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Ge X, Zhang E, Liu Y, Li H, Hu F, Chen J, Wang Y, Cai Y, Xiang M. Factors associated with out-of-school physical activity among Chinese children and adolescents: A stratified cross-sectional study. Prev Med 2024; 184:107985. [PMID: 38705485 DOI: 10.1016/j.ypmed.2024.107985] [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: 01/20/2024] [Revised: 05/01/2024] [Accepted: 05/02/2024] [Indexed: 05/07/2024]
Abstract
OBJECTIVE This observational study examined the factors associated with the physical activity (PA) of children and adolescents outside of school within the framework of Problem Behavior Theory (PBT). METHODS This cross-sectional study obtained data from 6528 children and adolescents aged 6-16 years recruited from ten schools in Shanghai, China. The questionnaire measured out-of-school PA and PBT-based correlates. A series of multiple linear regressions were used to explore the factors influencing children and adolescents' out-of-school PA separately. Structural equation modeling (SEM) was used to explore the association between the three systems of PBT and out-of-school PA. RESULTS Higher intrinsic motivation is positively associated with increased PA for children (b = 1.038, 95%CI: 0.897-1.180) and adolescents (b = 1.207, 95%CI: 0.890-1.524). Greater frequency of parental involvement in PA correlates with elevated PA for both children (b = 2.859, 95%CI: 2.147-3.572) and adolescents (b = 2.147, 95%CI: 0.311-3.983). In children, increased use of community exercise areas or facilities (b = 1.705, 95%CI: 0.234-3.176) and higher recreational screen time (b = 9.732, 95%CI: 5.614-13.850) are associated with higher PA. The SEM showed that factors of the personality system had a significant direct effect on out-of-school PA among children and adolescents, and factors of the behavior system also had a significant effect on children. CONCLUSIONS Our findings suggest that the personality system, particularly intrinsic motivation, is important in promoting out-of-school PA in children and adolescents. For children, modifiable health behaviors in the behavior system can similarly influence PA.
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Affiliation(s)
- Xin Ge
- Hainan Branch, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Sanya 572022, China; Public Health department, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Xianxia Road, No.1111, Shanghai 200336, China; School of Public Health, Shanghai Jiao Tong University School of Medicine, No.227. South Chongqing Road, Shanghai 200025, China
| | - Erliang Zhang
- School of Public Health, Shanghai Jiao Tong University School of Medicine, No.227. South Chongqing Road, Shanghai 200025, China
| | - Yujie Liu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, No.227. South Chongqing Road, Shanghai 200025, China
| | - Huilun Li
- Hainan Branch, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Sanya 572022, China; School of Public Health, Shanghai Jiao Tong University School of Medicine, No.227. South Chongqing Road, Shanghai 200025, China
| | - Fan Hu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, No.227. South Chongqing Road, Shanghai 200025, China
| | - Jianchang Chen
- Shanghai Educational Center Of Science & Art, Shanghai 200051, China
| | - YiRan Wang
- Shanghai University, 99 Shangda Road Baoshan District, Shanghai 200444, China
| | - Yong Cai
- Public Health department, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Xianxia Road, No.1111, Shanghai 200336, China.
| | - Mi Xiang
- Hainan Branch, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Sanya 572022, China; Public Health department, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Xianxia Road, No.1111, Shanghai 200336, China; School of Public Health, Shanghai Jiao Tong University School of Medicine, No.227. South Chongqing Road, Shanghai 200025, China.
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Cangemi R, Miglionico M, D'Amico T, Fasano S, Proietti M, Romiti GF, Corica B, Stefanini L, Tanzilli G, Basili S, Raparelli V, Tarsitano MG, Eva Collaborative Group. Adherence to the Mediterranean Diet in Preventing Major Cardiovascular Events in Patients with Ischemic Heart Disease: The EVA Study. Nutrients 2023; 15:3150. [PMID: 37513570 PMCID: PMC10386039 DOI: 10.3390/nu15143150] [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: 06/15/2023] [Revised: 07/13/2023] [Accepted: 07/13/2023] [Indexed: 07/30/2023] Open
Abstract
BACKGROUND Adherence to healthy dietary patterns, such as the Mediterranean diet (Med-diet), is recommended for the maintenance of cardiovascular health. The determinants for adherence to Med-diet and its importance in secondary cardiovascular disease prevention are still unclear. The aim of the study was to evaluate the influence of sex- and psycho-socio-cultural (i.e., gender-related) factors on Med-diet adherence and its role in preventing major cardiovascular events (MACEs) in patients with ischemic heart disease (IHD). METHODS Med-diet adherence was evaluated among 503 consecutive adults with IHD. MACEs were collected during a long-term follow-up. RESULTS Male Bem Sex-Role Inventory score (i.e., male personality traits) and physical functional capacity were associated with higher adherence, while cohabitation with a smoker and physical inactivity with poorer adherence. During a median follow-up of 22 months, 48 participants experienced MACEs (17.5%, 8.1%, and 3.9% of patients with low, medium, and high adherence, respectively; p = 0.016). At multivariate Cox--regression analysis, a greater adherence remained inversely associated with MACEs (HR: 0.49; 95% CI: 0.29-0.82; p = 0.006) after adjusting for confounding factors. CONCLUSION The study suggests that gender-related factors have a role in maintaining a healthy dietary pattern. Improving Med-diet adherence may lower the risk of recurring cardiovascular events.
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Affiliation(s)
- Roberto Cangemi
- Department of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy
| | - Marzia Miglionico
- Department of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy
| | - Tania D'Amico
- Department of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy
| | - Salvatore Fasano
- Department of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy
| | - Marco Proietti
- Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy
- Division of Subacute Care, IRCCS Istituti Clinici Scientifici Maugeri, 20138 Milan, Italy
| | - Giulio Francesco Romiti
- Department of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy
| | - Bernadette Corica
- Department of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy
| | - Lucia Stefanini
- Department of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy
| | - Gaetano Tanzilli
- Department of Internal Medicine, Anesthesiologic and Cardiovascular Sciences, University Sapienza, 00161 Rome, Italy
| | - Stefania Basili
- Department of Translational and Precision Medicine, Sapienza University of Rome, 00185 Rome, Italy
| | - Valeria Raparelli
- Department of Experimental Medicine, Sapienza University of Rome, 00161 Rome, Italy
- Department of Translational Medicine, University of Ferrara, 44121 Ferrara, Italy
- University Center for Studies on Gender Medicine, University of Ferrara, 44121 Ferrara, Italy
- Faculty of Nursing, University of Alberta, Edmonton, AB T6G 2R3, Canada
| | - Maria Grazia Tarsitano
- Department of Medical and Surgical Sciences, Magna Graecia University, 88100 Catanzaro, Italy
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Melguizo-Ibáñez E, Ubago-Jiménez JL, González-Valero G, Badicu G, Al-Mhanna SB, Puertas-Molero P. Study of the Effects of Physical-Activity Practice and Adherence to the Mediterranean Diet on Emotional Intelligence in Elementary School Education Students. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1211. [PMID: 37508707 PMCID: PMC10378488 DOI: 10.3390/children10071211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Revised: 07/04/2023] [Accepted: 07/11/2023] [Indexed: 07/30/2023]
Abstract
Research shows that regular physical exercise and a healthy lifestyle have a beneficial effect on the health of adolescents. Other studies have also shown that gender is also a determining factor when it comes to leading an active and healthy lifestyle. The aims of this study are (a) to develop a structural-equation model formed by the variables of emotional intelligence, physical-activity practice, and adherence to the Mediterranean diet and (b) to consider that model through a multigroup analysis. A descriptive, comparative, and cross-sectional study was carried out. The sample consisted of 567 primary school students. The KIDMED, PAQ-C, and TMMS-24 questionnaires were used for data collection. We found that there are differences in the effects of the practice of physical activity and adherence to the Mediterranean diet on the emotional domain. We also concluded that, during adolescence, gender is a key element in acquiring a healthy and active lifestyle.
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Affiliation(s)
- Eduardo Melguizo-Ibáñez
- Faculty of Education Sciences, Department of Didactics of Musical, Plastic and Corporal Expression, University of Granada, 18071 Granada, Spain
| | - José Luis Ubago-Jiménez
- Faculty of Education Sciences, Department of Didactics of Musical, Plastic and Corporal Expression, University of Granada, 18071 Granada, Spain
| | - Gabriel González-Valero
- Faculty of Education Sciences, Department of Didactics of Musical, Plastic and Corporal Expression, University of Granada, 18071 Granada, Spain
| | - Georgian Badicu
- Department of Physical Education and Special Motricity, Faculty of Physical Education and Mountain Sports, Transilvania University of Braşov, 500068 Braşov, Romania
| | - Sameer Badri Al-Mhanna
- Department of Physiology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia
| | - Pilar Puertas-Molero
- Faculty of Education Sciences, Department of Didactics of Musical, Plastic and Corporal Expression, University of Granada, 18071 Granada, Spain
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