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Woods N, Seabrook JA, Schaafsma H, Burke S, Tucker T, Gilliland J. Dietary Changes of Youth during the COVID-19 Pandemic: A Systematic Review. J Nutr 2024; 154:1376-1403. [PMID: 38408731 PMCID: PMC11007747 DOI: 10.1016/j.tjnut.2024.02.022] [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: 10/26/2023] [Revised: 01/24/2024] [Accepted: 02/21/2024] [Indexed: 02/28/2024] Open
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has taken the lives of millions and disrupted countless more worldwide. Simply living through the pandemic has had drastic effects on the health of citizens. Diet, an important aspect of health, has been uniquely affected by the pandemic, although these changes have not been sufficiently studied among youth. OBJECTIVES The objective of this systematic review was to investigate dietary changes of youth during COVID-19. METHODS A prespecified literature review was conducted using MEDLINE, EMBASE, Scopus, and CINAHL to identify studies from January 2020 to May 2023 that assessed dietary changes among youth aged ≤20 y compared with before the pandemic. Only quantitative observational studies that were published in English were included. Two authors completed all screening/study selection independently, with disagreements being resolved via discussion. Data extraction was completed by 1 author. Dietary changes were categorized into food groups and habits for analysis purposes. RESULTS In total, 67 studies met inclusion criteria. Most studies used recall to assess changes (48/67; 71.6%). Most studies found an increase in fruits and vegetables (24/46; 52.2%), grain products (6/11; 54.5%), meat, poultry, and eggs (4/8, 50.0%), diet quality indices and/or overall dietary assessments (7/13, 53.8%), and the frequency of snacking (9/12; 75.0%), whereas generally finding a decrease in ultraprocessed foods (32/53; 60.4%), compared with before the COVID-19 pandemic. Mixed findings or primarily no changes were found for fish and aquatic products, legumes, beans, seeds and nuts, milk and milk products, breakfast consumption, and nutrient intake. CONCLUSIONS Mostly favorable dietary changes appear to have occurred among youth during COVID-19, although there were several mixed findings and unclear takeaways among the foods and habits under study. The heterogeneity of defining food groups was a noted limitation in the current review.
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Affiliation(s)
- Nicolas Woods
- School of Health Studies, the University of Western Ontario, London, Ontario, Canada; Human Environments Analysis Laboratory, the University of Western Ontario, London, Ontario, Canada; Health and Rehabilitation Sciences, Faculty of Health Sciences, the University of Western Ontario, London, Ontario, Canada.
| | - Jamie A Seabrook
- Human Environments Analysis Laboratory, the University of Western Ontario, London, Ontario, Canada; Department of Epidemiology & Biostatistics, the University of Western Ontario, London, Ontario, Canada; School of Food and Nutritional Sciences, Brescia University College, London, Ontario, Canada; Children's Health Research Institute, London, Ontario, Canada; Lawson Health Research Institute, London, Ontario, Canada; Department of Paediatrics, the University of Western Ontario, London, Ontario, Canada.
| | - Holly Schaafsma
- School of Health Studies, the University of Western Ontario, London, Ontario, Canada; Human Environments Analysis Laboratory, the University of Western Ontario, London, Ontario, Canada; Health and Rehabilitation Sciences, Faculty of Health Sciences, the University of Western Ontario, London, Ontario, Canada.
| | - Shauna Burke
- School of Health Studies, the University of Western Ontario, London, Ontario, Canada; Children's Health Research Institute, London, Ontario, Canada; Lawson Health Research Institute, London, Ontario, Canada.
| | - Trish Tucker
- Children's Health Research Institute, London, Ontario, Canada; Lawson Health Research Institute, London, Ontario, Canada; School of Occupational Therapy, the University of Western Ontario, London, Ontario, Canada.
| | - Jason Gilliland
- School of Health Studies, the University of Western Ontario, London, Ontario, Canada; Human Environments Analysis Laboratory, the University of Western Ontario, London, Ontario, Canada; Department of Epidemiology & Biostatistics, the University of Western Ontario, London, Ontario, Canada; Children's Health Research Institute, London, Ontario, Canada; Lawson Health Research Institute, London, Ontario, Canada; Department of Paediatrics, the University of Western Ontario, London, Ontario, Canada; Department of Geography and Environment, the University of Western Ontario, London, Ontario, Canada; Health and Rehabilitation Sciences, Faculty of Health Sciences, the University of Western Ontario, London, Ontario, Canada.
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Guedes LFF, Vegi ASF, Felisbino-Mendes MS, Menezes MC, Meireles AL, Malta DC, Machado ÍE. Economic burden for the Unified Health System attributable to excessive sodium consumption in Brazil. Public Health 2024; 228:178-185. [PMID: 38377832 DOI: 10.1016/j.puhe.2024.01.002] [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: 08/24/2023] [Revised: 12/13/2023] [Accepted: 01/02/2024] [Indexed: 02/22/2024]
Abstract
OBJECTIVES This study aimed to estimate the economic costs of excessive sodium consumption in terms of hospitalizations and outpatient procedures of medium and high complexity (OPMHC) for the Brazilian Unified Health System (SUS) and its states in 2019. STUDY DESIGN Ecological study. METHOD This study used population attributable fractions (PAFs) of excessive sodium consumption estimated by the Global Burden of Disease study based on the theoretical minimum risk exposure level (3 g of sodium per day), the average population consumption, and relative risks of sodium-outcome pairs. PAFs were applied to the total costs of hospitalizations and OPMHC paid by SUS for each outcome obtained from the Outpatient and Hospital Information Systems. The costs per 10,000 inhabitants in all the Brazilian states were calculated and converted into international dollars (Int$), considering the purchasing parity power in the year 2019. RESULTS Excessive sodium consumption resulted in Int$ 98,882,386.36 (95% uncertainty interval: Int$ 3,398,343.53-312,065,319.80) in hospitalizations and OPMHC costs in Brazil in 2019. Males and the 55- to 69-year-old age group had the highest expenditures attributable to excessive sodium consumption. Cardiovascular diseases were the most significant contributors to the costs associated with the risk factor. Southern and southeastern states had the highest costs of diseases attributable to sodium. CONCLUSION Excessive sodium consumption has a significant economic burden on SUS, particularly among men and more developed states. This underscores the inequalities in socio-economic factors and access to health services throughout the country. Economic analyses at the subnational level can provide evidence for public policy planning to define the most appropriate actions for the population's sociodemographic reality.
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Affiliation(s)
- L F F Guedes
- Universidade Federal de Ouro Preto, Postgraduate Program in Health and Nutrition, Ouro Preto, Minas Gerais, Brazil
| | - A S F Vegi
- Universidade Federal de Ouro Preto, Postgraduate Program in Health and Nutrition, Ouro Preto, Minas Gerais, Brazil
| | - M S Felisbino-Mendes
- Universidade Federal de Minas Gerais, Postgraduate Program in Nursing, Department of Maternal and Child Nursing and Public Health, Belo Horizonte, Minas Gerais, Brazil
| | - M C Menezes
- Universidade Federal de Ouro Preto, Postgraduate Program in Health and Nutrition, Ouro Preto, Minas Gerais, Brazil; Universidade Federal de Ouro Preto, School of Nutrition, Department of Clinical and Social Nutrition, Ouro Preto, Minas Gerais, Brazil
| | - A L Meireles
- Universidade Federal de Ouro Preto, Postgraduate Program in Health and Nutrition, Ouro Preto, Minas Gerais, Brazil; Universidade Federal de Ouro Preto, School of Nutrition, Department of Clinical and Social Nutrition, Ouro Preto, Minas Gerais, Brazil
| | - D C Malta
- Universidade Federal de Minas Gerais, Postgraduate Program in Nursing, Department of Maternal and Child Nursing and Public Health, Belo Horizonte, Minas Gerais, Brazil
| | - Í E Machado
- Universidade Federal de Ouro Preto, Postgraduate Program in Health and Nutrition, Ouro Preto, Minas Gerais, Brazil; Universidade Federal de Ouro Preto, Department of Family Medicine, Mental and Collective Health, Ouro Preto, Minas Gerais, Brazil.
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da Silva AG, Souza JB, Gomes CS, da Silva TPR, Gomide Nogueira de Sá ACM, Malta DC. Multiple behavioral risk factors for non-communicable diseases among the adolescent population in Brazil: the analysis derived from the Brazilian national survey of school health 2019. BMC Pediatr 2024; 24:122. [PMID: 38360574 PMCID: PMC10868108 DOI: 10.1186/s12887-024-04601-9] [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: 12/28/2023] [Accepted: 01/29/2024] [Indexed: 02/17/2024] Open
Abstract
BACKGROUND Health risk behaviors often emerge or intensify during adolescence and tend to co-occur, exposing individuals to an even greater risk for the development of non-communicable diseases (NCDs). The likelihood of exhibiting multiple health risk factors also increases throughout life and is associated with sociodemographic characteristics contributing to their escalation and severity. In this context, the objective of this study was to analyze the association between sociodemographic characteristics and multiple behavioral risk factors for non-communicable diseases among the adolescent population in Brazil. METHODS This cross-sectional study utilized data from the Brazilian National Survey of School Health 2019. The sample comprised 121,580 adolescents aged 13 to 17. The analyzed variables included irregular intake of fruits and vegetables, regular consumption of soft drinks and treats, insufficient physical activity, sedentary lifestyle, cigarette smoking, and alcohol consumption. To analyze MBRFs, a classification ranging from zero to five was created, and associations were estimated using Odds Ratio (OR) with the respective 95% confidence interval (CI). The Backward method was employed for the multivariate regression model, utilizing ordinal logistic regression. RESULTS Adolescents without behavioral risk factors for NCDs constituted only 3.9% (95% CI 3.7-4.1). The most prevalent categories were two and three MBRFs, accounting for 28.3% (95% CI: 27.7-28.8) and 27.0% (95% CI: 26.5-27.5), respectively. Adolescents aged 16 and 17 (ORadj: 1.39; 95% CI: 1.32-1.48), residing in the Brazilian Southeast (ORadj: 1.66; 95% CI: 1.52-1.81), and those reporting poor or very poor self-rated health (ORadj: 2.05; 95% CI: 1.87-2.25) were more likely to exhibit multiple behavioral risk factors. Conversely, male adolescents (adjusted OR: 0.65; 95% CI: 0.62-0.69), those of mixed race (adjusted OR: 0.92; 95% CI: 0.87-0.97), and residents of rural areas (adjusted OR: 0.76; 95% CI: 0.70-0.84) were less likely to manifest MBRFs for NCDs. CONCLUSION The majority of adolescents displayed MBRFs for NCDs, positively associated with age, region, and perceived health status. This underscores the necessity for healthcare promotional interventions throughout the life cycle, as these behaviors may persist into adulthood.
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Affiliation(s)
- Alanna Gomes da Silva
- Graduate Program in Nursing, Department of Maternal-Infant and Public Health Nursing, Federal University of Minas Gerais (UFMG), Avenida Professor Alfredo Balena, 190, Bairro Santa Efigênia, Belo Horizonte, 30130-100, Minas Gerais, Brazil.
| | - Juliana Bottoni Souza
- Faculty of Medicine, Graduate Program in Public Health, Federal University of Minas Gerais (UFMG), Belo Horizonte (MG), Brazil
| | - Crizian Saar Gomes
- Faculty of Medicine, Graduate Program in Public Health, Federal University of Minas Gerais (UFMG), Belo Horizonte (MG), Brazil
| | - Thales Philipe Rodrigues da Silva
- Federal University of São Paulo, Paulista School of Nursing, Rua Napoleão de Barros,754, Bairro Vila Clementino, São Paulo, 04023-062, Brazil
| | | | - Deborah Carvalho Malta
- School of Nursing, Graduate Program of the School of Nursing, Department of Maternal-Infant and Public Health Nursing, Federal University of Minas Gerais, Belo Horizonte (MG), Brazil.
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Oliveira MCDP, Costa EC, Silva LMPD, Barbosa LNV, Barros MVGD, Mota Filho JHC, Correia Junior MADV. Journalistic media and adolescents in the COVID-19 pandemic: a documental analysis. REVISTA PAULISTA DE PEDIATRIA : ORGAO OFICIAL DA SOCIEDADE DE PEDIATRIA DE SAO PAULO 2023; 42:e2023041. [PMID: 38126600 PMCID: PMC10742345 DOI: 10.1590/1984-0462/2024/42/2023041] [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: 03/30/2023] [Accepted: 09/03/2023] [Indexed: 12/23/2023]
Abstract
OBJECTIVE To analyze how the journalistic media has described the issues of quality of life (QoL), physical activity (PA) and mental health (MH) of adolescents during the COVID-19 pandemic. METHODS This is a descriptive and qualitative study that used content analysis. Sixty-two journalistic publications were analyzed from a total of 8211 published by the most read newspapers in each Brazilian region between December 2019 and August 2021. RESULTS The results were grouped and evaluated in three categories: QoL (n=11), PA (n =9) and MH (n=42). In the analyzed period, the adolescents had more time of exposure to screens, contributing to an inadequate diet, a decrease in PA and impairments in QoL. According to the media publications, the pandemic has also contributed to an increase in anxiety, depression, loneliness and fear resulting from the mental and emotional disorganization caused by the abrupt change in routine. Social vulnerability was presented as an aggravating factor in this context. The journalistic media did not pay the necessary attention to adolescents regarding the negative consequences of the pandemic on QoL, PA and MH. CONCLUSIONS The analyzed reports showed that the pandemic caused a decrease in social interaction, feelings of uncertainty, fear and the appearance/exacerbation of symptoms of anxiety, stress and depression. Social vulnerability was presented as another obstacle to be faced in this problem.
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Borges LADC, Almeida RGDS, Barboza ES, Arruda GOD. Simulation training of caregivers at hospital discharge of patients with chronic diseases: an integrative review. Rev Bras Enferm 2023; 76:e20230043. [PMID: 38055488 DOI: 10.1590/0034-7167-2023-0043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Accepted: 08/11/2023] [Indexed: 12/08/2023] Open
Abstract
OBJECTIVE to identify evidence about the use and effects of clinical simulation for preparing caregivers for discharging patients with chronic conditions. METHODS an integrative peer review in the Scopus, PubMed, Web of Science, Cumulative Index to Nursing and Allied Health Literature, ScienceDirect and Virtual Health Library databases, from July to September 2022. RESULTS 3,218 studies were identified, with a final sample consisting of four national and two international articles. Using simulation as an educational technology contributed to caregiver preparation in home care. In most studies, using clinical simulation included using other strategies to complement training: expository dialogued class, conversation circle and audiovisual resources. FINAL CONSIDERATIONS simulation proved to be efficient for training caregivers, with the active participation of family members and nurses in health education actions.
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Affiliation(s)
| | | | - Elton Santo Barboza
- Universidade Federal de Mato Grosso do Sul. Campo Grande, Mato Grosso do Sul, Brazil
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Malta DC, Gomes CS, Vasconcelos NMD, Alves FTA, Ferreira APDS, Barros MBDA, Lima MG, Szwarcwald CL. Smoking among Brazilian adolescents during the COVID-19 pandemic: a cross-sectional study. SAO PAULO MED J 2023; 141:e2022424. [PMID: 37255064 DOI: 10.1590/1516-3180.2022.0424.r1.30032023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Accepted: 03/29/2023] [Indexed: 06/01/2023] Open
Abstract
BACKGROUND The social distancing measures during the coronavirus disease 2019 (COVID-19) pandemic resulted in mental suffering among adolescents, leading to risky consumption of psychoactive substances such as tobacco. OBJECTIVE To analyze the factors associated with tobacco use among adolescents during the COVID-19 social distancing period in Brazil. DESIGN AND SETTING Cross-sectional study used data from ConVid Adolescentes survey in Brazil. METHODS Tobacco use was assessed before and during social distancing. The explanatory variables investigated were sex, age, race/skin color, type of school, maternal education, region of residence, adherence to social restriction measures, number of close friends, sleep quality during the pandemic, mood, passive smoking, use of alcoholic beverages during the pandemic, sedentary behavior, and physical activity. A logistic regression model was used for the data analysis. RESULTS Tobacco use by adolescents did not change during the pandemic (from 2.58% to 2.41%). There was a higher chance of tobacco use among adolescents aged between 16 and 17 years, self-reported black ones, residing in the South and Southeast regions, reported feeling sad and loneliness, had sleeping problems that worsened, were using alcoholic beverages during the pandemic, and were passive smokers at home. Adolescents whose mothers had completed high school or higher, had strict social restrictions, and increased their physical activity during the pandemic had a lower chance of tobacco use. CONCLUSION Tobacco uses during the COVID-19 pandemic was higher in vulnerable groups, such as black adolescents and those with mental suffering.
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Affiliation(s)
- Deborah Carvalho Malta
- PhD. Physician and Associated Professor, Department of Maternal and Child Nursing and Public Health, Faculty of Nursing, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil
| | - Crizian Saar Gomes
- PhD. Nutritionist and Post-doctoral Student, Postgraduate Program in Public Health, Faculty of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil
| | - Nádia Machado de Vasconcelos
- MSc. Physician and Doctoral Student, Postgraduate Program in Public Health, Faculty of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil
| | | | - Arthur Pate de Souza Ferreira
- PhD. Researcher, Department of Epidemiology and Quantitative Methods in Health, Fundação Oswaldo Cruz, Rio de Janeiro (RJ), Brazil
| | - Marilisa Berti de Azevedo Barros
- PhD. Physician and Full Professor, Department of Public Health, Faculty of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil
| | - Margareth Guimarães Lima
- PhD. Researcher, Department of Public Health, Faculty of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil
| | - Celia Landmann Szwarcwald
- PhD. Senior Researcher, Laboratório de Informação e Saúde (LIS), Instituto de Comunicação e Informação Científica e Tecnológica em Saúde (ICICT), Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro (RJ), Brazil
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Fonseca AA, Spósito GI, Freitas RF, Reis VMCP. Autopercepção Negativa de Saúde em Adolescentes durante a Pandemia de Covid-19 e Fatores Associados. REVISTA PSICOLOGIA E SAÚDE 2023. [DOI: 10.20435/pssa.v14i4.2095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
Abstract
O objetivo deste estudo foi analisar a prevalência da autopercepção negativa de saúde de adolescentes durante a pandemia de covid-19 e fatores associados. Trata-se de um estudo descritivo de corte transversal, realizado com 287 adolescentes. Foram avaliadas questões referentes à autopercepção de saúde, ao perfil sociodemográfico e aos fatores comportamentais. As razões de prevalência (RP) e os intervalos com 95% de confiança (IC95%) foram estimados por meio de modelos múltiplos de regressão de Poisson. A prevalência de autopercepção negativa de saúde foi observada em 31,0% dos adolescentes. Observou-se que a imagem corporal (RP = 1,14; IC95%:1,05-1,23), a prática de atividade física (RP = 1,12; IC95%:1,03-1,21), a qualidade do sono (RP = 1,17; IC95%:1,08-1,28) e o consumo de frutas (RP = 1,18; IC95%:1,07-1,30) mostraram-se associados à autopercepção negativa de saúde dos adolescentes. Conclui-se que, durante a pandemia de covid-19, foi observada alta prevalência de autopercepção negativa da saúde. Ademais, a insatisfação com a imagem corporal, a prática de atividade física insuficiente, a qualidade do sono ruim e o consumo de frutas afetaram a autopercepção de saúde dos adolescentes.
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Romero DE, Muzy J, Maia LR, Almeida WDSD, Silva DRPD, Malta DC, Souza Junior PRBD. Factors associated with the incidence and worsening of back pain during the first wave of COVID-19 in Brazil. CIENCIA & SAUDE COLETIVA 2023. [DOI: 10.1590/1413-81232023283.13042022en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2023] Open
Abstract
Abstract The article aims to estimate the incidence and worsening of back pain (BP) during the first wave of COVID-19 in Brazil, as well as to investigate demographic, socioeconomic factors and associated changes in living conditions. ConVid - Behavior Research, applied between April and May 2020, was used as data source. The number and distribution of respondents who developed BP and those who had a worsening of the preexisting problem, their 95% confidence intervals and Pearson’s Chi-square test were estimated. The odds ratio of developing BP or worsening a preexisting problem was also estimated using multiple logistic regression models. Pre-existing BP was reported by 33.9% (95%CI 32.5-35.3) of respondents and more than half (54.4%; 95%CI 51.9-56.9) had worsened. The cumulative incidence of BP in the first wave of the pandemic was 40.9% (95%CI 39.2-42.7). Being a woman, the perceived increase in housework and the frequent feeling of sadness or depression were associated with both outcomes. Socioeconomic factors were not associated with any of outcome. The high incidence and worsening of BP during the first wave reveal the need for studies in more recent periods, given the long duration of the pandemic.
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Romero DE, Muzy J, Maia LR, Almeida WDSD, Silva DRPD, Malta DC, Souza Junior PRBD. Factors associated with the incidence and worsening of back pain during the first wave of COVID-19 in Brazil. CIENCIA & SAUDE COLETIVA 2023; 28:771-784. [PMID: 36888861 DOI: 10.1590/1413-81232023283.13042022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 09/15/2022] [Indexed: 03/08/2023] Open
Abstract
The article aims to estimate the incidence and worsening of back pain (BP) during the first wave of COVID-19 in Brazil, as well as to investigate demographic, socioeconomic factors and associated changes in living conditions. ConVid - Behavior Research, applied between April and May 2020, was used as data source. The number and distribution of respondents who developed BP and those who had a worsening of the preexisting problem, their 95% confidence intervals and Pearson's Chi-square test were estimated. The odds ratio of developing BP or worsening a preexisting problem was also estimated using multiple logistic regression models. Pre-existing BP was reported by 33.9% (95%CI 32.5-35.3) of respondents and more than half (54.4%; 95%CI 51.9-56.9) had worsened. The cumulative incidence of BP in the first wave of the pandemic was 40.9% (95%CI 39.2-42.7). Being a woman, the perceived increase in housework and the frequent feeling of sadness or depression were associated with both outcomes. Socioeconomic factors were not associated with any of outcome. The high incidence and worsening of BP during the first wave reveal the need for studies in more recent periods, given the long duration of the pandemic.
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Affiliation(s)
- Dalia Elena Romero
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz. Av. Brasil 4.365, Pavilhão Haity Moussatché, Manguinhos. 21040-900 Rio de Janeiro RJ Brasil.
| | - Jessica Muzy
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz. Av. Brasil 4.365, Pavilhão Haity Moussatché, Manguinhos. 21040-900 Rio de Janeiro RJ Brasil.
| | - Leo Ramos Maia
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz. Av. Brasil 4.365, Pavilhão Haity Moussatché, Manguinhos. 21040-900 Rio de Janeiro RJ Brasil.
| | - Wanessa da Silva de Almeida
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz. Av. Brasil 4.365, Pavilhão Haity Moussatché, Manguinhos. 21040-900 Rio de Janeiro RJ Brasil.
| | | | | | - Paulo Roberto Borges de Souza Junior
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz. Av. Brasil 4.365, Pavilhão Haity Moussatché, Manguinhos. 21040-900 Rio de Janeiro RJ Brasil.
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de Freitas BHBM, Gaíva MAM, Diogo PMJ, Bortolini J. Relationship between adolescent lifestyle and emotional and behavioral problems. Arch Psychiatr Nurs 2022; 43:92-97. [PMID: 37032023 DOI: 10.1016/j.apnu.2022.12.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 11/19/2022] [Accepted: 12/22/2022] [Indexed: 12/29/2022]
Abstract
This study aimed at verifying the relationship between lifestyle and emotional and behavioral problems in adolescents. This is an observational and cross-sectional study developed with adolescents from a capital city in the Brazilian Amazon. Data collection was performed using an electronic form containing items from the Fantastic Lifestyle and Strengths and Difficulties Questionnaire instruments. For data analysis, the bootstrap t-Test and calculation of Cohen's d statistic value were performed to assess the effect size of the difference between means. A total of 479 adolescents participated in the study. There was a high relationship between emotional and behavioral problems and lifestyle (p < 0.01; d = 1.36), especially regarding emotional problems (p < 0.01; d = 1.09), hyperactivity (p < 0.01; d = 0.92) and peer problems (p < 0.01; d = 0.78). The lifestyle attributes that were highly related to emotional and behavioral problems were insight (p < 0.01; d = 1.30), sleep, seatbelt, stress and safe sex (p < 0.01; d = 0.93), type of behavior (p < 0.01; d = 0.86) and career (p < 0.01; d = 0.85). It is therefore concluded that there was a high relationship between lifestyle and emotional and behavioral problems among the adolescents surveyed. Thus, it becomes necessary to promote socio-emotional skills and restorative and health-protective lifestyles in this population.
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Affiliation(s)
| | | | | | - Juliano Bortolini
- Department of Statistics, Federal University of Mato Grosso, Cuiabá, MT, Brazil
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Pourghazi F, Eslami M, Ehsani A, Ejtahed HS, Qorbani M. Eating habits of children and adolescents during the COVID-19 era: A systematic review. Front Nutr 2022; 9:1004953. [PMID: 36330134 PMCID: PMC9623566 DOI: 10.3389/fnut.2022.1004953] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 10/04/2022] [Indexed: 11/13/2022] Open
Abstract
The COVID19 pandemic has affected all aspects of people's lives. Eating habit plays a crucial role in children and adolescents' physical and mental development and the impacts might last until adulthood. This systematic review aimed to summarize a comprehensive and updated overview of eating habits changes due to COVID19 confinements among children and adolescents. A systematic literature search was performed in three databases for all the English studies published from the start of the confinements until April 2022. Two researchers screened articles independently and included observational studies which evaluated children's and adolescents' eating habits before and during confinements. The quality of the included studies was assessed by Newcastle-Ottawa Quality Assessment checklists for cross-sectional and cohort studies. Among 2,436 studies, 39 final full-text articles were included. The total participants of this systematic review consist of 157,900 children and adolescents. Seven categories were identified: daily eating patterns, junk food, beverage, fruits and vegetables, milk and dairy, protein-rich foods, and legumes and cereals. In summary, most of the included studies reported a significant increase in consumption of home-cooked meals, amount of food, snack, french fries, sweets, fruits, vegetables, legumes, bread, and bakery products. On the other hand, studies demonstrated significantly lower intake of fast food and soft drink. The studies reported controversial results about breakfast consumption, sugar-added drinks, caffeinated drinks, milk and dairy products, protein-rich foods (including meat, fish, egg and chicken, and poultry), rice, and cereal. Changes in children's and adolescents' eating habits during the COVID-19 era were both positive and negative, for example, a decrease in fast food, fruit, and vegetable consumption vs. an increase in snacking and sweet consumption. Both changes have significant short-term and long-term impacts on population health. This study could provide us with insight into the changes in eating habits in children and adolescents in the COVID-19 era which we can use to limit the negative consequences on health.
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Affiliation(s)
- Farzad Pourghazi
- Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Maysa Eslami
- Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Amir Ehsani
- Department of Pediatrics, Alborz University of Medical Sciences, Karaj, Iran
| | - Hanieh-Sadat Ejtahed
- Obesity and Eating Habits Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
- *Correspondence: Hanieh-Sadat Ejtahed
| | - Mostafa Qorbani
- Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
- Mostafa Qorbani
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12
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Okuyama J, Izumi SI, Funakoshi S, Seto S, Sasaki H, Ito K, Imamura F, Willgerodt M, Fukuda Y. Supporting adolescents' mental health during COVID-19 by utilising lessons from the aftermath of the Great East Japan Earthquake. HUMANITIES & SOCIAL SCIENCES COMMUNICATIONS 2022; 9:332. [PMID: 36187842 PMCID: PMC9510442 DOI: 10.1057/s41599-022-01330-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Accepted: 08/31/2022] [Indexed: 06/16/2023]
Abstract
Historical data can determine how adolescents recover from difficult situations such as the Coronavirus disease 2019 (COVID-19) pandemic. This study analysed 3 years of data obtained from high-school students who had been affected by the 2011 Great East Japan Earthquake and consequently evidenced the importance of increasing resilience among affected adolescents. This involved identifying factors contributing to resilience through a model that assessed for each tsunami disaster. This model was determined by assessing the correlation between survivors' resilience scores and their measured psychological and lifestyle scores. This approach showed that, in all tsunami damage models, resilience was most affected by the depressed emotions. Thus, our approach suggests that interventions for improving the depressed mood may improve resilience in adolescents during the COVID-19 pandemic.
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Affiliation(s)
- Junko Okuyama
- Designated National University, Core Research Cluster of Disaster Science, Tohoku University, Sendai, Japan
- Department of Rehabilitation, Tohoku University, Sendai, Japan
| | - Shin-Ichi Izumi
- Department of Rehabilitation, Tohoku University, Sendai, Japan
| | | | - Shuji Seto
- International Research Institute of Disaster Science, Tohoku University, Sendai, Japan
| | - Hiroyuki Sasaki
- International Research Institute of Disaster Science, Tohoku University, Sendai, Japan
| | - Kiyoshi Ito
- International Research Institute of Disaster Science, Tohoku University, Sendai, Japan
| | - Fumihiko Imamura
- Designated National University, Core Research Cluster of Disaster Science, Tohoku University, Sendai, Japan
- International Research Institute of Disaster Science, Tohoku University, Sendai, Japan
| | - Mayumi Willgerodt
- Department of Child, Family, and Population Health Nursing at the University of Washington, Seattle, USA
| | - Yu Fukuda
- Notre Dame Seishin University, Okayama, Japan
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13
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Santi DB, Rossa R, Bomfim LDSS, Dias AR, Higarashi IH, Baldissera VDA. Adolescent health in the Covid-19 pandemic: a construction through Nola Pender's model. Rev Bras Enferm 2022; 75:e20210696. [PMID: 35920495 DOI: 10.1590/0034-7167-2021-0696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Accepted: 02/16/2022] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To construct perspectives of adolescent health in the face of the Covid-19 pandemic, through emancipatory dialogues guided by Nola Pender's Model. METHOD This is a participatory research based on the methodology of Psychodramatic Pedagogy of María Alicia Romaña. The action was carried out with 17 school-aged adolescents from a city in the Center-West Region of Brazil. The theoretical-analytical framework used was Nola Pender's Health Promotion Model, and the data collected were discussed based on Paulo Freire's dialogical framework. RESULTS The workshop allowed the sharing of individual characteristics and experiences of adolescents regarding the reality experienced in the pandemic, highlighting mental health as a main theme for health promotion. FINAL CONSIDERATIONS It was construct, along with the adolescents, important knowledge about health in the pandemic, supporting the thematic reflection and the elaboration of timely health promotion interventions.
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Affiliation(s)
| | - Roberta Rossa
- Universidade Estadual de Maringá. Maringá, Paraná, Brazil
| | | | - Alcione Ribeiro Dias
- Universidade Federal de Mato Grosso do Sul. Campo Grande, Mato Grosso do Sul, Brazil
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14
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Freitas BHBMD, Gaíva MAM, Diogo PMJ, Bortolini J. Relationship between Lifestyle and Self-Reported Smartphone Addiction in adolescents in the COVID-19 pandemic: A mixed-methods study. J Pediatr Nurs 2022; 65:82-90. [PMID: 35331609 PMCID: PMC8936953 DOI: 10.1016/j.pedn.2022.03.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Revised: 02/08/2022] [Accepted: 03/02/2022] [Indexed: 12/31/2022]
Abstract
OBJECTIVES 1) To verify the association between Lifestyle and Self-Reported Smartphone Addiction in adolescents; and 2) to analyze the adolescents' perception of this relationship in the context of the COVID-19 pandemic. METHOD A mixed-methods research study with a sequential and explanatory design, developed with Brazilian adolescents aged between 15 and 18 years old. In the first phase, a quantitative, observational and cross-sectional study was carried out with 479 participants and, in the second, a qualitative approach of an exploratory and descriptive nature, with 16 participants. RESULTS An association was verified between Lifestyle and Self-Reported Smartphone Addiction by adolescents (p < 0.01), with a large size effect (d=0.98). All the domains related to lifestyle were associated with Self-Reported Smartphone Addiction, with greater effects evidenced in the following aspects: high effect for sleep, seat belt, stress and safe sex (d=0.85); and moderate effect for insight (d=0.74) and career (d=0.71). Subsequently, the qualitative analysis resulted in a category that describes how the adolescents understand this relationship in the face of the COVID-19 pandemic. CONCLUSION More problematic lifestyles were evidenced among the adolescents classified as dependent. In addition to that, it was understood that the COVID-19 pandemic exerted a considerable impact on the lifestyle and behavior established by the adolescents with their smartphones. IMPLICATIONS FOR THE PRACTICE Nurses and other health professionals are essential in the promotion of healthy lifestyles and adaptive behavior in smartphone use, especially in the face of this pandemic scenario and, thus, mitigating the harms to the adolescents' health.
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15
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[A cohort-comparison of food intake, lifestyle and social-emotional health of adolescents before and during the corona crisis]. TSG : TIJDSCHRIFT VOOR GEZONDHEIDSWETENSCHAPPEN 2022; 100:40-48. [PMID: 35281369 PMCID: PMC8902735 DOI: 10.1007/s12508-022-00331-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 02/04/2022] [Indexed: 11/17/2022]
Abstract
De coronacrisis kan beschouwd worden als een ‘natuurlijk experiment’ waarin de sociale context aanzienlijk is veranderd. Het is nog grotendeels onbekend hoe jongeren daarop reageren en welke gedragingen veranderen. We hebben een cohortvergelijking gemaakt van derdeklassers (N = 177, Mleeftijd = 15,00) van de middelbare school vóór de coronacrisis (voorjaar 2019) met een qua demografische kenmerken vergelijkbare groep derdeklassers (N = 188, Mleeftijd = 14,95) tijdens de eerste lockdown (voorjaar 2020). We vergeleken de domeinen eetgedrag, leefstijl en sociaal-emotionele gezondheid tussen beide cohorten en keken naar de samenhang binnen en tussen domeinen voor beide cohorten. De consumptie van zoete snacks thuis, alcoholgebruik en eenzaamheid waren in het coronacohort hoger dan vóór de coronacrisis (niet significant na correctie). De consumptie van fruit thuis, van suikerhoudende dranken en ongezonde snacks buitenshuis, en matige en zware fysieke activiteit kwamen minder voor tijdens de lockdown. Relatietevredenheid met ouders, geluksgevoel en stress door school waren lager vergeleken met het cohort vóór de lockdown. Roken, stress thuis en relatietevredenheid met beste vriend(in) waren in beide cohorten even hoog. Het patroon van samenhang binnen en tussen de domeinen verschilde. Verder onderzoek moet uitwijzen hoe veerkrachtig jongeren op de langere termijn zijn en welke jongeren ondersteuning nodig hebben om terug te veren.
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16
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Malta DC, Oliveira WAD, Prates EJS, Mello FCMD, Moutinho CDS, Silva MAI. Bullying entre adolescentes brasileños: evidencias de las Encuestas Nacionales de Salud Escolar, Brasil, 2015 y 2019. Rev Lat Am Enfermagem 2022. [DOI: 10.1590/1518-8345.6278.3677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Resumen Objetivo: estimar la prevalencia de indicadores relacionados con el bullying entre escolares brasileños de 13 a 17 años y comparar los eventos de 2015 y 2019. Método: estudio descriptivo, transversal, con datos de las Encuestas Nacionales de Salud Escolar realizado en todos los estados brasileños. Las prevalencias e intervalos de confianza (IC95%) de los indicadores se estimaron en 2019. Para probar las diferencias entre las dos ediciones se utilizó la prueba T de Student (p ≤ 0,01). Resultados: la prevalencia de la práctica de bullying disminuyó del 20,4% (IC95%: 19,2-21,5) en 2015 al 12,0% (IC95%: 11,6-12,5) en 2019. Los motivos aducidos para sufrir bullying fueron similares en las dos ediciones: apariencia del cuerpo y rostro y color de piel o raza. Las prevalencias entre los estados brasileños fueron similares, siendo que hubo mayores índices de padecer bullying en el estado de Tocantins, de situaciones de cyberbullying en los estados de Mato Grosso y Amapá, y de hacer bullying en Río de Janeiro. Conclusión: hubo una reducción a la mitad en la práctica de bullying, con un informe señalando que la relación no es buena entre los adolescentes brasileños, sin embargo, la prevalencia de bullying y cyberbullying es alta en el país. Por lo tanto, se debe prestar atención a las políticas públicas para reducir y enfrentar esta situación en el escenario nacional.
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17
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Malta DC, Oliveira WAD, Prates EJS, Mello FCMD, Moutinho CDS, Silva MAI. Bullying among Brazilian adolescents: evidence from the National Survey of School Health, Brazil, 2015 and 2019. Rev Lat Am Enfermagem 2022. [DOI: 10.1590/1518-8345.6278.3678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Abstract Objective: to estimate the prevalence rate of indicators related to bullying among Brazilian students aged 13 to 17 years and compare its occurrence between 2015 and 2019. Method: this is a descriptive cross-sectional study, with data from the National Survey of School Health, carried out in all Brazilian states. The prevalence rate and confidence intervals (95%CI) of the indicators were estimated in 2019. Student’s t test was used (p ≤ 0.01) to test the differences between editions. Results: the prevalence rate of bullying decreased from 20.4% (95%CI: 19.2 - 21.5) in 2015 to 12.0% (95%CI: 11.6 - 12.5) in 2019. The reasons cited for being bullied were similar in both editions: bodily appearance, facial appearance, and color/race. Prevalence rates were similar between states. The state of Tocantins presented the highest number of bully-victims; states of Mato Grosso and Amapá had the highest number of adolescents being involved in cyberbullying situations, and the state of Rio de Janeiro presented the highest number of bullies. Conclusion: there was a reduction by half in bullying and in the report on not being treated well among Brazilian adolescents; however, the prevalence rate of being bullied and cyberbullying are high in the country. Therefore, attention should be paid to policies to reduce and confront this issue on the national scene.
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18
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Arena R, Hall G, Laddu DR, Phillips SA, Lavie CJ. A tale of two pandemics revisited: Physical inactivity, sedentary behavior and poor COVID-19 outcomes reside in the same Syndemic City. Prog Cardiovasc Dis 2022; 71:69-71. [PMID: 34826425 PMCID: PMC8616569 DOI: 10.1016/j.pcad.2021.11.012] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- Ross Arena
- Department of Physical Therapy, College of Applied Science, University of Illinois, Chicago, IL, United States of America,Healthy Living for Pandemic Event Protection (HL – PIVOT) Network, Chicago, IL, United States of America,Corresponding author at: Department of Physical Therapy, College of Applied Health Sciences, University of Illinois Chicago, 1919 W. Taylor Street (MC 898), Chicago, IL 60612, United States of America
| | - Grenita Hall
- Department of Physical Therapy, College of Applied Science, University of Illinois, Chicago, IL, United States of America,Healthy Living for Pandemic Event Protection (HL – PIVOT) Network, Chicago, IL, United States of America
| | - Deepika R. Laddu
- Department of Physical Therapy, College of Applied Science, University of Illinois, Chicago, IL, United States of America,Healthy Living for Pandemic Event Protection (HL – PIVOT) Network, Chicago, IL, United States of America
| | - Shane A. Phillips
- Department of Physical Therapy, College of Applied Science, University of Illinois, Chicago, IL, United States of America,Healthy Living for Pandemic Event Protection (HL – PIVOT) Network, Chicago, IL, United States of America
| | - Carl J. Lavie
- Healthy Living for Pandemic Event Protection (HL – PIVOT) Network, Chicago, IL, United States of America,Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School-University of Queensland School of Medicine, New Orleans, LA, United States of America
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19
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Santi DB, Rossa R, Bomfim LDSS, Dias AR, Higarashi IH, Baldissera VDA. Saúde do adolescente na pandemia de Covid-19: uma construção através do modelo de Nola Pender. Rev Bras Enferm 2022. [DOI: 10.1590/0034-7167-2021-0696pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivo: Construir perspectivas de saúde dos adolescentes em face à pandemia de Covid-19, a partir dos diálogos emancipatórios, orientados pelo modelo de Nola Pender. Método: Trata-se de uma pesquisa participativa, metodologicamente estruturada com a Pedagogia Psicodramática de María Alicia Romaña, realizada com 17 adolescentes escolares de um município na região Centro-Oeste do Brasil. Utilizou-se como referencial teórico-analítico o Modelo de Promoção da Saúde de Nola Pender, sendo os dados discutidos com base no referencial dialógico de Paulo Freire. Resultados: A oficina propiciou o compartilhamento de características e experiências individuais dos adolescentes sobre a realidade vivenciada na pandemia, evidenciando a saúde mental como tema protagônico para a promoção da saúde. Considerações finais: Foi possível elaborar com os adolescentes um conhecimento sobre a saúde na pandemia, fundamentando a reflexão temática e a construção de intervenções oportunas de promoção da saúde.
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20
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Malta DC, Oliveira WAD, Prates EJS, Mello FCMD, Moutinho CDS, Silva MAI. Bullying entre adolescentes brasileiros: evidências das Pesquisas Nacionais de Saúde do Escolar, Brasil, 2015 e 2019. Rev Lat Am Enfermagem 2022; 30:e3679. [DOI: 10.1590/1518-8345.6278.3679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 05/30/2022] [Indexed: 11/07/2022] Open
Abstract
Resumo Objetivo: estimar a prevalência de indicadores referentes ao bullying entre escolares brasileiros de 13 a 17 anos e comparar sua ocorrência entre 2015 e 2019. Método: estudo descritivo, transversal, com dados das Pesquisas Nacionais de Saúde do Escolar, realizada em todos os estados brasileiros. Foram estimadas as prevalências e os intervalos de confiança (IC95%) dos indicadores em 2019. Para testar as diferenças entre as duas edições, utilizou-se o teste t de Student (p ≤ 0,01). Resultados: a prevalência de praticar bullying reduziu de 20,4% (IC95%: 19,2-21,5) em 2015 para 12,0% (IC95%: 11,6-12,5) em 2019. Os motivos apontados para sofrer bullying foram semelhantes nas duas edições: aparência do corpo, aparência do rosto e cor ou raça. As prevalências foram semelhantes entre os estados, sendo mais elevado sofrer bullying no Tocantins, envolver-se em situações de cyberbullying em Mato Grosso e Amapá, e praticar bullying foi mais elevado no Rio de Janeiro. Conclusão: ocorreu redução da prática do bullying pela metade, e do relato de não ser bem tratado entre adolescentes brasileiros, entretanto a prevalência de sofrer bullying é elevada no país, bem como o cyberbullying. Por isso, deve-se ter atenção e priorizar políticas para redução e enfrentamento desta prática no cenário nacional.
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21
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Rossi L, Behme N, Breuer C. Physical Activity of Children and Adolescents during the COVID-19 Pandemic-A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182111440. [PMID: 34769956 PMCID: PMC8583307 DOI: 10.3390/ijerph182111440] [Citation(s) in RCA: 110] [Impact Index Per Article: 36.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 10/21/2021] [Accepted: 10/29/2021] [Indexed: 12/24/2022]
Abstract
To counteract the COVIC-19 pandemic, many governments have introduced social distancing measures. While these restrictions helped contain the virus, it had adverse effects on individuals’ mental and physical health—especially children. The aim of the present study is to review the evidence on the effects of COVID-19 restrictions on children’s physical activity and their determinants. A scoping review was conducted in the databases PubMed, Web of Science, SportDiscus, and BISp-Surf. Inclusion criteria were empirical and peer-reviewed studies, youth samples, investigation of COVID-19 restrictions, and investigating changes and/or determinants of physical activity before and during the COVID-19 pandemic. Risk of bias was assessed using the checklist by Downs and Black. The search resulted in 1672 studies, of which 84 studies were included in the analysis. The results highlighted a decrease in physical activity during the pandemic, ranging between −10.8 min/day and −91 min/day. If an increase was detected, it related to unstructured and outdoor activities. The main determinants of children’s physical activity during the pandemic were age, gender, socioeconomic background, and the outdoor environment. The results imply that governments need to consider the negative effects that restrictive measures have on children’s physical activity and act to ensure high levels of physical activity.
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22
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Mazzolani BC, Smaira FI, Astley C, Iraha AY, Pinto AJ, Marques IG, Cordeiro Amarante M, Rezende NS, Sieczkowska SM, Franco TC, Miranda LCDA, Lindoso L, Helito AC, Oba J, Queiroz LB, Pereira RMR, Roschel H, Silva CA, Gualano B. Changes in Eating Habits and Sedentary Behavior During the COVID-19 Pandemic in Adolescents With Chronic Conditions. Front Pediatr 2021; 9:714120. [PMID: 34966698 PMCID: PMC8711628 DOI: 10.3389/fped.2021.714120] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Accepted: 11/05/2021] [Indexed: 11/13/2022] Open
Abstract
Introduction: Among healthy adolescents, school closures and home confinement were shown to increase unhealthier eating habits and sedentary behavior. It remains unknown to which extent the pandemic has impacted the lifestyle of adolescents with chronic conditions. Thus, the aim of this study is to report on the impact of the COVID-19 outbreak on eating habits and sedentary behavior among adolescents with multiple chronic conditions (n = 347) from a tertiary, referral hospital vs. healthy peers. Methods: This observational study was conducted in São Paulo (Brazil) between July and October 2020, period in which a set of social distancing measures to contain the pandemic. Results: The main findings of this study were that adolescents with chronic conditions and health peers showed important changes in eating habits (e.g., more often cooking and eating in front of television than before quarantine). Also, 86.8% of adolescents with chronic conditions and 91.6% of healthy adolescents reported increasing screen time during pandemic. No major differences were observed between patients and controls. Conclusions: Adolescents with chronic conditions and healthy peers exposed to pandemic showed substantial changes in lifestyle, stressing the need for specific care to mitigate poor eating habits and excessive sedentary behavior for patients and healthy adolescents.
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Affiliation(s)
- Bruna Caruso Mazzolani
- Applied Physiology and Nutrition Research Group, Rheumatology Division, School of Physical Education and Sport, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil.,Laboratory of Assessment and Conditioning in Rheumatology, Disciplina de Reumatologia, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Fabiana Infante Smaira
- Applied Physiology and Nutrition Research Group, Rheumatology Division, School of Physical Education and Sport, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil.,Laboratory of Assessment and Conditioning in Rheumatology, Disciplina de Reumatologia, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Camilla Astley
- Applied Physiology and Nutrition Research Group, Rheumatology Division, School of Physical Education and Sport, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil.,Laboratory of Assessment and Conditioning in Rheumatology, Disciplina de Reumatologia, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Amanda Yuri Iraha
- Applied Physiology and Nutrition Research Group, Rheumatology Division, School of Physical Education and Sport, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil.,Laboratory of Assessment and Conditioning in Rheumatology, Disciplina de Reumatologia, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Ana Jessica Pinto
- Applied Physiology and Nutrition Research Group, Rheumatology Division, School of Physical Education and Sport, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil.,Laboratory of Assessment and Conditioning in Rheumatology, Disciplina de Reumatologia, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Isabela Gouveia Marques
- Applied Physiology and Nutrition Research Group, Rheumatology Division, School of Physical Education and Sport, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil.,Laboratory of Assessment and Conditioning in Rheumatology, Disciplina de Reumatologia, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Milla Cordeiro Amarante
- Applied Physiology and Nutrition Research Group, Rheumatology Division, School of Physical Education and Sport, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil.,Laboratory of Assessment and Conditioning in Rheumatology, Disciplina de Reumatologia, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Nathalia Saffioti Rezende
- Applied Physiology and Nutrition Research Group, Rheumatology Division, School of Physical Education and Sport, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil.,Laboratory of Assessment and Conditioning in Rheumatology, Disciplina de Reumatologia, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Sofia Mendes Sieczkowska
- Applied Physiology and Nutrition Research Group, Rheumatology Division, School of Physical Education and Sport, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil.,Laboratory of Assessment and Conditioning in Rheumatology, Disciplina de Reumatologia, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Tathiane Christine Franco
- Applied Physiology and Nutrition Research Group, Rheumatology Division, School of Physical Education and Sport, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil.,Laboratory of Assessment and Conditioning in Rheumatology, Disciplina de Reumatologia, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Luana Cristina do Amaral Miranda
- Instituto da Criança e do Adolescente, Hospital das Clinicas da Faculdade de Medicina (HCFMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Lívia Lindoso
- Instituto da Criança e do Adolescente, Hospital das Clinicas da Faculdade de Medicina (HCFMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Alberto Carame Helito
- Instituto da Criança e do Adolescente, Hospital das Clinicas da Faculdade de Medicina (HCFMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Jane Oba
- Instituto da Criança e do Adolescente, Hospital das Clinicas da Faculdade de Medicina (HCFMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Ligia Bruni Queiroz
- Instituto da Criança e do Adolescente, Hospital das Clinicas da Faculdade de Medicina (HCFMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Rosa Maria R Pereira
- Rheumatology Division, Hospital das Clinicas da Faculdade de Medicina (HCFMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Hamilton Roschel
- Applied Physiology and Nutrition Research Group, Rheumatology Division, School of Physical Education and Sport, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil.,Laboratory of Assessment and Conditioning in Rheumatology, Disciplina de Reumatologia, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Clovis Artur Silva
- Instituto da Criança e do Adolescente, Hospital das Clinicas da Faculdade de Medicina (HCFMUSP), Universidade de São Paulo, São Paulo, Brazil.,Rheumatology Division, Hospital das Clinicas da Faculdade de Medicina (HCFMUSP), Universidade de São Paulo, São Paulo, Brazil
| | - Bruno Gualano
- Applied Physiology and Nutrition Research Group, Rheumatology Division, School of Physical Education and Sport, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil.,Laboratory of Assessment and Conditioning in Rheumatology, Disciplina de Reumatologia, Faculdade de Medicina (FMUSP), Universidade de São Paulo, São Paulo, Brazil.,Food Research Center, University of São Paulo, São Paulo, Brazil
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