ESE - DESP - Artigos
Permanent URI for this collection
Browse
Recent Submissions
- Variations in accelerometry measured physical activity and sedentary time across Europe – harmonized analyses of 47,497 children and adolescentsPublication . Steene-Johannessen, Jostein; Hansen, Bjørge Herman; Dalene, Knut Eirik; Kolle, Elin; Northstone, Kate; Møller, Niels Christian; Grøntved, Anders; Wedderkopp, Niels; Kriemler, Susi; Page, Angie S.; Puder, Jardena J.; Reilly, John J.; Sardinha, Luis B.; van Sluijs, Esther M. F.; Andersen, Lars Bo; van der Ploeg, Hidde; Ahrens, Wolfgang; Flexeder, Claudia; Standl, Marie; Shculz, Holger; Moreno, Luis A.; De Henauw, Stefaan; Michels, Nathalie; Cardon, Greet; Ortega, Francisco B.; Ruiz, Jonatan; Aznar, Susana; Fogelholm, Mikael; Decelis, Andrew; Olesen, Line Grønholt; Hjorth, Mads Fiil; Santos, Rute; Vale, Susana; Christiansen, Lars Breum; Jago, Russ; Basterfield, Laura; Owen, Christopher G.; Nightingale, Claire M.; Eiben, Gabriele; Polito, Angela; Lauria, Fabio; Vanhelst, Jeremy; Hadjigeorgiou, Charalambos; Konstabel, Kenn; Molnár, Dénes; Sprengeler, Ole; Manios, Yannis; Harro, Jaanus; Kafatos, Anthony; Anderssen, Sigmund Alfred; Ekelund, UlfBackground Levels of physical activity and variation in physical activity and sedentary time by place and person in European children and adolescents are largely unknown. The objective of the study was to assess the variations in objectively measured physical activity and sedentary time in children and adolescents across Europe. Methods Six databases were systematically searched to identify pan-European and national data sets on physical activity and sedentary time assessed by the same accelerometer in children (2 to 9.9 years) and adolescents (≥10 to 18 years). We harmonized individual-level data by reprocessing hip-worn raw accelerometer data files from 30 different studies conducted between 1997 and 2014, representing 47,497 individuals (2–18 years) from 18 different European countries. Results Overall, a maximum of 29% (95% CI: 25, 33) of children and 29% (95% CI: 25, 32) of adolescents were categorized as sufficiently physically active. We observed substantial country- and region-specific differences in physical activity and sedentary time, with lower physical activity levels and prevalence estimates in Southern European countries. Boys were more active and less sedentary in all age-categories. The onset of age-related lowering or leveling-off of physical activity and increase in sedentary time seems to become apparent at around 6 to 7 years of age. Conclusions Two third of European children and adolescents are not sufficiently active. Our findings suggest substantial gender-, country- and region-specific differences in physical activity. These results should encourage policymakers, governments, and local and national stakeholders to take action to facilitate an increase in the physical activity levels of young people across Europe.
- Brazilian coaches' role in facilitating positive development through university sportPublication . Gaion, Patricia; Gobbi, Vinicius; Lima, Rhuan; Trindade, Ana; Rathwell, Scott; Santos, FernandoIn recent years, the role of coaches in fostering Positive Development (PD) has been explored within the context of university sport. However, research in non-English speaking countries such as Brazil, which is highly representative of university sport in Latin America, is still scarce. The purpose of this study was to analyze Brazilian coaches' perceptions of their role in facilitating PD within university sport. In total, 16 university coaches from all regions of Brazil were interviewed (14 male and 2 female). Data were collected through semi-structured interviews. Findings showed that coaches perceived university sport as a conducive platform for fostering both performance and PD outcomes. However, the coaches found it difficult to articulate PD strategies and identified challenges such as lack of time and organizational support. The present study suggests that PD is not well integrated within the current model of university sport in Brazil and highlights a potential need for PD-focused coach education programs.
- Examining Portuguese High School Students’ Attitudes Toward Physical EducationPublication . Pereira, Paulo; Santos, Fernando; Marinho, Daniel A.Portugal ranks fourth among countries with the highest rate of overweight population, considering that 67.6% of the Portuguese population over the age of 15 is overweight or obese. To our knowledge, limited studies have investigated students' attitudes toward physical education in Portugal. Such research is necessary because it can provide valuable insights for policy and application in the curriculum development for physical education, which may eventually increase participation in physical and sports activities. This study analyzed students' attitudes toward physical education (PE) according to sociodemographic variables, including grade level, socioeconomic status, and gender, and their participation in extracurricular sports activities and respective PE grades. The sample comprised 476 high school students (from the 7th, 8th, and 9th-grade levels) from five public schools located in Portugal. The Students' Attitudes toward Physical Education Questionnaire was adapted and validated for use with Portuguese students as a two-factor model. Findings show that students generally have a moderately positive attitude toward PE. However, students' positive attitudes tend to decrease throughout high school, which is particularly significant in the 9th grade. Furthermore, students' attitudes are influenced by gender, extracurricular sports practice, and grades. These findings may help stakeholders reflect on how to frame PE in a more meaningful way to create a solid foundation for maintaining an active lifestyle throughout life. Implications for further research and practice are discussed.
- Preschool children physical activity measurement: importance of epoch length choicePublication . Vale, Susana; Santos, Rute; Silva, Pedro; Soares-Miranda, Luísa; Mota, JorgeThe purpose of this study was twofold: first to document the gender differences in Moderate to Vigorous Physical Activity (MVPA) according to two epoch systems (5 vs. 60 s) in preschoolers, and, second to document the differences in physical activity (PA) patterns according to two different epoch choices. The sample comprised 59 preschoolers (31 girls) aged 2-5 years old. PA was assessed by accelerometer during school hours. The time spent in MVPA was significantly higher (p < .001) when a 5-s epoch was considered compared to the 60-s epoch, regardless gender. Further, it was found a difference of ?17 min difference between the 2 epoch systems for MVPA. Different epoch times might affect the time spent in MVPA among preschool children.
- Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participantsPublication . NCD Risk Factor Collaboration (NCD-RisC)Background Underweight and severe and morbid obesity are associated with highly elevated risks of adverse health outcomes. We estimated trends in mean body-mass index (BMI), which characterises its population distribution, and in the prevalences of a complete set of BMI categories for adults in all countries. Methods We analysed, with use of a consistent protocol, population-based studies that had measured height and weight in adults aged 18 years and older. We applied a Bayesian hierarchical model to these data to estimate trends from 1975 to 2014 in mean BMI and in the prevalences of BMI categories (<18·5 kg/m2 [underweight], 18·5 kg/m2 to <20 kg/m2, 20 kg/m2 to <25 kg/m2, 25 kg/m2 to <30 kg/m2, 30 kg/m2 to <35 kg/m2, 35 kg/m2 to <40 kg/m2, ≥40 kg/m2 [morbid obesity]), by sex in 200 countries and territories, organised in 21 regions. We calculated the posterior probability of meeting the target of halting by 2025 the rise in obesity at its 2010 levels, if post-2000 trends continue. Findings We used 1698 population-based data sources, with more than 19·2 million adult participants (9·9 million men and 9·3 million women) in 186 of 200 countries for which estimates were made. Global age-standardised mean BMI increased from 21·7 kg/m2 (95% credible interval 21·3–22·1) in 1975 to 24·2 kg/m2 (24·0–24·4) in 2014 in men, and from 22·1 kg/m2 (21·7–22·5) in 1975 to 24·4 kg/m2 (24·2–24·6) in 2014 in women. Regional mean BMIs in 2014 for men ranged from 21·4 kg/m2 in central Africa and south Asia to 29·2 kg/m2 (28·6–29·8) in Polynesia and Micronesia; for women the range was from 21·8 kg/m2 (21·4–22·3) in south Asia to 32·2 kg/m2 (31·5–32·8) in Polynesia and Micronesia. Over these four decades, age-standardised global prevalence of underweight decreased from 13·8% (10·5–17·4) to 8·8% (7·4–10·3) in men and from 14·6% (11·6–17·9) to 9·7% (8·3–11·1) in women. South Asia had the highest prevalence of underweight in 2014, 23·4% (17·8–29·2) in men and 24·0% (18·9–29·3) in women. Age-standardised prevalence of obesity increased from 3·2% (2·4–4·1) in 1975 to 10·8% (9·7–12·0) in 2014 in men, and from 6·4% (5·1–7·8) to 14·9% (13·6–16·1) in women. 2·3% (2·0–2·7) of the world’s men and 5·0% (4·4–5·6) of women were severely obese (ie, have BMI ≥35 kg/m2). Globally, prevalence of morbid obesity was 0·64% (0·46–0·86) in men and 1·6% (1·3–1·9) in women. Interpretation If post-2000 trends continue, the probability of meeting the global obesity target is virtually zero. Rather, if these trends continue, by 2025, global obesity prevalence will reach 18% in men and surpass 21% in women; severe obesity will surpass 6% in men and 9% in women. Nonetheless, underweight remains prevalent in the world’s poorest regions, especially in south Asia.
- The association between cardiovascular disease risk and parental educational level in Portuguese childrenPublication . Duncan, Michael J.; Vale, Susana; Santos, Maria Paula; Ribeiro, José Carlos; Mota, JorgeThe aim of this study was to examine any differences in cardiovascular disease (CVD) risk in Portuguese children split by parental educational level. A cross-sectional school-based study was conducted in 2011 on 359 Portuguese children (202 girls and 157 boys) aged 10 to 17 years (mean age ± SD = 13.9 ± 1.98 years). Height and body mass were assessed to determine body mass index (BMI). Parental education level (PEL) was used as a surrogate for socioeconomic status (SES). Capillary blood sampling was used to determine: Total Cholesterol (TC), Triglycerides (TG), Fasting Glucos (GLUC), High and Low Density Lipoprotein (HDL/LDL). These measurements were combined with measures of systolic blood pressure and cardiorespiratory fitness as z-scores. CVD risk was constructed by summing the z-scores. Analysis of covariance, controlling for BMI, indicated that CVD risk was significantly different across PEL groups (p = 0.01), with CVD risk score being significantly lower in low (p = 0.04) and middle (p = 0.008) PEL groups, compared to high PEL. Moreover, the covariate, BMI was also significant (p = 0.0001, β = 0.023), evidencing a significant positive association between BMI and CVD risk, with higher BMI associated with greater CVD risk. In Portuguese children, significantly greater CVD risk was found for children of high PEL, while higher BMI was associated with greater CVD risk.
- A century of trends in adult human heightPublication . NCD Risk Factor Collaboration (NCD-RisC)Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1996 in 200 countries. The largest gain in adult height over the past century has occurred in South Korean women and Iranian men, who became 20.2 cm (95% credible interval 17.5-22.7) and 16.5 cm (13.3-19.7) taller, respectively. In contrast, there was little change in adult height in some sub-Saharan African countries and in South Asia over the century of analysis. The tallest people over these 100 years are men born in the Netherlands in the last quarter of 20th century, whose average heights surpassed 182.5 cm, and the shortest were women born in Guatemala in 1896 (140.3 cm; 135.8-144.8). The height differential between the tallest and shortest populations was 19-20 cm a century ago, and has remained the same for women and increased for men a century later despite substantial changes in the ranking of countries.
- Compliance with physical activity guidelines in preschool childrenPublication . Vale, Susana; Silva, Pedro; Santos, Rute; Soares-Miranda, Luisa; Mota, JorgeThe aims of this study were (1) to document differences in physical activity (both total and moderate-to-vigorous physical activity) between the sexes on weekdays and weekend days in preschoolers, and (2) to assess compliance with recommendations for total physical activity (National Association for Sport and Physical Education guidelines) and moderate-to-vigorous physical activity on weekdays and weekend days in the same children. The sample comprised 245 preschoolers (105 girls, 140 boys) aged 3.5-6.0 years old. Physical activity was assessed using an Actigraph accelerometer. Data were analysed with specific software and activity was measured as counts per minute. An independent t-test and general linear model with repeated-measures were used to assess differences between the sexes and differences between days (weekdays and weekend days) within each sex, respectively. A chi-square test was used to determine differences between the sexes in the proportion of children complying with physical activity guidelines. In both sexes, sedentary behaviour accounted for the majority of the time on weekdays and weekend days (weekdays: 83%; weekend days: 83.9%). Boys engaged in significantly more (P < 0.05) total physical activity and moderate-to-vigorous physical activity than girls (weekdays: boys 155.4 min vs. girls 128.22 min; weekend days: boys 111.2 min vs. girls 90.5 min). On average, preschool children engaged in significantly more (P < 0.05) total physical activity and moderate-to-vigorous physical activity on weekdays than weekend days. Altogether, 74.3% and 93.5% of the children met the National Association for Sport and Physical Education guidelines and moderate-to-vigorous physical activity recommendations respectively on weekdays, whereas compliance with both recommendations was substantially less in both sexes on weekend days. The results of this study suggest that despite 83% of time during the day being spent in sedentary behaviour, most preschool children met the daily physical activity and moderate-to-vigorous physical activity recommendations on weekdays. Future research should consider the two constructs of physical activity and sedentary behaviour independently, as they might not necessarily counteract each other.
- Objectively measured physical activity and body mass index in preschool childrenPublication . Vale, Susana; Santos, Rute; Soares-Miranda, Luísa Maria; Moreira, Carla; Ruiz, Jonatan R; Mota, JorgeAim. To examine the association between objectively measured physical activity (PA) and body mass index (BMI) in preschool children. Methods. The study comprised 281 children (55.9% boys) aged from 4 to 6 years. PA was measured by accelerometer. Children were categorized as non-overweight (NOW) and overweight/obese (OW) according to the sex-adjusted BMI z-score (<1 and >/=1, resp.). Results. Total and moderate intensity PA were not associated with BMI. We observed that a higher proportion of OW children were classified as low-vigorous PA compared to their NOW peers (43.9 versus 32.1%, resp., P > .05). Logistic regression analysis showed that children with low-vigorous PA had higher odds ratio (OR) to be classified as OW compared to those with high-vigorous PA (OR = 4.4; 95% CI: 1.4-13.4; P = .008) after adjusting for BMI at first and second years of life and other potential confounders. Conclusion. The data suggests that vigorous PA may play a key role in the obesity development already at pre-school age.
- Impact of a school-based intervention to promote fruit intake: a cluster randomized controlled trialPublication . Rosário, R.; Araújo, A.; Padrão, P.; Lopes, O.; Moreira, A.; Abreu, S.; Vale, S.; Pereira, B.; Moreira, P.Objective: There is evidence that fruit consumption among school children is below the recommended levels. This study aims to examine the effects of a dietary education intervention program me, held by teachers previously trained in nutrition, on the consumption of fruit as a dessert at lunch and dinner, among children 6-12 years old. Study design: This is a randomized trial with the schools as the unit of randomisation. Methods: A total of 464 children (239 female, 6-12years) from seven elementary schools participated in this cluster randomized controlled trial. Three schools were allocated to the intervention and four to the control group. For the intervention schools, we delivered professional development training to school teachers (12 sessions of 3 h each). The training provided information about nutrition, healthy eating, the importance of drinking water and healthy cooking activities. After each session, teachers were encouraged to develop classroom activities focused on the learned topics. Sociodemographic was assessed at baseline and anthropometric, dietary intake and physical activity assessments were performed at baseline and at the end of the intervention. Dietary intake was evaluated by a 24- h dietary recall and fruit consumption as a dessert was gathered at lunch and dinner. Results: Intervened children reported a significant higher intake in the consumption of fruit compared to the controlled children at lunch (P = 0.001) and at dinner (P = 0.012), after adjusting for confounders. Conclusions: Our study provides further support for the success of intervention programmes aimed at improving the consumption of fruit as a dessert in children.
- «
- 1 (current)
- 2
- 3
- »