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Sjöros T, Norha J, Johansson R, Laine S, Garthwaite T, Vähä-Ypyä H, Löyttyniemi E, Kalliokoski KK, Sievänen H, Vasankari T, Knuuti J, Heinonen IHA. Tiredness after work associates with less leisure-time physical activity. Sci Rep 2024; 14:7965. [PMID: 38575674 PMCID: PMC10994905 DOI: 10.1038/s41598-024-58775-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Accepted: 04/03/2024] [Indexed: 04/06/2024] Open
Abstract
Physical activities and sedentary behaviors take place in different contexts. This study aimed to determine if the context, total score, and leisure-time MET-index assessed by the Baecke questionnaire associate with each other or with sedentary behavior and physical activity outcomes from a 4-week accelerometer measurement in physically inactive adults with overweight. The item "After working I am tired" correlated negatively with items related to leisure-time physical activity and sports participation. The total Baecke Score showed weak but significant correlations with accelerometer-measured sedentary behavior, physical activity, daily steps, and mean activity intensity of the day (r = - 0.33, 0.41, 0.35, and 0.41, respectively). The associations strengthened when the Sport Index was omitted from the Score. The leisure-time MET-Index did not correlate with accelerometer-measured sedentary behavior or physical activity. Tiredness after working associated with less self-reported physical activity during leisure time. This suggests that better recovery from work-related stress could increase leisure-time physical activity, or increasing leisure-time physical activity could reduce tiredness after working. Moreover, among self-reportedly inactive adults with overweight, focusing the questionnaire on work and non-sport leisure time instead of total time might give more accurate estimates of sedentary behavior and physical activity when compared to accelerometry.The study is registered at ClinicalTrials.gov (NCT03101228, 05/04/2017).
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Affiliation(s)
- Tanja Sjöros
- Turku PET Centre, University of Turku and Turku University Hospital, P.O. Box 52, 20521, Turku, Finland
| | - Jooa Norha
- Turku PET Centre, University of Turku and Turku University Hospital, P.O. Box 52, 20521, Turku, Finland
| | - Riitta Johansson
- Turku PET Centre, University of Turku and Turku University Hospital, P.O. Box 52, 20521, Turku, Finland
| | - Saara Laine
- Turku PET Centre, University of Turku and Turku University Hospital, P.O. Box 52, 20521, Turku, Finland
| | - Taru Garthwaite
- Turku PET Centre, University of Turku and Turku University Hospital, P.O. Box 52, 20521, Turku, Finland
| | - Henri Vähä-Ypyä
- The UKK Institute for Health Promotion Research, Tampere, Finland
| | - Eliisa Löyttyniemi
- Department of Biostatistics, University of Turku and Turku University Hospital, Turku, Finland
| | - Kari K Kalliokoski
- Turku PET Centre, University of Turku and Turku University Hospital, P.O. Box 52, 20521, Turku, Finland
| | - Harri Sievänen
- The UKK Institute for Health Promotion Research, Tampere, Finland
| | - Tommi Vasankari
- The UKK Institute for Health Promotion Research, Tampere, Finland
- Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
| | - Juhani Knuuti
- Turku PET Centre, University of Turku and Turku University Hospital, P.O. Box 52, 20521, Turku, Finland
| | - Ilkka H A Heinonen
- Turku PET Centre, University of Turku and Turku University Hospital, P.O. Box 52, 20521, Turku, Finland.
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Druzian GS, Tebar WR, Beretta VS, Leite EG, Leocci IC, Santos AB, Antunes EP, Casonatto J, Ferrari G, Fernandes RA, Morelhão PK, Christofaro DGD. Parent-child associations of sleep quality: is physical activity a confounder? The EPI-FAMILY health study. Sleep Med 2024; 116:51-55. [PMID: 38428342 DOI: 10.1016/j.sleep.2024.02.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 02/20/2024] [Accepted: 02/24/2024] [Indexed: 03/03/2024]
Abstract
INTRODUCTION The incidence of sleep deprivation has increased in pediatric populations, however, the relationship with physical activity (PA) remains uncertain and lacks evidence. Although some studies have shown that parents' lifestyle habits can influence this process, one point that requires further clarification in the literature is whether parents' sleep quality is linked to that of their children and whether parents' physical activity could play an important role in these possible relationships. OBJECTIVES To investigate the relationship of sleep quality between parents and children and verify the role of physical activity in this association. METHODS This is a cross-sectional study. Sleep quality was assessed using the Mini Sleep Questionnaire. The amount of sleep was estimated by the number of hours slept. PA domains (occupational activities, leisure, and active commuting) were assessed using the Baecke questionnaire, while moderate to vigorous PA (MVPA) was assessed with an accelerometer. Socioeconomic status was obtained through a questionnaire. The relationship of sleep quality between parents and children was carried out using hierarchical models with Binary Logistic Regression, where the factors were inserted one by one (1. unadjusted model; 2. sociodemographic variables; 3. children's PA; 4. parents' PA). RESULTS The study sample consisted of 102 children and adolescents (6-17 years), 92 mothers, and 69 fathers. Poor sleep quality of mothers was associated with their children's sleep quality (OR = 3.95; 95%CI = 1.33-11.38; P = 0.013). After inserting mothers' PA intensity into the final model, the associations remained significant (OR = 8.05; 1.33-48.59; P = 0.023). No relationship was observed between poor sleep quality of fathers and their children's sleep quality. CONCLUSION The relationship between poor sleep quality of mothers and that of their children remained significant, regardless of confounding variables.
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Affiliation(s)
- Gustavo S Druzian
- Universidade Estadual Paulista (UNESP). Departamento de Educação Física, Presidente Prudente, SP, Brazil
| | - William R Tebar
- Universidade Estadual Paulista (UNESP). Departamento de Educação Física, Presidente Prudente, SP, Brazil
| | - Vitor S Beretta
- Universidade Estadual Paulista (UNESP). Departamento de Educação Física, Presidente Prudente, SP, Brazil
| | - Enrique G Leite
- Universidade Estadual Paulista (UNESP). Departamento de Educação Física, Presidente Prudente, SP, Brazil
| | - Isabella C Leocci
- Universidade Estadual Paulista (UNESP). Departamento de Educação Física, Presidente Prudente, SP, Brazil
| | - Amanda B Santos
- Universidade Estadual Paulista (UNESP). Departamento de Educação Física, Presidente Prudente, SP, Brazil
| | - Ewerton P Antunes
- Universidade Estadual Paulista (UNESP). Departamento de Educação Física, Presidente Prudente, SP, Brazil
| | | | - Gerson Ferrari
- Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia, Chile
| | - Rômulo A Fernandes
- Universidade Estadual Paulista (UNESP). Departamento de Educação Física, Presidente Prudente, SP, Brazil
| | - Priscila K Morelhão
- Universidade Federal de São Paulo (UNIFESP). Departamento de Psicobiologia, São Paulo, SP, Brazil; Sleep Institute, São Paulo, SP, Brazil
| | - Diego G D Christofaro
- Universidade Estadual Paulista (UNESP). Departamento de Educação Física, Presidente Prudente, SP, Brazil.
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Palma MR, Tebar WR, Beretta VS, Vanderlei LCM, Fregonesi CEPT, Ribeiro FE, Caldeira DT, Ramos EMC, Cucato GG, Ferrari G, Ritti-Dias RM, Christofaro DGD. Effect of physical activity on the relationship between adiposity and cardiac autonomic modulation in female breast cancer survivors: a longitudinal study. Women Health 2024; 64:165-174. [PMID: 38229419 DOI: 10.1080/03630242.2024.2305342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Accepted: 01/08/2024] [Indexed: 01/18/2024]
Abstract
This longitudinal study aimed to analyze the influence of physical activity (PA) on the relationship between body adiposity and cardiac autonomic modulation (CAM) in women survivors of breast cancer. We collected body adiposity through electrical bioimpedance considering body fat percentage (BFP), CAM through heart rate variability (considering RMSSD, SDNN, PNN50, LF (m2), HF (m2), SD1 indexes and SD1/SD2 ratio) and PA through a questionnaire in 64 participants (58.0 ± 9.6 years), recruited through the local association of support for breast cancer and by direct indications from city mastologists. After insertion of PA into the multivariate statistical model, significant attenuation was observed in the relationship between body adiposity and CAM for the indices: SDNN (β = -0.94; 95 percent CI: -1.93; 0.04; p = .060) and SD1/SD2 (β = -0.01;95 percent CI = -0.02; 0.001; p = .065). In conclusion, it was observed that PA was able to mitigate the relationships between BFP and CAM (considering SDNN index and SD1/SD2 ratio) in breast cancer survivors.
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Affiliation(s)
- Mariana R Palma
- School of Technology and Sciences, Department of Physiotherapy, São Paulo State University (Unesp), Presidente Prudente, Brazil
| | - William R Tebar
- School of Technology and Sciences, Department of Physical Education, São Paulo State University (Unesp), Presidente Prudente, Brazil
| | - Victor S Beretta
- School of Technology and Sciences, Department of Physical Education, São Paulo State University (Unesp), Presidente Prudente, Brazil
| | - Luiz Carlos M Vanderlei
- School of Technology and Sciences, Department of Physiotherapy, São Paulo State University (Unesp), Presidente Prudente, Brazil
| | - Cristina E P T Fregonesi
- School of Technology and Sciences, Department of Physiotherapy, São Paulo State University (Unesp), Presidente Prudente, Brazil
| | - Fernanda E Ribeiro
- School of Technology and Sciences, Department of Physiotherapy, São Paulo State University (Unesp), Presidente Prudente, Brazil
| | - Daniela T Caldeira
- School of Technology and Sciences, Department of Physiotherapy, São Paulo State University (Unesp), Presidente Prudente, Brazil
| | - Ercy M C Ramos
- School of Technology and Sciences, Department of Physiotherapy, São Paulo State University (Unesp), Presidente Prudente, Brazil
| | - Gabriel G Cucato
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, UK
| | - Gerson Ferrari
- Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia, Chile
| | | | - Diego G D Christofaro
- School of Technology and Sciences, Department of Physical Education, São Paulo State University (Unesp), Presidente Prudente, Brazil
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da Silva CCM, dos Santos AB, Leoci IC, Leite EG, Antunes EP, Torres W, Mesquita EDDL, Delfino LD, Beretta VS. The Association between Perceived Stress, Quality of Life, and Level of Physical Activity in Public School Teachers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:88. [PMID: 38248551 PMCID: PMC10815239 DOI: 10.3390/ijerph21010088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Revised: 01/04/2024] [Accepted: 01/08/2024] [Indexed: 01/23/2024]
Abstract
Chronic high stress levels related to work impact the quality of life (QoL). Although physical activity improves QoL, it is not clear whether this life study habit could attenuate possible relationships between QoL and stress in public school teachers. The sample for this study was made up of 231 teachers from public schools. QoL was assessed using the Short-Form Health Survey and physical activity via Baecke's questionnaire. A Likert scale assessed stress level perception. Poisson Regression analyzed the association between stress level and QoL domains adjusted for sex, age, and socioeconomic conditions (model 1). In model 2, physical activity level was inserted in addition to model 1. Seven out of eight domains of QoL, except the domain of pain, were associated with high levels of stress (all p < 0.05-model 1). However, in model 2, the associations of the high levels of stress with general health status (p = 0.052) and functional capacity (p = 0.081) domains of QoL were mitigated. Our results indicated that physical activity mitigated the relationship between higher levels of stress and lower perception of general health status and functional capacity domains in secondary public school teachers.
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Affiliation(s)
| | - Amanda Barbosa dos Santos
- Laboratory of InVestigation in Exercise—LIVE, Graduate Program in Movement Sciences, Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente 19060-900, SP, Brazil; (A.B.d.S.); (I.C.L.); (E.G.L.); (E.P.A.); (W.T.); (E.D.d.L.M.); (L.D.D.)
| | - Isabella Cristina Leoci
- Laboratory of InVestigation in Exercise—LIVE, Graduate Program in Movement Sciences, Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente 19060-900, SP, Brazil; (A.B.d.S.); (I.C.L.); (E.G.L.); (E.P.A.); (W.T.); (E.D.d.L.M.); (L.D.D.)
| | - Enrique Gervasoni Leite
- Laboratory of InVestigation in Exercise—LIVE, Graduate Program in Movement Sciences, Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente 19060-900, SP, Brazil; (A.B.d.S.); (I.C.L.); (E.G.L.); (E.P.A.); (W.T.); (E.D.d.L.M.); (L.D.D.)
| | - Ewerton Pegorelli Antunes
- Laboratory of InVestigation in Exercise—LIVE, Graduate Program in Movement Sciences, Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente 19060-900, SP, Brazil; (A.B.d.S.); (I.C.L.); (E.G.L.); (E.P.A.); (W.T.); (E.D.d.L.M.); (L.D.D.)
| | - Wesley Torres
- Laboratory of InVestigation in Exercise—LIVE, Graduate Program in Movement Sciences, Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente 19060-900, SP, Brazil; (A.B.d.S.); (I.C.L.); (E.G.L.); (E.P.A.); (W.T.); (E.D.d.L.M.); (L.D.D.)
| | - Eduardo Duarte de Lima Mesquita
- Laboratory of InVestigation in Exercise—LIVE, Graduate Program in Movement Sciences, Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente 19060-900, SP, Brazil; (A.B.d.S.); (I.C.L.); (E.G.L.); (E.P.A.); (W.T.); (E.D.d.L.M.); (L.D.D.)
| | - Leandro Dragueta Delfino
- Laboratory of InVestigation in Exercise—LIVE, Graduate Program in Movement Sciences, Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente 19060-900, SP, Brazil; (A.B.d.S.); (I.C.L.); (E.G.L.); (E.P.A.); (W.T.); (E.D.d.L.M.); (L.D.D.)
| | - Victor Spiandor Beretta
- Laboratory of InVestigation in Exercise—LIVE, Graduate Program in Movement Sciences, Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente 19060-900, SP, Brazil; (A.B.d.S.); (I.C.L.); (E.G.L.); (E.P.A.); (W.T.); (E.D.d.L.M.); (L.D.D.)
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da Silva CCM, Beretta VS, Gil FS, Delfino LD, Leite EGF, Ferrari G, Tebar WR, Christofaro DGD. High workload is related to lower quality of life in public school teachers: A cross-sectional study. Work 2024; 77:1023-1029. [PMID: 37781852 DOI: 10.3233/wor-230187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/03/2023] Open
Abstract
BACKGROUND People with long work hours, as evidenced by teachers, were more likely to present health problems that impact their quality of life (QoL). The reduced physical activity (PA) level or higher sedentary behavior in public school teachers was related to obesity. Although PA seems to improve the QoL in other professions, assessing whether the PA level could influence the relationship between workload and QoL in public school teachers is necessary. OBJECTIVE To analyze whether the high workload was related to worse QoL in teachers considered less active and more active. METHODS Two hundred forty-three teachers from public schools participated in this study. The domains of QoL and PA levels were assessed by SF-36 and Baecke questionnaires, respectively. Workload perception was assessed by a Likert scale. Binary logistic regression analyzed the association between high workload and QoL domains in teachers considering the PA level in a model adjusted by confounding factors (i.e., sex, age, and socioeconomic condition). RESULTS Heavy workload was associated with less chances of having better physical limitation domain of both less and more physically active teachers. Less active teachers with heavy workloads were 53%, 61%, and 56% less likely to have better vitality, social functioning, and mental health, respectively. No such associations were observed in the more physically active teachers. CONCLUSION Less active teachers with a heavy workload demonstrate lower QoL. Although the PA practice eliminated this relationship, both active and less active teachers with a heavy workload demonstrated lower QoL in physical limitation domain.
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Affiliation(s)
- Claudiele C M da Silva
- School of Technology and Sciences, São Paulo State University (Unesp), São Paulo, Brazil
| | - Victor S Beretta
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), São Paulo, Brazil
| | - Fernanda S Gil
- School of Technology and Sciences, São Paulo State University (Unesp), São Paulo, Brazil
| | - Leandro D Delfino
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), São Paulo, Brazil
| | - Enrique G F Leite
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), São Paulo, Brazil
| | - Gerson Ferrari
- Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia, Chile
| | - William R Tebar
- School of Technology and Sciences, São Paulo State University (Unesp), São Paulo, Brazil
- Centre of Clinical and Epidemiological Research, University Hospital, University of Sao Paulo, São Paulo, Brazil
| | - Diego G D Christofaro
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), São Paulo, Brazil
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Kuczmarski MF, Orsega-Smith E, Evans MK, Zonderman AB. The Association of Loneliness with Diabetes Is Mediated by Physical Activity and BMI but Not Diet Quality. Nutrients 2023; 15:4923. [PMID: 38068781 PMCID: PMC10708230 DOI: 10.3390/nu15234923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 11/20/2023] [Accepted: 11/23/2023] [Indexed: 12/18/2023] Open
Abstract
Loneliness is considered a predictor of poor health through numerous pathways. Mediators of this association has not been extensively explored. The study objective was to determine if diet quality and physical activity are parallel mediators with body mass index (BMI) as the third mediator in the association of loneliness with diabetes. The sample, middle-aged and older African American and White adults, 36-77 years, participated in the second follow-up wave of the prospective Healthy Aging in Neighborhoods of Diversity across the Life Span study, 2013-2017. Loneliness was measured by the UCLA 3-item loneliness scale. Participants were categorized as not diabetic, pre-diabetic, or diabetic based on fasting blood glucose, self-reports, or taking medication for diabetes. The Mean Healthy Eating Index-2010 score was calculated from two 24 h dietary recalls collected using the USDA automated multiple pass method. Physical activity was derived from the Baecke questionnaire. The Hayes PROCESS macro, model #80, was used to perform the mediational analysis. Covariates were age, sex at birth, race, income, alcohol intake, and education. Loneliness was inversely and significantly associated with diet quality and physical activity. The only significant indirect path was loneliness > physical activity > BMI > diabetes. Better understanding of modifiable lifestyle behaviors when developing interventions may improve mental health, thereby improving health.
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Affiliation(s)
- Marie Fanelli Kuczmarski
- Laboratory of Epidemiology and Population Sciences, National Institute on Aging, National Institutes of Health, Baltimore, MD 21224, USA; (M.K.E.)
| | - Elizabeth Orsega-Smith
- Department of Health Behavior and Nutrition Sciences, University of Delaware, Newark, DE 19716, USA;
| | - Michele K. Evans
- Laboratory of Epidemiology and Population Sciences, National Institute on Aging, National Institutes of Health, Baltimore, MD 21224, USA; (M.K.E.)
| | - Alan B. Zonderman
- Laboratory of Epidemiology and Population Sciences, National Institute on Aging, National Institutes of Health, Baltimore, MD 21224, USA; (M.K.E.)
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Mesquita EDDL, Tebar WR, Correia DCQ, Guica JT, Torres W, Fernandes RA, Agostinete RR, Christofaro DGD. Physical activity and sedentary behaviour of adolescents and their parents: a specific analysis by sex and socioeconomic status. Arch Public Health 2023; 81:189. [PMID: 37875950 PMCID: PMC10594871 DOI: 10.1186/s13690-023-01185-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2022] [Accepted: 09/05/2023] [Indexed: 10/26/2023] Open
Abstract
BACKGROUND The association of lifestyle habits of parents and of their children has been widely investigated as an important determinant for healthy habits in youth. Although parental sociodemographic characteristics are potential confounding factors in parent-child physical activity (PA) and sedentary behaviour (SB), it is still unclear whether these factors have a moderating role in this association. This study aimed to analyze the association of parent-child PA and SB according to parental sex and economic level in adolescents. METHODS The study sample was made up of 1231 adolescents (15.6 ± 1.1 years, 58.2% of girls), 1202 mothers and 871 fathers. The leisure-time and commuting PA was assessed by the Baecke questionnaire, while sedentary behaviour (SB) was assessed according to hours per week of television viewing and computer use, by both adolescents and their parents. Economic status was analyzed using a questionnaire and classified as low, medium, and high. Linear models were used to assess the association of parent-child PA and SB in the different domains according to parental sex and economic level. RESULTS Leisure time was associated between boys and their fathers in high (β = 0.23, p = 0.044) and low economic classes (β = 0.31, p < 0.001), and girls and their mothers in low economic class (β = 0.38, p < 0.001). Commuting PA was associated between adolescents and both parents in low economic class (fathers β = 0.21, p = 0.005; mothers (β = 0.15, p = 0.020). TV time of boys was associated with TV time of fathers in low economic class (β = 0.13, p = 0.022) and with TV time of mothers in medium economic class (β = 0.13, p = 0.046). Among girls, TV time was associated with TV time of both parents only in low economic class (fathers β = 0.28, p < 0.001; mothers β = 0.25, p < 0.001). Computer use of girls was associated with computer use of fathers in high economic class (β = 1.72, p = 0.043) and mothers in low economic class (β = 0.57, p = 0.014), while no association was observed among boys. CONCLUSION Economic status was shown to be an important moderator of the association between parent-child PA and SB in adolescents.
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Affiliation(s)
- Eduardo Duarte de Lima Mesquita
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, São Paulo, Brazil.
- Post-Graduation Program in Movement Sciences, Institute of Biosciences, São Paulo State University (UNESP), São Paulo, Brazil.
| | - William Rodrigues Tebar
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, São Paulo, Brazil
- Center of Clinical and Epidemiological Research, University Hospital, University of Sao Paulo (USP), São Paulo, Brazil
| | - Dayane Cristina Queiroz Correia
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, São Paulo, Brazil
- Post-Graduation Program in Movement Sciences, Institute of Biosciences, São Paulo State University (UNESP), São Paulo, Brazil
| | - Juziane Teixeira Guica
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, São Paulo, Brazil
- Post-Graduation Program in Movement Sciences, Institute of Biosciences, São Paulo State University (UNESP), São Paulo, Brazil
| | - Wésley Torres
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, São Paulo, Brazil
- Post-Graduation Program in Movement Sciences, Institute of Biosciences, São Paulo State University (UNESP), São Paulo, Brazil
| | - Rômulo Araújo Fernandes
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, São Paulo, Brazil
- Post-Graduation Program in Movement Sciences, Institute of Biosciences, São Paulo State University (UNESP), São Paulo, Brazil
| | - Ricardo Ribeiro Agostinete
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, São Paulo, Brazil
| | - Diego Giulliano Destro Christofaro
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, São Paulo, Brazil
- Post-Graduation Program in Movement Sciences, Institute of Biosciences, São Paulo State University (UNESP), São Paulo, Brazil
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Amiri A, Krumpolec P, Mego M, Ukropcová B, Chovanec M, Ukropec J. Habitual physical activity modulates cardiometabolic health in long-term testicular cancer survivors. Support Care Cancer 2023; 31:539. [PMID: 37632597 PMCID: PMC10460370 DOI: 10.1007/s00520-023-08000-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Accepted: 08/15/2023] [Indexed: 08/28/2023]
Abstract
PURPOSES Physical activity (PA) may mitigate late cardiometabolic toxicity of cisplatin-based chemotherapy in testicular germ cell tumor (TGCT) long-term survivors. In this cross-sectional study, we evaluated the effects of habitual PA on metabolic syndrome (MetS) prevalence, and on the markers of cardiometabolic health and chronic inflammation in a population of long-term TGCT survivors. METHODS MetS prevalence was evaluated, and habitual PA was assessed using Baecke's habitual PA questionnaire in TGCT survivors (n=195, age=41.1±8.1years, 11.7±5.2years post-therapy) and healthy male controls (n=41, age=38.2±8.8years). Participants were stratified into low- and high-PA groups based on median values. Differences were examined between low- and high-PA groups (in the entire sample, TGCT survivor sub-samples differing in disease stage, and healthy controls), and between TGCT survivors and controls. Next, TGCT survivors were stratified into age- and BMI-matched sub-groups based on post-treatment time (5-15/15/30years) and number of chemotherapy cycles (≤3/>3), allowing us to detect age- and BMI-independent effects of habitual PA on cardiometabolic health in the given TGCT survivor sub-populations. A correlation matrix of habitual PA and sport activity with cardiometabolic and pro-inflammatory markers was generated. RESULTS TGCT survivors had higher MetS prevalence than controls. Patients with high habitual PA had lower waist circumference and Systemic Inflammation Index. Habitual PA scores correlated positively with HDL-cholesterol and negatively with waist circumference and atherogenic risk. Furthermore, cardiometabolic benefits of habitual PA were more pronounced in patients with disease stages 1 and 2. Effects of habitual PA on patients sub-populations stratified by chemotherapy dose and post-treatment time clearly showed that higher levels of habitual PA were associated with lower numbers of MetS components, except for patients who received more than 3 chemotherapy cycles and were examined more than15 years post-therapy. CONCLUSIONS Higher levels of habitual PA effectively mitigated cardiometabolic toxicity in TGCT survivors. Patients with higher cumulative doses of chemotherapy may need structured exercise interventions involving higher-intensity physical activity to achieve significant improvements in cardiometabolic health.
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Affiliation(s)
- Ali Amiri
- Department of Metabolic Disease Research & Center of Physical Activity Research, Institute of Experimental Endocrinology, Biomedical Research Center, Slovak Academy of Sciences, Bratislava, Slovakia
| | - Patrik Krumpolec
- Department of Metabolic Disease Research & Center of Physical Activity Research, Institute of Experimental Endocrinology, Biomedical Research Center, Slovak Academy of Sciences, Bratislava, Slovakia
| | - Michal Mego
- 2nd Department of Oncology, Faculty of Medicine, Comenius University and National Cancer Institute, Bratislava, Slovakia
| | - Barbara Ukropcová
- Department of Metabolic Disease Research & Center of Physical Activity Research, Institute of Experimental Endocrinology, Biomedical Research Center, Slovak Academy of Sciences, Bratislava, Slovakia
- Institute of Pathophysiology, Faculty of Medicine, Comenius University, Bratislava, Slovakia
| | - Michal Chovanec
- 2nd Department of Oncology, Faculty of Medicine, Comenius University and National Cancer Institute, Bratislava, Slovakia
| | - Jozef Ukropec
- Department of Metabolic Disease Research & Center of Physical Activity Research, Institute of Experimental Endocrinology, Biomedical Research Center, Slovak Academy of Sciences, Bratislava, Slovakia
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9
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Moeinzadeh F, Babahajiani M, Seirafian S, Mansourian M, Mortazavi M, Shahidi S, Vahdat S, Saleki M. Assessing physical inactivity as a risk factor for chronic kidney diseases in Iranian population. BMJ Open 2023; 13:e070360. [PMID: 37286321 DOI: 10.1136/bmjopen-2022-070360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/09/2023] Open
Abstract
OBJECTIVES Physical inactivity is a major adjustable lifestyle risk factor in renal patients; nevertheless, research on the association of physical activity (PA) with chronic kidney disease (CKD) is unclear. DESIGN Cross-sectional. SETTING We evaluated the secondary care related to the nephrology specialists. PARTICIPANTS We evaluated PA in 3374 Iranian patients with CKD aged ≥18 years. Exclusion criteria were current or prior kidney transplantation, dementia, institutionalisation, expected to start renal replacement therapy or leave the area within study duration, participation in a clinical trial or inability to undergo the informed consent process. PRIMARY AND SECONDARY OUTCOME The renal function parameters were measured and compared with PA, assessed by the Baecke questionnaire. Estimated glomerular filtration rate, haematuria and/or albuminuria were used to estimate decreased kidney function and the incidence of CKD. To estimate the relationship between PA and CKD, we used the multinomial adjusted regression models. RESULTS In the first model, findings indicate that the patients with the lowest PA score had significantly higher odds of CKD (OR 1.44, 95% CI 1.16 to 1.78; p=0.01), adjustment for age and sex attenuated this relationship (OR 1.25, 95% CI 1.56 to 1.78, p=0.04). Furthermore, adjusting for low-density lipoprotein, high-density lipoprotein, triglyceride, fasting blood glucose, body mass index, waist circumference, waist/hip ratio, coexisting diseases and smoking made this relationship insignificant (OR 1.23, 95% CI 0.97 to 1.55; p=0.076). After adjusting for potential confounders, we found that patients with lower PA have higher odds of CKD stage 2 (OR 1.62, 95% CI 1.13 to 2.32; p=0.008), no association with other CKD stages. CONCLUSION These data suggest that physical inactivity contributes to the risk of early CKD, so encouraging patients with CKD to maintain higher PA levels could be used as a simple and useful tool to decrease the risk of disease progression and its related burden.
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Affiliation(s)
- Firouzeh Moeinzadeh
- Isfahan Kidney Diseases Research Center, Department of Internal Medicine, Isfahan University of Medical Sciences, Isfahan, Iran (the Islamic Republic of)
| | - Media Babahajiani
- Student Research Committee, Vice Chancellor for Research and Technology, Kurdistan University of Medical Sciences, Sanandaj, Iran (the Islamic Republic of)
| | - Shiva Seirafian
- Isfahan Kidney Diseases Research Center, Department of Internal Medicine, Isfahan University of Medical Sciences, Isfahan, Iran (the Islamic Republic of)
| | - Marjan Mansourian
- Epidemiology and Biostatics Department, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran (the Islamic Republic of)
| | - Mojgan Mortazavi
- Isfahan Kidney Diseases Research Center, Department of Internal Medicine, Isfahan University of Medical Sciences, Isfahan, Iran (the Islamic Republic of)
| | - Shahrzad Shahidi
- Department of Internal Medicine, Isfahan University of Medical Sciences, Isfahan, Iran (the Islamic Republic of)
| | - Sahar Vahdat
- Isfahan Kidney Diseases Research Center, Isfahan University of Medical Sciences, Isfahan, Iran (the Islamic Republic of)
| | - Mohammad Saleki
- Department of Internal Medicine, Isfahan University of Medical Sciences, Isfahan, Iran (the Islamic Republic of)
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10
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Beretta VS, Tebar WR, Scarabottolo CC, Delfino LD, Saraiva BTC, Santos AB, Antunes EP, Leoci IC, Ferrari G, Christofaro DGD. Association between Diet and Adiposity in Adults: Influence of Sedentary Behavior Patterns. Healthcare (Basel) 2023; 11:healthcare11081157. [PMID: 37107990 PMCID: PMC10138045 DOI: 10.3390/healthcare11081157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 04/12/2023] [Accepted: 04/14/2023] [Indexed: 04/29/2023] Open
Abstract
This study analyzed the influence of sedentary behavior (SB) on the association between dietary patterns and adiposity in community-dwelling adults. Eight hundred and forty-three adults (age: 56.5 ± 18.3 years) participated in this cross-sectional epidemiological study. Dietary patterns were evaluated using self-report questions regarding the weekly frequency of consumption of certain foods. Adiposity was determined using anthropometric measurements of weight, waist circumference, and height. SB was evaluated according to the time spent on screen devices. The usual physical activity level and socioeconomic status were considered confounding factors. Associations were determined using multivariate linear models with simultaneous adjustments for confounding variables. A statistical analysis indicated that fruit consumption was negatively related to the body mass index, regardless of the adjustment for SB domains. Red meat consumption was positively related to the body mass index, and fried food consumption was positively related to the waist-to-height ratio, regardless of the adjustment for SB domains. The consumption of fried food was positively associated with global and central adiposity after the adjustments for confounding factors and time spent on screen devices. We concluded that dietary habits are related to adiposity in adults. However, SB domains seem to influence the relationship between body adiposity and dietary habits, mainly regarding the consumption of fried foods.
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Affiliation(s)
- Victor Spiandor Beretta
- Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), Sao Paulo 19060-900, Brazil
| | - William Rodrigues Tebar
- Centre of Clinical and Epidemiological Research, University Hospital, University of Sao Paulo, Sao Paulo 05403-000, Brazil
| | - Catarina Covolo Scarabottolo
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), Sao Paulo 19060-900, Brazil
| | - Leandro Dragueta Delfino
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), Sao Paulo 19060-900, Brazil
| | - Bruna Thamyres Ciccotti Saraiva
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), Sao Paulo 19060-900, Brazil
| | - Amanda Barbosa Santos
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), Sao Paulo 19060-900, Brazil
| | - Ewerton Pegorelli Antunes
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), Sao Paulo 19060-900, Brazil
| | - Isabella Cristina Leoci
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), Sao Paulo 19060-900, Brazil
| | - Gerson Ferrari
- Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia 7500912, Chile
| | - Diego Giulliano Destro Christofaro
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), Sao Paulo 19060-900, Brazil
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11
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Ribeiro FE, Tebar WR, Ferrari G, Palma MR, Fregonesi CE, Caldeira DT, Silva GCR, Vanderlei LCM, Beretta VS, Christofaro DGD. Comparison of Quality of Life in Breast Cancer Survivors with and without Persistent Depressive Symptoms: A 12-Month Follow-Up Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3663. [PMID: 36834358 PMCID: PMC9966205 DOI: 10.3390/ijerph20043663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Revised: 02/14/2023] [Accepted: 02/15/2023] [Indexed: 06/18/2023]
Abstract
Although breast cancer treatments reduce mortality, their adverse effects can increase depression which impacts one's quality of life (QoL). Physical activity (PA) seems to improve the QoL of breast cancer survivors (BCS). However, an unanswered question is the influence of PA on the QoL in BCS with depressive symptoms. Thus, we analyzed the influence of PA on the QoL in BCS with persistent depressive symptoms during 12 months of follow-up. The sample included 70 female BCS. Depression and QoL domains (i.e., functional capacity, physical limitations, body pain, general health status, vitality, social and emotional aspects, and mental health) were assessed at baseline and follow-up periods by the Hospital Anxiety and Depression Scale and SF-36, respectively. Habitual PA was assessed by Baecke's questionnaire. Our results indicate a prevalence of 17.1% of depressive symptoms. Non-depressives BCS improved their physical limitations and general health status domains over time, but there were no observed differences in depressive BCS. BCS with persistent depressive symptoms (baseline and follow-up) showed worse QoL scores than non-depressives in all domains, regardless of confounding factors. When adjusted for PA, the difference between BCS depressives and non-depressives lost its significance in the functional capacity domain. In conclusion, habitual PA practice positively influenced the functional capacity domain of the QoL in BCS.
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Affiliation(s)
- Fernanda Elisa Ribeiro
- Physical Education Department, Graduate Program in Movement Sciences, School of Technology and Sciences, São Paulo State University (Unesp), São Paulo 19060-900, Brazil
| | - William Rodrigues Tebar
- Center of Clinical and Epidemiological Research, University Hospital, University of Sao Paulo, São Paulo 05403-000, Brazil
| | - Gerson Ferrari
- Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia 7500912, Chile
| | - Mariana Romanholi Palma
- Physical Education Department, Graduate Program in Movement Sciences, School of Technology and Sciences, São Paulo State University (Unesp), São Paulo 19060-900, Brazil
| | - Cristina Elena Fregonesi
- Physical Education Department, Graduate Program in Movement Sciences, School of Technology and Sciences, São Paulo State University (Unesp), São Paulo 19060-900, Brazil
| | - Daniela Tanajura Caldeira
- Physical Education Department, Graduate Program in Movement Sciences, School of Technology and Sciences, São Paulo State University (Unesp), São Paulo 19060-900, Brazil
| | - Gabriela Caroline Rodrigues Silva
- Physical Education Department, Graduate Program in Movement Sciences, School of Technology and Sciences, São Paulo State University (Unesp), São Paulo 19060-900, Brazil
| | - Luiz Carlos Marques Vanderlei
- Physical Education Department, Graduate Program in Movement Sciences, School of Technology and Sciences, São Paulo State University (Unesp), São Paulo 19060-900, Brazil
| | - Victor Spiandor Beretta
- Physical Education Department, Graduate Program in Movement Sciences, School of Technology and Sciences, São Paulo State University (Unesp), São Paulo 19060-900, Brazil
| | - Diego Giulliano Destro Christofaro
- Physical Education Department, Graduate Program in Movement Sciences, School of Technology and Sciences, São Paulo State University (Unesp), São Paulo 19060-900, Brazil
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12
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Naaman T, Hayek R, Gutman I, Springer S. Young, but not in the dark-The influence of reduced lighting on gait stability in middle-aged adults. PLoS One 2023; 18:e0280535. [PMID: 37200289 DOI: 10.1371/journal.pone.0280535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Accepted: 05/04/2023] [Indexed: 05/20/2023] Open
Abstract
BACKGROUND The aim of this study was to investigate the effects of walking in reduced lighting with or without performing a secondary cognitive task on gait dynamics in middle-aged adults and to compare them with young and old adults. METHODS Twenty young (age 28.8±4.1), 20 middle-aged (age 50.2±4.4), and 19 elderly (age 70.7±4.2) subjects participated in the study. Subjects walked on an instrumented treadmill at a self-determined pace under four conditions in randomized order: (1) walking in usual lighting (1000 lumens); (2) walking in near-darkness (5 lumens); (3) walking in usual lighting with a serial-7 subtraction dual-task; and (4) walking in near-darkness with a serial-7 subtraction dual-task. Variability in stride time and variability in the trajectory of the center of pressure in the sagittal and frontal planes (anterior/posterior and lateral variability) were measured. Repeated measures ANOVA and planned comparisons were used to determine the effects of age, lighting conditions, and cognitive task on each gait outcome. RESULTS Under usual lighting, stride time variability and anterior/posterior variability of the middle-aged subjects were similar to those of the young and lower than those of the old. The lateral variability of the middle-aged subjects was higher than that of young adults under both lighting conditions. Similar to the older adults, the middle-aged participants increased their stride time variability when walking in near-darkness, but they were the only ones to exhibit increased lateral variability and anterior/posterior variability in near-darkness. Young adult gait was not affected by lighting, and concurrent performance of a cognitive task while walking did not affect gait stability in all groups under any of the lighting conditions. CONCLUSIONS Gait stability decreases in middle age when walking in the dark. Recognition of functional deficits in middle age could promote appropriate interventions to optimize aging and reduce fall risk.
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Affiliation(s)
- Tirtsa Naaman
- Faculty of Health Sciences, Department of Physical Therapy, The Neuromuscular & Human Performance Laboratory, Ariel University, Ariel, Israel
| | - Roee Hayek
- Faculty of Health Sciences, Department of Physical Therapy, The Neuromuscular & Human Performance Laboratory, Ariel University, Ariel, Israel
| | - Itai Gutman
- Faculty of Health Sciences, Department of Physical Therapy, The Neuromuscular & Human Performance Laboratory, Ariel University, Ariel, Israel
| | - Shmuel Springer
- Faculty of Health Sciences, Department of Physical Therapy, The Neuromuscular & Human Performance Laboratory, Ariel University, Ariel, Israel
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13
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Scarabottolo CC, Tebar WR, Araújo Guerra PH, Martins CMDL, Ferrari G, Beretta VS, Christofaro DGD. Association between Different Domains of Sedentary Behavior and Health-Related Quality of Life in Adults: A Longitudinal Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16389. [PMID: 36554270 PMCID: PMC9778904 DOI: 10.3390/ijerph192416389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Revised: 12/01/2022] [Accepted: 12/05/2022] [Indexed: 06/17/2023]
Abstract
Extended periods of time on screen devices and sitting are the main activities that characterize sedentary behavior (SB), which negatively impacts the quality of life. This negative influence was demonstrated mainly by cross-sectional studies performed in high-income countries in which the effects of screen time on health-related quality of life (HRQoL) is not considered. Thus, we analyzed the association between the different domains of SB (i.e., subdomains of screen time-television, computer, cellphone) and the HRQoL in adults that live in Brazil during two years of follow-up. The sample included 331 adults. Subdomains of screen time (i.e., watching television, using computers, and cellphones) and of HRQoL (i.e., physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, mental health, and current health perception) were assessed by a structured questionnaire and SF-36, respectively. Our results indicate a significant increase in screen time during the two years of follow-up. Linear regression models indicated that although domains of SB were differently associated with HRQoL, in general, screen time was negatively associated with social functioning and positively associated with physical functioning during locomotion and activities of daily living (ADL), role-physical (i.e., physical issues during work and ADLs), and role-emotional (i.e., emotional issues during work and ADLs) after the two-year follow-up. In conclusion, screen time may positively or negatively influence some domains of HRQoL in adults.
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Affiliation(s)
- Catarina Covolo Scarabottolo
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), Presidente Prudente 19060-900, Brazil
| | - William Rodrigues Tebar
- Center of Clinical and Epidemiological Research, University Hospital, University of Sao Paulo, São Paulo 05403-000, Brazil
| | | | | | - Gerson Ferrari
- Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia 7500912, Chile
| | - Victor Spiandor Beretta
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), Presidente Prudente 19060-900, Brazil
| | - Diego Giulliano Destro Christofaro
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), Presidente Prudente 19060-900, Brazil
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14
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Tebar WR, Ferrari G, Mota J, Antunes EP, Aguilar BAS, Brazo-Sayavera J, Christofaro DGD. Association of Cardiovascular Risk Factors between Adolescents and Their Parents Is Mitigated by Parental Physical Activity-A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14026. [PMID: 36360906 PMCID: PMC9656252 DOI: 10.3390/ijerph192114026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 10/21/2022] [Accepted: 10/25/2022] [Indexed: 06/16/2023]
Abstract
INTRODUCTION It is hypothesized that children's habits can be modulated by their parent's lifestyle. However, it is still not established whether the relationship between cardiovascular risk factors (CVRF) in adolescents and their parents could be attenuated by parental physical activity levels. OBJECTIVE This study aimed to analyze the relationship of CVRF between adolescents and their parents according to parental physical activity level. METHODS A school-based sample of 1231 adolescents, 1202 mothers and 871 fathers were included (n = 3304). The CVRF assessed were overweight, hypertension, smoking and alcohol consumption. The parental physical activity level was assessed using a validated questionnaire, being classified into physically active and inactive parents. The statistical analysis considered all parents and stratification by physical activity level. RESULTS The prevalence of CVRF was higher in fathers than in mothers (70.6% vs. 54.9% for overweight, 23.3% vs. 19.7% for hypertension, 17.9% vs. 12.4% for smoking and 60.4% vs. 28.5% for alcohol consumption). Adolescents with active mothers showed lower prevalence of overweight (13.9% vs. 19.6%), while adolescents with active fathers showed higher prevalence of alcohol consumption (23.5% vs. 16.9%). The CVRF of both fathers and mothers were positively associated with CVRF of adolescents. However, the association of CVRF between adolescents and their parents was mitigated among active parents, while all the CVRF remained associated in physically inactive parents. CONCLUSION The parental physical activity level seems to mitigate the association of CVRF between adolescents and their parents. The promotion of an active lifestyle at the family level can contribute to reduce CVRF among adolescents.
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Affiliation(s)
- William R. Tebar
- Post-Graduation Program in Movement Sciences, Faculty of Sciences and Technology, São Paulo State University (Unesp), Presidente Prudente 19060-900, Brazil
- Center of Clinical and Epidemiological Research, University Hospital, University of Sao Paulo, Sao Paulo 05508-000, Brazil
| | - Gerson Ferrari
- Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia 7500912, Chile
| | - Jorge Mota
- Research Center on Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, 4200-450 Porto, Portugal
| | - Ewerton P. Antunes
- Post-Graduation Program in Movement Sciences, Faculty of Sciences and Technology, São Paulo State University (Unesp), Presidente Prudente 19060-900, Brazil
| | - Beatriz A. S. Aguilar
- Post-Graduation Program in Movement Sciences, Faculty of Sciences and Technology, São Paulo State University (Unesp), Presidente Prudente 19060-900, Brazil
| | - Javier Brazo-Sayavera
- Department of Sports and Computer Science, Universidad Pablo de Olavide, 41013 Seville, Spain
| | - Diego G. D. Christofaro
- Post-Graduation Program in Movement Sciences, Faculty of Sciences and Technology, São Paulo State University (Unesp), Presidente Prudente 19060-900, Brazil
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