli
- Institute for Cancer Research, Prevention and Clinical Network
| | | | | | | | | | | | - Francesco Panza
- IRCCS Ente Ospedaliero Specializzato in Gastroenterologia S. de Bellis
| | | | | | - Suyeon Park
- Korea Centers for Disease Control and Prevention
| | | | | | - Ionela M Pascanu
- University of Medicine, Pharmacy, Science and Technology of Târgu Mures
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Iris Pigeot
- Leibniz Institute for Prevention Research and Epidemiology - BIPS
| | | | | | | | | | | | | | | | | | | | | | - Raluca M Pop
- University of Medicine, Pharmacy, Science and Technology of Târgu Mures
| | | | - Miquel Porta
- Institut Hospital del Mar d'Investigacions Mèdiques
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Maria Puiu
- Victor Babes University of Medicine and Pharmacy Timisoara
| | | | | | | | | | | | | | | | | | | | | | - Manu Raj
- Amrita Institute of Medical Sciences
| | | | | | - Ivo Rakovac
- World Health Organization Regional Office for Europe
| | | | | | | | | | - Rafel Ramos
- Institut Universitari d'Investigació en Atenció Primària Jordi Gol
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Ana Rito
- National Institute of Health Doutor Ricardo Jorge
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Paola Russo
- Institute of Food Sciences of the National Research Council
| | | | | | | | | | | | | | | | | | - Nader Saki
- Ahvaz Jundishapur University of Medical Sciences
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Savvas Savva
- Research and Education Institute of Child Health
| | - Mathilde Savy
- French National Research Institute for Sustainable Development
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Aletta E Schutte
- University of New South Wales
- The George Institute for Global Health
| | | | | | | | - Abhijit Sen
- Center for Oral Health Services and Research Mid-Norway
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Alfonso Siani
- Institute of Food Sciences of the National Research Council
| | | | | | | | | | | | | | | | | | | | | | | | | | - Liam Smeeth
- London School of Hygiene & Tropical Medicine
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Igor Spiroski
- Institute of Public Health
- Ss. Cyril and Methodius University
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Lela Sturua
- National Center for Disease Control and Public Health
| | | | | | | | | | | | | | | | | | | | | | | | | | - Lucjan Szponar
- National Institute of Public Health – National Institute of Hygiene
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Pierre Traissac
- French National Research Institute for Sustainable Development
| | | | | | | | - Oanh TH Trinh
- University of Medicine and Pharmacy at Ho Chi Minh City
| | | | | | | | | | | | | | | | | | | | | | - Gilad Twig
- Tel-Aviv University
- Hebrew University of Jerusalem
| | | | | | | | | | - Eunice Ugel
- Universidad Centro-Occidental Lisandro Alvarado
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Anette Varbo
- Copenhagen University Hospital
- University of Copenhagen
| | | | | | | | - Tomas Vega
- Consejería de Sanidad Junta de Castilla y León
| | | | | | | | | | | | | | | | - Lucie Viet
- National Institute for Public Health and the Environment
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Ningli Wang
- Capital Medical University Beijing Tongren Hospital
| | | | | | | | | | | | | | - Adelheid Weber
- Federal Ministry of Social Affairs, Health, Care and Consumer Protection
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Bogdan Wojtyniak
- National Institute of Public Health - National Institute of Hygiene
| | | | | | | | | | - Jean Woo
- The Chinese University of Hong Kong
| | | | | | - Jianfeng Wu
- Shandong University of Traditional Chinese Medicine
| | | | | | - Haiquan Xu
- Institute of Food and Nutrition Development of Ministry of Agriculture and Rural Affairs
| | - Liang Xu
- Beijing Institute of Ophthalmology
| | | | | | - Weili Yan
- Children's Hospital of Fudan University
| | | | | | - Yang Yang
- Shanghai Educational Development Co. Ltd
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Yi Zeng
- Peking University
- Duke University
| | | | | | - Dong Zhao
- Capital Medical University Beijing An Zhen Hospital
| | | | - Wenhua Zhao
- Chinese Center for Disease Control and Prevention
| | - Shiqi Zhen
- Jiangsu Provincial Center for Disease Control and Prevention
| | | | | | | | - Maigeng Zhou
- Chinese Center for Disease Control and Prevention
| | - Dan Zhu
- Inner Mongolia Medical University
| | - Marie Zins
- Institut National de la Santé et de la Recherche Médicale
- Paris University
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20
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Rodrigues D, Costa D, Gama A, Machado-Rodrigues AM, Nogueira H, Silva MRG, Rosado-Marques V, Padez C. Socioeconomic inequalities in the prevalence of overweight and obesity among Portuguese preschool-aged children: Changes from 2009 to 2016. Am J Hum Biol 2021; 34:e23582. [PMID: 33634924 DOI: 10.1002/ajhb.23582] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Revised: 02/01/2021] [Accepted: 02/09/2021] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES We evaluated, for the first time in Portugal, the prevalence of overweight and obesity according to parental education in a population of preschool-aged Portuguese children in 2009/2010 and 2016/2017. METHODS Anthropometric data were collected in public and private preschools (n = 1996 in 2009/2010; n = 2077 in 2016/2017). Body mass index was calculated and weight status categories were based on the International Obesity Task Force cutoff points. Parental education level was self-reported. RESULTS Prevalence of overweight (17.1%-14.1%; p < 0.001) and obesity (6.6%-3.9%, p < 0.001) was lower in 2016/2017 than in 2009/2010, with higher rates being found in the north of the country. Parental education was significantly associated with childhood overweight and obesity and inequalities between low- and high-education increased between the two periods. CONCLUSIONS While a decrease in childhood overweight and obesity were positive findings, the prevalence is still high and shows pronounced socioeconomic differences. Policies for obesity prevention need to be inclusive and tackle inequalities, with interventions tailored to suit local contexts.
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Affiliation(s)
- Daniela Rodrigues
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Department of Life Sciences, University of Portugal, Coimbra, Portugal
| | - Diogo Costa
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
| | - Augusta Gama
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Department of Animal Biology, Faculty of Sciences of the University of Lisbon, Lisbon, Portugal
| | - Aristides M Machado-Rodrigues
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,High School of Education, Polytechnic Institute of Viseu, Viseu, Portugal
| | - Helena Nogueira
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
| | - Maria-Raquel G Silva
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal
| | - Vítor Rosado-Marques
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal
| | - Cristina Padez
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Department of Life Sciences, University of Portugal, Coimbra, Portugal
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21
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Silva MR, Rosado-Marques V, Nogueira H, Machado-Rodrigues A, Rodrigues D, Gama A, Padez C. Food (IN)security in Portuguese preschool and school children in time of financial crisis. Clin Nutr ESPEN 2020. [DOI: 10.1016/j.clnesp.2020.09.614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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22
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Rodriguez-Martinez A, Zhou B, Sophiea MK, Bentham J, Paciorek CJ, Iurilli MLC, Carrillo-Larco RM, Bennett JE, Di Cesare M, Taddei C, Bixby H, Stevens GA, Riley LM, Cowan MJ, Savin S, Danaei G, Chirita-Emandi A, Kengne AP, Khang YH, Laxmaiah A, Malekzadeh R, Miranda JJ, Moon JS, Popovic SR, Sørensen TIA, Soric M, Starc G, Zainuddin AA, Gregg EW, Bhutta ZA, Black R, Abarca-Gómez L, Abdeen ZA, Abdrakhmanova S, Abdul Ghaffar S, Abdul Rahim HF, Abu-Rmeileh NM, Abubakar Garba J, Acosta-Cazares B, Adams RJ, Aekplakorn W, Afsana K, Afzal S, Agdeppa IA, Aghazadeh-Attari J, Aguilar-Salinas CA, Agyemang C, Ahmad MH, Ahmad NA, Ahmadi A, Ahmadi N, Ahmed SH, Ahrens W, Aitmurzaeva G, Ajlouni K, Al-Hazzaa HM, Al-Othman AR, Al-Raddadi R, Alarouj M, AlBuhairan F, AlDhukair S, Ali MM, Alkandari A, Alkerwi A, Allin K, Alvarez-Pedrerol M, Aly E, Amarapurkar DN, Amiri P, Amougou N, Amouyel P, Andersen LB, Anderssen SA, Ängquist L, Anjana RM, Ansari-Moghaddam A, Aounallah-Skhiri H, Araújo J, Ariansen I, Aris 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X, Yiallouros PK, Yoosefi M, Yoshihara A, You QS, You SL, Younger-Coleman NO, Yusof SM, Yusoff AF, Zaccagni L, Zafiropulos V, Zainuddin AA, Zakavi SR, Zamani F, Zambon S, Zampelas A, Zamrazilová H, Zapata ME, Zargar AH, Zaw KK, Zdrojewski T, Zeljkovic Vrkic T, Zeng Y, Zhang L, Zhang ZY, Zhao D, Zhao MH, Zhao W, Zhen S, Zheng W, Zheng Y, Zholdin B, Zhou M, Zhu D, Zocalo Y, Zuñiga Cisneros J, Zuziak M, Ezzati M. Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories: a pooled analysis of 2181 population-based studies with 65 million participants. Lancet 2020; 396:1511-1524. [PMID: 33160572 PMCID: PMC7658740 DOI: 10.1016/s0140-6736(20)31859-6] [Citation(s) in RCA: 171] [Impact Index Per Article: 42.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2020] [Revised: 08/03/2020] [Accepted: 08/19/2020] [Indexed: 02/08/2023]
Abstract
BACKGROUND Comparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents. METHODS For this pooled analysis, we used a database of cardiometabolic risk factors collated by the Non-Communicable Disease Risk Factor Collaboration. We applied a Bayesian hierarchical model to estimate trends from 1985 to 2019 in mean height and mean BMI in 1-year age groups for ages 5-19 years. The model allowed for non-linear changes over time in mean height and mean BMI and for non-linear changes with age of children and adolescents, including periods of rapid growth during adolescence. FINDINGS We pooled data from 2181 population-based studies, with measurements of height and weight in 65 million participants in 200 countries and territories. In 2019, we estimated a difference of 20 cm or higher in mean height of 19-year-old adolescents between countries with the tallest populations (the Netherlands, Montenegro, Estonia, and Bosnia and Herzegovina for boys; and the Netherlands, Montenegro, Denmark, and Iceland for girls) and those with the shortest populations (Timor-Leste, Laos, Solomon Islands, and Papua New Guinea for boys; and Guatemala, Bangladesh, Nepal, and Timor-Leste for girls). In the same year, the difference between the highest mean BMI (in Pacific island countries, Kuwait, Bahrain, The Bahamas, Chile, the USA, and New Zealand for both boys and girls and in South Africa for girls) and lowest mean BMI (in India, Bangladesh, Timor-Leste, Ethiopia, and Chad for boys and girls; and in Japan and Romania for girls) was approximately 9-10 kg/m2. In some countries, children aged 5 years started with healthier height or BMI than the global median and, in some cases, as healthy as the best performing countries, but they became progressively less healthy compared with their comparators as they grew older by not growing as tall (eg, boys in Austria and Barbados, and girls in Belgium and Puerto Rico) or gaining too much weight for their height (eg, girls and boys in Kuwait, Bahrain, Fiji, Jamaica, and Mexico; and girls in South Africa and New Zealand). In other countries, growing children overtook the height of their comparators (eg, Latvia, Czech Republic, Morocco, and Iran) or curbed their weight gain (eg, Italy, France, and Croatia) in late childhood and adolescence. When changes in both height and BMI were considered, girls in South Korea, Vietnam, Saudi Arabia, Turkey, and some central Asian countries (eg, Armenia and Azerbaijan), and boys in central and western Europe (eg, Portugal, Denmark, Poland, and Montenegro) had the healthiest changes in anthropometric status over the past 3·5 decades because, compared with children and adolescents in other countries, they had a much larger gain in height than they did in BMI. The unhealthiest changes-gaining too little height, too much weight for their height compared with children in other countries, or both-occurred in many countries in sub-Saharan Africa, New Zealand, and the USA for boys and girls; in Malaysia and some Pacific island nations for boys; and in Mexico for girls. INTERPRETATION The height and BMI trajectories over age and time of school-aged children and adolescents are highly variable across countries, which indicates heterogeneous nutritional quality and lifelong health advantages and risks. FUNDING Wellcome Trust, AstraZeneca Young Health Programme, EU.
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Silva MR, Silva HH, Capkauskiene S, Rosado-Marques V, Machado-Rodrigues A, Nogueira H, Padez C. Cardiovascular and metabolic risk factors in physically active and inactive Portuguese middle-aged adults: A cross-sectional study. Sci Sports 2020. [DOI: 10.1016/j.scispo.2019.06.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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24
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Gama A, Rosado-Marques VÍ, Machado-Rodrigues AM, Nogueira H, MourÃo I, Padez C. Prevalence of overweight and obesity in 3-to-10-year-old children: assessment of different cut-off criteria WHO-IOTF. AN ACAD BRAS CIENC 2020; 92:e20190449. [PMID: 32785443 DOI: 10.1590/0001-3765202020190449] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2019] [Accepted: 10/21/2019] [Indexed: 11/21/2022] Open
Abstract
This study compares the prevalence of overweight and obesity between WHO/IOTF criteria. A total of 17,277 Portuguese children aged 3-10 years old were analysed. The prevalences of overweight-obesity were higher at WHO classification (19.8%-20.7%) than at IOTF classification (8.2%-16.1%), (p<0.001). Agreement between the criteria were substantial for overweight (Kappa= 0.67, p<0.001) and moderate for obesity (Kappa= 0.47, p<0.001). The prevalences ratio for inequality between criteria were greater for boys than for girls and lesser for children aged 6-7 than children aged 8-10 years old. The disparities between the two criteria and the higher overweight obesity prevalences highlight the needs to develop more studies.
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Affiliation(s)
- Augusta Gama
- Departamento de Biologia Animal, Universidade de Lisboa, Lisboa, Portugal
| | - VÍtor Rosado-Marques
- Centro de Investigação em Antropologia e Saúde, Universidade de Coimbra, Coimbra, Portugal
| | | | - Helena Nogueira
- Centro de Investigação em Antropologia e Saúde, Universidade de Coimbra, Coimbra, Portugal
| | - Isabel MourÃo
- Centro de Investigação em Ciência do Desporto, Universidade de Trás-os-Montes e Alto Douro, Vila Real, Portugal
| | - Cristina Padez
- Centro de Investigação em Antropologia e Saúde, Universidade de Coimbra, Coimbra, Portugal
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Costa D, Cunha M, Ferreira C, Gama A, Machado-Rodrigues AM, Rosado-Marques V, Mendes LL, Nogueira H, Pessoa M, Silva MRG, Velasquez-Melendez G, Padez C. Socioeconomic inequalities in children's health-related quality of life according to weight status. Am J Hum Biol 2020; 33:e23453. [PMID: 32578372 DOI: 10.1002/ajhb.23453] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2019] [Revised: 04/29/2020] [Accepted: 05/22/2020] [Indexed: 12/13/2022] Open
Abstract
OBJECTIVES This study explores the association between socioeconomic position (SEP) and health-related quality of life (HRQoL) among Portuguese children according to their weight status. METHODS A total of 1215 primary school-aged children (mean age 8.78 years) from three Portuguese districts (Lisbon, Porto, Coimbra) were assessed during 2016/2017. Father and mother's education (low, medium, high) and work status (employed, unemployed/retired) were used as SEP indicators. Self-reported HRQoL was assessed with the KIDSCREEN-27. Height and weight were objectively measured and body mass index categorized in normal, overweight or obese. Age, sex, and district-adjusted linear regression models were fitted to estimate associations between SEP indicators and HRQoL dimensions, according to weight status. RESULTS We found that 24.9% of children were categorized as having overweight/obesity. The mean scores of the Physical Well-Being, and School Environment dimensions of HRQoL were lower among children classified with overweight/obesity compared to children with normal weight (57.21 vs 54.11, P < .001 and 57.85 vs 56.04, P = .010, respectively). Father's education was significantly associated with all HRQoL dimensions in children with a normal weight, but the same was not observed among children presenting overweight/obesity. An increase in the level of maternal education was also significantly associated with all HRQoL dimensions among children classified with a normal weight, and only for the School Environment dimension among children classified with overweight/obesity. CONCLUSIONS These results suggest the presence of socioeconomic inequalities in self-reported HRQoL from early age, particularly among children with normal weight.
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Affiliation(s)
- Diogo Costa
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal
| | - Marina Cunha
- CINEICC - Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
| | - Cláudia Ferreira
- CINEICC - Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
| | - Augusta Gama
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal.,Department of Animal Biology, Faculty of Sciences of the University of Lisbon, Lisbon, Portugal
| | - Aristides M Machado-Rodrigues
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal.,High School of Education, Polytechnic Institute of Viseu, Viseu, Portugal
| | - Vítor Rosado-Marques
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal.,Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal
| | - Larissa L Mendes
- Department of Nutrition, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Helena Nogueira
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal.,Department of Geography and Tourism, University of Coimbra, Coimbra, Portugal
| | - Milene Pessoa
- Department of Nutrition, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Maria-Raquel G 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
| | - Gustavo Velasquez-Melendez
- Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Cristina Padez
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal
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26
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Rodrigues D, Gama A, Machado-Rodrigues AM, Nogueira H, Silva MRG, Rosado-Marques V, Padez C. Social inequalities in traditional and emerging screen devices among Portuguese children: a cross-sectional study. BMC Public Health 2020; 20:902. [PMID: 32522168 PMCID: PMC7288526 DOI: 10.1186/s12889-020-09026-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Accepted: 06/01/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Children are often exposed to too much screen time but few studies have explored the use of old and new digital media among young children. This study assesses screen time, including traditional and mobile devices, in pre-school and elementary school-aged children, according to their gender, age, and socioeconomic position (SEP). METHODS A total of 8430 children (3 to 10 years; 50.8% boys) from the north, center and south-central Portugal were included in the present study. Data was collected by a parental questionnaire during 2016/2017. Children's screen time (by media device, weekdays and at the weekend; calculated by mean minutes per day) were reported by parents. Analysis were carried to compare screen time by children's age, gender and family SEP (classified using father's educational degree). RESULTS Daily screen time was high both in children aged 3 to 5 and 6 to 10 years - 154 min/day (95% CI: 149.51-158.91) and 200.79 min/day (95% CI: 197.08-204.50), respectively - and the majority of children, independently of their gender, exceed the recommended 2 h/day of screen viewing. Children are still primarily engaging in screen time through television but the use of mobile devices, particularly tablets, were already high among 3 year-old children and increased with age. SEP was a negative predictor of screen time in the linear regression analysis, including after adjustment. CONCLUSIONS Considering the negative health impacts of excessive screen time, recognizing subgroups at risk of excessive screen time and identifying how each device is used according to age is fundamental to enable appropriate future interventions. The screen time in children aged 3-10 years is longer than the recommended, particularly among boys and in those children from lower SEP. Parents and policymakers should have in mind that children spend most of their screen time watching television but mobile devices are becoming extremely popular starting at a young age.
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Affiliation(s)
- Daniela Rodrigues
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Ed. São Bento, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal. .,Department of Life Sciences, University of Coimbra, Coimbra, Portugal.
| | - Augusta Gama
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Ed. São Bento, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal.,Department of Animal Biology, Faculty of Sciences of the University of Lisbon, Lisbon, Portugal
| | - Aristides M Machado-Rodrigues
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Ed. São Bento, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal.,High School of Education, Polytechnic Institute of Viseu, Viseu, Portugal
| | - Helena Nogueira
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Ed. São Bento, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal
| | - Maria-Raquel G Silva
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Ed. São Bento, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal.,Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal
| | - Vítor Rosado-Marques
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Ed. São Bento, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal.,Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal
| | - Cristina Padez
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Ed. São Bento, Calçada Martim de Freitas, 3000-456, Coimbra, Portugal.,Department of Life Sciences, University of Coimbra, Coimbra, Portugal
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Costa D, Cunha M, Ferreira C, Gama A, Machado-Rodrigues AM, Rosado-Marques V, Nogueira H, Silva MRG, Padez C. Self-reported symptoms of depression, anxiety and stress in Portuguese primary school-aged children. BMC Psychiatry 2020; 20:87. [PMID: 32106844 PMCID: PMC7047394 DOI: 10.1186/s12888-020-02498-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2019] [Accepted: 02/14/2020] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND Symptoms of depression, anxiety and stress experienced during childhood might have a negative impact on development. This study explores factors associated with such symptoms among Portuguese primary school-aged children. METHODS A sample of children (n = 1022, mean age = 8.77 years old) was recruited in public and private schools from the cities of Coimbra, Lisbon and Porto, Portugal. The children's version of the Depression, Anxiety and Stress Scale (DASS-C) was self-administered. Multivariate logistic regression models were fitted to measure associations (expressed as Odds Ratio, OR and 95% Confidence Intervals, CI) between each DASS-C subscale, dichotomized by its 4th vs. 3rd or less quartiles (symptoms increase with scores), and covariates: child sex, age, socioeconomic status (SES), sports activity beyond school, children self-assessed health status, child and mother's body mass index and mother's DASS scores. RESULTS Age was negatively associated with anxiety symptoms (adjusted OR, 95% CI: 0.70, 0.57-0.87) and girls, compared to boys, presented lower odds of depressive and stress symptoms (adjusted OR, 95% CI: 0.65, 0.47-0.92 and 0.57, 0.41-0.80, respectively). A low socioeconomic status was associated with more frequent symptoms of stress (adjusted OR, 95%CI for low compared to high SES: 1.61, 1.01-2.56). Children with poorer self-assessed health status and whose mothers scored higher in the DASS also presented significantly higher odds of scoring in the 4th quartile (vs. 3rd or less) of the three DASS-C subscales. CONCLUSIONS These results suggest the need to tailor preventive efforts targeting childhood mental health symptoms.
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Affiliation(s)
- Diogo Costa
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Calçada Martim de Freitas, Edifício São Bento, 3000-456, Coimbra, Portugal.
| | - Marina Cunha
- grid.8051.c0000 0000 9511 4342CINEICC - Centre for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
| | - Cláudia Ferreira
- grid.8051.c0000 0000 9511 4342CINEICC - Centre for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
| | - Augusta Gama
- grid.8051.c0000 0000 9511 4342Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Calçada Martim de Freitas, Edifício São Bento, 3000-456 Coimbra, Portugal ,grid.9983.b0000 0001 2181 4263Department of Animal Biology, Faculty of Sciences, University of Lisbon, Lisboa, Portugal
| | - Aristides M. Machado-Rodrigues
- grid.8051.c0000 0000 9511 4342Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Calçada Martim de Freitas, Edifício São Bento, 3000-456 Coimbra, Portugal ,grid.410929.70000 0000 9512 0160High School of Education, Polytechnic Institute of Viseu, Viseu, Portugal
| | - Vítor Rosado-Marques
- grid.8051.c0000 0000 9511 4342Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Calçada Martim de Freitas, Edifício São Bento, 3000-456 Coimbra, Portugal ,grid.9983.b0000 0001 2181 4263Faculty of Human Kinetics, University of Lisbon, Lisboa, Portugal
| | - Helena Nogueira
- grid.8051.c0000 0000 9511 4342Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Calçada Martim de Freitas, Edifício São Bento, 3000-456 Coimbra, Portugal ,grid.8051.c0000 0000 9511 4342Department of Geography and Tourism, University of Coimbra, Coimbra, Portugal
| | - Maria-Raquel G. Silva
- grid.8051.c0000 0000 9511 4342Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Calçada Martim de Freitas, Edifício São Bento, 3000-456 Coimbra, Portugal ,grid.91714.3a0000 0001 2226 1031Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal
| | - Cristina Padez
- grid.8051.c0000 0000 9511 4342Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Calçada Martim de Freitas, Edifício São Bento, 3000-456 Coimbra, Portugal
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28
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do Carmo AS, Rodrigues D, Nogueira H, Mendes LL, Dos Santos LC, Gama A, Machado-Rodrigues AM, Silva MRG, Rosado-Marques V, Padez C. Influence of parental perceived environment on physical activity, TV viewing, active play and Body Mass Index among Portuguese children: A mediation analysis. Am J Hum Biol 2020; 32:e23400. [PMID: 32027073 DOI: 10.1002/ajhb.23400] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Revised: 01/20/2020] [Accepted: 01/24/2020] [Indexed: 11/11/2022] Open
Abstract
OBJECTIVES The environment is believed to be key in obesity prevention, yet it is unclear how factors in the neighborhood influence weight-related behaviors. The present study aimed to investigate the influence of parental perceived environment on physical activity (PA), television (TV) time, active play and Body Mass Index (BMI) z score, and the mediating role of these weight-related behaviors on the relationship between neighborhood characteristics and children's BMI. METHODS Data of 8472 Portuguese preschool (aged 3-6, n = 3819) and school-aged children (aged 7-11 years, n = 4653) were collected during 2016/2017. Structural equation modeling was used to estimate the associations between parents perceived neighborhood characteristics (latent variables: unsafety and built/physical environment) and child's BMI z score, PA and TV time. RESULTS Among preschoolers, the latent variables of the perceived environment were not associated with the BMI, TV time, extracurricular PA, and active play. Among schoolchildren, the unsafety environment was positively associated with both the BMI (SC = 0.050, P = .008) and the time spent watching TV (SC = 0.052, P = .031) and negatively associated with extracurricular PA (SC = -0.125, P < .001). The latent variable Favorable Built Environment for PA (ie, environmental facilitating elements) was positively associated with active play (SC = 0.041, P = .031). Moreover, the TV time was a marginally significant mediator of the relationship between the perceived unsafe environment and the BMI of school-aged children (B = 0.002, P = .096). CONCLUSIONS In conclusion, changes in the environment to targeting parental perception of neighborhood safety could have positive effects on the promotion of healthy weight and the adoption of a healthy lifestyle in school-aged children.
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Affiliation(s)
- Ariene S do Carmo
- Departamento of Nutrition, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Daniela Rodrigues
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Department of Life Sciences, University of Coimbra, Coimbra, Portugal
| | - Helena Nogueira
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal
| | - Larissa L Mendes
- Departamento of Nutrition, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Luana C Dos Santos
- Departamento of Nutrition, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Augusta Gama
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Department of Animal Biology, Faculty of Sciences of the University of Lisbon, Lisbon, Portugal
| | - Aristides M Machado-Rodrigues
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,High School of Education, Polytechnic Institute of Viseu, Viseu, Portugal
| | - Maria-Raquel G Silva
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal
| | - Vítor Rosado-Marques
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal
| | - Cristina Padez
- CIAS - Research Centre for Anthropology and Health, University of Coimbra, Coimbra, Portugal.,Department of Life Sciences, University of Coimbra, Coimbra, Portugal
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Rodrigues MO, Abrantes N, Gonçalves FJM, Nogueira H, Marques JC, Gonçalves AMM. Impacts of plastic products used in daily life on the environment and human health: What is known? Environ Toxicol Pharmacol 2019; 72:103239. [PMID: 31472322 DOI: 10.1016/j.etap.2019.103239] [Citation(s) in RCA: 68] [Impact Index Per Article: 13.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Revised: 06/23/2019] [Accepted: 07/31/2019] [Indexed: 05/24/2023]
Abstract
Plastics are indispensable and persistent materials used in daily life that can be fragmented into micro- or nanoplastics. They are long polymer chains mixed with additives that can be toxic when in contact with distinct species. The toxicity can result from polymer matrix, additives, degradation products and adsorbed contaminants. Notwithstanding, there is still an immense gap of information concerning the individual and mixed impacts of plastics. Hence, in this study, we characterize the most common plastic materials widely used in our daily life by its polymer type and compile the environmental and human health hazards of these polymers including the impacts of monomers, additives, degradation products and adsorbed contaminants based on literature review. In summary, polyvinyl chloride is the most toxic polymer type used daily (monomer and additives); additives are more toxic than monomers to wildlife and humans; and the most toxic additives are benzene, phthalates and lead stabilisers.
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Affiliation(s)
- M O Rodrigues
- Department of Biology & CESAM, University of Aveiro, 3810-193 Aveiro, Portugal.
| | - N Abrantes
- Department of Environment and Planning & CESAM, University of Aveiro, 3810-193 Aveiro, Portugal
| | - F J M Gonçalves
- Department of Biology & CESAM, University of Aveiro, 3810-193 Aveiro, Portugal
| | - H Nogueira
- Department of Chemistry & CICECO, University of Aveiro, 3810-193 Aveiro, Portugal
| | - J C Marques
- MARE, Department of Life Sciences, Faculty of Sciences and Technology, University of Coimbra, 3004-517 Coimbra, Portugal
| | - A M M Gonçalves
- Department of Biology & CESAM, University of Aveiro, 3810-193 Aveiro, Portugal; MARE, Department of Life Sciences, Faculty of Sciences and Technology, University of Coimbra, 3004-517 Coimbra, Portugal
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30
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Costa D, Cunha M, Ferreira C, Gama A, Rodrigues AMN, Rosado-Marques V, Nogueira H, Silva MRG, Padez C. The impact of the economic crisis on the mental health of Portuguese primary-school children. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz186.583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Objective
To measure the impact of the economic crisis on the mental health correlates of Portuguese children attending primary school during 2016.
Methods
Cross-sectional analysis of primary school-aged children and their parents (n = 1157), conducted in public and private schools of three Portuguese districts. Parent reports of children mental health symptoms (Strengths and Difficulties Questionnaire - SDQ) and children self-reports of health-related quality of life (KIDSCREEN-27) and depressive, anxiety and stress symptoms (Depression, Anxiety and Stress Scales, Children version - DASS-C), were compared according to a set of yes/no questions on how the economic crisis changed the normal aspects of routine life (e.g. During the financial crisis did you had to use savings? Started buying cheaper food?). Linear regression models were fitted for the SDQ, the KIDSCREEN-27 and the DASS-C as dependent variables adjusted for children sex, socioeconomic status and district of residence.
Results
Affirmative answers to the crisis impact questions were associated with more frequent psychosocial functioning problems in children, with poorer self-reported health-related quality of life and with more frequent symptoms of depression, anxiety and stress.
Conclusions
Portuguese children mental health correlates show significant worse scores for those whose parents declared having to change daily routine habits as a result of the recent macroeconomic financial crisis, compared to those who did not change habits. Public Health programs should be developed to mitigate the potential negative impact of the financial crisis to the mental health of children.
Key messages
A negative impact on children mental health was observed as a result of the economic crisis. Public health programs designed to mitigate the impact of the economic crisis should include primary-school aged children.
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Affiliation(s)
- D Costa
- University of Coimbra, Coimbra, Portugal
| | - M Cunha
- University of Coimbra, Coimbra, Portugal
| | - C Ferreira
- University of Coimbra, Coimbra, Portugal
| | - A Gama
- University of Coimbra, Coimbra, Portugal
- University of Lisbon, Lisbon, Portugal
| | - A M N Rodrigues
- University of Coimbra, Coimbra, Portugal
- Polytechnic Institute of Viseu, Viseu, Portugal
| | - V Rosado-Marques
- University of Coimbra, Coimbra, Portugal
- University of Lisbon, Lisbon, Portugal
| | - H Nogueira
- University of Coimbra, Coimbra, Portugal
| | - M R G Silva
- University of Coimbra, Coimbra, Portugal
- Fernando Pessoa University, Porto, Portugal
| | - C Padez
- University of Coimbra, Coimbra, Portugal
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Nogueira H, Costeira e Pereira MM, Costa D, Gama A, Machado‐Rodrigues A, Silva M, Marques VR, Padez CM. The environment contribution to gender differences in childhood obesity and organized sports engagement. Am J Hum Biol 2019; 32:e23322. [DOI: 10.1002/ajhb.23322] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2019] [Revised: 08/07/2019] [Accepted: 08/27/2019] [Indexed: 11/11/2022] Open
Affiliation(s)
- Helena Nogueira
- Department of Geography and TourismUniversity of Coimbra Coimbra Portugal
- Research Centre for Anthropology and Health, Coimbra, Portugal
| | | | - Diogo Costa
- Research Centre for Anthropology and Health, Coimbra, Portugal
| | - Augusta Gama
- Research Centre for Anthropology and Health, Coimbra, Portugal
- University of Lisbon, Lisboa, Portugal
| | | | - Maria‐Raquel Silva
- Research Centre for Anthropology and Health, Coimbra, Portugal
- University Fernando Pessoa, Porto, Portugal
| | - Vítor R. Marques
- Research Centre for Anthropology and Health, Coimbra, Portugal
- University of Lisbon, Lisboa, Portugal
| | - Cristina M. Padez
- Research Centre for Anthropology and Health, Coimbra, Portugal
- Department of Life SciencesUniversity of Coimbra, Coimbra, Portugal
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32
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Machado-Rodrigues A, Mascarenhas L, Gama A, Mourão I, Nogueira H, Rosado-Marques V, Padez C. SUN-PO247: Childhood Obesity Risk and its Association with Eating Away-From-Home. Clin Nutr 2019. [DOI: 10.1016/s0261-5614(19)32879-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Machado-Rodrigues A, Mascarenhas L, Gama A, Mourão I, Nogueira H, Rosado V, Padez C. Can the parental perceptions of built environment influence children’s sleep habits? Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz035.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- A Machado-Rodrigues
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
- High School of Education of Viseu, Polytechnic Institute of Viseu, Portugal
| | | | - A Gama
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
| | - I Mourão
- Research Centre in Health and Human Development, University of Tras-os-Montes and Alto Douro, Portugal
| | - H Nogueira
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
| | - V Rosado
- Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal
| | - C Padez
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
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Rodrigues A, Mascarenhas L, Gama A, Mourão I, Nogueira H, Rosado V, Padez C. Waist-to-height ratio and its association with sedentary behaviour in a sample of Portuguese male children. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz035.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- A Rodrigues
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
- High School of Education of Viseu, Polytechnic Institute of Viseu, Portugal
| | | | - A Gama
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
| | - I Mourão
- Research Centre in Health and Human Development, University of Tras-os-Montes and Alto Douro, Portugal
| | - H Nogueira
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
| | - V Rosado
- Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal
| | - C Padez
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
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Machado-Rodrigues AM, Fernandes RA, Silva MR, Gama A, Mourão I, Nogueira H, Rosado-Marques V, Padez C. Overweight Risk and Food Habits in Portuguese Pre-school Children. J Epidemiol Glob Health 2019; 8:106-109. [PMID: 30864750 PMCID: PMC7377571 DOI: 10.2991/j.jegh.2017.10.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2017] [Accepted: 10/18/2017] [Indexed: 11/08/2022] Open
Abstract
The relationship between dietary intake and overweight-risk was assessed in 4349 children aged 3–5 years. Eating and sedentary behaviours were assessed by questionnaire. Logistic regressions were used. Children who consumed daily soft-drinks were 1.52 times more likely to be obese, and 72% more likely to be classified as overweight children.
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Affiliation(s)
- A M Machado-Rodrigues
- Research Centre for Anthropology and Health, University of Coimbra, Portugal.,High School of Education, Polytechnic Institute of Viseu, Viseu, Portugal
| | - R A Fernandes
- Institute of Biosciences and Technology, São Paulo State University - UNESP, Brazil
| | | | - A Gama
- Research Centre for Anthropology and Health, University of Coimbra, Portugal.,Faculdade de Ciências, Universidade de Lisboa, Portugal
| | - I Mourão
- Research Centre in Health and Human Development, University of Tras-os-Montes and Alto Douro, Portugal
| | - H Nogueira
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
| | - V Rosado-Marques
- Research Centre for Anthropology and Health, University of Coimbra, Portugal.,Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal
| | - C Padez
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
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Pereira M, Nogueira H, Padez C. The role of urban design in childhood obesity: A case study in Lisbon, Portugal. Am J Hum Biol 2019; 31:e23220. [PMID: 30869821 DOI: 10.1002/ajhb.23220] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Revised: 11/08/2018] [Accepted: 12/28/2018] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVE We hypothesize that physical features of the urban environment might enhance or prevent childhood obesity. Thus, this study's main goal was to verify if there is an association between the neighborhood urban design and childhood obesity-independent of well-known childhood obesity determinants, such as, father's level of schooling (as a proxy for socioeconomic status), and parent's weight status. METHODS This study classifies neighborhoods according to land use and building features using hierarchical clusters analysis and examines their association with childhood obesity through logistic regression models. RESULTS Four clusters resulted from the analysis: Cluster 1 represents areas with older buildings and mixed land use, cluster 2 is an area with small rented buildings and urban areas, cluster 3 comprises newer buildings with parking and urban green space, and cluster 4 is a forest area. Living in cluster 3 protects from childhood obesity, even when adjusting for father's level of schooling or parent's weight status. CONCLUSIONS There are distinct urban configurations in Lisbon's municipality and children who live in Cluster 3 (more recent and greener neighborhoods) seem to be protected from obesity. Therefore, public policy should focus on healthy urban planning at the neighborhood level, to promote positive impacts on peoples' health.
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Affiliation(s)
- Margarida Pereira
- Department of Life Sciences, Research Centre for Anthropology and Health, University of Coimbra, Portugal Calçada Martim de Freitas, Edifício de São bento, 3000-456 Coimbra, Portugal
| | - Helena Nogueira
- Department of Life Sciences, Research Centre for Anthropology and Health, University of Coimbra, Portugal Calçada Martim de Freitas, Edifício de São bento, 3000-456 Coimbra, Portugal
| | - Cristina Padez
- Department of Life Sciences, Research Centre for Anthropology and Health, University of Coimbra, Portugal Calçada Martim de Freitas, Edifício de São bento, 3000-456 Coimbra, Portugal
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Rodrigues MO, Abrantes N, Gonçalves FJM, Nogueira H, Marques JC, Gonçalves AMM. Spatial and temporal distribution of microplastics in water and sediments of a freshwater system (Antuã River, Portugal). Sci Total Environ 2018; 633:1549-1559. [PMID: 29758905 DOI: 10.1016/j.scitotenv.2018.03.233] [Citation(s) in RCA: 389] [Impact Index Per Article: 64.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/19/2018] [Revised: 03/20/2018] [Accepted: 03/20/2018] [Indexed: 05/18/2023]
Abstract
Microplastics (particles with a size<5mm), one of the most emerging aquatic pollutants, are of particular concern since they can reach high densities and interact with biotic and abiotic environment. The occurrence of microplastics in freshwater systems is less understood than in marine environment. Hence, the present study aims to provide new insights into microplastics abundances and distribution in Antuã River (Portugal) by applying the isolation method of wet peroxide oxidation with addition of zinc chloride to water and sediment samples collected in March and October 2016, in three sampling sites. The abundance of microplastics in water ranged from 5 to 8.3mgm-3 or 58-193itemsm-3 in March and from 5.8-51.7mgm-3 or 71-1265itemsm-3 in October. In sediments, the abundance ranged from 13.5-52.7mgkg-1 or 100-629itemskg-1 in March and from 2.6-71.4mgkg-1 or 18-514itemskg-1 in October. The water and sediment samples with the greatest abundances were from São João da Madeira and Aguincheira, respectively. Spatio-temporal distribution showed different pattern according to methodological approaches, seasonal and hydrodynamic conditions and the proximity to urban/industry areas. Analysis of plastics by Fourier transform infrared spectroscopy underline polyethylene and polypropylene as the most common polymer types identified in this work. The low medium high oxidation ratio was 56:22:22 (%) in March and 61:31:8 (%) in October. Foams and fibers were the most abundant type in São João da Madeira, while fibers and fragments were the most abundant in Aguincheira and Estarreja in water and sediment samples, respectively. This study emphasizes the importance of rivers as carriage systems of microplastics. Further studies should be performed to identify point sources in order to mitigate the microplastics contamination in aquatic systems.
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Affiliation(s)
- M O Rodrigues
- Department of Biology, CESAM, University of Aveiro, 3810-193 Aveiro, Portugal.
| | - N Abrantes
- Department of Environment, CESAM, University of Aveiro, 3810-193 Aveiro, Portugal
| | - F J M Gonçalves
- Department of Biology, CESAM, University of Aveiro, 3810-193 Aveiro, Portugal
| | - H Nogueira
- Department of Chemistry, CICECO, University of Aveiro, 3810-193 Aveiro, Portugal
| | - J C Marques
- MARE, Department of Life Sciences, University of Coimbra, 3004-517 Coimbra, Portugal
| | - A M M Gonçalves
- Department of Biology, CESAM, University of Aveiro, 3810-193 Aveiro, Portugal; MARE, Department of Life Sciences, University of Coimbra, 3004-517 Coimbra, Portugal
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Machado-Rodrigues AM, Fernandes R, Gama A, Mourão I, Nogueira H, Rosado-Marques V, Padez C. The association of irregular sleep habits with the risk of being overweight/obese in a sample of Portuguese children aged 6-9 years. Am J Hum Biol 2018; 30:e23126. [DOI: 10.1002/ajhb.23126] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2017] [Revised: 02/17/2018] [Accepted: 03/12/2018] [Indexed: 12/30/2022] Open
Affiliation(s)
| | | | - Augusta Gama
- Research Centre for Anthropology and Health, University of Coimbra; Portugal
- Faculdade de Ciências; Universidade de Lisboa; Portugal
| | - Isabel Mourão
- Research Centre in Health and Human Development; University of Tras-os-Montes and Alto Douro; Portugal
| | - Helena Nogueira
- Research Centre for Anthropology and Health, University of Coimbra; Portugal
| | - Vítor Rosado-Marques
- Research Centre for Anthropology and Health, University of Coimbra; Portugal
- Faculdade de Motricidade Humana; Universidade de Lisboa; Portugal
| | - Cristina Padez
- Research Centre for Anthropology and Health, University of Coimbra; Portugal
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Rodrigues PRM, Pereira RA, Gama A, Carvalhal IM, Nogueira H, Rosado-Marques V, Padez C. Body adiposity is associated with risk of high blood pressure in Portuguese schoolchildren. Revista Portuguesa de Cardiologia (English Edition) 2018. [DOI: 10.1016/j.repce.2017.09.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022] Open
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Rodrigues PRM, Pereira RA, Gama A, Carvalhal IM, Nogueira H, Rosado-Marques V, Padez C. Body adiposity is associated with risk of high blood pressure in Portuguese schoolchildren. Rev Port Cardiol 2018; 37:285-292. [DOI: 10.1016/j.repc.2017.09.016] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Accepted: 09/13/2017] [Indexed: 12/22/2022] Open
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Nogueira H, Porto P. O CONCEITO DE VALÊNCIA EM LIVROS DIDÁTICOS DE QUÍMICA GERAL ENTRE AS DÉCADAS DE 1890 E 1940. QUIM NOVA 2018. [DOI: 10.21577/0100-4042.20170310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Machado-Rodrigues A, Fernandes R, Silva MR, Gama A, Mourão I, Nogueira H, Rosado-Marques V, Padez C. Overweight Risk and Food Habits in Portuguese Pre-school Children. J Epidemiol Glob Health 2018. [DOI: 10.1016/j.jegh.2017.10.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- A.M. Machado-Rodrigues
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
- High School of Education, Polytechnic Institute of Viseu, Viseu, Portugal
| | - R.A. Fernandes
- Institute of Biosciences and Technology, São Paulo State University – UNESP, Brazil
| | | | - A. Gama
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
- Faculdade de Ciências, Universidade de Lisboa, Portugal
| | - I. Mourão
- Research Centre in Health and Human Development, University of Tras-os-Montes and Alto Douro, Portugal
| | - H. Nogueira
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
| | - V. Rosado-Marques
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
- Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal
| | - C. Padez
- Research Centre for Anthropology and Health, University of Coimbra, Portugal
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Machado-Rodrigues AM, Valente-dos-Santos J, Fernandes R, Gama A, Mourao I, Nogueira H, Marques V, Padez C. Waist-to-height ratio and its association with TV viewing in a sample of Portuguese children aged 7-9 years. Am J Hum Biol 2017; 29. [DOI: 10.1002/ajhb.23024] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2016] [Revised: 04/04/2017] [Accepted: 05/27/2017] [Indexed: 11/06/2022] Open
Affiliation(s)
- Aristides M. Machado-Rodrigues
- Faculdade de Ciências e Tecnologia, University of Coimbra, Research Centre for Anthropology and Health; Apartado 3046, 3001-401 Coimbra Portugal
| | | | - Romulo Fernandes
- Department of Physical Education; Universidade Estadual Paulista - UNESP; Presidente Prudente, Sao Paulo Brazil
| | - Augusta Gama
- Departamento de Biologia Animal; Universidade de Lisboa; Lisboa Portugal
| | - Isabel Mourao
- Universidade de Tras-os-Montes e Alto Douro; Vila Real Portugal
| | | | - Vitor Marques
- Instituto Investigação Científica Tropical; Lisboa Portugal
| | - Cristina Padez
- Departamento Antropologia; Universidade de Coimbra; Coimbra Portugal
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Nogueira H, Gama A, Machado-Rodrigues A, Mourão I, Rosado Marques V, Padez C. Deprivation, sport facilities, physical activity: the obesogenic environment of Portuguese children. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw175.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Machado-Rodrigues A, Gama A, Nogueira H, Mourâo I, Rosado V, Padez C. SUN-P209: Overweight Risk, Physical Activity and Nutritional Habits in Female Pre-School Children. Clin Nutr 2016. [DOI: 10.1016/s0261-5614(16)30552-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Garai S, Merca A, Bhowmik S, El Moll H, Li H, Haso F, Nogueira H, Liu T, Wu L, Gouzerh P, Müller A. Hedgehog-shaped {Mo368} cluster: unique electronic/structural properties, surfactant encapsulation and related self-assembly into vesicles and films. Soft Matter 2015; 11:2372-2378. [PMID: 25629447 DOI: 10.1039/c4sm02662d] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The hedgehog-shaped {Mo368} cluster shows unique electronic (extremely high extinction coefficient) and structural features, especially regarding its size, the high number of delocalized electrons which allows to measure the surface enhanced Raman scattering (SERS) spectrum and the option for coordination chemistry inside the cavity. Its relative instability in aqueous solution can be overcome by embedment in a hydrophobic shell of dimethyldioctadecylammonium cations. The resulting hybrid self-assembles into spherical vesicles in acetone-water mixtures, according to a process directed by hydrophobic-hydrophilic interactions. It also forms rather stable Langmuir monolayers while a second layer evolves under higher surface pressure, in accordance with a rather low alkyl surface density.
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Affiliation(s)
- Somenath Garai
- Fakultät für Chemie der Universität Bielefeld, Anorganische Chemie 1, Postfach 100131, 33501 Bielefeld, Germany.
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Machado‐Rodrigues AM, Santana A, Gama A, Mourão I, Nogueira H, Rosado V, Padez C. Parental perceptions of neighborhood environments, BMI, and active behaviors in girls aged 7–9 years. Am J Hum Biol 2014; 26:670-5. [DOI: 10.1002/ajhb.22577] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2014] [Revised: 04/27/2014] [Accepted: 05/28/2014] [Indexed: 11/11/2022] Open
Affiliation(s)
| | - Ana Santana
- Research Centre for Anthropology and HealthUniversity of Coimbra Portugal
| | - Augusta Gama
- Research Centre for Anthropology and HealthUniversity of Coimbra Portugal
| | - Isabel Mourão
- Research Centre in Health and Human DevelopmentUniversity of Trás‐os‐Montes and Alto Douro Portugal
| | - Helena Nogueira
- Research Centre for Anthropology and HealthUniversity of Coimbra Portugal
| | - Victor Rosado
- Research Centre for Anthropology and HealthUniversity of Coimbra Portugal
| | - Cristina Padez
- Research Centre for Anthropology and HealthUniversity of Coimbra Portugal
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Mendes LL, Nogueira H, Padez C, Ferrao M, Velasquez-Melendez G. Individual and environmental factors associated for overweight in urban population of Brazil. BMC Public Health 2013; 13:988. [PMID: 24143958 PMCID: PMC3854448 DOI: 10.1186/1471-2458-13-988] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2012] [Accepted: 09/23/2013] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Obesity is a significant global public health problem and the main cause of many chronic diseases in both developed and developing countries. The increase in obesity in different populations worldwide cannot be explained solely by metabolic and genetic factors; environmental and social factors also have a strong association with obesity. Thus, it is believed that the current obesity epidemic is the result of a complex combination of genetic factors and an obesogenic environment .The purpose of this study was to evaluate individual variables and variables within the built and social environment for their potential association with overweight and obesity in an urban Brazilian population. METHODS Cross-sectional study was carried out in a sample of 3404 adults living in the urban area of the city. Information from the surveillance system for chronic diseases of Brazilian Ministry of Health was used and individual data was collected by telephone interviews. The database was geocoded using the Brazilian System of Postal Codes for participant residences. An updated, existing list based on the current addresses of supermarkets and hypermarkets in the city was used as an indicator variable of the availability and access to food. Georeferenced information on parks, public squares, places for practicing physical activity and the population density were also used to create data on the built environment. To characterize the social environment, we used the health vulnerability index (HVI) and georeferenced data for homicide locations. RESULTS The prevalence was 44% for overweight, poisson regression was used to create the final model. The environment variables that independently associated with overweight were the highest population density, very high health vulnerability index and the homicide rate adjusted for individuals variables. The results of the current study illustrate and confirm some important associations between individual and environmental variables and overweight in a representative sample of adults in the Brazilian urban context. CONCLUSIONS The social environment variables relating to the socioeconomic deprivation of the neighborhood and the built environment variables relating to higher walkability were significantly associated with overweight and obesity in Belo Horizonte.
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Affiliation(s)
- Larissa L Mendes
- Departamento de Nutrição, Instituto de Ciências Biológicas, Universidade Federal de Juiz de Fora, Juiz de Fora 36036-900, Brazil
| | - Helena Nogueira
- Department of Geography, University of Coimbra, Largo da Porta Férrea, Coimbra 3004-530, Portugal
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra 3004-530, Portugal
| | - Cristina Padez
- Department of Life Sciences, University of Coimbra, Coimbra 3004-530, Portugal
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra 3004-530, Portugal
| | - Maria Ferrao
- Department of Life Sciences, University of Coimbra, Coimbra 3004-530, Portugal
- Research Centre for Anthropology and Health, University of Coimbra, Coimbra 3004-530, Portugal
| | - Gustavo Velasquez-Melendez
- Departamento de Enfermagem Materno-infantil em Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, Brazil
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