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Ferrari Junior GJ, da Silva AB, Meneghetti A, Leite CR, Brust C, Moreira GC, Felden ÉPG. Relationships between internet addiction, quality of life and sleep problems: a structural equation modeling analysis. J Pediatr (Rio J) 2024; 100:283-288. [PMID: 38182125 DOI: 10.1016/j.jped.2023.09.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Revised: 09/12/2023] [Accepted: 09/16/2023] [Indexed: 01/07/2024] Open
Abstract
OBJECTIVE To assess the relationship between internet addiction, quality of life, and sleep problems among adolescents. METHOD This research was conducted with a representative sample of 875 adolescents. This cross-sectional study used the Internet Addiction Test, Pediatric Quality of Life Inventory™ version 4.0, Pediatric Daytime Sleepiness Scale, and sleep duration. Sociodemographic factors were also analyzed. Structural equation modeling was used to investigate relationships between variables. RESULTS After adjusting the model for covariances between the latent variables of daytime sleepiness and correlations between the physical and emotional domains of quality of life, the authors obtained satisfactory fit indices (RMSEA = 0.031, CFI = 0.926, TLI = 0.909, SRMR = 0.058). Internet addiction was positively associated with daytime sleepiness (rho = 0.549, p < 0.001) and negatively associated with quality of life (rho = -0.173, p < 0.001). By contrast, sleep duration was negatively associated with daytime sleepiness (rho = -0.089, p = 0.007), positively associated with quality of life (rho = 0.105, p = 0.014), and dependent on school shift (rho = 0.453, p < 0.001). CONCLUSIONS Adolescents with higher levels of internet addiction had lower perceptions of quality of life and higher daytime sleepiness. Moreover, sleep duration had a positive correlation with quality of life. Given its detrimental effects on quality of life and daytime sleepiness, parents should better supervise internet use in adolescents.
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Affiliation(s)
- Geraldo J Ferrari Junior
- Universidade do Estado de Santa Catarina (UDESC), Departamento de Ciências da Saúde, Florianópolis, SC, Brazil
| | - Amanda B da Silva
- Universidade do Estado de Santa Catarina (UDESC), Departamento de Ciências da Saúde, Florianópolis, SC, Brazil
| | - Andreia Meneghetti
- Universidade do Estado de Santa Catarina (UDESC), Departamento de Ciências da Saúde, Florianópolis, SC, Brazil.
| | - Carina R Leite
- Universidade do Estado de Santa Catarina (UDESC), Departamento de Ciências da Saúde, Florianópolis, SC, Brazil
| | - Cristina Brust
- Universidade do Estado de Santa Catarina (UDESC), Departamento de Ciências da Saúde, Florianópolis, SC, Brazil
| | - Giselly C Moreira
- Universidade do Estado de Santa Catarina (UDESC), Departamento de Ciências da Saúde, Florianópolis, SC, Brazil
| | - Érico P G Felden
- Universidade do Estado de Santa Catarina (UDESC), Departamento de Ciências da Saúde, Florianópolis, SC, Brazil
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Matos MBD, Bara TS, Felden ÉPG, Cordeiro ML. Potential Risk Factors for Autism in Children Requiring Neonatal Intensive Care Unit. Neuropediatrics 2021; 52:284-293. [PMID: 33853162 DOI: 10.1055/s-0041-1726401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND The etiology of autism spectrum disorder (ASD) is complex and involves the interplay of genetic and environmental factors. AIM We sought to identify potential prenatal, perinatal, and neonatal risk factors for ASD in a unique population of children who had perinatal complications and required care in a neonatal intensive care unit (NICU). METHODS This prospective cohort study included 73 patients discharged from a NICU who received long-term follow-up at the largest children's hospital in Brazil. Potential risk factors were compared between 44 children with a diagnosis of ASD and 29 children without using the Mann-Whitney U test. Proportions were analyzed using the chi-square test. Simple and multiple logistic regression tests were performed. RESULTS Of 38 factors analyzed, the following 7 were associated with ASD: family history of neuropsychiatric disorders (p = 0.049); maternal psychological distress during pregnancy (p = 0.007); ≥ 26 days in the NICU (p = 0.001); feeding tube for ≥ 15 days (p = 0.014); retinopathy of prematurity (p = 0.022); use of three or more antibiotics (p = 0.008); and co-sleeping until up to 2 years of age (p = 0.004). CONCLUSION This study found associations between specific risk factors during critical neurodevelopmental periods and a subsequent diagnosis of ASD. Knowledge of the etiologic factors that may influence the development for ASD is paramount for the development of intervention strategies and improvement of prognoses.
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Affiliation(s)
- Marília Barbosa de Matos
- Department of Neuropediatrics, Children's Hospital Pequeno Príncipe, Waldemar Monastier Hospital, Curitiba, Brazil.,Instituto de Pesquisa Pelé Pequeno Príncipe, Curitiba, Brazil.,Faculdades Pequeno Príncipe, Curitiba, Brazil
| | - Tiago S Bara
- Instituto de Pesquisa Pelé Pequeno Príncipe, Curitiba, Brazil.,Faculdades Pequeno Príncipe, Curitiba, Brazil
| | - Érico P G Felden
- Department of Health Sciences, Santa Catarina State University UDESC, Florianópolis, Brazil
| | - Mara L Cordeiro
- Instituto de Pesquisa Pelé Pequeno Príncipe, Curitiba, Brazil.,Faculdades Pequeno Príncipe, Curitiba, Brazil.,Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, Los Angeles, California, United States
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Furlin V, Bara TS, Felden ÉPG, de Farias AC, Cordeiro ML. Neuropsychological and behavioural profiles of students with intellectual development disorder on parents and teachers' perceptions. J Intellect Disabil Res 2021; 65:626-637. [PMID: 33830566 DOI: 10.1111/jir.12837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 02/26/2021] [Accepted: 03/18/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND Children with intellectual development disorder (IDD) have high rates of comorbid neuropsychological and behavioural problems. However, there are not many studies on this population in middle-income and low-income countries. Therefore, we aimed to investigate the prevalence of neuropsychological and behavioural problems in students with and without IDD and to assess the correlation between the responses from informants (parents and teachers) and the clinical diagnoses in Brazil. METHODS After clinical diagnosis, 78 male and female students (7-15 years old) were divided into two groups: children with IDD (n = 39) and children without IDD (n = 39). The Child Behaviour Checklist (CBCL) and Teacher's Report Form (TRF) scales were used to track neuropsychological and behavioural problems. Calculations of prevalence ratios were performed using Poisson regression with Wald tests. The CBCL and TRF results were compared between groups with Mann-Whitney U-tests and receiver operating characteristic (ROC) analyses. The agreement between scales was assessed using the Spearman correlation test. RESULTS Neuropsychological and behavioural problems were significantly more prevalent in students with IDD. The average amount of CBCL problems was significantly higher than that of TRF in the dimensions of thought, attention, somatic, attention deficit/hyperactivity, opposition defiant and total problems. Low-to-moderate correlations between CBCL and TRF dimensions in the IDD group were observed. ROC analyses revealed that the dimensions of internalising problems and total scores reflecting CBCL and TRF problems were the most important factors for identifying neuropsychological and behavioural problems in the IDD group. CONCLUSIONS Students with IDD require early identification of behavioural and emotional symptoms to avoid the underdiagnoses of various mental health problems, especially those with internalising characteristics. The CBCL and TRF may assist in the early screening of these comorbidities.
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Affiliation(s)
- V Furlin
- Pelé Pequeno Príncipe Research Institute, Curitiba, Brazil
- Faculdades Pequeno Príncipe, Curitiba, Brazil
| | - T S Bara
- Pelé Pequeno Príncipe Research Institute, Curitiba, Brazil
- Faculdades Pequeno Príncipe, Curitiba, Brazil
| | - É P G Felden
- Centro de Ciências da Saúde e do Esporte (CEFID), State of Santa Catarina University, Florianópolis, Brazil
| | - A C de Farias
- Pelé Pequeno Príncipe Research Institute, Curitiba, Brazil
- Faculdades Pequeno Príncipe, Curitiba, Brazil
- School of Medicine, University Positivo, Curitiba, Brazil
- Department of Neuropediatrics, Children's Hospital, Pequeno Príncipe, Curitiba, Brazil
| | - M L Cordeiro
- Pelé Pequeno Príncipe Research Institute, Curitiba, Brazil
- Faculdades Pequeno Príncipe, Curitiba, Brazil
- Department of Psychiatry and Biobehavior Sciences, David Geffen School of Medicine, Semel Institute for Neusroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA, USA
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Santos MO, Barbosa DG, Junior GJF, Silva RC, Pelegrini A, Felden ÉPG. Capacity of Objective Measures of Physical Activity to Predict Brazilian Children's Low Motor Proficiency. Percept Mot Skills 2018; 125:669-681. [PMID: 29788858 DOI: 10.1177/0031512518774993] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study analyzed the associations between physical activity (PA) and motor proficiency (MP) to determine what level of moderate PA might help avoid low MP in 8-10-year-old Brazilian children. We assessed MP of 98 children using the Bruininks-Oseretsky Motor Proficiency, Second Edition Short Form (BOT-2 SF), and we assessed PA using the GT3X + accelerometer. We analyzed data using means, standard deviations, frequency distribution, spearman correlation coefficients, Mann-Whitney U test, and the Receiver Operating Characteristics curve. There was a difference between groups of children with adequate or better versus low MP in minutes/day of moderate PA (defined as 2,296-4,011 accelerometer counts/minute; U = 666.0, p = .045) such that those with less time engaged in moderate PA had lower MP scores than peers with adequate MP. There was also a positive correlation between moderate PA and the strength and agility MP domain ( rs = .226; p = .025). In addition, minutes/day of moderate PA less than or equal to 142.56 minutes showed predictive capacity for low MP (area under the curve = 0.635; p = .027). Thus, objective measures of PA were able to predict low MP in 8-10-year-old Brazilian children, with an approximate guideline of about 2.5 hours per day of moderate PA needed to protect against low MP.
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Affiliation(s)
- Manoella O Santos
- 1 Department of Human Movement Sciences, Santa Catarina State University, Florianópolis, Brazil
| | - Diego G Barbosa
- 1 Department of Human Movement Sciences, Santa Catarina State University, Florianópolis, Brazil
| | - Geraldo J F Junior
- 1 Department of Human Movement Sciences, Santa Catarina State University, Florianópolis, Brazil
| | - Raísa C Silva
- 1 Department of Human Movement Sciences, Santa Catarina State University, Florianópolis, Brazil
| | - Andreia Pelegrini
- 1 Department of Human Movement Sciences, Santa Catarina State University, Florianópolis, Brazil
| | - Érico P G Felden
- 1 Department of Human Movement Sciences, Santa Catarina State University, Florianópolis, Brazil
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Frank R, Claumann GS, Felden ÉPG, Silva DAS, Pelegrini A. Body weight perception and body weight control behaviors in adolescents. J Pediatr (Rio J) 2018; 94:40-47. [PMID: 28802639 DOI: 10.1016/j.jped.2017.03.008] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2016] [Revised: 01/03/2017] [Accepted: 01/18/2017] [Indexed: 10/19/2022] Open
Abstract
OBJECTIVE To investigate the association between the perception of body weight (as above or below the desired) and behaviors for body weight control in adolescents. METHODS This was a cross-sectional study that included 1051 adolescents (aged 15-19 years) who were high school students attending public schools. The authors collected information on the perception of body weight (dependent variable), weight control behaviors (initiative to change the weight, physical exercise, eating less or cutting calories, fasting for 24h, taking medications, vomiting, or taking laxatives), and measured body weight and height to calculate the body mass index and then classify the weight status. Associations were tested by multinomial logistic regression analysis. RESULTS Adolescents of both sexes who perceived their body weight as below the expected weight took more initiatives to gain weight, and those who perceived themselves as overweight made more efforts to lose weight. In adolescents who perceived themselves as overweight, the behavior of not taking medication was associated with the outcome only in boys (Odds Ratio=8.12), whereas in girls, an association was observed with the variables eating less, cutting calories, or avoiding fatty foods aiming to lose or avoid increasing body weight (Odds Ratio=3.39). Adolescents of both sexes who practiced exercises were more likely to perceive themselves as overweight (male Odds Ratio=2.00; Odds Ratio=1.93 female). CONCLUSION The perception of the body weight as above and below one's expected weight was associated with weight control behaviors, which were more likely to result in initiatives to lose and gain weight, respectively.
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Affiliation(s)
- Robson Frank
- Universidade do Estado de Santa Catarina (UDESC), Programa de Pós-graduação em Ciências do Movimento Humano, Florianópolis, SC, Brazil.
| | - Gaia S Claumann
- Universidade do Estado de Santa Catarina (UDESC), Programa de Pós-graduação em Ciências do Movimento Humano, Florianópolis, SC, Brazil
| | - Érico P G Felden
- Universidade do Estado de Santa Catarina (UDESC), Programa de Pós-graduação em Ciências do Movimento Humano, Florianópolis, SC, Brazil
| | - Diego A S Silva
- Universidade Federal de Santa Catarina (UFSC), Programa de Pós-graduação em Educação Física, Florianópolis, SC, Brazil
| | - Andreia Pelegrini
- Universidade do Estado de Santa Catarina (UDESC), Programa de Pós-graduação em Ciências do Movimento Humano, Florianópolis, SC, Brazil
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Beltrame TS, Capistrano R, Alexandre JM, Lisboa T, Andrade RD, Felden ÉPG. PREVALÊNCIA DO TRANSTORNO DO DESENVOLVIMENTO DA COORDENAÇÃO EM UMA AMOSTRA DE CRIANÇAS BRASILEIRAS. ACTA ACUST UNITED AC 2017. [DOI: 10.4322/0104-4931.ctoao0777] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Felden ÉPG, Carniel JD, Andrade RD, Pelegrini A, Anacleto TS, Louzada FM. Translation and validation of the Pediatric Daytime Sleepiness Scale (PDSS) into Brazilian Portuguese. J Pediatr (Rio J) 2016; 92:168-73. [PMID: 26686097 DOI: 10.1016/j.jped.2015.05.008] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2015] [Revised: 05/14/2015] [Accepted: 05/27/2015] [Indexed: 10/22/2022] Open
Abstract
OBJECTIVE The aim of this study was to translate and validate the Pediatric Daytime Sleepiness Scale (PDSS) into Brazilian Portuguese. METHODS The translation/validation process was carried out through translation, back translation, technical review, assessment of verbal comprehension/clarity of the scale by experts and a focus group, test-retest, and application of the tool. The reproducibility analysis was performed by applying the PDSS in test-retest; internal consistency was verified by applying the scale in 90 children and adolescents. RESULTS The mean score of the sum of PDSS questions was 15.6 (SD=5.0) points. The PDSS showed appropriate indicators of content validation and clarity for the Brazilian Portuguese version. The internal consistency analysis showed a Cronbach's alpha of 0.784. The PDSS showed adequate reproducibility. The PDSS scores showed a significant and negative correlation with time spent in bed (r=-0.214; p=0.023). CONCLUSION The Brazilian Portuguese version of the PDSS shows satisfactory indicators of validity and can be applied in clinical practice and scientific research.
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Affiliation(s)
- Érico P G Felden
- Post-graduate Program in Human Movement Science, Health Sciences Research Center, Universidade do Estado de Santa Catarina (UDESC), Florianópolis, SC, Brazil.
| | - Joana D Carniel
- Post-graduate Program in Human Movement Science, Health Sciences Research Center, Universidade do Estado de Santa Catarina (UDESC), Florianópolis, SC, Brazil
| | - Rubian D Andrade
- Post-graduate Program in Human Movement Science, Health Sciences Research Center, Universidade do Estado de Santa Catarina (UDESC), Florianópolis, SC, Brazil
| | - Andreia Pelegrini
- Post-graduate Program in Human Movement Science, Health Sciences Research Center, Universidade do Estado de Santa Catarina (UDESC), Florianópolis, SC, Brazil
| | - Tâmile S Anacleto
- Post-graduate Program in Cell and Molecular Biology, Human Chronobiology Laboratory, Universidade Federal do Paraná (UFPR), Curitiba, PR, Brazil
| | - Fernando M Louzada
- Post-graduate Program in Cell and Molecular Biology, Human Chronobiology Laboratory, Universidade Federal do Paraná (UFPR), Curitiba, PR, Brazil
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